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Home My WebLink AboutDesignations of Campaign Treasurer-Campaign Finance Reports & Filings- Carol Wollin -1/20/2016Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (fDD 1-800-735-2989) APPOINTMENT OF A CAMPAIGN TREASURER FORnn CTA BY A CANDIDATE Pc 1 1 Total pages fletl: See CTA Instruction Guide for deW iled instructions. 2 CANDIDATE MsiMrtsihta FIRSi Mi OFFICEUSEONLY NAME / A ` � Gt ro MCKNAME . . . . . . . . .LAST . . . . . . . . . . . . . . . . SUFFIX � �' .: ' o -"ar:=, �.,� � � I �1'�� J� � ._ `p,I %„fP l 3 CANDIDATE A��RESSIPOBO%; APT/SUITE#: GTY', STATP, ZIPCOOE �J/'\IV ?�� I��I�R MAILING I �.�� q��/%� , -: :` aooRess t� /o D0 ./�� r7�✓nor� r� ! C� �� CI7Y SECfiE��1�HV'S OFfICE Go/��y�;%/�j Tx 7/ 0_3� _�._._.�_�_v��._�_.nu.._,.�. 4 CANDIDATE AREA GOOE PHONE NUMBER EXTENSION DateHantl-tleliveretlorPosimarketl PHONE \ � �/ '%� t� G- / � c� �`) ..5 � oate Processetl ( / O ( 5 OFFICE j� �atelmagetl HELD COI/E��/V/I�JiCO�l1'�(_./I✓Y12/r16E'/'! IlAGP- / (if any) / 6 OFFICE '� SOUGHT � Ll!_P � (if known) �o//ey�;l/� C�u,-��,��,��_r I- 7 CAMPAIGN MSIMRS/MR FIRST � MI NICKNAME �ST SUFFlX TREASURER �l NAME /A 1 C�K �CJ I�/ y�� 8 CAMPAIGN STREETADDRE55 (NOPOBOXPLEASE); APT/SUREk: CITY; STATE; ZIPCOOE TREASURER / STREET �f �(J(J ..I�Q.Y��✓�� rC� 1.1./� �� ADDRESS / y (residence or business) �\O / lCy �/ /l�j ( / \ �� O �-� � 9 CAMPAIGN AREA CODE PHONE NUMBEft EXTENSION TREASURER PHONE (� I / � <� � I � �.� �i .S � 10 CANDIDATE SIGNATURE I am aware of the Nepotism Law, Chapter 573 ofthe Texas Government Code. I am aware of my responsibility to file timely reports as required by title 15 of the Election Code. I am aware of the restrictions in title 15 of the Election Code on contributions from corporations and labor organizations. l 1a/�-n-l' ��/�y, �O ��i U � Signature of Candidate Date Signed GO TO PAGE 2 www.elhics.state.lx.us Revisetl 07/742U10 iexascmicscommission P.0.8ox12070 CANDIDATE MODIFIED REPORTING DECLARATION 19 CANDIDATE NAME �2 MODIFIED REPORTING DECLARATION 78711-2070 (512)463-5800 COMPLETE THIS SECTION ONLY IF YOU ARE CHOOSING MODIFIED REPORTING FORM CTA PG 2 •• This declaration must be filed no later than the 30th day before the first election to which the declaration applies. •• •• The modified reporting option is vaiid for one eiection cycle only. •• (M election cyGe inGudes a pnmary eledion, a general election, and any relatetl runoffs.) •• Candidates for the office of state chair of a political party may NOT choose modified reporting. •• I do not intend to accept more than $500 in political contributions or make more than $500 in political expenditures (excluding filing fees) in connection with any future election within the election cycle. I understand that if either one of those limits is exceeded, I wili be required to file pre-election reports and, if necessary, a runoff report. Year of election(s) or election cycle to which declaration applies Signature of Candidate This appointment is effective on the date it is filed with the appropriate filing authority. www.eimcs.s�a[e.tx.us Revisetl 07/14/2010 City ol Colleyville Financial Disclosure and Business Conflict of Interest Forms INFORMATION STATEMENT Form 1 Filed in accordance with Ordinance 02-1322 rorA��MaEROFPa�esF��o For more information see INSTRUCTION GUIDE 9 OFFICE USE ONLY � NAME TR�e:Fwsran eua„�n„mm� Carol�os,:s�FF�� a �fL ��v �L. ll \`'1 ��"; Wollin � , <<! ) , � , 2 ADDRE$$ +onr+essiei..