Texas Ethics Commission RD.

Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)

CANDIDATE I OFFICEHOLDER FORM C/OH

CAMPAIGN FINANCE REPORT CovER SHEET PG 1

1 ACCOUNT # 2 Total pages tIed:

The C/OH Instruction Guide explains how to complete this form. (EthicsCcmmssionF)ers)

3 CANDIDATE! MS/MRS/MR FIRST Mt

OFFICE USE ONLY
OFFICEHOLDER L Date Received
NAME
NICKNAME LAST SUFFIX
MAY 6 2011
L
4 CAN DI DATE / ADDRESS / P0 BOX; APT) SUITE F; CITY, STATE, ZIP CODE

OFFICEHOLDER
MAILING /2 /2. G, 7 75
:
5
C ; OMMUNjcATpNs Date Hand-detiverna
ADDRESS
change of address Receipt # Amount

5 CANDIDATE! AREA CODE PHONE NUMBER (TENSION

Date Processed
OFFICEHOLDER
PHONE (2/’,’) 727 - ‘e:’7 7
Ut Datn Imaged
S CAMPAIGN MS/MRS/MR FIRST
TREASURER ,4__.
NAME
NICKNAME LAST SUFFIX
:O7p

7 CAM PAl G N STREET ADDRESS (NO P0 BOX PLEASE); APT,’ SUITES; CITY, STATE; ZIP CODE
TREASURER
ADDRESS Y7/. 4- iA/!;;, Z/ ?5
(residence or business)

8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION

TREASURER
PHONE (172) 7- 23.’
S REPORTTYPE E1 15th day after campaign treasurer
January1
E 30th day bBtore election Runoff
appointment )othcehctder only)

July 1S h day before election Euceeded S500 limit Final report (Attach C/OH - FRI

Month Day Year Month Day Year

10 PERIOD
// THROUGH
COVERED
/ / S/‘ 77
11 ELECTION ELECTIONDATE ELECTIONTYPE
Month Day Year

V ,/ // Pdmary Runoff raI Special

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

12 OFFICE
Pz 1

14 NOTICE
DtRECT CAMPAIGN EXPENDITURES ARE CAMPAIGN EXPENDITURES MADE BY OTHERS WITHOUT THE CANDIDATES PRIOR CONSENT OR APPROVAL.
OF DIRECT
CANDIDATES ARE REQUIRED TO DISCLOSE THIS INFORMATtON ONLY IF THEY RECEIVE NOTIFICATION OF THE DIRECT CAMPAIGN EXPENDITURE.
CAMPAIGN
EXPENDITURE
Name
BY OTHER
INDIVIDUALS

Address) P0 Box; Apt. / Suite F; City; State. Zip Code

additional pages

GO TO PAGE 2

www.ethics.state.tx.Us Revised 04/21/2010

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)

CANDIDATE / OFFICEHOLDER REPORT: FORMC/OH

SUPPORT & TOTALS CovER SHEET PG 2

15 C/OH NAME —> 16 ACCOUNT# (Ethics commission Filers(

:&-;,-7-7 4
4 -7CC.,
17 N 0 TI C F THIS BOX IS FOR NOTICE OF POLITICA(CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT THE
FROM CANDIDATE I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE SEEN MADE WITHOUT THE CANOIOATES OR OFFICEHOLLIERy KNOWLEDGE OR
P0 LIT I CAL CONSENT CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES
COMMITTEE(S)
COMMITTEE NAME
COMMITTEE TYPE

GENERAL
COMMITTEE ADDRESS

SPECIFIC

COMMITTEE CAMPAIGN TREASURER NAME

additional EQE5

COMMITTEE CAMPAIGN TREASURER ADDRESS

18 CONTRIBUTION 1 TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN

TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)

EXPENDITURE
TOTALS 3. TOTAL POLITICAL EXPENDITURES OF $50 OR LESS, UNLESS ITEMIZED $

4. TOTAL POLITICAL EXPENDITURES $ 33’5/. 7L

. CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY

BALANCE OF REPORTING PERIOD

OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE

LOAN TOTALS LAST DAY OF THE REPORTING PERIOD
$

19 AFFIDAVIT
I swear, or affirm, Under penalty of perjury, that the accompanying report

is true and correct and includes all information required to be reported by

SI1NDA KAY SAMSON me under tt’ n Co
.1’oiarv PUbIIO, State of Texas
M CDorniSiol Expires
‘!Q2Cl11
gntureofC ndidateorOffic der

AFFIX NOTARY STAMP I SEAL AEOVE

Sworn to and subscribed before me, by the said 4Q’7 /i 1 , this the

day of 1
LfflQL , 20 /1 to certify which, witne s hand and seal of office.

1
Sig atUre of officer administ’ring Ohth
s i7 di J ov
Printed name of officer administering oath Title of officer administering oath

www.ethics.state.tx.us Revised 04/21/2010

Texas Ethics Commission P0. Box 12070 Austin Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)

POLITICAL EXPENDITURES
SCHEDULE G
MADE FROM PERSONAL FUNDS

EXPENDITURE CATEGORIES FOR BOX 8(a)

Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed abovel
The Instruction Guide explains how to complete this form.
I ACCOUNT # (Ethics Commission Filers)
I Total pages Schedule Ga 2 FILER NAME

/ £4’

4 Date 5 Payee name

5/// 4
6 Amount CS) 7 Payee address; City; State; Zip Code

, eimbursewent from
C-/ ) /
political contributions
intended

8 PURPOSE (a) Category ISee categories listed at the top of this schedule) (b) Description (If travel outside of Texas, complete Schedule T)

7€
EXPENTURE 4y

7/:4/
Date Payee narn e

/icf r4fc!
4
mour Payee address; City; State; Zip Code

/
,eimbursemext from
22 I -
c-’
political coutribulions
let ended

Category (See cutegories listed at the top of this schedule) Description (If travel outside of Texas. complete Schedule T)
PURPOSE

EXPENDURE 4
-
6
/f
5 ?
/,.f 72C17c 7S5y

Date Payee name

/24y -5/77J a’

Amount (3) Payee address; City; State; Zip Code

r-.Aimbur5ement from
)‘-7 /.4
[j political contributions
in/ended

Category )See categories listed at the top of this schedule) Description )lftravet outside of Texas, complete Schedule TI
PURPOSE

EXPENDITURE C%’/7f 79Sj /&

Date Payee name

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

Reirnburxemenl from
political contributions
nlxxded

Category (See categories listed at the op of thin schedelel Description (if travel outside of Texas, complete Schedule Ti
PURPOSE
OF
EXPENDITURE

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

www.ethics,state.tx.us Revised 04/21/2010

 . is Lthics Commission P0. Box 2070 Austin, Texas 78711-2070 (52.) Ili3-5800 FDD I 300— 7:30 80

CANDIDATE / OFFICEHOLDER FORM C/OH

CAMPAIGN FINANCE REPORT

I ACCOIJNT 2 rural paqs iIod

Vho CIOH Instruction Guide oxplains how to complete this form
fr6 2011
FHCEHOLDER
P
Ill KNAVE LAaT UFrIX C MMUNICATIONc3
Di 116 2ofl
S .ANDIDATE / /.1)l,IOfSS /I-rrOX ..Pt ,SUIrF 5, cir. rAr13. JIp:oDy:u..
JFFIC’EHOLUER
MAHING
73 F\c C. P1c TK 1
75Y2 MUNIMN
.
Unanqe of Address

5 CANDIDATE! AREA CODE PHONE NUMBER EXTENSION HeCDI S

-_I10LDER
( 77) 572°7 Date Processed

S CAMPAIGN MS/MRS/MR FIRST MI

VREASURER DateImaed

NICKNAME LAST SUFFIX

7
Dc i.) ?txs

7 CAMPAIGN STREETADORESS INOPOBOXPLEASE) APT/SUITES: CITY. STATE. IPCDOE

TREASURER
/50 DRESS
Residence or Susinessl

3 CAMPAIGN i1EA CODE PHONE NUMBER EXTENSION

REASURER
PHONE /

9 REPORT TYPE
jairuary IS 30th day belore election RunO th Sac after cairnoarqlr roasirrar
aoporntment orticerrolEer OOIvr

July 15 13th day before election Exceeded $500 limit Final report AIIaCO C/OH.

10 PERIOD Month Day Year Month Day Year

‘i’D
COVERED
4\ THROUGH
‘y Oi 1
11 ELECTION ELECTION DATE ELECTION TYPE
Mrrrrlh 5
Da Year

J—ct )L 3c Primary Runoff General roeciol

12 OFFICE OFFICE HELD I anyl

13 OFFICE

C
—

1IJ ,.. ):
14 NOrICE
DIRECT CAMPAIGN EXPEND1TIJRES ARE CAMPAIGN EXPENDITURES MADE BY OTHERS WlTHOLYFWErcQ3DA
OF DIRECT 1PRIOI3NSEN1DR xpPnI)”SL.
. -
CANDIDATES ARE REQUIRED TO DISCLOSE THIS INFORMATION ONLY IF ThEY RECEIVE NOTIFICAT
MPAIGN ION OF TH lURE.

