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McCaskill Semi July 2021CANDIDATE / OFFICEHOLDER FORM CIOH CAMPAIGN FINANCE REPORT COVER SHEET FIG 1 Fifer ICI (Ethics Commission Filers) 2 Total pages filed. The C/DH Instruction Chide explains how to complete this form. 3 CANDIDATE / MS I MRS Mfa i FIRST MI OFFICE USE ONLY OFFICEHOLDER ; t NAME .. """'"'"'" bate Received NICKNAME LAST SUFFIX=OF�CITY 1i 1 11 €' t cL ___ AC}I[)A(Ef ADDRESS f PO BOX; APT l SUITE #; CITY; 3TAFE; ZlP CODE OFFICEHOLDEF2,� 4��} _ ,..MAILING t �N ! t ,rw�.(w t �..�ADDRESS change of Address CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION and -del or Date Postmarked OFFICEHOLDERf1 , ,. �� $ 4 %Hand PHONE 1 t l � _ .... �.. w�.-..._, ._,.,....x......,_.:... # Amount s 6 CAMPAIGN MS JtaR"YMR FIRST Mi TREASURER."� C/_ I 19E __ Date Processed NICKNAME LAST SUFFIX Date Imaged } ry 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT t SUITE #: CITY; STATE; ZIP CODE TREASURER ACIDNESS is:µ- � i �. -, ^, �," ��•w�-. �'��.w.¢�. �:,;�,:. e�_�=1 '�;, � t_ '� L•�. '¢ .. �`��. c _'i �� ..� �� (Residence or Business) @ CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER REPORT TYPE ❑ January t5 ❑ 30th day before election ❑ Runoff 15th day after campaign treasurer appointment (Officeholder Only) 12"� JuIY 15 Sth day before election Exceeded Modified Final Report (Attach CIOH - FR) Reporting Limit 10 PERIOD Month Day Year Month Day Year COVERED / THROUGH 11 ELECTION ELECTION DATE ELECTION TYPE i_I Primary ❑ Runoff ❑ Other Month Day Year s.. Description aGeneral Special —_-.w,__,"_ .. , 12 OFFICE OFFICE HELD (If any) T I t . y {d ) 13 OFFICE SOUGHT (if known) : 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 WITHOUT THE CANDIDATE's OR OFFICEHOLDER'S KNOWLEDGE OR COMMITTEE(S) CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY _ _v _._.,.__ .....___ RECEIVE NOTICE OF SUCH EXPENDITURES. v...,w m COMMITTEE TYPE COMMITTEE NAME GENERAL COMMITTEE ADDRESS Additional Pages SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME COMMITTEE CAMPAIGN TREASURER ADDRESS GO TO PAGE 2 Forms provided by Texas Ethics Commission .ethics,state.tx.Us Revised 811712020 CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 16 C/O NAME 16 Filer ID (Ethics Commission Filers) 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) EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE. TOTALS . TOTAL POLITICAL EXPENDITURES CONTRIBUTION 5, TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY BALANCE OF REPORTING PERIOD OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LOAN TOTALS I LAST DAY OF THE REPORTING PERIOD a 18 SIGNATURES , I swear, or affirm, under penalty of perjury, that the accompanying report is true and correct and includes lu all information required to be reported by me under Title 15, Election Code. Signature of Candidate or Officeholder r i ► r Signatureof officer administering oath Printed name of officer administering r.th Title officer administering oath Declaration y name is and my date of birth is -. y 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 www.ethics.state.tx.us Revised 8/17/2020 SUBTOTALS - C/OH FORM C/OH COVER SHEET PG 3 19 FILER NAME 20 Filer ID (Ethics Commission Filers) 21 BTOTALS SCHEDULE SUBTOTALS SUBTOTAL NAME OF SCHEDULE AMOUNT 1 El SCHEDULEAI: MONETARY POLITICAL CONTRIBUTIONS $ 2 SCHEDULE A2: NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS $ 3 El SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4, L J SCHEDULE E: LOANS () n & u. SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 6 SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 7„ ❑ SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ $• ❑ SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 9• SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 10. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF ClOH $ 11, SCHEDULE I: NON -POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 12, ........ SCHEDULE K: — _ - ..... INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED $ TO FILER FnrmQ nrnvir6=rl by TPYAQ Fthirc f.nmmiseinn .ethicS.St2te.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 I Schedule Al, 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 1 -i "\ 4 Date 5 Full name of contributor E] out-of-state PAC (1D#:__-) 7 Amount of contribution ............ 