HomeMy WebLinkAboutCFR-04.06.2017-JonroweCANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT
COVER SHEET PG 1
1
Filer ID (EINcs Commisslon Filers)
2 Total pages filed:
The C/OH Instruction Guide explains how to complete this form.
25
3 CANDIDATE/
MS/MRS/MR FIRST
MI
OFFICE USE ONLY
OFFICEHOLDER
NAME
Ms. Rachael
Greulich
Date Received
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
NICKNAME LAST
SUFFIX
Jonrowe
p ''
LR EC E I� � I,Ir
Et„ h
4 CANDIDATE/
ADDRESS / PO BOX; APT /SURE #; CITY;
STATE; ZIP CODE
OFFICEHOLDER
MAILING
APR 0 6 2017
ADDRESS
Change of Address
City Secretary
5 CANDIDATE/
AREA CODE PHONE NUMBER
EXTENSION
Date Hand -delivered or Date Postmarked
OFFICEHOLDER
PHONE
6 CAMPAIGN
MS / MRS / MR FIRST
MI
Receipt #
Amount $
TREASURER
Mari
Date Processed
NAME.
. . . . . . . . . . . . . . . . . . . . . .
NICKNAME LAST
SUFFIX
Date Imaged
Ramirez
7 CAMPAIGN
STREETADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE;
ZIP CODE
TREASURER
(Residence or Business)
8 CAMPAIGN
AREA CODE PHONE NUMBER
EXTENSION
TREASURER
PHONE
9 REPORT TYPE
January 15 0 30th day before election Runoff
15th day atter campaign
treasurer appointment
(Officeholder Only)
JulyfS Sth day before election
❑ Exceeded $500 limit
Final Report(Attach C/OH-FR)
10 PERIOD
Month Day Year
Month
Day Year
COVERED
01 / 08 / 2017
03. / 27 / 2017
THROUGH
11 ELECTION
ELECTION DATE
ELECTION TYPE
❑ Primary
❑ Runoff ❑ Other
Month Day Year
Description
05 / 06 / 2017X❑
General
❑ special
12 OFFICE
OFFICE HELD It any)
13 OFFICE SOUGHT (if known)
Georgetown City Council,
Georgetown City Council,
District 6
District 6
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)
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. THESEEXPENDIrURESMAVNAVEBEENMADEIMTNOUTTHECANWMTESOROFFICEHOLDERS
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
0sPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
❑ Additional Pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION
1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
$ 3,750.00
TOTALS
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
2. TOTAL POLITICAL CONTRIBUTIONS
$
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
9,918.75
EXPENDITURE
TOTALS
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
$ 210.90
UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES
$ 1,644.15
CONTRIBUTION
BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
$ 9, 918.75
OF REPORTING PERIOD
OUTSTANDING
LOAN TOTALS
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
$ 0
LAST DAY OF THE REPORTING PERIOD
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
NOWLING 15, Electon Code.
129233532under
ission ExpiresEM
er 13, 20207Z
Signatu of C didate or Office der
OAFFIX
NE
Sworn to and subscribed
1_ �
bef11orre��me, by the 6 said C)AC Rk �Z I ( ICYI 3 Mr-OWe. this the
day of RP R� , 20�, to certify hand and seal of office.
S
which, `witness Amy
se-CPlelM
S se-
O �%Q`l i�Jbt -)T'A
Signature o i r administerin Printed name o Cer administering o Title o cer administerin oath
rt
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
Forms provided by Texas Ethics Commission v .ethics.state.tx.us Revised 9/8/2015
SUBTOTALS
- C/OH FORM C/OH
COVER SHEET PG 3
19
FILER NAME
Rachael Tonrowe
20 Filer ID (Ethics Commission Filers)
21
SCHEDULE SUBTOTALS
NAMEOFSCHEDULE
SUBTOTAL
AMOUNT
1.
SCHEDULEAI:
MONETARY POLITICAL CONTRIBUTIONS
$ 5,600.00
2.
