Edmondson 8 Day 2021CANDIDATE i OFFICEHOLDER
FORM C/OH
CAMPAIGN
FINANCE REPORT
COVER SHEET PG I
The C/OH Instruction Guide explains how to complete this form.
ID
rl Filer ID (Ethics Cm—fts—sian Fears)
2 Total pages filed:
3 CANDIDATE J
MS I MRS I MR FIRST MI
OFFICEHOLDER
MS S.
OFFICE USE ONLY
NAME
... ........ ......
Da i
77
NICKNAME LAST SUFFIX
Edmondson
ADDRESS I PO BOX-
2021
APR 2 3 2021
1=
4 CANDIDATE/
APT / SUITE CITY; STATE- ZIP CODE
OFFICEHOLDER
MAILING
PO Box 92801 Sou lake, TX 76092
OFFICE OF CITY SECRETARY
ADDRESS
Change of Address
AREA CODE PHONE NUMBER EXTENSION
i
Date Hand delivered or Date Postmarked
5 CANDIDATE/
OFFICEHOLDER
PHONE
( 8171846-6469
MS f MRS / MR FIRST MI
Receipt # Amount
6 CAMPAIGN
TREASURER
Mr. Mark
NAME
........ ...... ............. __ .......
Date Processed
NICKNAME LAST SUFFIX
Perkins
Date Imaged
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE CITY,
STATE; ZIP CODE
TREASURER
ADDRESS
3100 McKinnon St. Suiite 450 Dallas
TX 75201
(Residence or Business)
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
549-9881
®❑
9 REPORT TYPE
[-I January 15 F__j 30th day before election F-1 Runoff
15th day after campaign
F-1
treasurer appointment
(Officeholder Only)
July 15 8th day before election El Exceeded Modified
F-1 Final Report (Attach C40H - FR)
Reporting Limit
10 PERIOD
Month Day Year Month
Day Year
COVERED
04 / 0/1 2021 THROUGH 04/23 /2021
11 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
0 Primary 13 Runoff EI Other
05 /01 //42021
Description
V General El Special
12 OFFICE
OFFICE HELD (If any))
13 OFFICE SOUGHT (if known)
Mayor of Southlake, Texas
U 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 ofpENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFT4CEHOLDERIS KNOWLEDGE OR
COMMITTEE(S)
CONSENT. - CANDIDATE$ AM OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY WTHEY
RECEIVE NOTICEOF SUCH EXPENDITURES.
COMMITTEE TYPE
COMMITTEE NAME
M GENERAL
COMMITTEE ADDRESS
Additional Pages
OSPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethjcs.state.tx_us Revised 8/17=20
MENWHIMEM
EXPENDITURE
TOTALS
CONTRIBUTION
BALANCE
OUTSTANDING
LOAN TOTALS
1. TOTAL UNITEMIZED POUTIGAL CONTRIBUTIONS (OTHER THAN
PLEDGES, LOANS, OR GUARANTEES OF LOANS, CAR
CONTRIBUTIONS MADE ELECTRONICALLY)
2e TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
. TOTAL UNITEMIZED POLITICAL EXPENDITURE,
FORM C/OH
COVER SHEET PG 2
16 Filer €D (Ethics Commission Filers)
50,0
$21,261.35
.
00
5712.40
5. TOTAL. POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
&. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD
18 SIGNATURE I swear, or affirm, under penalty of perjury, that the accompanying report is true and correct and includes all information
required to be reported by me under Title 15, Election Code.
a
c�L� Signature of Candidate or Officeholder
w Notary Public, State of Texas
"'•. .S Comm, Expires Cara 0t 20
`frriic' Notary ID 126097000
Please to either option
NOTARY STAMP/SEAL
Sworn to and subscribed before me by , this the day of ,<
f.
0 _ , to certify which, w tness rry h pd and seal of efflce, r t
Y
MZMME���
My name is and my elate of birth is
My address is
(street) (city) (state) (zip code) (country)
Executed in County, State of on the day of 20
(month) (year)
Signature of Candidate/Officeholder (Declarant)
Forms provided by Texas Ethics Commission .ethics.state.N.us Revised 8/17/20 0
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
1 Total pages Schedule At-
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Edmondson, Debra S (Ms)
4 Date
5 Full name of contributor it out-of-state PAC (ID#: )
7 Amount of contribution ($)
JP Elliott
04/01 /2021
.................... .
6 Contributor address; City; State; Zip Code
1125 Savoy Lane Southlake, TX 76092
8 Principal occupation / Job title (See Instructions)
g Employer (See Instructions)
Vice President
MacAfee
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
Danielle Vaughan
04/01/2021
..................................................................................
$100.00
Contributor address; City; State; Zip Code
455 Southlake Park Rd E, Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Danielle Vaughan, LLC
Self Employed
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
Diana Dicesare
04/01/2021
..................................................................................
