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Hedspetch, Mader, 8-day prior, 5-18 pm, 10-31-16Forms 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 1 The C/OH Instruction Gulde explains how to complete this form. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: 3 CANDIDATE / OFFICEHOLDER NAME, MS/MRS/MR NICKNAME " ��ts // MI FI/'4ader LAST SUFFIX ifecisive16-'h OFFICE USE ONLY Date Received ► 1(, 4 CANDIDATE / OFFICEHOLDER MAILING ADDRESS ❑ Change of Address ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE ,M. Ir*yi//l773722 �e/) / 5 CANDIDATE/ OFFICEHOLDER PHONE AREA CODE (21/o ) PHONE NUMBER EXTENSION 830 .(3 // � • . - and -de ivedo Date st�ked f 03i 1 6 CAMPAIGN TREASURER NAME MS / M S / MR c R. v i NICKNAME �/ bdtS FIR T MI ader LAST SUFFIX pe,te,11. k > Pt # , Am nt $ .ro-ss l /d 1 ZIP 5t` DE 7732D 7 (Residence CAMPAIGN TREASURER ADDRESS or Business) STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; % ZZ4 01/:-.51/// !e/ �J�!GtS ! Ci ( l[ 8 CAMPAIGN TREASURER PHONE AREA CODE / (; / (/ I ` PHONE NUMBER EXTENSION b3 e ,L 2 / r q33 /1 �1 9 REPORT TYPE January 15 ❑ July 15 I 1 30th day before election I J Runoff ❑ 15th day after campaign treasurer appointment (Officeholder Only) 18th day before election / Exceeded $500 limit I I Final Report (Attach C/OH - FR) V l FV. 10 PERIOD COVERED Month Day Year Month Day Year of3 / /7 /2o/THROUGH In/ 27 /676 11 ELECTION ELECTION DATE Month Day / 1 / 0B/ Year fir) E Primary ❑ ❑ General ❑ ELECTION TYPE Runoff ❑ Other Description Special 12 OFFICE OFFICE HELD (it any) 13 OFFICE SOUGHT (if known) / / Ji//& 6-/yeourie / l { awdi on 3 - Ai- /a I& 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 /leas,'15 pre;fc/1/1 r K ade M Filer ID (Ethics Commission Filers) 16 NOTICE FROM POLITICAL COMMITTEE(S) Additional Pages THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT THE CANDIDATE / OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDER'S KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY F THEY RECEIVE NOTICE OF SUCH EXPENDITURES. COMMITTEE TYPE GENERAL SPECIFIC COMMITTEE NAME COMMITTEE ADDRESS COMMITTEE CAMPAIGN TREASURER NAME 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) $ `3 , �� l/ TOTALS EXPENDITURE 3.TOTAL POLITICAL EXPENDITURES OF 5100 OR LESS, UNLESS ITEMIZED $ 4. TOTAL POLITICAL EXPENDITURES $ / 13, ` ((J U Q5 U CONTRIBUTION BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF REPORTING PERIOD $ d OUTSTANDING LOAN TOTALS 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY OF THE REPORTING PERIOD $ 0 18 AFFIDAVIT _ ghquwa D. HIFAIOn Notary Stabs Wawa II Commission Elmira � t0 I 11796267 • IX NOTARY STAMP / SEAL ABOVE Sworn to and subscribed before me, bythe � day of >`J obese- , 20 i , 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. /J Signature of Candidate or Offi eholder said 1 e lr'4 y S+ � CTG �, f+L'S(�-I'C11 , this the c to certify which, witness my hand and seal of office.j` ,.¢A.r �Gr1',��a b Ho-rrioh NI d Signature of cer administering oath Printed name of officer admiXistering oath Title of officer administerin oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 Forms provided by Texas Ethics Commission www.ethics.staie.tx.us Revised 9/8/2015 SUBTOTALS - C/OH FORM C/OH COVER SHEET PG 3 19 FILER NAME R - ��� ��� /'4ader 20 Filer ID (Ethics Commission Filers) 21 SCHEDULESUBB TOTA NAME F SCHEDULE SUBTOTAL AMOUNT 1. SCHEDULE A1: MONETARY POLITICAL CONTRIBUTIONS$ or" BUD 2. SCHEDULE A2: NON -MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS $_0 l v 3B 3. SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4, SCHEDULE E: LOANS $ 5. SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ /3, 2 S 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 $ OZ °--6° 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.staie.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 Irh /r�� 1-ieds� 3 Filer ID (Ethics Commission Filers) 4 Date n b 1t/ �� 5 Full name of contributor E out-of-state PAC ran /<_ 4-3(i e, air 6 Contributor address; City; State; 36 40.)