Hinojosa-Smith, Brianna-COH 2021-04-06CANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Filer ID (I:�
..lines Commission Filers)
2 Total pages filed:
The C/OH Instruction Guide
explains how to complete this form.
41
3 CANDIDATE /
OF
MS I MRS I MR FIRsr MI
OFFICE USE ONLY
NAME
r'% "\q) 0,..,,
. . . . . . . . . . . . . . . * . . . . . . . . . . . . . . .
Date Received
NICKNAME LASI SUFFIX
S Yy�,�L
41 ki 2-1
4 CANDIDATE/
ADDRESS I PO 130X, APT I SIJIYE C CI ly� SIAI`E; ZIP CODE
OFFICEHOLDER
MAILING
ADDRESS
Cl-range of Address
D)
. ...........................
5 CANDIDATE/
AREA CODE PHONE NUMBER Exi-ENSION
OFFICEHOLDER`Date
PHONE
( ,
Iriand-delivered or Date Postmarked
6 CAMPAIGN
MS MRS I MR Fi1RSf MI
Receipt Arnount $
TREASURER
Date Processed
NAME
. . . .. . . . . . .
NICKNAME LAS r SUIFII:IX
0,
Date Imaged
7 CAMPAIGN
st-REEI'ADDRESS (N O PO BOX PLEASE); ApriSUIIE#GI Fy; SrAIE;
ZIP CODE
TREASURER
ADDRESS
(Residence or Business)
�& —,R— A
8 CAMPAIGN
AREA CODE PHONE NUMBER EXIENSION
TREASURER
PHONE
P%4) to o 2 (, e.-
9 REPORT PE
.
. . .............
.
January'15 30th day before election Runoff
1
85th day after campaign
17-1
. . ...
treasurer appoiritment
(Officeheider Oniyy
.............. July 15 8th day before election ................ Exceeded $500 Ii rnit
Final Report. (Affadh C/0H -PIR)
I-]
10 PERIOD
— -- — ---------- . ........................
Month Day Year Month
Day Year
COVERED-Z-
11 ELEC FION
IELECiION WE ELECrIOIN IYPE
Monflr Day Year Primary Runoff ovier
Dasoription
1-1enerai Speclai 4
. ...................... . .............. . . .
12 OFFICE
. . . . . . . . . . . ......................
OFFICE HELD (If any) 13 OFFIrESOUGHf (iflknown)
-z- ? .
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GO TO PAGE 2
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Forms provided by Texas Ethics Commission www.ethics. state. tX. US Revised 9/8/2015
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CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
. ..... . . ............
14 C/OH RTA E15 Film IS (1l:.:thcs Coununission I'llers)
16 NOTICE FROM "THIS�BOX IS FOR NOTICE OF POLITIC�ALNTRIB(UT'IONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
POLITICAL SUPPORT THE CANDIDATE I OFFICEHOLDER. THESE EXPENDrruREs MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S 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.
. .........
COMMITTIE11I.H. FYIPIE COMMITTEE NAME
GENEr:ML
COMMITTEE ADDRESS
EISIPECiFIC
-- ----------- --------- — — -----------
COMMITTEE CAMPAIGN TREASURER NAME
Additional Pages
............
...... — ---- ---
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHIIER: THAN
TOTALS PLEDGES, ILOANS, OR GUARANTEES OF ILOANS), UNLESS ITEMIZED $
. . . .......
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES O1= ILOANSy $
EXPENDITURE 3� roTAIL POLITICAL EXPENDITURES OF $100 OR 1IESS,
TOTALS UNLESS ITEMIZED $
4. TOTAL POLITICAL EXPENDITURES $
CONTRIBUTION 5. TOTAL POILITiCAIL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF REPORTING PERIOD $
— - ---------
OUTSTANDING 6. TOTAL PR INCI PAL AMOUNT OF RILL OUTSTANDING LOANS AS w, "n fiE
LOAN TOTALS ILAST DAY OF THE REPORTING PERIOD $
18 AFFIDAVIT
11 swear, or affirrIT, under penalty of perjury, that the accoi npanying report is
true and correct and includes all information relyired to be reported by me
ASl--MY M, OWENS under Title 15, Election Code.
"k,
. - — e,
A 1,
' Notery Pubfic, State of Texas
e4rilt- Comm. ExPes 02-24-2023
V-pi- -<Z:'
*4060lfok%%% Notary lD 130128128 ... . ............................................................................... ...... ........................ .......
Sig atUre of Candidate or Officeholder
AFFIII NOTARY STAMP/ SEAL ABOVE
Sworn to a,nd subscribed before me, by the said
this the
day of..... C.
. . . ..... to certify which, witness my hand and seal of office.
A S� AJAS
..... ...... h,
Printed "drninistering oath
Signature of officer arri iistering oath t d name of . ficera Tifle of officer administering JI
Forms provided by Texas Ethics Commission www,ethlcs.state,tx,us Revised 9/8/2015
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
SUBTOTALS _ M C/OH
COVER SHEET PC 3
19
FILER NAME
MO
20 Filer ID (Ethics Commission Filers)
21
SCHEDULE SUBTOTALS J
NAME OF SCHEDULE
SUBTOTAL.
AMOUNT
1
SCHEDULE Al : 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.
F1 SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH
$
11.
1-1 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 9/8/2015
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 SalanesANages/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 FIL_ R NAME
3 Filer ID (Ethics Commission Filers)
4 Date
5 Payee name
W (ice. ' '-%,& „
6 Arnount ( )
7 Payee address; City; State; Zip Co
reimbursement from
W&I
�� 41°
°'"".� ` +
political contribution„
d
intended
8
(a) Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
OF
Check if travel outside of Texas. Complete Schedule T.
EXPENDITURE
�
❑ Check if Austin, TX, officeholder living expense
9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OR
Date
p�
Payee name
Amount ($)
Payee address; Cit tate; Zip Code
liq 1,
Reirnbursernent from
political contributions
intended
Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
OF
Check if travel outside of Texas. Complete Schedule T.
EXPENDITURE
""'"�"'""czl"
❑ Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OR
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
❑Reimbursement from
political contributions
intended
Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
OF
Check if travel outside of Texas. Complete Schedule T.
EXPENDITURE
❑ Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OR
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015