P.O. Box Austin, Texas ADDRESS /PC BOX; APT tsuite#; CITY; STATE; ZIP CODE MS / MRS / MR FIRST M1 NICKNAME LAST SUFFIX

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1 TexasEthcs Commsson P.O. Box Austn, Texas CANDDATE OFFCEHOLDER CAMPAGN FNANCE REPORT The CJOH nstructon Gude explans how to complete ths form. ACCOUNT # (Ethcs Commsson Flers) (512) (TDD ) FORM COH COVER SHEET PG 1 Total pages fled: 6-3 CANDDATE OFFCEHOLDER NAME MS MRS MR FRST Mt NCKNAME LAST Receved OFFCE USE ONLY?..5",- Ze zÿ 4 CANDDATE OFFCEHOLDER MALNG ADDRESS [] change of address 5 CANDDATE OFFCEHOLDER PHONE 6 CAMPAGN TREASURER NAME ADDRESS PC BOX; APT tsute#; CTY; STATE; ZP CODE AREA CODE PHONE NUMBER EXTENSON MS MRS MR FRST M1 NCKNAME LAST SUFFX Data Hand-delvered or Postmarked Recept # ]Amount Processed maged 7 CAMPAGN TREASURER ADDRESS (resdence or busness) STREET ADDRESS (NO PO BOX PLEASE); APT SUTE #; CTY; STATE; ZP CODE 8 CAMPAGN TREASURER PHONE 9 REPORT TYPE EXTENSON AREA CODE. PHONE NUMBER 3 o 0'!- aooary,5 [] 3oth day De,ore e,ec.eo [] Rune. [] 15tb day after campagn treasurer appontment (offceholder only) --ÿ July 15 [] 8th day before electon [ÿ Exceeded $500 ÿ1 report (Attach COH-FR) lmt 10 PEROD COVERED -- ÿ " Month rÿ Year Month Day Year T. OO. 02 lot ) z. ELECTON ELECTON DATE Month Day Year ELECTON TYPE ÿ.ÿgene Prmary Lÿ Runoff ra, ÿ Spatal OFFCE OFFCE HELD (f any) '13 OFFCESOUGHT (f known) ;p GO TO PAGE 2 Revsed 0928!2011

2 exas Ethcs Commsson P.O. Box Austn, Texas CANDDATE OFFCEHOLDER REPORT: SUPPORT & TOTALS (512) (TDD ) FORM COH COVER SHEET PG 2 14 COld NAME t5 ACCOUNT # (Ethcs Commsson Flets) 16 NOTCE FROM" POLTCAL COMMTTEE(S) THS BOX S FOR NO]CE OF POLll]CAL CONTRBUTONS ACCEPTED OR POLll]CAL EXPENDTURES MADE BY POLTCAL COMMTTEES TO SUPPORT TrlE CANDDATE]OFFCEHOLDER, TLESE EXPENDTUREs MAY HAvE BEEN MADE WTHOUT THE canddateÿs OR OFFCEHOLDERzS KNOWLEDGE OR CONSENT, CANDDAT[[S AND OFFCEHOLDERS ARE REQURED TO REPORT THS NFORMATON ONLY F THEY RECEVE-" NOTCE OF SUCH EXPENDTURES. COMMTTEE TYPE COMMTTEE NAME [ÿ GENERAL [ÿ SPECFC COMMTTEE ADDRESS COMMTTEE CAMPAGN TREASURER NAME ] addtonal pages COMMTTEE CAMPAGN TREASURER ADDRESS 17 CONTRBUTON TOTALS 1, TOTAL POLTCAL CONTRBUTONS OF $50 OR LESS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS TEMZED 2, TOTAL POLTCAL CONTRBUTONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) s ZO.. J-6 EXPENDTURE TOTALS 3, TOTAL POLTCAL EXPENDTURES OF $100 OR LESS, UNLESS TEMZED s 4, TOTAL POLTCAL EXPENDTURES $ "zl L CONTRBUTON BALANCE 5, TOTAL POLTCAL CONTRBUTONS MANTANED AS OF THE LAST DAY OF REPORTNG PEROD $ 0 OUTSTANDNG LOAN TOTALS 6, TOTAL PRtNCPALAMOUNT OF ALL OUTSTANDNG LOANS AS OF THE LAST DAY OF THE REPORTNG PEROD $ 0 18 AFFDAVT {:;?< CYNTHA D!AN[ KAPLAN Aÿ Otay Pubc %#ÿte of 7e:.-ÿs ;:,,# MY Comm ss off Exp ÿes {ÿ'ÿ# D Gemb ÿ 28 20t 2 swear, or affrm, under penalty of perjury, that the accompanyng report s true and correct and ncludes all nformaton requred to be reported by me under Tÿle 15, Electon Code. Sgnature of Canddate or Offceholder AFFX NOTARY STAMP SEALABOVE Sworn to and subscrbed before me, by the sad Gk +t ths the dÿ'-') day of (D:ÿ-) ÿ,.# 20 ÿ., to certfy whch, wtness my hand and seal of offce. d nlsterln " g ÿl tednarnÿoÿoffceradmlnlsten '7... Tÿ.oofomÿradÿnÿt<ÿ!ÿ lg Bath oaÿh state.tx, us Revsed

