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WILTZ QUENTIN_JANUARY 15 2022 _CAMPAIGN FINANCE REPORTFORM CIOH CANDIDATE 1 OFFICEHOLDER COVER SHEET PG 1 CAMPAIGN FINANCE REPORT The CIOH Instruction Guide explains how to complete this form. 1 Filer ID 2 Total pages filed: 11 3 CANDIDATE / MS /MRS / MR FIRST MI a<- r tt `.,, OFFICEHOLDER ' Quentine. NAME NICKNAME LAST wiitz SUFFIX to i>1 CITY OF # PFARI 11 P� 2 (1)2 AN1n 4 CANDIDATE / ADDRESS / PO BOX; APT / SUITE #; CITY; ZIP CODE OI tag to ckGd5 I Lliredtor J ( I' Io OLDER MAILINGOFFICEH 2-' 50 Pm ADDRESS Receipt # Amount Change ofAddress Ell Pearland, TX 77584 Date Processed Date Imaged 5 CAMPAIGN TREASURER MS /MRS / MR FIRST MI NAME NICKNAME LAST SUFFIX 6 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE TREASURER ADDRESS (Residence or Business) 7 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE 8 REPORT TYPE x January 15 ■ 30th day before election El Runoff 15th day after campaign treasurer appointment (officeholder only) July 15 0 8th day before election ■ Exceeded modified © Final Report (Attach C/OH-FR) reporting limit 9 PERIOD Month Day Year Month Day Year COVERED 07/01/2021 THROUGH 12/31/2021 10 ELECTION ELECTION DATE ELECTION TYPE Month Day Year ■ Primary Runoff ■ Other El GeneralSpecial 11 OFFICE OFFICE HELD (if any) 12 OFFICE SOUGHT Of known) GO TO PAGE 2 Version V1.1.ab979f02 Forms provided by Texas Ethics Commission www.ethics.state.tx.us CANDIDATE / OFFICEHOLDER REPORT: SUPPORT & TOTALS FORM C/OH COVER SHEET PG 2 2of11 13 C / OH NAME Wiltz, Quentin 14 Filer ID 15 NOTICE FROM POLITICAL COMMITTEE(S) • Additional Pages This box is for notice of political contributions accepted or political expenditures made by political committees to support the candidate / officeholder. These expenditures may have been made without he candidate s or officeholder's knowledge or consent. Candidates and officeholders are required to report this information only if they receive notice of such expenditures. COMMITTEE TYPE GENERAL SPECIFIC COMMITTEE NAME COMMITTEE ADDRESS COMMITTEE CAMPAIGN TREASURER NAME COMMITTEE CAMPAIGN TREASURER ADDRESS 16 CONTRIBUTION TOTALS EXPENDITURE TOTALS CONTRIBUTION BALANCE OUTSTANDING LOAN TOTALS 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR CONTRIBUTIONS MADE ELECTRONICALLY) 0.00 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $ 2,850.64 3. TOTAL UNITEMIZED POLITICAL EXPENDITURES $ 0.00 4. TOTAL POLITICAL EXPENDITURES $ 2,837.98 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF THE REPORTING PERIOD $ 0.00 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY OF THE REPORTING PERIOD $ 0.00 17 AFFIDAVIT 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 under Title 15, Election Code. Signature of Candidate or Officeholder AFFIX NOTARY STAMP / SEAL ABOVE Sworn to and subscribed before me, by the said of 120 , to certify which, witness my hand and seal of office. ,this the day Signature of officer administering Printed name of officer administering Title of officer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx. us b Version V1.1.a 979f02 SUBTOTALS - CIOH FORM CIOH COVER SHEET PG 3 3of11 18 FILER NAME Wiltz, Quentin 19 Filer ID 20 SCHEDULE SUBTOTALS NAME OF SCHEDULE SUBTOTAL AMOUNT SCHEDULE A1: MONETARY POLITICAL CONTRIBUTIONS $ 2,850.64 2. SCHEDULE A2: NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS $ SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4. SCHEDULE E' LOANS $ 5. © SCHEDULE F1: POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS $ 2,837.98 6. El SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 7. n SCHEDULE F3: PURCHASE OF INVESTMENTS FROM POLITICAL CONTRIBUTIONS $ 8. El SCHEDULE F4' EXPENDITURES MADE BY CREDIT CARD $ 9. 