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Wedgeworth Lucas 8th Day Before 2024 General Election_Redacted CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: 3 CANDIDATE/ MS/MRS/MR FIRST MI OFFICEHOLDER rr 1 U Ga C M OFFICE USE ONLY NAME .... .1...........h..........V.................................!..'�........... Date Received NICKNAME LAST SUFFIX * PECEIVED 4 CANDIDATE/ ADDRESS I PO BOX; PT I SUITE#; CITY; STATE; ZIP CODE OFFICEHOLDER 3 g4.0 CL�, �o,�' i-t,, �( / ' tit` APR 2 6 2024 MAILING �( JI'V'� ^ ' /� �(9or\v ADDRESS City Manager's!Clty Change of Address secretary's Once 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION Date Hand-delivered or Date Postmarked OFFICEPHONE HOLDER 7,3 1J 7 Receipt# I Amount$ 6 CAMPAIGN MS/MRS/MR FIRST MI TREASURER NAME ...t�1............. C"..✓................................. Date Processed NICKNAME LAST SUFFIX Date Imaged / 7 CAMPAIGN STREETADDRESS (NO PO BOX///)�LEASE); APT I SUITTEE##. CITY; STATE; ZIP CODE TREASUR ADDRESSER 3)ao 66�c�/I hl 4r,l--j I'„- `4-P, �Vdo f7 (Residence or Business) 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER q PHONE Via is � l� 3 `(3 y3 9 REPORT TYPE ,—` r January 15 I 30th day before election � Runoff 15th day after campaign I treasurer appointment r (Officeholder Only) July 15 I�/ 8th day before election Exceeded Modified Final Report(Attach C/OH-FR) //X Reporting Limit 10 PERIOD Month Day Year Month Day Year COVERED ® 1 /1 1/7 /2� THROUGH 11 ELECTION ELECTION DATE ELECTION TYPE !/1 Month Day Year I Primary I Runoff I Other . Description 0,5 /0/ I y oQt( � General Special 12 OFFICE OFFICE HELD `(tiffany) 13 OFFICE SOUGHT (if known) 14 NOTICE FROM THIS BOX IS FOR NOTIC OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT POLITICAL THE CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES. COMMITTEE(S) COMMITTEE TYPE COMMITTEE NAME GENERAL COMMITTEE ADDRESS Additional Pages SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME COMMITTEE CAMPAIGN TREASURER ADDRESS GO TO PAGE 2 Forms provided by Texas Ethics Com Reset Form Icsf Reset Page I Revised 1/1/2024 CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 15 C/OH NAME 16 Filer ID (Ethics Commission Filers) " I 17 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR $ CONTRIBUTIONS MADE ELECTRONICALLY) 2. TOTAL POLITICAL CONTRIBUTIONS $ ` (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) . . . . . . . . . . . . . . . . . . . EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE. TOTALS $ 4. TOTAL POLITICAL EXPENDITURES $ . . . . . . . . . . . . . . . . . . . CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY BALANCE OF REPORTING PERIOD $ . . . . . . . . . . . . . . . . . . OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LOAN TOTALS LAST DAY OF THE REPORTING PERIOD -$ 18 SIGNATURE 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. Sign a of Candidate or Officeholder 40,1 Please complete either option below: (1)Affidavit NOTARY STAMP/SEAL Sworn to and subscribed before me by this the day of 20 , to certify which,witness my hand and seal of office. Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath (2)Unsworn Declaration • My name is nd ml�date of birth isy .�� SM M�� M address is � ,���, 1 (street) (city) (state) (zip code) (country) Executed in L190d0 County,State of on the � day of L 20Z—1 month , ea gnature of Can idate/O iceholder(Declarant) Forms provided by Texas Ethics Comm Reset Form I-sta Reset Page I Revised 1/1/2024 SUBTOTALS - C/OH FORM C/OH COVER SHEET PG 3 19 FILER NAME 20 Filer ID(Ethics Commission Filers) 21 SCHEDULE SUBTOTALS SUBTOTAL NAME OF SCHEDULE AMOUNT 1. SCHEDULEA1: MONETARY POLITICAL CONTRIBUTIONS $ 2. SCHEDULEA2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $ r 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 Commi stat Revised 1/1/2024 Reset Form Reset Page MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 2 FILER NA 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor out-of-state PAC(ID AV ) 7 Amount of contribution ($) �T..:��..P� ...►.. ............................................. .- �^ 6 Contributor address; City; State; Zip Code D 1 Y 8 Principal occupation/Job title (See Instructions) 9 Employer(See Instructions) Date Full name of contributor out-of-state PAC(ID#: > Amount of contribution ($) .................................................................................. 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 ($) .................................................................................. Contributor address; City; State; Zip Code Principal occupation/Job title(See Instructions) Employer(See Instructions) Date Full name of contributor out-of-state PAC(ID#: ) Amount of contribution ($) .................................................................................. 