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HomeMy WebLinkAboutBhojani semi July 2017 I 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 / MRS / MR FIRST MI OFFICEHOLDER Mr. Selman OFFICE USE ONLY NAME Date Received NICKNAME LAST SUFFIX Bhojani A 1 © Lfl \flTh 4 CANDIDATE / ADDRESS / PO BOX; APT / SUITE #; CITY; STATE ; ZIP CODE _ JD JUL OFFICEHOLDER 1 j 2017 ADDR MAILINss 1010 Lost Valley Dr, Euless , TX 76039 /:, �pyk CITY OF EULESS ❑ Change of Address 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION OFFICEHOLDER 786-6888 Date Hand-delivered or Date Postmarked PHONE ( 972 ) 6 CAMPAIGN MS / MRS / MR FIRST MI Receipt # Amount $ TREASURER Ms . Tiffany A . NAME Date Processed NICKNAME LAST SUFFIX Smith Date Imaged 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE ; ZIP CODE TREASURER 2500 N . Hwy 121 , # 1924 , Euless , TX 76039 ADDRESS ( Residence or Business ) 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER ( 806 ) 441 -3895 PHONE 9 REPORT TYPE ❑ January 15 ❑ 30th day before election ❑ Runoff ❑ 15th day alter campaign treasurer appointment (Officeholder Only) X July 15 ❑ 8th day before election ❑ Exceeded $500 limit ❑ Final Report (Attach C/OH - FR) 10 PERIOD Month Day Year Month Day Year COVERED 04 / 29 / 2017 THROUGH 06 / 30 / 2017 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year X Primary ❑ Runoff ❑ Other Description 05 / 07 / 2017 ❑ General ❑ Special 12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (il known) City Council GO TO PAGE 2 Forms provided by Texas Ethics Commission www. ethics . state. tx. us Revised 9/8/2015 CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 14 C/OH NAME 15 Filer ID ( Ethics Commission Filers) Salman Bhojani 16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL 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 GENERAL COMMITTEE ADDRESS SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME Additional Pages COMMITTEE CAMPAIGN TREASURER ADDRESS 17 CONTRIBUTION 1 . TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN TOTALS PLEDGES , LOANS , OR GUARANTEES OF LOANS) , UNLESS ITEMIZED $ 2 . TOTAL POLITICAL CONTRIBUTIONS $ 5 , 400 00 (OTHER THAN PLEDGES , LOANS , OR GUARANTEES OF LOANS) EXPENDITURE 3 . TOTAL POLITICAL EXPENDITURES OF $ 100 OR LESS , TOTALS $ UNLESS ITEMIZED 4 . TOTAL POLITICAL EXPENDITURES $ 9, 817 . 96 CONTRIBUTION 5 . TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ BALANCOF REPORTING PERIOD OUTSTANDING 6 . TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ 850. O " 18 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 �.l"""'lll.,� KIM SUTTER under Title 15 , Election Code. a.1raY "Ve a a°: 11 Notary Public, State of Texas ` opt 14. Comm . Expires 08 -25 . 2017 �'9- OF ` 0 Notary ID 10956806 Signature of Candidate or Officeholder AFFIX NOTARY STAMP / SEALABOVE 3GLISworn to and subscribed before me, by the said Maas". 8h, c o j ti , this the / 7 day of � . - , 20 17 , to certify whi h , witness my hand and seal of office. 41 I riahW44 I°:I 1 FA ow-i !it:. A i wi Lif... Sign ure of officer administering oath Printed name of officer administering oath Title of officer administering oath Forms provided by Texas Ethics Commission www. ethics . state .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) Salman Bhojani 21 SCHEDULE SUBTOTALS SUBTOTAL NAME OF SCHEDULE AMOUNT 1 . X SCHEDULEA1 : MONETARY POLITICAL CONTRIBUTIONS $ $5 , 400 . 00 2 . SCHEDULEA2 : NON-MONETARY ( IN-KIND) POLITICAL CONTRIBUTIONS $ 3 . SCHEDULE B : PLEDGED CONTRIBUTIONS $ 4 . k SCHEDULE E : LOANS $ gSQ , 00 5 . x SCHEDULE El : POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ $ 9 , 817 . 