6 Contributor address; City; State; Zip Code 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Date Full name of contributor E] out-of-state PAC Amount of contribution Contributor address; City, State; Zip Code Principal occupation I Job title (See Instructions) Employer (See Instructions) Date Full name of contributor Ej out-of-state PAC (113k, Amount of contribution Contributor address; City; State; Zip Code Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor Ej out-of-state PAC (1134:) Amount of contribution Contributor address; City; State; Zip Code Principal occupation I 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. I Total pages Schedule AZ 2 FILER NAME 3 Filer ID (Ethics Commission Filers) D Ifs C S V,_ 4 TOTAL OF UNITEMIZED IN -KIND POLITICAL CONTRIBUTIONS $ Date 6 Full name of contributor EJ out-of-state PAC 8 Amount of 9 In -kind contribution Contribution $ i description 7 Contributor address. City; State; Zip Code OCheck if travel outs i I de of Texas. Complete Schedule T. 10 Principal occupation f Job title (FOR NON -JUDICIAL) (See Instructions) 11 Employer (FOR NON-JUDICIAL)(See Instructions) 12 Contributor's principal occupation (FOR JUDICIAL) 13 Contributors 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) —ii- Ifcontributoris a child, law firm of parent(s) (if any) (FOR JUDICIAL) Date Full name of contributor E] out-of-state PAC Amount of In -kind contribution Contribution $ I description .......... ....... Contributor address; City; State; Zip Code 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. P-Q nrnviriprl by Tpyqq Fthirq r.nmmi.q.qinn vAAw.ethics.state.tx.us Revised 8/1712020 PLEDGED CONTRIBUTIONS SCHEDULE B If the requested information is not applicable, DO NOT include this page in the report. 1 Total pages So nodule B, The Instruction Guide explains how to complete this form. I 2 FILER NAME 3 Filer In (Ethics Commission Filers) - - - -------- 4 TOTAL OF UNITEMIZED PLEDGES $ 5 Date 6 Full name of pledger ❑ out-of-state PAC 8 Amount I 9 In -kind contribution of Pledge $ I description 7 Pledger address; City; State; Zip Code 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 pledger E] out-cf-state PAC (11X� Amount In -kind contribution of Pledge $ I description Pledger address; City; State; Zip Code F]Check if travel outside of Texas, Complete Schedule T Principal occupation / Job title (See Instructions) Employer (See Instructions) --- - ------ - ---- Date Full name of pledger El out-of-state PAC ..... . ........ - — ---- — - - ----------------- Amount of I In -kind contribution Pledge $ description Pied g or address; as; City, State; Zip Code Check if travel outside of Texas. Complete Schedule T. Principal occupation I Job title (See Instructions) T Employer (See Instructions) Date Full name of pledger ❑ out -of -stale PAC (ID# i Amount of In -kind contribution Pledge $ description Pledger address; city; State; Zip Code Check if travel outside of Texas, Complete Schedule T Pnn.ip.1 occupation / Job title (See Instructions) I 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 Drovided by Texas Ethics Commission WWW.ethicS.state.tx.us Revised 8/17/2020 LOANS SCHEDULEE If the requested information is not applicable, DO NOT include this in the report. The Instruction Guide explains how to complete this form. 1 Total pages Schedule E: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 1-t f'l't I` � ( 1 4 TOTAL OF UNITEMIZED LOANS $ c 0t Date of loan 7 Name of lender ® out-of-state PAC (ID#: 9 Loan Amount ($) ................................................................. Is lender 8 Lender address; City; State; Zip Code 10 Interest rate a financial Institution?.m ----- 11 Maturity date S)'( 12 Principal occupation / Job title (See Instructions) 13 Employer (See Instructions) 14 Description of Collateral 1 Check if personal funds were deposited into political ❑ none account (See Instructions) 16 GUARANTOR 17 Name ofguarantor 19 Amount Guaranteed ($) INFORMATION 18 Guarantor address; City[ State; Zip Code ❑ not applicable 6 Principal Occupation (See Instructions)::::]_21 Employer (See Instructions) Date of loan Name of lender [ out-of-state PAC (ID#. I Loan Amount ($) ...._......... ....... . _ - Is lender Lender address; City; State; Zip Code Interest rate a financial Institution? Maturity date Y Principal occupation ( Job title (See Instructions) Employer (See Instructions) Description of Collateral Check if personal funds were deposited into political account (See Instructions) none GUARANTOR Name of guarantor Amount Guaranteed ($) INFORMATION ............ . . Guarantor address; City; State; Zip Code ❑ 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 by Texas Ethics Commission .ethics.state.tx.us Revised 8/17/2020 POLITICAL EXPENDITURES MADE SCHEDULE F1 FROM POLITICAL CONTRIBUTIONS 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 RepaymentfReirribUrsennent Solicitation/Fundraising Expense Accounting/Banking Fees Office Overbead/Rental Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District ContribLitions/Donabons Made By Gift/Awards/Memodals Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services SalariesANages/Contract Labor Other (enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. Total pages Schedule F1, 2 FILER NAME iHer ID (Ethics Commission Filers) lw A 4 Date 5 Payee name Amount 7 Payee address; City; State; Zip Code . ....... . ..... (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE OF EXPENDITURE (c) ❑ Cheek K travel outside ofTexas, Complete Schedule T. EJ Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit CIOH Date Payee name Amount Payee address; City, State; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSE OF EXPENDITURE E:1 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 Date Payee name Amount Payee address; City; State; Zip Code Category (See Categories listed M the top of this schedule) Description PURPOSE OF EXPENDITURE Check iftravel Outside ofrexes. Complete Schedule T. ❑ Check if Austin, To, officeholder living expense Cornplete ghLLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED 7—me nroxticirsol hoe Tmvnq PthirQ f.nmmiQqinn vvw%srethics.state.tx.us Revised 8/17/2020 UNPAID INCURRED OBLIGATIONS SCHEDULE F2 If the requested information is not applicable, DO NOT include this page in the report. EXPENDITURE CATEGORIES FOR BOX 10(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 GifflAwardstMemorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services SalariesANages/Contract Labor Other (enter a category not listed above) The Instruction Guide explains how to complete this form. I Total pages Schedule F2: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) C 1"e - --- - ------- - - - --------- - 4 TOTAL OITEMIZED UNPAID INCURRED OBLIGATIONS $ 6 Date . ........... 6 Payee name 7 Amount 8 Payee address; City; State; Zip Code 9 TYPE OF D Political El Non -Political EXPENDITURE 10 (a) Category (See Categories listed at the top ofthis schedule) (b) Description PURPOSE OF EXPENDITURE (C) ❑ Check if travel outside of Texas. Complete Schedule T. El Check if Austin, TX, officeholder living expense 11 Complete QNLY if direct Candidate I Officeholder name Office Sought Office held expenditure to benefit C/OH Date Payee name Amount Payee address; City; State; Zip Code TYPE OF EXPENDITURE EJ Political Non -Political Category (See Categories listed at the top of this schedule) Description PURPOSE OF EXPENDITURE - - ---- L:1 Check if travel outside ofTexas, Complete Schedule T. Check If Austin, To, officeholder living expense - -------- Complete QNLY if direct Candidate I Officeholder name Office sought Office held expenditure to benefit CIOH . ..... . ..... - ------------- — ----- -- ------ ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms nmvidpri by Tpyaq Fthinq Onninnissirin wgkxAethics.state.tx.us Revised 8/17/2020 PURCHASE OF INVESTMENTS MADE SCHEDULE F3 FROM POLITICAL CONTRIBUTIONS If the requested information is not applicable, DO NOT include i e in the report. 1 Total pages Schedule F3: The Instruction Guide explains how to complete this form. _.. _ _ — ......u.. FILER NAME 3 Filer IS (Ethics Commission Filers) Date 5 Name of person from whom investment is purchased 6 Address of person from whom investment is purchased„ Clty: State; Zip Code^ 7 Description of investment Amount of investment ($} Date Name of person from whom investment is purchased Address of person from whominvestmentis purchased; rr. City; �m,= State; Zip Code Description of investment Amount of investment ($} ATTACHADDITIONAL I .S OF THISL AS NEEDED Forms provided by Texas Ethics Commission www. ethics. state .tx.us Revised 8/17/2020 EXPENDITURES MADE BY CREDIT CARD SCHEDULE F4 If the requested information is not applicable, DO NOT include this page in the report. EXPENDITURE CATEGORIES FOR BOX I 0(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accountrig/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Con tributions/Donations Made By GifUAwards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services SalariesANages/Contract Labor Other (enter a category not listed above) The Instruction Guide explains how to complete this form. I Total pages Schedule F4- 1 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 TOTAL OF U NITEM IZED EXPENDITURES CHARGED TO A CREDIT CARD $ 5 Date 6 Payee name 7 Amount Payee address; City; state; Zip Code T"2'-t .IF..K-7 C, -'A TYPE OF llitica EXPENDITURE PoNon-Political 10 (a) Category (See Categories listed at the top of this schedule) b) Description PURPOSE 7 OF EXPENDITURE -- - - - - (G) Check if travel Outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense 11 Candidate / Officeholder name Office sought Office held Complete ONLY if direct expenditure to benefit C/CH ---------- ..... . ...... . Date Payee name Amount Payee address; City; State; Zip Code TYPE OF Political Non -Political EI EXPENDITURE El Category (See Categories listed at the top of this schedule) Description PURPOSE OF EXPENDITURE — --- -------- 171 Check if travel outside of Texas;: ComplekeSrheduleT. El