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McCaskill Semi Jan 2017 I I CANDIDATE I OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Filer ID (Ethics CommIsslon Filers) 2 Total pages filed: The C10H Instruction Guide explains how to complete this form. 3 CANDIDATE/ MS 1 MR MR) FIRST MI S OAFFICitis `EHOLDER OFFICE USE ONLY H A Date Received NICKNAME LAST SUFFIX RECEIVED i INA eC"a5V-I I,_ q CANDIDATE/ ADDRESS 1 PO BOX; APT 1 SUITE#; CITY; STATE; ZIP CODE OFFICEHOLDER JA N _ 4 2017 MAILING C- PL-V. -Cc ADDRESS q ❑ Change of Address 7�VLT�-� t-I��� ( ( f2 )4 ,uo la OFFICtl OF CIPa" SECRE7 A RY 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION OFFICEHOLDERM-1 l Date Hand-delivered or Date Postmarked PHONE l -1 ! H t L0 — 91 9 t-1 6 CAMPAIGN MSC MR FIRST MI Receipt# Amount $ TREASURER I� NAME . . . . . . . `tr+L r0 Date Processed NICKNAME LAST SUFFIX Date Imaged 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT!SUITE#; CITY; STATE; ZIP CODE TREASURER ADDRESS -�- (Residence or Business) 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER / PHONE 9 REPORT TYPE dJanuary 15 ❑ 30th day before election ❑ Runoff ❑ 15th day atter campaign treasurer appointment (Officeholder Only) j ❑ July 15 ❑ 8th day before election ❑ Exceeded$500 limit ❑ Final Report(Attach CIOH-FR) 10 PERIOD Month Day Year Month Day Year COVERED THROUGH I 11 ELECTION ELECTION DATE ELECTION TYPE i Month Day Year ❑ Primary ❑ Runoff ❑ Other IV bescription a / `, General ❑ Special 12 OFFICE OFFICE HELD (if any) ClJ 13 OFFICE SOUGHT (if known) CIT 1 Co,K'AC �� GO TO PAGE 2 Forms provided by Texas Ethics Commission www,ethics.state.lx.us Revised 9/8/2015 E CANDIDATE I OFFICEHOLDER FORM c/oH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 14 C/OH NAME 15 Filer ID (Ethics Commission Filers) 1 6H rA-tAJ rr 16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO POLITICAL SUPPORT THE CANDIDATE/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 ❑GENERAL COMMITTEE ADDRESS ❑SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME Additional Pages COMMITTEE CAMPAIGN TREASURER ADDRESS I 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) EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, TOTALS UNLESS ITEMIZED $ 4. TOTAL POLITICAL EXPENDITURES $ ��5 CONTRIBUTION BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ f OF REPORTING PERIOD (0 OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ V` 18 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 me under Title 15,Election Code. Loll Payee V V v Notary Public,State of Texas Comm.Expires 10.27-2017 Signature of Candidate or Officeholder %FO....O Notary ID 11019863 A 1A Sworn to and subscribed before me,by the said <1-1 ALAJ IJ f" I C C(5 this the ` day O 200,to certify which,wit ss my hand and seal of office_ Signature of officer adi !storing oath Printed name of off" er administering oath Title f officer administering ath Forms provided by Texas Ethics Commission www.ethics.state.11 Revised 9/8/2015 SUBTOTALS - C/OH FORM C/OH COVER SHEET PG 3 19 FILER NAME 20 Filer ID(Ethics Commission Filers) I, C CP�5 V_ 1 L� 21 SCHEDULE SUBTOTALS SUBTOTAL NAME OF SCHEDULE AMOUNT 1. SCHEDULE Al: MONETARY POLITICAL CONTRIBUTIONS $ 2. SCHEDULE A2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $ 3. SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4. SCHEDULE E: LOANS $ I 5. SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 6. ❑ SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 7• SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ $ SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 9. SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 0-1-5 q S 10. ❑ SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ 11- SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 12 ❑ SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS,AND CONTRIBUTIONS $ RETURNED TO FILER - I i i I Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al i The Instruction Guide explains how to complete this form. 1 Total pages Schedule At: CVI� 1 2 FILER NAME 3 Filer ID (Ethics Commission Filers) .71-1 A V')fy 10 � C r4 S I/_ I 4 (Date 5 Full name of contributor out-of-stale PAC{lo#: ) 7 Amount of contribution ($) . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Contributor address; City; State; Zip Code 8 Principal occupation/Job title (See Instructions) g Employer (See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: ] Amount of contribution {$) I . . . . . . . . . . . . Contributor address; City; State; Zip Code Principal occupation/Job title (See Instructions) Employer (See Instructions) I Date Full name of contributor ©out-of-state PAC(ID#: J Amount of contribution Contributor address; City; State; Zip Code i Principal occupation/Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑out-of-state PAC{ID#: J Amount of contribution ($) Contributor address; City; State; Zip Code Principal occupation /Job title(See Instructions) Employer(See Instructions) i 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.Ix.us Revised 902015 i NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS SCHEDULE A2 The Instruction Guide explains how to complete this form. Total pages Schedule A2: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) SH0-(Ai F-� r-A ° Cr-4S k I L�_ 4 TOTAL OF UNITEMIZED IN-KIND POLITICAL CONTRIBUTIONS $ 5 Date 6 Full name of contributor ©out-of-state PAC(IDft: — 1 8 Amount of 9 In-kind contribution Contribution $ description i 7 Contributor address; City; State; Zip Code ❑Check It travel outside of Texas.Complete Schedule T. 10 Principal occupation/Job title(FOR NON-JUDICIAL)(Soo 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 employer/law 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) Date Full name of contributor ❑out-of-state PAC(ID#: } Amount of In-kind contribution Contribution $ description i Contributor address; City; State; Zip Code I i E]Check if travel outside of Texas.Complete Schedule T. Principal occupation/Job title(FOR NON-JUDICIAL)(See Instructions) Employer (FOR NON-JUDICIAL)(See Instructions) Contributor's principal occupation (FOR JUDICIAL) Contributor's job title(FOR JUDICIAL)(See Instructions) Contributor's employer/law firm (FOR JUDICIAL) Law firm of contributor's spouse (if any) (FOR JUDICIAL.) If contributor is a child,law firm of parent(s) (it any)(FOR JUDICIAL) 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 PLEDGED CONTRIBUTIONS SCHEDULE B F- The Instruction Guide explains how to complete this form. 1 Total pages Schedule i ( OF 2 FILER NAME 3 Filer ID (Ethics Commission Filers) S�t�tnt a•� M� C �S E� 1 L.� 4 TOTAL OF UNITEMIZED FLEDGES $ 5 Date 6 Full name of pledgor ❑out-of-state PAC{ION: } a Amount 9 In-kind contribution of Pledge$ description 7 Pledgor address; City; State; Zip Code I ❑Check if travel outside of Texas.Camp€ete Schedule T. 10 Principal occupation!Job title (See Instructions) 11 Employer (See Instructions) Data Full name of pledger Amount In-kind contribution p 9 El PAG(l�#: ) of Pledge$ description Pledgor address; City; State; Zip Code ❑Check it travel outside of Texas.Complete Schedule T. Principal occupation/Jab title (See Instructions) Employer (See Instructions) Date Full name of pledger Amount of p g out-ot-state PAC{ID#: I Pledge$ In-kind contribution 9 description Pledgor address; City; State; Zip Code ❑Check it travel outside of Texas.Complete Schedule T. Principal occupation/Job title (See Instructions) Employer (See Instructions) Date Full name of pledgor out-of-state PAC(ID#: } Amount of In-kind contribution Pledge$ description Pledgor address; City; State; Zip Code ❑Check if travel outside of Texas.Complete Schedule T. Principal eocupation/Job title (See Instructions) Employer(See Instructions) - I ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor Is out-at-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 LOANS SCHEDULE E The Instruction Guide explains haw to complete this form. 1 Total pages Schedule E: I 2 FILER NAME 3 Filer ID (Ethics Commission Filers) SI—I(:*ws-� 0 1 C 141 L�-- 4 TOTAL OF UNITEMIZED LOANS $ ass g 5 Date of loan 7 Name of lender ❑out-of-state PAC(ID#: ) 9 Loan Amount($) 451-t aw rs I l—uA ra-- M c C pa-,5 k , LL._ , . . . 6 Is lender S Lender address; City; State; Zip Code 10 Interest rate a financial INU,�� Institution? / �� ku ��iU MA-C Pt-�C,&- 11 Maturity date Y N CljOU-IwL-Aw —ja- —JUGctr3 ("ic)f46 12 Principal occupation /Joh title (See Instructions) 13 Employer (See Instructions) 1�-i�Rrs�.-I �f-t�F��-�a �EIC. G���e� �v w�✓l� � �.Jl���.