SCHEDULEA2:
NON -MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS
$ 468.75
3.
SCHEDULE B:
PLEDGED CONTRIBUTIONS
$
4.
❑
SCHEDULE E:
LOANS
$
S.
SCHEDULE F1:
POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$ 1,433.25
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.
F-1
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 v .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 At:
9
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Rachael Tonrowe
4 Date
5 Full name of contributor ❑ out-of-state PAC (ID#: 1
7 Amount of contribution ($)
1-23-17
Robert & Darlene Douglass
$500.00
6 Contributor address; City; State; Zip Code
6 Principal occupation / Job title (See Instructions)
9 Employer (See Instructions)
Retired
Date
Full name of contributor ❑ out-af-state PAC (ID#: t
Amount of contribution ($)
2-8-17
San Wukasch Pelosi
$100.00
......................................
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
-T
Employer (See Instructions)
Public Health Admin.
Date
Full name of contributor ❑ out-of-state PAC (ID#: t
Amount of contribution ($)
2-8-17
Marilyn Erickson
$100.00
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Retired
Date
Full name of contributor ❑ out-of-state PAC (IDN : t
Amount of contribution ($)
2-8-17
Mark Tr ello
$300.00
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Business Owner
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
MONETARY POLITICAL CONTRIBUTIONS Al
SCHEDULE
The Instruction Guide explains how to complete this form.
1 Total pages Schedule A1:
9
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Rachael Jonrowe
4 Date
5 Full name of contributor ❑ out-of-state PAC (ID#: 1
7 Amount of contribution ($)
2-9-17
Denise Xeesee
$100.00
6 Contributor address; City; State; Tip Code
8 Principal occupation / Job title (See Instructions)
9 Employer (See Instructions)
Speech Pathologist
Date
Full name of contributor ❑ out-ol-state PAC flop: 1
Amount of contribution ($)
Marshall Bennett
$100.00
......................................
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
ACC/ Social Worker
Date
Full name of contributor ❑ out-of-state PAC (ID#: t
Amount of Contribution ($)
Judy Mayo & Sid Aaron
$200.00
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Retired
Date
Full name of contributor ❑ out-af-state PAC (Io#: 1
Amount of Contribution ($)
2-14-17
Susan Darlington
$300.00
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Retired
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission wwmethics.state.N.us Revised 9/8/2015
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form.
1 Total, ages Schedule At:
2 FILER NAME -
3 Filer ID (Ethics Commission Filers)
Rachael Jonrowe
4 Date
5 Full name of contributor ❑ out-ol-state PAC (10#: t
7 Amount of contribution ($)
2-17-17
Mex Fuller
$500.00
......................................
6 Contributor address; City; State; Zip Code
8 Principal occupation / Job title (See Instructions) -79
Employer (See Instructions)
Lawyer
Date
Full name of contributor ❑ out-of-slate PAC (ID#: t
Amount of contribution ($)
2-14-17
Sam & Rebecca Pfiester
$300.00
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Broker
Date
Full name of contributor ❑ out-of-state PAC (ID#: t
Amount of contribution ($)
2-17-17
Christine Mann
$100.00
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Physician
Date
Full name of contributor ❑ out-of-state PAC (IDN- f
Amount of contribution ($)
Dwight Richter
3-3-17
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$100.00
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor Is out-of-state PAC, please see instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
MONETARY POLITICAL CONTRIBUTIONS Al
SCHEDULE
The Instruction Guide explains how to complete this form.
1 Total pages Schedule At:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Rachael Jonrowe
4 Date
5 Full name of contributor ❑ out-of-state PAC (ID#: 1
7 Amount of contribution ($)
2-21-17
Milton & Anne Jordan
$150.00
6 Contributor address; City; State; Zip Code
8 Principal occupation /Job title (See Instructions)
g Employer (See Instructions)
Retired
Date
Full name of contributor out-of-stale PAC (ID#: t
Amount of contribution ($)
2-25-17
Connie Carden
$100.00
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (lo#: 7
Amount of contribution ($)
2-24-17
Daniel Spencer
$100.00
.................................... ..
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID#: 1
Amount of contribution ($)
Colleen Sigley
2-25-17
. . . . . . -
$100.00
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form.
1 Total page9s Schedule At:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Rachael Sonrowe
4 Date
5 Full name of contributor ❑ out-of-state PAC (ID#: i
7 Amount of contribution ($)
2-27-17
Shirley Coleman
$250.00
6 Contributor address; City; Slate; Zip Code
8 Principal occupation / Job title (See Instructions)
g Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (lo#: t
Amount of contribution ($)
2-27-17
Allan Eames
$250.00
......................................
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID#: t
Amount of contribution ($)
2-27-17
Susie. Flatau
$100.00
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID#: 1
Amount of contribution ($)
3-9-17
Marie Smith
$100.00
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor Is out-of-state PAC, please see instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
MONETARY POLITICAL CONTRIBUTIONS Al
SCHEDULE
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Al:
9
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Rachael Jonrowe
4 Date
5 Full name of contributor ❑ out-acetate PAC (ID#: t
7 Amount of contribution ($)
3-11-17
Arlene & Bob Zimbleman
$200.00
6 Contributor address; City; State; Zip Code
8 Principal occupation /Job title (See Instructions)
9 Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID#: 1
Amount of contribution ($)
3-11-17
Nancy Blansett
$100.00
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (lox 1
Amount of contribution ($)
3-11-17
Frances Rieser
$100.00
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑out-of-state PAC (ID#: t
Amount of contribution ($)
Mary Griffith
3-15-17
$100.00
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
MONETARY POLITICAL CONTRIBUTIONS Al
SCHEDULE
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Al:
9
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Rachael ionrowe
4 Date
5 Full name of contributor ❑ out-of-state PAC (loo: 1
7 Amount of contribution ($)
Suzanne Roquemore
2-20-17
...................................
6 Contributor address; City; State; Zip Code
$100.00
8 Principal occupation / Job title (See Instructions)
g Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (IDY: t
Amount of contribution ($)
3-15-17
Benjamin Oliver
....................................
$100.00
Contributor address; City; Slate; Zip Code
Principal occupation / Jab title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (]DO- t
Amount of contribution ($)
3-17-17
Doug Smith
$100.00
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out -of -slate PAC (]Du: 1
Amount of contribution ($)
Mark Skrabacz
2-20-17
...................................
Contributor address; City; State; Zip Code
$100.00
Principal occupation / Job title (See Instructions) -T
Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
MONETARY POLITICAL
CONTRIBUTIONS Al
SCHEDULE
The Instruction Guide explains how to complete this form.
1 Total pages Schedule A1:
9
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Rachael Jonrowe
4 Date
5 Full name of contributor
❑ outof-state PAC (10#: t
7 Amount of contribution ($)
Lalena Parkhurst
2-20-17
. . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . .
$150-00
6 Contributor address;
City; State; Zip Code
6 Principal occupation / Job title (See Instructions)
g Employer (See Instructions)
GISD IT
Date
Full name of contributor
❑ out-of-state PAC (IDs: 1
Amount of contribution ($)
Randall Craig
2-20-17
. . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . .
$100.00
Contributor address;
City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor
❑ out-af-state PAC (los: 1
Amount of contribution ($)
Vicki May
2-22-17
- . . . . -
$100.00
Contributor address;
City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor
❑ out-of-state PAC (IDs: 1
Amount of contribution ($)
Matthew Stillwell
2-21-17
...................................
Contributor address;
City; State; Zip Code
$200.00
Principal occupation /Job title (See Instructions)
Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Ai
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Al:
9
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Rachael Jonrowe
4 Date
5 Full name of contributor ❑ ouf-of-state PAC (IDN: t
7 Amount of ConVibution ($)
2-20-17
Sherwin Kahn
$100.00
6 Contributor address; City; State; Zip Code
6 Principal occupation /Job title (See Instructions)
g Employer (See Instructions)
Date
Full name of contributor ❑ out-ol-state PAC (IDN; I
Amount of contribution ($)
2-21-17
Maria Martin
$100.00
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (IDN: t
Amount of Contribution ($)
Joseph Burke
3-13-17.
