HomeMy WebLinkAboutContributions and Expenditure Statements-Campaign Finance Reports & Filings-07/14/2021CANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT
COVER SHEET PG 1
1 Filer ID (Ethics Commission Filers)
2 Total pages filed:
The CIOH Instruction Guide explains how to complete this form.
3 CANDIDATE/
MIS /MRS/MR FIRST MI
OFFICEHOLDER
Mrs Kathryn S
OFFICE USE ONLY
NAME.................................................................................
Date Received
NICKNAME LAST SUFFIX
Kathy wheat
RECEIVED
4 CANDIDATE /
ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
OFFICEHOLDER
JUL 14 2011
MAILING
206 Colden Court
ADDRESS
Colleyville, TX 76034
CSO
❑ Change of Address
5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
Date Hand -delivered or Date Postmarked
OFFICEHOLDER
PHONE
415-218-4930
Receipt #
Amount $
6 CAMPAIGN
MS/MRS/MR FIRST MI
TREASURER
Date Processed
NAME.................................................................................
NICKNAME LAST SUFFIX
Data Imaged
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY;
STATE; ZIP CODE
TREASURER
ADDRESS
(Residence or Business)
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
!
9 REPORT TYPE
x January 30ih tlay before election 1:1Runoff
15th day after campaign
treasurer appointment
(Officeholder Only)
July 15 Sub day before election Exceeded Modified
Final Report(Atlach C/OH -FR)
Reporting Limit
10 PERIOD
Month Day Year Month
Day Year
COVERED
07/16 2020 THROUGH 07/16
2021
11 ELECTION
ELECTION DATE
ELECTION TYPE
❑ Primary ❑ Runoff ❑ ONer
Month Day Year
Description
❑ General ❑ Special
12 OFFICE
OFFICE HELD (if any)
13 OFFICE SOUGHT (if known)
Colleyville City Council Place 3
14 NOTICE FROM
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT
POLITICAL
THE CANDIDATE I 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(S)
COMMITTEE TYPE
COMMITTEE NAME
GENERAL
COMMITTEE ADDRESS
❑ Additional Pages
❑SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
16 C/OH NAME
16 Filer ID (Ethics Commission Filers)
Kathy Wheat
17 CONTRIBUTION
1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
TOTALS
PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR
$
CONTRIBUTIONS MADE ELECTRONICALLY)
2. TOTAL POLITICAL CONTRIBUTIONS
$
...................
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE
TOTALS
3. TOTAL UNITEMIZED POLITICAL EXPENDITURE.
$
...................
4. TOTAL POLITICAL EXPENDITURES
$
CONTRIBUTION
BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
$ 1,197.51
..................
OF REPORTING PERIOD
OUTSTANDING
LOAN TOTALS
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
$
LAST DAY OF THE REPORTING PERIOD
18 SIGNATURE I swear, or affirm, under penalty of perjury, that the accompanying report is true and correct and includes all information
required to be reported by me under Title 15, Election Code.
Signature of Candidate or Officeholder
Please complete either option below:
+A�' u? CNRI&7INELOVEN
(1)AfFdavit $`? °•' MyNtkalylD#11W687
vS� E1�Ires May 2, 2022
NOTARY STAMP/SEAL
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Sworn to and subscribed before me by r ,-�a w 'a� this the f4� day of
20 o to certify Ich, witness my hand and seal of office.
CLt��� akoG5,n�--,Lzver- CITY 5uIm+aP.y/AZTAiZy
Signature of officer administering oath Printed name of officer administering oath Title of office administering oath
(2) Unsworn Declaration
My name is and my date of birth is
My address is
(street) (city) (state) (zip code) (country)
Executed in County, State of , on the day of , 20
(month) (year)
Signature of Candidate/Officeholder (Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
SUBTOTALS
- C/OH FORM C/OH
COVER SHEET PG 3
19
FILERNAME
Kathy Wheat
20 Filer ID (Ethics Commission Filers)
21
SCHEDULE SUBTOTALS
NAMEOFSCHEDULE
SUBTOTAL
AMOUNT
1.
SCHEDULEAI:
MONETARY POLITICAL CONTRIBUTIONS
$
2.
SCHEDULEA2:
NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS
$
3.
SCHEDULE B:
PLEDGED CONTRIBUTIONS
$
4.
SCHEDULE E:
LOANS
$
S.
❑X SCHEDULE F1:
POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$ $200
6.
SCHEDULE F2:
UNPAID INCURRED OBLIGATIONS
$
7.
❑ SCHEDULE F3:
PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$
6.
SCHEDULE F4:
EXPENDITURES MADE BY CREDIT CARD
$
9.
❑ SCHEDULE G:
POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
$
10.
❑ SCHEDULE H:
PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH
$
11,
SCHEDULE I: NON -POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
12.
SCHEDULE K:
INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED
TO FILER
$
Forms provided by Texas Ethics Commission vrvvw.ethics.state.tx.us Revised 8/17/2020
POLITICAL EXPENDITURES MADE
SCHEDULE F1
FROM POLITICAL CONTRIBUTIONS
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Re ment Reimbureement Expense
Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense
Per Transportation Equipment
Consulting
Consulting Expense Fo Award tMe Expense rinsExpense
Contributions/Donations Made By GiNAwards/Memodals Expense Polling p Travel In District
p Printing Expense Out Of District
Committee Legal Services SalariesNVages/Contrac[Labor Other (enters category not listed above)
Other
Candird
Credit Card Payment
Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F1:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Kathy Wheat
4 Date
6 Payee name -
04/05/21
Chuck Kelley Campaign
6 Amount ($)
7 Payee address; City; State; Zip Code
$200
705 Hillsdale Dr, Colleyville, TX 76034
8
(a) Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
Contributions/Donations Made By
OF
EXPENDITURE
Candidate/Officeholder/Political Committee
Campaign donation
(c) ❑ Check lftr2veloutside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense
9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
Category(See Categories listed at the top of this schedule)
Description
PURPOSE
OF
EXPENDITURE
Check 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 S)
Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
OF
EXPENDITURE
Check if traveloutside 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
Forms provided by Texas Ethics Commission www.ethics.state.tx,us Revised 8/17/2020