HERNANDEZ, ADRIAN_MARCH 25 2021_CAMPAIGN FINANCE REPORT •
•
•
CANDIDATE I OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT • COVER SHEET PG 1
1 Filer ID 2 Total pages filed:
The C/OH Instruction Guide explains how to complete this form. 15
3 CANDIDATE/ MS/MRS/MR FIRST MI OFFICE USE ONLY
OFFICEHOLDER . Adrian
NAME Date Received
NICKNAME LAST SUFFIX 3l p2 /
Opal
• Hernandez
4 CANDIDATE/ ADDRESS/PO BOX; APT/SUITE#; CITY; ZIP CODE Date Han- veered or ate Postmarks
OFFICEHOLDER r �//�Sfaoa,'
MAILING
ADDRESS Receipt# Amount
❑Change of Address Pearland,TX 77588 -- -
Date Processed
•
Date Imaged
5 CAMPAIGN MS/MRS/MR FIRST MI
TREASURER
NAME
Veronica
NICKNAME LAST SUFFIX
Longoria
6 CAMPAIGN STREET ADDRESS(NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER •
ADDRESS •
(Residence or Business)
Pearland,TX 77584 -
7 CAMPAIGN AREA CODE •PHONE NUMBER EXTENSION
TREASURER (
PHONE
•
•
8 REPORT
TYPE D January 15 ❑X 30th day before election ❑ Runoff ❑ 15th day after campaign treasurer
appointment(officeholder only)
El July 15 ❑ 8th day before election ❑ Exceeded modified ❑ Final Report(Attach C/OH-FR)
reporting limit
9 PERIOD Month Day Year Month Day Year
COVERED 01/01/2021 THROUGH 03/22/2021
10 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year ❑Primary �Runoff �Other
• 05/01/2021El General 0 Special
11 OFFICE OFFICE HELD(if any) 12 OFFICE SOUGHT(if known)
Pearland City Council Position 4 Pearland City Council Position 4
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.eeb5f84f
CANDIDATE I OFFICEHOLDER REPORT: FORM C/OH
SUPPORT & TOTALS COVER SHEET PG 2
2 of 15
13 C/OH NAME Hernandez,Adrian 14 Filer ID
15 NOTICE This box is for notice of political contributions accepted or political expenditures made by political committees to support the
FROM candidate/officeholder.These expenditures may have been made without the candidate's or officeholder's knowledge or
POLITICAL consent. Candidates and officeholders are required to report this information only if they receive notice of such expenditures.
COMMITTEE(S)
El Additional Pages COMMITTEE TYPE COMMITTEE NAME
❑ GENERAL
COMMITTEE ADDRESS
❑ SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
0
COMMITTEE CAMPAIGN TREASURER ADDRESS
J
16 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS(OTHER THAN PLEDGES,LOANS,
TOTALS OR GUARANTEES OF LOANS,OR CONTRIBUTIONS MADE ELECTRONICALLY) $ 0.00
2. TOTAL POLITICAL CONTRIBUTIONS $ 4,430.00
(OTHER THAN PLEDGES,LOANS,OR GUARANTEES OF LOANS)
EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURES $
TOTALS 0.00
4. TOTAL POLITICAL EXPENDITURES $ 556.86
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF THE $ 5,557.97
BALANCE REPORTING PERIOD
1
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY $ 971.76
LOAN TOTALS OF THE REPORTING PERIOD
i
17 AFFADAVIT
' I swear,or affirm,under penalty of perjury,that the accompanying report is
true and correct and includes all infor oruequi ed to be reported by me
under Title 15,Election C
i
•
ignahir an ate or Officeholder
AFFIX NOTARY STAMP/SEAL ABOVE 22i2JSwo n to and s bscribed before me by the said G��1 ilernit,...#•Je2-- el,this,the day
of 20 � ' to certify which,witness my hand and seal of office.
41
P .
, .
