Texas Ethics Commission P.O.Box Austin, Texas (512)
|
|
- Delilah Conley
- 5 years ago
- Views:
Transcription
1 CANDIDATE / FORM C/OH CAMPAIGN FINANCE REPORT Cover Sheet pg 1 The C/OH Instrution Guide explains how to omplete this form. 3. CANDIDATE / 1. ACCOUNT # (Ethis Commission filers) MS / MRS / MR FIRST MI Mr William F 2. Total Pages Filed: 5 OFFICE USE ONLY Reeived NICK LAST SUFFIX Billy MaLeod 4. CANDIDATE / MAILING ADDRESS Change of Address Address/PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE 31 Main St. PO Box: 68 Dallas TX Hand-delievered or Postmarked 5. CANDIDATE / PHONE AREA CODE PHONE NUMBER EXTENSION (214) Reeipt # Amount 6. CAMPAIGN 7. CAMPAIGN ADDRESS (Residene or business) 8. CAMPAIGN PHONE MS / MRS / MR FIRST MI Mr Barry W NICK LAST SUFFIX B. W. Boyd Proessed Imaged STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE 149 S. Lamar 654 Dallas TX AREA CODE PHONE NUMBER EXTENSION (469) REPORT TYPE 3th Day Before Main Eletion 1. PERIOD COVERED 1/1/211 THROUGH 4/4/ ELECTION ELECTION DATE ELECTION TYPE 5/15/211 General 12. OFFICE OFFICE HELD (if any) 13. OFFICE SOUGHT (if known) Counil Distrit NOTICE OF DIRECT CAMPAIGN BY OTHER INDIVIDUALS ** Diret ampaign expenditures are ampaign expenditures made by others without the andidate's prior onsent or approval Candidates are required to dislose this information only if they reeive notifiation of the diret ampaign expenditure. ** ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE additional pages GO TO PAGE 2
2 CANDIDATE / REPORT: FORM C/OH SUPPORT & TOTALS COVER SHEET PG 2 15 C/OH 16 ACCOUNT #(Ethis Commission filers) Mr William F MaLeod 17 NOTICE FROM POLITICAL COMMITTEE(S) ** This box is for notie of politial ontributions aepted or politial expenditures made by politial ommittees to support the andidate/offieholder. These expenditures may have been made without the andidate's or offieholder's knowledge or onsent. Candidates and offieholders are required to report this information only if they reeive notie of suh expenditures.** COMMITTEE TYPE COMMITTEE additional pages GENERAL COMMITTEE ADDRESS SPECIFIC COMMITTEE CAMPAIGN COMMITTEE CAMPAIGN ADDRESS 18 CONTRIBUTION TOTALS 1. TOTAL POLITICAL CONTRIBUTIONS OF 5 OR LESS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED TOTALS 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) 3. TOTAL POLITICAL S OF 5 OR LESS, UNLESS ITEMIZED TOTAL POLITICAL S 2. CONTRIBUTION BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF REPORTING PERIOD OUTSTANDING LOAN TOTALS 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY OF THE REPORTING PERIOD 19 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the aompanying report is true and orret and inludes all information required to be reported by me under Title 15, Eletion ode. AFFIX NOTARY STAMP / SEAL ABOVE ***ELECTRONICALLY CERTIFIED*** Signature of Candidate or Offieholder Sworn to and subsribed before me, by the said, Mr William F MaLeod this the 14th day of, April 2, 11 to ertify whih, witness my hand and seal of offie. Signature of offier administering oath Printed name of offier administering oath Title of offier administering oath
3 POLITICAL CONTRIBUTIONS OTHER THAN PLEDGES OR LOANS SCHEDULE A The Instrution Guide explains how to omplete this form 1 Total pages Shedule A: 1 of 1 2 FILER Mr William F MaLeod 3 ACCOUNT # (Ethis Commission filers) 4 5 Full name of ontributor out-of-state PAC (ID#: ) Mr Ioannis Manettas Ioannis Manettas Contribution () 1/24/ Waterside Dr. Dallas, TX In-kind ontribution desription (if appliable) (If travel outside of Texas, omplete Shedule T) 9 Prinipal oupation / Job title (See Instrutions) 1 Employer (See Instrutions) Elm Street Lounge Full name of ontributor out-of-state PAC (ID#: ) Mr Barry Curtis Barry Curtis Ivanridge Cirle Garland, TX 7544 Contribution () 3/18/ In-kind ontribution desription (if appliable) Prinipal oupation / Job title (See Instrutions) (If travel outside of Texas, omplete Shedule T) Employeer (See Instrutions) Pro Collet In. Prinipal oupation / Job title (See Instrutions) Full name of ontributor out-of-state PAC (ID#: ) Mr Kelly J Warren Kelly Warren Contribution () 3/24/ Straight Ln. Dallas, TX Full name of ontributor out-of-state PAC (ID#: )... Employer (See Instrutions) Dallas Dermatology LLC In-kind ontribution desription (if appliable) (If travel outside of Texas, omplete Shedule T) Contribution () In-kind ontribution desription (if appliable) Prinipal oupation / Job title (See Instrutions) (If travel outside of Texas, omplete Shedule T) Employer (See Instrutions) Full name of ontributor out-of-state PAC (ID#: ) Contribution () In-kind ontribution desription (if appliable)... (If travel outside of Texas, omplete Shedule T) Prinipal oupation / Job title (See Instrutions) Employer (See Instrutions) ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED If ontributor is out-of-state PAC, please see instrution guide for additional reporting requirements.
4 PLEDGED CONTRIBUTIONS SCHEDULE B The Instrution Guide explains how to omplete this form 2 FILER Mr William F MaLeod 1 Total pages this Shedule B: 1 of 1 3 ACCOUNT #(Ethis Commission filers) 4 TOTAL OF UNITEMIZED PLEDGES: -> -> -> -> -> -> 5 4/3/211 6 out-of-state PAC (ID#: ) Mr Gary Hooker Gary Hooker Freedom Lane Plano, TX pledge () In-kind desription (if appliable) (If travel outside of Texas, omplete Shedule T) 1 Prinipal oupation / Job title (See Instrutions) 11 Employer (See Instrutions) Imaginuity Interative 4/4/211 Meredith A Hebenstreit Meredith Hebenstreit Prinipal oupation / Job title (See Instrutions) Collateral Mortgage Manager out-of-state PAC (ID#: ) S. Lamar Suite 918 Dallas, TX pledge () 5. Employeer (See Instrutions) Capital One In-kind desription (if appliable) (If travel outside of Texas, omplete Shedule T) out-of-state PAC (ID#: ) pledge () In-kind desription (if appliable)... Prinipal oupation / Job title (See Instrutions) (If travel outside of Texas, omplete Shedule T) Employer (See Instrutions) out-of-state PAC (ID#: ) pledge () In-kind desription (if appliable)... Prinipal oupation / Job title (See Instrutions) (If travel outside of Texas, omplete Shedule T) Employer (See Instrutions) out-of-state PAC (ID#: ) pledge () In-kind desription (if appliable)... (If travel outside of Texas, omplete Shedule T) Prinipal oupation / Job title (See Instrutions) Employer (See Instrutions) ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED If ontributor is out-of-state PAC, please see instrution guide for additional reporting requirements.
5 Texas Ethis Commission P.O. Box 127 Austin, Texas (512) POLITICAL S MADE FROM PERSONAL FUNDS SCHEDULE G Advertising Expense Aounting/Banking Consulting Expense Event Expense Fees Gift/Awards/Memorials Expense Legal Servies Food/Beverage Expense Polling Expense Printing Expense CATEGORIES FOR BOX 8(a) Salaries/Wages/Contrat Labor Soliitation/Fundraising Expense Travel In Distrit Travel Out Of Distrit Offie Overhead/Rental Expense The Instrution Guide explains how to omplete this form. Loan Repayment/Reimbursement Transportation Equipment & Related Expense Contributions/Donations Made By Candidate/Offieholder/Politial Committee OTHER (enter a ategory not listed above) 1 Total pages Shedule G: 2 FILER 3 ACCOUNT # (Ethis Commission Filers) 1 of 1 Mr William F MaLeod 4 5 1/14/211 Sinage F Systems Sinage Systems 6 Amount () Ferguson Dallas, TX X politial ontributions 8 (a) Category (See ategories listed at the top of this shedule) (b) Desription (If travel outside of Texas, omplete Shedule T) Printing Expense Campaign Signs and Set Up Fee Amount () politial ontributions Category (See ategories listed at the top of this shedule) Desription (If travel outside of Texas, omplete Shedule T) Amount () politial ontributions Category (See ategories listed at the top of this shedule) Desription (If travel outside of Texas, omplete Shedule T) Amount () politial ontributions Category (See ategories listed at the top of this shedule) Desription (If travel outside of Texas, omplete Shedule T) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
2/14/2011 THROUGH 4/4/2011
CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT Cover Sheet pg 1 The C/OH Instrution Guide explains how to omplete this form. 3. CANDIDATE / OFFICEHOLDER NAME 1. ACCOUNT # (Ethis Commission
More informationTexas Ethics Commission P.O.Box Austin, Texas (512) Myers. Hornsby 3/31/2009 THROUGH 4/29/2009
CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT Cover Sheet pg 1 The C/OH Instrution Guide explains how to omplete this form. 3. CANDIDATE / OFFICEHOLDER NAME 1. ACCOUNT # (Ethis Commission
More informationTexas Ethics Commission P.O.Box Austin, Texas (512) Griggs. PO Box: Dallas TX
CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT Cover Sheet pg 1 The C/OH Instrution Guide explains how to omplete this form. 3. CANDIDATE / OFFICEHOLDER NAME 1. ACCOUNT # (Ethis Commission
More informationTexas Ethics Commission P.O.Box Austin, Texas (512) Ron. Natinsky. Pete. Schenkel
CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT Cover Sheet pg 1 The C/OH Instrution Guide explains how to omplete this form. 3. CANDIDATE / OFFICEHOLDER NAME 1. ACCOUNT # MS / MRS / MR FIRST
More informationTexas Ethics Commission P.O.Box Austin, Texas (512) Leppert South Madison Ave.
CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT Cover Sheet pg 1 The C/OH Instrution Guide explains how to omplete this form. 3. CANDIDATE / OFFICEHOLDER NAME 1. ACCOUNT # MS / MRS / MR FIRST
More informationTexas Ethics Commission P.O. Box Austin, Texas (512) (TDD )
MONTHLY FILING COUNTY EXECUTIVE COMMITTEE CAMPAIGN FINANCE REPORT FORM MCEC COVER SHEET PG 1 The MCEC Instruction Guide explains how to complete this form. 1 ACCOUNT # (Ethics Commission Filers) 2 Total
More informationCOUNTY EXECUTIVE COMMITTEE CAMPAIGN FINANCE REPORT
COUNTY EXECUTIVE COMMITTEE CAMPAIGN FINANCE REPORT FORM CEC COVER SHEET PG 1 The CEC Instruction Guide explains how to complete this form. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: 3 COMMITTEE
More informationPOLITICAL PARTY REPORT REGARDING FUNDS FROM CORPORATIONS AND LABOR ORGANIZATIONS
POLITICAL PARTY REPORT REGARDING FUNDS FROM CORPORATIONS AND LABOR ORGANIZATIONS FORM PTY-CORP COVER SHEET PG 1 Form PTY-CORP Instruction Guide explains how to complete this form. 1 Filer ID (Ethics 2
More informationJUDICIAL CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) JUDICIAL CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM JC/OH COVER SHEET PG 1 The JC/OH Instruction
More informationSTATE / COUNTY CHAIR SPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT
STATE / COUNTY CHAIR SPECIFIC- COMMITTEE CAMPAIGN FINANCE REPORT FORM SC SPAC COVER SHEET PG 1 The SC SPAC Instruction Guide explains how to complete this form. 1 Filer ID (Ethics Commission Filers) 2
More informationCANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT
CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 2 Total pages filed: 9 3 CANDIDATE / MS / MRS / MR FIRST MI
More informationCORRECTION/AMENDMENT AFFIDAVIT FOR CANDIDATE/OFFICEHOLDER
CORRECTION/AMENDMENT AFFIDAVIT FOR CANDIDATE/ FORM COR-C/OH 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: 4 OFFICE USE ONLY 3 CANDIDATE / MS / MRS / MR FIRST MI Tennell NICK LAST SUFFI Atkins
More informationTexas Ethics Commission P.O.Box Austin, Texas (512)
Texas Ethics Commission P.O.Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506 SPECIFIC- COMMITTEE FORM SPAC CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The SPAC Instruction Guide explains how
More informationTexas Ethics Commission P.O. Box Austin, Texas (512) (TDD ) Kevin. Felder.
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) FORM COR-C/OH CORRECTION/AMENDMENT AFFIDAVIT FOR CANDIDATE/ 1. ACCOUNT # 2. Total pages filed: 3 OFFICE
More informationCANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT
CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: 3 CANDIDATE
More informationCANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT
CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: 7 3
More informationFORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. Leonard
etad CANDIDATE/OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: The C/OH Instruction Guide explains how to complete this form.
More informationLI Primary 1:1 Runoff LI Other
CANDIDATE I FICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 3 CANDIDATE! MS/MRS/MR FIRST MI FICEHOLDER NAME 1 Filer ID (Ethics
More informationFORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed:
CANDIDATE I FICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: 3 CANDIDATE!
More information1 Filer ID ( Ethics Commission Filers) 2 Total pages filed: 3 CANDIDATE/ MS/ MRS MR FIRST MI OFFICE USE ONLY OFFICEHOLDER 7 S.
CANDIDATE / FICEHOLDER FORM C/ OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 Filer ID ( Ethics Commission Filers) 2 Total pages filed: 3 CANDIDATE/
More informationJUDICIAL CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT
JUDICIAL CANDIDATE / FICEHOLDER CAMPAIGN FINANCE REPORT FORM JC/OH COVER SHEET PG 1 The JC/OH Instruction Guide explains how to complete this form. CANDIDATE / FICEHOLDER NAME MS / MRS / MR Ms. NICKNAME
More informationSPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT
SPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT FORM SPAC COVER SHEET PG 1 The SPAC Instruction Guide explains how to complete this form. 3 COMMITTEE NAME 1 Filer ID 2 Total pages filed: 8 FICE USE
More informationJUDICIAL CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT
JUDICIAL CANDIDATE / FICEHOLDER CAMPAIGN FINANCE REPORT FORM JC/OH COVER SHEET PG 1 The JC/OH Instruction Guide explains how to complete this form. CANDIDATE / FICEHOLDER NAME MS / MRS / MR Ms. NICKNAME
More information0. 6. a-c-ji 5 u i fie '1. day before election Runoff. Month Day Year ri Primary Runoff I I Other Description 5 / 9,,--/ I 5 tz General ri Special
coastv CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT COVER SHEET PG 1 I Filer ID( Ethics Commission Filers) 2 Total pages filed: The C/ OH Instruction Guide explains how to complete this form. 5-7.
More informationD January 15 30th day before election Runoff N/A. D Change of Address CAMPAIGN FINANCE REPORT COVER SHEET PG 1. Teresita. Terri. McGraw.
CANDIDATE/ FICEHOLDER CAMPAIGN FINANCE REPORT COVER SHEET PG 1 FORM C/OH The C/OH Instruction Guide explains how to complete this form. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: 3 CANDIDATE/
More informationTexas Ethics Commission P.O.Box Austin, Texas (512) Steve. Salazar. Rosario. Rodriguez
CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT Cover Sheet pg 1 The C/OH Instruction Guide explains how to complete this form. 3. CANDIDATE / OFFICEHOLDER NAME 1. ACCOUNT # (Ethics Commission
More informationTexas Ethics Commission P.O.Box Austin, Texas (512)
SPECIFIC-PURPOSE COMMITTEE FORM SPAC CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The SPAC Instruction Guide explains how to complete this form. 3 COMMITTEE NAME 1 ACCOUNT # (Ethics Commission filers) 2 Total
More informationFORM CIOH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID 2 Total pages filed: NICKNAME LAST SUFFIX 1.\ MAILING Receipt# Amount ADDRESS
CANDIDATE / FICEHOLDER FORM CIOH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/ OH Instruction Guide explains how to complete this form. 1 Filer ID 2 Total pages filed: 6 3 CANDIDATE/ MS/ MRS/ MR FIRST
More informationAREA CODE PHONE NUMBER EXTENSION. ...ÿ.ÿ... dÿ/pc... NIGh,NAME LAST SUFFIX STREET ADDRESS (NO PC BOX PLEASE); APT / SUITE #; CITY; 7 %v0.
CANDIDATE / CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 Filer ID (Ethics Commission Eilers) 2 Total pages filed: ÿ,,,--"ÿ 3 CANDIDATE/ NAME
More informationFORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: Donald ... NICKNAME LAST SUFFIX.
CANIATE I OFFICEHOLER CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 Filer I (Ethics Commission Filers) 2 Total pages filed: 3 CANIATE/ MS I MRS
More informationU\ST. I I July 15 8fh day before election Exceeded $500 limit. Day Year Month Day Year THROUGH ELECTION TYPE
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) CANDIDATE / O F F I C E H O L D E R CAMPAIGN FINANCE R E P O R T FORM C/OH COVER SHEET PG 1 The C/OH
More informationI 1 Filer ID (Ethics Commission Fliers) Elexis. Grimes
CANDIDATE I FICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH instruction Guide explains how to complete this form. I 1 Filer ID (Ethics Commission Fliers) 3 CANDIDATE / MS I MRS I
More informationD Change of Address Austin, TX 78704
CANDIDATE / FICEHOLDER " CAMPAIGN FINANCE REPORT The C/OH Instruction Guide explains how to complete this form. 1 Filer ID ~,.., s,_,..., ~: ;-;,: --:, FORM C/OH COVE'.R SHEET PG 1 2 Total pages filed:
More informationFORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: ... Date Received NICKNAME LAST SUFFIX
CANIATE I FICEHOLER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 Filer I (Ethics Commission Filers) 2 Total pages filed: 3 CANIATE/
More informationSPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT COVER SHEET PG 1
SPECIFIC-PURPOSE COMMITTEE FORM SPAC CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The SPAC Instruction Guide explains how to complete this form 1 ACCOUNT # 2 Total pages filed: (Ethics Commission filers) 3
More informationTexas Ethics Commission P.O. Box Austin, Texas (512) (TDD ) Reyes. c Other (specify)
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) FORM COR-C/OH CORRECTION/AMENDMENT AFFIDAVIT FOR CANDIDATE/OFFICEHOLDER 1. ACCOUNT # 2. Total pages filed:
More informationFORM C/OH it CAMPAIGN FINANCE REPORT COVER SHEET PG 1 J~ 3 CANDIDATE/ MS/MRS/MR FIRST Ml ::; OFFICE USE ONLY OFFICEHOLDER
\:b CANIATE/ FICEHOLER FORM C/OH it CAMPAIGN FINANCE REPORT COVER SHEET PG 1 J~,, ). --.. 1 Filer I (Ethics Commission Filers) 2 Total pages filed: The C/OH Instruction Guide explains how to complete this
More informationFORM C/ OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID ( Ethics Commission Filers) 2 Total pages filed: Mr. Robert Date Processed I I
by Texas Ethics Commission www. ethics. state. tx. us Revised 9/ 8/ 2015 SCANNED CANDIDATE / OFFICEHOLDER FORM C/ OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/ OH Instruction Guide explains how to
More informationV ( s. " ' 8th day before election. 6/tc{ 1--;< 11(/1. ( 56),t7 cg 3? 1_; MS/ MRS/ MR. oj If Al lf1r/ - L( l tlep o 1. Dy.
CANDIDATE/ FICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 Filer ID (Ethics Commission Filers) 2 Total 6 s filed: 3 CANDIDATE/
More informationFORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: .. NICKNAME LAST SL FIX ,_,,
CANIATE/ FICEHOLER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 Filer I (Ethics Commission Filers) 2 Total pages filed: 3 CANIATE
More informationCORRECTION/AMENDMENT AFFIDAVIT FOR CANDIDATE/OFFICEHOLDER
CORRECTION/AMENDMENT AFFIDAVIT FOR CANDIDATE/FICEHOLDER FORM JCOR-C/OH 1 Filer ID (Ethics Commission Filers) 2 CANDIDATE / FICEHOLDER NAME 4 ORIGINAL REPORT TYPE MS / MRS / MR Ms. NICKNAME Patty January
More informationPERSONAL FINANCIAL STATEMENT
PERSONAL FINANCIAL STATEMENT Filed in accordance with chapter 572 of the Government Code. For filings required in 206, covering calendar year ending December 3, 205. Use FORM PFS--INSTRUCTION GUIDE when
More informationSTREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE p'
CANDIDATE / OFFICEHOLDER form c/qh CAMPAIGN FIN NCE REPORT cover sheet pq 1 The C/OH Instruction Guide explains how to complete this form. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: 3 CANDIDATE/
More informationPERSONAL FINANCIAL STATEMENT
1 PERSONAL FINANCIAL STATEMENT Filed in accordance with chapter 57 of the Government Code. For filings required in 016, covering calendar year ending December 31, 015. Use FORM PFS--INSTRUCTION GUIDE when
More informationPERSONAL FINANCIAL STATEMENT
PERSONAL FINANCIAL STATEMENT Filed in accordance with chapter 57 of the Government Code. For filings required in 07, covering calendar year ending December, 06. Use FORM PFS--INSTRUCTION GUIDE when completing
More informationFORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: c;ak.f. A. ... NICKNAME 311;~1/)I/
CANDIDATE/ OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: 3 CANDIDATE/
More informationPERSONAL FINANCIAL STATEMENT
PERSONAL FINANCIAL STATEMENT Filed in accordance with chapter 57 of the Government Code. For filings required in 05, covering calendar year ending December, 04. Use FORM PFS--INSTRUCTION GUIDE when completing
More informationPERSONAL FINANCIAL STATEMENT
PERSONAL FINANCIAL STATEMENT Filed in accordance with chapter 57 of the Government Code. For filings required in 08, covering calendar year ending December 3, 07. Use FORM PFS--INSTRUCTION GUIDE when completing
More informationFORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: rlt~e~ OFACE USE ONLY OFFICEHOLDER
CANDIDATE I FICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form 1 Filer ID (Ethics Commission Filers) 2 Total pages filed:... 3 CANDIDATE/
More informationD Change of Address Cedar Park, TX 78630
CANDIDA TE I FICEHOLDER CAMPAIGN FINANCE REPORT COVER SHEET PG 1 FORM The Instruction Guide explains how to complete this form. 1 Filer ID 2 Total pages filed: 15 3 CANDIDATE/ MS/MRS/MR FIRST Ml FICE 1
More informationCAMPAIGN FINANCE REPORT COVER SHEET PG 1
CANDDATE / FCEHOLDER FORM C/ OH CAMPAGN FNANCE REPORT COVER SHEET PG 1 The C/ OH nstruction Guide explains how to complete this form. 1 Filer D ( Ethics Commission Filers) 2 Total pages filed: 7-3 CANDDATE/
More information1 Filer ID (Ethics Commission Filers) 2 Total paqss,.. -d: ~5f;>( Vl,,-0 ) v'- . fts
CANIATE/ FICEHOLER CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 3 CANIATE/ FICEHOLER NAME 4 CANIATE/ FICEHOLER MAILING ARESS Change of Address
More informationu. NICKNAME LAST SUFFIX
'' Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) CANDDATE FCEHOLDER FORM C/OH CAMPAGN FNANCE REPORT CovER SHEET PG 1 The C/OH nstruction Guide explains
More information,^..-. Lses iioaksc:
CANDIDATE / FICEHOLDER CAMPAIGN FINANCE REPORT form C/OH COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 Filer ID 2 Total pages filed: 12 3 CANDIDATE / FICEHOLDER NAME
More informationFORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG th day before election 0. Dt1st.:ri1Jiiurr 5 /6 / 2017 [29 General D Special / /
CANIATE I OFFICEHOLER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Flier I (l::thlcs t:ommlss1on Hiers) 2 Total pages flied: The CIOH Instruction Guide explains how to complete this form. 9 3 CANIATE/
More informationFORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 F ile r ID (Ethics Commission Filers) 2 Total pages filed: ... NICKNAME LAST SUFFIX Mo..
