Robbins Semi Jan 2025CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG I
............ ....... ....
The C10H Instruction Guide explains how to r-omplete Ibis form. I Filer ID (El�hks Coarmnakin Faars) 2 Total pages Fled�
3 CANDIDATE] MS / W111 r MR FIR&T
OFFICE USE ONLY
OFFICEHOLDER Randy
NAME
41f,KNAMt LAST SUFFIX
Robbins
4 CANDIDATE/ ADDRESS 1PO BOXAPT i SUITE #; WY, STATE, ZIP CODE JAN 15 2025
OFFICEHOLDER
MAILING Southlake, TX 7609: OFFICEOF CITY SECRETARY
ADDRESS
Change of Address
5 CANDIDATEI AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER
PHONE
Receipt 9
6 CAMPAIGN me MRS i MR ritlaT M11
TREASURER Tara
NAME DateProcessed
NICKNAME LAST SUFFIX
Date Imaijecl
Tate
7 CAMPAIGN d-ukr-ET ADDRESS (NO PO BOX PMEA56). APT,0 SUITE CITY: STATE° zip CODE
TREASURER
ADDRESS 1219 Whispering Ln Southlake TX 76092
(ResWence or Business)
8 CAMPAIGN AREA CODE PHONE NVMBER EXTENSION
TREASURER
PHONE 81 938-0668
9 REPORTTYPE ri IS 3Dth day befue elacton Rani 15t day star CaTicraw
treasumir apportmant
(C,ffi,orbJdv; CNAN
jua y Is E:11 ft day WWII Wi EAR adad Modidiod Final RapW (Aftsor C(OH w FR)
Repoi Liml
10 PERIOD Month Day year Month Day Year
COVERED 07/,, 16 // 24 THROUGH 01/ 15 '/,2025
11 ELECTION ELECTION DATE ELECTION TYPE
Mon0i Dar year L1 Primary 1:1 Ronafr 01h.,
Description
05 / 24 / 202,
12 OFFICE OFFICE HELD id aPO 13 OF-ICESOUG14T (ifkriowri)
Southlake City Council Place 2 Southlake City Council Place 2
14 NOTICE FROM THIS ROX tS FOR NOTICE OF POLITICAL COOT RIPUTIONS Accitpwn op PoL-mAL FXPFMDITURFS MA09 Sy POLITICAL COMMITTEES TO SUPPORT
THE CAsai OFFICE14,0i rIESEEXPEA101TUREJI MAY MVESEENNADE MTHOUr THE rAAWDATE'S OR OFFICEHOLDER$ RNOWLEDSE On
POUTICAL CONSENT CA,sue DATES ANO CWPCRH*I,0fRS Aka Af(41az lTTrl 419PONT THIS uIreRMATION ONLY IF T14EY RC-CCWt NOsjFC CC St)dH P, CK GetaTURCO,
COMMI'rrEE(S) GOWWTEE TYPE COMIi NAME, . . . ...... ..... ..............
Addink�nal Pages GENERA- COLI"r'TF F AonqFss
SrEGIFfC COMMiTTEIR CANAPAFSN TREASURxR NAME
COMWilit t;AMPAIGN MA$UkR AUVRt-SS
GO TO PAGE 2 �j
Fci providled by Texas Ethics Conirnission www,ethiBC,,*1a1e,tx,us Revised 111/2024
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
"994Mftobbins 16 Filer 10 (Ethics Commission Filers)
17 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS,, OR $ 0
CONTRIBUTIONS MADE ELECTRONICALLY)
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $0
TOTALS R
EXPENDITUE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE.
$353.23
4= TOTAL POLITICAL EXPENDITURES $ 35123
CONTRIBUTION 5� TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF REPORTING PERIOD $ 258113
..............
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ 6000
. ...... ... . ... ... .
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, 9Z
Signature of Candidate or Officeholder
Please complete either option below:
AAA 1lfYff AMY SHELLEY
-xa s f Texas
(1) Affidavit Notary Public, State J
of Texas
Comm, Expires 12-02-2027
Notary ID 124761105
NOTARY STAMP I T7
Sworn to and subscribed before me by this the day of
to certify which, witness my hand and seal Affice.
Signa re office a rninistering oath Printed nar&J officer administering oath Title of ohicer 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 Cand[date/Officeholder (Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx. us Revised 1/V2024
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•
❑
SCHEDULEA1:
MONETARY POLITICAL CONTRIBUTIONS
$ 0
2.
SCHEDULEA2:
NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS
$ 0
3.
SCHEDULE B:
PLEDGED CONTRIBUTIONS
$ 0
4.
SCHEDULE E:
LOANS
$ 0
5.
SCHEDULE F1:
POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$ 353.23
6-
❑
SCHEDULE F2:
UNPAID INCURRED OBLIGATIONS
$ 0
7-
SCHEDULE F3:
PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$ 0
$•
SCHEDULE F4:
EXPENDITURES MADE BY CREDIT CARD
$ 0
9.
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 I: NON
-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$ 0
12.
El
SCHEDULE K:
INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED
TO FILER
$ 0
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2024
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 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 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 NAME
3 Filer ID (Ethics Commission Filers)
Randy Robbins
4 Date
5 Payee name
Please see attached spreadsheet
6 Amount ($)
7 Payee address; City; State; Zip Code
8
(a) Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
OF
EXPENDITURE
(C) Check if travel outside of Texas. Complete ScheduleT. Check if Austin, TX, officeholder living expense
9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
OF
EXPENDITURE
Check iftravel outside ofTexas. 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 of Texas.CompleteScheduleT. 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 1/1/2024
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