Williamson Semi Jan 2024CANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT
COVER SHEET PG 1
The C/0111 Instruction Guide explains how to complete this form.
I Filer ID (Ethics Commission Filers)
2 Total pages filed:
3 CANDIDATE
OFFICEHOLDER
MIS I MRS I A9R FIRST MI
OFFICE USE ONLY
NAME
am)
If--,
L
NICKNAME LAST SUFFIX
JAN 16 2024
"ITY
LOFFICEOF
4 CANDIDATE/
OFFICEHOLDER
ADDRESS / PO BOX; APT SUITE CITY; STATE; ZIP CODE
0
MAILING
-
OF L
CITY SECRETARY
ADDRESS
0 Change of Address
5 CANDIDATE/
OFFICEHOLDER
AREA CODE PHONE NUMBER EXTENSION
DI
—' Hand -delivered or Date t marked
(
1�
Receipt #
Amount S
6 CAMPAIGN
TREASURER
MIS MR FIRST
F MI
A
Date Processed
NAME
... ....... ... ....
NICKNAME LAST SUFFIX
Date Imaged
7 CAMPAIGN
TREASURER
STREET ADDRESS (NO PO BOXPLEASE); APT 1 SUITE #: CITY;
STATE; ZIP CODE
ADDRESS
(Residence or Business)
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
9 REPORT TYPE
30th day before election Runoff
FL,],J�nuary 15 F
15th day after campaign
El
treasurer appointment
(Officeholder Only)
El July 15 El 8th day before election F-1 Exceeded Modified
Final Report (Attach C)OH - FIR)
Reporting Limit
10 PERIOD
Month Day Year Month
Day Year
COVERED
J� �7 Z, THROUGH
11 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
❑ Primary F1 Runoff El Other
Description
F-1 General El Special
12 OFFICE
OFFICE HELD (if any)
C
(if known)
cr_
14 NOTICE FROM
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT
POLITICAL
THE CANDIDATE /OFFICEHOLDER- THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDER'S KNOWLEDGE OR
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
GO-T-E-F-AQQRESS
Additional Pages
SPti
ECIFIC
COMMITTEE CAM PAI,GN,--TRt_XSURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
GO TO PAGE 2
Forms provided by Texas Ethics Commission www,ethics.state.tx,us Revised 11/15/2022
I
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
15 C/OH NAME rz,
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)
TOTALS ENDITURE
3. TOTAL UNITEMIZED POLITICAL EXPENDITURE.$
.............
4. TOTAL POLITICAL EXPENDITURES
$
CONTRIBUTION
BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
$
OUTSTANDING
LOAN TOTALS
6. 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.
Signature of Candidate or Officeholder
Please complete either option below:
`AAMY SHELLEY
'y P4,
(11 Notary Public, State of Texas
comm. Expires 12-02-2027
,fill Notary ID 124761105
INTMARY STAMP/ SEAL
Sworn to and subscribed before me by Lw"Alt this the day
of
U
to certify which, witness my hand and f
Zffi"
au
_ALA
Sign ure f fft er administering oath Prin'ted nak.�3f officer administerik oath Title fficeradministermj� �ath
(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 11/15/2022
SUBTOTALS
- C/OH FORM C/OH
COVER SHEET PG 3
19
FILER NAME
tj
20 Filer ID (Ethics Commission Filers)
21
SCHEDULE SUBTOTALS
NAME OF SCHEDULE
SUBTOTAL
AMOUNT
1.
❑ SCHEDULEA1:
MONETARY POLITICAL CONTRIBUTIONS
$
2•
SCHEDULEA2:
NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS
$
3.
SCHEDULE B:
PLEDGED CONTRIBUTIONS
$�'
4.
❑ SCHEDULE E:
LOANS
$ /y✓
5.
SCHEDULE F1:
POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
6.
SCHEDULE F2:
UNPAID INCURRED OBLIGATIONS
$
7.
❑ SCHEDULE F3:
PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$
8.
❑ 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 C/OH
$ Q�
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 11/15/2022
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 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/Memodals Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salaries/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 ME r
3 Filer ID (Ethics Commission Filers)
4 Date
5 Payee nam
6 Amount ($)
7 Payee address; City; State; Zip Code
� �
io 1)
�o l 1T,)C 7d q - --
8
(a) Category (See Categories listed at the top off%this schedule))
(b) Description
PURPOSE
OF
�(G/C �e—f
c�
EXPENDITURE
I
(c) Check iftraveloutside ofTexas.Complete Schedule T. Check if Austin, TX, officeholder living expense
9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
OF
EXPENDITURE
Check iftravel 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
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
OF
EXPENDITURE
Check if travel outside ofTexas. Complete Schedule T. Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/15/2022
INTEREST, CREDITS, GAINS, REFUNDS, AND
CONTRIBUTIONS RETURNED TO FILER SCHEDULE K
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
1 Total pages Sched le K:
2 FILER NAME A
l3-! � YID, 0i �� �'�'�L�E'�.
3 Filer ID (Ethics Commission Filers)
4 Date
5 Name of person from whom amount i received
8 Amount ($)
IV
�j
................................................................................................
6 Address of person from whom amount is received; City; State; Zip Code
s�U& C-�, 'T X J� bq -1,
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 AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/15/2022