. . . . . . . . . . .
Contributoratltlress; City; Slate; Zip Code
$100.00
Principal occupation / Job ffile (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (IDC: 1
Amount of contribution ($)
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
NON -MONETARY (IN-KIND) POLITICAL
CONTRIBUTIONS
SCHEDULE A2
The Instruction Guide explains how to complete this form.
1 Total pages Schedule A2:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Rachael Jonrowe
4 TOTAL OF UNITEMIZED IN-KIND POLITICAL CONTRIBUTIONS
$ 466.75
5 Date
6 Full name of contributor ❑ out-of-state PAG (lop:
t
8 Amount of 9 In-kind contribution
Contribution $ description
2-8-17
Double Wide Decor LLC
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
$400.00 Printing Services
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 ❑ out-ol-state PAC (lop:
)
Amount of In-kind contribution
Contribution $ description
Double Wide Decor
2-14-17
. . . . . . . . . . . . . . .
$68.75 _ Printing Services
Contributor address; City; State; Zip Code
-
❑Check if travel outside of Texas. Complete Schedule T.
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 (d any) (FOR JUDICIAL)
If contributor is a child, law firm of parent(s) (if any) (FOR JUDICIAL)
ATTACH ADDITIONAL COPIES OFTHIS 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
PLEDGED CONTRIBUTIONS SCHEDULE B
The Instruction Guide explains how to complete this form.
7 Total pages Schedule 8:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
4 TOTAL OF UNITEMIZED PLEDGES
$
5 Date
6 Full name of pledgor ❑ out-of-state PAC (ID#: 1
S Amount . 9 In-kind contribution
of Pledge $ description
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7 Pledgor address; City; State; Zip Code
❑ Check If travel outside of Texas. Complete Schedule T.
10 Principal occupation / Job title (See Instructions)
yy Emplcyer (See Instructions)
Date
Full name of pledgor
p g ❑ out-of-state PAC (ID#• 1
Amount In-kind contribution
of Pledge $ description
........................
Pledgor address; City; Slate; Zip Code
.
❑ Check if travel outside of Texas. Complete Schedule T.
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of led or
p g ❑out-oFstate PAC (ID#: 1
Amount of -In-kind contribution
Pledge $ description
'
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Pledgor address; City; State; Zip Code
[:]Check If travel outside of Texas. Complete Schedule T.
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of pledgor ❑ out-of-state PAC (ID#: t
Amount of In-kind contribution
Pledge $ description
Pledgor address; City; State; Zip Code
❑Check if travel outside of Taxes. Complete Schedule T.
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
ATTACH ADDITIONAL COPIES OFTHIS SCHEDULEAS 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
3 Filer ID (Ethics Commission Filers)
4 TOTAL OF UNITEMIZED LOANS
$
5 Date of loan
7 Nameoflender ❑out-of-state PAC(to#, )
........ ........ ....... .. .. ...........
8 Lender address; City; State; Zip Code
9 Loan Amount ($)
6 Is lender
10 Interest rate
a financial
Institution?
11 Maturity date
Y N
12 Principal occupation / Job titre (See Instructions)
13 Employer (See Instructions)
14 Description of Collateral
15 Check if personal funds were deposited into political
account (See Instructions)
❑ none
❑
16 GUARANTOR
17 Nameofguarantor
19 Amount Guaranteed($)
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 ❑ out-of-state PAC (to#: )
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Lender address; City; State; Zip Code
Loan Amount ($)
Is lender
Interest rate
a financial
Institution?
