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Bernstein, Davin-COR-C/OHForms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 04/27/2015 CORRECTION/AMENDMENT AFFIDAVIT FOR CANDIDATE/OFFICEHOLDER FORM COR-C/OH 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: OFFICE USE ONLY 3 CANDIDATE/ OFFICEHOLDER MS/MRS MR FIRST MI �Aw '.L.J �� 5 / /V Date Received NAME . . . . . . NICKNAME LAST SUFFIX I� (2-0 2_0 4 ORIGINAL REPORT TYPE January 15 Runoff Other (specify) Exceeded $500 limit ---- July 15 11 30th day before election ❑ 15th day after treasurer Date Hand -delivered or Date Postmarked appointment (officeholder only) 8th day before election 0 Final report Receipt # Amount $ 5 ORIGINAL PERIOD Month Day Year Month Day Year Date Processed COVERED Dale Imaged 7/11Z THROUGH �] / f `1 Z 57, (/ J 6 EXPLANATION OF CORRECTION OTC" "F"D1))'noNA<- 0E2E NOT � p(bZ'� o u N T �N /� A �� //U C C. t4 b i5 b ON DSP I G i N A L_ 7c 6PdR -rJ A00" 3 Ca i5 -r- -r H 17'//_1roC- ON PG z F:oe YJA Dor-40R LfS7sD 7 AFFIDAVIT swear, or affirm, under penalty of perjury, that this corrected report is true and correct. Check ONLY if applicable: ❑Semiannual reports: I swear, or affirm, that the original report was made in good faith and without an intent to mislead or to misrepre- sent the information contained in the report. Other reports: I swear, or affirm, that I am filing this corrected report not later than the 14th business day after the date I learned that the report as originally filed is inaccurate or incomplete. I swear, or affirm, that any error or omission in the report as originally filed was made in good faith. off," ASHLEY M. OWENS Public, State of Texas ft- Comm. Expires 02-24-2023 qRY Signatureollf Candidate or Officeholder Sworn to and subscribed before me, by the said V i ,N 450) 5 TZ:'/Nlis the day ofNo v e7- 1 Cvi 20 4r0 e to certify i witness my hand and seal f office. Signature of officer inistering oath Printed name of offiter administering oath Titlo officer administering(o th Remember To Attach Any Part Of The Campaign Finance Report Form Needed To Report And Explain Corrections Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 04/27/2015 CORRECTION/AMENDMENT AFFIDAVIT FOR CAN All Reports: Afiler who files a corrected report must submit a correction affidavit. The affidavit must identify the information that has changed. Reports filed with Texas Ethics Commission: A corrected report (other than a report due 8 days before an election or a special report near election) filed with the Ethics Commission after its due date is not considered late for purposes of late -filing penalties if: (1) any error or omission in the report as originally filed was made in good faith, and (2) the person filing the report files a corrected report and a good -faith affidavit not later than the 14th business day after the date the person learns that the report as originally filed is inaccurate or incomplete. Semiannual Reports: Effective September 1, 2011, a semiannual report (due January 15 or July 15) that is amended/corrected before the eighth day after the original report was filed is considered to have been filed on the date the original report was filed. Asemiannual report that is amended/corrected on or after the eighth day after the original report was filed is considered to have been filed on the date the original report was filed if: (1) the amend ment/correction is made before any complaint is filed with regard to the subject of the amend ment/correction; and (2) the original report was made in good faith and without intent to mislead or misrepresent the information contained in the report. Attach additional pages as necessary. INSTRUCTIONS FOR COMPLETING THIS FORM The following numbers correspond to the numbered boxes on the other side. 1. Filer ID. If you file with the Ethics Commission, you should have received a letter acknowledging receipt of your campaign treasurer appointment and assigning you a Filer ID. Put that number in this box. If you do not file with the Ethics Commission, skip this box. 2. Total Pages Filed. After completing this form and any attachments, count the number of pages. Enter that number in this box. Each side of a two-sided form counts as a page. In other words, this form is two pages. 