COLE KEVIN_JULY 15_CAMPAIGN FINANCE REPORTCANDIDATE / OFF10EHOLDER
FORM
C/OH
FINANCE
COVER
SHEET PG 1
The
C/OH
Instruction
Guide
explains
how to complete
this
form.
1
Filer ID (Ethics Commission Filers)
2 Total pages filed:
/5—
3 CANDIDATE
/
MS / MRS
0 FIRST MI
' j"-A 1 /e
OFFICE
USE
ONLY
OFFICEHOLDER
,e S /� J
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.,
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NAME
:.
it,ye 3. >m.3
NICKNAME LASTt SUFFIX
•
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4
CANDIDATE
/
ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
J
U
l 1
3
2023
OFFICEHOLDER
MAILING
ADDRESS
CITY
OF
PEARLAND
(,�e4r& D/
C
ITY
SECRETARY'S
OFFICE
Change
of
Address
Y 7
MIS
5
CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER
Date Hand -delivered or Date Postmarked
(,
6
CAMPAIGN
0/ MRS / MR FIRST MI
Receipt #
Amount $
TREASURER
�p�
Me 7a
k--
Date Processed
NAME
NICKNAME LAST SUFFIX
V h A
Date Imaged
7
CAMPAIGN
TREASURER
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE
(�
8
CAMPAIGN
TREASURER
AREA CODE PHONE NUMBER
EXTENSION
PHONE
9
REPORT
TYPE
January 15
I-1
301h
day before election
n
Runoff
I
15th day after campaign
treasurer appointment
(Officeholder Only)
71
July 15
I
I 8th
day before election
Exceeded Modified
Final Report (Attach CIOH - FR)
Reporting Limit
10
PERIOD
COVERED
Month Day
Year Month Day Year
7.24 /ao013
THROUGH 06 / a0 /020.2
04
11
ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
(�j
I 1
Primary
❑
Runoff
❑
Other
Description
[General
n
/Ok /90Z3
Special
QS oo��/
12
OFFICE
OFFICE HELD (if any)
Vi
/
13
OFFICE SOUGHT
(if known)
14
NOTICE
POLITICAL
COMMITTEE(S)
FROM
THIS BOX IS FOR NOTICE
THE CANDIDATE 1 OFFICEHOLDER.
CONSENT. CANDIDATES
OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT
THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S KNOWLEDGE OR
AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE TYPE
COMMITTEE NAME
❑GENERAL
COMMITTEE ADDRESS
n
Additional Pages
❑SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
GO
TOPAGE2
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 8/17/2020
CANDIDATE
/ OFFICEHOLDER
FORM
C/OH
SHEET
PG 2
CA
PA1GN
FINANCECOVER
15
C/OH
NAME
..,
'' //
ainceS Kt O/ 4
/►
C
/
D ! �—
16
Filer ID (Ethics Commission Filers)
17
OUTSTANDING
LOAN
CONTRIBUTION
TOTALS
TOTAL EXPENDITURE
CONTRIBUTION
BALANCE
TOTALS
1.
TOTAL UNITEMIZED
PLEDGES, LOANS,
CONTRIBUTIONS
POLITICAL CONTRIBUTIONS (OTHER THAN
OR GUARANTEES OF LOANS, OR
MADE ELECTRONICALLY)
$ -- 0
2.
TOTAL
POLITICAL
CONTRIBUTIONS
$
(OTHER
THAN
PLEDGES, LOANS, OR GUARANTEES OF LOANS)
if 000 . 00
3. TOTAL
UNITEMIZED
POLITICAL EXPENDITURE.
$
4.
TOTAL
POLITICAL
EXPENDITURES
$ /, no-. oo
5. TOTAL
POLITICAL
CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
Atli.
$ 9
(.
OF REPORTING
PERIOD
e2s
/ 02.1
6. TOTAL
PRINCIPAL
AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
$
LAST
DAY
OF THE REPORTING PERIOD
— 0
--
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.
I.
Please
complete
either
Signature
option
of Candidate or Officeholder
below:
My Co10/412026
Tarin
Griddle
xplres
(1)
Affidavit
4
1
Notary
ID124500316
NOTARY STAMP/SEAL
Orialinirrineneringre
f
t�
V
j
i\I
1 ,�
Ll
Swom to and
subscnbed
before
me
byJ
.
this
the day
of
e
23
20 a to certify
which,
witness
hand
and
seal
of
office.
gin/ 02 lD/J(..e
(2Eu
lcos
NALyS
/A
�`
i'
Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath
ORi
(2)
My
Unsworn
name
is
Declaration
, and
my date
of
birth
is .