1 1 SCHEDULE G: POLITICAL EXPENDITURES FROM PERSONAL FUNDS $ 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 prow y Texas Ethics Commission iced b www.ethics.state.tx. us Version V1.1.ab979f02 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: Sch 1/2 Rpt: 4/11 2 FILER NAME Wiltz, Quentin 3 Filer ID 4 Date 07/06/2021 5 Full name of contributor WILTZ, QUENTIN out-of-state PAC (ID#: 6 Contributor address City; State; Zip Code TX 7 Amount of Contribution ($) $2,300.00 8 Principal occupation / Job title (See Instructions) P ROJECT DIRECTOR 9 Employer (See Instructions) STUBB COATINGS Date 07/06/2021 Full name of contributor WILTZ, QUENTIN out-of-state PAC (ID#: ) Contributor address City; State; Zip Code TX Amount of Contribution ($) $101.87 P rincipal occupation / Job title (See Instructions) P ROJECT DIRECTOR Employer (See Instructions) STUBB COATINGS Date 08/02/2021 Full name of contributor ou WILTZ, QUENTIN e PAC (ID#: ) Contributor address City; State; Zip Code TX Amount of Contribution ($) $60.50 Principal occupation / Job title (See Instructions) P ROJECT DIRECTOR Employer (See Instructions) STUBB COATINGS Date 08/09/2021 Full name of contributor WILTZ, QUENTIN out-of-state PAC (ID#: ) Contributor address City; State; Zip Code TX Amount of Contribution ($) $125.00 P rincipal occupation / Job title (See Instructions) PROJECT DIRECTOR Employer (See Instructions) STUBB COATINGS Date 08/26/2021 Full name of contributor WILTZ, QUENTIN out-of-state PAC (ID#: ) Contributor address City; State; Zip Code TX Amount of Contribution ($) $250.02 P rincipal occupation / Job title (See Instructions) P ROJECT DIRECTOR Employer (See Instructions) STUBB COATINGS Forms provi y Texas Ethics Commission ded b www. eth i c s. state . tx. u s Version V1.1.ab979f02()'+ MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: Sch: 2/2 Rpt: 5/11 2 FILER NAME Wiltz, Quentin 3 Filer ID 4 Date 12/31/2021 5 Full name of contributor WILTZ, QUENTIN out-of-state PAC (ID#: ) 6 Contributor address City; State; Zip Code TX 7 Amount of Contribution ($) $13 25 8 Principal occupation / Job title (See Instructions) PROJECT DIRECTOR 9 Employer (See Instructions) STUBB COATINGS Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.ab979f02 . POLITICAL EXPENDITURES FROM POLITICAL F1 SCHEDULE CONTRIBUTIONS FOR BOX 8(a) EXPENDITURE CATEGORIES Advertising Expense Event Expense Loan Repayment/Reimbursement Accounting/Banking Fees Office Overhead/Rental Consulting Expense Food/Beverage Expense Polling Expense Contributions/ Donations Made By - Gift/Awards/Memorials Expense Printing Expense Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Credit Card Payment The Instruction Guide explains how to complete this Expense Labor form. Solicitation/Fundraising Expense Transportation Equipment & Related Expense Travel in District Travel Out of District OTHER (enter a category not listed above) 1 Total Sch: pages 1/5 Schedule Rpt: 6/11 F1: 2 FILER Wlltz, NAME Quentin 3 Filer ID 4 Date 5 Payee name 07/28/2021 ACTION NETWORK TOOLSET 6 Amount ($) 7 Payee address; City State; Zip Code $10.00 7705 #105 HOUSTON, SOUTH TX POST 77056 OAK LANE 8 PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) Description OF Advertising Expense . Check if travel outside of Texas. Complete Schedule T. EXPENDITURE Check if Austin, TX, officeholder living expense WEBSITE 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date 08/30/2021 Payee ACTION name NETWORK TOOLSET Amount ($) Payee address; City State; Zip Code $10.00 7705 #105 SOUTH POST OAK LANE HOUSTON, TX 77056 PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) Description OF Advertising