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 OFFICE USE ONLY OFFICEHOLDER Tiffany D Date Received NAME NICKNAME LAST SUFFIX 11/15/2019 Thomas 4 CANDIDATE / ADDRESS / PO BOX; APT/SUITE #; CITY; STATE; ZIP CODE OFFICEHOLDER P.O. Box 2271 MAILING Date Hand-delivered or Date Postmarked ADDRESS Alief Texas 77411 Change of address 5 CANDIDATE / AREA CODE PHONE NUMBER EXTENSION OFFICEHOLDER (281-564-8943) PHONE 6 CAMPAIGN MS/MRS/MR FIRST MI Receipt # Amount TREASURER Wilbert Date Processed NAME NICKNAME LAST SUFFIX Date Imaged Thomas III 7 CAMPAIGN STREET ADDRESS (No PO Box Please); APT/SUITE # ; CITY; STATE; ZIP CODE TREASURER ADDRESS (6230 Briar Glade Dr.) Houston TX 77072 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE 2815648943 January 15 30th day before election X Final repport (Attach C/OH - FR) Exceeded Modified Reporting Limit 9 REPORT TYPE July 15 8th day before election X Runoff 15th day after campaign treasurer appointment(officeholder only) 10 PERIOD Month Day Year Month Day Year COVERED 10/1/2019 THROUGH 11/14/2019 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year 12/14/2019 Primary Runoff X General Special 12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known) City Council - District F 1 of 43
14 FILER NAME Tiffany D Thomas
15 Filer ID (Ethics Commission Filers)
This box is for notice of political contributions accepted or political expenditures made by political committees to support 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.
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.
Sworn to and subscribed before me, by the said ___________________________________________ , this the
day of _________________________, 20_________________ , to certify which, witness my hand and seal of office.
CANDIDATE / OFFICEHOLDER REPORT: FORM C/OH SUPPORT & TOTALS COVER SHEET PG 2
16 NOTICE COMMITTEE TYPE COMMITTEE NAME FROM POLITICAL GENERAL COMMITTEE ADDRESS COMMITTEE(S) SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME additional pages COMMITTEE CAMPAIGN TREASURER ADDRESS 17 CONTRIBUTION TOTALS 1 Total unitemized political contributions (other than pledges, loans, or guarantees of loans or contributions made electroniclly) $580.00 2 TOTAL POLITICAL CONTRIBUTIONS $3,905.00 (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) EXPENDITURE TOTALS 3 Total unitemized political expenditures. $651.90 4 TOTAL POLITICAL EXPENDITURES $17,826.91 CONTRIBUTION BALANCE 5 TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF REPORTING PERIOD $11,675.20 OUTSTANDING LOAN TOTALS 6 TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY OF THE REPORTING PERIOD $0.00 18 AFFIDAVIT
of Candidate or Officeholder AFFIX NOT
ABOVE
Wilbert Thomas III Signature
STAMP / SEAL
______________________________ ________________________________ ___________________________ Signature of officer administering oath Print name of officer administering oath Title of officer administering oath 2 of 43
____________________
FORM C/OH COVER SHEET PG 3 19 FILER NAME Tiffany D Thomas 20 Filer ID (Ethics Commission Filers) 21 SCHEDULE SUBTOTALS SUBTOTAL NAME OF SCHEDULE AMOUNT 1. SCHEDULE A1: MONETARY POLITICAL CONTRIBUTIONS 3,905.00 2. SCHEDULE A2: NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS 0 3. SCHEDULE B: PLEDGED CONTRIBUTIONS 0 4. SCHEDULE E: LOANS 0 5. SCHEDULE F1: POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS -17,826.91 6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS 0 7. SCHEDULE F3: PURCHASE OF INVESTMENTS FROM POLICITAL CONTRIBUTIONS 0 8. SCHEDULE F4: EXPENDITURES MADE FROM CREDIT CARD 0 9. SCHEDULE G: POLITICAL EXPENDITURES FROM PERSONAL FUNDS 0 10. SCHEDULE H: PAYMENT FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH 0 11. SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS 0 12. SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED TO FILER 0 3 of 43
SUBTOTALS - COH
NOTICE FROM POLITICAL COMMITTEE(S)
C/OH NAME Tiffany D Thomas
ACCOUNT # (Ethics Commission filers)
This box is for notice of political contributions accepted or political expenditures made by political committees to support 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.
CANDIDATE / OFFICEHOLDER REPORT: FORM C/OH
ADDENDUM
4 of 43
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1
The Instruction Guide explains how to complete this form.
