Robbins Semi July 2024CANDIDATE OFFICEHOLDER
CAMPAIGN FINANCE REPORT
FORM CIOH
COMER SHEET PI
- --. --'I Filer It) SEEM Commission Filers)
2 Total. pages �ifed.,-. -..
®. explains h to
, yt t
'T Cy^�IOu Instruction
The YYV� ItTxSr Lf �f��i�t�t l9itl�Y Ye��'08�' f�'x? il�t' M1 complete R�fc�'! form.
3 CAN IDATE I
eta r MRS r MR FIRST Mt
I L� �ildLtf
OFFICEHOLDERt
t.Randyf�FI=I
�.
NAMEDate
D �rav
P��
RECEIVED
NICKNAME LAST SUFFIX
Robbins
4 CANDIDATE/
ADDRESS 1PIC BOX; APT 1 SUITE III. CITY-, STATE; ZIP CODE
OFFICEHOLDER
31It�I� N� 7 �?
1. 2024
MAILINGADDRESS
Change of Address
PEKE ,� SECS TAR
5CANDII ATE /
AREA CODE PHONE NUMBER EXTENSION
to HendAe mere cr
�FFICEFti;�LI�ER
PHONE
--
__-
Receipt 99 — Amount $ --
6 CAMPAIGN
MS t MRS I MR FIRST MI
TREASURER
Mrs,: Tara
NAME
.,....,.
Date Processed
NIGd NAME LAST SUFFIX,
Tate
Slate Imaged
d CAMPAIGN
STREET ADDRESS (NO PC] BOX PLEASE);- - APT 1 SLIIITE 9; -_ CITY -...-. _
STATE; ZIP CODE
F�
1219 Ln out l 76092
!"�C�RF
ADDRESS
(R4'sidenco or Business)
CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
817 ) 938-0668
REPORT TYPE
January t"S � Stith day before election � Runoff
151h day after campaignEl ,
treasurer appointment
(Officehold" Only)
FX-1 July 45 [_1 Sth day IErxa electionExceeded Modified i�
� Final Report IAttech GtCH FRI
Roporting Limit
10 PERIOD
Month Day yaw Wrath
ray Year
COVERED
1 1> 2024 07 1 .` 202
TIiIIErtJGFI !
,�
11 ELECTION
ELECTION DATE ELECTION TYPE
1:1Primary F-1 Runoff Other
M:onkh.., fray Year
Deacrlpti'on
/ 0 2024 General � Special
1[OFFICE,
OFFICEHELD (Terry) 1 OFFICE SOUGHT (if known)
Southlake Cityoui outhlake City Council
Place
14 NOTICE FROM
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT
' I-,.ITI' .I�ri.
THE GAA DIDIAT f OFFICEHOLDER,. THESE EXPENDITURES MAY HAVE SEEM MADE Vv7 FhrOUT FeW CANCN!' A TE'"u 09 OjWCE7tdCAf..VEW$ KN•C'9Y&T. EVGF OR
COMMITTEE(S)
CONSENT CANDIDATES. AND OFFICEHOLDERS ARE REQUIREDTO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE. OF SUCH EXPEND ITURE& '..
"
COMMITTEE, TYPE. COMMITTEE NAME
GENERAL_ COMMITTEE ADDRESS
Additional Pages
SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME
i
COMMITTEE CAMPAIGN TREASURER ADDRESS
GO TO PAGE 2
Forms provided by Texas Ethics Commission www,ethics, tate,tx,us
Reviised 1/112024
CANDIDATE / OFFICEHOLDER FORM CIOH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
15 C/OH NAME 16 Filer ID (Ethics Commission Filers)
17 CONTRIBUTION 1, TOTAL UNITEMiZED POLITICAL CONTRIBUTIONS (OTHER THAN
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR $ 750
CONTRIBUTIONS MADE ELECTRONICALLY)
2. TOTAL POLITICAL CONTRIBUTIONS 750
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $
EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE. 0
TOTALS $
4. TOTAL POLITICAL EXPENDITURES $ 1004.58
.............