3 Texas Ethcs Commsson P.O. Box Austn, Texas POLTCAL CONTRBUTONS OTHER THAN PLEDGES OR LOANS (512) (TDD SCHEDULE A FLER NAME The nstructon Gude explans how to complete ths form. Total pages ScheduleA: } 3 ACCOUNT # (Ethcs Commsson Flers) 4 5 Full name of contrbutor [] out-of-state PAC(D#: ) 6" Contrbutor address';" 'C;ty; tsÿ'ate;' Zp Code... 5 v 9 Prncpal occupaton Job ttle (See nstructons) 10 Employer (See nstructons) 7 Amountof 8 n-knd contrbuton contrbuton ($) descrpton (f applcable) 'hq.oo (f travel outsde of Texas, complete Schedule T) Full name of contrbutor [] out-of-state PAC (113#: ) Contrbutor address; Amount of J contrbuton ($) j n-knd contrbuton descrpton (f applcable) Prncpal occupaton Job ttle (See nstructons) Employer (See nstructons) (00. t (f travel outsde of Texas, complete Schedule T) Fÿ[ name of contrlÿatoÿr [] out-of-state PAC(D#: ) ' C;nt'dtÿut;r'address;' " Ct); Stat; "p Amount of J contrbuton ($) j n-knd contrbuton descrpton (f applcable) Prncpal occupaton Job ttle (See nstructons) Employer (See nstructons) (f travel outsde of Texas, complete Schedule T) Full name of contrbutor [] out-of-state PAC(D#: ) : Contrbutoraddresÿ;Oty; State] Zp Cod ÿÿÿ Amount of J n-knd contrbuton contrbutor) ($) descrpton (f applcable) Prncpal occupaton Job ttle (See nstructons) Employer (See nstructons) (f travel outsde of Texas, complete Schedule T) Full name of contrbutor [] out-of-state PAC(D#: Amount of n-knd contrbuton Contrbutor address; 'ÿlÿÿ<f applcable) (f travel outsde of Texas, complete Schedule T) p rnÿÿÿ'ee nstructons) ATTACH ADDTONAL COPES OF THS SCHEDULE AS NEEDED f contrbutor s out-of-state PAC, please see nstructon gude foraddtonal reportng requrements, state.tx.us Revsed

4 Texas Ethcs Commsson P.O. Box Austn, Texas 7871!-2070 (512) (TDD " POLTCAL EXPENDTURES SCHEDULE F Advertsng Expense AccoqntnglBankng Consultng Expense Event Expense Fees lto.tal pages Schedule F: EXPENDTURE CATEGORES FOR BOX 8(a) GftAwardsMemorals Expense SalaresWagesContract Labor Legal Servces SolctatonFundrasng Expense FoodBeverage Expense Travel n Dstrct Pollng Expense Travel Out Of Dstrct Prntng Expense Offce OverheadRental Expense 2 F'ER NAME q. The nstructon Gude explans how to complete ths form. Loan RepaymentRembursement Transportaton Equpment & Related Expense ContrbutonsDonatons Made By C a nddateqffceholderpoltcal Commttee OTHER (enter a category not lsted above) 3 ACCOUNT # (Ethcs Commsson Flers) 15m z 6 Amount ($) t 7 Payeeÿddress; 8 PURPOSE (a) Category (Seecategoreslstedatthetopofthsschedule) (b) Descrpton (ftraveloutsldeoftexas, completescheduet)..., ÿ,expen DTU RE 9 Corrÿlete ONLYÿf drect "Cat.Uate Cyfceth ldÿ.na'ÿ.rÿ ÿ'-'- L ÿoffcÿ sought ÿ ÿ _ Offce he]d expendture to beneft C!OH t 'Trÿ',w _ j.. j ÿ,}4[jÿ Amount ($) Payee address; Cty; State; Zp Cod PURPOSE Category (See categores lsted at the top of ths schedule) Descrpton (f travel outsde of Texas, complete Schedule T) E PÿNO,TURE ÿ _ ÿ-- 9"-... d@ÿ.jnÿ'ÿdate Offlceholdÿrnaÿne fl --, C)ftÿlceÿught Offce h Complete ONLY f drect (.ÿ ÿ ÿ t[ ÿjÿ"ÿ"ÿ ÿ--4ÿ'ÿ SP expendture to beneft COH " ÿ,, ÿ,ÿf]ÿ ÿ tÿ%ÿ ÿ ' ' -- Amount ($) Payee address;. Cty; Statÿ Zp Code Category (See categores lsted at the top of ths schedule) Descrpton (f travel outsde of Texas, complete Schedule T) EXPENDTURE date ÿfceÿolde#ÿnaÿel), Offce soÿght... Offce heÿd" Complete ONLY f drect :9ÿJ'ÿ l(ÿ'ÿ ÿ' "T# ÿ ÿ 'ÿ;"ÿ-- ÿ4ÿh ('ÿd expendture to beneft COH ÿ, J.ÿ '. ÿ! " m _ Amount ($) Payee address; PURPOSE ategory (See categores lsted at the top of ths schedule) Descrpton (f travel outsde of Texas, complete Schedule T) EXPENDTURE ÿ" expendture to beneft COH ATTACH ADDTONAL COPES OF THS SCHEDULE AS NEEDED state.tx, us Revsed

5 Texas Ethcs Commsson P.O. Box Austn, Texas (512) (TDD POLTCAL EXPENDTURES SCHEDULE F Advertsng Expense AccountngBankng Consultng Expense Event Expense Fees 1 Total pages 6 Amount ($) 7 Payee address; EXPENDTURE CATEGORES FOR BbX 8(a) GftAwardsMemorals Expense SalaresWagesContract Lÿbor Loan Repayment]Rembursement Legal Servces SolctatonFundrasng Exphense Transportaton Equpment & Related Expense FoodBeverage Expense Travel n Dstrct ContrbutonsDonatons Made By Pollng Expense Travel Out Of Dstrct CanddatelOffceholderPoltcal Commttee Prntng Expense Offce OverheadRental Expense OTHER (enter a category not lsted above) 2 FLER The nstructon Gude explans how to completÿ ths form. L 3 ACCOUNT # (Ethcs Commsson Flers) 8 PURPOSE (a) OF EXPENDTU RE 9 Complete ÿy f drect expendture to beneft Cÿ'OH cf at;' ffceh 'rernre? " Pa e ame (b).ÿddsorpton (f travel outsde of Texas. complete Schedule T) Off :ouoht, Amount ($) PURPOSE OF EXPENDTURE CorTÿlete ONLY f drect expendture to beneft COH Payee address; Category (See categores lsted at the top of ths schedule) Canddate Offceholder name D elscrpton (f Lÿ3yeÿoutsde oftexas, comp[ete Schedule T) ÿ..offÿe sought Offce held Payee name Amount ($) Payee address; Cty; ÿ, Zp Code PURPOSE OF PENDTURE Complete (3ÿLY f drect expendture to beneft COH Amount ($) Ca0dÿdate Offceholder name ( Payee name Payee address; Dscrpton {f travel outsde of Texas, complete Schedule T) Crce sought Offce held ONLY f drect Category (Seecategoreslstedatthetopofthsschedule) Dlsorpton (ftraveloutsdeoftexas, completeschedulet) ATTACH ADDTONAL COPES OF THS SCHEDULE AS NEEDED Revsed

6 Texas Ethcs Commsson P.O. Box Austn, Texas (512) (TDD CANDDATE OFFCEHOLDER REPORT: DESGNATON OF FNAL REPORT FORM COH - FR The nstructon Gude explans how to complete ths form.. Complete only f "ReportType" on page 1 s marked "Fnal Report". 2 ACCOUNT # (Ethcs Commsson Flers) 3 SGNATURE do not expect any further poltcal contrbutons or poltcal expendtures n connecton wth my canddacy. understand that desgnatng a report as a fnal report termnates my campagn treasurer appontment. also understand that may not accept anj campagn contrbutons or make any campagn expendtures wthout a campagn treasurer appontment on fle. ÿÿt"ÿ Sgnature of Canddate Offceholder FLER WHO S NOT AN OFFCEHOLDER *. Complete A & B below only f you are not an offceholder, o-' A. CAMPAGN FUNDS Check only one: F-7 do not have unexpended contrbutons or unexpended nterest or ncome earned from poltcal contrbutons. have unexpended contrbutons or unexpended nterest or ncome earned from poltcal contrbutons. understand that may not convert unexpended poltcal contrbutons or unexpended nterest or ncome earned on poltcal contrbutons to personal use. also understand that must fle an annual report of unexpended contrbutons and that may not retan unexpended contrbutons or unexpended nterest or ncome earned on poltcal contrbutons longer than sx years after flng ths fnal report. Further, understand that must dspose of unexpended poltcal contrbutons and unexpended nterest or ncome earned on poltcal contrbutons n accordance wth the requrements of Electon Code, B. ASSETS Check only one: F-7 do not retan assets purchased wth poltcal contrbutons or nterest or other ncome from poltcal contrbutons. F-7 do retan assets purchased wth poltcal contrbutons or nterest or other ncome from poltcal contrbutons. understand that may not convert assets purchased wth poltcal contrbutons or nterest or other ncome from poltcal contrbutons to personal use. also understand that must dspose of assets purchased wth poltcal contrbutons n accordance wth the requrements of Electon Code, Sgnature of Canddate 5 OFFCEHOLDER. Complete ths secton only f you are an offceholder -o [ÿlam aware that reman subject to flng requrements applcable to an offceholderwho does not have a campagn treasurer on fle. am also aware that wll be requred to fle reports of unexpended contrbutons f, after flng the last requred report as an offceholder, retan poltcal contrbutons, nterest or other ncome from poltcal contrbutons,ÿ,7,,ÿ r assets purchased wth poltcal contrbutons or nterest or other ncome from poltcal contrbutons. ÿÿ._ ' older state.tx.us Revsed

Texas Ethics Commission P.O. Box Austin,Texas (512) (TDD g MS / MRS I MR FIRST MI

Texas Ethics Commission P.O. Box Austin,Texas (512) (TDD g MS / MRS I MR FIRST MI Texas Ethcs Commsson P.O. Box 12070 Austn,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-298g CANDaDATE / OFFCEHOLDER CAMPAGN FRNANCE REPORT FORM C/OH COVER SHEET PG t L The C/OH nstructon Gude explans