1 Filer ID 2 Total pages filed: NAME DateRe~ed :!'--.:> f:-:-j -. -"-
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- Gerard Austin
- 5 years ago
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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: 11 3 CANATE MS/MRS/MR FRST Ml FCE USE ONLY FCEHOLER Roy NAME atereed :!'.:> f::j. "...,.,.... c_ NCKNAME LAST SUFFX :::z'"".,.:,_,.,. Brooks :?::;.. i CANATE/ ARESS PO BOX; APT SUTE #; CTY; ZP COE ate HrndHeliveled_ or ate l'l>!amarketl{ 1 FCEHOLER _r :::a,_.._ MALNG Rece11 #..n rmdiint ARESS ;:::cl) :::.::: ::.. Change of Address ate rocessect_") N ;:;JJ.;:;; ate maged... ) ;. ' 5 CAMPAGN MS/MRS/MR FRST Ml TREASURER NAME Hs. Norma... NCKNAME LAST SUFFX Roby 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 0 January 15 30th day before election Runoff July 15 8th day before election Exceeded 500 limit 15th day after campaign treasurer appointment (officeholder only) Final Report (Attach COHFR) 9 PERO Month ay Year Month ay Year COVERE 10/30/2016 THROUGH 12/31/ ELECTON ELECTON ATE ELECTON TYPE Month ay Year Primary ORunoff 00ther OGeneral ospecial 11 FCE FCE HEL (if any) 12 FCE SOUGHT (if known) Commissioner, Precinct 1 Place Precinct 1 istrict Precinct 1 GOTOPAGE2 Forms provided by Texas Ethics Comm1ss1on
2 CANATE FCEHOLER REPORT: SUPPORT & TOTALS COVER SHEET PG 2 13 C/OH NAME 14 Filer FORM C/OH 2of11 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 GENERAL COMMTTEE ARESS J""1, t.:...,._, l!, SPECFC : COMMTTEE CAMPAGN TREASURER NAME COMMTTEE CAMPAGN TREASURER ARESS (...._ ', '.. ' ' ''!. (! (, ;: : ; "J.T'"' _.Ji:.,. (i _)r..,;.. :_1 N... :u 16 CONTRBUTON 1. TOTAL POLTCAL CONTRBUTONS 50 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 100 OR LESS, UNLESS TEMZE TOTALS BALANCE 4. TOTAL POLTCAL EXPENTURES CONTRBUTON 5. TOTAL POLTCAL CONTRBUTONS MANTANE AS THE LAST AY THE REPORTNG PERO OUTSTANNG 6. TOTAL PRNCPAL AMOUNT ALL OUTSTANNG LOANS AS THE LAST AY LOAN TOTALS THE REPORTNG PERO , , , , AFFAAVT s i". LEON POLK. ''!l Oolobtr 24,2018 "' l;, }* MY COMMSSON EXPRES 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. rjuc. SignaTure of Candidate or Officeholder AFFX NOTARY STAMP SEAL ABOVE SwoJ to and subscribed before me, by the said KC'{ C, OK<!>t:: <;, this the? 7ti day of, f\h, 20 \ \, to certify which, witness my hand and seal of office. / ) /.,./ l'flu>l\. k /\10 {Ju.,'5//c ture ol officer administering Printed name of officer administering Title of officer ifj]ministering oath Forms p rov1aed b' y Texas Ethics Comm1ss1on
3 SUBTOTALS C/OH FORM C/OH COVER SHEET PG 3 3of11 18 FLER NAME 19 Filer 20 SCHEULE SUBTOTALS NAME SCHEULE SUBTOTAL AMOUNT 1. 0 SCHEULE Al: MONETARY POLTCAL CONTRBUTONS 7, SCHEULE A2: NONMONETARY (NKN) POLTCAL CONTRBUTONS 3. SCHEULE B: PLEGE CONTRBUTONS 4. SCHEULE E: LOANS 5. 0 SCHEULE Fl: POLTCAL EXPENTURES FROM POLTCAL CONTRBUTONS 10, SCHEULE F2: UNPA NCURRE OBLGATONS SCHEULE F3: PURCHASE NVESTMENTS FROM POLTCAL CONTRBUTONS SCHEULE F4: EXPENTURES MAE BY CRET CAR SCHEULE G: POLTCAL EXPENTURES FROM PERSONAL FUNS SCHEULE H: PAYMENT FROM POLTCAL CONTRBUTONS TO A BUSNESS C/OH SCHEULE : NONPOLTCAL EXPENTURES FROM POLTCAL CONTRBUTONS SCHEULE K: NTEREST, CRETS, GANS, REFUNS, AN CONTRBUTONS RETURNE TO FLER t"..._") ', '.. J (_..._ : ";..... c.. _'' i J f! "11. UJ i ' ; :.. 1 C) N ::.v CJ ' j ' ).. Forms provided by Texas Ethics Comm1ss1on