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 Com Reset Form Ns Reset Page Revised 1/1/2024 NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS SCHEDULE A2 If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total pages Schedule A2: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 TOTAL OF UNITEMIZED IN-KIND POLITICAL CONTRIBUTIONS 5 Date 6 Full name of contributor ❑out-of-state PAC(ID#: ) $ Amount of 1 g In-kind contribution � Contribution $ I description !! 7 Contributor address; City; State; \Zip Code Check if travel outside of Texas. Complete Schedule T. 10 Principal occupation/Job title (FOR NON-JUVICIAL)(See Instructions) 11 Employer (FOR NON-JUDICIAL)(See Instructions) 1 12 Contributor's principal occupation (FOiR JUDICIAL) 13f Contributor's job title(FOR JUDICIAL)(See Instructions) 14 Contributor's employer/law firm(FOR JUDICIAL) 7j Law firm of contributor's spouse(if any) (FOR JUDICIAL) 16 If contributor is a child, law firm of pareht(s)(if any)(FOR JUDICIAL) \ t Date Full name of contributor ❑out-of-state PAC(ID#: 1 ) Amount of I In-kind contribution Contribution $ I description ........................... \ .........................�....................... Contributor address; City; State; Zip Code k I } 1 Check if travel outside of Texas. Complete Schedule T. Principal occupation/Job title (FOR NON-JUDICIAL)(See Instructions) Employer (FOR NON-JUDICIAL)(See Instructions) Contributor's principal occupation (FOR JU CIAL) Contributor's job title(FOR JUDICIAL)(See Instructions) Contributor's employer/law firm(FOR JUDIC L) Law firm of contributor's spouse (if any) (FOR JUDICIAL) If contributor is a child, law firm of parent(s)(i 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 Comm Reset Form ]rstal Reset Page Revised 1/1/2024 PLEDGED CONTRIBUTIONS SCHEDULE B If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total pages Schedule B: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 TOTAL OF UNITEMIZED PLEDGES $ 5 Date 6 Full name of pledgor ❑ out-of-state PAC(ID#: ) 8 Amount I 9 In-kind contribution of Pledge$ I description I 7 Pledgor address; City; State; Zip Code I I. Check if travel outside of Texas. Complete Schedule T. 10 Principal occupation/Job title (See Ntructions) 11 Employer(See Instructions) Date Full name of pledgor ❑out-of-state PAC(ID#: ) Amount I In-kind contribution of Pledge$ I description ........................................................................... I Pledgor address; City; State; Zip Code I I. Check if travel outside of Texas.Complete Schedule T. Principal occupation/JoA) title(V_',e Instructions) Employer(See Instructions) 1 � Date Full n e of pledgoR �❑out-of-state PAC(ID#: ) Amount of I In-kind contribution \ Pledge$ I description ............. ..............\,.\........................................ Pledgor address; ity; State; Zip Code I I Check if travel outside of Texas.Complete Schedule T. Principal occupation/Job title(Sue Instructions) Employer(See Instructions) Date Full name of pledgor ❑out-of-state PAC(ID#: ) Amount of I In-kind contribution Pledge$ I description ........................................................................... I Pledgor address; City; State; Zip Code I I Check if travel outside of Texas. Complete Schedule T. 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 Com st Revised 1/1/2024 Reset Form set PagePage LOANS SCHEDULE E If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total pages Schedule E: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 TOTAL OF LINITEMIZED LOANS $ 5 Date of loan 7 Name of lender out-of-state PAC(ID#: ) 9 Loan Amount($) ................................................................................... 6 Is lender 8 Lender address; City; State; Zip Code 10 Interest rate a financial Institution? r ! Y F N 11 Maturity date 12 Principal occupation /Job title (See Instructions) 13 Employer (See Instructions) 14 Description of Collateral 15 Check if personal funds were deposited into political none account (See Instructions) 16 GUARANTOR 17 Nameofguarantor 19 Amount Guaranteed($) INFORMATION .................................................................................. 