Talley 8 Day 2020CANDIDATE / OFFICEHOLDER
FOR C/OH
CAMPAIGN
FINANCE REPORT COVER T PC 1
1 Filer ID Einics rnmissr r - ers
2 Total pages filed:
The C/OH Instruction Guide explains how to complete this form.
3 CANDIDATE/
i.IS ',IRS ; AMR EIRST rni
OFFICEHOLDER
Mrs. Kathleen B
9FF-16E- US
NAM E
- ._AST
NICKNAME
Kathy Talley
OCT 020
4 CANDIDATE /
i ADDRESS PO BOX, APT SUITE i cITY; STAT= ZIP CODE
OFFICEHOLDER
MAILING
ADDRESS
FFICE OF CITY SECRETARY
'hangs of Addr ss
5 CANDIDATE/ i AREA CODE PHONE NUMBER :XTENSON
OFFICEHOLDER
(
Data H- r i ^vexed or Date Postmarked
PHONE
6 CAMPAIGN
MS MPS, 1R FrRST +ri
Ret.elk '.
Arno,,nt 1I p
TREASURER
Mr. Michael C
Date Processed
NAME - _-AST _
I Nr <NAE
M SuFrrx
Ima ed
Mike TalleyDate
7 CAMPAIGN
STREET ADDRESS (NO PC) BOX PLEAEE�I APT: SUITE_#Y uITY;
STATE; ZIP CODE
TREASURER
ADDRESS
(Residence or Business;
8 CAMPAIGN
AREA CODE PHONE NUMBEri 'EXTENSION
TREASURER
(
PHONE
9 REPORT TYPE
January -15 30th day before electron Runoff
(—i 15th day after campaign
— treasurer appointment
(Officeholder Only)
El .July 15 � 8th day before election Exceeded Modified
Final Report (Attach G/OH - FR)
Reporting Limit
10 PERIOD
Month Day Year mnntn
Dav Year
COVERED
07//01 //2020 09/11,24
/2020
THROUGH
11 ELECTION
N DArE ELECTION Tvr-7F
Da„ fear R„nm, ul Oti-rec
DP.scrlFrkm
//
% J �� `;nera'. E `'i�a Caul
_
11 '' 03 / 2020
—
12 OFFICE
C, —i---D 'a r 13
Southlake City Council, Place 1
O TO PAGE
For4Tts provided by Texas Ethics Commission wmv.ethics.state ,tx.Lis Revised 1/1/2020
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME 15 Filer !D (Ethics Commission Filers)
Kathleen B Talley
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 CANDIDATE'S 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.
'0,JMITIEE IY-- COM,,,,IITTEE
ADD; ='SS
0—
NAi",IE
Additional Pages
COMMITTEE CA,%IPAIGN 1?�EASUPE-2 ADD:- ESS
17 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR $
CONTRIBUTIONS MADE ELECTRONICALLY)
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) 2,558.31
EXPENDITURE 1 TOTAL UNITEMIZED POLITICAL EXPENDITURE,
TOTALS
4. TOTAL POLITICAL EXPENDITURES $ 426.15
CONTRIBTION 5, TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCEUOF REPORTING PERIOD $
OUTSTANDING 6, TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD 2,132.16
18 AFFIDAVIT
1 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 rT' 15, Election Code,
Notary Public, State of Texas
Comm. Expires 12-02-2023
Notary ID 12476110-5
111111 111111 M No! Signature of Candidate or Officeholder
AFFIXNOT; RYST�',MP SEALAB'0VP
Sworn to and subscribed before rne, by the said this the
ay of 204?0 to certify which, witness my hand and seal of office.
P1 Tilt! �of ffice� administer Signature of ffic I, administering oath Printec n me of officer ad oath rcer administer oath
Forms provided by Texas Ethics Cornroission www, ethics, state tx us Revised 1/1/2020
SUBTOTALS - C/OH FORM CIOH
COVER SHEET PG 3
19
FILER NAME
Kathleen B Talley
20 Filer ID (Ethics Commission Filers)
21
SCHEDULE SUBTOTALS
NAME OF SCHEDULE
SUBTOTAL
AMOUNT
1 �
V
SCHEDULEAl: MONETARY POLITICAL CONTRIBUTIONS
$2,350.00
2.
SCHEDULEA2: NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS
$208.31
3.
