FORM CtOH CAMPAIGN FINANCE REPORT COVER SHEET PG 1

Transcription

1 -~~ Texas Ethics Commission PO Box Austin Texas (512) (TOO ) CANDDATE t FCEHOLDER FORM CtOH CAMPAGN FNANCE REPORT COVER SHEET PG 1 A 3 CANDDATE MS~/MR M 6; FCE USE ONLY FCEHOLDER NAME CiX"v Date Rece",.,d SUFFX NCKNAME ~ ~ JUN r ~""e fiw""._ CANDDATE CTY STATE; ZPCODE FCEHOLDER MALNG f-- - Date Hand-delivered or PostmarKed ADDRESS }:'13 5;1 T;/ 7C, 'J~'1 o change of address 5 CANDDATE CODE PHONE NUMBER EXTENSON :R PHONE (3J5) 0,65-95~~ r- 6 CAMPAGN MSMRSMR M TREASURER 4;'i~~c{~. NAME "..... NCKNAME LAST SUFFX /-tj~} CAMPAGN STREET ADDRESS (NOPOElOX PLEASE); APT J SUTE #; CTY, STATE; TREASURER ADDRESS (residence or business) J-jl/ 101'Ted~e 51i 1==- - ACCOUNT Total pages flied- The C/OH nstruction Guide explains how to complete this form. 11 (Ethic. CommiSSion Filers) Recelpl # Date Processed Date maged ZP CODE 7G1-jolj Aroount 8 CAMPAGN AREA CODE PHONE NUMBER EXTENSON TREASURER (3;)? ) PHONE 3 t.!t)... 7//L-j 9 REPORT TYPE January 15 U 30th day before election Runoff 15 [J 8th day before election Exceeded $500 MJuly rmlt U 15th day after campaign treasurer appointment (<>fliceholderonly) Fina! report (Attach COH - FR) -.--.~ PEROD Month Day 'lear Month Day 'lear COVERED THROUGH / e; 1-bll/ 7 15 ~1'7" r ELECTON a,,~~n~ a,~~, Month Day '<!>ar Primary ~.. 12 FCE CfJpllj FCE HELD (n any) Runoll 00 Gereral D Spec",1 1'r;:;:;"'th;~;5S)& 1~A lds GO TO PAGE 2 ; ReVised 04.19/2013

2 Texas Ethics Commission PO, Box Austin Texas (512) (TDD ) CANDDATE FCEHOLDER REPORT: JUN FORM C/OH SUPPORT & TOTALS COVER SHEET PG 2 14 C/OH NAM(: dj'fit 16 NOTCE FROM POLTCAL COMMTTEE(S) 5 TliS BOX S FOR 101lCE POUllCAL COlfTRlBUllONSACCEPTE) OR POUlCAL EXPENDTURES MADE BY POLmCAL COMMTTEES ro SUPPORT TliE CANODATE FCEHOLDER. THESE EXPEND/TJRES MAY HAVE. BEEN MADE WfTHOT THE CANDDATE'S OR OfFCEHOLDER'S KNOWLEDGE OR : CONSENT. CANODATES AND FCEHOLDERS ARE REQURED ro REPORT TliS NFORMAlON ONLY F T1iEY RECEVE NOllCE Of SUCH EXPENDTURES. c"...; tjf{j : Filers) COMMTTEE TYPE COMMlnEE NAME GENERAL D SPECFC COMMTTEE ADDRESS ". - COMMTTEE CAMPAGN TREASURER NAME addilional pages COMMTTEE CAMPAGN TREASURER ADDRESS 17 CONTRBUTON TOTALS.,.. EXPENDTURE TOTALS 1. TOTAL POLTCAL CONTRBUTONS $50 OR LESS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES LOANS), UNLESS TEMZED i 2. TOTAL POLTCAL CONTRBUTONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES LOANS) TOTAL POLTCAL EXPENDTURES $100 OR LESS, UNLESS TEMZED ~~ cj 73,()D_ $ J..81,t!)o _. $...,... CONTRBUTON BALANCE OUTSTANDNG LOAN TOTALS 'c--' 4. TOTAL POLTCAL EXPENDTURES 5. TOTAL POLTCAL CONTRBUTONS MANTANEDAS THE LAST DAY REPORTNG PEROD '''--_ TOTAL PRNCPAL AMOUNT ALL OUTSTANDNG LOANS AS THE LAST DAY THE REPORTNG PEROD $ tj, 3..._-_.. $! L/t)j. 37 ~ ~ $ t) ~e 18 AFFDAVT ' ,~", V A. SSA $, 51"'011 me under Title 1ji. Election Code, Notlf'l publl' : : Si~iE Of iel~\1"\1 J.....,'11: --.A ). Signature ofcandidate or Officeholder -- ",rtkm, ~,,, PO"" o:~'="",">1... "port tru.,," ~~~""',,,",,,,,,,,,~ti~ q"'~' "...port., by eoftllll\lliolle... /~d/a' /~ _ t "'~o,~" ~ - AFFX NOTARY STAMP SEA"L ABOVE Sworn to and subscribed before me, by the said (!ic!t'a.f:lo(i.!>, this the Ll++- day of jufv t ' to certify which, witness my hand and seal of office. 20 i1miijdtla' ~(]"l\.., Vane:55a S. 5, rnon rvdktr~ Signature ofoffcer administering oath Printed name ofofficer administering oath Tille ofofficer admini ng oath WW\N,ethics.state"tx.us Revised 04119/2013

