SPAC 8th Day ReportTexas Ethics Commission P.O. Box 12070 Austin_ Texas 78711-2n7n /5121dRq__r,Ann fTnn 1_A1WL7zr_'1QAQ1
SPECIFIC -PURPOSE COMMITTEE
FORM SPAC
CAMPAIGN FINANCE REPORT
COVER SHEET PG 'I
1 ACCOUNT #
2 Total pages file
The SPAC Instruction Guide explains how to complete this form.
(Ethics Commission
Filers)
3 COMMITTEE NAME
C► -h dor �i qua t�( La
D
� s
pel
W R
0 C T 2 8 2013
4 COMMITTEE
ADDRESS / PO BOX; APT / SUITE #; CITY; STATE;
ZIP CODE
ADDRESSark-
IiQ IIcY -Dr
City Secretary
City of Coppell
change of address
`
coc,
Date Hand -delivered or Postmarked
Receipt#
Amount
5 CAMPAIGN
TREASURER
MS / MRS / MR FIRST
r!./�,
MI
Date Processed
NAME
'1�� �(
....................................
NICKNAME LAST
SUFFIX
Date Imaged
6 CAMPAIGN
TREASURER'S
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY;
/�p
STATE;
ZIP CODES
STREET ADDRESS
�l-,-
D
l� 1`
(residence or business)
7 CAMPAIGN
STREET OR PO BOX; APT / SUITE #; CITY;
STATE;
ZIP CODE
TREASURER'S
MAILING ADDRESS
Elchange of address
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
Vi 304- 3014
9 REPORT TYPE
❑ January 15 F-1 30th day before election
E]
Exceeded $500 limit
July 15 � 8th day before election
Dissolution (attach PAC -DR)
E] Runoff
10th day after campaign treastxerkvmination
10 PERIOD
COVERED
Mont Day Year
Month Day Year
THROUGH
11 ELECTION
ELECTION DATE
ELECTION TYPE
Mont Day Year
5
1:1
/� /�1
Primary Runoff
General Specgl
GOTOPAGE2
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission P.O. Box 12070 Austin. Texas 78711-2070 [5121463-5800 (TDD 1-800-735-29A91
SPECIFIC -PURPOSE COMMITTEE REPORT: FORM SPAC
PURPOSE AND TOTALS COVER SHEET PG 2
12 C MITTEE NAM
ACCOUNT # (Ethics Commission Filers)
13 COMMITTEE
CANDIDATE / OFFICEHOLDER NAME
PURPOSE
(Attach lists on plain
paper to complete this
report if necessary.)
El CANDIDATE
SUPPORT
❑ OFFICEHOLDER
OFFICE SOUGHT (candidate) / OFFICE HELD (officeholder)
(Candidate or Measure)
OPPOSE
(Candidate or Measure)
BALLOT IDIEN/\TI�FICjATIO / # ELECTION DATE
Month Day
lC�IM I
Coy
\ v
/ ! 3
21"MEASURE
1"PbY1 1,
ASSIST
(Officeholder)
DESCRIPTION
Re,-�or►'� '/�. Cc.� ,les —f—aX
14 CONTRIBUTION
TOTALS
1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
`@
p
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
,_ O,
2. TOTAL POLITICAL CONTRIBUTIONS
$ /�!� M
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
3 oo w
. . . . . . . . . . . . . . .
EXPENDITURE
TOTALS
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES
_ii
(.941 rC5
...............
CONTRIBUTION
BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
Q
$
OF THE REPORTING PERIOD
. . . . . . . . . . . . . . .
OUTSTANDING
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
Q
$
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 T 15, Election Code.
w`AAV N
r
CHRISTEL 8 PETTINOS
My Commission Expires
May 10, 2015
Signature of Campaign Treasurer
1(O�E
AFFIX NOTARY STAMP / SEAL ABOVE
Sworn to and subscribed before me, by the said c-�S { t ('_';R Kms'+ t_ this the
CAI
_tP day of , 20 �3 to certify which, witness my hand and seal of office.
S A/af Of l s CrxG
Signabireofoffioeradofiinisteringoath Printed name of officer administering oath Title of officer administering
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission P.O_ Box 12070 Austin_ Texas 78711-2n7n !S121dR_q_%Ann /Tnn 1strtn_7zr_2ono1
POLITICAL CONTRIBUTIONS
SCHEDULE A
OTHER THAN PLEDGES OR LOANS
The Instruction Guide explains how to complete this form.
1 Total pages Schedule A:
2 FILER NAME Ch
Y—�iA Gntay,
3 ACCOUNT # (Ethics Commission Filers)
4 Date
5 FF LDame of contributor ❑ out-of-state PAc ptxe t
Jct
7 Amount of IS In-kind contribution
contribution ($) I description (if applicable)
!!!!
6 Contributor address; City; State; Zip Code`I_43
, n I Sin donAbh by
I _ilk I.,r,,r5'Ca�G[�TiQf
4K1 I _K �sol�
(If travel outside of Texas, complete Schedule T)
9 Principal occupation /Job title (See Instructions)
10 Employer (See Instructions)
Date
Full name of contributor ❑out-of-statePAC (ID# )
C�re�
Amount of In-kind contribution
contribution ($) I 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)
Date
Full name of contributor ❑ out-of-state PAC QDiF 1
Amount of In-kind contribution
30KA fav
contribution ($) I description (if applicable)
►°`a�j�3
Contributor address; City; State; Zip Code
00. OD
(If travel outside of Texas, complete Schedule T)
Principal occupation / Job title (See Instructions)
TEmployer (See Instructions)
Data
Full name of contributor ❑ out-of-state PAC pDlk 1
Amount of in-kind contribution
($) description (if
7feWcontribution
of( l
applicable)
I
i (D
/413
. ................. .
Contributor address;City; State; Code
1Zip
,
(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 QDlk 1
Amount of In-kind contribution
contribution ($) ( description (if applicable)
Cont ributoraddress; City; State; Zip Code
I
I
(If travel outside of Texas, complete Schedule T)
Principal occupation /Job title (See Instructions)
Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
POLITICAL EXPENDITURES SCHEDULE F
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment 8 Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F:
2 FIWR NAM
3 ACCOUNT # (Ethics Commission Filers)
rise
4 Date5
Pae na
10�d6 i3
Ii i 5
6 Amount ($)
7 Payee addre City; State; Zip Code
�- A S MxAr-I uf- No( 4p -p[ ( -C. 9�- 5019
�,A. 95
8 PURPOSE
(a) Category (See categories listed at the top of this schedule)
(k) Description (If travel outside of Texas, complete Schedule T)
OF
EXPENDITUREV�.hst
9 Complete ONLY if direct Candidate / fficeholder 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 04/19/2013