SPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT COVER SHEET PG 1

Transcription

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 COMMITTEE NAME OFFICE USE ONLY Keep Houston Safe Date Received 4 COMMITTEE ADDRESS / PO BOX APT/SUITE # CITY STATE ZIP CODE 7/15/2010 ADDRESS 6006 North Freeway Date Hand-delivered or Date Postmarked Houston TX Change of address 5 CAMPAIGN MS/MRS/MR FIRST MI Receipt # Amount TREASURER Jim Date Processed NAME NICKNAME LAST SUFFIX Date Imaged McIngvale 6 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE #; CITY; STATE; ZIP CODE TREASURER'S 6006 North Freeway STREET ADDRESS Business Houston TX CAMPAIGN STREET OR PO BOX; APT/SUITE #; CITY; STATE; ZIP CODE TREASURER 6006 North Freeway Houston TX MAILING ADDRESS Change of Address 8 CAMPAIGN AREA CODE PHONE # EXTENSION TREASURER PHONE (713) REPORT TYPE January 15 30th day before election Exceeded $500 limit X July 15 8th day before election Dissolution (attach PAC-DR) Runoff 10th day after campaign treasurer termination 10 PERIOD Month Day Year Month Day Year COVERED 3/9/2010 THROUGH 6/30/ ELECTION ELECTION DATE Month Day Year Primary Runoff General Special GO TO PAGE 2 1 of 3

2 SPECIFIC-PURPOSE COMMITTEE REPORT: FORM SPAC PURPOSE AND TOTALS COVER SHEET PG 2 12 COMMITTEE NAME Keep Houston Safe 15 ACCOUNT # (Ethics Commission filers) 13 COMMITTEE CANDIDATE / OFFICEHOLDER NAME PURPOSE (Attached lists on plain paper to complete CANDIDATE this report if necessary) OFFICE SOUGHT (candidate) / OFFICE HELD (officeholder) [ ] SUPPORT OFFICEHOLDER / (Candidate or Measure) [X] OPPOSE (Candidate or Measure) BALLOT IDENTIFICATION / # ELECTION DATE X MEASURE [ ] ASSIST DESCRIPTION (Officeholder) 14 CONTRIBUTION TOTALS A ballot measure for an ordinance banning red light cameras. 1 TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ 2 TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $191, EXPENDITURE TOTALS 3 TOTAL POLITICAL EXPENDITURES OF $50 OR LESS, UNLESS ITEMIZED $ TOTAL POLITICAL EXPENDITURES $210, CONTRIBUTION BALANCE OUTSTANDING LOAN TOTALS 15 AFFIDAVIT 5 TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF REPORTING PERIOD 6 TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY OF THE REPORTING PERIOD $5, $ I swear, or affirm, under penalty of perjury, that the accompanying report is true and correct and includes all information reqired to be reported by me under Title 15, Election Code. Jim McIngvale Signature of Campaign Treasurer AFFIX NOTARY STAMP / SEAL ABOVE Sworn to and subscribed before me, by the said, this the day of, 20, 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 2 of 3

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4 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 COMMITTEE NAME OFFICE USE ONLY Keep Houston Safe Date Received 4 COMMITTEE ADDRESS / PO BOX APT/SUITE # CITY STATE ZIP CODE 7/15/2010 ADDRESS 6006 North Freeway Date Hand-delivered or Date Postmarked Houston TX Change of address 5 CAMPAIGN MS/MRS/MR FIRST MI Receipt # Amount TREASURER Jim Date Processed NAME NICKNAME LAST SUFFIX Date Imaged McIngvale 6 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE #; CITY; STATE; ZIP CODE TREASURER'S STREET ADDRESS 6006 North Freeway Houston TX CAMPAIGN STREET OR PO BOX; APT/SUITE #; CITY; STATE; ZIP CODE TREASURER 6006 North Freeway Houston TX MAILING ADDRESS Change of Address 8 CAMPAIGN AREA CODE PHONE # EXTENSION TREASURER PHONE (713) REPORT TYPE January 15 30th day before election Exceeded $500 limit X July 15 8th day before election Dissolution (attach PAC-DR) Runoff 10th day after campaign treasurer termination 10 PERIOD Month Day Year Month Day Year COVERED 3/9/2010 THROUGH 6/30/ ELECTION ELECTION DATE Month Day Year Primary Runoff General Special GO TO PAGE 2 1 of 20