�sra.einP � lr�i� I � r_�1�;�� 7p/a!`� �,. 4600 Dartmoore Lane ( I(Y SF(;R� f�Ry'S UI f IC{� Colleyville, Texas 76034 --- - ---- _ flccelplAumbe� A�-cunl a TELEPHONE 'aF�<o�E a�oN_�,�ueF�:E..E�,s��x NUMBER 03e°,«`°°°' ( 817 ) 281-3058 °a�^'°°aa° 4 REASON Colleyville Councilmember Place 1 FOR FILING �CnNDIDATE (INOICATEOFFICE) STATEMENT Colleyville Councilmember Place 1 � ELECTED OFFICIAL pNoicnre oFFice� � ZONING BOARD OF ADJUSTMENT �npaucnNi oa nPPowree� � PLANNING AND ZONING COMMISSION (nPaucnNr oa naaoiNTEe� ❑TN/O (2) BUSWESS DAYS FOLLOWING THE CLOSING OF FILING FOR ELECTIVE OFFICE OF APPOINTMENT ❑CHANGES TO BE FILED JANUARY 15TH ❑CHANGES TO BE FILED JULV 15TH �SUPPLEMENTALCHANGES 5 Provide intormation for spouse and dependent children whose financial activity the filer had actual control over during ihis tiling period. In addition, the source o( annual income of the spouse shall be provided, as subject to federal election reporting requiremenis for a spouse: �sPousE Rick Wollin ❑DEPENDENT CHILD 1 2 3 6❑ NO CHANGE. I do by here verity ihat there has been no changes since the previous filing of the Financial Disclosure and Business Contlict of Interest Forms. PLEASE SEE FORM 8 In parts 1-4 disclose your financial activity during ihe 12 months proceeding the date of filing. In part 5 disclose not only your own financial activity, but also that of your spouse and/or dependent child or children, if you had actual conirol over thaf person's financial activiry. COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY INITIAL HERE: _�W C�^� DATE: O�/ZO/ZO�F) City ol Colleyville Financial Disdosure and 6usiness Conflid ot Interest Forms SOURCES OF OCCUPATIONAL INCOME Form 2 When reporling information about a dependent child's activity, indicate the child about whom you are reporting by providing ihe number under which the child is listed on FORM 7. 7 INFORMATION RELATES TO ❑FILER �SPOUSE ❑DEPENDENTCHILD Z VAAIE ANO A�DilE55 OF EMPLOVER I POSITION HELD EMPLOYMENT ❑EMPLOYED BY ANOTHER NATURE OF OGGUPATION / NANE NND AODPE55 1 POSRION HP_D �se�FeMP�oveo Private investor/consultant 4600 Dartmoore Lane, Colleyville, Texas 76034 INFORMATION RELATES TO ❑FILER ❑SPOUSE ❑DEPENDENTCHIID NNME ANDAD�RESS OF EMPLOYER I POSITION HEID EMPLOYMENT ❑EMPLOVED BY ANOTHER VAiURE OF OGGUPATION / NAME NND HDOflESS / POSiTION HELO ❑SEIFEMPLOVED INFORMATION RELATES TO ❑FlLER ❑SPOUSE ❑DEPENDENT CNILD NNME RND A�DRE55 OF EMPLOYER ! POSITION MELO EMPLOYMENT ❑EMPLO�ED BYANOTHER NATURE OF OCCUPATION ❑SELF EMPLOYED COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY INITIAL HERE: CW �i.J �ATE: 01/20/2016 City of Colleyville Financial Disclosure and Business Conflid ol Inferest Forms INTERESTS IN REAL PROPERTY Form 3 Describe all beneticial interests in real property held or acquired by you, your spouse, or a dependent chiid during the calendar year within Ihe area crosshatched on fhe map attached to Ordinance 02-1322. For more information see INSTRUCTION GUIDE