SCHEDULE B: PLEDGED CONTRIBUTIONS
$
4.
SCHEDULE E: LOANS
$
5.
SCHEDULE Fl: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$217.84
6.
F-1
SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
$
7.
SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$
8•
SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD
$
9.
V
SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
$208.31
10.
SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH
$
11.
SCHEDULE 1: 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 1/1/2020
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form.
3 1 Total pages Schedule Al:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Kathleen B Talley
4 Date
5 Full name of contributor out-of-state PAC (]D#:
7 Amount of contribution
07/14/2020
John Thane
$100.00
6 Contributor address; City; State; Zip Code
8 Principal occupation / Job title (See Instructions) 1
9 Employer (See Instructions)
Forms provided hyTexas Ethics Commission wvmwethics.o��.tx.us Revised 1/1/2020
NON -MONETARY (IN -KIND) POLITICAL SCHEDULE A2
CONTRIBUTIONS
The Instruction Guide explains how to complete this form.
1 Total pages Schedule A2:
2
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Kathleen B Talley
4 TOTAL OF UNITEMIZED IN -KIND POLITICAL CONTRIBUTIONS
$
122.97
5 Date
6 Full name of contributor F-1 out-of-state PAC (]D#:
8 Amount of 9 In -kind contribution
08/18/2020
Contribution $ description
Kathleen Talley
Business cards
7 Contributor address; City; State; Zip Code
0 Check if travel outside of Texas, Complete Schedule T.
10 Principal occupation / Job title (FOR NON -JUDICIAL) (See Instructions)
11 Employer (FOR NON-JUDICIAL)(See Instructions)
Event Chair - AITS; CEF Advisory Board
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 F-1 out-of-state PAC (ID#:
Amount of In -kind contribution
Contribution $ description
Contributor address; City; State;
Zip Code
1:1 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) (if 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 1/1/2020
PLEDGED CONTRIBUTIONS SCHEDULE B
1 Total pages Schedule B:
The Instruction Guide explains how to complete this form.
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
4 TOTAL OF UNITEMIZED PLEDGES
$
5 Date
6 Full name of pledgor El out-of-state PAC (ID#:
8 Amount 9 In -kind contribution
of Pledge $ description
7 Pledgor address; City; State; Zip Code
F-1 Check if travel outside of Texas, Complete Schedule T.
10 Principal occupation I Job title (See Instructions)
11 Employer (See Instructions)
Date
Full name of pledgor F-1 out-of-state PAC ([D#:
Amount In -kind contribution
of Pledge $ description
............I ..................
Pledgor address; City; State; Zip Code
1:1 Check if travel outside of Texas, Complete Schedule T.
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of pledgor F-1 out-of-state PAC ([D#:
Amount of In -kind contribution
Pledge $ description
Pledgor address; City; State; Zip Code
1:1 Check if 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 (to#:
Amount of In -kind contribution
Pledge $ description
.............
Pledgor address; City; State; Zip Code
[::] Check if travel outside of Texas, Complete Schedule T.
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
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 1/1/2020
LOANS SCHEDULE E
The Instruction Guide explains how to complete this form.
1 Total pages Schedule E:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
5 Date of loan
7 Name of lender out-of-state PAC (1[)#�
8 Lender address; City; State; Zip Code
9 Loan Amount
6 Is lender
10 1 me rest rate
a financial
11 Maturity date
12 Principal occupation / Job title (See Instructions)
13 Employer (See Instructions)
14 Description of Collateral
15
Check if personal funds were deposited into political
El none
account (See Instructions)
INFORMATION
18 Guarantor address; City; State; Zip Code
F� not applicable
20 Principal Occupation (See Instructions)
21 Employer (See Instructions)
Date of loan
Name of lender E] out-of-state PAC (ID#:
Lender address; City; State; Zip Code
Loan Amount
Is lender
Interestrate
a financial
Maturity date
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Description of Collateral
Check if personal funds were deposited into political
El
E] none
account (See Instructions)
GUARANTOR
Name of guarantor
Amount Guaranteed
INFORMATION
Guarantor address; City; State; Zip Code
F-1 not applicable
Principal Occupation (See Instructions)
Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If lender is out-of-state PAC, please see Instruction guide for additional reporting requirements.
