Anderson, Rob-COH 2021-04-23TI F0er ID Ethvm Cammmswn F�&,w,jq
TQM C10H Instrudion Guilde explains how to complete tills form,, 2 TOW pagies med_
3 CANDIDATE/ MS1MRSfMR RRST
OFFICE USE ONLY
OFFICEHOLDER
NAME
WKNAME ............ LAS'T ............................................Dale Raceiived
SuF11"'M
4 CANDIDATE/ ADDRESS I PO IBOX, APT t SURE 0, CHY STxmPIP CODE 04/23/21
OFFiCEHOLDER
0'
MAILING 3:15P m.
ADDRESS Ashley Owens
E] ChDTing(D l Address
6 CANDIDATEJ AREA CODiE PHONE NUMBER EXTENS*N
OFFICEHOLDER DIWO Hond,6r.9yv�",ed or Orge P0SrM$jrk@,d
PHONE
6 CAMPAIGN Ms I MRS I MR ORS T W
TREASURER
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0OCKNAME LAS T SlJFIFtX
DaTe Imagod
7 CAMIPAIGIN rfkiii'T ADDRESS B'(M P0 BOX KrASEJ. AP'f I StA"VE CITY :STA7 E, 7, - T " F " A , CODE
TREASURER
ADDRESS J r
m sed
(Residence or ausness)
8
TRECAMPA$GN R AREA C00E.', PHONE NWASER EX I ENS*N
ASURE
PHONE
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10 PERIOD thorml Day Year
COVERED Day Year
THROUGH
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Month Year PnirrRasy E-1 RunDff olftv
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12 OFFICE OPNCE 11 HEW (d'any) 171301"FRCESOUGHr �dikrvwn,
14 NOTICE FROM rMIS BOX 13 FOR NoTjCV OF poLMCAL CON,1RIgUTIONS ACCEPTED orq PoUrnCAL EXPENDITURES MADE BY POLtNICAL COMWI TFES TO SUPPORT
POLITICAL THC CANOMTE 0 OFFICEH. THE�Sr rXPENWTVS M*y NAW VIEEN MADE WTHOUr rHE CANDOVATE'S OR 0fflCz"oLOFnS, XMM,rvGf OR
CC ENt CANORM'MES AND OFFICIEHOLDEAS ARE REQUIRED YO REPORT T1415 WFORMATMN ONLY W 134EY RECVr4p_ No OF SUCH EXpENOjmRgS
COMMfTTEE(S) TICE
COMWTTEE TYPE � COMMITTEL NAME
E] Adidftaona) Pages
GENE RA L
51PECtlF[C
Forms provided by Texas Ethics Com^ scion
COMWTTEE ADDRESS
COMMITTEE CAMPAIGN TREASURER NAME
COMWTTEE CAMPAtGN MEASURER ADDRESS
Revksed 8/1712020
iX' NT $BU TlON' TOTAL UNITEMIZED POUT C AL CONTRIBUTIONS f0TIMER THAN
TOTALS PLEDGES, LOANS, OR GUARANTEESF LOANS, OR
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EX PEN D ITU RE f 3
TOTALS
T"AL
16 F0or NRS N NNnvrwra L;anamn, a s* n P'iN ,,raap
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TOTAL POLITICAL CONTRIBUTIONS n
(OTHER HER T"M•NA N PLEDGES, LOANS, OR GUARAINTEES OF LOANS) ! 1 .
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TOTAL LU'041T"I RJIZED POLITICAL EXPENDITURE
4. TOTAL POLITICAL EXPENDITURES
CONTRIBUTION TOTAL P LR"Rpt„ L CONTRIBUTIONS MAINTAiNED, O,F THE LAST DFh.'Y
BALANCE CRR REPORTING PERTN'CTTR
OUTSTANDING g. TOTAL PRINCIPAL A4+n,TOUNTCSI% ALL OUTSTANDING LOANS AS OF 'T THE
LOAN TOTALS LAST DAA" P THE REPORTING PERIOD
I$ SIGNATURE E N ww r, or affirm, and r penalty of perjury, that the accompanying report use true and Correct and Includes all dnrormalJon
required Ro be reported by me, under TitlIS, ElIection Codi �
w � � rn tyre Of C aradnd ne or OfficLhWder
. ._...._.. � �,w.