96 6 . SCHEDULE F2 : UNPAID INCURRED OBLIGATIONS $ 7 . SCHEDULE F3 : PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ 8 . SCHEDULE F4 : EXPENDITURES MADE BY CREDIT CARD $ 9. SCHEDULE G : POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 10. SCHEDULE H : PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ 11 . SCHEDULE I : NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 12. SCHEDULE K: INTEREST, CREDITS , GAINS , REFUNDS , AND CONTRIBUTIONS $ RETURNED TO FILER Forms provided by Texas Ethics Commission www. ethics . state .tx. us Revised 9/8/2015 ti MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al : 2 FILER NAME (�A � VA A 1 ,^ � � � � i 3 Filer ID ( Ethics Corn fission Filers) )\-\\ 4 Date 5 Full name of contributor ❑ out-of-state PAC (ID#: ) 7 Amount of contribution ($) 61 l t 1 R611/41 UWVI5 4P44 toOvve1 PA,0 0 SOO 1 c e 6 Contributor address ; City ; State ; Zip Code i?- 5o5 N KANo RD sir 'b oo, RtcHA►?DsoN f -r sosa 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (ID# : ) Amount of contribution ($) cMA. 5.--s 1 ( `1 l 1 Contributor address ; City; State ; Zip Code 4 jet, , 00 tool Hi61+ l w r etkt EU l gU TX 160 31 Principal occupation / Job title (See Instructions) Employer (See Instructions) Qm arco ,Lf Date Full name of contributor ❑ out-of-state PAC (IDn : ) Amount of contribution ($) \M \ tiVtiA01 ' OMAJ Z� tDa 11 Contributor address ; City; State ; Zip Code 4 3gtc, Cflflsio Ott Pm * 1Y 7So-74 Principal occupation / Job title (See Instructions) Employer (See Instructions) scNrot REd(, eSTAa 209 7 — gLw Date Full name of contributor ❑ out-of-state PAC (ID#: ) Amount of contribution ($) 5 \ \ \i AM \ Y-(Ax ? tiko 1 I dd , Contributor address ; City ; State ; Zip Code ICS55 PK.rMMbp/ -Via Ott , D4I� AJ TX 7saHg • I. Principal occupation / Job title (See Instructions) Employer (See Instructions) Pgussonit ( cep taS PlaivCC Ptopert-S . . 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. ethics .state . tx. us Revised 9/8/2015 I MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form . 1 Tota ages Schedule A 2 FILER NAME 3 Filer ID ( Ethics Commission Filers) SALAPVtMJ A avt , 4 Date 5 Full name of contributor ❑ out-of-state PAC (10#: ) 7 Amount of contribution ($) 6 Contributor ad ress ; City; State ; Zip Code D ? I oS LOST VALLEY DR Etna. ro( 7 (903i 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Rev DELTA Are lgit/ S Date Full name of contributor ❑ out-of-state PAC (ID#: ) Amount of contribution ($) W A I& . tilliotrz-C/10A vd- 06 • 1 1 \ kl Contributor address ; City ; State ; Zip Code II 06 ,6 a7© 8 cov EN LN CAK2ou, � TX 7SOo7 v �� Principal occupation / Job title (See Instructions) Employer (See Instructions) eum eri owN+ -- s eL c - tmPtbyE Date Full name of contributor ❑ out-of-state PAC (ID#: 1 Amount of contribution ($) c 17 .• . A .. . \--.k 904 WI 3 I Contributor address ; City; ' State ; Zip Code4 . I i I 107 PSnN Pe . eutai TX 39 It Principal occupation / Job title (See Instructions) Employer (See Instructions) edit ivaJl owivers S9CF - rmrcoyw Date Full name of contributor ❑ out-of-state PAC (ID#: ) Amount of contribution ($) \,M \\1 f e/4oA i VeA,seA 4 wa • dc�Contributor address ; City ; State ; Zip Code t at1.45 " 6A pie, ricovG TX 73063 Principal occupation� / Job title (See Instructions) Employer (See Instructions) Re rae 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. ethics .state .tx . us Revised 9/8/2015 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form . 1 3Totalpages Schedule Al : o-f 5 2 FILER NAME 3 Filer ID (Ethics Commission Filers) Salman Bhojani 4 Date 5 Full name of contributor ❑ out-of- state PAC (ID#: ) 7 Amount of contribution ($) 4/29/ 17 Farida Kemani $ 100 . 