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Huffman Semi Jan 2016
CANDIDATE / OFFICEHOLDER FORM c/oH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/Oli Instruction Guide explains how to complete this form. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: I 3 CANDIDATE/ MS I MAS l MR FIRST MI OFFICEHOLDER Mi OFFICE USE ONLY NAME NfCKNAME • . . . . . . .. . . . . • . ' • . . • • . . . . . Date Received LAST SUFFIX f 4 CANDIDATE/ ADDRESS I PO BOX; APT!SUITE#; CITY; STATE; ZIP CODE OFFICEHOLDER MAILING ADDRESS (� flr�I �JA N 1 5 7.01E ❑ Change of Address Q `tel a Z 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION OFFYL ra OFFICEHOLDER (1-71 y Date Hand-delivered or Date Postmarked fj.1D�tf� PHONE 11 [q 4 -� VS 3 S LIZA 6 CAMPAIGN Ms I R /MR FIRST MI Receipt# Amount$ TREASURER `1 _ J NAME ' i 1/L • - Date Processed NICKNAME LAST SUFFIX Date Imaged 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT 1 SUITE#; CITY; STATE; ZIP CODE TREASURER -� ADDRESS (Residence or Business) d`L J_ Tx -_7/ e9l 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASPHONE ,,. 9 REPORT TYPE LINZJanuary 15 30th day before election ❑ Runoff ❑ 15th day after campaign ❑ treasurer appointment (Officeholder Only) ❑ July 15 ❑ 8th day before election ❑ Exceeded$500 limit ❑ Final Report(Attach C/OH-FR) 10 PERIOD Month Day Year Month Day Year COVERED f j / / �15� THROUGH `� / �( / 2,z) 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year ❑ Primary ❑ Runoff ❑ Other Description ❑ General ❑ Special 12 OFFICE OFFICE HELD (if any)) 13 OFFfCE SOUGHT (if known) SGL( GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 4 - i CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 i 114 C/OH NAME as 15 Filer ID (Ethics Commission Filers) 16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE By POLITICAL COMMITTEES TO POLITICAL SUPPORT THE CANDIDATE I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDER S COMMITTEE(S) KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES. COMMITTEE TYPE COMMITTEE NAME i ❑GENERAL COMMITTEE ADDRESS j ❑SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME ❑ Additional Pages COMMITTEE CAMPAIGN TREASURER ADDRESS 17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS,OR GUARANTEES OF LOANS) C;. . . . . . . . . . . . . EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, TOTALS UNLESS ITEMIZED 4. TOTAL POLITICAL EXPENDITURESCONTRIBU � � BALANCE TION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF REPORTING PERIOD OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE v f LOAN TOTALS LAST DAY OF THE REPORTING PERIOD 18 AFFIDAVIT I swear,or affirm,under penalty of perjury,that the accompanying report is `�*v — true and correct and includes all information required to be reported b me ;�ul Biondi �It3tfls��rlocic q p v NQtply public.State of Texas under Title 15,Election Co Comm,Expires(38-10-2016 '•a;Fo�',-`a0 Notary ID 125011618 Si atur of'CAIJdldte or Officeholder AFFIX NOTARY STAMP/SEALABOVE i Sworn to and subscribed before me,by the said St�11.r1MF�h this the est~ I day of OL 20_X�p_to certify which,witness my hand and seal of off loe. i R Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2415 SUBTOTALS - C/OH FORM C/OH COVER SHEET PG 3 19 FILER NAME 20 Filer ID(Ethics Commission Filers) 21 SCHEDULE SUBTOTALS SUBTOTAL NAME OF SCHEDULE AMOUNT 1• ❑ SCHEDULEA-1: MONETARY POLITICAL CONTRIBUTIONS $ 2. El SCHEDULEA2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $ 3. SCHEDULE B: PLEDGED CONTRIBUTIONS $ i 4. ❑ SCHEDULE E: LOANS $ 5• SCHEDULE Fl: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 6. ❑ SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 7- SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ 6• F. SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 9• SCHEDULE G'r POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 10- ❑ SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ C_� 11• SCHEDULE 1: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 12. SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS,AND CONTRIBUTIONS $ RETURNED TO FILER I I I i i Forms provided by Texas Ethics Commission www.ethics.state,tx.us Revised 9/8/2015 ' a i i MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al