Smith 8 Day 2019CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Filer ID (Ethics Commission Filers)
2 Total pages filed:
The C/OH Instruction Guide explains how to complete this form.
3 CANDIDATE /
OFFICEHOLDER
MS / MRS / MR FIRST MI
OFFICE USE ONLY
NAME
�/ f
I 4 . . . . . . . t.+ . . . . . . . . . . . . . . . .
Date
Received
NICKNAME LAST SUFFIX
RECEIVED
sn)
q CANDIDATE /
OFFICEHOLDER
AD ESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
�j� / `7 6
MAILING
��JJ VJV 1
APR 2 6 2019
ADDRESS
vt
❑ Change of Address
OFFICE OF CITY SECRET
5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
Date
Hand -delivered or Date Postmarked
PHONE
� � � /j � _ �0 /y �
l
v
6 CAMPAIGN
TREASURER
MS / MRS / MR MI
zic
Receipt #
Amount $
_
Date Processed
NAME
.
. . .yS'. . . . . . . . . . . . . . .
NICKNAME LAST SUFFIX
( mM
Date Imaged
7 CAMPAIGN
TREASURER
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE
)LO16 ���� 3"[ X 6o t�
ADDRESS
� �J
� �� /T �
(Residence or Business)
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
/ �1 , /j S1 3V
` "�,'�I
9 REPORT TYPE
El January 15 ❑ 30th day before election ❑ Runoff El 15th day after campaign
treasurer appointment
(Officeholder Only)
❑ July 15 8th day before election ❑ Exceeded $500limit ❑ Final Report (Attach C/OH - FR)
10 PERIOD
Month Day Year Month Day Year
COVERED
/I��
01 /04 /iG THROUGH Qy/ r b /N
11 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
❑ Primary ❑ Runoff ❑ Other
US j 0 q/
Description
�eneral ❑ Special
12 OFFICE
OFFICE HELD (if any)
13 OFFICE SOUGHT (if known)
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.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 OFFICEHOLDERS
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
SPECIFIC
COMMITTEE ADDRESS
COMMITTEE CAMPAIGN TREASURER NAME
❑ Additional Pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION
TOTALS
1 . TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN H
$
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
MIA
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
$
EXPENDITURE
TOTALS
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
$
�
UNLESS ITEMIZED
/ U
4. TOTAL POLITICAL EXPENDITURES
$ D-L
CONTRIBUTION
BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
�^O
$ \ /
JJJ
OUTSTANDING
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS
LAST DAY OF THE REPORTING PERIOD
$
18 AFFIDAVIT
I swear, or affirm, under penalty of perjury, that the accompanying report is
VERONICA LOMAS true and correct and includes all information required to be reported by me
"::Notary Public, State of Texas under Title 15, Ele Code.
:'•P4 Comm. Expires 06-27-2020
Notary ID 12901312-8
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP / SEALABOVE
Sworn before Noel( cl Srn &t/-]
to and subscribed me, by the said , this the
�I /�I i l
day of 20 to certify which, witness my hand and seal of office.
0, 4W y 4M40 No -Jl �
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 9/8/2015
SUBTOTALS
- C/OH FORM C/OH
COVER SHEET PG 3
19
FILER NAME
20 Filer ID (Ethics Commission Filers)
21
SCHEDULE SUBTOTALS
NAME OF SCHEDULE
SUBTOTAL
AMOUNT
1.
SCHEDULEAI:
MONETARY POLITICAL CONTRIBUTIONS
$
2
2.
SCHEDULEA2:
NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS
$
�-
3.
SCHEDULE B:
PLEDGED CONTRIBUTIONS
4.
SCHEDULE E:
LOANS
$
5.
SCHEDULE F1
: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
6.
SCHEDULE F2:
UNPAID INCURRED OBLIGATIONS
$
r'
7.
SCHEDULE F3:
PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$
8.