1 Total Pages Schedule A1:
2 FILER NAME Tiffany D Thomas 3 Filer ID (Ethics Commission filers) 4 Date 5 Full name of contributor out of state PAC(ID# ) Jerry Boone IV 7 Amount of contributions ($) 6 Contributor address; City; State; Zip Code 10/2/2019 Richmond TX 77407 50.00 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Attorney Self 4 Date 5 Full name of contributor out of state PAC(ID# ) Niiobli Armah IV 7 Amount of contributions ($) 6 Contributor address; City; State; Zip Code 10/9/2019 Houston TX 77095 250.00 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Consultant Consulting 4 Date 5 Full name of contributor out of state PAC(ID# ) LaTonya Wright 7 Amount of contributions ($) 6 Contributor address; City; State; Zip Code 10/9/2019 Manvel TX 77578 150.00 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) VP Sales, US Clarus 4 Date 5 Full name of contributor out of state PAC(ID# ) Victoria Gray 7 Amount of contributions ($) 6 Contributor address; City; State; Zip Code 10/9/2019 Houston TX 77047 25.00 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Managing Director Victory Group 4 Date 5 Full name of contributor out of state PAC(ID# ) 5 of 43
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1
The
2 FILER NAME Tiffany D Thomas 3 Filer ID (Ethics Commission filers) Elijah Williams 7 Amount of contributions ($) 6 Contributor address; City; State; Zip Code 10/11/2019 Houston TX 77082 150.00 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Committee Director Texas House of Representatives 4 Date 5 Full name of contributor out of state PAC(ID# ) Jarrett Cohen 7 Amount of contributions ($) 6 Contributor address; City; State; Zip Code 10/11/2019 New Orleans LA 70170 200.00 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Investment Adviser JECohen 4 Date 5 Full name of contributor out of state PAC(ID# ) Brandi Ebanks 7 Amount of contributions ($) 6 Contributor address; City; State; Zip Code 10/11/2019 Houston TX 77096 50.00 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Project Manager H-GAC 4 Date 5 Full name of contributor out of state PAC(ID# ) Natasha Butler 7 Amount of contributions ($) 6 Contributor address; City; State; Zip Code 10/15/2019 Houston TX 77099 40.00 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Accountant Hines 4 Date 5 Full name of contributor out of state PAC(ID# ) Jylise Smith 7 Amount of contributions ($) 6 of 43
Instruction Guide explains how to complete this form. 1 Total Pages Schedule A1:
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1
The Instruction Guide explains how to complete this form.
1 Total Pages Schedule A1:
2 FILER NAME Tiffany D Thomas 3 Filer ID (Ethics Commission filers) 6 Contributor address; City; State; Zip Code 10/15/2019 Silver Spring MD 20910 150.00 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Development Project Coordinator Children's Defense Fund 4 Date 5 Full name of contributor out of state PAC(ID# ) Teresa Cox 7 Amount of contributions ($) 6 Contributor address; City; State; Zip Code 10/16/2019 Fremont CA 94538 75.00 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Trustee Ohlone College 4 Date 5 Full name of contributor out of state PAC(ID# ) Carlos Pinkerton 7 Amount of contributions ($) 6 Contributor address; City; State; Zip Code 10/18/2019 Bryan TX 77807 25.00 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Educator Texas A&M University System - RELLIS Academic Alliance 4 Date 5 Full name of contributor out of state PAC(ID# ) Frank Fellows 7 Amount of contributions ($) 6 Contributor address; City; State; Zip Code 10/21/2019 Seattle WA 98125 25.00 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Communications Amazon 7 of 43
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1
The Instruction Guide explains how to complete this form. 1
Total
2 FILER NAME Tiffany D Thomas 3 Filer ID (Ethics Commission filers) 4 Date 5 Full name of contributor out of state PAC(ID# ) Aaron Burgess 7 Amount of contributions ($) 6 Contributor address; City; State; Zip Code 10/21/2019 Houston TX 77082 25.00 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Medical Billing Specialist Metric Lab Services 4 Date 5 Full name of contributor out of state PAC(ID# ) Ian Burgess 7 Amount of contributions ($) 6 Contributor address; City; State; Zip Code 10/22/2019 Houston TX 77082 25.00 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Financial Analyst Cardinal Health 4 Date 5 Full name of contributor out of state PAC(ID# ) Ryan Lindsay 7 Amount of contributions ($) 6 Contributor address; City; State; Zip Code 10/23/2019 Houston TX 77008 250.00 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Gallery Owner The John Palmer Art Gallery & Studio 4 Date 5 Full name of contributor out of state PAC(ID# ) Sontra Carmouche 7 Amount of contributions ($) 6 Contributor address; City; State; Zip Code 10/23/2019 xNew Orleans LA 70122 50.00 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Director of Social Services New Orleans Council on Aging 8 of 43
Pages Schedule A1:
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1
The Instruction Guide explains how to complete this form. 1 Total Pages Schedule A1:
2 FILER NAME Tiffany D Thomas 3 Filer ID (Ethics Commission filers) 4 Date 5 Full name of contributor out of state PAC(ID# ) Rachel Dvoretzky 7 Amount of contributions ($) 6 Contributor address; City; State; Zip Code 10/30/2019 Houston TX 77009 25.00 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Non-profit fundraiser BakerRipley 4 Date 5 Full name of contributor out of state PAC(ID# ) Kimberly Hill 7 Amount of contributions ($) 6 Contributor address; City; State; Zip Code 10/30/2019 Humble TX 77338 100.00 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Training Consultant The Mosaic Company 4 Date 5 Full name of contributor out of state PAC(ID# ) Ashley Small 7 Amount of contributions ($) 6 Contributor address; City; State; Zip Code 10/30/2019 Houston TX 77004 50.00 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Digital PR Strategist Medley Inc. 4 Date 5 Full name of contributor out of state PAC(ID# ) Christina Sanders 7 Amount of contributions ($) 6 Contributor address; City; State; Zip Code 10/31/2019 Houston TX 77033 50.00 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Professor Texas Southern University 4 Date 5 Full name of contributor out of state PAC(ID# ) 9 of 43
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1
The Instruction Guide explains how to complete this form.
