r - 4 CANDIDATE/ ADDRESS I PO BOX; APT I SUITE#; CITY; ZIP CODE Date '~nd deliv~&d ~r Date~mark~_.,: OFFICEHOLDER ~- ~ - :::z.

Transcription

1 CANATE FCEHOLER CAMPAGN FNANCE REPORT COVER SHEET PG 1 FORM C/OH The C/OH nstruction Guide explains how to complete this form. 1 Filer 2 Total pages filed: 7 3 CANATE/ MS/MRS/MR FRST Ml FCE USE ONLY FCEHOLER Joe. NAME Mr. Received... NCKNAME LAST SUFFX Jody Johnson f"t r r 4 CANATE/ ARESS PO BOX; APT SUTE#; CTY; ZP COE 'nd deliv&d r mark_.,: FCEHOLER,... ' :::z., MALNG ARESS )>,, Re.G A:t :. :... Change of Address ro\t F C)fT"i... r { C'"')Cr r... 1.: maged ;:j (.;).. 5 CAMPAGN TREASURER MS/MRS/MR FRST Ml N NAME Mrs. Sarah... NCKNAME LAST SUFFX Hollenstein 6 CAMPAGN STREET ARESS (NO PO BOX PLEASE); APT SUTE#; CTY; STATE; ZP COE TREASURER ARESS (Residence or Business) 7 CAMPAGN AREA COE PHONE NUMBER EXTENSON TREASURER PHONE 8 REPORT TYPE January 15 July 15 3th day tlefore election 8th day before election Runoff Exceeded $5 limit 15th day after campaign treasurer appointment (officeholder only) Final Report (Attach C/OHFH) 9 PERO Month ay Year Month ay Year COVERE 2/ THROUGH 6/3/216 1 ELECTON ELECTON ATE ELECTON TYPE Month ay Year Primary ORunoff oother 11/8/216 General ospecial 11 FCE FCE HEL (if any) 12 FCE SOUGHT (if known) Tarrant County Constable Precinct Four GOTO PAGE 2 Forms p rovided b1 y Texas Ethics Comm1ss1on Vers1on V1..31

2 CANATE FCEHOLER REPORT: SUPPORT & TOTALS COVER SHEET PG 2 2 of 7 13 C OH NAME Johnson, Joe. "Jody'' 14 Filer FORM C/OH 15 NOTCE This box is for notice of political contributions accepted or political expenditures made by political committees to support the FROM candidate officeholder. These expenditures may have been made without the candidate's or officeholder's knowledge or POLTCAL consent. Candidates and officeholders are required to report this information only if they receive notice of such expenditures. COMMTTEE(S) Additional Pages COMMTTEE TYPE COMMTTEE NAME r:u r J < r ' c:n );..,; GENERAL..., ;, J COMMTTEE ARESS ( > c ::: ".. ):>11 SPECFC i,) r C'; i +,r r orr :::1 o C)C) l '.. = :X:,...,,..,..,.... =::.t N....: C::l COMMTTEE CAMPAGN TREASURER NAME ;j (/) COMMTTEE CAMPAGN TREASURER ARESS 16 CONTRBUTON 1. TOTAL POLTCAL CONTRBUTONS $5 OR LESS (OTHER THAN PLEGES, TOTALS LOANS, OR GUARANTEES LOANS), UNLESS TEMZE 2. TOTAL POLTCAL CONTRBUTONS (OTHER THAN PLEGES, LOANS, OR GUARANTEES LOANS) EXPENTURE 3. TOTAL POLTCAL EXPENTURES $1 OR LESS, UNLESS TEMZE TOTALS 4. TOTAL POLTCAL EXPENTURES CONTRBUTON 5. TOTAL POLTCAL CONTRBUTONS MANTANE AS THE LAST AY THE BALANCE REPORTNG PERO OUTSTANNG 6. TOTAL PRNCPAL AMOUNT ALL OUTSTANNG LOANS AS THE LAST AY LOAN TOTALS THE REPORTNG PERO $. $ 4, $. $ 11, $ 1, $. 17 AFFAAVT e 4 NCOLE under Title 15, Election Code. R. BENOT Notary My Cornmiallon ExplnJa MarCh AFFX NOTARY STAMP SEAL ABOVE 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 Sworn to and subscribed before me, by the said e., JohN N of 1A \'J, 2 U, to certify which, witness my hand and seal of office. Signature of Candidate or Officeholder, this the 1 h day /J/11;_; dt.ol /(. 8wo, / No1ah Signature of officer administering Printed name of officer administering Title of officer adflinistering oath Forms p rovided b' y Texas EthiCS commisson Vers1on Vl..31

