7
Texas EIhIes Commission P.O. Box 12070 Auslln, Texas 78711·2070 (512)463-saoo TOO 1-SOO-135-2989 CANDIDATE I OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT - COVER SHEET PG 1 .. . . Tho CIOH IHmIucnoH GutoE explaIns how 10completo thIs fonn. 1 ACCOUNT# 2 PAGEfI (Stnies CommI~ rllera) 1 of 7 3 CANDIDATE' I4/Io1RS I IoIR FIRST IoQ OFFICE USE ONLY OFFICEHOLDER Mrs. Krtsti NAME Dllte~FIed . .. . .. •' .. .. •• ••• ••• ••• .. .. •• •- ••-•- • • • I • '" • ,•_ .. .. ~•• I HIQ(l4AME lAST SUl'FIJI 30 Day 01~ 1';>"- OeCluitt T1me.£:tL. . KATH'f E. V~ , llPCOOE 8edIons hfrriristre 4 CANDIDATE I AOORESS J PO !lOX; APT I SUITE.; CITY; STAn;; OFFICEHOLDER Rv~rTexb!- I MAILING P.O. Box 7557 I ADDRESS I Waoo, TX 76714 Otto Htnd-ilaflvorod Of Date PosUnor1led o Ch4nve of Address , I RocetpC II I Amount 5 CAMPAIGN MS/MRSIMR FIRST Ml Dale Processed TREASURER Mr. . Trevor P. NAME Detolmlgad ............ - ........................ " ......... "' NICKNAME lAST SUfFIX Wardlaw I I 6 CAMPAIGN STREET ADORESS (NO PO 80X IUASE); N'T/sum:~ CITY; STATE; ZJPCOCE TREASURER ADDRESS 200 W. H~l'6, Ste. 509 (R8$ldence or buSIness) Waoo. TX 6712 7 CAMPAIGN foPEJ\ CODE PHONE NUMIIER EXTtHSlON TREASURER (254) 776-5310 PHONE 8 REPORT TYPE 0 ~ 0 0 JDnuaty 15 30UI <ley beIore eIoctIon Runoff 15th day eller campaign 1rOII1III1If . tJJjlClintmenl (~ only) 0 July 15 0 8th day before eIecIJDn 0 EJr.ceeded $SOO ImII 0 F"1IIa1nIPOO (A1t.1dl CIOH - FR) ._ , 9 PERIOD : COVERED MI:IntI> Day v_ IiIonIII 0Iy V_ THROUGH 01/01/2012 04/1912012 - 1.D ELECTION EL.ECTlOH QA TE aJOCTIOH TYPE IiIonIII o.y v_ ~Prfmary o Rlinoff . OGenofwl DSpedaI 05/29/2012 11 OFFICE 0FflCe HELO 01 tftYI 12 omce SOUGHT(II"'_"1 Justice of the Peace, Justice of the Peace, Pet. 1, PI. 1 Pet. 1, PI. 1 GO TO PAGE 2

Judge Kristi DeCluitt Campaign Finance Report 4/30/2012

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Page 1: Judge Kristi DeCluitt Campaign Finance Report 4/30/2012

Texas EIhIes Commission P.O. Box 12070 Auslln, Texas 78711·2070 (512)463-saoo TOO 1-SOO-135-2989

CANDIDATE I OFFICEHOLDER FORM C/OHCAMPAIGN FINANCE REPORT - COVER SHEET PG 1

.. . .Tho CIOH IHmIucnoH GutoE explaIns how 10 completo thIs fonn.

1 ACCOUNT# 2 PAGEfI(Stnies CommI~ rllera)

1 of 7

3 CANDIDATE' I4/Io1RS I IoIR FIRST IoQ OFFICE USE ONLYOFFICEHOLDER Mrs. KrtstiNAME Dllte~FIed .

.. . ..• ' .. .. • • • • • • • • • • • .. .. • • • - • • - • - • • • I • '" • , • _ .. .. ~ • • I

HIQ(l4AME lAST SUl'FIJI 30 Day 01~ 1';>"-OeCluitt T1me.£:tL.. KATH'f E. V~ ,

llPCOOE 8edIons hfrriristre4 CANDIDATE I AOORESS J PO !lOX; APT I SUITE.; CITY; STAn;;