EXPENDITURE
lame
BY OTHER
i N DIV DUALS

udress, PD Box: apt / Suite B: City: Slate: Zip Code

1 additional pages

GO TO PAGE 2

.iww ethics.st13te.tx.us
Rerjtsecj IJd;2112U10
:1:3 :Ihi(;S CommissIon P0. Box 12070 Austin. Texas 78711-2070 (512) 463-5300 (TOO 1300-735-29(39)

CANDIDATE / OFFICEHOLDER REPORT: FORM C/OH

SUPPORT & TOTALS CovER SHEET PG 2

IS ( /OH NAME 16 ACCOUNT (Ethics Commission Hi rs

.
Jt2 7
Ic
17 NOTICE ,TiES sax is FOR NOTICE OF POLmCALCONWIBUON5ACCEPTEDQR POUflCAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORTTHE
PC i 1 Hi 54
.
AEIkATE I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE’S OR OFFICEHOLDER’S KNOWLEDGE OR
(3 I I F IC AL CONsENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS iNFORMATiON ONLY IF THEY RECEIVE NO11CE OF SUCH EXPENDITURES.
c)Mrs1IrTEE(S)a
.OMM1TTEE NAME

vPE
T
eICIEE
Is
GENERAL
COMMITTEE FDDRESS

COMMITTEE CAMPAIGN TREASURER NAME

,dditionaI pages

COMMITTEE CAMPAIGN TREASURER ADDRESS

18 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN

roTA L S PLEDGES, LOANS, OR GUARANTEES OF LOANS). UNLESS ITEMIZED $ —1

2. TOTAL POLITICAL CONTRIBUTIONS

$
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
1 7 L.) 7 7
EXPENDITURE
rCITALS 3. TOTAL POLITICAL EXPENDITURES OF $50 OR LESS, UNLESS ITEMIZED $
0 3127
4. TOTALPOLITICALEXPENDITURES $ t;-(.
3
f
0
C ONTR I BUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
427 7
-

F3ALANCE OF REPORTING PERIOD

OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE

LOAN TOTALS LAST DAY OF THE REPORTING PERIOD

19 AFFIDAVIT
I swear, or affirm, under penalty of perjury, that the accompanying report
is true and corri and includes all information required to be reported by
me under TitI’15, lection Code.

.\rirX NOiARY STAMP I SEAL ABOVE

:-worn to and subscribed before me, by the said — this the

day of 20 to certify which, witness my hand and seal of office.

Ciqi sire t otficer administeroath

G%
Printed name of officer administering oath Title of officer adrTIsterIng oath

;Jw’,v ‘31[tics.slale.tx.us Revised 04/21/2010

 I, l. tItiCS QIt1tttisalOn () (ox 2070 \iistln, Fox.ts ‘07(1 2070 12) 415:3—5800 rOD i ::D)_1

POLiTICAL CONTRIBUTIONS

OTHER THAN PLEDGES SCHEDULE \

OR LOANS

the Instruction
151 .15)0 S r:.tiiiv A
Guide oxplains how to compioto this form.

2 II ER NAME 3 ACCOUNt ) Jlhics Con inns-ann -eisi

.5 5 Full iiain of coiitiibi.ilor 1 ,iiiiaP(ic5- 7 ;\nnouiit of 3 in-kind Cu tint ton,

. contribution 15) lescrip 1100 it ii p r.:ii)l., I
. \j0\c\

\ Contributor address, City: State: Zip (ode

PT7:2
Dc’
HfH 2C
If travel outside of Iexas. complete Schedule r
9 Principal occupation / Job title (See Instructions)
10 Employer (See Instructions)

lie Full name of contributor rut-uI-aisle PC ntES Amount of in-Kind contribution

N. contribution ($) description iii applicable)

q i7 )
,---,

J’e- KeEc\
Contributor address: City: State: Zip Code
100. 0-0
/r 7
1 T; 7SoC
(If travel outside of Texas, copaSc(ieiIuler) -

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

-.-----

p ate Full name of contributor out-ot-state PAC (tD I Amount of tn-kind contribution - -

• contribution 1$) description (if apphcahle(

/t/s\
1c1c eIf
I address;
Contributor City: State: Zip Code

c CoiL Pi7°7
/c
(if travel oulside of Texas. complete SchedieeT)
Principal occupation / Job title (See Instructions) Employer (See Instructions)

Date Full name of contributor Q oul-ot-siatoPAC(IDS: Amount of

i tn-kind contribution

r-i P H— K —
contribution ($) description (if applicable)

Lf[2cf
(
( Contribuor address; City; State: Zip Code I
?cc CCl Di
(If travel outside of Texas. complete Schedule Ti
Principal occupation / Job title (See Instructions) Employer çSee Instructions)
•Ho..oc
Date Full name of contributor 0 out-of-stale PAC(l:___________________ Amount of I In-kind contribution
. contribution (5) description lit applicable)
)i
42)7 Contritods City State Zip Code
f(yi -J
i

-
7Cc’
cit ravel outsioe of Texas compiere ScheduieT
rnflcipal occupation I 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 toradditlonal reporting
requirements.

vww ethics.state.lx.us
Revised i)4,2;201()
 i,_i)il1lTliSSiOfl PG. Box 12070 Aiistin, Texas 78711-2070 (512) 463-5800 FOD 1 -80O-735-2981)

PLEDGED CONTRIBUTIONS SCHEDULE .3

.
I Total pages Schedule B:
fhe Instruction Guide explains how to complete this form.

2 lll.PR NAME 3 ACCOUNT (Ethics Commission Filers)

$ TOTALOF UNITEMIZED PLEDGES: ‘

$
5 6 Full come of pledgor D oul-ot-statePAC(lDS
Amount of
9 In-kind description

pledge ($) (if applicable)

7 Pledqor address: City; State: Zip Code

(If travel outside of Texas, complete Schedule 1)

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

j Full name of pledgor oul-of-statePAC(ID#:__________________ Amountof In-kind description

pledge ($) (if applicable)

Pledgor address; City; State: Zip Code I

,.—. (If travel outside of Texas, complete Schedule Ti

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

D’te Full name of pledgor out-of-state PACIID# Amount of I In-kind description

pledge ($) (if applicable)

Pledgor address: City; State; Zip Code I

(If travel outside of Texas, complete Schedule )

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

Oaie Full name of pledgor J out-of-statePAC(lO# j Amount of I In-kind description

pledge ($) (if applicable)

Pledgor address; City; State: Zip Code

(If travel outside of Texas, complete Schedule Ti

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

)3te Full name of pledgor Q out-ot-statePAC)lE#: j Amount of In-kind description

pledge ($) (if applicrible)

Pledgor address; City; State: Zip Code

, Ilf travel outside of Texas, complete Schedule O

Ri nl 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.

ww elhics.slate,lx.us Revised 04/21/2010

 t_!Ili,;:; I )tt1tnis;ton ‘ (.) lOX :oio itiIln. rn.;is 37 11 -20/I) i 2) .103—5800

POLiTICAL CONTRIBUTIONS

OTHER THAN SCHEDULi -\

PLEDGES OR LOANS

- .
I iI ii i.iqas Sc(i.?lHie ..
rho Instruction Guide oxplains how to complete this form.

2 II l.R NAME 3 AI1iXiUN r a -iIc o,nii;icn

q
-
--

;
5 Full nann ‘it contributor LI
7 7 Amount 01
,;ontr,t.,ution I
3 In-kitil i),,t,tlaitIifl
lescripiton it dipiiciIn
Mcte
6 Contnhutor address; City: State; Zip Code
/Ccc
07 0 j ,it travel outside of texas. camplete :3che,iuler:
9 Pnncipat occupation I Job title (See Instructions)
10 Employer (See Instructions)

2 ne Full rianie of contributor mi-ui-state PAC,iCif Amount of I n-kind contribution

contribution $) lescription tif applicabtei
-

Lf 2’-{ ‘\ Contributor address; City; State; Zip Code

/
ir)Lcc 7C2
‘
(If travel outsiae of Texas. complete Sdieiiule r)
Principal occupation I Job title (See Instructions) Employer (See Instructions)

oils Full name of contributor fl riut-ot-statePACilDS Amount of In-kind contribution

— /— contribution is) description if appticable
- Qyv-

i/c/ j Contnhulor address;

ococ
City; State: ZipCode

sto
b
7 a rc
)
..-.—
1 CC Ci (If travel outside of Texas. complete Scheduoe;
Prncipal occupation I Job title (See Instructions) Employer (See Instructions)

Date Full name of contributor [J oul-ot-staiePACllDlt__________________ Amount of tn-kind contribution

contribution (5)
Lt5c V’+ description (if applicable)
-

/
/ ( Contributor address; City; State; Zip Code
1
S ( 1
ç. (
i-’rncipal occupation! Job title (See Instructions)
[ (If lrav outside of Texas. complete Scfleduie T)
Employer (See Instructions>

Date Full name of contributor oul-of-statePAC(l_________________ Amountof In-kind contribution

I
contribution (5) description (if applicable)

Contributor address; City; State; Zip Code

If travel outside of Texas compiete ctiecicar.

