Ashley Wysocki Campaign Finance Submission

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JUDICIAL CANDIDATE / OFFICEHOLDER FORM JC/OH

CAMPAIGN FINANCE REPORT COVER SHEET PG 1

1 Filer ID 2 Total pages filed:


The JC/OH Instruction Guide explains how to complete this form. (Ethics Commission Filers)
00083383 9
3 CANDIDATE / MS / MRS / MR FIRST MI OFFICE USE ONLY
OFFICEHOLDER
NAME
The Honorable Ashley E.
Date Received

ELECTRONICALLY FILED
NICKNAME LAST SUFFIX 01/15/2020
Wysocki

4 CANDIDATE / ADDRESS / PO BOX; APT / SUITE #; CITY; ZIP CODE Date Hand-delivered or Date Postmarked
OFFICEHOLDER
MAILING
1717 Main Street
Receipt # Amount
ADDRESS Suite 3800
Change of Address Dallas, TX 75201 Date Processed

Date Imaged

5 CAMPAIGN MS / MRS / MR FIRST MI


TREASURER
NAME
Mr. James M.

NICKNAME LAST SUFFIX


Stanton

6 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE
TREASURER
ADDRESS
1717 Main Street
Suite 3800
(Residence or Business)
Dallas, TX 75201

7 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION


TREASURER
PHONE
(972) 233-2300

8 REPORT
TYPE X January 15 30th day before election Runoff 15th day after campaign treasurer
appointment (officeholder only)
July 15 8th day before election Exceeded $500 limit Final Report (Attach C/OH-FR)

9 PERIOD Month Day Year Month Day Year


COVERED 07/01/2019 THROUGH 12/31/2019

10 ELECTION ELECTION DATE ELECTION TYPE


Month Day Year X Primary Runoff Other
03/03/2020
General Special

11 OFFICE OFFICE HELD (if any) 12 OFFICE SOUGHT (if known)


District Judge District 254 Dallas District Judge District 254

GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.3a6aaf7d
JUDICIAL CANDIDATE / OFFICEHOLDER REPORT: FORM JC/OH
SUPPORT & TOTALS COVER SHEET PG 2
2 of 9

13 C / OH NAME Wysocki, Ashley E. (The Honorable) 14 Filer ID (Ethics Commission Filers)


00083383
15 NOTICE This box is for notice of political contributions accepted or political expenditures made by political committees to support the
FROM candidate / officeholder. These expenditures may have been made without the candidate's or officeholder's knowledge or
POLITICAL consent. Candidates and officeholders are required to report this information only if they receive notice of such expenditures.
COMMITTEE(S)
Additional Pages COMMITTEE TYPE COMMITTEE NAME

GENERAL
COMMITTEE ADDRESS

SPECIFIC

COMMITTEE CAMPAIGN TREASURER NAME

COMMITTEE CAMPAIGN TREASURER ADDRESS

16 CONTIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN PLEDGES,


TOTALS LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ 0.00

2. TOTAL POLITICAL CONTRIBUTIONS


$ 1,500.00
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED
TOTALS $ 0.00

4. TOTAL POLITICAL EXPENDITURES


$ 7,003.04

CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF THE


BALANCE REPORTING PERIOD $ 16,257.54

OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY
LOAN TOTALS OF THE REPORTING PERIOD $ 100.00

17 AFFADAVIT

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.

The Honorable Ashley E. Wysocki


Signature of Candidate or Officeholder

AFFIX NOTARY STAMP / SEAL ABOVE

Sworn to and subscribed before me, by the said _________________________________________, 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

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.3a6aaf7d


SUBTOTALS - JC/OH FORM JC/OH
COVER SHEET PG 3
3 of 9

18 FILER NAME 19 Filer ID (Ethics Commission Filers)


Wysocki, Ashley E. (The Honorable) 00083383
20 SCHEDULE SUBTOTALS
SUBTOTAL AMOUNT
NAME OF SCHEDULE

1. SCHEDULE A(J)1: MONETARY POLITICAL CONTRIBUTIONS (JUDICIAL) $

2. X SCHEDULE A2: NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS $ 1,500.00

3. SCHEDULE B(J): PLEDGED CONTRIBUTIONS (JUDICIAL) $

4. X SCHEDULE E(J): LOANS (JUDICIAL) $ 100.00

5. X SCHEDULE F1: POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS $ 6,948.79

6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $

7. SCHEDULE F3: PURCHASE OF INVESTMENTS FROM POLITICAL CONTRIBUTIONS $

8. SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $

9. X SCHEDULE G: POLITICAL EXPENDITURES FROM PERSONAL FUNDS $ 54.25

10. SCHEDULE H: PAYMENT FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $

11. SCHEDULE I: NON-POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS $

SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED


12. $
TO FILER

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.3a6aaf7d


NON-MONETARY (IN-KIND) POLITICAL
SCHEDULE A2
CONTRIBUTIONS
1 Total pages Schedule A2:
The Instruction Guide explains how to complete this form.
Sch: 1/1 Rpt: 4/9
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
Wysocki, Ashley E. (The Honorable) 00083383
4
TOTAL OF UNITEMIZED IN-KIND POLITICAL CONTRIBUTIONS $

5 Date 6 Full name of contributor out-of-state PAC (ID#:________________________) 8 Amount of 9 In-kind contribution
11/06/2019 contribution ($) description
Dallas County Bar Association, Family Law Section
$1,000.00 food for judicial investiture
7 Contributor address; City; State; Zip Code

Dallas, TX 75201 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 out-of-state PAC (ID#:________________________) Amount of In-kind contribution
11/07/2019 contribution ($) description
McShan Florist
$500.00 floral arrangements for
Contributor address; City; State; Zip Code judicial investiture

