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HomeMy WebLinkAboutCFR - Ross - 12.31.2019CANDIDATE / 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. / 7 3 CANDIDATE / OFFICEHOLDER MS / MRS R FIRST MI � � OFFICE USE ONLY NAME �j _ "`+���/' Dale Received NICKNAME SUFFIX �a /{ OAST_, v S5 RECEIVED �AN 5 2020 4 CANDIDATE / OFFICEHOLDER ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE / /��/ �� CITY SEC. Change of Address 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION OFFICEHOLDER Date,Hapd•deljN�d or Dafe Postrnerkad PHONE 6 CAMPAIGN MS R / MR FIRST MI Receipt # Amo t $ TREASURER IS M 4T r19 Dale Pro ssad NAME . . . . . . . . . . . . . . NICKNAME LAST SUFFIX /� Date 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE TREASURER / 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE 9 REPORT TYPE �% I. 3ti January 15 � 30th day before election � Runoff � 15th day after campaign treasurer appointment (Officeholder Only) ❑ July 15 ❑ 8th day before election Exceeded $500limit Final Report (Attach C/OH - FR) 10 PERIOD Month Day Year Month Day Year COVERED f /�' f ��I � THROUGH I 2-13 1 2.o' 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year ❑ Primary ❑ Runoff ❑ Other Description ❑ General ❑ Special 12 OFFICE OFFICE HELD [IS any] 13 OFFICE SOUGHT (if known) OWL 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 I ` 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. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDERS 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 TOTALS 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN $ PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $ U v TOTALS EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, $ UNLESS ITEMIZED $ I 4. TOTAL POLITICAL EXPENDITURES CONTRIBUTION BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ 34f OF REPORTING PERIOD OUTSTANDING LOAN TOTALS 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE $ 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 ,•+;'p„, KAREN E FROST under Title 15, Election Code. NOTARY PUBLIGSTATE OF TUAS COMM. EXP. 05-24-2020 qvvl-vNOTARY ? irnn• ID J053608-4 /�_�/ ) Signature of Candidate or Officeholder AFFIX NOTARY STAMP / SEALABOVE ,, / / Dde'- Sworn to and subscribed before me, by the said _r�� _ this the day of 20_10`, to certify which, witness my hand and seal of office. "ar+ % Signature of officer administering oath Printed name of officer administering oath Title ❑ officer dminisleri th 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 RED s s - Loyd Cyr. 20 Filer ID (Ethics Commission Filers) f � 21 SCHEDULE SUBTOTALS SUBTOTAL NAME OF SCHEDULE AMOUNT 1 - Rr SCHEDULE Al: MONETARY POLITICAL CONTRIBUTIONS $ Z$ 2• SCHEDULE A2: NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS $ 3• SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4. SCHEDULE E: LOANS $ 5. ® SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 8, ❑ 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 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule At: D 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor ❑ out-of-state PAC (to#: I 7 Amount of contribution ($) o? If 4 �I a� ( o& 7-5 < �&lobf 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (ID#: Amount of contribution ($) 071lar�f d©In ► � �Z Sa Contributor Statc; Zip Code ' 2 -S21) i Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑ out-ol-state PAC (ID#: ) Amount of contribution ($) 07 Contributor address; City: State; Zip Code 3Y .6ujv^, -Fx a I Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑ eut•of•slata PAC (IDM: Amount of contribution ($) Contributor address; City; State; Zip Code ( r! 831 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 pages Schedule At:/� 2 FILER NAME n ��i 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor ❑ oul-of-slate PAC (li]i: _ 7 Amount of contribution ($) r Ic )C FXA. 11.0 * (, doo . 