CANDIDATE/ OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 3 CANDIDATE/ MS/MRS/& FIRST Ml OFFICEHOLDER C (2_,4,f.,, /11. NAME 1 Filer ID (Ethics Commission Filers) 2 Total pages filed:................ NICKNAME LAST SUFFIX h);jc 4 CANDIDATE/ ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE OFFICEHOLDER MAILING ADDRESS D Change of Address Po 60--;.. I I s-o l,a..jim lbc fl..,~~, 7'1-.., ib?g 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION OFFICEHOLDER PHONE ( 5 J:l. ) 780 '-1'-lfD Date Received 7 OFFICE USE ONLY recellve~ ' APR - 5,~\6 'sv: J.JtJ - Date Hand-delivered or Date Postmarked h.qno-- cjl'l 1\JPrPrJ I Amount Ufl.lZ<:> - -- I.A- 6 CAMPAIGN MS/ MRS t(!!j FIRST Ml Receipt # TREASURER NAME............... NICKNAME LAST SUFFIX C 2 JC--rloS Date PrLr/'5/~~\ Jr Date lml-je/(o /;){) I ~, 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE TREASURER 1.-/00 "5 l'\c-t-tl.4 A"' Gv 1/11. 13.! fl ~'7,~?fb?lJ ADDRESS (Residence or Business) 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER ( 5 1:1. ) 8'-1 ~ G. :38 3 PHONE 9 REPORT TYPE January 15 ell 30th day before election Runoff July 15 8th day before election Exceeded 500 limit 15th day after campaign treasurer appointment (Ofliceholder Only) Final Report (Attach C/OH - FR) 10 PERIOD Month Day Year Month Day Year COVERED J_ THROUGH / 1? / ~al i "I / s- / )01~ 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year D Primary s- / s- /201? @ General Special Runoff D Other Description 13 OFFICE SOUGHT (if known) 12 OFFICE OFFICE HELD (if any) Wll?I c,eit. u'7 C. 17 '( <'.:iv,.j C..H WI t'i fj~ fl U '7 C,7.,.p t...4~ ;2 f LA~ ;2 fl--'.)v.vc-'- GO TO PAGE 2
CANDIDATE/ OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 14 C/OH NAME Crz41t,; ha 115 Filer ID (Ethics Commission Filers) 16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL S MADE BY POLITICAL COMMITTEES TO POLITICAL SUPPORT THE CANDIDATE/ OFFICEHOLDER. THESE S MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S COMMITTEE(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 rv/fl Additional Pages COMMITTEE GENERAL OsPECIFIC COMMITTEE ADDRESS COMMITTEE CAMPAIGN TREASURER NAME CAMPAIGN TREASURER ADDRESS 17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF 50 OR LESS (OTHER THAN TOTALS PLEDGES. LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES. LOANS, OR GUARANTEES OF LOANS) ~7J~. ou TOTALS 3. TOTAL POLITICAL S OF 100 OR LESS, UNLESS ITEMIZED... CONTRIBUTION BALANCE 4. TOTAL POLITICAL S I L-J & 0. J. '{ 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF REPORTING PERIOD OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LOAN TOTALS LAST DAY OF THE REPORTING PERIOD }. 2 '-1'1. 7b 18 AFFIDAVIT ~ 1tac~ ~ t, SANDRA IRVIN My Commission Explnta October 31, 2018 Tff~~",,: fft+ + ffw'1 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. ~ 1JJJ~ * Cure of Candidate or Officeholder AFFIX NOTARY STAMP/ SEAL ABOVE,--""frl.. {' Sworn to and subscribed before me, by the said this the :-.:::> fi/1 dt'da_--ft., day of uye,/i, 20!'-l, to certify which, witness my hand and seal of office. I ~ ~) j!t;, c~ Yt/-/1)~/f C ~/ZVI~ Crr-1 STtt«- Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath
SUBTOTALS - C/OH FORM C/OH COVER SHEET PG 3 19 FILER NAME 20 Filer ID (Ethics Commission Filers) C!l4,~ rtj/m 21 SCHEDULE SUBTOTALS SUBTOTAL NAME OF SCHEDULE AMOUNT c).i 1. 15(] SCHEDULE A 1: MONETARY POLITICAL CONTRIBUTIONS 37:J.~. 2. SCHEDULE A2: NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS 3. SCHEDULE B: PLEDGED CONTRIBUTIONS 4. SCHEDULE E : LOANS 5. l){i SCHEDULE F1 : POLITICAL S MADE FROM POLITICAL CONTRIBUTIONS ll/io. ') 'f 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 Forms provided by Texas Ethics Commission www.ethics.state.ix. us Revised 9/8/2015
MONETARY POLITICAL CONTRIBUTIONS 2 FILER NAME 5e.t /) Tr A C,/,1 ~ 0 SCHEDULE A1 1 Total pages Schedule A1: The Instruction Guide explains how to complete this form. LIZA-it.., h /11! 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor D out-of-state PAC (ID#: \ 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 D out-of-state PAC (ID#: \ Amount of contribution () Contributor address; City; State; Zip Code Principal occupation I Job title (See Instructions) Employer (See Instructions) Date Full name of contributor D out-of-slate 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 D out-of-state PAC (ID#: \ 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.
Craig Fore Wimberley City Council Place 2 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 300 3000 Flite Acres Wimberley TX 78676 Retired 3/6/2018 Greg Douglas 200 513 Summitt Loop 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 4/4/2018 Larry Catt 100 355 Lindi Wimberley TX 78676 Contractor Self 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 3,725
POLITICAL S MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 CATEGORIES 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 In District Contributions/Donations Made By GifVAwards/Memorials Expense Printing Expense Travel Out Of District Candidate/Otticeholder/Political Committee. Legal Services Salaries/Wages/Contract Labor Other (enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1 : 2 FILER NAME G 13 Filer ID (Ethics Commission Filers) 4 Date 5 Payee name (ZAIC...-, h/m 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 C~ idate I Officeholder name Office sought O~ eheld expenditure to benefit C/OH (Zq--16 HA.:' (,u I />'1 ~,! 11,.. L,f" ') C,1., (:.,v-.1c..... l-4~ ;2 Date Payee name 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) Descrip1ion 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 ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED 5~tE,47,11~./)
Craig Fore Wimberley City Council Place 2 Expenses 5-Apr-18 Schedule Fl Political Expenditures made from Contributions - Schedule Fl Worksheet Date Payee Expenses Amount Chk/ATM Address City State QQ Category 3/20/2018 VistaPrint 68.97 Debit 275 Wyman St Waltham MA 02451 Advertising Expense 3/21/2018 Wimberley View 94.50 Debit 101 FM3237 Wimberley TX 78676 Advertising Expense 3/15/2018 A to Z Copy & Print 433.00 Debit 103 FM2325 Wimberley TX 78676 Advertising Expense 3/16/2018 A to Z Copy & Print 92.01 Debit 103 FM2325 Wimberley TX 78676 Advertising Expense 3/30/2018 Ozona National Bank 3.00 Debit 101 River Rd Wimberley TX 78676 Accounting/Banking 3/14/2018 Wimberley Ace Hardware 20.00 Debit 14307 RR 12 Wimberley Tx 78676 Campaign Supplies 3/16/2018 Wimberley Ace hardware 11.00 Debit 14307 RR 12 Wimberley Tx 78676 Campaign Supplies 3/26/2018 A to Z Copy and Print 378.88 Debit 103 FM 2325 Wimberley Tx 78676 Advertising Expense 3/26/2018 A to Z Copy and Print 378.88 Debit 103 FM 2325 Wimberley TX 78676 Advertising Expense Expenditures from Political Contributions 1,480.24