Expense Check if travel outside of Texas. Complete Schedule T. EXPENDITURE ■ Check if Austin, TX, officeholder living expense WEBSITE Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date 09/29/2021 Payee ACTION name NETWORK TOOLSET Amount ($) Payee address; City State; Zip Code $10.00 7705 #105 HOUSTON, SOUTH TX POST 77056 OAK LANE PURPOSE (a) Category Categories listed the top this schedule) (b) Description (See at of OF Advertising Expense 0 Check if travel outside of Texas. Complete Schedule T. EXPENDITURE Check if Austin, TX, officeholder living expense WEBSITE Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Forms provided by Texas Ethics Commission ersion v1.1.a www.etnics.state.tx.us POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS SCHEDULE Fi Advertising Expense Accounting/Banking Consulting Expense Contributions/ Donations Made By - Candidate/Officeholder/Political Committee Credit Card Payment EXPENDITURE CATEGORIES FOR BOX 8(a) Event Expense Fees Food/Beverage Expense Gift/Awards/Memorials Expense Legal Services Loan Repayment/Reimbursement Office Overhead/Rental Expense Polling Expense Printing Expense Salaries/Wages/Contract Labor The Instruction Guide explains how to complete this form. Solicitation/Fundraising Expense Transportation Equipment & Related Expense Travel in District Travel Out of District OTHER (enter a category not listed above) 1 Total pages Schedule F1: Sch: 2/5 Rpt: 7/11 2 FILER NAME Wiltz, Quentin 3 Filer ID 4 Date 10/29/2021 5 Payee name ACTION NETWORK TOOLSET 6 Amount ($) $10.00 7 Payee address; City; State; Zip Code 7705 SOUTH POST OAK LANE #105 HOUSTON, TX 77056 8 PURPOSE OF EXPENDITURE (a) Category (See Categories listed at the top of this schedule) Advertising Expense (b) Description • Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense WEBSITE 9 Complete ONLY if direct Candidate/Officeholder name expenditure to benefit C/OH Office sought Office held Date 07/06/2021 Payee name CHASE BANK Amount ($) $2,300.00 Payee address; City; State; Zip Code 10611 BROADWAY PEARLAND, TX 77584 PURPOSE OF EXPENDITURE (a) Category (See Categories listed at the top of this schedule) Credit Card Payment (b) Description Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense PAYMENT Complete ONLY if direct Candidate/Officeholder name expenditure to benefit C/OH Office sought Office held Date 07/30/2021 Payee name FROST BANK Amount ($) $50.00 Payee address; City; State; Zip Code P 0 BOX 1315 HOUSTON, TX 77251 PURPOSE OF EXPENDITURE (a) Category (See Categories listed at the top of this schedule) Fees (b) Description Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense BANK FEES Complete ONLY if direct Candidate/Officeholder name expenditure to benefit C/OH Office sought Office held Forms proviy Texas Ethics Commission ded b www. et h i cs. state . tx. u s Version V1.1.a 979f02 b POLITICAL EXPENDITURES FROM POLITICAL F1 SCHEDULE CONTRIBUTIONS FOR BOX 8(a) EXPENDITURE CATEGORIES Advertising Expense Event Expense Loan Repayment/Reimbursement Accounting/Banking Fees Office Overhead/Rental Consulting Expense Food/Beverage Expense Polling Expense Contributions/ Donations Made By - Gift/Awards/Memorials Expense Printing Expense Candidate/Officeholder/Political Committee. Legal Services SalariesM/ages/Contract Credit Card Payment The Instruction Guide explains how to complete this Expense Labor form. Solicitation/Fundraising Expense Transportation Equipment & Related Expense Travel in District Travel Out of District OTHER (enter a category not listed above) 1 Total Sch: pages 3/5 Schedule Rpt: 8/11 F1: 2 FILER Wiltz, NAME Quentin i3 Filer ID Ill 4 Date 08/31/2021 5 Payee FROST name BANK 6 