Dallas, TX 75218 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)

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.3a6aaf7d


LOANS (JUDICIAL)
SCHEDULE E(J)

1 Total pages Schedule E(J):


The Instruction Guide explains how to complete this form.
Sch: 1/1 Rpt: 5/9
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
Wysocki, Ashley E. (The Honorable) 00083383
4
TOTAL OF UNITEMIZED LOANS $

5 Date of loan 7 Name of lender out-of-state PAC (ID#:_________________________________) 9 Loan Amount ($)
09/23/2019 Wysocki, Ashley (The Honorable) $100.00
6 Is lender a 8 Lender address; City; State; Zip Code 10 Interest Rate
financial
institution?
0

No 11 Maturity Date
Dallas, TX 75248 06/23/2020
12 Lender's Principal Occupation 13 Lender's Job Title
Judge Judge
14 Lender's Employer/Law Firm 15 Law Firm of lender's spouse (if any)
State of Texas, Dallas County O'Neil Wysocki, PC
16 If lender is child, law firm of parent(s) (if any)

17 Description of Collateral 18 Check if personal funds were deposited into political account
X None X (See Instructions)

19 GUARANTOR 20 Name of guarantor 22 Amount Guaranteed ($)


INFORMATION

X not applicable 21 Guarantor address; City; State; Zip Code

23 Guarantor's Principal Occupation 24 Guarantor's Job Title

25 Guarantor's Employer/Law Firm 26 Law Firm of guarantor's spouse (if any)

27 If guarantor is child, law firm of parent(s) (if any)

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.3a6aaf7d


POLITICAL EXPENDITURES FROM POLITICAL
SCHEDULE F1
CONTRIBUTIONS
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 F1: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)

Sch: 1/2 Rpt: 6/9 Wysocki, Ashley E. (The Honorable) 00083383


4 Date 5 Payee name
11/11/2019 Belo Mansion and Pavilion
6 Amount ($) 7 Payee address; City; State; Zip Code
$389.47 2101 Ross Avenue

Dallas, TX 75201
8 PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) Description
OF Check if travel outside of Texas. Complete Schedule T.
EXPENDITURE
Food/Beverage Expense
Check if Austin, TX, officeholder living expense

catering for judicial investiture

9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held


expenditure to benefit C/OH

Date Payee name


11/01/2019 Belo Mansion and Pavilion
Amount ($) Payee address; City; State; Zip Code
$1,500.00 2101 Ross Avenue

Dallas, TX 75201
PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) Description
OF Check if travel outside of Texas. Complete Schedule T.
EXPENDITURE
Food/Beverage Expense
Check if Austin, TX, officeholder living expense

catering for judicial investiture

Complete ONLY if direct Candidate/Officeholder name Office sought Office held


expenditure to benefit C/OH

Date Payee name


11/15/2019 Belo Mansion and Pavilion
Amount ($) Payee address; City; State; Zip Code
$87.22 2101 Ross Avenue

Dallas, TX 75201
PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) Description
OF Check if travel outside of Texas. Complete Schedule T.
EXPENDITURE
Food/Beverage Expense
Check if Austin, TX, officeholder living expense

catering for judicial investiture

Complete ONLY if direct Candidate/Officeholder name Office sought Office held


expenditure to benefit C/OH

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.3a6aaf7d


POLITICAL EXPENDITURES FROM POLITICAL
SCHEDULE F1
CONTRIBUTIONS
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 F1: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)

Sch: 2/2 Rpt: 7/9 Wysocki, Ashley E. (The Honorable) 00083383


4 Date 5 Payee name
12/09/2019 Dallas County Republican Party
6 Amount ($) 7 Payee address; City; State; Zip Code
$2,500.00 11617 N. Central Expy
Suite 240
Dallas, TX 75243
8 PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) Description
OF Check if travel outside of Texas. Complete Schedule T.
EXPENDITURE
Fees
Check if Austin, TX, officeholder living expense

candidate filing fee

9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held


expenditure to benefit C/OH

Date Payee name


11/11/2019 Grant Miller Group, LLC
Amount ($) Payee address; City; State; Zip Code
$2,472.00 5115 Oak Shadow Ct.

Dallas, TX 75287
PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) Description
OF Check if travel outside of Texas. Complete Schedule T.
EXPENDITURE
Event Expense
Check if Austin, TX, officeholder living expense

photography for judicial investiture

Complete ONLY if direct Candidate/Officeholder name Office sought Office held


expenditure to benefit C/OH

Date Payee name


12/09/2019 Wells Fargo Bank
Amount ($) Payee address; City; State; Zip Code
$0.10 17088 Preston Rd.

Dallas, TX 75248
PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) Description
OF Check if travel outside of Texas. Complete Schedule T.
EXPENDITURE
Fees
Check if Austin, TX, officeholder living expense

expense for cashier's check for filing fee

Complete ONLY if direct Candidate/Officeholder name Office sought Office held


expenditure to benefit C/OH

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.3a6aaf7d


POLITICAL EXPENDITURES FROM PERSONAL FUNDS
SCHEDULE G

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)


Sch: 1/1 Rpt: 8/9 Wysocki, Ashley E. (The Honorable) 00083383
4 Date 5 Payee name
12/06/2019 Dallas County Council of Republican Women
6 Amount ($) 7 Payee address; City; State; Zip Code
$15.00 10300 N Central Expy #345
Reimbursement from
X political contributions
intended Dallas, TX 75231
8 PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) Description Check if travel outside of Texas. Complete Schedule T.
OF Check if Austin, TX, officeholder living expense
EXPENDITURE
Event Expense
ticket expense for political event

