Bernstein, Davin-COH 2020-7-15CANDIDATE /OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Filer ID (Ethics Commission Filers)
2 Total pages filed:
The C/OH Instruction Guide
explains how to complete this form.
3 CANDIDATE/
MS/MRS R FIRST MI
OFFICE USE ONLY
OFFICEHOLDER
NAME
�j��
1 LIQ V
Date Received
_ /Imo/
NICKNAME LAST SUFFIX
07/15/2020
4 CANDIDATE/
ADDRESS / PO BOX, APT / SUITE #, CITY', STATE, ZIP CODE
OFFICEHOLDER
MAILING
o L� X / 7
ADDRESS
C.CPp��� 7So�9
F—]Changeof Address
5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER/
PHONE
7Date
/` -717
\ Z/T ! 17'/5--57
Hand-delivered or Date Postmarked
6 CAMPAIGNMS
/ RS/MR FIRST MI
Receipt #
Amount $
TREASURER
aCAN
Date Processed
NAME
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
NICKNAME LAST SUFFIX
Date Imaged
CfT
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE). APT //SUITE #, CITY;
STATE, ZIP CODE
TREASURER
ADDRESS
Q
�j Z 1 B QS D<
(Residence or Business)
AREA CODE PHONE NUMBER EXTENSION
8 CAMPAIGN
TREASURER
PHONE
Z/U Q ` d
U j 1 ��� J Z 7
9 REPORTTYPE
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
Month Day Year Month
Day Year
COVERED
2 ' Z Q THROUGH 16 C a Z O
11 ELECTION
ELECTION DATE
ELECTION TYPE
❑ Primary ❑ Runoff F-1Other
Month Day Year
Description
Izwo
IXI General F-1Special
1J �`
12 OFFICE
OFFICE HELD (if any) 13 OFFICE SOUGHT (if known)
Chi
GO TOPAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020
C
CANDIDATE /OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME �p
142 5-772:7 N
15 Filer ID (Ethics Commission Filers)
16 NOTICE FR0M
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
POLITICAL
SUPPORT THE CANDIDATE / OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDERS
COMM ITT E E (S)
KNOWLEDGE OR CONSENT, CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE
OF SUCH EXPENDITURES.
COMMITTEE TYPE
COMMITTEE NAME
❑ GENERAL
COMMITTEE ADDRESS
❑SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
❑ Additional Pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION
1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
TOTALS
PLEDGES, LOANS. OR GUARANTEES OF LOANS, OR
CONTRIBUTIONS MADE ELECTRONICALLY)
(�
2. TOTAL POLITICAL CONTRIBUTIONS
$
(OTHER THAN PLEDGES. LOANS, OR GUARANTEES OF LOANS)
Z a
EXPAND ITURE
3. TOTAL UNITEMIZED POLITICAL EXPENDITURE.
4. TOTAL POLITICAL EXPENDITURES
$
CONTRIBUTION
BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
$
OF REPORTING PERIOD
3
OUTSTANDING
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS
LAST DAY OF THE REPORTING PERIOD
$ —
18 AFFIDAVIT
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.
Vii'•. LUCERO C CORTEZ
y:!�•�S
My Notary ID # 126156866
Expires January 10, 2021
b OF
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP/ SEAL ABOVE
1
Sworn to and subscribed before me, by the said _ 1►S beXA this the ---
day of___ 5 20_d-� to certify which, witness my hand and seal of office.
Lwgw C. "M
Sig ature of officer adminite�rg oath Printed name of officer administering oath Title of officer administering oath
Form4rovided by Texas Ethics Commission www. ethics. state.tx. us Revised 1/1/2020
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020
SUBTOTALS
- C/OH FORM CIOH
COVER SHEET PG 3
19
FILER NAME
20 Filer ID (Ethics Commission Filers)
21
SCHEDULE SUBTOTALS
NAME OF SCHEDULE
SUBTOTAL
AMOUNT
1.
SCHEDULEA1:
MONETARY POLITICAL CONTRIBUTIONS
$
ru0
2.
SCHEDULEA2:
NON -MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS
$
3.
SCHEDULE B:
PLEDGED CONTRIBUTIONS
$
4.
F-1
SCHEDULEE:LOANS
$
5.
SCHEDULE F1:
POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
a
6.
