HomeMy WebLinkAboutBond, George - 2022z-z�
Prescribed by Secretary of State
Section 14J..031, Chapters 143 and 144, Texas E[e�tion Code
09/2021
RECENEp
��� Q � ���
APP�ICATION FOR A PLACE ON THE BALLOT FOR A GENERAL E�ECTIQN ��
FOR A CITY, SCHOO! DISTRICT OR OTHER P�LITICAL SUBDIVISION
:L I�VFORMA710N IS REQUIREp TO BE PROVI�ED UNLE55 IiVDICATED AS OPTIdNALI Failure to provide required infarmation may result in rejection af applicatia
APPLICATION FOR A PLACE ON THE d�/le�ru� �G� GENERAL ELECTION BALLOT
'�O: City Secretary/Secretary of eoard � (name nf electionf
I request that my name be placed on the above-named official ballot as a candidate for the o#fice indicated below.
OFFICE 50UGWT (Include any place number or other distinguishing numher, if any.) fNUICAiE 7ERM
(il�L � �G(,Pi' � �FULL � UNEXPIREd
FULL NAME (Frst, Middle, LastJ PRINT NANEE A5 YOU WA1V7 IT 70 APPEAR ON THE BALIOT*
�� L��`'E��1/! ��A( G / .�i� �' "' ��1
PERMANENF RESIDENCE ADDRE55 (Do not include a P.Q. Box or Rural Route. If PUBLIC MAILING ADDRESS (Optionalj {Address forwhich yau receive
you do not have a residence address, describe location of residence.j campaign related correspondence, if available.)
1 ,S ��!`�i� � sP i�t��..- �
CITY STATE ZIP CITY STATE ZIP
�v�L$�fc.��e.L� ��C �.� (.O1`��f'r/�t.G�� ��C ��,3
PUBLIC EIVIAlL AD�RESS (OptiDndE) (Addressfor QCCUpA71QN (Dp not leave blankj n�TF AF RIATI-I VOTER REGISTRATION VUID
which you receive ca aign related emails, if available.) INUM8ERZ [Optional]
�' . � '1l�'� �S�'.�-��"
TELEPH� E C01V7ACT E F RMATiON ptioFi �
Home: Office: ^^-� � Cell: 7rll� �'���' 2�
FELONY CONVIC'iION STATUS {You MUST check one} LENGTH OF CONT[NUOU5 RESEbENCE AS OF DATE TH15 APPLICATIDN WAS SWQRN
have not been finally convicted of a felony. IN THE STATE OF TEXAS IN TERRITpRY/DISTftICT/PRECINCT FROM
� I have heen fina]]y convicted of a fe[ony, but I have been 4 WHICFE TME DFFICE SOcUGHT IS ELECTED
pardoned or otherwise released from the resulting `� y�ar(s) O year(s}
disabilities of that felony canviction and I have provided ��onth{s) � manth(s}
proaf af this fact with the su6mission of this a�rplication.3
*lf using a nicknarrte as part of your name ia appear on the ballot, you are alsa signing and swearing to the following statements: I further swear that
my nickname does not constitute a slogan or cor�tain a title, nor does it indicate a political, economic, sociaE, or religious �iew or affiliation. I have
been commonly lcnown by this nickname for at least three years prior to this electipn. Please review sections 52.031, 52.a32 and 52.033 0# the Texas
Election Code regarding the rules for how names may be listed on the official ballot.
,
Before me, the undersigned authority, on this day personally appeared (name of candidate) who
being by me here and now u1y sworn, upon oath says:
"I, (name of candidate} � �� of 1�--, _ County, Texas,
being a candidate for the office of Q ��lL� �i�f�� . swear that I will support and defend the Constitution and
laws of the United 5tates and of the State of Texas. I am a citizen of the United States eligible to hold such ofFice under the constitution and laws of
this staie. ] have not been determined by a final judgment of a court exercising prok�ate jurisdiction to be tota[ly mentally incapacitated or partially
mentally incapacitated withaut t[�e right to vote. I am aware of the nepatism law, Chapter 573, Government Code. I am aware that I must disclose
any priorfelony conviction, and if so con�icted, must provide proof that I have #�een pardaned ar otherwise released from the resulting disabilities of
any such final felany conviction. I am aware that knowingly providing false information on the application regarding my possible felony con�iction
status constitutes a Class B misdemeanar. I further swear t�at the foregoing statements included in my application are in all things true and correct."
X �-�--- /�
SIGNATURE OF CANDIDATE
Sworn to and subscribed before me this the � day af ��- �Ji �_ �___, �,�, by ����C.. ��iC1
{dayJ {month) {year) (name of candidate)
� (7`U`�I*J ' .
