CANDIDATE/ OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: 3 CANDIDATE/ MS/ MRS / MR FIRST Ml OFFICEHOLDER NAME c;ak.f. A........................ NICKNAME SUFFIX 311;~1/)I/ 4 CANDIDATE/ ADDRESS / PO BOX: APT / SUITE #; CITY; STATE; ZIP CODE OFFICEHOLDER MAILING ADDRESS D Change of Address _?2) /"J/4 //o,t:0. Mffl lf/c/y 1 Tl. 7?610 Date Received 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION OFFICEHOLDER PHONE MS 1<!!!:!!J I. ' 6 CAMPAIGN MR FIRST Ml Receipt # 7 OFFICE USE ONLY rgeive~ BY: APR O 5 20\8 sld ( 713 ) _7t}j.- 7cfCC Date Hand-delivered or Date Postmarked h /) rn -ri f", n \) ere-a I Amount TREASURER. /4JN10.L. - - NAME................... NICKNAME LAST SUFFIX /fjjr);jo 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE TREASURER ADDRESS (Residence or Business) :2.t)O? p;/4 #fge,j Date Procr? s /::::>o \ R Date lmayd/{ij/:::)()i R lt};)4it~tl~ 7rf'67~ 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE ( L/09') j~~--/!c!tj 9 REPORT TYPE D January 15 3oth day before election El Runoff July 15 8th day before election Exceeded 500 limit 15th day after campaign treasurer appointment (Officeholder Only) Final Report (Attach C/OH - FR) 10 PERIOD Month Day Year Month Day Year COVERED cj. / 17 /;g THROUGH f / ~/IJ) 11 ELECTION ELECTION DATE ELECTION TYPE 12 OFFICE Month Day Year D Primary 6 / 5'/ //7 ~ General Special Runoff D Other Description 1# MJ;1~ tkai&/ 13 OFFICE SOUGHT (if known) /J1/,/,&t,e-11 fft~4vmtjt 'i¼et GO TO PAGE 2?/4E f
CANDIDATE/ OFFICEHOLDER CAMPAIGN FINANCE REPORT 14 C/OH NAME FORM C/OH COVER SHEET PG 2 15 Filer ID (Ethics Commission Filers) 16 NOTICE FROM POLITICAL COMMITTEE(S) THIS OX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL S MADE BY POLITICAL COMMITTEES TO SUPPORT THE CANDIDATE/ OFFICEHOLDER. THESE S 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 S, COMMITTEE TYPE COMMITTEE NAME GENERAL OsPECIFIC COMMITTEE ADDRESS COMMITTEE CAMPAIGN TREASURER NAME D Additional Pages COMMITTEE CAMPAIGN TREASURER ADDRESS 17 CONTRIBUTION TOTALS..... TOTALS...... CONTRIBUTION BALANCE...... OUTSTANDING LOAN TOTALS 1. TOTAL POLITICAL CONTRIBUTIONS OF 50 OR LESS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) 3. TOTAL POLITICAL S OF 100 OR LESS, UNLESS ITEMIZED 4. TOTAL POLITICAL S 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF REPORTING PERIOD 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY OF THE REPORTING PERIOD /l)s C)O 218- r)3f3 0? 18 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the accompanying report is AFFIX NOTARY STAMP/ SEALABOVE Sworn to and subscribed before me, by the said U&I,;_ c~ _ ; _ _ O_- _t'~d_ff'\ ~Te...- ~ '------------' this the ) day of Av t?..{ L 20 I'S, 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
19 SUBTOTALS - C/OH FILER NAME GA ~ ~JI 20 lv&l_ w.ea FORM C/OH COVER SHEET PG 3 Filer ID (Ethics Commission Filers) 21 SCHEDULESUBTOTA~ SUBTOTAL NAME OF SCHEDULE AMOUNT 1. 0 SCHEDULEA1: MONETARY POLITICAL CONTRIBUTIONS L/!o!.i~ ) 2. SCHEDULE A2: NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS 3. SCHEDULE B: PLEDGED CONTRIBUTIONS 4. SCHEDULE E: LOANS 5. 0 SCHEDULE F1: POLITICAL S MADE FROM POLITICAL CONTRIBUTIONS J7Z/ 42 I 6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS 7. SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS 8. SCHEDULE F4: S MADE BY CREDIT CARD 9. SCHEDULE G: POLITICAL S MADE FROM PERSONAL FUNDS 10. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH 11. SCHEDULE I: NON-POLITICAL S MADE FROM POLITICAL CONTRIBUTIONS 12. SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED TO FILER
MONETARY POLITICAL CONTRIBUTIONS~ w SCHEDULE ~/ ~ A1 2 FILER NAME 1 Total pages Schedule A1: The Instruction Guide explains how to complete this form. 0/4 ;3; JtJ,/;{!/ 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full n~ of contributor 0 out-of-state PAC (ID#: l 7 Amount of contribution () 6 Contributor address; City; State; Zip Code 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Date Full name of contributor 0 out-of-state PAC (ID#: l Amount of contribution () Contributor address; City; State; Zip Code Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor 0 out-of-state PAC (ID#: Amount of contribution () Contributor address; City; State; Zip Code Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor 0 out-of-state PAC (ID#: I Amount of contribution () Contributor address; City; State; Zip Code Principal occupation / Job title (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.