3 SUBTOTALS C/OH FORM C/OH COVER SHEET PG 3 3 of 7 18 FLER NAME 19 Filer Johnson, Joe. "Jody" 2 SCHEULE SUBTOTALS NAME SCHEULE SUBTOTAL AMOUNT 1. SCHEULE Al: MONETARY POLTCAL CONTRBUTONS $ SCHEULE A2: NONMONETARY (NKN) POLTCAL CONTRBUTONS $ 3, SCHEULE B: PLEGE CONTRBUTONS $ 4. SCHEULE E: LOANS $ 5. SCHEULE F1: POLTCAL EXPENTURES FROM POLTCAL CONTRBUTONS $ 11, SCHEULE F2: UNPA NCURRE OBLGATONS $ 7. SCHEULE F3: PURCHASE NVESTMENTS FROM POLTCAL CONTRBUTONS $ 8. SCHEULE F4: EXPENTURES MAE BY CRET CAR $ 9. SCHEULE G: POLTCAL EXPENTURES FROM PERSONAL FUNS $ 1. SCHEULE H: PAYMENT FROM POLTCAL CONTRBUTONS TO A BUSNESS C/OH $ 11. SCHEULE 1: NONPOLTCAL EXPENTURES FROM POLTCAL CONTRBUTONS $ 12. SCHEULE K: NTEREST, CRETS, GANS, REFUNS, AN CONTRBUTONS RETURNE $ TO FLER rn.:. r r r"..,> r1 c.:::.l '..... c:: j. cr. = zr,....; c._ :::r.; :::::J r J: ""Tj... «'" 2 rr r Cil " : :; (,r :;:i ::;:: "', '" ::;jc.) &C )> ;o N N < Forms p rovtded b\ y Texas EthiCS CommiSSOn Vers1on Vl..31

4 MONETARY POLTCAL CONTRBUTONS SCHEULE Al The nstruction Guide explains how to complete this form. 1 Total pages Schedule Al: Sch: 1/1 Rpt: 4/7 2 FLER NAME 3 Filer Johnson, Joe. "Jody" 4 2/23/216 5 Full name of contributor Harlin, Trey outofstate PAC (#: 'l 7 Amount of Contribution ($) $ Boat Club Rd. Fort Worth, TX Principal occupation Job title (See nstructions) 9 Employer (See nstructions) Full name of contributor outofstate PAC (#: 'l Amount of Contribution ($) 2/23/216 Leonard, Martha $ Shady Oaks Lane Fort Worth, TX 7617 Principal occupation Job title (See nstructions) Employer (See nstructions) 2/23/216 Full name of contributor Murrin Jr., Steven outofstate PAC (#: 'l Amount of Contribution ($) $25. 5 N.E. 23rd Street Fort Worth, TX Principal occupation Job title (See nstructions) Employer (See nstructions) en r r. : = (...:1 ' ;r : orq l " {.r:) ::,:,; ::t:: c;,'., '(./) <:::!"' J::J :.,., c_ :J,; c:: :: :_), :t:.....,.,!.. u......;:: J '"ol=.... J N..,_ ;o N Forms provided by Texas Etn1cs Comm1ss1on Version V1..31

5 NONMONETARY (NKN) POLTCAL CONTRBUTONS SCHEULE A2 The nstruction Guide explains how to complete this form. 2 FLER NAME 3 Filer 4 Johnson, Joe. "Jody" TOTAL UNTEMZE NKN POLTCAL CONTRBUTONS $ 5 6 Full name of contributor 3/1/216 Arizola, Angie (Mrs.) Jacksboro Hwy. Lake Worth, TX Total pages Schedule A2: Sch: 1/1 Rpt: 5/7 outofstate PAC {#: )l 8 Amount of : 9 nkind contribution contribution ($) 1 description $1, Food for Watch Party Check if travel outside of Texas. Complete Schedule T. 1 Principal occupation Job title (FOR NONJUCAL) (See instructions) 11 Employer (FOR NONJUCAL) (See instructions) 12 Contributor"s principal occupation (FOR JUCAL) 13 Contributor"s job title (FOR JUCAL) (See instructions) 14 Contributor's employer/law firm (FOR JUCAL) 15 Law firm of contributor's spouse (if any) (FOR JUCAL) 16 f contributor is a child. law firm of parent(s) (if any) (FOR JUCAL) 3/11216 Full name of contributor outofstate PAC {#:!l Amount of : nkind contribution contribution ($) Carr, Richard (Mr.) 1 description $81. 1 Beverages for Watch :Party 869 Crosswind Fort Worth, TX Principal occupation Job title (FOR NONJUCAL) (See instructions) Check if travel outside of Texas. Complete Schedule T. Employer (FOR NONJUCAL) (See instructions) Contributor's principal occupation (FOR JUCAL) Contributor"s job title (FOR JUCAL) (See instructions) Contributor's employer/law firm (FOR JUCAL) Law firm of contributor's spouse (if any) (FOR JUCAL) f contributor is a child, law firm of parent(s) (if any) (FOR JUCAL) r = 2/29/216 Full name of contributor Connor, Richard (Mr.) 11 Summit Ave., Ste 83 Fort Worth, TX 7612 Principal occupation 1 Job title (FOR NONJUCAL) (See instructions) outofstate PAC (1#.: )) Amount of \ : l!<ftlp coutio:j contribution (S\) 1 d!}sptiof1 :>.,. 1 $1, /4 page: ad ia.the FW;:::: 1 1 Business Prees.' l : C""") r q \1 ': o : = \1 ' :X, '1 :. :,,J Check if travel utside otn. carlijilete Scl\ell'le T. Employer (FOR NONJUCAL) (See i structi N N Contributor's principal occupation (FOR JUCAL) Contributor's job title (FOR JUCAL) (See instructions) Contributor's employer/law firm (FOR JUCAL) Law firm of contributor's spouse (if any) (FOR JUCAL) f contributor is a child, law firm of parent(s) (if any) (FOR JUCAL) Forms provided by Texas Eth1cs Comm1ss1on Vers1on Vl..31

