HomeMy WebLinkAboutContributions and Expenditure Statements-Campaign Finance Reports & Filings-07/24/2017 (2)CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Filer ID (Ethica Cammlaelon Fllem) 2 Total pages tiled:
The ClOH Instructlon Qulde explalns how to complete ihls form. �
3 CANDIDATE/ MS/MR$/MFi FIRST MI
OFFICEHOLDER OFFICE USE ONLY
NAME ���. . � � � � �
NICKNAME � �qST SUFFIX
�'�e- S I 39
4 CANDIDATE/ ADDPESS/POBOX; AP/T/SUITE$; CITY; STATE; 21PCAOE � °����— ��= ��17�
OFFICEHOLDER . 36fz ��,tn,�pn.�„ � -
ADDREss � ��1�� '7� ?0 0 3� CITY SECRETARY'S OFfICE
� Change of Address
5 CANDIDATE/ AR� COOE PHONE NUMBER EXTENSION
PHONE HOLDER � Q� e� ` �� / �^ Date Hantl-tlelive�ed or Dale Pastmerketl
�`jtl l� :�_
6 CAMPAIGN M9 / MRS / MR FIqST MI Receipt # Amaunt $
TREASURER �µ��q�
NAME . . , . . . . . . ��� . . . . . . . . . . . . . . ! ,6, , , DetaPmceaeetl
NICKNAME LAST SUFFIX
� �� ' ^ Oete Imagetl
�n"i:/
7 CAMPAIGN STFEEf AOORESS (NO PO BOX PLEA9E); APT / SUITE N; CITV; STATE; ZIP COOE
AD RESSER ��OSS �"•yU1�C.��✓'�V'�.. ���JI✓L1Af� � [ G��(
(Residence or Buainess)
8 CAMPAIGN AHEA COOE PHONE N 6ER EXTENSION
PHO EURER � n �� � ���G'�Z
�'l
9 REPORT TYPE
� January 15 � 30th day beiore election � Runaif � 15ih tlay atter cempaign
freeaurer appoirrtment
(INficeholder Onty)
� July15 � Bthtlaybeloreeleclion � ����5�limif � FInalRepott(AttachGOH-PR)
YO PERI�D Monih Oay Vear Manih Dey Vear
COVERED r'� ,-`
� / /-� /� � THROUGH � / ��( / /'V ( �'
11 ELECTION ELECTION OATE ELECTION NPE
Month Oay Year ❑ P��mary � Runolf ❑ p[her
Description
S/� /�� �Ganerel � Special
�2 OFFICE OFFIGE HELD (ii arry) Y$ OFFICE SOUGFR (il lorown)
7 � � ! /�
GO TO PAGE 2
Forms pravided by Texas Ethics Commisslon www.ethics.state.tx.us Ravised 9/8/2075
SUBTOTALS - C/OH FORM C/OH
COVER SHEET PG 3
19 FILER NAME ,��� 20 Filer ID (Ethics Commission Filers)
���`
21 SCHEDULESUBTOTALS SUBTOTAL
NAMEOFSCHEDULE � AMOUNT
�� � SCHEDULEA7: MONETARYPOLITICALCONTRIBUTIONS $ .o�/
KJ
2• � SCHEDULEA2: NON-MONETARYpN-KIND)POLITICALCONTRBUTIONS � �
3• � SCHEDULEB; PLEDGEDCONTRIBUTIONS $ /"fj
N
4. � SCHEDULE E; LOANS � �'
5• � SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ �`�
6� � SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $
�• � SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $
8� � SCHEDULE F4: EXPENOITURES MADE BV CREDIT CARD $
8� � SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $
y 0� � SCHEDULE H: PAVMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $
�� � � SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CANTRIBUTIONS $ �
�p, ❑SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS $ �
RETURNED TO FILER
������ap�u��ueuuy innuaouncs�.vmmission www.emics.szate.�x.us Revi5etl 9/0/2015
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
Y4 C/OH NAME � 75 Filer ID (Ethics Commiseion Filers)
16 NOTICE FROM TXIS 80% IS FOR NOIICE OF PO1171CILL CONRiIBI1fI0N8 ACCEPfEO OA POLRICAL EXPENOITIIqES W{OE BY POLRICAL CONYITfEES TO
POLITICAL SUPPORTiHECANWDIRE(OFFICEXOLDER. iH6EFXPENDlTUpEBNqYXAVE9EENMAOEWflNdfliXECANdOATE80ROFACEHO10EX8