3. Candidate/Officeholder Name. Put your full name here. Enter your name in the same way as on the report you are correcting. 4. Original Report Type. Mark the type of report you are correcting. 5. Original Period Covered. Enter the period covered by the report you•are correcting. The year is important because filers sometimes correct reports years after filing the original' U 6. Explanation of Correction. Attach any part of the campaign finance report form needed to report and explain corrections. Explain why there was an error on the original report. Also explain what information is being corrected and how the new information is different from the information on the original report. (Use additional pages if you need more space.) You may also use this area to request a waiver or reduction of a latetfiling penalty and state the basis of your request. 7. Affidavit. Read the affidavit before signing. You must sign the affidavit in the presence of an individual authorized to take oaths. If signed before a notary public, the affidavit must include the notary's signature and seal. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 04/27/2015 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 0 o--- 2 FILER NAME---___", 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor ❑ out-of-state PAC (IDIt: ) 7 Amount of contribution ($) C� Z -Y^N g%r G ,e So , ✓/Z 6 Contributor address; City, State; Zip Code 731 2AN1e6,e S(foxl-ACiv ZANE,C�vPEZt $ Principal occupation / Job title (See Instructions) g Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (ID# > Amount of contribution ($) V o A) 91,zz Contributor address; City; State; Zip Code /n Principal occupation / Job title (See Instructions) Employer (See Instructions) PEP LTq IN Su>?f1AtE 15:0L r Date Full name of contributor ❑ out-of-state PAC (ID#: } Amount of contribution ($) 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 ($) Contributor address; City; State; Zip Code Principal occupation / Job title (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS 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 F . %. CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT The C10H Instruction Guide explains how to complete this form. 3 CANDIDATE / OFFICEHOLDER NAME 4 CANDIDATE/ OFFICEHOLDER MAILING ADDRESS Change of Address 5 CANDIDATE-] OFFICEHOLDER PHONE 6 CAMPAIGN TREASURER NAME 7 CAMPAIGN TREASURER ADDRESS (Residence or Business) 8 CAMPAIGN TREASURER PHONE 19 REPORT TYPE 10 PERIOD COVERED 111 ELECTION 112 OFFICE FORM C/OH COVER SHEET PG 1 I 1 Filer ID (Ethics C'oorunlsslon Fuerst 1 2 Total pages filed: MS / MR MR FIRST MI 7 � ELECTION DATE OFFICE USE ONLY Month DDay Year Reportirq i —I NICKNAME SUFFf', �jLAST EJ2(V S Tom! /V zV ADDRESS / PO BOX, APT / ;iTE T c TIP f.'C'DF )'20 CO PC-ZL, X AREA CODEPHONE NUMBER EXTENSION ( 21q 7/7 _ /.S� 7 Uate Hann-aelrverea or Date Postmarked MS MRS i MR FIRST rdl Receipt # Arroun4 ::Y4!5- A tJ Date Processed NICKNAME LAST SUFFIX Date Imaged STREET ADDRESS (NO PO SOX PLEASE'.)-, APT SUW E ft, C "t. "i 7AAE. ZIP CODE G6z CoPOEcc , � � So/ g AREA CODE PHONE NWJt't_H (%9 ) 4100-1 ZB7 January 15 July 15 Hlh day before elecLr Month Day 7 � ELECTION DATE (Officeholder Only Month DDay Year Reportirq i —I OFFICE HELD (if any) Day Year 'Year o f.....� Runoff f 15th day aftercampaign ....I treasurer appcirttTient (Officeholder Only Exceeded Modified El Final Report (Attach C'OH - FRI Reportirq i —I Montn Day Year Forms provided by Texas Ethics Commission www.eth cs.state.tx.us Revised 11112020 CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 14 C/OH NAME 15 Filer ID (Ethics Commission Filers) 16 NOTICE FROM THIS BOX IS FOR NOTICE OF POUTICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO POLITICAL SUPPORT THE CANDIDATE I OFFICEHOLDER. THFSE EXPENDITURES MAY HAVE BEEN MADE MTHOUT TNF CANDIDATES OR OFFICEHOLDER'S COMMITTEE(S) KNOINIEDGE OR CONSENT. CANDIDATF. S AND OFFICEHOLDERS ARE RFOUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES. COMMITTEE TAPE COMMITTEE NAME 0 Additional Pages 11 GENERAL CMITT OMEE ADORr RS [ _1 SPEK,IFIC COMMITTEE CAMPAIGN TREASURER NAME. 