Byrom Clint January 15-Campaign Finance Report CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Filer ID (Ethics Commission Filers) 2 Total pages filed: 10
The C/OH Instruction Guide explains how to complete this form.
3 CANDIDATE/ MS/MRS/MR FIRST MI
OFFICE USE ONLY
OFFICEHOLDER Q• C. (v-}" rYl PECEETD
NAME Date ReojiFI 12.2024 09:38
8
NICKNAME LAST��� SUFFIX VVt1
CITY OF PEARLAND
4 CANDIDATE/ ADDRESS /PO BOX, APT/SUITE it CITY' STATE; ZIP CODE
OFFICEHOLDER y� �/ CITY,�SECRETARY'S OFFICE
MAILING RBViolM7 Tx "Iis� I
ADDRESS
n Change of Address
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION Date Hand-delivered or Date Postmarked
PHONEHOLDER (
IReceipt# Amount$
6 CAMPAIGN MS/MRS/MR FIRST 1 MI
TREASURER rnQS , Bit SON IA).
NAME Date Processed
•
NICKNAME LAST SUFFIX
poiidyz Date Imaged
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT//SSUITE#t CITY' STATE; ZIP CODE
TREASURER NL&I[IAADI Tx -7-7 Se I
ADDRESS
(Residence or Business)
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE (
9 REPORT TYPE V I:1 January 15 n 30th day before election n Runoff 7 15th day after campaign
I treasurer appointment
(Officeholder Only)
July 15 n 8th day before election I I Exceeded Modified n Final Report(Attach C/OH FR)
Reporting Limit
10 PERIOD Month Day Year Month Day Year
COVERED q / 25 / 2023 THROUGH 12 / 31 / 2023
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year ❑ Primary ❑ Runoff n Other
4 0 Description
5 / /2 4' General El
12 OFFICE OFFICE HELD (if any) (�J( 13 OFFICE SOUGHT (if known)
City Couweil OF P c PC6I110 U 4
14 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT
POLITICAL THE CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDERS KNOWLEDGE OR
CONSENT CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE(S)
COMMITTEE TYPE COMMITTEE NAME
El
GENERAL COMMITTEE ADDRESS
n Additional Pages
SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
GO TO PAGE 2
Forms provided by Texas Ethics Commission www ethics.state.tx.us Revised 11/15/2022
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
15 C/OH NAME e l i N t Sid 120 11n 16 Filer ID (Ethics Commission Filers)
17 CONTRIBUTION 1 TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
TOTALS PLEDGES LOANS, OR GUARANTEES OF LOANS OR $ 0. 00
CONTRIBUTIONS MADE ELECTRONICALLY)
2. TOTAL POLITICAL CONTRIBUTIONS O,00
(OTHER THAN PLEDGES LOANS OR GUARANTEES OF LOANS)
EXPENDITURE 3 TOTAL UNITEMIZED POLITICAL EXPENDITURE.
TOTALS $ O. 00
4 TOTAL POLITICAL EXPENDITURES $ () 5 f 4. 'Z�
CONTRIBUTION 5 TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY V/
$ 0.00
BALANCE OF REPORTING PERIOD
OUTSTANDING
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD 6 YIISTANDING LOANS AS OF THE $ 51 Soo. Oo
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.
e-
Sig at Candidate or Officeholder
Please complete either option below.
(1)Affidavit
NOTARY STAMP/SEAL
Sworn to and subscribed before me by this the day of
20 , to certify which,witness my hand and seal of office.
Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath
OR
(2) Unsworn Declaration
My name is &$4Yi! �`( it/� , and my date of birth is�jK�t( 3O e, / /c�CJ
My address is 37011 CotJnDcs fie" C7. , 4c�8 , (7-( , .F1.9( , (•( S+,f_
(street) (city) (state) (zip code) (country)
Executed in P/J--z912- - County,State of SA5 ,on the /173( day of ��N ,20 2--41
onth _(year)
S gnatu andidate/Officeholder (Declarant)
Forms provided by Texas Ethics Commission www ethics.state.tx.us Revised 11/15/2022
SUBTOTALS - C/OH FORM C/OH
COVER SHEET PG 3
19 FILER NAME 20 Filer ID(Ethics Commission Filers)
e ►KA jQ.orv1
21 SCHEDULE SUBTOTALS SUBTOTAL
NAME OF SCHEDULE AMOUNT
1 SCHEDULEA1 MONETARY POLITICAL CONTRIBUTIONS $ 0 .00
2. SCHEDULEA2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $ 0 . 00
3 SCHEDULE B: PLEDGED CONTRIBUTIONS $ 0. 00
4 I I SCHEDULE E. LOANS $ 5 t �,,00.00
5 SCHEDULE Fl POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ I )V404 20
6 SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 010,0
7 SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ .00
8. SCHEDULE F4 EXPENDITURES MADE BY CREDIT CARD $ v.00
9. f I SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 0.00
10. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ O.00
11 L I SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ V.00
12. SCHEDULE K. INTEREST CREDITS, GAINS, REFUNDS AND CONTRIBUTIONS RETURNED2 TO FILER $ '� ""
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/15/2022
LOANS SCHEDULE E
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 E:
2 FILER NAME I 3 Filer ID (Ethics Commission Filers)
4 TOTAL OF UNITEMIZED LOANS $ 5,500. 00
5 Date of loan 7 Name of lender ❑out-of-state PAC(ID# ) 9 Loan Amount($)
ct 12 3123 G l Nf aND cf12jsti Na rat oann $ 3)000 .00
•
•
6 Is lender 8 Lender address; City. State; Zip Code 10 Interest rate
a financial
Institution? -nog co �y,�p 1 aV C; �ct' ,115e 7)SQ' I 11 Maturity date
Y ,+�1 S l�l��c-tJl� W�c• NIP
12 Principal occupation / Job title (See Instructions) 13 Employer (See Instructions)
OWNeet OPeP * Q. 13 tQf ccNsf UQtictU
14 Description of Collateral 15
reCheck if personal funds were deposited into political
none account (See Instructions)
16 GUARANTOR 17 Name of guarantor 19 Amount Guaranteed($)
INFORMATION
18 Guarantor address; City. State; Zip Code
1not applicable
20 Principal Occupation (See Instructions) 21 Employer (See Instructions)
Date of loan Name of lender ❑out-of-state PAC(ID# ) Loan Amount($)
12121123 C1 i Nt c�AJO cft12is11t\ra tad MY\ 4 2, SW. CO
Is lender Lender address; City. State; Zip Code Interest rate
a financial .� - 9
Institution? 3G��t, C e 1 LT �1(�1w 11)( �s3
1 Maturity date
YJ
Principal occupation / Job title (See Instructions) Employer (See Instructions)
OU NP ./ Dpe 9 e,2 13 124 1Q+ CODUS-V.0 atiakj
Description of Collateral
`LI g Check if personal funds were deposited into political
account (See Instructions)
Mt none
GUARANTOR Name of guarantor Amount Guaranteed($)
INFORMATION
Guarantor address, City- State, Zip Code
not applicable
Principal Occupation (See Instructions) Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If lender is out-of-state PAC, please see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www ethics.state.tx.us Revised 11/15/2022
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other(enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Fl 2 FILER NAME CI l Ni- ^1/41120111 3 Filer ID (Ethics Commission Filers)
4 Date to'iol23 5 Payee name uses
6 Amount ($) 7 Payee address; City' State; Zip Code
I4lo.O0 3slR E vatN t+ st. peaclau) I T X -ns9I
8 (a) Category (See Categories listed at the top of this schedule) (b) Description
PURPOSE Fe n C PO BO)/
OF �G{�J �J pVJ�
EXPENDITURE
(c) n 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 Payee name
1o110I2-3 PeaViaoo CHaW e12 eF Con/mace.