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ 293496
BALANCE OF REPORTING PERIOD
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ 6000.00
18 SIGNATURE I swear, or affirm, under penalty of perjury, that the accompanying report i correct and includes all information
required to be reported by me under Title 15, Election Code. r,
Signature of Candidate or Officeholder
Please complete either option below:
eiecarra AMY SHELLEY
S, Notary Public, State of Texas
Comm. Expires 12-02-2027
Notary 10 124761105
Swom to and subscribed before me by 'Vd'L' this the day of 11,4—
to certify which, witness my hand and seal j office. 0
esczi
Sig to of of"e administering oath Printed n" of officer administlng oath Title oi officer administering di! 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 Ca ndidate/Officehol der (Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11112024
SUBTOTALS - C/OH
FORM C/OH
COVER
SHEET PG 3
19
FILER NAME 20 Filer ID (Ethics Commission Filers)
21
SCHEDULE SUBTOTALS
SUBTOTAL
NAME OF SCHEDULE
AMOUNT
1
SCHEDULEA1: MONETARY POLITICAL CONTRIBUTIONS
$
75U0
2,
SCHEDULE A2: NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS
$
0
3.
SCHEDULE B, PLEDGED CONTRIBUTIONS
$
0
4
El SCHEDULE E'LOANS,
$
0
5.
SCHEDULE F1 � POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
1004,58
6,
SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
$
0
7
El SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$
0
8
SCHEDULE 174: EXPENDITURES MADE BY CREDIT CARD
$
0
9.
El SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
$
0
10,
SCHEDULE H. PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH
$
0
11,
SCHEDULE L NON -POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
0
12
SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED
$
0
TO FILER
Forms provided by Texas Ethics Commission www.ethics.state.tx,us,
Revised V112024
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 ToW pages schedule Al:
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
Randy Robbins
4 Date to Full name of contributor El out-of-state PAC i1DO: B 7 Amount of contribution
Travis Franks
2/6/24 .............. * ...................................................... ...... 750M
6 Contributor address', City; State; Zip Code
680 N Carroll Ave Southlake TX 76092
8 Principal occupation I Job title (See Instructions) 9 Employer (See Instructions)
Date Full name of contributor E]out-of-swe PAC (10#: Amount of contribution (s)
Contributor address; City-, State; Zip Code
Principal occupation / Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor E] out-of-state PAC (]D#, Amount of contribution
.................. ......
Contributor addnass, city-, Statee Zip Code
Principal occupation / Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor E] out-of-state PAc (jD#: l Amount of contribution
Contributor address; City; State; Zip Code
Principal occupation / 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 stalte.tx,us Revised 111/2024
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 RepaymenVR6mburserrmnt Soficileflon/Fundraising Expense
AccounfinglBanking
Fees Office Overhead/Rental Expense Transportation Equipment& Related Expense
Consulting Expense
FoodlBeverage Expense Polling Expense Travel In District
ContribubonslCionations Made By. Gift/Awards/Memonals Expense Printing Expense Travel Out Of District
C,andidate/OfficL-holder/PoliticaI Committee Legal Services SalariesMageslContract Labor Other (enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Ft:
2 FILER NAME Filer ID, (Ethics Commission Filers)
Randy Robbins
4 Date
5 Payee name
See attached spreadsheet
6 Amount
7 Payee addres,% City; State; Zip Code
(a) Category (See Catego ries listed at the top of this schedule) (b) Description
PURPOSE
OF
EXPENDITURE
(c) Check if travel outside of Texas Complete Schedule T, Check if Austin. TX, officeholder living expense
9 Complete QNLY if direct
Candidate / Officeholder name Of sought Office held
expenditure to benefit C1QH
Date
Payee name
Amount N
Payee address', City; State; Zip Code
Category (See Caleganes listed at the top of This schedule) Description
PURPOSE
OF
EXPENDITURE
1:J Check if Waval outside ofTexasComplete S4chedulo T El Check if Austin, TX, officeholder living experlse
Complete P_M 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 ofkhi5 schedule) Description
PURPOSE
OF
EXPENDITURE
ElCheck it travel outside of Texas Complete Schedule T, Check if Austin, TX, officeholder living expense
Complete ON if direct
Candidate I Officeholder name Office sought Office held
expenditure to benefit CIOH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethjcs.state.tx.us Revised 1/112024