5 SPECIFIC-PURPOSE COMMITTEE REPORT: FORM SPAC PURPOSE AND TOTALS COVER SHEET PG 2 12 COMMITTEE NAME Keep Houston Safe 15 ACCOUNT # (Ethics Commission filers) 13 COMMITTEE CANDIDATE / OFFICEHOLDER NAME PURPOSE (Attached lists on plain paper to complete CANDIDATE this report if necessary) OFFICE SOUGHT (candidate) / OFFICE HELD (officeholder) [ ] SUPPORT OFFICEHOLDER / (Candidate or Measure) [X] OPPOSE (Candidate or Measure) BALLOT IDENTIFICATION / # ELECTION DATE X MEASURE [ ] ASSIST DESCRIPTION (Officeholder) 14 CONTRIBUTION TOTALS A ballot measure for an ordinance banning red light cameras 1 TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ 2 TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $ EXPENDITURE TOTALS 3 TOTAL POLITICAL EXPENDITURES OF $50 OR LESS, UNLESS ITEMIZED $ 4 TOTAL POLITICAL EXPENDITURES $ CONTRIBUTION BALANCE OUTSTANDING LOAN TOTALS 15 AFFIDAVIT 5 TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF REPORTING PERIOD 6 TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY OF THE REPORTING PERIOD $ $ I swear, or affirm, under penalty of perjury, that the accompanying report is true and correct and includes all information reqired to be reported by me under Title 15, Election Code. Jim McIngvale Signature of Campaign Treasurer AFFIX NOTARY STAMP / SEAL ABOVE Sworn to and subscribed before me, by the said, this the day of, 20, 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 2 of 20

6 POLITICAL CONTRIBUTIONS OTHER THAN PLEDGES OR LOANS SCHEDULE A The Instruction Guide explains how to complete this form. 1 Total Pages Schedule A: 2 FILER NAME 3 ACCOUNT # (Ethics Commission filers) 4 Date 5 Full name of contributor out of state PAC(ID# ) 7 Amount of 8. In-Kind contribution Contribution ($) description (if applicable) 6 Contributor address; City; State; Zip Code; 9 Principal occupation / Job title (See Instructions) 10 Employer (See Instructions) (If travel outside of Texas, Complete Schedule T) ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements 3 of 20

7 CORPORATE OR LABOR ORGANIZATION CONTRIBUTIONS OTHER THAN PLEDGES OR LOANS The Instruction Guide explains how to complete this form. 1 Total Pages Schedule C: SCHEDULE C 2 FILER NAME 3 ACCOUNT # (Ethics Commission filers) 4 Date 5 Corporation/Labor Organization name American Traffic Solutions, Inc. 7 Amount of 8. In-kind contribution description 6 Corporation/Labor Organization address; City; State; Zip Code 3/23/2010 Scottsdale AZ , Date 5 Corporation/Labor Organization name Forcecon Services, LLC 7 Amount of 8. In-kind contribution description 6 Corporation/Labor Organization address; City; State; Zip Code 4 Date 5 Corporation/Labor Organization name TAT Technologies, LLC 7 Amount of 8. In-kind contribution description 6 Corporation/Labor Organization address; City; State; Zip Code contribution ($) 5/25/2010 Keller TX , contribution ($) 6/8/2010 Phoenix AZ , Date 5 Corporation/Labor Organization name (If travel outside of Texas, complete Schedule T) American Traffic Solutions, Inc. 7 Amount of 8. In-kind contribution description 6 Corporation/Labor Organization address; City; State; Zip Code 4 Date 5 Corporation/Labor Organization name contribution ($) contribution ($) 5/25/2010 Scottsdale AZ , Date 5 Corporation/Labor Organization name 6 Corporation/Labor Organization address; City; State; Zip Code contribution ($) 5/25/2010 Kent WA , (if applicable) (If travel outside of Texas, complete Schedule T) (if applicable) (If travel outside of Texas, complete Schedule T) Horsepower Electric, Inc. 7 Amount of 8. In-kind contribution description contribution ($) (if applicable) (if applicable) (If travel outside of Texas, complete Schedule T) Signal Electric Inc. 7 Amount of 8. In-kind contribution description (if applicable) (If travel outside of Texas, complete Schedule T) (if applicable) 4 of 20

