Talley Semi July 2022CANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT
COVER SHEET PG I
I Filer ID (Ethics Commission Filets)
2 Total pages filed:
The C/OH Instruction Guide explains Kota complete this form.
I
3 CANDIDATE
MS / MRS MR FIRST MI
ewriCIRRUSE ONLY--
OFFICEHOLDER
Kathleen
NAME........
: — 1. 1. . — ,— � ................ ......
-;,te - ----p=eElVEB
Redeiva
NICKNAME LAST SUFFIX
Kathy Talley
ADDRESS I PO BOX; APT I SUITE P CITY" STATE; ZIP CODE
J U L 1 5 2022
4 CANDIDATE/
OFFICEHOLDER
MAILING
ADDRESS
[—] change of Address
OFFICE OF CITY SECRETA
5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
delivered or Date Postmarked
OFFICEHOLDER
(
PHONE
Me I MRS I MR FIRST MI
scalp Amount $
6 CAMPAIGN
TREASURER
Michael
-P.
NAME
.... .....
........... .........
t . a a a d
NICKNAME LAST SUFFIX
Talley
Date Imaged
Mike
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE), APT I SUITE P, CITY;
STATE; ZIP CODE
TREASURER
ADDRESS
(Residence or Business)
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
(
9 REPORT TYPE
El January 15 0 30th day before election E] Runoff
I 6th day after campaign
treasurer appointment
(Officeholder Only)
V July 15 Ej Sin day beford, election El Exceeded Modilled
El Final Report (Attach CIOH - FIR)
Reporting limit
10 PERIOD
Month Day Year Month
Day Year
COVERED
01 2022 THROUGH 06
/30 ,/" 2022
11 ELECTION
ELECTION DATE ELECTION TYPE
Sz Primary El Runoff El oft,
Month Day Year Description
11 03 , '"-'2020 SzGeneral 0 Special
12 OFFICE
OFFICE HELD (if any) 13 OFFICE SOUGHT Of1crom)
Southlake City Council, Place 1
14 NOTICE FROM
THIS BOX is FOR NOTICE
OF POLTHCAL CONTRIBUTH)INIB ACCEPTED OR POLITICAL EXPENDITURES
MADE BY POLITICAL COMMITTEES TO SUPPORT
POLITICAL
THE CANDIOATE/OFFICEHOLOER.
THE
ITHESEEWENDITURES MAY HAVE BEEN MADE INTWOUT THE CANDIDATET OR OFIFICENOLO ER'S KNOWLEDGE OR
COMMITTEE($)
CANDIDATES
AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF
THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE TYPE
COMMITTEE NAME
[] GENERAL
COMMITTEE ADDRESS
Additional Pages
Ej SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
15 CJOH NAME
16 Flier ID (Ethics Commission Filers)
17 CONTRIBUTION
1. TOTAL UNITEMIZED POLITICAL ONTRIBUTIONS (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
TOTALS
3. TOTAL UNITEMIZED POLITICAL EXPENDITURE.
$
4. TOTAL POLITICAL EXPENDITURES
$ /
✓✓✓ /// 7
..................
CONTRIBUTION
5 TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
$ C�
BALANCE
OF REPORTING PERIOD
�/ ! ✓
OUTSTANDING
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
$
LOAN TOTALS
LAST DAY OF THE REPORTING PERIOD
18 SIGNATURE I swear, or affirm, under penalty of per)ury, that the accompanying report is true and correct and Includes all information
required to be reported by me under Title 15, Election Code.
Signature of Candidate or Offlce o er
Please complete either option below:
AMY SHELLEY
(1)Affldavit Notary Public, State of Texas
�Q 'ems
Comm. Expires 12-02-2023
OF•��``�
,,,1""Notary ID 12476110-5
NOTARY STAMP /
/,
�� (� this the day
Swom to and subscribed before me by of ,
2 , to certify which, witness my hand ce.
•C-( *
7M26-W(
Signature officer d inistedng oath Printed r6ke of officer admini ering oath Title o officer administering th
•
(2) Unsworn Declaration
My name is and my date 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 www.ethics.state.tx.us Revised 6/17/2U2U
SUBTOTALS - C/OH FORM C/OH
COVER SHEET PG 3
19
FILER NAME
Kathleen B Talley
20 Filer ID (Ethics Commission Filers)
21
SCHEDULE SUBTOTALS
NAME OF SCHEDULE
SUBTOTAL
AMOUNT
1.
SCHEDULEAi: MONETARY POLITICAL CONTRIBUTIONS
$
2-
SCHEDULEA2: NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS
$
3-
SCHEDULE B: PLEDGED CONTRIBUTIONS
$
4.
