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Jun, John-COH 2018-04-05 CANDIDATE / OFFICEHOLDER FORM C/OH COVER SHEET PG 1 CAMPAIGN FINANCE REPORT Filer ID (Ethics Commission Filers) 12 Total pages filed: The C/OH Instruction Guide explains how to complete this form. MS / MRS / MRFIRSTMI 3 CANDIDATE / OFFICE USE ONLY OFFICEHOLDER NAME Date Received NICKNAMELASTSUFFIX 04/05/2018 cbp ADDRESS / PO BOX;APT / SUITE #;CITY;STATE;ZIP CODE CANDIDATE / 4 OFFICEHOLDER MAILING ADDRESS Change of Address AREA CODEPHONE NUMBEREXTENSION 5 CANDIDATE/ Date Hand-delivered or Date Postmarked OFFICEHOLDER () PHONE Receipt # Amount $ MS / MRS / MRFIRSTMI 6 CAMPAIGN TREASURER Date Processed NAME NICKNAMELASTSUFFIX Date Imaged STREETADDRESS (NO PO BOX PLEASE);APT / SUITE #;CITY;STATE;ZIP CODE 7 CAMPAIGN TREASURER ADDRESS (Residence or Business) AREA CODEPHONE NUMBEREXTENSION 8 CAMPAIGN TREASURER () PHONE 9 REPORT TYPE 15th day after campaign 30th day before electionRunoff January 15 treasurer appointment (Officeholder Only) Exceeded $500 limit July 15Final Report (Attach C/OH - FR) 8th day before election 10 PERIOD MonthDayYear MonthDayYear COVERED THROUGH ELECTION DATE ELECTION TYPE ELECTION 11 Primary Runoff Other MonthDayYear Description GeneralSpecial OFFICE HELD (if any)OFFICE SOUGHT (if known) 13 12 OFFICE GO TO PAGE 2 www.ethics.state.tx.usRevised 9/8/2015 Forms provided by Texas Ethics Commission FORM C/OH SUBTOTALS - C/OH COVER SHEET PG 3 19 FILER NAME 20 Filer ID (Ethics Commission Filers) SUBTOTAL 21 SCHEDULE SUBTOTALS AMOUNT NAME OF SCHEDULE 1. $ SCHEDULE A1: MONETARY POLITICAL CONTRIBUTIONS 2.$ SCHEDULE A2: NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS 3. $ SCHEDULE B: PLEDGED CONTRIBUTIONS 4.SCHEDULE E: LOANS $ 5. $ SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS 6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 7. $ SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS 8. $ SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD 9. SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS$ 10. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH$ 11. SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS$ SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS 12. $ RETURNED TO FILER www.ethics.state.tx.usRevised 9/8/2015 Forms provided by Texas Ethics Commission MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1 1 Total pages Schedule A1: The Instruction Guide explains how to complete this form. Filer ID (Ethics Commission Filers) FILER NAME 3 2 Date 4 Amount of contribution ($) 7 Full name of contributor 5 out-of-state PAC (ID#:_______________________) Contributor address;City; State; Zip Code 6 Principal occupation / Job title (See Instructions) Employer (See Instructions) 8 9 Full name of contributor out-of-state PAC (ID#:_______________________) Date Amount of contribution ($) Contributor address;City; State; Zip Code Principal occupation / Job title (See Instructions)Employer (See Instructions) Full name of contributor Date out-of-state PAC (ID#:_______________________) Amount of contribution ($) Contributor address;City; State; Zip Code Principal occupation / Job title (See Instructions)Employer (See Instructions) Date Full name of contributor Amount of contribution ($) out-of-state PAC (ID#:_______________________) Contributor address;City; 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.ethics.state.tx.usRevised 9/8/2015 Forms provided by Texas Ethics Commission MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1 1 Total pages Schedule A1: The Instruction Guide explains how to complete this form. Filer ID (Ethics Commission Filers) FILER NAME 3 2 Date 4 Amount of contribution ($) 7 Full name of contributor 5 out-of-state PAC (ID#:_______________________) Contributor address;City; State; Zip Code 6 Principal occupation / Job title (See Instructions) Employer (See Instructions) 8 9 Full name of contributor out-of-state PAC (ID#:_______________________) Date Amount of contribution ($) Contributor address;City; State; Zip Code Principal occupation / Job title (See Instructions)Employer (See Instructions) Full name of contributor Date out-of-state PAC (ID#:_______________________) Amount of contribution ($) Contributor address;City; State; Zip Code Principal occupation / Job title (See Instructions)Employer (See Instructions) Date Full name of contributor Amount of contribution ($) out-of-state PAC (ID#:_______________________) Contributor address;City; 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.ethics.state.tx.usRevised 