McCaskill Semi Jan 2025CANDIDATE l OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT
COVER SHEET PG 7
1 Filer ID (Ethics Commission Filers)
2 Total pages filed:
The C/OH Instruction :Guide
explains how to complete this form.
�
3 CANDIDATE /
OFFICEHOLDER
MS I MR(I MR FIRST MI
OFFICE USE ONLY
NAME .-
- .
Date Received
NICKNAME: LAST SUFFIX
,`
ADDRESS I PO BOX', APT I SUITE #; CITY STATE, ZIP CODE
4 CANDIDATE/
OFFICEHOLDER
MAILING}
p
JAIL 0 3 20 25
ADDRESS
Change of Address
ti
OFFICE OF CITY SECRETARY
rJ CANDIDATE/
AREA CODE PHONE EXTENSION
or Date Postmarked
OFFICEPHONEHOLDER
q.NN
«�.
WandUMBER-delivered
K'
l € "0 i
MS 7 RS MR FIRST Ml
Receipt # Amount S
6 CAMPAIGN
TREASURER
NAME...
.....: , .< .......... .........:.:.....
Date Processed
NICKNAME LAST SUFFIX
{^ an
Date Imaged
7 CAMPAIGN
STREET ADDRESS (NO PO BOX. PLEASE); APT I SUITE # CITY
STATE', ZIP CODE
TREASURER
ADDRESS
Ci 4 'C5 pJ4AitZ t
40 c
(Residence or Business)
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
{ cta-
9 REPORT TYPE
/i
Eg January 15 30th day before election Runoff
1 �°`I
15th day after campaign
y 9
treasurer appointment
(Officeholder Only)
July 15 8th day before election Exceeded Modified
final Report (Attach CiOH - FIR)
Reporting Limit
10 PERIOD
Month -Day Year ..Month
Day Year
COVERED
gg p
1v `1 / I S 0 L THROUGH
11 ELECTION
ELECTION DATE
ELECTION TYPE
❑ Primary Runoff ❑ Other
:Month Day Year
Description
eneral Special
12 OFFICE
OFFICE HELD (if any)
13 OFFICE SOUGHT (if known)
14 NOTICE FROM
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES
MADE BY POLITICAL COMMITTEES TO SUPPORT '
POLITICAL
CANDIDATE i OFFICEHOLDER.. THESE EXPENDITURES MAY HAVE SEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S KNOWLEDGE OR
CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF
CONSENT.
THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE(S)
COMMITTEE TYPE.
COMMITTEE NAME
COMMITTEE ADDRESS
GENERAL
Additional Pages
COMMITTEE CAMPAIGN TREASURER NAME
SPECIFIC
-
COMMITTEE CAMPAIGN TREASURER ADDRESS
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1t112024
CANDIDATE I OFFICEHOLDER
FORM Cr®H
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
15 CIOhi NAME
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
THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
$ GGcyCO
(OTHER
EXPENDITURE
TOTALS
3 TOTAL UNITEMIZED POLITICAL EXPENDITURE.
4.TOTAL POLITICAL EXPENDITURES
$y
C
CONTRIBUTION
BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
$ '
OF REPORTING PERIOD
OUTSTANDING
LOAN TOTALS
g, TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
$ 1 H `
LAST DAY OF THE REPORTING PERIOD
w
18 SIGNATURE 1 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:
ZpRY h(�a TIIERE aA K HOWAR
�*
*O Notary Public, State of Texas
(1) Affidavit
s Notary ID#:121663-2
'h o y Commission Expires 07-31-2025
NOTARY STAMP/SEAL
Sworn to and subscribed before me by N-t ( s� 4 ' t &A- this the
day of
20 to certify which, witness my hand and seal of office.
