Edmondson 30 Day 2021CANDMATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG I
I Filer ID (Ethics Commission Filers?
2 Total pages filed-,
The C10H Instruction Guide explains how-to Complete this form.
3 CANDIDATEI
MS / MRS I MR FIRST MI
OFFICEHOLDER
Ms. Debra- S.
OFFICE USE ONLY
NAME
------------- ------ ........ ...
Date Received
NICKNAME LAST SUFFIX
Edmondson
APR 0 12021
=
4 CANDIDATE/
OFFICEHOLDER
ADDRESS J PO BOX; APT I SUITE #; CITY; STATE: ZIP CODE
P.O. Box 92801 Southlake TX 76092
MAILING
ADDRESS
OFFICE OF CITY SECRETARY
0 Change of Address
5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER
817 846:6469
&ma�
'PHONE
Amount
6 CAMPAIGN
MS / MRS J MR FIRST MI
TREASURER
Mr. Mark
DA, P ess
NAME........
I ........... ............................
NICKNAME LAST SUFFIX
Date imaged
Perkins
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT J SUITE #, CITY" STATE; ZIP CODE
TREASURER-
3100 McKinnon St Suite-450 Dallas TX 75201
ADDRESS
(Residence or Business)
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
'PHONE
662 _549=9881
9 REPORT TYPE
January 15 Fx—] 30th day before election Runoff ID 1 5th day after campaign
treasurer appointment
(Officeholder Only)
F7 July 15 El 8th day before election El Exceeded Modified Final Report (Attach Ct0H - FR)
Reporting Limit
10 PERIOD
Month Day Year Month Day Year
COVERED
02 / 19 2021 THROUGH 04 / ol / 2021
11 ELECTION
ELECTION DATE
ELECTION TYPE
E] Primary Runoff D Other
Month Day Year
Description
05 / 01 / 2021
❑ General ❑ Special
12 OFFICE
OFFICE HELD (if any)
13 OFFICE SOUGHT (if known)
Mayor of Southlake, Texas
14 NOTICE FROM
THIS BOX IS FOR NOTICE Or POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT
POLITICAL
THE CANDIDATE -I OFFICEHOLDER. THESE"PENL)fTURES-MAY-HAVE-SEEN-SEEN-CANDIVATEISOROFRCEHOLDER'S-KVOVOLWGE-OR
CONSENT. CANDIDATES AM OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IFTHEY RECEIVE NOTICE Or SUCH EXPENDITURES.
COMMITTEE(S)
—
COMMITTEE TYPE
COMMITTEE NAME
. Debra -Edmondson -for++D, 96
COMMITTEE ADDRESS
GENERAL
Additional Pages
P.O. -Box-92801, Southlake, TX 76092
F-.]
®SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
Mark Perkins
COMMITTEE CAMPAIGN TREASURER ADDRESS
3200. McKinnon ..S.t,.Suite450,- Dallas, TX 7520-1
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state,tx,us Revised 8/17/2020
CANDIDATE / 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 /
MS / MRS / MR FIRST MI
OFFICEHOLDER
Ms. Debra S.
OFFICE USE ONLY
NAME......................................................................
" ' " " " "
Date Received
NICKNAME LAST SUFFIX
Edmondson
4 CANDIDATE /
ADDRESS / PO BOX; APT / SUITE #; CITY; STATE, ZIP CODE
OFFICEHOLDER
P.O. Box 92801 Southlake TX 76092
MAILING
ADDRESS
❑ Change of Address
5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
Date Hand -delivered or Date Postmarked
OFFICEHOLDER
PHONE
817 846-6469
Receipt #
Amount $
6 CAMPAIGN
MS /MRS / MR FIRST MI
TREASURER
Mr. Mark
Date Processed
NAME.................................................................................