9/8/2015 Forms provided by Texas Ethics Commission MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1 1 Total pages Schedule A1: The Instruction Guide explains how to complete this form. Filer ID (Ethics Commission Filers) FILER NAME 3 2 Date 4 Amount of contribution ($) 7 Full name of contributor 5 out-of-state PAC (ID#:_______________________) Contributor address;City; State; Zip Code 6 Principal occupation / Job title (See Instructions) Employer (See Instructions) 8 9 Full name of contributor out-of-state PAC (ID#:_______________________) Date Amount of contribution ($) Contributor address;City; State; Zip Code Principal occupation / Job title (See Instructions)Employer (See Instructions) Full name of contributor Date out-of-state PAC (ID#:_______________________) Amount of contribution ($) Contributor address;City; State; Zip Code Principal occupation / Job title (See Instructions)Employer (See Instructions) Date Full name of contributor Amount of contribution ($) out-of-state PAC (ID#:_______________________) Contributor address;City; 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.ethics.state.tx.usRevised 9/8/2015 Forms provided by Texas Ethics Commission MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1 1 Total pages Schedule A1: The Instruction Guide explains how to complete this form. Filer ID (Ethics Commission Filers) FILER NAME 3 2 Date 4 Amount of contribution ($) 7 Full name of contributor 5 out-of-state PAC (ID#:_______________________) Contributor address;City; State; Zip Code 6 Principal occupation / Job title (See Instructions) Employer (See Instructions) 8 9 Full name of contributor out-of-state PAC (ID#:_______________________) Date Amount of contribution ($) Contributor address;City; State; Zip Code Principal occupation / Job title (See Instructions)Employer (See Instructions) Full name of contributor Date out-of-state PAC (ID#:_______________________) Amount of contribution ($) Contributor address;City; State; Zip Code Principal occupation / Job title (See Instructions)Employer (See Instructions) Date Full name of contributor Amount of contribution ($) out-of-state PAC (ID#:_______________________) Contributor address;City; 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.ethics.state.tx.usRevised 9/8/2015 Forms provided by Texas Ethics Commission MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1 1 Total pages Schedule A1: The Instruction Guide explains how to complete this form. Filer ID (Ethics Commission Filers) FILER NAME 3 2 Date 4 Amount of contribution ($) 7 Full name of contributor 5 out-of-state PAC (ID#:_______________________) Contributor address;City; State; Zip Code 6 Principal occupation / Job title (See Instructions) Employer (See Instructions) 8 9 Full name of contributor out-of-state PAC (ID#:_______________________) Date Amount of contribution ($) Contributor address;City; State; Zip Code Principal occupation / Job title (See Instructions)Employer (See Instructions) Full name of contributor Date out-of-state PAC (ID#:_______________________) Amount of contribution ($) Contributor address;City; State; Zip Code Principal occupation / Job title (See Instructions)Employer (See Instructions) Date Full name of contributor Amount of contribution ($) out-of-state PAC (ID#:_______________________) Contributor address;City; 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.ethics.state.tx.usRevised 9/8/2015 Forms provided by Texas Ethics Commission NON-MONETARY (IN-KIND) POLITICAL SCHEDULE A2 CONTRIBUTIONS 1 Total pages Schedule A2: The Instruction Guide explains how to complete this form. 2 3 FILER NAMEFiler ID (Ethics Commission Filers) 4 TOTAL OF UNITEMIZED IN-KIND POLITICAL CONTRIBUTIONS $ Amount of 58 In-kind contribution Date 69 out-of-state PAC (ID#:______________________) Full name of contributor Contribution $ description 7 Contributor address;City; State; Zip Code Check if travel outside of Texas. Complete Schedule T. Employer (FOR NON-JUDICIAL)(See Instructions) 10 11 Principal occupation / Job title (FOR NON-JUDICIAL) (See Instructions) Contributor's principal occupation (FOR JUDICIAL) Contributor's job title (FOR JUDICIAL)(See Instructions) 12 13 14 Contributor's employer/law firm (FOR JUDICIAL) Law firm of contributor's spouse (if any) (FOR JUDICIAL) 15 16 If contributor is a child, law firm of parent(s) (if any) (FOR JUDICIAL) Amount of In-kind contribution out-of-state PAC (ID#:______________________) DateFull name of contributor Contribution $ description Contributor address;City; State; Zip Code Check if travel outside of Texas. Complete Schedule T. (See Instructions) Principal occupation / Job title (FOR NON-JUDICIAL) 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 any) (FOR JUDICIAL) If contributor is a child, law firm of parent(s) (if any) (FOR JUDICIAL) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements. www.ethics.state.tx.usRevised 9/8/2015 Forms provided by Texas Ethics Commission SCHEDULE B PLEDGED CONTRIBUTIONS 1 Total pages Schedule B: The Instruction Guide explains how to complete this form. Filer ID (Ethics Commission Filers) 23 FILER NAME 4 TOTAL OF UNITEMIZED PLEDGES $ 5 Date 6 out-of-state PAC (ID#:_______________________) Full name of pledgorAmount In-kind contribution 89 of Pledge $ description 7 Pledgor address;City; State; Zip Code Check if travel outside of Texas. Complete Schedule T. Principal occupation / Job title (See Instructions)Employer (See Instructions) 1011 Date Amount In-kind contribution Full name of pledgor out-of-state PAC (ID#:_______________________) of Pledge $ description Pledgor address;City; State; Zip Code Check if travel outside of Texas. Complete Schedule T. Employer (See Instructions) Principal occupation / Job title (See Instructions) Date Amount of In-kind contribution Full name of pledgor out-of-state PAC (ID#:_______________________) Pledge $ description Pledgor address;City; State; Zip Code Check if travel outside of Texas. Complete Schedule T. Employer (See Instructions) Principal occupation / Job title (See Instructions) In-kind contribution Amount of Full name of pledgor Date out-of-state PAC (ID#:_______________________) description Pledge $ Pledgor address;City; State; Zip Code Check if travel outside of Texas. Complete Schedule T. Employer (See Instructions) Principal occupation / Job title (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.ethics.state.tx.usRevised 9/8/2015 Forms provided by Texas Ethics Commission LOANS SCHEDULE E 1 Total pages Schedule E: The Instruction Guide explains how to complete this form. Filer ID (Ethics Commission Filers) 2 FILER NAME 3 4 TOTAL OF UNITEMIZED LOANS $ 5 9 Name of lender Date of loanLoan Amount ($) 7 out-of-state PAC(ID#:__________________________ ) Interest rate 10 6 Is lender 8 Lender address;City;State;Zip Code a financial Institution? 11 Maturity date Y N 1213 Employer (See Instructions) Principal occupation / Job title (See Instructions) Description of Collateral 15 Check if personal funds were deposited into political 14 account (See Instructions) none Name of guarantor 1617 19 Amount Guaranteed ($) GUARANTOR INFORMATION Guarantor address;City;State; Zip Code 18 not applicable 21 20 Principal Occupation (See Instructions) Employer (See Instructions) Loan Amount ($) Date of loan Name of lender out-of-state PAC (ID#:__________________________ ) Interest rate Lender address;City;State;Zip Code Is lender a financial Institution? Maturity date Y N Employer (See Instructions) Principal occupation / Job title (See Instructions) Description of CollateralCheck if personal funds were deposited into political account (See Instructions) none Name of guarantorAmount Guaranteed ($) GUARANTOR INFORMATION Guarantor address; City; State; Zip Code not applicable Employer (See Instructions) Principal Occupation (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. www.ethics.state.tx.usRevised 9/8/2015 Forms provided by Texas Ethics Commission POLITICAL EXPENDITURES MADE SCHEDULE F1 FROM POLITICAL CONTRIBUTIONS 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 Salaries/Wages/Contract Labor Legal Services Other (enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 13 Filer ID (Ethics Commission Filers) Total pages Schedule F1: 2 FILER NAME 4 DatePayee name 5 Amount ($) 6 Payee address;City;State;Zip Code 7 (a) Category (See Categories listed at the top of this schedule)(b)Description 8 Check if travel outside of Texas. Complete Schedule T. PURPOSE O F Check if Austin, TX, officeholder living expense EXPENDITURE Candidate / Officeholder name Office soughtOffice held Complete ONLY if direct 9 expenditureto benefit C/OH Payee name Date Amount ($) Payee address;City;State;Zip Code Category (See Categories listed at the top of this schedule) Description Check if travel outside of Texas. Complete Schedule T. PURPOSE O F Check if Austin, TX, officeholder living expense EXPENDITURE Candidate / Officeholder name Office soughtOffice held Complete ONLY if direct expenditureto benefit C/OH Payee