SCHEDULE F4:
EXPENDITURES MADE BY CREDIT CARD
$
9.
El
SCHEDULE G:
POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
$
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
$
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Hevisea 9/d/2U15
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 PAC (ID#: _ )
6 YES �u,.19
7 Amount of contribution ($)
0TO
.........
6 Contributor address; City; State; Zip Code
100.60
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8 Principal ti n / Job title (See Instructions)
9 Employer Instructions)
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/(See
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Date
Full name of contributor ❑ out-of-state PAC (ID#: )
1W.... PoimatW
Amount of contribution ($)
.. ...............
Contributor ddress; City; State; Zip Code
J�
so�.V
Dzflk'�
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
al
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Date
Full name of contributor ❑ out-of-state PAC (ID#:
e
Amount of contribution ($)
oqjpjq
Contributor address; City; State; Zip Code
C
(001 61'� T�— :Z(6 1'�
Principal gccupation / Job title (See Instructions)
Emt2lo er (See Instructions
Date
Full name of contributor ❑ out
�-oft-state PAC (ID#: )
Amount of contribution ($)
. . . . . . . . . . . . . . .
Contributor address; City; State; Zip Code
too,0 d
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
1 Total pages Schedule Al:
The Instruction Guide explains how to complete this form.
3 Filer ID (Ethics Commission Filers)
2 FILER NAME
7 Amount of contribution ($)
4 Date 5 Full name of cont(F�sh'-Ou
t-ol-slate PAC (ID#:_--.._-..- .. -
.......: ode ... �- 100
ou r I r�G 6 Contributor address; City. State. Zip C
rUg Employer (See Instructions)
8 Principal occupation / Job title (See Instructions) A
Date I Full name of contributor ❑
out-of-state PAC (ID#:_-____--.___-.--_-.--.--� I Amount of contribution ($)
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 ($)
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
f contributor out-of•state PAC (ID#:__
) Amount of contribution
Date Full name o
($)
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.
Revised 9/8/2015
Forms provided by Texas Ethics Commission
www. eth ics.state.tx. u s
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
1 Total pages Schedule At:
The Instruction Guide explains how to complete this form.
$ Filer ID (Ethics Commission Filers)
2 FILER NAME e, �yx—t
�'/// f ^
✓ I i 7 Amount of contribution ($)
4 Date 5 Full name of contributor ❑
out-of-state PAC (ID#:
o
G ............... 100.00 y,oq, I'1 address; City; State; Zip Code
ll g Contributor
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g Employer (See Instructions)
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g Pr' al occupation / Job title (See Instructions) , y V JI F 1,,'/-IV/I
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❑ out-oi-state PAC (ID#: Amount of contribution
Date Full name of contributor ($)
, . w�CItardm ............... Lov�o�
City; State; Zip Code
6401,14 Contributor address; I� 6vVM4
Employer (See Instructions)
Principal occupation / Job title (See Instructions)
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Amount of contribution
Date Full name of contributor ❑
out-ot-state PAC ($)
SI -G,h � ... ............. P0, 6G
r(, City; State; Zip Code V
• 1 ". Contributor address;
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Employer (See Instructions)
Principal occupation Job
�title (See Instructions)
Amount of contribution ($)
Date Full name of contributor out-of-state PAC
""
p n Loe Zip Code ,00
04,16 Contributor addr ss; City; State;
S� T�4
Emplo er (S . �structjons)
Principal ccupation / Job title (See Instructions)
ATTACH ADDITIONAL COPIES
O IEnsOt F THIS
guide SCHEDULE
LE AS NEEDED
al ng requirements.
