Texas Ethics Commission P.O.Box Austin, Texas (512)
|
|
- Doreen Monica Malone
- 5 years ago
- Views:
Transcription
1 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 Pages Filed: 8 OFFICE USE ONLY Received 4 COMMITTEE ADDRESS cchange of Address ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE 3232 McKinney Ave. 855 Dallas TX Hand-delivered or Postmarked 5 CAMPAIGN TREASURER NAME MS / MRS / MR FIRST MI Ronald G Receipt # NICKNAME LAST SUFFIX Ron Steinhart Processed Imaged 6 CAMPAIGN TREASURER'S STREET ADDRESS (Residence or business) STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE 25 Robledo Dallas TX CAMPAIGN TREASURER'S MAILING ADDRESS c Change of Address STREET OR PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE 25 Robledo Dallas TX CAMPAIGN TREASURER PHONE AREA CODE PHONE NUMBER EXTENSION ( ) 9 REPORT TYPE January PERIOD COVERED 7/1/2009 THROUGH 12/31/ ELECTION ELECTION DATE ELECTION TYPE NA GO TO PAGE 2 Revised 09/01/2007
2 SPECIFIC-PURPOSE COMMITTEE REPORT: FORM SPAC PURPOSE AND TOTALS COVER SHEET PG 2 12 COMMITTEE NAME ACCOUNT #(Ethics Commission filers) 13 COMMITTEE PURPOSE (Attach lists on plain paper to complete this report if necessary.) c CANDIDATE CANDIDATE / OFFICEHOLDER NAME Tom Leppert OFFICE SOUGHT (candidate) / OFFICE HELD (officeholder) c SUPPORT (Candidate or Measure) cx OFFICEHOLDER c OPPOSE (Candidate or Measure) BALLOT IDENTIFICATION / # ELECTION DATE cx ASSIST (Officeholder) c MEASURE DESCRIPTION 18 CONTRIBUTION TOTALS 1. TOTAL POLITICAL CONTRIBUTIONS OF 50 OR LESS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED 0... EXPENDITURE TOTALS 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) 3. TOTAL OF 50 OR LESS, UNLESS ITEMIZED TOTAL 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 0 19 AFFIDAVIT I 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. AFFIX NOTARY STAMP / SEAL ABOVE ***ELECTRONICALLY CERTIFIED*** Signature of campaign treasurer Sworn to and subscribed before me, by the said, Ronald G Steinhart this the 15th day of, January 20, 10 to certify which, witness my hand and seal of office. Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath Revised 09/01/2007
3 POLITICAL CONTRIBUTIONS OTHER THAN PLEDGES OR LOANS SCHEDULE A 1 Total pages Schedule A: 1 of 1 3 ACCOUNT # (Ethics Commission filers) 4 5 Full name of contributor c out-of-state PAC (ID#: ) Tom Leppert for Mayor... 6 Contributor address; City; State; Zip Code 7 of Contribution 07/16/ In-kind contribution 9 Principal occupation / Job title (See Instructions) 10 Employer (See Instructions) Full name of contributor c out-of-state PAC (ID#: ) Tom Leppert for Mayor... Contributor address; City; State; Zip Code 3232 McKinney Ave. of Contribution 07/31/ In-kind contribution Principal occupation / Job title (See Instructions) Employeer (See Instructions) Full name of contributor c out-of-state PAC (ID#: ) Tom Leppert for Mayor Contributor address; City; State; Zip Code Principal occupation / Job title (See Instructions) of Contribution Employer (See Instructions) In-kind contribution Full name of contributor c out-of-state PAC (ID#: ) Tom Leppert for Mayor 11/20/ Contributor address; City; State; Zip Code Principal occupation / Job title (See Instructions) of Contribution Employer (See Instructions) In-kind contribution Full name of contributor c out-of-state PAC (ID#: ) of Contribution In-kind contribution... Contributor address; City; State; Zip Code Principal occupation / Job title (See Instructions) Employer (See Instructions) If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements. Revised
4 1 of /19/ KCND Enterprises S. Hollow Drive Southlake, TX Computer Services 9 Eletorre, Inc. P.O. Box Dallas, TX Website Eletorre, Inc. Dallas, TX P.O. Box Facebook Page Marty Perlman Studio 1222 Manufacturing Street Dallas, TX Photography Revised
5 2 of Valentine Direct Marketing Maple Ave. Suite 230 Dallas, TX Printing and Reproduction 9 the Reeds Public Relations Postage and Delivery the Reeds Public Relations Printing and Reproduction the Reeds Public Relations Advertising Expense Revised
6 3 of /19/ Chris Heinbaugh Caddo St. Suite G Reimbursement - Flowers 9 09/11/2009 Dallas Zoological Society 650 S. RL Thornton Dallas, TX Rental Expense 07/08/2009 Marty Perlman Studio 1222 Manufacturing St. Dallas, TX Photography 09/30/2009 Chase Bank 3610 McKinney Ave. Suite Bank Fee Revised
7 4 of /31/ Chase Bank McKinney Ave. Suite Bank Fee 9 Alpha Business Images 6440 N. Central Suite 307 Dallas, TX Website KCND Enterprises 1015 S. Hollow Drive Dallas, TX Computer Services 07/28/2009 Deluxe Business Solutions P.O. Box Cincinnati, OH Banking Supplies Revised
8 5 of Cretias Flour and Flowers W Camp Wisdom Duncanville, TX Catering 9 11/19/2009 Cretias Flour and Flowers 215 W Camp Wisdom Duncanville, TX Catering The Reeds Public Relations 3232 McKinney Ave Suite Office Supplies Gigantic Color 7900 Ambassador Row Dallas, TX Printing and Reproduction Revised
Texas 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 )
