IVERY, MASHUNDA_JULY 15 2020_CAMPAIGN FINANCE REPORTCANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Filer ID (Ethics Commission Filers)
2 Total pages filed:
The C/OH Instruction Guide
explains how to complete this form.
3 CANDIDATE/
MSMR / MR�FIRST n MI 'S rvun as D
OFFICE USE ONLY
OFFICEHOLDER
NAME
. . . . . . . . . .
Date Received
NICKNAME LAST —T vG SUFFIX
4 CANDIDATE /
ADDRESS ! PO BOX APT ! SUITE #: CITY: STATE ZIP CODE
OFFICEHMAILING OLDER
_ \ '
5
ADDRESS
'�e.Qr,1O►f1d /
Change of Address
5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER
PHONE
Date Hand -delivered or Date Postmarked
6 CAMPAIGN
MS ! R / MR5 FIRST-PO:Y� MI
Receipt #
Amount $
TREASURER
Date Processed
NAME
. . . . . . . . . . . . . . . . . . .
NICKNAME LAST C,raw�o(� SUFFIX
Date Imaged
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE!, APT / SUITE #, CITY, STATE—. —y ZIP CODE
r
TREASURER
n q
770059
ADDRESS
(Residence or Business)
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER/
PHONE
��
9 REPORT TYPE
❑ January 15 ❑ 30th day before election Runoff
15th day after campaign
treasurer appointment
(Officeholder Only)
dJuly 15 8th day before election Exceeded $500 limit
Final Report (Attach CION - FR)
10 PERIOD
Month Day Year Month
Day Year
COVERED
/+ � / / THROUGH � 7 /) 2- O o
11 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
❑ Primary ❑ Runoff ❑ Other
11/3 /aoao
Description
�nerai ElSpecai
12 OFFICE
OFFICE HELD (if any)
13 OFFICE SOUGHT (if known)
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/26/2019
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME
15 Filer ID (Ethics Commission Filers)
16 NOTICE FROM I THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
POLITICAL ISUPPORT THE CANDIDATE / OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDER's
COMMITTEES) I KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE
J OF SUCH EXPENDITURES,
I
COMMITTEE TYPE ? COMMITTEE NAME
�
GENERAL
i
j + COMMITTEE ADDRESS
j LSPECIFIC I
COMMITTEE CAMPAIGN TREASURER NAAE
Additional Pages^
`
tREASU 1 v
ADDRESS COMMITTEE CAMPAIGN TREASU R ADDRESS
MIT
`�
i I ---
i
17 CONTRIBUTION I 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
l
$
TOTALS PLEDGES. LOANS, OR GUARANTEES OF LOANS. OR
CONTRIBUTIONS MADE ELECTRONICALLY). UNLESS ITEMIZED
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
$
Q_Jl
EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS.
$
TOTALS UNLESS ITEMIZED
1
i
4. TOTAL POLITICAL EXPENDITURES
i
$
r
.............
CONTRIBUTION I 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
/ /\
BALANCE OF REPORTING PERIOD
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
j
$
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD
18 AFFIDAVIT
I swea . or affirm. un penalty of perjury: that the accompanying report is
CRYSTAL N ROAN tr a d cc a n ludes all information required to be reported by me
Notary Public. Siete of Taws u e 1 15, Elec Code.
• • My Commission Expires
°•,,� �1�• January 22, 2024
o� NOTARY ID 1057222-1
Signature of Candidate or Offic of er
AFFIX NOTARY STAMP/ SEALABOVE
Sworn to and subscribed before me. by the said A S �l) h� a- this the
'
20�, to certify whi h, witness my hand and seal of ice.
dapatm.
Icer administering oath Printed a of officer administering oath Title of cer administering oath
Forms provided by Texas Ethics Commission www. ethics. state. tx.us Revised 9/26/2019
SUBTOTALS
- C/OH FORM C/OH
COVER SHEET PG 3
19
FILER NAME
20 Filer ID (Ethics Commission Filers)
Mo,sh,nka,
21
SCHEDULE SUBTOTALS
SUBTOTAL
NAME OF
SCHEDULE
AMOUNT
1.
El
SCHEDULEA1:
MONETARY POLITICAL CONTRIBUTIONS
$
O O
2.
SCHEDULE A2:
NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS
$
3.
SCHEDULE B:
PLEDGED CONTRIBUTIONS
$ 5c), Dlz!)
4.
❑
SCHEDULE E
LOANS
$
5.
11
SCHEDULE F1:
POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
V )
6.
El
SCHEDULE F2:
UNPAID INCURRED OBLIGATIONS
$
T
F-1
SCHEDULE F3:
PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$
&
❑
SCHEDULE F4:
EXPENDITURES MADE BY CREDIT CARD
$
9_
El
SCHEDULE G:
POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
$ Oi
10.