Signature of Officer Authorized to Administer Oath° Printe I���� � fice�y ����jyiste ath
:�; ;*:
!�"v�G�' �-� �Io��'r��;kl�Offi 'a � � sMay2,2022
,.
Title of Officer Autharized to Administer Oath
TO BE COMPLETED BY FILING OFFICER: THIS APP�ICA710N 15 ACCOMPANlEb BY THE REQUIRED FILING FEE (If Applicabley PAID BY:
� CASH � CHECK ❑ MQNEY ORDER ❑ CA5H1ER5 CHECK dR ❑ PETITION IN LIEU DF A FILING F,�EE,�.
This document and �"'� '" filing fee or a nominating petition of pages e�ei�ed. �--� Voter Re str ion Status Verified
(� � J �� l�—a � /Dr% __l ���— (See 5ection 1.007)
Date Fieceived �ate Accepted Signature of F[[ing Officer or Designee
APPOINTMENT OF A CAMPAIGN TREASURER FORnn CTA
BY A CANDIDATE P� 1
� Total pages filed:
See CTA Instruction Guide for deW Iled instructions. �
2 CANDIDATE MS/MRS/MR FIRST Mi OFFICEUSEONLY
NAME �// /— �
"�//� . . . . . . '/� / � . . . . . . . . . . ✓'i Filer ID #
�
NICKNAME LAST SUFFIX
��/ oa�0aa�e��eaRECEIVE6
d/
3 CANDIDATE ADDRESS /POBOX; APT/SUITE#; CITY; STATE; 21PCODE FEB 0 7.2022
MAILING
ADDRESS /' /� / //_1 � �
�� O � J � ' 1 /J�✓�� �� �✓ ��jl��� "/ • • ` Da[e Hend-deliveretl or Postmarketl
�t;o3
4 CANDIDATE AREA CODE PHONE NUMBER EXTENSION Receip�# Amaunt$
PHONE
( �� � ) ��� " Z� 2 � Date Processed
V
5 OFFICE oa�elmaged
HE�D �lGiWi'!!�� ¢' �Gt'1!"'G/
if an `J
6 OFFICE �/ /' J
SOUGHT CL Z( G(/Li1GI L /�G'Ge � �
(if known)
7 CAMPAIGN MSIMRS/MR FIRST MI NICKNAME LAST SUFFIX
TREASURER �� ��� �
NAME /?_ /
,s.�l/Y�
8 CAMPAIGN STREETADDRE55; APT/Sl11TE#; CITV; STATE; ZIPCODE
TREASURER
STREET �7/ -� / //�� / ��j
ADDRESS Jl�It� �l� �-I�jrtf "'�( �(���f/�ILG%i r �iC. �vJ}�
(residence or business) /
9 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE �j ^�� G)r/� ����� .
r 7 /v
'10 CANDIDATE
SIGNATURE I am aware of the Nepotism Law, Chapter 573 of the Texas Government Code.
I am aware of my responsibility to file timely reports as required by title 15 of
the Election Code.
I am aware of the restrictions in title 15 of the Election Code on contributions
from corporations and labor organizations.
i / (�(/lfd�- �/� Z 7 �i
Si ature o andidate Datr Signed
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.etnics.state.tx.us Revised 1/1/2022
CANDIDATE MODIFIED
REPORTING DECLARATION
11 CANDIDATE
NAME
12 MODIFIED
REPORTING
DECLARATION
FORM CTA
PG 2
COMPLETE THIS SECTION ONLY IF YOU ARE
CHOOSING MODIFIED REPORTING
•• This declaration must be filed no later than the 30th day before
the first election to which the declaration applies. ••
•• The modified reporting option is valid for one election cycle only. ••
(An election cycle includes a primary election, a generel election, and any related runoffs.)
•• Candidates for the office of state chair of a political party
may NOT choose modified reporting. ••
I do not intend to accept more than $940 in political contributions
or make more than $940 in political expenditures (excluding filing
fees) in connection with any future election within the election
cycle. I understand that if either one of those limits is exceeded,
will be required to file pre-election reports and, if necessary, a
runoff report.
Year of election(s) orelection cycle [o
which declaration applies
Signature of Candidate
This appointment is effective on the date it is filed with the appropriate filing authority.