({
I o ' axt +C
r
aJ kc
Signature of officer administering oath Printed name of officer administering oath
Title of officer administering oath
e
(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
120
(month)
(year)
Signature of Candidate/Officeholder (Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 111l2024
COVER SHEET PG 3
19
FILER NAME
20 Filer ID (Ethics Commission Filers)
21
SCHEDULE SUBTOTALS
NAME OF SCHEDULE
SUBTOTAL
AMOUNT
1
SCHEDULEAI:
MONETARY POLITICAL CONTRIBUTIONS
S(�Uo co
2
SCHEDULEA2:
NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS
$
5.
SCHEDULE FI:
POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
6 ,
SCHEDULE F2:
UNPAID INCURRED OBLIGATIONS
$
7.
F-1 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.
F-1 SCHEDULE H:
PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH
$
11
SCHEDULE 1: NON -POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
12
SCHEDULE K:
INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED
TO FILER
$
Forms provided byTexas Ethics Commission us Revised 1o/202
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.
1 Total pages Schedule Al:
1
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
I° a
4 Date
$ Full name of contributor ❑ out-of-state PAC (ID# }
7 Amount of contribution {$)
1 $ 1 il Gof 9
b1....C.q I A,4 4.T . i. ...............:
CJ C
6 Contributor address; City; State; Zip Code
8 Principal occupation J Job title (See Instructions)
g Emplayer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID#: }
Amount of contribution {$)
Contributor address; City; State; Zip Code
Principal occupation J Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID#:
Amount of contribution {$}
Contributor address; City, State; Zip Code
Principal occupation 7 Job title (See Instructions)
Employer {See Instructions}
Date
Full name of contributor ❑ out-of-state PAC (ID#. }
_,Amount of contribution ($)
Contributor address; City; State; Zip Code
Principal occupation J 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.state.tx.us Revised 1t1l2024
NON -MONETARY (IN -KIND) POLITICAL
SCHEDULE A2
CONTRIBUTIONS
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 Total pages Schedule A2:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
5 --I A k"J, C V_ \ \_ \_
4 TOTAL OF UNITEMIZED IN -KIND POLITICAL CONTRIBUTIONS
$
5 Date
6 Full name of contributor [I out-of-state PAC (ID#,
Amount of 1 9 In -kind contribution
Contribution $ f description
..........
7 Contributor address; City; State; Zip Code
OCheck if travel outside of Texas. Complete Schedule T.
10 Principal occupation / Job title (FOR NON -JUDICIAL) (See Instructions)
11 Employer (FOR NON-JUDICIAL)(See Instructions)
12 Contributor's principal occupation (FOR JUDICIAL)
13 Contributor's job title (FOR JUDICIAL) (See Instructions)
14 Contributor's employer/law firm (FOR JUDICIAL)
15 Law firm of contributor's spouse (if any) (FOR JUDICIAL)
16 If contributor is a child, law firm of parent(s) (if any) (FOR JUDICIAL)
Date
Full name of contributor E] out-of-state PAC (ID#: I
Amount of I In -kind contribution
Contribution $ i description
Contributor address; City; State; Zip Code
[:]Check if travel outside of Texas, Complete Schedule T.
Principal occupation / Job title (FOR NON -JUDICIAL) (See Instructions)
Employer (FOR NON-JUDICIAL)(See Instructions)
Contributor's principal occupation (FOR JUDICIAL)
Contributor's job title (FOR JUDICIAL) (See Instructions)
Contributor's employer/law firm (FOR JUDICIAL)
Law firm of contributor's spouse (if any) (FOR JUDICIAL)
If contributor is a child, law firm of parent(s) (if any) (FOR JUDICIAL)
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.state.tx.us Revised 1/1/2024
PLEDGED CONTRIBUTIONS SCHEDULE
If the requested information is not applicable, DO NOT include this page in the report.
1 Total pages Schedule B:g
The Instruction Guide explains how to .complete this .form.