00 6 Contributor address ; City; State ; Zip Code 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Owner All Color Badge & Awards Date Full name of contributor ■ out-of - state PAC (ID#: ) Amount of contribution ($) Jameel Habib 5/ 1 / 17 $250 . 00 Contributor address ; City ; State ; Zip Code 13220 Vista Glen Ln , Euless , TX 76040 Principal occupation / Job title (See Instructions) Employer (See Instructions) Insurance Sales Agent New York Life Date Full name of contributor ❑ out-of-state PAC (ID#: ) Amount of contribution ($) 5/2/17 Aly Manji $25 . 00 Contributor address ; City ; State ; Zip Code Principal occupation / Job title (See Instructions) Employer (See Instructions) CTO La Familia lnsuarnce Date Full name of contributor ■ out-of-state PAC (ID#: ) Amount of contribution ($) Muhammad Cheema 5/3/ 17 $200 . 00 Contributor address ; City; State ; Zip Code 2921 Brown Trail , Suite 250 , Bedford , TX 76021 Principal occupation / Job title (See Instructions) Employer (See Instructions) Physician Arlington Nephrolog ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics . state . tx . us Revised 9/8/2015 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form . 1 Total Al 2 FILER NAME 3 Filer ID (Ethics Commission Filers) Salman Bhojani 4 Date 5 Full name of contributor • out-of-state PAC (ID#: ) 7 Amount of contribution ($) Aftab Punjwani 5/4/ 17 $50 . 00 6 Contributor address ; City ; State ; Zip Code 4418 San Mateo Ln , McKinney , TX 75070 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) CEO Intern Management Date Full name of contributor ■ out-of-state PAC (ID#: ) Amount of contribution ($) Karim Jinnah 5/4/ 17 $ 100 . 00 Contributor address ; City; State ; Zip Code 12300 Ford Rd . , Suite 319 , Dallas , TX 75234 Principal occupation / Job title (See Instructions) Employer (See Instructions) Director RealPage Inc Date Full name of contributor ❑ out-of- state PAC (ID#: ) Amount of contribution ($) Feroz Lakhani 5/4/17 $ 100 . 00 Contributor address ; City; State ; Zip Code Carrollton , TX Principal occupation / Job title (See Instructions) Employer (See Instructions) Consultant DFW Alcohol Permits Date Full name of contributor ❑ out-of-state PAC (ID#: ) Amount of contribution ($) Karim Ali 5/4/ 17 $ 100 . 00 Contributor address ; City ; State ; Zip Code Principal occupation / Job title (See Instructions) Employer (See Instructions) Accountant Karim Ali CPA , PC 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. ethics . state.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 : sods 2 FILER NAME 3 Filer ID (Ethics Commission Filers) Salman Bhojani 4 Date 5 Full name of contributor ■ out-of-state PAC (ID#: ) 7 Amount of contribution ($) 5/5/ 17 Suman Thapa $250. 00 6 Contributor address ; City ; State ; Zip Code 6916 Windy Ridge Dr, Dallas , TX 75248 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Self Employed Har26 Date Full name of contributor ■ out-of-state PAC (ID#: Amount of contribution ($) Damien Reynolds 5/5/17 $50 . 00 Contributor address ; City; State ; Zip Code 10004 Broiles Lane , Fort Worth , TX 76244 Principal occupation / Job title (See Instructions) Employer (See Instructions) Banker CSG Investments , Inc . Date Full name of contributor ■ out-of- state PAC (ID#: ) Amount of contribution ($) Al Karmali 5/6/ 17 $ 100 . 00 Contributor address ; City; State ; Zip Code 100 N . Forest Park Blvd , 205 Fort Worth , TX 76102 Principal occupation / Job title (See Instructions) Employer (See Instructions) Real Estate Investor/Developer Karmali Holdings Inc Date Full name of contributor ■ out-of-state PAC (ID#: ) Amount of contribution ($) Contributor address ; City ; State ; Zip Code 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. ethics .state.tx . us Revised 9/8/2015 LOANS SCHEDULE E The Instruction Guide explains how to complete this form . 