8 CORPORATE OR LABOR ORGANIZATION CONTRIBUTIONS OTHER THAN PLEDGES OR LOANS The Instruction Guide explains how to complete this form. 1 Total Pages Schedule C: SCHEDULE C 2 FILER NAME 3 ACCOUNT # (Ethics Commission filers) 6 Corporation/Labor Organization address; City; State; Zip Code 6/8/2010 Hialeah FL , Date 5 Corporation/Labor Organization name Red Light Design, LLC 7 Amount of 8. In-kind contribution description 6 Corporation/Labor Organization address; City; State; Zip Code 6/17/2010 Fenton MO , Date 5 Corporation/Labor Organization name (If travel outside of Texas, complete Schedule T) contribution ($) (If travel outside of Texas, complete Schedule T) REM Services, Inc. 7 Amount of 8. In-kind contribution description 6 Corporation/Labor Organization address; City; State; Zip Code contribution ($) 6/4/2010 Houston TX , ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED (if applicable) (if applicable) (If travel outside of Texas, complete Schedule T) 5 of 20

9 LOANS SCHEDULE E The Instruction Guide explains how to complete this form. 1 Total Pages Schedule E: 2 FILER NAME 3 ACCOUNT # (Ethics Commission filers) 4 TOTAL OF UNITEMIZED LOANS: => => => => => => Date of loan 7 Name of lender out of state PAC(ID# ) 9 Loan Amount ($) 6 Is Lender a 8 Lender Address; City; State; Zip Code 10 Interest rate Financial Institution? 11 Maturity date 12 Principal occupation / Job title (See Instructions) 13 Employer (See Instructions) 14 Description of collateral none 15 GUARANTOR 16 Name of guarantor 18 Amount Guaranteed ($) INFORMATION 17 Guarantor address; City; State; Zip Code not applicable 19 Principal Occupation 20 Employer ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED If lender is out-of-state PAC, please see instruction guide for additional reporting requirements 6 of 20

10 POLITICAL EXPENDITURES SCHEDULE F The Instruction Guide explains how to complete this form. 1 Total Pages Schedule F: 2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers) Wilson Research Strategies, LLC 7 Amount 4/1/ Classen Drive Oklahoma City OK Intersection camera survey Candidate / Officeholder name office sought office held Wilson Research Strategies, LLC 7 Amount 4/1/ Classen Drive 4250 Intersection camera survey Candidate / Officeholder name office sought office held Oklahoma City OK Phil Owens 7 Amount 4/1/ Glenfield Park Lane 300 Houston TX Distribution of printed materials Candidate / Officeholder name office sought office held Advarion Incorporated 7 Amount 4/1/2010 PO Box Houston TX Software consulting and internet advertising Candidate / Officeholder name office sought office held 7 of 20

