CANDIDATE / FICEHOLDER CAMPAIGN FINANCE REPORT form C/OH COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 Filer ID 2 Total pages filed: 12 3 CANDIDATE / FICEHOLDER NAME MS/MRS/MR FIRST Clarence Ml FICE USE ONLY NICKNAME LAST SUFFIX APR 06 2017 Warren 4 CANDIDATE/ FICEHOLDER MAILING ADDRESS ADDRESS / PO BOX; APT / SUITE #; CITY; 2000 S. Hughes ZIP CODE DailA^nniliX'liyereiiprPpstmar CITYAMARILLO iimatked Receipt It Change ol Address Dale Processed Imaged 5 CAMPAIGN TREASURER NAME MS/MRS/MR FIRST Ml NICKNAME,^..-. Lses iioaksc: LAST SUFFIX 6 CAMPAIGN TREASURER ADDRESS (Residence or Business) STREET ADDRESS (NO PO BOX PLEASE); 3vol s^ ^4oe. APT / SUITE #; CITY; STATE; ZIP CODE Artanllc 7^ 74/0& 7 CAMPAIGN TREASURER PHONE 8 REPORT TYPE AREA CODE PHONE NUMBER EXTENSION 'OG) &53 - SYSfr j I January 15 j I July 15 Ix I 30th day before election j I Runoff I I 15thday aftercampaign treasurer appointment (officeholder only) j I 8th day before election I Exceeded S500 limit ~ I Final Report (Attach C/OH-FR) 9 PERIOD COVERED Month Day 01/01/2017 Year THROUGH Month Day 03/27/2017 Year 10 ELECTION ELECTION DATE Month Day Year 05/06/2017 IPrimary px]general ELECTION TYPE \~~\ Runoff j ISpecial Other 11 FICE FICE HELD (if any) None 12 FICE SOUGHT (if known) Amarillo City Council Place 3 Forms provided by Texas Ethics Commission GO TO PAGE 2 www.ethics.state.tx.us Version Vl.0.1093
CANDIDATE / FICEHOLDER REPORT: SUPPORT & TOTALS form C/OH COVER SHEET PG 2 2 of 12 13 C / OH NAME 14 Filer ID 15 NOTICE FROM POLITICAL COMMITTEE(S) Additional Pages 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 [""I GENERAL COMMITTEE NAME COMMITTEE ADDRESS SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME COMMITTEE CAMPAIGN TREASURER ADDRESS 16 CONTRIBUTION TOTALS TOTALS TOTAL POLITICAL CONTRIBUTIONS $50 OR LESS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES LOANS), UNLESS ITEMIZED TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES LOANS) TOTAL POLITICAL S $100 OR LESS, UNLESS ITEMIZED TOTAL POLITICAL S 0.00 5,056.92 0.00 1,409.24 CONTRIBUTION BALANCE OUTSTANDING LOAN TOTALS TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS THE LAST DAY THE REPORTING PERIOD TOTAL PRINCIPAL AMOUNT ALL OUTSTANDING LOANS AS THE LAST DAY THE REPORTING PERIOD 670.76 0.00 17 AFFADAVIT 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. Ort Signature of Candidate or Officeholder AFFIX NOTARY STAMP / SEAL ABOVE Sworn to and subscribed before me, by thet said" /C Y~7 [ bsjq 1 ' 3> -» I -1 t~~~ of Qp _. 20_ to certify which, witness my hand and seal of office. this the I f day infyvt^pnll^j^ C?biJC.^JdiU=^ (Z/K/QlciP^OJ^/ Signature Sianature of officeradministering officeradministerinq Printed name of officeradministering Title of officer administering oath / ;orms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.1093
SUBTOTALS - C/OH form C/OH COVER SHEET PG 3 3 of 12 18 FILER NAME 19 Filer ID 20 SCHEDULE SUBTOTALS NAME SCHEDULE SUBTOTAL AMOUNT 1-0 SCHEDULE Al: MONETARY POLITICAL CONTRIBUTIONS 2. \x\ SCHEDULE A2: NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS $ 2,080.00 2,976.92 3- SCHEDULE B: PLEDGED CONTRIBUTIONS $ < n SCHEDULE E: LOANS 5-0 SCHEDULE Fl: POLITICAL S FROM POLITICAL CONTRIBUTIONS 1,409.24 «SCHEDULE F2: UNPAID INCURRED OBLIGATIONS 7. Q] SCHEDULE F3: PURCHASE INVESTMENTS FROM POLITICAL CONTRIBUTIONS $ * SCHEDULE F4: S MADE BY CREDIT CARD SCHEDULE G: POLITICAL S FROM PERSONAL FUNDS 10. Q SCHEDULE H: PAYMENT FROM POLITICAL CONTRIBUTIONS TO ABUSINESS C/OH 11. 12. [] SCHEDULE I: NON-POLITICAL S FROM POLITICAL CONTRIBUTIONS SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS. AND CONTRIBUTIONS RETURNED TO FILER $ Forms provided Dy Texas Ethics commission www.ethics.state.tx.us Version VlAlu^