My
address
is .
Executed
in County,
(street)
State
of
on the
(city)
day
of
(state)
(zip
code)
20
(country)
, .
(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
SU
E
TOTALS
o
IOH
COVER
SHEET
PG
3
.
19 FILER
NAME /� a
[,/Oates / )111
/-.e___
20 Filer ID (Ethics Commission Filers)
SUBTOTAL
21 SCHEDULE
SUBTOTALS
NAME
OF SCHEDULE
AMOUNT
1.
I
I SCHEDULEAI: MONETARY POLITICAL CONTRIBUTIONS
$ /, god . OD
2.
CONTRIBUTIONS
$
SCHEDULEA26 NON -MONETARY (IN -KIND) POLITICAL
-- 0 -
$
3. I
J
SCHEDULE B: PLEDGED CONTRIBUTIONS
-0 -
LOANS
$
4.
SCHEDULE E:
- 0 -
/1 5 2 00
5.
SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$ 1
6.
$
I
I SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
^ o
$
7.
I
I SCHEDULE F3: PURCHASE OF INVESTMENTS FROM POLITICAL CONTRIBUTIONS
.MADE
_ o ,_
8'
I
I SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD
$ o
9.
SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
$
-O
10.
TO A BUSINESS OF C/OH
$
SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS
-O
11.
CONTRIBUTIONS
$
SCHEDULE I: NON -POLITICAL EXPENDITURES MADE FROM POLITICAL
_ D
12.
SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED
$
-0
--
TO FILER
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 9/26/2019
S
Al
C
NTC"I
UTO®
Y
P°UTICA
SCHEDULE
MO
The
Instruction
Guide
explains
how to complete
this
form.
1
Total pages Schedule Al:
'
3 Filer ID
(Ethics Commission Filers)
2 FILER NAME
t%sKevivt(ol2.
7 Amount of contribution ($)
4 Date
6 Full name of contributor.
■ out-of-state PAC (ID#: )
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Full name of contributor
■
out-of-state PAC (ID#:
Amount of contribution ($)
Date
Contributor address; City;
State; Zip Code
Instructions)
Employer (See Instructions)
Principal occupation / Job title (See
Full name of contributor
■
out-of-state PAC (ID#: )
Amount of contribution ($)
Date
Contributor address; City;
State; Zip Code
Instructions)
Employer (See Instructions)
Principal occupation / Job title (See
Amount of contribution ($)
Date
Full name of contributor
a
out-of-state PAC (IDtk. )
Contributor address; City; State; Zip Code
Instructions)
Employer (See Instructions)
Principal occupation / Job title (See
If contributor
is
ATTACH
out-of-state
ADDITIONAL
PAC,
please
COPIES
see
Instruction
OF
THIS
SCHEDULE
guide
for
additional
AS
NEEDED
reporting
requirements.
r n ilend
0/9A/9n1
www.ethies.state.tx.us
Forms provided by Texas Ethics Commission
NON
E
NETAF
Y
QO
ni
ll
J➢
POLRTIC
4L
SCHEDULE
o
CO
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TRH
UTQ®
S
1
Total pages Schedule
A2:
The
Instruction
Guide explains
how
to complete
this
form.
1
1
3 Commission Filers)
2 FILER NAME
2 tes �ea/KCol�
,
Filer ID (Ethics
4 TOTAL
OF
UNITEMIZED
IN
-KIND
POLITICAL
CONTRIBUTIONS
$
6 Date
6 Full name of contributor
■
out-of-state PAC (ID#:
)
8 Amount of . 9 In -kind contribution
7 Contributor address;
City; State;
Zip Code
Contribution
$ , description
•
Check if travel outside of Texas. Complete Schedule T.
Instructions)
10
NON Instructions)
11
Employer (FOR NON-JUDICIAL)(See
Principal occupation / Job title (FOR -JUDICIAL) (See
JUDICIAL)
13
Contributor's job title (FOR JUDICIAL) (See Instructions)
12
Contributor's principal occupation (FOR
14
Contributor's employer/law firm (FOR JUDICIAL)
16
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)
Date
Full name of contributor
0
out-of-state PAC (ID#:
)
Amount of In -kind contribution
Contribution $ , description
Contributor address; City; State;
Zip Code
•
HCheck
if travel outside of Texas. Complete Schedule T.
