scanned - corpus christi, texas · 2018. 10. 19. · candidate / officeholder form c/ oh campaign...

CANDIDATE / OFFICEHOLDER FORM C/ OH

CAMPAIGN FINANCE REPORT COVER SHEET PG 1

1 Filer ID( Ethics Commission Filers) 2 Total pages filed:

The C/ OH Instruction Guide explains how to complete this form.

3 CANDIDATE/ MS/ MRSMR FIRST MI

OFFICEHOLDER IAAOFFICE USE ONLY

NAME IIIC,L/ 2' r

Date Received

NICKNAME LAST SUFFIX

Date Filed 1 o/ i 81 i g13C, -tii 54 "/

4 CANDIDATE/ DDS PO BOX; CT/ SUITS#; / Cl51TALrJr,

z

CODER t4OFFICEHOLDER

J

l' c ( f CSN

I(/

MAILING

ADDRESS Rebecca HuertaChange of Address C0(.14..6 C6/ i sl: rx --761 / / City Secretary

5 CANDIDATE/ AREA

t 7

CODE PHONE NUMBER EXTENSION

OFFICEHOLDER pG I 1 9J/0

Date Hand- delivered or Date Postmarked

PHO

6 CAMPAIGN MS/ MRS MR

Dcii,FIRST MI Receipt# Amount$

TREASURERNAME Date Processed

NICKNAMEesit ..A7( 1,

7/4

SUFFIX

Date Imaged

7 CAMPAIGN STREET ADDRESS ( NO PO BOX PLEASE); APT/ SUITE#; CITY; STATE; ZIP CODE

TREASURER XG -1— c ICl/ . ,g2aADDRESS K

Residence or Business)

co, r

pas C ,fi -/,( — 7 -6t/

8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION

TREASURER

C/`'PHONE

9 w l 3r 09 REPORT TYPE

EJanuary 15 30th day before election E Runoff 15th day after campaigntreasurer appointment

Officeholder Only)

E July 15 El 8th day before election E Exceeded$ 500 limit 0 Final Report( Attach C/OH- FR)

10 PERIOD Month Day Year Month Day Year

COVERED

7 / I / I \,[ THROUGH q/) 7/ l11 ELECTION ELECTION DATE

j/

ELECTION TYPE

t

6666

Month Day Year Primary Runoff ElOthery i, y

11 !' 1= 1ElDescription

1 i / 6 neral ElSpecial

12 OFFICE OFFICE HELD ( if any) 13 OFFICE SOUGHT ( if known)

C,4y a'Nw/jc.I QT zi- '

GO TO PAGE 2

Forms provided by Texas Ethics Commission www.ethiMtate. tx. us Revised 9/ 8/ 2015

SCANNED

CANDIDATE / OFFICEHOLDER FORM C/ OH

CAMPAIGN FINANCE REPORT COVER SHEET PG 2

14 C/ OH NAME 15 Filer ID ( Ethics Commission Filers)

p pa, , i to F Dci) I eic: l/,. 4/16 NOTICE' FROM THIS BOX IS FOR NOTICE OF POLmCAL CONTRIBUTIONS ACCEPTED OR POLmCAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO

POLITICAL SUPPORT THE CANDIDATE/ OFFICEHOLDER. THESE EXPENDITURES 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.

COMMITTEE TYPE COMMITTEE NAME

II IadGENERAL i oi C% Viff 0._ _,--41, 4-/-COMMITTEE` ADD ESS_ . /

C: 9+E . 0SPECIFIC { x.2... S- f T

Cc(Ox. (. 11441 " Pc

COMMITTEE CAMPAIGN TREASURE‘ NAME

0 Additional Pages

OV Qct 1",( ' "COMMITTEE CAMPAIGN T RE ' q D,iDRESS

5 - ),

6bf1c ( 11641), ' T/ 7. / I•

17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $ 50 OR LESS ( OTHER THAN $TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS

ITEMIZED11 al2. TOTAL POLITICAL CONTRIBUTIONS

OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)

EXPENDITURE3. TOTAL POLITICAL EXPENDITURES OF $ 100 OR LESS,

TOTALSUNLESS ITEMIZED

4. TOTAL POLITICAL EXPENDITURES 350CONTRIBUTION

5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY

V

BALANCEOF REPORTING PERIOD

OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THELOAN TOTALS LAST DAY OF THE REPORTING PERIOD

18 AFFIDAVIT

I swear, or affirm, under penalty of perjury, that the accompanying report is

i. .. .. i. .. .. .. .... . . true and correct and includes all information required to be reported by me

ry1YP;; , ALYSHA SARA BERLANGA under Title 15, Election Code.

o` ID# 13097332- 0c ( ;•?

