McCaskill Semi July 2015Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 ACCOUNT #
2 Total pages filed:
The C/OH Instruction Guide explains how to complete this form.
(Ethics commission Filers)
13
3 CANDIDATE/
MS/MRS/MR FIRST MI
OFFICE USE ONLY
OFFICEHOLDER
'5 V'), 0.NAME
Date Received RECV EJ
NICKNAME LAST SUFFIX
(✓� c C /� � tf I L L
JR 1 F 2015
4 CANDIDATE /
ADDRESS /PO BOX, APT/SUITE#, CITY, STATE, ZIPCODE
OFFICEHOLDER
MAILING.
ADDRESS
(�u I (� ✓I:+ -c f'u�rC� bo t i"i i ��V x
Date Hand -delivered or Postmarked
OFFICE OF CITY SECRETA
❑ change of address
�V v `�
Receipt #Amount
5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER
Date Processed
PHONE
( b 11 ) `6 1 �" -9 'T4 , I
6 CAMPAIGN
MS/MRS/MR FIRST MI Date Imaged
TREASURER
(14X�� i �.-/L
'3 ..
NAME
. . . . . . . . . . . . . . . . . . .
NICKNAME LAST SUFFIX
V �C111Q `L11�✓—lL\--
7 CAMPAIGN
STREETADDRESS (NO PO BOX PLEASE), APT/SUITE#, CITY, STATE, ZIPCODE
TREASURER
ADDRESS
(residence or business)
G - U \ 4- �C� u
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
9 REPORT TYPE
n
❑ January 15 ❑ 30th day before election Runoff15th day after campaign
P 9
treasurer appointment
(officeholder only)
dJuly 15 ❑ 8th day before election Exceeded $500 Final report (Attach C/OH - FR)
limit
10 PERIOD
Month Day Year Mort, Day Year
COVERED
I _ THROUGH
_j i., / I S / I I
11 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
❑ Prima 0' � Runotf General � Special
c.�
12 OFFICE
OFFICE HELD (ifany)
13 OFFICE SOUGHT (if known)
L
GO TOPAGE 2
www.ethics.state.tx.us Revised 07/28/2014
1'•5u
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
CANDIDATE / OFFICEHOLDER REPORT: FORM C/OH
SUPPORT & TOTALS COVER SHEET PG 2
14 C/OH NAME
15 ACCOUNT # (Ethics Commission Filers)
�j!-7dtW 11 I,/1 ` L/h --,>VL-
16
16 NOTICE FROM
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT THE
POLITICAL
CANDIDATE / OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S KNOWLEDGE OR
COMMITTEE (S)
CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECENE NOTICE OF SUCH EXPENDITURES.
COMMITTEE NAME
COMMITTEE TYPE
F--] GENERAL
COMMITTEE ADDRESS
SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
❑ additional pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION
1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
TOTALS
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
2. TOTAL POLITICAL CONTRIBUTIONS
QQ _
W
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
7 U v
EXPENDITURE
TOTALS
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES
$ ( -j �60
CONTRIBUTION
BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
$
OF REPORTING PERIOD
L4UU --j
OUTSTANDING
LOAN TOTALS
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD
_
18 AFFIDAVIT
I swear, or affirm, under penalty of perjury, that the accompanying report
4 is true and correct and includes all information required to be reported by
BRANDI HARRIS GARLOCK me under Title 15, Election Code.
';: Notary Public, State cf Texas
�.'•;�d
My CommissionExpires /
AUguST 10, 201 b
;S;,a•
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP / SEAL ABOVE
Sworn to and subscribed before me, by the said I -i ✓� v_I 'I iv! V_ f �` this the
1,; P',' day of �ie.�� —� 205 to certify which, witness my hand and seal of office.
A\Wga ��� iln.�c. `c a.r.�, moths C iIo'-L
Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath
www. et h ics. state. tx. u s Revised 07/28/2014
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
POLITICAL CONTRIBUTIONS
SCHEDULE A
OTHER THAN PLEDGES OR LOANS
The Instruction Guide explains how to complete this form.