__ te_ _
t:e of officer administering Printed name of officer administering Title ice administering oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.eeb5f84f
SUBTOTALS - C/OH FORM C/OH
COVER SHEET PG 3
3of15
18 FILER NAME 19 Filer ID
Hernandez,Adrian
20 SCHEDULE SUBTOTALS
NAME OF SCHEDULE SUBTOTAL AMOUNT
1. ❑ SCHEDULE Al: MONETARY POLITICAL CONTRIBUTIONS •
$ 4,430.00
2. ❑ SCHEDULE A2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $
3. ❑X SCHEDULE B: PLEDGED CONTRIBUTIONS $ 2,000.00
4. ❑ SCHEDULE E: LOANS $
5. ❑ SCHEDULE Fl: POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS $ 418.10
6. ❑ SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $
7. ❑ SCHEDULE F3: PURCHASE OF INVESTMENTS FROM POLITICAL CONTRIBUTIONS $
8. ❑ SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $
9. X❑ SCHEDULE G: POLITICAL EXPENDITURES FROM PERSONAL FUNDS $ 138.76
10. ❑ SCHEDULE H: PAYMENT FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ •
11. ❑ SCHEDULE I:NON-POLITICAL EXPENDITURES 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 Version V1.1.eeb5f84`
MONETARY POLITICAL CONTRIBUTIONS
SCHEDULE Al
1 Total pages Schedule Al:
The Instruction Guide explains how to complete this form. Sch: 1/4 Rpt:4/15
2 FILER NAME 3 Filer ID •
Hernandez,Adrian
4 Date• 5 Full name of contributor El out-of-state PAC(ID#: ) 7 Amount of Contribution($)
01/04/2021 Alexander,Tom $250.00
6 Contributor address; City;State;Zip Code
2415 E.Broadway St
Pearland,TX 77581
8 Principal occupation/Job title(See Instructions) 9 Employer(See Instructions)
Retired
Date Full name of contributor out-of-state PAC(ID#: ) Amount of Contribution($)
01/11/2021 Bartlett,Victoria $50.00
Contributor address; City;State;Zip Code •
8119 Wilmerdean St
Houston,TX 77061
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Copy Editor S Self-Employed
Date Full name of contributor El out-of-state PAC(ID#: ) Amount of Contribution($)
02/08/2021 Bruce, Minnie $20.00
Contributor address; City;State;Zip Code
1423 W Parkwood Ave
Apt 5-308
Friendswood,TX 77546
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Retired
Date Full name of contributor out-of-state PAC(ID#: ) Amount of Contribution($)
01/05/2021 Cobb Fendley PAC $500.00 .
Contributor address; City;State;Zip Code
13430 NW Fwy •
Ste 1100
Houston,TX 77040
Principal occupation/Job title(See Instructions) Employer(See Instructions)
•
Date Full name of contributor EI out-of-state PAC(ID#: ) Amount of Contribution($)
01/28/2021 DEC PAC $500.00
Contributor address; City;State;Zip Code
1 Greenway Plaza
Ste 225
Houston,TX 77046
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.eeb5f84
MONETARY POLITICAL CONTRIBUTIONS
SCHEDULE Al
• 1 Total pages Schedule Al:
The Instruction Guide explains how to complete this form. Sch:2/4 Rpt:5/15
2 FILER NAME 3 Filer ID
Hernandez,Adrian
4 Date 5 Full name of contributor ❑out-of-state PAC(ID#: ) 7 Amount of Contribution($)
02/25/2021 Griffin,Alex $100.00
6 Contributor address; City;State;Zip Code •
2503 Cypress Dprings Ct
Pearland,TX 77584
8 Principal occupation/Job title(See Instructions) 9 Employer(See Instructions)
Sales Manager
Date Full name of contributor El out-of-state PAC(ID#: J Amount of Contribution($)
03/02/2021 Hernandez, David $100.00
Contributor address; City;State;Zip Code
507 Gleneagles Dr
Friendswood,TX 77546
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Retired
Date Full name of contributor ❑out-of-state PAC(ID#: ) Amount of Contribution($)
02/08/2021 Hernandez, Patricia $100.00
Contributor address; City;State;Zip Code •
507 Gleneagles Dr
Friendswood,TX 77546
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Retired
Date Full name of contributor ❑ out-of-state PAC(ID#: ) Amount of Contribution($)
02/25/2021 Jones, Lawrence ' $100.00
Contributor address; City;State;Zip Code
18630 Halff Bend Dr
Cypress,TX 77433 •
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Principal Performance Services
Date Full name of contributor ❑ out-of-state PAC(ID#: ) Amount of Contribution($)
02/10/2021 Leong,Stan $500.00
