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Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070
CANDIDATE / OFFICEHOLDERCAMPAIGN FINANCE REPORT
(512) 463-5800 (TDD 1-800-735-2989ÿ
FORM C/OHCOVER SHEET PG 1
The C/0H Instruction Guide explains how to complete this form.9 ACCOUNT #
(Ethics Commission Fi]ers)
t,tq--cl=joo6 CAMPAIGN FIRST MI Date ImagedT;'E200 E ....... ............
NICKNAME LAST SUFFIX
7 ZIP CODE
10 PERIOD Month Day Year Month Day Year
COVERED ÿ /mÿ, / t¢ ÿ.ROUÿ. 5 / I / t 5
11 E L E C T I O N ELECTION DATE ELECTIO N TYPEMonth ÿ ÿeÿ. [] P,m.ÿ [] Ruÿ ÿ Gsoera, [] S..a,
5/'ÿ /|512 OFFICE OFFICEHELD ([fany) 13 OFFICESOUGHT (ifknown)
AREA CODE
(715)MS/MRS/MR
CANDIDATE/OFFICEHOLDERPHONE
4 CANDIDATE /OFFICEHOLDERMAILINGADDRESS
[] change of address
CAMPAIGNTREASURERADDRESS(msidenceorbusiness)
CAMPAIGNTREASURERPHONE
9 REPORT TYPE
CANDIDATE / MS/MRS/MR ,,ÿFIRST MI
NAMEOFFICEHOLDER ÿ •'} ÿ ILÿIÿ J
NICKNAME LAST SUFFIX
ADDRESS / PO BOX; APT/SUITE#; ; STATE; ZIP CODE
PHONE NUMBER EXTENSION
-n q#
STREETADDRESS (N0 PO BOX PLEASE); APT/SUITE #; CITY; STATE;
AREA CODE PHONE NUMBER
( 715 ) £7ÿ- lÿ'l
[] January 15 [] 30th day before election [] Runoff [] 15th day after campaigntreasurer appointment(officeholder only)
[] July 15 ÿ 8th day before election [] Exceeded $500 [] Finalreport(AttachC/OH-FR)limit
4 "O,,.ÿj
2 Total pages filed:
OFFICE USE ONLY
Doÿ s-- f-2,0:5-
Date Hand-delivered or Postmarked
Receipt #
Date Processed
Amount
EXTENSION
GO TO PAGE 2
www.ethics.state.tx,us Revised 07/28/2014
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070
CANDIDATE / OFFICEHOLDER REPORT:SUPPORT & TOTALS
(512) 463-5800 (TDD 1-800-735-2989
FORM C/OHCOVER SHEET PG 2
C/OH NAME .ÿ -- , -- • = 15 ACCOUNT# (Ethics Commission Fliers)
16 NOTICE FROM THÿsBÿFÿRNÿCEÿFPÿLÿTÿALÿNTRÿBÿTÿNSAÿcÿEPTIEDÿRPÿLÿCALEÿPENDÿTURESMADEBYPÿLÿTIÿALcÿMMÿTÿ15ESTÿSUPPÿRTÿ-ÿE
POLITICAL CANDIDATE / OFFICEHOLDER, THESEÿ(ÿENDÿTURÿSMAYÿAVEÿEÿADEwÿTHÿUÿTHECANÿDATEÿSÿRÿFFÿCEHÿLÿERÿSKNÿWLEÿEÿR
C O M M I TT E E ( S ) CONSENT. CANOIDA'i]SS AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMA'I1ON ONLY IF "II-IEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE NAMECOMMITTEE TYPE
Iÿ] GENERAL
rÿ} SPECIFIC
17TOTALsCONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THANd, #,fÿ" Iÿ€)PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED q) -ID=
2. TOTAL POLmcAL coNTriBuTioNs$ ÿ500(oTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS>
EXPENDITURETOTALS 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED $ ÿ)
4. TOTAL POLITICAL EXPEN DlTU RES , ÿ Iÿ11ÿ1 "!'1
BALANcECONTRIBUTION 5. TOTALoF REPORTINGPOLITICALpERIoDCONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ ÿ 11 ÿ1__Lÿ'= iÿo
OUTSTANDINGLOAN TOTALS 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDINGLAsT DAY OF THE REPORTING PERIOD LOANS AS OF THE $ ÿ)
18 AFFIDAVIT
] additional pages
COMMITTEE ADDRESS
COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
%1111111 II,,,'),%;,ÿ.;.,."ÿ:',,. KATE C. NORDLANDER ÿ i,,ÿo.... '" ÿ ÿ Nofory Public, State of TexasI... ".ÿ.
-€ÿ My commission Expires ÿ II ÿ;,ÿoÿ,*ÿ May 22, 2016 )
I swear, or affirm, under penalty of perjury, that the accompanying reportis true and correct and includes all information required to be reported byme under Title 15, Election Code.