‘rinctptil occupation! Job title (See Instructions) Employer (See Instructions)

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

If contributor is out-of-state PAC. p’ease see instruction guide foradditional reporting requirements.
 .nt t-:tlu:s (iJtiiiflIS:;iofl I 0 Ilox 21)11) .\iislin, Foxas 18711.207)) i 12) (03—5000 DO I

LOANS SCHEDULE S

Fh instruction Guido nxplains 1 ra.( •Iss:;r.

how to complete this form.

2 II FrR l,tt
3 ,CC0Ijti F i i0tiics iiiiiir,n

-----—
___
_

FOTAL OF UNITEMIZED LOANS: :

S Ii. ieofloaii 7 Name of lender out-ut-stare 9 Loan Amount 5)

6 isiender
i tinancial
1 8 Lender address: City: State; Zip Code 10 lnteiest rate
i iditution?

11 Maturity date
Y N

12 Principal occupation / Job title iblee Instructions)

13 Employer (See Instructions)

14 Description of Collateral

I r

15 GUARANTOR 16 Nameofguarantor
INFORMATION
18 Amount Guaranteed L5(

• 17 Guarantor address; City; State; Zip doe

not applicable

19 Principal Occupation (See Instructions)

20 Employer (See Instructions)

Date of loan Name of lender

[ out-of-state PACIIDe Loan AinountiS)

Is lender Lender address; City; State: Zp Code Interest rate

i financial
institution?

Maturity date
‘( N

l’rinciual occupation / Job title See Instructions) Employer ISee Instructions)

Description of Collateral

GIJARANTOR Name of quarantor

Amount Guaranteed IS)
I F) FOR MArl ON

Guarantor address; City; State: Zip Code

nt applicable

Principal Occupation /See Instructions)

Employer (See Instructions)

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

If lender is outof-stato PAC, please see instruction guide for additional reporting requirements.

:,iw elflirs state.tx,us

Revised (4/21/2011.)
 zthics Commission P0 Box 2070 Austin, fexas 78711-2070 (512) 463-5800 (FDD 1 1300-735 lO)l

POLITICAL EXPENDITURES SCHEDULE F

EXPENDITURE CATEGORIES FOR BOX 8(a)

.iinii i <penxv it/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repay ieritttdeimburseinent
Ltqal Services Solicitation/Fiindraising Expense Transportation Equipment & Related Expense
‘.riiltiiiiiiUankiiq
DntiitinJ Cpente cod/i3everaqe Expense Travel In District Contrihutions/Donatons Made By
Polling Expense Iravel Out Of District Cdndtdate/Otficehoider/POIitihal Committee
‘.‘-iit pene
s Prtntng Expense Office Overhead/Rental Expense OTHER (enter a category not listed abovej

The Instruction Guide explains how to complete this form.

Schedule F 2 FILER NAME 3 ACCOUNT # Ethics Commission F/era)

O€
1 : ill td
+e-i

4 Date 5 Payee name

6 Amount 5) 7 Payee address; City; State; Zip Code

P/cc, K 7ui

(a) Category (See categories listed at the op of hiS schedule) (b) Description (It travel outside of Texas. complete Schedule
apJRPOSE

EXPENDITURE

Candidate / Officeholder name Office sought Office held

9004rplete if direct
-enditure to benefit C/C-1

{).xte Payee name

Qtc
mount 5) Payee address; City; State; Zip Code

9c .
p
Category (See cstegories listed at the top of this schedule) Description itt travel outside of Texas. complete Scrrxdu:e ri
- PJRPOSE

EXPENTURE
Candidate / Officeholder name Office sought Office held
.orrplete Ct’t if direct
‘txeiditure to benefit CJC*—I

).xte Payee name

/)1Il ce cK
Aonm mist 5) Payee address; City: State; Zip Code

f 1 c\ xccn 7OW
R 2
Category See categories listed at the top at this schedule) Descrtption (If travel outside of Texas, complete Schedule P
PURPOSE

EXPENTURE

Candidate / Officeholder name Office sought Office held

,irOlete CfL if direct
- ci tciiture to benetit C/(4-4

I.
:
5 ite Payee name

iJ°r;sniOimilt 51 Payee address;

Ocbns
City; State; Zip Code
75oO
21c3 ,c-i
Category ‘See categories listed at the top ot this schedule) ‘ Description ittram,et outside at Texas, complete Sonshule p
uRPosE

ZDT I --

Candidate / Officeholder name Office sought Office held

. QY it dinxct
. p’ ct iture ma hen cut 5/0 H

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

.wvv Ihics 3
tote.tx.us Rovised 04,21/2011)
 .; l:;htcs omrnlsion P0 Box 12070 Austin, rexas 18711-2070 (5)2) d635800 çTDD I -800-735 2S;’n

POLITICAL EXPENDITURES SCHEDULE

)XPENDlTtJRE CATEGORIES FOR BOX 8(a)

rt I ;ftl.sWardsIMemoriaIs Expense SilariesIWagesiContrct Labor Loan Pepaymentibaimburseinent
•;iiiipi3aikrc Liipl Services SolicitationlFiindraisinq Expense Transportation Equipment & Related Expense
iitiuji,pene uowrfeveraqe Expense Travel In District Contrihutions/Donatons Made By
• .-nt ,t,enie P11mg Expense Travel Out Of District Candidate/Olficenotder/Political Committee
Printng Expense Office Overhead/Rental Expense OTHER (enter a category no? listed above 1
The Instruction Guide explains how to complete this form.

t : F 2 FILER NAME 3 ACCOUNT S Ethics Commission Fdteil

S’L
idqes Schedule
&7
4 Date 5 Payee name

/N1 3
6 “inotint 3) 7 Payee addre’s: City; State: Zip Code

f7 P
2 (rf 7o7
8PIJRP0SE (a) Category ISee categories bsted atthetop of this schedule) (b) Description Ill travel outside otTexas. complete Scrrertuie T)
OF i I
EXPENDITURE (--t

Candidate I Officeholder name Office sought Office held

9Corrrjtete (5( if direct
.--spsnditure to benefit CIGI

)ate Payee name

41) Uep1
-

i-rnint :3) Payee address; City; Ctate; ZIp Code

‘
(D(
— PURPOSE Category (See categories liSted at tIle top of this schedule) Description (If travel outside of Texas. complete Scheduie V)

EXPENDURE
Candidate / Officeholder name Office sought Office held
crnDlete Cf if direct
to benetit C/CH
‘tenditure

te I Payee name
j
‘/Jrr
A,in? i) Pye adr1rss; City; State; Zip Code

7O23
S7
6
1 i
PURPOSE Categ
n
See categories listed at the lop of this schedule) Description (If travel outsiae of Texas, complele Schedule ri
OF
f I 7
UXPENDITURE 3
Candidate! Officeholder name Office sought Office held
irolete (f if direct
• roenditure to benefit C/Cl-f

I ):ite Priyee name

;xiitriixt 31 i:ayee address; City; State; Zip Code

qçp cer6i Pc 7c7

t POSE I, teqa)y xe ..alxgor e5 listxd at the iop at lt’is schedule) Descnption It travel outside at rexds ompiete -cr&ie I
)F
c(PENOlTURE 7
Candidate! Officeholder name Office sought Office held
iie{ete ONLY it direct
.iirliiure to nei’eiit CICH
 .x;htcsCornmtsston f) I3ox 12070 A,sttn, rexas 18711-2070 (512)463-5800 TDD 14300-735 2’J4n

POLITICAL EXPENDITURES SCHEDULE

EXPENDITURE CATEGORIES FOR BOX 8(a)

v-r’i g)en’’? ;twariis,Memorials Expense SalarieslWaqesiContract Labor Loan Pepaymerfleimburseinent
•-.ii3ankg Liqal Services Solicitalion!Firndraisinq Expense iransportalton Equipment & Relaferi Eeirse
a irr, pan’e ,nwlfeveraqe Expense Travel In District Coninhirtlons/Donatons Made fly
• -rrt en;e Pnlling Expense Travel Out Of District Candidate/OlficenolderlPolitica( Cornrnitiee
s Printing Expense Ott ice Overhead/Rental Expense OTHER (enter a cateqory not listed abovel
The Instruction Guide explains how to complete this form.
i : ill F-ir)ds Schedule F 2 FILER NAME 3 ACCOUNT lEthtCS Commission Ftert

—_____

4 Dale 5 Paye name

S---
r$7
i3 ‘n6rInt
[H 5) 7 Payee addres: 9(ty; State: Zip Code

33C o1 7
cp
pijpo (a) Cate ory ISee cateqoneslisted at Ihetop of this schedule) j (b) Description )lttravet outsiileof Texas. complete Scnedue TI

ffXPENDITURE j 5—c
Candidate I Officeholder name Office sought Office held
9Coirclete çif direct
•tqenditure to benefit C/Cl-I

Date 1 Payee name —

itaint 5) Payee address; City: Ztate; Zip Code

3i t
Category ISee categories listed at lhe,lop of this schedule) Description lt travel outside of Tercas. complete Schedute rI

EXPENTURE
Candidate / Officeholder name Office sought Office held
;Crrpkdre C tf direct
• oenditure to benefit C/Cl-I

),ne Paye ame --

.‘\ixrst St Payee address; City: Slate; ip Code

i1flce1[oe,

PURPOSE
OF
Category See categories listed at the top of this sct,edulel
j Description lIt travel outsiae of Texas, complete Schedule fl

OXPENOITURE
Candidate / Officeholder name Office sought Office held
irotete ç if dt
- c’eiiditure to benefit C/OH

I :rte Payee name

rnrriirt iS) Payee address: City; State: Zip Code

(ec 7D2)
1H ‘

.i)ip5 See caleqones listed at the top or this schedule)

Category 1 Descnption lit travel outsideof rexas. complete icrieCcie

PENOlTURE

..ai.:3iele ONLY it diract Candidate / Officeholder name Office sought Office held I
;.ittiture to cier’eiit C/OH I
 is I- htrs Cottitntssion l0 2070
Lox Au;ttn, Fexos 78711 20 70 iI2) -Ili3—5F300 (1)0 ti(1 -7W)’.-.