Check if Austin, TX, officeholder living expense Candidate / Officeholder name Office sought Office held Complete ONLY if direct expenditure to benefit C10H --- ------- — --------- -- -------- -- ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/1712020 POLITICAL EXPENDITURES MADE FROM SCHEDULE G PERSONALFUNDS If the requested information is not applicable, DO NOT include i in the report. EXPENDITURE CATEGORIES FOR BOX (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 Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services Salarie agestContract Labor Other (enter a category not listed above) Credit Card Payment The Instruction Guide explains h®av to complete this form. 1 Total pages Schedule G FILER NAME 3 Filer ID (Ethics Commission Filers) "vlt. r ( k U ------ 4 Date —�u._- v.,,. 5 Payee name Amount $ 7 Payee address; City; State; Zip Code Reirrrbu¢sementfrom >Ea. political contributions intended .� � — (a) Category (See Categories listed at the top of this schedule) () Description PURPOSE OF EXPENDITURE (c) Check if travel outside of Texas. Complete ScheduleT. Check if Austin. TX, officeholder living expense 6 Candidate / Officeholder name Office sought Office held Complete ONLY if direct expenditure to benefit C/OH Date Payee name Amount ($) Payee address, City; State; Zip Code Relmhurst.wrient fircuT a politicalcowribattions Intended Category (See Categories listed at the top ofthis schedule) Description PURPOSE OF EXPENDITURE Check if travel outside of Texas. Complete Schedule Check if Austin, TX, officeholder living expense Candidate / Officeholder name Office sought Office held Complete ONLY if direct expenditure to benefit C/OH ... . _ . Date Payee name Amount ($) Payee address; City; State; Zip Code Reimbursement from political contributions intended Categdiy (see Categories listed at the top of this schedule) Description PURPOSE F EXPENDITURE __—._..�....., Check if travel outside of Texas. Complete Schedule ❑ Check if Austin, TX, officeholder living expense ....> —_..,....,.,..w_.n.,....,t_ . � _. ........_ .,__,...... .� �...__......... _..,_.....,,,..._ Candidate / Officeholder name Office sought Office held Complete ONLY if direct expenditure to benefit C/OH ---------- ATTACH ADDITIONAL COPIES IS SCHEDULE AS NEEDED Pnrme nrnviri—i hciTaYae Fthirc Rnmmic¢inn .ethics.state.tx.us Revised 8/17/2020 PAYMENT MADE FROM POLITICAL CONTRIBUTIONS SCHEDULEH TO A BUSINESS OF C/OH 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/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment A Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/Donations Made By GiftlyovardsfUlermorials Expense Printing Expense Travel Out Of District Candidatio'Officeholder/Politcal Committee Legal Services SalariesANages/Contract Labor Other (enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. I Total pages Schedule H, 2 FILER NAME 3 Filer ID (Ethics Commission Filers) - <ii-- I-, %AJ t� 0 '( V4 ----- - ---------- --- 4 Date 6 Business name 6 Amount 7 Business address; City; stateZip Code 8 (a) Category (See Categories listed at the lop of this schedule) (b) Description PURPOSE OF EXPENDITURE (c) E] Check if travel ..1.1d. of-rexas, Complete Schedule T. 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 Business name Amount Business address; City; State; Zip Code Category (See Categories listed at the top of this schedule) F Description PURPOSE OF EXPENDITURE Check if travel outside of Texas ComphqeSrheduleT. Check if Austin, TX, officeholder living expense Complete DULY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/CH 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 Sol El Check if Austin, TX, officeholder living expense Complete QNJ-Y if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH — — ---------------- ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED P-- —ckdripri by Tp)eqQ Fthirs, r`.rmnmIqqinn vsaw.ethics.state.tx.us Revised 8/17/2020 NON -POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS 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. I Total pages Schedule 1: 2 FILERNAME 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.ethlcs.state.tx.tds Revised 8/17/2020 INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED TO FILER SCHEDULE K If the requested information is not applicable, DO NOT include this e in the report. 