18 Guarantor address; City; State; Zip Code not applicable 20 Principal Occupation (See Instructions) 21 Employer (See Instructions) Date of loan Name of lender out-of-state PAC(ID#: N ) Loan Amount($) .................................................................................. Is lender Lender address; City; State; Zip Code Interestrate a financial Institution? Y N Maturity date Principal occupation / Job title (See Instructions) Employer (See Instructions) Description of Collateral Check if personal funds were deposited into political none 1 account (See Instructions) GUARANTOR Name of uarantor Amount Guaranteed($) INFORMATION ................. ................................................................ Guarantor a dress; City; State; Zip Code not applicable Principal Occupation (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If lender is out-of-state PAC, please see Instruction guide for additional reporting requirements. Forms provided by Texas Ethics Comm Reset Form .sta Reset Page I Revised 1/1/2024 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 If the requested information is not applicable, DO NOT include this page in the report. 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 SalariestWages/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 6 Amount {$) 7 Payee address; City; State; Zip Code 8 (a) Category (See Categories listed at the lop of this schedule) (b) Description PURPOSE OF EXPENDITURE (C) Check if travel outside ofTexas.Complete Schedule Check if Austin, TX, officeholder living expense 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSE OF EXPENDITURE 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/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.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 ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED Forms provided by Texas Ethics Com Reset Form cs.s Reset Page Revised 1/1/2024 UNPAID INCURRED OBLIGATIONS SCHEDULE F2 If the requested information is not applicable, DO NOT include this page in the report. EXPENDITURE CATEGORIES FOR BOX 10(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 GifUAwards/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) The Instruction Guide explains how to complete this form. 1 Total pages Schedule F2: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 TOTAL OF UNITEMIZED UNPAID INCURRED OBLIGATIONS $ 5 Date 6 Payee name 7 Amount ($) 8 Payee address; City; State; Zip Code 9 TYPE OF r EXPENDITURE F Political I Non-Political 10 (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE OF EXPENDITURE (c) Check if travel outside of Texas.Complete Schedule Check if Austin,TX, officeholder living expense 11 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code TYPE OF (� EXPENDITURE F Political \ Non-Political Category (See Categories listed at the top of this sch(adule) Description PURPOSE OF 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 ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Com cs.s Revised 1/1/2024 Reset Form Reset Page PURCHASE OF INVESTMENTS MADE SCHEDULE F3 FROM POLITICAL CONTRIBUTIONS If the requested information is not applicable, DO NOT include this page in the report. 1 Total pages Schedule F3: The Instruction Guide explains how to complete this form. 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Date 5 Name of person from whom investment is purchased ................................................................................................................................ 6 Address of person from whom investment is purchased; City; State; Zip Code 7 Description of investment 8 Amount of investment($) Date Name of person from whom investment is purchased .............. 11................................................................................................................ Address of person from whom investment is purchased; City; State; Zip Code Description of investment Amount of investment($) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commi Reset Form [Tta Reset Page Revised 1/1/2024 EXPENDITURES MADE BY CREDIT CARD SCHEDULE F4 If the requested information is not applicable, DO NOT include this page in the report. EXPENDITURE CATEGORIES FOR BOX 10(a) r Advertising Expense Event Expense Loan Repayment(Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees, Office Overhead/Rental Expense Transportation Equipment&Related Expense Consulting Expense Food/peverage Expense Polling Expense Travel In District Contributions/Donations Made By GrfUAwards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services SalariesM/ages/Contract Labor Other(entera category not listed above) The Instruction Guide explains how to co late this form. USE A NEW PAGE FOR EACH CREDIT CARD ISSUER 1 TOTAL PAGES 2 FILER NAME 3 FILER ID (Ethics Commission Filers) SCHEDULE F4: 4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TO A CREDIT