1 Total Pages Schedule A1:
2 FILER NAME Tiffany D Thomas 3 Filer ID (Ethics Commission filers) Patrice Duke 7 Amount of contributions ($) 6 Contributor address; City; State; Zip Code 11/1/2019 Dallas TX 75244 50.00 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Mortgage Finance LDW 4 Date 5 Full name of contributor out of state PAC(ID# ) Melissa Sullivan 7 Amount of contributions ($) 6 Contributor address; City; State; Zip Code 11/1/2019 Washington DC 20010 50.00 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Press Officer U.S. Government 4 Date 5 Full name of contributor out of state PAC(ID# ) Ryan Lindsay 7 Amount of contributions ($) 6 Contributor address; City; State; Zip Code 11/12/2019 Houston TX 77008 100.00 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Gallery Owner The John Palmer Art Gallery & Studio 4 Date 5 Full name of contributor out of state PAC(ID# ) Apriel Powell Martin 7 Amount of contributions ($) 6 Contributor address; City; State; Zip Code 11/12/2019 Houston TX 77021 200.00 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Attorney UTMB 4 Date 5 Full name of contributor out of state PAC(ID# ) Courtenay Siegfried 7 Amount of contributions ($) 10 of 43
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1
The Instruction Guide explains how to complete this form.
1 Total Pages Schedule A1:
2 FILER NAME Tiffany D Thomas 3 Filer ID (Ethics Commission filers) 6 Contributor address; City; State; Zip Code 11/12/2019 Houston TX 77009 40.00 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Communications/PR Self-employed 4 Date 5 Full name of contributor out of state PAC(ID# ) Jeri Brooks 7 Amount of contributions ($) 6 Contributor address; City; State; Zip Code 11/12/2019 Houston TX 77010 250.00 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) CEO One World Strategy Group 4 Date 5 Full name of contributor out of state PAC(ID# ) Barbara Quattro 7 Amount of contributions ($) 6 Contributor address; City; State; Zip Code 11/14/2019 Houston TX 77072 500.00 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Retired Retired 4 Date 5 Full name of contributor out of state PAC(ID# ) Long Nguyen 7 Amount of contributions ($) 6 Contributor address; City; State; Zip Code 11/14/2019 Houston TX 77098 250.00 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) self-employed Gia Capital 11 of 43
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements
1 Total Pages Schedule A1: 2 FILER NAME Tiffany D Thomas 3 Filer ID (Ethics Commission filers) 4 Date 5 Full name of contributor out of state PAC(ID# ) Check Deposit 7 Amount of contributions ($) 6 Contributor address; City; State; Zip Code 11/10/2019 200.00 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) 4 Date 5 Full name of contributor out of state PAC(ID# ) Cash Deposit 7 Amount of contributions ($) 6 Contributor address; City; State; Zip Code 11/12/2019 500.00 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions)
The Instruction Guide explains how to complete this form.
12 of 43
NON-MONETARY (IN-KIND) POLITICAL SCHEDULE A2 CONTRIBUTIONS
The
If
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Instruction Guide explains how to complete this form.
Total Pages Schedule A2:
FILER NAME Tiffany D Thomas 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# ) 8 Amount of contributions ($) 9 In-Kind contribution description 7 Contributor address; City; State; Zip Code Check if travel outside of Texas, complete Schedule T 10 Principal occupation / Job title (See Instructions) 11 Employer (See Instructions)
1
2
contributor
out-of-state PAC,
instruction guide for
reporting requirements 13 of 43
is
please see
additional
PLEDGED CONTRIBUTIONS SCHEDULE B
The
If
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Total Pages Schedule B:
FILER NAME Tiffany D Thomas 3 Filer ID (Ethics Commission filers) 4 TOTAL OF UNITEMIZED PLEDGES: => => => => => => 5 Date 6 Full name of pledgor out of state PAC(ID# ___) 8 Amount of 9. In-Kind contribution pledge ($) description 7 Pledgor address; City; State; Zip Code Check if travel outside of Texas, complete Schedule T 10 Principal occupation / Job title (See Instructions) 11 Employer (See Instructions)
Instruction Guide explains how to complete this form. 1
2
14 of 43
contributor is out-of-state PAC, please see instruction guide for additional reporting requirements
SCHEDULE E The Instruction Guide explains how to complete this form. 1 Total Pages Schedule E: 2 FILER NAME Tiffany D Thomas 3 Filer ID (Ethics Commission filers) 4 TOTAL OF UNITEMIZED LOANS: => => => => => => 5 Date of loan 7 Name of lender out of state PAC(ID# ) 9 Loan Amount ($) 6 Is Lender a 8 Lender Address; City; State; Zip Code 10 Interest rate Financial Institution? 11 Maturity date 12 Principal occupation / Job title (See Instructions) 13 Employer (See Instructions) 14 Description of collateral 15 Check if personal funds were deposited into political account (See instructions) none 16 GUARANTOR 17 Name of guarantor 19 Amount Guaranteed ($) INFORMATION 18 Guarantor address; City; State; Zip Code not applicable 20 Principal Occupation 21 Employer
LOANS