/pona an -601/47X.77340 (ID#: ) 7 Amount of contribution a o� ($) Zip Code 8 Principal occupation / Job title See Ins ructions) �/6'ti --&D eSSbr 9 Employer (See Instructions) `ani ©us1DnSYzi& /Jnr✓er y Date f (o fo1b Full name of contributor ❑ out-of-state PAC ade r . dSZipCode Contribaddss; /f 2 Ai 0 /f (ID#: 1 Amount of contribution ($) 61 /0- • 5 77302a Principal occupation / Job title (See Instructions) ket/ rte{ Employ r ee Instructions) �% Date (ID#: ) Amount of contribution ($) Full name of contributor I out-of-state PAC Contributor address; City; State; Zip Code Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC Contributor address; City; State; (IM: I Amount of contribution ($) 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 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: I 2 FILER NAME /� ad&r K , ded ' e fl// 3 Filer ID (Ethics Commission Filers) 4 TOTAL OF UNITEMIZED IN-KIND POLITICAL CONTRIBUTIONS $ 3�/i / 3 5 Date /0/_V1,24 6 Full name of contributor ❑ out-of-state PAC (ID#: ) 8 Amountof 9 In-kind contribution Contribution $ description `301138 advertsement Check if travel outside of Texas. Complete Schedule T. /l�t, �� � ��� � �Jy/ � f / � ] 7 Contributor address; City; State; Zip Code /5/ Ave. Q /-/t.'is v,lf� /X, k773hO 10 Principal upation / Job title (FOR NON -JUDICIAL) (See Instructions) jQofE55o1�e {ot2 11 Employer (FOR NON -JUDICIAL) (See Instructions) , �'a tri �l0u5 nS'� �nf ✓er5, tion (FOR JUD CIAL) 12 Co tri utor's principal oc4sr/( 1�5/c, )Soonn0 c -to ( 13 C ntr'butor's job title (FO JUDICIAL) (See Instructions P11,0 ic p essor 14 Contributors empltbyer/law firm (FOR CIAL) Sam-✓rP14s10n S1 Je- (]r>> ersd- 15 Law firm f ontributor's spouse (if any) (FOR JUDICIAL) iv 16 If contributo i a child, law firm of parent(s) (if any) (FOR JUDICIAL) y Date Full name of contributor ❑ out-of-state PAC (ID#: ) Amount of In-kind contribution Contribution $ . description piCheck if travel outside of Texas. Complete Schedule T. Contributor address; City; State; Zip Code 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 (if any) (FOR JUDICIAL) If contributor is a child, law firm of parent(s) (if any) (FOR JUDICIAL) ) 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 Fi EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/ReiMwrsement 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 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 NAME/11 aat r k ` /L3 C/�/e{I-.�� f TC . Filer ID (Ethics Commission Filers) 4 Date 06/6 ,, 5 Payee name , _ 9,1-445r 10 rovkS It 1 rei 'ill a-STA 77 bd 6 A unt ($) ii& , ��i 7 Payee address; City; State; Zip Code 1 Sr Jr4k/!i e_J 77 ? 8 PURPOSE OF EXPENDITURE (a) Category (See Categories listed at the top ofthisschedule) /� "// lin Cbiryi raV/ , I ' I (b) Description I 1 Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense 9 Complete ONLY if direct dat"e Officehold jname ,O/fice sought Office held j;f/tye K , te� e4J ,-/u,tts✓�7Cf (a Glow P6<3�t )a,. e VwT �t-'�% [ 4 1 �" expenditure to benefit C/OH Date /0/.2 �0/6 Payee name , j/ / KS,4/v7/04,9 rm Kadv-lA 10A/ Amo, nt ($) 4.5.--s:_.. Payee address; City State; Zip Code ~- s/UmeT,l,/ tVil& .77340 PURPOSE OF EXPENDITURE Category (See Categories listed at the top of this schedule) ✓1//'l' /Idve r 17-5 1' ` v) Description Check if travel outside of Texas. Complete Schedule T. I I 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 ($) Payee address; City; State; Zip Code PURPOSE OF EXPENDITURE Category (See Categories listed at the top of this schedule) Description I 1 Check if travel outside of Texas. Complete Schedule T. 1 Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS SCHEDULE G EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other (enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule G: 2 FILER NAME N%aer�• oi 3 Filer ID (Ethics Commission Filers) 4 Date p% 5 Payee name , % 1/e- 6 6 Amount ($) Reimbursement fromSaym intendelcontributions internJedf "'City; State; Zip Code 7 Payee address; , L d� l/8 1�Z(sT oit /1✓e wri�5✓l jP .Ix77302d PURPOSE EXPENDITURE (a) Category (See Categories listed at the top of this schedule) i1 dieOF jj�� p G V/7 `n`�� (b) Description 1 Check if travel outside of Texas. Complete Schedule T. 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 /CIA 20/4' Payee name %�`tr /r7 & �% S AuntO (/j � peimbursementfrom political contributionsy intended Payee ee address; City; State; ZipCode Y L / I� ���/// rp q/J� �n75 v`/�� �Ja�/ / �J! e a ni O t/ / f iii 111 / / ���1// [ PURPOSE EXPENDITURE Category (See Categories listed at the top of this schedule) C/Ver%jJ ✓J ��OF / 1.6e., (b) Description Check if itfraAvuesl toinut, sTidXofoTfteicxeahs.oComplete ngSchedule T. 11expense Complete ONLY if direct Ca idate / Officeholder name Office sought Office held a, der r_Heich GL G( expenditure to benefit C/OH Dae / R 1/42011p // .26/t Payee name XkS , n r_5 Amou t ($) Reimbursement from contributions intended Payee address; City; State; Zip CV w p/rjDpolitical C'V, / I `� %�At/./ / \/ a *a lle,i . l 73 r 1 PURPOSE OF EXPENDITURE Category (See Categories listed at the top of this schedule) / f C/ /t il{/ e` / (`J`, ( (b) Description I I Check if travel outside of Texas. Complete Schedule T. 1 1Check it Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name/ Office sought Office held CI expenditure to benefit C/OH ATTACH ADDITIONAL CO/PIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us evise