TEC Filers may send this form to the TEC electronically at treasappoint(a�ethics.state.tx.us
or mail to
Texas Ethics Commission
P.O. Box 12070
Austin, TX 78711-2070
Non-TEC Filers must file this form with the local filing authority
DO NOT SEND TO TEC
For more information about where to file go to:
https:/Iwww.eth ics.state.Uc. us/filinginfo/QuickFileAReport. php
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2022
CODE OF FAIR CAMPAIGN FORM CFCP
PR!-�CTICES COVER SHEET
OFFICE USE ONLY �
Pursuant to chapter 258 of the Election Code, every candidate and �ateReceived
political committee is encouraged to subscribe to the Code of Fair RECENED
Campaign Practices. The Code may be filed with the proper filing FEB 0 7 2022
authority upon submission of a campaign treasurer appointment
form. Candidates or political committees that already have a �
current campaign treasurer appointment on file as of September 1,
1997, may subscribe to the code at any time. °a`e"a"d-da'"a`e°°'P°s`"'a'"a'
� oate Processea
Subscription to the Code ofFair Campaign Practices is voluntary.
�ate Imaged �
1 ACCOUNT NUMBER 2 TYPE OF FILER
(Ethics Commission Filers) �
CANDIDATE �— POLITICAL COMMITTEE �
If filing as a candidate, complete boxes 3- 6, If filing for a political commikee, complete
then read and sign page 2. boxes 7 and 8, then read and sign page 2.
3 NAME OF CANDIDATE TITLE(oc,Mc,Ms.,etc.) FIRS7 . MI �
(PLEASETYPEORPRINT) �� � �
_________________l______'/../,//� "______________________'________________"____
�NICKNAME LqSr SUPFIX(SR.,JR.,III,e�c.
�on�
Q TELEPHONE NUMBER AREACODE PHONENIIMBER EXTENSION
OF CANDIDATE 2
(PLEASENPEORPRINTj ��'�� �/�^ 1�Z�
$ ADDRESS OF CANDIDATE STREET/POBOX; APT/SUITEk; CITY; STATE; ZIPCODE
(PLEASENPEORPRINT) C//q,L �� A� C'��/ICr ���G!'!i/LCE� � '( / ✓ �'
! V 7 �7
6 OFFICE SOUGHT
BY CANDIDATE .�.
(PLFASETVPEORPRINT) � , � ��n G� �
7 NAME OF COMMITTEE ^,J�I .
(PLEASETYPEORPRINTj F�Ili��/�,1,p � �/'�/�/y .
� .,, y �r •..a,�
J �+
$ NAME OF CAMPAIGN TIiLE(Dr.,Mr.,Ms.,atc.) FlrtsT MI
TREASURER /�/yJ^� ��A /^
(PLEASETYPEOftPRINT) /J � �___________` //__ T__________________'_ G_-----------------------
NICKNAME LAST a SUFFIX(SR.,JR.,III,e�c.)
�r�t
GO TO PAGE 2
Forms provitletl by Texas Ethics Gommission www.emicss[a[e.ix.us nevisea �nizuz�
CODE OF FAIR CAMPAIGN PRACTICES
There are basic principles of decency, honesTy, and fair play that every candidate and political committee in this state
has amoral obligationto observe anduphold, in orderthat, aftervigorously contestedbutfairly conducted campaigns,
our citizens may exercise their constitutional rights to a free and untrammeled choice and the will ofthe people may be
fully and clearly expressed on the issues.
TI�REFORE:
(1) I will conduct the campaign openly and publicly and limit attacks on my opponent to legitimate challenges to my
opponenYs record and stated positions on issues.
�Z)
(3)
I will not use or pernut the use of character defamation, whispering campaigns, libel, slander, or scurrilous attacks
on any candidate or the candidate's personal or family life.
I will not use or permit any appeal to negative prejudice based on race, sex, religion, or national origin.
(4) I will not use campaign material of any sort that misrepresents, distorts, or otherwise falsifies the facts, nor will I
use malicious or unfounded accusations that aim at creating or exploiting doubts, without justifica6on, as to the
personal integrity orpatriotism ofmy opponent.
(5) I will not undertake or condone any dishonest or unethical practice that tends to corrupt or undermine our system
offree elections or that hampers or prevents the full and free expression ofthe will ofthe voters, including any
activity aimed at intimidating voters or discouraging them from voting.
(6) I will defend and uphold the right of every qualified voter to full and equal participation in the electoral process,
and will not engage in any activity aimed at intimidating voters or discouraging them from voting.
(7) I will immediately and publicly repudiate methods and tactics that may come from others that I have pledged not
to use or condone. I shall take firm action against any subordinate who violates any provision of this code or the
laws goveming elections.
I, the undersigned, candidate for election to public office in the State of Texas ar campaign treasurer of a political
committee, hereby voluntarily endorse, subscribe to, and solemnly pledge myselfto conduct the campaign in accordance
with the above principles and practices.
