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Home My WebLink AboutCFR - Ross - 01.12.2021CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT The C/01H Instruction Guide explains how to complete this form. 3 CANDIDATE / OFFICEHOLDER NAME 4 CANDIDATE / OFFICEHOLDER MAILING ADDRESS ❑ Change of Address 5 CANDIDATE/ OFFICEHOLDER PHONE 6 CAMPAIGN TREASURER NAME 7 CAMPAIGN TREASURER ADDRESS (Residence or Business) 8 CAMPAIGN TREASURER PHONE FORM C/OH COVER SHEET PG 1 1 Filer ID (Ethics Commission Filers) 2 Total pages filed:.3 MS / MRS r.ti. FIRST MI OFFICE USE ONLY �p Y Date ReceiRECEIVE NICKNAME 11 I SUFFIX ADDRESS r PO BOX: APT r SUITE r.: CITY; STATE; ZIP CODE JAN 12 2021 / �'� CITY SEC. AREA CODE PHONE NUMBER ( � EXTENSION MS S / MR FIRST Al2- NICKNAME r' L SUFFIX STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE W - AREA CODE PHONE NUMBER (st+2—) / Lf g Z) EXTENSION Dale Hand delivered or Dale Receipt N Amount S Dale Processed +I Dale Imaged ZIP CODE 9 REPORT TYPE January 15 ❑ 301h day before election n Runoll 151h day aller campaign ha treasurer appointment (0fliceholder Only) ❑ July 15 01h day before election El Exceeded S500limit ❑ Final Report (Attach C/OH • FRI) 10 PERIOD Month Day Year Month Dny Year COVERED 07 % t) ( , �� THROUGH 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year ❑ Primary ❑ Runoll ❑ Other Description ! ❑ General ElSpecial 12 OFFICE OFFICE HELD (11,11 •; l 13 OFFICE SOUGHT (if known) GO TOPAGE 2 rorms provlaeo oy texas t_tnlcs Uommisslon www.ethics.stale.lx.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. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES 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 Additional Pages COMMITTEE CAMPAIGN TREASURER NAME 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 (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $ TOTALSEXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, $ UNLESS ITEMIZED 4. TOTAL POLITICAL EXPENDITURES CONTRIBUTION BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF REPORTING PERIOD $ {p OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LOAN TOTALS LAST DAY OF THE REPORTING PERIOD 18 AFFIDAVIT s- I swear, or affirm, under penalty of perjury, that the accompanying report is KAREN FROST true and correct and includes all information required to be reported by me Notary ID # 1053608-4 under Title 15, Election Code. n, My Commission Expires May 24, 2024 Signature of Candidate or Officeholder AFFIX NOTARY STAMP i SEALABOVE Sworn to and subscribed before me, by the said 4this the day of / 20-V—, to certify which, witness my hand and seal of office. Signature of officer administering oath Pri fed name of officer administering oath Title a! pfflcoJid rninislering oath Forms provided by Texas Ethics Commission www.ethics.state.Ix.us Revised 9/8/2015 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense EvenlExponse Loan RepaymenVReimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Officu Overhoad/Rental Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Putting Expense Travel In District Conlrtbulions/Donations Made By GiIVAwards/Momorials Expense Prinlin Expense Penso Travel Out Of District Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other (enter in category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Date 6 Payee n me 7-D M ta-*/ T'r"Ie s ,S 6 Amount ($) 7 Payee address; City: SInI Zip Code I9 a f �t ' .J r ye � .c�r� y6a Tx 7V4, Z 8 (a) Category (See Categories listed al the top of this schedule) (b) Description PURPOSE , NV/ i e- [:]Check if travel outside of Texas. Complete Schedule T. OF ❑Check if Austin, TX, officeholdor living expense EXPENDITURE 9 Complete ONLY it direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name //• 0 9 Zv 1L41 C q e11e �A-MC415 r- Amount ($) Payee address; City. Slate, ZiyCe too 70 Category (See Categories listed at the top of this schedule) Description PURPOSE (J��•/�Check if travel outside ofTexas CompleleScheduleT.OFOPOT& 6 w❑Check it Austin, TX, olhceholdar living expense EXPENDITURE �..�" 1 Complete ONLY if direct Candidate / Officeholder name expenditure to benefit C/OH Date I Payee name Amount ($) I Payee address; City; Stale; Zip Code Category (See Categories listed al the top of this schedule) PURPOSE OF EXPENDITURE Complete ONLY it direct Candidate / Officeholder name expenditure to benefit C/OH Office sought Office held Description ❑ Check it travel outside of Texas. Complete Schedule T. ❑ Check it Austin, TX, officeholder living expense Office sought Office held ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.lx.us Revised 9/8/2015