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HERNANDEZ ADRIAN_JULY 15 2022_CAMPAIGN FINANCE REPORT CANDIDATE / OFFICEHOLDER FORM CIOH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Filer ID 2 Total pages filed: The CIOH Instruction Guide explains how to complete this form. 7 3 CANDIDATE/ MS/MRS/MR FIRST MI •F C OFFICEHOLDER Adrian NAME , a°I-Nrceri:d , V L Jr' NICKNAME LAST SUFFIX JUL 1 If 2022 Hernandez 4 CANDIDATE/ ADDRESS/PO BOX; APT/SUITE#; CITY; ZIP CODE EC dIaYi_OE,REAR A 40 OFFICEHOLDER Change of Address Pearland,TX 77584 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 PEARLAND,TX 77584 (Residence or Business) 7 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE 8 REPORT TYPE El January 15 30th day before election Runoff El 15th day after campaign treasurer appointment(officeholder only) ElJuly 15 8th day before election Exceeded modified 1=1 Final Report(Attach C/OH-FR) reporting limit 9 PERIOD Month Day Year Month Day Year COVERED 01/01/2022 THROUGH 06/30/2022 10 ELECTION ELECTION DATE ELECTION TYPE Month Day Year El Primary EIRunoff Other El General EI Special 11 OFFICE OFFICE HELD(if any) 12 OFFICE SOUGHT(if known) Pearland City Council Place Position 4 Brazoria None GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V3.5.1.fc88a75c CANDIDATE I OFFICEHOLDER REPORT: FORM CIOH SUPPORT & TOTALS COVER SHEET PG 2 2 of 7 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) E Additional Pages COMMITTEE TYPE COMMITTEE NAME LI GENERAL COMMITTEE ADDRESS El SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME COMMITTEE CAMPAIGN TREASURER ADDRESS 16 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS(OTHER THAN PLEDGES,LOANS, TOTALS OR GUARANTEES OF LOANS,OR CONTRIBUTIONS MADE ELECTRONICALLY) 0.01 2. TOTAL POLITICAL CONTRIBUTIONS $ (OTHER THAN PLEDGES,LOANS,OR GUARANTEES OF LOANS) 3,850.01 EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURES TOTALS 0.00 4. TOTAL POLITICAL EXPENDITURES 215.00 CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF THE 3,916.00 BALANCE REPORTING PERIOD OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY LOAN TOTALS OF THE REPORTING PERIOD 215.00 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,Elec• MIX NOT4liF.)6..K2 Airl"ai 4:41323643454 '%%2, 222.e.2° 'Me of Texas w ' 24262T2e2 Comm EerT 02-21-2024 I 22e22224,22242e222222evete22,22022222weeee Signature of Candidate or Oft,-•Older AFFIX NOTARY STAMP/SEAL ABOVE /kASworn t and subscribed before me,by the said k, (trt this the day of20 to certify which,witness my hand and seal of office. Siqi 30/4 k ure of o ic r a I stering Prin.ed name of tfficer administering Ti e of offijr administeri g oath Forms pr ided by Texas Ethics Commission www.ethics.state.tx.us Version V3.5.1.fc88a75c SUBTOTALS - CIOH FORM CIOt-1 COVER SHEET PG 3 3 of 7 18 FILER NAME 19 Filer ID Hernandez,Adrian 20 SCHEDULE SUBTOTALS SUBTOTAL AMOUNT NAME OF SCHEDULE 1. 0 SCHEDULE Al: MONETARY POLITICAL CONTRIBUTIONS $ 3,850.01 2. 0 SCHEDULE A2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $ 3. 0 SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4. 0 SCHEDULE E: LOANS $ 5. 0 SCHEDULE Fl: POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS $ 6. ❑ SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 7. ❑ SCHEDULE F3: PURCHASE OF INVESTMENTS FROM POLITICAL CONTRIBUTIONS $ 8. ® SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 9. 0 SCHEDULE G: POLITICAL EXPENDITURES FROM PERSONAL FUNDS $ 215.00 10. 0 SCHEDULE H: PAYMENT FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ 11. 0 SCHEDULE I:NON-POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS $ SCHEDULE K:INTEREST,CREDITS,GAINS,REFUNDS,AND CONTRIBUTIONS RETURNED 12. LiTO FILER Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V3.5.1.fc88a75c MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al I Total pages Schedule Al: The Instruction Guide explains how to complete this form. Sch: 112Rpt:4/7 x Filer ID u FILER NAME Hernandez,Adrian * Date s Full numomcontributor out-of-state PAC ) r mnvvmmCvmr|mmon�q �~ $250.00 04/39/2022 Brown o Contributor address; City;State;Zip Code PO Box 690207 San Antonio,TX7o25O owuV� ;o mo <o Instructions)oon� y sm�vvv,(Scem�mmivn� x Principal occupation/o n Engineering Manager RAB/+K|STNERPAC Date Full nwnemcontributor w,v�mmp*cyo�� ) AnovntmconmuuuvnN; | ~— $500.00 | 05/03/2022 Calamo Contributor address; City;State;Zip Code 1235 North Loop West Sui0e50O Houston,TX770U8 Principal occupation/Job title(See Instructions) Employer(See Instructions) Perdue Brandon Fielder Collings&Mott LLP Government Affairs umo Full nemomcontributor Flov,v�*�p^zouw� ) mnoontmonn�iuuhnnm; -- $100.00 05/05/2022 Griffin,Alexandria i Contributor address; city;State;Zip Code 2SO3 Cypress Springs Court Poadxnd.TX775U4 Principal occupation/Job title(See Instructions) Employer(See Instructions) Municipal Rep Republic Services om" Full name mcontributor Flou��smwp*cVux� ) mnvun/mconmuoomo*; -- $500.00 05/05/2022 Janak. Larry Contributor address; City;State;Zip Code 18215 Cohen Green Lane Houston,TX77094 Principal occupation/Job title(See Instructions) Employer(See instructions) PreniPresident/CEO |DCU5 Date Full name mcontributor out-of-state PAC ) mnoummcontxuvhon�� -- $500.00 05/11/2022 Pepper Contributor address; City;State;Zip Code 4810VVosmxay Park Boulevard Houston,TX77041 Principal occupation/Job title(See Instructions) Employer(See instructions) PAC Houston Apartment Association PAC Version Forms provided by Texas Ethics Commission www.nthicn.xtate.