SPAC 2011-11-08 Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
SPECIFIC-PURPOSE COMMITTEE FORM SPAC
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 ACCOUNT# 2 Total pages filed:
The SPAC Instruction Guide explains how to complete this form. (Ethics Commission Filers)
3 COMMITTEE NAME
0 PROE 11S7~'CtJtCY
n D Date Received
�o?Q6tt_ C I TI W6xN1 1-73,54. FoxcE -kr Pry 44 (kW 0 `? 20
4 COMMITTEE ADDRESS/PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE
ADDRESS
F7 change of address 'fy f't)II?Lt a Da— w,toWl Tk 15ovi Date Hand-delivered or Postmarked
Receipt# Amount
5 CAMPAIGN MS/MRS/MR FIRST MI
TREASURER Q r ].p Date Processed
yy�
NAME
M N
NICKNAME LAST SUFFIX Date Imaged
"DA-ins
6 CAMPAIGN STREET ADDRESS(NO PO BOX PLEASE); APT/SUITE#. CITY; STATE; ZIP CODE
TREASURER'S
STREET ADDRESS
(residence or business) 2t 4o ti011ywOCp Dom., Cc pel i1 '-x 7 soil
7 CAMPAIGN STREET OR PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER'S
MAILING ADDRESS
5Arte , c AGD
change of address
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE 2-11 '135— 6875
9 REPORT TYPE El January 15 30th day before election ❑ Exceeded$500 limit
July 15 8th day before election ig Dissolution (attach PAC-DR)
EiRunoff El 10th day after campaign treasurer termination
10 PERIOD Month Day Year Month Day Year
COVERED �
D 3o /loll THROUGH 12 Ce/ 2-o1l
11 ELECTION ELECTION DATE ELECTION TYPE
Month Dg Year
t)
/) 9 /a 0/1 Primary Runoff jg General El Special
GO TOPAGE2
www.ethics.state.tx.us Revised 04/21/2010
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
SPECIFIC-PURPOSE COMMITTEE REPORT: FORM SPAC
PURPOSE AND TOTALS COVER SHEET PG 2
12 COMMITTEE NAME ACCOUNT#(Ethics Commission Filers)
COij U C�+�.aes f T4 sit fort 4 r Prof 1- a Poe
13 COMMITTEE CANDIDATE/OFFICEHOLDER NAME
PURPOSE
(Attach lists on plain
paper to complete this n CANDIDATE
report if necessary.)
sL SUPPORT n OFFICEHOLDER OFFICE SOUGHT(candidate)/OFFICE HELD(officeholder)
(Candidate or Measure)
I I OPPOSE
(Candidate or Measure)
BALLOT IDENTIFICATION/# ELECTION DATE
V/11905;114k 1 Month Day Year
X MEASURE CD P 0;:tlonl II ' C6 -01(
El ASSIST //
(Officeholder) DESCRIPTION AtQNcl COw hiUU41+oN of '44 f uereA-
CP Y4 4- $4 k, i_Motet siren r►Q:,uiena,ge. a.t,l ,Ne a.�tal
'IV 4 $4 kJ -for Cnlsie ce C 2 t a+1 Prrtt.,i �is4T
14 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)
EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF$50 OR LESS,UNLESS ITEMIZED $
TOTALS
4. TOTAL POLITICAL EXPENDITURES $ jJt
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $
BALANCE OF THE REPORTING PERIOD
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE $
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD
15 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.
Signature of Campaign Treasurer
AFFIX NOTARY STAMP/SEAL ABOVE '�
Sworn to and subscribed before me, by the said � )oLev J et, , this the
--T - day ofeeo.iEfa-20 t.0 , to certify which, witness my hand and seal of office.
U4144;t4.€
, �,t ,:� •��J Signature of officeministering oath Printed name of officer administering oath Title of officer administering oaA
www�t Ic us ' Revised 04/21/2010
4 ` CHRISTEL B PETTINOS '
( ,`4I0 My Commission Expires
May 10,2015
•
DEC i0 201
���.
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
POLITICAL COMMITTEE FORM PAC - DR
AFFIDAVIT OF DISSOLUTION
The Instruction Guide explains how to complete this form.
•• Complete only if"Report Type"on page 1 is marked"Dissolution" •-
1 COMMITTEE NAME 2 ACCOUNT# (Ethics Commission Filers)
Co ptt( Ci♦iaeNj Task font. cry. froP1 a.a, Prop .
