IVERY, MASHUNDA_OCTOBER 26 2020_CAMPAIGN FINANCE REPORTCANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Filer ID (Ethics Commission Faers)
2 Total pages filed:
The C/OH Instruction Guide explains how to complete this form.
3 CANDIDATE/
MS % R , MR FIRST MI
OFFICE USE ONLY
OFFICEHOLDER
NAME
. . . . . . . . . . tAQlS�Un �4 .
Date Recewetl
NICKNAME LAST SUFFIX
�ve.y.
4 CANDIDATE/
ADDRESS i PO BOX; APT' SUITE #; CITY; STATE; ZIP CODE
FFICEHOLDER
OMAILING
1'eUY IQY1� X
• ! l J�
ADDRESS
,
❑ Change of Address
5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER1
PHONE
Date Hand delivered or Date Postmarked
Ud-ober 'ZU 17D%A
6 CAMPAIGN
MS/RS MR FIRST MI
Receipt #
Amount $
TREASURER
M
Date Processed
NAME
1 . . . . . . . . C, l
NICKNAME LAST SUFFIX
Coo,w p u rA—
�rlCITY;
Date Imaged
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT % SUITE #: STATE;
ZIP CODE
TREASURADDRESS ADD
-7-K
—7 f DD j
(Residence or Business)
8 CAMPAIGN
CODE PHONE NUMBER EXTENSION
TREAS
PHO EURER
/AREA
\
�-'
...... .................. _.............. ......................... _....._........................
9 REPORT TYPE
...................... .........................._.__............................................................ _... ............... ........................................ _.._._............... _...................... ...................... ...... .
❑ January 15 ❑ 30th day before electionRunoff
15th day after campaign
treasurer appointment
(Officeholder Only)
❑ July 15 F;;8th day before election Exceeded $500 limit
Final Report (Attach Q+OH - FRI
10 PERIOD
Month Day Year Month
Day Year
COVERED
I 0 / 3 THROUGH �v /a3
Azoac-)
11 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
❑ Primary ❑ Hunotf ❑ Other
�� gado
Description
[0"'General ❑ Special
12 OFFICE
OFFICE HELD lif any)
13 OFFICE SOUGHT {if known)
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
THIS BOX IS FOR NOTICE OF POLITICAL CONTR14JTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
POLITICAL
SUPPORT THE CANDIDATE / OFFICEHOLDER. THESE EXPENDJTURES MAY HAVE BEEN MADE WITHOUT THE CA:JDIDATE S OR OFFICEHOLDER'S
COMMITTEE(S)
KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE
OF SUCH EXPENDITURES.
COMMI I I F.F I-YPF.
COMMITTEE NAME
3/ GENERAL
�A Nz)�) k I
COMMITTEE ADDRESS
SPECIFIC
COMM\ITTEE CAMPAIGN TREAS RER
u Additional Pages
�INAME'
�affl
COMMIITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION
1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
$
TOTALS
PLEDGES, LOANS, OR GUARANTEES OF LOANS1, UNLESS ITEMIZED
2. TOTAL POLITICAL CONTRIBUTIONS $
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) '
TOTAL DITURE
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS. $
UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES $
r
CONTRIBUTION
BALANCE
5, TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $
OF REPORTING PERIOD
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, and p Wally of perjury, that the accompanying report is
RENEE KROSS tru i cl des all information required to be reported by me
Notary ID x132042519un t' ode.
My Commission Expires
Lcorrectd
''F.1 June 6, 2023
Signature of Candidate(Off, eholder
AFFIX NOTARY STAMP;SEALABOVE
rn/� 1,�1 ,,.,
)— ,V IC
Sworn to andsubscribed before by the said 1 1 ,as 18q this the
� /me,
IA— -f C)r,Rn�_l on r10 +- ...k; -k ... t+.-,- -- ..,., k—, —I ---I .-.4 4fL a
SUBTOTALS - C/OH
FORM C/OH
COVER
SHEET PG 3
19
FILER NAME 20 Filer ID (Ethics Commission Filers)
21
SCHEDULE SUBTOTALS
SUBTOTAL
NAME OF SCHEDULE
AMOUNT
1
SCHEDULEAI: MONETARY POLITICAL CONTRIBUTIONS
$
2.
- -'
SCHEDULE A2: NON -MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS
3•
SCHEDULE B: PLEDGED CONTRIBUTIONS
�
4.
L✓SCHEDULE
E: LOANS
5•
71
SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$ 14
6.
SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
$
7•
SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$
B.
`J
SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD
$ %x
9.
L_
SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
I $
l� V
10
!
SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF COH
S
11.