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 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 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 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 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 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 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 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 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 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 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 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 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 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 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. 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 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 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 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 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 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 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 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 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 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 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 information2/14/2011 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) 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 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 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 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 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)
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
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 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 208, covering calendar year ending December 3, 207. Use FORM PFS--INSTRUCTION GUIDE when
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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 informationLOBBY REGISTRATION AMENDMENT (For 2017 Registrants)
LOBBY REGISTRATION AMENDMENT (For 2017 Registrants) PG 1PG COVER SHEET Form AREG Instruction Guide explains how to fill out this form. 2 1 Number of Schedules filed: A Schedule C filed: Yes No B Filer
More informationTEXAS ETHICS COMMISSION
TEXAS ETHICS COMMISSION CANDIDATE/OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH INSTRUCTION GUIDE Revised January 4, 2016 Texas Ethics Commission, P.O. Box 12070, Austin, Texas 78711 (512) 463-5800 FAX
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 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
TEXAS ETHICS COMMISSION GENERAL - PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT FORM GPAC INSTRUCTION GUIDE Revised January 1, 2017 Texas Ethics Commission, P.O. Box 12070, Austin, Texas 78711 (512) 463-5800
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 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 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 informationCOMMITTEE OR FUND INFORMATION REPORT OPTIONS
Minnesota Campaign Finance and Public Disclosure Board Suite 190. Centennial Office Building. 658 Cedar Street. St. Paul MN 55155-1603. www.cfboard.state.mn.us Email at: cfb.reports@state.mn.us. Report
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 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 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 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 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 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 informationPlease review to ensure completion. 1. Name. 2. City. 3b. District Number. 3a. Office sought. 4. Term 5. Preferred title. 6. Residential address
112 KANSAS SECRETARY OF STATE City/School Candidate's Declaration of Intention 1. Name List exactly as it will appear on ballot, including all punctuation. 2. City 3a. Office sought 3b. District Number
More information2019 Extension District Election
Linn County Election Office David Lamb, County Clerk/Election Officer 315 Main Street / P.O. Box 350 Mound City, KS 66056 Phone: (913) 795-2668 Fax: (913) 795-2419 2019 Extension District Election The
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 informationLOBBY REGISTRATION FOR 2018 (For use through December 31, 2018)
LOBBY REGISTRATION FOR 2018 (For use through December 31, 2018) COVER SHEET PG 1 The Form REG Instruction Guide explains how to fill out this form. 1 Number of Schedules filed: A B Filer ID OFFICE USE
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 informationINSTRUCTIONS FOR COMPLETING DBPR ABT 6026 DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO APPLICATION FOR ALCOHOLIC BEVERAGE EXPORTER REGISTRATION
INSTRUCTIONS FOR COMPLETING DBPR ABT 6026 DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO APPLICATION FOR ALCOHOLIC BEVERAGE EXPORTER REGISTRATION If you have any questions or need assistance in completing
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 informationPOLITICAL PARTY QUARTERLY REPORTING FORM
To be filed with: POLITICAL PARTY QUARTERLY REPORTING FORM For assistance in completing this form contact: Mark Martin, Secretary of State Calendar Year Arkansas Ethics Commission State Capitol, Room 026
More information2. Filing is being made on behalf of (Select One): Candidate or Public Official Atlanta City Council Member District 4
Page 1 of 8 CFC-CCDR 1/14 Georgia Government Transparency and Campaign Finance Commission 200 Piedmont Avenue S.E. Suite 1402 West Tower Atlanta, GA 30334 404-463-1980 www.ethics.ga.gov 1. Report Type
More informationOfficeholder/Candidate Information 1. Name of Officeholder/Candidate
CAMPAIGN CONTRIBUTION AND EXPENDITURE REPORT FOR DEBT RETIREMENT Year of Election: (Note: This is the year of the election for which you are seeking to retire campaign debt) NOTE: The campaign contribution
More informationFiler ID (Filer ID that begins with the letter C ) Organization or Person Other than Candidate s Campaign Committee Committee Name:
Page 1 of 10 1. Report Type (Select One) Original Amendment Amendment # Georgia Government Transparency and Campaign Finance Commission 200 Piedmont Avenue S.E. Suite 1402 West Tower Atlanta, GA 30334
More informationINCOMING ABLE ROLLOVER FORM
INCOMING ABLE ROLLOVER FORM PLEASE READ THE IMPORTANT INFORMATION BELOW Complete this form to initiate a transfer of funds from another Qualified ABLE Plan (QAP) into an existing STABLE Account, report
More informationCovering Calendar Year: Mailing Address: Street or P.O. Box City County State Zip code. ( )
CFC PFD Rev. 1/14 STATE OF GEORGIA PERSONAL FINANCIAL DISCLOSURE STATEMENT 200 Piedmont Avenue S.E. Suite 1402 West Tower Atlanta, GA 30334 404-463-1980 www.ethics.ga.gov Local Location Code: Original
More informationState of West Virginia Campaign Financial Statement (Long Form) in Relation to the 2012 Election Year
State of West Virginia Campaign Financial Statement (Long Form) in Relation to the 2012 Election Year Candidate or Committee Name Candidate or Committee's Treasurer Political Party (for candidates) Treasurer's
More informationFINAL CAMPAIGN CONTRIBUTION AND EXPENDITURE REPORT For State and District Candidates Only For assistance in completing
FINAL CAMPAIGN CONTRIBUTION AND EXPENDITURE REPORT For State and District Candidates Only To be filed with: Mark Martin, Secretary of State For assistance in completing this form contact: Arkansas Ethics
More informationAPPLICATION FOR EMPLOYEE CARD TOM GREEN COUNTY BAIL BOND BOARD TOM GREEN COUNTY TREASURER S OFFICE SAN ANGELO, TX. Employee Name
New Application Renewal Application APPLICATION FOR EMPLOYEE CARD TOM GREEN COUNTY BAIL BOND BOARD TOM GREEN COUNTY TREASURER S OFFICE SAN ANGELO, TX *************************************************************************************
More informationCLASS ACTION CLAIM FORM
Name(s): (Barcode) Claimant ID: Verification No.: CLASS ACTION CLAIM FORM PLEASE FULLY COMPLETE THIS CLAIM FORM AND SIGN IT BELOW. INCOMPLETE CLAIM FORMS WILL BE DEEMED INVALID AND THE CLAIM MAY BE DENIED.
More informationIf you should have any questions about the process for obtaining your 2016 Occupational License please contact the City Hall:
Dear Home Occupation Owner: Attached is the application for a Home Occupation Tax Certificate. All Home Occupation Tax Certificates must be approved by City Council. Please note that the application must
More informationCLASS ACTION CLAIM FORM
CLASS ACTION CLAIM FORM Barcode PLEASE FULLY COMPLETE THIS CLAIM FORM AND SIGN IT BELOW. INCOMPLETE CLAIM FORMS WILL BE DEEMED INVALID AND THE CLAIM MAY BE DENIED. IF MORE THAN ONE PERSON IS NAMED AS AN
More informationCity of Peachtree Corners Business License Application
City of Peachtree Corners Business License Application (Occupational Tax Certificate) YEAR Business Name: Business Telephone Number: Fax Number: Business Address (physical location): Suite or Apt No.:
More informationCAMPAIGN CONTRIBUTION AND EXPENDITURE REPORT For County, Municipal and School Board Candidates
CAMPAIGN CONTRIBUTION AND EXPENDITURE REPORT For County, Municipal and School Board Candidates Check if this report is an amendment This report should be filed with the County Clerk of the county in which
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 informationDBPR ABT Division of Alcoholic Beverages and Tobacco Application for Caterer s License
DBPR ABT -6011 Division of Alcoholic Beverages and Tobacco Application for Caterer s License STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION NOTE This form must be submitted as part
More information2. Filing is being made on behalf of (Select One): Candidate or Public Official Chairman of Cobb County Commission
Page 1 of 8 CFC-CCDR 1/14 Georgia Government Transparency and Campaign Finance Commission 200 Piedmont Avenue S.E. Suite 1402 West Tower Atlanta, 30334 404-463-1980 www.ethics.ga.gov 1. Report Type 2.
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 informationDBPR ABT-6006 Division of Alcoholic Beverages and Tobacco Application for Cigar Wholesale Dealer Permit
DBPR ABT-6006 Division of Alcoholic Beverages and Tobacco Application for Cigar Wholesale Dealer Permit STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION DBPR Form AB&T ABT-6006 Revised
More informationFINANCIAL DISCLOSURE REPORT
For Official Use Only FINANCIAL DISCLOSURE REPORT This statement is filed in accordance with Chapter 12A of the Dallas City Code. Copies of the applicable code sections and additional copies of this form
More information