Bernstein, Davin-C/OH 2021-01-15CANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT
COVER SHEET PG 1
1 Filer ID (Ethics Commission Filers)
2 Total pages filed:
The C10H Instruction Guide explains how to complete this form.
3 CANDIDATE/
MS /MRS UR FIRST
MI
`!
OFFICEHOLDER
"� AV 1 N
pFFICE USEONLY
NAME
Date Received
NICKNAME LAST
SUFFIX
i
,r� �J > �
j5F
4 CANDIDATE/
ADDRESS / PO BOX; APT / SUITE #; CITY;
STATE; ZIP CODE
OFFICEHOLDER
O 130)4 19
MAILING
17
ADDRESS
Change of Address
vPOec" 7X
5 CANDIDATE/
AREA CODE PHONE NUMBER
EXTENSION
OFFICEHOLDERDate
PHONE
( z i y 7/ 7- /Ss 7
Hand-delivered or Date Postmarked
B CAMPAIGN
S MRS / MR FIRST
MI
Receipt #
Amount $
TREASURER
S CHnI 3/�/FC E-Tj'
Date Processed
NAME
. . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .
NICKNAME LAST
SUFFIX
Date Imaged I�
fi
l
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #;
CITY; STATE; ZIP CODE
TREASURER
6'6Z C R 188 5 D VZ
ADDRESS
(Residence or Business)
q
C p bod C, l7( 7500
8 CAMPAIGN
AREA CODE PHONE NUMBER
EXTENSION
TREASURER
�d9 ypp -9287
PHONE
9 REPORT TYPE
January 15 ❑ 30th day before election
Runoff 15th day after campaign
treasurer appointment
(Officeholder Only)
July 15 Bth day before election
Exceeded Modified Final Report (Attach C/OH - FR)
Reporting Limit
10 PERIOD
Month Day Year
Month Day Year
COVERED
D /2 D Z THROUGH ' /zOZ
11 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
❑ Primary ❑
Runoff ❑ Other
�7 �7
1 % / �'S // 0
c—
� General ❑
Description
Special
12 OFFICE
OFFICE HELD (ifany)any)
13 OFFICE SOUGHT (if known)
C 01,1ti�1�,��/�CC3
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020
CANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME _
V
15 Filer ID (Ethics Commission Filers)
/k i � � rti 5 TL gni
16 NOTICE FROM
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 OFFICEHOLDER's
COMMITTEE(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
TOTALS
1, TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
$
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS.. OR GUARANTEES OF LOANS)
��b O
EXPENDITURE
S
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
$ �+
UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES
8[1
$6 10,
i v 7
CONTRIBUTION
BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
$
OF REPORTING PERIOD
OUTSTANDING
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS
LAST DAY OF THE REPORTING PERIOD
$
18 AFFIDAVIT
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
ASHLEY M. OWENS under Title 15, Election Code.
PUd �i
App1Y
I" �n's Notary Public, State of Texas
Comm. Expires 02-24-2023
-`4
Notary ID 130128128 Q�
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP I SEAL ABOVE
(1��,,�,/� ,n le+ti
`` `,.t�f"S4(—n-
Sworn to and subscribed before me, by the said this the
day o JdA& , 20_ to certify which, witness my hand and seal of office.
1A A 10 r<-%
&LtA AA I --A/ I J-U 1:!�
Signature of office administering oath Printed name of off er administering oath Title o fficer administering &th
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
Forms provided by Texas Ethics Commission www. ethics. state.tx,us Revised 1/1/2020
SUBTOTALS
- C/OH FORM C/OH
COVER SHEET PG 3
19
FILER NAME
m 1,4
LSP /v S ry
20 Filer ID (Ethics Commission Filers)
21
SCHEDULE SUBTOTALS
NAME OF SCHEDULE
SUBTOTAL
AMOUNT
1.
SCHEDULEA1:
MONETARY POLITICAL CONTRIBUTIONS
$ //00
2•
SCHEDULE A2:
NON -MONETARY (IN-KIND) POLITICAL_ CONTRIBUTIONS
$
3.