POLITICAL EXPENDITURES
MADE FROM PERSONAL FUNDS SCHEDULE 0

EXPENDITURE CATEGORIES FOR BOX 8(a)

•. itt titmq Expense Gift/AwarijatMemorials Exoense Salariesiwages,Contrnct Labor In tn PnpayientrReninbiirsentxint
cnn iinm’jilSankinq I_(al Services Soltcitation/Fundraiving Expense
nnoiltiiiq Expense
S qmpineitt
rrin vpoi t:Itiorl eIateI S
i—ood)Deveraqe Expense Travel In District .ntrihxtios,Ijonatnen-s Dane
i- nit I Sn pennte
-
Pellinq Expense travel Out Of District (iididate/Ofli(ehnildei JPclttica I Jii-oi ion
is Printing Expense Office Overhead/Rental Expense OtHER (enter a category not It-tied ahovii
The Instruction Guide explains how to complete this form.

nfii fairIes Scheoute 0: 2 FIt_ER NAME 3 AIDCOUN r # Etnics Cornniintnrori F

4 Lie 5 Payee name

Amount :S) 7 Payee address: City: State: Zip Code

lerInOui seiflerit
J iroili
-

).riliica( contributions
fanned

a pupos (a) Cateqory See categories listed ar tie top of this sctiedutef Ib) D escription it iravei outsirte P TOxls. couplets Schedule r
OF
EXPENDITURE

Date Payee name

Amount ($1 Payee address; City; State; Zip Code

Rnimbursemerft from
J noirtical cnntflbutions
.unnrterj

u RPOSE Category (See categories listed at the top of this schedutel Description ill trsvel outside 01 TerCs coiniDiete Scoedrie Ti
OF
EXPENDITURE

Date Payee name

Amount (5) Payee address; City; State; Zip Code

Psirnbursemont from
nn,iriicai conlrihunisns
fended

PURPOSE Category (See categories listed at the top at this schedulet Descrtption (if travel outside of Texas. oornoieie Sctnedrie F
OF
EXPEND ITU RE

Date I Payee name

,‘,noiint $( Payee address: City: State: Zip Code

ioeiiflburseinfelll from
I1
; aliticat cortlributions
.rri5iided

PURPOSE Category See categories listed at the lop of this schedule( Description ill (ravel outside of TeeCs. -;onruiaie Sneoue it

EXPENDITURE
OF
I

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

•:wv ethicsstate.lx.us
Revised 421_Si
 • ,•; F-Ol1cs OtnrflISSlOfl iO. F3x 12070 Auslin, rexas 78711-2070 (5 2) 4l33580O (fDD 1300-735-2030)

PAYMENT FROM POLITICAL CONTRIBUTIONS SCHEDULE H

TO A BUSINESS OF C/OH

EXPENDITURE CATEGORIES FOR BOX 8(a)

o tixxq expense ft/Awards/Memorials Expense SalarieslWxges/Contrxct Labor Loan RepaymentlReimoursement
•;coitir/.8ankiitq Lxqal Services SolicitationtFundraising Expense Transportation Equipment& Related Expense
,rxuitLr1 Expense Pond/Beverage Exoense Travel In District Contributions/Donations Made By
,nt Pvinx Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
‘•-s °r’nting Expense Office Overhead/Rental Expense OTHER (enter a category not listed abovel
The Instruction Guide explains how to complete this form.

1 Ti/il piqes Schedule H’ 2 FILER NAME 3 ACCOUNT S (Ethics Commission Filer(

4 Date 5 Business name

S Amount 51 7 Business address: City; State; Zip Code

(a) Category (See categories listed at the top of this schedule) (b) Description (It travel outside ot Texas, compieto Scheduie
a Pu RPOSE
OF
OxPENDITuRE

Candidate) Officeholder name Office sought Office held

9 Cort-plete Q4.f if direct
vpertditure to benefit C1Ol-l

Dote Business name

Ainoijnt (5) Business address: City: State; Zip Code

tu EPOSE Category (See categories listed at the top of this schedule) Description lit travel outside of Texas, complete Schedule r
1
OF
EXPENDITURE

Candidate / Officeholder name Office sought Office held

“orrT)lete (Z*’j if direct
-xnenditure to benefit C/OH

ote Business name

Amount 5) Business address; City; State; Zip Code

PlJ RPOSE Category See categories iisted at the top of this scheduiel Description ut travet outsde of Texas, complete Scheduis 0
OF
EXPENDITURE

Candidate / Officeholder name Office sought Office held

Dc-rTDiete çJ4f if direct
-‘nerirtiture to benefit C/CDt-I
‘

iiiie Business name

“mount ($1 Business address: City; State: Zip Code

xijpi) Category See categories listed at the top ot this scheduiel Description itt travel outside of Texas, cornpiete Scheduie TI
OF
xPENlDfTtJRE

rycirect Candiacte / Olficeholder name Office sought Office held

,-‘- ‘ieiitiire tO benefit C/OH

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

•.“.sw ethics.s)ate.tx iS evised 04/21/2010

 I tliii;s Ci)itiiillSstt)fl I’ t) lids I (Ji() ‘\inittfl, xdS ?Di 11 2Q71) ‘512) ‘103’iQ(i1)

NON-POLITICAL EXPENDITURES
MADE FROM POLITICAL CONTRIBUTIONS CHEDULE I

EXPENDITURE CATEGORIES FOR SOX 13(a)

‘.ivettisitlq Espense
r eq/Bank eq
• orisulttnq Expense
L i-ri t Eaponse
,i-s
niit,sI pages Scttedule I:
‘lf/AwarrlsiMemoi;tIs Exoense aIartes(VVaqes/Contract 1_abor tOter keitayi ieiit/Rs fliDiti 3CiflCtrt
L -‘ tal Servxes Solicitation/F rid ra I sing Ps pen se
tart ports hon H p uipm en H ei a ted 7 ‘per in
Food, tdverage Expense rravel In District
‘ttrihutionsiDonations Made Pp
(“oiling H xprnse rravel ‘Jut Of Di strict ‘. jiidiil te,Officnoiter/Polintr;rrl 5 cia a,’’
Pr,nttrnq Expense ü(fice 0verhead/Inntal Expense OTHER (nnter a category nOt (‘tied toed
The Instruction Guide itxptains how to complete this form.
2 FILER NAME 3 CGOUNT k (Ethics Co,niurs,øir ‘idia,

4 Date 5 Payee name

13 Amount ($) 7 Payee address: City: State: Zip Code

8 PuRPOSE (d) Category See cetegorios irsted at ills too on this rchedutel (b) Descrtption See instructions regarding type of ntorrnxhnn relurre’t

EXPENDITURE

Date Payee name

Amount 1$) Payee address: City; State; Zip Code

PURPOSE Category (See categories listed at the top of this schedule) Description See instructions regarding type of inloinnation tcqurrd

EXPENDITURE

Date 1 Payee name

Amount iS) Payee address: City; State; Zip Code

PURPOSE Category See categories hsted at the top of this sctneduie)

Description (See instructions regarding ype Of Intorinatton Iqurreti

EXPENDITURE

Date Payee name

,
m
0 ount ($1 Payee address: City; State; Zip Code

Category tSse categories tisted at me top of mis scheduie)

PURPOSE Description See instructions regarding taos t ict’r,Ss’-1ur’

EXPENDITURE

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

‘;ww,tytfltcs.state,tX.uS
Pevtsect 1J4i2D2O ‘i
 :hics )iliirlKSIOrl iS. F3ox 12070 Austin, 1xas 1871 1 -2070 (512) 4635800 ( 10D 1 80O—725-Sl)

CREDITS (optional) SCHEDULE K

1 Thtal cages Schedule K

tie instruction Guide explains how to complete this form.