Maturity date
Y N
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Description of Collateral
Check if personal funds were deposited Into political
account (See Instructions)
❑ none
❑
GUARANTOR
Name of guarantor
Amount Guaranteed ($)
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.ethirs.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/Reimbunserrent Solicitation/Fundraising Expense
AcoountingBanking Foes Office Overhead/Rental Expense Transportation Equipment a Related Expense
Consulting Expense FmdBeverage Expense Polling Expense Travel In District
CoMdbutions/Donations Made By GiR/Avrards/MemonaLs Expense Printing Expense Travel Out Of District
Candidato/Ofllceholder/Polillcal Committee Legal Services SaladastVages/Contract Labor Other (enter a category not listed above)
CredlCard Payment
The Instruction Guide explains how to complete this form.
I Total pages Schedule F1:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Rachael Sonrowe
4 Date
5 Payee name
3-22-2017
Ink Images
6 Amount ($)
7 Payee address; City; State; Zip Code
2544 Shell Road, Georgetown, TX 78628
633.25
6
(a) Category (See Categories fisted at the top of this schedule)
(b) Description
Printing
❑ Check g travel outside of Texas. Complete ScheduleT.
PURPOSE
OF
❑ Check If Austin, TX, officeholder living expense
EXPENDITURE
9 Complete ONLY it direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Double Wide Decor
2-8-2017
Amount ($)
Payee address; City; State; Zip Code
300.00
105 W 9th Street. Georgetown, TX 78626
Category (See Categories listed at the lap of this schedule)
Description
❑ Check ifirwal outside olTexas. Complete Scheduler.
PURPOSE
Printing
OF
❑ Check if Austin, TX, officeholder living expense
EXPENDITURE
Complete ONLY it direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Double Wide Decor
3-24-2017
Amount ($)
Payee address; City; State; Zip Code
105 W 9th Street Georgetown, TX 78626
500.00
Category (See Categories listed at the top of this schedule)
Description
❑ ChmkilkaveIwWdaofTww.Comp@ta5c uleT.
PURPOSE
OF
❑ Check if Austin, TX, living expense
EXPENDITURE
Printing
officeholder
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OFTHIS SCHEDULEAS NEEDED
Farms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
UNPAID INCURRED OBLIGATIONS SCHEDULE F2
EXPENDITURE CATEGORIES FOR BOX 10(a)
Advertising Expense Event Expense Loan RepaymenVReimbursement Solidtation/Fundmising Expense
AceountingrBanking Fees Office Overhead/Rental Expense Transportation Equipment& Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contrgrutions/Donadons Made By Gifr/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salades/WagesrContract Labor Other (enter a category net 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 UNITEMIZED UNPAID INCURRED OBLIGATIONS
$
5 Date
6 Payee name
7 Amount ($)
8 Payee address; City; State; Zip Code
9 TYPE OF
EXPENDITURE
F-1 Political F-1 Non-Polftical
10
(a) Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
El Check if travel oulside of Texas. CompletaficheduleT.
OF
❑Check if Austin, Tx, officeholder living expense
EXPENDITURE
11 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
TYPE OF
EXPENDITURE
F-1 Political F-1 Non -Political
Category (See Categories listed al the top of this schedule)
Description
❑ Check it travel outside of Texas. Complete ScheduleT.
PURPOSE
OF
❑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
PURCHASE OF INVESTMENTS MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F3
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F3:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
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 ($)
Date
Name of person from whom investment is purchased
..........................................................
Address of person from whom investment is purchased; City; State; Zip Code
Description of Investment
Amount of investment ($)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.slate.tx.us Revised 9/8/2015
EXPENDITURES FADE BY CREDIT CARD
SCHEDULE F4
EXPENDITURE CATEGORIES FOR BOX 10(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solickation/Fundraising Expense
Accounting/Banking Fees Office OverheadiRental Expense Trwemortation Equipment B Related Expense
Consulting Expense Food/eeverage Expense Polling Expense Travel In District
ConlributioneMonations Made By Giff/AwartsMlamorals Expense Printing Expense Travel Out Of District
Canddate/OfficeholdedPolBical Committee legal Services SalaneaWages/Contract Labor Other (enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F4:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
4 TOTALOF UNITEMIZED EXPENDITURES CHARGED TOACREDIT CARD
$
5 Date
6 Payee name
7 Amount ($)
8 Payee address; City; State; Zip Code
9 TYPE OF
EXPENDITURE
F-1 Political F-1 Non -Political
10
(a) Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
❑ Cheek if travel outside of Texas. CompletsScheduleT.