NICKNAME LAST SUFFIX
Date Imaged
Perkins-
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE), APT / SUITE #; CITY; STATE; ZIP CODE
TREASURER-
3100 McKinnon St Suite-450 Dallas TX 75201
ADDRESS
(Residence or Business)
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
/ 682-549-9881
\❑
9 REPORT TYPE
January 15 X❑ 30th day before election Runoff 15th day after campaign
treasurer appointment
(Officeholder Only)
July 15 8th day before election Exceeded Modified Final Report (Attach C/OH - FIR)
Reporting Limit
10 PERIOD
Month Day Year Month Day Year
COVERED
02 / 19 / 2021 THROUGH oa / 01 / 2021
11 ELECTION
ELECTION DATE
ELECTION TYPE
❑ Primary Runoff ❑ Other
Month Day Year
Description
05 / 01 / 2021
General ❑ Special
12OFFICE-
-OFFICE HELD (if any)
13 OFFICESOUGHT (ifknown).
Mayor of Southlake, Texas
14 NOTICE FROM
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT
POLITICAL-
THE CANDIDATE I OFFICEHOLDER. THESE -EXPENDITURES -MAY HAVE BEEN MADE -tMTHOUT- THE -CANDIDATE`s-OR OFFICEHOLDER'S -KNOWLEDGE OR
CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE(S)
COMMITTEE TYPE
COMMITTEE NAME
Debra Edmondson -for -HD 98
COMMITTEE ADDRESS
GENERAL
Additional Pages
P.O. Box 92801, Southlake, TX 76092
❑
OSPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
Mark Perkins
COMMITTEE CAMPAIGN TREASURER ADDRESS
3200 McKinnon St, Suite 450, Dallas, TX_75201
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
15 C/OH NAME 6 Fit., ID (Ethics Commission Filers)
Edmondson, Debra S. (Ms,)
17 CONTRIBUTION 1, TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR $350.00
CONTRIBUTIONS MADE ELECTRONICALLY)
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) s 11,125.41
EXPENDITURE 3� TOTAL UNITEMIZED POLITICAL EXPENDITURE,
TOTALS $ 0.00
4. TOTAL POLITICAL EXPENDITURES 1 $ 299t38
CONTRIBUTION 5, TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ 323515
BALANCE OF REPORTING PERIOD
OUTSTANDING 6, TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $0.00
18 SIGNATURE I swear, or affirm, tinder penalty of perjury, that the accompanying report is true and correct and includes all information
required to be reported by me under Title 15, Election ode,
Signature of Candidate or Officeholder
HZMEMMEI=�
MARTHA SEYBOI-D
Printed name of officer administering
(street)
County, State of
Forms provided by Texas Ethics Commission
this the day of
IMMESSMEEMMEMEMM
and my date of birth is
(city) (state) (zip code) (country)
on the _ day of 20
(month) (year)
Signature of Candidate/ OffiGeholder (Declarant)
www,ethrcs.state,tx,us Revised 8117/2020
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
$ 7208.0
2.
SCHEDULEA2: NON-MONETARY.(IN-KIND) POLITICALCONTRIBIJTIONS
$4267.41
3.
SCHEDULE B:
PLEDGED CONTRIBUTIONS
$
4.
El
SCHEDULE E:
LOANS
$
5.
®
SCHEDULE F1:
POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$ 2991.38
6.
SCHEDULE F2:
UNPAID INCURRED OBLIGATIONS
$
7.
-SCHEDULE F3:
PURCHASE OFF -INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$
8.
SCHEDULE F4:
EXPENDITURES MADE BY CREDIT CARD
$
9.
SCHEDULE G:
POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
$
10.1-1
SCHEDULE H:
PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH
$
11.
El
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 8/17/2020
MONETARY POLITICAL CONTRIBUTIONS Al
SCHEDULE
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
1 Total pages Schedule A1:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Edmondson, Debra S. (Ms.)
4 Date
5 Full name of contributor ❑ out-of-state PAC (ID#: )
7 Amount of contribution ($)
Philip Petescia
02/19/2021
$250.00
6 Contributor address; City; State; Zip Code
1910 White Oak Clearing, Southlake, TX 76092
8 Principal occupation / Job title (See Instructions)
9 Employer (See instructions)
Not Employed
Not Employed
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
Kathy Candelaria
02/20/2021
..................................................................................
Contributor address; City; State; Zip Code
$50.0
-3045-Creekview Drive, Grapevine, TX-76051
Principal occupation! Job title (See Instructions)
Employer (See Instructions)
Not Employed
Not Employed
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
Paula Edens
02/20/2021
..................................................................................