60 6 Contributor address; City; State; Zip Code x•�o4,�,,ix 779-0, 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (ID#: 1 Amount of contribution ($) Contributor address; State; Zip Cade Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (IDk: 1 Amount of contribution ($) Oil Contributor address; City; State; Zip Code �/ Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑ out -of -stale PAC (IDn. Amount of contribution ($) Contributor address, 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 The Instruction Guide explains how to complete this form. 2 FILER NAME l s5 ( Mr.) SCHEDULE Al 1 Total pages SchAl: 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor ❑ out-ot-staie PAC (ION: I 7 Amount of contribution ($) Q r ;l�IC ey G Contributor address-, Cily, State; Zip Code �O 9 , (2e-orRf+Q L, r x ?,bZe 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Date Full name of contributor ❑ out -of -stale PAC (ID#: 1 Amount of contribution ($) 13�L CO' r Io7�2 / Contributor address, City; State; Zip Code � ogre-Vvw.% i be Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor [-Iout-of-statePAC (ID#: ) Amount of contribution ($) o? jz; Conlribulor address- city, Slate: Zip Code IV e /0, vrr -r wn' C Principal occupation / Job title (See Instructions) I Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (10C I Amount of contribution ($) -1-A s' o r Contributor address; City; State; Zip Codei 6-0 809: A s4m r" Q ( _ 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 pages Schedule At: 2 FILER NAME v�� Lo \ ) ��/ 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor ❑ out-ol-stale PAC (ID#: t 7 Amount of contribution ($) 07 f 2s�rQ 14$A(ZK Lie/ i,, ooe mEy24 add_ r city: State; Zip Cod® , 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Date Full name of contributor ❑ out-ol-stale PAC (ID#: ) Amount of contribution ($) 6712 f LoR i - W � M Avg '/ Contributor address- s4vvl -R, 770.T? Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor © out•ol-stare PAC IIDif: t IgoVA!C �ra4Ae4s 1je v�P rn�- c. Amount of contribution ($) �y O1r+� l �� Contributor Zip 3 e00 ao ddress; City; Stale; Gode /Sdd occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor1� ❑ out-of-state PAC (ID#: i Amount of contribution ($) Contributor address; // City; P K crb /3 -- ssz3 Principal occupation / Job title (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: /C / ^ , \ 2 FILER NAME RD!55 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of Contributor ❑ oul-of-state PAC tID#:, 1 7 Amount of contribution ($) 5JX i W4 n� P1 n X VA �7 ryr' 1 B Contributor ad res City; Stale; Zip Code ✓ a . �� / e'ac� ?ar I� 9 J,4r3 � z3 8 Principal occupation / Job title (See Instructions) g Employer (See Instructions) Date Full name of contributor ❑ oul-of-stale PAC (ID#: I Amount of contribution ($) A41 CA qe Z n j n o� �1 Q Ir►� A /1/f Contrib for address; City; State; Zip Code Vtltt/. WOdG jI rx 7473 Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑ out -of -stale PAC (ID#: ,) Amount of contribution ($) met .� rr.. I Contributor address: Zi State; City; p Code ►3►�iW Au5�1h r W D Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑ out -of -stale PAC (ID#: 1 Amount of contribution ($) Contributor add r ss; 0 -7S1 3 14 Principal occupation / Job title (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Sch7e1: Commission 2 FILER NAME lfo —C6 3 Filer ID (Ethics Filers) 7 Amount of contribution ($) 4 Date 5 Full name of contributor ❑ out-of-state PAC (ID#: ) 5 Contributor address; City; State; Zip Code G 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Date Full name of contributor /,, l❑ out-of-state PAC (ID#; i � A 4 )q G4 Amount of contribution ($) V+ If Contributor address; City; Slate; ZIP Code TTT Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑ oul-of-stale PAC (ID#: i Amount of contribution ($) r� -1 ) Contributor address: City; State; Zip Code d �+ Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑ oul-of-stale PAC (ID#: t Amount of contribution ($) ejc� y-a�r 3�r Contributor p Code roc 1 t�t S+t YN I $ `? `F (• 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 pages Schedule At: 2 FILER NAME 11 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor ❑ oul-of-stale PAC (ID#: t fir nri 7 Amount of contribution ($) )I q I - - (a i� et .... . , ... . 