►�z Z �_C_ 14 Description of Collateral 15 Check if personal funds were deposited into political acC nt (See Instructions) none 16 GUARANTOR 17 Name of guarantor 19 Amount Guaranteed($) INFORMATION 18 Guarantor address; City; State; Zip Code ❑ not applicable 20 Principal Occupation (See Instructions) 21 Employer (See Instructions) Date of loan Name of lender ❑out-of-state PAC po#: ) Loan Amount{$) Is lender Lender address; City; State; Zip Code Interest rate a financial Institution? Maturity date Y N Principal occupation 1 Job title (See Instructions) Employer (See Instructions) Description of Collateral Check if personal funds were deposited into political account (See Instructions) ❑ none ❑ GUARANTOR Name of guarantor Amount Guaranteed{$) INFORMATION Guarantor address; City; State; Zip Code ❑ not applicable Principal Occupation (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OFTHIS 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 i POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement SolicitationlFundraisingExpense Accounting/Banking Fees Office OverhoadlRentalExpense Transportation Equipment&Related Expense Consulting Expense Food/Boverage Expense Polling Expense Travel In District Contributions/Donations Made By Gif lAWardslMemorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services SaladesNVageslContractLabor Other(enter a category not listed above) Credit Card Payment The Instruction Guide explains how to compete this form. 1 Total pages Schedule F1: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 1 Ulm 1 S t-1 A tow r4 rA t C r*S I l t L 4 Date $ Payee name 6 Amount ($} 7 Payee address; City; State; Zip Code i I 8 (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE ❑Check if travel outside of Texas.Complete Schedule T. OF ❑Check if Austin,TX,officeholder living expense EXPENDITURE 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/0H Date Payee name II Amount ($} Payee address; City; State; Zip Code 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 living expense EXPENDITURE � i I I Complete ONLY if direct Candidate 1 Officeholder name Office sought Office held expenditure to benefit C10H Date Payee name Amount ($) Payee address; City; State; Zip Code 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 Ilving expense EXPENDITURE 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 UNPAID INCURRED OBLIGATIONS SCHEDULE F2 L. EXPENDITURE CATEGORIES FOR BOX IQ(a) Advertising Expense Event Expense Loan Repayment/Reimbursement solicitation/Furdraising Expense Accounting/Banking Fees Office Overhead/Reniat Expense Transportation Equipment&Related Expense Consulting Expense Food/Reverage Expense Polling Expense Travel In District Contributions/DonaNans Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services SalariesMlages/Contract Labor Other(enter a category not listed above) The Instruction Guide explains how to complete this form. 1 Total pages Schedule F2: 7 FILER NAME 3 Filer ID (Ethics Commission Filers) 1 06- 4 TOTAL OF UNITEMIZED UNPAID INCURRED OBLIGATIONS $ 5 Date 6 Payee name 7 Amount ($) 8 Payee address; City; State; Zip Code 9 TYPE OF EXPENDITURE Political FINon-Political 10 (a) Category{See Categories listed at the top of this schedule) (b) Description PURPOSE ❑Cheek if travel outside of Texas.Complete Schedule T. OF EXPENDITURE, Check If Austin,TX,officeholder living expense 11 Complote ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit CIOH Date Payee name i Amount {$) Payee address; City; State; Zip Code TYPE OF EXPENDITURE Political Non-Political Category{See Categories listed at the tap of this schedule) Description PURPOSE ❑Check it travel outside of Texas.Complete Schedule T. OF EXPENDITURE [::]Check if Austin,TX,officeholder living expense Complete ONLY if direct Candidate I 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 PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F3 1 Total pages Schedule F3: The Instruction Guide explains how to complete this form. , OF 2 FILER NAME 3 Filer ID (Fthics Commission Filers) SNi'VW,-� >� Cask f �� 4 Date 5 Name of person from whom investment is purchased 6 Address of person from whom investment is purchased; City; State; Zip Code 7 Description of investment 8 Amount of investment($) Date Name of person from whom investment is purchased Address of person from whom investment is purchased; City; State; Zip Code Description of investment Amount of investment($) i ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 EXPENDITURES MADE BY CREDIT CARD SCHEDULE F4 EXPENDITURE CATEGORIES FOR BOX 10(a) Advertising Expense Event Expense Loan RepaymentlReimbursement Solicitation/Fundraisirg Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense Consulting Expense FooctBeverage Expense Polling Expanse 'travel In District Contributions/Donations Made By Gift(Awards/Memorials Expense Printing Expense