Principal occupation / Job title (FOR NON -JUDICIAL) (See Instructions)
Employer (FOR NON-JUDICIAL)(See Instructions)
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'arty) (FOR JUDICIAL)
If contributor is a child, law firm of parent(s) (if any) (FOR JUDICIAL)
If contributor
is out-of-state
ATTACH
ADDITIONAL
PAC,
please
COPIES
see
Instruction
OF
THIS
SCHEDULE
guide
for
additional
AS
NEEDED
reporting
requirements.
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
eviseci 912b.
GE*
CO
T
11
UTE!
NS
SCHEDULE
PLE
1
Total pages Schedule B:
The
Instruction
Guide
explains
how to complete
this
form.
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
4
TOTAL
UN
ITEMIZED
PLEDGES
$
OF
_
,
6 Date
6 Full name of pledgor
❑
out-of-state PAC (ID#: )
8 Amount . 9 In -kind contribution
of Pledge $ description
7 Pledgor address; City; State; Zip Code
•
ICheck
if travel outside of Texas. Complete Schedule T.
10 Principal
/ Job title (See Instructions)
11
Employer (See Instructions)
occupation
Date
Amount In
Full name of pledgor
■
out-of-state PAC (ID#: )
• -kind contribution
Pledge $ description
of •
Pledgor City; State; Zip Code
.
address;
14 Check if travel outside of Texas. Complete Schedule T.
/ Job title Instructions)
Employer (See Instructions)
Principal occupation (See
Date
Full name of pledgor
III
out-of-statePAC (IDtF: )
Amount of In -kind contribution
Pledge $ description
City; State; Zip Code
Pledgor address;
Check if travel outside of Texas. Complete Schedule T.
/ Job title (See Instructions)
Employer (See
Instructions)
Principal occupation
Date
Full name of pledgor
0
out-of-state PAC (ID#E: )
Amount of In -kind contribution
Pledge
$ 1 description
State; Zip Code
Pledgor address; City;
Check if travel outside of Texas. Complete Schedule T.
Principal
/ Job title (See Instructions)
Employer (See
Instructions)
occupation
ATTACH
ADDITIONAL
COPIES
OF
THIS
SCHEDULE
AS
NEEDED
If contributor
is out-of-state
PAC,
please
see
Instruction
guide
for
additional
reporting
requirements.
Revised 9
Forms provided by Texas Ethics Commission
www.ethics,state.tx.us
E
L
ANS
SCHEDULE
The
Instruction
Guide
explains
how to complete
this
form.
1
Total pages
Schedule E:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
VaneS
41),In a k_
4
TOTAL
OF
UNITEMIZED
LOANS
$ _
D
6 Date of loan
7 Name of lender
/
out-of-state PAC (ID#: )
9 Loan Amount ($)
Interest
10
rate
6 Is lender
8 State; Zip Code
Lender address; City;
a financial
Institution?
Y
N
11
Maturity date
12
/ Job title Instructions)
13 Employer (See Instructions)
Principal occupation (See
14
Description of Collateral
16
Check if funds were deposited into political
n
personal
account (See Instruct ons)
none
16
GUARANTOR
17
Name ofguarantor
19
Amount Guaranteed ($)
INFORMATION
18
Guarantor address; City; State; Zip Code
MI
not applicable
Instructions)
21
Employer Instructions)
20 Principal Occupation (See
(See
Loan Amount
Date of loan
Name of lender
❑
out-of-state PAC (ID#: )
($)
Interest rate
Is lender
a financial
Lender address; City; State; Zip Code
Institution?
Y
N
Maturity date
Principal occupation
/ Job title (See Instructions)
Employer (See Instructions)
Description of Collateralni
Check if funds were'deposited into political
personal
(See Instructions)
account
n
none
1
Amount Guaranteed
GUARANTOR
Name of guarantor
($)
INFORMATION
Guarantor address; City; State; Zip Code
not applicable
Principal Occupation
(See Instructions)
Employer (See Instructions)
ATTACH
ADDITIONAL
COPIES
OF
THIS
SCHEDULE
AS
NEEDED
If
lender
is
out-of-state
PAC,
please
see
Instruction
guide
for
additional
reporting
requirements.