COMMITTEE(S) KNOWLEOGEOflCOMBENT. CANGIGATESANGOFFlCEHOLOERSAREREWIXEOTOpEP011T'fHI81NFOP6IRTIONONLVIFTHEYflECENENOTCE
DF SIICH E%PENORIIpE8. _ .__
COMMITTEE TVPE COMMITTEE NAME
�OENERAL
COMMITTEE ADDRESS
❑SPECIFIC
COMMITTEE CAMPAIGN TfiEpSllREp NAME
� Atlditional Papes
COMMITTEE CAMPAION TREASUHER ADDRES9
17 CANTRIBUTION �, TOTAL POIITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN n/
TOTALS PLEDGES, LOAN3, OR GUARANTEES OF LOANS), UNLESS ITEMIZED '� l��/�
2. TOTAL POLITICAL CONTRIBUTIONS $
(OTHER THAN PIEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, $ (�
TOTALS UNLESS ITEMIZED ` +p
�
4. TOTALPOLITICALEXPENDITURES $ � �
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE IAST DAY
BALANCE OF REPORTING PERIOD `�
' � �%� %. �. O
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTINd PERIOD �
YB AFFIDAVIT
i swear, or aHirm, under penalty ot perJury, that the accompanying report is
. true and correct and includes all Information required to 6e reported by me
under Tltle 15, Eiection Code.
Signature of Candidate or Officeholder
AFFIXNOTARVSTAMP/SEALABOVE �
Sworn to and subscribed before me, by the said M7� It � �����/U this the �� 161,
i
day of � , 20 , to certity whlch, witness my hand and seal of office.
� (/Li/I'C�(./ � 'p�/'\/ /�/5///� /�. f✓.�i/V �7/K--(
Signature of ofticer administering oath Printed name W oflicer atlministering oath Title of officer administering oath
Forms provided byTexas Ethics Commission www.ethics.state.ix.ua Revised 9/8/2015
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCFIEDULE F7
� EXPENDITURE CATEGORIES FOR BOX 8(a)
AAd�veur^,sing Expense EventFxpenae Loan�yr�¢��pNg9��� �pcMatlon/FundrelslrqF�qoense
����^8 � O�ceOverheadlReMelExpanse hensportaOonEqulpmerrt&RelatetlE�qsnse
ConaultinB�Pense Footl/Bgver�eFxpg�s9 PollingEqiensa TrBveilnDisbict
ConryibWonsNanatloreMatle6y GIIVAwerds/MemorielsExpense PrintingExpense TravelOWO(District
CentlitleteOtficehoWedPoliticelComm�lee Lega�Services SelerieNVlleges/('qrNec[lehor p�har(enteracategoryno[iisEeda6we)
CretlttCerdPaymenl
The Inetructlon Qulde explalns how to complete thla form.
1 Total pa8es Schetlule F1: 2 FILER,�NnAME � 3 Filer ID (Ethics Commisslon Filers)
lv�s
4 Date - 0 i�, T 5 Payee name
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6 Amount ($) 7 Payee address; City; Sfate; Zip Code
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B (� CetegOry (SeeCetago eslistede thefopatthissehetlule) (b) Description
PURPOSE ['� � ❑ CheckHtrevelaWitleotTezes.Complete3chatluleT.
�F /� D C. 1. ` ❑ Check if Auetln. TX� oRcahoitler Ilving ezpense
EXPENDRUHE (�Y�.I.VY y
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9 Complete ONLY it direct Cantlitlate / Officeholder name � Office sougM Office held
ezpendiWre to benefiF C/OH
Date Payee name
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_ 2'' �� �..� �v-i�n,� (-r�.,.�Q— l�wiC—
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C3tGgory (SeaCategotlaelistedffithBtapoi�hisachedule) DesCription
PURPOSE ❑ CherkHhaveloWitleo(Te�ms.CampletaSchedWeT.