Contributor address; City; State; Zip Code
$250.00
913 Summertree Lane; Southlake; TX-76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Not Employed
Not Employed
Date
Full name of contributor out-of-state PAC (ID#: )
Amount of contribution {$)
Stephen Luce
02/20/2021
.........................................................................
$100.00
Contributor address; City; State; Zip Code
1850 Hunters Creek Dr, Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Lawyer
Self Employed
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of�state PAC, please see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
MONETARY POLITICAL CONTRIBUTIONS Al
SCHEDULE
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Al:
2 FILER NAME
g Filer ID (Ethics Commission Filers)
Edmondson,Debra.S (Ms.)
4 Date
5 Full name of contributor ❑ out-of-state PAC (ID#: )
7 Amount of contribution ($)
Robert Donahue
02/20/2021
...................................................................................
$25.00
6 Contributor address; City; State; Zip Code
1414 Laguna Vista, Grapevine, TX 76051
8 Principal occupation / Job title (See Instructions)
g Employer (See Instructions)
Teacher
Jesuit College Prepatory School
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
Jennifer Proksch
02/21 /2021
Contributor address; City; State; Zip Code
110 Woodglen Ct, Southlake, TX 76092
Principal occupation / Jobtitle(See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
Poppy Sundeen
02/22/2021
..................................................................................
$50.00
Contributor address; City; State; Zip Code
11912Forest Lakes _Ln, Dallas, TX 75230_
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Not Employed
Not Employed
Date
Full name of contributor out-of-state PAC (ID#: )
Amount of contribution ($)
Inna Dietrich
02/22/2021
..................................................................................
$250.00
Contributor address; City; State; Zip Code
601 Vicksburg Ct, Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Not Employed
Not Employed
ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED
If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
1 Total pages Schedule At:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Edmondson, -Debra S. -(Ms_)
4 Date
5 Full name of contributor ❑ out-of-state PAC (ID#:
7 Amount of contribution ($)
Pedram Farahnak
02/22/2021
............................................ .................... ...........
$500.00
6 Contributor address; City; State; Zip Code
816 E Bob Jones Rd, Southlake, TX 76092
8 Principal occupation / Job title (See instructions)
9 Employer (See Instructions)
Not Employed
N/A
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
Harry LaCast
02/22/2021
..................................................................................
$25.00
Contributor address; City; State; Zip Code
1302 Meadow Ridge Ct, Southlake, TX 76092
Principal occupation -/ Jobtitle(See Instructions)
Employer (SeeInstructions)
Not Employed
N/A
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
Donna James -Harvey
02/28/2021
..................................................................................
$200.00
Contributor address; City; State; Zip Code
1012 Berkshire Rd, Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Not Employed
Not Employed
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
Charla Thompson
03/01/2021
..................................................................................
Contributor address; City; State; Zip Code
$100.00
108 Wilmington Ct, Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Not Employed
Not Employed
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of�state PAC, please see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
MONETARY POLITICAL CONTRIBUTIONS Al
SCHEDULE
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Al:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Edmondson,-Debra-S. (Ms_)
4 Date
5 Full name of contributor ❑ out-of-state PAC (ID#: 1
7 Amount of contribution ($)
Ray. Mickens.
03/01/2021
...................................................................................
$100.00
6 Contributor address; City; State; Zip Code
1603 Sleepy Hollow Ct, Westlake, TX, 76262
$ Principal occupation / Job title (See Instructions)
g Employer (See Instructions)
Not Employed
Not Employed
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
Hilarie Benedetto
03/01/2021
..................
Contributor address; City; State; Zip Code
3201 Summit Ct, Grapevine, TX 76051
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Paraprofessional
GCISD
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
Paulette Turner
0310112021
..................................................................................
$100.00
Contributor address; City; State; Zip Code
3801 Hillside Trail, Grapevine; TX 76051
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Not Employed
Not Employed
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
Kitty Saja
03/01 /2021
Contributor address; City; State; Zip Code
$25.00
806 Timber Lake Cir, Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Not Employed
Not Employed
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 8/17/2020
MONETARY POLITICAL CONTRIBUTIONS Al
SCHEDULE
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
1 Total pages Schedule At:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Edmondson, Debra S. (Ms.)
4 Date
$ Full name of contributor F-1 out-of-state PAC (ID#:
7 Amount of contribution ($)
Becky Bullard
03/01/2021
..................................................................................