9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held


expenditure to benefit
C/OH

Date Payee name


12/06/2019 Office Depot
Amount ($) Payee address; City; State; Zip Code
$39.25 5301 Beltline Road Ste 108
Reimbursement from
X political contributions
intended Dallas, TX 75254
PURPOSE Category (See Categories listed at the top of this schedule) Description Check if travel outside of Texas. Complete Schedule T.
OF Check if Austin, TX, officeholder living expense
EXPENDITURE
Office Overhead/Rental Expense
campaign supplies

Complete ONLY if direct Candidate/Officeholder name Office sought Office held


expenditure to benefit
C/OH

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.3a6aaf7d


OUTSTANDING LOANS
SCHEDULE L

1 Total pages Schedule L:


The Instruction Guide explains how to complete this form.
Sch: 1/1 Rpt: 9/9
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
Wysocki, Ashley E. (The Honorable) 00083383
LENDER 4 Name of lender
INFORMATION
Wysocki, Ashley (The Honorable)

5 Lender address; City; State; Zip Code

Dallas, TX 75248
GUARANTOR 6 Name of guarantor
INFORMATION

X not applicable 7 Guarantor address; City; State; Zip Code

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.3a6aaf7d


JUDICIAL CANDIDATE / OFFICEHOLDER FORM JC/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1

1 Filer ID 2 Total pages filed:


The JC/OH Instruction Guide explains how to complete this form. (Ethics Commission Filers)
00083383 10
3 CANDIDATE / MS / MRS / MR FIRST MI OFFICE USE ONLY
OFFICEHOLDER
NAME
The Honorable Ashley E.
Date Received

ELECTRONICALLY FILED
NICKNAME LAST SUFFIX 07/15/2019
Wysocki

4 CANDIDATE / ADDRESS / PO BOX; APT / SUITE #; CITY; ZIP CODE Date Hand-delivered or Date Postmarked
OFFICEHOLDER
MAILING
1717 Main Street
Receipt # Amount
ADDRESS Suite 3800
Change of Address Dallas, TX 75201 Date Processed

Date Imaged

5 CAMPAIGN MS / MRS / MR FIRST MI


TREASURER
NAME
Mr. James M.

NICKNAME LAST SUFFIX


Stanton

6 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE
TREASURER
ADDRESS
1717 Main Street
Suite 3800
(Residence or Business)
Dallas, TX 75201

7 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION


TREASURER
PHONE
(972) 233-2300

8 REPORT
TYPE January 15 30th day before election Runoff 15th day after campaign treasurer
appointment (officeholder only)

X July 15 8th day before election Exceeded $500 limit Final Report (Attach C/OH-FR)

9 PERIOD Month Day Year Month Day Year


COVERED 01/01/2019 THROUGH 06/30/2019

10 ELECTION ELECTION DATE ELECTION TYPE


Month Day Year Primary Runoff Other
11/03/2020
X General Special

11 OFFICE OFFICE HELD (if any) 12 OFFICE SOUGHT (if known)


District Judge District 254 Dallas Family District Court Judge District 254

GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.0ef01a4a
JUDICIAL CANDIDATE / OFFICEHOLDER REPORT: FORM JC/OH
SUPPORT & TOTALS COVER SHEET PG 2
2 of 10

13 C / OH NAME Wysocki, Ashley E. (The Honorable) 14 Filer ID (Ethics Commission Filers)


00083383
15 NOTICE This box is for notice of political contributions accepted or political expenditures made by political committees to support the
FROM candidate / officeholder. These expenditures may have been made without the candidate's or officeholder's knowledge or
POLITICAL consent. Candidates and officeholders are required to report this information only if they receive notice of such expenditures.
COMMITTEE(S)
Additional Pages COMMITTEE TYPE COMMITTEE NAME

GENERAL
COMMITTEE ADDRESS

SPECIFIC

COMMITTEE CAMPAIGN TREASURER NAME

COMMITTEE CAMPAIGN TREASURER ADDRESS

16 CONTIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN PLEDGES,


TOTALS LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ 0.00

2. TOTAL POLITICAL CONTRIBUTIONS


$ 23,701.00
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED
TOTALS $ 0.00

4. TOTAL POLITICAL EXPENDITURES


$ 1,250.00

CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF THE


BALANCE REPORTING PERIOD $ 22,451.00

OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY
LOAN TOTALS OF THE REPORTING PERIOD $ 0.00

17 AFFADAVIT

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.

The Honorable Ashley E. Wysocki


Signature of Candidate or Officeholder

AFFIX NOTARY STAMP / SEAL ABOVE

Sworn to and subscribed before me, by the said _________________________________________, 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

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.0ef01a4a


SUBTOTALS - JC/OH FORM JC/OH
COVER SHEET PG 3
3 of 10

18 FILER NAME 19 Filer ID (Ethics Commission Filers)


Wysocki, Ashley E. (The Honorable) 00083383
20 SCHEDULE SUBTOTALS
SUBTOTAL AMOUNT
NAME OF SCHEDULE

1. X SCHEDULE A(J)1: MONETARY POLITICAL CONTRIBUTIONS (JUDICIAL) $ 23,701.00

2. SCHEDULE A2: NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS $

3. SCHEDULE B(J): PLEDGED CONTRIBUTIONS (JUDICIAL) $

4. SCHEDULE E(J): LOANS (JUDICIAL) $

5. SCHEDULE F1: POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS $

6. X SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 1,250.00

7. SCHEDULE F3: PURCHASE OF INVESTMENTS FROM POLITICAL CONTRIBUTIONS $

8. SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $

9. SCHEDULE G: POLITICAL EXPENDITURES FROM PERSONAL FUNDS $

10. SCHEDULE H: PAYMENT FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $

11. SCHEDULE I: NON-POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS $

SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED


12. $
TO FILER

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.0ef01a4a


MONETARY POLITICAL CONTRIBUTIONS
SCHEDULE A(J)1

1 Total pages Schedule A(J)1:


The Instruction Guide explains how to complete this form.
Sch: 1/6 Rpt: 4/10
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
Wysocki, Ashley E. (The Honorable) 00083383
4 Date 5 Full name of contributor out-of-state PAC (ID#:_________________________) 7 Amount of Contribution ($)
04/25/2019 Atkinson, Newell $500.00
6 Contributor address; City; State; Zip Code