MONETARY POLITICAL CONTRIBUTIONS ^ A- SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: Sch: 1/3 Rpt: 4/12 4 02/17/2017 5 Full name ofcontributor Pj out-of-state PAC (ID#: ) 7 Amount of Contribution ($) Brewer, John (Mr.) $10.00 6 Contributor address; City; 3603 SE 30th Ave. Amarillo, TX 79103-6704 8 Retired 9 03/04/2017 Full name of contributor PI out-of-state PAC fld#: ) Amount of Contribution ($) Burkett, Thomas (Mr.) Contributor address; City; 6408 Hatfield Cir. $1,000.00 Burkett Outdoor 03/15/2017 Full name of contributor [~\ out-of-state PAC(ID#: ) Amount of Contribution ($) Combs, Linda (Mrs.) Contributor address; City, 6703 Nick St. $50.00 Amarillo. TX 79119 Retired 03/17/2017 Full name of contributor PI out-of-state PAC HD#: ) Amount of Contribution ($) Hassell, Gary (Mr.) Contributor address; City; 5014 Westway Trail $20.00 Principaloccupation / Job title (See Instructions) Regional Director Full nameofcontributor PJ out-of-state PAC (ID* Hunt, Chip (Mrs.) Contributor address; City; 2715 SW 6th Ave. TSRA ) Amount of Contribution ($) $100.00 Amarillo, TX 79106 6th Street Antique Mall Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version vi.0.1093
MONETARY POLITICAL CONTRIBUTIONS,. - SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: Sch: 2/3 Rpt: 5/12 4 02/22/2017 5 Full nameofcontributor PJ out-of-state PAC (ID#: ) 7 Amount of Contribution ($) Moss, Lyndon (Mr.) 6 Contributor address; City; 10650 Dobie St. $200.00 Amarillo, TX 79118 8 Principaloccupation / Job title (See Instructions) 9 Retired 03/27/2017 Full name of contributor PI out-of-state PAC (ID#: ) Amount of Contribution ($) Newman, Gary (Mr.) Contributor address; City; 6205 Hampton $500.00 Vice President Whitney-Russell 02/17/2017 Full name of contributor P] out-of-state PAC (ID#: ) Amount of Contribution ($) Pfrimmer III, Jesse (Mr.) Contributor address; City, 5723 S. Milam $30.00 Amarillo, TX 79110 Principaloccupation / Job title (See Instructions) Retired 02/20/2017 Full nameof contributor Pfrimmer III, Jesse (Mr.) rj out-of-state pac (ID#: 1 Amount of Contribution ($) $20.00 Contributor address; City; 5723 S. Milam Amarillo, TX 79110 Retired Full nameofcontributor Spear, Tracey (Ms.) PJ out-of-state PAC (ID#:_ ) Amount of Contribution ($) $40.00 Contributor address; City; 2605 S. Jackson Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version Vl.0.1093
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: Sch: 3/3 Rpt: 6/12 4 03/04/2017 5 Full name ofcontributor rj out-of-state PAC (ID#:_ Villyard, Max (Mr.) 6 Contributor address; City; 2203 S. Travis St. 7 Amount of Contribution ($) $10.00 8 9 Cashier Cold Stone Creamery Full name ofcontributor Q out-of-state PAC (ID#:_ Warren II, Clarence "Tom" (Mr.) J Amount of Contribution ($) $100.00 Contributor address; City; Tom Warren Vintage Trucks Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version v"l.u.i6&
NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS SCHEDULE A2 The Instruction Guide explains how to complete this form. 1 Total pages Schedule A2: Sch: 1/2 Rpt: 7/12 TOTAL UNITEMIZED IN-KIND POLITICAL CONTRIBUTIONS $ 5 03/25/2017 6 Full name ofcontributor Q out-of-state PAC (ID#:_ Burkett, Thomas (Mr.) 7 Contributor address; City; 6408 Hatfield Cir. 8 Amount of contribution ($) $2,000.00 9 In-kind contribution description Billboard Ad. 10 Principal occupation / Job title (FOR NON-JUDICIAL) (See instructions) 12 Contributor's principal occupation (FOR JUDICIAL) Check if travel outside of Texas. Complete Schedule T. 11 Employer (FOR NON-JUDICIAL) (See instructions) Burkett Outdoor 13 Contributor's job title (FOR JUDICIAL) (See instructions) 14 Contributor's employer/law firm (FOR JUDICIAL) 15 Law firm of contributor's spouse (if any) (FOR JUDICIAL) 16 If contributor is a child, law firm of parent(s) (if any) (FOR JUDICIAL) 03/14/2017 Full name ofcontributor PJ out-of-state PAC (ID#:. Leal, Victor (Mr.) Contributor address; City; 1556 S. Alabama Amount of contribution ($) $375.00 In-kind contribution description Food for Campaign Event Amarillo, TX 79102 Principal occupation / Jobtitle (FOR NON-JUDICIAL) Contributor's principaloccupation (FOR JUDICIAL) (Seeinstructions) Check ii travel outside of Texas. Complete Schedule T. Employer (FOR NON-JUDICIAL) (See instructions) Leaf's Contributor's job title(for JUDICIAL) (See instructions) Contributor's employer/law firm (FOR JUDICIAL) Law firm of contributor's spouse fit any) (FOR JUDICIAL) Ifcontributor is a child, law firm of parent(s) (ifany) (FOR JUDICIAL) 03/25/2017 Full name ofcontributor Warren II, Clarence Tom" (Mr.) Q] out-of-state PAC (ID#:_ Contributor address; City; Amount of contribution ($) $200.00 In-kind contribution description Buttons Principal occupation / Job title (FOR NON-JUDICIAL) Contributor's principal occupation (FOR JUDICIAL) (Seeinstructions) Check if travel outside of Texas. Comptete Schedule T. Employer(FOR NON-JUDICIAL) (See instructions) Tom Warren Vintage Trucks Contributor's job title(for JUDICIAL) (See instructions) Contributor'semployer/law firm(for JUDICIAL) Law firmof contributor's spouse (if any) (FOR JUDICIAL) Ifcontributoris a child, law firmof parent(s) (if any) (FOR JUDICIAL) Forms provided by Texas Ethics Commission www.ethics.state.bc.us version vi.o.109;
NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS SCHEDULE A2 The Instruction Guide explains how to complete this form. 1 Total pages Schedule A2: Sch:2/2Rpt: 8/12 TOTAL UNITEMIZED IN-KIND POLITICAL CONTRIBUTIONS $ 5 03/26/2017 6 Full name ofcontributor Q out-of-state pac(id#:. Warren II, Clarence 'Tom" (Mr.) 7 Contributor address; City; 8 Amount of contribution ($) $43.29 9 In-kind contribution description Printing 10 Principal occupation/ Job title(for NON-JUDICIAL) (Seeinstructions) 12 Contributor's principal occupation (FOR JUDICIAL) Check if travel outside of Texas. Complete Schedule T. 11 Employer (FOR NON-JUDICIAL) (See instructions) Tom Warren Vintage Trucks 13 Contributor's job title (FOR JUDICIAL) (See instructions) 14 Contributor's employer/law firm (FOR JUDICIAL) 15 Law firm of contributor's spouse (if any) (FOR JUDICIAL) 16 If contributor is a child, law firm of parent(s) (if any) (FOR JUDICIAL) 03/27/2017 Full name ofcontributor Warren II, Clarence Tom" (Mr.) Q out-of-state PAC (ID*. Contributor address; City; Amount of contribution ($) $108.63 In-kind contribution description Printing Amarillo. TX 79109 Principal occupation / Jobtitle (FOR NON-JUDICIAL) Contributor's principal occupation (FOR JUDICIAL) (See instructions) I I Ctieck iftravel outside oftexas. Complete Schedule T. Employer (FOR NON-JUDICIAL) (See instructions) Tom Warren Vintage Trucks Contributor's job title(for JUDICIAL) (See instructions) Contributor'semployer/law firm (FOR JUDICIAL) Law firm of contributor's spouse (if any) (FOR JUDICIAL) Ifcontributoris a child, law firm of parent(s) (if any) (FOR JUDICIAL) Full name ofcontributor Q out-of-state pac(id#:_ Warren III, Clarence Thomas "T3" (Mr.) Contributor