HomeMy WebLinkAboutContributions and Expenditure Statements-Campaign Finance Reports & Filings-Mike Taylor -5/1/2015 (4)Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-29891
CANDIDATE / OFFICEHOLDER FORnn C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 'I
1 ACCOUNT # 2 Total pages filed:
The C/OH Instruction Guide explains how to complete this form. (Em�cscomm�ss�o�F�ie�S� 3
3 CANDIDATE / MS/MRS/MR FIRST M� OFFICEUSEONLY
OFFICEHOLDER Michael A.
N A M E Date Received
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
NICKNAME LAST SUFFIX
"Mike" Taylor
4 CANDIDATE / ADDRESS/POBOX; APT/SUITE#; CITY; STATE; ZIPCODE
OFFICEHOLDER
MAILING 5209 Coventry Place Colleyville, Texas 76034 DateHand-deliveredorPostmarked
ADDRESS
� change of address
Receipt # Amount
5 CANDIDATE/ AREACODE PHONE NUMBER EXTENSION
OFFICEHOLDER �ateProcessed
PHONE ( 817 ) 366-5557
6 CAMPAIGN MS/MRS/MR FIRST mi Datelmaged
TREASURER Michael /�.
NAME..................................
NICKNAME LAST SUFFIX
"Mike" Taylor
7 CAMPAIGN STREETADDRESS (NOPOBOXPLEASE); APT/SUITE#; CITY; STATE; ZIPCODE
ADDRESSER 5209 Coventry Place Colleyville, TX 76034
(residence or business)
8 CAMPAIGN AREACODE PHONE NUMBER EXTENSION
TREASURER � g17 ) 366-5557
PHONE
9 REPORT TYPE ❑ �anuary 15 � 30th day before election � Runoff � 15th day after campaign
treasurer appointmenl
(officeholderonly)
� July 15 � 8th day before election � Exceeded $500 � Final report (Attach C/OH - FR)
limit
10 P E R I O D Month oay Year Month oay Year
COVERED THROUGH
04/ 09 �15 05 /01 �15
11 ELECTION ELECTIONDATE ELECTIONTYPE
Monih Day Year ❑
Pnmary � Runoff � General � Special
05� 9 �15
12 O F F I C E OFFICE HELD (if any) 13 OFFICE SOUGHT (if known)
Place 6, City of Colleyville Place 6, City of Colleyville
GO TO PAGE 2
www.ethics.state.tx.us Revised 07/28/2014
iexas ttnics c:ommission N.U. ttox 11U/u Austin, fexas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
CANDIDATE / OFFICEHOLDER REPORT: FORnn C/OH
SUPPORT & TOTALS COVER SHEET PG 2
14 C/OH NAME �� �� 15 ACCOUNT# (Ethics Commission Filers)
Michael A. Mike Taylor
� s N OTI C E F RO M 7HIS BOX IS FOR NOi10E OF POL171CAL CONTRIBU710NS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORTTHE
POLITICAL CANDIDATEIOFFICEHOLDER. THESEEXPENDITURESMAYHAVEBEENMADEWITHOUTTHECANDIDATESOROFFICEHOLDER�SKNDWLEDGEOR
C O M M I TT E E(S ) CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMAIION ONLY IF THEY RECEIVE NOIICE OF SUCH EXPENDITURES.
COMMITTEE NAME
COMMITTEE TYPE
� GENERAL
COMMITTEE ADDRESS
� SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
� additional pages
COMMITTEE CAMPAIGN TREASURERADDRESS
17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN 2rjO.00
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED �
2. TOTAL POLITICAL CONTRIBUTIONS Q
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) `�' O.00
EXPENDITURE
TOTALS 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED � O.00
4. TOTAL POLITICAL EXPENDITURES � O.00
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY Q
BALANCE OF REPORTING PERIOD �P �, � OO.00
OUTSTANDING 6. TOTAL PRINCIPALAMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOANTOTALS LAST DAY OF THE REPORTING PERIOD � $13�000.00
18 AFFIDAVIT
I swear, or affirm, under penalty of perjury, that the accompanying report
.__, ___A_� is true and correct and includes all information required to be reported by
�� � me under Ti e 15, Election Code.
�P,,���-`.'e Donna L. Johnson
�;° =y�.
� ;,,,`�, � Commission E�cpires
'�o��} 06-19-20I 6
� Signature of Candidate or Officeholder
AFFIX NOTARY STAMP / SEAL ABOVE
Sworn to and subscribed before me, by the said Michael A. Taylor , this the
� St day of MaY , zo 15 , to certify which, witness my hand and seal of office.
�
1 �^
� � �� � �- �v�� I � �., • � jr� P
Signature of o�cer ministering oath Printed name of officer administering oath Title of officer administering oath
www.ethics.state.tx.us Revised 07/28/2014
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
LOANS SCHEDULE E
1 Total pages Schedule E:
The Instruction Guide explains how to complete this form. �/�
2 FILER NAME 3 ACCOUNT #(Ethics Commission Filers)
Michael A. Taylor
4
TOTAL OF UNITEMIZED LOANS: b b b a b �a �
5 Date of loan 7 Name of lender ❑ out-of-state PAC (ID#: j 9 Loan Amount ($)
07-16-09 Mike Taylor $13,000.00
........................................
6 Is lender g Lender address; City; State; Zip Code 10 Interest rate
a financial 3. ��%
Institution? 5209 Coventry Place, Colleyville, TX 76034
11 Maturity date
Y � 07-15-15
�2 Principal occupation / Job title (See Instructions) 13 Employer (See Instructions)
Financial Services / VP, Financial Adviser Provident Strategies Group - Independent Adviser
14 Description of Collateral 15 Check if personal funds were deposited into political account
� none �
16 GUARANTOR 17 Name ofguarantor 19 Amount Guaranteed ($)
INFORMATION
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18 Guarantor address; City; State; Zip Code
� not applicable
20 Principal Occupation (See Instructions) 21 Employer (See Instructions)
Date of loan Name of lender � out-of-state PAC (ID#: � Loan Amount ($)
0�-��-�� �V�.��
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Is lender Lender address; City; State; Zip Code Interest rate
a financial Q.QQ%
I nstitution 7
Maturity date
Y ON 00-00-00
Principal occupation / Job title (See Instructions) Employer (See Instructions)
Description of Collateral Check if personal funds were deposited into political account
� none �
GUARANTOR Name ofguarantor Amount Guaranteed ($)
INFORMATION
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Guarantor address; City; State; Zip Code
� not applicable
Principal Occupation (See Instructions) Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If lender is out-of-state PAC, please see instruction guide for additional reporting requirements.
www.ethics.state.tx.us Revised 07/28/2014