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
I;. `A rA i .. f- 5 V,i
4 TOTAL OF UNITEMIZED PLEDGES
$
5 Date
6 Full name of pledgor ❑ out-of-state PAC (ID#: }
8 Amount ( 8 In -kind contribution
of Pledge $ description
l
7 Pledgor address; City; State, Zip Code
(
❑ Check if travel outside of Texas. Complete Schedule T.
10 Principal occupation 1 Job title (See Instructions)
11 Employer (See Instructions)
Date
Full name of pledgor ❑ out-of-state PAC (ID#: }
Amount In -kind contribution
of Pledge $ description
..............
Pledgor address; City; State; Zip Code
i
i
❑ Check if travel outside of Texas. Complete Schedule T.
Principal occupation 1 Job title (See Instructions)
Employer (See Instructions)
Date
Full name of pledgor ❑ out-of-state PAC (tD#: }
Amount of 1 In -kind contribution
Pledge $ i description
i
Pledgor address; City; State, Zip Code
[:]Check if travel outs!de of Texas. Complete Schedule T.
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of pledgor ❑ out-of-state PAC (ID#: )
Amount of ( In -kind contribution
Pledge $ description
Pledgor address; City; State; Zip Code
l
I
❑ Check if travel outside of Texas. Complete Schedule T.
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.state.tx.us Revised 1/1/2024
LOANS SCHEDULE E
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 Schedule E:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
ILq
4 TOTAL OF LINITEMIZEO LOANS
$ 4c `
5 Date of loan
7 Name of lender D out-of-state PAC (ID# )
9 Loan Amount ($)
�kA ` l
6 6 V�I i C 1 -6 \- �--
} e
........................... I. .............. ..
8 Lender address; City; State; Zip Code
6 Is lender
10 Interest rate
a financial
Institution?
4� L t -il ( t
1
11 Maturity date
12 Principal occupation 1 Job title (See Instructions)
13 Employer (See Instructions)
I a v'j
I jc
14 Description of Collateral
15
[none
if personal funds were deposited into political
El
-account (See Instructions)
account
16 :GUARANTOR"
17 Nameofguarantor
19 Amount Guaranteed($)
INFORMATION
18 Guarantor address; City; State; ...Zip Code
[2 f7ot applicable
20 Principal Occupation (See Instructions)
21 Employer (See Instructions)
Date of loan
Name of lender out-of-state PAC (ID#: }
:.........._, ...,.,.......,.. .....................
Lender address; City; State; Zip Code
Loan Amount ($)
Is lender
Interest rate
a financial
Institution?
Maturity date
Y N
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Description of Collateral
❑ Check if personal funds were deposited into political
❑ none.
account (See Instructions)
GUARANTOR
Name of guarantor
Amount Guaranteed ($)
INFORMATION
...............
Guarantor address; City; State; Zip Code
not applicable
Principal Occupation (See Instructions)
Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If lender is out-of-state PAC, please see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission vdww.ethics.state.tx.us Revised 111 /2024
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 $(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/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services SalariesANages/Contract Labor Other (enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
Total pages
Schedule Fl:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
1
5 1-1 r,s 0 - C V-
—
4 Date
$ Payee name
rv4&- 9D, 3r3,)A-1
-5 0—(
6 Amount ($)
7 Payee address;
City; State; Zip Code
14
Uok i
I
8
(a) Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSES
-P A- E,"
EXPENDITURE
(C) Check if travel outside 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
ICJ
T)(
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
OF
UA� L147
EXPENDITURE
D Check if travel outside of Texas, 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/01-1
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.