11 POLITICAL EXPENDITURES SCHEDULE F The Instruction Guide explains how to complete this form. 1 Total Pages Schedule F: 2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers) Begala McGrath, LLC 7 Amount 4/1/2010 PO Box Houston TX Public issue consulting services Candidate / Officeholder name office sought office held RazorIT 7 Amount 4/14/ Larkin St 5000 Houston TX Social network support - setup Candidate / Officeholder name office sought office held Houston Police Foundation 7 Amount 4/30/2010 PO Box Sponsor Moonlight Classic bike ride Candidate / Officeholder name office sought office held Houston TX Carl Davis 7 Amount 5/11/ California St, # Houston TX Public issue consulting services Candidate / Officeholder name office sought office held 8 of 20

12 POLITICAL EXPENDITURES SCHEDULE F The Instruction Guide explains how to complete this form. 1 Total Pages Schedule F: 2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers) Walker Entertainment Group 7 Amount 5/11/ SW Freeway, Suite Houston TX Public issue consulting services Candidate / Officeholder name office sought office held Sheinkopf Ltd. 7 Amount 5/11/ Madison Avenue, Suite Art design Candidate / Officeholder name office sought office held New York NY Law Office of Roger Gordon 7 Amount 5/11/ S. Mopac, Suite Austin TX Legal fees Candidate / Officeholder name office sought office held RazorIT 7 Amount 5/11/ Larkin St 3000 Houston TX Social network support Candidate / Officeholder name office sought office held 9 of 20

13 POLITICAL EXPENDITURES SCHEDULE F The Instruction Guide explains how to complete this form. 1 Total Pages Schedule F: 2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers) Harland Clarke 7 Amount 5/12/ Laureate Drive San Antonio TX Checks Candidate / Officeholder name office sought office held Sheinkopf Ltd. 7 Amount 5/21/ Madison Avenue, Suite Stock photography for mail piece Candidate / Officeholder name office sought office held New York NY Begala McGrath, LLC 7 Amount 5/24/2010 PO Box Houston TX Public issue consulting service Candidate / Officeholder name office sought office held Ratcliff Creative 7 Amount 5/24/ Westheimer Parkway, # Katy TX Design services Candidate / Officeholder name office sought office held 10 of 20

14 POLITICAL EXPENDITURES SCHEDULE F The Instruction Guide explains how to complete this form. 1 Total Pages Schedule F: 2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers) Don Samuel 7 Amount 5/26/ Running Arabian Lane 300 Houston TX Editing radio ad Candidate / Officeholder name office sought office held Begala McGrath, LLC 7 Amount 5/28/2010 PO Box Houston TX Public issue consulting service Candidate / Officeholder name office sought office held Baker & Botts 7 Amount 5/28/2010 PO Box Legal fees Candidate / Officeholder name office sought office held Houston TX Clear Channel 7 Amount 6/3/ West Loop South, Suite Houston TX June radio buy Candidate / Officeholder name office sought office held 11 of 20

15 POLITICAL EXPENDITURES SCHEDULE F The Instruction Guide explains how to complete this form. 1 Total Pages Schedule F: 2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers) Walker Entertainment Group 7 Amount 6/7/ SW Freeway, Suite Houston TX Radio buy Candidate / Officeholder name office sought office held Strategic Public Affairs 7 Amount 6/21/2010 PO Box Public issue consulting services Candidate / Officeholder name office sought office held Houston TX Andy Taylor & Associates 7 Amount 6/21/ Main Street, Suite Houston TX Legal fees Candidate / Officeholder name office sought office held Carl Davis 7 Amount 6/21/ California St, # Houston TX Public issue consulting services Candidate / Officeholder name office sought office held 12 of 20

16 POLITICAL EXPENDITURES SCHEDULE F The Instruction Guide explains how to complete this form. 1 Total Pages Schedule F: 2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers) Law Office of Roger Gordon 7 Amount 6/21/ S. Mopac, Suite Austin TX Legal fees Candidate / Officeholder name office sought office held Walker Entertainment Group 7 Amount 6/21/ SW Freeway, Suite Houston TX Public issue consulting services Candidate / Officeholder name office sought office held Advarion Incorporated 7 Amount 6/21/2010 PO Box Houston TX Software consulting and internet advertising Candidate / Officeholder name office sought office held Lawrence G. Jones 7 Amount 6/21/ Hideaway Lane 750 Spring TX Voice over Candidate / Officeholder name office sought office held 13 of 20

