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/2
3 CANDIDATE! MS/MRS/MR YIRST
(IF F IC EHOLDER OFFCEUSEONLY
NAME
NICKNAME
Da
e
t EJVD
LAST SUFFIX
4 CANDIDATE I
CF F ICEHOLDER
(DURESS /PO DCX P1 / SLIITE CITY: STATE. CIP CODE APR 1 4 2011
MAILING /2,”2 74’L.—e 7’ /J 7Z5 Dale HanddeIeered or Date RosIrnaied
ADDRESS /
Change of Address
L ( OMMUNICATIONS
5 CANDIDATE! AREA CODE PRONE NUMBER EXTENSION Receipt X
OFFICEHOLDER
(2// ) 7O7 7 Data Processed
/Yec
7 CAMPAIGN STREET ADDRESS (NO P0 BOX PLEASE); APT / SUITE #: CITY, STATE; ZIP CODE
TREASURER
ADDRESS 373 ,
’
3ô,w4 4-) ? -z-- 7S7S
Residence or Business)
1
8 CAMPAIGN ,rREA CODE PHONE NUMBER EXTENSION HI 55p
TREASURER
( 97) 79
9 REPORT TYPE
.anuary 15 Oth day belore election Runoff ‘5th day after campaign :reasrrar
appointment oiflcenolder onlyi
July 15 8th day before election Esceeded $500 limit Final report Attach C/OH - FRI
,/
,‘ .--‘ /,/ Primary Runoft General Special
OFFICE HELD
12 OFFICE /11 any) 113 OFFICE SOUGHT (if known)
?zs $
14 NOTICE
DiRECT CAMPAIGN EXPENDITURES ARE CAMPAIGN EXPENDITURES MADE BY OTHERS WITHOUT THE CANDIDATE S PRIOR CONSENT
0 F DIR ECT OR APPROVAL.
CANDIDATES ARE REQUIRED TO DISCLOSE THIS INFORMATION ONLY IF THEY RECEIVE NOTIFICATION OF THE DIRECT CAMPAIGN EXPENDITURE.
CAMPAIGN
EXPENDITURE
Name
BY OTHER
i N Dlvi DUALS
El additional pages
GO TO PAGE 2
;;ww.e)hICs.state.tx.us
Revtsed 04(21/2010
i.XUS hIhICS Colnmlssion P0. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2089)
1C-_
17 NOTICE THIS BOX IS FOR NO11CE OF POLCAL CONTRIBU11ONS ACCEPTED OR POLCAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SIJPPORT THE
FROM CANDIDATE I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDER’S KNOWLEDGE OR
POll TI s s CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATiON ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE(S)
COMMITTEE NAME
COMMITTEE TYPE
tO I i1 GENERAL
COMMITTEE ADDRESS
SPECIFIC
{j additional pages
EXPENDITURE
TOTALS 3. TOTAL POLITICAL EXPENDITURES OF $50 OR LESS. UNLESS ITEMIZED $
4. TOTAL POLITICAL EXPENDITURES $ /,_y’. 67
CONTRIBUTION
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF REPORTING PERIOD $
OUTSTANDING
6. TOTAL PRINCIPALAMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD
19 AFFIDAVIT
I swear, or affirm, under penalty of perjury, that the accompanying report
, ccimIission EWires
“
!1i2O11
Sign re of andr,9fficehoIder
POLITICAL EXPENDITURES
v1ADE FROM PERSONAL FUNDS
1 SCHEDULE G
;D)t Y
6 Amount IS) 7 Payee addres City: State: Zip Code
/‘W 2.2 Ci 7’ 7— 7,
--,fxev roursemerit from
LJ political cofltnbuliOr/S
yenned
8 PURPOSE (a) Category ISue categories listed at toe top of this schedule) (b) 0 escription Ill travel outside at Texas, complete Schedule Ti
OF
EXPENDITURE
t1
Reimburseiaenl from
f
political contributions
tended
PURPOSE Category ISee categories listed at the top of this schedule( Description If travel outside of Teeas comBers Scneduie TI
OF
EXPENDITURE
Reimbursement from
LJ Or,iitiCai COntributions
intended
PURPOSE Category tSee categories listed at he lop of this schedulef Description (if ravel outside of raxas comniete Schedmie Ti
OF
EXPEND ITU RE
PURPOSE Category See categories listed at the top of this scrmeduiel Description lit travel Outside of Texas oniprete 5cnedule TI
OF
EXPENDITURE
vwwrilhics.statelx.us
Revised 04/21/2010
xar Etlucs Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2939)
8 Pu RPOSE (a) Category See categories listed at the top of this schedule) (b) Description (If travel outside ot Texas, complete Schedule TI
OF
EXPENDITURE
pu RPOSE Category See categories listed at the top of this schedule) Description lit travel outside of Texas. complete Schedule T)
OF
EXPENDITURE
Pu RPOSE Category See categories listed at the top of this schedulel Description lit travel outside of Texas, complete Schedule TI
OF
EXPENDITURE
.riJl.lp(JSE category See categories listed at the top of this scnedulel ‘ Description lit travel outside of Texas, complete Schedule Ti
OF
EXPENDITURE
I
7 CAM PA I G N STREET ADDRESS INC P0 BOX PLEASEI; APT / SUITE B: CITY; STATE: ZIP CODE AP
TREASURER
ADDRESS
iResidence or Business)
‘1Z2 esik ‘flC 7cc:
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE (9i 1— ,IZ3
9 REPORTTYPE
January /5 30th day before election Runoff 11 1 5th day after campaign treesirer
L___t appointment iotficenoider oniy
July 15 8th day before election Exceeded $500 limit Final report (Attach C/OH - FR)
f.Jov P4( J.
