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 75204 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 75230 7 CAMPAIGN TREASURER'S MAILING ADDRESS c Change of Address STREET OR PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE 25 Robledo Dallas TX 75230 8 CAMPAIGN TREASURER PHONE AREA CODE PHONE NUMBER EXTENSION ( ) 9 REPORT TYPE January 15 10 PERIOD COVERED 7/1/2009 THROUGH 12/31/2009 11 ELECTION ELECTION DATE ELECTION TYPE NA GO TO PAGE 2 Revised 09/01/2007
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 14772.25 0 4. TOTAL 17789.11... CONTRIBUTION BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF REPORTING PERIOD 1612.96... 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
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 07/16/2009 1000.00 8 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 07/31/2009 1000.00 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... 10000.00 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 11/20/2009... 2772.25 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
1 of 5 4 11/19/2009 5 KCND Enterprises 6 1015 S. Hollow Drive Southlake, TX 76092 7 1000.00 8 Computer Services 9 Eletorre, Inc. P.O. Box 222195 Dallas, TX 75222 50.37 Website Eletorre, Inc. Dallas, TX 75222 P.O. Box 222195 1050.00 Facebook Page Marty Perlman Studio 1222 Manufacturing Street Dallas, TX 75207 960.00 Photography Revised
2 of 5 4 5 Valentine Direct Marketing 6 5415 Maple Ave. Suite 230 Dallas, TX 75235 7 260.34 8 Printing and Reproduction 9 the Reeds Public Relations 255.66 Postage and Delivery the Reeds Public Relations 403.85 Printing and Reproduction the Reeds Public Relations 815.96 Advertising Expense Revised
3 of 5 4 11/19/2009 5 Chris Heinbaugh 6 1429 Caddo St. Suite G 7 59.37 8 Reimbursement - Flowers 9 09/11/2009 Dallas Zoological Society 650 S. RL Thornton Dallas, TX 75203 2750.00 Rental Expense 07/08/2009 Marty Perlman Studio 1222 Manufacturing St. Dallas, TX 75207 1025.00 Photography 09/30/2009 Chase Bank 3610 McKinney Ave. Suite 855 14.00 Bank Fee Revised
4 of 5 4 10/31/2009 5 Chase Bank 6 3610 McKinney Ave. Suite 855 7 14.00 8 Bank Fee 9 Alpha Business Images 6440 N. Central Suite 307 Dallas, TX 75206 3508.00 Website KCND Enterprises 1015 S. Hollow Drive Dallas, TX 76092 3000.00 Computer Services 07/28/2009 Deluxe Business Solutions P.O. Box 74274 Cincinnati, OH 45274 283.92 Banking Supplies Revised
5 of 5 4 5 Cretias Flour and Flowers 6 215 W Camp Wisdom Duncanville, TX 75116 7 219.13 8 Catering 9 11/19/2009 Cretias Flour and Flowers 215 W Camp Wisdom Duncanville, TX 75116 535.94 Catering The Reeds Public Relations 3232 McKinney Ave Suite 855 659.11 Office Supplies Gigantic Color 7900 Ambassador Row Dallas, TX 75247 924.46 Printing and Reproduction Revised