OF
❑ Cheek if Austin. TX. officeholder living expense
EXPENDITURE
11 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
TYPE OF
EXPENDITURE
❑ Political ❑ Nan-Political
Category (See Categories listed at the top of this schedule)
Description
❑ Check if travel outside of Texas. Complete Scheduler.
PURPOSE
OF
❑Check if Austin, TX, officeholder living expense
EXPENDITURE
Complete ONLY it 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 PERSONAL FUNDS SCHEDULE G
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan RepaymenVReirebursemenl Solicilation/Fundraising Expense
Accounting/Banking Foes Office, Overhead/Rental Expense Transportation Equipment& Related Expense
Consulting Expense FoodGavecage Expense Polling Expense Travel In District
Contributions0crations Made By Gi1VAwardsMlemorials Expanse Printing Expense Travel Out Of District
Candidate/ONimholder/Poutical Committee Legal Services Salaries/Wages/Contract labor Other (enter a category notlisted above)
CreoR Card Payment
The Instruction Guide explains how to complete this farm.
1 Total pages Schedule G:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
4 Date
5 Payee name
6 Amount ($)
7 Payee address; City; State; Zip Code
❑Raimbursementfrom
political conh ibufions
inlerded
R
(a) Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
El
OF
ChKkgH velmtsitleotTexa Complete SebeduleT.
EXPENDITURE
❑ Check if Austin. TX, officeholder living expense
9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
❑Reimbursamentfmm
politicalconhibutions
intended
Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
Checkif travel oulaitle of Tezas. Compete SchetluleT.
OF
EXPENDITURE
❑ Check If Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
❑Reiniwrsementfrom
politicalcontriWilons
intended
Category (See Categories listed at the lop of this schedule)
(b) Description
PURPOSE
❑ Chedcif Vavel su5itle olTexas. CompleteschetluleT.
OF
EXPENDITURE
❑ Check it Austin. TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
PAYMENT MADE FROM POLITICAL
CONTRIBUTIONS TO A BUSINESS OF C/OH SCHEDULE H
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Experse Event Expense Loarl Repsyment/Reirrbursement Soticitsdon/Fundraising Expense
AcocunfingSamung Fees Office Ovemead/Renlal Expense Transportation Equipment B Related Expense
Consulting Expense FoodBeverage Expense Polling Expense Travel In District
Contributions(Donatiors Marie By Gift/Awards/Memorials Experpse Printing Expense Travel Out Of Dislriet
Candidale/ONioeholder/Polhiral Commfnee Legal Services Ssades/Wagea/ConVact Labor Oher(enteracategory not leted above)
Crerfil Cana Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule H:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
4 Date
5 Business name
6 Amount ($)
7 Business address; City; State; Zip Code
8
(8) Category (See Categories listed at the lop of this schedule)
(b) Description
PURPOSE
❑ Che&iftavelwisidoofTexw.C=plete ScheduieT.
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
Business name
Amount ($)
Business address; City; State; Zip Code
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
❑ Check it travel outside of Texas. Complete Schedule T.
OF
EXPENDITURE
Check If Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Business name
Amount ($)
Business address; City; State; Zip Code
Category (See Categories listed at the top of this schedule)
Description
❑ Check if hovel outside 01-Imas. Complete Schedule T.
PURPOSE
OF
❑ Check it 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
NON-POLITICAL EXPENDITURES
MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE I
The Instruction Guide explains how to complete this form.
I Total pages Schedule I
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
4 Date
5 Payee name
6 Amount ($)
7 Payee address; City; State; Zip Code
8
(a)Category (See instructions for examples of acceptable
(b)Description (see instructions regarding type of information
PURPOSE
categories.)
required.)