Forms provided uyTexas Ethics Commission wvmwemms.o��.tx.uo Revised 1/1/2020
1=116%=:v-4N Nil 9109
Advertising Expense
Accounting/Banking
Consulting Expense
Contributions/Donations Made By
Candidate/Officeholder/Political Committee
Credit Card Payment
Event Expense
Loan Repayment/Reimbursement
Fees
Office Overhead/Rental Expense
Food/Beverage Expense
Polling Expense
Gift/Awards/Memorials Expense
Printing Expense
Legal Services
Salaries/Wages/Contract Labor
The Instruction Guide explains
how to complete this form.
Solicitation/Fundraising Expense
Transportation Equipment& Related Expense
Travel In District
Travel Out Of District
Other (enter a category not listed above)
1 Total pages Schedule F1:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Kathleen B Talley
4 Date
5 Payee name
07/21/2020
Constant Contact
6 Amount
7 Payee address; City; State; Zip Code
59.70
1601 Trapelo Road, Ste. 329, Waltham, MA 02451
8
PURPOSE
Advertising expense
OF
EXPENDITURE
(C) Check if travel outside of Texas. Complete Schedule T Check if Austin, TX, officeholder living expense
9 Complete ONLY if direct
Candidate / Officeholder name
Office sought Office held
expenditure to benefit C/01-1
Date
Payee name
08/17/2020
Constant Contact
Amount
Payee address;
City; State; Zip Code
47.98
1601 Trapelo Road, Ste. 329, Waltham,
MA 02451
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
OF
Advertising Expense
EXPENDITURE
F-1 Check if travel outside of Texas. Complete Schedule T
F-1 Check if Austin, TX, officeholder living expense
Complete ONLY if direct
Candidate / Officeholder name
Office sought Office held
expenditure to benefit C/01-1
Date
Payee name
09/16/2020
Constant Contact
Amount ($)
Payee address;
City; State; Zip Code
47.98
1601 Trapelo Road, Ste. 329, Waltham,
MA 02451
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
Advertising Expense
OF
EXPENDITURE
Check if travel outside of Texas. Complete Schedule T
El Check if Austin, TX, officeholder living expense
Complete ONLY if direct
Candidate / Officeholder name
Office sought Office held
expenditure to benefit C/01-1
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020
M ki 191-11 §1101 roll] zi 041XI61:_14 W—A d M 04
Advertising Expense Event Expense Loan Repayment/Reimbursement
Accounting/Banking Fees Office Overhead/Rental Expense
Consulting Expense Food/Beverage Expense Polling Expense
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense
Candidate/Officeholder/Political Committee Legal Services SalariesNVages/Contract Labor
The Instruction Guide explains how to complete this form.
MIMMMIWA
Solicitation/Fundraising Expense
Transportation Equipment & Related Expense
Travel In District
Travel Out Of District
Other (enter a category not listed above)
I
Total pages Schedule F2:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
4
TOTAL OF UNITEMIZED UNPAID INCURRED OBLIGATIONS
$
5
Date
6 Payee name
7
Amount
8 Payee address; City; State; Zip Code
9
TYPE OF
El Political Non -Political
EXPENDITURE
10
(a) Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
OF
EXPENDITURE
(C) F—] Check if travel outside of Texas. Complete Schedule T F-1 Check if Austin, TX, officeholder living expense
11 Complete ONLY if direct Candidate / Officeholder name Office sought
expenditure to benefit C/OH
Office held
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
OF
EXPENDITURE
Check if travel outside of Texas. Complete Schedule T.
E] Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought
expenditure to benefit C/OH
Office held
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020
PURCHASE OF INVESTMENTS MADE SCHEDULE F3
FROM POLITICAL CONTRIBUTIONS
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F3:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
4 Date
5
6
Name of person from whom investment is purchased
-.-I.I., .............................
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
F-111 A Mal s V-11 01 Q 1119 M I V-11 211:01:01111:4
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020
1 *'V14:9 4_0 11111 k to] N M& M ky� Ul Q =0 MAP] 0 4 101 k AMU 0
*:424011011111 t1;L*1AV_ 0 ' 0- I.
Advertising Expense
Event Expense
Loan Repayment/Reimbursement
Accounting/Banking
Fees
Office Overhead/Rental Expense
Consulting Expense
Food/Beverage Expense
Polling Expense
Contributions/Donations Made By
Gift/Awards/Memorials Expense
Printing Expense
Candidate/Officeholder/Political Committee
Legal Services
Salaries/Wages/Contract Labor
The Instruction Guide explains
how to complete this form.