name Date Amount ($) Payee address;City;State;Zip Code Category (See Categories listed at the top of this schedule) Description Check if travel outside of Texas. Complete Schedule T. PURPOSE O F Check if Austin, TX, officeholder living expense EXPENDITURE Candidate / Officeholder name Office soughtOffice held Complete ONLY if direct expenditureto benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED www.ethics.state.tx.usRevised 9/8/2015 Forms provided by Texas Ethics Commission POLITICAL EXPENDITURES MADE SCHEDULE F1 FROM POLITICAL CONTRIBUTIONS EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Salaries/Wages/Contract Labor Legal Services Other (enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 13 Filer ID (Ethics Commission Filers) Total pages Schedule F1: 2 FILER NAME 4 DatePayee name 5 Amount ($) 6 Payee address;City;State;Zip Code 7 (a) Category (See Categories listed at the top of this schedule)(b)Description 8 Check if travel outside of Texas. Complete Schedule T. PURPOSE O F Check if Austin, TX, officeholder living expense EXPENDITURE Candidate / Officeholder name Office soughtOffice held Complete ONLY if direct 9 expenditureto benefit C/OH Payee name Date Amount ($) Payee address;City;State;Zip Code Category (See Categories listed at the top of this schedule) Description Check if travel outside of Texas. Complete Schedule T. PURPOSE O F Check if Austin, TX, officeholder living expense EXPENDITURE Candidate / Officeholder name Office soughtOffice held Complete ONLY if direct expenditureto benefit C/OH Payee name Date Amount ($) Payee address;City;State;Zip Code Category (See Categories listed at the top of this schedule) Description Check if travel outside of Texas. Complete Schedule T. PURPOSE O F Check if Austin, TX, officeholder living expense EXPENDITURE Candidate / Officeholder name Office soughtOffice held Complete ONLY if direct expenditureto benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED www.ethics.state.tx.usRevised 9/8/2015 Forms provided by Texas Ethics Commission POLITICAL EXPENDITURES MADE SCHEDULE F1 FROM POLITICAL CONTRIBUTIONS 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 Salaries/Wages/Contract Labor Legal Services Other (enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 13 Filer ID (Ethics Commission Filers) Total pages Schedule F1: 2 FILER NAME 4 DatePayee name 5 Amount ($) 6 Payee address;City;State;Zip Code 7 (a) Category (See Categories listed at the top of this schedule)(b)Description 8 Check if travel outside of Texas. Complete Schedule T. PURPOSE O F Check if Austin, TX, officeholder living expense EXPENDITURE Candidate / Officeholder name Office soughtOffice held Complete ONLY if direct 9 expenditureto benefit C/OH Payee name Date Amount ($) Payee address;City;State;Zip Code Category (See Categories listed at the top of this schedule) Description Check if travel outside of Texas. Complete Schedule T. PURPOSE O F Check if Austin, TX, officeholder living expense EXPENDITURE Candidate / Officeholder name Office soughtOffice held Complete ONLY if direct expenditureto benefit C/OH Payee name Date Amount ($) Payee address;City;State;Zip Code Category (See Categories listed at the top of this schedule) Description Check if travel outside of Texas. Complete Schedule T. PURPOSE O F Check if Austin, TX, officeholder living expense EXPENDITURE Candidate / Officeholder name Office soughtOffice held Complete ONLY if direct expenditureto benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED www.ethics.state.tx.usRevised 9/8/2015 Forms provided by Texas Ethics Commission POLITICAL EXPENDITURES MADE SCHEDULE F1 FROM POLITICAL CONTRIBUTIONS EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Salaries/Wages/Contract Labor Legal Services Other (enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 13 Filer ID (Ethics Commission Filers) Total pages Schedule F1: 2 FILER NAME 4 DatePayee name 5 Amount ($) 6 Payee address;City;State;Zip Code 7 (a) Category (See Categories listed at the top of this schedule)(b)Description 8 Check if travel outside of Texas. Complete Schedule T. PURPOSE O F Check if Austin, TX, officeholder living expense EXPENDITURE Candidate / Officeholder name Office soughtOffice held Complete ONLY if direct 9 expenditureto benefit C/OH Payee name Date Amount ($) Payee address;City;State;Zip Code Category (See Categories listed at the top of this schedule) Description Check if travel outside of Texas. Complete Schedule T. PURPOSE O F Check if Austin, TX, officeholder