�-�*�'O� J
Signature
2 2 2a2 Z
Date
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1l2021
City of Colleyville Financial Disclosure and Business Conflict of Interest Forms
PERSONAL FINANCIAL STATEMENT
I1�� �7_\�� �_�
Financial Disclosure and Business Conflict of Interest Forms shall be provided by
candidates for Mayor and City Council and by applicants seeking appointments to the
Planning and Zoning Commission or the Zoning Board of Adjustment, and shall file such
forms within two (2) business days following the end of the candidate filing period, or if
for appointment, within (2) business day following the end of the application period
stated in the official City advertisement for application for the position.
The city manager and the city manager's senior staff members (including any staff
member who is appointed with City Council approval) shall also file the same within
thirty (30) days of hiring. All person(s), as outlined above, shall have a duty to file
supplemental disclosures annually and within five (5) business days of an occurrence of
any change in the information reflected in the forms previously filed by the individual.
Before m`'�e, tthe undersigned authority, personally appeared:
��-�-[.� f�p" l�C� who, after being duly sworn upon their
oath and deposed and stated as follows:
"My name is � and I hereby submit
for filing the attach Financial Disclosure and Business Conflict of Interest forms. I
have personal knowledge of all information contained in said forms and all information
contained in the forms is true and correct."
"Further, all information contained in the forms is complete. There is no information
that has been withheld or not disclosed which is responsive to or required to be
disclosed by the forms." �.� „� �
Affiant
Sworn to and subscribed before me, this the � day of �f' b�CLa.Q- I , 20 a�
CHRISTINE LOVEN � � � �� J �
MY Notary ID # 7109258� /
E�ires May2, 2022 i r�c�
Notary Public, State of Texas
INITIAL HERE: ��� DATE: "Z,/ ,� /� z�
C� /
City of Colleyville Financial Disclosure and Business Conflict of Interest Forms
INFORMATION STATEMENT
TOTAL NUMBER OF PAGES FILED:
5
OFFICE USE ONLY
1 NAME First, MI Date Received
r�� ` �
LaSt, S��x �
0 �'1 RECEIVtp
ZADDRESS Address/City/State/Zip
�Ee o ry zozz
31aY s�r �4���.,s C� C��l��y�w�;
� Tx � o ��
3 TELEPHONE Area Code, Phone Number, Extension
NUMBER f�%}_ 3i�� ,Z L Z Z
�z
° REASON �,�, �MPLOYEE (CITY MANAGER OR *SENIOR STAFF)
FOR FILING L�` CANDIDATE Gt7Y �'rsvr�G�L-- (INDICATE OFFICE)
STATEMENT 0 ELECTED OFFICIAL (INDICATE OFFICE)
� ZONING BOARD OF ADJUSTMENT encPucnrvT oa naaocmTee�
0 PLANNING & ZONING COMMISSION enPPucnnTORnPPo�NTee>
❑Two (2) business days following the end of the candidate fiiing period
or if appointment, following the end of the application period stated
in the official city advertisement for the position.
� Supplemental disclosure filed annually and within five (5)
business days of an occurrence in previously filed form.
*SENIOR STAFF is defined as those employees who are classified as directors
and above in the City's classification system and the City Manager and City Secretary.
s
SPOUSE NAME I� '� ��
DEPENDENT 1• / '7�a°Sa-- /�Gn� �
CHILD/CHILDREN 2 ��"i� ��
NAME(S)
3.
4.
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY
INITIAL HERE: ,� DATE:�
City of Colleyville Financial Disclosure and 8usiness Conflict of Interest Forms
INTERESTS IN REAL PROPERTY Section 1
Describe the location, size, and current use of all property owned within the included
map, or held in trust by the filer, spouse, and any dependent minor children, or any
business entity in which the person has a financial interest.
When reporting information about a dependent child's activity, indicate the child about
whom you are reporting by providing the number under which the child is listed on the
Information Statement.