3 Affidavit of Dissolution
I,the undersigned campaign treasurer,do not expect the occurrence of any further reportable activity by this
political committee for this or any other campaign or election for which reporting under the Election Code is
required. I declare that all of the information required to be reported by me has been reported. I understand
that designating a report as a dissolution report terminates the appointment of campaign treasurer. I further
understand that a political committee may not make or authorize political expenditures or accept political
contributions without having an appointment of campaign treasurer on file.
VOTVN.. 1r .-N. .
Signature of Campaign Treasurer
DO NOT SIGN UNLESS
POLITICAL COMMITTEE IS TO BE DISSOLVED
AFFIX NOTARY STAMP/SEAL ABOVE
Sworn to and subscribed before me, by the said DLti D CW t C , this the
day of cV.ELLe li -7 20 t, , to certify which, witness my hand and seal of office.
,. .1/I_ it,/ A'_i- a/is L� :r � / D L c74
ature of officer ad roistering oath Printed name of officer administering oath Title of officer administering oath
A A
W 2!!1■
www.ethics.state.tx.us Revised 04/21/2010
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
SPECIFIC-PURPOSE COMMITTEE FORM SPAC
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 ACCOUNT# 2 Total pages filed:
The SPAC Instruction Guide explains how to complete this form. (Ethics Commission Filers) 1
3 COMMITTEE NAME OFFICE USE ONLY
1 Date
Copp;II Ci+:.evs Task Force for Pry 1 an.) Prop.2 7r- D,/:=r1
v�l� �
4 COMMITTEE ADDRESS/PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE
ADDRESS O`T 2 � 2O1
7 2'i0 141 r 1'wool a2 Cc feII x 75019
change of address Dale HatlWWe rerEr IT_b A' Y
Receipts Amount
5 CAMPAIGN MS/MRS/MR FIRST MI
TREASURER tO- Date Processed
NAME M TAW
NICKNAME LAST SUFFIX Dale Imaged
TO LIN 3d VIS _
6 CAMPAIGN STREET ADDRESS(NO PO BOX PLEASE); APT/SUITE#: CITY; STATE; ZIP CODE
TREASURER'S }'�
STREET ADDRESS u n Lo (l 1`j( /SO19
(residence or business) 70 �11y W Opdt �2 ®(
7 CAMPAIGN STREET OR PO BOX; APT/SUITE 8; CITY; STATE; ZIP CODE
TREASURER'S
MAILING ADDRESS S -E- Ns A-BavE
1 I change of address
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE (122 14 ) 43S- 6$75
9 REPORT TYPE El January 15 El 30th day before election ❑ Exceeded$500 limit
❑ July 15 gi 81h day before election ❑ Dissolution (attach PAC-DR)
DRunoff ❑ 10th day after campaign treasurer termination
10 PERIOD Month Day Year Month Day Year
COVERED
7 30 a O l l THROUGH /Q /.2 7 i a 611
11 ELECTION ELECTION DATE ELECTION TYPE S
Month Day Year
I I iii o$ !201 El Primary El Runoff a General 0 Special
GO TO PAGE 2
www.ethics.state.tx.us Revised 04/21/2010
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
SPECIFIC-PURPOSE COMMITTEE REPORT: FORM SPAC
PURPOSE AND TOTALS COVER SHEET PG 2
12 COMMITTEE NAME ACCOUNT#(Ethics Commission Filers)
(OM if C;+ilei)is TaSfit. Fa►ce for Prop 1. ana Prop a
13 COMMITTEE CANDIDATE/OFFICEHOLDER NAME
PURPOSE
(Attach lists on plain
paper to complete this I I CANDIDATE
report if necessary.)
SUPPORT n OFFICEHOLDER OFFICE SOUGHT(candidate)/OFFICE HELD(officeholder)
(Candidate or Measure)
OPPOSE
(Candidate or Measure)
BALLOT IDENTIFICATION/# ELECTION DATE
Utrr)(051+ M 1 Month Day Year
�`' 11 '08 ;'' aim
MEASURE Prop sitton n ASSIST DESCRIPTION Re
_Aloft av and
Hit rre JI(Oficeholder) O
sq ks t,qt -fa 51reeT M4i j*eA)4N(e An 1 ca',Q.1.1
3 till 4 sales tax {or Crr)1e cco-61 chid Prev itt'o,
14 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) $ 3 86•ys
EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF$50 OR LESS,UNLESS ITEMIZED $
TOTALS
4. TOTAL POLITICAL EXPENDITURES $ 38 6.115
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $
BALANCE OF THE REPORTING PERIOD {f
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $
15 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.