00
(3
14 NOT) CE
DIRECT CAMPAIGN EXPENDITURES ARE CAMPAIGN EXPENDITURES MADE BY OTHERS WITHOUT THE CANDIDATES PRIOR CONSENT OR APPROVAL.
OF DIRECT
CANDIDATES ARE REQUIRED TO DISCLOSE THIS INFORMATION ONLY IF THEY RECEIVE NOTIFICATION OF THE DIRECT CAMPAIGN EXPENDiTURE.
CAMPAIGN
EXPENDITURE
Name
BY OTHER
INDIVIDUALS
additional pages .5 . .‘
-.5 ‘ 5.
GOTOPAGE2
ti’1e
fIIJ.Z
if
V I
GENERAL
COMMITTEE ADDRESS
,‘.‘C)r,,
-
SPECIFIC -
N .. .1
additional pages
CONTRIBUTION
TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE
OF REPORTING PERIOD $ 4(,oo7.cx
OUTSTANDING
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS
LAST DAY OF THE REPORTING PERIOD
19 AFFIDAVIT
I perjury, that the accompanying report
swear, or affirm, under penalty of
,7L
r
4 4
Signature of offic r administe I oath
£
Printed name of officer administering oath
%‘‘ iiy /e
/’C
6
Title of officer administering oath
POLITICAL CONTRIBUTIONS
OTHER THAN PLEDGES OR LOANS SCHEDULE A
S. She?
4 Dute 5 Full name of contributor out-of-state PAC(lD#:____________________ 7 Amount of 8 In-kind contribution
contribution (5) description (if applicable)
D Ste Full name of contribLitor oui-ot-siaie PAC llD# Amount of tn-kind contribution
contribution ($) description (if applicable)
www.ethics.slate.tx.us
Revised 04/212010
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
PLEDGED CONTRIBUTIONS
SCHEDULE B
,
(f travel outside of Texas, complete Schedule TI
Principal occupation I Job title (See Instructions) Employer (See Instructions)
)T 7SCft,
8 PURPOSE (a) Category (See categories iisted at the top of this schedule) (b) Description (if travel Outside of Texas, compiete Scheduie T(
EXPENCTURE 8
F /ev’sc.
