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HomeMy WebLinkAboutContributions and Expenditure Statements-Campaign Finance Reports & Filings-Elizabeth Zeitlin -5/7/2016Texas Ethics Commission P.O. Bok, 12070 Austin, Texas 78711-2070 (512)4133=5860 ---(TDD 1-800-735-2889) CANDIDATE / OFFICEHOLDER CAMPAIGN` FINANCE REPORT FORM C/011 _. COVER SHEET PG 1, • The CION Insti'uo • 3 CANDIDATE / ',QFrtCEHOLDER bn 04 e explains how to complete; this form. MS/MRS/MR 4 CANDIDATE, OFFICEHOLDER £MAILING .ADDRESS • change of address IRST _ 1-1'):p ,2n4 �t'Nl ADDRESS /POEM; ART/BUTTE#' • /94 0tiNT# (Elhiee commis6ton Filere) TOW pages fled: STATE;- iIPCODE`.;''`;"'. Coct,eyvtt trr fl "11a( .?{. MAY 07 2016 CITY SECRETARY'S OFF CE 5 CANDIDATE- AREA cope OFFICEHOLDER PHo!4 (•2414)". CAMPAIGN'' TREASURER NAME SHONNE NUMBER r IMR3lMR MR$ ICHNAME 7 CAMPAIGN • TRMASURER .. APOB SrS (residelice or bustnessj KTENs c tASr : ..((. W STREETADDRESS(NO POSOXPLE4ASE)APT181.81E#,I, "_ yeas> averse tw=+'b F�AM'AIGN , TRQEASURER • PHNE AREA CODE (7-N) PHONE NUMBER (4 b `^5(P -b' . iN$I0N'• 8 REPORT TYPE January 15 Jul day before stamen I:' 8th day before of Ilrelt Exoeaded 46 6°. ©1Eih'Gay atter gempsign : frg, spi* mPPoindnant Finat isporf (Al•teGi c/011 -FR) ELECT pry1YP OFFICENELD (Briny) 3 OFFicEsorie r talon) cow o to n) 1"ou ^iYItX>F Cov1JCL. c S. www.ethics.state:tx. us. GO TO PAGE 2 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 CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 ACCOUNT # (Ethics Commission Filers) 2 Total pages filed: 3 CANDIDATE / OFFICEHOLDER NAME MS/MRS/MR 1.0-S. NICKNAME FIRST t LAST —2-11-1-4./.., MI g— SUFFIX OFFICE USE ONLY Date Received 4 CANDIDATE / OFFICEHOLDER MAILING ADDRESS n change of address ADDRESS /PO BOX; t''C' 11-i' APT/SUITE#; CITY; STATE; ZIP CODE rfOttL CouK'mv1 i.1v- nc ilobT1 Date Hand -delivered or Postmarked Receipt # Amount 5 CANDIDATE/ OFFICEHOLDER PHONE AREA CODE // Ze l (� PHONE NUMBER Y Gtb-ai,k+o EXTENSION Date Processed 6 CAMPAIGN TREASURER NAME MS/MRS/MR M25 , FIRST /%445 MI rz- Datelmaged NICKNAME LAST — rlAti.3 SUFFIX 7 CAMPAIGN TREASURER ADDRESS (residence or business) STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; it 00 010c -be Ra CITY; STATE; ZIP CODE Vil 1l0b�"1 8 CAMPAIGN TREASURER PHONE AREA CODE Zl ` 1 6L�2 U PHONE NUMBER ��p EXTENSION 9 REPORT TYPE I I January 15 July 15 nI 1 1 30th day before election Runoff I 15th day after campaign treasurer appointment (officeholder only) Bth day before election 1 Exceeded $500 Final report (Attach C/OH - FR) limit 10 PERIOD COVERED/\ Month Day Year �� THROUGH Month Day Year S // / tL 11 ELECTION ELECTION DATE Month Day Year Gq7/ 1 / IS ELECTION TYPE Prima‘01ry Runoff General 1 1 Special 12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known) CoLL ltll CCN Cout.DC L- GO TO PAGE 2 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 CANDIDATE / OFFICEHOLDER REPORT: FORM C/OH SUPPORT & TOTALS COVER SHEET PG 2 14 C/OH NAME 15 ACCOUNT # (Ethics Commission Filers) 16 NOTICE F ROM POLITICAL COMMITTEE (S) I additional pages THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT THE CANDIDATE / OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDER'S KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES. COMMITTEE TYPE I. I GENERAL I I SPECIFIC COMMITTEE NAME COMMITTEE ADDRESS COMMITTEE CAMPAIGN TREASURER NAME COMMITTEE CAMPAIGN TREASURER ADDRESS 17 CONTRIBUTION TOTALS 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES. LOANS, OR GUARANTEES OF LOANS) 0 EXPENDITURE TOTALS 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED @ $ 4. TOTAL POLITICAL EXPENDITURES 'D0 �GO CONTRIBUTION BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF REPORTING PERIOD Q `R OUTSTANDING LOAN TOTALS 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY OF THE REPORTING PERIOD 18 AFFIDAVIT I swear, or affirm, under penalty is true and correct and includes all me r Title 15, Election Code. of perjury, that the accompanying report information required to be reported by t (0-,k1r)loana Addatna Wil Notary Public, State Texas `�-�` 0 Expires: 08/02//02/ 20/9 �' Signature of Can. . ate or Officeholder me, by the said EE \ J/l.-+I`1 1 �`�f1 i1 this the AFFIX NOTARY STAMP / SEAL ABOVE Sworn to and subscribed before t of Ck.y , 20 1 J , to certify which, witness my hand and seal of office. A PUb/Signature day ,th X)A ��\may}j y \lc:10_31)h of officer administering oath Printed name of officer administering oath Title of office 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 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 FILERNAME3 ACCOUNT # (Ethics Commission Filers) 4 Date yzr‘� 5 Payee name VP6?\I 14 AOo> E' CV LAASkiVt,k Cj ( j.cL< 6 Amount ($) 7 Payee address; City; State; Zip Code 8 PURPOSE OF EXPENDITURE (a) Category (See categories listed at the top of this schedule) Ct'ftL' V n ,0 t..i (b) Description (If travel outside of Texas, complete Schedule T) Check ifAustin, TX, officeholder living expense 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code PURPOSE OF EXPENDITURE Category (See categories listed at the top of this schedule) Description (If travel outside of Texas, complete Schedule T) 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 ($) Payee address; City; State; Zip Code PURPOSE OF EXPENDITURE Category (See categories listed at the top of this schedule) Description (If travel outside of Texas, complete Schedule T) Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code PURPOSE OF EXPENDITURE Category (See categories listed at the top of this schedule) Description (If travel outside of Texas, complete Schedule T) 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 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) NON-POLITICAL EXPENDITURES SCHEDULE I MADE FROM POLITICAL CONTRIBUTIONS The Instruction Guide explains how to complete this form. 1 Total pages Schedule I: 1 2 FILER NAME I —7X1 r -t f•J 3 ACCOUNT # (Ethics Commission Filers) 4 Date .72‘2A\ 5 Payee name t.r (Z- -N c, f -o tom{ 5 6 Amount ($) q2 = 7 Payee address; City; State; Zip Code '2„):::,5 W. Q Y -k .4)T I 1 Cincii--4 1L- 6.0k.o.0u 8 PURPOSE O F EXPENDITURE (a)Category (See instructions for examples of acceptable categories) C4—'r-,Aiiilit (b) Description (See instructions regarding type of information required.) Date Payee name Amount ($) Payee address; City; State; Zip Code PURPOSE O F EXPENDITURE (a) Category (See instructions for examples of acceptable categories) (b) Description (See instructions regarding type of information required.) Date Payee name Amount ($) Payee address; City; State; Zip Code PURPOSE O F EXPENDITURE (a) Category (See instructions for examples of acceptable categories) (b) Description (See instructions regarding type of information required.) Date Payee name Amount ($) Payee address; City; State; Zip Code PURPOSE O F EXPENDITURE (a) Category (See instructions for examples of acceptable categories) (b) Description (See instructions regarding type of information required.) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED www.eth ics.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) www.ethics.state.tx.us Revised 07/28/2014 CANDIDATE / OFFICEHOLDER REPORT: DESIGNATION OF FINAL REPORT FORM C/OH - FR The Instruction Guide explains how to complete this form. •• Complete only if "Report Type" on page 1 is marked "Final Report" •• 1 NAME C/OH.!Vl � K /A-16.. 