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 IJ` 70 �.Da (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL. EXPENDITURE. TOTALS 4. TOTAL POLITICAL EXPENDITURES CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY BALANCE OF REPORTING PERIOD OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF AL.I- OUTSTANDING LOANS AS OF THE LOAN TOTALS LAST DAY OF THE REPORTING PERIOD 18 AFFIDAVIT _go�PavPo' �•,,� ASHLEY M. OWENS asr Notary Public, State of Taxes :.:4rli Comm. Expires 02-24-2023 ;r°lr Notary ID 130128128 AFFIX NOTARY STAMP / SEALABOVE 4F N $ P( I swear, or affirm, under penalty of perjury, that the accompanying reportis true and rorrr,A and inr,)i;r as .;;I infnrrm ificn —�iired tri hp sported by me under 1 tic° 1 �,, E_fertloc Code, r 60�Sworn to and s:;bscribed before me, by the said _ .r' 1 6o4-6rr�_ ,this th• _ day of 201 2,0 , to certify which, witness my hand and seat of office. 4f"ZyiDLA)e*is "SignaturcUfvdnww,trrrng i-trtr'i - li u er adlI'll ''t,nnng oath'Www ,ath Forms provided by Texas Cthics Coininissiori www.eUucs.zitate.tx.us Revised 1/1/2020 f Forms provided by Texas Ethics Commission wwwethics.state.tx.mi Revised 111/2020 SUBTOTALS - C/OH FORM C/OH COVER SHEET PG 3 19 .. ....... E: FILER NAM20 Filer ID (Ethics Commission Filers) ' DIA I - ------ 21 SCHEDULE SUBTOTALS SUBTOTAL NAME OF SCHEDULE AMOUNT 1. X SCHEDULE A1: MONETARY POLITICAL CONTRIBUTIONS -3 6 0 $ 2. SCHEDULE A2'. NON -MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS $ vo­ 3. SCHEDULE B: PLEDGED CONTRIBUTIONS 4. SCHEDULE E: LOANS S. SCHEDULE FI: POLITICAL EXPENDITURES MADE FROM POLITICAL. CONTRIBUTIONS 6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS 7. SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS 8. 541 SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD 6 0 0 9. SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS 10. F1 SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C./OH it SCHEDULE L NOWPOLPICAE EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS . __ - _ -0, 12. SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED TOFILER _J�� Forms provided by Texas Ethics Commission wwwethics.state.tx.mi Revised 111/2020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al I Total page-, Schedule Al: The InstirtArtion Guide explains how to complete this form. i 1/ 2 FILER NAMF. A v , /j D Goe os 7Z/ Aa 4 Date 5 Full name of cortntiutor I - PAC lID4 ... . ... ...... ..... .. '0j -5oA N M i4 6 3 Filer ID (ENcs Coryirn:ssiori Fllers, 7 Amount of contributior. (S) V 6 Contributor address y Stale, Zip Code Df'� -7 50) 1 61q �f 0) 6 6S 8 Principal occupation / Job title (See instructions) Ernployer (See instnuct.k.,tris) Date Full name of cortii Nx itor-at-st,3tiq PAC �04 aut Amount of contribution FAA) F F,(- 320314 'ontributor ad<iress-, city, State, Zip Code OA -De, F-CRIVP. N DIN A Principal occupation I Job title (See Instructions) Employer (See Date Full name of contributor oW-of-stete PAC of Gwilril)ution ,nA RR& e.- j JPAVI-j g1201:20 Contributor -L I City; State: Zip Code • 2ot LA1V4(f0A0Ce-&, 7')42919 Principal occupation / Job title (See lfstructions) Employer (See I n st ru tt or is -7- . . . ...... . ...... .. Date Full name of contritiuto71 00 -of -Mate FAC (ID4 . . ........................ Amount of rontribution :::VC)6.74L Z -A M ITS Uz/ Z 0 Contributor address; City; State; Zip Code 00 9600 -R/A Principal occupation / Job title (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED 7 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al I Total pages z,o- 'Jule Al The instruction Guide explains how to complete this form. Z K q of 2 FILER NAME 2�� AV 1rJ "*E6�R 3 Filer 10 (Ethics Uommission Filers) 4 Date 5 Full name of contributor El out.of-stale PAC 004 7 Amount of contribution NlE;MD rjgx Ars,4 ,I;?" L-iVe:ti' 0 6 Contributor address; SL14", .7;p -1,00 '�k 7 (9001 �8_--P-rincipal occupation / Job title I Date Full name of contributor L_j vut-of-state PAC k0g IT gl izo Contributor address, City 7' 1'3 g A/ Y IV P4 �;6 C DeRf L L Principal occupation I Job title tSeo Inswru(-Uofis) Employer (',iee Hilliuctions) Date Full name of contributor out -or -state PAC OUM 9/1 QC Al IT I; jFS6- 00 Contributor address, city, Zip Code Principal ncipal occupation / Job title (See Instructions Employer (See Instructions; Amount of contribution ($) 4 u) () Amount of C;ontnbution ($) 40-00 Date i W naiir,, ,u044butoii Awiount of contribution ($) 11,J1 / I � �U Contributor address, city" I U U Ay -e, Cow -et -7 --- k Principal occupation / Job title (See Instructions) Employer QA) fi� ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11112020 It MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al A The Instruction Guide explains how to complete this form. T ta Pages Schedule t 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Date 5 iLAMMI(I 0fCMi1fllh10k4 Ll out of -state PAC 11DO: .. . ........ 