living expense EXPENDITURE Candidate / Officeholder name Office soughtOffice held Complete ONLY if direct expenditureto benefit C/OH Payee name Date Amount ($) Payee address;City;State;Zip Code Category (See Categories listed at the top of this schedule) Description Check if travel outside of Texas. Complete Schedule T. PURPOSE O F Check if Austin, TX, officeholder living expense EXPENDITURE Candidate / Officeholder name Office soughtOffice held Complete ONLY if direct expenditureto benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED www.ethics.state.tx.usRevised 9/8/2015 Forms provided by Texas Ethics Commission UNPAID INCURRED OBLIGATIONS SCHEDULE F2 EXPENDITURE CATEGORIES FOR BOX 10(a) Advertising ExpenseEvent Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/BankingFees Office Overhead/Rental Expense Transportation Equipment & Related Expense Consulting ExpenseFood/Beverage Expense Polling Expense Travel In District Contributions/Donations Made ByGift/Awards/Memorials Expense Printing Expense Travel Out Of District Salaries/Wages/Contract Labor Candidate/Officeholder/Political CommitteeLegal Services Other (enter a category not listed above) The Instruction Guide explains how to complete this form. 1 FILER NAME Total pages Schedule F2: 23 Filer ID (Ethics Commission Filers) 4 TOTAL OF UNITEMIZED UNPAID INCURRED OBLIGATIONS $ 5 DatePayee name 6 Payee address;City;State;Zip Code 7 Amount ($) 8 9 TYPE OF Political Non-Political EXPENDITURE (a) Category (See Categories listed at the top of this schedule) 10 (b)Description Check if travel outside of Texas. Complete Schedule T. PURPOSE OF Check if Austin, TX, officeholder living expense EXPENDITURE 11 Complete ONLYif direct Candidate / Officeholder name Office soughtOffice held expenditure to benefit C/OH Payee name Date Amount ($) Payee address;City;State;Zip Code TYPE OF Non-Political Political EXPENDITURE Description Category (See Categories listed at the top of this schedule) Check if travel outside of Texas. Complete Schedule T. PURPOSE OF Check if Austin, TX, officeholder living expense EXPENDITURE Complete ONLYif directCandidate / Officeholder name Office soughtOffice held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED www.ethics.state.tx.usRevised 9/8/2015 Forms provided by Texas Ethics Commission PURCHASE OF INVESTMENTS MADE SCHEDULE F3 FROM POLITICAL CONTRIBUTIONS Total pages Schedule F3: 1 The Instruction Guide explains how to complete this form. Filer ID (Ethics Commission Filers) FILER NAME 2 3 4 Date Name of person from whom investment is purchased 5 Address of person from whom investment is purchased;City;State;Zip Code 6 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 www.ethics.state.tx.usRevised 9/8/2015 Forms provided by Texas Ethics Commission EXPENDITURES MADE BY CREDIT CARD SCHEDULE F4 EXPENDITURE CATEGORIES FOR BOX 10(a) Event Expense Advertising Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Fees Accounting/Banking Office Overhead/Rental Expense Transportation Equipment & Related Expense Food/Beverage Expense Consulting Expense Polling Expense Travel In District Gift/Awards/Memorials Expense Contributions/Donations Made By Printing Expense Travel Out Of District Legal ServicesSalaries/Wages/Contract Labor Candidate/Officeholder/Political Committee Other (enter a category not listed above) The Instruction Guide explains how to complete this form. FILER NAME 1 Total pages Schedule F4: 23 Filer ID (Ethics Commission Filers) 4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TO A CREDIT CARD $ DatePayee name 5 6 Payee address;City;State;Zip Code 7 Amount ($)8 9 TYPE OF PoliticalNon-Political EXPENDITURE (a) Category (See Categories listed at the top of this schedule) 10(b) Description Check if travel outside of Texas. Complete Schedule T. PURPOSE OF Check if Austin, TX, officeholder living expense EXPENDITURE 11 Complete ONLY if direct Candidate / Officeholder name Office soughtOffice held expenditure to benefit C/OH Payee name Date Amount ($) Payee address;City;State;Zip Code OF TYPE Non-Political Political EXPENDITURE Description Category (See Categories listed at the top of this schedule) Check if travel outside of Texas. Complete Schedule T. PURPOSE OF Check if Austin, TX, officeholder living expense EXPENDITURE Complete ONLY if directCandidate / Officeholder name Office soughtOffice held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED www.ethics.state.tx.usRevised 9/8/2015 Forms provided by Texas Ethics Commission POLITICAL EXPENDITURES