SCHEDULE E: LOANS
$
5.
®
SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$ i
6.
SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
$
7.
SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$
6.
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 CIOH
$
11.
SCHEDULE 1: NON -POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
12.
SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED
TO FILER
$
Forms provided by Texas Ethics Commission www.ethics.state.tx.us KBVIseo u/i azuzu
POLITICAL EXPENDITURES MADE
F1
FROM POLITICAL CONTRIBUTIONS
SCHEDULE
If the requested information is not applicable, DO NOT include this page In the report.
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense
AccountingfBanldng
Consulting Expense
Event Expense LoanRepwArmyt/Reirribursement So9dtation/FuidreisingExpense
Fees Office, OverheadlRenteiExpense Transportation Equipment$Related Expense
FoodBeverege Expense Poll" Expense Travel In District
ContrbutionsfDonatbns Made By GINAwwds/Memortels Expense Printing Expense Travel Out Of District
Candidate/Olncelwlder/Political Committee Legal Services SalartesANagea/Contract Labor Other (enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages S edule F1:
2 FILER NAME
/
3 Flier ID (Ethics Commission Filers)
4 Date
5 Payee name
6 Amount ($)
7 Payee address: 1^/ / City; State; Zip Code
/
8
PUOF SE
(a) Cate ory (se%e Ca orieslisted atthe top ofthis schedule)
(b) Description /
l/lam' '
EXPENDrrURIE
,
(c) ChedcIttraveloutside ofTexes.Complete ScheduIsT.
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g Complete ONLY If direct Candidate / Officeholder name
expenditure to benefit C/OH
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Date
Payee name
Amount ($)
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City; , State; Zip Code
PURPOSE SE
Category (See Cate rise listed at the top ofthls schedule)
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expenditure to benefit C/OH
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Data
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Check if Austin, TX, officeholder living expense
Complete ONLY If direct Candidate / Officeholder name
expenditure to benefit C/OH
Office sought Office held
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
POLITICAL EXPENDITURES MADE
SCHEDULE F1
FROM POLITICAL CONTRIBUTIONS
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX s(a)
Advertising Expense
Acooun*ig/Barddng
Consulting Expense
Event Expense Loan t 3o6dtafion/FundralsingExpense
Fees OtfloeOverheadl Rented Expense Transportation Equipment& Related Expense
FoodBeverage Expense Polling Expense Travel In District
ContrYwdans/Donaibns Made By CINVAwarda/Memodals Expense Printing Expense Travel Out Or District
Candldate/ORiceholdedPodticai Committee Legal Services Sawdesmages/Contract Labor Other (enter a category not listed above)
Credit CardPe"erkt
The Instruction G Id explains how to complete this form.
1 Total pages Sch dule F1:
2 FILER NAME]
"p
3 Filer ID (Ethics Commission Filers)
4 Dater �
S Payee name a, � 1 �''K
6 Amount ($)
7 Pa ee address;
Ity: te; ZJp Code
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8
PURPOSE
as categor flsted at the top of this schedule)
(a) Categ7v,
(b) Descriptio)lei
OF
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EXPENDITURE
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(o) Check tftravel outside WTexas. Complete ScheduleT.
Check If Austin, TX, officeholder living expense
9 Complete ONLY If direct Candidate / Officeholder name
expenditure to benefit C/OH
Office sought Office held
Date
Payee name
I/J/X
Amount ($)
Payee address;
Ity; te; Zip Code
1�51_59
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PURPOSE
Categ a Catego list at the top of this schedule)
Descriptio
OF
EXPENDITURE
Check titravel outside ofTues. Complete SdreduteT.
Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name
expenditure to benefit C/OH
Office sought Office held
Date ZA
Payee name 60
Amount ($)
Payee address; Q
C ; State; ) Zip Code
PURPOSE
Category (sad Categoriesfi Ted at the top of this schedule)
j
Descripfion�
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EXPENDITURE
Check iftraveloutside ofTexas.Complete ScheduleT.
❑ Check It Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name
expenditure to benefit C/OH
Office sought Office held
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us rcevlsea 1s/1 //2UZu
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 Repe /Retrnbursament So®dtatbNFundraisIngExpense
Ao ou nting/BaNdng Fees OMceOverheadlRental Expense Transportation Equipment& Related Expense
Consulting Expense Food(Severage Expenae Polling Expense Travel In District
Contrbutions/Donsfbns Made By GINAwarda/Memo lets Expense Printing Expense Travel Out Of District
Candidate/Officeholder/PoilticalCommittee Legal Services SaladealWages/ContractLabor Other (enter a category not listed above)
Crack Card Payment The Instruction Gulde xplalns how to complete this form.
1 Total pages SOadule Ft:
2 FILER NAME
ZkAlal--)
3 Flier ID (Ethics Commission Fliers)
5
,
4 Qsrte
5 Payee name
6 Amount ($)
7 Payee address; A city; �jState;Zip Conde
8
(a) Category (see Ca oriellistedatthetopof schedule)
(b) Descriptlo
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9 Complete ONLY If direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Data
Payee name
Amount ($)
City t Zip Code
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expenditure to benefit C/OH
Data
Payee name
,2 7bo vial Y\ S
Amount ($)
Payee address; City; State; Zip Code
PUtOF SE
Category (S Cat gods listed at the top of this schedule)
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EXPENDITURE
Check lfirmaloutskteofTexas.Complete Schedule T. Check if Austin, TX, officeholder living expense
Complete Q= if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED
Forms provided by Texas Ethics Commission wwmethics.state.tx.us mevkseu or i rrcucu
POLITICAL EXPENDITURES MADE
SCHEDULE F1
FROM POLITICAL CONTRIBUTIONS
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan RepaymerWReIrTftasement Solicitation/FundraisingExpense
A000un*X lBar*dng Fees Oftioe Ovedisad lRental Expense Transportation Equipment 8, Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Con6ributbns/Donatbns Made By GiR/Awards/Memodals Expense Printing Expense Travel Out Or District
Candidate/ORiceholder/PdlticalCommittee Legal services SalaiieslWages/ContractLabor Other (enter a category not listed above)
Credit Card Payment The Instruction uide explains how to complete this form.
1 Total pages Soule Fl:
2 FILER NAME '
3 Filer ID (Ethics Commission Filers)
5
�
4 ate
5 Payee name
lK Amount ($)
7 P ee add as; i City; Sta Zip Code
16 o >> -
8
PURPOSE
(a) Cat gory, (See Categories lists atthetop thisschedule)
(b) Des ription ,
OF
EXPENDITURE
(C) Check Iftraveloutside ofTexes.Complete SchedtieT. 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
-FrOQI ialtk
Amount ($)
Payee address; cStat;Zi�de
as
PUROF SE
Catego (See Categories listed at the top ofth schedule)
Description
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EXPENDITURE
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Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Dais J
Payee name
/ —V
Amount ($)
as
Payee add ss; C State; Zip Code
a
PURPOSE
Category (Se Categories lie ed at the top of this schedule)
C
Descrip on
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/!( a
EXPENDITURE
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Chedcfftrovei oLftWo otTexas. Complete SeheduleT. ❑ 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 Kevisea a/1 //zulu
POLITICAL EXPENDITURES MADE
F1
FROM POLITICAL CONTRIBUTIONS SCHEDULE
If the requested information is not applicable, DO NOT Include this page in the report.
EXPENDITURE CATEGORIES FOR BOX S(a)
Advertising Expense Event Expense Loan t Soticitation/FundralsingExpense
AcootntinglBanldng Fees Office Overhead(Rentel Expense Transportation Equipment & Related Expense
Consulting Expense FoodBeverege Expense Polling Expense Travel In District
Contributiona/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of DisMrX
CandidataK.) iceholdedPdlticalCommittee Legal Services Satartes/Wages/ContractLabor Other (order a category not listed above)
Crack Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Sch5slule Ft:
2 FILER NAME A/,
ejn3
1 Le,
Filer ID (Ethics Commission Fliers)
4 Date
5 Payee name
6 Amount ($)
7 Payee address; City; State; Zip Code
a
atego (se Categorleslistedatthe top of schedule)
(a) COF
(b) Descrip n '
PURPOSE
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1
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EXPENDITURE
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(C) Check tftraveloutside ofTexes.Complete ScheduleT. Check If Austin, TX, officeholder living expense
9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
0 19 _
Payee name
y tit,
Amount ($)
Payee addres; City J State; Zip Code
01/ X2
PUROPFOSE
Catego Categories 111stey at the top ofth schedule)
DescV�,L 4z
EXPENDITURE
Check BtraveloulsideofTexas. 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
Data
Payee name
Amount ($)
Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
OF
EXPENDITURE
Check IfIroveloutside ofTexas.Complete SoheduleT. Check if Austin, TX, officeholder living expense
Complete Q= If direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED
Forms provided by Texas Ethics Commission wwmethics.state.N.us Revised tan 1/2UZU