,., :::v. = :;:::f " February 24, Ms. Pamela Flow Tarrant County Election Office 2700 Premier Street Fort Worth, Texas 76111

Transcription

1 February 24, 214 Ms Pamela Flow Tarrant County Electon Offce 27 Premer Street Fort Worth, Texas Re: Campagn Fnance Report for 8 day report Canddate for Justce of the Peace, Precnct 7 Dear Ms Flow: Enclosed s the subject consstng of 6 pages and ncludng the followng: JC/OH page 1-2 Schedule A( J) 1 Schedule F 1-2 Schedule G 1 f you have any questons, please do not hestate contactng me Sncerely, Tom Corbn PO Box 237 Mansfeld, Texas 7663 Tele : ! :: -< ~ ~ rn r- 1"11 - ~- ~t Vl - c; ~ :::;:, -~r )jtj ::r;: 2 ~":> = :;:::f -J7:~--- c-"",, :::v f"l1 ;1J Oj >"TJ N r:: ~r, -- - " - (J1!""-)

2 Texas Ethcs Commsson PO Box127 Austn Texas (512) (TOO ) l JUDCAL CANDDATE FCEHOLDER FORMJC/OH CAMPAGN FNANCE REPORT CovER SHEET PG 1 1 ACCOUNT# 2 Total pages fled: The JC/OH lnstructlon Gude explans how to complete ths form (Ehlca Commlaalon Flers) 3 CANDDATE MS/MRS/MR FRST Ml NAME FCEHOLDER /Jtrt ~4q{eu -:-/ Zc:>r~t #1/ NCKNAME -loyt/{ ~A>:/ &:> FCE USE ONLY,,, ~te~ = -! : J"T,,_ "! SUFFX (} - -\ "T1 -(/) ::P Cl-: ft1 "" > :::~: p j co J \,/) - &"" =: - 4 CANDDATE ADDRESS /PO BOX; APT/SUTE! ; CTY: STATE; ZP CODE N " FCEHOLDER MALNG ADDRESS change of address Data Han~~~lmar1<l(d 1::) ---- ( - ~ - ~ ~ecelpl tl r~-, 5 CANDDATE/ ~ F CEHOL:DER D te Proo, l PHONE 6 CAMPAGN MS/MRS/MR FRST Ml Dele maged TREASURER /lt/l ~h41f/p; NAME ~~-f NCKNAME /orl, ~/?-~ SUFFX 7 CAMPAGN STREET ADDRESS (NO PO BOX PLEASE); APT SUTE#; CTY: STATE; ZP CODE TREASURER ADDRESS (resdence or busness) 8 CAMPAGN TREASURER PHONE 9 REPORT TYPE O January 15 D 3th day before eecuon O Runoff 15th day after campagn July 15 " "~\ treasurer appontment (olllceholderoay) ~ 8th day before electon D Exceeded $5 Fnal report (AtlaQh C/OH FR) lmt 1 PEROD Monlh Cay Year Monlh Cay Year COVERED THROUGH - 6// 2/-{ /26 ( f 11 ELECTON ELECTON DATE ELECTON TYPE o 2-/ z Z-/2 () 1r Month Cay Year l81prtmary OR~mt Genn ospeclal k?j/o f/2olf 12 FCE FCE HELD (lfany) ~CESOUGHT (lfknown) ~ r -f- 7 /\lo#e GOTOPAGE2 -f, -~-~ E"4" "t a o -f"r- r /4::Ztz4-r--~--"7 wwwethcsstatetxus Revsed 9/28/211