Contributor address; City;State;Zip Code
3745 Schurmier Rd
Houston,TX 77047
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Retired
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.eeb5f84'
MONETARY POLITICAL CONTRIBUTIONS
SCHEDULE Al
1 Total pages Schedule Al:
The Instruction Guide explains how to complete this form. Sch:3/4 Rpt: 6/15
2 FILER NAME 3 Filer ID
Hernandez,Adrian
4 Date 5 Full name of contributor out-of-state PAC(ID#: ) 7 Amount of Contribution($)
01/04/2021 Longoria,Veronica $250.00
6 Contributor address; City;State;Zip Code
2907 Julie Ann Dr
Pearland,TX 77584
8 Principal occupation/Job title(See Instructions) 9 Employer(See Instructions)
Paralegal Alliant Group
Date Full name of contributor ❑ out-of-state PAC(ID#: ) Amount of Contribution($)
01/05/2021 Longoria,Veronica $10.00
Contributor address; City;State;Zip Code
2907 Julie Ann Dr
Pearland,TX 77584
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Paralegal Alliant Group
Date Full name of contributor out-of-state PAC(ID#: ) Amount of Contribution($)
03/04/2021 Mandel, Barry $250.00
Contributor address; City;State;Zip Code
319 W 10th St
Unit B
Houston,TX 77008
Principal occupation/Job title(See Instructions) Employer(See Instructions)
President Discovery Green Conservancy
Date Full name of contributor ❑out-of-state PAC(ID#: ) Amount of Contribution($)
01/20/2021 Miller,Jack $250.00
Contributor address; City;State;Zip Code
1146 Gardencrest Ln
Houston,TX 77077
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Principal R.G. Miller Engineers
Date Full name of contributor ❑ out-of-state PAC(ID#: ) Amount of Contribution($)
01/18/2021 Perdue, Brandon, Fielder, Collins&Mott, LLP $500.00
Contributor address; City;State;Zip Code
1235 N Loop W
Ste 600
Houston,TX 77008
Principal occupation/Job title(See Instructions) Employer(See Instructions)
•
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.eeb5f84f
MONETARY POLITICAL CONTRIBUTIONS
SCHEDULE Al
•
1 Total pages Schedule A1'.)
The Instruction Guide explains how to complete this form. Sch:4/4 Rpt:7/15
2 FILER NAME 3 Filer ID
Hernandez,Adrian
4 Date 15 Full name of contributor El out-of-state PAC(ID#: ) 7 Amount of Contribution($)
02/08/2021 Scott, Doris $100.00
6 Contributor address; City;State;Zip Code -
701 S Friendswood Dr
Friendswood,TX 77546
8 Principal occupation/Job title(See Instructions) 9 Employer(See Instructions)
Retired
Date Full name of contributor out-of-state PAC(ID#: ) Amount of Contribution($)
01/20/2021 Shrum,Gary ( $100.00
Contributor address; City;State;Zip Code
1308 Silver Maple Ln
Pearland,TX 77581
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Retired
Date Full name of contributor ❑ out-of-state PAC(ID#: ) Amount of Contribution($)
03/05/2021 Sloan, Bill $250.00
Contributor address; City;State;Zip Code
1935 Timber Creek Dr
Pearland,TX 77581
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Banker Texas Advantage Community Bank
Date Full name of contributor ❑out-of-state PAC(ID#: ) Amount of Contribution($)
01/10/2021 Smajstrla, Patsy $100.00
Contributor address; City;State;Zip Code
4607 Chaperel Dr
Pearland,TX 77584
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Retired
Date Full name of contributor ❑ out-of-state PAC(ID#: ) Amount of Contribution($)
01/29/2021 Wilmer, Brian $400.00
Contributor address; City;State;Zip Code
7824 Jordan St
Manvel,TX 77578
• Principal occupation/Job title(See Instructions) Employer(See Instructions)
Park Manager Discovery Green Conservancy
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.eeb5f84f
PLEDGED CONTRIBUTIONS
SCHEDULE B
The Instruction Guide explains how to complete this form. 1 Total pages Schedule B:
Sch:1/1 Rpt: 8/15
2 FILER NAME '3 Filer ID
Hernandez,Adrian
4
TOTAL OF UNITEMIZED PLEDGES $ 0.00
5 Date 6 Full name of pledgor out-of-state PAC(ID#: ) 8 Amount of 19 In-kind description
Texas Real Estate PAC pledge ($) • I (If applicable)
7 Pledgor Address; City; State; Zip Code $2,000.00
03/16/2021 3693 Southwest Freeway
I '
Houston,TX 77027 Check if travel outside of Texas.Complete Schedule T.
10 Principal occupation/Job title(See Instructions) 11 Employer(See Instructions) •
•
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.eeb5f84f
POLITICAL EXPENDITURES FROM POLITICAL
CONTRIBUTIONS SCHEDULE Fl
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel in District
Contributions/Donations Made By- Gift/Awards/Memorials Expense Printing Expense Travel Out of District
Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor OTHER(enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Fl: 2 FILER NAME 3 Filer ID
Sch:1/5 Rpt: 9/15 Hernandez,Adrian
4 Date 5 Payee'name
01/04/2021 Anedot
6 Amount($) 7 Payee address; City; State; Zip Code
• $10.30 1340 Poydras Street
Ste 1770
New Orleans, LA 70112
8 PURPOSE (a)Category (See Categories listed at the top of this schedule) (b) Description
OF Fees El Check If travel outside of Texas.Complete Schedule T.
EXPENDITURE ❑Check if Austin,TX,officeholder living expense
CC Processing
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
- Date Payee name
01/05/2021 Anedot
Amount($) Payee address; City; State; Zip Code
•
$0.70 1340 Poydras Street
Ste 1770
New Orleans, LA 70112
PURPOSE (a)Category (See Categories listed at the top of this schedule) (b) Description
OF Fees IEI Check if travel outside of Texas.Complete Schedule T.
EXPENDITURE
Check if Austin,TX,officeholder living expense
CC Processing
Complete ONLY if direct Candidate/Officeholder name . Office sought Office held
expenditure to benefit C/OH
Date Payee name
01/11/2021 Anedot
Amount($) Payee address; City; State; Zip Code
$2.30 1340 Poydras Street
Ste 1770
New Orleans, LA 70112
PURPOSE (a)Category (See Categories listed at the top of this schedule) (b) Description
OF Fees ❑Check if travel outside of Texas.Complete Schedule T.
EXPENDITURE El Check if Austin,TX,officeholder living expense
CC Processing
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
•
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.eeb5f84f
POLITICAL EXPENDITURES FROM POLITICAL
CONTRIBUTIONS SCHEDULE Fl
•
EXPENDITURE CATEGORIES FOR BOX 8(a) •
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation•Equipment&Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel in District
Contributions/Donations Made By- Gift/Awards/Memorials Expense Printing Expense Travel Out of District
Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor OTHER(enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F1: 2 FILER NAME 3 Filer ID
Sch:2/5 Rpt: 10/15 Hernandez,Adrian
4 Date 5 Payee name
01/20/2021 Anedot
6 Amount($) 7 Payee address; City; State; Zip Code
$4.30 1340 Poydras Street
Ste 1770
New Orleans, LA 70112
8 PURPOSE (a)Category (see Categories listed at the top of this schedule) (b) Description
OF Fees DCheck if travel outside of Texas.Complete Schedule T.
• EXPENDITURE Check if Austin,TX,officeholder living expense
CC Processing
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
01/29/2021 Anedot
Amount($) Payee address; ,City; State; Zip Code •
$16.30 1340 Poydras Street
Ste 1770
New Orleans, LA 70112
PURPOSE (a)Category (See Categories listed at the top of this schedule') (b) Description
OF Fees ❑Check if travel outside of Texas.Complete Schedule T.