Solicitation/Fundraising Expense
Transportation Equipment & Related Expense
Travel In District
Travel Out Of District
Other (enter a category not listed above)
1
Total pages Schedule F4:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
4
TOTAL OF UN ITEMIZED EXPENDITURES CHARGED TO A CREDIT CARD
$
5
Date
6 Payee name
7
Amount
8 Payee address; City; State-, Zip Code
9
TYPE OF
EXPENDITURE
F-1 Political F-1 Non -Political
10
(a) Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
OF
EXPENDITURE
(c) El Check if travel outside of Texas. Complete Schedule T El Check if Austin, TX, officeholder living expense
11 Candidate / Officeholder name Office sought
Complete ONLY if direct
expenditure to benefit C/OH
Office held
Date
Payee name
Amount
Payee address;
City; State; Zip Code
TYPE OF
EXPENDITURE
F-1 Political Non -Political
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
OF
EXPENDITURE
ElCheck if travel outside of Texas. Complete Schedule T
El Check if Austin, TX, officeholder living expense
Candidate / Officeholder name Office sought
Complete ONLY if direct
expenditure to benefit C/OH
Office held
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020
Advertising Expense
Accounting/Banking
Consulting Expense
Contributions/Donations Made By
Candidate/Officeholder/Political Committee
Credit Card Payment
Event Expense
Fees
Food/Beverage Expense
Gift/Awards/Memorials Expense
Legal Services
Loan Repayment/Reimbursement
Office Overhead/Rental Expense
Polling Expense
Printing Expense
Salaries/Wages/Contract Labor
The Instruction Guide explains how to complete this form.
Solicitation/Fundraising Expense
Transportation Equipment & Related Expense
Travel In District
Travel Out Of District
Other (enter a category not listed above)
I Total pages Schedule H:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
4 Date
5 Business name
6 Amount
7 Business address;
City; State; Zip Code
8
PURPOSE
OF
EXPENDITURE
(a) Category (See Categories listed at the top of this schedule)
(b) Description
(C) Check if travel outside of Texas. Complete Schedule T
Check if Austin, TX, officeholder living expense
9 Complete ONLY if direct
Candidate / Officeholder name
Office sought Office held
expenditure to benefit C/OH
Date
Business name
Amount
Business address;
City; State; Zip Code
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
OF
EXPENDITURE
I
ElCheck if travel outside of Texas. Complete Schedule T
Check if Austin, TX, officeholder living expense
Complete ONLY if direct
Candidate / Officeholder name
Office sought Office held
expenditure to benefit C/01-1
Date
Business name
Amount
Business address;
City; State; Zip Code
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
OF
EXPENDITURE
ElCheck if travel outside of Texas. Complete Schedule T
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 SCHEDULEAS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020
NON -POLITICAL EXPENDITURES
MADE FROM POLITICAL CONTRIBUTIONS SCHEDULEI
I Total pages Schedule 1:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
4 Date
5 Payee name
6 Amount
7 Payee address; City State Zip Code
8
(a)Category (See instructions for examples of acceptable
(b) Description (See instructions regarding type of information
PURPOSE
categories.)
required.)
OF
EXPENDITURE
Date
Payee name
Amount
Payee address; City State Zip Code
Category (See instructions for examples of acceptable
Description (See instructions regarding type of information
PURPOSE
categories.)
required.)
OF
EXPENDITURE
Date
Payee name
Amount
Payee address; City State Zip Code
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 1/1/2020
INTEREST, CREDITS, GAINS, REFUNDS, AND
CONTRIBUTIONS RETURNED TO FILER SCHEDULE K
The Instruction Guide explains how to complete this form.
I Total pages Schedule K:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
4 Date
5 Name of person from whom amount is received
6 Address of person from whom amount is received;
City;
State; Zip Code
8 Amount
7 Purpose for which amount is received
Check if political contribution returned to filer
Date
Name of person from whom amount is received
.................................
Address of person from whom amount is received;
City;
State; Zip Code
Amount
Purpose for which amount is received
F--]
Check if political contribution returned to filer
Date
Name of person from whom amount is received
Address of person from whom amount is received;
City;
State; Zip Code
Amount
Purpose for which amount is received
Check if political contribution returned to filer
Date
Name of person from whom amount is received
.............................
Address of person from whom amount is received;
City;
...........
State; Zip Code
Amount
Purpose for which amount is received
D
Check if political contribution returned to filer
ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020
IN -KIND I I POLITICAL EXPENDITURES
FOR TRAVEL OUTSIDETEXAS SC L
The instruction Guide explains how to complete this form.
1 Total pages Schedule T:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
4 Name of Contributor / Corporation or Labor Organization / Pledgor / Payee
5 Contribution / Expenditure reported on:
❑ Schedule A2 ❑ Schedule B ❑ Schedule B(J) ❑ Schedule C2 ❑ Schedule D ❑ Schedule F1
❑ Schedule F2 ❑ Schedule F4 ❑ Schedule G ❑ Schedule H ❑ Schedule COWLIC ❑ 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 / Expenditure reported on:
❑ Schedule A2 ❑ Schedule B ❑ Schedule B(J) ❑ Schedule C2 ❑ Schedule D ❑ Schedule F1
❑ Schedule F2 ❑ Schedule F4 ❑ Schedule G ❑ Schedule H ❑ Schedule COWLIC ❑ Schedule B-SS
Dates of travel
Name of person(s) traveling
Departure city or name of departure location
Destination city or name of destination location
Means of transportation
Purpose of travel (including name of conference, seminar, or other event)
Name of Contributor / Corporation or Labor Organization / Pledgor / Payee
Contribution / Expenditure reported on:
❑ Schedule A2 ❑ Schedule B ❑ Schedule B(J) ❑ Schedule C2 ❑ Schedule D ❑ Schedule F1
❑ Schedule F2 ❑ Schedule F4 ❑ Schedule G ❑ Schedule H ❑ Schedule COWLIC ❑ Schedule B-SS
Dates of travel
Name of person(s) traveling
Departure city or name of departure location
Destination city or name of destination location
Means of transportation
Purpose of travel (including name of conference, seminar, or other event)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx,us Revised 1/1/2020
CANDIDATE /OFFICEHOLDER REPORT:
DESIG
1 o/OHmxME i 2 Filer ID (em/w Commission mmn)
|donot expect any further political contributions orpolitical expenditures inconnection with mycandidacy. | understand that designat-
ing a report asa final report terminates my campaign treasurer appointment. ! also understand that | may not accept any campaign
contributions or make any campaign expenditures without a campaign treasurer appointment on file.
03111604 ME
4 FILER WHO IS NOT AN OFFICEHOLDER
.. Complete A & B below only if you are not an officeholder.
| have unexpended contributions munexpended interest orincome earned from political contributions. | understand that |
may not convert unexpended mditioe| contributions orunexpended interest or income oomud on political contributions to
personal use. | also understand that | must file an annual report ofunexpended contributions and that | may not retain
unexpencled contributions or unexpended interest or income earned on political contributions longer than six years after filing
this final report. Further, ! understand that | must dispose ofunexpended political contributions and unexpended interest or
income earned on political contributions in accordance with the requirements of Election Code, § 254.204.
Check only one:
[:::] I do not retain assets purchased with political contributions or interest or other income from political contributions.
[_] |doretain assets purchased with political contributions orinterest orother income from political contributions. |und*rstand
that ! may not convert assets purchased with political contributions orinterest orother income from political contributions m
personal use. | also understand that | must dispose of assets purchased with pn|idom| contributions in accordance with the
requirements of Election Code, § 254.204.
5 OFFICEHOLDER
.. Complete this section only if you are an officeholder
[� |am aware that |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 saan
officeholder, I retain political contributions, interest or other income from political contributions, or assets purchased with politi-
cal
Forms provided uyTexas Ethics Commission wvmwemms.o��.tx.vo Revised 1/1/2020
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POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS
SCHEDULE F1
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense
AccoungngSanking
Event Expense LoanRepaymenbReimtiursement
Fees Office Ovemsed(RentalExpense
Soficiteflon/FundrsisingExpense
Transportation Equipment & Related Expense
Consulting Expense
Contributions/Donetlons Made By
FoodfBeversgeExperse Polling Expense
. GiNAwanisrMemodels Expanse Printing Expense
Travel In District
fither(ravel Of
Candidate/OflkelmkiedPolfticalCommHfae Legal Services Selades/W Labor
e terat citego
Otfter(eMeracategoryrwtlfatedalwve}
CreddCeirlPaymeM
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F1:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
4 Date
5 Payee name
08/25/2020
Wix.com
6 Amount {$)
7 Payee address; City;
State; Zip Code
5.35
Wix.com
$
(a) Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
O
Fees
Website
fees
EXPENDITURE
(o) E]. Cheep vWmtsWeofT$Kgs.CampkrsSch dU.T. Check it Austin. TX, oNicaholdar living expense
9 Complete ONLY if direct
Candidate I Officeholder name Office sought
Office held
expenditure to benefit CIOH
Date
Payee name
08/27/2020
House of Shine
Amount ($)
PIT dd City;
33�4 S carton St.
