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HomeMy WebLinkAboutEchols, Thomas January 15 Campaign Finance ReportCANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT 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: I O x` 3 CANDIDATE / OFFICEHOLDER NAME ms / MRS / MR IRST MI /' Y�� 2 NICKNAME LAST j SUFFIX L �v mVM� ---ESL1 OFFICE USE ONLY Date Received RECEIVE JAN 07, 2 a26 O9: CITY OF PEARLAW 4 CANDIDATE / OFFICEHOLDER MAILING ❑ ADDRESS Change of Address ADDRESS / PO BOX; APT / SUITE it; CITY; STATE; ZIP CODE p - itfa / '? Z J l 5 CANDIDATE/ OFFICEHOLDER PHONE AREA CODE PHONE NUMBER EXTENSION / (113 ) � 'clf 80 (Pet -or ��fe=Pa$tla'k9dlt° Receipt # Amount $ 6 CAMPAIGN TREASURER NAME ms / MRS / MR FIRST MI L, �Iv t1 NICKNAME LAST SUFFIX (� ►Jl�f%c'� i� Date Processed Date Imaged 7 CAMPAIGN TREASURER ADDRESS (Residence or Business) STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE it; CITY; STATE; ZIP CODE 62 1 e_'-'775- 4 / 8 CAMPAIGN TREASURER PHONE AREA CODE PHONE NUMBER EXTENSION ) a. Z� ( TYPE r'<f January 15 ❑ 30th day before election Runoff 15th day after campaign treasurer appointment (Officeholder Only) July 15 8th day before election Exceeded Modified Final Report (Attach C/OH - FR) Reporting Limit 10 PERIOD COVERED Month Day Year Month Day Year 1O/ C. /7_5- THROUGH ` 2-/ `?J' /2.4,7_'' V 11 ELECTION ELECTION DATE Month Day Year 7' D Z/2 ^ zia.. ❑ Primary ❑ X General ❑ ELECTION TYPE Runoff ❑ Other Description Special 12 OFFICE OFFICE HELD (if any) 1� OFFICE SOU� (if known) 1 e2 1Ce54--iel--e-:;; 14 NOTICE FROM POLITICAL COMMITTEE(S) Additional Pages 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 CANDIDATES OR OFFICEHOLDERS KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES. COMMITTEE TYPE ❑ GENERAL SPECIFIC COMMITTEE NAME COMMITTEE ADDRESS COMMITTEE CAMPAIGN TREASURER NAME COMMITTEE CAMPAIGN TREASURER ADDRESS GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2026 CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 16 C/OH NAME 16 Filer ID (Ethics Commission Filers) 17 CONTRIBUTION 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) $ f1 3 7 1 ` EXPENDITURE TOTALS CONTRIBUTION BALANCE OUTSTANDING LOAN TOTALS 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE. $ 4. TOTAL POLITICAL EXPENDITURES $ 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF REPORTING PERIOD $ 1Cr O I f 90 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY OF THE REPORTING PERIOD $ al r 18 SIGNATURE I swear, required (1) A Terrie * My C 11/22/2027 'gag Notary N A Y / Sworn to and subscribed 20 , to certify or affirm, under to be reported Flora Expires ID124044738 before me by penalty of perjury, that the accompanying report is true and correct and includes all information by me under Title 15, Election C de. Sign ture of Candidate or Officeholder Please complete either option below: ) pm tnn3 L.,- C i `O\S this the Lii3k day of � ate ` , which, witness my hand and seal of office. exT-vC_, Pere, Signature of officer administering oath Printed name of officer administering oath Title of office inistering 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) orms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2026 SUBTOTALS - C/OH FORM C/OH COVER SHEET PG 3 19 FILER NAME --� 20 Filer ID (Ethics Commission Filers) 21 SCHEDULE SUBTOTALS SUBTOTAL NAME OF SCHEDULE AMOUNT 1. Yr SCHEDULE A1: MONETARY POLITICAL CONTRIBUTIONS $ O 7rp! , pp f 2. SCHEDULE A2: NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS $ ' C '- 3. j SCHEDULE B: PLEDGED CONTRIBUTIONS $ •"' 0 4. SCHEDULE E: LOANS $ ,,._. p '- 5. M" SCHEDULE Fl: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 3/ _ 6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ .- W 7 SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ -- O - 8. J SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ e ---C2-- 9. SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ - © '- 10. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ - G'2 `- 11. SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ .--ca e-- 12. SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED $ — '--- TO FILER Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2026 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al 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 Al: 11 2 FILERNAME �^� LEX1"0 6tt, 1� n C. -c -it -5 3 Filer ID (Ethics Commission Filers) 6 4 Date [2.i I2. 5 Full name of contributor ❑ out-of-state PAC Beetd_ -k-cL;C 6 Contributor address; City; , (ID#: ) 7 Amount of contribution ($) t State; Zip Code "tY' "'\ % 8 Principaloccupation / Job title (See Instructions) , u c-5)�- S V w --vim- g Employer (See Instructions) C'4--1Con.194./.-1f - vet Date t2, 01-74-- Full name of contributor ❑ out-of-state PAC Contributor address; City; `a ©a `i &t t4 0 v Lid (ID#: ) Amount of contribution ($) 2- e State; Zip Code t 1 '7'7 Princi I occupation / Job title (See Instructions) `?-s L f ter- Employer (See -eInstructions) f / Date I Z —Id — 2 Full name of contributor ❑ out-of-state PAC Q -►2 q; .LL. A -I- i %. -6, i Contributor address; City; 3 i -L.z Pe fz,,,,,le..,A.J.fly- (ID#: ) Amount of contribution ($) 1) +2-. C ) l. -'t' State; Zip Code -715_10 Principal occupation / Job title (See Instructions) Z� it12—�J Employer (See Instructions) Date (2.4-2,Y---�-- � Full name of contributor ❑ out-of-state PAC tok t t ( ; Wi=n l Contributor address; City; 2 53 60-e--17,1 C.. -1,,L 'D( f,O, (ID#: ) Amount of contribution ($) 1, reo ` State; Zip Code / llLt, u -f f t K `??51)k Principal occupation / Job title (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor 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 1/1/2026 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al 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 pees Schedule Al: 3 2 FILER NAME ` i`0a C ©LS 3 Filer ID (Ethics Commission Filers) 4 1, Date (--1 -2.5- 5 Full name of contributor D out-of-state PAC To L 4,'c% 6 Contributor address; City; 7f 3 r ,,,, nr. l tl t (ID#: ) 7 Amount of contribution ($) ( .. aD State; Zip Code — -1t?"-C I 8 Principal occupation / Job title (See Instructions) g Employer (See Instructions) t7— Date -L- Full name of contributor ❑ out-of-state PAC O14 C - Contributor address; • City; 5‘,.....A -Leo V- ' L Y ` `e GU (ID#: ) Amount of contribution ($) ��.�, E5—t73E5—t735-2.715-2.71 State; Zip Code - 1 Z - s — Principal occu ation / Job title (See Instructions) vt--t' el Employer (See Instructions) Date 12---1-ZS-� Full name of contributor ❑ out-of-state PAC .s 114-5 Contributor address; City; (ID#: ) Amount of contribution ($) - State; Zip Code t2`.$—C),L)e--s principal occupation / Job title (See nstructlons) eJ- k-� "" pioyer (See Instructions) i)t'AID 1 6." Date Full name of contributor �0 out-of-state PAC / _ Q 1 Con3 ©tr9utor a �1 Lgict (ID#: ) Amount of contribution ($) State; Code P cipal / Job title (See Instructions) 6Ak 15 kitiyA/ gol Employer (See Instruction Gie, ''.13\--(444.)Y\C-1 ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2026 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al If the requested information is not applicable, DO NOT Include this page in the report. The Instruction Guide explains how to complete this form. 1 Total '7pJages Schedule Al: 3 2 FILER NAME '- o to -L15 3 Filer ID (Ethics Commission Filers) 4 Date IZ I4"yz-5 5 Full name of contributor ❑ out-of-state PAC .3 YlI 6e.." 6 Contributor address; City; 2-...1-°:)--- n, .1 C1 OR, (ID#: ) 7 Amount of contribution ($) [ D O b C) State; Zip Code P� LaL�,�. 