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Yes S-PAC semi-annual, 1-17-17SPECIFIC-PURPOSE COMMITTEE FORM SPAC CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The SPAC Instt,`uction Guide explains how to complete this form. I 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: / ryI 3 COMMITTEE I NAME \ I I OFFICE USE ONLY Date Received 4 COMMITTE ADDRESS 1 Change pf Address ADDRESS 1 / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE '� )I)(-713 ' I f - d-deliv= ed or , Date Po tmarked 5 CAMPAIGN MS/MRS/MR FIRST MII ) /*) / NAEASURR NAME �O �Q Recei /# Amount NICKNAME LAST SUFFIX 41 2 6 CAMPAIGN TREASURER STREEEEAD ADDRESS (Residence or Business) STREET ADDRESS (NO PO BOX PLEASE); APT SUITE #; CITY; STATE; ZIP CO i 1` n ``51'.),* & )-Q& 1T 1 Lir) l x / /3 4--j 7 CAMPAIGN TREASURER MAILING ADDRESS ❑ Change of Address STREET ADDRESS OR PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE 50 3 5 `-�/�\ S e- lAi i `/ o ! / (/J11173 ` 8 CAMPAIGN TREASURER PHONE AREA CODE PHONE NUMBER EXTENSION ('1 14-) c:10-1 4-"�Sz_ -Pi 9 REPORT TYPE January15 30th daybefore election ❑ ❑ Exceeded $500 limit ❑ July 15 ❑ 8th day before election Dissolution (Attach PAC-DR) ❑ Runoff ❑ 10th day after campaign treasurer termination 10 PERIOD COVERED Month Day Year Month Day Year I t / t / Zo / .Z 0 THROUGH '/ , /e)40 tr_ y v 11 ELECTION ELECTION DATE Month Day Year � f � "/ 0 /�1�Al ❑ Primary ❑ eneral ELECTION TYPE Runoff ❑ Other Sp tial Description GO TO PAGE 2 www.ethics.state.tx.us Revised 9/8/2015 SPECIFIC-PURPOSE PUR COMMITTEE REPORT: FORM SPAC OSE AND TOTALS COVER SHEET PG 2 12 COMMITTE t"• NAME' t 13 Filer ID (Ethics Commission Filers) 14 COMMITTE PURPOSE (Attach lists on plain paper to complete this report if necessary.) I I CANDIDATE CANDIDATE/OFFICEHOLDER NAME UPPORT (Candidata or Measure) I I OPPOSE (Candidate or Measure) I I OFFICEHOLDER OFFICE SOUGHT(candidate)/OFFICE HELD (officeholder) ASSIST I lj MEASURE BALLOT IDENTIFICATION / # 1W1 ELECTION DATE y(0 1 .-2-) 1 \rnh ©�y, Year [�L 1 k ) 3 / YO/ f tp (Officeholder) DESCRIPTION 0.- ..cao go/list/2D 15 CONTRIBUTION TOTALS 1. TOTAL POLITICAL CONTRIBUTIONS OF PLEDGES, LOANS, OR GUARANTEES OF 0 OR LESS (OTHER THAN LOANS), UNLESS ITEMIZED $ r—O 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $ -- 0 EXPENDITURE TOTALS 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED $ --- 6 i.• 4. TOTAL POLITICAL EXPENDITURES $ -_ j ^ — tJ CONTRIBUTION BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF THE REPORTING PERIOD $ , — v r OUTSTANDING LOAN TOTALS 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY OF THE REPORTING PERIOD $ ___. v .--- 16 AFFIDAVIT I swear, mrsourairomemierawasiramomemeriarmasmusimis 41 / �� FRANCES LEE WOODWARD Notary Public STATE OF TEXAS 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. COMM. EXP FEB.19, 2017 NOTARY ID 12881012-9 ___,. . S� , L Signature of -mpaign Treasurer AFFIX NOTARY STAMP / SEAL ABOVE Sworn to anubscribed before me, .,.�� the said ' 1LJc)\-\�� CM l this the d o mak-., - • to certify which, witness my hand and , _I 6 seal .. •r�� . gal* of office. ..._411.-11 '•i• ature of o = administering oath Printed name of officer administering oath Ti e o officer administering oat texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 SUBTOTALS-SPAC 17 COMMITTEE NAME t, FORM SPAC COVER SHEET PG 3 19 SCHEDULE SU OTALS NAME OF SCH ULE 118 Filer ID (Ethics Commission Filers) SUBTOTAL AMOUNT 1. SCHEDULE Al: MONETARY POLITICAL CONTRIBUTIONS $ -o 2. SCHEDULE A2 : NON -MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS $ - 3. n SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4. II SCHEDULE C1: MONETARY CONTRIBUTIONS FROM CORPORATION OR LABOR ORGANIZATION _0 $ J- i ' 5 pSCHEDULE C2 : NON -MONETARY (IN-KIND) CONTRIBUTIONS FROM CORPORATION OR LABOR ORGANIZATION 6. n SCHEDULE D: PLEDGED CONTRIBUTIONS FROM CORPORATON OR LABOR ORGANIZATION $ r V 7 SOHEDULE E: LOANS 8. n SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ — U 9. II SCHEDULE F2: UNPAID INCURRED OBLIGATIONS 10 n SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ -6 11. II SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD 12. ri SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ ,0 $ V 13. II SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS 14. nSCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED TO FILER $ �( Forms provided by Thxas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 POLITICAL COMMITTEE AFFIDAVIT OF DISSOLUTION FORM PAC - DR The Instruction Guide explains how to complete this form. •• Complete only if "Report Type" on page 1 is marked "Dissolution" -- 1 COMMITTEE NAME It i% 2 Filer ID (Ethics Commission Filers) 3 Affidavit I, the this Code understand surer. accept AFFIX Sworn to �a . vt.. undersigned political committee is required. that I further political -FRANLEE Dissolution campaign treasurer, do for this or any other I declare that all of the designating a report as a understand that a political contributions without having CESWOODWARD Notary Public STATE OF TEXAS COMM. EXP. FEB. 19, 2017 NOTARY ID 12881012-9 not expect campaign information required dissolution report committee may an appointment the occurrence of any further or election for which reporting to be reported by terminates the appointment not make or authorize of campaign treasurer reportable activity by under the Election me has been reported. I of campaign trea- political expenditures or on file. CSI tt 1 Signature •campaign Treasurer of DO NOT SIGN UNLESS POLITICAL COMMITTEE IS TO BE DISSOLVED the r day NOTARY STAMP / SEAL ABO V E and subscribed before me, by the said , 20 l l , to certify which, witness D:n }� , this my hand and seal of office. p0__A. ci nature of officer administering oath Printed name of officer administering oath Title o officer administering oat Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015