$53.40
Contributor address; City; State; Zip Code
1000 Raven Bend Ct., Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Not Employed
N/A
Date
Full name of contributor it out-of-state PAC (ID#: )
Amount of contribution {$)
04/01 /2021
David Rea
..................................................................................
500.00
Contributor address; City; State; Zip Code
1640 Bent Creek Circle Southlake Tx 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Self Employed
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 wwmethics.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
$ Full name of contributor ❑ out-of-state PAC (ID#:
7 Amount of contribution ($)
JP Elliott
04/01 /2021
.............................................. .
6 Contributor address; City; State; Zip Code
1125 Savoy Lane Southlake, TX 76092
8 Principal occupation / Job title (See Instructions)
g Employer (See Instructions)
Vice President I
MacAfee
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($}
Danielle Vaughan
04/01/2021
..................................................................................
$100.00
Contributor address; City; State; Zip Code
455 Southlake Park Rd E, Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Danielle Vaughan, LLC
Self Employed
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
Diana Dicesare
04/01/2021
.................................................................................
$53.40
Contributor address; City; State; Zip Code
1000 Raven Bend Ct., Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Not Employed
I N/A
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
04/01 /2021
David Rea
..................................................................................
500.00
Contributor address; City; State; Zip Code
1640 Bent Creek Circle Southlake Tx 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Self Employed
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 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 ($)
Ellen Blanchard
04/01/2021
....
6 Contributor address; City; State; Zip Code
$100.00
915 B Emerald Blvd Southlake, TX 76092
8 Principal occupation / Job title (See Instructions)
g Employer (See Instructions)
Not Employed
N/A
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
Daniel Dennis
04/02/2021
...................... - - -
Contributor address; City; State; Zip'(-'-'- e
26.86
3333 Bleecker St., Apt. 105 Coppell, TX 75019
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Client Acquisition Processor
Caliber Home Loans
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($}
Julie Pitcher
04/02/2021
..................................................................................
Contributor address; City; State; Zip Code
$50.00
710 Aberdeen Way Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
04/03/2021
Lisa Stokdyk
. ......
..............
$106.48
Contributor address; City; State;...
Zip Code
720 N. Peytonville Ave Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Flight Attendant
American Airlines
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Al:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Edmondson, Debra S (Ms)
4 Date
5 Full name of contributor ❑ out-of-state PAC (ID#: )
7 Amount of contribution ($)
04/03/2021
Harry LaCast
.......................................----.....----..........................
$25.00
6 Contributor address; City; State; Zip Code
1302 Meadow Ridge Ct., Southlake, TX 76092
8 Principal occupation / Job title (See Instructions)
g Employer (See Instructions)
Not Employed
N/A
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
Mark Perkins
04/05/2021
........................................................................... .
$7500.00
Contributor address; City; State; Zip Code
8911 Guernsey Lane, Dallas, TX 75220
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Marketing
Sullivan Perkins Inc.
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
04/05/2021
Paula Edens
..................................................................................
Contributor address; City; State; Zip Code
$100.00
913 Summertree Lane, Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Not Employed
I N/A
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
04/05/2021
Shelley Capehart
........................
Contributor address; City; State; Zip Code
$265.71
570 Round Hollow Lane, Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Surgeon
University of Texas, Southwestern
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Ai:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Edmondson, Debra S Ms
4 Date
5 Full name of contributor ❑ out-of-state PAC (ID#:
7 Amount of contribution ($)
04/05/2021
Cindy Whitton
.................................................... ............................
100'00
6 Contributor address; City; State; Zip Code
603 Northwood Ct., Southlake, TX 76092
$ 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 ($)
04/05/2021
Peter Ohser
$100.00
..........I......................................................................
Contributor address; City; State; Zip Code
609 Logans Lane, Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
President
AIIPaid
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
04/05/2021
Ann Ryder
..................................................................................
Contributor address; City; State; Zip Code
$100.00
516 Villa Crossing, Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Not Employed
N/A
Date
Full name of contributor out-of-state PAC (ID#: )
Amount of contribution ($)
04/06/2021
$106.48
Elisha Rurka
................................................................. ................
Contributor address; City; State; Zip Code
803 Dominion Dr., Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Not Employed
N/A
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
1 Total pages Schedule At:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Edmondson, Debra S (Ms)
4 Date
5 Full name of contributor ❑ out-of-state PAC (ID#:
7 Amount of contribution ($)
04/06/2021
Tujuana Giles
.......................................................................
$26.86
6 Contributor address; City; State; Zip Code
2925 Hollow Valley Dr., Fort Worth, TX 76244
$ Principal occupation / Job title (See Instructions)
9 Employer (See Instructions)
Worker
Zurich
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
04/08/2021
Terrence Welch
$100.00
.................................................................................