'Z 7t 8 Princip,,�l occu ation / Job title See Instructions) (TYZ) If' g Employer (See Instructions) Date t1,fi6.2 Full name of contributor (�� q,7 Contributo0o0r address; O out-of-state PAC C—5 (ID#: ) Amount of contribution ($) /00 i G90 IStat'e; /Zip Code �` '?? SV/ Principal o atio Job title (See Instructions) Employer (See Instructions) Date Full name of contributor Contributor address; 0 out-of-state PAC City; (ID#: ) Amount of contribution ($) State; Zip Code Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor Contributor address; O out-of-state PAC City; (ID#: ) Amount of contribution ($) State; Zip Code Principal occupation / Job title (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor Is out-of-state PAC, please see Instruction guide for additional reporting requirements. www.ethlcs.state,tx.us Revised 1/1/2026 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS If the requested information is not applicable, DO NOT include this page in the report. Advertising Expense Accounting/Banking Consulting Expense Contributions/Donations Made By Candidate/Officeholder/Political Committee Credit Card Payment EXPENDITURE CATEGORIES FOR BOX 8(a) Event Expense Fees Food/Beverage Expense Gift/Awards/Memorials Expense Legal Services Loan Repayment/Reimbursement Office Overhead/Rental Expense Polling Expense Printing Expense Salaries/Wages/Contract Labor The Instruction Guide explains how to complete this form. SCHEDULE F1 Solicitation/Fundraising Expense Transportation Equipment & Related Expense Travel In District Travel Out Of District Other (enter a category not listed above) 1 Total pages Schedule Fl: 2 FII-LEERNAME �`' 074noz 41C) c i _ 3 Filer ID (Ethics Commission Filers) 4 Date l%i �j y� l 4- `1 [ r �J 5 Pay namery Z�J0 6 Amount ($) Lt3 D 7 Payee address;t, 4City; & �� am,_ ev .� ^ . 13, y; State; Zip Code Check if individual's residence address. f li-awo. fv IV 4 2-Q f' 1-0 8 PURPOSE,/ OF EXPENDITURE (a) Category (See Categories listed at the top of this schedule) (b) Description �(✓,, (c) Check if travel outside of Texas. Complete Schedule T. El 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 2 Payee 14 name Amount ($) tD ` " 162- Payee address; % ) j seb- City; State; Zip Code Check if individual's residence address. C -Z-✓ 1 CGvA‘ r--77 / PURPOSE OF EXPENDITURE Category (See Categories listed at the top of this schedule) IC -I) C��s� Description /�,� �, p t�� `wT / all -,.--- Check if travel outside of Texas, Complete Schedule T. Check If Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date 12-- 1- 75" Payee name fal A '— Amount ($) J"'Vr.'0 Patee address; l City; State; Zip Code 7-4✓/ ..,-0t„rI Check if individual's residence address. 4,_ 7 ?.S PURPOSE OF Category (See Categories listed at the top of this schedule) E t I/� Description 11" --/EXPENDITURE GT-4.A.„; Check 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 ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED C...............i.l...J I.... T...,..., ram:__ n_.v �._ _,_._ ethi .cs.state.tx.us Revised 1/1/2026 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS If the requested information is not applicable, DO NOT include this page in the report. SCHEDULE Fl Advertising Expense Accounting/Banking Consulting Expense Contributions/Donations Made By Candidate/Officeholder/Political Committee Credit Card Payment 1 Total pages Schedule F1: 4 Date 6 Amount ($) --z EXPENDITURE CATEGORIES FOR BOX 8(a) Event Expense Fees Food/Beverage Expense Gift/Awards/Memorials Expense Legal Services Loan Repayment/Reimbursement Office Overhead/Rental Expense Polling Expense Printing Expense Salaries/Wages/Contract Labor The Instruction Guide explains how to complete this form. Solicitation/Fundraising Expense Transportation Equipment & Related Expense Travel In District Travel Out Of District Other (entera category not listed above) 2 FILER NAME 'v Cy 5 Payee ame ),. /444.1 7 Payee address; Check if individual's residence address C-4 rkia-V—I' ioCity; 3 Filer ID (Ethics Commission Filers) State; Zip Code 8 PURPOSE OF EXPENDITURE (a) Category (See Categories listed at the top of this schedule) (c) (b) Description Check If travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense 9 Complete ONLY if direct expenditure to benefit C/OH Candidate / Officeholder name Office sought Office held Date 12'14 Z -5 — Amount ($) PURPOSE OF EXPENDITURE Payee name T 5(v{r-r- Payee a+�ddre�ss; Check if Individual's residence address, l -77 - State; Zip Code Category (See Categories listed at the top of this schedule) 14 tA9 YL� Check if travel outside of Texas. Complete Schedule T. Description Check if Austin, TX, officeholder living expense Complete ONLY if direct expenditure to benefit C/OH Candidate / Officeholder name Office sought Office held Date Payee name Amount ($) Payee address; Check if individual's resi ens. 17 City; State; Zip Code PURPOSE OF EXPENDITURE Category (See Categories listed at the top of this schedule) Description Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense Complete ONLY if direct expenditure to benefit C/OH Candidate / Officeholder name Office sought Office held ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2026 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS If the requested information is not applicable, DO NOT include this page in the report. Advertising Expense Accounting/Banking Consulting Expense Contributions/Donations Made By Candidate/Officeholder/Political Committee Credit Card Payment EXPENDITURE CATEGORIES FOR BOX 8(a) Event Expense Fees Food/Beverage Expense Gift/Awards/Memorials Expense Legal Services Loan Repayment/Reimbursement Office Overhead/Rental Expense Polling Expense Printing Expense Salaries/Wages/Contract Labor The Instruction Guide explains how to complete this form. SCHEDULE Fl Solicitation/Fundraising Expense Transportation Equipment & Related Expense Travel In District Travel Out Of District Other (enter a category not listed above) 1 Total pages Schedule Fl: 2 FILER NAME `` jZi (u n -e C, 3 Filer ID (Ethics Commission Filers) 4 Date 1z - -ZS" 5 Payee name 6 Amount ($) 7 Payee address; k City; `sue 5Vr Check if individual's r si en e addr s. ( ' State; Zip Code 8 PURPOSE OF EXPENDITURE (a) Category (See Categories listed at the top of this schedule) A-0 L.2—t5In5,S Cy -It ce.v, (c) (b) Description 5-Ler f 'e-7 -P. m Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense 9 Complete ONLY if direct expenditure to benefit C/OH Candidate / Officeholder name Office sought Office held Date Amount ($) ov Payee name /461i -re 22,7ayeeaddress; ..1 City; ` 1 C� X77 2-1-4,51 P Check if individual's residence address. State; Zip Code PURPOSE OF EXPENDITURE Category (See Categories listed at the top of this schedule) ' r1---e,i5 Check if travel outside of Texas. Complete Schedule T. Description Check if Austin, TX, officeholder living expense Complete ONLY if direct expenditure to benefit C/OH Candidate / Officeholder name Office sought Office held Date Payee name 5 Amount ($) Payee address; o S Check if individual's residence address. PURPOSE OF EXPENDITURE Description • c'":„; City; Category (See Categories listed at the top of this schedule) v 410e Check if travel outside of Texas. Complete Schedule T. State; Zip Code N&0* 2Adi_es Check if Austin, TX, officeholder living expense Complete ONLY if direct expenditure to benefit C/OH Candidate / Officeholder name Office sought Office held ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2026 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 (entera category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule Fl: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Date 5 Payee name 6 Amount ($) ® 7 Payee address; Cit 1 C� n Y; State; Zip Code Check If individual's residence address, \ ( \IA .2--e-314+7 8 PURPOSE OF EXPENDITURE (a) Category (See Categories listed at the lop of this schedule) (� �"-s' ,, � (b) Description r....66.—, (c) 1 Check if travel outside of Texas. Complete Schedule T. j Check If Austin, TX, officeholder living expense 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date 12.-1, ZS Payee name ,L6 1-. Amount ($) 10,30 Payee address;A+ City; State; Zip Code 9-4 611 'Cy_ t c' Check if Individual's residence address. ��.1(' . V y A 2._c, I L "i / PURPOSE OF EXPENDITURE Category (See Categories listed at the top of this schedule) ° L Av..t, t1ut Description iC�,�, - Check 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 pDaa►te Payee` name Amount ($) T -1° , (00 Payee address; City; State; Zip Code 941,? 1 Ana ;C.! C, V\-- 't)///y� C- Check If individual's residence address. Lc'r'^"� v ' ` 2-0 ( 1 71 PURPOSE OF EXPENDITURE Category (See Categories listed at the top of this schedule) (� fk.iNg�h�/ � Description cse_S-60 Check 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 ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED mission www.etntcs.state.tx.us Revised 1/1/2026 OFFICE USE ONLY AFFIDAVIT FOR CANDIDATE OR OFFICEHOLDER: ELECTRONIC FILING EXEMPTION An exemption affidavit must be submitted with each paper report. Beginning on January 1, 2026, a candidate or officeholder who has accepted more than $34,890 in political contributions or made more than $34,890 in political expenditures in any calendar year must file all subsequent reports electronically. Filer name Filer ID # Date ReceiueCON 0.? (2`i:€ -Gr CITY OF PEITLA CITY SECRETARY'S OFFIC Dale Hand -delivered or Date Postmarked Receipt # Amount $ Date Processed Date Imaged 1. I swear or affirm that I have not accepted more than $34,890 in political contributions or made more than $34,890 in political expenditures in a calendar year. 2. I further swear or affirm that I do not use computer equipment to keep current records of political contributions, political expenditures, or persons making political contributions to me. 3. I further swear or affirm that no person acting as my agent or consultant, and no person with whom I contract, uses computer equipment to keep current records of political contributions, political expenditures, or persons making political contributions to me. 4. I further swear or affirm that I understand that I am required to file my campaign finance reports electronically if I, my agent or consultant, or a person with whom I contract exceeds $34,890 in political contributions or political expenditures in a calendar year, or uses computer equipment to keep current records of political contributions, political expenditures, or persons making political contributions to me. 5. I am filing this affidavit with the report due on I understand that this affidavit is required to be filed with each campaign finance report for which I am claiming an exemption from electronic filing. Please complete either option below: (1) Affidavit Terrie Flora My Commission Expires 11/22/2027 RY MOW ME -4O44738 Sworn to and subscribed before me by 1 ti. oH^/ICRJ ` 5 J 20 _ , to certify which, witness my hand and seal of office. t- I WA.' ture of officer administering oath Printed name of officer administering oath ture of Filer this the y day of J Q IP` IA, Air,' 1J°i-s? Title of officer admini3Tering oath OR (2) Unsworn Declaration My name is My address is (street) and my date of birth is (city) ' (state) ' (zip code) ' (country) Executed in County, State of , on the day of 20 (month) (year) Signature of Filer (Declarant) FILERS WHO ARE EXEMPT FROM THE ELECTRONIC FILING REQUIREMENT ARE STILL REQUIRED TO FILE CAMPAIGN FINANCE REPORTS ON PAPER Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2026