HomeMy WebLinkAboutContributions and Expenditure Statements-Campaign Finance Reports & Filings-01/15/2018 (3)Texas Ethics Commission P.O . Box 12070 Austin , Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
CANDIDATE I OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 ACCOUNT# 2 Total pages filed:
The C/OH Instruction Guide explains how to complete this form. (Ethics Commission Filers)
3
3 CANDIDATE I MS/MRS /MR FIRST Ml OFFICE USE ONLY
OFFICEHOLDER Michael A.
NAME Date Received ..
NI CKNAME LAST SUFFIX
"Mike" Taylor
4 CANDIDATE I ADDRESS I PO BOX ; APT I SUITE#: CITY; STATE; ZIP CODE
OFFICEHOLDER
MAILING 5209 Coventry Place Colleyville, Texas 76034 Date Hand-delivered or Postmarked
ADDRESS
D change of address Receipt # I Amount
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENS ION
OFFICEHOLDER Date Processed
PHONE ( 817 ) 366-5557
6 CAMPAIGN MS/MRS /MR FIRST Ml Date Imaged
TREASURER Michael A.
NAME .....
NICKNAME LAST SUFFIX
"Mike" Taylor
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT I SUITE#; CITY; STATE; ZIP CODE
TREASURER 5209 Coventry Place Colleyville, TX 76034 ADDRESS
(residence o r business)
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENS ION
TREASURER ( 817 ) 366-5557 PHONE
9 REPORT T YPE [XJ January 15 D 30th d ay before e lection D Runoff D 15th day after campaign
t reasurer appointment
(officeholder only)
D Ju l y 15 D 8th day b efore e l ecti on D Exceeded $500 D F in a l report (Attach C/OH -FR)
limit
10 PERIOD Month Day Year Month Day Year
CO VERED
07 /17 /17
THROUGH 01 /15 /18
11 ELECT I ON ELECTION DATE ELECTION TYPE
Month Day Year D Plimary D Runoff [XJ General D Specia l
05 / 9 /15
12 OFF I CE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known )
Place 6 , City of Colleyville N/A
GOTOPAGE2
www.ethi cs. sta t e . 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 I OFFICEHOLDER REPORT: FORM C/OH
SUPPORT & TOTALS COVER SHEET PG 2
14 C/OH NAME Michael A. "Mike" Taylor 115 ACCOUNT# (Ethics Commission Filers)
16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT THE
POLITICAL CANDIDATE f OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANO/DATE'S OR OFFICEHOLDER'S KNOWLEDGE OR
COMMITTEE(S) CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE NAME
COMMITTEE TYPE
D GENERAL
COM MITTEE ADDRESS
D SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
D additional pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION 1 . TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
TOTALS PLEDGES , LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ 0.00
2. TOTAL POLITICAL CONTRIBUTIONS $ 0.00 (OTHER THAN PLEDGES , LOANS , OR GUARANTEES OF LOANS)
EXPENDITURE $ 0.00 TOTALS 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS , UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES $ 0.00
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ BALANCE OF REPORTING PERIOD 0.00
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE $ LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $11 ,900.00
18 AFFIDAVIT
I swear, or affirm, under penalty of perjury , that the accompanying report
is true and correct and includes all information reau'---' •n ho r.eported by
,,,•"'""'''' NANCY L STARNES me under Title 15, Election Code. $-At.-..<':~-~11. ":-. H/*{f>. ~No t ary Publ ic. State of Texas M ;~'.. .:~:Comm . Expires 02 -10-2019 fl',,;'f,.;.···~~+$ ,,,,,,,?:,....... Nolary 10 7058177
\ Signi ure of Candidate or Officeholder
AFFIX NOTARY STAMP I SEAL ABOVE
Sworn to and subscribed before me , by the said Michael A. Taylor , this the
18 day of Jan '20 18 to certify which, witness my hand and seal of office .
Y/tt~jci~ NtrJO( i 5-m?tr-t~ L1 Ct4VS6t> Ab /Y\ Mtt Nk&G.e__...'
Signature of officer administering oath Printed name of officer administering oath Title of officer 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)
LOANS SCHEDULE E
1 Total pages Schedule E:
The Instruction Guide explains how to complete this form. 1 /1
2 FILER NAME 3 ACCOUNT# (Ethics Commission Filers)
Michael A. Taylor
4
TOTAL OF UNITEMIZED LOANS: q q q q q q $
5 Date of loan 7 Name of lender D out-of-state PAC (ID#: ) 9 Loan Amount($)
07-16-09 Mike Taylor $11 ,900.00
6 Is lender 8 Lender address; City; State ; Zip Code 10 Interest rate
a financial 1.00%
Institution? 5209 Coventry Place , Colleyville , TX 76034
11 Maturity date
y @ 07-15-18
12 Principal occupation I Job title (See Instructions) 13 Employer (See Instructions)
Financial Services I VP, Financial Adviser Provident Strategies Group -Independent Adviser
14 Description of Collateral 15 Check if personal funds were deposited into political account
~none ~
16 GUARANTOR 17 N ame of guarantor 19 Amount Guaranteed($)
INFORMATION
18 Guarantor address; City; State; Zip Code
D not applicable
20 Principal Occupation (See Instru ctions) 21 Employer (See Instructions)
Date of loan Name of lender D out-of-state PAC (ID#: ) Loan Amount($)
00-00-00 $0 .00
Is lender Lender address ; City; State ; Zip Code Interest rate
a financial 0 .00%
Institution?
@
M a turity date
y 00-00-00
Principal occupation I Job title (See Instructi o ns) Employer (See Instructions)
Description of Collateral Check if p ersonal funds were deposited into political account
~ none D
GUARANTOR N ame of guarantor Amount Guaranteed ($)
IN FORMATION
Guarantor address ; City ; State; Zip Code
D not appli cable
Principal Occupation (See Instructions) Employer (See Instruc tions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If lender is out-of-state PAC, please see instruction guide for additional reporting requirements.
www .ethics . st a te . tx. us Rev ised 07/28/2014