KOZA JOSEPH_APRIL 29 2022_CAMPAIGN FINANCE REPORTCANDIDATE /
OFFICEHOLDER
FORM
C/OH
CAMPAIGN FINANCE R PORT
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.
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3 CANDIDATE /
MS /MRS / MR FIRST MI
OFFICE USE ONLY
OFFICEHOLDER
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NAME
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NICKNAME LAST
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APR
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MAILING
ADDRESS
CITY
OF
PEARLAND
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OFFICE
5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
Hand Postmarked
OFFICEHOLDER
•
Date -delivered or Date
k
#
Amount $
6 CAMPAIGN
TREASURER
MS / MRS /
MR FIRST
MI
A
n
.t�
/ V `IS
PAUL
Date Processed
NAME
NICKNAME
LAST
SUFFIX
re
ItaC
Date
Date Imaged
7 CAMPAIGN
TREASURER
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #;
CITY; STATE; ZIP CODE
ADDRESS
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,
8 CAMPAIGN
TREASURER
PHONE
AREA CODE PHONE NUMBER EXTENSION
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REPORT TYPE
January 15
30th day before election
Runoff
15th day after campaign
treasurer
appointment
(Officeholder Only)
Exceeded Modified
July 15
8th day before election
Final Report (Attach C/OH - FR)
Reporting Limit
10 PERIOD
Month Day Year Month Day Year
COVERED
Let/a-1
3 /1D9
/ aon
THROUGH
/'cZZ
11 ELECTION
ELECTION DATE
ELECTION TYPE
Primary
Runoff
ri
Other
Month Day Year
Description
sry
General
Special
/20
a^^�
12 OFFICE
OFFICE HELD (if any)
13 OFFICE SOUGHT (if known)
G,,it
Cotwok. Po5ITWoil
14 NOTICE FROM
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
POLITICAL
CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE(S)
COMMITTEE TYPE
COMMITTEE NAME
Li
GENERAL
COMMITTEE ADDRESS
Additional Pages
HSPECIFIC
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
CANI±IIDATE/OFFICEHOLDER FORM C/OH
CAMPANGN FINANCE REPORT
COVER SHEET PG 2
15 C/OH NAME
--c-Scosep e
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)
(030
3 TOTAL UNITEMIZED POLITICAL EXPENDITURE.
4. TOTAL POLITICAL EXPENDITURES
catot
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
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
(me "1" ..enenne ateekerds- raid
CAROL M. DALMOLIN
Notary Public State of Texas
rtg' :E es 09-06-2024
,sf... Commission Expires
1
` %1kill 11 o
J� R.r • Cies • i
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Notary ID 240748-9
Signure of Candidate or Officeholder
mplete either option below:
NOTARY STAMP / SEAL
f
Sworn to and subscribed before me by CL-- _
. iNk 3 3-4
�R t\l`•---' this the
to certify w ioh, witness my hand and seal of office.
/NN rt.rx t, kl) L. Ni\,
Signature of officer administering oath
(2) Unsworn Declaration
onto L 1 rJ
Printed name of officer administering oath
����1 �/�� . U
� day of l� /�%�l./� ./ ,
XCLA,v
Title of officer dmin'stering oath
My name is , and my date of birth is
My address is
Executed in
(street)
County, State of
(city) (state)
,
(zip code) (country)
, 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
FORM
C/OH
SUBTOTALS -
C/OH
COVER
SHEET PG 3
19 FILER NAME
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20 Filer ID (Ethics Commission Filers)
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21 SCHEDULE SUBTOTALS
SUBTOTAL
NAME OF SCHEDULE
AMOUNT
$
1
><C SCHEDULEA1: MONETARY POLITICAL CONTRIBUTIONS
I21
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$
2.
IX
A2: NON (IN -KIND) POLITICAL CONTRIBUTIONS
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SCHEDULE -MONETARY
1l
3.
SCHEDULE B: PLEDGED CONTRIBUTIONS
$
4.
SCHEDULE E: LOANS
$
$
5.
SCHEDULE Fl: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
10,
g70.4l1
,
$
6.
SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
$
7
F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
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SCHEDULE
$
CARD
8.
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I SCHEDULE F4: EXPENDITURES MADE BY CREDIT
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EXPENDITURES MADE FROM PERSONAL FUNDS
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I SCHEDULE G: POLITICAL
$
A BUSINESS OF C/OH
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10.rief
MADE FROM POLITICAL CONTRIBUTIONS TO
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SCHEDULE H: PAYMENT
$
11.
I: NON -POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
SCHEDULE
K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED
$
12.
I i
SCHEDULE
TO FILER
Forms provided by Texas Ethics Commission
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Revised 8/17/2020
CONTRIBUTIONS
Al
MONETARY
POLITICAL
SCHEDULE
If
the
information
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applicable,
DO
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The Instruction Guide explains how to complete this form.
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guide
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reporting
requirements.
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Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
POLITICAL
CONTRIBUTIONS
Al
MONETARY
SCHEDULE
If
information
is not
applicable,
DO
NOT
include
this
page
in
the
report.
the
requested
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Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
POLITICAL
CONTRIBUTIONS
Al
MONETARY
SCHEDULE
If
the
information
is not
applicable,
DO
NOT
include
this
page
in
the
report.
requested
1 Total pages Schedule Al:
The Instruction Guide explains how to
complete this form.
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guide
for
additional
AS
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reporting
requirements.
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 8/17/2020
POLITICAL
CONTRIBUTIONS
Al
MONETARY
SCHEDULE
If
the
requested
information
is not
applicable,
DO
NOT
include
this
page
in
the
report.
1 Total pages Schedule Al:
this form.
The Instruction Guide
explains how to complete
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Forms provided by Texas Ethics Commission
POLITICAL
CONTRIBUTIONS
Al
MONETARY
SCHEDULE
If
information
is not
applicable,
DO
NOT
include
this
page
in
the
report.
the
requested
1 Total pages Schedule Al:
The Instruction Guide explains how to complete
this form.
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additional
AS
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reporting
requirements.
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
POLITICAL
CONTRIBUTIONS
Al
MONETARY
SCHEDULE
If
the
information
is not
applicable,
DO
NOT
include
this
page
in
the
report.
requested
I Total pages Schedule Al:
The Instruction Guide explains how to
complete this form.
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for
additional
AS
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reporting
requirements.
www.ethics.state.tx.us
Forms provided by Texas Ethics Commission
CONTRIBUTIONS
Al
MONETARY
POLITICAL
SCHEDULE
If
the
information
is not
applicable,
DO
NOT
include
this
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in
the
report.
requested
1 Total pages Schedule
Al:
The Instruction Guide explains how
to complete this form.
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for
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AS
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requirements.
www.ethics.state.tx.us
I IZUU
Forms provided by Texas Ethics Commission
MONETARY
POLITICAL
CONTRIBUTIONS
Al
SCHEDULE
If
the
information
is not
applicable,
DO
NOT
include
this
page
in
the
report.
requested
I Total pages Schedule Al:
The Instruction Guide explains how to complete this form.
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Forms provided by Texas Ethics Commission
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NON
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(IN -KIND)
SCHEDULE
A2
CONTRIBUTIONS
If
information
is not
applicable,
DO
NOT
include
this
page
in
the
report.
the
requested
1 Total pages Schedule A2:
The Instruction Guide explains how to complete this form.
2 FILER NAME
E,
3 Filer ID (Ethics Commission Filers)
eaSS
llosts.
SEPo.
4
TOTAL
OF
UNITEMIZED
IN
-KIND
POLITICAL
CONTRIBUTIONS
$
6 Full name of contributor
❑
out-of-state PAC (ID#: )
8 Amount of
I g In -kind contribution
5
Date
Contribution
$
I desc iption
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tPgaikatv.3b3cA/7931
11 Employer (FOR NON-JUDICIAL)(See Instructions)
10 Principal occupat✓ion / Job titlefttit(FOR
12 Contributor's principal occupation (FOR JUDICIAL)
13 Contributor's job
title (FOR JUDICIAL)(See Instructions)
14 Contributor's employer/law firm (FOR JUDICIAL)
15 Law firm of contributor's spouse (if any) (FOR JUDICIAL)
16 If contributor is a child, law firm of parent(s) (if any) (FOR JUDICIAL)
Full name of contributor
❑
out-of-state PAC (ID#: )
Amount
I In
of
-kind contribution
Date
Contribution
$
I description
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1
State; Zip Code
00
Contributor City;
address;
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Check if travel outside of Texas. Complete Schedule
/ Job title
NON
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-JUDICIAL) (SeeInstructions)Employer
(FOR NON-JUDICIAL)(See Instructions)
Principal occupation (FOR
Contributor's principal occupation (FOR JUDICIAL)
Contributor's job
title (FOR JUDICIAL) (See Instructions)
Contributor's employer/law firm (FOR JUDICIAL)
Law firm of contributor's spouse (if any) (FOR JUDICIAL)
If contributor is a child, law firm of parent(s) (if any) (FOR JUDICIAL)
ATTACH
If contributor is out-of-state
ADDITIONAL
PAC
please
COPIES
see
Instruction
OF
THIS
SCHEDULE
guide
for
additional
AS
NEEDED
reporting
requirements.
in....__J 01 4'7 /01/)r)11
www.ethics.state.tx.us
Forms provided by Texas Ethics Commission
POLITICAL
NON
-MONETARY
(IN -KIND)
SCHEDULE
A2
CONTRIBUTIONS
If
the
information
is
DO
NOT
include
this
in
the
report.
requested
not
applicable,
page
I Total pages Schedule A2:11
The Instruction Guide explains how to complete
this form.
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
E•
camt'1
`
v.
I
4 TOTAL
OF
UN
ITEMIZED
IN
-KIND
POLITICAL
CONTRIBUTIONS
$
5
6 Full name of contributor
❑
out-of-state PAC (IDtt: )
8 Amount of
I g In -kind contribution
Date
Contribution
$
I description
ToM ELt
�Po
4
I
CAAAPAi c.,^1
\n6....)--.
3�.0on�
4
7 Contributor address; City; State; Zip Code
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SAVRC
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S
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?We
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Texas. Complete Schedule T.
�PW
1(0'405').l
Check if travel outside of
S�„
l o
■r
Y�
1
NON-JUDICIAL)(See
Instructions)
11 Employer (FOR NON-JUDICIAL)(See Instructions)
10 Principal occupation
/ Job title (FOR
12 Contributor's
principal occupation (FOR JUDICIAL)
13 Contributor's job
title (FOR JUDICIAL) (See Instructions)
14 Contributor's
employer/law firm (FOR JUDICIAL)
15 Law firm of contributor's spouse (if any) (FOR JUDICIAL)
16 If contributor
is a child, law firm of parent(s) (if any) (FOR JUDICIAL)
Full name of contributor
❑
out-of-state PAC (ID#: 1
Date
Contributor address;
City; State; Zip Code
Amount of
Contribution $
In -kind contribution
I description
II
Check if travel outside of Texas. Complete Schedule T.
Principal
/ Job title (FOR NON -JUDICIAL) (See Instructions)
Employer (FOR NON-JUDICIAL)(See Instructions)
occupation
Contributor's principal occupation (FOR JUDICIAL)
Contributor's job
title (FOR JUDICIAL) (See Instructions)
Contributor's employer/law firm (FOR JUDICIAL)
Law firm of contributor's spouse (if any) (FOR JUDICIAL)
If contributor is a child, law firm of parent(s) (if any) (FOR JUDICIAL)
ATTACH
If contributor is out-of-state
ADDITIONAL
PAC
please
COPIES
see
OF
Instruction
THIS
SCHEDULE
guide
for
additional
AS
NEEDED
reporting
requirements.
evise
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
POLITICAL
EXPENDITURES
MADE
FROM
POLITICAL
SCHEDULE
Fl
CONTRIBUTIONS
If
the
information
requested
is not
applicable,
DO
NOT
include
this
page
in the
report.