Complete CNX if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/Ct—I
PURPOSE Category See categories iisted at the top ot this scfreduie( Description (it travel outside of Texas. compiete Sctresvie T)
OF
EXPENDITURE
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to Cenefit C/OH
LOANS SCHEDULE E
4
TOTAL OF UNITEMIZED LOANS: ‘
$
5 Date of loan 7 Name of lender out-of-state PAC ti______________________ Loan Amount (5)
9 —
Institution? . -
I Maturity date
Y N
14 Description of Collateral
Dna
15 GUARANTOR
INFORMATION
1 16 Name of guarantor 18 Amount Guaranteed(S)
Description of Collateral
Uno-e
www.e[hicsstate.txus
Revised 04/21/2010
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (51 2) 463-5800 (TDD 1 -800-735-2989)
POLITICAL EXPENDITURES
MADE FROM PERSONAL FUNDS SCHEDULE G
— ‘jL S. S ——
8 PURPOSE (a) Category ISee categories listed at the top of this schedulel (b) Description (If travel Outside of Texas. complete Schedule TI
EXPENDITURE d
0
. tö% E.pettc.&
Li I I ii Lows
Amount ($) Payee address; City; State: Zip Code
# liii. SZ i1O PesIzti 4lOL,11c 7z2
r— Reimbursement from
LX po/tical Contributions
tended
PURPOSE Category ISee categories listed at the top of this schedulel Description (If travel outside of Texas, complete Schedule TI
OF
EXPENDITURE Aov-4; E peLSC
political Contributions
intended
u RPOSE Category (See categories listed at the top of this schedulel Description (If trasel outside of Texas, compleie Schedule Tl
OF
EXPENDITURE
Reimbursement from
political contributions
intended
PURPOSE Category (See categories listed at the top of this scheduiel Description :t traxel ouiside of Teoss. coixlete Scneduie F)
OF
EXPENDITURE
,vsvw.ethics.state,tx.us
Revised 04/21/2010
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1 -800-735-2989)
.“ —. f’s
g PU RPOSE (a) Category (See categones listed at the top of this schedule) (b) Description (If travel outside ofTesas, complete Schedule T)
OF
EXPENDITURE
PU RPOSE Category (See categories listed at the top of this schedule) Description (If travel outbde of Texas. complete Schedule T)
OF
EXPENDITURE
Corrplete Cf\LY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/Of-I
. 1_..
pu RPOSE Category ISee categories listed at the top ot this schedule) Description (If travel oulede of Texas, complete Schedule T)
OF
EXPENDITURE
PURPOSE , Category See categories isted at the top of this schedule) Description (If travel outside of Texas, complete Schedule 1)
OF
EXPEND ITU RE
‘nnplete (J’LY if direct Candidate / Officeholder name Office sought Office held —
.... —
MI
-.
. - Date Received
SUFFIX
APR 14 2011
CANDIDATE / CITY. STATE, ZIP CODE
OFFICEHOLDER
MAILING
57C24L c2VLC Z4& 45
ô4.L flxsImarked
ADDRESS r
C1
*‘IMUNk,A iONS
j Change of Address -72 7
5 CANDIDATE! AREA CODE PHONE NUMBER EXTENSION Receipt B Amounl
OFFICEHOLDER
PHONE ( 9?2) 3ô 377 Date Processed
/Ai
7 N
CAM PA I G STREET ADDRESS (NO P0 BOX PLEASEI: APT / SUITE B; CITY, STATE; ZIP CODE
TREASURER
ADDRESS
(Residence or Business)
7&35 &c- -L6l /k’i, /
4
4 fv0, /;‘ç
July 15 8th day before election Exceeded $500 limit Final report (Allach C/OH - FR)
12 OFFICE OFFICE HELD (if anyl 113 OFFICE SOUGI4T (If knowtt) n’s’ 4%%%%’.5
‘3 Jfi(JJ)
Ak
J
7 L
•
14 NOTICE
DIRECT CAMPAIGN EXPENDITURES ARE CAMPAIGN EXPENDITURES MADE BY OTHERS
OF DIRECT
CANDIDATES ARE REQUIRED TO DISCLOSE THIS INFORMATION ONLY IF THEY RECEIVE NOTIFICATION OF THE DIRECT CAMPAIGN EXPENDITURE.
CAMPAIGN
EXPENDITURE
Name
BY OTHER
INDIVIDUALS
Aic27’.
Address / P0 Box; Apt / Suite #. City; Stale, Zip Code
additional pages
GO TO PAGE 2
FR 0 d’ - CADIDATE/ OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE’S OR OFFICEHOLDER’S KNOWLEDGE OR
P0 L T’i’CA L CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATiON ONLY IF THEY RECEIVE NOTiCE OF SUCH EXPENDITURES.
CO M MITT F F(S)
COMMITTEE NAME
COMMITTEE TYPE
ros : GENERAL
COMMITTEE ADDRESS
‘‘A’
—
E additional pageS
19 AFFIDAVIT
I swear,or affirm, under penalty of perjury, that the accompanying report
. . .