Signature of Campaign Treasurer
JK
AFFIX NOTARY STAMP/SEAL ABOVE
Sworn to and subscribed before me, by the said 9 a` /f,,V S , this the
�"%"i day of ■■ . _ , 20 , to certify which, witness my hand and seal of office.
J41 411,41.,
Signature of officer ad nistering oath Printed name of officer administering oath Title of offi er administering oath
www.ethics.state.tx.us Revised 04/21/2010
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
POLITICAL CONTRIBUTIONS
OTHER THAN PLEDGES OR LOANS SCHEDULE A
The Instruction Guide explains how to complete this form. 1 Total pages Schedule A
2 FILER NAME 3 ACCOUNT# (Ethics Commission Filers)
Copts It C;t; to 14 Fuvre ft►- P, 1 4 Ad Par
4 Date 5 Full name of contributor ❑out-of-state PAC(IDS: ) 7 Amount of
y I :Stet 8 In-kind contribution
1 0 1 tl 1z of t R C9 er �tc 4rA IN contribution ($) I description(if applicable)
6 Contributor address; City; State; Zip Code 2 5•i90 I
Copp-,t1, 7Sot9
(If travel outside of Texas,complete Schedule T)
g Principal occupation/Job title(See Instructions) 10 Employer(See Instructions)
Date Full name of contributor ❑out-of-state PAC(IDS: ) Amount of I In-kind contribution
Gary D. Rai<A) contribution ($) description(if applicable)
101 26 11011 Contributor address; City; State: Zip Code 100. Oo
.) C ppt u, tx 75019
(If travel outside of Texas,complete Schedule T)
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor ❑out-of-state PAC(IDS: Amount of In-kind contribution
contribution ($) description(if applicable)
10 IA ti. DA Vi
(oh(_I o(( Contributor address; City; State; Zip Code b/ (+I C
'I 1
, (01p tt(, TX `7So IQ 7 I
I
(If travel outside of Texas,complete Schedule T)
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor ❑out-of-state PAC(IDS: ) Amount of I In-kind contribution
contribution ($) description(if applicable)
Contributor address; City; State; Zip Code I
(If travel outside of Texas.complete Schedule T)
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor ❑out-of-state PAC(IDS: ) Amount of I In-kind contribution
contribution ($) description(if applicable)
Contributor address; City: State; Zip Code
(If travel outside of Texas,complete Schedule T)
Principal occupation/Job title(See Instructions) Employer(See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.
www.ethics.state.tx.us Revised 04/21/2010
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
POLITICAL EXPENDITURES SCHEDULE F
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment&Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER(enter a category not listed above)
The Instruction Guide explains how to complete this form.
I Total pages Schedule F: 2 FILER NAME 3 ACCOUNT#(Ethics Commission Filers)
1 CDppel► C;i;fws Toik Fate 'fur Pro/ 1 aJ Pro, 2
4 Date 5 Payee name
1°14I"LI M SIGNS ,TMc
6 Amount ($) 7 Payee address; City; State; Zip Code
386.LI 5 '7`73 S. Al c ) S1-e 2o5J Cod/<II, TX r7Sol9
8 PURPOSE (a) Category (See categories listed at the top of this schedule) (b) Description (If travel outside of Texas.complete Schedule T)
OF EXPENDITURE I'1'1M1'hif i)lc.ise ( co, I ' 2yr� SLree ) P.^%Mtn Si9AJf'
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City: State; Zip Code
PURPOSE Category(See categories listed at the top of this schedule) Description(If travel outside of Texas.complete Schedule T)
OF
EXPENDITURE
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address: City; State; Zip Code
PURPOSE Category (See categories listed at the top of this schedule) Description (If travel outside of Texas,complete Schedule T)
OF
EXPENDITURE
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE Category (See categories listed at the top of this schedule) Description(If travel outside of Texas,complete Schedule T)
OF
EXPENDITURE
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 04/21/2010
1I v ,
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
SPECIFIC-PURPOSE COMMITTEE FORM SPAC
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 ACCOUNT# 2 Total pages filed:
The SPAC Instruction Guide explains how to complete this form. (Ethics Commission Filers)
3 COMMITTEE NAME OFFICE USE ONLY
Prop DateRecesb OEly7.
