HomeMy WebLinkAboutContributions and Expenditure Statements-Campaign Finance Reports & Filings-Mike Taylor -7/15/2015 (2) Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 ACCOUNT# 2 Total pages filed:
The C/OH Instruction Guide explains how to complete this form. (Ethics Commission Filers)
5
3 CANDIDATE / MS/MRS/MR FIRST MI OFFICE USE ONLY
OFFICEHOLDER Michael A.
NAME Date Received
NICKNAME LAST SUFFIX Received by Amy Shelley
"Mike" Taylor on July 15, 2015 @ 2:49
4 CANDIDATE / ADDRESS/PO BOX; APT/SUITE ft; CITY; STATE; ZIP CODE p.m.
OFFICEHOLDER
MAILING 5209 Coventry Place Colleyville, Texas 76034 Date Hand-delivered or Postmarked
ADDRESS
Illi change of address Receipt# Amount
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER Date Processed
PHONE ( 817 ) 366-5557
6 CAMPAIGN MS/MRS/MR FIRST MI Date Imaged
TREASURER Michael A.
NAME
NICKNAME LAST SUFFIX
"Mike" Taylor
7 CAMPAIGN STREET ADDRESS(NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER
ADDRESS 5209 Coventry Place Colleyville, TX 76034
(residence or business)
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER ( 817 ) 366-5557
PHONE
9 REPORT TYPE1---1 15th day after campaign
n January 15 I I soth day before election 1 I Runoff
treasurer appointment
(officeholder only)
IXI July 15 I I 5th day before election I I Exceeded$500 I ] Final report(Attach C/OH-FR)
limit
10 PERIOD Month Day Year Month Day Year
COVERED
05 /02 /15 THROUGH 07/ 15 /15
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year El Pdrnary I Runoff IX I General I i Special
05/ 9 A5
12 OFFICE OFFICE HELD(if any) 13 OFFICE SOUGHT (if known)
Place 6, City of Colleyville Place 6, City of Colleyville
GO TO PAGE 2 .,
wwwethics.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)
CANDIDATE / OFFICEHOLDER REPORT: FORM C/OH
SUPPORT & TOTALS COVER SHEET PG 2
14 C/OH NAME ' 15 ACCOUNT# (Ethics Commission Filers)
Michael A. "Mike" Taylor
16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT-ME
POLITICAL CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S KNOWLEDGE OR
COMMITTEE(S) CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE NAME
COMMITTEE TYPE
n GENERAL
COMMITTEE ADDRESS
n SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
n additional pages,
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF$50 OR LESS(OTHER THAN @@ 0.00
$
TOTALS PLEDGES, LOANS,OR GUARANTEES OF LOANS), UNLESS ITEMIZED
2. TOTAL POLITICAL CONTRIBUTIONS $ 150.00
(OTHER THAN PLEDGES, LOANS,OR GUARANTEES OF LOANS)
EXPENDITURE
TOTALS 3. TOTAL POLITICAL EXPENDITURES OF$100 OR LESS,UNLESS ITEMIZED $ 0.00
4. TOTAL POLITICAL EXPENDITURES $ 1,100.00
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF REPORTING PERIOD 150.00
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ $11,900.00
18 AFFIDAVIT
I swear,or affirm under penalty of perjury,that the accompanying report
is true and corret and includes all information required to be reported by
•
,t me under Title 5,Elec n Code.
` ` Donna,L.Johan
Iv '06-r 9-2016
41/nature of Candidate or Officeholder
AFFIX NOTARY STAMP/SEAL ABOVE
Sworn to and subscribed before me, by the said Michael A. Taylor , this the
15 day of July , 20 15 , to certify which, witness my hand and seal of office.
tGt ori. �o1'1 ria L. J47`1 n 5e)r\ /lea-r
Signature of officer ad nistering oath Printed name of officer administering oath Title of officerdministering oath
www.ethics.state.tx.us Revised 07/28/2014
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
POLITICAL CONTRIBUTIONS
OTHER THAN PLEDGES OR LOANS SCHEDULE A
1 Total pages Schedule A:
The Instruction Guide explains how to complete this form. 1/1
•
2 FILER NAME 3 ACCOUNT# (Ethics Commission Filers)
Michael A. Taylor
4 Date 5 Full name of contributor 0 out-of-state PAC(IDP.. ) 7 Amount of 18 In-kind contribution
contribution ($) • description (if applicable)
05-09-15 Peter& Catherine Sakovich $150.00
6 Contributor address; City; State; Zip Code
4712 Cranbrook Dr.E
Colleyville,TX 76034
(If travel outside of Texas,complete Schedule T)
9 Principal occupation/Job title(See Instructions) 10 Employer(See Instructions)
OB/GYN/Surgeon MacArthur OB/GYN
Date Full name of contributor 0 out-of-state PAC(ICA ) Amount of I In-kind contribution
contribution ($) description (if applicable)
00-00-15 $0.00
Contributor address; City; State; Zip Code I
(If travel outside of Texas,complete Schedule T)
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor 0 out-of-statePAC pit: ) Amount of I In-kind contribution
contribution ($) description (if applicable)
00-00-00 $0.00
Contributor address; City; State; Zip Code I
(If travel outside of Texas,complete Schedule 1)
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor -0 out-of-statePAC(IDtf: ) Amount of I In-kind contribution
contribution ($) description (if applicable)
00-00-00 $0.00
Contributor address; City; State; Zip Code I
(If travel outside of Texas,complete Schedule T)
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor ❑ out-of-statePAC(IDfx ) Amount of I In-kind contribution
contribution ($) description (if applicable)
00-00-00 $0.00
Contributor address; City; State; Zip Code I
(If travel outside of Texas,complete Schedule T)
Principal occupation/Job title(See Instructions) Employer(See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see instruction guide foradditional reporting requirements.
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
I Total pages Schedule E:
The Instruction Guide explains how to complete this form. 1/1
2 FILER NAME 3 ACCOUNT# (Ethics Commission Filers)
Michael A. Taylor
4
TOTAL OF UNITEMIZED LOANS: b b a b b $
5 Date of loan 7 Name of lender 0 out-of-state PAC(IN: ) 9 Loan Amount($)
07-16-09 Mike Taylor
$11,900.00
6 Is lender 8 Lender address; City; State; Zip Code 10 Interest rate
a financial 1.00%
Institution? 5209 Coventry Place, Colleyville, TX 76034
11 Maturity date
Y 0 07-15-18
12 Principal occupation /Job title (See Instructions) 13 Employer (See Instructions)
Financial Services /VP, Financial Adviser Provident Strategies Group - Independent Adviser
14 Description of Collateral 15 Check if personal funds were deposited into political account
X none X
16 GUARANTOR 17 Name of guarantor 19 Amount Guaranteed($)
INFORMATION
18 Guarantor address; City; State; Zip Code
0 not applicable
20 Principal Occupation (See Instructions) 21 Employer (See Instructions)
Date of loan Name of lender 0 out-of-state PAC(ID#: ) Loan Amount($)
00-00-00 $0.00
Is lender Lender address; City; State; Zip Code Interest rate
a financial 0.00%
Institution?
Maturity date
Y 0 00-00-00
Principal occupation /Job title (See Instructions) Employer (See Instructions)
Description of Collateral Check if personal funds were deposited into political account
Xnone
GUARANTOR Name of guarantor Amount Guaranteed($)
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
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
POLITICAL EXPENDITURES SCHEDULE F
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment&Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER(enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F: 2 FILER NAME 3 ACCOUNT#(Ethics Commission Filers)
1/1 Michael A. Taylor
•
4 Date 5 Payee name
05-13-15 Michael A. Taylor
6 Amount ($) 7 Payee address; City; State; Zip Code
$ 1,100.00 5209 Coventry Place, Colleyville, TX 76034
8 PURPOSE (a) Category (See categories listed at the top of this schedule) (b) Description (If travel outside of Texas,complete Schedule T)
OF
EXPENDITURE Loan repayment/Reimbursement Partial loan repayment
El Check if Austin,TX,officeholder living expense
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH Michael A. Taylor Place 6, City of Colleyville
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE Category (See categories listed at the top of this schedule) Description (If travel outside of Texas,complete Schedule T)
OF
EXPENDITURE
❑ Check if Austin,TX,officeholder living expense
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE Category (See categories listed at the top of this schedule) Description (If travel outside of Texas,complete Schedule T)
OF
EXPENDITURE [] Check ifAustin,TX,officeholder living expense
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH •
Date Payee name •
Amount ($) Payee address; City; State; Zip Code
Category(See categories listed at the top of this schedule) Description (If travel outside of Texas,complete Schedule T)
PURPOSE
OF
EXPENDITURE Check ifAustin,TX,officeholder living expense
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 07/28/2014