ILUR NAME 3 ACCOUNT (Ethics Commission Fiiers(

2

5 Piyor nime 8 Amount

4 I). it
Is)

f 13 Payer 3ctdress; City; Slate; Zip Code

7 Reason for credit

I )Eite Payer name Amount

(S)

Payor address; City; State; Zip Code

Reason for credit

Payer name Amount

(5)

Payor address: City; State; Zip Code

Reason for credit

Lie Payer name Amount

(5)

Payer address; City; State; Zip Code

Reason for credit

;iate Payer name Amount

)
:
Payer address; City; State; Zip Code

Reason for credit

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

ia -ihI:s.;latetx us Revised 04/21/2cm

 is l-thict (ummisslofl P (). Pox (2070 Austin, foxts 7371 1 2070 0 2) 4i-i3-5000 DD I 3DO 72’

IN-KIND CONTRIBUTION OR POLITICAL

EXPENDITURE
FOR TRAVEL OUTSIDE OF TEXAS UHEDULl

flolnstrucflonGuido uxplains how to co.rçle

te this ioi-m. Ji T’itiIp,iies S.heduDt

2:r
3 oCCOUNt :1 (lhv:s 2jrniusim rioil

4 N.’iina of Contributor! Corporation

or Labor Orqanization / Ptedgor / Payee

5 Contribution / Expenditure reported on:

IJ Schedule A Schedule B Schedule C ScheduleD l Dchedule F ; Schedule C

fl Schedule H Schedule N COH-UC COH-r fl PAC-C PAD-F
6 l),ites of travel 7 Name of pecson(sl tra’eling

8 Departure city or name of departure location

- -

9 Destination city or name of destination location

10 Means of transportation
11 Purpose of travel (including name of conference, semina
r, or other event)

(‘lame of Contributor / Corporation or Labor Organi

zation / Ptedgor / Payee

Contribution I Expenditure reported on:

Schedule A Schedule B Schedule C Schedule 0 Schedule F Schedule 3

Schedule H Schedule N COH-UC COH-T PAD-C E PACE
Dates of travel Name of person(s) traveling

Departure city or name of departure locatio

n

Destination city or name of destination location

-_______
_______
L
Means of transportation Purpose of travel (including name of confer
ence, seminar, or other event)

Name of Contributor / Corporation or Labor

Organization / Pledgor / Payee

Contribution / Expenditure reported on:

E Schedule A Schedule B Schedule C Schedule D Schedule P Schedule G

fl Schedule H Schedule N COH.UC fl COH-T PAD-C PAC-E
Dotes of travel Name of person(s) traveling

Departure city or name of departure locatio

n

Destination city or name of destination locatio

n

jlans of transportation Purpose of travel (including name of confer

ence, seminar, or other event)

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE

AS NEEDED
-,ww elhlCS state tx.uS
2evised 04/21,201(1
 Austin, Texas 78711-2070 (512)463-5800 (FDD 1-80O-735-(9)
isiztIm:s Coinrntsion P0. Box 12070

CANDIDATE I OFFICEHOLDER REPORT: FORM C/OH - FR

DESIGNATION OF FINAL REPORT

The Instruction Guide explains how to complete this form.

Report”
•. Complete only if “Report Type” on page 1 is marked “Final
2 ACCOUNT (Ethics Commission FiIrS}
1 iOi( NAME

3 SIGNATURE

ida not expect any further political contributions or political expenditures in connection
with my candidacy. I understand that designating a
that I may not accept any campaign contributions
oport as a final report terminates my campaign treasurer appointment. I also understand
•r mace any campaign expenditures without a campaign treasurer appointment on file.

Signature of Candidate / Officeholder

4 FILER WHO IS NOT AN OFFICEHOLDER

CompleteA & B below onlylf youare notanotficeholder.

A. CAMPAIGN FUNDS

Check only one:

I do not have unexpended contributions or unexpended interest or income earned

from political contributions.

contributions. I understand that I may.

I have unexpended contributions or unexpended interest or income earned from political
political contributions or unexpended interest or income earned on political contributions to personal
not convert unexpended
and that I may not retain unexpended
use. I also understand that I must file an annual report of unexpended contributions
longer than six years after filing this final
nontributions or unexpended interest or income earned on political contributions
report. Further, I understand that I must dispose of unexpended political contributions and unexpended interest or income
of Election Code, § 254.204.
-tamed on political contributions in accordance with the requirements

B. ASSETS

Check only one:

contributions.
I do not retain assets purchased with political contributions or interest or other income from political

contributions. I understand that

Jo retain assets purchased with political contributions or interest or other income from political
contributions or interest or other income from political contributions to personal
I nay not convert assets purchased with political
of assets purchased with political contributions in accordance with the requirements
Lice. I also understand that I must dispose
f Election Code, § 254.204.

Signature of Candidate

: OFFICEHOLDER
Complete this section only if you are an officeholder
;
have a campaign treasurer on file.
i urn aware that I remain subject to filing requirements applicable to an officeholderwho does not
unexpended contributions if, after filing the last required report as an
I am also aware that I will be required to file reports of
other income from political contributions , or assets purchased with political
officeholder, I retain political contributions, interest or
oonlributions or interest or other income from political contributions .
i

Signature of Officeholder

Revised 0412 1/2010

ww,utl1in3 c1ate.ix US
 Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1 -800-735-2989)

CANDIDATE I OFFICEHOLDER FORM C/OH

CAMPAIGN FINANCE REPORT COVER SHEET PG 1

1 ACCOUNT ff 2 Total pages filed:

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

3 CANDIDATE! MS/MRS/MR FIRST Ml RECEIVED

OFFICEHOLDER OFFICE USE ONLY
%
5
tkV’.(
NAME
. Date Received
NICKNAME LAST SUFFIX
MAY 6 2011
S4€.
4 CANDIDATE! ADDRESS /POBOX; APT/SUITE/f; CITY: STATE, ZIPCODE
OFFICEHOLDER
MAILING
ADDRESS IIL Av€ jLc1S , T 7c25-z
Change of Address

5 CANDIDATE! AREA CODE PHONE NUMBER EXTENSION Receipt It Amount

I
OFFICEHOLDER
PHONE ( q) t47
Dale Processed

6 CAMPAIGN MS/MRS/MR FIRST MI

TREASURER Date Imaged
NAME
NICKNAME LAST SUFFIX

7 CAM PA I G N STREET ADDRESS (NO P0 BOX PLEASE): APT / SUITE It; CITY: STATS: ZIP CODE
TREASURER
2:05p
ADDRESS
(Residence or Business)
5’12 rJov Lo..€....
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE ( L4(7) q’ —

9 REPORTTYPE
January 15 30th day before election Runoff 13th day after campaign treasurer
.

appointment (otficehoider OrtIyI

July 15 8th day before etection Exceeded $500 (mit

E. Final report (Attach C/OH FRI

10 PERIOD Month Day Year Month Day Year

COVERED “ / 24
THROUGH
/ a,
11 ELECTION
Month
ELECTION DATE
Day Year
I ELECTION TYPE

s’ “ //
2.ô Primary Runoff General Special

12 OFFICE OFFICE HELD (if any> 113 OFFICE SOUGHT (if known)

_ILi_5 - rc 1dc( Boc-(

14 NOTICE
DIRECT CAMPAIGN EXPENDITURES ARE CAMPAIGN EXPENDITURES MADE BY OTHERS WITHOUT THE CANDIDATE’S PRIOR CONSENT OR APPROVAL.
OF DIRECT
CANDIDATES ARE REQUIRED TO DISCLOSE THIS INFORMATION ONLY IF THEY RECEIVE NOTIFICATION OF THE DIRECT CAMPAIGN EXPENDITURE.
CAMPAIGN
EXPENDITURE
Name —

BY OTHER
INDIVIDUALS

Address / PD Box: Apt. / Suite It: City: State: Zip Code

additional pages

GO TO PAGE 2

www. et hi Cs.s tate. tx .uS

Revised 04/21/2010
 Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)

CANDIDATE I OFFICEHOLDER REPORT: FORM C/OH

SUPPORT & TOTALS CovER SHEET PG 2

15 C/OH NAME 16 ACCOUNT# (Ethics Comrrnssion Filers)

17 N 0 TI C E - -

THIS BOX IS FOR NOTiCE OF POLI11CAL CONTRIBUTiONS ACCEPTED OR POLfl1CAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT ThE
FROM CANDIDATE) OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE’S OR OFFICEHOLDER’S KNOWLEDGE OR
P0 LI TI CAL CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATiON ONLY IF THEY RECEIVE NOTiCE OF SUCH EXPENDITURES.
COMMITTEE(S)
) - -
COMMITTEE NAME
COMMITTEE TYPE

GENERAL
.- COMMITTEE ADDRESS
- ‘
SPECIFIC

COMMITTEE CAMPAIGN TREASURER NAME

additional pages -

COMMITTEE CAMPAIGN TREASURER ADDRESS

18 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN

TOTALS PLEDGES. LOANS, OR GUARANTEES OF LOANS). UNLESS ITEMIZED $
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $ , 00