Advertising Expense
Accounting/Banking
Consulting Expense
Contributions/Donations
Candidate/Officeholder/Political
Credit Card Payment
Made By
EXPENDITURE
Event Expense
Fees
Food/Beverage
Gift/Awards/Memorials
Committee Legal Services
The Instruction
Expense
Guide
Expense
CATEGORIES
explains
Loan
Office
Polling
Printing
Salaries/Wages/Contract
how
FOR BOX 8(a)
Repayment/Reimbursement
Overhead/Rental Expense
Expense
Expense
Labor
to complete this
form.
Solicitation/FundraisingExpense
p
Transportation Equipment & Related Expense
Travel In District
Travel Out Of District
Other (enter a category not listed above)
1
Total pages
Schedule Fl:
2 FILER NAME
3 Filer ID Commission
(Ethics Filers)
1
�v56PA
1.4106,
4 Date
5 Payee name
6 Amount ($)/
7 Payee
address;
City; State; Zip Code
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PURPOSE
(a) Category (See Categories listed at
r
the top of this schedule)
(b)
Description
Ct-kGC%LS
OF
EXPENDITURE
r6
(c)
( J
Check if travel outside of Texas.
Complete Schedule T.
■
Check if Austin, TX, officeholder living expense
9 Complete ONLY
if direct Candidate / Officeholder name
Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
~1
2,44
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54
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PURPOSE
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If travel outside of Texas. Complete Schedule T.
�
Check if Austin, TX, officeholder living expense
Complete ONLY
if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Lit \#-a-10
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.
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7
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1 0 1
Category (See Categories the top of this schedule)
Description/�ript
Piece
PUROF POSE
sllisted
`at
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fSt/Jg/
�I�TA
�� Tt\L
J'�J-�
16An1'�ti*J6
EXPENDITURE
Check if travel outside of Texas. Complete ScheduleT,
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. eth ics. state.tx. us
Revised 8/17/2020
PAYMENT MADE
FROM
POLITICAL
CONTRIBUTIONS
SCHEDULE
H
TO
A BUSINESS
OF C/OH
If
the
information
is
DO
NOT
include
this
in
the
requested
not
applicable,
page
report.
Advertising Expense
Accounting/Banking
Consulting Expense
Contributions/Donations Made By
Event
Fees
Food/Beverage
Gift/Awards/Memorials
EXPENDITURE
Expense
Expense
CATEGORIES
Loan
Office
Polling
Expense Printing
FOR BOX 8(a)
Repayment/Reimbursement
Overhead/Rental Expense
Expense
Expense
Solicitation/Fundraising Expense
Transportation Equipment & Related Expense
Travel In District
Candidate/Officeholder/Political Committee
Credit Card Payment
Travel Out Of District
Legal Services Salaries/Wages/Contract 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 (Ethics Commission Filers)
�"'� C.
-c•SEp
c ��
1
\ 1"1
r �1
4
Date
5 Business
name
14 e�,Va
111S11A:s
►NC.
-
6 Amount ($)
7 Business
address;
City;
State; Zip Code
8
PURPOSE
(a)
Category
(See Categories listed at the top of this schedule)
(b)
Description
6(P�SC,
C
OF
i\Ov
J
1 C-1,/�
rl)
S 1 p
fr"
EXPENDITURE
(c)
In
Check if travel outside of Texas. Complete Schedule T.
I
Check if Austin, TX, officeholder living expense
9 Complete ONLY
if direct Candidate / Officeholder name Office
sought Office held
expenditure to benefit C/OH
Date
Business name
Amount ($)
Business address;
City; State; Zip Code
PURPOSE
OF
EXPENDITURE
Category (See Categories listed at the top of this schedule)
Description
nCheck
if travel outside of Texas. Complete Schedule T.
El
Check if Austin, TX, officeholder living expense
Complete ONLY
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
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 8/17/2020