SCHEDULE B:
PLEDGED CONTRIBUTIONS
$
4.
SCHEDULE E:
LOANS
$
® SCHEDULE F1:
POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
Z65.
$ r, 6 y 9.17-
6. .
SCHEDULE F2:
UNPAID INCURRED OBLIGATIONS
$
y.
SCHEDULE F3:
PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$
$
SCHEDULE F4:
EXPENDITURES MADE BY CREDIT CARD
$ �� 50z' 11
9.
SCHEDULE G:
POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
$ 9 J J
10.
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 SCHEDULE Al
The Instruction Guide explains how to complete this form.
1 Total pes Schedule Alag
l
2 FILER NAME
AV 6-2 s -r -Z7
3 Filer ID (Ethics Commission Filers)
FI tJ
4 Date $ Full name of contributor ❑ out-of-state PAC (ID{P: 7 Amount of contribution (S)
L���a
zo 6 Contributor address; Cit State; Zip Code / `� . De
Go OEIL 'rX -7So,
>55 MEADaW�Lc-/J C IRC4.6
8 Principal occupation / Job title (See Instructions) g Employer (See Instructions)
u/ux u114K
Date Full name of contributor ❑ out-of-state PAC (09: ) Amount of contribution ($)
S S A N 44
-'ZO Contributor address; City; State; Zip Code /00,0,>
1 t/n —30
66 7 C> All- 961v b "Doe CopoovYL 7Y95-oj
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
UNK
IVJK-
Date Full name of contributor ❑ out-of-state PAC (ID#: l Amount of contribution (S)
SD sy/ac ey
'! 3 Z o
Z Q d b a
Contributor address; City; State; Zip Code
V)ie- Atoo op Z-�V��t�'Pccc��so/ 9i
Principal occupation / Job title (See Instructions) Employer (See Instructions)
-2" L3 6-R 5 EG F
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution (S)
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 111/2020
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/FundraisingExpense
Accounting/Banking Fees Office Overhead�Rerttal Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salanes/Wages/Contract Labor Other (enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F1:
I -
2 FILER NAME
J7 AJIJN 43Ns��n�
3 Filer ID (Ethics Commission Filers)
4 Date
/0 2gZD
5 Payee name
(45FtA C12EDrT CAlef'.)
6 Amount ($)
7 Payee address; City; State; Zip Code
9y%• 22
ue ► �/
10-750,vtSD I 1 ,-P"N1oTT 1—cw9 �AN I N—rPNoo, r 792B6
8 (a) Category (See Categories listed at the top of this schedule) (b) Description
❑ Check if travel outside of Texas. Complete Schedule T.
PURPOSE
OF ❑ Check if Austin, TX, officeholder living expense
EXPENDITURE(f'*
��
REr� Jr
oRn9 oN
�R�oF �Z 6eF4
_
9 Complete ONLY it direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
II -q- Za
uSAiq (f9'6-9CA,1z0
Payee address; City; State; Zip Code
Amount ($)
3 8 6 .y5
10750 /AA A N ,-v,q t P, 7k 78Z 84
!, Category (See Categories listed at the top of this schedule)
Description
PURPOSE
❑ Check if travel outside of Texas. Complete Schedule T.
OF❑
EXPENDITURE I �N G ,T_ I/� y
C �T
��
Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
1Z -y -2D USAPA CJeEo)r CAetli
Amount ($)
Payee address; City; State; Zip Code S
� 315.5
/0750 NI �. �CaMazT-N �vNlo,%�C
7P288
Category (See Categories listed at the top of this schedule) Description
PURPOSE ❑ Check if travel outside of Texas. Complete Schedule T.