EXPENDITURE
TOTALS 3. TOTAL POLITICAL EXPENDITURES OF $50 OR LESS, UNLESS ITEMIZED $ (-
4. TOTALPOLITICALEXPENDITURES $ 1(55 L(

CONTRIBUTION
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OFHE LAST DAY
BALANCE
OF REPORTING PERIOD $ I
OUTSTANDING
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE c
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD ‘I’ ,

19 AFFIDAVIT
I 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 under Title 15, Election Code

Signature of Candidate or Officeholder

AFFIX NOTARY STAMP / SEAL ABOVE

Sworn to and subscribed before me, by the said /‘ I D TCt_L-z__ , this the

(j’+b\ day of ‘7T1 20 and seal of offIce —

SignatUre of o er administering oath Printed name o 0 cer a IflIS erlng of officer admInistering oath

www.ethiCs.state.tx.Us Revised 04/21/2010

 Tdxas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 (TDD 1 -800-735-2989)

POLITICAL CONTRIBUTIONS
OTHER THAN PLEDGES OR LOANS SCHEDULE A

lolal pages Schedule A

The Instruction Guide explains how to complete this form.
.
I

2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers)

4 Date 5 Full name of contributor

J out-of-state pAC)l:____________________ 7 Amount of 8 n-kind contribution
contribution (5) I description (if applicablel

6 Contributor address; City; State; Zip Code

(If travel outside of Texas, complete Schedule 1) —

9 Principal occupation / Job title (See Instructions) 10 Employer (See Instructions)

Date Full name of contributor fl out-ot-siate PAC)ID#: ,.

,, j Amount of In-kind contribution
contribution ($) description (if applicable)

Contributor address; City; State; Zip Code

(If travel outside of Texas, complete Schedule T) -

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

Date Full name of contributor out-of-stalePAC)ID#: i Amountof In-kind contribution

contribution (5) description (if applicable)

Contributor address; City; State; Zip Code

(If travel oulside of Texas. complete Schedule 7)

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

Dale Full name of contributor fJ out-of-statePAC)l: I Amountof In-kind contribution

contribution ($) description (if applicable)

Contributor address; City; State; Zip Code -

(If travel outside f Texas, complete Schedule 7)

Principal occupation I Job title (See Instructions) Employer (See nstructions)

Date Full name of contributor ( out-of-stalePAc)ID#:__________________ Amount of In-kind contribution

contribution (5) description (if applicable)

Contributor address; City; State; Zip Code

(If_travel_outside_of_Texas,_complete_Scheduie_7)
Principal occupation / Job title (See Instructions) Employer (See nstructions)

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

If contributor is out-of-state PAC, please see instruction guide foradditional reporting requirements.

www.ethics.state.tx.us
Revised D4/21/2D10
 Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)

PLEDGED CONTRIBUTIONS SCHEDULE B

• I Total pages Schedule B:

The Instruction Guide explarns how to complete this form.

2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers)

4 TQTALOF UNITEMIZEQ PLEDGES;

$

5 Date 6 Full name of pledgor j out-of-state PAChD#: i 8 Amount of 9 In-kind description

pledge ($) (if applicable)

7 Pledgor address; City; State; Zip Code

(If travel outside of Texas,_complete Schedule T)

10 Principal occupation / Job title (See Instructions) 11 Employer (See Instructions)

Date Full name of pledgor j out-of-state PAC(i:__________________ Amount of In-kind description

pledge ($) (if applicable)

Pledgor address; City; State; Zip Code

(If travel outside of Texas,_complete Schedule T)

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

Date Full name of pledgor J out-of-statepAcfio#:__________________ Amountof In-kind description

pledge ($) (if applicable)

Pledgor address; City; State; Zip Code I

(If travel outside of Taxas,_complete Schedule T)

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

Date Full name of pledgor out-of-state PACI1D#: Amount of In-kind description

pledge (5) (if applicable)

Pledgor address; City; State; Zip Code

(If travel outside of Texas, complete Schedule T)

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

Date Full name of pledgor fl out-of-statePACliD#: j Amount of I In-kind description

pledge ($) (if applicable)

Pledgor address; City; State; Zip Code

(If travel outside of Texas, complete Schedule T)

Pnncipal 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.

www.elhics.state.fx.us Revised 04/21/2010

 Texas EthIcs Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1 -800-735-2989)

LOANS SCHEDULE E

The Instruction Guide explains how to complete this form. [1 Total pages Schedule E

2 FILER NAME 3 ACCOUNT S (Etnics Commission Frersi

4
TOTAL OF UN ITEMIZED LOANS: F> F> 0’ 0’ $
5 Date of loan 7 Name of lender out-of-state PAC (iD_____________________ 9 LoanArnount (SI

6 Islender 8 Lenderaddress; City: State: ZipCode 10 lnterestrate

a financial
Institution?
11 Maturity date
Y N

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

14 Description of Collateral

E1nae
15 GUARANTOR 16 Nameofguararttor 18 AtnountGuaraflteed($)
INFORMATION

17 Guarantor address; City; State; Zip Code

FZ lot applicatde I

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

Date of loan Name of lender Loan Amount (S)

out-of-state PAC (Il______________________

slender ‘ Lenderaddress; Cfty; State; Zip Code Interest rate

a financial
Institution?
Maturity date
Y N

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

Description of Collateral

Un
GUARANTOR
INFORMATION
Name of guarantor
r Amount Guaranteed (5)

Guarantor address; City; State; Zip Code

Z not applicable

Principal Occupation (See Instructions) Employer (See Instructions)

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

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

www.ethics.state.tx.Us
Revised 04/21/2010
Texas Ethics Commission P.O. Box 12070 Austin Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)

POLITICAL EXPENDITURES SCHEDULE F

EXPENDITURE CATEGORIES FOR BOX 8(a)

Advertisin Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
ccounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing 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: 2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers)

4 Date 5 Payee name

i vc4e-4.
6 Amount (5) 7 Payee address; City; State; Zip Code

.L4qj ‘3 ko phc cccJr€ — oh)tvt..e copi)

8 PURPOSE (a) Category (see categories listed at the top of this schedule) (b) Description hf travel outside of Texas, complete Schedule TI

EXPEN1TURE pek.
9 Corrplete if direct Candidate I Officeholder name Office sought Office held
expenditure to benefit C’CH

Date Payee name

Amount S) Payee address; City; State; Zip Code

PU RPOSE Category )See categones listed at the top of this schedule) Description (If travel outside of Texas. complete Schedule TI
OF
EXPENDITURE

Corrplete CtL if direct Candidate! Officeholder name Office sought Office held
expenditure to benefit C/OH

Date Payee name

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

PURPOSE Category ISee categories listed at the top of this schedule) Description (If travel Outside of Texas, complete schedule TI
OF
EXPENDITURE

Con-plete CNX if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH

Date Payee name

Amount (S) Payee address; City; State: Zip Code

PURPOSE Category ISee categories listed at lEe top of this schedule) Description (if travel outside of Texas, complete schedule T)
OF
EXPENDITURE

Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benetit C/OH

ATTACH ADDfTIONAL COPIES OF THIS SCHEDULE AS NEEDED

www.ethics.state.tx.us Revised 04/21/2010

 Texas Ethics Commisston P0. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1 -800-735-2989)

POLITICAL EXPENDITURES
MADE FROM PERSONAL FUNDS SCHEDULE G

EXPENDITURE CATEGORIES FOR BOX 8(a)

Advertising Expense
Accounting/Banking
Consulting Expense
Event Expense
Fees
Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Legal Services Solicitation/Fundraisirig Expense Transportation Equipment & Related Expense
Food/Beverage Expense Travel In District Contributions/Donations Made By
Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed abovel
The Instruction Guide explains how to complete this form.

1 Total pages Schedule G; 2 FILER NAME 3 ACCOUNT 1/ (Ethics Commission Pilmsi

Pt 1cA\€
4 Date 5 Payee name

vvvk.
6 Amount (5) 7 Payee address; City; State; Zip Code

Reimbursement from
political contributions
ntended

8 PURPOSE (a) Category (See categories listed at tie top of this sceedule) (b) 0 escription (If travei outside of Texas, compieie Scheduis Ii

EXPENtTURE Mv”c’. Ep4E.