CoPPeli C.+1�tas Tgsk Forte �or Prop 1 and P►-o � 1. 4
4 COMMITTEE ADDRESS/PO BOX: APT I SUITE#; CITY: STATE; ZIP CODE OCT r 0 261:
ADDRESS u 1 TX �f C 1 0
I I change of address Zoo t}OI/YWDOA 1)2 COP�II TX 5OIq rI Y SFCRFTAr
Date Hand-delivered or Postmarked
Receipt# Amount
5 CAMPAIGN MS/MRS/MR FIRST MI
TREASURER Mr 'Tolin N Date Processed
NAME J
NICKNAME LAST SUFFIX Date Imaged
3-011$.$ DAVI S —
6 CAMPAIGN STREET ADDRESS(NO PO BOX PLEASE); APT/SUITE#: CITY; STATE; ZIP CODE
TREASURER'S
STREET ADDRESS 240 f l RR bI l y 1 Wool bR Coepel t TX '75019
(residence or business) I
7 CAMPAIGN STREET OR PO BOX; APT/SUITE 5; CITY; STATE; ZIP CODE
TREASURER'S
MAILING ADDRESS per,.C AS ABovE
I I change of address
MI AS
ABovE
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE Daly y3s-6875
9 REPORT TYPE El January 15 Pr.30th day before election Exceeded$500 limit
El July 15 D 8th day before election 0 Dissolution (attach PAC-DR)
0 Runoff 0 10th day after campaign treasurer termination
10 PERIOD Month Day Year Month Day Year
COVERED
9 19 % aoI( THROUGH 9 ; O 1 Q
ii/AOII
11 ELECTION ELECTION DATE ELECTION TYPE Jr
Month Day Year
II 09 /a 011 ❑ Primary ❑ Runoff Rs.l'General El Special
GO TO PAGE 2
www.ethics.state.tx.us Revised 04/21/2010
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
SPECIFIC-PURPOSE COMMITTEE REPORT: FORM SPAC
PURPOSE AND TOTALS COVER SHEET PG 2
12 COMMITTEE NAME ACCOUNT#(Ethics Commission Filers)
60pp 11 C,+i 2e0 s Task Farce for Prop 1- amcl Prop a
13 COMMITTEE CANDIDATE/OFFICEHOLDER NAME
PURPOSE
(Attach lists on plain
paper to complete this ` I CANDIDATE
report if necessary.)
yr SUPPORT I I OFFICEHOLDER OFFICE SOUGHT(candidate)/OFFICE HELD(officeholder)
(Candidate or Measure)
I I OPPOSE
(Candidate or Measure)
BALLOT IDENTIFICATION/# ELECTION DATE
rr� Pr opus r Ooli 1. Month Day Year
Fl MEASURE V
7 ASSIST
Pro/to Sit':au a It 08 II
(Officeholder) DESC�R{lPTION r-_
ae-p opt'wJ 4#Jd Con�'f.Nu411bN o� tl,c curre4T t/�4salef ieot
51ye<T ptq o Hulce asd vtrpll,rr7 a tJ 'hi t sfaks 1 x{m-Cr mt &ohI and Prevattia&
D,` init.
14 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF$50 OR LESS(OTHER THAN Q
TOTALS PLEDGES,LOANS,OR GUARANTEES OF LOANS),UNLESS ITEMIZED 'V
2. TOTAL POLITICAL CONTRIBUTIONS $
(OTHER THAN PLEDGES,LOANS,OR GUARANTEES OF LOANS) ier
EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF$50 OR LESS,UNLESS ITEMIZED $ p(
TOTALS
4. TOTAL POLITICAL EXPENDITURES $ Je
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF THE REPORTING PERIOD $
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE _/
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ JjVJ)
15 AFFIDAVIT
I swear,or affirm,under penalty of perjury,that the accompanying
report is true and correct and includes all information required to be
1.'!?i'• CHIQUITA S TAYLOR reported by me under Title 15,Election Code.
.:: . Notary Public,State of Texas � D
�.= My Commission Expires ,� ' a`
''••a'g;;0�` November 09, 2014 Signature of Ca gn Treasurer
/� J
AFFIX NOTARY STAMP/SEAL ABOVE �� p / ��``����
Sworn to and subscribe. /before me, by the said I(//II ii N 1 , this the
'day o .I&1I , 201 , to certify which, witness my hand and seal of office.
l
NA Signaturp.fficeradministering.ath / Printed name ofo"iceradministeringoath Title of officer admin ing oath
www.ethics.state.tx.us Revised 04/21/2010
a .