�F /��� ❑ Check it Auslin. T74 olficeholtler IFrinB exPense
EXPENDRUHE � �
/
CompleteQNLYifdlrect Candidete/OHiceholdername Offlcesou8ht Offfceheld
expendfiure to banafit C/OH
Date 9� Payee name
%-�"�1i' U,�,��, Iti%�..(ti►.-(. �„le_
Amount ($j Payee atltlress; City; S[ate; Zip Coda
2� �'— � � l �. � I l �,1� 63�A , c� �{.� ?,, Z�-�-/
Cet9gory (SeaCateBodeelistedaHhetopoithisuhedule) Descriptfon
PURPOSE ❑ ChedciltrevelnuleWenFTexes.Comple(e5chatluieT.
OF ❑ GM1eck R Austin, 77(, ofliceholder Iivtn ax nae
EXPENDRUHE �� � e Pa
Complete ONLY if direci Candidate / Otflceholder name Offica aought Offica haltl
expentliiure to beneitt ClOH
A7TACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.s[ate.ix.us Revised 9/8/2015
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
EXPENDITURE CATE�ORIES FOR BOXB(ia)
Ativertising Expense EventExpense Loanqepayrtre�ypaimp�B�y�� �pcllatlon/FurMrelalrgExpenee
'4cc°�^tl^g/Be�b^B Fe� ' OfficeOverheatllFtenlalF�ense TransportatlonEquipmeMBFieleOetlExpenae
Consultln9 Expense � Food/Ba✓erage F.xpense PoIIInH �e�e Travel In �istrict
CarMihWonsNdnationsMadeBy OIWAwards�MemorlslyExpenae p���g�pa� TravelOutOFDistricl
Centlltlete/OlficehaWaqPolNcalCommlt�ee LegelServicea - �SelarieaWeges/Contrac[Lebor pyier eMarace
CretlilCertlPeymeM ( fegorynotlistetle6ove)
Tha InatructlDn Oulde explalns how to complete thls form.
1 Total pages Schedule F7: 2 FILEfl roE 3 Filer ID (Ethics Commissian Fllers)
4 Date '}� g Paye'e n1am�e /�
- �. ( �`!V 1 � �lN � �;' �'..C�
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6 Amount ($) � 7 Payee address; City; Sfate: Zip Code
2��— ��1� c�� � J,� Qlf� �l( `�c%�. 7G���
g (� Category (seeceteao�iesnscedatthetoPortnisschedwe) (b) oescription
PURPOSE ,�y ❑ ChecktltrsvelauleltleaiTexes.CompleteSehetluleT.
OF �I ''I �� %(� ❑ Check II Austln. TX� afliceholtler livinp ezPense
EXPENDRUHE ti �.._„11+-.` ti,�,�,
J
9 Complete ONLY if tlirect Candidate / Officeholder name Office sought Office heltl
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; 2ip Code
CateBory (SeeCategarleelistetlatNetopolthlsechatlule) Desc�iption
PURPOSE ❑ CheticnvavelouLsitleot7exas.Complete3eheduleT.
OF ❑ Check If Austin, TX, office�oltler livinp expense
EXPENDRURE
Complete ONLY if direct Candidete/OHiceholder name � Office sought Office held
expenditure to benefii C/OH
Date Payee name
Amount ($) Payee aderess; Cily; S[ate; Zip Code
Ca[egory (SeeCelegoriealistedatthatopoNhleachetlule) DescdptlOn
PURPOSE ❑ Checiciltreveloulsltlaal7exas.ComqeteSchedule7.
�F ❑ Check if Aus[tn, TX, aHleeholtler Iivine expenee
EXPENDITURE
Complete ONLY if direct Cantlitlate / Officeholder name Office sought Office heltl
expentliture to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
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