Date Payee name

Amount CS) Payee address; City; State; Zip Code

Reimbursement from
D pohtical contributions
niended
-

u RPOSE Category (See categories listed at the top of this schedule) Description (If travel outside of Teuss, complete Scheduie Ti
OF
EXPENDITURE

Date Payee name

Amount (5) Payee address; City; State; Zip Code

Reimbursement from
LI political contributions
ntended

PU RPOSE Category (See categories listed at the top of this schedulel Description (If travel outside of Texas, complete Schedule TI
OF
EXPENDITURE

Date Payee name

Amount (5) Payee address; City; State; Zip Code

r— Reimbursement trom
jolfical contributions
ntended

Category (See categories listed at the top of this schedule( Description (If travel outside of Texas. complete Schedule
RPOSE
OF
EXPENDITURE

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

www.ethics.state,tx.us
Revised 04/21/2010
 rexas Ethics Commission P.O. Box 12070 Aust)n, Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)

PAYMENT FROM POLITICAL CONTRIBUTIONS

SCHEDULE H
TOA BUSINESS OF C/OH

EXPENDITURE CATEGORIES FOR BOX 8(a)

Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing 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 H: 2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers)

4 Date 5 Business name

6 Amount (5) 7 Business address: City: State: Zip Code

8 Pu RPOSE (a) Category ISee categories listed at the top of this schedule) (b) Description lit travel outside of Texas, complete Schedule TI
OF
EXPENDITURE

9 Complete )X if direct Candidate / Officeholder name Office sought Office held

expenditure to benefit C/OH

Date Business name

Amount (5) Business address; City: State: Zip Code

PURPOSE Category (See categories listed at the top of this schedule) Description lit travel outside of Texas. complete Schedule T)
OF
EXPENDITURE

Con-plete Cf’&Y if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH

Date Business name

Amount (5) Business address: City; State: Zip Code

pu RPOSE Category ISee categories listed at the top of this schedule) Description lit travel Outside of Texas, complete Schedule TI
OF
EXPENDITURE

Complete CtvLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH

Date Business name

Amount (5) Business address; City: State; Zip Code

i°u RPOsE Category (See categories listed at the top ot this schedule) Description Ill travel outside of Texas, complete Schedule TI
OF
EXPENDITURE

Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

www.ethics.state.tx.qs Revised D4/2112010

 Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)

NON-POLITICAL EXPENDITURES
MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE I

EXPENDITURE CATEGORIES FOR BOX 8(a)

Advertising Expense Gift/Awards/Memorials Expense Salaries/wages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Eapetise
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Politicsl Committee
Fees Printing 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 I: 2 FILER NAME 3 ACCOUNT S (Ethics Commission Fileisi

4 Date 5 Payee name

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

a PURPOSE (a> Category (See calegories hstedat the ropof this scheduie) (b) Description )seeinutructions regarding type otinformeson reqrued
OF
EXPENDITURE

Date Payee name

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

Category (See categories listed at trio top of this schedule) Description (See instructions regarding type of information required I
PURPOSE
OF
EXPENDITURE

Date Payee name

Amount ($) Payee address: City; State: Zip Code

PURPOSE
Category lSee categories tisled at he top of this schedule) I Description (see nstruclions regarding type 61 iniormavon (equine
OF
EXPENDITURE

Date Payee name

Amount (5) Payee address; City; State; Zip Code

Category (see categories listed at the top of this schedule) Description (See instructions regarding type of iciormavori
PURPOSE reauired

EXPENDITURE

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

www. ethics. state. tx us

Revised 04/21/2010
.
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)

CREDITS (optional) SCHEDULE K

I Total pages Schedule K:

The Instruction Guide explains how to complete this form.
. .

2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers)

4 Date 5 Payor name 8 Amount

(5)

6 Payor address; City; State; Zip Code

7 Reason for credit

Date
1 Payor name Amount
(5)
Payor address; City; State; Zip Code

Reason for credit

Date Payor name Amount

(5)
Payor address; City; State; Zip Code’

Reason for credit

Date Payor name Amount

($)
Payor address; City; State; Zip Code

Reason for credit

Date Payor name Amount

(5)
Payor address; City; State; Zip Code

Reason for credit

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

www.ethics,state.tx.us Revised 04/21/2010

 Texas Ethics Commission P.O. Box 12070 Austin Texas 78711-2070 (512)463-5800 (TDD 1 -800-735-2989)

IN-KIND CONTRIBUTION OR POLITICAL EXPENDITURE

FOR TRAVEL OUTSIDE OF TEXAS SCHEDULET

The Instruction Guide explains how to conIete this f(Wfl I Total pages Schedule T

2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers)

4 Name of Contributor! Corporation or Labor Organization / Pledgor / Payee

5 Contribution / Expenditure reported on:

Schedule A Schedule B Schedule C Schedule 0 Schedule F i Schedule G

Schedule H Schedule N COH-UC COH-T PAC-C PAC-E
6 Dates of travel 7 Name of person(s) traveling

8 Departure city or name of departure location

9 Destination city or name of destination location

10 Means of transportation 11 Purpose of travel (including name of conference, seminar, or other event)

Name of Contributor / Corporation or Labor Organization I Pledgor / Payee

Contribution / Expenditure reported on:

Schedule A Schedule B Schedule C Schedule 0 Schedule P Schedule C

Schedule H Schedule N COH-UC COH-T pACE
PAC-C

Dates of travel Name of person(s) traveling

Departure city or name of departure location

Destination city or name of destination location

Means of transportation Purpose of travel (including name of conference, seminar, or other event)

Name of Contributor! Corporation or Labor Organization / Pledgor! Payee

Contribution! Expenditure reported on:

E Schedule A Schedule B
D Schedule C Schedule D Schedule F Schedule C
Schedule H Schedule N E COH-UC COH-T PAC-C LI PAC-E

Dates of travel Name of person(s) traveling

Departure city or name of departure location

Destination city or name of destination location

Means of transportation Purpose of travel (including name of conference, seminar, or other event)

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

www,ethics.state.tx.us
Revised 04/21/2010
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)

CANDIDATE I OFFICEHOLDER REPORT:

FORM C/OH - FR
DESIGNATION OF FINAL REPORT

The Instruction Guide explains how to complete this form.

Complete only if ‘Report Type” on page 1 is marked “Final Report”

C/OH NAME 2 ACCOUNT# (Ethics Commission Filers)

3 SIGNATUR.E

I do not expect any further political contributions or political expenditures in connection with my candidacy. I understand that designating a
report as a final report terminates my campaign treasurer appointment. I also understand that I may not accept any campaign contributions
or make any campaign expenditures without a campaign treasurer appointment on file.

Signature of Candidate! Officeholder

4 FILER WHO IS NOT AN OFFICEHOLDER

Complete A & B below only if you are not an officeholder.

A. CAMPAIGN FUNDS

Check only one:

I do not have unexpended contributions or unexpended interest or income earned from political contributions.

[Z1 I have unexpended contributions or unexpended interest or income earned from political contributions. I understand that I may
not convert unexpended political contributions or unexpended interest or income earned on political contributions to personal
use. I also understand that I must file an annual report of unexpended contributions and that I may not retain unexpended
contributions or unexpended interest or income earned on political contributions longer than six years after filing this final
report. Further, I understand that I must dispose of unexpended political contributions and unexpended interest or income
earned on political contributions in accordance with the requirements of Election Code, § 254.204.

B. ASSETS

Check only one:

I do not retain assets purchased with political contributions or interest or other income from political contributions.

I do retain assets purchased with political contributions or interest or other income from political contributions. I understand that
I may not convert assets purchased with political contributions or interest or other income from political contributions to personal
use. I also understand that I must dispose of assets purchased with political contributions in accordance with the requirements
of Election Code, § 254.204.

Signature of Candidate

5 OFFICEHOLDER
Complete this section only if you are an officeholder

El lam aware that) remain subject to filing requirements applicable to an officeholderwho does not have a campaign treasurer on file.
I am also aware that I will be required to file reports of unexpended contributions if, after filing the last required report as an
officeholder, I retain political contributions, interest or other income from political contributions, or assets purchased with political
contributions or interest or other income from political contributions.

Signature of Officeholder

www.ethics.state.tx.us Revised 04/21/2010

Texas EU*s Commission P.O. Has ¶2010 Austin. ‘roa5 78711-2070 (512453-50OO cro 173-2989)

CANDiDATE I OFFICEHOLDER FORM CIOH

CAMPAIGN FINANCE REPORT COVER SHEET PG 1

1 ACCOUNT 2 Thal pages flIed -.

The CIOH Insiruction Guide explains how to complete this form. 3

USIMRS(MR FIRST
3 CANDIDATE)
OFFICEHOLDER
NAME fr-1iq(A-L
WICIOIAME LABI 5IJRX

MAY 6 2011
A1ORE8S IPOBQX PTfS1JTE ClrY $ATE. zrpcoo
4 CANDIDATE)
OFFiCEHOLDER
Dal* Huno.da1i.tDt POlIma*44
MAILING
ADDRESS a. a. as a. ,.n

ce. o4 a8di
5
? of 4
7 9
&Qt4Z Rac4.bJ IVI WI 1 I
AREA CE R10+4€ NtBBBR OCTP4SON
5 CANDiDATE?
OFFICEHOLDER
PHONE (97)) 3’ c5-’7
4pr 151.8.4
CAMPAIGN b I UHSI MR FHGT Ml
TREASURER
NAME •/‘1I. EUPPIX
lCXNAME L.IiET
Y1O:3
KJ
APTI J1TE th CiTY TATEj ZIP COOR
y CAMPAIGN - STREET ADORESS INQ PC BOX PLEASE - -

TREASURER
ADDRESS
(rasorbuabiass) C)Lh (stt N, / PL
i
7 c T)c 75o93

AREA CODE P+NB NUER EXTENSIOH

a CAMPAIGN
TREASURER (s/,9) 73.’7-98’7
PHONE
REPORT TYPE f—i iSlh day aSer t.ampali uaatwer
9
C .lafiualy 15 3ØU dl)’ ot5 eIscIjaw, — (Eara st

Q y 15 8th day baf alsUan Q Eaeadad $515) Fm51 VeI )ASaI GOH’

Yen Mwth Day Vast

ManS 051.
10 PERIGO
COVERED
/,/
THROUIIH
/,,
11 ELECTION EI.ECT0N DATE I TI TYPE
I
U C
J
. ..