00 13 6 Contributor ddress; City; State; Zip Code 8 Principal occupation / Job title (See Instructions) g Employer (See Instructions) Date I�� Full name of contributor ❑ out-ol-stale PAC (ID#:__ i 4ePkay.1% �QY, �Ks�r Amount of contribution ($) �II� ` I Contributor address; City; State; Zip Code \>e -7 8 {. Z 7 Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (ID#: 1 Amount of contribution ($) BogBy Credy-, ontr' or address; City; State; Zip Code . . - Q�� ('�Z of GE; -6uj �, Tx -1 d 7 Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑ out -of -stale PAC (Ib#-F } Frc,--c4r c Ksby\ Amount of contribution ($) I t Contributor address; City; State; Zip Code d Principal occupation / Job li (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 pages Schedule At: /O 2 FILER NAME %% / �Q N� 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor ❑ out -or -state PAC (IN, ) 7 Amount of contribution ($) S Contributor addre s; Clt State; Zip Coda �C) (� � zrz 33z X ? 9 633 -- �33z 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC [Ip@: t Amount of contribution ($) ry �a /�l I�w► �Q r�Qi nor .. @� � Contributor address: Cily. State; Zip Code �� J fry 2ff Principal occupation / Job title (See Instructions) ' Employer (See Instructions) Date Full name of contributor ❑ out-ol-state PAC (ID#: Ann.ee 8�r94�n�r, Contributor address; City, SIa1E ; Zip Code ° Principal occupation / Job title (See Instructions) Erna loyt:r (S� Instructions) Date Full name of contributor � [] out-of-state PAC (ID#: 11,q orm h .. "y 8bB � n tf Contributor address; City; State; Zip Code G f}rf♦./ C 7 k G Z&' Principal occupation / Job title (See Instructions) Employer (See Instructions; Amount of contribution ($) Amount of contribution ($) 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: /^ 2 FILER NAME /ZD 55 Loyd ` 3 Filer ID (Ethics Commission Filers) 7 Amount of contribution ($) 4 Date 5 Full name of contributor ❑ out-of-state PAC (IIDD#: ) Q yr L 9 CL AM % . lotoil 6 Contributor ad r Ckt Sate; Zip od�� eor '� wr• X � � Z� 8 Principal occupation / Job tt a (See Instructions) _ _ 9 Employer (See Instructions) Date Iczdbl 119 Full name of contributor ❑ out-of-state PAC (1041: f 5-'2.1 G. 0.— Ij Amount of contribution ($) Contributor address- Cjty; State; Zip Cn ;4ru F-41 V% r 9 C- 102 3 Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ' ❑ oul-of-sdato PAC (109:. - - S Amount of contribution ($) C Contrlb for addre Q State; Zlp Code G �-; o % -,c -7&10 2- Principal occupation / Job title (S&d Instructions) Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (ID#: ) Amount of contribution ($) �1-e.� vV\. C'- / 0/ (/ Contributor add s; Cit State. Zlp Code � 266 ! o"J"" (�C -To 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 pages Schedule Al: /h 2 FILER NAME D S ���i %]� / l 3 Filer ID (Ethics Commission Filers) 7 Amount of contribution ($) 4 Date 5 Full name of contributor ❑ out-of-state PAC (ID#: ) State; 6 Contributor address; City; Zip Coda U V /,-- 7-x s� 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (ID#:_ _ Amount of contribution ($) CPributor ad ros a V1 _S41 6> - '19-1)3 Y Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor © out -of -slate PAC (IDM: I Amount of contribution ($) -/0/1 �{ Contributor ad ess; City: State; Zip Code � Z Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (ID#: ) Amount of contribution ($) 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 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 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 F1; 2 FILER NAM / 3 Filer ID (Ethics Commission Filers) a bate /o 5 Payee na a a n4 S Vr_K u s-e-u ►� 6 Amount ($) 7 Payee address- City,, State; ZlprCoo-ds r� {d ! 4, 2,10 ! C3�o �To 8 (a) Category (See Categories listed al the lop of lhfsschaddet) (b) Description e ❑ Check if travel outside of Texas, Complete Scheduler. PURPOSE ❑ (? F �- Check If Austin, TX, officeholder living expense � EXPENDITURE d 42-3 r L 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Mile Paye;4m e / f Ir G�� /(j 19 / I, 1■/-� I Amount ($) ���.�� Payee address; city. State; ZipQde � � � �O�Z ate& ` t- {.r�i C ory (See ateoories listed at the top et this schedule) Description PURPOSE OF '�{"L w'� ❑Checkiftraveloutside ofTexas.Complete ScheduleT. El 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 11113/ Payee name 2�-AV V't (We z Amount ($) Payee address; City; Stake; Zip Code r (See Categories listed at the top of this schedule) Description PURPOSE OF �' ❑ Check if travel outside of Texas.CompleteScheduleT. EXPENDITURE n ❑ Check if 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 Hevised 9/8/2015