$25.00
6 Contributor address; City; State; Zip Code
8 Principal occupation / Job title (See Instructions)
g Employer (See instructions)
Not Employed
Not Employed
Date
Full name of contributor ❑ out-of-state PAC (ID#: >
Amount of contribution ($)
Lois Melbourne
-03101/2021
..................................................................................
$250.00
Contributor address; City; State; Zip Code
1700-Shady Oaks, Southlake, TX-76092
Principal occupation/ Jobtitle(See Instructions)
Employer (See Instructions)
Not Employed
Not Employed
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
Kathy Hines
03/02/2021
Contributor address; City; State; Zip Code
1600- Pheasant -Ln,Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Not Employed
Not Employed
Date
Full name of contributor El out-of-state PAC (ID#: )
Amount of contribution ($)
Kristin Lambeth
03/03/2021
..................................................................................
$100.00
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Not Employed
Not Employed
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of�state PAC, please see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Al:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Edmondson, Debra S. (Ms.)
4 Date
5 Full name of contributor out-of-state PAC (ID#: )
7 Amount of contribution ($)
Cristina Sierra
03/03/2021
...................................................................................
$25.00
6 Contributor address; City; State; Zip Code
1005 Hampton Manor Way, Southlake, TX 76092
T2991.38ype text hE r
8 Principal occupation / Job title (See Instructions)
9 Employer (See Instructions)
Not Employed I
Not Employed
Date
Full name of contributor ❑ out-of-state PAC (ID#: >
Amount of contribution ($)
William Ruppert
03/07/2021
..................................................................................
$25.00
Contributor address; City; State; Zip Code
1351-Estella Way,. Southlake,. TX 76092
Principal occupation! Jobtitle(See Instructions)
Employer (See Instructions)
Not Employed
I Not Employed
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
Zoe Courtney
03108/2021
Contributor address; City; State; Zip Code
912 Raven Ct, Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Lawyer
Self Employed
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
Hazel Murphy
03/08/2021
$25.00
Contributor address; City; State; Zip Code
906 Emerald Blvd, Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Not Employed
Not Employed
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us rtevlsea un tizuzu
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
1 Total pages Schedule At:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
-Edmondson,-Debra--S. (Ms.)
4 Date
5 Full name of contributor ❑ out-of-state PAC (ID#: i
7 Amount of contribution ($)
Stacey Nesmith
03/10/2021
...................................................................................
$100.00
6 Contributor address; City; State; Zip Code
707 Longford Dr; Southlake, TX 7-6092
$ Principal occupation / Job title (See instructions)
g Employer (See instructions)
Not Employed
Not Employed
Date
Full name of contributor ❑ out-of-state PAC (ID#: >
Amount of contribution ($)
Stephen Luce
03/10/2021
Contributor address; City; State; Zip Code
1-850_Hunters_CreekDr, Southlake, TX 76092-
Principal-occupation / Job title (See instructions)
Employer (See Instructions)
Lawyer
Self -Employed
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
John Biggan
03/10/2021
.......................................................... .......................
$100.00
Contributor address; City; State; Zip Code
817 Forest Crossing Dr Hurst, TX-76053
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Data Scientist
ACH Child & Family Services
Date
Full name of contributor ❑ out-of-state PAC (ID#:
Amount of contribution ($)
Frank Pittman
03/11/2021
Contributor address; City; State; Zip Code
1460 Bent Creek Dr, Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Not Employed
Not Employed
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 8/17/2020
MONETARY POLITICAL CONTRIBUTIONS Al
SCHEDULE
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Al-
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Edmondson, Debra S. (Ms.)
4 Date
5 Full name of contributor ❑ out-of-state PAC (ID#:
7 Amount of contribution ($)
Sandy -Silverman
03/11/2021
..................................................
6 Contributor address; City; State; Zip Code
2581 Hall Johnson Rd, Apt 218, Grapevine, TX 76051
8 Principal occupation / Job title (See Instructions)
g Employer (See Instructions)
Senior Business Analyst
Charles Schwab
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
..................................................................................
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
Jennifer Green Godette
03111/2021
..................................................................................