1`� 2 ACCOUNT # (Ethics Commission Filers) 3 SIGNATURE I do not expect any further political contributions or political expenditures in connection with my candidacy. I understand that designating a report as a final report terminates my campaign treasurer appointment. I also unders . . ,.t I may not accept any campaign contributions or make any campaign expenditures without a campaign treasurer appointment on file. Ar Signature of Candidate / Officeholder 4 FILER WHO IS NOT AN OFFICEHOLDER •• Complete A & B below only if you are not an officeholder. •• A. CAMPAIGN FUNDS Check only one: f%.*;) I do not have unexpended contributions or unexpended interest or income earned from political contributions. 1 I have unexpended contributions or unexpended interest or income earned from political contributions. I understand that I may not convert unexpended political contributions or unexpended interest or income earned on political contributions to personal use. I also understand that I must file an annual report of unexpended contributions and that I may not retain unexpended contributions or unexpended interest or income earned on political contributions longer than six years after filing this final report. Further, I understand that I must dispose of unexpended political contributions and unexpended interest or income earned on political contributions in accordance with the requirements of Election Code, § 254.204. B. ASSETS Check only one: I do not retain assets purchased with political contributions or interest or other income from political contributions. I do retain assets purchased with political contributions or interest or other income from political contributions. I understand that I may not convert assets purchased with political contributions or interest or other income from political contributions to personal use. I also understand that I must dispose of assets purchased with politi 0:I contrl utions in accordance with the requirements of Election Code, § 254.204. . Signature of Candidate 5 OFFICEHOLDER -- Complete this section only if you are an officeholder -• 1 I I am aware that I remain subject to filing requirements applicable to an officeholderwho does not have a campaign treasurer on file. I am also aware that I will be required to file reports of unexpended contributions if, after filing the last required report as an officeholder, I retain political contributions, interest or other income from political contributions, or assets purchased with political contributions or interest or other income from political contributions. Signature of Officeholder www.ethics.state.tx.us Revised 07/28/2014 LEGACY TEXAS PO BOX 869105, PLANO, TX 75086-9105 PAY TO THE ORDER OF: ELIZABETH R ZEITLIN LEGACY TEXAS PO BOX 869105, PLANO, TX 75086-9105 PAY TO THE ORDER OF: BOBBY LINDAMOOD Cashier's Check - Copy DATE MFRANCO 3-02-16 CHECK NUMBER 2842362 AMOUNT $**********1,423.26 Purchaser: ELIZABETH R ZEITLIN Notice To Customer A Declaration of Lost Instrument will be required after a 90 day waiting period before the check will be replaced in the event it is lost or stolen. Cashier's Check - Copy LEGACY TEXAS PO BOX 869105, PLANO, TX 75086-9105 PAY TO THE ORDER OF: URBAN GATEWAYS DATE NCHAWLA 3-02-16 NON NEGOTIABLE CHECK NUMBER 2842364 AMOUNT $************500.00 Purchaser: ELIZABETH ZEITLIN Cashier's Check - Copy Notice To Customer A Declaration of Lost Instrument will be required after a 90 day waiting period before the check will be replaced in the event it is lost or stolen. DATE NCHAWLA 3-02-16 NON NEGOTIABLE CHECK NUMBER 2842365 AMOUNT $************923.26 Purchaser: ELIZABETH ZEITLIN Notice To Customer A Declaration of Lost Instrument will be required after a 90 day waiting period before the check will be replaced in the event it is lost or stolen. NON NEGOTIABLE