CARD $ S CREDIT CARD \ Name of financial institution ISSUER 6 PAYMENT (a)Amount Charged (b)Date Expenditure Charged (c)Date(s)Credit Card Issuer Paid 7 PAYEE (a)Payee name (b)Payee address; City, State, Zip Code 8 PURPOSE OF (a)Category(See Categories listed at the top of this schedule) (b)Description EXPENDITURE Political Non-Pc Iitical (c) Check iftravel 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 PAYMENT (a)Amount Charged (b)Date Expenditure Charged (c)Date(s)Credit Card Issuer Paid $ PAYEE (a)Payee name (b)Payee address; City, State, Zip Code PURPOSE OF (a)Category(See Categories listed at the top of this schedule) (b)Description EXPENDITURE r Political r Non-Political (c) Check if travel outside of Texas.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 PAYMENT (a)Amount Charged (b)Date Expenditure harged (c)Date(s)Credit Card Issuer Paid $ PAYEE (a)Payee name (b)Payee address; City, State, Zip Code PURPOSE OF (a)Category(see Categories listed at the top ofthis schedule) (b)Description EXPENDITURE I Political r Non-Political (C) Check if travel outside of Texas.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 Co Reset Form I lcs. Reset Page I Revised 1/1/2024 POLITICAL EXPENDITURES MADE FROM SCHEDULE G PERSONAL FUNDS If the requested information is not applicable, DO NOT include this page in the report. 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 3 Filer ID (Ethics Commission Filers) 4 Date 5 Payer name 6 Amount ($) 7 Payee address; City; State; Zip Code Reimbursement from political contributions intended 8 (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE OF EXPENDITURE (c) Check if travel outside of Texas.Complete Schedule Check if Austin,TX,officeholder living expense g Candidate/Officeholder name Office sought Office held Complete ONLY if direct expenditure to benefit C/OH Date Payee name Ann-unt c S) Payee address; City; State; Zip Code Rei r.i rsementfrom politi-A contributions inters led Category (See Categories listed at the top of this schedule) Description PURPOSE OF EXPENDITURE Check iftravel outside ofTexas.Complete ScheduleT Check if Austin,TX,officeholder living expense Candidate/Officeholder name Office sought Office held Complete ONLY if direct expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code Reimbursement from political contributions intended Categorg (See Categories listed at the top of this schedule) Description PURPOSE OF EXPENDITURE Check if travel outside of Texas.Complete Schedule Check if Austin,TX,officeholder living expense Candidate/Officeholder name Office sought Office held Complete ONLY if direct expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Com Reset Form cs.s Reset Page Revised 1/1/2024 PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH SCHEDULE H If the requested information is not applicable, DO NOT include this page in the report. 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(entera category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule H: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Date 5 Business name 6 Amount ($) 7 Business address; City; State; Zip Code 8 (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE OF EXPENDITURE (c) Check if travel outside ofTexas.Complete Sched u le T Check if Austin,TX, officeholder living expense 9 Complete ONLY if direct Candidate/Officeholder name \ Office sought Office held expenditure to benefit C/OH Date Business name / Amount ($) Business address; City; State; Zip Code \ Category (See Categories listed afthe top of this schedule) Description PURPOSE OF EXPENDITURE 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 Business name Amount ($) Business address; City; State; Zip Code Category (See 06 egories listed at the top of this schedule) Description PURPOSE OF EXPENDITURE Check iftravel outside ofTexas.Complete ScheduleT Check if Austin,TX, officeholder living expense Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Com Reset Form MS Reset Page Revised 1/1/2024 NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total pages Schedule I: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Date 5 Payee name 6 Amount ($) 7 Payee address; City State Zip Code g (a)Category (See instructions for examples of acceptable (b)Description (See instructions regarding type of information PURPOSE categories.) required.) OF EXPENDITURE Date Payee name Amount ($) Payee address; City State Zip Code Category (See instructions for examples of acceptable Description (See instructions regarding type of information PURPOSE categories.) required.) OF EXPENDITURE Date Payee name Amount ($) Payee address; City