OFFICEHOLDER Rv~rTexb!- IMAILING P.O. Box 7557 I

ADDRESS IWaoo, TX 76714 Otto Htnd-ilaflvorod Of Date PosUnor1led

o Ch4nve of Address ,I

RocetpC II I Amount

5 CAMPAIGN MS/MRSIMR FIRST Ml Dale ProcessedTREASURER Mr. . Trevor P.NAME Detolmlgad

............ - ........................ " ......... "'NICKNAME lAST SUfFIX

WardlawI

I

6 CAMPAIGN STREET ADORESS (NO PO 80X IUASE); N'T/sum:~ CITY; STATE; ZJPCOCETREASURERADDRESS 200 W. H~l'6, Ste. 509(R8$ldence or buSIness) Waoo. TX 6712

7 CAMPAIGN foPEJ\ CODE PHONE NUMIIER EXTtHSlONTREASURER

(254) 776-5310PHONE

8 REPORT TYPE 0 ~ 0 0JDnuaty 15 30UI <ley beIore eIoctIon Runoff 15th day eller campaign 1rOII1III1If

. tJJjlClintmenl (~ only)

0 July 15 0 8th day before eIecIJDn 0 EJr.ceeded $SOO ImII 0 F"1IIa1nIPOO (A1t.1dl CIOH - FR)

._ ,9 PERIOD :

COVERED MI:IntI> Day v_ IiIonIII 0Iy V_

THROUGH

01/01/2012 04/1912012-

1.D ELECTION EL.ECTlOH QA TE aJOCTIOH TYPE

IiIonIII o.y v_~Prfmary o Rlinoff . OGenofwl DSpedaI

05/29/2012

11 OFFICE 0FflCe HELO 01tftYI 12 omce SOUGHT(II"'_"1

Justice of the Peace, Justice of the Peace, Pet. 1, PI. 1Pet. 1, PI. 1

GO TO PAGE 2

Page 2: Judge Kristi DeCluitt Campaign Finance Report 4/30/2012

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 TOO 1-800-735-2989

CANDIDATE I OFFICEHOLDER REPORT:SUPPORT & TOTALS

FORM CtOHCOVER SHEET PG 2

13 C/OH NAME DeCluitt, Kristi (Mrs.)

15 NOTICEFROMPOLITICALCOMMITTEE(S)

o additional pages

14 ACCOUNT # (Ethics Commission filers)

.. This box is for notice of political expenditures by political committees to support the candidate I officeholder. These expenditures mayhave been made without the candidate's or offlcehclcer's knowledge or consent. Candidates and officeholders are required to report thisinformation only if they receive notice of such expenditures ...

COMMITIEE TYPE

COMMmEE CAMPAIGN TREASURER AODRESS

COMMITIEE NAME

D GENERAL COMMITIEE ADDRESS

D SPECIFICCOMMITIEE CAMPAIGN TREASURER NAME

16 CONTRIBUTIONTOTALS

EXPENDITURETOTALS

CONTRIBUTIONBALANCE

OUTSTANDINGLOAN TOTALS

1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THANPLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ 0.00

$ 2,000.00

$ 61.67

$ 4,595.91

$ 7,889.41

$ 0.00

2. TOTAL POLITICAL CONTRIBUTIONS(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)

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

4. TOTAL POLITICAL EXPENDITURES

5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THELAST DAY OF TtiE REPORTING PERIOD

17 AFFIDAVIT

6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THELAST DAY OF THE REPORTING PERIOD

I swear, or affirm, under penalty of perjury, that the accompanying report

is tnue and correct and includes all information required to be repcrted by

me under Title 15 Election Code.

AFFIX NOTARY STAMP I SEAL ABOVE

ElectroniC Filing Version 3.4.4

Page 3: Judge Kristi DeCluitt Campaign Finance Report 4/30/2012

7exas Ethics Co~mission POBox 12070 Austin 'ex(Js 7871'-2070 (512)463-560D 7DJ '-800-735-2989

POLITICAL CONTRIBUTIONS SCHEDULE AOTHER THAN PLEDGES OR LOANS

The hsTAvCTION GV:D~ explains how to complete this form. 1 PAGE /:

S:;~e:lule: 1/2 Report· 3!7

2 FIL=~ NA~= DeCIJi:1. Kristi (Mrs.) 3 ACCOJ~T# (::Ihi:~ Con-.rr.iss,on f:lers)

4 Da~e 5 Full name of contabvtor 0 out-of-state PAC (Io:t ) 7 A_,,,o:.onl cf I S ,n-ktnO C;;:'Ilnbl; lion

Cawthon. Ma:t & Shel'y cc~.:rit:vtic~ ($)I

cescnpuon (if ap~~icab!e)

