Robbins Semi July 2022ER
FORM C/OH
FINANCE REPORT
COVER PIG 1
SHEETCAMPAIGN
1 Filer ID (Ethics Commission Filers)
2 Total pages filed:
The C/t)H Instruction Guide explains how to complete this farm.
3 CANDIDATE !
OFFICEHOLDER
MS I MRS t MR ST M1
NAME....
.................... " .......................................
NICKNAME �
i{,1 SUFFIX ""
DataReceiv
l
ADDRESrS^ i PO BOX; APT I SUITE #; CITY; STATE; ZIP CODE61Amount
222
Q CANDIDATE /
OFFICEHOLDER
Change of Address
AREA CODE PHONE NUMBER EXTENSION
SECRETA
r Date Postr rkedPHONE!._Amount
5 CANDIDATE/
OFFICEHOLDER
r
MS I MRS I MR FIRST MI
$
6 CAMPAIGN
TREASURER'
Date Processed
NAME
........... ......:........:....
NICKNAME - LAST SUFFIX
/
Date Imaged
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT I SUITE #; CITY;
STATE; ZIP CODE
TREASURER
ADDRESS
yj /
ldlq G✓ % i /�1i L 1
(Residence or Business)
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER/
PHONE
�y /�
g3fC —6V
9 REPORT TYPE
El January 15 30th day before election Runoff
15th day after campaign
treasurer appointment
(Officeholder Only)
July 15 8th day before election Exceeded Modified
Final Report (Attach CIOH - FR)
Reporting Limit
10 PERIOD
Month Day Year Month
Day Year
COVERED
THROUGH
0 l /
11 ELECTION
ELECTION DATE
ELECTION TYPE
❑ Primary 'Runoff ❑ Other
Month Day Year
Description
Special
12 OFFICE
0 FICE H�ELD fff an
f 1
13 OFFICE SOUGHT (if known)
t/1y)
W C� 1, ` i/t l 1(,) I T"
14 NOTICE FROM
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTER OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT
:. POLITICAL
CANDIDATE I OFFICEHOLDER:. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S KNOWLEDGE OR
CONSENT.
CONSENT. CANDIDATES AND OFFICEHOLDERS: ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.. -
COMMITTEE(S)
COMMITTEE TYPE COMMITTEE NAME
❑ GENERAL COMMITTEE ADDRESS
Additional Pages
❑SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
GO TO
Forms provided by Texas Ethics Commission www.ethics.state.N.Lis Revised 8/17/2020
CANDIDATE / OFFICEHOLDER
CAMPAIGN FINANCE REPORT
115 C/OH NAME
'17 CONTRIBUTION
TOTALS
EXPENDITURE
TOTALS
FORM C/OH
COVER SHEET PG 2
I to�� i VI)
bVI, I
16 Filer ID (Ethics Commission Filers)
1. T(
TOTAL UNITE MIZED POLITICAL CONTRIBUTIONS (OTHER THAN
PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR
$
CONTRIBUTIONS MADE ELECTRONICALLY)
2. TOTAL POLITICAL CONTRIBUTIONS
$
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
^
3. TOTAL UNITEMIZED POLITICAL EXPENDITURE.
$ r--
................
4. TOTAL POLITICAL EXPENDITURES
$
/,�
'j
18
CONTRIBUTION
BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
$
}
3 3,
99
..................
OF REPORTING PERIOD
1
OUTSTANDING
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
$
OVV
LOAN TOTALS
LAST DAY OF THE REPORTING PERIOD
OD
18 SIGNATURE
I swear, or affirm, under penalty of perjury, that the accompanying report is It nd correct and includes all information
required to be reported by me under Title 15, Election Code.
Signature of Candidate or Officeholder
Please complete either option below:
AMY SHELLEY
:fi .�SNotary Public, State of Texas
(1)Affidavit e Comm. Expires 12-02-2023
Notary ID 12476110-5
NOTARY STAMP/SEAL fG
Sworn to and subscribed before me by �Io�v�S this the 1544 day of
20to certify which, witness my hand and sea f office.
Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath
(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 8/17/2020
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 •
El
SCHEDULE Al:
MONETARY POLITICAL CONTRIBUTIONS
$
2•
El
SCHEDULEA2: NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS
$
3.
❑
SCHEDULE B: PLEDGED CONTRIBUTIONS
$
4.
El
SCHEDULE E:
LOANS
$
5.
0
SCHEDULE F1:
POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
l
6.
El
SCHEDULE F2:
UNPAID INCURRED OBLIGATIONS
$
7•
SCHEDULE F3:
PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$
8•
El
SCHEDULE F4:
EXPENDITURES MADE BY CREDIT CARD
$
9•
SCHEDULE G:
POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
$
10•
El
SCHEDULE H:
PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH
$ ^
11.
SCHEDULE I: NON -POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
12.
SCHEDULE K:
INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED
TO FILER
$
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/Fundraising Expense
Ac oounting/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/PolRical Committee Legal Services Salades/Wages/Contract Labor Other (enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F1:
2 FILER NAME / '
3 Filer ID (Ethics Commission Filers)
; \
h I� J
4 Date
5 Payee name
6 Amount ($)
7 Payee address; City; State; Zip Code
'( �it/ Q \ 21 L d ��j
8
(a) Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
OF
EXPENDITURE
(C) Check if travel outside of Texas. Complete ScheduleT. Check if Austin, TX, officeholder living expense
9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Amount ($)
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 ScheduleT. ❑ 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 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
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
to Lpnn p0 0p Cpn vi > �
C3 Ci O O Q
*G
a.
s�
3> D 3> D 1> b
n -n -n ^n ^n ii
at @ N @
O O Q G Q ;O
WGGGrAo
00 00 0000 W w
O O
lQ: CCi tp lL> W D
A -Pb- A A -4*
(.n w vi t,n In Ln
i-A #-A N W H $-A
00; 00 00 00 00 00
0- Qom.
m
p
m m OQ OQ O
m
m
� rr�'Cr cr tr
LAw. Ln (A (A (A �.
m m m;m m m °
m''m'mmm
m m m m m m