Texas Ethics Commission P.O.Box Austin, Texas (512) Steve. Salazar. Rosario. Rodriguez
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1 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 filers) MS / MRS / MR FIRST MI Steve 2. Total Pages Filed: 9 OFFICE USE ONLY Received NICKNAME LAST SUFFIX Salazar 4. CANDIDATE / OFFICEHOLDER MAILING ADDRESS c Change of Address Address/PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE 1029 N Zang Blvd Dallas TX Hand-delievered or Postmarked 5. CANDIDATE / OFFICEHOLDER PHONE AREA CODE PHONE NUMBER EXTENSION (214) Receipt # 6. CAMPAIGN TREASURER NAME 7. CAMPAIGN TREASURER ADDRESS (Residence or business) 8. CAMPAIGN TREASURER PHONE MS / MRS / MR FIRST MI Rosario NICKNAME LAST SUFFIX Rodriguez Processed Imaged STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE 1029 N Zang Blvd Dallas TX AREA CODE PHONE NUMBER EXTENSION (214) REPORT TYPE July PERIOD COVERED 1/1/2010 THROUGH 6/30/ ELECTION ELECTION DATE ELECTION TYPE NA 12. OFFICE OFFICE HELD (if any) 13. OFFICE SOUGHT (if known) Council District 6 Not Applicable 14. NOTICE OF DIRECT CAMPAIGN EXPENDITURE BY OTHER INDIVIDUALS ** Direct campaign expenditures are campaign expenditures made by others without the candidate's prior consent or approval Candidates are required to disclose this information only if they receive notification of the direct campaign expenditure. ** NAME ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE c additional pages GO TO PAGE 2
2 CANDIDATE / OFFICEHOLDER REPORT: FORM C/OH SUPPORT & TOTALS COVER SHEET PG 2 15 C/OH NAME 16 ACCOUNT #(Ethics Commission filers) 17 NOTICE FROM POLITICAL COMMITTEE(S) ** This box is for notice of political contributions accepted or political expenditures made by political committees to support the candidate/officeholder. These expenditures may have been made without the candidate's or officeholder's knowledge or consent. Candidates and officeholders are required to report this information only if they receive notice of such expenditures.** COMMITTEE TYPE COMMITTEE NAME c additional pages c GENERAL COMMITTEE ADDRESS c SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME COMMITTEE CAMPAIGN TREASURER ADDRESS 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 Candidate or Officeholder Sworn to and subscribed before me, by the said, this the 15th day of, July 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
3 POLITICAL CONTRIBUTIONS OTHER THAN PLEDGES OR LOANS SCHEDULE A 1 Total pages Schedule A: 1 of 2 3 ACCOUNT # (Ethics Commission filers) 4 5 Albert Black of Contribution 04/06/ Kessler Lake Dallas, TX Soang Park Meadow Vista Carrolton, TX of Contribution 04/06/ Employeer (See Instructions) Albert Black 02/22/ Kessler Lake Dallas, TX of Contribution Lili Ghadiri 02/19/ Preston Trail Dallas, TX of Contribution Schahrouz Ferdows... of Contribution 02/19/ Finnell St. Dallas, TX If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.
4 POLITICAL CONTRIBUTIONS OTHER THAN PLEDGES OR LOANS SCHEDULE A 1 Total pages Schedule A: 2 of 2 3 ACCOUNT # (Ethics Commission filers) 4 5 Dale Tillery of Contribution 05/07/ R.L. Thornton Freeway Dallas, TX of Contribution... Employeer (See Instructions) of Contribution... of Contribution... of Contribution... If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.
5 1 of /25/ St. Judes Childrens Research Hospital Danny Thomas Place Memphis, TN Donation 9 01/25/2010 Morelia Restaurant 2707 W. Jefferson Blvd. Dallas, TX UT Southwestern Intern Reception 02/01/2010 Morelia Restaurant 2707 W. Jefferson Blvd. Dallas, TX Voter Registration Breakfast 04/16/2010 Morelia Restaurant 2707 W. Jefferson Blvd. Dallas, TX reception sponsor
6 2 of /25/ Morelia Restaurant W. Jefferson Blvd. Dallas, TX food for Benito Juarez event 9 04/30/2010 Sundown Community Corporation 5714 Bernal Dr. Dallas, TX donation 04/09/2010 Maria Muniz 238 W. 12th St. Dallas, TX reimbursement of drinks for event 01/12/2010 John Lopez 1029 N Zang Blvd Dallas, TX Reimbursement for supplies purchased
7 3 of /30/ AT&T 6 Dallas, TX P.O. Box phone 9 01/22/2010 AT&T P.O. Box Dallas, TX phone 03/11/2010 Hector Garza Campaign 1234 Main St Dallas, TX donation 03/26/2010 Office Depot 2929 Oak Lawn Ave Dallas, TX supplies and equipment
8 4 of /05/ Monica R Alonzo Pa Dallas, TX Consulting 9 03/10/2010 Louis Trujillo Campaign 4909 W. Jefferson Blvd. Dallas, TX donation 02/15/2010 Sprint 5331 E. Mockingbird Ln Dallas, TX phone 04/18/2010 Sprint 5331 E. Mockingbird Ln Dallas, TX phone
9 5 of /28/ N Zang Blvd Dallas, TX reimbursement of travel expenses 9 06/28/2010 I Love Roses Florist & Gifts 1205 N. Hampton Rd. Dallas, TX funeral sprays for constituents
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