MOTJML$TATWTW$
SOIItflOI UPlift:
EZJ
12—20-201 1
of Candidate or Officeholder
3
L
Siture of officer administe g oath Printed name of officer administering oath Title of office dminstering oath
POLITICAL EXPENDITURES
MADE FROM PERSONAL FUNDS SCHEDULE G
/
&
9
a
Amount ($)
--
Payee address; City;
/Lt/
State; Zip Code
/J44 T ‘S244?
p0/teal contributions
geimburseme ntfrom
nitended
PURPOSE Category (See categories listed at the top of this schedule) Description lit travei outside of Texas complete Schedsie Ti
OF
EXPENDITURE CciSE.
Date Pay
V
Amount (5) Payee address; City; State; Zip Code
tram
political contributions
/Reimbursem eni
intended
PURPOSE Category ISee categories listed at the top of this schedule) Description (if travel outside of Texas, complete Schedule TI
OF
EXPENDITURE
T 5-q
Date Payee name
//
Amount ($) Payee address; City; State; Zip Code
[_j
imrentfrom
cohticai contributions
/4/ J’- 2r
n/ended
PURPOSE Category (See categories listed at the top of this schedule) Description lit travel outside of Texas, comnpiete Schedule TI
OF
EXPENDITURE
//AJO/’J6- Ar’5ë.
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.e)hics.state.tx.us
Revised 04/21/2010
Texas Ethics Commission P.O. Box 1 2070 Austin, Texas 78711 -2070 (512) 463-5800 (TDD 1-800-735-2989)
PURPOSE (a) Category (See categories listed at the top of this schedule) (b) Description (If travel outside of Texas, complete Schedule TI
OF
EXPENDITURE
±
Amount (5) Business address; City; State; Zip Code
PU RPOSE Category (See categories listed at the top of this schedule) Description (If travel outside of Texas. complete Schecule T
OF
EXPENDITURE
PU RPOSE Category )See categories listed at the top of this schedule) Description )lt travel outede of Texas, complete Schedule Ti
OF
EXPENDITURE
Comm/ate CX’LY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
PURPOSE Category (See categories listed at the top of this schedule) Description (If travel outside of Texas, complete Scheduie TI
OF
EXPENDITURE
1 Ar Cr)1JN T ;t 2 sd psos
ihe CIOH Instruction Guido explains how to complete this form. ‘-‘‘ 11HSI
IIOrCIAME ,LFIX
RECEIVED
OQy
13 CANDIDAFE / “FSH/SS / PC BOX .pr SUIrE I CITY STATE. OP CODE
)EFIcEbDLDER
7/ Hce- C+. P/ 7 75’ ii-ci rite
Coanqe of Address I
5 CANDIDATE! REA CODE PHONE NUMBER EXTENSION MUNIATION5
OFFICEHOLDER
( 7) 52 - & 7 DaW Processed
c7
7 CAMPAIGN STREETAQDRESS 1
NOPOBOXPLEASEI; /,rpTIsuIrE CITY, STATE: LIPCCDE
tREASURER
ADD RE S S
:
/sscjence or dusiness)
9 REPORT TYPE
I janua 15 50th day belore election fl Runod n5W day rifler campaign Irrarnirer
ippointment othierrolder Orion
—
14 NO LICE
DIRECT CAMPAIGN EXPENDITURES ARE CAMPAIGN EXPENDITURES MADE BY OTHERS WITHOUT THE CANDIDATE S PRIOR CONSENT DR APPRi)V/rL.
OF DIRECT
CANOIDA TES ARE REQUIRED TO DISCLOSE THIS INFORMATION ONLY IF THEY RECEIVE NOTIFICATION OF THE DIRECT CAMPAIGN EXPErJIZI rInSE.
CAMPAIGN
EXPENDITURE
Same
RY OTHER
NDIV1DUALS
1 additional pages
GO TO PAGE 2
-1
r,ww et[lICs.state.1X.uS
Rerjlsecl IU-1r21/2211J
<15 11u:s ImtrTllSs!ofl P0. Box 12070 AustIn, Fexas 7:3711-2070 (512) 463-5800 (TDD I -:300-735-29:3(0
17 N U TI CE THE BOX IS FOR NOTICE OFLIaCAL CONTRIBUflONS ACCEPTED OR POUSCAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT THE
F M ‘ANITOATE I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE B/I THOUT THE CANDIDATES OR OFFICEHOLDER’S KNOWLEDGE OR
I-’ C ) 1.1 F (CAL CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT DES IIWORMATION ONLY IF THEY RECEIVE NOr1CE OF SUCH EXPENOIflJRES.