Alice, TX 78332
8 Contributor's Principal Occupation 9 Contributor's Job Title
Real Estate Investor Real Estate Investor
10 Contributor's employer/law firm 11 Law firm of contributor's spouse (if any)
Self-employed
12 If contributor is a child, law firm of parent(s) (if any)

Date Full name of contributor out-of-state PAC (ID#:_________________________) Amount of Contribution ($)
04/25/2019 Bell Nunnally & Martin LLP $250.00
Contributor address; City; State; Zip Code

Dallas, TX 75201
Contributor's Principal Occupation Contributor's Job Title

Contributor's employer/law firm Law firm of contributor's spouse (if any)

If contributor is a child, law firm of parent(s) (if any)

Date Full name of contributor out-of-state PAC (ID#:_________________________) Amount of Contribution ($)
04/26/2019 Bradford, Jack T. $500.00
Contributor address; City; State; Zip Code

Alice, TX 78332
Contributor's Principal Occupation Contributor's Job Title
Retired Retired
Contributor's employer/law firm Law firm of contributor's spouse (if any)
Retired
If contributor is a child, law firm of parent(s) (if any)

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.0ef01a4a


MONETARY POLITICAL CONTRIBUTIONS
SCHEDULE A(J)1

1 Total pages Schedule A(J)1:


The Instruction Guide explains how to complete this form.
Sch: 2/6 Rpt: 5/10
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
Wysocki, Ashley E. (The Honorable) 00083383
4 Date 5 Full name of contributor out-of-state PAC (ID#:_________________________) 7 Amount of Contribution ($)
04/25/2019 Bradford, James $1,000.00
6 Contributor address; City; State; Zip Code

Alice, TX 78332
8 Contributor's Principal Occupation 9 Contributor's Job Title
Retired Retired
10 Contributor's employer/law firm 11 Law firm of contributor's spouse (if any)
Retired
12 If contributor is a child, law firm of parent(s) (if any)

Date Full name of contributor out-of-state PAC (ID#:_________________________) Amount of Contribution ($)
04/25/2019 Burns, John L. (Dr.) $250.00
Contributor address; City; State; Zip Code

Dallas, TX 75205
Contributor's Principal Occupation Contributor's Job Title
Surgeon Surgeon
Contributor's employer/law firm Law firm of contributor's spouse (if any)
Dallas Plastic Surgery Institute
If contributor is a child, law firm of parent(s) (if any)

Date Full name of contributor out-of-state PAC (ID#:_________________________) Amount of Contribution ($)
04/25/2019 Ewing, Abby $200.00
Contributor address; City; State; Zip Code

Dallas, TX 75208
Contributor's Principal Occupation Contributor's Job Title
Attorney Attorney
Contributor's employer/law firm Law firm of contributor's spouse (if any)
Fox Rothschild LLP
If contributor is a child, law firm of parent(s) (if any)

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.0ef01a4a


MONETARY POLITICAL CONTRIBUTIONS
SCHEDULE A(J)1

1 Total pages Schedule A(J)1:


The Instruction Guide explains how to complete this form.
Sch: 3/6 Rpt: 6/10
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
Wysocki, Ashley E. (The Honorable) 00083383
4 Date 5 Full name of contributor X C00677955
out-of-state PAC (ID#:_________________________) 7 Amount of Contribution ($)
05/21/2019 Fox Rothschild LLP PAC $1,000.00
6 Contributor address; City; State; Zip Code

Philadelphia, PA 19103
8 Contributor's Principal Occupation 9 Contributor's Job Title

10 Contributor's employer/law firm 11 Law firm of contributor's spouse (if any)

12 If contributor is a child, law firm of parent(s) (if any)

Date Full name of contributor out-of-state PAC (ID#:_________________________) Amount of Contribution ($)
04/25/2019 Fuqua, Stephen A. $250.00
Contributor address; City; State; Zip Code

Richardson, TX 75080
Contributor's Principal Occupation Contributor's Job Title
CPA CPA
Contributor's employer/law firm Law firm of contributor's spouse (if any)
Farmer, Fuqua & Huff
If contributor is a child, law firm of parent(s) (if any)

Date Full name of contributor out-of-state PAC (ID#:_________________________) Amount of Contribution ($)
04/25/2019 Garza, Lisa G. $1,000.00
Contributor address; City; State; Zip Code

Dallas, TX 75231
Contributor's Principal Occupation Contributor's Job Title
Attorney Attorney
Contributor's employer/law firm Law firm of contributor's spouse (if any)
Liza Garza Family Law
If contributor is a child, law firm of parent(s) (if any)

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.0ef01a4a


MONETARY POLITICAL CONTRIBUTIONS
SCHEDULE A(J)1

1 Total pages Schedule A(J)1:


The Instruction Guide explains how to complete this form.
Sch: 4/6 Rpt: 7/10
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
Wysocki, Ashley E. (The Honorable) 00083383
4 Date 5 Full name of contributor out-of-state PAC (ID#:_________________________) 7 Amount of Contribution ($)
04/25/2019 Goranson Bain, PLLC $2,000.00
6 Contributor address; City; State; Zip Code

