FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: b. . P?.t-!-!~...
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1 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 3 CANIATE/ MS /MRS / MR Ml OFFICEHOLER NAME NICKNAME 4 CANIATE/ ARESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP OE OFFICEHOLER MAILING ll 201 SoUJrm (2._d ARESS '14- oc.orro ;1) ate Ii.cl.;., I"\" V -11c::cni.11v SU FICOI MUNITY COLLEGE ft.pr Change of Address lffb RECEIVE 5 CANIATE/ AREA COE PHONE NUMBER EXTENSION PR SIENT'S OFFICE OFFICEHOLER PHONE 6 CAMPAIGN MS /MRS / MR J (9(5 ) of- 43<::ti FIRST TREASURER. P?.t-!-!... Ml Receipt # NAME ate Processed NICKNAME SUFFIX ua,e nano-oeuvered or ate Postmarked ate Imaged 7 CAMPAIGN STREET ARESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP COE TREASURER ARESS (Residence or Business) l[sl oujrro (Z_J_ tlf S CYY.1 Th qcc2.--1 io,-4s9ta 8 CAMPAIGN AREA COE PHONE NUMBER EXTENSION TREASURER (f1 r;- ) PHONE I Amount 9 REPORT TYPE January 15 3oth day before election Runoff Ju1y15 8th day before election Exceeded 500 limit 15th day after campaign treasurer appointment (Officeholder Only) Final Report (Attach C/OH - FR) 10 PERIO Month ay Year Month ay Year COVERE l)\ / ll / II olf / 0 5 / I 7t THROUGH 11 ELECTION ELECTION ATE ELECTION TYPE Month ay Year Primary A)Co / \t L}6' General 12 OFFICE OFFICE HEL (if any) 13 Runoff Other escription Speci al OFFICE O zz> 8 0 AiU) vt-STI ist.: -:::;- GO TO PAGE 2
2 CANIATE/ OFFICEHOLER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 14 C/OH NAME 15 Filer I (Ethics Commission Filers) 16 NOTICE FROM POLITICAL COMMITTEE(S) TlilS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTE OR POLITICAL EXPENITURES MAE BY POLITICAL COMMITTEES TO SUPPORT TliE CANIATE / OFRCEHOLER. THESE EXPENITURES MAY HAVE BEEN MAE WITHOIIT THE CANIATE'S OR OFFICEHOLER'S KNOWLEGE OR CONSENT. CANIATES AN OFRCEHOLERS ARE REQUIRE TO REPORT TlilS INFORMATION ONLY IF TliEY RECEIVE NOTICE OF SUCH EXPENITURES. COMMITTEE TYPE COMMITTEE NAME 0GENERAL OsPEc1F1c COMMITTEE ARESS COMMITTEE CAMPAIGN TREASURER NAME Additional Pages COMMITTEE CAMPAIGN TREASURER ARESS 17 CONTRIBUTION TOTALS... EXPENITURE TOTALS CONTRIBUTION BALANCE OUTSTANING LOAN TOTALS 1. TOTAL POLITICAL CONTRIBUTIONS OF 50 OR LESS (OTHER THAN PLEGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZE 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEGES, LOANS, OR GUARANTEES OF LOANS) 3. TOTAL POLITICAL EXPENITURES OF 100 OR LESS, UNLESS ITEMIZE 4. TOTAL POLITICAL EXPENITURES 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINE AS OF THE LAST AY OF REPORTING PERIO 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANING LOANS AS OF THE LAST AY OF THE REPORTING PERIO Lf?/3, &2 Ylq.3B 18 AFFIAVIT PAMELA L PAYNE Notary I # My Commission Expires Jan 21, 2021 AFFIX NOTARY STAMP / SEALABOVE Sworn to and subscribed before me, by the said Josh LC.A. -f-er day of Aeri \. 20, 7. to certify which. witness my hand and sea1 of office. p /J P/tA.L.fkyn<- Signature of officer administering oath Printed name of officer administering oath -1--h, this the Title of officer administering oath Forms provided by Texas Ethics Commission Revised 9/8/2015
3 SUBTOTALS - C/OH FORM C/OH COVER SHEET PG 3 19 FILER NAME (JS t-taa 20 Filer I (Ethics Commission Filers) 21 SCHEULE SUBTOTALS SUBTOTAL NAME OF SCHEULE AMOUNT 1. SCHEULEA1: MONETARY POLITICAL CONTRIBUTIONS Stf, Oo SCHEULE A2: NON-MONETARY (IN-KIN) POLITICAL CONTRIBUTIONS SCHEULE B: PLEGE CONTRIBUTIONS 4. SCHEULE E: LOANS SCHEULE F1: POLITICAL EXPENITURES MAE FROM POLITICAL CONTRIBUTIONS '11J&'J> SCHEULE F2: UNPAI INCURRE OBLIGATIONS SCHEULE F3: PURCHASE OF INVESTMENTS MAE FROM POLITICAL CONTRIBUTIONS SCHEULE F4: EXPENITURES MAE BY CREIT CAR SCHEULE G: POLITICAL EXPENITURES MAE FROM PERSONAL FUNS SCHEULE H: PAYMENT MAE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH SCHEULE I: NON-POLITICAL EXPENITURES MAE FROM POLITICAL CONTRIBUTIONS 12. SCHEULE K: INTEREST, CREITS, GAINS, REFUNS, AN CONTRIBUTIONS RETURNE TO FILER
4 MONETARY POLITICAL CONTRIBUTIONS SCHEULE A1 2 FILER NAME The Instruction Gulde explains how to complete this form. 05\\UJ\ 1 Total pages Schedule A1 : 3 Flier I (Ethics Commission Filers) 4 ate 5 Full name of contributor. 0 out-of-state PAC (I#: l 7 Amount of contribution () oi-{01 8 Principal o r ate (){ \\ 2) r(l Mv rn t 'l l\ 1-1, 1" \J;eR \.'AU,(6-ry ric;-z,c1 Vl-e Instructions) 9 vzr \..J {J( {Sot-state PAC (I#: ;\'i or l0a. t¾,t _ e.l PCt_So,1)( 1Plf2 '7 V<Ufts) A*( rte l \oo.oo Amount of contribution () 2S-oo - I...J ate Full name of contributor 0 out-of-state PAC (I#: l Amount of contribution () l)?{?'\ _ta) ]?5'<(-e;s_... ' S.oo Contribut address; City; State; Zip Code \lo cw01e CL( A,T{1iM Principan : J(e\Goi] ate Full name of contributor 0 out-of-state PAC (I#: l Amount of contribution () L-tl4. (JV\_ l1v.@. Prin.r'.-Pc:t/ Job title (See Instructions) (O. 00 ATIACH AITIONAL COPIES OF THIS SCHEULE AS NEEE If contributor Is out-of-state PAC, please see Instruction guide for additional reporting requirements.
5 MONETARY POLITICAL CONTRIBUTIONS SCHEULE A1 2 FILER NAME 1 Total pages Schedule A 1: The Instruction Gulde explalns how to complete this form. l \l)<j\i\u,a 3 Filer I (Ethics Commission Filers) 4 ate 5 Full name of contri e PAC (I#: \ 7 Amount of contribution () blt ( 0 StCL<L tts lqo 00 8 Princl; JV,eL[ rr;;l J_ 9 ate Full name of contributor O.Ett.. out-of-state PAC (I#: \ Ara.VJ:ltAvr.... '60 12tt 1'er5kN':J CTu Et:W :r 6 o4 {olf Amount of contribution () 00 Principal occupation / Job title (See Instructions) ate Full name of contributor out-of-state PAC (I#: \ Amount of contribution () Principal occupation/ Job title (See Instructions) ate Full name of contributor out-of-state PAC (I#: \ Amount of contribution () Principal occupation / Job title (See Instructions) ATIACH AITIONAL COPIES OF THIS SCHEULE AS NEEE If contributor Is out-of-state PAC, please see Instruction guide for additional reporting requirements.
6 POLITICAL EXPENITURES MAE FROM POLITICAL CONTRIBUTIONS SCHEULE F1 EXPENITURE CATEGORIES FOR BOX B(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Ovemead/Rental Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense PolWng Expense Travel In istrict Contributions/onations Made By GifVAwards/Memorials Expense Printing Expense Travel Out Of istrict Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other ( enter a category not listed above) Credtt Gard Payment The Instruction Gulde explalns how to complete this form. 1 Total pages Schedule F1 : 2 FILER NAME 13 Filer I (Ethics Commission Filers) Jo5i\ 4 ate{) tj1 5 Payee name c \.Jt';Jtt\- Q,V\.; 6 Amount () 7 Payee address; City; State; Zip Code L/3- lo 1-, ::t le; w(laa, 'St w; 8 (a) Category (See Categories listed at the top of this schedule) (b) escription YY\1 Check tt travel outside of Texas. Complete Schedule T. PURPOSE OF Check if Austin, TX, officeholder living expense EXPENITURE PrltA:-1:\ :S-s G 1lftil 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH ate Payee name Amount () Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) escription PURPOSE Check tt travel outside of Texas. Complete Schedule T. OF Check if Austin, TX, officeholder living expense EXPENITURE Complete ONLY if direct Candidate I Officeholder name Office sought Office held expenditure to benefit C/OH ate Payee name Amount () Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) escription PURPOSE Check tt travel outside of Texas. Complete Schedule T. OF Check if Austin, TX, officeholder living expense EXPENITURE Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH AmONAL COPIES OF THIS SCHEULE AS NEEE
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