/ iq o i •--‘

12 OFFICE ocF,cE uE.o un

AJa -.113 OFFICE SOUgHT III I.ntaall
. -—

14 NOTICE 5R CAMPA !XPENSflMEE ARE CA1.WA)5E EXPSND1TW1S* MASS BY OTHERS WITHOUT THE CSI4PMa28’
* PEJOS cailsEwY 05 APPSOVAL.
OF DIRECT CANDIDATES *flE flEaUmOTo P1511.058 ThIS tN1.ORIAT1a$ ou1 1fl4E RECEIVE NOTIflCATIO1.I O THE PInECY
CAS.stAiG1.l EXPENDITURE.
CAMPAIGN
EXPENDITURE -..
-. ..
-.

Harps
flY OThER
INDIVIDUALS
Mdfs I P0 51a ApI. I 5u
44 l
1 041y S p C.4e

J addiIIDIIal 8gaa

GOTO PAGE 2

www.SIIiIcs.stele.tN.UE Reviaad Q4i21J00

 Texas Ethics CornmIasIo RO. Box 12070 AustIn, Texas 78111-2070 (512)463-5800 (TOD 1-800-735-2888)
CANDIDATE I OFFICEHOLDER REPORT: CIOHFORM
SUPPORT & TOTALS CovER SHEET PG 2
15 CIOH NAME
16 ACCoUNT U (Eth’i Commislon F1irah
-

17 NOTI CE ,,us ooze oaNolicsa’paJt. coz nasc Iuoz SY POUTICA .coMxaTl TO

FROM c*.,oom I a c!woooBp. n4Iz IL4VJL sdiuao iwn1ifl t1
POLITICAL on oceio.sa 1e.sof on
coni cia s3AJso,aaIQj.oz ie au*i oNLY Pcmco
COMMITrEE(S) cr aicseemjs,
-

OOMM)TTEC NAim
-—

COWAITTOg TVPL

COMMI1E5AIXRSS

c
SCM 41TTES SAUPAIC TPEASURSR NAME

Q nddNbn& pao

COUMIYThE CAMPAIGN TREASURER ADDRESS

18 CONTRIBUTION . p rnoAt. ooNTIrniTIoNs OF $50 OR LESS (OTHER THAN

TOTALS LOANS, OR GuARANTEES OF LOANS), UNLESS rFEMIZED $ -
—

2. TOTAL POUTICAL. CONTRIBUTIONS

(OThER THAN P1.50055. LOANS, OR GUARANTEES OF LOANS) $ /, 495f -

EXPENDITURE
-r-aj 3, TOTAL POLITICAL EXPENDITURES OF 55008 LESS. UNLESS ITEMIZED
$
4. TOTAl.. POLiTICAL EXPENDITURES
$
CONTRIBUTiON
5. TOtAL POLITICAL CON-rRsauTIoNs MALNTAINItD AS OF ThE LAST DAY

f. 6c ¶ç—:
BALANCE CF REPORTING PERIOD $
OIJrSTANDING 8.
LOAN TOTAIS TOTAL PRINCIPAL AMOUNT OF ALL. OUTSTANDING LOANS AS OF THE
lJST DAY OF ThE REPORTING PERIOD $
18 AJ9PPMiT

Robert M. Prager
NOTARY PUUC
Communwualth of Massachuseus
My commIssIon Expires May13. 2018

AFFIX NOTANY STAMP I SEAl.. ASOVE

to and subscbed befo me, by the said I @ , thIe th

day of 20) , to certify which, witness my hand and seal of aRise.

RvIed 0412112010
I

I
0
0
Texas Ethics Commission RO. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)

CANDADATE I OFFIICEHOLDER FORM CIOH

CAMPAAGN ANANCE REPORT CovER SHEET PG 1

I ACCOUNT # 2 Total pages filed:

The C/OH Instruction Guide explains how to complete this form. (EthC0mmios)
RECEIVED
3 CANDIDATE! MS/MRS/MR FIRST MI
OFFICE USE ONLY
OFFICEHOLDER
PC&-v\ Date Received
NAME

NICKNAME LAST SUFFIX MAY 2 2011

cv1
4 CANDIDATE! ADDRESS /POBOX; APT!SUITE#; CITY; STATE; ZIPCODE
OFFICEHOLDER COMMUNICATIO
MAILING ‘ Date Hand-delivered or Postmarked
ADDRESS
change of address -coç Receipt # Amount

5 CANDIDATE! AREA CODE PHONE NUMBER EXTENSION

Date Processed
OFFICEHOLDER
PHONE () L4/)4 -

CAMPAIGN Date Imaged

6 MS/MRS/MR FIRST Ml
TREASURER
NAME
NICKNAME LAST SUFFIX

7 CAM PA I G N STREET ADDRESS (NO PD BOX PLEASE); APT! SUITE #; CITY; STATE; ZIP CODE
TREASURER
ADDRESS i’3 R&v7efr\ ç \cci c
(residence or business)

8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION

TREASURER
PHONE _)
2
(q -7_:’ ç
9 REPORT TYPE
LI January 15
[Z] 30th day before election Runoff F1 15th day after campaign treasurer
appointment (officeholder only)

[] July 15 [ji’th day before election Exceeded $500 limit

LI Final report (Attach C/OH - FR)

io PERIOD Month Day Year Month Day Year

COVERED THROUGH
/i/ //
11 ELECTION ELECTION DATE ELECTION TYPE

Primary Runoff JGeneral Special

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

3 k Ace 1( /3 / 3/D
14 NOTICE
DIRECT CAMPAIGN EXPENDITURES ARE CAMPAIGN EXPENDITURES MADE BY OTHERS WITHOUT THE CANDIDATES PRIOR CONSENT OR APPROVAL
OF DIRECT
CANDIDATES ARE REQUIRED TO DISCLOSE THIS INFORMATION ONLY IF THEY RECEIVE NOTIFICATION OF THE DIRECT CAMPAIGN EXPENDITURE.
CAMPAIGN
EXPENDITURE
Name
BY OTHER
INDIVIDUALS

Address! P0 Box; Apt.! Suite if; City; Stale; Zip Code

j additional pages

GO TO PAGE 2

www.ethics.state.tx.us Revised 04/21/2010

 Texas Ethics Commission RO. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)

CANDDATE I OFFUCEHOLDER REPORT: FORi4C/OH

SUPPORT & TOTALS COVER SHEET PG 2

15 C/OH NAME 16 ACCOUNT # (Ethics Commission Filers)

17 NOTICE THIS BOX IS FOR NOT1CE OF POUT1CAL CONTThBUflONS ACCEPTED OR POUTICAL EXPENDITURES MADE BY POUTICAL COMMITTEES TO SUPPORT THE
FROM CANDIDATE! OFFICEHOLDER. THESE EXPENDITURES MAY HA yE BEEN MADE MTHOUT THE CANDIDATES OR OFFICEHOLDERS KNONLEDGE OR
P0 L ITI CAL CONSENt CANDIDATES AND OFFICEHO1..DERS ARE REQUIRED TO REPORT THIS INFORMATiON ONLY IF ThEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE(S)
COMMITTEE NAME
COMMITTEE TYPE

LI GENERAL
COMMITTEE ADDRESS
SPECIFIC

COMMITTEE CAMPAIGN TREASURER NAME

additional pages

COMMITTEE CAMPAIGN TREASURER ADDRESS

18 CONTRIBUTION 1 TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN

TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ — C)

2. TOTAL POLITICAL CONTRIBUTIONS

(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
— 0
EXPENDITURE
TOTALS 3. TOTAL POLITICAL EXPENDITURES OF $50 OR LESS, UNLESS ITEMIZED $ — —

4. TOTAL POLITICAL EXPENDITURES $ — Q

.

. CONTRiBUTION
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF REPORTING PERIOD $ . C’
—

OUTSTANDING TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE

6.
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD —

19 AFFIDAVIT
I swear, or affirm, under penalty of perjury, that the accompanying report
is true and Correct and includes all information required to be reported by
GLORIAN me under Title 1 , lection Code.

‘ ONE
/?-
/2/1
Signature of CandIdate or 015 holder

AFFIX NOTARY STAMP I SEAL ABOVE

Sworn to and subscribed before me, by the said

tA
1LLQ_ (2 ‘(kffiS.u , this the
day of 20 , to certify which, witness my hans and seal of office.

Go1c
S9 nature of officer ad istering oath Printed name of officeradministenng oath Title of officerIministering oath

www.ethiCs.State.tx.us Revised 04/21/2010