KOZA JOSEPH_APRIL 7 2022_CAMPAIGN FINANCE REPORTCANDIDATE / OFFICEHOLDER
CAMPAIGN FINANCE REPORT
FORM C/OH
COVER SHEET PG 1
The C/OH Instruction Guide explains how to complete this form.
3 CANDIDATE /
OFFICEHOLDER
NAME
4 CANDIDATE /
O FFICEHOLDER
MAILING
ADDRESS
❑ Change of Address
5 CANDIDATE/
O FFICEHOLDER
P HONE
6 CAMPAIGN
TREASURER
NAME
7 CAMPAIGN
TREASURER
ADDRESS
MS/MRS/MR
1•`ck
FIRST
f•-•••"-.0 1
1 Filer ID (Ethics Commission Filers)
MI
E
NICKNAME
ADDRESS / PO BOX;
LAST
114
SUFFIX
APT / SUITE II; CITY; STATE; ZIP CODE
P vt.ipT775gC
AREA CODE PHONE NUMBER
MS/MRS/MR
AAK
NICKNAME
FIRST
PAL
LAST
bti
EXTENSION
MI
SUFFIX
2 Total pages filed:
lr
OFFICE USE ONLY
APR 0 7 2022
CITY OF PEARLAND
ITV SECRETARY'S OFFICE
Date Hand -delivered or Date Postmarked
Receipt it
Amount $
Date Processed
Date Imaged
(Residence or Business)
8 CAMPAIGN
TREASURER
PHONE
9 REPORT TYPE
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE d;
AREA CODE
nJanuary 15
(
CITY;
PHONE NUMBER EXTENSION
30th day before election n Runoff
July 15 n 8th day before election
10 PERIOD
COVERED
11 ELECTION
12 OFFICE
Month Day Year
/1 4 /0-ad', THROUGH
ELECTION DATE
Month Day Year
se/1 /fa.®4Q
❑ Primary n Runoff
■
Special
STATE; ZIP CODE
Exceeded Modified
Reporting Lirnit
n
15th day after campaign
treasurer appointment
(Officeholder Only)
Final Report (Attach C/OH - FR)
Month Day Year
3 /
ELECTION TYPE
❑ Other
Description
14 NOTICE FROM
POLITICAL
COMMITTEE(S)
❑ Additional Pages
OFFICE HELD (if any)
113 OFFICE SOUGHT (if known)
c-aq
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 THE 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 COMMITTEE NAME
•
GENERAL
SPECIFIC
COMMITTEE ADDRESS
COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
GO TO PAGE 2
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 8/17/2020
1
CANDIDATE/OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT
COVER SHEET PG 2
15 C/OH NAME
uSraa)
t_.
16 Filer ID (Ethics Commission Filers)
17 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)
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
$ It; t LA) y
3. TOTAL UNITEMIZED POLITICAL EXPENDITURE.
4. TOTAL POLITICAL EXPENDITURES
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
y t)
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD
18 SIGNATURE 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.
(1) Affidavit
NOTARY STAMP / SEAL
ignature of Candidate or Officeholder
Please complete either option below:
1)
CAROL M. DALMViOLIN
•.� e`IP Notary Public State of Texas
E. �' �. Commission Expires 09-06-2024
Notary ID 2.40748.9
Sworn to and subscribed before me by 0
6), L �'Nii � }'� �.--, lrY 1 Ci L ( l�lthls the
20 e -` , to certify which .. itness my hand and seal of office.
orA
•
Signature of officer administering oath
L. L
Printed name of officer administering oath
4
Title of officer ad
sr
jiistering oath
•
•
•
•
OR
•
(2) Unsworn Declaration
My name is , and my date of birth is
My address is
(street) (city) y) (state) (zip code) (country)
Executed in County, State of , on the day of , 20
(month) (year)
Signature of Candidate/Officeholder (Declarant)
•
•
Forms provided by Texas Ethics Commission www.ethics.state.tx.us
Revised 8/17/2020
SUBTOTALS
C/OH
-
FORM
C/OH
COVER
SHEET PG 3
19 FILER NAME
20 Filer ID (Ethics Commission Filers)
21 SCHEDULE SUBTOTALS
NAME OF SCHEDULE
SUBTOTAL
AMOUNT
1 •
SCHEDULEA1:
MONETARY POLITICAL CONTRIBUTIONS
$ 1.3 1®®.
CC
2•
I
I SCHEDULEA2•
NON -MONETARY
(IN -KIND) POLITICAL CONTRIBUTIONS
$
3.
I
SCHEDULE
l B: PLEDGED CONTRIBUTIONS
$
4.
n
SCHEDULE E. LOANS
$
—
5.
SCHEDULE F1: POLITICAL EXPENDITURES
MADE
FROM POLITICAL CONTRIBUTIONS
$
6.
I
I SCHEDULE
F2: UNPAID INCURRED OBLIGATIONS
$
7.
I
I
SCHEDULE F3: PURCHASE
OF INVESTMENTS MADE
FROM POLITICAL CONTRIBUTIONS
$
8,
SCHEDULE F4:
I
I EXPENDITURES MADE
BY CREDIT CARD
$
9.
Il
SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL
FUNDS
$
10.
-�
SCHEDULE H: PAYMENT
MADE FROM POLITICAL CONTRIBUTIONS
TO A BUSINESS
cg
OF C/OH
$ Sit Oa._
11.
I
I
SCHEDULE I: NON -POLITICAL EXPENDITURES MADE FROM POLITICAL
CONTRIBUTIONS
$
12.
I SCHEDULE K:
I
INTEREST, CREDITS,
J
GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED
TO FILER
$
:orms
provided
by
Texas
Ethics
Commission
www.ethics.state.tx.us
MONETARY POLITICAL CONTRIBUTIONS
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
2 FILER NAME
4 Date
aft 1aa
5 Full name of contributor El out-of-state PAC (ID#:
`f lLiC (24 ht1Ly..
6 Contributor address;
City State; Zip Code
8 Principal occupation / Job title (See Instructions)
Date
Full name of contributor
Contributor address;
Principal occupation / Job title (See Instructions)
Date
Full name of contributor
Covvlowizs R
Contributor address;
SCHEDULE Al
1 Total pages Schedule Ai:
3 Filer ID (Ethics Commission Filers)
7 Amount of contribution ($)
1
9 Employer (See Instructions)
❑ out-of-state PAC (ID#:
■
City;
State; Zip Code
17581
Employer (See Instructions)
out-of-state PAC (ID#:
City; State; Zip Code
C : ,.4 'TEE p6m.uwATTNA.
Principal occupation / Job title (See Instructions)
Employe (See Instructions)
s o00
Amount of contribution ($)
1
L 000 F 7)
Amount of contribution ($)
4
� I coo, exp
Date
Full name of contributor El out-of-state PAC (ID#:
Contributor address; City; State; Zip Code
ie(Ok (31\\L. —COP i &NIA/4M). ar)( 1 7S-S 1
Principal occupation / Job title (See Instructions)
Employe (See Instructions)
Amount of contribution ($)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements.
00
Forms provided by Texas Ethics Commission www.ethics.state.tx.us
Revised 8/17/2020
MONETARY POLITICAL CONTRIBUTIONS
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
2 FILER NAME E 11
INOS
0-vs1/4
4 Date
5 Full name of cont ibutor
6 Contributor address;
■
out-of-state PAC (ID#:
City; State; Zip Code
QB—rc.`Ct LN1a PEA* ayA.T?5�
8 Principal occupation / Job title (See Instructions)
Date
3110
,�Fuull name of contributor•llt4 sit_ D, S
■
SCHEDULE Al
1 Total pages Schedule Al:
3 Filer ID (Ethics Commission Filers)
7 Amount of contribution ($)
9 Employer (See Instructions)
out-of-state PAC (ID#:
Contributor address; City; State; Zip Code
ra )
1 A1/4\ f/C.1 i P6M.-LAJ.IS TNA --ASS I
Principal occupation / Job title (See Instructions)
Date
Full name of contributor
Employer (See Instructions)
❑ out-of-state PAC (ID#:
ko toRau
Contributor address; City; State; Zip Code
Pc X 13 P tti s, i X. -is s
a\ 13 ?A1\\(,. ANE., P 2 „o-yC 7 ?
Principal occupation / Job title (See Instructions)
Date
Full name of contributor
cLA...)q Nag
Contributor address;
❑ out-of-state PAC (ID#:
Employer (See Instructions)
City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
S . o.o , 00
Amount of contribution ($)
.4sto,t_
Amount of contribution ($)
CO,.4 aD
Amount of contribution ($)
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 8/17/2020
MONETARY POLITICAL CONTRIBUTIONS
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
2 FILER NAME
4 Date
5 Full name of contributor
6 Contribu or address;
0 out-of-state PAC (ID#:
City;
State; Zip Code
t3Cv- saw
8 Principal occupation / Job title (See Instructions)
Date
SCHEDULE Al
1 Total pages Schedule Al:
3 Filer ID (Ethics Commission Filers)
7 Amount of contribution ($)
9 Employer (See Instructions)
Full name of contributor ❑ out-of-state PAC (ID#:
Contributor address;
City;
313P��. aLkAT)
Principal occupation / Job title (See Instructions)
Date
Full name of contributor
State; Zip Code
Employer (See Instructions)
out-of-state PAC (ID#:
Contributor address;
Principal occupation / Job title (See Instructions)
Date
Full name of contributor
CIA iN ®
City; S ate; Zip Code
:+ra�� PatX1
out-of-state PAC (ID#:
Contributor address; City;
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
State; Zip Code
Employer (See Instructions)
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Amount of contribution ($)
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Amount of contribution ($)
Amount of contribution ($)
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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 8/17/2020
MONETARY
POLITICAL
CONTRIBUTIONS
SCHEDULE
Al
If
the
information
requested
is not
applicable,
DO
NOT
include
this
page
in
the
report.
The
Instruction
Guide
explains
how to complete this form.
1
Total pages Schedule Al:
2 FILER NAME
�3-e
3 Filer ID (Ethics Commission Filers)
At-1
.
4 Date
5 Full name of contributor`t
0
out-of-state PAC (ID#: )
7 Amount of contribution ($)
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6 Contributor address;
City; State; Zip Code
/
000
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8 Principal occupation / Job title (See Instructions)
9 Employer (See Instructions)
Date
Full name of contributor
❑
out-of-state PAC (ID#: )
Amount of contribution ($)
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Contributor address;
City; State; Zip Code
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0
s
Principal occupation
/ Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor
IN
out-of-state PAC (ID#: )
Amount of contribution ($)
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Con ributor address; City; State;
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Zip Code
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Date
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out-of-state PAC (iD#: )
Amount of contribution ($)
44,
11
1 artX
Contributor address; City;
State; Zip Code
0 t
e
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
ATTACH
If contributor is out-of-state
ADDITIONAL
PAC,
COPIES
OF
THIS
SCHEDULE
AS
NEEDED
please see Instruction guide for additional
reporting
requirements.
as Ethics Commission
www.ethics.state.tx.us
Revised 8/17/2020
MONETARY
POLITICAL CONTRIBUTIONS
SCHEDULE
Al
If
the
requested
information
is not
applicable,
DO
NOT
include
this
page
in
the
report.
The
Instruction
Guide
explains
how to complete
this
form.
1
Total pages Schedule Al:
4
2 FILER NAME
3 Filer ID (Ethics Commission
Filers)
4
Date
5 Full name of contribu or
0
out-of-state PAC (ID#; )
7 Amount of contribution ($)
6 Contributor
J
Fit
r a,
address;
City;
State; Zip Code
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8 Principal occupation / Job title (See Instructions)
9 Employer (See Instructions)
Date
Full name of contributor ■�
-of -state PAC (ID#: )
Amount of contribution ($)
j
flout
1I"
Contributor address;
City; State; Zip Code
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Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor
■
out-of-state PAC (ID#: )
Amount
of contribution ($)
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Contributor address; City; State; Zip Code
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Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor
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out-of-state PAC (ID#:
Amount
of contribution ($)
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Contributor address; City; State; Zip Code
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Principal occupation / Job title (See Instructions)
Employer (See Instructions)
If contributor
ATTACH
is out-of-state
ADDITIONAL
PAC,
please
COPIES
see
Instruction
OF
THIS
SCHEDULE
guide
for
additional
AS
NEEDED
reporting
requirements.
www.ethics.state.tx.us
Revised 8/17/2020
MONETARY
POLITICAL
CONTRIBUTIONS
SCHEDULE
Al
If
the
information
requested
is not
applicable,
DO
NOT
include
this
page
in
the
report.
The
Instruction Guide
explains
how to complete this form.
1
Total pages Schedule Al;
2 FILER NAME
C
3 Filer ID (Ethics Commission Filers)
E..-Yry
tt-i\
4 Date
5 Full name of contributor
0
out-of-state PAC (ID#: )
7 Amount of contribution ($)
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6 Contributor
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8 Principal occupation / Job title (See Instruc ions)
9
Employer (See Instructions)
Date
Full name of contributor
0
PAC (ID#: )
Amount of contribution ($)
"ouutt--of-state
3
3I
Contributor
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address;
City; State; Zip Code
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Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor
El
out-of-state PAC (ID#: )
Contributor address;
City;
State; Zip Code
Amount of contribution ($)
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor
0
out-of-state PAC (ID#: )
Amount of contribution ($)
Contributor address; City;
State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
If contributor
ATTACH
is out-of-state
ADDITIONAL
PAC,
please
COPIES
see
Instruction
OF
THIS
SCHEDULE
guide
for
additional
AS NEEDED
reporting
requirements.
www.ethics.state.tx.us
arms provlaea by texas Ethics Commission
Revised 8/17/2020
PAYMENT MADE
FROM
POLITICAL
CONTRIBUTIONS
SCHEDULE
H
TO
A BUSINESS
OF
C/OH
If
the
requested
information
is not
applicable,
DO
NOT
include
this
page
in
the
report.
EXPENDITURE
Advertising Expense Event Expense
Accounting/Banking Fees
Consulting Expense Food/Beverage Expense
Contributions/Donations Made By Gift/Awards/Memorials Expense
CATEGORIES FOR BOX 8(a)
Loan Repayment/Reimbursement
Office Overhead/Rental Expense
Polling Expense
Printing Expense
Solicitation/Fundraising Expense
Transportation Equipment& Related Expense
Travel In District
Candidate/Officeholder/Political
Credit Card Payment
Committee Legal Services
The Instruction Guide
Travel Out Of District
Salaries/Wages/Contract Labor Other (enter a category not listed above)
explains how to complete this form.
1 Total pages Schedule H:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
,.
(20
4 Date I
5 Business name
p
1)S-
)a
-a-
12402.
5 tNic.
6 Amount ($)
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PURPOSE
(a)
Category (See Categories listed at the top of this schedule)
(b)
Description
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OF
CA
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CyJ
CAS �
erca �.5
C-
4
AN
%
‘
.
.a
EXPENDITURE
(c)
TI
Check if travel outside of Texas. Complete Schedule T.
n
Check if Austin, TX, officeholder living expense
9 Complete ONLY
if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Business name
Amount
Business
4\
($)
R
address;
Pa
City; State; Zip Code
-7"
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aci
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to
A
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1
PURPOSE
Category
(See Categories listed
i
at the top of this schedule)
Description
‘
OF
4S 1
A
6 CA P�S4-
CNAAPA
Cv1/4i
4-
--"
1
1
EXPENDITURE
ICheck
If travel outside
of Texas. Complete Schedule T.
n
Check if Austin, TX, officeholder living expense
Complete ONLY
if direct Candidate / Officeholder
name Office sought Office held
expenditure to benefit C/OH
Date
�)�1
Business name
i
A►
td�."e�A,5
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Amount ($)
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14
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PURPOSE
Category (See Categories
listed at the top of this schedule)
Description
AO
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2�
D S I
LPJ
(1
5
[�
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tyv
I
' —
EXPENDITUREOF
T\
riCheck
if travel outside of Texas. Complete Schedule T.
n
Check If Austin, TX, officeholder living expense
Complete ONLY
if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH
ADDITIONAL
COPIES
OF
THIS
SCHEDULE
AS
NEEDED
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 8/17/2020
PAYMENT MADE
FROM
POLITICAL
CONTRIBUTIONS
TO
A BUSINESS
OF
C/OH
SCHEDULE
H
If
the
information
requested
is not
applicable,
DO
NOT
include
this
page
in
the
report.
EXPENDITURE
Advertising Expense Event Expense
Accounting/Banking Fees
CATEGORIES
Loan
Repayment/Reimbursement
FOR
BOX 8(a)
Solicitation/Fundraising Expense
Office Overhead/Rental
Consulting Expense Food/Beverage Expense Polling Expense
Expense Transportation Equipment& Related Expense
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing
Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract
Credit Card Payment
Expense
Travel In District
Travel Out Of District
Labor Other (enter a category not listed above)
The Instruction Guide explains how to
complete
this form.
1 Total pages Schedule H:
2 FILER NAME
3 Filer ID Commission
,®-,
(Ethics Filers)
4
Date
5
Business name
6 Amount ($)
7 Business address;
4669,
City; State; Zip Code
ce
-77JLJ
a
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tt
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as
\ to
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8
POSE
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Category
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listed at the top
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of this
schedule)
(b)
Description
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EXPENDITURE
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(c)
In
Check if travel outside of Texas, Complete Schedule T,
j
Check if Austin, TX, officeholder living expense
9 Complete ONLY
if direct Candidate
/ Officeholder name
Office
sought Office held
expenditure to benefit C/OH
Date
Business
name
a7�
I
1
ti
s NIA.,
Amunt ($)
Business
address;
City; State; Zip Code
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,
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PURPOSE
Category
(See Categories listed at the top of this schedule)
pus"
Description
sit (N
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CS -Writ >D
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m
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s e
t
EXPENDITURE
II
Check if travel outside of Texas. Complete ScheduleT.
E
Check if Austin, TX, officeholder living expense
Complete ONI
Y if direct Candidate / Officeholder name Office sought Office held
expenditure to
benefit C/OH
Date
Business name
Amount ($)
Business address; City; State; Zip Code
PURPOSE
OF
EXPENDITURE
Category (See Categories listed at the top of this schedule)
Description
Check if travel outside of Texas. Complete Schedule T,
n
Check If Austin, TX, officeholder living
expense
Complete ONLY
if direct Candidate / Officeholder name Office sought Office
held
expenditure to benefit C/OH
ATTACH
ADDITIONAL
COPIES
OF
THIS
SCHEDULE
AS
NEEDED
•
Ided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 8/17/2020