1 Total pages Schedule A:
( 0f-- I
2 FILER NAME
3 ACCOUNT # (Ethics Commission Filers)
t_� V2, w C vc ;
4 Date
5 Full name of contributor ❑ out-of-state PAC (ID#: )
7 Amount of g In-kind contribution
contribution ($) description (if applicable)
I
6 Contributor address; City; State; Zip Code
,5 CSU
u W NO & M- t Cr l li o �L ✓� .i v ,z
5k t z I U0
S U U- I -t t—,� k I � `> v c3
(If travel outside of Texas, complete Schedule T)
9 Principal occupation / Job title (See Instructions)
10 Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of I In-kind contribution
contribution ($) I description (if applicable)
Contributor address; City; State; Zip Code
If travel outside of Texas, complete Schedule T
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-statePAC(ID#: )
Amount of I In-kind contribution
contribution ($) I description (if applicable)
Contributor address; City; State; Zip Code
(If travel outside of Texas, complete Schedule T)
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-statePAC (ID#: )
Amount of I In-kind contribution
contribution ($) I description (if applicable)
Contributor address; City; State; Zip Code
If travel outside of Texas complete Schedule
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC(ID#: )
Amount of In-kind contribution
contribution ($) I description (if applicable)
Contributor address; City; State; Zip Code
If travel outside of Texas, complete Schedule
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 foradditional reporting requirements.
www.ethics.state.tx.us Revised 07/28/2014
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) ,
PLEDGED CONTRIBUTIONS SCHEDULE B
N j
The Instruction Guide explains how to complete this form.
1 Total pages Schedule B:l
1 04-
2 FILER NAME
3 ACCOUNT # (Ethics Commission Filers)
4 TOTAL OF UNITEMIZED PLEDGES: b
$
5 Date
6 Full name of pledgor ❑ out-of-state PAC(ID#: )
g Amount of 19 In-kind description
pledge ($) (if applicable)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7 Pledgor address; City; State, Zip Code
(If travel outside of Texas, complete Schedule T)
10 Principal occupation / Job title (See Instructions)
11 Employer (See Instructions)
Date
Full name of pledgor ❑ out-of-state PAC (ID#: )
Amount of I In-kind description
pledge ($) I (if applicable)
Pledgor address; City; State; Zip Code
(If travel outside 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 I In-kind description
pledge ($) (if applicable)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Pledgor address; City; State; Zip Code
(If travel outside of Texas, complete Schedule T)
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of pledgor ❑ out-of-state PAC (ID#: )
Amount of I In-kind description
pledge ($) (if applicable)
Pledgor address; City; State; Zip Code
(If travel outside 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 I In-kind description
pledge ($) I (if applicable)
Pledgor address; City; State; Zip Code
(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.
www.ethics.state.tx.us Revised 07/28/2014
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
LOANS SCHEDULE E
The Instruction Guide explains how to complete this form.
1 Total pages Schedule E:
k 0,4::-
2 FILER NAME
3 ACCOUNT # (Ethics Commission Filers)
S.-1 � w rJ I✓� � C;�-S � 1 L �--
4
TOTAL OF UNITEMIZED LOANS: C* b E b b
$
5 Date of loan
7 Name of lender ❑ out-of-state PAC (ID#:
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8 Lender address; City, State; Zip Code
9 Loan Amount ($)
6 Is lender
10 Interest rate
a financial
Institution?
11 Maturity date
Y N
12 Principal occupation / Job title (See Instructions)
13 Employer (See Instructions)
14 Description of Collateral
15 Check if personal funds were deposited into political account
❑ none
❑
16 GUARANTOR
17 Nameofguarantor
19 Amount Guaranteed($)
INFORMATION
18 Guarantor address; City; State; Zip Code
❑ not 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 ($)
Is lender
Interest rate
a financial
Institution?