F-1
SCHEDULE F2:
UNPAID INCURRED OBLIGATIONS
$
7
❑
SCHEDULE F3:
PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$
8.
IV
SCHEDULE F4:
EXPENDITURES MADE BY CREDIT CARD
$
3/6,03
9.
F-1SCHEDULE
G:
POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
$
10.
F-1
SCHEDULE H:
PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH
$
11.
❑
SCHEDULE I: NON-POLITICAL
EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
12.❑
SCHEDULE K:
INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED
TO FILER
$
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020
MONETARY POLITICAL CONTRIBUTIONS Al
SCHEDULE
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Al
2 FILER NAME
nl
3 Filer ID (Ethics Commission Filers)
AV i tQ
4 Date
5 Full name of contributor out-of-state PAC (ID#. )
7 Amount of contribution ($)
�_❑
N ✓' �4I r
6 Contributor address; City; State; Zip Code
662 C10169-5 covPt-L� 'rc -75-olg
8 Principal occupation / Job title (See Instructions)
g Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID# )
Amount of contribution ($)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID#
Amount of contribution (S)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID# )
Amount of contribution ($)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020
POLITICAL EXPENDITURES MADE
SCHEDULE F1
FROM POLITICAL CONTRIBUTIONS
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/FundraisingExpense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment& Related Expense
Consulting Expense Food/Beverage Expense PollingExpense P ense Travel In Distract
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other (enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F1:
2 FILER NAM
, , IN e'5�, N S��l�U
3 Filer ID (Ethics Commission Filers)
4 Date Z/
VC
�V
5 Payee name
�ewU i
U3 AA C P6-Di � � D e- 6-5-
6 Amount ($)
7 Payee address, City; State; Zip Code
1C)7�v M'C D�U� 9
��6.0�
AIV ANnbNIO 28143
8
(a) Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
�Q/� ////j/�{� /►��t%
Ceeo o— A00 rW-
�/J�%I/� �%OF
P y i " �VV 7
EXPENDITURE
/ /'iJ!
(c) Check if travel outside of Texas Complete Schedule T. 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
Amount ($)
Payee address; City; State, Zip Code
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
OF
EXPENDITURE
Check if travel outside of Texas. Complete Schedule T Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
OF
EXPENDITURE
Check if travel outside of Texas Complete Schedule T. E] 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 1/1/2020
EXPENDITURES MADE BY CREDIT CARD
SCHEDULE F4
EXPENDITURE CATEGORIES FOR BOX 10(a)
Advertising Expense
Accounting/Banking
Event Expense Loan Repayment/Reimbursement
Fees Office Overhead/Rental Expense
Solicitation/Fundraising Expense
Transportation Equipment& Related Expense
Consulting Expense Food/Beverage Expense Polling Expense
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense
Travel In District
Travel Out Of District
Candidate/Officeholder/Political
Committee Legal Services Salanes/Wages/Contract Labor
Other (enter n category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F4:
2 FILER NAME
AV !a'V 71V
3 Filer ID (Ethics Commission Filers)
4 TOTAL OFUNITEMIZED
EXPENDITURES CHARGED TOACREDIT CARD
$
5 Date
6 Payee name
7 Amount ($)
8 Payee address; ��S� City;
i c> A14
State; Zip Code
292.o5
i 1
A L It ive," rD lti z r -K
9 TYPE OF
EXPENDITURE
Political Non -Political
10
(a) Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
O F
p 46 _
iri I N T1PC]`N S
��/J
S 7-7 L C� S
EXPENDITURE
(e) E-1 Check if travel outside of Texas. Complete Schedule T 1-1 Check if Austin,
TX, officeholder living expense
11
Candidate / Officeholder name Office sought
Office held
Complete ONLY if direct
expenditure to benefit C/OH
T /� /-T-2%%
n t
, \ -v 11V 6 P_ N S 7-6i
J,/
Date
Payee name
Amount ($)
Payee address; City,
State; Zip Code
TYPE OF
EXPENDITURE
❑ Political El Non -Political
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
O F
EXPENDITURE
Check if travel outside of Texas. Complete Schedule T 71 Check if Austin. TX, officeholder living expense
Candidate / Officeholder name Office sought
Office held
Complete ONLY if direct
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 1/1/2020