Amount ($) Payee address; City' State; Zip Code
10.00 (oily 1312.0&DVia St, petQli 1'X
Category (See Categories listed� at the topof this schedule) Description /` D
PURPOSE c * at H r i M✓ cr i s+e T3c 0I' 1. r
OF l.lJ1V �.V lJ���
EXPENDITURE
nCheck if travel outside of Texas.Complete Schedule T. n Check if Austin,TX, officeholder living expense
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
I0l13123 TUIZ1Ner HI H Saicol PTA
Amount ($) Payee address; City' State; Zip Code
$104 . [ B Lk'11"1 Gat I.ey i20. pea/EA-WC' I Tx T7S$4
Category (See Categories listed at the top of this schedule) Description PURPOSE BI WOO tJ191-1t TIC L�-p
' J
OF eVe 10+ ,J
EXPENDITURE
Check if travel outside of Texas.Complete Schedule T. n Check if Austin,TX, officeholder living expense
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www ethics.state.tx.us Revised 11/15/2022
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE Fl
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/FundraisingExpense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other(enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Fl 2 FILER NAME c1 Br , 12 nn/1 3 Filer ID (Ethics Commission Filers)
4 Date 1022 I v6 5 Payee name .ru gNe 1119
i 5 H SU-toOI PTA
6 Amount ($) `7 7 Payee address; City; State; Zip Code
4250.00 UlIi I3atI2y Imo . peae-lar~XJ fix 11
8 (a) Category (See Categories listed at the top of this schedule) (b) Descriptionri� ( �+/� (�/� (�
PURPOSE a uG A ` L 13I N` O �IS '�" S ram" S HI 1
OF 1VT'
EXPENDITURE
(c) n Check if travel outside of Texas.Complete ScheduleT. 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 Payee name
Io( 11IZ3 De1t4 Le CHeCI S
Amount ($) Payee address; City' State; Zip Code
$ 55.9 0 001 cOUtN miguiette ave mi eapoI s I MN) 5S4o2
Category (See Categories listed at the top of this schedule) Description/+ip
PURPOSE Og C/f o IQ fittea,O C 1 1 e/1 F�S OF �/Tt'�l.�G Vv� w'�� l:
EXPENDITURE
nCheck 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
II 10123 ViSta PI2-I *
Amount ($) Payee address; City. State; Zip Code
$ 114. 615 liaYd DeN aV€. Lam) J +o N ) rn A 02421
Category (See�Caateg�orieslilistednat the top of this schedule) Description
(�I MA y�VA ���(p PURPOSE
OFawe m 'GPI IV 5 l�t.t• pai5 "' matte Nal-eNaAS
EXPENDITURE
nCheck 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.ethics.state.tx.us Revised 11/15/2022
..r
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE Fl
If the requested information is not applicable, DO NOT include this page in the report.
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 Fl 2 FILER NAME r,1.• `t t� hn 3 Filer ID (Ethics Commission Filers)
LA IN III
4 Date � ���1�� 5 Payee name
P.P . �• C •
6 Amount ($) 7 Payee address; City State; Zip Code
4 (n .S3°I eue N+ N/A
8 (a) ategory (See Categories listed at the top of this schedule) (b) Description
PURPOSE
OF CH1Jtiopt s r� TI S
EXPENDITURE
(c) n Check if travel outside of Texas.Complete Schedule T. n Check if Austin,TX, officeholder living expense
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
I21i 123 of-e i ce De PO+
Amount ($) Payee address; City State; Zip Code
30. 13 2o32 N Main) St. Pao -Ion I TX "li 5b I
Category (See Categories listed at the top of this schedule) Description
PURPOSE 4/�A Q fQ „e 1 �1 off ce SuPP I I eS
OF LJ(, V�K�IK/r` O/�,�
EXPENDITURE
nCheck 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 Payee name
rL120123 PcDDI f I J11
Amount ($) Payee address; City State; Zip Code
S 30. 09 1339 (312-craiD way St. la,i2diant I Tx T1s$ 1
Category (See Categories listed at the top of this schedule) Description
PUROPFSE SO` f/1VI'v5 Tailgate O12 P
EXPENDITURE V IG
nCheck if travel outside of Texas.Complete ScheduleT. 7 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 11/15/2022
.....-
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
If the requested information is not applicable, DO NOT include this page in the report.
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 Fl 2 FILER NAME C 1 j• t t3ld 3 Filer ID (Ethics Commission Filers)
4 Date 12421 I Z3 5 Payee name BUV K StevoN S cam Do315 NJ
6 Amount ($) 7 Payee address; City' State; Zip Code
$220.00 IJI A
8 (a) Category (See Categories listed at the top of this schedule) ' (b) Description
PURPOSE
OF GVG,n N-I- Di N Ilel.
EXPENDITURE
(c) n Check if travel outside of Texas.Complete ScheduleT. n Check if Austin,TX, officeholder living expense
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
124?AO 12 3 Texas F-i Lst 1334QK
Amount ($) Payee address; City State; Zip Code
S LIS,Oo 2343 N 'NolN Sf, uIJit- A peat2viO 1 Tx 1-7 S01
Category (See Categories listed at the top of this schedule) Description
PURPOSE .004
1v /t tQ, p�meo C �1
OF t �'IV�1IV J 1�
e.