Dallas, TX 75206
8 Contributor's Principal Occupation 9 Contributor's Job Title

10 Contributor's employer/law firm 11 Law firm of contributor's spouse (if any)

12 If contributor is a child, law firm of parent(s) (if any)

Date Full name of contributor out-of-state PAC (ID#:_________________________) Amount of Contribution ($)
04/25/2019 Mathur Law Offices $1,001.00
Contributor address; City; State; Zip Code

Dallas, TX 75247
Contributor's Principal Occupation Contributor's Job Title

Contributor's employer/law firm Law firm of contributor's spouse (if any)

If contributor is a child, law firm of parent(s) (if any)

Date Full name of contributor out-of-state PAC (ID#:_________________________) Amount of Contribution ($)
04/25/2019 McClure, Kelly $2,500.00
Contributor address; City; State; Zip Code

Dallas, TX 75225
Contributor's Principal Occupation Contributor's Job Title
Attorney Attorney
Contributor's employer/law firm Law firm of contributor's spouse (if any)
McClure Law Group
If contributor is a child, law firm of parent(s) (if any)

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.0ef01a4a


MONETARY POLITICAL CONTRIBUTIONS
SCHEDULE A(J)1

1 Total pages Schedule A(J)1:


The Instruction Guide explains how to complete this form.
Sch: 5/6 Rpt: 8/10
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
Wysocki, Ashley E. (The Honorable) 00083383
4 Date 5 Full name of contributor out-of-state PAC (ID#:_________________________) 7 Amount of Contribution ($)
04/25/2019 McKnight, Lisa $500.00
6 Contributor address; City; State; Zip Code

Dallas, TX 75246
8 Contributor's Principal Occupation 9 Contributor's Job Title
Attorney Attorney
10 Contributor's employer/law firm 11 Law firm of contributor's spouse (if any)
Lisa E. McKnight, PC
12 If contributor is a child, law firm of parent(s) (if any)

Date Full name of contributor out-of-state PAC (ID#:_________________________) Amount of Contribution ($)
04/25/2019 Orsinger, Nelson, Downing & Anderson LLP $2,500.00
Contributor address; City; State; Zip Code

Dallas, TX 75225
Contributor's Principal Occupation Contributor's Job Title

Contributor's employer/law firm Law firm of contributor's spouse (if any)

If contributor is a child, law firm of parent(s) (if any)

Date Full name of contributor out-of-state PAC (ID#:_________________________) Amount of Contribution ($)
04/25/2019 Shemesh, Amber K. $250.00
Contributor address; City; State; Zip Code

Dallas, TX 75251
Contributor's Principal Occupation Contributor's Job Title
Attorney Attorney
Contributor's employer/law firm Law firm of contributor's spouse (if any)
Shemesh Family Law
If contributor is a child, law firm of parent(s) (if any)

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.0ef01a4a


MONETARY POLITICAL CONTRIBUTIONS
SCHEDULE A(J)1

1 Total pages Schedule A(J)1:


The Instruction Guide explains how to complete this form.
Sch: 6/6 Rpt: 9/10
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
Wysocki, Ashley E. (The Honorable) 00083383
4 Date 5 Full name of contributor out-of-state PAC (ID#:_________________________) 7 Amount of Contribution ($)
04/25/2019 Stanton LLP $5,000.00
6 Contributor address; City; State; Zip Code

Dallas, TX 75201
8 Contributor's Principal Occupation 9 Contributor's Job Title

10 Contributor's employer/law firm 11 Law firm of contributor's spouse (if any)

12 If contributor is a child, law firm of parent(s) (if any)

Date Full name of contributor out-of-state PAC (ID#:_________________________) Amount of Contribution ($)
04/25/2019 Stanton, James (The Honorable) $5,000.00
Contributor address; City; State; Zip Code

Dallas, TX 75201
Contributor's Principal Occupation Contributor's Job Title
Attorney Attorney
Contributor's employer/law firm Law firm of contributor's spouse (if any)
Stanton LLP
If contributor is a child, law firm of parent(s) (if any)

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.0ef01a4a


UNPAID INCURRED OBLIGATIONS
SCHEDULE F2

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 - 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)

The Instruction Guide explains how to complete this form.

1 Total pages Schedule F2: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)

Sch: 1/1 Rpt: 10/10 Wysocki, Ashley E. (The Honorable) 00083383


4
TOTAL OF UNITEMIZED UNPAID INCURRED OBLIGATIONS $

5 Date 6 Payee name


04/17/2019 Ardent Creative
7 Amount ($) 8 Payee address; City; State; Zip Code
$1,250.00 707 West Vickery Boulevard
Suite 103
Fort Worth, TX 76104
9 TYPE OF
X Political Non-Political
EXPENDITURE
10 PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) Description
OF Check if travel outside of Texas. Complete Schedule T.
EXPENDITURE
website, graphics, and paper products
Check if Austin, TX, officeholder living expense

website, graphics, and paper products

11 Complete ONLY if direct Candidate/Officeholder name Office sought Office held


expenditure to benefit C/OH

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.0ef01a4a


CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1

1 Filer ID 2 Total pages filed:


The C/OH Instruction Guide explains how to complete this form. (Ethics Commission Filers)
12
00080345
3 CANDIDATE / MS / MRS / MR FIRST MI OFFICE USE ONLY
OFFICEHOLDER
NAME
Ms. Andrea S.
Date Received

ELECTRONICALLY FILED
NICKNAME LAST SUFFIX 01/08/2016
Thompson

4 CANDIDATE / ADDRESS / PO BOX; APT / SUITE #; CITY; ZIP CODE Date Hand-delivered or Date Postmarked
OFFICEHOLDER
MAILING
4664 Cowan Cir.
Receipt # Amount
ADDRESS
Change of Address Plano, TX 75024-6845 Date Processed

Date Imaged

5 CAMPAIGN MS / MRS / MR FIRST MI


TREASURER
NAME
Mr. Nick A.