address; City. Amount of contribution ($) $250.00 In-kind contribution description Newspaper Ad Principal occupation / Job title (FOR NON-JUDICIAL) Editor-in-Chief Contributor's principal occupation (FOR JUDICIAL) (Seeinstructions) Check if travel outside of Texas. Complete Schedule T. Employer(FOR NON-JUDICIAL) (See instructions) The Amarillo Pioneer Contributor's job title(for JUDICIAL) (See instructions) Contributor's employer/law firm (FOR JUDICIAL) Law firm of contributor's spouse (if any) (FOR JUDICIAL) Ifcontributoris a child, law firm of parents) (if any) (FOR JUDICIAL) Forms provided by Texas Ethics commission www.ethics.state.tx.us Version V17071093
POLITICAL S FROM POLITICAL CONTRIBUTIONS SCHEDULE Fl Advertising Expense Accounting/Banking Consulting Expense Contributions/ Donations Made By - Candtdate/Officehobter/PoStical Committee Credit Card Payment 1 Total pages Schedule Fl: 4 Sch: 1/4 Rpt 9/12 03/07/2017 6 Amount ($) $690.00 5 AGE Graphics 7 Payee address; City; 678 Township Road CATEGORIES FOR BOX 8(a) Event Expense Fees Food/Beverage Expense GtftfAwards/Memorials Expense Legal Services Office Overhead/Rental Expense Polling Expense Priming Expense Salaries/Wages/Contract Labor The Instruction Guide explains howto complete this form. Soticitation/Fundraising Expense Transportation Equipment & Related Expense Travel in District Travel Out of District OTHER (enter a category not fisted above) Little Hocking. OH 45742 (a) Category (See Categories listed at the top ol this schedule) Printing Expense [~ Check iltravel outside oftexas. Complete Schedule T. ~ Check ifaustin, TX, officeholder fiving expense Yard Sign Printing 9 Complete ONLY if direct 03/13/2017 Office Depot Amount ($) Payee address; City; $125.00 2622 Wolflin Amarillo. TX 79109 (a) Category (See Categories listed atthe top ofthis schedule) Printing Expense ~j Check if travel outside of Texas. Complete Schedule T. Check aaustin. TX. officeholder Eving expense Banners, Flyers CompleteONLY ifdirect Office Depot Amount ($) Payee address; City; $240.00 2622 Wolflin (a) Category (See Categories listed at the top ofthis schedule) Printing Expense [~ Check iftravel outside oftexas. Complete Schedule T. r~j Check if Austin. TX. officeholder living expense Flyers Complete ONLY if direct Forms provided by Texas Ethics commission www.ethics.state.tx.us Version V1.0.10 c
POLITICAL S FROM POLITICAL CONTRIBUTIONS SCHEDULE Fl Advertising Expense Accounting/Banking Consulting Expense Contributions/ Donations Made By - Cancfkiale/Officehckler/Potitical Committee Credit Card Payment 1 Total pages Schedule Fl: 4 Sch:2/4Rpt: 10/12 03/13/2017 6 Amount ($) $80.00 5 CATEGORIES FOR BOX 8(a) Event Expense Fees Food/Beverage Expense Gift/Awards/Memorials Expense Legal Services Office Overhead/Rental Expense Polling Expense Printing Expense Salaries/Wages/Corttract Labor The Instruction Guide explains howto complete this form. Robertson, Parker Q. (Mr.) 7 Payee address; City; 5505 Brinkman Drive Soticitation/Fundraising Expense Transportation Equipment & Related Expense Travel in District Travel Out of District OTHER (enter a category not fisted above) Amarillo, TX 79106 (a) Category {See Categories listed atthe top of this schedule) Band J"~ Check if travel outside of Texas. Complete Schedule T. ~] Check if Austin, TX, officeholder Eving expense Payment for band at campaign event 9 Complete ONLY if direct Warren III, Clarence T. "T3" (Mr.) Amount ($) $20.00 Payee address; City; (a)category (see Categories listed atthe top of this schedule) [~* Check if travel outside of Texas. Complete Schedule T. ~* Check if Austin. TX. officeholder Bving expense Reimbursement for Printing Fees Complete ONLY if direct 03/07/2017 Warren II, Clarence Thomas (Mr.) Amount ($) Payee address; City; $14.00 (a) Category (See Categories listed atthe top ofthis schedule) ~] Check tftravel outside oftexas. Complete Schedule T. ~~ Check if Austin, TX, officeholder Bving expense Reimbursement for Website Fees Complete ONLY if direct Forms provided by Texas Ethics commission www.ethics.state.tx.us Version Vl.0.1093
