i ?r OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM COVER SHEET PG 1 4 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: The CIOH Instruction Guide explains how to complete this form. 6/ 3 CANDIDATE MRS I MH FIRST MI OFFICEHOLDER 505M 0' USE NAME . . . o. Date ReCEIved NICKNAME LAST SUFFIX 0/6123}: ADDRESS I PO Box; APT I surrE Ir; ZIP CODE (Residence or Business) OFFICEHOLDER mum la? 5 came ELM ADDRESS Change of Address 73?! 3 3 5 AREA CODE PHJNE NUMBER EXTENSDN OFFICEHOLDER d?d l' a te 1 rk PHONE (572 5% ae an ewere or a osma 6 CAMPAIGN MSIMRSI MR FIRST Receipt mount 3 ?ew NICKNAME LAST SUFFIX Date lmaged 7 CAMPAIGN STREET ADDRESS (ND PO BOX APT I surrE It; - ZIP CODE 3 33 TREASURER ADDRESS My; 4mm gm (see/<56 OWN '7'qu 3 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER 7? 7.. more 5 (05?7? 9 REPORT TYPE 15mm I . n- January 15 30th day before section nunon I: twurgraapiomg?itg (Officeholder Only] July 15 8th day before eieciion Exceeded $500Iimii Final Report (Attach mourn) 10 PERIOD Mon?th? Day Year - Month Day Year 7 - COVERED 0/ THROUGH 01// 5?/29?9 11 ELECTION ELECTION . ELECTION TYPE Month Day Year El Primary [3 Runo? Other_ Description 0 5/0y/Z?lq were? Special 12 OFFICE OFFEE HELD any! 13 OFFICE SOUGHT (ifknownl E, PIM 6! GO TO PAGE 2 Forms provided by Texas Ethics Commission Revised 9l8l2015 OFFICEHOLDER FORM CAMPAIGN FINANCE REPORT COVER SHEET PG 2 15 Filer ID (Ethics Commission Filers) 14 74:7 16 NOTICE FROM THIS Box IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES 3v POLITICAL To POLITICAL SUPPORT THE CANDIDATE I DFRCEHOLDER. THESE EXPENDITURES RAVE sear MADE WITHOUT THE CANDIDATES OR omcarowen's COMMI KNOWLEDGE on CONSENT. CANDIATES AND OFFICEHOLDERS ARE REDUIRED To REPORT THIS INFORMATION ONLY n: RECEIVE NOTTCE OF SUCH EXPENDITURES. TYPE COMMITTEE NAME GENERAL COMMITTEE ADDRESS EISPECIFIC CAMPAIGN TREASURER NAME Additional Pages COMMITTEE CAMPAIGN TREASURER ADDRESS 17 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN 0 ?9 TOTALS PLEDGES. LOANS. OR GUARANTEES OF LOANS), UNLESS ITEMIZED I 2. TOTAL POLITICAL CONTRIBUTIONS 0 (OTHER THAN PLEDGES. LOANS. OR GUARANTEES OF 07 5 9 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS. 3; UNLESS ITEMIZED 4- TOTAL POLITICAL EXPENDITURES 7% 077 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF REPORTING PERIOD 9 9 OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE 5 LOAN TOTALS LAST DAY OF THE REPORTING PERIOD . ya 18 AFFIDAVIT Iswear. or af?rm, under penalty of perjury, that the accompanying report and correctand includes ali information required to be reported by me r?g?N??g?j under Title 15, Election Code. 3.53:; 1'1 Signature Of Can ate or Of?ceholder AFFIX NOTARY STAMP I SEALABOVE .. Sworn to and subscribed before me, by the said E3 a ?2 *6 . this the certify which, witness my hand and seal of ORICBmet? Dome; it GI \m5\ Signature of Officer administering oath Printed name of of?cer administering oath Time Of officer administering oath Forms provided by Texas Ethics Commission Revised 9/8/2015 (LS SUBTOTALS - FORM COVER SHEET PG 3 1 9 FILER NAME gm 44w 2 20 Filer ID (Ethics Commission Filers) 21 SCHEDULE SUBTOTALS SUBTOTAL NAME OF SCHEDULE AMOUNT 1. SCHEDULE A1: MONETARY POLITICALCONTRIBUTIONS 2. SCHEDULEA2: POLITICALCONTRIBUTIONS 3. I: SCHEDULE B: PLEDGED CONTRIBUTIONS 4 SCHEDULE E: LOANS 5 5- SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS 6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS 7- SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM CONTRIBUTIONS 8- El SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD 9- G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS 10- SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF CIOH 11- CI SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS s. 12_ SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS. AND CONTRIBUTIONS RETURNED TO FILER Forms provided by Texas Ethics Commission Revised POLITICAL MADE FROM PERSONAL FUNDS EXPENDITURES SCHEDULE Advertising Expense Accountinnganking Consulting Expense Contributions/Donations Made CandidateJOfliceho?er/Poilical Committee Credt Card Payment EXPENDITURE CATEGORIES FOR BOX 8(a) Event Exper?e Fees FomilBe-verage Expense By GilliAwards/Memoriah Expense Legal Services Loan Repayment/Reimbursement Of?ce Overhead/Rental Expense Poling Expense Printing Expense SahriesMageleontract Labor The Instruction Guide explains how to complete this tom. Solicitation/Fundraising Expense Transportation Equipment& Rented Expense Travel In District Travel Out Of District Other (entera category not Isted above) 1 Total pages Schedule G: 2 FILER NAME . Mg. ale/14A] 44ml ?air? 3 Filer ID (Ethics Commission Filers) 4 Date {270/9}- 6 Amount M3941: Reimbursement from political contributions intended 5 Payee name 7 Payee address; City; Slate; 3199 ix 6/0910 5756? ZipCode 75190 75525? 5Mr7?5 /00 PURPOSE OF EXPENDITURE Category [See Categories listed at the top of this schedule) 01/ for/?755 Description Check if travel ouBide of Texas. Complete Schedule T. I: Check if Austin, TX. olficeholder living expense 9 Complete ONLY it direct expenditure to benefit k5V/l" 7?65 0 14/14? Candidge Officeholder name Office sought Office held Payee name ?ea 0+ 03/25// 7 Amount Payee address; City; State; Zip Code a 5?3 /30? ?it/My 6e?? Reimbursememfrom 4' political contributions intended - Category [See Categories listed at the top of this schedule Description PURPOSE . Cheek ifltaveloueide of Texas. Complete ScheduleT OF EXPENDITURE ?71516 I '7 Check it Austin. TX. olficeholder living expense Complete ONLY it direct Candidate I Officeholder name Office sought Office held expenditure to benefit CIOH ?ew/v 474 3/670 ?lm/7,2997% [442 Mad/? Date Payee name Amount Reimbursement from political contributions intended Payee address; City; State; ZipCode PURPOSE OF EXPENDITURE Category (See Categories listed at the top of this schedule) (5) Description Check illravel outside olTexas. Complete Schedule T. Check it Austin, TX, officeholder living expense Complete ONLY it direct Candidate I Officeholder name expenditure to benefit Office sought orrice held ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission Revised 91812015