If contributor is out-of-state PAC, pRevised 9/8/2015
w. ethics.state.tx. u s
Forms provided by Texas Ethics Commission
ww
POLITICAL EXPENDITURES MADE SCHEDULE F1
FROM POLITICAL CONTRIBUTIONS
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense
Event Expense
Loan Repayment/Reimbursement
Office Overhead/Rental Expense
Solicitation/Fundraising Expense
Transportation Equipment & Related Expense
Accounting/Banking
Consulting Expense
Fees
Food/Beverage Expense
Polling Expense
Travel In District
Travel Out Of District
Contributions/Donations Made By
Gift/Awards/Memorials Expense
Printing Expense
Salaries/Wages/Contract Labor
Other (enter a category not listed above)
Candidate/Officeholder/Political Committee
Legal Services
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Fl:12 FILER
4 �t � 1q 5 Payee
6 Amount ($) 7 Payee address; ✓City; State; Zip Code
Ivy
8 (a) Category (See Categories listed at the top of this schedule)
-chedule)
PURPOSE pytrtety� Ma 1OF
1 // A
EXPENDITURE
9 Complete ONLY if direct Candidate / Officeholder name
expenditure to benefit C/OH
Date
Payee name
--fi(6
Payee address; City; State; Zip Code
Amount ($)
111
VV
—M
Category (See Categories listed at the top of this schedule)
v�
PURPOSE
OF
`P r
EXPENDITURE
'I �%� I
Y/ ' rl✓ � 1.
Candidate / Officeholder name
Complete ONLY if direct
expenditure to benefit C/OH
I Date I Payee name
Amount ($)
PURPOSE
OF
EXPENDITURE
Complete ONLY if direct
expenditure to benefit C/OH
Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule)
Candidate / Officeholder name
3 Filer ID (Ethics Commission Filers)
(b) Description
❑ Check if travel outside of Texas. Complete Schedule T.
❑ Check if Austin, TX, officeholder living expense
Office sought
Office held
Description
❑ Check if travel outside of Texas. Complete Schedule T.
❑ Check it Austin, TX, officeholder living expense
Office sought
Office held
Description
❑ Check if travel outside of Texas. Complete Schedule T.
❑ Check if Austin, TX, officeholder living expense
Office sought
Office held
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us Revised 9/8/2015
EXPENDITURES MADE BY CREDIT CARD
EXPENDITURE CATEGORIES FOR BOX 10(8)
Event Expense Loan Repayment/Reimbursement
Advertising Expense Fees Office overhead/Rental Expense
Accounting/Banking Food/Beverage Expense Polling Expense
Consulting Expense (,itt/gwards/Memorials Expense Printing Expense
Contributions/Donations Made By Printing
Expense
Labor
Candidate/Officeholder/Political Committee Legal Services
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F4: I 2 FILER
4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TO A CREDIT CARD
5 Date
6 P
7 Amount ($) 8 Payee address; City; State; Zip Code
9 TYPE OF FGKPolitical Non -Political
EXPENDITURE
SCHEDULE F4
Solicitation/Fundraising Expense
Transportation Equipment & Related Expense
Travel In District
Travel Out Of District
Other (enter a category not listed above)
3 Filer ID (Ethics Commission Filers)
$
b Description
10 (a) Category (See Categorie
s listed at the top of this schedule) ( ) P
Check if travel outside of Texas. Complete Schedule T.
PURPOSE C Oaep
O F Check it Austin, TX, officeholder living expense
EXPENDITURE _ - r
11 Complete ONLY if direct Candidate 1 Officeholder name Office sought
expenditure to benefit C/OH
DatF1/ i(/ Payee 4 `` ( t 6� V
Amount ($) Payee address, City; State; Zip Code
2
* _j[X
TYPE OF I e Ypolitical Non -Political
EXPENDITURE LLL���
/`Category (See Categories ted at the top of this schedule)
PURPOSE
OF v t Of7(q
EXPENDITURE kn A - / 'A /I
Complete ONLY if direct Candidate / Officeholder name
expenditure to benefit C/OH
Office held
Description
Check it travel outside of Texas. Complete Schedule T.