When reporting information about a dependent child's activity, indicate the child about whom you are reporting by providing the number undei which Ihe child is listed on Form t. � HELD OR ACQUIRED BY � FlLER �SPOUSE ❑DEPENDENTCHILD Z DESCRIPTION Lot '�5 Ciry COII@VVIII2 eio�k 2 co,,,,ty Tarrant Subdivision Lakes of Somerset qd Valorum Tax Account Number ncres and rract .4671 00006396445 3 STREETADDRESS STREETADDRESS,INCLUDINGCITY,COUNTY,ANDSTATE 4600 Dartmoore Lane ❑NOTAPPLICABLE Colleyville Tarrant County Texas 76034 LIST THE NAMES AND ADDRESSES OF OTHER PERSONS OR BUSINESS ENTITIES 4 NAME WHICHOWNANINTERESTINTHEREALPROPERTY � INDIVIDUAL N/A ❑ BUSINESS HELD ORACQUIRED BY ❑FILER ❑SPOUSE ❑DEPENDENTCHILD z DESCRIPTION lot City 81ock County Subdivision Advalorum Tax Accounl Number Acres and Tract 3 STFEETADDRESS STflEETADDRESS,INCLUDINGCITYCOUNTV,ANDSTATE ❑ NOTAPPLICABLE 4 NAME LISTTHENAMESANDAD�RESSESOFOTHERPERSONSORBUSINESSENTITIES W HICH OWN AN INTEREST IN THE REAL PROPERTV �INDIVIDUAL �BUSINESS COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY INITIALHERE: CW �:GJ onrE:01/20/2016 City of Colleyville Financial Disclosure and Business ConfliCl of Intere5l Forms Gifts Form 4 Identify any person or organization Ihat has given a giR worth more than $250 to you, or those under yow financial conirol as defined in Ordinace 02-1322. Do not include: 1) expenditures required to be reported by a person required to be registered as a lobbyist under Govemment Code, Chapter 305, 2) political conhibutions reponed as required by law, or 3) gifls given by a person related to the recipient wiihin the second degree by consanguinity or affinity. When reporting information about a dependent chiltl's activity, indicate ihe child about whom you are reporting by providing the number under which the child is listed on Form t. � RECIPIENT ❑FILER ❑SPOUSE ❑DEPENDENTCHILD z NAMEANOADDRESS DONOR N/A 3 DESCRIPTION OF GIFT RECIPIENT ❑FILER ❑SPOUSE ❑DEPENDENTCHILD NMENNDR��RESS DONOR DESCRIPTION OF GIFT RECIPIENT ❑FILER ❑SPOUSE ❑DEPENDENTCHILD NAMEAYOADDRESS DONOR DESC TION OF GIFT COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY INITIAL HERE; CW (.� � onTe: 01/20/2016 Cily of Colleyville Financial Disclosure and Business Conflicl of Interesl Forms BOARDS AND EXECUTIVE POSITIONS Form 5 This section is for information concerning executive positions and directorship held by you or those under your financial control. For more information see INSTRUCTION GUIDE When reporting information about a dependent child's activiry, indicate the child abou[ whom you are reporling by providing the number under which the child is listed on Form 1. � POSITION HE�D BY �FILER ❑SPOUSE ❑DEPENDENTCHIID 2 ORGANIZATION ADDRESS �NONPROFIT Colleyville Woman's Club � CHARITABLE ASSOCIATION P. O. Box 181, Colleyville TX 76034 � BUSINESS ASSOCIA710N 3 POSITION HELD Officer - Vice President Membership POSITION HELD BY �FILER ❑SPOUSE ❑DEPENDENTCHIID ORGANIZATION ADDRESS O NON PROFIT Colleyville Garden Club � CHARITABLEASSOCIATION P.O. Box 1302, Colleyville, TX 76034 ❑ BUSINESSASSOCIATION POSITION HE�D Board member - Publicity Chair POSITION HELD BY �FILER ❑ SPOUSE ❑DEPENDENTCHIID ORGANIZATION Friends of the Colleyville Public Library P.O. Box 746, Colleyville, TX 76034 POSITION HELD Board member - Publicity Chair COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY INITIALHERE: CW ��'/ onTE:01/20/2016 City o( Colleyville Financial Disclosure and Business Conllicl of Interes[ Forms BOARDS AND EXECUTIVE POSITIONS Form 5 This section is tor information concerning executive positions and directorship held by you or those under your financial conhol. For more in�ormation see INSTRUCTION GUIDE When reporting information about a dependent child's activity, indicate the child aboul whom you are reporting by providing the number under which the child is listed on Form 7. � POSITIONHELDBY �FIIER ❑SPOUSE ❑DEPENDENTCHILD Z ORGANIZATION ADDRESS �NONPROFIT CivicCommittees: � CHARRABLE ASSOCIATION � BUSINESS ASSOCIATION 3 POSITION HELD Colleyville Economic Development Corporation President Colleyviile Crime Control & Prevention District VP Colleyville Tax Increment Finance District Director Collevville/Keller Municipal Court Committee Member o POSITION HELD BY ❑FILER ❑SPOUSE ❑DEPENDENTCHILD ORGANIZATION ADDRESS ❑ NON PROFIT � CHARITABLEASSOCIATION � eUSINESS ASSOCIATION POSITION HELD POSITION HELD BY ❑FIIER ❑ SPOUSE ❑DEPENDENTCHIID ORGANIZATION POSITION HELD COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY INITIALHERE: CW CW DATE:O"I/ZOI2O�6 Ci of Coile viVe Financial uisciosure antl Business Gonflict of Interest Forms BANKRUPTCIES Form 6 Individuals shall disclose any bankruptcy petition by or against ihe individual, their spouse, a business entiry in which ihe individual owned a beneticial interest of 70 % or more, or a business entity in which ihe individual w2s an officer or director of ihe business entity at ihe time of bankruptcy filing. For more informalion see INSTfiUCTION GUIDE � TYPE OF BANKRUPTCY ❑ PERSONAL ❑BUSINESS ❑N/A � NONE NAME 2 CHAPTER �� 11 �13 3 IF CHAPTER 7 DID YOU RECEIVE A DISCHARGE ❑�Es ❑ No 4 IF CHAPTER 11 OR 13 DID YOU COMPLETE A SUCCESSFUL ❑vEs �No FEORGANIZATION Misdemeanor Involving Moral Turpitude and Felonies Individuals shall disclose any information which charges a misdemeanor involving moral turpitud , a felony indiclment, conviction of a misdemeanor involving moral turpitude or conviction of a felony of ihe individ}+ or of a business entiiy in which the individual had a 70 % or more beneficial interest or where ihe individual wa fihe time of the filing or conviction an otticer or director of the business emity. � NAME Business or Entity Charged �PERSONAL ❑BUSINESS T1 O/1 <= z TYPE OF N/A INDICTMENT or INFORMATION 3 NATURE OF OFFENSE oESCRIPTiON 4 DISPOSITION OF INDICTMENT�o/r � INFORMAT�N � � COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY INITIALHERE: CW C-(/�J DATE: O�IZOIZO�6 Cily of Colleyville Financial Disclosure and Business Conflict of Inlerest Porms INTERESTS IN PARTNERSHIPS, JOINT VENTURES, Form 7 OR OTHER BUSINESS ASSOCIATIONS Describe all interests in business entities held or acquired by you or those under your financial conirol as defined in Ordinance 02-7322. For an explanation of "beneficial interesl" and other specific directions for completing this section, see INSTRUCTION GUIDE. When reporting information about a dependent child's activity, indicate the child aboul whom you are reporting by providing Ihe number under which the child is listed on Form 1. � HELD OR ACQUIRED BY ❑FILER ❑SPOUSE ❑DEPENDENT CHILD / non� Z DESCRIPTION NANEANDADORE55 N/A 3 NATURE OF BUSINESS �' % % / HELDORACQUIREDBY ❑FILER ❑SPOUSE j��❑DEPENDENTCHILO / DESCRIPTION NAMEnNDADDFESS / // NATURE OF BUSINESS j " � i � HELD OR ACQUIRED BY FILER ❑SPOUSE ❑DEPENDENT CHILD DESCRIPTION / NNMEAN�ADORESS NATURE O USINESS COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY INITIALHERE: CW (�ln/ pATE:01/20/2016 oi Colleyville Financial DisdoSure and Business Conflict o� Interes� PERSONAL FINANCIAL STATEMENT AFFIDAVIT Form 8 The Ordinance 02-1322 requires that the disclosures in the Financial Disclosure and Business Conflict of Interest Forms be verified. The verification page must have the signatures of ihe Financial Disclosure antl Business Conflict of Interest Forms, as well as the signature and seal of a notary public. Without proper verification, the statement is not considered filed. Falsitication of information is subject to criminal prosecution under state penal code. /� / / Before me, the undersigned authority, personally appeared /,G�Y'o ( o(�(;� who, after being duly sworn upon their oath deposed and stated as follows: °My name is Carol Wollin and I hereby submit tor filing pursuant to Ordinance No. 0-02-1322 of the City of Colleyville, the attached Financial Disclosure and Business Conflict of Interest Forms. I have personal knowledge of all information contained in said (orms and all information contained in the forms is true and correct" "Further, all of the information contained in the forms is complete. There is no information that has been withheld or noi disclosed which is responsive to or required to be disclosed by the (orms." — /� - ' . � Afiiant i Swom to and subscribed before me, ihis ihe % )� day of .� c�IV.Lt C� I�. `f 20 ' i ,�;�,,, .m..�..W.r.r..�e ;�,: �, CHRISTINELOVEN -'� `' MYCOMMISSIONEXPIRES `?;�',p;,,g" May2,2o18 _�I �, \ / `_.I l/�,C/J 1.�44� �c*iIC�.-_—� Notary Public, Slate of Texas INITIALHERE: CW �='�'� DATE: �IZOIZO�6 Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) CODE OF FAIR CAMPAIGN FORM CFCP F�r�/'�1CTICES COVER SHEET OFFICE USE ONLY Pursuant to chapter 258 of the Election Code, every candidate and , e�# � \lnI_ �:_, political committee is encouraged to subscribe to the Code of Fair �� l� I f I�\Vl �L, Campaign Practices. T he Code may be filed with the proper filing I i;= a-; �•,;��, authority upon submission of a campaign treasurer appointment �_� �� , r� i 0U c�: rv� ' form. Candidates or political committees that already have a -ffY S�:C�E7;Ci1"S OF�10E current campaign treasurer appointment on file as of September 1, � i� y L997� m�Ay SUUSCI�IUP. tO t11P. COUP. CLY �AT]y tIITIP.. - �ateHand-deliveretlorPostmarked DateProcessed � - �� Subscription to the Code ofFair Campaign Practices is voluntary. oa�e Imagetl � � � � . � � � 'I ACCOUNT NUMBER Q TYpE OF FILER (Ethics Commission Filers) CANDIDATE � POLITICAL COMMITTEE � - lf filing as a candidate, complete boxes 3- 6, If filing for a political committee, complete then read and sign page 2. boxes 7 and 8, then read and sign page 2. 3 NAME OF CANDIDATE TITLE(�c,Mc,Ms.,e�cJ Fiasr Mi � (PLEASE TVPE OR PRINT) G� V O ��( �ti /� J .......................................... NICKNAME LPST SUFFIX(SR.,JR.,Ill,etc.) �1 " � �� ^� r�, ,� 4 TELEPHONE NUMBER AREA CODE PHONE NUMBER EXTENSION OF CANDIDATE (�xy % )/, �y (PLEASENPEORPRINn ` �/ I / � t,� (� �' <)v�� O S ADDRESS OF CANDIDATE STREET/POBOX; AP7/SUITE#; CITV; STATE; ZIPCOOE (PLEASETYPEORPRINT) ./�/Gj/1 ,�Jar'f'�-y�VOYQi� /—n��' v V Co /l2, v; /l� 7�kas 7�0�3 g OFFICE SOUGHT � I BY CANDIDATE /� / /��.%-u CD�v�c:� ( I/Qc-�� I (PLEASETVPEORPRIN'� vG/(��/Vll/Q, V� 1 / �l 7 NAME OF COMMITTEE (PLEASE TYPE ORPRINT) _... $ NAME OF CAMPAIGN TRLE(Dr.,Mr.,Ms.,etcJ FIRST M� TREASURER �� - (PIEASENPEORPRINT) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NICKNAME fAST SUFFIX(SR�,JR.,III,efcJ �1�� tiJo/�i,� GO TO PAGE 2 ••�•••.��..,.,�a�e.cx.us Revised 11/23/2010 iexastmicscommission r.v.rsox�zuiu HUS[In, 10X83 /tl/7l-ZUN CODE OF FAIR CAMPAIGN PRACTICES ic•rrc There are basic principles ofdecency, honesty, and fairplay thatevery candidate andpolitical committee inthis state has amoral obligationto observe and uphold, inorderthat, aftervigorouslycontestedbut fairly conductedcampaigns, our citizens may exercise their constitutional rights to a free and untrammeled choice and the will ofthe people may be fully andciearly expressedonthe issues. Tf�REFORE: (1) I wiil conduct the campaign openly a�id publicly and limit attacks on my opponent to legitimate challenges to my opponenYs record and stated positions on issues. �2) i3) I will not use or pemutthe use of cha�•acter defamation, whispering campaigns, libel, slander, or scurrilous attacks on any candidate or the candidate's personal or family life. I will not use or peimit any appeal to negative prejudice based on race, sex, religion, or national origin. (4) I will not use campaign material of any sort that misrepresents, distorts, or otherwise falsifies the facts, nor will I use malicious or unfounded accusations that aim at creating or exploiting doubts, without justificarion, as to the personal integrity or patriotism of my opponent. (5) I will not undertake or condone any dishonest or unethical practice that tends to corrupt or undemune our system of free elections or that hampers or prevents the full and free expression of the will of the voters, including any activity auned at intimidating voters or discouraguig them from voting. (6) I will defend and uphold the right of every qualified voter to full and equal participation in the electoral process, and will not engage in any acrivity aimed at intimidating voters or discouraging them from voting. (7) I will unmediately and publicly repudiate methods and tactics that may come from others that I have pledged not to use or condone. I shall take firm action against any subordinate who violates any provision of this code or the laws goveming elections. I, the undersigned, candidate for election to public office in the State of Texas or campaign treasurer of a political committee,herebyvoluntarilyendorse,subscribeto, andsolemniypledgemyselftoconductthecampaigninaccordance with the above principles and practices. ��,,��%-C�-.,.� Signature ao �o� Date www.ethics.state.tx.us Revised 11/23/2010