1 Total pages Schedule E : 2 FILER NAME w � � � 3 Filer ID ( Ethics Commission Filers) ``J SHOTA-avT 4 TOTAL OF UNITEMIZED LOANS $ 5 Date of loan 7 Name of lender ❑ out-of-state PAC (IDfk: ) 9 Loan Amount ($) S /34 7 Sel-Lfy }N e Tip Air S So 6 Is lender 10 Interest rate 8 Lender address ; City ; State ; Zip Code a financial _ Institution ? / o 10 LtsS J v4ue y DR EuCe.cs TX 76037 11 Maturity date Y rnA- Y Po 18 12 Principal occupation / Job title (See Instructions) 13 Employer (See Instructions) ArrogiVey Bt of -IVI q Nets AL PLL C 14 Description of Collateral 15 Check if personal funds were deposited into political account (See Instructions) [ none ❑ 16 GUARANTOR 17 Name of guarantor 19 Amount Guaranteed ($) INFORMATION 18 Guarantor address ; City; State ; Zip Code jv(not applicable 20 Principal Occupation (See Instructions) 21 Employer (See Instructions) Date of loan Name of lender ❑ out-of-state PAC (IDtt: ) Loan Amount ($) Is lender Lender address ; City ; State ; Zip Code Interest rate a financial Institution ? Maturity date Y N Principal occupation / Job title (See Instructions) Employer (See Instructions) Description of Collateral Check if personal funds were deposited into political account ( See Instructions) ❑ none ❑ GUARANTOR Name of guarantor Amount Guaranteed ($) INFORMATION Guarantor address ; City; State ; Zip Code ❑ 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 . Forms provided by Texas Ethics Commission www. ethics . state . tx . us Revised 9/8/2015 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services SalariesMlages/Contract Labor Other (enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form . 1 Total pages Schedule Fl : 2 FILER NAME • 3 Filer ID ( Ethics Commission Filers) I of 1/1 3PoillAN 0 '3A \A ‘ 4 Dati 1 S \'l S A ' at&l • \ V W 6 Amou ee name nt 7 Payee address ; City ; 'State ; Zip Code 8 (a) Category (See Categories li ed at the top of this schedule) (b ) Description PURPOSE SOe � 6 '\,h �� t M V �/ Check if travel outside of Texas. Complete ScheduleT. OF , V ` ��f ���fff VA JJJ ❑ Check it Austin, TX, officeholder living expense EXPENDITURE CST , ` _ 0S / 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name 6 \ n 3 ‘ \M VIA u\ () olio 6 Amount ($) Payee address ; City ; State ; Zip Code 1\li Qo • O0 Category (See Categories listed at the top of this schedule) Description PURPOSE Check if travel outside of Texas. Complete Schedule T. OF O ,J k / ?- x `,� /J Check if Austin, TX, officeholder living expense EXPENDITURE 11) �l(� PV I1�i (�J` C/ Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name 4 � I c' \ ' 1 VAvACVi VC1170 Amount ($) Payee address ; City; State ; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSE ❑ Check if travel outside of Texas. Complete ScheduleT. OF �� �� I I Check If Austin , TX, officeholder living expense - 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 Forms provided by Texas Ethics Commission www. ethics .state.tx . us Revised 9/8/2015 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE Fl EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/FundraisingExpense 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 SalariesNVages/Contract Labor Other (enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form . 