NICKNAME LAST SUFFIX


Stroh

6 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE
TREASURER
ADDRESS
2151 April Sound

(Residence or Business)
Frisco, TX 75033

7 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION


TREASURER
PHONE
(214) 507-6899

8 REPORT
TYPE X January 15 30th day before election Runoff 15th day after campaign treasurer
appointment (officeholder only)
July 15 8th day before election Exceeded $500 limit X Final Report (Attach C/OH-FR)

9 PERIOD Month Day Year Month Day Year


COVERED 07/01/2015 THROUGH 12/24/2015

10 ELECTION ELECTION DATE ELECTION TYPE


Month Day Year Primary Runoff Other

General Special

11 OFFICE OFFICE HELD (if any) 12 OFFICE SOUGHT (if known)


District Clerk

GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.33394
CANDIDATE / OFFICEHOLDER REPORT: FORM C/OH
SUPPORT & TOTALS COVER SHEET PG 2
2 of 12

13 C / OH NAME Thompson, Andrea S. (Ms.) 14 Filer ID (Ethics Commission Filers)


00080345
15 NOTICE This box is for notice of political contributions accepted or political expenditures made by political committees to support the
FROM candidate / officeholder. These expenditures may have been made without the candidate's or officeholder's knowledge or
POLITICAL consent. Candidates and officeholders are required to report this information only if they receive notice of such expenditures.
COMMITTEE(S)
Additional Pages COMMITTEE TYPE COMMITTEE NAME

GENERAL
COMMITTEE ADDRESS

SPECIFIC

COMMITTEE CAMPAIGN TREASURER NAME

COMMITTEE CAMPAIGN TREASURER ADDRESS

16 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN PLEDGES,


TOTALS LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ 0.00

2. TOTAL POLITICAL CONTRIBUTIONS


(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $ 0.00

EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED


TOTALS $ 159.00

4. TOTAL POLITICAL EXPENDITURES


$ 6,440.00

CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF THE


BALANCE REPORTING PERIOD $ 0.00

OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY
LOAN TOTALS OF THE REPORTING PERIOD $ 0.00

17 AFFADAVIT

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.

Ms. Andrea S. Thompson


Signature of Candidate or Officeholder

AFFIX NOTARY STAMP / SEAL ABOVE

Sworn to and subscribed before me, by the said _________________________________________, this the ___________________ day
of___________________, 20________, to certify which, witness my hand and seal of office.

Signature of officer administering Printed name of officer administering Title of officer administering oath

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.33394


SUBTOTALS - C/OH FORM C/OH
COVER SHEET PG 3
3 of 12

18 FILER NAME 19 Filer ID (Ethics Commission Filers)


Thompson, Andrea S. (Ms.) 00080345
20 SCHEDULE SUBTOTALS
SUBTOTAL AMOUNT
NAME OF SCHEDULE

1. SCHEDULE A1: MONETARY POLITICAL CONTRIBUTIONS $

2. SCHEDULE A2: NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS $

3. SCHEDULE B: PLEDGED CONTRIBUTIONS $

4. SCHEDULE E: LOANS $

5. X SCHEDULE F1: POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS $ 4,423.10

6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $

7. SCHEDULE F3: PURCHASE OF INVESTMENTS FROM POLITICAL CONTRIBUTIONS $

8. X SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 972.94

9. X SCHEDULE G: POLITICAL EXPENDITURES FROM PERSONAL FUNDS $ 1,043.96

10. SCHEDULE H: PAYMENT FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $

11. SCHEDULE I: NON-POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS $

SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED


12. $
TO FILER

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.33394


POLITICAL EXPENDITURES FROM POLITICAL
SCHEDULE F1
CONTRIBUTIONS
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 F1: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)

Sch: 1/2 Rpt: 4/12 Thompson, Andrea S. (Ms.) 00080345


4 Date 5 Payee name
12/19/2015 CASA of Collin County
6 Amount ($) 7 Payee address; City; State; Zip Code
$463.07 101 E. Davis St.

McKinney, TX 75069
8 PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) Description
OF Check if travel outside of Texas. Complete Schedule T.
EXPENDITURE
Contributions/Donations Made By
Candidate/Officeholder/Political Committee Check if Austin, TX, officeholder living expense

Charitable contribution of balance of funds held by


C/OH

9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held


expenditure to benefit C/OH

Date Payee name


12/19/2015 Crawford, Julie
Amount ($) Payee address; City; State; Zip Code
$800.00 5524 Grasmere

Plano, TX 75093
PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) Description
OF Check if travel outside of Texas. Complete Schedule T.
EXPENDITURE
Refund of contribution
Check if Austin, TX, officeholder living expense

Refund of contribution

Complete ONLY if direct Candidate/Officeholder name Office sought Office held


expenditure to benefit C/OH

Date Payee name


12/19/2015 Daley, Tom
Amount ($) Payee address; City; State; Zip Code
$600.00 3011 Chukar Cr.

