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Rick Baria 30th Day Before General Election 2020 UNSWORN DECLARATION FORM UD Attach this unsworn declaration to the front of any OFFICE USE ONLY campaign finance report or personal financial statement in Dat ReCR ECEIVED lieu of a notarized signature. See Tex. Civil Practice and Remedies Code § 132.001. nrT 5 2020 City Manager's/City 1 FILER ID: Secretary's Office (Ethics Commission filers) MLthod f Deliv12 2 NAME OF FILER S (PLEASE TYPE OR PRINT) Q1��c c� 6UP i; Date Processed 3 TYPE OF FILER CANDIDATE/OFFICEHOLDER POLITICAL COMMITTEE JUDICIAL CANDIDATE/OFFICEHOLDER POLITICAL PARTY PERSONAL FINANCIAL STATEMENT STATE/COUNTY CHAIR l DIRECT CAMPAIGN EXPENDITURE 4 TYPE OF REPORT 5 DUE DATE :::] 6 UNSWORN DECLARATION: My name is_ ,% li, 1CA A, ��(� (;( and my date of birth i My Address is 5 ll (street) (city) (state) (zip code) (country) I swear,or affirm, under penalty of perjury that the information in the attached report is in all things true and correct, and includes all information required to be reported by me under Title 15, Election Code, or Chapter 572, Government Code. Executed in iT['�� County, State of �[,C on th `} day of V��, 20 101 . ignature of Filer/Committee Repre Pentative (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 7/9/2020 CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Filer ID(Ethics Cammissibn Filers) 2 Total pages filed: The CIOH Instruction Guide explains haw#a complete this form. 3 CANDIDATE/ MS/MRS/MR FIRST MI OFFICEHOLDER yy�� 1 /� OFFICE USE ONLY NAME f`At • - iid nrcA A . . . . . . Date Received NICKNAME LAST SUFFIX ' ZCL dC`(-A 1 C, RECEIVED 4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE nrT — 51010 OFFICEHOLDERMAILING ADDRESS `� �" "�' ` 1 �r City Manager's/City Secretary's Office Change of Address 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION ,4,M411111 PHONE OFFICEHOLDER ` '}I i f. ` �y �}` , Date Hand-delivered or Date Postmarked 6 CAMPAIGN MS/MRS/MR FIRST till Receipt# Amount$ TREASURER `I NAME �� c�. . ... . . . . . . . . . . . . .No .. , Date Processed NICKNAME LAST SUFFIX (^-S Date Imaged 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SURE#; CITY; STATE; ZIP CODE TREASURER '(r^�C (Residence or Business) " A �l} 11 Et Y 8 CAMPAIGN AREA CODE t�PHONE NUMBER EXTENSION TREASU PHONE RER (A �t( uu b 9 REPORT TYPE ❑ January 15 ❑ 30th day before election RLnoff 15th day after campaign treasurer appointment (officeholder Only) July 15 8th day before election Exceeded Modified ❑ Final Report(Attach CtOH-FR) Reporting Limit 10 PERIOD Month Day Year Month Day Year COVERED ( , i / �j r, ( , Vq / 15 / ; V 210 THROUGH `i �/ �`�' / z r t 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year ❑ Primary ❑ Runoff ❑ Other Description�N / V V ® General ❑ Special 12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known) 15 o�) 1 ! 1 -,run t 4 L 4 un C1 GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020 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 I 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 CO GENERAL -z\-TT J1~ COMMITTEE ADDRESS SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME Additional Pages COMMITTEE CAMPAIGN TREASURER ADDRESS Ak c)l 0 n _ 17 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN Q �� TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR $ CONTRIBUTIONS MADE ELECTRONICALLY) 2, TOTAL POLITICAL CONTRIBUTIONS / (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $ `A I EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE. $ TOTALS vv 4. TOTAL POLITICAL EXPENDITURES $ CONTRIBUTION I l BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ Q �, OF REPORTING PERIOD (J `/ OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE P I Ya qq e,5 LOAN TOTALS 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 ALEXANDRA JEFFCOAT under Title 15, ction Code. : Notary ID#130718482 N, My Commission Expires June 28, 2024 Signature of Candidate or O Iceholder AFFIX NOTARY STAMP/SEALABOVE Sworn to and subscribed before me, by the said ��Q1 a this the day of 20 to certify which, witness my hand and seal of office. Signature of officer Vministering oath Printed name of officer administering oath Title of officer laclm nistering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020 SUBTOTALS - C/OH FORM C/OH COVER SHEET PG 3 19 FILER NAME 20 Filer ID(Ethics Commission Filers) F.c �,1 zd- (�) `I'- jr. 21 SCHEDULE SUBTOTALS SUBTOTAL NAME OF SCHEDULE AMOUNT 1• SCHEDULE Al: MONETARY POLITICAL CONTRIBUTIONS $ � 5 x 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 $ 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 $ 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 1/1/2020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor ❑out-of-state PAC(ID#: ) 7 Amount of contribution ($) 6 Contributor address; City; State; Zip Code 8 Principal occupation/Job title(See Instructions) 9 Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: Amount of contribution ($) -} 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#: ) Amount of contribution ($) � I-A0 �C.�O ` � Contributor address; City; State; Zip Code 1 00 1 0 Principal occupation/Job title (See Instructions) Employer (See Instructions) Date 1 1, F,ull name of contributor ❑out-of-state PAC(ID#: ) Amount of contribution ($) 11 1� Contributor address; City; State; Zip Code 12�;� ►� �►1�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 1/1/2020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor out-of-state PAC ID#:_❑ ( ) 7 Amount of contribution ($) �13i �2�� 141� dunes 6 Contributor address; City; State; Zip Code (� 8 Principal occupation/Job title(See Instructions) g Employer (See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#:_ ) Amount of contribution ($) IContributor address; City; State; Zip Code 0 0 Principal occupation/Job title (See Instructions) Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: ) Amount of contribution ($) ,�CW\ . 4.--Yb 111I. Ilk Contributor address; City; State; Zip Code oo vwa� ctLe oat �uov _w }5(V 1 , 300 03 Principal occupation/Job title (See Instructions) Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: Amount of contribution ($) Contributor address; City; State; Zip Code 5� cc A Gah.1;4- . � �a�4-ran �x �6�to I 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 1/1/2020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor ❑out-of-state PAC(ID#: ) 7 Amount of contribution ($) �)QV-�. 01 . - Q-.1 1e vm ay-) � 6 Contributor address; City; � State; Zip Code S J 1 ow h-oo Q r � � C" v 8 Principal occupation/Job title(See Instructions) g Employer (See Instructions) Date `Full name of contributor ❑out-of-state PAC(ID#: Amount of contribution ($) Contributor address; City; State; Zip Code Principal occupation/Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: ) Amount of contribution ($) Contribui r address; City; State; Zip Code Principal occupation/Job title(See Instructions) Employer (See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: Amount of contribution ($) Contributor address; City; State; Zip Code Principal occupation/Job title (See Instructions) Employer(See Instructions) ATTACH ADDITIONAL COPIES OF THIS 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 1/1/2020 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 Salanes/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 3 Filer ID (Ethics Commission Filers) 4 Date 5 Payee name o Qa'0A'-) `Do not- (k 6 Amount ($) 7 Payee address; City; State; Zip Code Sbo' 5 q531 E, �i��> ��. �l�i�ahes A 8 (a) Category (See Categories listed at the top of this schedule) (b) /D �e � (scriptio �n a o PURPOSE OF p EXPENDITURE (C) Check if travel outside of Texas.Complete Schedule T. Check if Austin, TX,officeholder living expense 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name 1U1 �o10 tie c� Amount ($) Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSEOF 1 n I 1 EXPENDITURE I� L � `� S 6/1S Check if travel outside of Texas.Complete Schedule 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 1 0C) sco �CFC((1� rJIU� . ` r Q Tk Category (See Categories listed at the top of this schedule) Description PURPOSE OF �O p EXPENDITURE Check if travel outside of Texas.Complete Schedule T. El 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 1/1/2020 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/FundraisingEx Acoounting/Banking Fees Office Overhead/Rental Ex pence Consultingpence Transportation Equipment&Related Expense 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/PoliticalCommittee Legal Services Salaries/Wages/ContractLabor Other(enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule Ft: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Date $ Payee name 6 Amount ($) 7 Payee address; City; State; Zip Code 8 (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE OF EXPENDITURE (C) Check if travel outside of Texas.Complete Schedule ❑ Check if Austin,TX,officeholder living expense 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name g � 11 i�", _ Amount ($) Payee address; City; State; Zip Code b(o i1 W . Eoj+ � � Tk Category (See Categories listed at the top of this schedule) Description PURPOSE �( J EXPENDITURE Check if travel outside of Texas.Complete Schedule 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 ��GI GEC. 1 C�2 COT �I Amount ($) Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description PUROF POSE EXPENDITURE 1 Check iftravel outside ofTexas.Complete ScheduleT. Check if Austin. TX, officeholder living expense Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/Oli ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/FundraisingExpense Accounting/Banking Fees p Office Overhead/Rental Expense Transportation Equipment 8 Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other(enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Dat 5 Pa ee name 6 Amount ($) 7 Payee address; City; State; Zip Code 8 (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE OF /�� I�"1V1 EXPENDITURE (C) Check if travel outside of Texas.Complete ScheduleT. 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 '��-1 I'o-'o `�'Cct o'c Amount ($) Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSEOF EXPENDITURE Check if travel outside of Texas.Complete ScheduleT. Check if Austin,TX,officeholder living expense Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSE r OF EXPENDITURE ElCheck iftraveloutside ofTexas.Complete Schedule T. 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 1/1/2020 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/FundraisingExpense Accounting/Banking Fees p Office Overhead/RentalExpense 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/PoliticalCommittee Legal Services Salaries/wages/ContractLabor 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 3 Filer ID (Ethics Commission Filers) 4 Date 5 Payee name q I Ioi�hf� � 6 Amount ($) 7 Payee address: City; State; Zip Code 8 (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE OF 0()U h' ()C)_� ca��'�t� sl EXPENDITURE (c) ❑ Check if travel outside of Texas.CompleleScheduleT. Check if Austin,TX,officeholder living expense 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSE OF 1 I � x i EXPENDITURE t L d"q 01 �V�Ct, do 7 4 Check iftravel outside ofTexas.Complete Schedule T. 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 Category (See Categories listed at the top of this schedule) Description PURPOSE OF EXPENDITURE Check if travel outside of Texas.CompleleScheduleT. 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 1/1/2020