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/ MS/ MRS/ MR FRST M 11 F\, 11SEONLY 14;.!. FCEHOLDER NAME Mr. Roy N NCKNAME LAST SUFFX R Neil Ferguson Rec 4 CANDDATE/ ADDRESS / PO BOX: APT/ SUTE#; CTY; STATE; ZP CODE 44..../,,, a FCEHOLDER MALNG ADDRESS 1097 Holly Lane Lewisville Texas 75067 0 J Change of Address t-1, 1\ ET''` 1 74 5 CANDDATE/ AREA CODE PHONE NUMBER EXTENSON FCEHOLDER ( PHONE 972315-8367 Hand- delivered or Postmarked 6 CAMPAGN MS/ MRS/ MR FRST M Receipt # Amount$ TREASURER Mr. Roy N NAME Dale Processed NCKNAME LAST SUFFX R Neil Ferguson maged 7 CAMPAGN STREET ADDRESS ( NO PO BOX PLEASE); APT/ SUTE#: CTY; STATE ZP CODE TREASURER ADDRESS Residence or Business) 1097 Holly Lane Lewisville Texas 75067 8 CAMPAGN AREA CODE PHONE NUMBER EXTENSON TREASURER PHONE 972 ) 315-8367 9 REPORT TYPE n January 15 30th day before election Runoff 15th day after campaign treasurer appointment Officeholder Only) X 1 July 15 8th day before election n Exceeded$ 500 limit n Final Reporl( Attach C/OH- FR) 10 PEROD Month Day Year Month Day Year COVERED 01 ' 01 / 2016 06 % 30,/ 2016 THROUGH 11 ELECTON ELECTON DATE ELECTON TYPE Day Year Primary Runoff Other Description General 05 / 09 ' 2015 n Special 12 FCE FCE HELD ( if any) 13 FCE SOUGHT ( if known) Lewisville City Council - Place 2 GO TO PAGE 2 Forms provided by Texas Ethics Commission www. ethics. state. tx. us Revised 9/ 8/ 2015
CANDDATE / FCEHOLDER FORM C/ OH CAMPAGN FNANCE REPORT COVER SHEET PG 2 14 C/ OH NAME 15 Filer D ( Ethics Commission Filers) Roy N ( R Neil) Ferguson 1. OTCE FROM THS BOX S FOR NOTCE POLTCAL CONTRBUTONS ACCEPTED OR POLTCAL EXPENDTURES MADE BY POLTCAL COMMTTEE. PO CAL SUPPORT THE CANDDATE/ FCEHOLDER. THESE EXPENDTURES MAY HAVE BEEN MADE WTHOUT THE CANDDATE' S OR F -- OLDER' S COMM - S) KNOWLEDGE OR CONSENT. CANDDATES AND FCEHOLDERS ARE REQURED TO REPORT THS NFORMATON ONLY F T. RECEVE NOTCE SUCH EXPENDTURES. COMM E TYPE COMMTTEE NAME GENERAL Ei SPECFC COMMTTEE ` DRESS COi TEE CAMPAGN TREASURER NAME Additional Pages COMMTTEE CAMPAGN TREASURER ADDRESS 17 CONTRBUTON 1. TOTAL POLTCAL CONTRBUTONS $ 50 OR LESS ( OTHER THAN TOTALS PLEDGES. LOANS, OR GUARANTEES LOANS). UNLESS TEMZED $ 0. 00 2. TOTAL POLTCAL CONTRBUTONS OTHER THAN PLEDGES, LOANS, OR GUARANTEES LOANS) 0. 00 EXPENDTURE 3. TOTAL POLTCAL EXPENDTURES $ 100 OR LESS, TOTALS 38' 8$ UNLESS TEMZED 4. TOTAL POLTCAL EXPENDTURES 168. 54 CONTRBUTON BALANCE 5. TOTAL POLTCAL CONTRBUTONS MANTANED AS THE LAST DAY REPORTNG PEROD 2738. 08 OUTSTANDNG 6. TOTAL PRNCPAL AMOUNT ALL OUTSTANDNG LOANS AS THE LOAN TOTALS LAST DAY THE REPORTNG PEROD 0. 00 18 AFFDAVT 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 un.- 15, lection Cod: 1 41 Signature. 1 Candidate or Offi older AFFX NOTARY STAMP SEALABOVE Sworn to and subscribed before me, by T22- the said. ce. ` N\ 5k-b. 1/4.)- Y. this the th f)\\,._- day of July 20 16, to certify which, witness my hand and seal of office. 1.,...., c e) 1/4. t_... \V-i \- c,,..,\(.. za r,kxl Signature of officer administerin th Printed name, of4i dministeri Title of officeadministeringoath tel F snotery Public, State of Tex-3s. 1 Forms provided by Texas Ethics Commission wwwntvv, t,ygystomm. Expires 07-24- 2020 t Revised 9/ 8/ 2015 f a J,,,, Notary D 10573694 i
