CANDIDATE/ CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. I 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: 3 CANDIDATE / MS / MRS / MR FIRST MI FICE USE ONLY NAME e /a Date Received NICKNAME LAST SUFFIX 4 CANDIDATE/ ADDRESS / P0 Box; APT / SUITE #; CITY; STATE; ZIP CODE MAILING ADDRESS 3 Lj s Zebe Change of Address 14o 5 t;>u 7 i( 5 CANDIDATE! AREA CODE PHONE NUMBER EXTENSION Date Hand-delivered or Date Postmarked PHONE )93i l/ll4 / 1(, hc-.&4et 6 CAMPAIGN MS / MRS / MR FIRST MI Receipt # I Amount /4 r /t NAME.. NICKNAME LAST SUFFIX Ḋate Processed 4 I Date Imaged 7 CAMPAIGN STREET ADDRESS (NO P0 BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE ADDRESS (Residence or Business) c//3 Lea1 (I /h?3o t 1 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION PHONE A S 7 9 REPORT TYPE El January 15 LII 30th day before election L Runoff 11 15th day after campaign treasurer appointment (Officeholder Only) El July 15 8th day before election Exceeded 500 limit Final Report (Attach C/OH - FR) 10 PERIOD Month Day Year Month Day Year COVERED THROUGH 11 ELECTION ELECTION DATE I ELECTION TYPE Month Day Year I LI Primary El Runoff LI Other 'General LI Special Description 12 FICE FICE HELD lit any) I 13 FICE SOUGHT (if known( 7,ILJ GO TO PAGE 2
CANDIDATE / CAMPAIGN FINANCE REPORT COVER SHEET PG 2 14 C/OH NAME 7~v'n e / 15 Filer ID (Ethics Commission Filers) 16 NOTICE FROM THIS BOX IS FOR NOTICE POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL S MADE BY POLITICAL COMMITTEES TO POLITICAL SUPPORT THE CANDIDATE /. THESE S MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR 'S COMMITTEE(S) KNOWLEDGE OR CONSENT. CANDIDATES AND S ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE SUCH S.,) COMMITTEE TYPE COMMITTEE NAME GENERAL SPECIFIC COMMITTEE ADDRESS COMMITTEE CAMPAIGN NAME Additional Pages COMMITTEE CAMPAIGN ADDRESS 17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS 50 OR LESS (OTHER THAN TOTALS PLEDGES, LOANS, OR GUARANTEES LOANS), UNLESS ITEMIZED 0 TOTALS CONTRIBUTION BALANCE 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES LOANS) 3. TOTAL POLITICAL S 100 OR LESS, q I UNLESS ITEMIZED 4. TOTAL POLITICAL S 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS THE LAST DAY REPORTING PERIOD Q '101 Lf / OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT ALL OUTSTANDING LOANS AS THE LOAN TOTALS LAST DAY THE REPORTING PERIOD 18 AFFIDAVIT CATHERINE W. Notary Public, State of Texa Comm. Expires 05-09-2020 wotor 5 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 undert Title 15 Election Code. Signature of Candaror ld Officeholder AFFIX NOTARY STAMP / SEALABOVE Sworn to and subscribed before me, by the said Pzm/ri, &47 - Y, this the day of A)L/#flb#Y' 20 / t, to certify which, witness my handd seal of office. OA t &i ri,e1,l6i/er Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath
SUBTOTALS - C/OH COVER SHEET PG 3 19 FILER NAME 20 Filer ID (Ethics Commission Filers) 21 SCHEDULE SUBTOTALS NAME SCHEDULE SUBTOTAL AMOUNT 1. El SCHEDULEA1: MONETARY POLITICAL CONTRIBUTIONS 2. SCHEDULEA2: NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS 3. SCHEDULE B: PLEDGED CONTRIBUTIONS 4. El SCHEDULEE: LOANS 5 SCHEDULE Fl: POLITICAL S MADE FROM POLITICAL CONTRIBUTIONS 7 6. El SCHEDULE F2: UNPAID INCURRED OBLIGATIONS 7. SCHEDULE 11 F3: PURCHASE INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS 8. El SCHEDULE F4: S MADE BY CREDIT CARD 9. SCHEDULE G: POLITICAL S MADE FROM PERSONAL FUNDS 10. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS C/OH 11. SCHEDULE I: NON-POLITICAL S MADE FROM POLITICAL CONTRIBUTIONS 12 SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED TO FILER
POLITICAL S MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE Fl 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 Fl: 2 FILER NAME / 3 Filer ID (Ethics Commission Filers) 4 Date 5 Payee name &)2)T1 6 Amount () 7 Payee address; City; State; Zip Code a (a) Category )See Categories listed at the top of this schedule) (b) Description 1111 Check if travel outside at Texas. Complete Schedule T. LII Check if Austin, TX, officeholder living expense 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held Date Payee name Amount () Payee address; City; State; Zip Code Category )See Categories listed at the top of this schedule) Description LIII Check if travel outside of Texas. Complete ScheduleT. LIII Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held Date Payee name Amount () Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description LIII Check if travel outside of Texas. Complete ScheduleT. LIII Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held ATTACH ADDITIONAL COPIES THIS SCHEDULE AS NEEDED
CANDIDATE / REPORT: DESIGNATION FINAL REPORT - FR The Instruction Guide explains how to complete this form. Complete only if "Report Type" on page 1 is marked "Final Report".. C/OH NAME 3 SIGNATURE /, ~~,!!~ 5~- & 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 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 appointm t on file. Signature of Candidate / fficeholder 4 FILER WU01S NOT AN -- CompIee&B5liàñij,Wuare not an officeholder. A. CAMPAIGN FUNDS j Check only one: LII I do not have unexpended contributions or unexpended interest or income earned from political contributions. E4 I I have unexpended contributions or unexpended interest or income earned from political contributions. I understand that I 11Y 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: TII I do not retain assets purchased with political contributions or interest or other income from political contributions. LII 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, po)itical contributions in accordance with the Election Code, 254.204. requirements of Signature of Candatê 5 Complete this section only if you are an officeholder 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 contrii?t1ons, or assets purchased with politi- // cal contributions or interest or other income from political contributions. All Signature of OfficehoI 'er1