1 Total pages Schedule K: The Instruction Guide explains how to complete this form. FILER NAME 3 Filer ID (Ethics Commission Filers) qt 4 Date 5 Name of person from whom amount is received 8 Amount {$) Address of person from whom amount is received; City; State; Zip Code 7 Purpose for which amount is received Check if political contribution returned to filer Date Name of person from whom amount is received Amount {$} Address of person from whom amount is received; City; State; Zip Code Purpose for which amount is received ❑ Check if political contribution returned to filer Date Name of person from whom amount is received Amount {$} Address of person from whom amount is received; City; State; Zip Code Purpose for which amount is received Check if political contribution returned to filer Date Name of person from whom amount is received Amount {$) Address of person from whom amount is received; City; State; Zip Code Purpose for which amount is received Check if political contribution returned to filer ATTACH ADDITIONAL COPIES OF THIS SCHEDULE Forms provided by Texas Ethics Commission .ethics.state.tx.us Revised 8/17/2020 IN -KIND CONTRIBUTIONS OR POLITICAL EXPENDITURES SCHEDULE T FOR TRAVEL OUTSIDE OF TEXAS If the requested information is not applicable, DO NOT include this page in the report. I Total pages Schedule T: The Instruction Guide explains how to complete this form. I 2 FILER NAME 3 Filer ID (Ethics Commission Filers) "5 I -I e � t',j 4 Name of Contributor/ Corporation or Labor Organization/ Pledger/ 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 COH-LIC 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 (Pledger ( Payee Contribution / Expenditure reported on: Schedule A2 Schedule B E] Schedule B(J) Schedule C2 Schedule D Schedule F1 Schedule F2 ❑ Schedule F4 [:] Schedule G Schedule H Schedule COH-LIC 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 F—Purposs, of travel (including name of conference, seminar, or other event) Name of Contributor / Corporation or Labor Organization / Pledger / Payee Contribution / Expenditure reported on: Schedule AS 0 Schedule B E] Schedule B(J) Schedule C2 E] Schedule D ❑ Schedule F1 Schedule F2 Schedule F4 0 Schedule G Schedule H Schedule COH-LIC 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 ADDITIONALC IE THIS SCHEDULE AS NEEDED Forms orovided by Texas Ethics Commission www, othics,state.tx.us Revised 8/12020 CANDIDATE I OFFICEHOLDER REPORT. DESIGNATION OF FINAL REPORT FORM C/01-1 - FR The Instruction Gui e explains o to complete this form. •• Complete only if " e o Type" on page 1 is marked "Final Report" •• 1 C/OH NAME Her ID (Ethics Commission Filers) SIGNATURE I do not expect any further political contributions or political expenditures in connection with my candidacy. I understand that designating a report as a final report terminates my campaign treasurer appointment. I also understand that I may not accept any campaign contributions or make any campaign expenditures without a campaign treasurer appointment on file. — -------- Signature of Candidate / Officeholder FILER WHO IS NOT AN OFFICEHOLDER •• Complete A& B below only if you are not an officeholder. A. CAMPAIGN Check only one: I do not have unexpended contributions or unexpended interest or income earned from political contributions. F-1 I have unexpended contributions or unexpended interest or income earned from political contributions. I understand that I may not convert unexpended political contributions or unexpended interest or income earned on political contributions to personal use. I also understand that I must file an annual report of unexpended contributions and that I may not retain unexpended contributions or unexpended interest or income earned on political contributions longer than six years after filing this final report. Further, I understand that I must dispose of unexpended political contributions and unexpended interest or income earned on political contributions in accordance with the requirements of Election Code, § 254.204. B. ASSETS Check only one: �f I do not retain assets purchased with political contributions or interest or other income from political contributions. I do retain assets purchased with political contributions or interest or other income from political contributions. I understand that I may not convert assets purchased with political contributions or interest or other income from political contributions to personal use. I also understand that I must dispose of assets purchased with political contributions in accordance with the requirements of Election Code, § 254.204. Signature of Candidate OFFICEHOLDER •• Complete this section only if you are an officeholder •• 1 am aware that I remain subject to filing requirements applicable to an officeholder who does not have a campaign treasurer on file. I am also aware that I will be required to file reports of unexpended contributions if, after filing the last required report as an officeholder, I retain political contributions, interest or other income from political contributions, or assets purchased with political contributions or interest or other income from political contributions. Signature of Officeholder Forms provided by Texas Ethics Commission .ethics.state.tx.us Revised 8/17/2020