Check it Austin, TX, officeholder living expense
Office sought
Office held
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Revised 9/8/2015
Forms provided by Texas Ethics Commission
www. ethics. state.tx. u s
EXPENDITURES MADE BY CREDIT CARD
EXPENDITURE CATEGORIES FOR BOX 10(a)
Event Expense Loan RepaymenVReimbursement
Advertising Expense Fees Office overhead/Rental Expense
Accounting Banking Food/Beverage Expense Polling Expense
Consulting Expense Gift/AWards/Memodals Expense Printing Expense
Contributions/Donations Made By Salaries/Wages/Contract Labor
Candidate/Officeholder/Political Committee Legal Services
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F4: I 2 FILER
4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TOACREDIT CARD
5 Date 6 Payee n me
7 Amount ($) 8 Payee address; City; State; Zip Code
(�6A
.6s
kyv TX
9 TYPE OF ,if political Non -Political
EXPENDITURE R
SCHEDULE F4
Solicitation/Fundraising Expense
Transportation Equipment & Related Expense
Travel In District
Travel Out Of District
Other (enter a category not listed above)
3 Filer ID (Ethics Commission Filers)
(a) Category (See Categories listed at the top of this schedule) (b) Description
10 Check it travel outside of Texas. Complete Schedule T.
PURPOSE C 4—fpfoV"/OF 1, Check it Austin, TX, officeholder living expense
EXPENDITURE
11 Complete ONLY if direct Candidate 1 Officeholder name
Office sought Office held
expenditure to benefit C/OH
-----------------
Date Payee na e
Amount ($) Payee address; City; State; Zip Code
bit
19
Sad�ai
TYPE OF j—�/j�Political Non -Political
EXPENDITURE E
EDescription
Category /(/S,ee Categories listed at�the
�top
Rof this schedule) Check if travel outside of Texas. Complete Schedule T.
PURPOSE w '� j4v (,o O✓ Check if Austin, TX, officeholder living expense
OF 11
EXPENDITURE ,p��J ca 4tk
Complete ONLY if direct Candidate / Officeholder name
Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Revised 9/8/2015
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
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 FILE E
Md S�2�
3 Filer ID (Ethics Commission Filers)
4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TO ACREDIT CARD
J
$ QW 241 J
5 Date
910S
6 Paye n me
b�
7 Amount ($)
8 Payee address; City; State; Zip Code
3 q (� �
V (�1� W'• VT)l<
9 TYPE OF
Political Non -Political
EXPENDITURE
10
(a) Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
OF
Pam -S
ElCheckif travel outside of Texas. Complete Schedule T.
❑EXPENDITURECheck if Austin, TX, officeholder living expense
I +Q,0
11 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date 8. R �
Payee
`State;
Amount ($)
Payee address; City; Zip Code
`;) 71
"-Fx
%fno I
TYPE OF
Political ElNon-Political
EXPENDITURE
Category (See Categon listed at the top of this schedule)
Description
1-1Checkif travel outside of Texas. Complete Schedule T.
PURPOSE
OF
EXPENDITURE
`(` 11 /�/J
S
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
EXPENDITURE CATEGORIES FOR BOX 10(a)
Loan RepaymenvReimbursement
Event Expense Office Overhead/Rental Expense
Advertising Expense Fees Polling Expense
Accounting/Banking Food/Beverage Expense
Consulting Expense Gitt/Awards/Memorials Expense Printing Expense
Contributions/Donations
Made By Salaries/Wages/Contract labor
Candidate/Officeholder/Political Committee Legal Services
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F4: 2 FILtHav \
4 TOTAL OFUNITEMIZEDEXPENDITURES CHARGEDTOACREDITCARD
5 Date 0 � �y
b/
7 Amount ($)
9 TYPE OF
EXPENDITURE
10
PURPOSE
OF
EXPENDITURE
6
SCHEDULE F4
Solicitation/Fundraising Expense
Transportation Equipment & Related Expense
Travel In District
Travel Out Of District not listed above)
Other (enter a category
3 FilertD (Ethics Commission Filers)
City; State; Zip Code
g Payee address;<�wM �(q6 -Tx —76 011;1-
lklolitical
El Non -Political
(a) Category (See Categories listed at the lop of this schedule)
o _rb ko
Q S �t
(b) Description
Check it travel outside of Texas. Complete Schedule T.
