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HomeMy WebLinkAboutContributions and Expenditure Statements-Campaign Finance Reports & Filings-Chris Putnam -7/15/2015 (3) CANDIDATE® OFFICEHOLDER FORIVn C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Filer ID(Ethics Commission Filers) 2 Total pages filed: The C/OH Instruction Guide explains how to complete this form. a 3 CANDIDATE/ `n.'- Ms/MRS/`u FIRST MI FFI OFFICEHOLDER' ��0; OEICEUSEOIULY NAME NICKNAME LAST SUFFIX --MVIE 0 4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE it; CITY; STATE; ZIP CODE JUL A5 2015 OFFICEHOLDER 1 0 MAILING o Ess �o 4 W�k ) r\ iL ., CITY SECRETARY'S OF_FICE_, ❑ Change of Address CC/ 1\.� r,r ' n l A Q IT,r '-]W o 6 4 (� ,� 6 CANDIDATE/ AREA CODE PHONE NUMBER p / EXTENSION /05 P,I11 • (%/�J� OFFICEHOLDER ( -•� Date Hand-delivered or Date Postmarked PHONE SI 1 4 — l 61 2-'5 6 CAMPAIGN MS/MRS/MR FIRST MI Receipt# Amount S TREASURER 1^ NAME C�`1 .-3 Date Processed NICKNAME LAST SUFFIX Pvki Date Imaged 7 CAMPAIGN ' SI REET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE TREASURER ` ' `,n k ADDRESS A 2-0 4 , iv,z__ (Residence or Business) - �� I I,e. ,--n( —N, q 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURERNE ' / I1 ) PHONE \ 0-1 — I l 9 2-c 9 REPORT TYPE n January 15 n 30th day before election n Runoff n 15th day after campaign treasurer appointment (Officeholder Only) July 15 n 8th day before election n Exceeded$500 limit n Final Report(Attach C/OH-FR) 10 PERIOD Month Day Year Month /Day Year COVERED of /01 f /0 ( /Z O ( S THROUGH o / ° / 1C7 iS 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year ElPrimary ElRunoff ❑ Other Description / / ❑ General ❑ Special 12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known) L i4 0/61A4y,c,i • GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 02127)2015 CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 14 C/OH NAME Gk.-; -FLA: 1S Filer ID (Ethics Commission Filers) 16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO POLITI CAL SUPPORT THE CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S COMMITTEE(S) KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES. COMMITTEE TYPE COMMITTEE NAME 0 GENERAL COMMITTEE ADDRESS ❑SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME El Additional Pages COMMITTEE CAMPAIGN TREASURER ADDRESS 17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF$50 OR LESS (OTHER THAN TOTALS PLEDGES,LOANS,OR GUARANTEES OF LOANS),UNLESS ITEMIZED $ 2. TOTAL POLITICAL CONTRIBUTIONS $ (OTHER THAN PLEDGES, LOANS,OR GUARANTEES OF LOANS) 2) 50o, 00 EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF$100 OR LESS, TOTALS $ UNLESS ITEMIZED 4. TOTAL POLITICAL EXPENDITURES $ 64 3 CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY ___111 BALANCE OF REPORTING PERIOD $ OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ 19 4 3e 18 AFFIDAVIT 1 I swear,or affirm,under penalty of perjury,that the accompanying report is true-.i ••rrect and includes- In „ •i ation required to be reported by me u •erTdl= 5,Election Co.-. / r', " CHRISTINE LOVEN '= MY COMMISSION EXPIRES ., May 2,2018 , L. i Signature of Candidate or Officeholder AFFIX NOTARY STAMP/SEALABOVE Sworn to and subscribed before me,by the said Cf l p..1.5 --Put'V-M AM ,this the 15 t H day of --3-(A I Y , 0 ,to certify which,witness my hand and seal of office. elt„.„___LL.) r 012.64 1 1 a-c., )..z V eAt/ Signature of officer administering oath Printed na f officer administering oath Title of officer administering oath Forms provided by Texas Ethics Commission www.etnics.sta'te.tx.us Revised 02/2712Dl5 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. I Total pages Schedule Al: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) Ur\ • Jut1k a, vn 4 Date 6 Full name of contributor ❑out-of-state PAC(ID#: ) 7 Amount of contribution ($) Aii 4/7,0 cynti � y� ,fit 1 S Contributor address; City; State; Zip Code 32,5 Dad lcwrit co e o'V L 185 bo,t,tu.P 1t.to34. 1 15-0 8 Principal occupation/Job title (See Instructions) 9 Employer(See Instructions) Date Full name of contributor D out-of-state PAC(ID#: ) Amount of contribution ($) Contributor address; City; State; Zip Code Principal occupation/Job title (See Instructions) Employer(See Instructions) Date Full name of contributor 0 out-of-state PAC(ID#:_ ) Amount of contribution ($) Contributor address; City; State; Zip Code Principal occupation/Job title (See Instructions) Employer(See Instructions) Date Full name of contributor 0 out-of-state PAC(IDA ) Amount of contribution ($) Contributor address; City; State; Zip Code 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 for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 02/27/2015 POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS " SCHEDULE Fl 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/PolmcalCommittee Legal Services SalariesAWages/Contractabor Other(enter a category not fisted above) The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1_ 2 FILER NAME 3 Filer ID (Ethics Commission Filers) C*w \ILAA rictmN 4 Rate 5 Payee name ; 1( �:� x.11 , tom 6 Amount ($) 7 Payee address; City; State; Zip Code F 25 D o , \ ttvS#"t _. 3 atkv fool/ l � 8 (a) Category (See categories listed at the top of this schedule) (b) Description PURPOSE ❑Check if travel outside of Texas,complete Schedule T OFp f � � `,� ❑Check if Austin,TX,officeholder living expense / EXPENDITURE a V' L , 1 rt 4 p e. 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code Category (See categories listed at the top of this schedule) Description PURPOSE ❑Check if travel outside of Texas, complete Schedule T OF ❑Check if Austin,TX,officeholder living expense EXPENDITURE Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code Category (See categories listed at the top of this schedule) Description PURPOSE ❑Check if travel outside of Texas,complete Schedule T OF ❑Check if Austin,TX,officeholder living expense EXPENDITURE Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.etthics_state.tx.us Revised 02/27/2015 POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS SCHEDULE G EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Conhibutions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services SalariesNVages/Contract Labor Other(enter a category not listed above) The Instruction Guide explains how to complete this form. 1 Total pages Schedule G: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 2.,. C hc\si,L-k-yjwt,, 4 Date 6 Payee name 6 Amount ($) 7 Payee address; City; State; Zip Code �9 43. 2® 1_0 I )1-Q ii r SfreQ�E-, Su, - e. C 601i F\til 1 ,i T —NI Oz Reimbursementfrom political contributions intended 8 (a)Category (See categories listed at the top of this schedule) (b) Description PURPOSE OF o Check if travel outside of Texas,complete Schedule T Aekvt_r EXPENDITURE �5t Aa-. -X 6 ❑Check if Austin,TX,officeholder living expense 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name iL I/ WBl�bL y 1.1 n om_ 11�,v� C,GL�Y��Og1 v. Amount ($) Payee address; City; State; Zip Code 60-0 00 4'\ '13 E ,, e\��.A4:.-1-LINdi R ' L ) izis1v4di..E.—ci; 7k)e Reimbursementfrom /� political contributions I intended Category (See categories listed at the top of this schedule) (b) Description PURPOSE _ ,�iA /,r� El Check if travel outside of Texas,complete Schedule T EXPEN DI ,���` `�`V' ` ❑Check if Austin,TX,officeholder living expense Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name r .4b0aG�h cu.‘ �-n(-1 c7.r A eaa.rf 8-A. Amount ($) Payee address; City; State; Zip Code WiReimbursementfrom if\ `a.a5e--H e t no A Q l tAN I I political contributions amended Category (See categories listed at the top of this schedule) (b) Description PURPOSE ❑Check if travel outside of Texas, complete Schedule T OF p' EXPENDITURE b"—I\ 1_(PA t' o 'f.�(yN ❑Check if Austin,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 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 02/27/2015 POLITICAL EXPENDITURES MADE 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) The Instruction Guide explains how to complete this form. 1 Total pages Schedule G: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Date 5 Payee name ) ‘,21"r 3Iii16 ��-� �� ck �-�- - ► �, -b►� 6 Amount� IJ ($)° p, 7 Payee address; City; State; Zip Code &menm elL41-efdaf R4Wa( t�r I. t I CD ! �, political contributions �+ 'g intended �, I�1 8 (a)Category (See categories listed at the top of this schedule) (b) Description PURPOSE OF \ ❑Check if travel outside of Texas, complete Schedule T /�y�.\� EXPENDITURE WI" ` U �� j O ❑Check if Austin,TX,officeholder living expense 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH • Date Payee name Amount ($) Payee address; City; State; Zip Code • Reunbursementfrom political contributions intended Category (See categories listed at the top of this schedule) (b) Description PURPOSE n Check 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 flReimsementfrom politicalburcontributions intended • Category (See categories listed at the top of this schedule) (b) Description PURPOSEni OF Check if travel outside of Texas,complete Schedule T EXPENDITURE ❑Check if Austin,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 Forms provided by Texas Ethics Commission www.ethics.sttate.tx.us Revised 002127)20i 5