$100.00
Contributor address; City; State; Zip Code
116-Sweet-St, -Southlake,.TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Diversity and Inclusion Client and Partner Engagement
Cognizant
Date
Full name of contributor ij out-of-state PAC (ID#: )
Amount of contribution ($)
Melissa Smith
03/1112021
..................................................................................
$100.00
Contributor address; City; State; Zip Code
1501 Rainbow St, Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Not Employed
Not Employed
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
MONETARY POLITICAL CONTRIBUTIONS Al
SCHEDULE
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
1 Total pages Schedule A1:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Edmondson, Debra S. (Ms.)
4 Date
5 Full name of contributor ❑ out-of-state PAC (ID#: )
7 Amount of contribution ($)
Ellen Blanchard
03/11/2021
...................................................................................
$250.00
6 Contributor address; City; State; Zip Code
915 B Emerald Blvd, Southlake TX 76092
T2991.ype text here
8 Principal occupation / Job title (See instructions)
g Employer (See Instructions)
Not Employed
Not Employed
Date
Full name of contributor ❑ out-of-state PAC (ID#: >
Amount of contribution ($)
Charlotte Ryan
03/T272021
..................................................................................
$100.00
Contributor address; City; State; Zip Code
701 GarderrCt; Southtake; TX 76092
Principal occupation-/ Job title (See Instructions)
Employer (SeeInstructions)
Not Employed
I Not Employed
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
Harry LaCast
03/13/2021
..................................................................................
Contributor address; City; State; Zip Code
$25.00
1302 Meadow Ridge-Ct, Southlake, -TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Not Employed
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($}
Terrence Welch
03/14/2021
..................................................................................
$100.00
Contributor address; City; State; Zip Code
4 Ryddington Pl, Dallas, TX 75230
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Attorney ]Brown
& Hofineister LLP
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
MONETARY POLITICAL CONTRIBUTIONS Al
SCHEDULE
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
1 Total pages Schedule At:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Edmondson, Debra S. (Ms.)
4 Date
5 Full name of contributor ❑ out-of-state PAC (ID#:
7 Amount of contribution ($)
03/17/2021
Holly Walsh
................................................ ............. ............
$200.00
6 Contributor address; City; State; Zip Code
1002 Hanover Dr, Southlake, TX 76092
8 Principal occupation / Job title (See instructions)
g Employer (See Instructions)
Flight Attendant
American Airlines
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
03/17/2021
...... Stephen Lug
Contributor address; City; State; Zip Code
1850 Hunters Creek Dr, Southlake, TX 76092
Principal occupation -/ Job title (See Instructions)
Employer (See Instructions)
Lawyer
Self Employed
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
Kathy Candelaria
03117/2021
................................................................... ..............
$50.00
Contributor address; City; State; Zip Code
3045 _Creekview Drive, Grapevine, TX, 76051
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Not Employed
Not Employed
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
Poppy Sundeen
03/18/2021
.........................................................................
$50.00
Contributor address; City; State; Zip Code
11912 Forest Lakes Ln, Dallas, TX 75230
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Not Employed
Not Employed
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of�state PAC, please see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
MONETARY POLITICAL CONTRIBUTIONS Al
SCHEDULE
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Ai:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Edmondson, Debra S. (Ms.)
4 Date
5 Full name of contributor ❑ out-of-state PAC (ID#:
7 Amount of contribution ($)
Nancy Rubin
$50.00
03/18/2021
..................................................... ..............................
6 Contributor address; City; State; Zip Code
1106 Calais Dr, Southlake, TX 76092
8 Principal occupation / Job title (See Instructions)
g Employer (See instructions)
Not Employed
Not Employed
Date
Full name of contributor ❑ out-of-state PAC (ID#:
Amount of contribution ($)
03/1812021
Michael Quinones
.......................................
Contributor address; City; State; Zip Code
$50.00
115 Jellico Cir, Southlake, TX 76092
---
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Aircraft Maintenance
i Southwest
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
Robert Donahue
03/20/2021
................................................................ .................