Maturity date
Y N
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Description of Collateral
Check if personal funds were deposited into political account
❑ none
❑
GUARANTOR
Name of guarantor
Amount Guaranteed ($)
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.
www.ethics.state.tx.us Revised 07/28/2014
texas=inkst.,ommission r.U.box ]Zulu Austin, texas /8/11-2utu (512)463-5800 (TDD1-800-735-2989)
POLITICAL EXPENDITURES SCHEDULE F
Date Payee name
f0t--�--1 L9 (-�C-r- 1 C - f --)r'—
Amount ($) Payee address; City; State; Zip Code
5g -y3 lyl5 W(�- /' —I '�,?r--�-tC--' 1�- A
I
PURPOSE Category (See categories listed at the top of this schedule)
OF
EXPENDITURE
Complete ONLY if direct Candidate / Officeholder name
expenditure to benefit C/OH
Date
I`ll A- -i `6 j
Amount ($)
ILS3 .^t
PURPOSE
OF
EXPENDITURE
Complete ONLY if direct
expenditure to benefit C/OH
Date
If 1 tA— I --I
Amount ($) 1
i,;9--09
Payee name
IZ� , ✓� j , _ i u nit i3
Payee address; City; State; Zip Code
10 U (til E - —, L TiL-ia Lk E- � L - '-j i
Category (See categories listed at the top of this schedule)
C-C)U,-) 1 6LJ r. lL/k G- E-,c-eE 1 E-
Candidate / Officeholder name
PURPOSE
OF
EXPENDITURE
Complete ONLY if direct
expenditure to benefit C/OH
Payee name
LUST �O
Payee address; City; State, Zip Code
3U�')I ;- A-:, 1-Szr*;-i- Nw-I i 1y
r
Category (See categories listed at the top of this schedule)
F-C.uo � %
Candidate / Officeholder name
h c- ><, i � -- (S u S3
Description (if travel outside of Texas, complete Schedule T)
><✓-6r%.-S
Check ifAustin, TX, officeholder IhAng expense
Office sought Office held
Description (If travel outside of Texas, complete Schedule T)
E ii -Z C- I \ 0 tJ -(
Check ifAustin, TX, officeholder living expense
Office sought Office held
uA LA I �-_ k/arS --I (Sz C a
Description (If travel outside of Texas, complete Schedule T)
I -CC 'i l : kJ od4
0 Check if Austin, TX, officeholder living expense
Office sought Office held
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED - - -
www.ethics.state.tx.us Revised 07/28/2014
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense
Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking
Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense
Consulting Expense
Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense
Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees
Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F:
2 FILER NAME
3 ACCOUNT # (Ethics Commission Filers)
4 Date
5 Payee name
6 Amount ($)
7 Payee address; City; State; Zip Code
r CEJ
-D4 U S 0 Ul —1i l c)0 �� F;;, Lt rJ U7Z) rJ T� 7�✓� �j l U "t j
i t
8 PURPOSE
(a) Category (See categories listed at the top of this schedule)
(b) Description (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
�-() J �L I l S I N(� `=Y-i�(L 1f� r�
(:;,A"H t C, 5 �U`� (o S j C
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
f0t--�--1 L9 (-�C-r- 1 C - f --)r'—
Amount ($) Payee address; City; State; Zip Code
5g -y3 lyl5 W(�- /' —I '�,?r--�-tC--' 1�- A
I
PURPOSE Category (See categories listed at the top of this schedule)
OF
EXPENDITURE
Complete ONLY if direct Candidate / Officeholder name
expenditure to benefit C/OH
Date
I`ll A- -i `6 j
Amount ($)
ILS3 .^t
PURPOSE
OF
EXPENDITURE
Complete ONLY if direct
expenditure to benefit C/OH
Date
If 1 tA— I --I
Amount ($) 1
i,;9--09
Payee name
IZ� , ✓� j , _ i u nit i3
Payee address; City; State; Zip Code
10 U (til E - —, L TiL-ia Lk E- � L - '-j i
Category (See categories listed at the top of this schedule)
C-C)U,-) 1 6LJ r. lL/k G- E-,c-eE 1 E-
Candidate / Officeholder name
PURPOSE
OF
EXPENDITURE
Complete ONLY if direct
expenditure to benefit C/OH
Payee name
LUST �O
Payee address; City; State, Zip Code
3U�')I ;- A-:, 1-Szr*;-i- Nw-I i 1y
r
Category (See categories listed at the top of this schedule)
F-C.uo � %
Candidate / Officeholder name
h c- ><, i � -- (S u S3
Description (if travel outside of Texas, complete Schedule T)
><✓-6r%.-S
Check ifAustin, TX, officeholder IhAng expense
Office sought Office held
Description (If travel outside of Texas, complete Schedule T)
E ii -Z C- I \ 0 tJ -(
Check ifAustin, TX, officeholder living expense
Office sought Office held
uA LA I �-_ k/arS --I (Sz C a
Description (If travel outside of Texas, complete Schedule T)
I -CC 'i l : kJ od4
0 Check if Austin, TX, officeholder living expense
Office sought Office held
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED - - -
www.ethics.state.tx.us Revised 07/28/2014
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
POLITICAL EXPENDITURES SCHEDULE F
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment 8 Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F:
2 FILER NAME
3 ACCOUNT # (Ethics Commission Filers)
U� a
S1 1/_�_Wry 10 c CJa ✓�t l
4 Date
5 Payee name
0 9
: i T�4i_ 15 to Ct,(-
6 ($)
7 Payee address; City; State; Zip Code
/Amount
lJ -31
C 0 U_s C-6 1 SO � I I --k L✓ -G (l L (� _ ��% I Gj
8 PURPOSE
(a) Category (See categories listed at the top of this schedule)
(b) Description (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE=L-C--
F vc.J j) I —V r-- (LOQZ
-C-i
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
r!I ✓k l i t U 1 j
7 4 I r 1 W r_1 L. O� U' l_ /4 N) C (/� S V
Amount ($)
Payee address; City; State; Zip Code
�U�o• Cv
L" uI P'-� Tc>-/l✓,C e"I' Du ittL✓AV.iL ✓+-� 'jh v 3
,Z
PURPOSE
Category (See categories listed at the top of this schedule)
Description (If travel outside of Texas, complete Schedule T)
OF EXPENDITURE
L `"� i�J (t � -{ f✓1 F_, i
l OVA�v J( i=.(/� `( f-'t'L" i
Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
C va j IV ( L
Amount ($)
Payee address; City; State; Zip Code
b C i PU -1 -6 1-1 rl�- C ��L A- C r-- S o V f I-( L ! } T�F )(-(\ 7 0`11':
( t
Category (See categories listed at the top of this schedule)
Description (If travel outside of Texas, complete Schedule T)
PURPOSE
L_ GY�,nl (( E. It" l\/i )e_N I
EXPENDITURE
L- CYIJ Y(- j�rl-� N1.�jV (
ll Check if Austin, TX, officeholder li\ting expense .
Complete ONLY if direct Candidate /Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Amount ($)
Payee address; City; State, Zip Code
Category (See categories listed at the top of this schedule)
Description (If travel outside of Texas, complete Schedule T)
PURPOSE
OF
EXPENDITURE
Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www. et h ics. state. tx. us Revised 07/28/2014
Texas Ethics Commission P.O. Box 12070 Austin. Texas 78711-2070 (512)463-5800 (Tnn 1-8nn-7'15-9gRg1
POLITICAL EXPENDITURES
SCHEDULE G
MADE FROM PERSONAL FUNDS N /
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule G:
2 FILER NAME
3 ACCOUNT # (Ethics Commission Filers)
(
5t-i(3,W "\ 0 c C'--�'5 Kt L'-
4 Date
5 Payee name
6 Amount ($)
7 Payee address; City; State; Zip Code
from
❑Reimbursement
political contributions
intended
8 PURPOSE
(a) Category (See categories listed at the top of this schedule)
(b) Description (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Check if Austin. TX, office holder living expense
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
from
❑Reimbursement
political contributions
intended
PURPOSE
Category (See categories listed at the top of this schedule)
Description (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Check if Austin, TX, officeholder living expense
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
from
❑Reimbursement
political contributions
intended
PURPOSE
Category (See categories listed at the top of this schedule)
Description (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Check if Austin, TX, officeholder living expense
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
from
❑Reimbursement
political contributions
intended
PURPOSE
Category (See categories listed at the top of this schedule)
Description (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Check if Austin, TX, officeholder living expense
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 07/28/2014
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
PAYMENT FROM POLITICAL CONTRIBUTIONS
SCHEDULE H
TO A BUSINESS OF C/OH
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule H:
2 FILER NAME
3 ACCOUNT # (Ethics Commission Filers)
t II
�h 0 f CKI�(✓
""j"�
4 Date
5 Business name
6 Amount ($)
7 Business address; City; State; Zip Code
8 PURPOSE
(a) Category (See categories listed at the top of this schedule)
(b) Description (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
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 ($)
Business address; City; State; Zip Code
PURPOSE
Category (See categories listed at the top of this schedule)
Description (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Business name
Amount ($)
Business address; City; State; Zip Code
PURPOSE
Category (See categories listed at the top of this schedule)
Description (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Business name
Amount ($)
Business address; City; State; Zip Code
PURPOSE
Category (See categories listed at the top of this schedule)
Description (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 07/28/2014
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 . (TDD 1-800-735-2989)
NON-POLITICAL EXPENDITURES
SCHEDULE
MADE FROM POLITICAL CONTRIBUTIONS
0 �"A
The Instruction Guide explains how to complete this form.