SCHEDULE G MADE FROM PERSONAL FUNDS EXPENDITURE CATEGORIES FOR BOX 8(a) Event Expense Advertising Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Fees Accounting/Banking Office Overhead/Rental Expense Transportation Equipment & Related Expense Food/Beverage Expense Consulting Expense Polling Expense Travel In District Gift/Awards/Memorials Expense Contributions/Donations Made By Printing Expense Travel Out Of District Salaries/Wages/Contract Labor Candidate/Officeholder/Political CommitteeLegal Services 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 (Ethics Commission Filers) 4 DatePayee name 5 7 6 tate;Zip Code Amount ($)Payee address;City;S Reimbursement from political contributions intended (b) (a)Description Category (See Categories listed at the top of this schedule) 8 PURPOSE Check if travel outside of Texas. Complete Schedule T. O F EXPENDITURE Check if Austin, TX, officeholder living expense Complete ONLYif direct Candidate / Officeholder nameOffice soughtOffice held 9 expenditure to benefit C/OH DatePayee name Amount ($)Payee address;City;State;Zip Code Reimbursement from political contributions intended (b) Category (See Categories listed at the top of this schedule) Description PURPOSE Check if travel outside of Texas. Complete Schedule T. O F EXPENDITURE Check if Austin, TX, officeholder living expense Complete ONLYif directCandidate / Officeholder nameOffice soughtOffice held expenditure to benefit C/OH DatePayee name Amount ($)Payee address;City;State;Zip Code Reimbursement from political contributions intended (b) Description Category (See Categories listed at the top of this schedule) PURPOSE Check if travel outside of Texas. Complete Schedule T. O F EXPENDITURE Check if Austin, TX, officeholder living expense Complete ONLYif direct Candidate / Officeholder nameOffice soughtOffice held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED www.ethics.state.tx.usRevised 9/8/2015 Forms provided by Texas Ethics Commission PAYMENT MADE FROM POLITICAL SCHEDULE H CONTRIBUTIONS TO A BUSINESS OF C/OH EXPENDITURE CATEGORIES FOR BOX 8(a) Event Expense Advertising Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Fees Accounting/Banking Office Overhead/Rental Expense Transportation Equipment & Related Expense Food/Beverage Expense Consulting Expense Polling Expense Travel In District Gift/Awards/Memorials Expense Contributions/Donations Made By Printing Expense Travel Out Of District Salaries/Wages/Contract Labor Candidate/Officeholder/Political CommitteeLegal Services Other (enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. Filer ID (Ethics Commission Filers) 123 Total pages Schedule H: FILER NAME 4 5 Date Business name Amount ($) 6 Business address;City;State;Zip Code 7 (a) 8(b) Category (See Categories listed at the top of this schedule) Description PURPOSE Check if travel outside of Texas. Complete Schedule T. O F Check if Austin, TX, officeholder living expense EXPENDITURE Candidate / Officeholder nameOffice soughtOffice held Complete ONLY if direct 9 expenditure to benefit C/OH DateBusiness name Business address;City;State;Zip Code Amount ($) Category (See Categories listed at the top of this schedule) Description Check if travel outside of Texas. Complete Schedule T. PURPOSE O F Check if Austin, TX, officeholder living expense EXPENDITURE Candidate / Officeholder nameOffice soughtOffice held Complete ONLY if direct expenditure to benefit C/OH DateBusiness name Amount ($) Business address;City;State;Zip Code Category (See Categories listed at the top of this schedule) Description Check if travel outside of Texas. Complete Schedule T. PURPOSE O F Check if Austin, TX, officeholder living expense EXPENDITURE Candidate / Officeholder nameOffice sought Office held Complete ONLY if direct expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED www.ethics.state.tx.usRevised 9/8/2015 Forms provided by Texas Ethics Commission NON-POLITICAL EXPENDITURES SCHEDULE I MADE FROM POLITICAL CONTRIBUTIONS The Instruction Guide explains how to complete this form. 3 Filer ID (Ethics Commission Filers) 12 Total pages Schedule I:FILER NAME 4 Payee name Date 5 67 Payee address;City;State;Zip Code Amount ($) 8 (a)Category (See instructions for examples of acceptable(b) Description (See instructions regarding type of information PURPOSE categories.) required.) OF EXPENDITURE DatePayee name Amount ($) Payee address;City;State;Zip Code Category (See instructions for examples of acceptable Description (See instructions regarding type of information PURPOSE categories.) required.) OF EXPENDITURE Payee name Date Amount ($) Payee address;City;State;Zip Code Category (See instructions for examples of acceptable Description (See instructions regarding type of information PURPOSE categories.) required.) OF EXPENDITURE Payee name Date Payee address;City;State;Zip Code Amount ($) Category (See instructions for examples of acceptable Description (See instructions regarding type of information PURPOSE categories.) required.) OF EXPENDITURE ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED www.ethics.state.tx.usRevised 9/8/2015 Forms provided by Texas Ethics Commission INTEREST, CREDITS, GAINS, REFUNDS, AND SCHEDULE K CONTRIBUTIONS RETURNED TO FILER Total pages Schedule K: 1 The Instruction Guide explains how to complete this form. 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 8 DateAmount ($) Name of person from whom amount is received 5 Address of person from whom amount is received; City;State;Zip Code 6 Purpose for which amount is received 7 Check if political contribution returned to filer Amount ($) Date Name of person from whom amount is received Address of person from whom amount is received; City;State; Zip Code Purpose for which amount is received Check if political contribution returned to filer Amount ($) Date Name of person from whom amount is received Address of person from whom amount is received; City;State;Zip Code Purpose for which amount is received Check if political contribution returned to filer Amount ($) Date Name of person from whom amount is received Address of person from whom amount is received; City;State; Zip Code Purpose for which amount is received Check if political contribution returned to filer ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED www.ethics.state.tx.usRevised 9/8/2015 Forms provided by Texas Ethics Commission IN-KIND CONTRIBUTIONS OR POLITICAL EXPENDITURES SCHEDULE T FOR TRAVEL OUTSIDE OF TEXAS 1 Total pages Schedule T: The Instruction Guide explains how to complete this form. 3 Filer ID (Ethics Commission Filers) 2 FILER NAME 4 Name of Contributor / Corporation or Labor Organization / Pledgor / Payee Contribution / Expenditure reported on: 5 Schedule B Schedule A2 Schedule DSchedule F1 Schedule C2 Schedule B(J) Schedule F2Schedule H Schedule F4Schedule GSchedule COH-UCSchedule B-SS 7 Name of person(s) traveling 6 Dates of travel Departure city or name of departure location 8 Destination city or name of destination location 9 10 11 Means of transportationPurpose of travel (including name of conference, seminar, or other event) Name of Contributor / Corporation or Labor Organization / Pledgor / Payee Contribution / Expenditure reported on: Schedule B Schedule A2 Schedule DSchedule F1 Schedule C2 Schedule B(J) Schedule F2Schedule H Schedule F4Schedule GSchedule B-SS Schedule COH-UC Name of person(s) traveling Dates of travel Departure city or name of departure location Destination city or name of destination location Means of transportation Purpose of travel (including name of conference, seminar, or other event) Name of Contributor / Corporation or Labor Organization / Pledgor / Payee Contribution / Expenditure reported on: Schedule B Schedule A2Schedule DSchedule F1 Schedule C2 Schedule B(J) Schedule F2 Schedule H Schedule F4Schedule GSchedule B-SS Schedule COH-UC Name of person(s) traveling Dates of travel Departure city or name of departure location Destination city or name of destination location Means of transportationPurpose of travel (including name of conference, seminar, or other event) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED www.ethics.state.tx.usRevised 9/8/2015 Forms provided by Texas Ethics Commission 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" •• 2 Filer ID (Ethics Commission Filers) 1 C/OH NAME 3 SIGNATURE I do not expect any further political contributions or political expenditures in connection with my candidacy. I understand that designat- ing 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 file. Signature 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: 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 earnedonpolitical 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. 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. Signature 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 politi- cal contributions or interest or other income from political contributions. Signature of Officeholder www.ethics.state.tx.usRevised 9/8/2015 Forms provided by Texas Ethics Commission