COMMI FTEE(S)
COMMITTEE NAME —
$
•‘ OMMiTTEE TYPE
El GENERAL
COMMITTEE ADDRESS
SPECIFIC
.,
S ‘ I S
COMMITTEE CAMPAIGN TREASURER NAME
.
[
‘ .dditioflaI pages
II
/ Signature of Candidate or Officeholder
loll
-
POLITICAL CONTRIBUTIONS
OTHER THAN PLEDGES OR LOANS :3CHEDULIE -\
7
y(crLe
I 6 Contributor address; City: State; Zip Codq I ij3
I r’c
r 7/’
I 7S i It travel oulaide of Texas, cuniplole chodu)e r) - -- -
LOANS SCHEDuLE
:
zzc 7 3 ;cGijct r 2nirs (--asi
S ‘Otution?
11 Maturity date
0’ N____
1$ Description of Collateral
iJ
(a(eiruer .
Lender address; City; State; p Code Interest rate
i (inancia)
: ristitution?
11aturity oate
0’ N
Description of Collateral
puRPOSE (a) Category (See categories iisted at the top of thiS schedule> (b) Description (if travel outside of Texas. damolete Schedule TI
8
OF
EXPENDITURE
Category See categories iisted at the lop ot this schedule> Description ut travel outside of texas complete Scredute ri
RPOSE
‘u
OF
EXPENDITuRE
olele CtIX if direct Candidate I Officeholder name Office sought Office held
eiiditure to benefit CIC*-I
flro,irt iS)
r Payee address; City; State; Zip Code
I Category See categories listed at the top of this schedule> Description ulftravel Outside of Texas compiete Sciieduie ri
i-’tJRPOSE
OF
EXPENDITURE
tJRPosE Category See categories noted at the top of this schediIe( Description If travel outside of texas. ccmpiete Schedure r
1
)F I
r(PErJDITIJRE
POLITICAL EXPENDITURES
VIADE FROM PERSONAL FUNDS SCHEDULE C
--
(b’ /
El 1301cC
\J I 3+z f(’, f,. ow-1.
B PURPSE (a) Cutegory jhee categories listed at the top of this scoedulel (b) 0 escriptiofl lt travel outside of Texts coriplete Schedule T
1
EXPETURE
9L)5iir55 Crc/$
Urste ,
Payee name
/2&/
Aiinunt ($1 Payee address: City: State; Zip Code
/-f3 I! I fl
3
°‘xImhUiseineflt from
JCiicai contributions
IVI ST 1
rC cc
‘ tnIerj
RPOSE Category See categories listed at the top of this schedule) Description lit travel outside at Tex compete Sciipliie Ii
EXPENTURE PC fj 5rfC 5
)ite Payee name
heirilDursement from
:
—
-‘13031 contriOutions
tended
PURPOSE Category iSee categories listed at the top of this schedule) Descrtption if travel outside of laxas omoiete Schediie Ii
OF
EXPENDITURE
i0tical
• icrided
PURPOSE Category See categories listed at the top of this sctiedulei Description It trxxel outside or Texas. coiriciere Scnedcie II
OF
EXPENDITURE
8 PuRPOSE (a) Category See cateqones iixted at the too 01 tTxS schedule) I (b) Description ill travel outside of Texas ccmniete Sctteduie TI
OF
OXPENDITURE
I
9Conete çj if direct Candidate / Officeholder name Office sought Office held
-epencliture to benefit CJC)H
i’u RPOSE Category See caiegories iisted at the top of this Schedule) Description it travel outside of Texas, complete Sche0uie r)
OF
B X PE N OITU RE
U RPOSE Category See categories listed at the too of this scheoulel Description it traxei outsde of Texas, ccmoiete ScTetvie Ti
CF
BXPENDITURE
Category See caiegones xsied at the too of this sched’jie) Description ,x ravel outsde of beat vompiete Schedu,e TI
JI-SPOSE
,i
OF
/XPENDITURE
NON-POLITICAL EXPENDITURES
MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE I
8 PU RPOSE (a) Category Sea categories umsied at the top of this scfledulel (b) Description i See inStructions regarding lpe of nloriOo reqo Si
I
EXPENDITURE
PURPOSE Category See categories listed at the mop of this schedule) Description Sue instructions regarding type St information nS’iurd I
EXPENDITURE
PURPOSE Ccmtegory Sue categories listed at the top of this scheduia) Description Sue rnSi100tmons regarding yse of iflioririaiioi nur.u I
OF
EXPENDITURE
-----
z_____
i:ii op
2 N.:jl
3 Ut1 Th103 L,,Ti,iia’,aIi r’I.’,s)
‘Sohedule A
[ Schedule B Schedule C Schedule 0 Schedule F Schedu1e u
Schedule H Schedule N COH-UC COH-T E PAC-C PAC-E
Sates of travel Name of person(s) traveling
-1
ATTACH ADDITIONAL COPIES OF THIS SCHE
DULE AS NEEDED
-welhtcs.slate tx,us I
,evised 04/2 t 201(1
AuSIifl, texas 78711-2070 512)463-5300 (IDD 1800-735-’ifl
‘!tl1i’ 1uifliflISSiOfl P0. Hox 12070
3 SIGNATURE
A. CAP1PAlGN FUNDS
I rIo not have unexpended contributions or unexpended interest or income earned from political
contributions.