POLITICAL S FROM POLITICAL CONTRIBUTIONS SCHEDULE Fl Advertising Expense Accounting/Banking Consulting Expense Contributions/ Donations Made By CandktateOficeholder/PoBtica! Committee Credit Card Payment 1 Total pages Schedule Fl: 4 Sch:3/4Rpt: 11/12 03/08/2017 6 Amount ($) $24.85 5 CATEGORIES FOR BOX 8(a) Event Expense Fees Food/Beverage Expense Gift/Awards/Memorials Expense Legal Services Office Overhead/Rental Expense Polling Expense Printing Expense Salaries/Wages/Contract Labor The Instruction Guide explains howto complete this form. Warren II, Clarence Thomas (Mr.) 7 Payee address; City; Solicitation/Fundraising Expense Transportation Equipment & Related Expense Travel in District Travel Out of District OTHER (enter a category not listed above) (a) Category (See Categories listed atthe top of this schedule) r*" Check if travel outside of Texas. Complete Schedule T. [~" Check if Austin, TX, officeholder living expense Reimbursement for Website domain fees 9 Complete ONLY if direct 03/13/2017 Warren II, Clarence Thomas (Mr.) Amount ($) $55.00 Payee address; City; (a) Category (see Categories listed atthe top of this schedule) P~ Check if travel outside oftexas. Complete Schedule T. Check if Austin. TX. officeholder Bving expense Reimbursement for Website Fees Complete ONLY if direct 03/13/2017 Warren, Tamara (Mrs.) Amount ($) $10.00 Payee address; City; 2000 S. Hughes St (a) Category (see Categories listed atthe top of this schedule) [*"] Check iftravel outside oftexas. Complete Schedule T. [~ Check ifaustin. TX. officeholder Bving expense Reimbursement for Facebook Advertising Complete ONLY if direct Forms provided by Texas Ethics Commission www.ethics.state.tx.us version Vl.0.1093
POLITICAL S FROM POLITICAL CONTRIBUTIONS SCHEDULE Fl Advertising Expense Accounting/Banking Consulting Expense Contributions/ Donations Made By - Candidate/Offkxholder/Politx^ Committee Credit Card Payment 1 Total pages Schedule Fl: 4 Sch:4/4Rpt: 12/12 6 Amount ($) $70.00 CATEGORIES FOR BOX 8(a) Event Expense Fees Food/Beverage Expense Gift/Awards/Memorials Expense Legal Services 5 Warren, Tamara (Mrs.) 7 Payee address; City; 2000 S. Hughes St Office Overhead/Rental Expense Polling Expense Printing Expense Salaries/Wages/Contract Labor The Instruction Guide explains howto complete this form. Soficitation/Fundraising Expense Transportation Equipment & Related Expense Travel in District Travel Out of District OTHER (enter a category not fisted above) (a) Category (See Categories listed at the top of this schedule) r~ Check if travel outside of Texas. Complete Schedule T. P* Check ifaustin, TX, officeholder Bving expense Reimbursement for Printing Fees 9 Complete ONLY if direct 03/04/2017 WePay, Inc. Amount ($) $80.39 Payee address; City; 350 Convention Way #200 Redwood City, CA 94063 (a)category (see Categories listed at the top ofthis schedule) Fees ~ Check iftravel outside oftexas. Complete Schedule T. ~ Check ifaustin. TX, officeholder Bving expense Fundraising Fees Complete ONLY if direct Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version Vl.0.1093