Travel Out Of District CandidatelOfficeholderYPofitical Committee Legal Services SalariesAVageslContract Labor Other(enler a category not listed above) The Instruction Guide explains how to complete this form. 1 Total pages Schedule F4: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) t S d�wsyl C C(� yC y t A_ 4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TO A CREDIT CARD $ 5 Date 6 Payee name 7 Amount 8 Payee address; City; State; ZCode 9 TYPE OF EXPENDITURE ❑ Political ❑ Non-Political 10 (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE ❑Check If travel outside o1 Texas.Complete Schedule T. OF EXPENDITURE ❑Check If Austin,TX,officeholder living expense 11 Complete ONLY if direct Candidate/Officeholder name Office sought Office hold expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code TYPE OF EXPENDITURE ❑ Political Non-Political Category (See Categories listed at the top of this schedule) Description PURPOSE ❑Check if travel outside of Texas.Complete Schedule T. OF EXPENDITURE ❑Check if Austin,TX,officeholder living expense i I Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit CIOH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics,state.tx.us Revised 9/8/2015 POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS SCHEDULE G EXPENDITURE CATEGORIES FOR BOX i Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense AccountingiBanking Fees Office Overhead/RentalFxpense Transportation Equipment&Related Expense Consulting Expense Food/Beverage Expense Palling Expense Travel In District ContributlanslOonaticns Made By GitYAwards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholderfil liticalCommittee Legal Services SalariesMagesiGontract Labor Other(enteracategory not listed above) CreditCard Payment The instruction Gutde explains haw to complete this form. 1 Total pages Schedule G: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) I or- 5�-1 nr Irf r� rel Cr�51/- 4 Date 5 Payee name 6 Amount ($) 7 Payee address; City; State; Zip Code svl 1 ❑ Reimbursement from political �o�^- L �� Lk--i i r Intended mended i-1 $ (a)Category (See Categories 0sted at the top cf this schedule) (b) Description OF PURPOSE ❑Check iftraveloutside ofTexas.Complete Schedule T. "'�h�^ EXPENDITURE P �J 1 1�r r�� rzs-'Rill rt- ❑Check if Austin,Tx,officeholder living expense J Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C10H C t-F' 01r— 50 tk-1-1 111 1`n Date Payee name I i Amount ($) Payee address; City; State; Zip Code ❑ Reimbursement from political contributions intended Category (See Categories listed at the top of this schedule) (b) Description PURPOSE OF ❑Check it travel outside of Texas.Complete Schedule T. EXPENDITURE ❑Check if Austin,TX,officeholder living expense Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C10H Date Payee name Amount ($} Payee address; City; State; Zip Code ❑ 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 expense Complete ONLY if direct Candidate/Officeholder name Office sought Office tteld 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 PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF CIOH SCHEDULE H EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement SolicitationlFundralsing Expense Accounting/eanking Fees Office Overhead/Rerntal Expense Transportation Equipment&Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of Oistrict Candidate/OfficeholderlPoliticalCommittee Legal Services Salaries/Wages/Contract Labor Other(enlera category not Jelled 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) 1511- Awr-� 0 � C��KtLL 4 Date 5 Business name 6 Amount ($} 7 Business address; City; State; Zip Code (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE ❑Checklftravel outside ofTexas.Complete ScheduleT. OF EXPENDITURE ❑Check it Austin,TX,officeholder living expense 9 Complete ONLY if direct Candidate 1 Officeholder name Office sought Office held expenditure to benefit C/QH Date Business name Amount {$) Business address; City; State; Zip Code I� Category (See Categories listed at the top of this schedule) Description ill PURPOSE ❑Checkiftravelouts[deofTexas,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 CIOH Date Business name Amount ($) Business address; City; State; Zip Code i I Category (See Categories listed at the top or this schedule) Description PURPOSE ❑Check It travel outside of Texas,Complete Schedule T. OF ❑Check if Austin,TX, officeholder living expense EXPENDITURE I Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH i ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE I The Instruction Guide explains how to complete this form. 1 Total pages Schedule t 2 FILERNAMES Filer ID (Ethics Commission f=ilers) 4 Date 5 Payee name 6 Amount ($) 7 Payee address; City; State; Zip Code 8 (a)Categary (See instructions for examples of acceptable (b)Description (See instructions regarding type of information ! PURPOSE categories.) rsqulred.) OF EXPENDITURE Date Payee name Amount ($) Payee address; City; State; Zip Code PURPOSE Category (See insfructiors for examples of acceptable Description (See instructions regarding type of information categories.) required.) OF EXPENDITURE Date Payee name Amount ($) Payee address; City; State; Zip Code i PURPOSE Category (See instructions for examples of acceptable Description (See instructions regarding type of information OF categories.) required.) EXPENDITURE Date Payee name Amount ($) Payee address; City; State; Zip Code Category (See instructions for examples of acceptable Description (See instructions regarding type of information PURPOSE categories.) required.) OF EXPENDITURE ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED TO FILER SCHEDULE K The Instruction Guide explains how to complete this form. y Total pages Schedule K: i 2 FILER NAME 3 Filer ID (Ethics Commission Filers) � S H r.W '� M c C P�-S V- L� 4 Date 5 Name of person from whom amount is received a Amount($) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Address of person from whom amount is received; City; Slate; Zip Code 7 Purpose for which amount is received Check if political contribution returned to filer Date Name of person from whom amount is received Amount($) Address of person from whom amount is received; City; State; Zip Code Purpose for which amount is received Check if political contribution returned to filer Date Name of person from whom amount is received Amount($) 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 i Date Name of person from whom amount is received Amount{$) 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 OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 i i I IN-KIND CONTRIBUTIONS OR POLITICAL EXPENDITURES 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 I Expenditure reported on: ❑Schedule A2 ❑Schedule B ❑Schedule B(J) ❑Schedule 02 ❑ Schedule D ❑Schedule F1 ❑Schedule F2 ❑ Schedule F4 ❑Schedule G ❑Schedule H ❑Schedule GO"-UG ❑ 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!Corporation or Labor Organization/Pledgor!Payee Contribution 1 Expenditure reported on: ❑Schedule A2 ❑Schedule B ❑Schedule B(J) ❑Schedule 02 ❑ Schedule D ❑ Schedule Fl ❑Schedule F2 ❑ Schedule F4 Ll 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 I Destination city or name of destination location Means of transportation Purpose of travel(including name of conference,seminar,or other event) Name of Contributor I Corporation or Labor Organization I Pledgor I Payee Contribution/Expenditure reported on: ❑Schedule A2 ❑Schedule 13 ❑Schedule B(J) ❑Schedule C2 ❑ Schedule D ❑Schedule F1 ❑Schedule F2 ❑ Schedule F4 ❑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 i Destination city or name of destination location I I Means of transportation Purpose of travel(including name of conference,seminar,or other event) 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 CANDIDATE / OFFICEHOLDER REPORT. I i DESIGNATION OF FINAL REPORT FORM C/OH - FR L. The Instruction Guide explains how to complete this form. •• Complete only if "Report Type" on page 1 is marked "Final Report" •- 1 G/OH NAME 2 Filer ID (Ethics Commission Filers) 3 SIGNATURE 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/Officeholder 4 FILER WHO IS NOT AN OFFICEHOLDER •• Complete A & B below only if you are not an officeholder. •• A. CAMPAIGN FUNDS Check only one: C I do not have unexpended contributions or unexpended interest or income earned from political contributions. 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 tile 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 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. I B. ASSETS Check only one: C I do not retain assets purchased with political contributions or interest or other income from political contributions. C 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. i Signature of Candidate 5 OFFICEHOLDER •• Complete this section only if you are an officeholder •• CJ 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 918!2015