EXPENDITURE
nCheck 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 Payee name
12j2l0 (23 -re Xas F-1QSt ,IkJ
Amount ($) Payee address; City' State; Zip Code
$t0 'OD 23L3 N IWd4N S -• LAWA pea2tavvo 1 Tx -7-3s01
Category (See Categories listed at the top of this schedule)
Description
PURPOSE ai ""eV
� CHeO� Fee
OSV/'N/ a
EXPENDITURE
nCheck if travel outside of Texas.Complete Schedule T. n Check if Austin,TX,officeholder living expense
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/15/2022
INTEREST, CREDITS, GAINS, REFUNDS, AND
CONTRIBUTIONS RETURNED TO FILER SCHEDULE K
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form. 1 Total pages Schedule K.
2 FILER NAME C.li N+ By 3 Filer ID (Ethics Commission Filers)
4 Date 5 Name of person from whom amount is received 8 Amount($)
.1129123 -texas Fi[2.s+ 13a NIA
IC
6 Address of person from whom amount is received; City State; Zip Code 4 O.
2.343 N maiN st wit A Pear/ra ti s Tx ns 01
7 Purpose for which amount is received 10 Check if political contribution returned to filer
INteIZest ON aecouNt t ala1 KEe.
Date Name of person from whom amount is received Amount($)
10131123 Yens FiQSt B3,NK
Address of person from whom amount is received; City State; Zip Code 40.39
2343 N Ib1&IN St mit A peals , Tx 1-is I
Purpose for which amount is received 149( Check if political contribution returned to filer
1N+e2 eSt CN aeccul0-1- 1224,1aNke
Date Name of person from whom amount is received Amount($)
I L l 3OI23 Te)c'a-S Fi Qst- Ra-NK 3 2.
Address of person from whom amount is received; City State; Zip Code $ Q .
23L13 N maw St ( NO- A Peag-Ie1MO,Tx ?ns9I
Purpose for which amount is received I Check if political contribution returned to filer
I NU 12:est oN ' oeouNt r3al aN ce
Date Name of person from whom amount is received Amount ($)
Ill/ 1123 Texas >ci-st BANG
Address of person from whom amount is received; City State; Zip Code $ 1 . 31
23'-13 N rn' iN Et uN►t seal'to Y) .Tx ass I
Purpose for which amount is received Ivr Check if political contribution returned to filer
INt-el2eS+ oN &000uN+ galatiC'e,
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/15/2022
CANDIDATE / OFFICEHOLDER REPORT:
DESIGNATION OF FINAL REPORT FORM C/OH - FR
The Instruction Guide explains how to complete this form.
•• Complete only if "Report Type" on page 1 is marked "Final Report" ••
1 C/OH NAME 2 Filer ID (Ethics Commission Filers)
C i r\+' 13y►z-orn
3 SIGNATURE
I do not expect any further political contributions or political expenditures in connection with my candidacy. I understand that
designating a report as a final report terminates my campaign treasurer appointment. I also understand that I may not accept any
campaign contributions or make any campaign expenditures without a campaign treasurer appointment on '
re of Candidate/Officeholder
4 FILER WHO IS NOT AN OFFICEHOLDER
•• Complete A & B below only if you are not an officeholder. ••
A. CAMPAIGN FUNDS
Check only one:
n I do not have unexpended contributions or unexpended interest or income earned from political contributions.
I have unexpended contributions or unexpended interest or income earned from political contributions. I understand that I
may not convert unexpended political contributions or unexpended interest or income earned on political contributions to
personal use. I also understand that I must file an annual report of unexpended contributions and that I may not retain
unexpended contributions or unexpended interest or income earned on political contributions longer than six years after
filing this final report. Further, I understand that I must dispose of unexpended political contributions and unexpended
interest or income earned on political contributions in accordance with the requirements of Election Code,§254.204
B. ASSETS
Check only one:
® I do not retain assets purchased with political contributions or interest or other income from political contributions.
n I do retain assets purchased with political contributions or interest or other income from political contributions. I understand
that I may not convert assets purchased with political contributions or interest or other income from political contributions to
personal use. I also understand that I must dispose of assets purchased with political contributions in accordance with the
requirements of Election Code,§254.204
•
WIN5I-7nature of Candidate
5 OFFICEHOLDER
•• Complete this section only if you are an officeholder ••
I am aware that I remain subject to filing requirements applicable to an officeholder who does not have a campaign treasurer on
file. I am also aware that I will be required to file reports of unexpended contributions if,after filing the last required report as
an officeholder, I retain political contributions, interest or other income from political contributions, or assets purchased with
political contributions or interest or other income from political contributions.
AWILL631
Signature of Officeholder
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/15/2022