Amount ($) $85.00 7 Payee P HOUSTON, 0 address; BOX 1315 City; TX 77251 State; Zip Code 8 PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) Description OF Fees 1. Check if travel outside of Texas. Complete Schedule T. EXPENDITURE El Check if Austin, TX, officeholder living expense BANK FEES 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date 09/30/2021 Payee FROST name BANK Amount ($) $15.00 Payee P HOUSTON, 0 address; BOX 1315 City; TX 77251 State; Zip Code PURPOSE (a) Category Categories listed the top of this schedule) (b) Description (See at OF Fees Check if travel outside of Texas. Complete Schedule T. EXPENDITURE Check if Austin, TX, officeholder living expense BANK FEES Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date 10/31/2021 Payee FROST name BANK Amount ($) $15.00 Payee P HOUSTON, 0 address; BOX 1315 City; TX 77251 State; Zip Code PURPOSE (a) Category Categories listed at the top of this schedule) (b) Description (See OF Fees Check if travel outside of Texas. Complete Schedule T. EXPENDITURE Check if Austin, TX, officeholder living expense BANK FEES Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Forms provided by Texas Ethics Commission ersion V1.1.ao979f02 0)}u www.etnics.state.tx.us SCHEDULE POLITICAL CONTRIBUTIONS FROM POLITICAL EXPENDITURES F1 Advertising Expense Event Accounting/banking Fees Consulting Expense Food/Beverage Contributions/ Donations Made By- Gift/Awards/Memorials Candidate/Officeholder/Political Committee Legal Credit Card Payment The EXPENDITURE Expense Services CATEGORIES FOR BOX 8(a) Loan Repayment/Reimbursement Office Overhead/Rental Expense Polling Expense Expense Printing Expense Salaries/wages/Contract Guide explains how to complete this Solicitation/Fundraising Expense Expense Transportation Equipment & Related Expense Travel in District Travel Out of District Labor OTHER (enter a category not listed above) form. Instruction 1 Total pages 4/5 Schedule Rpt: 9/11 F1: 2 FILER Wiltz, NAME Quentin 3 Filer ID Sch: 4 Date 11/30/2021 5 Payee FROST name BANK 6 Amount ($) $25.00 7 Payee P HOUSTON, 0 address; BOX 1315 City; 77251 State; Zip Code TX 8 PURPOSE EXPENDITURE (a) Category (See Categories listed at the top of this schedule) Fees (b) Description Check Check if travel if Austin, FEES outside of Texas. Complete Schedule T. TX, officeholder living expense OF III ■ BANK 9 Complete expenditure ONLY if direct C/OH Candidate/Officeholder name Office sought Office held to benefit Date 12/31/2021 Payee FROST name BANK Amount ($) $15.00 Payee P HOUSTON, 0 address; BOX 1315 City; TX 77251 State; Zip Code PURPOSE EXPENDITURE (a) Category (See Categories listed at the top of this schedule) Fees (b) Description Check if travel if Austin, FEES outside of Texas. Complete Schedule T. TX, officeholder living expense OF ElCheck ■ BANK Complete expenditure ONLY if direct C/OH Candidate/Officeholder name Office sought Office held to benefit Date 07/06/2021 Payee name GOOGLE LLC Amount ($) $89.21 Payee 1600 MOUNTAIN address; AMPHITHEATRE City CA 94043 PARKWAY State; Zip Code VIEW, PURPOSE EXPENDITURE OF (a) Category Office (see Overhead/Rental Categories listed at the Expense top of this schedule) (b) Description Check Check if travel outside if Austin, STORAGE of TX, officeholder Texas. Complete Schedule T. living expense DIGITAL Complete expenditure ONLY if direct C/OH Candidate/Officeholder name Office sought Office held to benefit Forms provided by Texas Ethics Commission ersion V1.1.ao979f02 www.etnics.state.tx.us l}V POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 Advertising Expense Accounting/Banking Consulting Expense Contributions/ Donations Made By - Candidate/Officeholder/Political