U
SCHEDULE 1: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
I $
12
r�
SCHEDULE K: INTEREST, CREDITS. GAINS. REFUNDS. AND CONTRIBUTIONS
$
`_. i
RETURNED TO FILER
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al:
2 FILER NAME ` ( j 3 Filer ID (Ethics Commission Filers)
4 Date
5 Full name of contributor ❑ out-of-state PAC (ID#: 7 Amount of contribution ($)
6 Contributor address: City; State; Zip Code O t D�
8 Principal occupation / Job title (See Instructions) i 9 Employer (See Instructions)
GAWY)e
Date
Full name of contributor [] out-ot-state PAC (ID#: }
Amount of contribution ($)
-�ay"6(x
t (
Contributor address; City; State; Zip Code
Oc uc)
tyke �,,t co�,�+ n-
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date i Full name of contributor ❑ out-ot-state PAC (ID#: )
i
Amount of contribution ($)
Contributor address; City; State; Zip Code
I
Principal occupation / Job title (See instructions)
Employer (See Instructions)
- - ------------
_................................................. .... ------- ..... . ----................. -
..-... ................................... .... ----------- - -
Date
I
Full name of contributor ❑ out-of-state PAC (ID#: _}
Amount of contribution ($)
Contributor address; City; State: Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS
SCHEDULE F1
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan RepaymentiRernbursement
SolicitatlorvFundraisingExpense
AccounfingiBanking Fees Office Overhead Rental Expense
Transportation Equipment & Related Expense
Consulting Expense Food Beverage Expense Polling Expense
Travel In District
Contnbutions/Donations Made By Gift Awards Memorals Experse Pnnting Expense
Travel Out Of District
Candidate, OfficeholderPo4tica! Committee Legal Services Salaries Wages, Contract Labor
Other (enter a category not listed above)
C•ed t Card Payrren;
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Ft:( 2 FILER NAM
3 Filer ID (Ethics Commission Filers)
!
4 Data 5 Payee Warne
v ' ' _
5 06
6 Amount (Sj 7 Payee address: City: State: Zip C e
I
�cr We'l. Renlof�rk. U i6 r• IQ
94D015
g (a) Category i __. Caiegor _s: sled at rye tep c;;r, <_ sci:eacie, (b) Description
PURPOSE Check ftravel outside ct Texas Complete ScheduleT
i
OF Check f Aust:r.
?X. officeholder ;ivmg expense
EXPENDITURE I I
I
--------- - � o ,`fie--__- vAOA-� ---- � -
y Complete ONLY if direct faTcliclate - Officeholder name d Office sought
expenditure to benefit C OH1
Office held
7:�
LWAakn
Ci Dt.�'►Cl�
Date
I Payee name
Amount ($) Payee address. City: State: Zip Code
i
I Category Description
!
PURPOSE Check if 7mr' oxrts de of?exas. Complete SrheduleT.
r—t
OF Check d Austin.
TX. officeholder living expense
EXPENDITURE
i
Complete ONLY :f direct Candidate : Officeholoer name Office sought
Office held
expenditure to benefit C-OH
Date Payee name
I
Amount (S) Payee address: City: State:. Zip Code _
Category Description
PURPOSE ;neck rtrave outs.ce04 Texas. ConpieteSchedule 1.
OF ,.._._.! Check it Austn.
x. o`t;,eolder living expense
EXPENDITURE
i
POLITICAL EXPENDITURES
MADE FROM
PERSONAL FUNDS SCHEDULE G
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense
Event Expense Loan RepaymenUReirnbursement Solicitation.'Fundraising Expense
Accounting:Banking
Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense
Consulting Expense
Food/Beverage Expense Polling Expense Travel In District
Contributionsi'Donations Made
By GitVAwards/Memorials Expense Printing Expense Travel Out Of District
Candidate;Otficeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other (enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
.................. _.................................. _ . _ .
1 Total pages Schedule G:
..---.._..... .. _ _ _ _ ......_.....__. _ ................_. _._..__._.._.................__ _ _ ..._..._...
_... ---------
2 FILER NAME,� A 3 Filer ID {Ethics Commission Filers}
11
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......_._ ...... ........v........\_....----. ................ .............__........................ .............._................... ._........._.. __.._............__.... .._....__.......... ....._.._..__..._.. ._......._..._.. ......__.._..... _....._......_.......__.
4 Date
5 Payee name
6 Amount {$)
7 Payee address; City: State; Zip Code
q i
I I b' oc)
I- docker W' i�� n Ic�ar,l� CoA I �rn%0, pts
, i
y
❑Reimbumenttrom
politica! corsentributions
intended
8
(a) Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
T.
OF
Chock if travel outside of Texas. Complete Schedule
❑
EXPENDITURE
Check if Austin. TX.. officeholder living expense
1 SI
9 Complete ONLY if direct
Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
'
ger lea �-
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
(""""� Reimbursementtrom
I—J political contributions
intended
Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
OF
—� Check if travel outside of Texas. Complete Schedule T.
EXPENDITURE
Ell Check if Austin, TX. officeholder living expense
Complete ONLY it direct
Candidate / Officeholder name Office sought Office held
expenditure to benefit COH
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
aReimbursement from
political contributions
intended
Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
OF
❑ Check if travel outside of Texas. Complete Scheduler.
EXPENDITURE
ii f
LJ Check it Austin. 'rx, officeholder living expense
Complete ONLY if direct
Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH