HERNANDEZ ADRIAN_JULY 15 2022_CAMPAIGN FINANCE REPORT CORRECTION e
CORRECTION/AMENDMENT AFFIDAVIT
FOR CANDIDATE/OFFICEHOLDER FORM COR-c/OH
1 Filer ID(Ethics Commission Filers) 2 Total pages filed:
4 OFFICE USE ONLY
3 CANDIDATE/ MS/MRS/MR FIRST MI Ili, t e �
NAME
OFFICEHOLDER ADRIAN M `�: y. I TM k f tw3
NICKNAME LAST SUFFIX HERNANDEZ ,." OCT
3 1 2022
4 ORIGINAL REPORT I I January 15 U Runoff ❑ Final report Date Hand-delivered or Date Postmarked
U July 15 Exceeded modified reporting
TYPE CITY OF AEARLAND
limit CIRTYpS>ECRE TRW&OFFIC�
30th day before election Other(specify)
15th day after treasurer
8th day before election I appointment(officeholder only)
Date Processed
5 ORIGINAL PERIOD Month Day Year Month Day Year
COVERED THROUGH Date Imaged
0.1 /01 /2022 06 /30 / 2022
6 EXPLANATION OF CORRECTION
Omitted storage expenses by accident.
7 SIGNATURE I swear,or affirm, under penalty of perjury,that this corrected report is true and correct.
Check ONLY if applicable
Semiannual reports: I swear, or affirm,that the original report was made in good faith and without an intent to
mislead or to misrepre-sent the information contained in the report.
Other reports: I swear or affirm,that I am filing this corrected repo of later than the 1 business day after the
date I learned that the report as originally filed is inaccurate c plete. I swear, or affi ,that any error or
omission in the report as originally filed was made in good ith.
Y .fe TIAMOORE� M� ignatureofCandidate/O holder
:5 PUB•
;_�,- ;t;, NOTARY PUBLIC
-*: *: ID#132368454 Please complete either option stow'
•N9• P• State of Texas p p
(1)A a F':t.' Comm.Exp.02-21-2024
NOTARY STAMP/SEAL p C Sworn to and subscribed before me by Aohy, �1�t this the 3�S+ day ofpotpv,r
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20 (►a- t.i e . hich,witness my hand and = of office.
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Seregietit' h
Signa re of officer a, inist-ring oath Printed name of officer administering oath Ti of officer dministering oath
OR
(2)Unsworn Declaration
My name is , and my date of birth is
My address is , , ,
(street) (city) (state) (zip code) (country)
Executed in County,State of ,on the day of _, ,20
(month) (year)
Signature of Candidate/Officeholder(Declarant)
Remember To Attach Any Part Of The Campaign Finance Report Form Needed To Report And Explain Corrections
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 4/16/2021
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:2/4 Rpt: 8/10 Hernandez,Adrian •
4 Date 5 Payee name
01/31/2022 Pearland Area Republican Club
6 Amount($) 7 Payee address; City. State; Zip Code
$20.00 PO Box 711
Reimbursement from
Elpolitical contributions
intended Pearland,TX 77588
8 PURPOSE (a)Category (See Categories listed at the top of this schedule) (b) Description Check if travel outside of Texas. Complete Schedule T
OF Event Expense Check if Austin,TX,officeholder living expense
EXPENDITURE
Souper Saturday admission
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit
C/OH
Date Payee name
01/03/2022 Public Storage
Amount($) Payee address; City; State; Zip Code
$43.00 2760 Brownstone PI
Reimbursement from
political contributions
intended Pearland,TX 77584
PURPOSE Category (See Categories listed at the top of this schedule) Description ❑Check if travel outside of Texas. Complete Schedule T
OF Office Overhead/Rental Expense Check if Austin,TX,officeholder living expense
EXPENDITURE
Campaign storage.
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit
C/OH
Date Payee name
02/03/2022 Public Storage
Amount($) Payee address; City; State; Zip Code
$43.00 2760 Brownstone PI
Reimbursement from
political contributions
intended Pearland,TX 77584
PURPOSE Category (See Categories listed at the top of this schedule) Description ❑Check if travel outside of Texas. Complete Schedule T
OF Office Overhead/Rental Expense Check if Austin,TX,officeholder living expense
EXPENDITURE
Campaign storage.
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit
C/OH
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V3.5.1.fc88a75c
POLITICAL EXPENDITURES FROM PERSONAL FUNDS SCHEDULE G
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel in District
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out of District
Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor OTHER(enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule G: 2 FILER NAME 3 Filer ID
Sch:3/4 Rpt: 9/10 Hernandez,Adrian
4 Date 5 Payee name
03/03/2022 Public Storage
6 Amount($) 7 Payee address; City; State; Zip Code
$43.00 2760 Brownstone PI
Reimbursement from
political contributions
intended Pearland,TX 77584
8 PURPOSE (a)Category (See Categories listed at the top of this schedule) (b) Description Check if travel outside of Texas. Complete Schedule T
OF Office Overhead/Rental Expense ElCheck if Austin,TX,officeholder living expense
EXPENDITURE
Campaign storage.
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit
C/OH
Date Payee name
04/03/2022 Public Storage
Amount($) Payee address; City. State; Zip Code
$43.00 2760 Brownstone PI
Reimbursement from
political contributions
intended Pearland,TX 77584
PURPOSE Category (See Categories listed at the top of this schedule) Description Ei Check if travel outside of Texas. Complete Schedule T
OF Office Overhead/Rental Expense El check if Austin,TX,officeholder living expense
EXPENDITURE
Campaign storage.
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit
C/OH
Date Payee name
05/03/2022 Public Storage
Amount($) Payee address; City; State; Zip Code
$43.00 2760 Brownstone PI
❑ Reimbursement from
X political contributions
intended Pearland,TX 77584
PURPOSE Category (See categories listed at the top of this schedule) Description ❑check if travel outside of Texas. Complete Schedule T
OF Office Overhead/Rental Expense ❑check if Austin,TX,officeholder living expense
EXPENDITURE
Campaign storage.
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit
C/OH
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V3.5.1.fc88a75c
POLITICAL EXPENDITURES FROM PERSONAL FUNDS
SCHEDULE G
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel in District
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out of District
Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor OTHER(enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule G. 2 FILER NAME 3 Filer ID
Sch:4/4 Rpt: 10/10 Hernandez,Adrian
4 Date 5 Payee name
01/09/2022 Stevens, Buck
6 Amount($) 7 Payee address; City State; Zip Code
$25.00 P O. Box 462
❑ Reimbursement from
X political contributions
intended Pearland,TX 77588
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 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
Forms provided by Texas Ethics Commission www ethics.state.tx.us Version V3.5.1.fc88a75c