Notary PublicSTATE OF TEXAS

My Comm. Exp. 01- 19- 2021Dv v a v v .,,, v v w v v

Signature of Candidate or Officeholder

AFFIX NOTARY STAMP/ SEALABOVE

I,, QSworn to an. subscribed before me, by the said I 4 CY/ Vl Y this the I U

day of

191 ,20 I(' , to certify which, witness my hand and s al of office.

1\- k, 5 f, g • c c 1 obilL

Sig ature of officer administering oat Printedln me of officer administering oath Title of office a ministering oath

Forms provided by Texas Ethics Commission www.ethiq 7tate. tx. us Revised 9/ 8/ 2015

SUBTOTALS - C/ OH FORM C/ OH

COVER SHEET PG 3

19 FILER NAME 20 Filer ID( Ethics Commission Filers)

21 SCHEDUL SUBTOTALS SUBTOTAL

NAME O CHEDULE AMOUNT

1. SCHEDULE Al: MONETARY POLITICAL CONTRIBUTIONS

2. 0 SCHEDULE A2: NON- MONETARY( IN- KIND) POLITICAL CONTRIBUTIONS

3. SCHEDULE B: PLEDGED CONTRIBUTIONS LI 00

4. SCHEDULE E: LOANS

5. n SCHEDULE Fl: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS

6. 0 SCHEDULE F2: UNPAID INCURRED OBLIGATIONS

7 0 SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS

8. 0 SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD

9. 0 SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS

10. 0 SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/ OH $

11. 0 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.ethiga8tate. tx. us Revised 9/ 8/ 2015

MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al

The Instruction Guide explains how to complete this form.1 Total pages Schedule Al:

2 FILER NAME 3 Filer ID ( Ethics Commission Filers)

4 Date 5 Full name of contributor 0 out- of- state PAC( ID*: 7 Amount of contribution ($)

6 Contributor address; City; State; Zip Code

8 Principal occupation/ Job title( See Instructions) 9 Employer( See Instructions)

Date Full name of contributor out- of- state PAC( ID#: I Amount of contribution ($)

Contributor address; City; State; Zip Code

Principal occupation/ Job title ( See Instructions) Employer( See Instructions)

Date Full name of contributor 0 out- of- state PAC( ID*: Amount of contribution ($)


Principal occupation/ Job title( See Instructions) Employer( See Instructions)

Date Full name of contributor 0 out- of- state PAC( IN: Amount of contribution ($)


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.ethiq 9tate. tx. us Revised 9/ 8/ 2015

NON- MONETARY ( IN- KIND) POLITICAL

CONTRIBUTIONSSCHEDULE A2

The Instruction Guide explains how to complete this form. 1 Total pages Schedule A2:


4 TOTAL OF UNITEMIZED IN- KIND POLITICAL CONTRIBUTIONS $

5 Date 6 Full name of contributor 0 out- of- state PAC( ID#: 8 Amount of . g In- kind contributionContribution $ . description

7 Contributor address; City; State; Zip Code

Check if travel outside of Texas. Complete Schedule T.

10 Principal occupation/ Job title( FOR NON- JUDICIAL)( See Instructions) 11 Employer ( FOR NON- JUDICIAL)( See Instructions)

12 Contributor' s principal occupation ( FOR JUDICIAL) 13 Contributor' s job title( FOR JUDICIAL)( See Instructions)

14 Contributor' s employer/ law firm( FOR JUDICIAL) 15 Law firm of contributor' s spouse ( if any) ( FOR JUDICIAL)

16 If contributor is a child, law firm of parent( s)( if any)( FOR JUDICIAL)

Date Full name of contributor 0 out- of- state PAC( ID#: Amount of In- kind contribution

Contribution $ . description



Principal occupation/ Job title ( FOR NON-JUDICIAL)( See Instructions) Employer ( FOR NON- JUDICIAL)( See Instructions)

Contributor' s principal occupation( FOR JUDICIAL) Contributor' s job title( FOR JUDICIAL)( See Instructions)

Contributor' s employer/ law firm( FOR JUDICIAL) Law firm of contributor' s spouse( if any) ( FOR JUDICIAL)

If contributor is a child, law firm of parent( s) ( if any)( FOR JUDICIAL)



Forms provided by Texas Ethics Commission www.ethig@tate. tx. us Revised 9/ 8/ 2015