$25.00
Contributor address; City; State; Zip Code
1414 Laguna Vista; Grapevine, TX 76051
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Teacher
Jesuit Preparatory School
Date
Full name of contributor ❑ out-of-state PAC (10#: )
Amount of contribution ($)
Nancy Reyes
03/21 /2021
Contributor address; City; State; Zip Code
850 Deer Hollow Blvd, Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Not Employed
Not Employed
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 8/17/2020
MONETARY POLITICAL CONTRIBUTIONS Al
SCHEDULE
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Al:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Edmondson, Debra S. (Ms.)
4 Date
5 Full name of contributor ❑ out-of-state PAC (ID#:
7 Amount of contribution ($)
Mary Van Sant
03/22/2021
......................................................................
$250.00
6 Contributor address; City; State; Zip Code
2965 Burney Ln, Southlake, TX 76092
8 Principal occupation / Job title (See Instructions)
g Employer (See Instructions)
Not Employed
Not Employed
Date
Full name of contributor ❑ out-of-state PAC (ID#:
Amount of contribution ($)
Nancy Moffat
03/22/2021
........................................................................... -•••
$25.00
Contributor address; City; State; Zip Code
1414 Whispering Dell Ct, Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Not Employed
Not Employed
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
Lawrence Stern
03/24/2021
..................................................................................
$200.00
Contributor address; City; State; Zip Code
1416 Kensington Ct, Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Not Employed
Not Employed
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
Harry LaCast
03/24/2021
..........................................................................
$10.00
Contributor address; City; State; Zip Code
1302 Meadow Ridge Ct, Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Not Employed
Not Employed
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
MONETARY POLITICAL CONTRIBUTIONS Al
SCHEDULE
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Ai:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Edmondson, Debra S. (Ms.)
4 Date
5 Full name of contributor ❑ out-of-state PAC (ID#:
7 Amount of contribution ($)
Russell Maryland
03/24/2021
6 Contributor address; City; State; Zip Code
510 W Highland St, Southlake, TX 76092
$ Principal occupation / Job title (See Instructions)
9 Employer (See Instructions)
Not Employed
Not Employed
Date
Full name of contributor ❑ out-of-state PAC (ID#:
Amount of contribution ($)
Alice Tapp
03/24/2021
Contributor address; City; State; Zip Code
850 Lakewood Dr, Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Not Employed
Not Employed
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($}
Cynthia Ryden
03/25/21
..................................................................................
$100.00
Contributor address; City; State; Zip Code
1002 Westover Ct, Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Not Employed
Not Employed
Date
Full name of contributor out-of-state PAC (ID#:
Amount of contribution {$)
Gordon Aalund
03/26/2021
..................................................................................
$100.00
Contributor address; City; State; Zip Code
200 E Chapel Downs Dr, Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Not Employed
Not Employed
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
MONETARY POLITICAL CONTRIBUTIONS Al
SCHEDULE
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Al,
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Edmondson, Debra S. (Ms.)
4 Date
5 Full name of contributor ❑ out-of-state PAC (ID#:
7 Amount of contribution ($)
Diana DiCesare
03/27/2021
...............................................................
6 Contributor address; City; State; Zip Code
1000 Raven Bend Ct, Southlake, TX 76092
8 Principal occupation / Job title (See Instructions)
9 Employer (See Instructions)
Not Employed
Not Employed
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($}
Audra Lewandowski
03/27/2021
................................................. ...............................
Contributor address; City; State; Zip Code
$100.00
405 Indian Paintbrush Way, Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Interior Designer
Self
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
Family Khan
03/28/2021
..................................................................................
$10.00
Contributor address; City; State; Zip Code
608 Lorraine Dr, Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Not Employed
Not Employed
Date
Full name of contributor El out-of-state PAC (ID#: )
Amount of contribution ($)
Shelley Capehart
03/28/2021
.......................................................... I.......................
$100.00
Contributor address; City; State; Zip Code
570 Round Hollow Ln, Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Not Employed
Not Employed
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
MONETARY POLITICAL CONTRIBUTIONS Al
SCHEDULE
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
1 Total pages Schedule At:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Edmondson, Debra S. (Ms.)
4 Date
5 Full name of contributor ❑ out-of-state PAC (ID#:
7 Amount of contribution ($)
Antonio Guerra -Watson
03/28/2021
.............