Forms
provided
by
Texas Ethics
Commission
www.ethics.stateix.us
Revised
9/26/2011
POLITICAL
EXPENDITURES
MADE
SCHEDULE
Fl
FROM
P
LITIC
L CONTRIBUTIONS
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
FOR E3OX 8(a)
Expense
Solicitation/Fundraising Expense
Transportation Equipment & Related Expense
Travel In District
Travel Out Of District
Legal Services SalariesANages/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 F1:
►
2 FILER NAME
CTames
64-
3 Filer ID (Ethics Commission Filers)
/egan
4 Date
6 Payee name
41&tkan; /
4/ 02e-- 01-023
cT6 i%1al a/ ert /r/e/g4Pcr
*
6 Amount ($)
7 Payee address; City; State; Zip Code
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06 ®?.� OD
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,
y
8
PUROF POSE
EXPENDITURE
(a) Category (See Categories listed at the top of this schedule)
/�l/� �yf �q �%
"' v " fi J e. ewe-
(b) Description
nAft
,!
ad to 23
(c)
Check if travel outside of Texas. Complete ScheduleT.
Check if Austin, TX, officeholder living expense
9 Complete ONLY
if direct Candidate / Officeholder name Office sought Office held
expenditure
to benefit C/OH
Date
Payee name
5-
Si do
4ee,-,,cam ifie
a-
i a3
am/'
Amount ($)
Payee address; City; State; Zip Code
Arles 94s2/
4r�adeddy I;F
Sr®.
ea
/lgsz' sf ,
PURPOSE
Category (See Categories
�j
listed at
the top of this schedule)
Description
d
/f19/
ake
ex
5�
EXPENDITURE
"'
Check if travel outside of Texas. Complete Schedule
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
Amount ($)
Payee address; City; State; Zip Code
PURPOSE
OF
EXPENDITURE
Category (See Categories listed at the top of this schedule)
Description
1
Check if travel outside of Tex as. Complete Schedule T.
Check if Austin, TX, officehotder 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 9/26/2019
F2
S
U
PAll
NCURR,
D
OBLIGATI
SCHEDL_E
EXPENDITURE
CATEGORIES
FOR
BOX 10(a)
Advertising Expense Event
Fees
Expense Loan Repayment/Reimbursement
Office Overhead/Rental Expense
Solicitation/Fundraising Expense
Transportation Equipment & Related Expense
Accounting/Banking
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Contributions/Donations
Legal Services SalariesNVages/ContractLabor Other (enter a category not listed above)
Candidate/OfFceholderlPoliticalCommittee
The Instruction Guide explains how to complete this form.
2 FILENAME
3 Filer ID (Ethics Commission Filers)
1 Total pages Schedule F2:
cQ.me5
''//
Kevin
Co it__
i
4
TOTAL
OF
UNITEMIZED
UNPAID
INCURRED
OBLIGATIONS
$
6 Date
6 Payee name
7 Amount ($)
8 Payee address;
City; State; Zip Code
9
TYPE OF
EXPENDITURE
Political
l
Non
-Political
10
PURPOSE
OF
EXPENDITURE
(a)
Category (See
Categories listed at the top of this schedule)
(b)
Description
(c)
I I
Check
if travel outside of Texas. Complete ScheduleT.
Check if Austin, TX, officeholder living expense
11
if direct
Office sought Office held
Complete ONLY
Candidate./
Officeholder name
expenditure to benefit C/OH
Date
Payee name
Amount ($)
Payee address;
City; State; Zip Code
TYPE OF
EXPENDITURE
Political
Non
-Political
PURPOSE
OF
EXPENDITURE
Category (See Categories listed at the top of this schedule)
Description
1 1
Check if travel outside of Texas. Complete ScheduleT. I
1
Check if Austin, TX, officeholder living expense
Office held
Complete ONLY
if direct Candidate / Officeholder name Office sought
expenditure to benefit C/OH
ATTACH
ADDITIONAL
COPIES
OF
THIS
SCHEDULE
AS
NEEDED
Revised
9/26/201!
Commission
www.ethics.state.tx.us
Forms
provided
by Texas Ethics
PURCHASE OF INVESTMENTS MA S E
FROM POLITICAL CONTRII: ,UTIONS
SCHEDULE F3
1 Total pages Schedule F3:
The Instruction Guide explains how to complete this form.