Committee Credit Card Payment EXPENDITURE CATEGORIES FOR BOX 8(a) Event Expense Fees Food/Beverage Expense Gift/Awards/Memorials Expense Legal Services Loan Repayment/Reimbursement Office Overhead/Rental Expense Polling Expense Printing Expense Salaries/Wages/Contract Labor The Instruction Guide explains how to complete this form. Solicitation/Fundraising Expense Transportation Equipment & Related Expense Travel in District Travel Out of District OTHER (enter a category not listed above) 1 Total pages Schedule F1: Sch: 5/5 Rpt: 10/11 2 FILER NAME Wiltz, Quentin 3 Filer ID 4 Date 08/02/2021 5 Payee name GOOGLE LLC 6 Amount ($) $89.21 7 Payee address; City State; Zip Code 1600 AMPHITHEATRE PARKWAY MOUNTAIN VIEW, CA 94043 8 PURPOSE OF EXPENDITURE (a) Category (See Categories listed at the top of this schedule) Office Overhead/Rental Expense (b) Description Check if travel outside of Texas. Complete Schedule T. ElCheck if Austin, TX, officeholder living expense DIGITAL STORAGE 9 Complete ONLY if direct Candidate/Officeholder name expenditure to benefit C/OH Office sought Office held Date 09/02/2021 Payee name GOOGLE LLC Amount ($) $89.21 Payee address; City State 1600 AMPHITHEATRE PARKWAY MOUNTAIN VIEW, CA 94043 Zip Code PURPOSE OF EXPENDITURE (a) Category (See Categories listed at the top of this schedule) Office Overhead/Rental Expense (b) Description Check if travel outside of Texas. Complete Schedule T. 0 Check if Austin, TX, officeholder living expense DIGITAL STORAGE Complete ONLY if direct Candidate/Officeholder name expenditure to benefit C/OH Office sought Office held Date 09/12/2021 Payee name WIX.COM Amount ($) $25.35 Payee address; City; State; Zip Code 500 TERRY A FRANCOIS AVE SAN FRANCISCO, CA 94158 PURPOSE OF EXPENDITURE (a) Category (See Categories listed at the top of this schedule) Advertising Expense (b) Description Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense WEBSITE Complete ONLY if direct Candidate/Officeholder name expenditure to benefit C/OH Office sought Office held Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.ab979f02 • FORM CIOH - FR The Instruction Guide explains how to complete this form. ** Complete only if "Report Type" on page 1 is marked "Final Report" ** Page 11 of 11 1 C/OH NAME Wiltz, Quentin 2 Filer ID electgwiltz@gmail.com 3 SIGNATURE 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 appointment on file. 4 FILER WHO IS NOT AN OFFICEHOLDER ** Complete A & B below only if you are not an officeholder** A CAMPAIGN FUNDS Check only one: X Signature of Candidate sffieshelde I do not have unexpended contributions or unexpended interest or income earned from political contributions. I 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 u nderstand that I must file an annual report of unexpended contributions and that I may not retain unexpended contributions or u nexpended interest or income earned on political contributions longer than six years after filing this 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: 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 contrubutions. 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 u nderstand that I must dispose of assets purchased with political contributions in accordance with the requirements of Election Code, 254.204. 5 OFFICEHOLDER ** Complete this section only if you are an officeholder ** Signature of Candidate 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 politicial contributions, or assets purchased with political contributions or interest or other income from political contributions. Signature of Officeholder F orms prov y exas Ethics www.ethics.state.tx.us V ersion V1 1.ab979f02 ided b T