i The Instruction Guide explains how to complete this form. 7 Total pages Schedule Al: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor ❑out-oi-state PAC(IDU: 7 Amount of contribution ($) 6 Contributor address; City; State; Zip Code i i6 Principal occupation/Job title(See Instructions) g Employer(See Instructions) i I Date Full name of contributor ❑out-of-state PAC(ID#: } Amount of contribution ($) i t . . . . . . . . . . . . . . . . . . . . . . . . . Contributor address; City; State; Zip Code Principal occupation!Job title(See Instructions) Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: } Amount of contribution ($) Contributor address; City; State; Zip Code Principal occupation/Job title(See Instructions) Employer(See Instructions) Date Full name of contributor ❑out-ot-stale PAC(IE)#: 1 Amount of contribution ($) Contributor address; City; State; Zip Code Principal occupation/Job title(See Instructions) Employer(See Instructions) l ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC,please sea instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 NON-MONETARY (IN-KIND) POLITICAL SCHEDULE A2 CONTRIBUTIONS 4 The Instruction Guide explains how to complete this form. Total pages Schedule A2: I 2 FILER NAME 3 Filer ID (Ethics Commission Fifers) � 4 TOTAL OF UNITEMIZED IN-KIND POLITICAL CONTRIBUTIONS 5 Date 6 Full name of contributor El out-of-state PAC(ID#:_ ; 8 Amount of 9 In-kind contribution Contribution $ description 7 Contributor address; City; State; Zip Code ❑Check if travel outside of Texas.Complete Schedule T 10 Principal occupation/Job title(FOR NON-JUDICIAL)(See Instructions) 11 Employer (FOR NON-JUDICIAL)(See Instructions) 12 Contributor's principal occupation(FOR JUDICIAL) 13 Contributor's job title (FOR JUDICIAL)(See Instructions) 14 Contributor's employerllaw firm (FOR JUDICIAL) 15 Law firm of contributor's spouse (if any) (FOR JUDICIAL) 16 If contributor is a child, law firm of parent(s)(if any)(FOR JUDICIAL) i Date Full name of contributor El out-at-state PAC(ID#:_ } Amount of In-kind contribution l J Contribution $ description Contributor address; City; State; Zip Code Check if travel outside of Texas.Complete Schedule T Principal occupation/Job title(FOR NON-JUDICIAL)(See Instructions) Employer (FOR NON-JUDICIAL)(See Instructions) i Contributor's principal occupation (FOR JUDICIAL) Contributor's job title (FOR JUDICIAL)(See Instructions) Contributor's employerllaw firm (FOR JUDICIAL) Law firm of contributor's spouse (if any) (FOR JUDICIAL) If contributor is a child, law firm of parent(s)(if any) (FOR JUDICIAL) I \ J ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 i PLEDGED CONTRIBUTIONS SCHEDULE B 4 i The Instruction Guide explains how to complete this form. 7 Total pages Schedule B: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 TOTAL OF UNITEMIZED PLEDGES 5 Date 6 Full name of pledgor ❑ out-of-state PAC(M#: 4 8 Amount 9 In-kind contribution of Pledge$ description 7 Pledgor address; City; State; Zip Code ❑Check if travel outside of Texas.Complete Schedule T. 10 Principal occupation/Job title(See Instructions) _T I Employer (See Instructions) i i Date Full name of pledger out-oi-state PAC{ID{: Amount In-kind contribution of Pledge$ description Pledgor address; City; State; Zip Code Check If travel outside of Texas.Complete Schedule T. Principal occupation/Job title(See Instructions) Employer (See Instructions) C_J II Date Full name of pledgor ❑ out-of-state PAC(I©#: t Amount of In-kind contribution Pledge$ description Pledgor address; City; State; Zip Code ❑Check if travel outside of Texas.Complete Schedule T. . Principal occupation/Job title(See Instructions) Employer (See Instructions) i Date Full name of pledgor ❑out-of-state PAC{toff: } Amount of In-kind contribution Pledge$ description Pledgor address; City; State; Zip Code ❑Check if travel outside of Texas.Complete Schedule T Principal occupation/Job title(See Instructions) Employer (See Instructions) i ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 ' I - I LOANS SCHEDULE E � The Instruction Guide explains how to complete this form. 1 Total pages Schedule E: 2 FILER NAME 3 Fuer ID (Ethics Commission Filers) 4 TOTAL OF UNITEMIZED LOANS 5 Date of loan 7 Name of lender ❑out-of-state PAC(ID#: } 9 Loan Amount($) 6 Is lender 8 Lender address; city; State; Zip Code 10 Interest rate a financial Institution? 11 Y N Maturity date 12 Principal occupation /Job title (See Instructions) 13 Employer (See Instructions) 14 Description of Collateral 15 Check if personal funds were deposited into political account (See Instructions) [] none El 16 GUARANTOR 17 Name of guarantor 19 Amount Guaranteed($) INFORMATION 18 Guarantor address; City; State; Zip Code El not applicable 20 Principal Occupation (See Instructions) 21 Employer (See Instructions) Date of loan Name of lender ❑out-of-state PAC(I D#: ) Loan Amount($) i Is lender Lender address; City; State; Zip Code Interest rate a financial Institution? Maturity date Y N Principal occupation /Job title (See Instructions) Employer (See Instructions) Description of Collateral Check if personal funds were deposited into political account (See instructions) ❑ none GUARANTOR Name of guarantor Amount Guaranteed($} INFORMATION Guarantor address; City; State; Zip Code ❑ not applicable Principal Occupation (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If lender is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 POLITICAL EXPENDITURES MADE (r FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 EXPENDITURE CATEGORIES FOR BOX 8(a) i Advertising Expense Event Expense Loan RepaymentlReimbursement SolioftatioNFundraisingExpense Aocaunfing/Banking Fees Office Overhead/RentalExpense Transportation Equipment&Related Expense Consulting Expense Food/BeverageExpense Polling Expense Travel In District ContributiormtDonations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate!Officeholder/Political Committee Legal Services Satarfee/WagesrContractLabor Other(enter a Category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule Ft: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Date 5 Payee name 6 Amount ($} 7 Payee address; City; State; Zip Code C. 5��--r�►t� � z 8 (a) Category{See Categories listed at the top of this schedule) (b) Description PURPOSE y ,, ❑Check if travel outside of Texas.Complete Schedule T. OF sut�1 �YW �Q�t�/ ❑Check if Austin,TX,officeholder living expense EXPENDITURE 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit ClOH Date Payee name Amount ($} Payee address; City; State; ,Zip Code 1 V " L S 1 New o.-k A&� 1001-3 Category (See Categories listed at the top of this schedule) Description PURPOSE ❑Check if travel outside of Texas.Complete Schedule T. OF ❑Check if Austin.TX,officeholder Wing expense EXPENDITURE Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit CIOH Date Payee name i Amount ($} Payee address; City; State; Zip Code I Category (See Categories listed atthetop efthis schedule) Description I I PURPOSE ❑Check if travel outside of Texas.Complete Schedule T OF ❑Check if Austin,TX,officeholder living expense EXPENDITURE Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit CIOH ATTACH ADDITIONAL COPIES OFTHIS SCHEDULEAS NEEDED Forms provided by Texas Ethics Commission www,ethics.state.tx.us Revised 9/8/2015 i UNPAID INCURRED OBLIGATIONS SCHEDULE F2 EXPENDITURE CATEGORIES FOR BOX 10(a) Advertising Expense Event Expense Loan Repayment/ReimbursemeN Solicitation/FundraisingExpense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District ConfributionslDonstions Made By Gift/AWards/Memodals Expense Printing Expense Travel Out Of District Candidate/Ofiioeholder/Political Committee Legal Services SalarieslWages/Contract Labor Other(enter acategory not listed above) The Instruction Guide explains how to complete this form. 1 Total pages Schedule F2: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 TOTAL OF UNITEMIZED UNPAID INCURRED OBLIGATIONS $ 5 Date 6 Payee name 7 Amount ($) 8 Payee address; City; State; Zip Code I 9 TYPE OF I EXPENDITURE F-1 Political El Non-Political 10 (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE [:]Check if travel outside of Texas.Complete Schedule OF EXPENDITURE ❑Check if Austin,TX,officeholder living expense 11 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code TYPE OF EXPENDITURE Political F Non-Political Category {See Categories listed at the top of this schedule} Description PURPOSE [:]Check if travel outside of Texas.Complete Schedule T. OF EXPENDITURE ❑Check if Austin,TX,officeholder living expense Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit ClOH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F3 The Instruction Guide explains how to complete this form. 1 Total pages Schedule F3: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Date g Name of person from whom investment is purchased !E S Address of person from whom investment is purchased; City; State; Zip Code II i 7 Description of investment E I i i 8 Amount of investment W Date Name of person from whom investment is purchased Address of person from whom investment is purchased; City; State; Zip Code Description of investment l Amount of investment{$) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Farms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 ' Illi EXPENDITURES MADE BY CREDIT CARD � SCHEDULE F4 EXPENDITURE CATEGORIES FOR BOX 10(a) Advertising Expense Event Expense Loan RepaymenNReimbursement SolicitatiorLtFundraisingExpense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District CorRrilautions/Donations Made By GifilAwards/Memodals Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other(enter a category not listed above) The Instruction Guide explains how to complete this torm. 1 Total pages Schedule F4: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TOA CREDIT CARD $ 5 Date 6 Payee name 7 Amount {$} 8 Payee address; City; State; Zip Code i 9 TYPE OF EXPENDITURE ❑ Political ❑ Non-Political i 10 (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE ❑Check if travel outside of Texas.Complete Schedule T OF -,� EXPENDITURE ❑Check it Austin,TX,officeholder living expense 1i Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($} Payee address; City; State; Zip Code � I TYPE OF EXPENDITURE ❑ Political ❑ Non-Political i Category (See Categories listed at the top of this schedule) Description � PURPOSE ❑Checkittravel outside otTexas.CompleLeScheduleT. OF ❑Check if Austin,TX,officeholder living expense EXPENDITURE Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics,state.tx.us Revised 9/8/2015 • I i i I POLITICAL EXPENDITURES l SCHEDULE G MADE FROM PERSONAL FUNDS EXPENDITURE CATEGORIES FOR BOX8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense Consulting Expense Food/Beverage Expense Palling Expense Travel In District ContribulionsOonatiens Made By Gitt/AwarcialMemorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services SalariesNVages/Contraet Labor Other(enter a category not listed above) Credit Card Payment The instruction Guide explains haw to complete this Corm. y Total pages Schedule G: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Date 5 Payee name 6 Amount ($} 7 Payee address; City; State; Zip Code ❑ Reimbursement from political contributions intended $ (a)Category (See Categories hstedatthe lop ofthis schedule) (b) Description PURPOSE OF ❑Check if travel outside of Texas.CompleleSchedule T. EXPENDITURE ❑Check if Austin,TX,officeholder living expense 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/0H Date Payee name Amount ($) Payee address; City; State; Zip Code ❑ Reimbursementfrom political contributions intended Category (See Categories listed at the top of this schedule) (b) Description PURPOSE OF ❑Check if travel outside of Texas.Complete Schedule T. EXPENDITURE ❑Check if Austin,TX,officeholder living expense I Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH I i Date Payee name I Amount ($} Payee address; City; State; Zip Code i ❑ Reimbursement from political contributions intended Category (See Categories listed at the top of this schedule) (b) Description PURPOSE OF ❑check if travel outside of Texas.Complete Schedule T. EXPENDITURE ❑Check if Austin,TX,officeholder living expersa Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit CIGH i ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.eth)cs.state.tx.us Revised 9/8/2015 PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH SCHEDULE H EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reinbursement Solicitation/Fundralsing Expense Accounting/Banking Fees Office,OverheadlRenlalE nse Transportation xpe p Equipment&Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/DonationsMade By Gift/Awards/MemodalsExpense Printing Expense Travel Out Of District Candidate/Offioeholder/PoliticalCommittee Legal Services Salaries/Wages/ContractLabor Other(enteracategory not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule H: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Date 5 Business name 6 Amount ($) 7 Business address; City; State; Zip Code 8 (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE ❑Check it travel oulsidoofTexas.Complete Schedule T. OF EXPENDITURE ❑Check if Austin.TX,officeholder living expense 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Business name Amount ($) Business address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description 1 PURPOSE ❑Checkif travel outside otTexas.CompleteSchedule T. OF ElEXPENDITURE Check if Austin,TX, officeholder living expense Complete ONLY if direct Candidate/Officeholder name Office sought Office hold expenditure to benefit C/OH Date Business name Amount ($) Business address; City; State; Zip Code Category (See Categories fisted at the top of this schedule) Description PURPOSE ❑Check if travel outside cf Texas.Complete Schedule T. OF ❑Check if Austin,TX,oflicoholder living expense EXPENDITURE I Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH i ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www,ethics.state.tx.us Revised 9/8/2015 i i i NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE I The Instruction Guide explains how to complete this form. 1 Total pages Schedule I: 2 FILERNAME 3 Filer ID (Ethics Commission Filers) 4 Date 5 Payee name 6 Amount ($) 7 Payee address; City; State; Zip Code 8 (a)Category (See Instructions for examples of acceptable (b)Description {See instructions regarding type of information PURPOSE categories.) required.) OF EXPENDITURE Date Payee name Amount ($) Payee address; City; State; Zip Cade I I PURPOSE Category (See instructions for examples of acceptable Description (See instructions regarding type of information categories.) required.) \ OF EXPENDITURE Date Payee name Amount ($) Payee address; City; State; Zip Code PURPOSE Category (See instructions for examples of acceptable Description (sea instructions regarding type of information OF categories.) required.) EXPENDITURE Date Payee name AmountPa ee address;($) y City; State; Zip Code PURPOSE Category (See instructions for examples of acceptable Description (See instructions regarding type of information categories.) required.) OF EXPENDITURE ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED TO FILER SCHEDULE K The Instruction Guide explains how to complete this form. 1 Total pages Schedule K: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Date 5 Name of person from whom amount is received f3 Amount($) f $ Address of person from whom amount i. . . . . . . . . . . . . . . . . . .yY s received; City; State; Zip Code. fes('/ 7 Purpose for which amount is received Check if political contribution returned to filer '4W 4 , �s.7i1� }tel Date Name of person from whom amount is received Amount($} i I Address of person from whom amount is received; City; State; Zip Code Purpose for which amount is received Check if political contribution returned to filer Date Name of person from whom amount is received Amount($) Address of person from whom amount is received; City; State; Zip Code i I i Purpose for which amount is received ❑ Check if political contribution returned to filer i Date Name of person from whom amount is received Amount($) i Address of person from whom amount is received; City; State; Zip Code Purpose for which amount is received Check if political contribution returned to filer ATTACH ADDITIONAL COPIES OFTHIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.othics.state.tx.us Revised 9/8/2015 IN-KIND CONTRIBUTIONS .OR POLITICAL EXPENDITURES C FOR TRAVEL OUTSIDE OF TEXAS SCHEDULE T The Instruction Guide explains how to complete this form. 1 Total pages Schedule T: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Name of Contributor/Corporation or Labor Organization/Pledgor/Payee 5 Contribution/Expenditure reported on: ❑Schedule A2 ❑Schedule B ❑Schedule B(J) ❑Schedule C2 ❑ Schedule D ❑Schedule F1 F1 Schedule F2 ❑ Schedule F4 ❑Schedule G ❑Schedule H ❑Schedule COH-UC ❑ Schedule B-SS 6 Dates of travel 7 Name of person(s)traveling 8 Departure city or name of departure location 9 Destination city or name of destination location 10 Means of transportation 11 Purpose of travel(including name of conference,seminar,or other event) Name of Contributor I Corporation or Labor Organization I Pledgor/Payee Contribution/Expenditure reported on: 1` ❑Schedule A2 —1Schedule B ElSchedule B(J) ❑Schedule C2 [ISchedule D ElSchedule F1 ❑Schedule F2 ❑ Schedule F4 [_1 Schedule G ❑Schedule H ❑Schedule COH-UC ❑ Schedule B-SS Dates of travel Name of person(s)traveling Departure city or name of departure location Destination city or name of destination location Means of transportation Purpose of travel(including name of conference,seminar,or other event) I i Name of Contributor/Corporation or Labor Organization/Pledgor/Payee Contribution/Expenditure reported on: ❑Schedule A2 ❑Schedule B ❑Schedule B(J) ❑Schedule C2 ❑ Schedule D ❑Schedule F1 ❑Schedule F2 ❑ Schedule F4 ❑Schedule G ❑Schedule H ❑Schedule COM-uC ❑ Schedule B-SS i Dates of travel Name of person(s)traveling Departure city or name of departure location Destination city or name of destination location Means of transportation Purpose of travel(including name of conference,seminar,or other event) ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/13/2015 CANDIDATE / OFFICEHOLDER REPORT: DESIGNATION OF FINAL REPORT FORM CIOH - FR The Instruction Guide explains howto complete this form. •• Complete only if "Report Type" on page 1 Is marked "Final Report" •• 1 C/OH NAME 2 Filer ID (Ethics Commission Filers) 3 SIGNATURE I i i I do not expect any further political contributions or political expenditures in connection with my candidacy. I understand that designat- ing a report as a final report terminates my campaign treasurer appointment. I also understand that I may not accept any campaign contributions or make any campaign expenditures without a campaign treasurer appointment on file. Signature of Candidate/Offioeholder 4 FILER WHO IS NOT AN OFFICEHOLDER •• Complete A & B below only if you are not an officeholder. •- A- CAMPAIGN FUNDS Check only one: F-1 I do not have unexpended contributions or unexpended interest or income earned from political contributions. _ Q I have unexpended contributions or unexpended interest or income earned from political contributions. I understand that I may not convert unexpended political contributions or unexpended interest or income earned on political contributions to personal use. I also understand that I must file an annual report of unexpended contributions and that I may not retain unexpended contributions or unexpended interest or income earned on political contributions longer than six years after filing j this final report. Further, I understand that I must dispose of unexpended political contributions and unexpended interest or income earned on political contributions in accordance with the requirements of Election Code,§254.204. B. ASSETS Check only one: 0 I do not retain assets purchased with political contributions or interest or other income from political contributions. F-1 I do retain assets purchased with political contributions or interest or other income from political contributions. I understand that I may not convert assets purchased with political contributions or interest or other income from political contributions to personal use. I also understand that I must dispose of assets purchased with political contributions in accordance with the requirements of Election Code,§254.204. Signature of Candidate i 5 OFFICEHOLDER •• Complete this section only if you are an officeholder •• 0 I am aware that I remain subject to filing requirements applicable to an officeholder who does not have a campaign treasurer on file. I am also aware that I will be required to file reports of unexpended contributions if,after filing the last required report as an officeholder,I retain political contributions,interest or other income from political contributions,or assets purchased with politi- cal contributions or interest or other income from political contributions. Signature of Officeholder Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015