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
APPOINTMENT OF A CAMPAIGN TREASURER FORM STA
BY A SPECIFIC—PURPOSE COMMITTEE PG 1
1 Total pages filed.
See STA Instruction Guide for detailed instructions.
2 COMMITTEE OFFICE USE ONLY
NAME (Opp!! Cifige.J 5 Tas/c Forre -for Prop 1.:04.1 PAP
Acct. #
3 COMMITTEE ADDRESS/PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE "—
ADDRESS Date Received
ZtID Holly woo. D2 Cop,.It Tx 75019 2Q1
4 CAMPAIGN MS/MRS/MR FIRST MI HD/PM
NAME TREASURER Mr TO 61 N
Date Processed
NICKNAME 'LAST SUFFIX
7-04K )
O4K `� a 1/1-5 Date Imaged
5 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE: ZIP CODE
TREASURER
STREET
ADDRESS 210 ffo/iywo4,1 102 (oeelII -`X 75019
(residence or business)
6 MAILING ADDRESS/PO BOX: APT/SUITE#: CITY; STATE: ZIP CODE
ADDRESS
v' same as above
7 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
PHONE ( 2 J y ) 113 5-6 Q
7 C
8 PERSON FIRST U MI LAST SUFFIX
APPOINTING
TREASURER GAYy gocieN
9 SIGNATURE I understand that I have been appointed as the campaign treasurer for this specific-purpose
committee and that I am responsible for filing all required reports and that I may be subject
to fines for failure to do so. I am aware of the restrictions in title 15 of the Election Code on
contributions from corporations and labor organizations.
0—ctA/■ �.
Signature of Campaign Treasurer
10 ASSISTANT FIRST MI LAST SUFFIX
CAMPAIGN /1/4)/A TREASURER
(see instructions)
11 ASSISTANT ADDRESS/PO BOX; APT/SUITE#; CITY; STATE: ZIP CODE
CAMPAIGN
TREASURER I ^
ADDRESS N A
12 ASSISTANT AREA CODE PHONE NUMBER EXTENSION
CAMPAIGN
TREASURER ( ) nI/�
PHONE
CONTINUE ON PAGE 2
This appointment is effective on the date it is filed with the commission.
www.ethics.state.tx.us Revised 09/01/2003
4 I .,
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
SPECIFIC-PURPOSE COMMITTEE: FORM STA
PURPOSE AND MODIFIED REPORTING DECLARATION PG 2
13 COMMITTEE NAME
Copp iI C i+i tee 5 Tqs k Force for Prop Drop a
14 COMMITTEE CANDIDATE/OFFICEHOLDER NAME
PURPOSE
SUPPORT CANDIDATE
n OPPOSE CANDIDATE OFFICE SOUGHT(candidate)/OFFICE HELD(officeholder)
n ASSIST OFFICEHOLDER
BALLOT IDENTIFICATION OF MEASURE /# ELECTION DATE
1 ^� Month Day Year
(�SUPPORT MEASURE OPropOS!Ii DA) .1 c rJ � Pro,C6A-io 'L i i / Os /€ of/
DESCRIPTION
( (OPPOSE MEASURE
Re .1440,1)-A,1 ayti C ort;Aw a'tf cm a the curfew-101h t. 54 les fa% -1w Scree?Ma 4)1PAxt►1(e
an,Q Qepa1-1 clo4 l�y 5Ades 'htx -for Cr14fe COnleol and Pr-eve/item II;s1r;iT
15 MODIFIED
REPORTING COMPLETE THIS SECTION ONLY IF YOU ARE CHOOSING
DECLARATION
MODIFIED REPORTING.
••This declaration must be filed no later than the 30th day
before the first election to which the declaration applies. ••
••The modified reporting declaration is valid for one election cycle only. ••
(An election cycle includes a primary election,a general election,and any related runoffs.)
The committee does not intend to accept more than $500 in political
contributions or make more than$500 in political expenditures(excluding
filing fees)in connection with any future election within the election cycle.
The committee understands that if either one of those limits is exceeded,
the committee's campaign treasurer will be required to file pre-election
reports and, if necessary, a runoff report.
Year of election(s)or election cycle to Signature of Campaign Treasurer
which declaration applies
ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED
www.ethics.state.tx.us Revised 09/01/2003