13. ASSETS
Signature of Candidate
, 5 OFFICEHOLDER
C,jmoiete this section only if you are an officeholder
treasureron file.
I ore aware that I remain subject to filing requirements applicable to an officehotderwho does not have a campaign
last required report as an
I sin also aware that I will be required to file reports of unexpended contributions if, after filing the
purchased with political
officenolder. I retain political contributions, interest or other incomefrom political contributions, or assets
‘:ontributions or interest or other income from political contributions.
.
SignatureofOfficeholder
I
Revised 04/21/2010
nihns .rste lx.us
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
/i’jtsJC
4 CANDIDATE! ADDRESS /POBOX, APT/SUITE#: CITY, STATE: ZIPCODE IP It i
OFFICEHOLDER
MAILING / L/J
3 / /* DateHand-deliveredorPoslmarked
ADDRESS
change of address
OMMUNOATIpNS
5 CANDIDATE! AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER Date Processed
PHONE ( ) ‘-‘/
6 CAMPAIGN MS/MRS/MR FIRST Date Imaged
TREASURER
NAME
/4/ A
NICKNAME LAST SUFFIX 11:43
7 CAM PA I G N STREET ADDRESS )NO P0 BOX PLEASE): APT / SUITE #; CITY: STATE: ZIP CODE
TREASURER
ADDRESS j//3 frvA
(residence or business)
9 REPORTTYPE
January 15 30th day before election Runoff 1 5th day after campaign treasurer
appointment )otticeho:der only)
July 15 8th day before election Exceeded $500 limit Final report (Attach C/OH. FR)
14 NOTICE
OF DIRECT
CAM PAl G N
DIRECT CAMPAIGN EXPENDITURES ARE CAMPAIGN EXPENDITURES MADE BY OThERS
ei,qzi Ii
TUf JIijt€At /0/I
CANDIDATES ARE REQUIRED TO DISCLOSE THIS INFORMATION ONLY IF THEY RECEIVNGVIFIATlQF__________________
EPROVAL.
)ITuRE.
EXPENDITURE
Name
BY OTHER
INDIVIDUALS
additional pages
GO TO PAGE 2
17 NOT I C E THIS BOX IS FOR NOflCE OF POLI11CAL C0NTRIBU11ONS ACCEPTED OR POLO1CAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT THE
F ROM .. CANDIDATE I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE EEEN MADE WITHOUT THE CANDIDATE’S OR OFFICEHOLDER’S KNOWLEDGE DI?
QJ El c CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMAflON ONLY IF THEY RECEIVE ND11CE OF SUCH EXPENDrnJRE5.
COMMITTEE(S)
COMMITTEE NAME
COMMITTEE TYPE
SPECIFIC
‘? * q ‘
.-
S.. a b - — ‘, --
additional pages
EXPENDITURE
TOTALS 3. TOTAL POLITICAL EXPENDITURES OF $50 OR LESS, UNLESS ITEMIZED $ — d
CONTRiBUTION
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF REPORTING PERIOD $
OUTSTANDING
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOANTOTALS LASTDAYOFTHEREPORTINGPERIOD $ 0 —
19 AFFIDAVIT
I swear, or affirm, under penalty of perjury, that the accompanying report
is true and correct and includes all information required to be reported by
UIOEFIIIliHOEZ
w:
me under Title 1 lection Code.
Sworn to and subscribed before me, by the said (AUQ( (irt51 this the
4AMIJ 4j JCL
SignJre of offiCer administ,g oath Printed name of officer administering oath Title of offiCer adstering oath