7 Amount of contribution ($) 90 LJ A R Y -A H L- N13J20 6 Contributor address, City, State, Zip Code o Y:5�T4eALt 7-A Ill Los Am A 30 0 t/ 8 Principal occupation / job title (See Instructions) 9 Employer (See lnslructicrs; Full name of contributor ❑ out-of-state PAC (IU# .... ......... . . .. Amount of contribution M IL C Contributor address, City; State; Zip Code 9)13)20 0 CV,0�oe TX ZO 1) - 00 910 M#kIl!0 .44. Principal occupation / Job title (See Instructions) I Employer (See lnstrucliL;u Date Full name of contributor E] cut -of -state PAC ilDpl SP C-74 es Contributor address, City; State; Zip Code 603 1J) V D) A) ( �PeG �00' r C VIA& d 2.,5rt9l 4 Principal occupation / Job title (See Instructions) Emptoyer (See lnstrurtions) Full name of contributor PAC (ID# Amount of contribution ($) :y6roo Cq A fG '9 Contributor addre.-, State. Zip Code JJJfl v 3 /3 L XY N'i3,4 'A, "V&I'L Ty 75.4>1 Principal occupation / Job title (See Instructions) Employer (See Instructions)T 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.ethtcs.state.ix.us Revised 11112020 11 . 9 EXPENDITURES MADE BY CREDIT CARD EXPENDITURE CATEGORIES FOR BOX 10(a) SCHEDULE F4 Advertising Expense Event Loan Repayruerl/Ramintirsement SalcitaticiVi"widraming Expense Accounting/Banking Consulting Expense Fees Foat/Boverage Office OvurtfeadfRontA F="h.%a Traftspoitation Equipment & Related E" Contribulbons/DanatKinti Made By Exi:.i-ise Gill/Awards/Memortals Expense Polling Expense Printing Expense Travel In District Travel Out Of District Candidate/Officeholder/Political Committee Legal Services "our Other (triteir a LaTegory not listed above) The Instruction Guide explains how to complete this form. 1 Total pages Schedule F4: 2 FILER NAME 3 FitNr W) (Fil,,-,; r.omn inn Filers) 4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TO A CREDIT CARD $ 5 Date 6 Payee name 9/312i> Goob (Sw&js 7 Amount (S) 8 Payee address, slate, Zip Code 662.57 /032 FIL 3*3604 9 TYPE OF EXPENDITURE 10 PURPOSE OF EXPENDITURE 11 Complete ONLY it direct expenditure to benefit C10H Date 0) /ao 120 7D.00 TYPE OF EXPENDITURE PURPOSE OF EXPENDITURE Complete QhLy if direct expenditure to benefit C101-4 Political E Non -Political (a) Category (See Categoric, li-rilal the lop olhs scheduie.) W DeRcription PR%NnAi Y-pe'*j S 46 (C) Chec* ftav&j outsideof-lexas Co,pista Schoduic I Check r Auuliri. IX, officeholder living expense Candidate / Officeholder name Office sought Office held Payee name USPS :Mate, Zip Code 1)z 7�o / I Political Category (See Categories listed at the top of this schedule} l Description P0 5 -r-A 6 15 CW)rlejeSr.^.ULLIJeT Cihc,A if 4ueliij T'ik ohci-rio[de, —)q exrense Candidate / Officeholder name sought Oftiop held ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www,ethics.state 0r -us Revised 11112020 OZOZ/L/L Paslnaa sn'Xa•9lels•s3i41a'mmm uoissnuwoo sa1413 sexag Aq papmoid suu() j- 03GE11:3N SV 3-in03HOS SIHI d0 S31dOO "IVNOI1lOQV HOVIIV HO/0 1)auag of ainllpuadxo lo -!p )1 XIM aleldwo7 PI84 931110 145nos ao111(7 alueu Aapjog9Dwo ! aleppueO asuadxa Buell �appyao Sfo 'XS ugsnb;i �aaU� � l afnpuy:.irala)duxa�sexay so aplslno lanegN Naa4:l 321n11aN3dX3 zoo 3SOdtlnd uolldlJ3sa(7 (alnpegDs su4 to deal a411e paisil sailoboje:) aaS) AjoBaleO (e3{;i10d-unN le'31VIOd 321 n110 N 3 d X 3 d0 3dA.L apoa dlZ 'alelg A1!3 'ssa.[PPe aaAed ( ) luno -v aweu aaAed I r'ei lu �0 n �ou h h'.Jl 116, ll V.efiq',"_'j PI94 03W0 146nos aOldO auleu )9PlO4aOWo / OJWPIPue;y LL esuadxe 6wn11 Japlo4e01u0 'X -L 'uysnv p )13840 -lPonpe4oSaieldux* 'saxel)oep!si-le^e+lY.*wlo (0) 3tlni iON3dX3 �O N d �-t 00 N �� 4-Y q 3sodand uol3dlJosap (q) A.to6ojeZ) (a) OL IeO.41IOd-uoN l 1 IMMIOd 4 3tlnilON3dX3 d0 3dAi � 110 9L. -L (Vq-, (V 'V, i sv K 3nv nt apoa dlZ :93e1S Al!O ssa.lpPe aeRed $ (S1 lunowv ,L .S, _.t. 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