State Zip Code Category (See instructions for examples of acceptable Description (See instructions regarding type of information PURPOSE categories.) required.) OF EXPENDITURE Date Payee name Amount ($) Payee address; City State Zip Code Category (See instructions for examples of acceptable Description (See instructions regarding type of information PURPOSE categories.) required.) OF EXPENDITURE ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Com Revised 1/1/2024 Reset Form cs.sReset Paae INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED TO FILER SCHEDULE K If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total pages Schedule K: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Date 5 Name of person from whom amount is received 8 Amount($) ........................................................................ ........................ 6 Address of person from whom amount is received; City; State; Zip Code 1, 7 Purpose for which amount is received Check if political contribution returned to filer Date Name of person from whom amount is received Amount($) ........................................................................ ........................ Address of person from whom amount is received; City; State;\1 Zip Code Purpose for which amount is received Check if political contribution returned to filer Date Name of person from whom amount is received \� Amount($) ........................................................................ ........................ Address of person from whom amount is received; City; State; Zip Code Purpose for which amount is received J Check if political contribution returned to filer Date Name of person from whom amount is received Amount($) ........................................................................ ........................ Address of person from whom amount is received; City; State; Zip Code Purpose for which amount is received Check if political contribution returned to filer ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED Forms provided by Texas Ethics Com cs Revised 1/1/2024 .s Reset Form Reset Paae IN-KIND CONTRIBUTIONS OR POLITICAL EXPENDITURES SCHEDULE T FOR TRAVEL OUTSIDE OF TEXAS If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total pages Schedule T: 2 FILER NAME 3 Filer ID (Ethics Coiam ssion Filers) 4 Name of Contributor/Corporation or Labor Organization/Pledgor/Payee 5 Contribution/Expenditure reported on: Schedule A2 Schedule B ScheduldCi.is Schedule C2 Schedule D Schedule F1 Schedule F2 Schedule F4 Schedule G Schedule H Schedule COH-UC Schedule B-SS 6 Dates of travel 7 Name of person(s)traveling 8 Departure city or name of departure location 9 Destination city or name of destination location 10 Means of transportation 11 Purpose of travel(including name of conference,seminar,or other event) Name of Contributor/Corporation or Labor Organization/Pledgor/Payee Contribution/Expenditure reported on: Schedule A2 Schedule B Schedule B(J) Sefiedule C2 Schedule D Schedule F1 Schedule F2 Schedule F4 Schedule G Schedule H Schedule COWLIC Schedule B-SS Dates of travel Name of person(s)traveling Departure city or name of departure location Destination city or name of destination location Means of transportation Purpose of travel(including name of conference,seminar,or other event) Name of Contributor/Corporation or Labor Organization/Pledgor/Payee Contribution/Expenditure reported on: Schedule A2 Schedule B Schedule B(J) Schedule C2 Schedule D Schedule F1 Schedule F2 Schedule F4 Schedule G Schedule H Schedule COWLIC Schedule B-SS Dates of travel Name of person(s)traveling Departure city or name of departure location Destination city or name of destination location Means of transportation Purpose of travel(including name of conference,seminar,or other event) ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED Forms provided by Texas Ethics Com jcs.s� Revised 1/1/2024 Rncot Germ I Qnn ct D!Medn CANDIDATE / OFFICEHOLDER REPORT: DESIGNATION OF FINAL REPORT FORM C/OH - FR The Instruction Guide explains howto complete this form. •• Complete only if "Report Type" on page 1 is marked "Final Report" -- 1 C/OH NAME 2 Filer ID (Ethics Commission Filers) 1 5 / i 3 SIGNATURE I do not expect any further political contributions or political expenditures in connection with my candidacy. I understand that designating a report as a final report terminates my campaign treasurer appointment. I also understand that I may not accept any campaign contributions or make any campaign expenditures without a campaign treasurer appointment on file. _ O/IG f Signature Candidate/Officeholder 4 FILER