HomeMy WebLinkAboutHarris, Dana 8th Day Before Election 8th Day Before Election 2023 Forms provided uv Texas Ethics Commission Revised 11115/2022
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
15 C/01-1 NAME (A-7 16 Filer ID (Ethics Commission Filers)
17 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUITIONS (OTHER THAN
TOTALS PLEDGES,LOANS,OR GUARANTEES OF LOANS,OR $ 0
CONTRIBUTIONS MADE ELECTRONICALLY)
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $
EXPENDITURE
TOTALS 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE. $
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,Elect
- - a S.-M. 0 Signature of Candidate or Officeholder
MARIA V LINDSEY
Notary ID#126897385
MY Commission Expires
May 12, 2025
Please complete either option below:
(1)Afficlavit
NOTARY STAMP/SEAL
Sworn to and subscribed before me by batia, bkrmis this the day of
2o 23 tocerti hich,witness my hand and seal of office.
—%sici
Signature of officer ad-ninistering oatlf Printed name of officer administering oaTh—' Title of officer ad/ninistering oath
(2)Unsworn Declaration
My name is and my date of birth is.
My address is
(street) (city) (state) (zip code) (country)
Executed in Countv,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 11115/2022
SUBTOTALS C/OH FORM C/OH
COVER SHEET PG 3
19 FILER NAME ID(Ethics Commission Filers)
20 Filer
21 SCHEDULE SUBTOTALS SUBTOTAL
NAME OF SCHEDULE AMOUNT
1. 0 SCHEDULEAI: MONETARY POLITICAL CONTRIBUTIONS $ t-))
2. SCHEDULE A2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $
3. SCHEDULE B: PLEDGED CONTRIBUTIONS $
4� SCHEDULE E: LOANS $
5. SCHEDULE FI: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS s -4-3oc
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. El SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $
10� F SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $
11. 0 SCHEDULE 1: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS s 6
12. El SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS,AND CONTRIBUTIONS RETURNED $
TO FILER T
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/15/2022
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. I Total f ages 3 Schedule Al:d
2 FILER NAME 3 Filer ID �Ethics Commission Filers)
:D'4v�%A
4 Date 5 Full name of contributor ❑out-of-state PAC(ID#: 7 Amount of contribution
"60 Contributor�address; City; State; Zip Code
L N, &,d
n I
8 Principal occupation/job title(See Instructions) 9 Employer(See Instructions)
Date Full name of contributor 171 out-of-state PAC(ID#: > Amount of contribution
. ..... .. .....
Contributor address; City State; Zip Code
81 oc� '�5kactV �JcWartd 4/)IS
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Principal occupation/Job title(See Instructions) Employer(See Instructions)
nov�ii�'r R�A GM
Date Full n f contributor El out-of-state PAC(ID#: Amount of contribution
.err li v_�
.......................I........... ..........................................
Contributor address; City; State; Zip Code
,5( 2.15 CO loyV00 %1'40 -4(p t5t)
Principal occupation/Job title(See Instructions) Employer(See Instructions)
(a
Date Full name of contributor out-of-state PAC(ID#: Amount of contribution
Contributo,ldress; City; State;** Z*ip Cod'a*
C It b
Principal occupation 1 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 11/1512022
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Forms provided ov Texas Ethics Commission Revised 11n5/2022
NON-MONETARY (IN-KIND) POLITICAL SCHEDULE A2
CONTRIBUTIONS
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form. I Total pages Schedule A2:
2 FILER NAME f 3 Filer ID (Ethics Commission Filers)
4 TOTAL OF UNITEMIZED IN-KIND POLITICAL CONTRIBUTIONS $
5 Date 6 Full name of contributor El out-of-state PAC(ID* 1 8 Amount of I 9 In-kind contribution
gg Contribution $ I description
4
................................. f L j)
7 Contributor address; City; State; Zip Code
-4L Va-L
L6 Pt F-D ca -1 1 [:]Check if travel outside of Texas.Complete Schedule T.
,
10 Principal occupation/Job title(FOR NON-JUDICIAL)(See Instructions) 11 Employer(FOR NON-JUDICIAL)(See Instructions)
12 Contributor's principal occupation(FOR JUDICIAL) 13 Contributor's job title(FOR JUDICIAL)(See Instructions)
14 Contributor's employer/law firm(FOR JUDICIAL) 15 Law firm of contributor's spouse(if any)(FOR JUDICIAL)
16 If contributor is a child,law firm of parent(s)(if any)(FOR JUDICIAL)
Date Full name of contributor E]out-of-state PAC(ID#: Amount of In-kind contribution
Contribution $ I description
.......................................................................
Contributor address; City; State; Zip Code
E]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 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 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 11/15/2022
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$(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 GiftlAwards/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.
I Total pages Schedule F1: 2 FILER
I \��ME-%) 3 Filer ID (Ethics Commission Filers)
4 Date 5 Payee name
6 Amount 7 Payee Adress; City; State; Zip Code
8 (a) Category (See Categories listed at the top ofthis schedule) (b)Description
PURPOSE
OF Tx--�, �- i ck).7"l
EXPENDITURE C �fe� A—
(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
Amount Payee address; City; State; Zip Code
Category(See categories listed at the top of this schedule) Description
PURPOSE
OF
EXPENDITURE
0 Check iftravel outside ofTexas.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 CIOH
Date Payee name
Amount Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule) Description
PURPOSE
OF
EXPENDITURE
0 Check 9 travel outside ofTexas.Complete Schedule T. E:1 Check if Austin,TX,officeholder living expense
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/01-1
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethiGS.state.tx,us Revised 11/15/2022