State; Zip Code
22.48
Grapevine, TX 76051
Category (See Categories listed atthe top ofthis schedule)
Description
PURPOSE
Contributions made by candidate
Open House
EXPENDITURE
Chock ffbavelourskledTwm&Com Sdredulst Check # Austin,
TX, officeholder living expense
Complete Q= if direct
expenditure to benefit CIOH
Candidate I Officeholder name Office sought
Office held
Date
09/16/2020
Payee name
Brandstorm Creative Inc.
Amount {$)
26.35
Payee address; City;
733 Ashleigh Lane South la ke/Texas/76092
State; Zip Code
PURPOSE
OF
EXPENDITURE
Complete 0 j if direct
expenditure to benefit CIOH
Forms provided by Texas Ethics
Category.(Ses Categories 116Watthetop Ofthis schedule) Description
Consulting expense Design services
OradrNtrwdors(deolTeass.Com*%Schedule T ® Check .If.Austin,
Candidate / Officeholder name Office sou ht
9
ATTACH ADD111ONAL COPIES OF TNIS SCNED}ULE AS NEEDED
Commission
TX. olgoshoWer living expense
Office held
111/2020
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS
SCHEDULE F1
EXPENDITURE CATEGORIES FOR BOX B(a)
Advertising Expense
Evenl Exp«1&8 Loan mburvvment
SoRdtatlon/Fundraising F.xpe.-
AccountingBenldng
Fees Office OwrheadlRental Expense
TransportationEquipment&Related Expense
consulting Experwe
Food/Bew-Expe, PollingExpenae
Travel In District
Conlrlbutionsl DonationsMede By
G!ft/Awards/MemortalsE,cper,se PrintingExpenae
Travel Out OfDistrict
Csndldale/OfflcaholderfPollticalCommltt&e LegalServices SalarleslINages/ConlraclLabor
Other (errteracategory not listed above)
Credi Cam Poyment
e Instruction Guide expl®Ina how to complete this form.
1 3
1 Total pages Schedule F1:
2 FILER NAMETh
Filer ID (Ethics Commission Filers)
4 Date
5 Payee name
09/22/2020
Frost Bank
6 Amount($)
7 Payee address; City;
Slate; Zip Code
8.00
PO Box 16509 Fort Worth
TX
8
(a) Category (Sea Catagorinllstodat the top of this schedule) (b) Description
PURPOSE
OF
EXPENDITURE
❑
(c) CheckJl!awlowldaolT• • �CompllteSehed LlaT. Check 1 Amtl n. TX. officeholder Jiving expenH
9 Complete Qlil.Yifdirect
Candidate/ Officeholder name Office sought
Office held
expenditure to benefit C/OH
Date
Payee name
Amount($)
Payee address; City;
State; Zip Code
Category (See Cotogorin lilted of tho top ofthlllehedu!o)
DeacripUon
PURPOSE
OF
EXPENDITURE
0 CheckKl!aw!outakloolToas.ComINfBSchecMot 0 Chock K Austin, TX, ofllcoholder living expense
Complete .QIiLYIf direct
Candidate I Offtcehokler name Office sought
Office held
expenditure to benefit C/OH
Dale
Payee name
Amount($)
Payee address; City;
State; Zip Code
Category (seo Categories listed ettha top ofthls schedule)
Description
PURPOSE
OF
EXPENDITURE
Check WlrllvalouilkloolTous.ComplotaScheelAoT. 0 Check K Au Ito, TX, otllceholdor living axponH
Complete.Q1 FLY!fdirect
Candidate / Officeholder name Office eought
Office held
expenditure to benefit C/OH
ATTACH ADDmONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethlcs.state.tx.us Revised 1/1/2020
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Al: 3
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Kathleen B Talley
4 Date
5 Full name of contributor C] out-of-stat. PAC (lot,
7 Amount of contribution
08/18/202
1 M , ary 0 , 'Toole .....
$250.00
6 Contributor address; City; State; Zip Code
729 Greymoor Place, Southlake, TX 76092
8 Principal occupation I Job title (See Instructions) 1
9 Employer (See Instructions)
Date
Full name of contributor 0 out-of-state PAC Q6# S
Amount of contribution
08/22/2020
Shawn Doyle
................... ........... — ....
