Robbins Semi Jan 2023CANDIDATE / OFFICEHOLDER FORMl H
CAMPAIGNCOVER FE E
.... ....... ............ .... .... _ ... ........... ...-
The C/OH Instruction Guide explains how to complete this form. � 1 Filer ID (ethics Cmnrission Filers} 2 Total pages filed_
..
3 C.ANDIDATE / MS i MRS I MR 2ST Mt
OFFICEHOLDER � LiEE10E�US��ONLY
__..
NAME ................
4of f Receisedi ti �.
NICKNAME 4A4T StIFf tX
4 CANDIDATE / ADDRESS 1 PO B . APT/ SUITE CITY, STATE; ZIP CODE
OFFICEHOLDER d
�CITY E� i"Ad �
6 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
Oat! N nd-de iveree nr C aCe o"frti!It�e'Ii '. _
OFFICEHOLDER PHONE
Aniaurri S
6 CAMPAIGN MS t MRS ' MR FIRST MI
TREASURER
NAME Date Processed „
NICKNAME LAST SUFFIX _.. _ __...-------
Date Imaged
7 CAMPAIGN STREFIADDRESS (NO PO BOX PLEASE=,). APT ,I SOITE 4, (� CITY: S�TAIE; ZIP CODE-yr
TREASURERADDRESS
(Residence or Bosine=ss)
CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
9 REPORT TYPE SCtT day before election C rFo 15th day after campaign
nJantarY 15 untreasurer appointment
(Officeholder Only)
Arty 15 BUT day before election Exceeded Modified Final Report Attach CIOH • FR)
y �. Reporting Lunit p
_. _,_ .. _... ....,..., „_ __..._. __.. _ -. ....,..-.._ ..... _., .. , .. _..... _.. _ . ._. - . _. -._._
10 PERIOD Month Clay Year Month Day Year
COVERED
1. c2 TIIROUGFf j !l -1-3
11 ELECTION ELECTION DATE: ELECTION TYPE
ii (_`�
Month Clay Year primary El Runoff Other
Description
or r %General 0 special
j.._- w... .._ ------
_ _..
12 OFFICE OFF CC FIELD (if any} � 13 OFFiC,E SOUGH1" (ifknot n)
14 NOTICE FROM THIS BOX I FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEP1E0 OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT
POLITICAL THE CANDIDATE 1 OFFICEHOLDER. THESE EXPENODRI ES MAY HAVE BEEN MADE MTHOUt rHE CANO10ATE'S OR OFFICEHt7C DER'S KNOWLEDGE OR
CONSENT. CANDIDATES AND OFFICE14OLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF 1114EY RECEIVE NOTICE OF SUCH EXPENDITURES.
CCIMMITTF_E(S)
COMMITTEE TYPE COMMITTEE NAME
GERFRAL COMMIT EE ADDRESS
Additional Pages
i .. SPECIFIC, m COMMIFTEE CAMPAIGN TREASURER NAME
COMMIT "I'ED CAMPAIGN TREASURER ADDRESS
O TO PACE
Farms provided by Texas Ethics Commission wwwothics, state tx us Revised 11/15/2022
CANDIDATE / OFFICEHOLDER �FORM C/OH
CAMPAIGNi COVERSHEET PG
16 C1C7Ci NAME 16 Filer ID (Ethics Commission Filers)
....... w ,._ ._ ..m ._.. ., w. _..... w. _ .._..._. _.. _........ ..................... ._ �..._._
17 CONTRIBUTION 1. TOTAL UNITEMIZLU POLITICAL CONTRIBUTIONS (OTHER THAN I
TOTALS PLEDGES. LOANS, OR GUARANTEES OF LOANS, OR � v
CONTRIBUTIONS MADE ELECTRONICALLY)
i
2. TOTAL € OLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) I
... EXPEEC�NDIT"UCREv
3 TOTAL UNITEiMIZED POLITICAL EXPENDITURE,
TOTALS
4.
TOTAL POLITICAL EXPENDITURES f
CONTRIBUT"ION
5.
TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
(^ ) }
BALANCE
OF REPORTING PERIOD
OUTSTANDING
5.
TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF- THE
LOAN TOTALS
LAST DAY OF "THE REPORTING PERIOD
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18 SIGNATURE
I swear,
or affirm, under penalty of perjury, that the accompanying report is tru id correct and includes all information
required
to be reported by me under Title 15 Election Code.
Signature of Candidate or Officeholder
Eli
AMY SHELLEY
Notary Public, State of Texas
(1)Affidavit Camm. Expires 12-02-2023
Notary ID 12476110
NOTARY STAMP SISAL
Sworn to and subscribed before me by .__. _ w. _._ j ._:._ .__ _.._ ...___. this the _ ...... . any of _- :..._._
"to certify which, witness my hand or�seral of of irce. A � e
, and my date of birth is
(street) (city) (state) (zip code) (country)
County, State of _ ...._.. .._._.._.. on the ____ day of _........ _ _ 20.._M._ __ ,
(month) (year)
Signature of Candidate/CTfficeholder (Declarant)
Forrtas provided by Texas Ethics Commission www.othics,state.tx,uS Revised 11/15a/2022
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 RepaynneriVReIrnbursernent Solicitation/Ftindralsing Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense
Consulting Expense FoodlBeverage Expense Polling Expense Travel In District
ContilbUtIonslDonations Made By Gifir/Awards,'Mentorrals Expense Printing Expense Travel Out Of District
Catididate/Offleeholder[r)ollticaI Coninilttee Legal Services SalariesANtages/Contract Labor Other (enter a category not Ilsted above)
Credit Card Payment The Instruction Uui a explains how to complete this form,
I or Irk(Ethic s C ornna is st on Filers)
1 Total pages Schedule Fl, 2 FILE
Date 5 Payee narne,
6 Amount 7 Payee address State, Zip Code
(a) Category (See Categories listed at trip top of this schedule) (b) Description
PURPOSE
OF
EXPENDITURE
Check it travel outside of Texas Complete Schodule'r. Check if Austin, TX officeholder living expense
- - --------- — ------------
9 Complete Q_Nt_Y if direct Candidate / Officeholder name Office sought Office, held
expenditure to benefit C/0H
--------------
Date Payee name
....... .. . ..... .. ............ -"" . .....
Annount Payee address; City, State; Zip Code
... .... ..............
Category (See Categories listed at the top of this schedule) I Description
PURPOSE
OF
EXPENDITURE
Ty Check if travel outside of Texas Complete Schedule T Check if Auefin, FX, officeholder living expense
Complete QWY if direct Candidate / Offiroeholder name Office sought Office held
expenditure to benefit C/014
77— --1---'-----'--
Date Payee narne
------------ - ---- ------------- --- -- -----
Amount Payee address; City; State; Zip Code
11-11-----"",-,-",,-",-"-,-,,,,---"-,--, -11-1111----11"---.' --l- - ---r . -'- -------- --
Category (See Categories listed at the top of this schedule) Description
P P RO U OF
SE
EXPENDITURE
Check if travel ourside of Texas Complete Schedule I Check if Austin, TX, officeholder living expense
Complete QtgLy if direct Candidate / Officeholder name Office Sought Office held
expenditure to benefit CIOH
......... ...... . .. ---- ------ .... . ......
---- - ------ .... . . ....
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission VVWW,01TdCS State,b(AIS Revised 11115/2022
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