_ .. ..... . .. . . ... .... . . _ . .... ...... . I03/26/20i2 6 Conl:ibulor a::lo'8ss: Cily: S:ate: l'p Cone 5100.00 I

13: 1 Cbapeiwocc Dr.Waco. TX 76712 I

(II tr;ly~1 outslclf of Teus. cernprere Schedul. T) 09 F>r"K;pal occupatior; .. Job tille (See Instruclio:-:s) 10 Err:pJ;)ye: [See Jr.SI'uctlons)

Dale Full na-ne o: contributor 0 out-ot-sta'e PAC (I'J# ) Amount 0' I Ir.-kina cont-iouuon

H~Hman. Fred cont-ibvtion (S)J

jes::;:-'flt,O'"l (i! a::>plicaole)

......... . . . '" . . . '" . ... . .J

03/26/2012 Contnbutor address: C'ly; sia:c: ZIP Coj~ $WO.OOI2354 P,Iarim InLorena. 'rx 75655 I

Iff """I.'I outs;"e of Texas. complelp Schedule T) 0Pr;n:ipal occupa'ion I JOt> title (See 1:1structio:"'S) Employer (See ;n51~J::I,or"i

Dale Ful; r.ame of comnbutor 0 oul-o'-s:ale PAC (iDII __ .__ ._) Amovnt ol I In-kir.d CO:1lrib;;:ior.

Korpi. Deboran :::O"l:riCul.or. ($)J

:j~!>cr,p!io'" (if aj::;'l;'::;Clblc)

" .. .. . .. . ...... . . .. . . ... . ..J

03/26/2012 Contributor accress: City: Sta~p.: lip Ccoe $100.00 I536 Shady ?ark -:-:ailI-.ew;n. TX 766<:3 I

(If 1ravel ou~id. 01Tuas, complete Schl.'''ule T) 0Pri~c,pal occupafl:'>~ I Jo::> ;i'l(, (Sec hs!ruC1ior.s) Emp!oyer ;See Ins:rvCI,:;ns)

Date Ful; nar:le of conlribulor 0 o·J!·;,I-s:alc PAC (iDlt ______ ) Amoun! 0' J In-kIna conl:i!)ul:O:1

Mc:ritt. je:;y & CCI-Ia conl,ibJlion (S)I ce5:;-i~:lon (I! appllc:a::>Iej

" . ..... . . . . . .. . ..... . . . . , . . . . .... I02/02/2012 Cont;lt>ulor adjress; CilY. Sfa:c: Zop Code $250.00 J

1415 Richia:'lc Court SOiJ:hCoI;E'ge Stll~ion. TX 77645 I

(If Iravel olJlsi:1e of Texas. complele SChedule T) 0P;i~.cipal o:;:J;>al;o:"' I .'cb tit:e !See Irst-u:liors) ET;->'oye' (See !:-:SI'J:::tiors)

Date Fu!I name 0: :;o~,!'bu~or 0 c'J!-cf-s:ale PAC !lDII ) "''11O;.onlof J Ir-k,,,d cor.ln:1J::'Jr

Pe~'Y. C Ra,' co~tnbuli:):" ($)I

de~c;'" .~!j~n {j' a~~!icac,e ~

. . . . . ' . . . . . ., ,. . . .. . . .. IC3.'26!20~2 Co~.tri~iJto: aocmss. :j~y. Slate' Z'p C:xie $100.00 I

I 2715 Me;ri~ac CI~Wac::>. -X 7671C I

(I! Ir;lVel oUlside of T~x.s. compl.r. Sche"ulo T) 0

Ipr:n:;.:>a' o:c ...:>al;):1: Jo~ ,,~:(?,:See IrSlc.J:I::l;·si C!T'p:c)'er iSee ,r.51-.Jc:~ic)')s)

- -

Page 4: Judge Kristi DeCluitt Campaign Finance Report 4/30/2012

Texas EthicS Commission POBox 12070 Austin Texas 78711·2070 (512;463·5800 7DD 1·800·735-2989-POLITICAL CONTRIBUTIONS SCHEDULE AOTHER THAN PLEDGES OR LOANS

The INST~UCTI()N G\r.DEexplains how to complete thi5 form. 1 ;:>AGE IISchedule: 212 ~e::>ort: 4r7