4 MONETARY POLTCAL CONTRBUTONS 1: ' l 1. C.. ', '' "j"'r'!'' ' l, ',.:. ',./ SCHEULE Al The nstruction Guide explains how to comlilbie..w& tciimam l : 25 2 FLER NAME _;.i,: 4 ate 5 Full name of contributor outoffw P=#:_ 11/15/2016 Breedlove, Joseph (Mr.) '!.Li:'S 3 Filer :..,.,.,Tt)Q ' ;,\... 6 Contributor address; City; State; Zip Code 1900 Ballpark Way 1 Total pages Schedule Al: Sch: 1/2 Rpt: 4/11 ) 7 Amount of Contribution () 2, Arlington, TX Principal occupation Job title (See nstructions) 9 Employer (See nstructions) ConReal ate Full name of contributor outofstate PAC (#: \ Amount of Contribution () 12/07/2016 Campbell, Michael (Mr.) Contributor address; City; State; Zip Code 5932 Village Course Circle Apt. 925 Fort Worth, TX Principal occupation Job title (See nstructions) Employer (See nstructions) ate Full name of contributor 0 outofstate PAC (#: ) Amount of Contribution () 11/02/2016 avis, Pamela (Ms.) Contributor address; City; State; Zip Code 3229 Oak Timber rive Fort Worth, TX Principal occupation Job title (See nstructions) Employer (See nstructions) ate Full name of contributor outofstate PAC (#: ) Amount of Contribution () 11/22/2016 Gary, Prentice (Mr.) 2, Contributor address; City; State; Zip Code 5485 Beltline Road #300 allas, TX Principal occupation Job title (See nstructions) Housing eveloper Employer (See nstructions) Carleton evelopment ate Full name of contributor outofstate PAC (#: ) Amount of Contribution () 11/28/2016 Shoukry, Nadeem (Mr.) c: ; i b'i;cici;; c:;iy 5it; 2;;;.. cci... 2, P.O. Box allas, TX Principal occupation Job title (See nstructions) Attorney at Law Employer (See nstructions) Forms provided by Texas Ethics Comm1ss1on
5 MONETARY POLTCAL CONTRBUTONS ) r,,._\,,_:_ \ \ :, The nstruction Guide explains how to \?1r ftys 'Y : Total pages Schedule Al: Sch: 2/2 Rpt: 5/11 SCHEULE Al 2 FLER NAME 4 ate 11/03/ Full name of contributor outofstate PAC (#:. ) Willis, Libby & oyle, : 5 ct;i bt ;;;;;; c:;;y; 5ii: Z;p c;;:;d Filer 7 Amount of Contribution () Primrose Avenue Fort Worth, TX s Principal occupation Job title (See nstructions) 9 Employer (See nstructions) Forms provided by Texas Ethics Commission
6 POLTCAL EXPENTURES FROM POLTCAL CONTRBUTONS : Li":T '. ',. EXPENTURE cat:'gortes f:or BOX S(a) SCHEULE,..,...,, ; j ';)Olcve='rfnjalQnse Transportation Equipment & Related Expense Advertising Expense Event Expense Loan RepaymenUReimbursement Solicitation/Fundraising Expense Accounttng/Banktng Fees Consulting Expense Food/Beverage Expense c... L, i '""' t'p i Ex l:!.,,) Travel m istrict Contributions/ onations Made By Gift/Awards/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) The nstruction Guide explains how to cop.(usr.1'01'9'1 1 Total pages Schedule Fl: 2 FLER NAME 3 Filer Sch: 1/6 Rpt: 6/11...,, 4 ate /2016 Brighter Outlook, nc. 6 Amount() 7 Payee address; City; State; Zip Code unbar Fl Fort Worth, TX PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) escription Contributions/onations Made By 0 Check if travel outside of Texas. Complete Schedule T. EXPENTURE Candidate/Officeholder/Politicc. Committee Check if Austin, TX, officeholder living expense 7th Annual Gospel Breakfast 9 Complete QNl..Y if direct Candidate/Officeholder name Office sought Office held ate 11/29/2016 ChickfilA Amount() Payee address; City; State; Zip Code Cityview FSU Fort Worth, TX PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) escription Contributions/onations Made By Check if travel outside of Texas. Complete Schedule T. EXPENTURE Candidate/Officeholder/Political Committee 0 Check if Austin, TX, officeholder living expense YMLA AB Honor Roll Breakfast Complete ONLY if direct Candidate/Officeholder name Office sought Office held ate 12/21/2016 Cousins BBQ Amount() Payee address; City; State; Zip Code S. Crowley, Suite 1 Crowley, TX PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) escription Event Expense Check if travel outside of Texas. Complete Schedule T. EXPENTURE 0 Check if Austin, TX, officeholder living expense Food for Maintenance Facility Annual Event Full Staff Complete 00!..Y if direct Candidate/Officeholder name Office sought Office held Forms prov1aea by Texas Ethics Comm1ss1on t x. us
7 POLTCAL EXPEN11Y FROM POLTCAL CONTRBUTONS.., :..,:. ' < i '. f ' 1 ; ' SCHEULE Fl '7'"' ; 7 L ; FiiplE CATEGORES FOR BOX S(a) l ;_, \of,' d Advertising Expense /Eve ' *P ris J Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense Consulting Expense.., Food/Bev.eage Expense Polling Expense Travel in istrict Contributions/ onations Made By GllilAwArtt Memorials Expense Printing Expense Travel Out of istrict Candidate/Officeholder/PoliticalCommittee, Leg_al sj\ T :' : Salaries/Wages/Contract Labor OTHER (enter a category not listed above) The nstruction Guide explains how to complete this form. 1 Total pages Schedule Fl: i :FUiR.NAME. 3 Filer... Sch: 2/6 Rpt: 7/11 4 ate 5 11/07/2016 unn, Beverly (Ms.) 6 Amount() 7 Payee address; City; State; Zip Code 1, E. Maddox Fort Worth, TX PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) escription Event Expense Check if travel outside of Texas. Complete Schedule T. EXPENTURE Check if Austin, TX, officeholder living expense Catering Election Night 9 Complete 00!.Y if direct Candidate/Officeholder name Office sought Office held ate 10/31/2016 Fort worth Assembly Amount() Payee address; City; State; Zip Code P.O. Box Fort Worth, TX PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) escription Contributions/onations Made By Check if travel outside of Texas. Complete Schedule T. EXPENTURE Candidate/Officeholder/Political Committee Check if Austin, TX, officeholder living expense 75th Legacy Celebration Complete 00!.Y if direct Candidate/Officeholder name Office sought Office held ate 12/01/2016 Go addy Amount() Payee address; City; State; Zip Code North Hayden Road Suite 219 Scottsdale, AZ PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) escription Website Check if travel outside of Texas. Complete Schedule T. EXPENTURE Check if Austin, TX, officeholder living expense Website Renewal Costs Complete 00!.Y if direct Candidate/Officeholder name Office sought Office held Forms provided by Texas Etn1cs Commission
8 POLTCAL EXPENTURES FROM POLTCAL CONTRBUTlS: S. t ' l 1 \ ' ' f!,_ SCHEULE Fl i: fl J..'.J! 7 j1jj 11: PENTURE CATEGORES FOR BOX 8(a) Advertising Expense Evenlt.xpense Loan Repayment/Re1mbursement Accounting/Banking Fees Office Overhead/Rental Expense Consulting Expense ::, Food/Beverage Expense Polling Expense Contributions/ onaons Made By ', ' :::, illi,i\\\li'rds/memorials Expense Printing Expense Candidate/Offic.ehald.e[!Politicaj Committee.,,l:i1gbl rvices Salanes/Wages/Contract Labor The nstruction Guide explains how to complete this form. Total pages ScheduleF 2. F11.E Sch: 3/6 Rpt: 8/11 ate 5 12/06/2016 Jason's eli Amount() 7 Payee address; City; State; Zip Code Overton Ridge Blvd. Solicitation/Fundraising Expense Transportation Equipment & Related Expense Travel in istrict Travel Out of istrict OTHER (enter a category not listed above) 3 Filer Fort Worth, TX PURPOSE (a) Category (See categories listed at the top of this schedule) EXPENTURE Food/Beverage Expense (b) escription 0 Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense Planning Session Maintenance Facility Executive Team 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held ate 12116/2016 MLK Holiday Committee Amount() Payee address; City; State; Zip Code P.O. Box 3328 Fort Worth, TX PURPOSE EXPENTURE (a) Category (See categories listed at the top of this schedule) Fees (b) escription O Check if travel outside of Texas. Complete Schedule T. 0 Check if Austin, TX, officeholder living expense Registration Fee 32nd Annual March/Parade Complete 00!.Y if direct Candidate/Officeholder name Office sought Office held ate 12/21/2016 Amount() PURPOSE EXPENTURE Office epot Payee address; 4613 Hulen Street Suite B City; Fort Worth, TX State; Zip Code (a) Category (See categories listed at the top of this schedule) Office Supplies (b) escription 0 Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense Office Supplies Complete ONLY if direct Candidate/Officeholder name Office sought Office held Forms providea oy exas Ethrcs Comm1ss1on
9 POLTCAL EXPENQES FROM POLTCAL CONTRBUTON Si/, i 'T {. 1 J. '" L ' t,, 1 < H1 /!Jx&1TURE CATEGORES FOR eox sea> SCHEULE Fl Advertising Expense Event Expense Loan RepaymenUReimbursement Solicitation/Fundraising Expense Accounting/Banking Fes Office Overhead/Rental Expense Transportation Equipment & Related Expense Consulting Expense " _ _/Beverage Expense Polling Expense Travel in istrict Contributionsl nat1ons Mad By.., _. qtmorials Expense Printing Expense Travel Out of istrict Candidate/Off1ceholder/Political Committee re as e e Salaries/Wages/Contract Labor OTHER (enter a category not listed above) r_:_ 'f. The nstruction Guide explains how to complete this form. 1 Total pages Schedule Fl: 2 FiLEf'fNAllifF 3 Filer Sch: 4/6 Rpt: 9/11 4 ate 5 11/02/2016 Raising the Standards Foundation 6 Amount() 7 Payee address; City; State; Zip Code 1, P.O. Box Fort Worth, TX PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) escription Contributions/onations Made By Check if travel outside of Texas. Complete Schedule T. EXPENTURE Candidate/Officeholder/Political Committee Check if Austin, TX, officeholder living expense Contribution for Raising the Standard Foundation 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held ate 11/03/2016 Sams Club Amount() Payee address; City; State; Zip Code Bryant rvin Road Fort Worth, TX PURPOSE (a) Category (See Categories hsted at the top of this schedule) (b) escription Food/Beverage Expense Check if travel outside of Texas. Complete Schedule T. EXPENTURE Check if Austin. TX, officeholder living expense Food for United Way Event Complete 00!..Y if direct Candidate/Officeholder name Office sought Office held ate 12/05/2016 Sams Club Amount() Payee address; City; State; Zip Code Bryant rvin Road Fort Worth, TX PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) escription EXPENTURE Event Expense Check if travel outside of Texas. Complete Schedule T. Check 1f Austin, TX, officeholder living expense Ronald Mconald House Community Outreach Food Complete 00!..Y if direct Candidate/Officeholder name Office sought Office held Forms provided oy Texas Etn1cs Comm1ss1on