T Amelia G Anderson
("i) Affidavit g y C 023suu m Ex
ICNO n 2123940
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NOTARY STAMP I SEAL
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Sworn: No artd subscnod before me by �� � ..:"4 � �., �,.., N Nine � d� da of 'N
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• � iq�4 w it,nes my hand and N o6office, �
o,. r rIn4owdn7aofficer
Signature or o Lir dnrnnnn enArng ca th r offs radrr inistehng oath T We of officer a,drnnrnr„anehng oath
(2) Ulnswom Declaration
My nnarne Ns and my date IAC Wirth R
Nay address is
(street) (city) (state) (zip code;) ('couinT�
the Corn day of , N�.�_
_Executed in County, State off ,
(month)i�r'�
' ngry Kure of Candid telO cehoRdmr (Declarant)
Forms provided by Texas Ethics GCnmftssreon www, eth ilcs.slate,t ,un s Revised 8117/7020
SUBTOTALS C/OH
FORM C'
COVER
SHEET PG 3
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21
SCHEDULE SUBTOTALS
SUBTOTAL
NAMEOFSCHEDULE
AMOUNT
I o 'ACHE ETLILEI MONETARY NETARY POLIT IC AL CONT NIFI4 i E CTNS)
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SCHEDULE F4 EXPENDITURES MADE BY CREDITCARD
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SCHEDULE K PAYMENT MADE FROM POLITICAL CONTRMUflONS TOA BUSINESS OFC/OH
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T FILER
ormn Fis, provided by Texas Ethics CommlJssianwwwthlic . lake tx'us
Revised 811712,020
MONETARY
Ifthe requested information is rr t aplicable,
DO NOT iniclude this page in, the report.
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Tho Instruction Gui aapla how to complete this form, � 'rotat pages Schedule Al
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ATTACH aDDITl 'I~' AL COPIES OF THIS SCHEDULERS NEEDED,
E
If contributor Is out-of-state PAC,
Glasse tae Instruction guide for additional reporting requirements.
Forms proOdied by Texas E�tha Comrriassiolrt
www uthrc^s. tart .t us Revised 8117/20,20�
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
If the requested information is not applicable, DO NOT Include this Rage in the report.
...._ .. ..
The inttwattun Guldo explains hato, anNet this, forn, rataal pages Schedule, At
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FILER NAME F4erItt p ttnics Comnission Hars),
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Date 6 Full name of ou nrtributr a PAC 7 Amount of a on lribu9iaaaa W
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on�tru urt r address,, �. " .. State, `upa Cad ° w....
PrfficIpaaI acupatOn t Job titian (See In tfarC0crnS)Employer (SeInstruc.bon p
ATTACH ADDITIONAL COPIES OF TH IS S HEDU' EAS NEEDED
If contributor Is out-of-state PAC, pliffase sea Instruction guide for additional reporting requirements.
Forms provided by Texan Ethics Cer"kmiss:iaan www ethir ,^ taat .tro ,us Revised! 8,117'/202,0
F -
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
It tete requested irtt mrrmi tll rl is not ptlicabl „ ID.O NOTinclude this page in the Ir of rt.
The Irttrlrptltmrt G14dp
oxpWins how to complete this torirrm, I Total pages S tunmutunlum X11
FILER NAME �3 He( tD(Ethics Commimsu+snu IFflers
Da,te 5 FuH name of coamtftuat 0 oiijl-aaP�Mat PAC IID*—,_ ._ a�..y , 7 Amount of contrilbuboin
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ATTACH
nDDITII NA COPIES OF THIS SCHEDULE AS NEEDED
If contributoris tart-nnrt t trr PAC, plrttts see Instruction Arida ltrnraddltlrxrm ll roporting requirements.
Faimis provided by Texas F"tNc Commlsslon www th�lcalate,tx,us Rpvused W17/20120
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
If the requested oln for tion is a not Aa lI �� � DO NOT Include this, page in the report.