EXPENDITURE
❑Check if Austin,TX,officeholder living expense .
CC Processing
'Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
02/08/2021 Anedot
Amount($) Payee address; City; State; Zip Code
$9.70 1340 Poydras Street
Ste 1770
New Orleans, LA 70112
PURPOSE (a)Category (See Categories listed at the top of this schedule) (b) Description
OF Fees ❑Check if travel outside of Texas.Complete Schedule T.
EXPENDITURE
ElCheck if Austin,TX,officeholder living expense
CC Processing
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.eeb5f84f
POLITICAL EXPENDITURES FROM POLITICAL
• CONTRIBUTIONS SCHEDULE Fl
EXPENDITURE CATEGORIES FOR BOX 8(a) ,
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel in District
Contributions/Donations Made By- Gift/Awards/Memorials Expense Printing Expense Travel Out of District
CandidatelOfficeholder/Political Committee Legal Services Salaries/Wages/Contract Labor OTHER(enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Fl: 2 FILER NAME 3 Filer ID
Sch:3/5 Rpt: 11/15 Hernandez,Adrian
•
4 Date 5 Payee name
02/10/2021 Anedot
6 Amount($) 7 Payee address; City; State; Zip Code
$20.30 . 1340 Poydras Street
Ste 1770
New Orleans, LA 70112
8 PURPOSE (a)category (See Categories listed at the top of this schedule) (b) Description .
OF
Fees Check if travel outside of Texas.Complete Schedule T.
EXPENDITURE
❑Check if Austin,TX,officeholder living expense
CC Processing
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
02/25/2021 Anedot
Amount($) Payee address; City; State; Zip Code
$4.30 1340 Poydras Street
Ste 1770
New Orleans, LA 70112
PURPOSE (a)Category (See Categories listed at the top of this schedule) (b) Description
OF • Fees ❑Check if travel outside of Texas.Complete Schedule T.
EXPENDITURE
❑Check if Austin,TX,officeholder living expense
CC Processing
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
03/02/2021 Anedot
Amount($) Payee address; City; State; Zip Code
$4.30 1340 Poydras Street
Ste 1770
New Orleans, LA 70112
•
PURPOSE (a)Category (See Categories listed at the top of this schedule) (b) Description
OF Fees 11 Check if travel outside of Texas.Complete Schedule T.
EXPENDITURE
ElCheck if Austin,TX,officeholder living expense
• CC Processing
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
•
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.eeb5f84f
POLITICAL EXPENDITURES FROM POLITICAL
CONTRIBUTIONS SCHEDULE Fl
•
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel in District
Contributions/Donations Made By- Gift/Awards/Memorials Expense Printing Expense Travel Out of District
Candidate/Officeholder/Political Committee Legal Services Salarleslwages/Contract Labor OTHER(enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F1: 2 FILER NAME 3 Filer ID
Sch:,4/5 Rpt: 12/15 Hernandez,Adrian
4 Date 5 Payee name
03/04/2021 Anedot •
6 Amount($) 7 Payee address; City; State; Zip Code
• $10.30 1340 Poydras Street
Ste 1770
•
New Orleans, LA 70112
8 PURPOSE (a)category (See Categories listed at the top of this schedule) (b) Description
OF Fees D.Check if travel outside of Texas.Complete Schedule T.
EXPENDITURE
Check if Austin,TX,officeholder living expense
CC Processing
•
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
03/05/2021 Anedot
Amount($) Payee address; City; State; Zip Code
•
$10.30 1340 Poydras Street
Ste 1770
New Orleans, LA 70112
PURPOSE (a)Category (See categories listed at the top of this schedule) (b) DeScription
OF Fees ❑Check If travel outside of Texas.Complete Schedule T..
EXPENDITURE
Check if Austin,TX,officeholder living expense
CC Processing
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
01/20/2021 Graphic Icons
Amount($) Payee address; City; State; Zip Code
$250.00 7902 Broadway St
Pearland,TX 77584
PURPOSE (a)category (See Categories listed at the top of this schedule) (b) Description
OF Advertising Expense �Check if travel outside of Texas.Complete Schedule T.