SUBTOTALS - C/ OH FORM C/ OH COVER SHEET PG 3 19 FLER NAME 20 Filer D ( Ethics Commission Filers) Roy N ( R Neil) Ferguson 21 SCHEDULE SUBTOTALS SUBTOTAL NAME SCHEDULE AMOUNT 1. s SCHEDULE Al: MONETARY POLTCAL CONTRBUTONS 2. SCHEDULE. ON- MONETARY( N- KND) POLTCAL CONTRBUTONS 3. SCHEDULE B: PLEDGED CON = TONS 4. SCHEDULE E: LOANS 5. SCHEDULE Fl: POLTCAL NDTURES MADE FROM POLTCAL!. TRBUTONS 6. SCHEDU : UNPAD NCURRED OBLGATONS 7. SCHEDULE F3: PURCHASE NVESTMENTS MADE FROM POLTCAL CONTRBUTONS 8. X SCHEDULE F4: EXPENDTURES MADE BY CREDT CARD 71. 83 9. X SCHEDULE G: POLTCAL EXPENDTURES MADE FROM PERSONAL FUNDS 57.83 10. SCHEDUL - i_ E FROM POLTCAL CONTRBUTONS TOA : 11. SCHE r -- CAL EXPENDTURES MADE FROM POLTCAL CONT' : a 12. X SCHEDULE K: RETURNED TO FLER NTEREST, CREDTS, GANS, REFUNDS, AND CONTRBUTONS 5. 36 Forms provided by Texas Ethics Commission www.ethics. state. tx. us Revised 9/ 8/ 2015
EXPENDTURES MADE BY CREDT CARD SCHEDULE F4 EXPENDTURE CATEGORES FOR BOX 10( a) Advertising Expense Event Expense Loan Repayment/ Reimbursement Solicitation/ Fundraising Expense Accounting/ Banking Fees Office Overhead/Rental Expense Transportation Equipment& Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel n District Contributions/ Donations Made By Gift/Awards/ Memorials Expense Printing Expense Travel Out Of District Candidate/ Officeholder/Political Committee Legal Services Salaries/ Wages/Contract Labor Other( enter a category not listed above) The nstruction Guide explains how to complete this form. 1 Total pages Schedule F4: 2 FLER NAME 3 Filer D ( Ethics Commission Filers) 1 of) 1 Roy N ( R Neil) Ferguson 4 TOTAL UNTEMZED EXPENDTURES CHARGED TO A CREDT CARD $ 71. 83 6 7 Amou ($) 8 Payee address; City; State; Zip Code 9 TYPE EXPENDTURE Political Non- Political 10 a) = egory ( See Categories listed at the top of this schedule) b) Descripti. - ck if travel outside of Texas. Complete Schedule T. EXPENDTURE Check if Austin, TX, officeholder living expense 11 Complete ONLY if direct Candidate / Officeho.- r name fice sought Office held TYPE EXPENDTURE Political Non- Political Category ( See Categories listed at the top of this schedule) Description Check it travel outside exas. Complete Schedule T. Check if Austin, TX. oft iceh er living expense EXPENDTU- Corn. - te ONLY if direct Candidate/ Officeholder name Office sought Office held e :- nditure to benefit C/ OH ATTACH ADDTONAL COPES THS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics. state.tx. us Revised 9/ 8/2015
POLTCAL EXPENDTURES MADE FROM PERSONAL FUNDS SCHEDULE G EXPENDTURE CATEGORES FOR BOX 8( a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/ Fundraising Expense Accounting/ Banking Fees Office Overhead/Rental Expense Transportation Equipment& Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel n District Contributions/ Donations Made By Gift/Awards/ Memorials Expense Printing Expense Travel Out Of District Candidate/ Officeholder/Political Committee Legal Services Salaries/ Wages/Contract Labor Other( enter a category not listed above) The nstruction Guide explains how to complete this form. 1 Total pages Schedule G: 2 FLER NAME 3 Filer D ( Ethics Commission Filers) 1 of) 2 Roy N ( R Neil) Ferguson 4 5 01/ 31/ 2016 6 Amount ($) 7 Payee address; City; State; Zip Code 16. 98 X Reimbursementfrom 8 a) Category ( See Categories listed at the top of this schedule) ( b) Description 1 EXPENDTURE Check if Austin, TX, officeholder living expense 9 Complete ONLY if direct Candidate/ Officeholder name Office sought Office held 02/ 28/ 2016 25. 09 XReimbursement from O F EXPENDTURE Category ( See Categories listed at the top of this schedule) ( b) Description Check it travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held 03/ 01/ 2016 1. 00 X Reimbursement from EXPENDTURE Category ( See Categories listed at the top of this schedule) ( b) Description Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate/ Officeholder name Office sought Office held ATTACH ADDTONAL COPES THS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics. state. tx. us Revised 9/ 8/ 2015