CANDIDATE I OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. s '-0++ 3 CANDIDATE / MS I MRS I MR FIRST Ml OFFICEHOLDER 1 F
More informationIWS/MRS/MR. PHONE NUIUIBER Date Processed STREETADDRESS (NO PO BOX PLEASE) APT/SUITE#; CITY; STATE; ELECTION TYPE
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) C A N D D A T E / O F F C E H O L D E R C A M P A G N F N A N C E R E P O R T FORM C/OH COVER SHEET PG
More informationPERSONAL FINANCIAL STATEMENT
PERSONAL FINANCIAL STATEMENT Filed in accordance with chapter 572 of the Government Code. For filings required in 208, covering calendar year ending December 3, 207. Use FORM PFS--INSTRUCTION GUIDE when
More information1 Filer ID (Ethics Commission Filers) 2 Total pages filed: ca A*'<- - STREET ADDRESS ( O PO BOX PLEASE); APT / SUITE #; CITY; ST TE; ZIP CODE
CANDIDATE/FICEHOLDER FORM C/GH CAMPAIGN FINANCE REPORT cover sheet pg 1 The C/OH Instruction Guide explains how to complete this form. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: 3 CANDIDATE/
More informationPERSONAL FINANCIAL STATEMENT
PERSONAL FINANCIAL STATEMENT Filed in accordance with chapter 572 of the Government Code. For filings required in 208, covering calendar year ending December 3, 207. Use FORM PFS--INSTRUCTION GUIDE when
More informationJ~/: ~~:;_s~ 175,P.5
CANIATE I OFFICEHOLER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Filer I (Ethics Commission Filers) 2 Total pages filed: The C/OH Instruction Guide explains how to complete this form. 1 ~~ R
More informationPERSONAL FINANCIAL STATEMENT
PERSONAL FINANCIAL STATEMENT Filed in accordance with chapter 57 of the Government Code. For filings required in 08, covering calendar year ending December, 07. Use FORM PFS--INSTRUCTION GUIDE when completing
More informationTexas Ethics Commission P.O. Box Austin, Texas (512) (TOO ) FORMC/OH FINANCE REPORT CovER SHEET PG 1
' {-~,, CAMPAGN TREASURER Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TOO 1-800-735-2989) CANDDATE FCEHOLDER FORMC/OH FNANCE REPORT CovER SHEET PG 1 1 ACCOUNT# 2 Total
More informationFORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed:
CANDIDATE/ OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 3 CANDIDATE/ MS/MRS/& FIRST Ml OFFICEHOLDER C (2_,4,f.,, /11. NAME
More informationState of New Mexico Distribution Request for Deferred Compensation Plan
State of New Mexio Distribution Request for Deferred Compensation Plan DC-4075 (12/2015) For help, please all 1-866-827-6639 www.newmexio457d.om 1 Things to Remember Complete all of the setions on the
More informationPERSONAL FINANCIAL STATEMENT
PERSONAL FINANCIAL STATEMENT Filed in accordance with chapter 57 of the Government Code. For filings required in 06, covering calendar year ending December, 05. Use FORM PFS--INSTRUCTION GUIDE when completing
More informationTEXAS ETHICS COMMISSION
TEXAS ETHICS COMMISSION JUDICIAL CANDIDATE/OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM JC/OH INSTRUCTION GUIDE Revised September 28, 2011 Texas Ethics Commission, P.O. Box 12070, Austin, Texas 78711 (512)
More informationCounty of San Diego Retirement Benefit Options
County of San Diego Retirement Benefit Options NDC-0619 (09/2016) For help, please all 888-DC4-LIFE mydcplan.om 1 Things to Remember Complete all of the setions on the Retirement Benefit Options form that
More informationFORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Fi ler 10 (Ethics Commission Filers) 2 Total pages fi led: N/A ,..., NAME
CANDIDATE I FICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 Fi ler 10 (Ethics Commission Filers) 2 Total pages fi led: 17
More informationTAX RETURN FILING INSTRUCTIONS
TA RETURN FILING INSTRUCTIONS FORM 0-T FOR THE YEAR ENDING ~~~~~~~~~~~~~~~~~ June 0, 014 Prepared for Prepared by Amount due or refund Make hek payable to Mail tax return and hek (if appliable) to Susquehanna
More information(and proxy tax under section 6033(e)) 2012
Form Department of the Treasury Internal Revenue Servie A For alendar year 01 or other tax year beginning, and ending 4 Unrelated business taxable. Subtrat line from line. If line is greater than line,
More informationFORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. Date Received NICKNAME LAST SUFFIX r--:! (T,..all ~ 'r_i"';t TX - (J. N :t: ADDRESS.
CANDDATE / OFFCEHOLDER FORM C/OH CAMPAGN FNANCE REPORT COVER SHEET PG 1 1 Filer D (Ethics Commission Filers) 2 Total pages filed: The e/oh nstruction Guide explains how to complete this form. - 3 CANDDATE/
More informationShort Form Return of Organization Exempt From Income Tax
Form 990-EZ Short Form Return of Organization Exempt From Inome Tax Under setion 501, 527, or 4947(1) of the Internal Revenue Code (exept private foundations) OMB 1545-1150 2015 Department of the Treasury
More informationPROBATE (AMENDMENT) RULES 2016
Probate (Amendment) Rules 2016 Rule 1 Statutory Doument No. 2016/0108 Administration of Estates At 1990 PROBATE (AMENDMENT) RULES 2016 Made: 23 Marh 2016 Coming into Operation: 1 May 2016 The Deemsters
More informationFORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID {Ethics Commission Filers) 2 Total pages filed: ... NICKNAME LAST SUFFIX
CANIATE/ FICEHOLER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 Filer I {Ethics Commission Filers) 2 Total pages filed: 3 CANIATE/
More informationTEXAS ETHICS COMMISSION
TEXAS ETHICS COMMISSION POLITICAL COMMITTEE DAILY PRE-ELECTION REPORT OF DIRECT EXPENDITURES FORM DAILY-E PAC INSTRUCTION GUIDE Revised January 4, 2016 Texas Ethics Commission, P.O. Box 12070, Austin,
More informationFORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: b. . P?.t-!-!~...
CANIATE/ OFFICEHOLER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Gulde explains how to complete this form. JosWA 1 Filer I (Ethics Commission Filers) 2 Total pages filed: b
More informationI Amount. D January 15 ~ 30th day before election D Runoff D D July 15 D Bth day before election D Exceeded $500 D
Texas Ethics Commission PO Box 12070 Austin, Texas 78711-2070 (512} 463-5800 (TDD 1-800-735-2989) CANDDATE OFFCEHOLDER 04-09-14 P02:37 N FORM C/OH CAMPAGN FNANCE REPORT CovER SHEET PG 1 The C/OH nstruction
More informationNtciNAMe LAST SUFFIX CITY; STATE; ZIP CODE APT I SUITE#; D Runoff. 8th day before e.lection. limit THROUGH ELECTION TYPE. o Primary.
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 CAN.ATE FCEHOLER CAMPAGN FNANCE REPORT FORMC/OH CoVER SHel:T PG 1 The C/OH nstruction Guide explains how to complete this form.
More information2013 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
Form Part I Short Form 99-EZ Return of Organization Exempt From Inome Tax 213 Under setion 51(), 527, or 4947(a)(1) of the Internal Revenue Code (exept private foundations) Do not enter Soial Seurity numers
More information6 OFFICE USE ONLY. /It!{YJ /I 76'90/ W;/1Jt{ /l! SA/Y/J#~O.71. /!/ic./(y. S~ c/2 /d1/02c9/1
lexl:s t:ulcs \Jommlsslon t"'u. COX,",UU 1'\Usun, lexl:ls 11 -,",UU l:> '"'J ",)-:> UU 1--1 '):>-,",':O'l:lJ CANDDATE FCEHOLDER FORMC/OH CAMPAGN FNANCE REPORT COVER SHEET PG 1 The etoh nstruction Guide
More informationSee separate instructions. Your first name and initial. Your social security number John Smith Applied For
Form () 40 U.S. Individual Inome Tax Return 2016 OMB No. 1545-0074 Attah Form(s) W-2 here. Also attah Forms W-2G and -R if tax was withheld. 6001-30-16 1 2 3 IRS Use Only - Do not write or staple in this
More informationFORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed : I oo--r-h Wltt.Vfl..
CANIATE/ CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 Filer I (Ethics Commission Filers) 2 Total pages filed : 3 CANIATE/ M~MRS / MR FIRST Ml
More informationi1!) 17 D Primary D D Special D Change of Address I Date Processed CANDIDATE I OFFICEHOLDER CAMPAIGN FINANCE REPORT ... a... '... NICKNAME LAST SUFFIX
~ CANIATE I FICEHOLER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 3 CANIATE/ FICEHOLER NAME MS/ MRS I MR FIRST 1 Filer I (Ethics Commission
More informationSiegel. w MAILING. : ;; - "" ::1;: 0 change of address. OFFICEHOLDER Dateitocessed:::.J W PHONE! Siegel. limit THROUGH ELECTION TYPE
Texas Ethics Commission P.O. Box 12070 Austin, Texas 787112070 (512) 4635800 (T 18007352989) CAATE FCEHOLER CAMPAG FACE REPORT FORM C/OH COVER SHEET PG 1 The C/OH nstruction Guide explains how to complete
More informationSTATE REGISTRATION NO Short Form Return of Organization Exempt From Income Tax
Form Department of the Treasury Internal Revenue Servie A B For the 0 alendar year, or tax year eginning Chek if appliale: C Name of organization JUL, 0 and ending JUN 0, 0 OMB No. 55-50 Open to Puli Inspetion
More informationShort Form 990-EZ Return of Organization Exempt From Income Tax
Form B G I J K Short Form 990-EZ Return of Organization Exempt From Inome Tax 2014 Under setion 501(), 527, or 4947(a)(1) of the Internal Revenue Code (exept private foundations) Do not enter soial seurity
More information1 Filer ID ( Ethics Commission Filers) 2 Total pages filed: Ccr //` /7574 Office of. TN f CE. C Date Processed. Lame.
CANDDATE/ OFFCEHOLDER FORM C/OH CAMPAGN FNANCE REPORT COVER SHEET PG The C/OH nstruction Guide explains how to complete this form. Filer D ( Ethics Commission Filers) 2 Total pages filed: 6 3 CANDDATE/
More information(iii) Survey No. (v) Annual Income Rs. Rs. Rs.
ANNEXURE III INCOME AFFIDAVIT Delaration of inome of Parent/Guardian for the year (ending on 31 st Marh,2008) for purposes of sholarships granted under the Central Setor Sheme of Sholarship for College
More information1. / j_/2.01.~ ii/ i..t /2. 0.1} 1. D January 15. D 3oth day before election D Runoff D. DPrimarv DRt.nolf ~ D Special
Texas Ethics Commission PO Box 12070 Austin, Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989) CANDDATE CAMPAGN FNANCE REPORT CovER SHEET PG 1 FORM C/OH The C/OH nstruction Guide explains how to complete
More information1 Filer 10 (Ethics Commission Fliers) 2 Total pages filed : NAME Dale Processed
04-28-17 A08:48 CANIATE I OFFICEHOLER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 Filer 10 (Ethics Commission Fliers) 2 Total pages
More informationExempt Organization Business Income Tax Return
Form For alendar year 014 or other tax year eginning, and ending. 4 Unrelated usiness taxale inome. Sutrat line from line. If line is greater than line, enter the smaller of zero or line 401 01-1-15 LHA
More informationADDRESS / PO BOX; APT i SUITE #: CITY: STATE; ZIP CODE. [] January15 [] 30th day before election [] Runoff []
CANDIDATE / FICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form, 3 CANDIDATE / MS / MRS / MR FIRST MI FICE USE ONLY FICEHOLDER NAME...
More informationFORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: .. NICKNAME LAST SUFFIX Quijano
CANIATE /OFFICEHOLER CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Istructio Guide explais how to complete this form. 1 Filer I (Ethics Commissio Filers) 2 Total pages filed: 5 3 CANIATE I MS / MRS
More informationHealth Savings Account Application
Health Savings Aount Appliation FOR BANK USE ONLY: ACCOUNT # CUSTOMER # Health Savings Aount (HSA) Appliation ALL FIELDS MUST BE COMPLETED. Missing fields may delay the aount opening proess and possibly
More informationCOLLECTIVE INVESTMENT SCHEMES (DEFINITION) ORDER 2017
Colletive Investment Shemes (Definition) Order 2017 Artile 1 Statutory Doument No. 2017/0260 Colletive Investment Shemes At 2008 COLLECTIVE INVESTMENT SCHEMES (DEFINITION) ORDER 2017 Approved by Tynwald:
More information** PUBLIC DISCLOSURE COPY ** Short Form Return of Organization Exempt From Income Tax 990-EZ Name change HOSPITAL FOUNDATION
OMB 1545-50 Under setion 501, 57, or 4947(1) of the Internal Revenue Code Form (exept lak lung enefit trust or private foundation) Sponsoring organizations of donor advised funds, organizations that operate
More informationPUBLIC FILE COPY DO NOT FILE THIS COPY WITH THE IRS.
THIS FEDERAL FORM 990 SHOULD BE USED FOR COPYING FOR ANYONE REQUESTING A COPY OF THE FORM 99 ALL SCHEDULES OF CONTRIBUTORS HAVE BEEN REMOVED FROM THIS COPY AS ALLOWED BY LAW. DO NOT FILE THIS COPY WITH
More informationl<.a11-l sf. kwrr/4 7c1at;
CANDIDATE/ FICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Filer ID (Ethics Commission Filers) 2 Tot The C/OH Instruction Guide explains how to complete this form. :::r )fr. 1flber+o 3
More informationExempt Organization Business Income Tax Return
Form OMB No. 1545-0687 For alendar year 2016 or other tax year eginning, and ending. Information aout Form 0-T and its instrutions is availale at www.irs.gov/form0t. Department of the Treasury Open to
More information