lender is out-of-state PAC, please see instruction
for additional reporting requirements 15 of 43
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If
guide
POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS
The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1: 2 FILER NAME Tiffany D Thomas 3 Filer ID (Ethics Commission filers) 4 Date 5 Payee name 11/13/2019 Sam's Club 6 Amount ($) 7 Payee address; City; State; Zip Code ($540.17) 10488 Katy Fwy, Houston, Houston TX 77043 8 PURPOSE OF EXPENDITURE (a) Category (b) Description Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense OTHER (enter a category not listed above) laptop replacement 9 Complete ONLY if direct expendituree to benefit C/OH Candidate / Officehoder name office sought office held 4 Date 5 Payee name 11/12/2019 Bid LLC 6 Amount ($) 7 Payee address; City; State; Zip Code ($248.43) online 8 PURPOSE OF EXPENDITURE (a) Category (b) Description Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense Advertising Expense direct mail designs 9 Complete ONLY if direct expendituree to benefit C/OH Candidate / Officehoder name office sought office held 4 Date 5 Payee name 11/12/2019 Life Current Massage 6 Amount ($) 7 Payee address; City; State; Zip Code ($138.00) online 8 PURPOSE OF EXPENDITURE (a) Category (b) Description 16 of 43
SCHEDULE F1
POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS
The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1: 2 FILER NAME Tiffany D Thomas 3 Filer ID (Ethics Commission filers) Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense Fees Massage 9 Complete ONLY if direct expendituree to benefit C/OH Candidate / Officehoder name office sought office held 4 Date 5 Payee name 11/8/2019 Homes to Suites by Hilton 6 Amount ($) 7 Payee address; City; State; Zip Code ($201.24) 3125 Wilcrest Dr Houston TX 77042 8 PURPOSE OF EXPENDITURE (a) Category (b) Description Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense Office Overhead/Rental Expense Phone banking and Volunteer center 9 Complete ONLY if direct expendituree to benefit C/OH Candidate / Officehoder name office sought office held 17 of 43
SCHEDULE F1
POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS
The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1: 2 FILER NAME Tiffany D Thomas 3 Filer ID (Ethics Commission filers) 4 Date 5 Payee name 11/7/2019 Tonia 6 Amount ($) 7 Payee address; City; State; Zip Code ($150.00) online 8 PURPOSE OF EXPENDITURE (a) Category (b) Description Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense Salaries/Wages/Contract Labor Poll Work 7am-7p 9 Complete ONLY if direct expendituree to benefit C/OH Candidate / Officehoder name office sought office held 4 Date 5 Payee name 11/7/2019 Cherrelle Duncan 6 Amount ($) 7 Payee address; City; State; Zip Code ($150.00) 2525 Old Farm Rd Houston TX 77063 8 PURPOSE OF EXPENDITURE (a) Category (b) Description Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense Fees Reimbursement (election day items) 9 Complete ONLY if direct expendituree to benefit C/OH Candidate / Officehoder name office sought office held 4 Date 5 Payee name 11/7/2019 Yao Restaurant and Bar 6 Amount ($) 7 Payee address; City; State; Zip Code ($1,219.51) 9755 Westheimer Rd Houston TX 77042 8 PURPOSE OF EXPENDITURE (a) Category (b) Description 18 of 43
SCHEDULE F1
POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1: 2 FILER NAME Tiffany D Thomas 3 Filer ID (Ethics Commission filers) Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense Food/Beverage Expense Election Night party 9 Complete ONLY if direct expendituree to benefit C/OH Candidate / Officehoder name office sought office held 4 Date 5 Payee name 11/7/2019 Hungry Howies Pizza and Subs 6 Amount ($) 7 Payee address; City; State; Zip Code ($134.77) 13548 Beechnut St #800 Houston TX 77082 8 PURPOSE OF EXPENDITURE (a) Category (b) Description Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense Food/Beverage Expense lunch - poll workers 9 Complete ONLY if direct expendituree to benefit C/OH Candidate / Officehoder name office sought office held 19 of 43
POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1: 2 FILER NAME Tiffany D Thomas 3 Filer ID (Ethics Commission filers) 4 Date 5 Payee name 11/6/2019 Kevin Kebede 6 Amount ($) 7 Payee address; City; State; Zip Code $870.00 8 PURPOSE OF EXPENDITURE (a) Category (b) Description Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense Transportation Equipment & Related Expense campaign bus 9 Complete ONLY if direct expendituree to benefit C/OH Candidate / Officehoder name office sought office held 4 Date 5 Payee name 11/5/2019 Chilis 6 Amount ($) 7 Payee address; City; State; Zip Code ($42.60) 10001 Westheimer Rd #127 Houston TX 77042 8 PURPOSE OF EXPENDITURE (a) Category (b) Description Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense Food/Beverage Expense campaign dinner 9 Complete ONLY if direct expendituree to benefit C/OH Candidate / Officehoder name office sought office held 4 Date 5 Payee name 11/4/2019 Cherrelle Duncan 6 Amount ($) 7 Payee address; City; State; Zip Code ($97.00) 2525 Old Farm Rd Houston TX 77042 8 PURPOSE OF EXPENDITURE (a) Category (b) Description 20 of 43
POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS
The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1: 2 FILER NAME Tiffany D Thomas 3 Filer ID (Ethics Commission filers) Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense Fees reimbursement (Instacart - volunteer bags) 9 Complete ONLY if direct expendituree to benefit C/OH Candidate / Officehoder name office sought office held 4 Date 5 Payee name 11/4/2019 Cash Withdrawal 6 Amount ($) 7 Payee address; City; State; Zip Code ($300.00) 8 PURPOSE OF EXPENDITURE (a) Category (b) Description Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense Advertising Expense lit drop (77072 and 77099) 9 Complete ONLY if direct expendituree to benefit C/OH Candidate / Officehoder name office sought office held 21 of 43
SCHEDULE F1
POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1: 2 FILER NAME Tiffany D Thomas 3 Filer ID (Ethics Commission filers) 4 Date 5 Payee name 11/4/2019 Mister Car Wash 6 Amount ($) 7 Payee address; City; State; Zip Code ($30.00) 10760 Westheimer Rd Houston TX 77042 8 PURPOSE OF EXPENDITURE (a) Category (b) Description Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense Transportation Equipment & Related Expense car wash 9 Complete ONLY if direct expendituree to benefit C/OH Candidate / Officehoder name office sought office held 4 Date 5 Payee name 11/4/2019 Thai Cottage At Westheimer 6 Amount ($) 7 Payee address; City; State; Zip Code ($46.70) 10001 Westheimer Rd Houston TX 77042 8 PURPOSE OF EXPENDITURE (a) Category (b) Description Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense Food/Beverage Expense volunteer thank you 9 Complete ONLY if direct expendituree to benefit C/OH Candidate / Officehoder name office sought office held 4 Date 5 Payee name 11/1/2019 Urban One Inc 6 Amount ($) 7 Payee address; City; State; Zip Code ($1,560.00) online 8 PURPOSE OF EXPENDITURE (a) Category (b) Description 22 of 43
POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1: 2 FILER NAME Tiffany D Thomas 3 Filer ID (Ethics Commission filers) Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense Advertising Expense Radio Ads 9 Complete ONLY if direct expendituree to benefit C/OH Candidate / Officehoder name office sought office held 4 Date 5 Payee name 10/29/2019 Yao Restaurant and Bar 6 Amount ($) 7 Payee address; City; State; Zip Code ($40.61) 9755 Westheimer Rd, Houston TX 77063 8 PURPOSE OF EXPENDITURE (a) Category (b) Description Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense Food/Beverage Expense Election Night Fees 9 Complete ONLY if direct expendituree to benefit C/OH Candidate / Officehoder name office sought office held 23 of 43
POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS
The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1: 2 FILER NAME Tiffany D Thomas 3 Filer ID (Ethics Commission filers) 4 Date 5 Payee name 10/25/2019 GoGo Biz 6 Amount ($) 7 Payee address; City; State; Zip Code ($1,872.59) 10900 Northwest Fwy Houston TX 77090 8 PURPOSE OF EXPENDITURE (a) Category (b) Description Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense Printing Expense 4x4 sign replacement 9 Complete ONLY if direct expendituree to benefit C/OH Candidate / Officehoder name office sought office held 4 Date 5 Payee name 10/23/2019 Cash Withdrawal 6 Amount ($) 7 Payee address; City; State; Zip Code ($600.00) 8 PURPOSE OF EXPENDITURE (a) Category (b) Description Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense Advertising Expense Lit drop (77082 and 77063) 9 Complete ONLY if direct expendituree to benefit C/OH Candidate / Officehoder name office sought office held 4 Date 5 Payee name 10/22/2019 MinuteMan Press 6 Amount ($) 7 Payee address; City; State; Zip Code ($2,014.23) 3711 Briarpark Dr. Ste 395 Houston TX 77042 8 PURPOSE OF EXPENDITURE (a) Category (b) Description 24 of 43
SCHEDULE F1
POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS
The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1: 2 FILER NAME Tiffany D Thomas 3 Filer ID (Ethics Commission filers) Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense Printing Expense Direct Mail #2 9 Complete ONLY if direct expendituree to benefit C/OH Candidate / Officehoder name office sought office held 4 Date 5 Payee name 10/21/2019 Chase Convenience Fee 6 Amount ($) 7 Payee address; City; State; Zip Code ($5.00) 8 PURPOSE OF EXPENDITURE (a) Category (b) Description Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense Fees n/a 9 Complete ONLY if direct expendituree to benefit C/OH Candidate / Officehoder name office sought office held 25 of 43
SCHEDULE F1
POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1: 2 FILER NAME Tiffany D Thomas 3 Filer ID (Ethics Commission filers) 4 Date 5 Payee name 10/21/2019 Duncan 6 Amount ($) 7 Payee address; City; State; Zip Code ($109.00) 2525 Old Farm Rd Houston TX 77042 8 PURPOSE OF EXPENDITURE (a) Category (b) Description Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense OTHER (enter a category not listed above) reimbursement (capaign items) 9 Complete ONLY if direct expendituree to benefit C/OH Candidate / Officehoder name office sought office held 4 Date 5 Payee name 10/21/2019 USPS 6 Amount ($) 7 Payee address; City; State; Zip Code ($17.60) 4600 Aldine Bender Houston TX 77032 8 PURPOSE OF EXPENDITURE (a) Category (b) Description Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense Printing Expense stamps 9 Complete ONLY if direct expendituree to benefit C/OH Candidate / Officehoder name office sought office held 4 Date 5 Payee name 10/21/2019 Subway 6 Amount ($) 7 Payee address; City; State; Zip Code ($7.35) 8 PURPOSE OF EXPENDITURE (a) Category (b) Description 26 of 43
POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1: 2 FILER NAME Tiffany D Thomas 3 Filer ID (Ethics Commission filers) Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense Food/Beverage Expense volunteer 9 Complete ONLY if direct expendituree to benefit C/OH Candidate / Officehoder name office sought office held 4 Date 5 Payee name 10/17/2019 ExxonMobil Gas 6 Amount ($) 7 Payee address; City; State; Zip Code ($29.52) 12011 Alief Clodine Rd, Houston, TX 77082 Houston TX 77082 8 PURPOSE OF EXPENDITURE (a) Category (b) Description Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense Transportation Equipment & Related Expense District travel (volunteer) 9 Complete ONLY if direct expendituree to benefit C/OH Candidate / Officehoder name office sought office held 27 of 43
POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS
The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1: 2 FILER NAME Tiffany D Thomas 3 Filer ID (Ethics Commission filers) 4 Date 5 Payee name 10/16/2019 Cash Withdrawal 6 Amount ($) 7 Payee address; City; State; Zip Code ($80.00) 2525 Old Farm Rd Houston TX 77042 8 PURPOSE OF EXPENDITURE (a) Category (b) Description Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense Fees reimbursement (capaign items) 9 Complete ONLY if direct expendituree to benefit C/OH Candidate / Officehoder name office sought office held 4 Date 5 Payee name 10/16/2019 Apple City Store 6 Amount ($) 7 Payee address; City; State; Zip Code ($16.23) 11903 alief clodine rd. Houston TX 77072 8 PURPOSE OF EXPENDITURE (a) Category (b) Description Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense Advertising Expense cups 9 Complete ONLY if direct expendituree to benefit C/OH Candidate / Officehoder name office sought office held 4 Date 5 Payee name 10/16/2019 Apple City Store 6 Amount ($) 7 Payee address; City; State; Zip Code ($43.29) 11903 alief clodine rd. Houston TX 77072 8 PURPOSE OF EXPENDITURE (a) Category (b) Description 28 of 43
SCHEDULE F1
POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS
The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1: 2 FILER NAME Tiffany D Thomas 3 Filer ID (Ethics Commission filers) Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense Advertising Expense shirts 9 Complete ONLY if direct expendituree to benefit C/OH Candidate / Officehoder name office sought office held 4 Date 5 Payee name 10/15/2019 Cash Withdrawal 6 Amount ($) 7 Payee address; City; State; Zip Code ($200.00) 8 PURPOSE OF EXPENDITURE (a) Category (b) Description Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense Fees Alief Parade Registration 9 Complete ONLY if direct expendituree to benefit C/OH Candidate / Officehoder name office sought office held 29 of 43
SCHEDULE F1
POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS
The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1: 2 FILER NAME Tiffany D Thomas 3 Filer ID (Ethics Commission filers) 4 Date 5 Payee name 10/10/2019 MinuteMan Press 6 Amount ($) 7 Payee address; City; State; Zip Code ($2,506.30) 3711 Briarpark Dr Suite 395, Houston TX 77042 8 PURPOSE OF EXPENDITURE (a) Category (b) Description Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense Printing Expense Direct Mail #3 9 Complete ONLY if direct expendituree to benefit C/OH Candidate / Officehoder name office sought office held 4 Date 5 Payee name 10/29/2019 Xpressions of Color 6 Amount ($) 7 Payee address; City; State; Zip Code ($406.00) 6518 Cape Forward Dr Houston TX 77003 8 PURPOSE OF EXPENDITURE (a) Category (b) Description Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense Printing Expense door hanger 9 Complete ONLY if direct expendituree to benefit C/OH Candidate / Officehoder name office sought office held 4 Date 5 Payee name 10/28/2019 Cherrelle Duncan 6 Amount ($) 7 Payee address; City; State; Zip Code ($46.00) 2525 Old Farm Rd Houston TX 77063 8 PURPOSE OF EXPENDITURE (a) Category (b) Description 30 of 43
SCHEDULE F1
POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1: 2 FILER NAME Tiffany D Thomas 3 Filer ID (Ethics Commission filers) Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense Fees Reimbursement (items) 9 Complete ONLY if direct expendituree to benefit C/OH Candidate / Officehoder name office sought office held 4 Date 5 Payee name 10/28/2019 Robodial 6 Amount ($) 7 Payee address; City; State; Zip Code ($200.00) 4601 North Fairfax Drive, Ste 1200 Arlington VA 22203 8 PURPOSE OF EXPENDITURE (a) Category (b) Description Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense Advertising Expense Robo Call 9 Complete ONLY if direct expendituree to benefit C/OH Candidate / Officehoder name office sought office held 31 of 43
POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS
The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1: 2 FILER NAME Tiffany D Thomas 3 Filer ID (Ethics Commission filers) 4 Date 5 Payee name 10/24/2019 Ihope Radio 6 Amount ($) 7 Payee address; City; State; Zip Code ($500.00) online 8 PURPOSE OF EXPENDITURE (a) Category (b) Description Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense Advertising Expense Ihope Radio (ads) 9 Complete ONLY if direct expendituree to benefit C/OH Candidate / Officehoder name office sought office held 4 Date 5 Payee name 10/23/2019 Robodial 6 Amount ($) 7 Payee address; City; State; Zip Code ($50.00) 4601 North Fairfax Drive, Suite 1200, Arlington VA 22203 8 PURPOSE OF EXPENDITURE (a) Category (b) Description Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense Advertising Expense Robo Call 9 Complete ONLY if direct expendituree to benefit C/OH Candidate / Officehoder name office sought office held 4 Date 5 Payee name 10/23/2019 Cherrelle Duncan 6 Amount ($) 7 Payee address; City; State; Zip Code ($100.00) 2525 Old Farm Rd Houston TX 77063 8 PURPOSE OF EXPENDITURE (a) Category (b) Description 32 of 43
SCHEDULE F1
POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1: 2 FILER NAME Tiffany D Thomas 3 Filer ID (Ethics Commission filers) Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense Fees Reimbursement (items) 9 Complete ONLY if direct expendituree to benefit C/OH Candidate / Officehoder name office sought office held 4 Date 5 Payee name 10/23/2019 Xpressions of Color 6 Amount ($) 7 Payee address; City; State; Zip Code ($406.00) 6518 Cape Forward Dr Houston Tx 77083 8 PURPOSE OF EXPENDITURE (a) Category (b) Description Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense Printing Expense door hanger 9 Complete ONLY if direct expendituree to benefit C/OH Candidate / Officehoder name office sought office held 33 of 43
POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1: 2 FILER NAME Tiffany D Thomas 3 Filer ID (Ethics Commission filers) 4 Date 5 Payee name 10/22/2019 USPS 6 Amount ($) 7 Payee address; City; State; Zip Code ($1,515.40) 4600 Aldine Bender Rd. Rm 224 Houston TX 77032 8 PURPOSE OF EXPENDITURE (a) Category (b) Description Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense Printing Expense stamps 9 Complete ONLY if direct expendituree to benefit C/OH Candidate / Officehoder name office sought office held 4 Date 5 Payee name 10/18/2019 Vilma 6 Amount ($) 7 Payee address; City; State; Zip Code ($150.00) 8 PURPOSE OF EXPENDITURE (a) Category (b) Description Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense Advertising Expense Robo Call 9 Complete ONLY if direct expendituree to benefit C/OH Candidate / Officehoder name office sought office held 4 Date 5 Payee name 10/15/2019 Xpressions of Color 6 Amount ($) 7 Payee address; City; State; Zip Code ($1,732.00) 6518 CAPE FORWARD DR Houston TX 77083 8 PURPOSE OF EXPENDITURE (a) Category (b) Description 34 of 43
POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1: 2 FILER NAME Tiffany D Thomas 3 Filer ID (Ethics Commission filers) Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense Printing Expense yard signs 9 Complete ONLY if direct expendituree to benefit C/OH Candidate / Officehoder name office sought office held 4 Date 5 Payee name 10/10/2019 TX TLR Chk 6189 6 Amount ($) 7 Payee address; City; State; Zip Code ($1,191.37) 4600 Aldine Bender Rd Rm 224 Houston TX 77032 8 PURPOSE OF EXPENDITURE (a) Category (b) Description Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense Printing Expense postage - direct mail 9 Complete ONLY if direct expendituree to benefit C/OH Candidate / Officehoder name office sought office held
ADDITIONAL
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ATTACH
COPIES OF THIS SCHEDULE AS NEEDED
UNPAID INCURRED OBLIGATIONS SCHEDULE F2
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Instruction Guide explains how to complete this form. 1 Total pages Schedule F2: 2 FILER NAME Tiffany D Thomas 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 EXPENDITURE Political Non-Political 10 PURPOSE OF EXPENDITURE (a) Category (b) Description Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense 11 Complete ONLY if direct expendituree to benefit C/OH Candidate / Officehoder name office sought office held
The
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EXPENDITURES MADE BY CREDIT CARD SCHEDULE F4
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
The Instruction Guide explains how to complete this form. 1 Total pages Schedule F4: 2 FILER NAME Tiffany D Thomas 3 Filer ID (Ethics Commission filers) 4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TO A CREDIT CARD $ 5 Date 6 Payee name 7 Amount ($) 8 Payee address; City; State; Zip Code 9 TYPE OF EXPENDITURE Political Non-Political 10 PURPOSE OF EXPENDITURE (a) Category (See Categories listed at the top of this schedule) (b) Description Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense 11 Complete ONLY if direct expendituree to benefit C/OH Candidate / Officehoder name office sought office held