$200.00
Contributor address; City; State; Zip Code
109 Starling Ct., Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (IM,
Amount of contribution
08/29/202(
Constance Deering
.................... -- .............
$100.00
Contributor address; city; State; Zip Code
807 Independence Pkwy., Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (Sea Instructions)
Date
Full name of contributor out-of-state PAC (IM.
Amount of contribution
09/18/2020
Guy Midkiff
.............. ............ I........
$250.00
Contributor address; City; State; Zip Code
921 Midland Creek Dr., Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
ATTACH ADDMONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor Is out-of-stats PAC, please "a Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.st3te.bc.us Revised 11112020
MONETARY POLITICAL
CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form.
1 Total pages Schedule At: 3
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Kathleen B Talley
4 Date
5 Full name of contributor
D out-of-state PAC (lot 1
7 Amount of Contribution {$)
09/19/202
John Lovenburg
..
$100.00
6 Contributor address;
City; State; Zip Cade
167 Summit Ave., Southlake,
TX 76092
8 Principal occupation / Job title (See Instructions)
$ Employer (See Instructions)
Date
Full name of contributor
❑ out-of-state PAC poM
Amount of Contribution {$}
Lynda Warner
Contributor address;
City; State; Zip Code
1020 Whittington Place, Southlake, TX 76092
Principal occupation / Job tilts (See Instructions)
Employer (See Instructions)
Date
Full name of contributor
❑ out•of-state PAC (tofu 1
Amount of contributions {$)
Contributor address;
City; State; Zip Code
Principal occupation f Job title (See Instructions)
Employer (See instructions)
Date
Full name of contributor
❑ out-of-state PAC (lot. I
Amount of Contribution {$)
Contributor address;
City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
ATTACH ADDITIONAL
COPIES OF THIS SCHEDULEAS NEEDED
If contributor is out -of stabtt PAC,
please 9" Instruction guide foradditional reporting requirements.
wrww.ethics.state.tx.us Revised 11172020
NON -MONETARY (IN -KIND) POLITICAL
CONTRIBUTIONS SCHEDULE A2
The Instruction Guide explains how to complete this form. ( 1 Total pages Schedule A2: 2
12 FILER NAME 3 Filer ID (Ethics Commission Fliers)
Kathleen B Talley
4 TOTAL OF UNITEMIZED IN -KIND POLITICAL CONTRIBUTIONS ( $ 85.34
5 Date
08/26/20
6 Full name of contributor O out-of-state PAC (ID#:
Kathleen B Talley
7 Contributor address; City; State;
8 Amount of 9 In -kind contribution
Contribution $ description
Sign posts
Zip Code
Dcheckiftraveloutside ofTmcas.Complete Schedule T.
10 Principal occupation / Job title (FOR NON-JUDICIAL)(See Instructions)
11 Employer (FOR NON..JUDICIAL)(See Instructions)
12 Contributor's principal occupation (FOR JUDICIAL)
13 Contributor's job title (FOR JUDICIAL) (See Instructions)
14 Contributor's employer/law firm (FOR JUDICIAL)
15 Law firm of contributor's spouse (If any) (FOR JUDICIAL)
I16 If contributor is a child, law firm of parent(s) (if any) (FOR JUDICIAL)
Date
Full name of contributor O out-of-state PAC (iD#:
Amount of In -kind contribution
Contribution S description
Contributor address; City; State;
Zip Code
Dcheck iftravel outside of Texas. Complete Sched ule T.
Principal occupation / Job UUe (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) (if any) (FOR JUDICIAL)
ATTACH ADDmONAL COPIES OF THIS SCHEDULE AS NEEDED
H contributor Is out-of-state PAC, please see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.eth1cs.state.tx.us Revised 111/2020