PLEDGED CONTRIBUTIONS SCHEDULE B

The Instruction Guide explains how to complete this form. 1 Total pages Schedule B:

2 FILER NAME7

3 Filer ID ( Ethics Commission Filers)

crt rt(-24 to c.._ &.cf 4.--rAle-

4 TOTAL OF UNITEMIZED PLEDGES

5 D to 6 Full name of pledgor 0 out- of- state PAC( ID#: 8 Amount 9 In- kind contribution

ca/ P/4g Mc / / Mop ^ of Pledge$ : description

7 Pledgor address; City; ( State; Zip Code a5o .30z IGLITil

C(

I CQ/'/'w!) (/; fes/ - i- 7 ` I Check if travel outside of Texas. Complete Schedule T.

10 Principal o c_

juon/ Job title( See Itions) 11 Emplo r ( Seel Instryctions)

Y

Instru

c, 7 b't C hCe f "', rilc(„ -‹. teiSr/

DateFull name of pledgor 0 out- of- state PAC( ID#: Amount In- kind contribution

of Pledge$ description

9/ 7/fc/ fir I c, 1 (

1CPledgor address; tt te; Zip Code

60d-G' Orr ellc2l, (s Dili S/, - he ' 77( dy Check if travel outside of Texas. Complete Schedule T.

Principal occation/ Job till See Instructions) Employer ( See Instructions)

c lire.Date

name of pledgor 0 out- of- state PAC( ID#: Amount of . In- kind contributionPledge$ description

Pledgor address; City; State; Zip Code


Principal occupation/ Job title( See Instructions) Employer ( See Instructions)

Date Full name of pledgor 0 out- of- state PAC( ID#: Amount of In- kind contribution

Pledge$ I description

Pledgor address; City; State; Zip Code


Principal occupation/ Job title( See Instructions) Employer ( See Instructions)



Forms provided by Texas Ethics Commission www.ethia$ tate. tx. us Revised 9/ 8/ 2015

LOANS SCHEDULE E

The instruction Guide explains how to complete this form. 1 Total pages Schedule E:


4 TOTAL OF UNITEMIZED LOANS

5 Date of loan 7 Name of lender 0 out- of-state PAC( IN: I 9 Loan Amount($)

6 Is lender 8 Lender address; City; State; Zip Code10 Interest rate

a financial

Institution?

11 Maturity date

Y N

12 Principal occupation / Job title ( See Instructions) 13 Employer ( See Instructions)

14 Description of Collateral 15 Check if personal funds were deposited into political

account ( See Instructions)

none 0

16 GUARANTOR 17 Name of guarantor 19 Amount Guaranteed($)

INFORMATION

18 Guarantor address; City; State; Zip Code

not applicable

20 Principal Occupation ( See Instructions) 21 Employer ( See Instructions)

Date of loan Name of lender 0 out- of- state PAC( ID#: _ ILoan Amount($)

Is lender Lender address; City; State; Zip CodeInterest rate

a financial

Institution?Maturity date

Y N

Principal occupation / Job title ( See Instructions) Employer ( See Instructions)

Description of Collateral Check if personal funds were deposited into political

account ( See Instructions)

none 0

GUARANTOR Name of guarantor Amount Guaranteed($)

INFORMATION

Guarantor address; City; State; Zip Code

not applicable

Principal Occupation ( See Instructions) Employer ( See Instructions)


if lender is out- of- state PAC, please see instruction guide for additional reporting requirements.

Forms provided by Texas Ethics Commission www. ethi& 2tate. tx. us Revised 9/ 8/ 2015

POLITICAL EXPENDITURES MADEFROM POLITICAL CONTRIBUTIONS SCHEDULE Fl

EXPENDITURE CATEGORIES FOR BOX 8( a)

Advertising Expense Event Expense Loan RepaymenVReimbursement 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)

Credt Card PaymentThe Instruction Guide explains how to complete this form.

1 Total pages Schedule Fl: 2 FILER NAME 3 Filer ID ( Ethics Commission Filers)

4 Date 5 Payee name

6 Amount ($) 7 Payee address; City; State; Zip Code

8a) 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

9 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

Category ( See Categories listed at the top of this schedule) Description

PURPOSECheck if travel outside of Texas. Complete Schedule T.