6 POLTCAL EXPENTURES FROM POLTCAL CONTRBUTONS SCHEULE Fl EXPENTURE CATEGORES FOR BOX 8(a) Advertising Expense Event Expense Loan RepaymentJReimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel in istrict Contributions/ onations Made By GifVAwards/Memorials Expense Printing Expense Travel Out of istrict Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor OTHER (enter a category not listed above) Credit Card Payment The nstruction Guide explains how to complete this form. 1 Total pages Schedule Fl: 2 FLER NAME 3 Filer Sch: 1/2 Rpt: 6/7 4 5 Payee name 3/24/216 Best Buy Johnson, Joe. "Jody'' 6 Amount($) 7 Payee address; City; State: Zip Code $ Quebec St. Fort Worth, TX PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) escription Office Overhead/Rental Expense Check if travel outside of Texas. Complete Schedule T. EXPENTURE Check if Austin, TX, officeholder living expense Computer Supplies 9 Complete QtiLY if direct Candidate/Officeholder name Office sought Office held Payee name 2/29/216 Locke Supply Co. Amount($) Payee address; City; State: Zip Code $ Camp Bowie West Blvd Benbrook, TX PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) escription Advertising Expense Check if travel outside of Texas. Complete Schedule T. EXPENTURE Check if Austin, TX, officeholdeving expgnse..._, = Cable Ties for CampaigSign ;, );; :;) < c ::::::.J Complete QtiLY if direct Candidate/Officeholder name Office sought....,\>1"1 Offi1e held.. d. \ + r ' ::. : Payee name \ v rc.... 2/26/216 The Eppstein Group ::\:.n. Amount($) Payee address; City; State; Zip Code N '" $11, nternational Plaza Ste. 6 Fort Worth, TX 7619 c:;r. C) N :: PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) escription Advertising Expense Cl1eck if travel outside of Texas. Complete Schedule T. EXPENTURE Check if Austin, TX, officeholder living expense Print & Postage of Campaign Mailer Complete QtiLY if direct Candidate/Officeholder name Office sought Office held Forms p rov1ded oy Texas EthiCS Commission Vers1on Vl..31

7 POLTCAL EXPENTURES FROM POLTCAL CONTRBUTONS SCHEULE Fl Advertising Expense Accounting/Banking Consulting Expense Contributions/ onations Made By Candidate/Officeholder/Political Committee Credit Card Payment Total pages Schedule Fl: 2 Sch: 2/2 Rpt: 7/7 EXPENTURE CATEGORES FOR BOX 8(a) Event Expense Fees Food/Beverage Expense GifUAwards/Memorials Expense Legal Services FLER NAME Johnson, Joe. "Jody" 5 Payee name 2/24/216 USPS Loan RepaymenUReimbursement Office Overhead/Rental Expense Polling Expense Printing Expense Salaries/Wages/Contract Labor The nstruction Guide explains how to complete this form. Amount($) 7 Payee address; City; State; Zip Code $ Telephone Rd. Solicitation/Fundraising Expense Transportation Equipment & Related Expense Travel in istrict Travel Out of tstrict OTHER (enter a category not listed above) 13 Filer Fort Worth, TX PURPOSE (a) Category (See Categories listed at the top of this schedule) Event Expense EXPENTURE (b) escription Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense Postage 9 Complete.QNLY if direct Candidate/Officeholder name Office sought Office held 5/24/216 Payee name USPS Amount($) Payee address; City; State; Zip Code $ Telephone Rd. Fort Worth, TX PURPOSE EXPENTURE (a) Category (See categories listed at the top of this schedule) Office Overhead/Rental Expense (b) escription Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense Post Office Box Rental Renewal/Yearly Complete.QNLY if direct Candidate/Officeholder name Office sought Office held C.J \,., :;: ::: ::: }">..,.., :z r '.,,._ f c::rn Forms provided by Texas Ethtcs CommiSSOn N N Verston Vl..31