3 Texas Ethcs Commsson PO Box 127 Austn, Texas (512) (TOO ) JUDCAL CANDDATE FCEHOLDER REPORT: SUPPORT & TOTALS 14 C/OHNAME 16 NOTCE FROM POLTCAL COMMlTEE(S) C-w-,/ FORMJC/OH COVER SHEET PG 2 15 ACCOUNT # (Ethcs Commsson Flers) THS BOX S FOR NOTCE POLTCAL COHTRB1l1NS ACCEPTED OR POLTCAL EXPENDTURES MADE BY POUTCAL COMMmEES TO SUPORT THE CANDDATE/ FCEHOLDER THE$E EXENOTURES MAY HAVE BEEN MADE WTHOUT THE CANDDA1E~ HO~W~E OR CONSENT CANDDATES AHD OfFCEHOLDERS ARE REQURED TO REPORT THS NfORMAlON OHLY F THEY~ ~E ~fellll!l:lures D GENERAL COMMTTEE ADDRESS D SPECFC COMMTTEE CAMPAGN TREASURER NAME _," addtonal pages COMMTTEE CAMPAGN TREASURER ADDRESS 17 CONTRBUTON TOTALS 1 TOTAL POLTCAL CONTRBUTONS $5 OR LESS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES LOANS), UNLESS TEMZED $ 2 TOTAL POLTCAL CONTRBUTONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES LOANS) $ ~ z ot,p L expenoture l t-$----/_-o-:8;::;---l TOTALS 3 TOTAL POLTCAL EXPENDTURES $1 OR LESS, UNLESS TEMZED up _ 4 TOTAL POLTCAL EXPENDTURES $ ~ slt-f~ CONTRBUTON BALANCE 5 TOTAL POLTCAL CONTRBUTONS MANTANED AS THE LAST DAY THE REPORTNG PEROD OUTSTANDNG LOAN TOTALS 6 TOTAL PRNCPAL AMOUNT All OUTSTANDNG LOANS AS THE LAST DAY THE REPORTNG PEROD $ -- D- 18 AFFDAVT 1 swear, or affrm, under penalty of perjury, that the accompanyng report s tn,je and correct and ncludes all nformaton requred to be reported by me under Tltl, ectlon C AFFX NOTARY STAMP SEAL ABOVE Sworn to and subscrbed before me, by the sad t_:~!j2~ Cc>-::ldkeJ, ths the a_lj_~!:_- day of ehj:~- 2 j_t/ to certfy whch, wtness my hand and seal of offce ~;aq:~~~~~~~~~~-==~~~~~- " wwwethcsstatetxus Revsed 9/28/211

4 Texas Ethcs Commsson PO Box 127 Austn Texas (512) " (TOO ) POLTCAL CONTRBUTONS OTHER THAN PLEDGES OR LOANS (JUDCAL) SCHEDULE A (J) 1 Total /e::jhee A(J): The nstructon Gude explans how to complete ths form 2 FnE /h a/3-,/ Af2-te--s Jl1t 4\1 3 ACCOUNT tj {Ethcs Commsson Flers) 4 5 Full name of contrbutor [put--of atate PAC (11; ) 7 Amount of 8 n-knd contrbuton ljz1jjdtf _-~A~~-/) L: : ~~ ~ r contrbuton ($) descrlpton{lfappllcable) ;f 6 Contrbutor address: Cty; State: Zp Code loa Z c os h1>ou6,-~~-?:;ea:( /J14wrlee~~y= tdt: > r _(t travel outsde of Texas, complete Schedule T) 9 Contr~*~l occupaton 1 Contrbutols job ttle e <le>e/ 11 Contrbutols 7:1oyerllaw frm f?e :, "" 13 f contrbutor s a chlld,law frm of parent( a) (f any) 12 Law frm of contrbutols spouse (f any) -::JoAtv A L:JrzA-~t- Full name of contrbutor (J,ut-ot-state PAC (11 : ) Amount of n-knd contrbuton contrbuton ($) descrpton(lf applcable) zjrj"ktr Contrbutors prncpal occupaton Contrbutor address: Cty; State; Zp Code SL~+ H-e-( \, l\ >--f /o o ~r Vv6nl-t ~ 7C:tfD Contrbutors job ttle S Yttv-f, ol- OCJ«e~ Contrbutors employ~rllaw frm 6r<:4-Jf-~rJt:;Vf> P" /t J-54-t~ n f contrbutor s a chld, law frm of parent(l) (f any) Law frm of contrbutols spouse (f any) {f travel outsde of Texas, complete Schedule T) Full name of contrbutor (Jaut-of state PAC Olllt \ Amount of n-knd contrbuton contrbuton ($) descrpton(lf applcable) zjter~-( [AArt {PJ /}tantr(e- o o Contrbutor address; Cty; State; Zp Code 59 f /C>?Jt/ 6 Ne urrf~-7te---tjo 1 7ld /}t rnv,(-e ( t:a 7CoC] Contr~ prncpal occupaton _ell- \ :"r~fr- ContrbUtors employer/law frm t!) ~;v l/e,, ""r- {f travel outsde of Texas, complete Schedule T) ~butolsjobtltle W" /c:?-"\ Law frm of contrlbutols spouse (f any) f contrbutor s a chld, law frm of parent(s) (f any) -< r- ") r<1 c -= :::-1 - -{/" - "T) ;u -,,, :CJ ;;:;:_:-N (J)~l, OJ ;:- r" N ~:::-, --~- 1, ; ;:: r "11 - d ATTACH ADDTONAL COPES THS SCHEDULE AS NEEDED )o!,---- f contrbutor a out-of-state PAC, please see nstructon gude for addtonal reportng rect;r~~men:t -,_-, ~! CJ1 ~ : r-v 1 wwwethcsstat e txus Revsed 9/28/211

5 Texas Ethcs Commsson PO Box127 Austn, Texas (512) (TOO ) POLTCAL EXPENDTURES ~HEDULEF r- r-:1 M :::_: ::: ("") -,;_lt ~;- ~============================~~:::2t:d Advertsng Expense Accountng/Bankng Consultng Expense Event Expense Fees 1 Total pages Schedule F: 1/J ~ 6 Amo~nt ($) #Joo EXPENDTURE CATEGORES FOR BOX 8(a) <:;?- rr1 :~o GfVAwards/Memorlals Expense Salares/Wages/Contract Labor Loan RepaymenVRelm~,;,ant CO ~:: -rj Legal Servces Sollcltatlon/Fundralsng Expense Transportaton EqulpmeAf& RelattUxpenl; f= Food/Beverage Expense Travel n Dstrct Contrbutons/Donatons :MJ~e By ~ ; ( Pollng Expense Travel Out Of Dstrct Canddate/Offlcehold!r{Polltca~mmtt~ ::=; Prntng Expense, Offce Overhead/Rantal Expense OTHER (enter a catagory,not llstell-ltbove~:= The nstructon Gude explans how to complete ths form ;;; :: : ~-:- :_: : 5 Payeename /") 1-c,J v Payee address~ C> 6 1 v ~ 1 Cty; State; Zp Code o tt-lc Av~ 1 f 1() 2- -qo/,4/l l:rj,,jo 7 ~- ~ a 1 o 8 (a) Category (See categores lsted at the top of ths schedule) (b) Descrpton ( trevel outsde of Texas, complete Schedule T) EXPENDTURE 9 Complete QJ!LY f drect expendture to beneft C/OH A ol v e n-/,:tj f "7<?"4o;o Canddate Offceholder name Offce sought Offce held l!!:h-jt -f Arrkuntl ($) EXPENDTURE Complete QJ!LY f drect expendture to beneft C/OH Payee addre s; Cty; State; Zp Code 1 t:!) 7- r Ca "?t,,_ #/~t-r 6 ~ //-/11-~ f~" /fe 7~o17 Category }lee categdreslsted atlhatop olthla schedule) A dvefl_-a-, _, r Canddate Offceholder name Descrpton (f travel outsde of Texas, complete Schedule T) 11/"/U(t!JJ Z:Sfz6 ADC-AJ-/: t Offce sought Offce held AmounV($) EXPENDTURE Complete Qt:LY f!llrect expendture to beneft C/OH Category (See categores lsted at the top of ths schedule) (/11/Jwf J ( Canddate Offl~older name Descrpton (f travel outsde of Texas, complete Schedule T) Offce sought Offce held 2-jre f-zor rr Amdunt ($) 75~ EXPENDTURE Complete QJ!LY f drect expendture to beneft C/OH Payee address; Cty; State; Zp Code Category (see categores lsted at the top olthla schedule) 11:-ac/~~:- Canddate OfflcehOfder name ATTACH ADDTONAL COPES THS SCHEDULE AS NEEDED Descrpton (f travel outsde of Texas, complete Schedule T)!?~~ Offce SOfght Offce held wwwethlcsstatetxus Revsed 9/28/211

6 Texas Ethcs Commsson PO Box 127 Austn, Texas J512) (TOO ) POLTCAL EXPENDTURES -f - ( :::::! F========================~~==:::2::=~ ~ EXPENDTURE CATEGORES FOR BOX 8(a) ~:-; r OJ ~~= l Advertsng Expense Gft/Awards/Memorals Expense Salares/WageS/Contract labor Loan Repaymen~~m~urs~nt ~:::::; AccounHng/Banklng 1 - Legal Servces Sollcltatlon/Fundralslng Expense Transportaton Eq~Tpment & Related ~e Consultng Expense Food/Beverage Expense Travel n Dstrct Contrlbutlons/Don!llon& Ma:dlbBy :,,, Event Expense Pollng Expense Travel Out Of Dstrct Candldate/Off~lller/PDlllcal Comrn1ftee Fees Prntng Expense, Offce Overhead/Rental Expense OTHER (enter a cl1~ry nrjsted etove) 1 Tot~ages Schedule F: LvyL- The nstructon Gude explans how to complete ths form ; ~: ;~, 2 FLE~E / / _/ ) 13 A COUNtjl (Ethl~mmlsslon Flers) r 174-tt ll", / ~;M~ L o,? /ll 11 6 Amount ($) 1/~l?t 1 :t 7 Payee address; Cty; State; Zp Code ~CJ 1 Sb~ s +ta,c /)1/J#fr::e( d, )C 7/ a 13 8 (a) Category (See categorleallated at the top otthlllchedule) EXPENDTURE 9 Complete QtLY f drect expendture to beneft C/OH ~ ~~f Canddate Offcefolder name (b) Descrpton (f travel out1lde of Taxaa, complete Schedule T) Ac~ ~~"~ r- q Offce sought Offce held Amount ($) Payee address; Cty; State; Zp Code EXPENDTURE Complete QtLY f drect expendture to beneft C/OH Category (See categorleallated at the top of thla achedule) Canddate Offceholder name Descrpton (f travel outsde of Texas, complete Schedule T) Offce sought Offce held Amount ($) Payee address; Cty; State; Zp Code EXPENDTURE Complete QtLY f!llrect expendture to beneft C/OH Category (Seecategorleallated at the top ofthla achedule) Canddate Offceholder name DescrlpHon (f travel outsde oftexea, complete Schedule T) Offce sought Offce held Amount($) Payee address; Cty; State; Zp Code EXPENDTURE Category (See categorleallated at the top ofthla schedule) Descrpton (f travel outsde of Texae, complete Schedule T) Complete QtLY f drect expendture to beneft C/OH Canddate Offceholder name Offce sought Offce held ATTACH ADDTONAL COPES THS SCHEDULE AS NEEDED wwwethlcsstatetxus Revsed 9/28/211

7 Texas Ethcs Commsson RO Box 127 Austn, Texas (512) (TOO ) POLTCAL EXPENDTURES MADE FROM PERSONAL FUNDS SCHEDULE G Advertsng Expense Accountlng/Banklrg Consultng Expense Event Expense Fees ~ EXPENDTURE CATEGO"ES FOR BOX&( a) GlfVAwards/Memorlats Expense Salares/Wages/Contract Labor Loan Repayment/Rembursement Legal Servces Sollcltatlon/Fundralslng Expense Transportaton Equpment & Related Expanse Food/Beverage Expense Travel n Dstrct Contrbutons/Donatons Made By Pollng Expense Travel Out Of Dstrct Candldate/Offlcaholder/Polltlcal Commttee Prntng Expense, Offce Overnaad/Rantal Expense OTHER (enter a category not lsted above) The nstructon Gude explans how to complete ths form 1 Total pages Schedule G: Data J re 6 t,z,- -r!tr fu, -f 112:~~1- D Relmbumment from poltc contrlbuuona ntended 8 EXPENDTURE 5 r--u LJ J l-ojj- Off~ 7 Payee address: Cty: State: Zp Code (a) Category (See categores lsted at the top of ths schedule) AetverJ,"J:Jf A-;r Jce" CO (b) Descrpton (f travel out*lde of Texaa, complee SChedule T) c4rc N Amount ($) 5"1 ~,Jo3 Relmbursemenl from poltlc oontrlbuuona - EXPENDTURE Payee address: Cty: State: Zp Code ~Oo ~utk ~w~ ;h/( -r-mrz/t >C 7 t (/D Category (See categorleallated at the top of thla schedule) Descrpton (f travel outalde of Texas, complete Schedule T) ~ /1-7/)4 ("/ /f1 A- le rz_ r Amount($) Payee address; Cty: State; Zp Code Relmburaement from poltlc contrbuton ntended D EXPENDTURE Category (See categores lsted at the top ofthluchadule) Descrpton (f travel outalde of Texas, complete $chedule T) Amount($) Payee address; Cty; State: Zp Code D Rembursement from poluc oontrlbuuonl lnlended EXPENDTURE Category (See categorleallated at the top of thl schedule) Descrpton (f travel outalde oftexaa, complete Schedule T) ATTACH ADDTONAL COPES THS SCHEDULE AS NEEDED wwwethlcsstatetxus Revsed 9/28/211