McKinney, TX 75070
PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) Description
OF Check if travel outside of Texas. Complete Schedule T.
EXPENDITURE
Refund of contribution
Check if Austin, TX, officeholder living expense

Refund of contribution

Complete ONLY if direct Candidate/Officeholder name Office sought Office held


expenditure to benefit C/OH

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.33394


POLITICAL EXPENDITURES FROM POLITICAL
SCHEDULE F1
CONTRIBUTIONS
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 F1: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)

Sch: 2/2 Rpt: 5/12 Thompson, Andrea S. (Ms.) 00080345


4 Date 5 Payee name
11/07/2015 Overton Hotel
6 Amount ($) 7 Payee address; City; State; Zip Code
$157.07 2322 Mac Davis Lane

Lubbock, TX 79401
8 PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) Description
OF Check if travel outside of Texas. Complete Schedule T.
EXPENDITURE
Travel Out of District
Check if Austin, TX, officeholder living expense

TFRW Convention

9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held


expenditure to benefit C/OH

Date Payee name


11/30/2015 Stroh, Pat
Amount ($) Payee address; City; State; Zip Code
$1,200.00 173 Camino Del Sol

Vallejo, CA 94591
PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) Description
OF Check if travel outside of Texas. Complete Schedule T.
EXPENDITURE
Refund of contribution
Check if Austin, TX, officeholder living expense

Refund of contribution

Complete ONLY if direct Candidate/Officeholder name Office sought Office held


expenditure to benefit C/OH

Date Payee name


11/28/2015 Thompson, Andrea
Amount ($) Payee address; City; State; Zip Code
$1,043.96 4664 Cowan Cr.

Plano, TX 75024
PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) Description
OF Check if travel outside of Texas. Complete Schedule T.
EXPENDITURE
Loan Repayment/Reimbursement
Check if Austin, TX, officeholder living expense

Reimbursement for campaign expenses paid with


personal funds

Complete ONLY if direct Candidate/Officeholder name Office sought Office held


expenditure to benefit C/OH

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.33394


EXPENDITURES MADE BY CREDIT CARD
SCHEDULE F4

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 - 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)

The Instruction Guide explains how to complete this form.

1 Total pages Schedule F4: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)

Sch: 1/3 Rpt: 6/12 Thompson, Andrea S. (Ms.) 00080345


4
TOTAL OF UNITEMIZED EXPENDITURES CHARGED TO A CREDIT CARD $

5 Date 6 Payee name


11/03/2015 American Airlines
7 Amount ($) 8 Payee address; City; State; Zip Code
$176.20 AA.com

Expenditure from
corporate funds Dallas, TX 76155
9 TYPE OF
X Political Non-Political
EXPENDITURE
10 PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) Description
OF Check if travel outside of Texas. Complete Schedule T.
EXPENDITURE
Travel Out of District
Check if Austin, TX, officeholder living expense

Airline ticket to TFRW convention

11 Complete ONLY if direct Candidate/Officeholder name Office sought Office held


expenditure to benefit C/OH

Date Payee name


11/02/2015 Domesticakes
Amount ($) Payee address; City; State; Zip Code
$337.50 319 82nd St.

Expenditure from
corporate funds Lubbock, TX 79401
TYPE OF
X Political Non-Political
EXPENDITURE
PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) Description
OF Check if travel outside of Texas. Complete Schedule T.
EXPENDITURE
Food/Beverage Expense
Check if Austin, TX, officeholder living expense

Cookies for TFRW convention party

Complete ONLY if direct Candidate/Officeholder name Office sought Office held


expenditure to benefit C/OH

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.33394


EXPENDITURES MADE BY CREDIT CARD
SCHEDULE F4

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 - 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)

The Instruction Guide explains how to complete this form.

1 Total pages Schedule F4: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)

Sch: 2/3 Rpt: 7/12 Thompson, Andrea S. (Ms.) 00080345


4
TOTAL OF UNITEMIZED EXPENDITURES CHARGED TO A CREDIT CARD $

5 Date 6 Payee name


09/29/2015 Legal Aid of Northwest Texas
7 Amount ($) 8 Payee address; City; State; Zip Code
$200.00 901 N. McDonal St.
Suite 702
Expenditure from
corporate funds McKinney, TX 75069
9 TYPE OF
X Political Non-Political
EXPENDITURE
10 PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) Description
OF Check if travel outside of Texas. Complete Schedule T.
EXPENDITURE
Event Expense
Check if Austin, TX, officeholder living expense

Tickets to Builders of Justice Event

11 Complete ONLY if direct Candidate/Officeholder name Office sought Office held


expenditure to benefit C/OH

Date Payee name


09/26/2015 Texas Federation of Republican Women
Amount ($) Payee address; City; State; Zip Code
$159.24 13740 N. Hwy. 183, Suite J4

Expenditure from
corporate funds Austin, TX 78750
TYPE OF
X Political Non-Political
EXPENDITURE
PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) Description
OF Check if travel outside of Texas. Complete Schedule T.
EXPENDITURE
Travel Out of District
Check if Austin, TX, officeholder living expense

TFRW Conference Registration

Complete ONLY if direct Candidate/Officeholder name Office sought Office held


expenditure to benefit C/OH

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.33394


EXPENDITURES MADE BY CREDIT CARD
SCHEDULE F4

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 - 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)

The Instruction Guide explains how to complete this form.

1 Total pages Schedule F4: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)

Sch: 3/3 Rpt: 8/12 Thompson, Andrea S. (Ms.) 00080345


4
TOTAL OF UNITEMIZED EXPENDITURES CHARGED TO A CREDIT CARD $

5 Date 6 Payee name


11/14/2015 Wellness Center for Older Adults
7 Amount ($) 8 Payee address; City; State; Zip Code
$100.00 401 W. 16th St.
Suite 600
Expenditure from
corporate funds Plano, TX 75075
9 TYPE OF
X Political Non-Political
EXPENDITURE
10 PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) Description
OF Check if travel outside of Texas. Complete Schedule T.
EXPENDITURE
Event Expense
Check if Austin, TX, officeholder living expense

Event tickets

11 Complete ONLY if direct Candidate/Officeholder name Office sought Office held


expenditure to benefit C/OH

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.33394


POLITICAL EXPENDITURES FROM PERSONAL FUNDS
SCHEDULE G

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)


Sch: 1/3 Rpt: 9/12 Thompson, Andrea S. (Ms.) 00080345
4 Date 5 Payee name
11/03/2015 American Express
6 Amount ($) 7 Payee address; City; State; Zip Code
$159.24 PO Box 650448
Reimbursement from
X political contributions
intended Dallas, TX 75265
8 PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) Description Check if travel outside of Texas. Complete Schedule T.
OF Check if Austin, TX, officeholder living expense
EXPENDITURE
Credit Card Payment
TFRW Convention registration

9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held


expenditure to benefit
C/OH

Date Payee name


11/03/2015 American Express
Amount ($) Payee address; City; State; Zip Code
$200.00 PO Box 650448
Reimbursement from
X political contributions
intended Dallas, TX 75265
PURPOSE Category (See Categories listed at the top of this schedule) Description Check if travel outside of Texas. Complete Schedule T.
OF Check if Austin, TX, officeholder living expense
EXPENDITURE
Credit Card Payment
Legal Aid of Northwest Texas event tickets

Complete ONLY if direct Candidate/Officeholder name Office sought Office held


expenditure to benefit
C/OH

Date Payee name


11/03/2015 American Express
Amount ($) Payee address; City; State; Zip Code
$176.20 PO Box 650448
Reimbursement from
X political contributions
intended Dallas, TX 75265
PURPOSE Category (See Categories listed at the top of this schedule) Description Check if travel outside of Texas. Complete Schedule T.
OF Check if Austin, TX, officeholder living expense
EXPENDITURE
Credit Card Payment
Travel to TFRW Convention

Complete ONLY if direct Candidate/Officeholder name Office sought Office held


expenditure to benefit
C/OH

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.33394


POLITICAL EXPENDITURES FROM PERSONAL FUNDS
SCHEDULE G

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)


Sch: 2/3 Rpt: 10/12 Thompson, Andrea S. (Ms.) 00080345
4 Date 5 Payee name
12/03/2015 American Express
6 Amount ($) 7 Payee address; City; State; Zip Code
$337.50 PO Box 650448
Reimbursement from
X political contributions
intended Dallas, TX 75265
8 PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) Description Check if travel outside of Texas. Complete Schedule T.
OF Check if Austin, TX, officeholder living expense
EXPENDITURE
Credit Card Payment
Cookies for TFRW party

9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held


expenditure to benefit
C/OH

Date Payee name


12/24/2015 American Express
Amount ($) Payee address; City; State; Zip Code
$100.00 PO Box 650448
Reimbursement from
X political contributions
intended Dallas, TX 75265
PURPOSE Category (See Categories listed at the top of this schedule) Description Check if travel outside of Texas. Complete Schedule T.
OF Check if Austin, TX, officeholder living expense
EXPENDITURE
Credit Card Payment
Tickets to event for Wellness Center for Older Adults

Complete ONLY if direct Candidate/Officeholder name Office sought Office held


expenditure to benefit
C/OH

Date Payee name


11/04/2015 FTD Florist
Amount ($) Payee address; City; State; Zip Code
$41.02 FTD.com
Reimbursement from 3113 Woodcreek Dr
X political contributions
intended Downers Grove, IL 60515
PURPOSE Category (See Categories listed at the top of this schedule) Description Check if travel outside of Texas. Complete Schedule T.
OF Check if Austin, TX, officeholder living expense
EXPENDITURE
Gift/Awards/Memorials Expense
Flowers for TFRW President

Complete ONLY if direct Candidate/Officeholder name Office sought Office held


expenditure to benefit
C/OH

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.33394


POLITICAL EXPENDITURES FROM PERSONAL FUNDS
SCHEDULE G

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)


Sch: 3/3 Rpt: 11/12 Thompson, Andrea S. (Ms.) 00080345
4 Date 5 Payee name
11/11/2015 Frisco Area Republican Women
6 Amount ($) 7 Payee address; City; State; Zip Code
$20.00 3411 Preston Rd.
Reimbursement from Suite C13 #153
X political contributions
intended Frisco, TX 75034
8 PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) Description Check if travel outside of Texas. Complete Schedule T.
OF Check if Austin, TX, officeholder living expense
EXPENDITURE
Contributions/Donations Made By
Candidate/Officeholder/Political Committee Membership Dues

9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held


expenditure to benefit
C/OH

Date Payee name


11/09/2015 Heritage Ranch Republican Club
Amount ($) Payee address; City; State; Zip Code
$10.00 474 Scenic Ranch Circle
Reimbursement from
X political contributions
intended Fairview , TX 75069
PURPOSE Category (See Categories listed at the top of this schedule) Description Check if travel outside of Texas. Complete Schedule T.
OF Check if Austin, TX, officeholder living expense
EXPENDITURE
Contributions/Donations Made By
Candidate/Officeholder/Political Committee Membership Dues

Complete ONLY if direct Candidate/Officeholder name Office sought Office held


expenditure to benefit
C/OH

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.33394


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" ** Page 12 of 12
1 C/OH NAME 2 Filer ID (Ethics Commission Filers)
Thompson, Andrea S. (Ms.) 00080345
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.

Ms. Andrea S. Thompson


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:


X 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 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:


X 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 contrubutions. 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.

Ms. Andrea S. Thompson


Signature of Candidate

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 politicial contributions, or assets purchased with political contributions or
interest or other income from political contributions.

Signature of Officeholder

Forms provided by Texas Ethics www.ethics.state.tx.us Version V1.0.33394

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