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The Instruction ulde explains bow to cornpilete thiis fornt, I tct l pa gies Schedulet f 7
FILER F9' ,. Fuer M (thlcs Conimisn Filers)
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»»� ( Eniployer (Seas Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PA , please see Instruction ;ulttu for additional reporting requirements,
Fomijs, provided byTexas Ethics Commission wwweftcs, slate,tx.us ReOsnri 8117/2,0120
POLITICAL EXPENDITURES MADE
SCHEDULE F11
FROM P,OIC ITIICAL CONTRIBUTIONS
'If the requested infornation is not applicable, DO INOT include this page in the report.
— — - — ----------
EXPENDITURE CATEGORIES FOR BOX 8(a)
AdvertWno Expense
EventExpense t cmi ReroWrK4w1/Remn1xxmerrwmA Sok:i%aWNVr- urWiaivng Ex;mnse--
A,txY,x4o6rn A3w%kw)g
F"m olfrow Ovedwxwkjanlat t�IXWV56 Transporudion Equq~4 & ReUvrod F",xpwme
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Expea w NAkingi lExtmenae Talvw to DWI Ct
MIM* BY
GAJAwartt.Wom,rraijnls ExWsa Flymong r.-xW-we Travel 00 01 Doonct,
C4xrvrndteKv UVal Somres Latxx (Xtwer (erdw a cateVory mg hsswd atxwe)
The InstrucVon Guide axplWns how to comp$ete this fomi.
pages Schedule Fl
2 FILER NAME 31 Filler ID (EINes Cwnmlfspshalm Hem)
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Payee naime,
6 Amount
7 Payee addres,s� c4y� staW Zip Code
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8
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(a) Category (Ses Cvmogrmms hsmd at the lop 0 ffim, schedulfe) (b) Descnption
PURPOSE
OF
EXPENDITURE
(c)r Owk d Aughn, TX, hvog oxpoflsa
9 Complete ONLY d dare
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CandWate (Ciffireholder niaime Office Sought, Office held
expenditure to been fit CiOH
Date
Payee narne
A mount
Payee afddreswCity SlaW Zip C ode
.. .. . ...
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a"G(Sne careqnneb hveod at arms of thk% ached Description
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OF
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Complete QtLLX if daect
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Candidate / Offiwholdeir name Office soughl Office heid
expenditure to, benefit CaOH
Date
. . . . . ............... ...........
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Arnount
. ...... .. .
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Category (see Categmes Gnweqj w vvi top dth:�s scPmduw-�i Description
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Candidate I Officeholder name Office scaugiht Office held
expendAu:re to benefit /01H
-------------
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Eth cs Commission wwwethics, state.tx,us Revised BY 17/2020
UNPAID INCURRED OBLIGATIONS SC EL LE F2
If the requested information
is not applicable, DO N NOT include this page in the report.
. . .... ..........
EXPENDITURE CATEGORIES FOR BOX I Ofa)
Advemsing ExImnse,
CVentEXPOMW Loan RqmytvxwWRovft)urwjnvM soncAst"iff-wvkaising Expense
A0=,w1bnQffl1v*n,,j
F-00 %5 offKv ovedX%WROMvial Expon" 'rt1W1$4,#WaW1, E:q1W%XrsW1k & ReWted ExjXMt",;6
Q�x%-Agbng Exper'sse
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0wvWbuUor4A')*nA,tKXM Mado Ry
0AJAward%MqonoN*a Exponse Mvnting Exrx",mw Tra YM, 00 01 146ct
COMMMee LegM Sarv=ir w�wr p y r awwr u r Labw Oavw (ofwx a caiagHwy "ot JW ed above)
The instruction Guide explains how to complete this form.