Check if Austin, TX, officeholder living expense
Office sought
Office held
11 Complete ONLY it direct Candidate / Officeholder name
expenditure to benefit C/OH
Payee parne
Date
Amount ($) Payee% address;
City; State; Zip Code
TYPE OF El Non -Political
Political
EXPENDITURE Description
Check if travel outside of Texas. Complete Schedule T.
Category (See Categories listed at the top of this schedule)1:1
1
PURPOSE Check it Austin,
TX, officeholder living expense
n
OF
EXPENDITURE
Office held
Complete ONLY it direct Candidate / Officeholder name Office sought
expenditure to benefit CIOH
PIES OF THIS SCHEDULE AS NEEDED
ATTACH ADDITIONAL COethics.state.tx.0 s Revised 918/2015
Forms provided by Texas Ethics Commission
www.
EXPENDITURES MADE BY CREDIT CARD
Advertising Expense
Accounting/Banking
Consulting Expense
Contributions/Donations Made By
Candidate/Officeholder/Political Committee
1 Total pages Schedule F4: 2 FI
EXPENDITURE CATEGORIES FOR, BOX 10(a)
Loan Repayment/Reimbursement
Event Expense Office overhead/Rental Expense
Fees Polling Expense
Food/Beverage Expense
Gift/Awards/Memorials Expense Printing
Expense
Salaris/Contract Labor
Legal Services
The Instruction Guide explains how to complete this form.
4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TO A CREDIT CARD
5 Date
7 Amount ($)
6(17
9 TYPE OF
EXPENDITURE
10
PURPOSE
OF
EXPENDITURE
6 Payeq name
g PayeWhW
e address;
City; State; Zip Code
Political
El Non -Political
(a) Cat ory (See Ca gories listed at the top of thisschedule)
6_fkt
Office sought
11 Complete ONLY if direct
expenditure to benefit C/OH
Date
Amount ($)
G_111
TYPE OF
EXPENDITURE
Candidate / Officeholder name
Payee
Payee address;
)/"Political
City; State; Zip Code
ElNon -Political
Category (See C(atego�ries listed al the top of this schedule)
PURPOSE Y�
OF i�v
EXPENDITURE
Candidate / Officeholder name
Complete ONLY it direct
expenditure to benefit C/OH
SCHEDULE F4
Solicitation/Fundrafsing Expense
Transportation Equipment & Related Expense
Travel In District
Travel Out Of District
Other (enter a category not listed above)
3 File(Ethics Commission Filers)
(b) Description
ElCheck if travel outside of Texas. Complete Schedule T.
Check if Austin, TX, officeholder living expense
Office held
Description
ElCheck if travel outside of Texas. Complete Schedule T.
Check if Austin, TX, officeholder living expense
Office sought
Office held
PIES OF THIS SCHEDULE AS NEEDED
ATTACH ADDITIONAL CO
,vww.eth ics.state.tx .us
Forms provided by Texas Ethics Commission
Revised 9/8/2015
EXPENDITURES MADE BY CREDIT CARD
EXPENDITURE CATEGORIES FOR BOX 10(a)
SCHEDULE F4
Advertising Expense
Event Expense
Loan Repayment/Reimbursement
Office Overhead/Rental Expense
Solicitation/Fundraising Expense
Transportation Equipment & Related Expense
Accounting/Banking
Consulting Expense
Fees
Food/Beverage Expense
Polling Expense
Travel In District
Travel Out Of District
Contributions/Donations Made By
Gift/Awards/Memorials Expense
Printing Expense
Salaries/Wages/Contract Labor
Other (enter a category not listed above)
Candidate/Officeholder/Political Committee
Legal Services
The Instruction Guide explains
how to complete this form.
1 Total pages Schedule F4: 1 2
4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TO A CREDIT CARD
5 Date 6 Payname
7 Am8 Payee address; City; State; Zip Code
9 TYPE OF
Political Non Political
EXPENDITURE 19/
10 (a) Category (See Categories listed at the top of this schedule)
PO
PURPOSE 44-e—V
OF
EXPENDITURE
11 Complete ONLY it direct Candidate / Officeholder name
expenditure to benefit C/OH
3 Filer ID (Ethics Commission Filers)
$ 1 q1
(b) Description
Check it travel outside of Texas. Complete Schedule T.
Check if Austin, TX, officeholder living expense
Office sought
Date h Payee naz Ya
box
Amount ($) Payee address; City; State; Zip Code
1 0 - �k y4ya Pa wv_ch
TYPE OF political Non -Political
EXPENDITURE E9
Category (See Categories listed at the top of this schedule)
PURPOSE Stag
OF
EXPENDITURE
Office held
Description
Check if travel outside of Texas. Complete Schedule T.
Check if Austin. TX, officeholder Irving expense
Complete ONLY it direct Candidate / Officeholder name Office sought
expenditure to benefit C/OH
Office held
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us
Revised 9/8/2015
EXPENDITURES MADE BY CREDIT CARD
EXPENDITURE CATEGORIES FOR BOX 10(a)
SCHEDULE F4
Advertising Expense
Event Expense
Loan Repayment/Reimbursement
Office Overhead/Rental Expense
Solicitation/Fundraising Expense
Transportation Equipment & Related Expei
Accounting/Banking
Fees
Food/Beverage Expense
Polling Expense
Travel In District
Consulting Expense
Contributions/Donations Made By
GifVAwards/Memorials Expense
Printing Expense
Salaries/Wages/Contract Labor
Travel Out Of District
Other (enter a category not listed above)
Candidate/Officeholder/Political Committee
Legal Services
The 1 ction Guide explains
how to complete this form,
I 2 FILER NA�tAEI
3 Filer ID (Ethics Commission Filers)
1 Total pages Schedule F4:
4 TOTAL OF UN ITEMIZED EXPENDITURES CHARGED TOACREDIT CARD I$
5J�Date
V ( l
6 Pay name l ,A�
/v`
8 Payee address; City;
SI� �I"i
�
State; Zip Code
_
7 Amount
� 3
9 TYPE OF I � Political
EXPENDITURE
El Non -Political
1U (a) /C`at 1 or/y/ (See Categories listed at the top of this schedule) (b) Description
PURPOSE 1 ]C I Ll�// f71 L ,\ ❑ Check if travel outside of Texas. Complete Schedule T.
O F V" 1 Q �-i� N��-WW �• YY u Check if Austin, TX, officeholder living expense
EXPENDITURE ,^ c,
11 Complete ONLY if direct Candidate / Officeholder name Office sought
expenditure to benefit C/OH
t Is Payee rim
Me
Amount ($) Payee address; J City; State; Zip Code
TYPE OF I 1 L/f Political
EXPENDITURE I_J
Non -Political
Category (See Categories listed at the top of this schedule)
PURPOSE c�I e if � /�/YiJ (
O F Cd'LC �� VV (t 1 1 Vua
EXPENDITURE
Complete ONLY it direct Candidate / Officeholder name
expenditure to benefit C/OH
Office held
Description
Check d travel outside of Texas. Complete Schedule T.
Check it Austin, TX, officeholder Irving expense
Office sought
Office held
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED I
Forms provided by Texas Ethics Commission
www.ethlcs.state.tx.us Revised 9/8/2015