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Keely Briggs Final Report I CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: The C/OH Instruction Guide explains how to complete this form. 0 3 CANDIDATE/ MS/MRS/MR FIRST MI OFFICE USE ONLY OFFICEHOLDER NAME `. L ........... Date d_ NICKNAME LAST SUFFIX 13RI(A(A S RECEIVED 4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE OFFICEHOLDER J k N 1p 512021 MAILING 3)0°p (3 R Oker� (3 0L.-j ADDRESS _ q City Managers/City Change of Address N?O x -7(o ! Secretary's Office 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION Date Hand-delivered or Date Postmarked OFFICEHOLDER // PHONE \ q-10 ) 3a.O 733-/ Receipt# Amount$ 6 CAMPAIGN MS/MRS/MR FIRST MI TREASURER CH R is /3 . NAME ................................................................................. Date Processed NICKNAME LAST SUFFIX Date Imaged 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE TREASURER 310S lJ�0k,e'J 13Q� ADDRESS !J(Residence or Business) �^�TQ.4 ?� 7 w�'C /q 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE 9�G ) 3a c -7 3 3 -1 9 REPORT TYPE ❑/ January 15 El3Dth day before election Runoff 15th day after campaign treasurer appointment �,( (Officeholder Only) El July 15 El8th day before election Exceeded Modred I][I Final Report(Attach C/OH-FIR) Reporting Limit �V 10 PERIOD Month Day Year Month Day Year COVERED // 11961 /00 A O THROUGH /cZ/ 3 .1 /a o -k o 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year ❑ Primary Runoff El Other Description 1A / t /aoXa ❑ General ❑ Special 12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known) IY714 yD/L aP DF1V-70 1' 7E'Xr9S 14 NOTICE FROM THIS BOX IS FOR NOTICE 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 Commission www.ethics.state.tx.us Revised 8/17/2020 2- CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 15 C/OH NAME 16 Filer ID (Ethics Commission Filers) 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) . . . . . . . . . . . . . . . . . . • EXTEND ITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE. 4. TOTAL POLITICAL EXPENDITURES $ / 7 . . . . . . . . . . . . . . . . . . . CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY U BALANCE OF REPORTING PERIOD $ -1 y - - - - - - - - - - - - - - - - - - OUTSTANDING 6. TOTAL PRINCIPALAMOUNT 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. r Signature of Candidate or Officeholder Please complete either option below: 011111' ROSA A. RIOS -:f.* ,i6zNotary Public, State of Texas (1)Affidavit ='!, }` Comm. Expires 05 23-2024 Notary M 8760780 NOTARY STAMP/SEAL Sworn to and subscribed before me by —this this the 'A5day of 20 to certify which,witness my hand and seal of office. Signature of officer administering oath Printed name of officer administering oath Tit of officer administering oath (2)Unswom 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 ,20 (month) (year) Signature of Candidate/Officeholder(Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 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 S REDUCE AMOUNT 1 SCHEDULEAI: MONETARY POLITICAL CONTRIBUTIONS $ 2. SCHEDULEA2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $ 3. SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4. SCHEDULE E: LOANS $ 5. 19 SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $3,3 1 �, 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. FJ 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 8/17/2020 Y POLITICAL EXPENDITURES MADE SCHEDULE F1 FROM POLITICAL CONTRIBUTIONS 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/FundraisingExpense Aocounting/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 3 Filer ID (Ethics Commission Filers) 4 Date 5 Payee name /1/30 f 2 O 2 0 {?A y PA�- 6 Amount ($) 7 Payee address; City; State; Zip Code b 0, 3 17. ?aa-T CtROC11: &VO LAI/I5701� 8 (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE OF ��_ S r >rt EXPENDITURE (C) Check if travel outside ofTexas.Complete Schedule T Check if Austin,TX, officeholder living expense 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name /a///2flzo F4- CF900X Amount ($) Payee address; City; State; Zip Cod(- S' 5 3—�— / 1�9 tX�'2 W tl,-1 12lrw/,o A012le le C6 Category (See Categories listed at the top of this schedule) Description PURPOSE /� EXPENOF DITURE /"/�' F2-1U1W6 �XF/'1�/✓TA L'>�7 /C'^� 'Gl2d/n>��/d.✓ 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 /000-Loo-0 lF/J' od 2r:Cd(LO G/d20KII(.tLI7- Amount ($) Payee address; City; State; Zip Code Sd 5 3 5-55 Category (See Categories listed at the top of this schedule) Description PURPOSE D EXPENDITURE �1/✓V��L%/�/i✓�7Fx/"�c✓�� /YJO/l/LjQ7nI(� / 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 ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 s POLITICAL EXPENDITURES MADE SCHEDULE F1 FROM POLITICAL CONTRIBUTIONS 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/FundraisingExpense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense Consulting Expense FoodtBeverage 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) .;L -2-- )<'t=E'- 4�p. $21 G U S 4 Date 5 Payee name /1/7 b 0 0/2&/7 7vA f r r 6 Amount ($) 7 Payee address; City; State; Zip Code 0375 N. Ez-n s� g (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE 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 /-Al-7/aO a o Amount ($) Payee address; City; State; Zip Code 31-7 3 Al- 6F4 f,rJr.✓0 010 plz, 4 U s f/voir14 s , cR fo o& rO Category (See Categories listed at the top of this schedule) Description PURPOSE OF �Dl/�2�1��✓G �X/�/Ci✓f�c -4aeair►mail/Ci9-7�a S EXPENDITURE /1' r rf o&14 G ElCheck iftravel outside ofTexas.Complete Schedule T. ❑ Check if Austin,TX, officeholder living expense Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSE OF EXPENDITURE ❑ Check iftravel outside ofTexas.Complete ScheduleT 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 SCHEDULEAS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 CANDIDATE / OFFICEHOLDER REPORT. DESIGNATION OF FINAL REPORT FORM C/OH - FR The Instruction Guide explains how to complete this form. Complete only if "Report Type" on page 1 is marked "Final Report" •• 1 C/OH NAME ee�y � Rt� �S 2 Filer ID (Ethics Commission Filers) K . 3 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. Signature of 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: 0 I do not have unexpended contributions or unexpended interest or income earned from political contributions. I have unexpended contributions or unexpended interest or income eamed 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. e ASSETS Check only one: do not retain assets purchased with political contributions or interest or other income from political contributions. 0 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. --1' /. Sig(ur of Candidate 5 OFFICEHOLDER •• Complete this section only if you are an officeholder •• 0 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. Signature of Officeholder Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020