Siglÿaÿ re fÿ;ndidate or Officeh o1ÿ..ÿ ÿ''ÿ-
AFFIX NOTARY STAMP / SEALABOVE
Swoiÿ,}L9" and subscribed beforejllÿA=jme, by the|ÿsaid ÿlÿlÿlÿ ÿ. ÿ,ÿ ÿ ,this the
day of , r, tlr/ÿvJ , 20 ÿ , to certify which, witness my hand and seal of office.
Signature of officer administering oath
www.ethics.state.tx.us
Printed name of officer administering oathno ,?4
tle of officer adm in iTlering! oath
Revised 07/28/2014
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070
POLITICAL CONTRIBUTIONSOTHER THAN PLEDGES OR LOANS
(512) 463-5800 (TDD 1-800-73ÿ-298ÿ
SCHEDULE A
4 Date
4ÿin
The Instruction Guide explains how to complete this form.
5 Full name of contributor 17out-of-statePAC(ID#" ) 7 Amountof
Aÿÿÿ1,ÿ ÿ.ÿ .ÿ. ' contribution ($)1ÿ "6' Coniributoradd'ressi " "Cityl State; Zi;Code ...........ÿ"..,,vviÿ'tÿ"}Iÿ
1 Total pages ScheduleA: j
3 ACCOUNT # (Ethics Commission Fliers)
I 8 In-kind contribution
I description (if applicable)
II
9 Principal occu
I'ÿ 1ÿ "1 7 ÿ) 1 7--..-" (If travel outside of Texas, complete Schedule T)
ation / Job title/(See Instructions) 10 Employer (See Instructions)
Date
Principal occu
Full name of contributor [] out-of-state PAC(ID#: )
..........Contributor address; City; State; Zip
)ation / Job title (See Instructions)
Amount of Icontribution ($) [
$1o0.ÿo III
(If travel outside of Texas, complete Schedule T)Employer (See Instructions)
In-kind contributiondescription (if applicable)
Date Full name of contributor [] out-of-statePAC(ID#:. )
d |ÿ'% ..... " ..... ;" " (3"ty;" Statei "Zip Code ........../
I%ÿ{,n, ÿ 77011Principal occupation / Job title (See Instructions)
Amount of Icontribution ($) I
II
(If travel outside of Texas, complete Schedule T)
Employer (See Instructions)
In-kind contributiondescription (if applicable)
Date Full name of contributor [] out-of-state PAC (113#: .)
• ...................Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
Amount of Jcontribution ($) I
Ioo.'" 'II
(If travel outside of Texas, complete schedule T)Employer (See Instructions)
In-kind contributiondescription (if applicable)
Date Full name of contributor [] 0ut-of-state PAC(ID#:. )
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
Amount of Icontribution ($) I
III
(If travel outside of Texas, complete Schedule T)Employer (See Instructions)
In-kind contributiondescription (if applicable)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDEDIf contributor is out-of-state PAC, please see instruction guide foradditional reporting requirements.
www. ethics, state,tx, u s Revised 07/28/2014
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989
POLITICAL EXPENDITURES SCHEDULE F
Advertising ExpenseAccounting/BankingConsulting ExpenseEvent ExpenseFees
EXPENDITURE CATEGORIES FOR BOX 8(a)Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related ExpenseFood/Beverage Expense Travel In District Contributions/Donations Made ByPolling Expense Travel Out Of District Candidate/Officeholder/Political CommitteePrinting Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
I Total pages Schedule F:
4 Date| |
H'LIS|\S6 Amount ($)
2 FILER NAME I , =
Payeeÿn aÿeÿ 3ÿ,ÿ, ÿt ÿ ÿ
7 Payee address; City; State; Zip Code
-3\3
9 ConÿleteONLYif direct
8 PURPOSEOF
EXPENDITURE
3 ACCOUNT # (Ethics Commission Filers)
(a) Category (See categories listed at the top of this schedule)
Candidate / Officeh'ÿ'lder name
expenditure to benefit C/OH
(b) Description (If travel outside of Texas, complete Schedule T)
] Check ifAustin, TX, officeholder living expense
Office sought Office held
=;1;5. vo
PURPOSEOF
EXPENDITURE
Complete ONLY if directexpenditure to benefit C/OH
Paÿe=ÿe nameÿ
• qo .)nn nPayee address;
Category (See categories listed at the top of this schedule)
Candidate / Officeholder name
Description (Iftravel outsideofTexas, completeScheduleT)
[ÿ Check ifAustin, TX, officeholder living expense
Office sought Office held
Dat¶
Amount ($)
PURPOSEOF
EXPENDITURE
Complete ONLY if directexpenditure to benefit C/OH
Payee address; City; State; Zip Code
Category (See categories listed at the top of this schedule)
Candidate / Officeholdÿe ÿ'
Description (If travel outside of Texas, complete Schedule T)
]Check ifAustin, TX, officeholder living expense
Office sought Office held
Amount ($)
PURPOSEOF
EXPENDITURE
Complete ONLY if directexpenditure to benefit C/OH
Category (See categories listed at the top of this schedule)
Payee name
Payee addres S te; Zip-r7 2.
Description (If travel outside of Texas, complete Schedule T)
] Check ifAustin, TX, officeholder living expense
Office sought Office held
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.et hics. state.tx, us Revised 07/28/2014