POLTCAL EXPENDTURES MADE FROM PERSONAL FUNDS SCHEDULE G EXPENDTURE CATEGORES FOR BOX 8( a) Advertising Expense Event Expense Loan RepaymenVReimbursement Solicitation/ Fundraising Expense Accounting/Banking Fees Office Overhead/ Rental Expense Transportation Equipment& Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel n District Contributions/ Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/ Political Committee Legal Services SalariesNVages/Contract Labor Other( enter a category not listed above) The nstruction Guide explains how to complete this form. 1 Total pages Schedule G: 2 FLER NAME 3 Filer D ( Ethics Commission Filers) 2 of) 2 Roy N ( R Neil) Ferguson 4 5 03/ 31/ 2016 6 Amount ($) 7 Payee address; City: State; Zip Code 6. 74 XReimbursement from 8 a) Category ( See Categories listed at the top of this b) Description schedule) ( EXPENDTURE Check if Austin, TX, officeholder living expense 9 Complete ONLY if direct Candidate/ Officeholder name Office sought Office held 04/ 30/ 2016 4. 02 Reimbursementfrom Xl O F EXPENDTURE Category ( See Categories listed at the top of this schedule) ( b) Description Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate/ Officeholder name Office sought Office held 05/ 31/ 2016 4. 00 XReimbursement from EXPENDTURE Category ( See Categories listed at the of top this schedule) ( b) Description Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate/ Officeholder name Office sought Office held ATTACH ADDTONAL COPES THS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx. us Revised 9/ 8/ 2015
NTEREST, CREDTS, GANS, REFUNDS, AND CONTRBUTONS RETURNED TO FLER SCHEDULE K The nstruction Guide explains how to complete this form. 1 Total pages Schedule K: 1of) 1 2 FLER NAME 3 Filer D ( Ethics Commission Filers) Roy N ( R Neil) Ferguson 4 5 Name of person from whom amount is received 8 Amount ($) Denton Area Teachers Credit Union 6 Address of person from whom amount is received; City: State: Zip Code 4. 78 01/ 01/ 2016 P. O. Box 827, 225 W. Mulberry St. Denton Texas 76201 7 Purpose for which amount is received Check if political contribution returned to filer Campaign Holding Account EOY nterest ncome Name of person from whom amount is received Amount ($) Bank of the West - Lewisville TX 03/ 31/ 2016 Address of person from whom amount is received: City: State: Zip Code 108 W. Northwest Hwy. Grapevine Texas 76051 0' 27 Purpose for which amount is received Check if political contribution returned to filer Campaign Holding Account Quarterly nterest ncome Name of person from whom amount is received Amount ($) Bank of the West - Lewisville TX Address of person from whom amount is received; City; State; Zip Code 0. 31 06/ 30/ 2016 108 W. Northwest Hwy. Grapevine Texas 76051 Purpose for which amount is received r7 Check if political contribution returned to filer Campaign Holding Account Quarterly nterest ncome Name of person from whom amount is received Amou Address of person from who - unt is received: City: : - e; Zip Code Purpose for amount is received Check if political co - ion returned to filer ATTACH ADDTONAL COPES THS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics. state. tx. us Revised 9/ 8/ 2015