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
4 Date
6 Name of person from whom investment is purchased
6 Address of person from whom investment is purchased; City;
State; Zip Code
7 Description of investment
8 Amount of investment ($)
Date
Name of person from whom investment is purchased
Address of person from whom investment is purchased; City; State; Zip Code
Description of investment
Amount of investment ($)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us
Revised 9/26/2019
CA,
ADE
NY
CREDIT
F4
EXPENDITURES
SCHEDULE
Y
Advertising Expense Event
Fees
EXPENDITURE
Expense
CATEGORIES
Loan
FOR
Repayment/Reimburccment
Overhead/Rental
BOX 10(a)
Expense
Solicitation/Fundraising Expense
Equipment & Related Expense
A.cwunting/Banking
Consulting Expense Food/Beverage
Contributions/Donations Made By Gift/Awards/Memorials
Candidate/Officeholder/Political Committee Legal Services
The Instruction
Office
Expense Polling
Expense Printing
Salaries/Wages/Contract
Guide explains how
Transportation
Expense Travel In District
Expense Travel Out Of District
Labor Other (enter a category not listed above)
to complete this form.
3 Filer ID Commission Filers)
1
Schedule F4:
2 FILER NAME—
(Ethics
Total pages
jeke5
2vin
aft
1
c
4
TOTAL
OF
UNITEMIZED
EXPENDITURES
CHARGED
TOACREDITCARD
$
6 Date
6 Payee name
7 Amount ($)
8 Payee address;
City; State; Zip Code
9
TYPE
EXPENDITURE
OF
Political
Non
-Political
(a)
Category (See Categories listed at the top of this schedule)
(b)
Description
10
PURPOSE
OF
EXPENDITURE
(c)
Check if travel outside of Texas. Complete ScheduleT.
I
I Check if Austin, TX, officeholder living expense
11
Complete
ONLY
if direct
Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
TYPE OF
EXPENDITURE
Political
Non
-Political
PURPOSE
OF
EXPENDITURE
Category (See Categories listed at the top of this schedule)
Description
Check if travel outside of Texas. Complete ScheduleT.
Check if Austin, TX, officeholder living expense
Complete
Y if direct
Candidate / Officeholder name Office sought Office held
.ONI
expenditure to benefit C/OH
ATTACH
ADDITIONAL
COPIES
OF
THIS
SCHEDULE
AS
NEEDED
Revised 9/26/2019
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
PO
kTIC
L EXPENDITURES
SCHEDULE
G
MADE
FRO
PE••
S
NAL
FUNDS
EXPENDITURE
CATEGORIES
FOR
BOX 8(a)
Advertising
Expense Event Expense
Fees
Loan Repayment/Reimbursement
Office Overhead/Rental Expense
Solicitation/Fundraising Expense
Equipment & Related Expense
Accounting/Banking
Transportation
Consulting
Expense Food/Beverage Expense Polling Expense Travel In District
Contributions/Donations
Candidate/Officeholder/Political
Credit Card
Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Committee Legal Services Salaries/Wages/Contract Labor Other (enter a category not listed above)
Payment
The Instruction Guide explains how to complete this form.
1
Total
pages
Schedule G:
2 FILER NAME ')
rates *adiK a It
3 Filer ID • (Ethics Commission Filers)
1
c
'
4 Date
6 Payee name
6 Amount
($)
7 Payee address; City; State; Zip Code
IReimbursementfrom
political contributions
intended
8
PURPOSE
OF
EXPENDITURE
(a) Category (See Categories listed at the top of this schedule)
(b)
Description
(c)
I
I Check if travel outside of Texas. Complete ScheduleT..
Check if Austin, TX, officeholder living expense
/ Officeholder Office sought Office held
9
Complete ONLY
Candidate name
if direct
expenditure to benefit C/OH
Date
Payee name
Amount ($)
Reimbursement from
Payee address; City; State; Zip Code
political contributions
intended
PURPOSE
OF
EXPENDITURE
Category (See Categories listed at the top of this schedule)
Description
Check if travel outside of Texas. Complete ScheduleT.
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 •
State; Zip Code
Amount ($)
Payee address; City;
Reimbursement from
I
political contributions
intended
PURPOSE
OF
EXPENDITURE
Category (See Categories listed at the top of this schedule)
Description
Check if travel outside of Texas. Complete Scheduler.