WHO IS NOT AN OFFICEHOLDER •• Complete A & B below only if you are not an officeholder. •• A. CAMPAIGN FUNDS Check only one: I do not have unexpended contributions or unexpended interest or income earned from political contributions. I have unexpended contributions or unexpended interest or income earned from political contributions. I understand that I may not convert unexpended political contributions or unexpended interest or income earned on political contributions to personal use. I also understand that I must file an annual report of unexpended contributions and that I may not retain unexpended contributions or unexpended interest or income earned on political contributions longer than six years after filing this final report. Further, I understand that I must dispose of unexpended political contributions and unexpended interest or income earned on political contributions in accordance with the requirements of Election Code, §254.204. B. ASSETS Check only one: V- I do not retain assets purchased with political contributions or interest or other income from political contributions. r I do retain assets purchased with political contributions or interest or other income from political contributions. I understand that I may not convert assets purchased with political contributions or interest or other income from political contributions to personal use. I also understand that I must dispose of assets purchased with political contributions in accordance with the requirements of Election Code,§254.204. / 61L / for-)� Si atu of C nd1date 5 OFFICEHOLDER •• Complete this section only if you are an officeholder •• I am aware that I remain subject to filing requirements applicable to an officeholder who does not have a campaign treasurer on file. I am also aware that I will be required to file reports of unexpended contributions if,after filing the last required report as an officeholder, I retain political contributions, interest or other income from political contributions,or assets purchased with political contributions or interest or other income from political contributions. Signa a of Officeholder Forms provided by Texas Ethics Com cs.s Revised 1/1/2024 Reset Form Reset Page OFFICE USE ONLY AFFIDAVIT FOR Date Rec CANDIDATE OR OFFICEHOLDER: RECEIVED ELECTRONIC FILING EXEMPTION 2 61024 ge An exemption affidavit must be submitted with each paper report. Date Han -d City Mana Manay r's/Cltjt ma ked Beginning on January 1, 2024, a candidate or officeholder who has accepted more than $32,810 in political contributions or made more than $32,810 in political expenditures Receipt# Amount$ in any calendar year must file all subsequent reports electronically. Date Processed Filer name Filer ID# Date Imaged 1. I swear or affirm t at I have not accepted more than $32,810 in political contributions or made more than $32,810 in political expenditures in a calendar year. 2. 1 further swear or affirm that I do not use computer equipment to keep current records of political contributions, political expenditures, or persons making political contributions to me. 3. 1 further swear or affirm that no person acting as my agent or consultant, and no person with whom I contract, uses computer equipment to keep current records of political contributions, political expenditures, or persons making political contributions to me. 4. 1 further swear or affirm that I understand that I am required to file my campaign finance reports electronically if I, my agent or consultant, or a person with whom I contract exceeds $32,810 in political contributions or political expenditures in a calendar year, or uses computer equipment to keep current records of political contributions, political expenditures, or persons makin political contributions to me. 5. 1 am filing this affidavit with the StC2 report due onfJ�f �� I understand that this affidavit is required to be filed with each campaign finance report for which l am claiming an exemption from electronic filing. Please complete either option below: (1)Affidavit r Si lure o Filer NOTARY STAMP/SEAL '� Sworn to and subscribed before me by this the day of 20 , to certify which,witness my hand and seal of office. Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath (2) Unsworn Declaration My name is and my date of birth is My address is (street) (city) (state)' (zip code) ' (country) Executed in County,State of on the day of 120 (month) (year) Signature of Filer(Declarant) FILERS WHO ARE EXEMPT FROM THE ELECTRONIC FILING REQUIREMENT ARE STILL REQUIRED TO FILE CAMPAIGN FINANCE REPORTS ON PAPER Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2024