Contributor address; City; State; Zip Code
4 Ryddington PI., Dallas, TX 75230
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Attorney
I Brown & Hofineister LLP
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
04/11/2021
Leslie Rigoulot
............... ..............................
$26.86
............ I .... ................... I
Contributor address; City; State; Zip Code
1201 Mockingbird; Grapevine, TX 76051
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Not Employed
I N/A
Date
Full name of contributor El out-of-state PAC (ID#: )
Amount of contribution ($)
04/11/2021`
Elisa O"Callaghan
......................
Contributor address; City; State; Zip Code
$250.00
405 Timberlake Way, Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Not Employed
I N/A
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 A1:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Edmondson, Debra S (Ms)
4 Date
$ Full name of contributor ❑ out-of-state PAC (ID#: )
7 Amount of contribution ($)
04/11 /2021
Scott Cameron
..................................................
$100.00
6 Contributor address; City; State; Zip Code
1776 Highland St., Southlake, TX 76092
$ Principal occupation / Job title (See Instructions)
g Employer (See Instructions)
Not Employed
N/A
Date
Full name of contributor ❑ out-of-state PAC (ID#: >
Amount of contribution ($)
04/11/2021
Cynthia Ryden
...................................................................... I..........
100'00
Contributor address; City; State; Zip Code
1002 Westover Ct., Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Not Employed
N/A
Date
Full name of contributor ❑ out-of-state PAC pD#: )
Amount of contribution ($)
Maryanne Simonsen
..................................................................................
$100.00
4/11/2021
Contributor address; City; State; Zip Code
980 Patrician Ct., Fairview, TX 75069
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Not Employed
N/A
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
4/06/2021
David Dowd
..................................................................................
Contributor address; City; State; Zip Code
$500.00
2900 Hillcastle Lane, Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Not Employed
N/A
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.bc.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 A1:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Edmondson, Debra S (Ms)
4 Date
$ Full name of contributor ❑ out-of-state PAC (ID#:
7 Amount of contribution ($)
04/11/2021
Goutam Datta
6 Contributor address; City; State; Zip Code
$25.00
2205 Yeargin Ct., Southlake TX 76092
$ Principal occupation / Job title (See Instructions)
g Employer (See Instructions)
Finance
Edward Jones
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
04/11/2021
Jessica Kelton
..................................................................................
Contributor address; City; State; Zip Code
$26.86
4423 DeGaulle St., Fort Worth, TX 76155
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Not Employed
N/A
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
04/13/2011
Joseph Young
..................................................................................
Contributor address; City; State; Zip Code
$50.00
21 Lodge Rd., Taos, NM 87571
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Attorney
I Self Employed
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
04/13/2021
Michael Carter
..................................................................................
$500.00
Contributor address; City; State; Zip Code
1808 Native Dancer PI., Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Not Employed
N/A
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. I 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
04/14/2021 Scott Tornow
$26,86
6 Contributor address; city; State; Zip Code
907 Hidden Meadow fit., 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 Amount of contribution
4/16/2021 Lisa Stokdyk $1 OU0
Contributor address; CityState-, Zip Code
1720 N. Peytonville Ave Southlake, TX 76092 1
Principal Occupation / Job title (See Instructions) Employer (See Instructions)
Flight Attendant Almerican Airlines ---
Date Foil name of contributor E] out -or -state PAC (ID* Amount of contribution
04/16/2021 Abigail Chung
...... av
Contributor address; City; State; Zip Code
307 Augusta -Court, Southlake-, TX 76092
Principal occupation I Job title (See Instructions) Employer (_See Instructions)
Not Employed N/A
Date Full name of contributor out,,)f-stcte RAG (0#: Arnount of contribution
04/16/2021 Daniel Jeray
...... $50M
Contributor address; City; State,- Zip Code
1102 Virginia St., Forney, TX..75126
Principal occupation / Job title (See Instructions) Employer (See instructions)
ale Concrete Company
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission ceso.ethics,state,tx,us Revised 8/17/2020
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
1 Total pages Schedule At:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Edmondson, Debra S (Ms)
4 Date
5 Full name of contributor ❑ out-of-state PAC (ID#:
7 Amount of contribution ($)
04/21/2021
Terrence Welch
................................................................................
100 00
6 Contributor address; City; State; Zip Code
4 Ryddington Pl., Dallas, TX 75230
8 Principal occupation / Job title (See Instructions)
g Employer (See Instructions)
Attorney
Brown & Hofineister LLP
Date
Full name of contributor ❑ out-of-state PAC (ID#: >
Amount of contribution ($)
04/22/2021
Penny Pannell
................................................................. . ...............
$75.00
Contributor address; City; State; Zip Code
1429 Kensington Ct., Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Not Employed
N/A
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
04/01/2021
August Schilling
............................................................................. . ....