2 FILER \'\'AME DeCIJi:t. Kris:i (M"s.) 3 ACC:J~fliT :I (E!hcS CO!r.l":'ission '"ers)

4 Dal~ 5 Ful' r-arr.e of contributor o o·Jk)f·stalt> PAC (IDIt ___ .___ l 7 Arr.cunt 0' 18 In-klr\d cor.tribu~:nPeterson. J. Sco~ ccrtribunon (S;

Ic~scrl;l:IC1 (I' a"p!ica~It»

. . . . . . . . .. . . . . . . .. ... . ..... . . . . . .. I04/16/2012 6 Con!ributor address; Ci!y: S:ate; !·"Ccde $100.00 I

2029 S;:lee~'ev;:le ~::l.Vlac? TX 67i2 I

(1IIrBv~1OUI5i~ 01 Tco~. complete S~h~,,~ T) 09 P~I!'1Clpa'occucanorz Job tllle (Sec Inst'Jr.I;O:'.s) 10 :::r:l?loyer (See Ins~ru:!;?:'s)

Date Full narr-e 01contributor 0 oct-et-state PAC (ID#_. ) ArT'Ou~tO! I Ir--kind contributionRouth. Ja;11eS H. & Brooke contrIbution (S)

IC!!~cnPtIOr.(If ap:ll::at;le)

" . . . . . . ..... ... . . . '., . . . . . . . I03!26i2012 Contributor acdress. C,ty. State: Zl~ Code $250.00 I

1~C70 Carriage ~Iouse LnWa:o. TX 75712 I

(II travel outside of Texas. com"I~le S~h~cfult T) 0Pr;:1Cpal occvpanon !Jo!:l ti:ie (See Insl" .rctions i Employer (See Instructions)

Da!e FJUname of ::?;ltn~'Jt,r 0 out-ot-staie PAC !I:J:I ..._-' .._-) Amour-t of I 1;l·ki:1:JCO:-1t-:b·Jlior.TRE:::>AC -C:'CXcs Assoclatior. of Rea'tors PAC) :;,)nhl>utIO:1($)

Jccs:;ripfo- (if ilploCilb1c)

.. , .. . . . ... .... , ... . . . .. I03/26/2012 Contnbotor address. C:ty: State, ZI:JCoco $500.00 I

PO. Box 2245A~sit~. TX 76763-22':6 I

(If tr'IV,1 outside 01Tun. comprete Schlld"le 1] 0t'rir:i;:;a' occupation ,.J,tl nne (See I,Slru~li?~sl ::m:Ji'j)'C: (S~e I~SI:'J:t,ons)

Date Full narr.e 01con'ributor o :J~·o!·stale PAC (:DII_______ l AlT!ou:1;of I 1:1-kinclcor.llIOutio1Waco Pcl:ce Association PAC CO:1~ribU'lo:":(S)

IC~5C~:;.>:ion(i' a::>pl;ca~le).

. . . . . . ..... . . . .... . .... '" . ... . '" . I02/17/20,2 Conlributo" a::ldress: City. S:,,:~' Z.p Co::le $500.00 I

?O. Box 1023'/laco. TX 7f'7:;1 I

(If IrB....el 0"t51de of Texas. complett Scned:.oler: 0?rrCly<J1oc:upa:::o' I jot; Idle ,SIIe 1~.st~'~C!oO~SI j cr:ployer (See ir.s:ruO:::lC~s)

I

- -

Page 5: Judge Kristi DeCluitt Campaign Finance Report 4/30/2012

Texas Ethics Commission PO Bex 12070 Austin "exas 75711-2070 (512)463-5800 TDO 1-800-735-2989

POLITICAL EXPENDITURES SCHEDULE F

EXPENDITURE CATEGORIESA~vo~.s:ngExpense G,~s/t,war:lsI)Ap.'Tl()r031Expc~~e S~'.a:iesr1NiIJ1O~r.:ontl'il~Labor '_o.'!n Repayrr.e~VR8;"'b~l'Seme:llACC:O'J"'Lr.~'SCI"i(in!l L!ll;iI! St!rvlces S::>:_~:;a:l:>nf!"" .,,"lOrliISlnd Ell~C'S.C Tra's;J:>".a:I::>,~EQu:;J,,,ent& Rc:ale:l =.;:>t~s~C::>~sul::~E.per,se "OO<ll8evora"eE'~Dnse ,rave' b C'stnc;t Cor.t,i:;>uh:ms'Dona:I()"sW.a:le 8yEVllntEXpe~s8 POllln~Ex;>onse Tri!vel oo: Of Dlst"::! Can:lI:la:e/o:',::e~:>I~e'IPO:,:.calComlT.:I!"FHS P';~tl'; Exprnsp ~'oe Ove:t-9C!;i'Ren:a' Expanse O,J-:ER(p.n:c:a cat"'90"yno: ; S:9:l aoove)

The INSTRvtTIOHG:JQE e~p'ain$ how to complete this form,

1 PAGE ~ )2 FILER NM1E

13 ACCOUI\, ~ (TEC r"o's)

Schedule: 1!2 Report: 517 OeClu:tt. Kristi (Mrs.)

4 uale 5 P<lYI1&nams

04/10/2012 Clrc!e Hardware & Lumber

6 Amoun: (S) 7 "<Iyeo address City: State: ZiP CWe

S304.19 25D4 LaSalleWaco. TX 76706

8 Ill) Ca!&go--y (Sei! Categ<>'ics;;Ml'j vi ~'eI~:>='I'_S sc~ejulc) (b) Des:;npt.on (:r I'i've' o.·!~ljc 01 ~c.a~.co::-.~·",~eS:;!II':luleT; 0PURPOSE Advertising Expense T posts

OFEXPENDITURE

9 C::>",~;g~CO~LY If Candidate / Orfi~cho!(ler name Olf::e sou;;ht O~ce nerc:jire~: ex:>en;j::Jreto ~e:~fi: ~/O;1

Dale Payee name

01125/2012 Ferguson. Sarilee

Amount ($) Payee address C:'y, 5!ale: [I::> Cooe

S1,OOO.00 i900 Woodga:e#802Waco. TX 76712

Cilleliory (SPt! :v:",:>r'~5 h~~eca: Ihf :op 01 :h15s:'P:u;t:) Des:npt;on ~:, Havel ~lJ!:"'~e 0' 1 (',U!'S. (.:o::"'1~ic!eS~~~llre TJ 0PURPOSE ConSulting Expense camprlign services

OFEXPENDITURE

Co"'pIPIOONLY f. Ca~:Jil!<lle _,O~'r.o"::::lor:r na:re Off,:e S?L!:;:-t. Off,::e helCC'ire:~c",pl'nj;~,,'etD~encfi1 C;Or1

D,,'e P<lyee nOl'!'le

01/25/2012 Ferguso::. Sa'ilee

Amount (S) PaYl?eaocrcss City: S:ate: l,';) Co~e

$22000 1900 Woodgate11'802Waco. TX 76712

C<I!p;lory :See Call1.:>'i~sh5:~~ii' I',e :0;: 0' 11.5 s:il~Cu e) Dcs:ripticn !~travel 'J,,~Sl(leof Telas, ~m'J ~te S~ce<::J;C T}0PURPOSE Eyen! Ege~se Rei"b~Jrsemcnt for even! I;ckels

OFEXPENDITURE

C;onp'ptc O~LY ri C<lnd:oato / C!f'ceroIC()r na,~e Off:c SOlJgt-,~ O~f~e....e!jd"ec: cxperc'iu'et'J be:->t'U C/O!-1

Da~e ?i!ye-e :',ame

02/29/2012 Print Mar.ArrOJn~ (S) ;:;ayee <lj(lr&ss Cit)·, S~ate: Z'P Coje

5215.42 ?O Bcx 7990Wa:;o. TX 76714

Ca:e"ory ,See Cal~.-.·ie~;,s'P,:la~ :"e 10:>cl :t,S sC'e:lu'e) .Jes:"I~:jc:" (If Ir&ver o.J:s,lj(, of 'p.:las_ con:> tic S::"~~'e 7: 0PURPOSE ;::>ri"tlng EXD~~S~ Pus~ :;a~ds

OFEXPENDITURE

C::>,T.;J,eteONL'" .f Ca"d;""le ,.Offi:eho:jer r.aMe D"",c.esC:Jgtlt' Off::e hele"recl e';>t',j~"re::::!X)nefilC'Ot~

- -

Page 6: Judge Kristi DeCluitt Campaign Finance Report 4/30/2012

~exas Ethics Commission Austin Texas 78711·2070 (5~2)463·5800 TOD '·800·735·2989? 090x 12070

POLITICAL EXPENDITURES SCHEDULE F

EXPENDITURE CATEGORIESA;)ver't'S;~~ E.pO"SoeA:::07Jol '~'Bar.kjn;lC~nS'J~'C~ E~~nseE ve~1 E' x;:>cns!!~ees

G,t:s.'AW"d'~5IMe"TlO"a! Expense S~Ia're:;,W!!J<'s'C~n:l'8C1lnbQ! ~oar, Re::>aynec.tiRe''':>u-,;e:1".eolLe,;a' Sel'\'oct>s Soh:;:a:'O~'\)lXlfil'S'OG EX;X:"$e Tr~n~po,..tio~ E~u.p:ner.1 & Relal~ ExpenseF:xx;!'3('vera;lC Expe~sc iravel In vlSlri:;': :::;~n!rrbc1,:)OsIDonall()nsMa~e ByPo!hr;_;Expense lr~vcl Ou: 01 DlSt';c: Ca"CO;:a:el~r.ce~ld['rtp~lr!ical CO'1'l""'::(!()P"c.l,n~ Expe,:se ~.c.c Ov9meaCJR~r.t ..1EXpt'Ml' OTHER (er.tel it c:!ll';ocy net hs:COa!:>ove)

The INSTRuCTION GlftOEexplains how to complete this form.

12 FILER NAME

DoClui!t, Kristi (Mrs.)13 ACC(')IIN7 If (TEC'ilers)1 PAGE #

Sc~edule: 2f2 Report: 6fT4 Date 5 Payee narno

01'25/2D12 Texas Tape & Label6 Amount (5)

$2,738.737 i'ayee aooress

POBox 365Waco, TX 76703

C;ly. State; Z,' Code

(a) Cale;J0:Y (Sec C":l~orjcs hS:l'C ~: Ihe 10;; of :"'5 S~~JlJlc)

Advertrsinq Expense(b) Descro.ion

Sig1s8

PURPOSEOF

EXPENDITURE

Card'::lale I CY.~iceholdc:r,arr'3 Off,ce 50u9'" O~ice ~elj9 Corr.pletl' ONLY ~cjorec: cx;>ond~lJ'e:0 ~~~r;1 CI:)H

Page 7: Judge Kristi DeCluitt Campaign Finance Report 4/30/2012

Texas Ethics CO:Tl~isslo'1 POBox 12070 Austin. Texas 7871 '·2C70 (5' 2}463·5801J TDD 1 ·BOD-735·2989

PURPOSEor:

EXPENDITURE

POLITICAL EXPENDITURESMADE FROM PERSONAL FUNDS

SCHEDULE G

EXPENDITURE CATEGORIESA~~e~'5ing E~:>e~seAccovn:.ns·'Ba.,·",vConsul!n~ Expe.,seEven: E~::>e"seFet's

Gi~sJAwar~""'~enO':a1 Ex~e"st'Le;a' Servll:es=~vcra;1i' Ex~ense"'Or,"!; Ex:>ense?rjn~jn~ E.pense

The INSTRUCTION

Satar es.'Wa)esJCo~!rac! La~r t een Ke~ayme.'t'R8t:'l'!>J~emenlS{)·,cr.at"ro!·u~ora$'~ E.;>('~so Tr2ns;>o~at,::)n Equvmenl & Rela:e~ EX;>e,se7r~ve, In O~Ir,::: COr.trot>Ull()ns-'O:>na:,;)ns r.4a~e 9y7rilvel oo- 01 Distn:;1 Can~oCa:II'O'fo:eh:)I:le:/?OI,:o;;al CCr.1ni:leeOff,;:e Overhea:llRe~.la Exoonse OTH!:R ie~ler a ca:e9~~ n:>: IS!pj above;

GUIDEexplains how to complete 'hi& form.

1 PAGE 11 FILER NAMEDeC!ui!1. Kr.sti (M~s )

ACCOU,\T # (TEC filers)

Scheoule: 1/1 Report ttt4 Da:e 5 Payee r.arr.e

02/23/2012 Office Depot6 Arr.:nmt (S)

$55.901"71 Rc,mt:>u"$em!!n:l.CJ fr~'Tl pOl'loeal';OnlnD-JIIO~S In!c,j~

7 ?ayee aod-ess

5524 Bosque Blvd.Waco. TX 75710

Stale; ZIp Coce

(a) Ca!eg:)ry (~e ea:eg:)'ot's1os-lv:l.:J1I~C 10:)o'I~'~ ~:;"!<~,,~~

Advertisi'"!g Expense8 (b) )escr;~tIO:1 (If :;ilVt'1 cu.s-de 0' -:-exas. ~"'~'t':e S~~l'<lule r I 0

Pe~s. high!ighte-s a"d brocbvre holders

I