OF ❑ Check if Austin. TX, officeholder living expense
EXPENDITURE C f ��AtiNiE�+'�
POR TL D
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 9/8/2015
EXPENDITURES MADE BY CREDIT CARD SCHEDULE F4
EXPENDITURE CATEGORIES FOR BOX 10(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 (enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F4:
2 FILERNAME
3 Filer ID (Ethics Commission Filers)
of 'Z
p►V In1N 3 i�//J
4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TOACREDIT CARD
$
5 Date
6 Payee name
I0l28jZa
PPI N Pe -A66
7 Amount (S)
8 Payee address; City; State; Zip Code
4 IZ 3.-73
P►v �l 6—AST AnL)iX1_bN 7-x 760 l�
® Political Non -Political
9 TYPE OF
EXPENDITURE
10
(a) Category (See Categories listed at the top of this schedule) (b) Description
PURPOSE
R IN T7AG E XPC"- /►/�p1�G2
OF
EXPENDITURE
(C) F—] Check if travel outside of Texas. Complete Schedule T. ChecK if Austin, TX, officeholder living expense
11 Candidate / Officeholder name Office sought Office held
Complete ONLY if direct
expenditure to benefit C/OH
Date
Payee name
,0/31 zo
FAC EBoo !<
Amount (S)
Payee address; City; State; Zip Code
)7 ).-9Z
F1\CC6&o1<. W A9 fjESV&oIQi�j?K C14 9yo2.5
TYPE OF
EXPENDITURE
K;01 Political Non -Political
Category (See Categories listed at the top of this schedule)
Description
PURPOSE.D
OF
AOW-9:5144) CYP
t A j),5
EXPENDITURE
El Check dtravel outside ofTexas. Complete Schedule T. F1 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
EXPENDITURES MADE BY CREDIT CARD SCHEDULE F4
EXPENDITURE CATEGORIES FOR BOX 10(a)
Advertising Expense Event Expense Loan RepaymentlReimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contribubons/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/PolificalCommittee Legal Services SalariesNVages/ContractLabor Other (enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F4:
2 FILER NAME3
'9Ei2NsrL1"i
Filer ID (Ethics Commission Filers)
Z a P Z
4u)A
4 TOTAL OF UN ITEMIZED EXPENDITURES CHARGED TO A CREDIT CARD
$
5 Date
6 Payee name
7 Amount ($)
6 Payee address; City; State; Zip Code
Ch �ybZs
Political Non -Political
9 TYPE OF
EXPENDITURE
10
(a) Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE O
Dv9:� T,l ixio
lG r�� AOS
EXPENDITURE
(C) Check if travel outside of Texas. Complete Schedule T. F7 Check if Austin, TX, officeholder living expense
11 Candidate / Officeholder name Office sought Office held
Complete ONLY if direct
expenditure to benefit C/OH
Date
Payee name
Amount (S)
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
OF
EXPENDITURE
❑ Checkiftravel outsideofTexas. Complete Schedule T. 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
POLITICAL EXPENDITURES
MADE FROM PERSONAL FUNDS SCHEDULE
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 (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
-DAVIN 13
3 Filer ID (Ethics Commission Filers)
eg to
4 Date
5 Payee name
12-15-20
6 WgFe=
6 Amount ($$)
7 Payee address; City; Zip Code
4s 76
,��
Reimbursement from
politicalcontributions
nState;
�C '� [ �/ d
606 / n . J L , K /� Opp
(((�---PTIL ` /' v i� J 7
intended
8
(a) Category (See Categories listed at the top of this schedule)
(b) Description
PUROF POSE
fi-V1t-"7 y,1V4 6—X eA5b
ifir—1%ES1y/1J Ail�T%!�4
EXPENDITURE
(C) Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense
9 Candidate / Officeholder name Office sought Office held
Complete ONLY if direct
expenditure to benefit CIOH
Date
Payee name
)2-y-20
USAA C1260o- CA12T> _
Payee address; City; State; Zip Code
Amount (S)
Ibq•5S
Reimbursernentfro
Mt Dew M61T" �w y SA^` ANTtw i� 78288
political contributions
/0750
intended
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
OF
C RCD 17- C HAD PAOm6 r
EXPENDITURE
_ _
E] Check if travel outside of Texas. Complete Schedule T. Check if Austin, l X, 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
Reimbursementfrom
❑political contributions
intended
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
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www. ethics. state.tx.us Revised 1/1/2020