OF Check if Austin, TX, officeholder living expense

EXPENDITURE

Complete ONLY if direct Candidate/ Officeholder name Office sought Office held


Date Payee name




OF Check if Austin, TX, officeholder living expenseEXPENDITURE




Forms provided by Texas Ethics Commission www. ethi& 3tate. tx. us Revised 9/ 8/ 2015

UNPAID INCURRED OBLIGATIONS SCHEDULE F2

EXPENDITURE CATEGORIES FOR BOX 10(a)

Advertising Expense Event Expense Loan Repayment/ Reimbursement Solicitation/ Fundraising 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 F2: 2 FILER NAME 3 Filer ID ( Ethics Commission Filers)

4 TOTAL OF UN ITEMIZED UNPAID INCURRED OBLIGATIONS

5 Date 6 Payee name


9 TYPE OF

EXPENDITURE n Political n Non- Political

10 a) Category ( See Categories listed at the top of this schedule) b) Description

PURPOSE r7Check if travel outside of Texas. Complete Schedule T.OF

EXPENDITURE Check if Austin, TX, officeholder living expense



Date Payee name


TYPE OF




OF El Check if Austin, TX, officeholder living expenseEXPENDITURE




Forms provided by Texas Ethics Commission www. ethik

tate. tx. us Revised 9/ 8/ 2015

PURCHASE OF INVESTMENTS MADEFROM POLITICAL CONTRIBUTIONS SCHEDULE F3

1 Total pages Schedule F3:



4 Date 5 Name of person from whom investment is purchased

6 Address of person from whom investment is purchased; City; State; Zip Code

7 Description of investment

8 Amount of investment($)

Date Name of person from whom investment is purchased

Address of person from whom investment is purchased; City; State; Zip Code

Description of investment

Amount of investment($)


Forms provided by Texas Ethics Commission www. ethie5tate. tx. us Revised 9/ 8/ 2015

EXPENDITURES MADE BY CREDIT CARDSCHEDULE F4


Advertising Expense Event Expense Loan Repayment/ Reimbursement SolicitatioNFundraising Expense




Candidate/ Officeholder/ Political Committee Legal Services SalariesNVages/ Contract Labor Other( enter a category not listed above)



4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TO A CREDIT CARD $

5 Date 6 Payee name


9TYPE OF n n

EXPENDITURE I IPolitical

I I Non- Political


PURPOSE Check if travel outside of Texas. Complete Schedule T.

OF

EXPENDITURECheck if Austin, TX, officeholder living expense



Date Payee name


TYPE OF

EXPENDITURE I I Political n Non- Political







Forms provided by Texas Ethics Commission www. ethiftate. tx. us Revised 9/ 8/ 2015

POLITICAL EXPENDITURES

MADE FROM PERSONAL FUNDS SCHEDULE G


Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/ Fundraising Expense

Accounting' Banking Fees Office Overhead/ Rental Expense Transportation Equipment& Related Expense


Contributions/ Donations Made By Gift/Awards/ Memorials Expense Printing Expense Travel Out Of District

Candidate/ Officeholder/ Political Committee Legal Services Salanes/ VVages/ Contract Labor Other( enter a category not listed above)

CredtCard PaymentThe Instruction Guide explains how to complete this form.

1 Total pages Schedule G: 2 FILER NAME 3 Filer ID ( Ethics Commission Filers)

4 Date 5 Payee name


Reimbursement from

political contributions

intended

8 a) Category ( See Categories listed at the top of this schedule) ( b) Description


OF




Date Payee name


Reimbursement from


intended

Category ( See Categories listed at the top of this schedule) ( b) Description


OF




Date Payee name


Reimbursement from


intended

Category ( See Categories listed at the top of this schedule) ( b) Description

PURPOSE

OFCheck if travel outside of Texas. Complete Schedule T.





Forms provided by Texas Ethics Commission www.ethiBtate. tx. us Revised 9/ 8/ 2015

PAYMENT MADE FROM POLITICAL

CONTRIBUTIONS TO A BUSINESS OF C/ OH SCHEDULE H


Advertising Expense Event Expense Loan Repayment/ Reimbursement Solicitation/ Fundraising Expense


Consulting Expense Food/Beverage Expense Polling Expense Travel In District

Contributions/ Donations Made By Gitt/ Awards/ Mernorials 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 PaymentThe Instruction Guide explains how to complete this form.

1 Total pages Schedule H: 2 FILER NAME 3 Filer ID ( Ethics Commission Filers)

4 Date 5 Business name

6 Amount ($) 7 Business address; City; State; Zip Code

8 a) Category ( See Categories listed at the top of this schedule) ( b) DescriptionPURPOSE Check if travel outside of Texas. Complete Schedule T.