EXPENDITURE
Check if Austin,TX,officeholder living expense
Logo design.
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.eeb5f84f
POLITICAL EXPENDITURES FROM POLITICAL . •
CONTRIBUTIONS SCHEDULE Fl
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel in District
Contributions/Donations Made By- Gift/Awards/Memorials Expense Printing Expense Travel Out of District
Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor OTHER(enter a category not listed above) '
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F1: 2 FILER NAME 3 Filer ID
Sch:5/5 Rpt: 13/15 Hernandez,Adrian •
4 Date 5 Payee name
02/05/2021 Pearland Area Republican Club
6 Amount($) 7 Payee address; City; State; Zip Code
$75.00 PO Box 711
Pearland,TX 77588
8 PURPOSE (a)Category (See Categories listed at the top of this schedule) (b) Description
OF Advertising Expense Check if travel outside of Texas.Complete Schedule T.
EXPENDITURE
❑Check if Austin,TX,officeholder living expense
•
Souper Saturday sponsorship/advertisement
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
•
•
•
•
•
•
•
•
•
•
Forms provided by Texas Ethics Commission www.ethics.state.tx.us_ Version V1.1.eeb5f84f
POLITICAL EXPENDITURES FROM PERSONAL FUNDS
SCHEDULE G
•
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel in District
Contributions/Donations Made By- GiftAwards/Memorials Expense Printing Expense Travel Out of District
Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor OTHER(enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule G: 2 FILER NAME 3 Filer ID
Sch: 1/2 Rpt: 14/15 Hernandez,Adrian
4 Date 5 Payee name
03/22/2021 - GotPrint
6 Amount($) - 7 Payee address; City; State; Zip Code
$66.30 7651 N.San Fernando Rd.
Reimbursement from •
•
EI political contributions
intended Burbank,CA 91505
8 PURPOSE (a)Category (See Categories listed at the top of this schedule) (b) Description ❑Check if travel outside of Texas. Complete Schedule T.
OF Printing Expense Check it Austin,TX,officeholder living expense
EXPENDITURE
Campaign thank you cards.
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit
C/OH
Date Payee name
02/08/2021 PoliEngine
Amount,($) Payee address; City; State; Zip Code
$35.00 621 NW 12th Ave
Reimbursement from
X political contributions
intended Gainesville, FL 32601
PURPOSE Category (See Categories listed at the top of this schedule) Description Check if travel outside of Texas. Complete Schedule T.
OF Advertising Expense Check If Austin,TX,officeholder living expense
EXPENDITURE
Website.
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit
C/OH
Date 'Payee name
03/08/2021 PoliEngine
Amount($) Payee address; City; State; Zip Code
$35.00 621 NW 12th Ave
Reimbursement from
Epolitical contributions
intended Gainesville, FL 32601
PURPOSE Category (See Categories listed at the top of this schedule) Description EI Check if travel outside of Texas. Complete Schedule T.
OF Advertising Expense Check If Austin,TX,officeholder living expense
EXPENDITURE
Website.
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit , •
C/OH
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.eeb5f84f
POLITICAL EXPENDITURES FROM PERSONAL FUNDS
SCHEDULE G
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel in District
Contributions/Donations Made By- Gift/Awards/Memorials Expense Printing Expense Travel Out of District
Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor OTHER(enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule G: 2 FILER NAME 3 Filer ID
Sch:2/2 Rpt: 15/15 Hernandez,Adrian
4 Date 5 Payee name
03/11/2021 Walmart •
6 Amount($) 7 Payee address; City; State; Zip Code
$2.46 1919 N Main St
Reimbursement from
Epolitical contributions
intended Pearland,TX 77581
8 PURPOSE (a)Category (See Categories listed at the top of this schedule) (b) Description 0 Check if travel outside of Texas. Complete Schedule T.
OF Supplies. ElCheck if Austin,TX,officeholder living expense
EXPENDITURE
Zip ties for signs.
7
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit
C/OH
•
•
•
•
•
•
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.eeb5f84f