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Huffman Semi July 2019CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Filer 10 (Ethics Commission Fllem) 2 Total pages filed: The C/OH Instruction Guide explains how to complete this form. 3 CANDIDATE/ OFFICEHOLDER MS/MRS/MR FIRST MI M►' )OAK OFFICE USE ONLY NAME NICKNAME Date ReceicRECEIVED IIJJ'LAST SUFFIX ftuM�k J U L 15 2019 4 CANDIDATE/ OFFICEHOLDER ADDRESS / PO BOX; APT / SUITE p; CITY; STATE; ZIP CODE X991 6" MAILING (% r1 tr` YKA ADDRESS 'R4. 7x 76OZ � S��c OFFICE OF CITY SECRETA ❑ Change of Address 1' 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION OFFICEHOLDERn PHONE �y^� (f17 & V Date Ha v red o��e/Posstmarked W 6 CAMPAIGN MS /R / MR FIRST MI Receipt # Amount TREASURER rs �'� Date Processed NAME NICKNAME LAST SUFFIX Date Imaged 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE 8; CITY; STATE; ZIP CODE TREASURER ADDRESS l moll (Residence or Business) / . / ftk Ty --7 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE ) _ L 8 REPORTTYPE January 16 30th day before election Runoff 15th day after campaign treasurer appointment (Officeholder Only) ❑ July 15 ❑ 81h day before election ❑ Exceeded $50011mft Final Report (Aftach C/OH , FR) 10 PERIOD Month Day Year Month Day Year COVERED THROUGH 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year ❑ Primary ❑ Runoff ❑ Other f� / 1411General Of /0 Description r-1Bipedal 12 OFFICE OFFICE HELD (If any) �Dv*(I ke. Co�nc�l 13 OFFICE SOUGHT (If known) �0�,•-1�(«kx. ii) Cxr.s�l cz, GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.Stat@.tx.us Revised 9/8/2015 Y CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 14 C/OH NAME 15 Eller I I (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 NAVE BEEN MADE WITHOUT THE CANDIDATE'S 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 $50 OR LESS (OTHER THAN r�1 PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED '$ • !ri 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) C,�l EXPENDITURE 3. TOTALS TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED 4. TOTAL POLITICAL EXPENDITURES $ CONTRIBUTION BALANCE 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 LOAN TOTALS LAST DAY OF THE REPORTING PERIOD 1S 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 Amy Shelley under Title 15, Election Cod Notary Public State of Texas Is IPI My Comm. Exp. 12/02/18 Nota ID# 12476110.5 Sig l re o Candidate or Officeholder AFFIX NOTARY STAMP /SEALABOVE 1 ynyr�,,^ q Sworn to and subscribed before me, by the said JD�1n � this the 15` 1% �L�'yyYA,v , d of V (1 .1 , 20�, , to certify which, witness my hand and seal of office. Sig [ur of officeUdministering oath Printed Unne of officer edJhIstering oath Title of officer administeriQ oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 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 Flier ID (Ethics Commission Filers) 21 SCHEDULE SUBTOTALS NAMEOFSCHEDULE SUBTOTAL AMOUNT 1 ❑ SCHEDULEAI: MONETARY POLITICAL CONTRIBUTIONS $ 2. SCHEDULE A2: NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS $ 3. SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4. F] SCHEDULE E: LOANS $ 5• SCHEDULE Ft: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 6• SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 7. SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ S. SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 9• i SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 10. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ 11. F-1 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 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 PAC (ID#: 1 6W 7 Amount of contribution ($) 000/11 6 Contributor address; City; State; Zip Code �U 8 Principal occupation /Job title (See Instructions) g Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (ID#: 1 Amount of contribution ($) Contributor address; City; State; Zip Code V 13 sZ -AA) BAS 7�%I, SsA tak T,�- 76x92 Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (ID#: 1 Amount of contribution ($) fie, Ca t -}e y- I'v�'' l Contributor address; City; State; Zip Code 2� Principal occupation / Job title (See Instructions) Employer (See Instructions) Data Full name of contributor ❑ out-of-state PAC (IM 1 Amount of contribution ($) OV' s. e.l- oI19 ....................... Contributor address; City; State; Zip Code 2.55 1IlDY a moon ke,(soA 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. 1 Total pages Schedule At: 2 FILER NAME ij�9 1 1 IU^` n �IArI 3 Filer ID (Ethics Commission Filers) 4 Date 6 F I name of contributor ❑ out-of-state PAC (IDp: 1 " "aW+ % Amount Of contribution ($) ' `� I 6 Cont ibutar address; City; State; Zip Code Do 8 Principal occupation / Job title (See Instructions) g Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (IDp: I k�V; (a� Amount of contribution ($) 1 12AII i �r�t ................... . Contributor address/s; City; State; Zip Coder/v ,.y.y �/ / �i F- Ht1 Ur�Q�ul fgtc�°'144 ii 70 2— l Principal occupation / Job title (See Inst uctions) Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (IDp: I Amount of contribution ($) Contributor address; City; State; Zip Code (� s-0 -I I? lbe Iq; i LaP- Sat la 7 W& Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor E]out-of-statePAC (IDM: t i(Ai rlF I� AlW t l,�rn Amount of contribution ($) q /� (I L� I �-1 Contrlbutor address; City; State; Zip Code (((/// �G-0 io I CK �C ZS�� , �tja�e 7-K 76®9 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 NAME �1 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor ❑ out-of-state PAC (ton: t 7 Amount of contribution ($) I 6a f1 "amu G l'�I1 1 - 6 Contributor address; City; State; Zip Code (�, �jJ q-7,, N Ci, "I- i�e°Irc C, l e 8 Principal occupation / Job title (See Instructions) g Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (Ion: Amount of contribution ($) .=..��. Contributor address; City; State; Zip Code 'eZ�C) P0+0tAA&L P ►aW4 R Coq2 Principal occupation/ Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑ out -of -slate PAC (to#: _J 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) 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 a�4 ,tt e f 11 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor ❑ out-of-state PAC (ID#: I 7 Amount of contribution ($) . 8 6� vv�. Wq I ........... I ......... Contributor 6 address; City; State; Zip Code 139 Plnvrtnce, Lte 0 ISI LC 8 Principal occupation / Job title (See Instructions) g Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC IID#: 1 Amount of contribution ($) Contributor address; City; State; Zip Code �fo� 6asr,{ers C9 ��+ Som ta 7—x Principal occupation /Job title (See Instructions) Employer (See Instructions) Date Full name of contributor E]out-of-statePAC (ID#: t Amount of contribution ($) �/ �. uQ� 11/ �/ //` R `/ / / t . . . .SOL ... Contributor address; /"� "1 City; State; Zip Cade D v (0:3 ti L-9916 4 QN44 SD ,t+L (ake %X 76 oq Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor � {{11nn SS ❑out-of-state PAC (ID#: 1 Amount Of contribution ($) . . . . . . . . . Contributor address; City; State; Zip Code-� (61q S-O�Ufbtfa .7-g76® Principal occupation / Job title (See Instructions) r 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. 1 Total pages Schedule At: 2 FILER NAME _ 1 -� LA� 3 Filer ID (Ethics Commission Filers) 4 Date 5J1FFulllll name of contributor ❑ out-of-state PAC (ID#: 1 7 Amount of contribution ($) t z. T0.1 lor.......... 6 .......... Contributor address; City; State; Zip Code (3O I NVAN COU,11 e kAlli lake `N 74 8 Principal occupation / Job titl (See structions) 9 Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (ID#: ) -`�xj'� r''n W Amount of contribution ($) ' 1 •'I V "' (v Contributor addr2s; City; State; Zip Code ` l/ (2�7 ))�A6.1tVVZvl. 519 #A 14 k ` -Y-76,0 z Principal occupation / Job title (See instructions) Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (10#: t Amount of contribution ($) Contributor address; City; State; Zip Code " �eLe Cf ako j�z �6© Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full yname of contributor out -of -slate PAC (ID#: ) Amount of contribution ($) fu� II -I 5'o Contributor address; City; State; Zip Code Gil N(05 Sty +�la(c� 7r - OQ2 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. 1 Total pages Schedule At: 2 FILER NAME ^ f�' 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor .......... 6 Contributor address; 5 tr �r P�lPS9J� El out-of-state PAC (ID#: ) ......... City; Zlp State; .... Code it (l2 7 Amount of Contribution ($) % k1D l (/ 8 Principal occupation /Job title (See Instructions) t9Employer (See Instructions) Date Full name of contributor . (12* 0k'i f ..................... Contributor address; ' t3I o I q 10 D'A" ❑ out-of-state PAC (ID#: 1 . City; State; Zip Code I(-e4,' �e Li Qt? k TR76 Amount of contribution ($) 1 Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (ID#: 1 Amount of contribution ($) Contributor address; '"I c, K� 4 City; State; Zip Code (9 wA4 7')( 7s,99-2- Principal occupation / Job title (See In tructions) V Employer (See Instructions) Date l�1LfIfq Full name of contributor � c�atn} .%��.Cpyteff Contributor address; ❑ out-of-state PAC (ID#: ) ............. City; State; Zip Code Amount of contribution ($) �5 P°P,?°x 01'87, Cgrrol+oi W bo 11 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. 1 Total pages Schedule At: 2 FILER NAME .^ 1 N R� 3 Filer ID (Ethics Commission Fliers) 4 Date 5 Full name of contributor ❑out-of-state PAC (ID#: t 7 Amount of contribution ($) /Z� (� /+ / f;f 11 V-S 7WVtr �� / /�� .................... . 6 Contributor address; City; State; Zip Code po 8 Principal occupation / Job title (See Instructions) g Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (IDC t VL Amount of contribution ($) Contributor City; Zip Code ' V caddress; rState; n ,, ( Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑out-of-state PAC (ID#: t Amount of contribution ($) Contributor address;; City; State; Zip Code 1 L) �171CD (,tt6 wN ��I& 19(' —16 ocl L Principal occupation / Job title (See Instructions) 71-Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (ID#: t Amount of contribution ($) 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 oul-of-state PAC, please see instruction guide for additional reporting requirements. Forms provided by taxes ethicsCommission WWW.ethics.9tate.tx.us Revised 9/8/2015 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan RepaymenHRelmbursement Salicffation/Fundraising Expense AccoumingfEanking Fees Office Overhead/Rental Expense Transportation Equipment& Related Expense Consuaing Expense Food/Beverage Expense Polling Expense Travel In District Conhilwtlons/Donations Made By Gin/AwardsMtemodals Expense Printing Expanse Travel Out Of District Candidate/Officeholder/Political Committee Legal Services SalarimuWages/Contract Labor Other (enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule F7: 2 FILER NAME �� 3 Filer ID (Ethics Commission Filers) N 4 Date— 1 [y / -b fq 5 Payee name 6 Amount ($) 7 Payee address; City; State; Zip Code Sa,..lt-Lt -c tq -76o"(7, 6 (a) Categories listed at the top of this schedule) (b) Description PURPOSE /C�at�egory11(See A'tN wnI;A) EoxP°^j2 V&d'ySulk l ❑Check if travel Wade of Texas. Complete Schedule T. OF EXPENDITURE / /� III- I 'w [sr ( ❑ Check if Austin, Tx, officeholder living expense 9 Complete ONLY if direct Candidate / Officeholder name Office sought /lest ( Office heltl fAffiA expenditure to benefit C/OH poti ti f,,,, 'k f��- a /yrs/ M Date ✓')✓-r 0 4 '� r'� Payee name a Amount ($) Payee address; City; State; Zip Code S2 f b ( 0)' YSC4 Category (See Categories listed at the top of this schedule) Description PURPOSE,I OF rr,, ❑ Check if travel outside of Texas. Complete SchedulaT. ❑Chock EXPENDITURE G0"*fI �� if Austin, TX, officeholder living expense Complete ONLY If direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name ?-It\1)q &0daVY CoM� Amount ($) Payee address; City; State; Zip Code �Z Zr 14 q ss Al- q0L ydj, IV, swM�lil�,Al,- %�10 -t 'R3 Category (See Categories listed at the top of this schedule) Descriptlon PURPOSEA ❑ Chock lftravei outside of Texas. Complete SchedulaT. C 11 ^ -� S - ❑ Check if Austin, TX, officeholder living expense EXPENDITURE Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS SCHEDULE G EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement SollcitationvFundraising Expense Accounting/Banking Face Office Overhead/Renlal Expense Transportation Equipment B Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributionarponaxena Made By Glff/Awards/Memorlals Expense Printing Expense Travel Out Of District Candidate/Officeholder/Poliical Committee Legal Services SalariesNvages/Coniract Labor Other (enter a category not listed above) CredltDard Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule G: 2 FILER NAME d1 -4 3 Filer ID (Ethics Commission Filers) 4.t 4 Date V ul I q 5 Payee name �k-A ® `� 6 Amount ($) 7 Payee address; City; State; Zip Code 72q.gq u(s �. s�� , k r 11 it ei 1. contributions IP.mandedelcontributlons ff / 1ne.. -7d 6 -t 6 (a) Category (See Categories listed at the top` of this schedule) (b) Description PURPOSE OF EXPENDITURE 'h V%C/K�[� loft 1 (/// ❑ ChecklFtravel outside of Texas. Complete 3chetluleT. ❑ Check if Austin, TX, officeholder living expense 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH —3b y" Date Payee name Amount ($) Payee address; City; State; Zip Code 97V'0 1 N- 4: ti . Tcllltcal Coontibutions imended Category (See Categories listed at the top of this schedule) (b) Description PURPOSE G S� ❑ Check lftravei outsideof Texas. Complete Schedule T. EXPEN ITURE 00 ❑Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH vk,�['�+ ) ^/A W-5- Date Payee oma Amount ($) Payee address; City; State; Zip Code wk,+e-c(A�i vv't Raimbursementfrom in�nidbWions 1 �"" ' �X' `0.82, l\�la tended mac.. tryJ(9ee`Cete PURPOSE OF Cate�go orias listed at the top of this schedule) �1�` pp Of{ (�QIAv%__��"" w>_ �j(p.p Sy (b) Description ❑Check ifiraval outaltle of Texas. Complete SchetluleT. EXPENDITURE "'IV�J��...rrr..•666¢¢¢ ... ''"" T E:1Check 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 CANDIDATE / OFFICEHOLDER REPORT: DESIGNATION OF FINAL REPORT FORM C/OH - FR The Instruction Guide explains how to 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 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 NOTAN OFFICEHOLDER -• Complete A & B below only if you are not an officeholder. •• A. CAMPAIGNFUNDS Check only one: 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 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 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. I do retain assets purchased with political contributions or interest or other income from political contributions. 1 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 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.N.us Revised 9/8/2015