Smith 30 Day 2019CANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT
COVER SHEET PG 1
The C/01-1Instruction Guide explains how to complete this form.
1 Filer ID (Ethics Commission Filers)
2 Total pages filed:
3 CANDIDATE/
MS/MRS/MR FIRST
MI
OFFICEHOLDER
NAME�(lV
1 (t''
1 A
OFFICE USE ONLY
Date Received
RECEIVED
NICKNAME LAST SUFFIX
Sm vk,vv
APR -- 4 2019
4 CANDIDATE/
OFFICEHOLDER
MAILING
ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
®�
ADDRESS
Change of AddressJ
t�n4.x
O r�_
OFFICE OF CITY SECRETA
5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER
PHONE
//
Datedeliver
or Dae Postmarked
� �C
v `'A'lmountJ$J
6 CAMPAIGN
TREASURER
MS / MRS / MR FIRST
Ml
Receipt #
NAME
1' `'t J. . . . . .(� \ . . . .
. . . . . . . . . . .
Date Processed
NICKNAME LAST 1
S`^ vN
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
(31-7)
�q�
O O �
9 REPORT TYPE
January 15 r3Othday before election
Runoff
15th day after campaign
treasurer appointment
(Officeholder Only)
1-1 July 15 El 8th day before election
Exceeded $500 limit
Final Report (Attach C/OH - FR)
10 PERIOD
Month Day Year
Month Day Year Ow/
�/COVERED (Iq THROUGH Ll i a o y
11 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
❑ Primary ❑
Runoff ❑ Other
00
General ❑
Description
Special
12 OFFICE
OFFICE HELD (if any)
13 OFFICE SOUGHT ((if known)
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GO TO PAGE 2
-- r luv ..—. y icnaa �uncs l.Ur7ir1n56IUfl www.etnlcs.state.tx.us Revised 9/8/2015
CANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME
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/ 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
17 CONTRIBUTION
TOTALS
1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
$ 0
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
'330
- (/
W
.............
EXPAENDITURE
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,TOT
$
UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES
$ h
v
CONTRIBUTION
BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
$
OF REPORTING PERIOD
OUTSTANDING
LOAN TOTALS
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
SC)I ��
LAST DAY OF THE REPORTING PERIOD
18 AFFIDAVIT
I swear, or affirm, under penalty of perjury, that the accompanying report is
�"O°O�`YOOy`OO
Amy Shelley true and correct and includes all information required to be reported by me
rru
Notary Public under Title 15, Elect' ode.
*
State of Texas
My Comm. Up. 12/02/19
Notary ID# 12476110-5
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP/SEALABOVE
k 5—1
Sworn to and subscribed
before me, by the said IW(\eA,"AA,,— this the
of W, 1
'20 to certify which, witness my hand and seal of office.
(Niftdok-1
Ayv.A4 autl:eAl &t-1,
Sig t re of office
a inistering oath Printed nj of officer aclaal,,Iring oath Title f officer administe ' oath
Forms provided by Texas Ethics Commission www. ethics. state.tx.us Revised 9/8/2015
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form.
1 Total pages Schedule At:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
4 Date
5 Full name of contributor ❑ out-of-state (IDN:
7 Amount of contribution ($)
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6 Contributor address; City; State; Zip Code
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8 Principal occupation / Job title (See Instructions)
9 Employer (See Instructions)
Date
Full nam/ee ofrcontributor ❑ out-of-state PAC (IDN:�
Amount of contribution ($)
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Contributor address; City; State; Zip Code
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Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (IDN: )
Amount of contribution ($)
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address; City; State; Zip Codet(qq
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Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (IDN: )
Amount of contribution ($)
......................................
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
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
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form.
y Total pages Schedule At:
2 FILER NAN
7
3 Filer ID (Ethics Commission Filers)
4 Date
5 Full name of contributor ❑ out-of-state PAC (ID#: ...... _.......... )
7 Amount of contribution ($)
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6 Contributor address; City; State; Zip Code
1100
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8 Principal occupation / Job title (See Instructions)
9 Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID#: —�
Amount of contribution ($)
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Contributor address; City; State; Zip Code
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Principal occupation/ Job title (See Instructions)
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Employer(See Instructions)
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Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
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Contributor address. City; State; Zip Code
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Principal occupation / Job title (See Instructions)
Employeree Instructions)
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n
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
Contributor address; City; State; Zip Code
1100
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Principal occupation / Job title (See Instructions)
P1/641:nUntha'o
yer (See Instructions)
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
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form.
1 Total pages Schedule At:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
4 Date
5 name of contributor ❑out-of-state PAC (ID#:
7 Amount of contribution ($)
`Full
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6 Contributorddress; City; State; Zip Code
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8 Principal occupation /Job title (Se Instr ctions)
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g Emtoyer (See Instructions)
Date
u name oof contributor ❑ out-of-state PAC (ID#:
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Amount of/contributionfo1fContrifor
address; City; State; Zip Code
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Princi at cu tion / Job title (See Instructions) Employer (See Instructions)
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Date
Full name of contributor ❑ out-of-state PAC (ID#: 1
Amount of contribution ($)
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... Contributor address; City; State; Zip Code
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100,00
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Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full of contributor ❑ out-of-state PAC (ID#: )
Amount of contributiono($)
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ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form.