I
I Check if Austin, TX, officeholder living expense
Complete ONLY
if direct
Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH
ADDITIONAL
COPIES
OF
THIS
SCHEDULE
AS
NEEDED
Revised 9/26/2019
Forms provided by Texas Ethics Commission
www.ethics.state,tx.us
PAYMENT
MADE
FROM
PO
UTIC
{_
SCHEDULE
OF
C/O
CONTRil
LIMNS
TO
A
r
US1NESS
Advertising Expense Event
Accounting/Banking Fees
EXPENDITURE
Expense
CATEGORIES
Loan
Office
FOR
Repayment/Reimbursement
Overhead/Rental
BOX 8(a)
Expense
Solicitation/Fundraising Expense
Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Committee Legal Services Salaries/Wages/ContractLabor Other (enter a category not listed above)
Candidate/Officeholder/Political
Credit Card Payment
The instruction Guide explains how to complete this form.
Commission Filers)
1
Total pages
Schedule H:
2 FILER NAME--��/�' ,((��
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3 Filer ID (Ethics
1
4
Date
6 Business name
State; Zip Code
6 Amount ($)
7 Business address; City;
Category Categories listed the top this schedule) 4
(b) Description
8
PURPOSE
OF
EXPENDITURE
(a) (See at of
(c)
Check if travel outside of Texas. Complete ScheduleT.
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 ($)
Business address;
City; State; Zip Code
PURPOSE
OF
EXPENDITURE
Category (See Categories listed at the top of this schedule)
Description
Check if travel outside of Texas. Complete ScheduleT.
I 1
Check if Austin, TX, officeholder living expense
Complete ONLY
if direct
Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Business name
Amount ($)
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 ScheduleT.
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 9/26/2019
NOWIPOLITICAL
EXPENEHTURES
0.
'_9TRCAL
SCHEDULE
MA
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FROM
PO
CO
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=LIMNS
The
Instruction
Guide
explains
how
to complete
this
form.
3 Filer ID (Ethics Commission Filers)
1 Total pages Schedule I:
2 FILER NAME
4 Date
6 Payee name
G Amount ($)
7 Payee address;
City State Zip Code
8
PURPOSE
OF
EXPENDITURE
(a)
Category (See instructions for examples of acceptable
categories.)
(b)
Description (See instructions regarding type of information
required.)
Date
Payee name
Amount ($)
Payee address; City State Zip Code
Category instructions for examples of acceptable
Description (See instructions regarding type of information
PURPOSE
OF
EXPENDITURE
(See
categories.)
required.)
Payee name
Date
Amount ($)
Payee address; City State Zip Code
PURPOSE
OF
EXPENDITURE
Category (See instructions for examples of acceptable
categories.)
Description (See instructions regarding type of information
required.)
Date
Payee name
Amount ($)
Payee address; City State Zip Code
PURPOSE
OF
EXPENDITURE
Category (See instructions for examples of acceptable
categories.)
Description (See instruction regarding type of information
required.)
ATTACH
ADDITIONAL
COPIES
OF
THIS
SCHEDULE
AS
NEEDED
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 9/26/2019
AND
REFUNDS,
IT
GAINS,
INTEREST,
,
SCHEDULE
TO
IL
RETU
CONTRIBUTIONS
1
. Total pages Schedule IC:
The
Instruction Guide
explains
how to complete
this
form.
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
40;n
a t
<fijonts
4
Date
6 Name of person from whom amount is received
8 Amount ($)
City; State; Zip Code
6 Address of person from whom amount is received;
7 Purpose for which amount is received
Check if political contribution returned to filer
Name from whom amount is received
Amount ($)
Date
of person
Address of person from whom amount is received; City; State; Zip Code
Purpose for which amount is received
I I
Check if political contribution returned to filer
Amount ($)
Date
Name of from whom amount is received
person
Address of person from whom amount is received; City; State; Zip Code
is
I Check if contribution returned to filer
Purpose for which amount received
I
political
is
Amount ($)
Date
Name of person from whom amount received
City; State; Zip Code
Address of person from whom amount is received;
r Purpose for which amount is received
I
I Check if political contribution returned to filer
ADDITIONAL
COPIES
OF
THIS
SCHEDULE
AS
NEEDED
ATTACH
Revised 9/26/2011
Forms
provided
by Texas Ethics
Commission www.ethics.state.tx.us