El 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 wwwethics.state.tx.us Revised 1/1/2024
UNPAID INCURRED OBLIGATIONS SCHEDULE F'2
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 10(a)
Advertising Expense Event Expense L.oanRepaymenttReimbursement .Solicitation/Fundraising Expense
Accounting/Banking Fees OfficeOverhead/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/Political Committee Legal Services :SalariesANageslContract Labor :Other (enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F2:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
4 TOTAL OF UNITEMIZED UNPAID INCURRED OBLIGATIONS
$
5 Date
6 Payee name
7 Amount ($)
S Payee address; City, State; Zip Code
9 TYPE OF
EXPENDITURE
Political Non -Political
10
(a) Category(See Categories listed at the top of this schedule)
(b) Description
PURPOSE
OF
EXPENDITURE
(C) Check if travel outside of Texas. Complete Schedule Check if Austin, TX, officeholder living expense
11 Complete ONLY if direct Candidate"/ Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Amount ($}
Payee address; City; State; Zip Code
TYPE OF
EXPENDITURE --
Political Non -Political
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
OF
EXPENDITURE
Check if travel outside of Texas. Complete Schedule 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 wwwr.ethics.state.tx.us Revised 1/1/2024
PURCHASE OF INVESTMENTS MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F3
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 Schedule 1`3:
1
2 FILER NAME
t_I ✓ r INA C t. t \-
3 Filer 1D (Ethics Commission Filers)
4 bate
5 Name of person from whom investment is purchased
6 Address of person from whom investment is purchased; City; State; Zip Code
7 Description of investment
8 Amount of investment ($)
Date
Name of person from whom investment is purchased
Address of person from wham investment is purchased; - City; State; Zip Code
Description of investment
Amount of investment ($)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1l1t2024
EXPENDITURES MADE BY CREDIT CARD
SCHEDULE F4
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX I 0(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/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services SalariesANages/Contract Labor Other (enter a category not listed above)
The Instruction Guide explains how to complete this form. USE A NEW PAGE FOR EACH CREDIT CARD ISSUER
1 TOTAL PAGES
2 FILER NAME
3 FILER to (Ethics Commission Filers)
SCHEDULE F4: I
'�-H A W 1'j )V' C rt-s Lk I
4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TO A CREDIT CARD
$
S CREDIT CARD
Name of financial institution
ISSUER
6 PAYMENT
(a) Amount Charged (b) Date Expenditure Charged (c) Date(s) Credit Card Issuer Paid
7 PAYEE
(a) Payee name
(b) Payee address; City, State, Zip Code
8 PURPOSE OF
(a) Category (see categories listed at the top of this schedule)
(b) Description
EXPENDITURE
F-1 Political
(C) Check if travel outside of Texas. Complete Schedule T. Check if Austin,. TX, officeholder living expense
1:1 Non -Political
9 Complete ONLY if direct
—benefit
Candidate / Officeholder name Office Sought Office Held
expenditure to C/OH
PAYMENT
(a) Amount Charged (b) Date Expenditure Charged (c) Date(s) Credit Card Issuer Paid
PAYEE
(a) Payee name
(b) Payee address; City, State, Zip Code
PURPOSE OF
(a) Category (see Categories listed at the top of this schedule)
(b) Description
EXPENDITURE
❑ Political
(c) 1:1 Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense
❑ Non -Political
Complete ONLY if direct
Candidate / Officeholder name Office Sought Office Held
expenditure to benefit C/OH
PAYMENT
(a) Amount Charged (b) Date Expenditure Charged (c) Date(s) Credit Card Issuer Paid
PAYEE
(a) Payee name
(b) Payee address; City, State, Zip Code
PURPOSE OF
(a) Category (see categories listed at the top of this schedule)
(b) Description
EXPENDITURE
Political