HELD OR ACQUIRED BY FILER SPOUSE DEPENDENT CHILD #
DESCRIPTION q /� /�
Lot -/y� �tl' f�(Uwa.,sr. tQ�'o City (�O �`/u �.�sG L�'
i
Block � County lG�/�^�nt
Subdivision u/�iY/'ci�iwo� ��iGlf Ad Valorum Tax Account Number
Acre(s) and Tract • � G
STREET ADDRESS STREET ADDRESS, INCLUDING CITY, COUNTY, AND STATE
3lay� lr �/�,,1 C, �.� �o�/y��� � �6�.��
° NAME LIST THE NAMES AND ADDRESSES OF OTHER PERSONS OR
BUSINESS ENTITIES WHICH OWN AN INTEREST IN THE REAL
PROPERTY
DIVIDUAL ' �/Yr9- l�tdf
Q BUSINESS
1 HELD OR ACQUIRED BY FILER SPOUSE DEPENDENT CHILD #_
Z DESCRIPTION
Lot City
Block Caunty
Subdivision Ad Valorum Tax Account Number
Acre(s) and Tract -
3 STREET ADDRESS STREET ADDRESS, INCLUDING CITY, COUNTY, AND STATE
° NAME LIST THE NAMES AND ADDRESSES OF OTHER PERSONS OR
BUSINESS ENTITIES WHICH OWN AN INTEREST IN THE REAL
PROPERTY
� INDIVIDUAL
Q BUSINESS
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY
❑ NOT APPLICABLE INITIAL HERE: �I� DATE: '/ k/ 1p�
. J, , _�
City of Colleyville Financial Disclosure and Business Conflict of Interest Forms
FEE, SALARY, OR GIFT Section 2
The name and address of any person or corporation which currently has or during
the preceding twelve (12) months has had a direct or indirect contractual
relationship with the City and from which the person(s), their spouse, or dependent
minor children have received a fee, salary, or gift of value exceeding one hundred
dollars ($100.00).
When reporting information about a dependent child's activity, indicate the child
about whom you are reporting by providing the number under which the child is
listed on the Information Statement.
1 RECIPIENT �FILER �SPOUSE ODEPENDENT CHILD #_
ZFEE, SALARY, GIFT NAME AND ADDRESS
DESCRIPTION OF FEE,
SALARY, GIFT
1 RECIPIENT �FILER �SPOUSE ODEPENDENT CHILD #_
Z FEE, SALARY, GIFT NAME AND ADDRESS
DESCRIPTION OF FEE,
SALARY, GIFT
1 RECIPIENT OFILER OSPOUSE ODEPENDENT CHILD #_
Z FEE, SALARY, GIFT NAME AND ADDRESS
3 DESCRIPTION OF FEE,
SALARY, GIFT
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY
� NOT APPLICABLE INITIAL HERE�� DATE: Z� /�-�Z-�
'�/
City of Colleyville Financial Disclosure and Business Conflict of Interest Forms
BUSINESS INTERESTS Section 3
The name and address of any corporation or business, which currently has or in the
preceding twelve (12) months has had a direct or indirect contractual relationship with the
City, of which person(s), their spouse, or any dependent minor children own more than
two percent (2%) of the outstanding equity interest or more than two percent (2%) of the
assets.
When reporting information about a dependent child's activity, indicate the child about
whom you are reporting by providing the number under which the child is listed on the
Information Statement.
1 HELD OR ACQUIRED BY OFILER OSPOUSE ODEPENDENT CHILD #_
ZDESCRIPTION NAMEAND ADDRESS
3 NATURE OF BUSINESS
1 HELD OR ACQUIRED BY �FILER OSPOUSE ODEPENDENT CHILD #_
Z DESCRIPTION NAME AND ADDRESS
3NATUREOFBUSINESS
1 HELD OR ACQUIRED� BY �FILER �SPOUSE ODEPENDENT CHILD #_
ZDESCRIPTION NAMEAND ADDRESS
3NATUREOFBUSINESS
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY
�OT APPLICABLE INITIAL HERE:� DATE:�7�!'/L�
CANDIDATE / OFFICEHOLDER FORnn cioH
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 / M5 i MRs i MR FiRsr � Mi
OFFICEHOLDER OFFICE USE ONLY
Mr. Geor e L
NAME......................................g...........................................
Date Receivetl
NICKNAME . LAST SUFFIX RECEIVED
Bond II
4 CANDIDATE / AO�RESS / PO BOX; APT / SUITE k; CITY; STATE; ZIP CO�E APR' -.1011
OFFICEHOLDER 3104 St. Albans Circle Colleyville TX 76034
MAILING
�ADDRESS �o
� Change of Address
5 CANDIDATE/ AREA CODE . PHONE NUM9ER EXTENSION
Oate Hantl-Deliveretl or Oa�e Poslmarketl
OFFICEHOLDER
PHONE i817 ) 313-2222
6 CAMPAIGN MS / MRS / MR FIRST MI Receipl # I Amoun� 8
TREASURER Mrs. Tina E
NAME................................................................................. oate Processea
NICKNAME LAST SUFFIX
Date Imagetl
Bond
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE N; CITV; STATE; ZIP CODE
TREASURER 3104 St. Albans Circle Colleyville TX 76034
ADDRESS
(Residence or Business) �
8 CAMPAIGN AREA COOE PHONE NUMBER EXTENSION -
TREASURER -
PHONE (g17 ) 903-8462
9 REPORT TYPE �,January 15 � 30ih tlay before election � Runoff � � 15ih tlay afler campaign
ireasurerappoiniment
(Offcehaltler Only)
� July15 � 8ihdaybeforeelection � ExceetletlMotlifetl � Finalfteport(AttachGOH-FR)
� ReportingLimit
10 PERIOD Month � �ay Vear Mon�h �ay Vear
COVERED OZ � O7 � ZOZ2 O3 � ZH � ZOZZ
THROUGH
'H ELECTION ELECTION DATE ELECTION TYPE
Mon�h Day Year ❑ Primary � Runoft ❑ Other
Descriptlon
OC /O� /^Oq.z � General � Special
J G L
'12 OFFICE OFFICEHELD (ilany) �$ OFFICESOUGHT (i(known)
Colleyville City Council Place 2
14 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTONS ACCEPTEp OR POLIIICAL EXPENDITURES MAOE 8Y POLITICAL COMMITTEES TO SUPPORT
POLITICAL THECAN�IOATE/OFFICEHOLOER, THESEEXPENOIiURESMAYHAVEBEENMAOEWITHOUTTHECANDIDATE'SOROFFICEHOLOER'SKNOWLEOGEOR
CONSENT. CANDI�ATESANOOFFICEHOLDERSAREREOUIREOTOREPORTIHISINFORMATIONONLVIFTHEYRECEIVENOTIGEOFSUCHEXPENOINRES.