OF
EXPENDITURE
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
PURPOSE
Category (See instructions for examples of acceptable
Description (See instructions regarding type of Information
OF
categories.)
required.)
EXPENDITURE
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
PURPOSE
Category (See Instructions for examples of acceptable
Description (See instructions regarding type of information
OF
categories.)
required.)
EXPENDITURE
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
Category (See instructions for examples of acceptable
Description (See Instructions regarding type of information
PURPOSE
categories.)
required.)
OF
EXPENDITURE
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission w .elhics.state.tx.us Revised 9/8/2015
INTEREST, CREDITS, GAINS, REFUNDS, AND
CONTRIBUTIONS RETURNED TO FILER SCHEDULE K
The Instruction Guide explains how to complete this form.
1 Total pages Schedule K:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
4 Date
5 Name of person from whom amount is received
............................................
6 Address of person from whom amount is received; City; State; Zip Code
a Amount ($)
7 Purpose for which amount is received Check if political contribution returned to filer
Date
Name of person from whom amount is received
........................ I...................
Address of person from whom amount is received; City; State; Zip Code
Amount ($)
Purpose for which amount is received Check if political contribution returned to filer
Date
Name of person from whom amount is received
............................................
Address of person from whom amount is received; City; State; Zip Code
Amount ($)
Purpose for which amount is received F-1 Check if political contribution returned to filer
Date
Name of person from whom amount is received
............................................
Address of person from whom amount is received; City; State; Zip Code
Amount ($)
Purpose for which amount is received F--] Check if political contribution returned to filer
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
IN-KIND CONTRIBUTIONS OR POLITICAL EXPENDITURES
FOR TRAVEL OUTSIDE OF TEXAS SCHEDULE T
The Instruction Guide explains how to complete this form. 1 Total pages Schedule T:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
4 Name of Contributor/ Corporation or Labor Organization/ Pledgor/ Payee
5 Contribution/ Expenditure reported on:
❑ Schedule A2 [-]Schedule B ❑ Schedule B(J) ❑ Schedule C2 ❑ Schedule D ❑ Schedule F1
❑Schedule F2 ❑ Schedule F4 ❑ Schedule G ❑ Schedule H ❑ Schedule COH-UC ❑ Schedule B-SS
6 Dates of travel
7 Name of person(s) traveling
B 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 / Pledgor / Payee
Contribution / Expenditure reported on:
❑ Schedule A2 ❑ Schedule B ❑ Schedule B(J) ❑ Schedule C2 ❑ Schedule D ❑ Schedule F1
[]Schedule F2 ❑ Schedule F4 ❑ Schedule G ❑ Schedule H ❑ Schedule COH-uC ❑ Schedule B-SS
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:
❑ Schedule A2 ❑ Schedule B ❑ Schedule B(J) ❑ Schedule C2 ❑ Schedule D ❑ Schedule F1
E] Schedule F2 ❑ Schedule F4 ❑ Schedule G ❑ Schedule H ❑ Schedule COH-UC ❑ Schedule B-SS
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
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
CANDIDATE/ OFFICEHOLDER REPORT:
DESIGNATION OF FINAL REPORT FORM C/OH - FR
The Instruction Guide explains how to complete this form.
•• Complete only if "Report Type" on page 1 is marked "Final Report" --
1 C/OH NAME
2 Filer ID (Ethics Commission Filers)
3 SIGNATURE
I do not expect any further political contributions or political expenditures in connection with my candidacy. I understand that designat-
ing 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:
F-1 I do not have unexpended contributions or unexpended interest or income earned from political contributions.
E�] 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:
F-1 I do not retain assets purchased with political contributions or interest or other income from political contributions.
0 1 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 ••
F-1 I am aware that I remain subject to filing requirements applicable to an officeholder who 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 politi-
cal contributions or interest or other income from political contributions.
Signature of Officeholder
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015