\x.uo .51 � .fc88a75c MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al z Total pages Schedule Al: The Instruction Guide explains how to complete this form. soh: z/znp|: 5n x Filet,ID o FILER NAME Hernandez,Adrian 4 omr s Full name mcontributor [lvo�u`mvwp^cyuw� ) r xmoontmcnnmuounn�� — $500.00 04/21/2022 PeVeonn a Contributor address; City;State;Zip Code 1GroemeayPlaza Suite 225 Houston,TX77040 o Principal occupation/oou title(See Instructions) y Employer(See Instructions) Principal DEC Date Full^em,*contributor F� m,"^mampxoynw� ) Annvmmcomxu"�on�W �— $500.00 05/15/2022 Robinson Contributor address; City;State;Zip Code 320O Southwest Freeway Suive2hO0 Houston,TX77O27 P,inmv�oroo�mon/Job huv(See mm/ouivn� Emr|oy�,��omm,00non� Principal Allen Boone Humphries Robinson LLP omr Full name mcontributor F1nv�v�mawpxcVnw� ) mnnontwconumuoon�� — $500.00 05/05/2022 Russ, Jim Contributor address; City;State;Zip Code | 1U011Moadowg|enLane Houston,TX77042 Principal occupation/Job title(See Instructions) Employer(See Instructions) ' PrinPrincipalEHRA omr �uonam:moomziumo, Flov,v�mwp^oVow� ) mnnontmcnnmuvovn�� ' ^— $500.00 04/29/2022 Schwartz Contributor address; City;State;Zip Code 1300 Post Oak Boulevard Suite 2408 Houston,TX770S5 Principal occupation/Job title(See Instructions) Employer(See Instructions) Principal Schwartz Page&Harding LLP Version Forms pmvidedhy Texas Ethics Commission www.othico.s��.m uo � . .fc89a75c POLITICAL EXPENDITURES FROM PERSONAL FUNDS SCHEDULE G EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel in District Contributions/Donations Made By- Gift/Awards/Memorials Expense Printing Expense Travel Out of District Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor OTHER(enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule G: 2 FILER NAME 3 Filer ID Sch: 1/2 Rpt: 6/7 Hernandez,Adrian 4 Date 5 Payee name 04/16/2022 Barry,Jeffrey 6 Amount($) 7 Payee address; City; State; Zip Code $25.00 3503 BOXWOOD GATE TR ® Reimbursement from X political contributions intended Pearland,TX 77581 8 PURPOSE (a)Category (See Categories listed at the top of this schedule) (b) Description 0 Check if travel outside of Texas. Complete Schedule T. OF Event Expense ®Check if Austin,TX,officeholder living expense EXPENDITURE Campaign event admission 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name 01/03/2022 Brazoria County Republican Party Amount($) Payee address; City; State; Zip Code $20.00 135 Spanish Oak Circle Reimbursement from political contributions intended Lake Jackson,TX 77566 PURPOSE Category (See Categories listed at the top of this schedule) Description El check if travel outside of Texas. Complete Schedule T. OF Contributions/Donations Made By 0Check if Austin,TX,officeholder living expense EXPENDITURE Candidate/Officeholder/Political Committee Donation Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name 05/21/2022 Manvel FFA Alumni Amount($) Payee address; City; State; Zip Code $125.00 N/A Reimbursement from 0 political contributions intended Manvel,TX 77578 PURPOSE Category (See Categories listed at the top of this schedule) Description El Check if travel outside of Texas. Complete Schedule T. OF Contributions/Donations Made By Check it Austin,TX,officeholder living expense EXPENDITURE Candidate/Officeholder/Political Committee Donation Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V3.5.1.fc88a75c POLITICAL EXPENDITURES FROM PERSONAL FUNDS SCHEDULE G EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel in District Contributions/Donations Made By- Gift/Awards/Memorials Expense Printing Expense Travel Out of District Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor OTHER(enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule G: 2 FILER NAME 3 Filer ID Sch: 2/2 Rpt: 7/7 Hernandez,Adrian 4 Date 5 Payee name 01/31/2022 Pearland Area Republican Club 6 Amount($) 7 Payee address; City; State; Zip Code $20.00 PO Box 711 Reimbursement from 111 political contributions intended Pearland,TX 77588 8 PURPOSE (a)Category (See Categories listed at the top of this schedule) (b) Description El Check if travel outside of Texas. Complete Schedule T. OF Event Expense ❑Check if Austin,TX,officeholder living expense EXPENDITURE Souper Saturday admission 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name 01/09/2022 Stevens, Buck Amount($) Payee address; City; State; Zip Code $25.00 P.O. Box 462 Reimbursement from )( political contributions intended Pearland,TX 77588 PURPOSE Category (See Categories listed at the top of this schedule) Description Ei Check if travel outside of Texas. Complete Schedule T. OF Event Expense Check if Austin,TX,officeholder living expense EXPENDITURE Campaign event admission 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 V3.5.1,fc88a75c