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POLITICAL EXPENDITURES SCHEDULE G
MADE FROM PERSONAL FUNDS
ATTACH
Instruction Guide explains how to complete this form. 1 Total Pages Schedule G: 2 FILER NAME Tiffany D Thomas 3 FilerID (Ethics Commission filers) 4 Date 5 Payee name 6 Amount ($) 7 Payee Address; City; State; Zip Code Reimbursement from political contributions intended 8 (a) Category (b) Description PURPOSE OF EXPENDITURE Check if travel outside of Texas, complete Schedule T Check if Austin, TX, officeholder living expense 9 Complete ONLY if direct expenditure to benefit C/OH Candidate / Officeholder name Office sought Office held
The
ADDITIONAL
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COPIES OF THIS SCHEDULE AS NEEDED
H
OF C/OH The Instruction Guide explains how to complete this form. 1 Total Pages Schedule H: 2 FILER NAME Tiffany D Thomas 3 Filer ID (Ethics Commission filers) 4 Date 5 Business name 6 Amount ($) 7 Business address; City; State; Zip Code 8 PURPOSE OF EXPENDITURE (a) Category (b) Description Check if travel outside of Texas, complete Schedule T Check if Austin, TX, office holder living expense 9 Complete ONLY if direct expenditure to benefit C/OH Candidate / Officehoder name Office sought Office held ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED 39 of 43
PAYMENT FROM POLITICAL CONTRIBUTIONS SCHEDULE
TO A BUSINESS
SCHEDULE I
FROM POLITICAL CONTRIBUTIONS
Instruction Guide explains how to complete this form. 1 Total Pages Schedule I: 2 FILER NAME Tiffany D Thomas 3 ACCOUNT # (Ethics Commission filers) 4 Date 5 Payee name 6 Amount ($) 7 Payee address; City; State; Zip Code 8 PURPOSE OF EXPENDITURE (a) Category (b) Description (See instructions regarding type of information required) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED INTEREST, CREDITS, GAINS, REFUNDS, AND SCHEDULE K CONTRIBUTIONS RETURNED TO FILERS
Instruction Guide explains how to complete this form. 1 Total Pages Schedule K: 2 FILER NAME Tiffany D Thomas Filer ID (Ethics Commission filers) 4 Date 5 Name of person whom amount is received 8 Amount 6 Address of person from whom amount is received; City; State; Zip Code ($) 7 Purpose for which amount is received Check if political contribution returned to filer ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED 40 of 43
NON-POLITICAL EXPENDITURES
MADE
The
The
CANDIDATE / OFFICEHOLDER REPORT: DESIGNATION OF FINAL REPORT
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
3 SIGNATURE
2 ACCOUNT # (Ethics Commission filers)
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.
4 FILER WHO IS NOT AN OFFICEHOLDER
•• Complete A & B below only if you are not an officeholder. ••
A. CAMPAIGN FUNDS
Check only one:
Signature of Candidate / Officeholder
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:
I do not retain assets purchased with political contributions or interest or other income from political contributions.
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.
5 OFFICEHOLDER
•• Complete this section only if you are an officeholder. ••
Signature of Candidate
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
FORM C/OH - FR
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1
2.
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.
AFFIX NOTARY STAMP / SEAL ABOVE
Sworn to and subscribed before me, by the said
day of ___________________, 20_________ , to certify which, witness my hand and seal of office.
C/OH-UC REPORT OF UNEXPENDED CONTRIBUTIONS
The C/OH-UC Instruction Guide explains how to complete this form 1 ACCOUNT # (Ethics Commission filers) 2 CANDIDATE / MS/MRS/MR FIRST MI OFFICE USED ONLY OFFICEHOLDER Date Received NAME NICKNAME LAST SUFFIX 3 CANDIDATE / ADDRESS / PO BOX; APT/ SUITE #; CITY; STATE; ZIP CODE Date Hand-delivered or Date Postmarked OFFICEHOLDER ADDRESS Change of Address 4 REPORT TYPE Annual Final Disposition Receipt # Amount 7 AFFIDAVIT
CANDIDATE / OFFICEHOLDER FORM
COVER SHEET PG 1
Candidate or Officeholder
Wilbert Thomas III Signature
_______________________________
_______________
Signature of officer administering oath Print name of officer administering oath Title of officer administering oath 5 PERIOD COVERED Month Day Year Month Day Year Date Processed THROUGH Date Imaged 6 TOTALS
, this the
.
UNEXPENDED POLITICAL CONTRIBUTIONS AS OF DEC. 31 OF THE PREVIOUS YEAR. $
TOTAL AMOUNT OF
PREVIOUS
$ 42 of 43
TOTAL AMOUNT OF INTEREST AND OTHER INCOME EARNED ON UNEXPENDED POLITICAL CONTRIBUTIONS DURING THE
YEAR.
C/OH REPORT OF UNEXPENDED CONTRIBUTIONS FORM C/OH-UC EXPENDITURES PG 2 8 C/OH NAME , 9 ACCOUNT # (Ethics Commission filers) 10 Date 11 Payee name , 13 Amount 12 Payee address; City; State; Zip Code; ($) 14 Purpose of expenditure 15 Is expenditure a contribution to a candidate, officeholder, or Yes
travel
of Texas,
Instruction Guide) political committee? No
(If
outside
complete schedule T) (See
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ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED
