HomeMy WebLinkAboutContributions and Expenditure Statements-Campaign Finance Reports & Filings-07/24/2017CAND{DATE / OFFICEHOLDER FORnn CiOw
CAMPAIGN FINANCE REPORT COVER SHEET PG '1
� 7 Fller ID (Ethlcn Cammisslon Fllere) 2 Total pages filetl:
7he C/OH Insiruction (iulde explalns how M compiete this form. _�� ��
3 CANDIDATE/ MS/Mq3 MH FlRST MI
OFFICEHOLDER OFF7CE USE ONLY
NAME �Q� � . oe�e Receive q p�r-
NICHNAME (.AST SUFFIX � (� � � \\ /� �
lL.a U
q CANDIDATE / ADOflESS ! PO BOX; APT / SURE g; CITY; STATE; ZIP CAOE J`J� �% L� �U YZ
OFFICEHOLDER ""
MAILING
ADDRESS �q�48 � CITY SECRETARY'S OFFICE
� Chanpe of Adtlreas (,.Q��� �l/ � 7�a�
5 CANDIDATE! pp� CODE PHONE NUMBER E%TENSION
PH�I�E HOLDER � y�� ������ P'�/ De�e Hend-0eliveretl or Oale Po9tmarked
� v
6 CAMPAIGN MS �/ MP Fiq8T MI Heceipt 8 AmouN $
TREASURER
NAME . . . . �./J�]`�j,(��(�, , , Dete Proc8888d
NICKNAME LAST � SUFFIX
�t . ' /� � DHte Imepetl
` � �i'//e-
7 CAMPAIGN STRE ADDRE33 (NO PO 90X PlEA3Ej; NP� / SUITE 71; CITY; STATE; ZIP COUE
ADDRESSER . �.JaS l��f,�'✓�yL'b�P /'kyu�/ ��✓
(Residence or Business) �d//���///�p/ -ry� •y6d3�
(. //� f
8 CAMPAIGN AREA CODE PHONE NUMBEN EXTENSION
PHONEURER � gl� t ��" ��� .
9 REPORT TYPE
� denuary 75 � 90th day hefore elecbon � Runofl � 751h tlay etter cempaign
treasurer appolntrneM
� (Ofllcehoitler Onty)
d���Y�6 � Bihtley6etorealectlon � �x�eaded$50DIimk � F(��Report�AttachClOH-FR)
YO PERIOD Monih Dey Year Mon�h Day Yea�
COVERED �/ /�� /�d�s� THROUGH � /�� �a�I�
/ �
11 ELECTION ELECTION OATE ELECTION TVPE
Month Dey .Yeer ❑ Primary � Runolf � Ottle�
Dascnpllon
� /� /�6�� �General � 9Peciel �
12 OFFICE OFFICEHEW (ileny) i'.i OFFICESOUGHT ('rfknown)
N�� �o/%/U�//e Cc��/ �oc�K��
P�kcN .�
GO TO PAGE 2
rorms provwea uy iexas ttmcs commissron www.etmcs.stete.nc.us pavlaed 9/8/2015
CANDIDATE / AFFICEHOLDER FORnn C/OH
CAMPAIGN FINANCE REPORT COveR SHeeT PG 2
�4 C/OH NAME . 7S Fner ID (Ethies Commiasion Fners)
-�ar, �• du//r��
'i6 NOTICE FROM iXlfi BOX IS FOfl NOTICE OF POLRICAL CONTflIBUfIONB ACCEPfE� OP POLRIGAL E%PiNOR11Rfi6 M110E BV POLRICAL COMMITTEEe M
POLITICAL � SUPPOpTTXECANWUATE/OFFlCEXOLDER. TXE4EEXPENUi/LH69MAYHAVEBEEl�INAUEWRHOUT7HECANOIDATE�SOROFRCFJfOL0ER8
COMMITrEE(S) (PMWLEOQEOACONBENT. CANCIOATEB AND OPFICEXOLOEflS APE RFAl11NED TO iiEPOF[f 7XiS INFOflMATION ONLV iF TXEY NECENE N071C@
OF BUCH E%PENORUREB.
COMMITTEE TYPE COMMITTEE NAME
�_
��ENEHAL
COMMITTEE AUOFlESS
�SPECIFIC
��_
GOMMITTEE CAMPAIGN TflEABURER NAME
� AddiNonfll Pages
COMMITTEE CAMPAIGN TFEASUfiER AODRESS
l7 CONTRIBUTION 9. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS fOTHER THAN
TOTALS PIEDGES, LOAN3, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ O �,
2. TOTAL POLITICAL CONTRIBUTIONS � $
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) '7 OO, � ry
<f
TOTANS ITURE 3. TOTAL POLITICAL EXPENDITUHES OF $100 OR LE5S, $
UNLESS� ITEMIZED �`�
4. TOTAL POLITICAL EXPENDITURES � �
BALANCE TION 5. TOTAL POI.ITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST OAY $
OF REPOflTING PERIOD /U
0
OUTSTANDING 6. TOTAL pRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST �AY OF THE AEPORTINO PERIOD $ -�—�
18 AFFIDAVIT
I swear, or aifirm, under penalty of perjury, ihatthe accompanying repod is
true and correct and includes all infarmation required to be reported by me
under Title 1, Election Code.
�.
�. Signature of Cand ate or Officeholder
AFFIXNOTApY3TAMP/SEALABOVE
Sworn to and subscribetl bafare me, by the said �(� 11 ��li I I �C-�� this the "/� �
day of �__..____.. _�, �� • to certify which, witness my hand and seal of office. .�
li���
I7/�'� �.�P�S�,ne.� �U�l"L p.lo�-1�-7�
Signeture of offieer administering aath Printed name of officer administering aath 77tie of o�cer administering oath
Forms orovttled bv Texes Ethics Commission www.ethics.state.tx.us Revieed 8/8/2015
SUBTOTALS - C/C'H FORM C/OH
COi/ER SHEET PG 3
19 FILER NAME 20 Fiie� ID (EthiCe Commisaion Fliats)
27 SCHEDULESUBTOTALS SUBTOTAL
NAMEOFSCHEDU�E - AMOUNT
�• � SCHEDULEAY: MONETARYPOLITICALCONTRIBUTIONS $� p Q
2• � SCHEDULEA2: NON-MONETARV (IN-KINO) POLITICALCONTfi1BUTIONS $ ,_
3� � SCHEDULEB: PLEDGEDCONTRIBUTIONS $ � U'`
4. � SCHEDULE E: IOANS $ SO?UO + OO
5• � SCHEDULE F1: POLITICAL EXPENDITURES MA�E FflOM POLITICAI CONTflIBUTIONS $-
s• � SCHEDULE F2: UNPAI� INCURRED OBLIGATIONS $ a
�� �
7• � SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FflOM POIITICAL CONTRIBUTIONS $ �— o�—
8� � SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ .r.��•.�
9• � SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ —� --
��• � SCHE�ULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINE$S OF C/OH $ —�•—
��• � SCHEDULEI: NON-POLITICALEXPENDITURESMADEFROMPOLITICALCONTRIBUTIONS $ .� O--
�2, ❑SCHEDULE K: INTEREST, CHEDITS. GAINS, REFUNDS, AND CONTRIBUTIONS
RETUFiNEDTOFILER $ � Q -�
Forms provided byTaxas Ethics Commisafon www.athics.atate.tz.us Ravised 9/Bl2015
MONETARV POLITICAL CONTRIBUTIONS SCHEDu�e A7
The Instructlon Gulde explains how to complete this form. � y Totai pages Schedule A1:
2 FILER NAME 3 Filer ID (Ethica Commission Filers)
a OC.
4 Data 5 Full name af contributor .
❑ Ou�-of•s�a�e PAC (IO#: ) 7 Amount of contribution ($)
6 Contributar address; �City; State; Zip Code �
��3b�,ao
8 Principai occupation / Job title (See Instructions) 9 Employer (See Instructions)
Date Full name of con(Abutor ❑ aut-ot-atate PAC (IDs� � Amount of contd6u8on ($)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Con uror address; City; State; 2ip Code
Principal occupafion / Job title (See In c[ionsj � Employer (See Instructions)
Date Full name of contributor auao�-ate�e PhC (IOM: � Amount of contribution ($)
....� ..................................
Coniributor atidress; City; State; Zip Coda �
Principai occupatian / Job title (See Instructians) Employer (See Instructions)
Date FWI name of contributor � ouc-oastate rac (ioa: Amount of contribution ($)
................................... ..
Contri6utar address; Ciry; Slete; Zip Code
Pdncipal occupation ! Job tlUe (See InsWcttons) Employer (See Inswctlons)
�� cl�Gke�Y .S��ier,�,�c� �������x-�
� �� � ���
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-stete PAC, please see instruction gulde foradditionel reporting requirements.
Forms erovided hvTexas Eth(es Cemmissien WWW.eth(CS.St2tE.tx.U6 � RBVI92d 9f8/2015
N \ \ \
N \ \ \
N O O O
O V V v
d d � O
-, � d o.
� m ;c m
o � � �
,�, � c 3
� n
� �
� �
� �
I-� O O N
O O O O
O O O O
C C C G
O O O O
A � m Go
N N � C
�* n ao u,
_. � � S
c a � �
o �
� o
» F
� �
m
�
7C ?1 r N
�
�= ^�� � O
�
d � � N
� � n
m
a� v'
� m .fD.
..
�
0
a
�
.«
A Ol Ot ln
Oo O O O
N lD lD F+
00nn`�
� o o �
� N � �
:�
`�° z z s
� F F O
O �
1
m
n�c�n
0 0 0 0
m m m m
<,� <,�
m - A S
�u m
� � � �
V �I V V
Ol 01 01 01
O O O O
W W W W
A A A A
d
N
N
3
m
D
3
0
e
7
rt
M
O A 3
W
� � C
� W n
n � x
n N d
= 3 3
� r. m
�a-
o ; _
� c
N �
n �
S �
� O
C �
N
a
�
LOANS SCHEDULE E
Tha Instruction Quide explalns how to complete this furm. �� � 7ote1 pages Schedule E:
2 FILER NAME 3 FIIer ID (Ethics Commission Filerb)
�IO L
4 TOTAL OF UNITEMIZED LOANS $
5 Dateofloan 7 Nameoflender ❑ouror-emtePAC(loa: � 9 LoanAmount($)
�/!9 a70l� . . . . �v'.n . (':'. .L?!L/l,0(.��� : . . . . . . . . . . . . . . . . . . �✓r�(r%a cb�
6 Is lender 8 Lender address; Clty; Stete; Zip Code 10 Interestrate .
a finenclal
Instifution? �`��g ����,e� C1� l� �FjO,�j�
�± ' � 17 Matudty date
Y /rv �
L/
12 Principal accupa[lon / Job title (See Instructlons) 13 Employer (See Inrtructions)
74 Description ot Collaterai 75 Check if personal Tunde were tleposited into political
. c � unt (See Instmctions)
none
16 GUARANTOR 17 Nameofguarantar Y9 AmountGuarenteed($)
MFORMATION �
......................................
YB Ouarantar address; Ciry; S[ate; 2(p Code .
�not applicebie �
20 Prfncipal OCCupatiDn (See Instmctlons) 21 EmplOyet (Sea Instructions)
DatB of loen Name of Ientler ❑ ouFof-state PAC {IDG: � Loan Amount ($)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . .
Is lender Lender addresa; Ciry; Staie; Zip Code �nterestrete
a finaneial
Institutian7
Maturity date
v N
Principal occupation / Job title (Sea InsVuctlons) Employer (Sea Instruetlona)
Description of Collaterai Check if personal funds were deposited into polilical
accaunt (See Instructtons)
❑ none ❑
GUARANTOR Nameofguarantor AmountGuaranteed($)
INFORMATION
......................................
Guarantor flddress; City; S[ate; 2ip Code
� not epplicable
PtlnCipal OCCUpatiOn (See Instrucflans) Employ9� (See Instructfons)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
M lender Is out-of-atete PAC, please�aee insiructlon gulde for edditlonel reporHng reqWrements.
Forms provided bvTexas EtMes Commiesion www.ethics.state.tz.us Revlsed 9/8/2015
POLITICAL EXPENDITURES MADE
FROM POLITICAL COIVTRIBUTIONS SCHEDULE F1
EXPENDITURE CATECiOR1ES FOR BOX 6(a) .
Ativertlsing Expenee Even[Expense LoanRepaymeriVReimbuBema�rt Solicltatlan/FuntlralsingExpenee
AxaunGng�Benkinp , Feas O(fimOvarhasdlRentelFxpanse haneporteUonEqulpmarrt&RelatetlExpense
ConsuPong Experrse FootlBeverega Eapense P011ing Expansa Trmvei 1n DlsMcf
Conbi6WonallonatiOnsMatleBy Oi(HAwardtJMemorialsE>yense PrinlirgDtpenae havelOutOfOietrict
Centlitlate/OIIleeholtler/PoIPoeelCommitlea LegalServices Seleries/Wegas�CantrectLebar 01her(enteracetegorynotlisledel�ove)
CredeCeNPeymant The Inatruction 6ulde expleins how ta complele thla form.
1 To�al pages SChedule Ft: 2 FII,ER NAM S Filer I� (Ethics Commission Filers)
�a • ,�u (�
4 Date 5 Payee name � �
�e a. �
6 Amount ($) T Payee adtlress; City: State: Zip Cade
,D,e� � � ' ;
g (a) Category (seecei goriasiiatedetmemPonhisscheame) (b) Oescription ,
PURPOSE � ❑ CM1erkflbevelnubttleolTexea.CompleteSchetluleT.
OF ❑ Check if Austin, TX, officeholder IivinB expenee
EXPENDRURE �
9 Complete ONLY if direct Ca idate/ Officehalder name . Office aought Offce heltl
expenditure ta henefi[ C/0H .
Date Payee name � �
Amount ($) � Payee address; City; Stste; Zip Coda �
Category (5eeCategorie611stedetthe otlhisschedule) Descriptian
PURPO$E ❑ C�BCkHtrevelomslaaaiiBxac.CompleteSchetlula7.
OF ❑ Chack if Auatln, TX, oRca�oltler living ezpensa
EXPENDRURE
CompleteONLYlfdirect Csndidate/OHiceholdarneme Officesaught OHlceheld
expandlture to benefit C/OH
Dete Payee name
Amount ($) Payee atldreas; City; SYete; Zip Code
C8[99D71 �SBBC9188o�i881ialetlBtthetapaflhlasChBtlWa) DescNption � �
PURPOSE ❑CheckiitraveloulsidaotTa .GbmP��eSeheduleT.
OF ❑ Check II Austin, TX, olticeh der IivinB-expenae
EXPENDITURE . . ..
Complefa ONIY if direcl Cantlidate / Offieehottler name O ice ou ht ,/�' Offac�j haltl�
expenditureto6enefitC/OH ������(����� �1�y ��LrltL�C.(� �jd.
� n �. �Q � i��
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms orovided bv Taxas Ethics Commission www.ethics.state.Tx.us Revisetl 9/8/2015
\ \ \ \ \ \ \
V N F+ F+ N N N
\ W p 1 pp V V
O N N p N N N
f+ O O F+ O O O
V F+ F+ V F+ F+ F-�
V V V V V
T W Oo Z Oo
� N Z N � N
� � v, � � � °:
r.
m S
d N ' N 'O N �
� � S
F � n �
� O o+
� � i
N
N� .'�'+
� � N
3 n
" F
3
W 00 (") 00 N 00 N
O W � W W W O
� O� O m O G1
a
3 _ > > �
a ao w o w d
< m fD m � m �
� H � H S y�i �
S 6 V< C G N
� � � � � � �
W
C � A � � � N
� 1� I� I� W
�W W � W �
O O �"' O Q-
� O O O y�
V G C C W
� N
O = � � F+
Vt 7 ? ? �
A � � � �
V V V
p0 00 00 V
V V V Ql
O O O O
F+ f+ F+ V1
F+
i/F i/� i/! ih
V .�, W � W 1-i
00 F+ N W F-� O
i? N 00 F+ N(!f O
0o A �I N 0o tD O
C O 00 W O O O
O O O� O O O O
z c c c n a oD.
�^p �; � 7; � �; �
� H � � � � �
pp a'o a�o o�o w a=o a'a
W v � v � o <
0
� 0 6 0 � o Q
'� � ° � S � o
ov � � a � �
x �c,°�-x
9 > >
ac w aa
N
�
7
0
z
�
m
A � �
� a �
• O �
3 r7. W
� C
7 yy
C � n
� V �
� N y
o � 3
.7. V N
n �
S
a
C
A
T
I�+