OF




Date Business name

Amount ($) Business address; City; State; Zip Code



OF

EXPENDITURECheck if Austin, TX, officeholder living expense



Date Business name

Amount ($) Business address; City; State; Zip Code


PURPOSECheck it travel outside of Texas. Complete Schedule T.





Forms provided by Texas Ethics Commission www. ethi3tate. tx. us Revised 9/ 8/ 2015

NON- POLITICAL EXPENDITURES

MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE I


1 Total pages Schedule I: 2 FILER NAME3 Filer ID ( Ethics Commission Filers)

4 Date 5 Payee name


8 a) Category ( See instructions for examples of acceptable b) Description ( See instructions regarding type of informationPURPOSE categories.) required.)

OF

EXPENDITURE

Date Payee name


PURPOSECategory ( See instructions for examples of acceptable Description ( See instructions regarding type of informationcategories.) required.)

OF

EXPENDITURE

Date Payee name


PURPOSECategory ( See instructions tor examples of acceptable Description ( See instructions regarding type of information

OFcategories.) required.)

EXPENDITURE

Date Payee name


Category ( See instructions for examples of acceptable Description ( See instructions regarding type of informationPURPOSE categories.) required.)

OF

EXPENDITURE


Forms provided by Texas Ethics Commission www.ethi& 9tate. tx. us Revised 9/ 8/ 2015

INTEREST, CREDITS, GAINS, REFUNDS, AND

CONTRIBUTIONS RETURNED TO FILER SCHEDULE K

1The Instruction Guide explains how to complete this form.

Total pages Schedule K:


4 Date 5 Name of person from whom amount is received 8 Amount($)

6 Address of person from whom amount is received; City; State; Zip Code

7 Purpose for which amount is received n Check if political contribution returned to filer

Date Name of person from whom amount is receivedAmount($)

Address of person from whom amount is received; City; State; Zip Code

Purpose for which amount is received n Check if political contribution returned to filer



Purpose for which amount is received 0 Check if political contribution returned to filer



Purpose for which amount is received Check if political contribution returned to filer


Forms provided by Texas Ethics Commission www. ethi9®tate.tx. us Revised 9/ 8/ 2015

POLITICAL EXPENDITURES MADE

FROM POLITICAL CONTRIBUTIONS SCHEDULE F1


Advertising Expense Event Expense Loan Repayment/ Reimbursement Solicitation/ FundraisingExpense


Consulting Expense Food/ Beverage Expense Polling Expense Travel In DistrictContributions/ Donations Made By Gift/ Awards/ Memodals 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


1 Total pages Schedule F1: 2 FILER NAME

bG 71. 3 Filer ID ( Ethics Commission Filers)

C1 &)•

4 Date l / 5 Payee name

Ici/ez--<--

6 Amount ($) 7 Payee

ifa ess; C ; State; Zip Code

d5 3 )S0C2 tx 7 0

8 a) Category ( See Categories listed at the top of this schedule) ( b) Description

PURPOSEr/

ElCheckit travel outside of Texas. Complete Schedule T.

OF Adc, ? 2/ I

c1" Check if Austin, TX, officeholder living expense

EXPENDITURE



Date Payee name







Date Payee name



PURPOSE I I Check if travel outside of Texas. Complete Schedule T.

OFCheck if Austin, TX, officeholder living expense

EXPENDITURE




Forms provided by Texas Ethics Commission www.ethig3tate. tx. us Revised 9/ 8/ 2015

UNPAID INCURRED OBLIGATIONS SCHEDULE F2


Advertising Expense Event Expense Loan Repayment/ Reimbursement Solicitation/ Fundraising ExpenseAccounting/ Banking Fees Office Overhead/ Rental Expense Transportation Equipment& Related Expense



Candidate/ Officeholder/ Political Committee Legal Services Salaries/ Vages/ Contract Labor Other( enter a category not listed above)



4 TOTAL OF UNITEMIZED UNPAID INCURRED OBLIGATIONS

5 Date 6 Payee name


9TYPE OF




OF




Date Payee name


TYPE OF nEXPENDITURE n nPolitical Non- Political


PURPOSEElCheck if travel outside of Texas. Complete Schedule T.

OFCheck if Austin, TX, officeholder living expense

EXPENDITURE




Forms provided by Texas Ethics Commission www. ethi4tate. tx. us Revised 9/ 8/ 2015

scanned - corpus christi, texas · 2018. 10. 19. · candidate / officeholder form c/ oh campaign...

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