1 ToW page e:dvtt� IF-2-
lFILERNAME 3 FRer ID (Ethics Commissbon Fiters)
4 TOTAL OF UINITEMIZED
UNPAID INCURRED OBLIGATIONS, $
:5 Date
6 Payee norne
7 Amount
8 Payee address, city� SlaleZip Code
f6 a
j
9 TYPE OF
Political Non-Poldical
EXPENDITURE
10
(a) on tegiary (,,See C,4ta9roj&5 IN sted at 9m top of fts schadute) (b') Descripbort
PURPOSE
OF
lk,J
EXPENDITURE
(C)Cm0Wt05,d'0**)r El Chwk d AuMoN, IX, officetmwer to oxr*ma,
Cornplete QW if dkect
Gan6date Officeholder name 01fice Sought Offive held
expoinditure to benefit Ra p9
Date
Payee name
Aniount CSU
Payee address" City; State� Zip Code
TYPE 0 F
EXPENDITURE
E] PoIrficall Non-Polifical
category t,S(hw eategcwm hatod Ot 1176 too 04 Ows n rwta t Deschptioin
PURPOSE
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EXPENDITURE
rtxKk 0 ftnww4 wsoe d to CanpWa Sthod� ft T CNw* d AuWm, M 0fhWhVk*r WOO 00,01%30
CompleteQhJLY 4 dvect
Candidate Officeholder name Office, sought Office tweld
expendituTe W bene(d C/0111
— — - - — -------
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provilded by Texas this Commission WWW,efhiC&5tatoAx.uS Routs 8117/2020
POLITICAL EXPENDITURES MADE, FROM
SCHED�UILE G
PERSONAL FUNDS
If the ftedinformation is not aipplicable, DO NOT Include this page In the ir.
EXPENDITURE CATEGORIES FOR BOX 8(a)
AdveaWng Exponse
Everit Extwise Lew SohdLwjooWund(vws4rg Expexise
A=oun1mXVBw,"g
Fees (Wkw Oveftieu&RentsJ Expense 'i-rarkspotlaWn F-Wpment & Retatod: E>qxktYse
C,cA,msA9wq Eyjxmse
FomAUAwage Expenw kong, Exlwauj Tralvot 011 DIGIhO
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By G0VAwardW(xrxxk9s Exponse PMfing Expense Travuloutofmst=f,
corrmliftoo L ObIp i $ervwes t,Wxx ottw ((MNw'a waver not hSWA Vabe.Ma)
CrV,dACwdPSYMw4
The Instruction Guld!o explai�ns how to Complete this form.
I Total! pagesSche;l Ttl
i -FILER NAME 3 Her M (EthttS Commissiton Filers)
.... .. . .
4 Date
5 Payee name
6
Payete addre&% City !AAaw Zip Code
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8
(a) Category tSaoCsj"oe$es bsted a,%nm top ofthgs schedWe) (b) Description
PURPOSE
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expertMiure to beneta C10H
wn
Date
Payee name
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Payee address; city'; Slate Zip, Code
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Category' (Sea CftuWnes bqsted at the tql 04 fts stlhedWa) Description
PURPOSE
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C u'. o.", ws,�td,,k T
0 tmw ojml Chw�A d Au%fin, IX, affiasbcgdsw fmnq expailse
Candidate a Officeholder sauna Offioe sought Ciffice held
Complete MLY ll direct
adxpwrradature to benefil C10H
Date
Payee name
f
. .. . .. . . . . .............
Aniount
Payee addresslcfty, statetp Code
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Rounbursenwod kcwn
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Category (See Csteqoims h9ted at the top d this s&eduie) Description
PURPOSE
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EXPENDITURE
f
CNwk 0 1pavW mkwks of Texas Cherk u1` Avwn, TY, offv.,)wiwdw 4ivmr,4,j expemse
Candidate / Officeholdor naffie office sought Office he4d
Complele QW at direct
expendRure to benefit MH
ATTACH, ADDITIONAL CO' PIES OF THIS SCHEDULEAS NEEDED
Forms proMed by Texas Ethics Corrtmisscon wowathics stsloAx us Revised 8/1712020
POLITICAL EXPENDITURES MADE FROM SCHEDUILE G
If h N'eq!ui (e infof "mi tion is not appllcaWe, DO NOT inclu oris page In the rert.
EXPENIDIITU RE CATEGORIES FOR BOX 8(a)
w.*ofb%rz% Ex;*e ww Ew mtw Expwr; wrr uxvt tl m ayrr r w Cra,wrn mrm w; :gip wa 4ss w -urir lrk s w uw: rr
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EXPENDITURE
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ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided, by Te a:s Etfts Commission www,e1hias state tx t ' Revised 811V20201