Gary Barchfeld Wimberley City Council Place 4 Campaign Monetary Political Contributions - Schedule Al Worksheet 5-Apr-18 Schedule Al Date Contributor Amount Address City State QQ Occupation Employer 2/12/2018 John Urban 500 115 River Bend Rd Wimberley TX 78676 Retired 2/19/2018 Sheila & Erik Wollam 200 268 Blanco Dr Wimberley TX 78676 Lawyers Self 2/19/2018 T.L. Coker Jr. 125 701 Spoke Hallow Wimberley TX 78676 Retired 3/6/2018 Suzanne & Edward Davis 200 3000 Flite Acres Wimberley TX 78676 Retired 3/6/2018 Greg Douglas 200 513 Summitt Loop Wimberley TX 78676 Retired 3/6/2018 Susan & Gary Callon 100 242 Blanco Dr Wimberley TX 78676 Retired 3/18/2018 Barbara & Ken Roberts 20 4000 FM 2325 Wimberley TX 78676 Retired 3/18/2018 Natalie Meeks 100 13401 RR 12 Wimberley TX 78676 Retired 3/18/2018 Lila McCall 50 2500 River Rd Wimberley TX 78676 Retired 3/18/2018 David Glenn 50 500 Outback Trail Wimberley TX 78676 Retired 3/18/2018 Maxine & Carl Dorreity 200 1924 Flite Acres Wimberley TX 78676 Retired 3/18/2018 Glenn Baldwin 250 601 South River Wimberley TX 78676 Retired 3/18/2018 Elizabeth & Tom Keyser 200 341 Thomas Oaks Wimberley TX 78676 Restaurateur Self 3/18/2018 MF & Bill Johnson 100 602 Sabino Ranch Wimberley TX 78676 Retired 3/18/2018 Jennifer & Scott Johnson 250 606 Sabino Ranch Wimberley TX 78676 Rancher Self 3/18/2018 Barbara & Michael Stevens 400 111 Whitewater Wimberley TX 78676 Retired Attorney Self 3/18/2018 Becky & Michael McCullough 250 821 South River Wimberley TX 78676 Retired 3/18/2018 Ann & Ron Thompson 50 316 Valley Drive Wimberley TX 78676 Retired 3/18/2018 Sheila & Erik Wollam 50 268 Blanco Dr Wimberley TX 78676 Lawyers Self 3/18/2018 Thomas Talcott 60 3333 Flite Acres Wimberley TX 78676 US Contrator 4/4/2018 Larry Catt 50 355 Lindi Wimberley TX 78676 Contractor Self 4/4/2018 Lee A. Bowers 200 3020 Flite Acres Wimberley TX 78676 Sales 4/4/2018 Jennifer & Bill Zinkgraf 150 306 Summit Loop Wimberley TX 78676 CEO Sima Breakthrough Tech 4/4/2018 Pamela & James Kirkland 100 7 Meridian Dr Wimberley TX 78676 Retired 4/4/2018 Phillip Van Ostrand 250 12 Brookside Dr Wimberley TX 78676 Businessman Self Total Political Contributions 4,105
POLITICAL S MADE FROM POLITICAL CONTRIBUTIONS U;/lUI SCHEDULE F1 CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repaymenl/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In 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) Credil Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1: 2 FILER NAME ~/lt24j ~,eajj// 13 Filer ID (Ethics Commission Filers) 4 Date 5 Payee name I 6 Amount () 7 Payee address; City; State; Zip Code 8 (a) Category (See Categories listed at the top of this schedule) (b) Description D Check if travel outside of Texas. Complete Schedule T. PURPOSE OF D Check if Austin, TX, officeholder living expense 9 Complete ONLY if direct expenditure to benefit C/OH ~;;e/~;~~1&¼! (,/ Payee~me (I Date ljr'1 /Jt;lJlapAJCi) ffwc1 f z;;;1kt1 Amount () Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSE D Check if travel outside of Texas. Complete Schedule T. OF D Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate/ Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount () Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSE D Check 11 travel outside of Texas. Complete Schedule T. OF D Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH I I. /, ~, ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED,,._5?) 11/ltvtJJ //11-'u._
Gary Barchfeld Wimberley City Council Place 4 Campaign 5-Apr-18 Schedule Fl Political Expenditures made from Contributions - Schedule Fl Worksheet Date Payee Expenses Amount Chk/ATM Address City State QQ Category 2/21/2018 Ozona National Bank 19.40 Debit 101 River Rd Wimberley TX 78676 Accounting/Banking 3/20/2018 VistaPrint 75.72 ATM 275 Wyman St Waltham MA 02451 Advertising Expense 3/21/2018 Wimberley View 94.50 ATM 101 FM3237 Wimberley TX 78676 Advertising Expense 3/15/2018 A to Z Copy & Print 433.00 1001 103 FM2325 Wimberley TX 78676 Advertising Expense 3/16/2018 A to Z Copy & Print 92.01 1002 103 FM2325 Wimberley TX 78676 Advertising Expense 3/21/2018 Sabrina Saucedo 800.00 1003 100 Blue Oak Lane Wimberley TX 78676 Advertising Expense 3/22/2018 VistaPrint 102.72 ATM 275 Wyman St Waltham MA 02451 Advertising Expense 3/22/2018 VistaPrint 98.97 ATM 275 Wyman St Waltham MA 02451 Advertising Expense 3/30/2018 Ozona National Bank 5.00 Debit 101 River Rd Wimberley TX 78676 Accounting/Banking Expenditures from Political Contributions 1,721.32