10 POLTCAL EXPENTURES FROM POLTCAL CONTRBUTONS SCHEULE Fl EXPENTURE CATEGORES FOR BOX B(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel in istnct Contributions/ onations Made By Gift/Awards/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) The nstruction Guide explains how to complete this form. 1 Total pages Schedule Fl: 2 FLER NAME 3 Filer Sch: 5/6 Rpt: 10/11 rn ' ate 5 _: ] 4 *.,.. i " 12/20/2016 Sams Club! l (" ". 6 Amount() 7 Payee address; City; State; Zip Code '"...:1..: ; : "" Bryant rvin Road. J! r Fort Worth, TX PURPOSE (a) Category (See Categories hsted at the top of this schedule) (b) EXPENTURE ; :,t:.. f.,,/ r: "'""'" " s:.. Event Expense Check 1f travel outside of Tex. ComplSchedul Check 11 Austin, TX, officehold r living expense Food and Punch for 2nd Grade Class ( ":,_:_ r 9 Complete 00!..Y if direct Candidate/Officeholder name Office sought Office held ate 12/16/2016 Smokey's BBQ Amount() Payee address; City; State; Zip Code 1, E. Lancaster Fort Worth, TX PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) escription Event Expense Check if travel outside of Texas. Complete Schedule T. EXPENTURE Check if Austin. TX, officeholder living expense Precinct One Maintenance facility Christmas Event (Full Staff) Complete 00!..Y if direct Candidate/Officeholder name Office sought Office held ate 11/07/2016 TCTCPA Amount() Payee address; City; State; Zip Code Lake Worth Blvd. Fort Worth, TX PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) escription EXPENTURE Contributions/onations Made By Check if travel outside of Texas. Complete Schedule T. Candidate/Officeholder/Political Committee Check if Austin, TX, officeholder living expense Post Up for Unity Complete QN1.Y if direct Candidate/Officeholder name Office sought Office held Forms provided by Texas Ethics Comm1ss1on Version Vl
11 POLTCAL EXPENTURES FROM POLTCAL CONTRBUTONS SCHEULE Fl Advertising Expense Accounting/Banking Consulting Expense Contributions/ onations Made By Candidate/Officeholder/Political Committee Total pages Schedule Fl: 2 FLER NAME Sch: 6/6 Rpt: 11/11 ate 5 11/02/2016 Wal mart EXPENTURE CATEGORES FOR BOX 8(a) Event Expense Fees Food/Beverage Expense Gift/Awards/Memorials Expense Legal Services Loan Repayment/Reimbursement Office OverheadfRental 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 FM1187 Solicitation/Fundraising Expense Transportation Equipment & Related Expense Travel in istrict Travel Out of istrict OTHER (enter a category nol ltsted above) 3 Filer Crowley, TX PURPOSE (a) Category (See categories listed at the top of this schedule) (b) escription EXPENTURE Event Expense Check if travel outside of Texas. Complete Schedule T. 0 Check if Austm, TX, officeholder living expense ecor and Fruit for United Way Event 9 Complete 00!...'l if direct Candidate/Officeholder name Office sought Office held ; '., ; (..J \;J ;:J,. ).:......J.,; ' i 2::: _;., N U Forms provided by Texas Ethics Comm1ss1on
r - 4 CANDIDATE/ ADDRESS I PO BOX; APT I SUITE#; CITY; ZIP CODE Date '~nd deliv~&d ~r Date~mark~_.,: OFFICEHOLDER ~- ~ - :::z.
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