COM M ITTEE(S)
COMMITTEE TVPE COMMITTEE NAME .
�GENERA� COMMITTEE AD�RESS
� Additional Pages
❑SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TftEASURER A�ORESS
GO TO PAGE 2
Forms provided byTexas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
CANDIDATE / OFFICEHOLDER
CAMPAIGN FINANCE REPORT
'I5 C/OH NAME
George Loran Bond II
17 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR
CONTRIBUTIONS MADE ELECTRONICALLY)
2. TOTALPOLITICAICONTRIBUTIONS
(OTHER THAN P�EDGES, LOANS, OR GUARANTEES OF LOANS)
..................
EXPENDITURE
TOTALS
..................
CONTRIBUTION ,
BALANCE
.................
OUTSTANDING 6. TOTAL PRINCIPALAMOUNT OF ALL OUTSTANDING IOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ 3,280.35
I swear, or af6rm, under penalty of perjury, that the accompanying report is true and correct and includes all information
requiretl to be reported by me under Title 15, Elec[ion Cade.
��
� Signature of Cantlitlate or Officeholtler
'IS SIGNATURE
3. TOTAL UNITEMIZED POLITICAL EXPENDITURE.
FORM C/OH
COVER SHEET PG 2
76 Filer ID (Hhics Commission Filers)
$
$1,250.00
$
4. TOTAL POLITICAL EXPENDITURES $ 3,ZBO.ZO�
5. TOTAL POLITICAL CONTRIeUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD $ 2,350.00
Please complete either option below:
(1) Affidavit
NOTARY STAMP/SEAL
Sworn to and subscribed before me by lTC'-�K.��7� ��(l.-� this the 1� day of�_,
20oZ� tocertifyw ic w' essmyhandandsealofoffce.
(� ���i,�-� Ch f� siti n��.o� erti /l1 d-I�d�l
Signature of officeratlministering oath Printed name of officeradministering oath Tille of officer admi stering oalh
(2) Unsworn Declaration
My name is _
My address is
Executed in
and my date of birth is
(street)
County, State of
(city) (state) (zip code) (country)
on the day of , 20
(month) (year)
Signature of Candidate/Offceholder (Declarant)
Forms provided by Texas Ethics Commission w�w.ethics.state.tx.us Revised 8/17/2020
SUBTOTALS - C/OH FORM C/OH
COVER SHEET PG 3
19 FILER NAME 20 Filer ID (Ethics Commission Filers)
George Loran Bond II
21 SCHEDULESUBTOTALS SUBTOTAL
NAMEOFSCHEDULE AMOUNT
�� � SCHEDULEAI: MONETARV POLITICALCONTRIBUTIONS ' $ � �ZrJO.00
Z� � SCHEDULEA2: NON-MONETARY(IN-KIND)POLITICALCONTRIBUTIONS $
3� � SCHEDULEB: PLEDGEDCONTRIBUTIONS $
4. � SCHEDULE E: LOANS � $ 3,280.35
5� � SCHEDULE F7: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 3�Z8O.ZO
6� � SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $
�� � SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $
8� � SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $
9� � SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $
10. � SCHEDULE H: PAVMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $
»� � SCHEDULEI: NON-POLITICALEXPENDITURESMADEFROMPOLITICALCONTRIBUTIONS $
12. � SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED $
TO FILER
Forms provitletl byTexas Ethics Commission �.e[nics.state.[x.us HBVIS24 tl/l /ILUCU
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form. 1 Total pages Scheaule At: 1
2 FILER NAME 3 Filer 10 (Elhics Commission Filers)
George Loran Bond II
4 Date 5 Full name of contributor ❑ oubof-state PAC (IDa� � 7 Amount of contribution ($)
3/10/2022 Turner M Gauntt III $1,000.00
...........................................................
