HomeMy WebLinkAboutContributions and Expenditure Statements-Campaign Finance Reports & Filings-Jon Bullock-4/28/2017CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT coveR sHeeT PG y
1 Filer ID (Ethics Commission Filers) 2 Total pages filed:
The C/OH Instruction Guide explains how to complete this form. � o
3 CANDIDATE/ MS/MR MR FIRST MI
OFFICEHOLDER �
NAME . . � D . �. .
F�( . . . . . . . . . . . . . '.l e .
NICKNAME LAST SUFFIX
JGII�DC K,�� 2`� sil`��
Q CANDIDATE./ . AD�RESS / PO BOX; APT / SUITE #� GITY; STATE; ZIP CODE
OFFICEHOLDER �SU$ ����r �Q ITY SECRETAfiY�S,O�FICE
MAILING q �� �
ADDRESS (�Bl�fi�l%/II�/� ��0,�� �I1 �� �� m .
� Change of Address �
S CANDIDATE/ AREA CODE PHONE NIIMBER EMENSION
OFFICEHOLDER ���„ � . ^ Date Hand-delivered or �ate Posimarked
PHONE � ���
6 CAMPAIGN M MRS MR FIRST MI Receipt # Amount $
TREASURER �,�j�
NAME ,GL.T(/(�{�, , , Dale Pmcessed
NICKNAME LAST SUFFIX
a �/ ^���� Date Imaged
N
7 CAMPAIGN STREET A�DRESS (NO PO BOX PLEASE); APT / SUITE #; C TY; STATE; ZIP CODE
TREASURER �, j0 g �erhbr'00% ��,iy,� �
ADDRESS '/ —�^y
(Residence or Business) �O��L�y�J//L�� / 1/ ���3�
/
8 CAMPAIGN AREA CO�E PHONE NUMBER EXTENSION
PHONE RER � S'`/ � ,��6-63s,3
9 REPORT TYPE
� January 15 � 30th day befora election � RunofF � 15ih day after campaign
ireasurer appoin[meni
(Oificeholder Only7
� July i5 d8th day befare elec�ion � Exceeded $50011m1t � Final Report (Attach C/OH-FP)
70 PERIOD Month Oay Vear Monih oay Vear
COVERED � /a g /�� , I ,vvv777
THROUGH �� /� / �
Y'I ELECTION ELECTION DATE ELECTION TVPE
Monlh Day Vear ❑ Primary � Runoli � Other
Oescription
5 /� / /�y General � Special
/
72 OFFICE OFFICE HEL� (if any) �3 OFFICE SOUGHT (if known)
('o/%ya�ll �' C�a�.��
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GO TO PAGE 2
rorms proviaea oy iexas t[nics �ommission wwwstnicsstate.tx.us Feevisetl 9/8/2015
TexasEthicsCommission P.O.Box12070 Austin,Texas78711-2070 (5'12)463-5800 (fDD1-800-735-2989)
CAi11DIDATE J OF�BC�BB-�OLDE@� REPOF�T. FORM CIOF!
�g�pp��� � ���,��� CaOVER SHEET PG �
14 C/OH NAME 1 // � 95 ACCOUNT #(Ethiw Cammissian Fllers)
a/� � vK�
16 NOTICE FROM '�XISBOXISFORNOi10E0FPOLIIICALCOMPIBUTONSAtCFPIE00RPOtl11CN.EXPENORIIRESMA�EBVPO1.ffICAICOMMft(EEST0811PPO1CflT�
POUTICAL CANDIOATEIOFFlCEFIOLOEFt. RIESEE%PEN�RURESMRYHAVEBEENMAOEWITXOUTTHECANDIDAIE�SOROFF/CENOLOER�SXNOWLEUGEOR
COMMITTEE(5) cpxsar: c�woioatesaxoo�FlcexowmsanersEaaxeom�arsr�swcomm�noxon�nFixerrsrsw�Nonceocsucd�e+ortux�.
GOMMITiEE NAME
COMMII7EETYPE
-�.�--_'_"'__.
O GENERAI
GOMMITfEE/DORE55
� SPECIFlC
-_��
COMMI7TEE CAMPAIGN TREASURER NAME
� additional pages �--�
COMMITTEE CAMPAIGN TREASURERADDRESS
97CONTRIBUTION �_ TOTALPOLITICALCONTRIe�TIONSOFS�00RLES5(OTHERTHAN �
TOTALS pI.E�GES, lOANS, OR GUARANTEES OF IOANSj, 11NLESS ITEMRED !�Q
� Z. TOTAL POLITICAL CONTRIBUTIONS �
(OTHER THAN PLEDGES. LOANS, OR GUARANTEES OF lOANS) /� Q� Q
(/
EXPENDITURE �
TOTALS � 3. TOTAL POLITICAI EXPENDINRES OF 5100 OR LE55, UNLESS ITEMRED
4. TOTALPOLITICALEXPENDITURES � 1`n�/� /
7 U 'T
CONTRIBUTION 5 TOTAI POIITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY @
BALANCE OF REPORTING PERIO� �P Q ��
i/
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTAN�ING LOANS AS OF THE $
LOAN TOTALS LAST DAY OF THE REPORTWG PERIOO �%'� -�'"
v
18 AFFIOAVIT .
� i swear, or affirm, under penairy of perjury, ihat the accompanying report
is we and correct and includes all information required to 6e reported 6y
� .,,,
me unde 'Ue'15, Election Code.
.• M CHRISTINELOVEN
_� ��` MyNotarylD#11092587 I
.: �:
:���
',�,4},�Ns' F�pires Mey 2, 2018
Signa[ureofCan datenrOtficeholder
AFFIX NOTARY STAMP / SEAL ABOVE
Sw�/o�r�j}`t'o,� and subscribed before me, by the said J��' �� ��� , this the
C/V� 'fV�- day of ' �1 � , 20 �, to certify which, witness my hand and seal of office_
��Le., -�i �e s-�-�n � /�.aVeti � �-/�/Z-
SignatureofofliceradministeringoatM Printednameofolficeradministeringoath TiUeofofficerad nistetingoath
www.ethicsstate_ix.us RC°1°""• "�„" "'
SUBTOTALS - C/OH
'19 FlLER
FORM C/OH
COVER SHEET PG 3
20 Fler ID (Ethics Commission Filers)
21 SCHEDULESUBTOTALS
NAMEOFSCHEOULE �
1• � SCHEDULEAi: MONEfARYPOLITICALCONTR�8UT10N5
2• � SCHEDIJI.EA2: NON-MONETARY(IN-KIND)POLRICALCONTRIBUTIONS
s- � SCHEOULEB: PLEDGEDCONTRI@UTIONS
4. � SCHEOULE E: LOANS .
5• � SCHEDULE F1c POLITICAL IXPEN�ITURES MADE FROM POUTICAL CONTRIBU'fIONS
s• � SCHEDULEF2: UNPAIDINCURREDOBUGATIONS
�• � SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FI�OM POLITICAL CONTRIBU'f�ONS
8- � SCHEOULE F4: EXPENDfRJRES MADE BY CREDIT CARD
9- � SCHEDULE G: POLITICAI IXPENDITURES MADE FROM PERSONAL FUNDS
��� � SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH
��- � SCHEDULEI: NON-POLITICALEXPENDITURESMADEFFlOMPOLITICALCON7RIBUTIONS
7p, ❑SCHEDULE M INTEREST, CREDITS, (3AINS, REFUNDS, AND CONTRIBUTIONS �
RETURNEDTOFlLER �
SUBTOTAI
AMOUNT
$ . ' �j �J'�J C
@���
W ).�n 1/./
FortnsprovidetlbyTexasEthicsCommission www.ethia.state.tx.us Revised 9/BI2075
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A7
The Instruction Guide explains how to complete this form. 1 Total payes schedule A7:
2 FILEFi NAME 3 Filer ID (Ethics Commission Filers)
4 Date � 5 Full name of contributor ❑ oul-oF-state PAC (IDq: � 7 Amount of contribution ($)
6 Contri6utor address; City; State: Zip Code �3 LF�
I
8 Principal occupation / Job title (See Instructions) g Employer (See Ins[ruc[ions)
Date Full name of contributor ❑ out-ot-state PAC (IDn: 1
Amount of coniribution ($)
Contributor addrass; City; State; Zip Code
Principal occupation / Job title (See Instructions) Employer (See Instructions)
�ate Full name of contributor ❑ out-of-state PnC po#: � Amount of contribution
($J
Contributor address: City; SYate: Zip Code
Principal occupation / Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor ❑ ou�-af-slate PAC (I�#: 1 Amount of contribution ($)
Coniributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions) Employer (See Ins[ructions)
J`e� ��c C��{ .%�.e.���c,�e � l
�z �e� o-� � �e �-��
C'�'!�'����.�Gc�
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-ot-state PAC, please see instruction guide for additional reporting requirements.
rormsprovioea�yiexast[nicscommission www.etnicsstate.tx.us Revlsetl9/9/2o15
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NON-MONETARY (IN-KIND) POLITICAL
CONTRIBUTIONS SCHEDULE A2
The Instruction Guide explains how to complete this form. � Total payes Schedule A2:
2 FILER NAME � 3 Filer ID (Ethics Commission Filers)
4 TOTAL OF UNITEMIZED IN-KIND POLITICAL CONTRIBUTIONS $ �// 2!��
J/
5 Date 6 Full name of contributor ❑ o�t�of-state PAC (loa: � 8 Amount of . g In-kind contribution
Contribution $ . description
7 Contributor address; Ciry: S[ate; Zip Code �
❑ Check if travel outside of Texas. Comple[e Schedule T.
'10 principal occupation / Job title (FOR NON-JUDICIAL) (See Instructions) 11 Employer (FOR NON-JUDICIAL)(See Instructions)
12 Coniributor's principal occupation (FOR JUDICIAL) y3 Contri6utor's job title (FOR JUDICIAL) (See Instructions)
Y4 Contribu[or's employer/law firm (FOR JUDICIAL) �5 Law firm of contributor's spouse (if any) (FOR JUDICIAL)
'16 If contributor is a child, law firm of parent(s) (if any) (FOR JUDICIAL)
Date Full name of contributor ❑ out�or-s�ate PAC (IDu: i Amount of . In-kind contribution
Contribution $ . description
Contributor address; City; State; Zip Code �
�Check ii iravel ouGside of Texas. Complete Schedule T.
Princlpal occupation / Job title (FOR NON-JUDICIAL) (See Instructions) Employer (FOR NON-JUDICIAL)(See Instructions)
Contributor's principal occupation (FOR JUDICIAL) Contributors job title (FOR JUDICIAL) (See Instructions)
Contributor's employer/law firm (FOR JLIDICIAL) Law firm of contributor's spouse (if any) (FOR JUDICIAL)
If contrlbutor is a child, law firm of parent(s) (if any) (FOR JUDICIAL)
��,� � �e�
�� ��D o-�' �i�-,�e�.�D)
�'J����c�� C��n�y'i,l�rti�is�
AITACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If coniributor is out�of-state PAC, please see instruciion guide for addiiional reporting requirements.
rorms provioeo oy iexas tmics commission www.emicss[ate.tx.us ttevisetl 9/8/2015
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LOANS SCHEDULE E
The Instruction Guide explains how to complete this form.
Y Total pages Schedule E:
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
4 TOTAL OF UNITEMIZED LOANS �� OQD
5 Dataofloan 7 Nameoflender ❑ouaof-statePAC(IDn: ) 9 LoanAmount($)
��l -�06�. .�� �. �Z��OG� . . . . . . . . . . . . . . . . . . . . . . . `�`
6 Is ender 8 Lentler address; City; State; � Zip Code 10 I terest rate
a financial
Institution? �oa ��e,��r D�. �d ��x %��J� ��
7'1 Maturitydate
�' � ,_...Z�� _.
�2 Principal oCCupation / J{ob title (See Instructions) �3 Employer (See Insiructions)
vV� �
�4 Description of Collateral 'IS Check if personal funds were daposited into political
aC ount (See Instructions)
none
�6 GUARANTOR '17 Nameofguarantor � '19 AmountGuaranteed($)
INFORMATION
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18 Guarantor address; Ciry; State; Zip Code .
p�,� not applicable
!
20 Principal OCCupation (See Instructions) 21 Employer (See Instruciions)
Date of loan Name of lander ❑ om-of-state PnC (loq: � Loan Amount ($)
�
--cla!2. . %�, � �loC�' . . . . . . . . . . . . . . . . . . . `�/ ODIJ
Is le tler Lender atldress; City; State; Zip Code Interest rate
a financial
Institution? �
6i/) /) /a �j]a . /�j Maturity date
Y N� �/c c vi r� r'�_ �,..,-.
Principal occupation / Job title (Sae Insiructions) Employer (See Instructions)
Description of Collateral Check if personal funtls were deposited in[o political
accounY (See Insiructions)
none
GUARANTOR Name of guaran[or Amount Guaranteetl ($)
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 gulde ior additional reporting requirements.
roimsyioviueuuyienas�mwswmuussron www.euncssta�eax.us FSEVISeDy/tl/ZUIb
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
EXPENDITURE CATEGORIES FOR BOX 8(a)
Ativertising Expense EventExpense LoanRepaymenVReimbursement Solici�a�ioNFuntlraisingExpense
Accounting/Banking Fees OfficeOverhead/RentalF� ense
ConsuttingFxpense Food/Bevera eEx anse P hansporlationEquipmentBRelatetlExpense
Conlnbutions/DonationsMadeB 9 P Po��ingExpense TmvellnDistric[
Y GifVAwartls/MemorialsE�cpensa PrintingE<pense TravelOutOtDisirlcl
Cendidate/OfflceholtleqP011ticalCommittee LegalServices Salaries/VJages/ContractLehor Other(enteracategorynotlistadabove)
CretlitCartlPaymen[
The Instruction Guide explains haw to complete this farm.
7 Total pages Schedule Fi: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
� ��lD �
4 Data 5 Payee name
6 Amount ($) 7 Payee address; City; SYate; Zip Code
g (a) Category �S tegorieslistedatthetopafmisscnetlule) (b) Description
PURPOSE ❑ CheckiltraveloutsidaofTexas.CompleteScheduleT.
OF ❑ Check 0 Auslin, TX, ofliceholtlet Iivin9 expensa
EXPENDITU
9CompleteONlYifdirect Candidata/Officeholtlername Officesought Officeheltl
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; S[ate; Zip Code
Category ategorieslistedatlheropofthisschetlule) Descrip[ion
PURPOSE ❑ CheckHiravelautsltleoFTexas.Comple[e5cheduleT.
OF ❑ Check if Austin, TX, oHicehalder living expense
EXPENDITU
Complete ONLY if direci Candidate/Officeholder name Office sought Office held
expenditure to benetit C/OH
Date�� Payee name
�.5 C6ie � �^
Ameartf'(�'J Payee adtlress; City; S[ata; Zip Code
� � /%. -. V �l��s
C2tegOly (SeeCategorieslis�edatl etopaf�hisschedule) DeSCYiptiOn
PURPOSE ❑ CheckliVaveloutsldeofTexes.Complele5cheduleT.
OF ❑ Check if Austin, TX, afficeholtler living expense
EXPENDITURE
Complete ONLY if direct Candidate / Officeholder name /� Office sou ht Office held
expendiNre to benefit C/OH , (. 0/�G/ Ur�
fr/ A
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
rorms provioeo �y iexas ecmcs commission www.emicssia[e.[x.us rsevisea ainizuto
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