3 Texas EthicS Commis-sion PO. Box Austin Texas 787-' (Si2) (TDD -,-800-7: ) POLTCAL EXPENDTURES SCHEDULE F EXPENDTURE CATEGORES FOR BOX 8(a) :\~~';,.;lti;;;;n,g Ex~~(;:n'i~ GiftlA\i~ rtls;lr.,: :nn:je~\$ Exper~;~a Ba:arltislvVdf,Jes/C;)nliaLit Lobor lo~n RepaY'l: nt!relmbuf~e:n"mt Act;)'J :~fr:;}f'a~ni{l~t~.1 Lt;!J2; 5elvjc~s Soiic ;~,'th)r~ ;FLlt1tlia~sj/l~l E'(pc:!~~ Trnns{')o:iction Equipment &. Re~;;1e;; E~q';:f;S8 CrJn::,ditir,g t:1:7 ar<&f:: Focr/Beverage Ex!;e:1sG -;-rj','t::: ;Jf Dit.~:nGt Cn~)tfi!Jl!l;unf:/D(jfidr;)!1S il':;;op. By E\.'en~ c <!Jei'~c Poijing E:.;;:.;elj~e T,c:v : C:.Jt Of Ditfl::;.t GenrJi:j~le/Off~\.:e~c~1Gf/PCnt:Cc.! C"-;!f!nl:~t;]~ Fees Prlmi~g E;.:pense Office O':erhead/Rerttal Ei:pense ::!~; ;'3gel1~~1liie~ 2F(!jdJ~ Plo e ~ 4 Date! 5 Payee name Tbe nstruction Guide el.plalns bow to complete tbls form. _!/t4l~ '~ an:~j)-&!l ~ ~ < '' ~ < 11--, _4_m_o1_n~_;_)_t.4 17;:;;,.~::;"0:':;~?v1 ~ ~ 8 i(a) Category {$a&c;ttet:;r,e5 S~e.:latr'ett:;joft ssc~eqij;e} i (b) Descnption df~ 6.alt.L!ts \id"cfleht~ (tj:1p e~e.t~(~(41'ej =~':'.~;'TURE_-_J~, 'cj.ja7/.~/a~sda). fia!~ C')":fl'Htf'!2i::!i.i if 'Ji''!':;l CandlCla!e f Ofllcehclfler name Office sought Oft1<ce,elrl expl~,~q;~tjre tu flelle"'ll :;/Oh Amount (5) Payee address: Zip Code 519- T/" 7/,f; ' EXPENDTURE Ccmp:f;tel:7;LV',f f1ire;-:~ expcr.di!tlfc to l;8net;t t~!oh! 5'-1 /l5f;ttjr. Category (See C"'.;;~.ie~ ;.".d.,'he.:;;c., ';l~a...;h~d...:el D6"cription ('tf._"\";:;~~.j.. "ft~<'''< <Qm~!.\~ S<h.~ ;. T) t29!!_ f~/l4 ~~~:~-.:6~..;-~-F~~~ ~ Candidate Officeholdern"me Offic~ sought Otfk..e held r ~~ ~~~--~--~~~~~====~~~~=========~~~======.==~====~-~==~ ~= D//lP ro7t~:'~~ ;J~1k6 Amount (S) Payee address; City; Slate; Zip Codo /1. J.f./ i /j,j.7; S'C/$~tJ P' ~ 7;?tb"Y l-----pu~~se------r-c~teg;;,y(s~at;;r;;,:;-51~d:i lc.e 'opo t,.;;'(l,~;~;.!--d;-~rlpii;;;:;-i;'jr"-:~l W<Je ;;!l:,;;;:;-;';-nm;,,!,. 8ch;d~,~" -: j ~;,:~;~;:.",~:o: V,~~;':,;fCa.;!~!t:~i~& ~~".,; Qffoe'-tl-"-'J-----.; r--e:~-::~:'=-:~-r:::::~-~~-----attachaoditional-r;ople8of'ihi5.~cheoule-~s-nffded----' ,,-,--- Revised 04'

4 .~_ ~ Texas Ethics Commission PO, Box '12070 Austin. Texas 78T-2070 (512) (TDD i ) POLTCAL EXPENDTURES SCHEDULE F f\u\'e~t,;::!~g EX!~i;n;.=~ 1),\:CY)i';~ir;J!B8nrl:).~",~j C~J.n~~iHt;r:g E>::.dr'h(:;' Even! E'<!,e!'~c f"="ees EXPENDTURE CATEGORES FOR BOX 8(a} Ba:afjt~/-"'\'oges/C,)ntlnL~ Lobe;' Lo;,.n Re)ayn:~nf!Rejrpt:~rE:e~(p.nt Sc!::~Jt:Dr!rF';,f!tlfd;sjr:u E\(pr;:1s~ T:nnsn;:-rtc;tlol( Eq~Jipmeilt f~ Re~ ;;.te.~j F:'~{!f':/:;c; FcOd/e~~ter.1De 2x;je,s~ ((c':a: ;r, O;;;;~(,(.! CfJ;';t!i;.li..:!;Ur.s:.:(lfl(:-3.b.l!i$ Uad~ By P-o!iln~ EXf.;~l1se TtaVe1 C~lt Of Dlf:'::C! ~ara.eu0tejolf.:;chg~~ch:pc~:t:cc;! Cr)1nn:.ttJC Primi';Q Ex~ens.~ Office O':e r n9ad/re;-t:aj Expe"sCt OTHFF: (enter a c~tagofy not!istf~rj O.))",;,}:) FilER NAME The nstruction Guide explains how to complete this form. 4 6 City; Stat,"; ZP Code EXPENOTURE,.~.,,~ F~~._.J. "..,"'"_ '.,, Candidafe Officeholder name Offic;! SOllght Olf;o~ h;-;d Arnount (~) Payee addless; Cily; Slate; Zip CodE; )~. tlg r- ~;";J!-: -u-er -E-"--~ --t;3- ~- C-/, :--t~-; ;-.;~i::;;"j~<;~ J,;~pi~',,,,~"-,,,-.<-..-e;;T~~~ ;~n -."'.-.";'<~;".,~ ' COrrl",ete ~ if dl[ec! Gl.lnd;tlate: Offrceib!der fl,.me, Oflica l;ougi1t Ofhce he:,! exe ~r.'"1; "-re to he",c.f," COn r--~:::::'~~"':: -...:::': -:-.:... --ATT;cH-AODiT,ONAl~;OP;ES()~T..,8 SCHEOjl-'E ~S N~OE O R~'!ise dq4'1 9.'20 1 3

5 Texas EthiCS Commission P.O, Box '12070 Austin Texas 787'1' (512) (TOO'-800-7: ) POLTCAL EXPENDTURES SCHEDULE F AJ,'u:tls;ng EX~;(;:1se i~t'c:y)i':,n;!;aai'j~;r'lj (;Cfi2tl/t;rQ t:,>~:-j~3';1&[:< E'o' l'i1 r.:: <)~ep~e FeS"5 EXPENDTURE CATEGORES FOR BOX 8(a} GlTtlA\-t~rusi;t;e;naric~~ Sxpen~a L~!J;~; 5e:vi:;!,;~ F(;od;,8r:ve,a;;e Ex~~e:'53 PO:llr;g E\.-pe 1se?rrl1tl';,g Ex;:ense SBlarlcsf\\loilesiG;)ltia~~ 'L~bt:r 8c:!-:::~'~:lOf\jr:;,H:t!djsi'j i ;(<;'}~: it, i>st!.ct Expc:i:,.:.'S" The nstruction Guide explains low to complete tills form, Loan Repayn~F.nt!~e-;mburs~;n nt T;nnsn;):taii-on Fquiprne.'1t c-~ Rc~~t 1 E":pr:'fi5F; Crf!!tl ~bvtfjflb/d:;ndr!)ns ~1~mjft- FY Canu~tiQielOH.ceho;~~Gr:pcm,CG:! CO;!lllLlt:.;e 31.),t! D ts Offce 6ou~!ht (S,~" c~tf!t':l~;'!~ i:':.'.e'.iet4;~~ '!"pot \"i..., ed'~ >'1'.',e) E~P~~~~u.~=-.,)_PLi'1t;!1.C;,LJiA-t(l2~. Cc:npl te: C~":lY :: ~::-e~~ Cand1dat7t Officehotder name 0ffice sollght Offir.e h"ld 3:<C;:::!:~i!!tlfe tc r.r:>1(:f:t ~;/OH l";cmr:;.:ete ~.1..Y if dirac! ~xc:"'~"";~ur... to be,...,~e,t C/Ori -' ~- ~ ~:' ~~~ '-:~: : --:""'- --ATTACH AOD~'ONAl-COPESOfTHiSSCHED~e-~~-NEEDE'O _-.-- " '---' '-1. R'9vise d 04'19.'2013

6 Texas Ethics Commission PO. Box Austin, Texas (512) (TDD ) POLTCAL EXPENDTURES MADE FROM PERSONAL FUNDS SCHEDULE G F= EXPENDTURE CATEGORES FOR BOX 8(a) Advertosing Expense Gift/Awards/Memorials Expense SalariesiWages/Contract Labor Loan Repayment/Reimbursement Accounting/Banking Legal Services SOlicltatlon/Fundralsing Expen se Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Travel n Distnct ContributionS/Donations Made By Event Expense Polling Expense Travel Out Of District Candidale/OfficeholderlPolitical Committee Fees Printmg Expense Office Overhead/Rental Expense OTHER (enter a category not listed above) The nlltruction Guide explains how to complete this form. 1 Total pages SChedule G'j2 FLER NAME 13 ACCOUNT # (EthiCS Commission Fliers) ~ ;[_Ci djb- [-b~p_~ 4 Date 5 Payee name 1-/J.. t//j..t:; f5 f..( Si '5/511 S 6 Amount ($) 7 Payee address; City; stale; Zip Code :ll/os,&j" lo,m A1~ tt '3:WVV'i / #; ~imbursement rom 34/~ pohtica! contributions intended 'lj;!... (a) Category (See ( traveloulsid<l oltexas, complete Schedule T) 8 EXPENDTURE /Jdat...rf.'sll11''iLk~ J.-f2 ~ - Dale Amount ($) "rlrl,."""", City; State, Zip Code Relmburseme-ru from POlftlcal contributions intended EXPENDTURE -,.' (See categories listed at the top of this schedule) Ub~...,uv (f travel outside 01 Texas, complete Schedule T) Amount ($) Payee address; City; Slate; Zip Code 0 ReimbUrsement from political contributions nlllnded EXPENDTURE Category (See categories listed at the top o( this schedu e) Description (Uravel outside oftoxas. complete Schedule T), Dale Amount ($) Payee address; City; state; Zip Code r" D Reimbursement from political contributions ntended EXPENDTURE Category (S"e categories listed at the top of ths schedule) Description (f travel outside of Texas, complete Schedule T) -- ATTACH ADDTONAL COPES THS SCHEDULE AS NEEDED VWW. ethics.state.tx.us Revised