1 Total pages Schedule Fl : 2 FILER NAM 3 Filer ID ( Ethics Commission Filers) 0 + � ' AA tIl Date4 g I L � 5 Payee name r 6 A ount ($) 7 Payee address ; City ; Statej Zip Code \ . oO 8 (a) Category (See Categories listed at the top of this schedule) ( b ) Description PURPOSE •' ( //j Check if travel outside of Texas. Complete ScheduleT. O F Aj u l fhs' �I�( ��A/� `& Check it Austin, TX, officeholder living expense EXPENDITURE f %� (J r � � JV 9 Complete ONLY if direct , Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name \ n . ?XliTh\dAAA Ck& 8 sklx Amount ($) Payee address ; City ; State; Zip Code % 144)S I DO Category (See Categories listed at the top of this schedule) Description PURPOSE �/ /� '� �g ❑ Check if travel outside of Texas. Complete Schedule T. O F '{�I' 1oc\ �/� eve ��/(L� 'yr Check if Austin, TX, officeholder living expense EXPENDITURE 1 U U "I V'� JP� Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Vtilt \ • Amount ($) Payee address ; City ; State ; Zip Code Amost5 Category (See Categories listed at the lop of this schedule) Description PURPOSE Check if travel outside of Texas. Complete ScheduleT. O F Check If Austin, TX, officeholder living expense EXPENDITURE �` /� � ^ A � O ' Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics . state . tx. us Revised 9/8/2015 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE Fl EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other (enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form . 1 Total pages Schedule Fl : 2 FILER NAME , t - 3 Filer ID ( Ethics Commission Filers ) {Jj 04 4 to 5 Payee name 11 CAA rk al(\ WAVVelf—a 6 Amount ( ) 7 Payee address ; Cita, State ; Zip Code ' 0\ 0 8 (a) Category (See Categories listed at the top of this schedule) ( b ) Description PURPOSE ❑ Check if travel outside of Texas. Complete ScheduleT. O F - n / Check if Austin, TX, officeholder living expense EXPENDITURE C!/L 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name\AA I 0 4 4 1 vw Amount ($) Payee address ; City ; State ; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSE Check If travel outside of Texas. Complete Schedule T. O F ,�,�ta faiera9 ea Check if Austin, TX, officeholder living expense EXPENDITURE rieriss / Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address ; City ; State ; Zip Code 00 � ® Category (See Categories listed at the lop of this schedule) Del Description PURPOSE ^ I Check if travel outside of Texas. Complete Schedule T. O F �� A r I !1 'E 1 1 / ' O ❑ Check if Austin, TX, officeholder living expense • EXPENDITURE V 1/ � ? V � V 4 Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics .state . tx . us Revised 9/8/2015 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking - Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services SalariesiWages/Contract Labor Other (enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form . 1 Total pages Schedule Fi : 2 FILER NAME , 3 Filer ID (Ethics Commission Filers) 4 Date I 5 Payee name 6 Amou t ($ 7 Payee address ; City ; State ; Zip Code ‘ k1 , 11-A/ 8 (a) Category (See Categories listed at the top of this schedule) (b ) Description PURPOSE Mve Check iftraveloutside ofTexas. Complete ScheduleT.OF \i \\ c \ t v� /� SVP' 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 \11/77\ CIOQ �v� °SVI 12XVfY\ei2J Amount ($) Payee address ; City ; State ; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSE /� � /^� G � �/�I ❑ Check if travel outside of Texas. Complete Schedule T. OF `-' V Y b v to I/ r✓ tj ji Check if Austin, TX, officeholder living expense EXPENDITURE V/ %�� Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address ; City ; State ; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSE Check if travel outside of Texas. Complete Schedule T. OF ❑ Check i1 Austin, TX, officeholder living expense 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 Forms provided by Texas Ethics Commission www. ethics. state .tx . us Revised 9/8/2015