1 Total pages Schedule At:
2 FILER
3 Filer ID (Ethics Commission Filers)
4 Date
5 Full name c ntrib for ❑ out-of-state PAC (IDN: )
car
7 Amount of contribution ($)
-6'
Contributor City; State; Zip Code
6 address;
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8 Principal occupation / Job title (See Instructions)
g Poyer (See Instructions)
Date
Full name of c/on�tributor ❑ out-of-state PAC (IDN:
Amount of contribution ($)
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Contributor address, City, State; Zip Code
4100,00
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (IDN: 1
Amount of contribution ($)
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Contributor address; City; State; Zip Code
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Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (IDN: )
Amount of contribution ($)
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Contributor address; City; State; Zip Code
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Principal occupation /Job title (See Instructions)
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ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Al:
2 FILER W � I
3 Filer ID (Ethics Commission Filers)
4 Date
al
W.
5 Full name of contributorout-of-state PAC (ID#:_
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7 Amount of contribution ($)
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6 Contributor address; City; State; Zip Code
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8 Principal occupation / Job title (See Instructions)
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9 Employer (See Instructions)
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Date
dull name of contributor Elou -of-state PAC pD#:_ _—�
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Amount of contribution ($)
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Contribyto( address; City; State; Zip Code
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Principal occupation / Job title (See Instructions)
Employer (See Instructions)
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Date
Full name of contributor ❑ out-of-slate PAC (ID#: 1
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Amount of contribution ($)
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Contributor'
ontribuaddress; City; State; Zip Code
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Principal occupation / Job title (See Instructions)
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Date
Full njame of contributor ❑ out-of-state PAC (ID#:1
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Amount of contribution ($)
Contributor address; City; State; Zip Codec
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Principal occupation / Job title (See Instructions)
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Employer (Spe Instructions)
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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
EXPENDITURES MADE BY CREDIT CARD
SCHEDULE F4
EXPENDITURE CATEGORIES FOR BOX 10(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense
Consulting Expense FoodBeverage Expense Polling Expense Travel In District
Contributions/Donations Made By Gift/Awards/Memorials 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 form.
1 Total pages Schedule F4:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
4 TOTAL OF UN ITEMIZED EXPENDITURES CHARGED TOACREDIT CARD
$
5 Date
6 Payee name
7 Amount ($)
8 Payee address; City; State; Zip Code
4m,U
ty k Kj �A TX
9 TYPE OF
EXPENDITURE
Political ❑Non Political
10
(a) Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
❑ Check if travel outside of Texas. Complete Schedule T.
OF
EXPENDITURE
f^ r
❑Check if Austin, TX, officeholder living expense
11 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
101M
'In;�W& N1� j �0A* /TX -76 oq�_
TYPE OF
EXPENDITURE
G"15olitical ❑ 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
/1
r � I � �Vh � (
❑Check if Austin, TX, officeholder living expense
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
EXPENDITURES MADE BY CREDIT CARD
SCHEDULE F4
EXPENDITURE CATEGORIES FOR BOX 10(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement SolicitaGon/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contributions/Donations Made By GifVAwards/Memorials 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 form.
1 Total pages Schedule F4:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TO A CREDIT CARD
$
5 Date
6 Paee name
'03L 6'
7 Amount ($)
8 Payee address; City; State; Zip Code
U[ _1�
1;f*�Wk J
9 TYPE OF
EXPENDITURE
Political ❑ Non Political
10
(a) Category (See Categories listedatthe top of this schedule)
(b) Description
PURPOSE
OF
/
l
❑ Check if travel outside of Texas. Complete Schedule T.
EXPENDITURE
❑Check if Austin, TX, officeholder living expense
1
11 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
2 \1 (%
Payee name
1
)► d' l
De 44w
Amount ($)
Payee address- City; State; Zip Code
-7b oqa
_jov�lq�
TYPE OF
EXPENDITURE
Political ❑ Non -Political
Category (See Categories listed at the top of this schedule)
�%
Description
❑ Check if travel outside of Texas. Complete Schedule T.
PURPOSEuh
OF
❑Check
t% v�v1
if Austin, TX, officeholder living expense
EXPENDITURE
G�1�t.�c�
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
EXPENDITURES MADE BY CREDIT CARD
SCHEDULE F4
EXPENDITURE CATEGORIES FOR BOX 10(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 Polling Expense Travel In District
Contributions/Donations Made By Gift/Awards/Memorials 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 form.
1 Total pages Schedule F4:
2 FILER NAME
3 Filer Commission Filers)
4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TO A CREDIT CARD
;ID(Ethics
E
5 Date
6 Payee name
3, n, Iq
jqft_ac_e_
7 Amount ($)
8 Payee address; City; State; Zip Code
16. 00
Pac cis Dye ki ,,T 7 b o 7.1
9 TYPE OF
EXPENDITUREPolitical
❑Non Political
10
(a) Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
❑ Check if travel outside of Texas. Complete Schedule T.
OF
'1/
EXPENDITURE
V V 0 6Q
❑Check if Austin, TX, officeholder living expense
11 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
TYPE OF
EXPENDITURE
Iff"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
C
❑Check if Austin, TX, officeholder living expense
EXPENDITURE
[SI^ n
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 provlaea oy texas mics Uommisslon www.ethics.state.tx.us Revised 9/8/2015