17 POLITICAL EXPENDITURES SCHEDULE F The Instruction Guide explains how to complete this form. 1 Total Pages Schedule F: 2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers) Fred Olson 7 Amount 6/21/ West Loop South, Suite Bellaire TX Talent for radio commercials Candidate / Officeholder name office sought office held AFTRA Health and Retirement 7 Amount 6/21/ West Loop South, Suite Bellaire TX Talent for radio commercials Candidate / Officeholder name office sought office held RazorIT 7 Amount 6/24/ Larkin St 6000 Houston TX Social media support Candidate / Officeholder name office sought office held Colon & Company 7 Amount 4/30/2010 PO Box , Houston TX Political consultant Candidate / Officeholder name office sought office held 14 of 20

18 POLITICAL EXPENDITURES SCHEDULE F The Instruction Guide explains how to complete this form. 1 Total Pages Schedule F: 2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers) Colon & Company 7 Amount 5/31/2010 PO Box , Houston TX Political consultant Candidate / Officeholder name office sought office held Colon & Company 7 Amount 6/30/2010 PO Box , Houston TX Political consultant Candidate / Officeholder name office sought office held ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED 15 of 20

19 PAYMENT FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH The Instruction Guide explains how to complete this form. 1 Total Pages Schedule H: SCHEDULE H 2 FILER NAME 3 ACCOUNT # (Ethics Commission filers) 4 Date 5 Business name 7 Amount 6 Business address; City; State; Zip Code ($) Candidate / Officeholder name office sought office held (If travel outside of Texas, complete schedule T) ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED 16 of 20

20 NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS The Instruction Guide explains how to complete this form. 1 Total PagesSchedule I: SCHEDULE I 2 FILER NAME 3 ACCOUNT # (EthicsCommission filers) 8 Amount 7 Purpose of expenditure (See Instructions regarding type of ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED 17 of 20

21 POLITICAL CONTRIBUTIONS RETURNED TO COMMITTEE The Instruction Guide explains how to complete this form. 1 Total Pages Schedule J: SCHEDULE J 2 FILER NAME 3 ACCOUNT # (Ethics Commission filers) 4 Date Returned 5 Original payee name 7 Amount Returned ($) 6 Original payee address; City; State; Zip Code ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED 18 of 20

22 CREDITS (optional) SCHEDULE K The Instruction Guide explains how to complete this form. 1 Total Pages Schedule K: 2 FILER NAME 3 ACCOUNT # (Ethics Commission filers) 4 Date 5 Payor name 8 Amount 6 Payor address; City; State; ZIP Code ($) 7 Reason for credit 19 of 20

23 POLITICAL COMMITTEE AFFIDAVIT OF DISSOLUTION The instruction Guide explains how to complete this form. FORM PAC-DR ** Complete only if "Report Type" on page 1 is marked "Dissolution" ** 1 COMMITTEE NAME 2 ACCOUNT # (Ethics Commission filers) 3 Affidavit of Dissolution I, the undersigned campaign treasurer, do not expect the occurrence of any further reportable activity by this political committee for this or any other campaign or election for which reporting under the Election Code is required. I declare that all of the information required to be reported by me has been reported. I understand that designating a report as a dissolution report terminates the appointment of campaign treasurer. I further understand that a political committee may not make or authorize political expenditures or accept political contributions without having an appointment of campaign treasurer on file. Signature of campaign treasurer DO NOT SIGN UNLESS POLITICAL COMMITTEE IS TO BE DISSOLVED AFFIX NOTARY STAMP / SEAL ABOVE Sworn to and subscribed before me, by the said, this the day of, 20, 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 20 of 20

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