(C) 1:1 Check if travel outside of Texas, Complete Schedule T. ❑ Check if Austin, TX, officeholder living expense
Non -Political
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 viww.ethics.state.tx.us Revised 1/1/2024
POLITICAL EXPENDITURES MADE FROM
SCHEDULE G
PERSONAL FUNDS
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 GifttAwards/MemorialsExpense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salaries=ages/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 G:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
4 Date
5 Payee name
gg
6 Amount {$)
7 Payee address; City; State; Code
�Zip
peimbureementfrom
olitical contributions
intended
8
(a) Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
OF
(C3i��sSr�i
i b
EXPENDITURE
(c) Check if travel outside of Texas, Complete ScheduleT. Check if Austin TX, officeholder living expense
9 Candidate / Officeholder name Office sought Office held
Complete ONLY if direct
expenditure to benefit ClOH
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
Reimbursementfrom
politicalcontributions
intended
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
Candidate / Officeholder name Office sought Office held
Complete ONLY if direct
expenditure to benefit C/01-1
Date
Payee name
Amount {$}
Payee address; City; State; Zip Code
❑Reimbursement from
political contributions
intended
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
OF
EXPENDITURE
El Check if travel outside ofTexas. Complete Schedule T. Check if Austin, TX, officeholder living expense
Candidate t Officeholder name Office sought Office held
Complete ONLY if direct
expenditure to benefit CJOH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 111/2024
PAYMENT MADE FROM POLITICAL CONTRIBUTIONS
TO A BUSINESS OF CIOH SCHEDULE
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 GifttAwards/Memorials Expense '" Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services SalariesANages/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 H:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
$
t.-( " ! � t
4 Date
5 Business name
6 Amount {$)
7 Business address; City; State; Zip Code
8
(a) Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
OF
EXPENDITURE
(e) Check iftraveloutside ofTexas.Complete Schedule T Check if Austin, TX, officeholder living expense
9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Business name
Amount ($}
Business 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/ON
Date
Business name
Amount {$)
Business address; City; State; Zip Code
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
OF
EXPENDITURE
_
Check if travel outside of Texas. Complete Scheduler, Check if Austin, .TX. officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state,tx.us Revised 111/2424
NON -POLITICAL EXPENDITURES
MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE 1
If the requested information is not applicable; DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
9 Total pages Schedule I:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
�1 Imo( 4
4 Date
5 Payee name
6 Amount {$)
i "Payee address; City State Zip Code
8
(a)Category (Seeinstructions for examples of acceptable
(b) Description (See instructions regarding type of information
PURPOSE
categories.)
required.)
OF
EXPENDITURE
Date
Payee name
Amount {$)
Payee address; City State Zip Code
PURPOSE
Category (See instructions for examples of acceptable
Description (See instructions regarding type of information
OF
categories.)
required.)
EXPENDITURE
Date
Payee name
Amount ($)
Payee address; City State Zip Code
PURPOSE
Category (See instructions for examples of acceptable
Description (See instructions regarding type of information
OF
categories.)
required.)
EXPENDITURE
Date
Payee name
Amount ($)
Payee address; City State Zip Code
Category (See instructions for examples of acceptable
Description (See instructions regarding type of Information
PURPOSE
categories.)
required.)
OF
EXPENDITURE
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11112024
INTEREST, EREST, CREDITS, S, GAINS, REFUNDS, AND
CONTRIBUTIONS RETURNED TO FILER SCHEDULE
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
1 Total pages Schedule K:
1
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
F 4 4A rm� 4 ` � i-A 5 Jk�
4 Date
5 Name of person from whom amount is received
8 Amount ($)
6 Address of person from whom amount is received; City; State; Zip Code
7 Purpose for which amount is received Check if political contribution returned to filer
Date
Name of person from whom amount is received
Amount ($)
Address of person from whom amount is received; City; State; Zip Code
Purpose for which amount is received Check if political contribution returned to filer
Date
Name of person from whom amount is received
Amount j$}
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 111/2024
IN -KIND CONTRIBUTIONS OR POLITICAL EXPENDITURES SCHEDULE T
FOR TRAVEL OUTSIDE OF TEXAS
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 Schedule T:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
4 Name of Contributor / Corporation or Labor Organization / Pledger / Payee
5 Contribution / Expenditure reported on:
❑ Schedule A2 ❑ Schedule B ❑ Schedule B(J) ❑ Schedule C2 ❑ Schedule D ❑ Schedule F1
Schedule F2 ❑ Schedule F4 ❑ Schedule G ❑ Schedule H ❑ Schedule COH-UC ❑ Schedule B-SS
6 Dates of travel
7 Name of person(s) traveling
8 Departure city or name of departure location
Q Destination city or name of destination location
10 Means of transportation
11 Purpose of travel (including name of conference, seminar, or other event)
Name of Contributor / Corporation or Labor Organization / Pledger / Payee
Contribution /Expenditure reported on:
❑ Schedule A2 ❑ Schedule B ❑ Schedule B(J) ❑ Schedule C2 ❑ Schedule D ❑ Schedule F1
❑ Schedule F2 ❑ Schedule F4 ❑ Schedule G ❑ Schedule H ❑ Schedule CON-UC ❑ Schedule B-SS
Dates of travel
Name of person(s) traveling
Departure city or name of departure location
Destination city or name of destination location
Means of transportation
Purpose of travel (including name of conference, seminar, or other event)
Name of Contributor / Corporation or Labor Organization / Pledgor 1 Payee
Contribution / Expenditure reported on:
Schedule A2 ❑ Schedule B ❑ Schedule B(J) ❑ Schedule C2 ❑ Schedule D ❑ Schedule F1
❑ Schedule F2 ❑ Schedule F4 ❑ Schedule G ❑ Schedule H ❑ Schedule COH-UC ❑ Schedule B-SS
Dates of travel
Name of person(s) traveling
Departure city or name of departure location
Destination city or name of destination location
Means of transportation
Purpose of travel (including name of conference, seminar, or other event)
17
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2024
CANDIDATE / OFFICEHOLDER REPORT:
DESIGNATION OF FINAL REPORT FORM C/OH - FR
The Instruction Guide explains how to complete this form.
-- Complete only if "Report Type" on page 1 is marked "Final Report" •-
1 C/OH NAME
2 Filer ID (Ethics Commission Filers)
3 SIGNATURE
I do not expect any further political contributions or political expenditures in connection with my candidacy. I understand that
designating a report as a final report terminates my campaign treasurer appointment. I also understand that I may not accept any
campaign contributions or make any campaign expenditures without a campaign treasurer appointment on file.
Signature of Candidate / Officeholder
4 FILER WHO IS NOT AN OFFICEHOLDER
•• Complete A & B below only if you are not an officeholder. --
A- CAMPAIGN FUNDS
Check only one:
I do not have unexpended contributions or unexpended interest or income earned from political contributions.
I have unexpended contributions or unexpended interest or income earned from political contributions. I understand that I
may not convert unexpended political contributions or unexpended interest or income earned on political contributions to
personal use. I also understand that I must file an annual report of unexpended contributions and that I may not retain
unexpended contributions or unexpended interest or income earned on political contributions longer than six years after
filing this final report. Further, I understand that I must dispose of unexpended political contributions and unexpended
interest or income earned on political contributions in accordance with the requirements of Election Code, § 254.204.
B. ASSETS
Check only one:
F-1 I do not retain assets purchased with political contributions or interest or other income from political contributions.
I do retain assets purchased with political contributions or interest or other income from political contributions. I understand
that I may not convert assets purchased with political contributions or interest or other income from political contributions to
personal use. I also understand that I must dispose of assets purchased with political contributions in accordance with the
requirements of Election Code, § 254.204.
Signature of Candidate
5 OFFICEHOLDER
•• Complete this section only if you are an officeholder ••
0 I am aware that I remain subject to filing requirements applicable to an officeholder who does not have a campaign treasurer on
file. I am also aware that I will be required to file reports of unexpended contributions if, after filing the last required report as
an officeholder, I retain political contributions, interest or other income from political contributions, or assets purchased with
political contributions or interest or other income from political contributions.
Signature of Officeholder
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2024