6 Contributor atldress; City; State; Zip Code
409 Waterford Lane Colleyville TX 76034
$ Principal occupation / Job title (See Instructions) 9 Employer (See Instructions)
Real Estate Broker Century 21 Judge Fite Company
Date Full name of contributor � ou�44sla�e PAC Q6M: 1
Amount of cont�ibution ($)
3/14/2022 Christopher Sinos $250.00
.......................................... Y,....................................
Contributor atldress; Cit State; Zip Cotle
12581 Globe Mallow Drive EI Paso TX 77928
Principal occupation / Job tide (See Instructions) � Employer (See.lnstmctions)
H2F Performance Dietitian Department of the Army
Date Full name of contributor ❑ ou4a4state PAC (lok: 1 Amount of contribution ($)
..................................................................................
Contri6utor address; City; State; Zip Code
Principal occupation / Jo6 title (See Instructions) Employer (See Instmctions)
Date Full name of contributor � ouf-of-state PAC (lox: ) Amount of contribution ($)
....................................................................P ............
Contributor address; City; State; Zi Code
Principal occupation / Job title (See Instructions) Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see Instructlon guide for additional reporting requirements.
Forms provided byTexas Ethics Commission v✓�wr.etnmsstate.tx.us rcevisea cri n�v�u
LOANS SCHEDULE E
If the requested information is not applicable, DO NOT include this page in the report.
1 Total pages Schedule E:
The Instruction Guide explains how to complete this form. 1
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
George Loran Bond III
4 TOTAL OF UNITEMIZED LOANS $
5 Date of loan 7 Nameoflender � ou4oM1statePAC(IC9F: ) 9 LoanAmount($)
2/23/2022 Tina and George Bond $120.25
6 Is lentler 8 Lender address; Ciry; State; Zip Code 10 Interest rate
a financial 3104 St. Albans Circle C0110yV1112 TX 76034 �%
Institution?
91 Maturirytlate
YO
72 Principal occupation / Job title (See Instmctions) 93 Employer (See Instructions)
Oil & Gas Mineral Broker/ Real Estate Self
74 Description of Collateral 15
❑ Check if personal funtls were deposited into political
� none account (See Insimctions)
�s GUARANTOR 97 Nameofguarantor 99 AmountGuaranteed($)
INFORMATION
..................................................................................
18 Guarantor address; City; State; Zip Code
� not applicable
20 Principal Occupation (See InstrucHons) 21 Employer (See Insiructions)
Date of loan Name of lender � ouPof-state PAC (IDO: � Loan Amount ($)
3/21/2022 Tina and George Bond $3,160.10
...............................
Is lender Lentler atltlress; City; State; Zip Cotle Interest rate
a flnancial Q��p
Institution? � �
3104 St. Albans Circle Colleyville TX 76034 Maturitytlate
YO
Principal occupation / Job title (See Instmctions) Employer (See Instmctions)
Description of Collateral .
❑ Check if personal funds were deposited into political
�account (See Instructions)
none
GUARANTOR Nameofguarantor AmountGuaranteed($)
INFORMATION
..................................................................................
Guarantor atltlress; City; State; Zip Code
� not applicable
Principal Occupation (See Instmctions) Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If lender is out•of-state PAC, please see Instruction guide for additional reporting requirements.
Forms provltletl by lexas tmics commisslon �.etmcs.state.tx.us rceviseo en neuzu
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 8(a)
Ative�Hsing Expense EventExpanse LoanRepaymenUReimbursemen[ SolicitatioNFuntlraisingEzpense
AccounGng/Benking Feas OficeOverheatl/RentalExpense TrensportationEquipmentBRelatetlFi�pense
Consul�ing Expense Footl/Bevarage Eupense Polling Expense Travel In Distnct
ConMbulions/Oone4onsMatleBy GiPoAwartls/MemonalsEupense PrinlingExpense TravelOutOfDistnct
Cantlidale/O�ceholtler/Poli[icalCommittee LegalSarvices SalanesM/ages/ContraciLabor Other(enleracategorynollistetlabove)
CretlilGaNPaymenl
The Instruction Guide explains how to complete this form.
