V(Junol5<3i \AJooJs La Kfl-K/ Ty 77 J'H STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE. /V1a(, Li)
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1 CANDIDATE / form c/oh CAMPAIGN FINANCE REPORT cover sheet pg 1 The C/OH Instruction Guide explains how to complete this form. 3 CANDIDATE/ NAME 4 CANDIDATE/ MAILING ADDRESS ] Change of Address 5 CANDIDATE/ PHONE 6 CAMPAIGN NAME 7 CAMPAIGN ADDRESS (Residence or Business) 8 CAMPAIGN PHONE 1 Filer ID (Ethics Commission Filers) MS / MRS /(MR FIRST Ml &n/an J NICKNAME LAST SUFFIX ADDRESS PC BOX; APT / SUITE #; (J)ITY; STATE; ZIP CODE V(Junol5<3i \AJooJs La Kfl-K/ Ty 77 J'H AREA CODE PHONE NUMBER EXTENSION <7/3> MS / MRS / FIRST l O&nift NICKNAME LAST SUFFIX Ebhf ch4-2 Total pages filed: 3 FICE USE ONLY RECbl EE JUL Board of Trustees Katy 1SD Date Hand-delivered or Date Postmarked Receipt # Amount $ Date Processed Date Imaged STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE iccl TX /V1a(, Li) VJ AREA CODE PHONE NUMBER EXTENSION {7l3} S75-l4b7 9 REPORT TYPE I I January 15 I ] 30th day before election I I Runoff I I 15th day after campaign ' 1 treasurer appointment (Officeholder Only) July 15 [ 8th day before election Exceeded $500 limit j Final Report (Attach C/OH - FR) 10 PERIOD COVERED Month Day Year Month Day Year t) l / / Z& i~l THROUGH O 1 / \C~) / LO\~7 11 ELECTION ELECTION DATE Month Day Year ELECTION TYPE 1 H Primary 1 1 Runoff j Other General 1 Special 12 FICE FICE HELD (if any).-i Tr J U Po61 n 0? 13 FICE SOUGHT (if known) GO TO PAGE 2
2 CANDIDATE / CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 14 C/OH NAME fen/an J 15 Filer ID (Ethics Commission Filers) 16 NOTICE FROM POLITICAL COMMITTEE(S) THIS BOX IS FOR NOTICE POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL S MADE BY POLITICAL CO MITTEES TO SUPPORT THE CANDIDATE /. THESE S MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR 'S KNOWLEDGE OR CONSENT. CANDIDATES AND S ARE REQUIRED TO REPORT THIS INFORMATIO ONLY IF THEY RECEIVE NOTICE SUCH S. COMMITTEE TYPE COMMITTEE NAME GENERAL specific COMMITTEE ADDRESS l SISA S.Fn)(. &iy, X77lL5't> ] Additional Pages COMMITTEE CAMPAIGN NAME COMMITTEE CAMPAIGN ADDRESS iii- ( < <r r, t VX CONTRIBUTION TOTALS TOTALS 1. TOTAL POLITICAL CONTRIBUTIONS $50 OR LESS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES LOANS), UNLESS ITEMIZED 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES LOANS) $ i1 $ o 3. TOTAL POLITICAL S $100 OR LESS, UNLESS ITEMIZED * 0 CONTRIBUTION BALANCE OUTSTANDING LOAN TOTALS 4. TOTAL POLITICAL S 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS THE LAST DAY REPORTI G PERIOD 6. TOTAL PRINCIPAL AMOUNT ALL OUTSTANDING LOANS AS THE LAST DAY THE REPORTING PERIOD $ 53$ 2 - $ Q $ Q 18 AFFIDAVIT I swear, or affirm, under penalty of perjury, that t e accompanying report is true and correct and includes all information required to be reported by me under Title 15, Election Code. AFFIX NOTARY STAMP / SEALABOVE Sworn to nd subscribed before me, by the said _ this the Zs Ho day of i i ) i' i (, 20 I 7. to certify which, witness my hand and seal of office. u p -( ry Si nature of officer adminis ering oath Printed Printed name name of officer officer administennc administering oath \o U fjuhl j Pcd lic Title of officer administering oath
3 SUBTOTALS - C/OH FORM C/OH COVER SHEET PG 3 19 FILER 6NAME I\j c 21 SCHEDULPSUBTOTALS d NAME SCHEDULE 1. L 20 Filer ID (Ethics Commission Filers) SCHEDULEA1: MONETARY POLITICAL CONTRIBUTIONS $ 2. c SCHEDULE A2: NON-MO ETARY (IN-KIND) POLITICAL CONTRIBUTIONS $ 3. L SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4. SCHEDULE E: LOANS $ SUBTOTAL AMOUNT 5. [ SCHEDULE FI POLITICAL S MADE FROM POLITICAL CONTRIBUTIONS 6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 7. z SCHEDULE F3 PURCHASE INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ 8' z SCHEDULE F4 S MADE BY CREDIT CARD $ 9. SCHEDULE G: POLITICAL S MADE FROM PERSONAL FUNDS $ 10. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIO S TO A BUSINESS C/OH $ 11. SCHEDULE 1: NON-POLITICAL S MADE FROM POLITICAL CONTRIBUTIONS $ 12. SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED TO FILER $
4 POLITICAL S MADE FROM POLITICAL CONTRIBUTIONS schedule F1 CATEGORIES FOR BOX 8(a) Advertising Expense E ent 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..., x il.. The Instruction Guide explains how to complete this form. 1 Total pages Schedule FI: 2 FILER NAME. 3 Filer ID (Ethics Commission Filers) 5 rl/cid J m/u l/lzl ku 4 Date / / 5 Payee name s\ 6 Amount ($) 53 8 r f ru i ibr U Ld'v 7 Payee a ress City; State; Zip Code iict) 77+ (a) Category (See Categories listed at the top of this schedule) Co -Vi cvxoj LS loi - Q? i \s Lo h-d tl O (b) 1 1 Check if Austin, TX, officeholder li ing expense 9 Complete ONLY if direct Candidate Officeholder name Office sought Office held expenditure to benefit C/OH O i V U T D Tttfl TS Twlte Date Payee name Amount ($) Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) 1 1 Check if Austin, TX, officeholder li ing expense Complete O LY 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) 1 1 Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder n me Office sought Office hel expen iture to benefit C/OH ATTACH ADDITIONAL COPIES THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission Re ised 9/8/2015
5 CANDIDATE/ REPORT: DESIGNATION FINAL REPORT form C/OH - FR The Instruction Guide explains how to complete this form. Complete only if "Report Type" on age 1 is marked "Final Report" 1 C/OH NAME 3 SIGNATURE r OLV\ l\fkc la k 2 Filer ID (Ethics Commission Filers) I do not expect any further political contributions or political expenditures in connection with my candidacy. I understand that designat ing 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 appoiptmeqj on file. FILER WHO IS NOTAN 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 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, B. ASSETS Check only one: j j 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 persona! use. I also understand that I must dispose of assets purchased with political contributions in accordance with the requirements of Election Code, Signature of Candidate Complete this section only if you are an officeholder - 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 politi cal contributions or interest or other income from political contributions. Forms provided by Te as Ethics Co mission Revised 9/8/2015
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