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