1 Total pagas Schedule F1: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
2 George Loran Bond II
4 Date � 5 Payee name
2/23/2022 GoDaddy.com
6 Amounl ($) 7 Payee address; City; State; Zip Cotle
$120.25 2155 E. GoDaddy Way Tempe AZ 85284
g (a) Category (SeeCategoneslistetlatthelopofihisschetlule) (b) Desaiption
PURPOSE Other - Website Expense Setup domain for georgeforcolleyville.com
OF
EXPENDITURE
(C) � CheckiftraveloutsitleofTexas.CompleteSchetluleT. � Check if Auslin, TX, oHiceholtler Ilving expense
9 Complele ONLY if direct Cantlitlate / Officeholder name Office sought Office heltl
expentliture to benefi� C/OH
Date Payee name
3/21/2022 Edgerton Strategies, LLC
Amount ($) Payee adtlress; City; State; Zip Code
$3,160.10 1540 Keller Parkway #108-402 Keller TX 76248
Category (SeeCategoriesllste4atiM1etopofthisschetlule) Description
PURPOSE Advertising Expense Yard signs, logo and sign design
OF
EXPENDITURE
� Clteck'rfVaveloulsitleofTexas.Compiete5chetluleT. � Check if Austin, TX, officeholtler living expense
Comple[e 9�Ly if direct Candidate / O�ceholder name Office sought Office held
expenditura to 6enefit C/OH
�ate Payee name
Z�28�2�z2
Worthingon National Bank
Amounl ($) Payee adtlress; City; State; Zip Code
$5.00
4814 Colleyville Blvd. Colleyville TX 76034
Category (SaeCategorieslistetlatthetopofthisschetlule) Desc�iption
PURPOSE Fees Bank Fees
OF
EXPENDITURE
� Checkifl�avelou151tleofTexas.CompleteSchetluleL � Check IfAustin, TX, ofliceholtler living expense
Complete ONLY if direct Cantlitlate / Officeholtler name Office sought O�ce held
expenditure to benefit GOH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS N EEDED
rorms provmea ny iexas ttmcs commission �wwv.ecmcssca[e.cx.us neviseo ai i nzuzu
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 8(a)
Ativertisin8 Expense EventEzpense LoanRepaymern/Reimbursement SolicitatioNFuntlreisingF�cpense
Accounting/Banking Fees OfficeOverheatl/RentalFxpense TrensportatianEquipmenlBRelatedExpense
ConsNtingFxpense Footl/BaveregeExpense Pollin F�t ense
ConVibutionsl�ona�ionsMatleBy Gi1VAwa�tls/MemanalsEx ense 9 P TravellnDishic�
P Pnn�ing 6cpense Travel OutOf District
Cantlida�e/ORceholtler/PoliGcalCammitlee LegalServices Salaries/UVages/ContraclLabor O�her(enteracategorynotlls�edabove)
CretlitCaNPaymeM
The Instructlon Guide explains how to complete this farm.
1 Total pages Schedule F1: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
2 George Loran Bond II
4 Date 5 Payee name
3/2/2022 Worthington National Bank
6 Amount ($) 7 Payee adtlress; City; State; Zip Code
$-5.00 4814 Colleyville Bivd. Colleyville TX 76034
g (a) Category (SeeCategorieslistetlatihetopofthisscnetlule) (6) Description .
PURPOSE Fees Reimbursement of Bank Fees
OF
EXPENDITURE � .
(C) � CheckiftraveloWsitleofTe�s.Comple�eSchetluleL � Check if Austin, TX, oRiceholtler living expense
9 Complete ONLY if tlirect Candidate /Officeholder name Office sought Office held
expendiWre �o benefil C/OH
Date Payee name
3/10/2022 Worthington National Bank
Amount ($) Payee address; City; State; Zip Code
$-5.00 4814 Colleyville Blvd. Colleyville TX 76034
Category (SeeCategorieslistetlatinetopofthisschetlule) Description .
PURPOSE Fees Reibursement of Bank Fees
OF
EXPENDITURE
� CnecklfVaveloukitleofTexas.CompleteSchetluleT. � Check if Austin, TX, ofiiceholtler living expense
Complete ONLY if tlirecl Cantlitlate/Officeholtlername Office sou8ht Office heltl
expentlilure to benefit C/OH
Date Payee name
3/14/2022 Venmo
Amount ($) Payee adtlress; City; State; Zip Code
$4.85
95 Morton St. FL 5 New York NY 10014
CategOry (SeeCategorieslistetlaUhetopoHhisschetlule) DesCfiption
PURPOSE Fees � Bank Fees
OF
EXPENDITURE
� Checki(iraveloutsitleMTexas.Comple�eSchetluleT. � Check ifAustiq TX, oRiceholtler living expense
Complele ONLY it tlirect Cantlitla[e / Officeholtler name O�ce sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED
rorms providea by-rexas ethics commission www.etnics.state.tx.us reewsea an nzuzu