1 Total pages Schedule I:
2 FILER NAME
3 ACCOUNT # (Ethics Commission Filers)
I of-- \
SH(�tn} "1 0
4 Date
5 Payee name
6 Amount ($)
7 Payee address; City; State; Zip Code
8 PURPOSE
(a)Category (See instructions for examples of acceptable
(b)Description (See instructions regarding type of information
OF
categories)
required.)
EXPENDITURE
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
PURPOSE
(a) Category (See instructions for examples of acceptable
(b)Description (See instructions regarding type of information
OF
categories)
required )
EXPENDITURE
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
PURPOSE
(a) Category (See instructions for examples of acceptable
(b) Description (See instructions regarding type of information
OF
categories)
required.)
EXPENDITURE
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
PURPOSE
(a) Category (See instructions for examples of acceptable
(b) Description (See instructions regarding type of information
OF
categories)
required.)
EXPENDITURE
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www. ethics. state. tx. us Revised 07/28/2014
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
INTEREST EARNED, OTHER CREDITS/GAINS/
SCHEDULE K
REFUNDS, AND PURCHASE OF INVESTMENTS
The Instruction Guide explains how to complete this form.
1 Total pages Schedule K:
� cry l
2 FILER NAME
3 ACCOUNT # (Ethics Commission Filers)
S 1-I ✓mow rel 1N\ C C V-� '� bC 1 L\-
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
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
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
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
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 07/28/2014
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
IN-KIND CONTRIBUTION OR POLITICAL EXPENDITURE SCHEDULE T
FOR TRAVEL OUTSIDE OF TEXAS r� 1
The Instruction Guide explains how to complete this form.
1 Total pages Schedule T:
2 FILER NAME
S F-1 ✓-� "J "i rA C C ✓a S IL. A
3 ACCOUNT # (Ethics Commission Filers)
4 Name of Contributor/ Corporation or Labor Organization/ Pledgor /Payee
5 Contribution / Expenditure reported on:
❑ Schedule A ❑ Schedule B ❑ Schedule C ❑ Schedule D ❑ Schedule F ❑ Schedule G
❑ Schedule H ❑ Schedule N ❑ COH-UC ❑ COH-T ❑ PAC -C ❑ PAC -E
6 Dates of travel
7 Name of person(s) traveling
8 Departure city or name of departure location
9 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 / Pledgor / Payee
Contribution / Expenditure reported on:
❑ Schedule A ❑ Schedule B ❑ Schedule C ❑ Schedule D ❑ Schedule F ❑ Schedule G
❑ Schedule H ❑ Schedule N ❑ COH-UC ❑ COH-T ❑ PAC -C ❑ PAC -E
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 / Payee
Contribution / Expenditure reported on:
❑ Schedule A ❑ Schedule B ❑ Schedule C ❑ Schedule D ❑ Schedule F ❑ Schedule G
❑ Schedule H ❑ Schedule N ❑ COH-UC ❑ COH-T ❑ PAC -C ❑ PAC -E
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)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 07/28/2014
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
CANDIDATE/ OFFICEHOLDER REPORT:
FORM C/OH - FR
DESIGNATION OF FINAL REPORT
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 ACCOUNT # (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:
0 I do not have unexpended contributions or unexpended interest or income earned from political contributions.
71 1 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:
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 orother income from political contributions, or assets purchased with political
contributions or interest or other income from political contributions.
Signature of Officeholder
www. ethics. state. tx. us Revised 07/28/2014