$25.00
6 Contributor address; City; State; Zip Code
1315 Village Green Dr, Southlake, TX 76092
8 Principal occupation / Job title (See Instructions)
g Employer (See Instructions)
Not Employed
Not Employed
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
03/28/2021
Jan McDowell
.................. I............................
$25.00
Contributor address; City; State; Zip Code
2904 Panorama Dr, Carrollton, TX 75007
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Not Employed
Not Employed
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
Mary O'Connor
03/29/2021
Contributor address; City; State; Zip Code
2965 Burney Ln, Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Not Employed
Not Employed
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
Rhonda James
03/29/2021
..................................................................................
$250.00
Contributor address; City; State; Zip Code
111 Killdeer Ct, Southalke, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Contractor
James Landscaping, Inc
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Al:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Edmondson, Debra S. (Ms.)
4 Date
5 Full name of contributor ❑ out-of-state PAC (ID#:
7 Amount of contribution ($)
Joanna Grayson
03/30/2021
.................................................................................
$50.00
6 Contributor address; City; State; Zip Code
1426 Montgomery Ln, Southlake, TX 76092
8 Principal occupation / Job title (See Instructions)
9 Employer (See Instructions)
Not Employed
Not Employed
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($}
Stacey Silverman
03/30/2021
..................................................................................
$50.00
Contributor address; City; State; Zip Code
3309 Burning Log Dr, Grapevine, TX 76051
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Senior Business Analyst I
Charles Schwab
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
..................................................................................
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
................................................................I......:..........
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 8/17/2020
NON -MONETARY (IN -KIND) POLITICAL
CONTRIBUTIONS SCHEDULE A2
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
1 Total pages Schedule A2:
2 FILER NAME Debra Edmondson
3 Filer ID (Ethics Commission Filers)
4 TOTAL OF UNITEMIZED IN -KIND POLITICAL CONTRIBUTIONS
$
5 Date
6 Full name of contributor ❑ out-of-state PAC (ID#: 1
8 Amount of I g In -kind contribution
Various
.... Mark. Perkins ............... . . . . ..................................
Contribution $ ( description
2530.00 I Website- material
7 Contributor address; City; State; Zip Code
3100 McKinnon St.; Ste 450 Dallas TX 75201
I
❑ 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)
Owns Advertising -Marketing company
Sullivan Perkins
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 ❑ out-of-state PAC (ID#:
Amount of ( In -kind contribution
Debra Edmondson for HD 98
Contribution $ I description
I
................................................. ..........................
$1737.41 Signs
Contributor address; City;State; ZipCode
9
PO Box 92801 Southlake, TX 76092
Check if travel outside of Texas. Complete Schedule T.
Principal occupation / Job title (FOR NON -JUDICIAL) (See Instructions)
Employer (FOR NON-JUDICIAL)(See Instructions)
Attorney
The Edmondson Law Firm PLLC
Contributor's principal occupation (FOR JUDICIAL)
Contributor's job title (FOR JUDICIAL) (See Instructions)
Contributor's employer/law firm (FOR JUDICIAL)
Law firm of contributor's spouse (if any) (FOR JUDICIAL)
If contributor is a child, law firm of parent(s) (if any) (FOR JUDICIAL)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/FundraisingExpense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contributions/Donations Made By Gift/Awards/Memonals Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services SalanesMtages/Contract labor Other (enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F1:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Debra Edmondson
4 Date
5 Payee name
March 1, 2021
Kitchen Table Consulting
6 Amount ($)
7 Payee address; City; State; Zip Code
1500.00
125 Marseilles Dr Hurst TX 76054
8
(a) Category (See Categories listed at the top of this schedule)
(b) Description
Consulting Expense
Consulting
PURPOSE
OF
EXPENDITURE
(C) Check iftraveloutside ofTexas.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
Payee name
March 23, 2021
Reilly Echols Printing
Amount ($)
Payee address; City; State; Zip Code
1491.38
1710 S. Harwood St. Dallas, TX 75215
Category (See Categories listed at the top of this schedule)
Description
Advertising Expense
PURPOSE
Flyers
OF
EXPENDITURE
Check iftraveloutside ofTexas.Complete Schedule T. Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
OF
EXPENDITURE
Check if travel outside of Texas. Complete Schedule 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 8/17/2020