$500.00
Contributor address; City; State; Zip Code
1260 Taylor St., Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Not Employed
N/A
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
04/11/2021
August Schilling
.............................................................................
$250.00
Contributor address; City; State; Zip Code
1260 Taylor St., Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Not Employed
N/A
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/1712020
MONETARY POLITICAL CONTRIBUTIONS
SCHEDULE Al
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Al:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Edmondson, Debra S (Ms)
4 Date
04/18/2021
5 Full name of contributor out-of-state PAC (ID#:_
7 Amount of contribution ($)
DAvid Stanhope
$106.48
...........................................................................
6 Contributor address; City; State; Zip Code
2530 Greenbough Lane, Southlake, TX 76092
8 Principal occupation / Job title (See Instructions)
g Employer (See Instructions)
Not Employed
N/A
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
Kenneth Heymann
04/ 19/2021
................................................................................. .
Contributor address; City; State; Zip Code
$531.10
1421 Sandstone Ct., Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Chief Operating Officer
Funifocus
Date
Full name of contributor ❑ out-of-state PAC (iD#: )
Amount of contribution ($)
04/20/2021
Robert Donahue
..................................................................................
Contributor address; City; State; Zip Code
$25.00
1414 Laguna Vista, Grapevine, TX 76051
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Teacher
Jesuit Preparatory School
Date
04/21/2021
Full name of contributor it out-of-state PAC (ID#: )
Amount of contribution ($)
Robert Young
$100.00
..................................................................................
Contributor address; City; State; Zip Code
407 Osprey Ct., Grapevine, TX 76051
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Not Employed
N/A
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-ofstate PAC, please see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.bcus Revised 8/17/2020
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Al:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Edmondson, Debra S (Ms)
4 Date
5 Full name of contributor El out-of-state PAC (ID#:
7 Amount of contribution ($)
Mr. Thomas Joyner
04/01/2021
$25.00
g Contributor address; City; State; Zip Code
726 Saxon Trail, Southlake, TX 76092
8 Principal occupation / Job title (See Instructions)
g Employer (See Instructions)
Not Employed
N/A
Date
Full name of contributor ❑ out-of-state PAC (ID#: >
Amount of contribution ($)
.............................................................................
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 ($)
..................................................................................
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
.......... ........................ .................... ................. 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
3 Filer ID (Ethics Commission Filers)
Edmondson, Debra S (Ms)
4 TOTAL OF UNITEMIZED IN -KIND POLITICAL CONTRIBUTIONS
$
5 Date
6 Full name of contributor ❑ out-of-state PAC (ID#: 1
g Amount of 1 g In -kind contribution
Contribution $ I description
Mark Perkins
I
04/22/2021
..... -- - ---------------------- --------------------------- ---
$3120.00 I Website- materials
7 Contributor address; City; State; Zip Code
3100 McKinnon St.; Suite 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 Inc.
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 I In -kind contribution
Contribution $ I description
I
.......................................... .......................
Contributor address; City; State; Zip Code
I
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 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 ment/Reimtwrsement Expense
Ove
Accounting/Banking Fees Office head/Rental Expense Transportation Equipment
4 Pit &Related Expense
Consulting Expense Food/Beveage Expense Pollingl I
Expense Travel In District
Contributions/Donations Made By Gift/AWards/Memonals Expense Printing Expense Travel Out Of District
Candidate/Officeholder/PoliticalCommittee Legal Services SatanesAAktges/ContractLabor 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)
Edmondson, Debra S (Ms)
4 Date
5 Payee name
04/02/2021
Hustle, Inc
6 Amount ($)
7 Payee address; City; State; Zip Code
595 Market St., Suite 920 San Francisco, CA 94105
$100.00
8
(a) Category (See Categories listed at the top of this schedule)
(b) Description
Advertising Expense
Texting Service
PURPOSE
OF
EXPENDITURE
(c) Check if travel outside of Texas. Complete ScheduleT El Check if Austin, TX, officeholder living expense
9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
04/11/2021
Manny's Uptown
Amount ($)
Payee address; City; State; Zip Code
$133.63
151 N. Nolen Dr., Suite 100, Southlake, TX 76092
Category (See Categories listed at the top of this schedule)
Description
Food/ Beverage Expense
Campaign Party
PURPOSE
OF
EXPENDITURE
Checkiftraveloutside ofTexas.Complete SdteduleT. Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
04/20/2021
Reilly Echols Printing
Amount ($)
Payee address; City; State; Zip Code
$5478.77
1710 S. Harwood; Dallas, TX 75215
Category (See Categories listed at the top of this schedule)
Description
PUROPFOSE
Printing Expense
Print and mail flyers
EXPENDITURE
Check if travel outside of Texas. Complete Schedule I 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 wwmethics.state.N.us Revised 8/17/2020