1-1
SCHEDULE H:
PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH
$
11.
El
SCHEDULE I: NON -POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
12.
SCHEDULE K:
INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED
$
TO FILER
Forms provided by Texas Ethics Commission www. ethics. state. tx.us Revised 9/26/2019
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Al:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
4 Date 5 Full name of contributor�ut-of-state P C ;ID# I
7 Amount of contribution ($)
I'
6 Contributor address, ( City, State: Zip Code
I
( O V t/
r. b er
8 Principal occupation / Job title (See Instructions)
g E ployer (See Instructions)
Date
Full name of contributor out-of-state PAC (ID# )
Amount of contribution ($)
om e- �Wl:s e-*
Contributor address. City, State: Zip Code
V O
VO ,
y� A bi<&tia
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID#
Amount of contribution ($)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Contributor address: City, State, Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID# )
Amount of contribution ($)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Contributor address; City, State: Zip Code
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.
Forms provided by Texas Ethics Commission www. ethics. state. tx.us Revised 9/26/2019
POLITICAL EXPENDITURES
MADE FROM PERSONAL FUNDS SCHEDULE G
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan RepaymenVRe!mbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contnbuhons/Donations Made By Glft/AWards/Memonals Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services SalariesM/ages/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 G:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
k�� VL�
4 Date
_
6 Payee name
lc�
6 Amount ($j
7 Payee address: City;Veaf1 Q4 State; T� Zip Code
Reimbursement from
E-1 Political contributions
intended
8
(a) Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
OF
c
�}1�
C
EXPENDITURE
QI ' SIJ IheSJ�t%r�" S
Y�
(C) Q check rf a ruts:deofTeixas.Complete ScheduleT L] Check if Austin TX, officeholder living expense
9 Candidate / Officeholder name Office sought Office held
Complete ONLY if direct
expenditure to benefit C/OH
Date
Payee name
CS—
Amount ($)
Payee address, City: h 1 eW ydr IL State: h 1 Zip Code
V
Reimbursement from
y{ `�
a s o.r 1 C Its 1 ~ 1 'Dt r 1v I I
political contributions
intended
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
EXPENDITURE
\\
nV r5) %�%
.�.
` ln)1 e-- `
ElCheckrftra L4sideofTexas.CompieteSchedu!eT E] Check if Austin. TX, officeholder living exp se
Candidate / Officeholder name Office sought Office held
Complete ONLY if direct
expenditure to benefit C/OH
Date
Payee name �tt
Amount ($)
Payee address; City, State: Zip Code
Reimbursement from
❑ political contributions
intended
Category (See Categories listed at the tep of this schedule) Description
PURPOSE
OF
I
Cv i
S1
S1
EXPENDITURE
1'` v/� ! t� lJl�
Check f V outsideof T xas Complete Schedule T Check ` Aus !n. TX. officeholder living ex se
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
POLITICAL EXPENDITURES
MADE FROM PERSONAL FUNDS SCHEDULE G
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Tran Equipment &Related Expense
ConsultingExpense Food/Beverage el In Dion
xpe rage Expense Polling Expense Travel In District
ContnbutionsiDonations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other (enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule G:
2 FILER NAME U
( 3 Filer ID (Ethics Commission Filers)
1
�nv�r
4 Date
6 Payee name
%oke -
6 Amount (S)
7 Payee address: City: State: Zip Code
Reimbursement from
Elpolitical contributions
intended
8
(a) Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSEOF
•
C
5 `
EXPENDITURE
0) >I n
t� p
a� r 1
(c) Check.ltravel oNvdeofTexas. Complete Schedule Check if Austin. TX. officeholder living expense
9 Candidate / Officeholder name Office sought Office held
Complete ONLY if direct
expenditure to benefit C/OH
Date
Payee name I
W
ne-
Amount ($)
Payee address; City; ii,,, i` StaWTt,4 Zip Code
Reimbursement from
political contributions
intended
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
OF
c
EXPENDITURE
Check iftrave ideofTexas CompieteScmedu!eT E] Check if Aust X. officeholder living ense
Candidate / Officeholder name Office sought Office held
Complete ONLY if direct
expenditure to benefit C/OH
Date
Payee name
Amount M
Payee address; City; State: Zip Code
Reimbursement from
F-1 political contributions
mended
Category (See Categories listed at the top of this schedule) i Description
PURPOSE
I
OF
EXPENDITURE
Check dtravel outside ofTexas Complete Schedule Check if Austin. TX. officeholder living expense
Candidate / Officeholder name Office sought Office held
Complete ONLY if direct
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED