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Williamson Semi Jan 2021CANDIDATE / 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 /,dp FIRST Ml
OFFICE USE ONLY
NAME
, , , , , K
Date Received
NICKNAME LAST SUFFIX
le��
RECEIVED
4 CANDIDATE/
ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
OFFICEHMAILING OLDER
'©
/
❑ Change of Address
OFFICE OF CITY CMCRET
5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
_
OFFICEHOLDER
/
v. -L-- I: � Pte,
6 CAMPAIGN
MS / MRS / MRFIF/ST MI
Receipt #
Amount $
TREASURER
�l —SMT
`.
NAME
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Date Processed
NICKNAME LAS SUFFIX
4
4.� �i�/� /vim
Date Imaged
7 CAMPAIGN
TREASURER
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE;
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
�/
( /
9 REPORT TYPE
January 15 ❑ 30th day before election Runoff
15th day after campaign
❑
❑
treasurer appointment
(Officeholder Only)
❑ July 15 ❑ 8th day before election ❑ Exceeded $500 limit
❑ Final Report (Attach C/OH - FR)
10 PERIOD
Month Day Year Month
Day Year
COVERED
/ Z! Z 7 / P
���ir% THROUGH / /,S—/
.0
11 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
❑ Primary ❑ Runoff ❑ Other
Description
❑ General ❑ 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
Ry
CANDIDAL
CAMPAIGI
14 C/OH NAME
16 NOTICE FROM
POLITICAL
COMMITTEE(S)
Additional Pages
17 CONTRIBUTION
TOTALS
EXPENDITURE
TOTALS
CONTRIBUTION
BALANCE
OUTSTANDING
LOAN TOTALS
18 AFFIDAVIT
'E / OFFICEHOLDER FORM C/OH
4 FINANCE REPORT COVER SHEET PG 2
15 Filer ID (Ethics Commission Filers)
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER's
SUPPORT THE CANDIDATE / OFFICEHOLDER. THESE EXPENDITURES
KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE
OF SUCH EXPENDITURES.
COMMITTEE TYPE
COMMITTEE NAME
D GENERAL
COMMITTEE ADDRESS
SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
2. TOTAL POLITICAL CONTRIBUTIONSJ
r71 DO
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
(/
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
$
UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES
$
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
$ ?3), `
OF REPORTING PERIOD
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
$ •��� �y L
V
LAST DAY OF THE REPORTING PERIOD
VERONICA L'OMAS
i :SPRY Pt,
Notary Public, State of Texas
E Comm. Expires 06-27-2024
Notary ID 129013128
AFFIX NOTARY STAMP/ SEALABOVE
I swear, or affirm, under penalty of perjury, that the accompanying report is
true and correct and intion required to be reported by me
77ET:
Signature of Candidate or Officeholder
Sworn tT0,1'17(,C1TV subscribed before me, by the said _ht��� this the f
day of20 Z / to certify which, witness my hand and seal of office.
Signature of officer administering oath
Printed name of officer administering oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us
Title of officer administering oath
Revised 9/8/2015
............_
corms proviaea by lexas 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 •
SCHEDULE Al: MONETARY POLITICAL CONTRIBUTIONS
$ 3 s� . DO
2•
SCHEDULE A2: NON -MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS
$
3.
SCHEDULE B: PLEDGED CONTRIBUTIONS
$
4.
SCHEDULE E: LOANS
$
5.
Ef
SCHEDULE FI: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
s•
FI
SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
$
7•
0
SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$
8.
El
SCHEDULE 174: EXPENDITURES MADE BY CREDIT CARD
$
9.
El
SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
$
10.
El
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
$
corms proviaea by lexas 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: Y
2 FILER NAME /U
3 Filer ID (Ethics Commission Filers)
4 Date
5 lame of contributor out-of-state PAC (ID#: )
7 Amount of contribution ($)
n❑
VY`� t. �. . . . /`C/.
6 Contributor address; City; State; Zip Code%
8 Principal occupation / Job title (See Instructions)
g Employer (See Instructions)
Date
Full name of contrib to Elout-of-statePAC (ID#: )
r� y r,� jl [A-
Amount of contribution ($)
(/
.......,1 ............................
Contributor address; City; State; Zip Code
I
-Ar b eej_ /Q/ (,A) r& I U d s
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
:7"
Contributor address; City; State; Zip Co'de'
It
`
�� lie J �Gf_�c— z &4 .Z- %&YZ._
Principal occupation / Jobb title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
Contributor address; City; State; Zip Code
(J (.� f t✓
0 'ff'o 11--e z,-
/Principal
Principaloccupation / 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
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
EXPENDITURE CATEGORIES FOR BOX 8(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 GifVAwards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other (entera category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F1:
2
2 FILER NAME
/'V'
3 Filer ID (Ethics Commission Filers)
4 Date5
Cl f es, 11131 A-42
Payee name
�2a. ifs '%� Akio/Le
6 Amount ($)
7 Payee address; City; State; Zip Code
-A
8
(a) Category (See Categories listed at the top of this schedule)
(b) Description
❑ Check if travel outside of Texas. Complete Schedule
PURPOSE
OF
//
❑ Check if Austin, TX, officeholder living expense
EXPENDITURE
g Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Amount ($)
Payee address;; City; State; Zip Code
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
❑ Check if travel outside of Texas. Complete Schedule T.
OF
EXPENDITURE
/�
❑ Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
X11 i,- ►Z��C�
Payee name
6 l�
,
-u -,bo
Amount ($)
Payee address; City; State; Zip Code
-�9f,15
�
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
❑ Check if travel outside of Texas. Complete ScheduleT.
OF
EXPENDITURE
J
AV -(V
❑ Check if Austin, TX, officeholder living expense
" J
Q �j�
'�V�
/{ 1 /! `
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
EXPENDITURE CATEGORIES FOR BOX S(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/FundraisingExpense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other (enter a category not listed above)
Credit Card payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F1:
2 FILER NAME ,jrf�.�-
3 Filer ID (Ethics Commission Filers)
4Date'%� ?�
s Payee name �Pd I �
I b 1-1
6ount ($)
T
State/;; Zip
7 Payee addressJ;/
-60
JCode
�,Ciitty/;,y
!!/// `/D
e
(a) Category (See Categories listed at the top of this schedule)
(b) Description
❑ Check if travel outside of Texas. Complete Schedule T.
PURPOSE
❑
OF
EXPENDITURE
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
Payee name
Amount ($)
Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule)
Description
❑ Check if travel outside of Texas. Complete Schedule T.
PURPOSE
OF
❑ Check if Austin, TX, officeholder living expense
EXPENDITURE
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
❑ Check it travel outside of Texas. Complete Schedule T.
OF
EXPENDITURE
❑ Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / 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