GPAC 8th Day ReportTexas Ethics Commission P.Q. Box 12070 Austin, Texas 78711-2575 (512)463-5800 (TDD 1-805-735-2989)
GENERAL-PURPOSE COMMITTEE
FORM GPAC
CAMPAIGN FINANCE REPORT
COVER SHEET PG I
1 ACCOUNT #
2 Total pa es filed:
The GPAC Instruction Guide explains how to complete this form.
(Ethics Commission Filers)
3 COMMITTEE NAME
,
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OCT 2 V 2013
ADDRESS J PO BOX; APT ! SUITE #; CITY; STATE; ZIP CODE
4 COMMITTEE
ADDRESS
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7�
City Secretary
F-1Changeof Address
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ftppoll
H f PM
o pl�2
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Receipt #
Amount
5 CAMPAIGN
MS/MRS/MR FIRST MI
Date Processed
TREASURER
NAME
NICKNAME LAST SUFFIX
Date Imaged
6 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT /SUITE #; CITY; STATE;
ZIP CODE
TREASURER'S
STREET ADDRESS
(residence or business)
7 CAMPAIGN
STREET OR PO BOX; APT ! SUITE #; CITY; STATE;
ZIP CODE
TREASURER'S
MAILING ADDRESS
❑ Change of Address
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
}
9 REPORT TYPE
❑ January 15 F-1 30th day before election
F-1 Dissolution (attach PAC -DR)
❑ July 15 8th clay before election
❑ 10th day after campaign treasurer termination
❑ Runoff
10 PERIOD COVERED
Month Day Year
Month Day Year
f`
`4/17b
r THROUGH12ZI
i
oc,,/
■
ri z P
11 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
T% 1201
❑ Primary ❑ Runoff
- General ❑ Special
VV
GG TGPAGE 2
WWW.e1hics.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)
GENERAL-PURPOSE COMMITTEE REPORT: FORM GPAC
PURPOSE AND TOTALS COVER SHEET PG 2
12 COMMITTEE NAME ,,, ,� _
77-ZC_IV�
ACCOUNT # (Ethics Commission Filers)
13 COMMITTEE
1. Candidates
A. Supported
ACTIVITY
(identify by name
(attach lists on plain
or, if applicable,
paper to complete this
classify by party)
B. Opposed
report if necessary.)
2. Measures
A. Supported
(describe by date
and location of
B. Opposed
40
election and
nature of issue)
3. Officeholders
Assisted
(identify by name
or, if applicable,
classify by party)
14 CONTRIBUTION
TOTALS
1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
check here if this report qualities for the higher itemization threshold
L�
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE
TOTALS
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES
$ *qo�
CONTRIBUTION
BALANCE
6, TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF THE REPORTING PERIOD
z
OUTSTANDING
LOAN TOTALS
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD
Q -•'7
4'
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.
.r
Signature of Campaign Treasurer
AFFIX NOTARY STAMP 1 SEAL ABOVE
Sworn to and subscribed before me, by the said _ this the
day
of �, 20 , 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
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--29891
LOANS SCHEDULE E
'1 Total pages Schedule E:
The Instruction Guide explains how to complete this form.
2 FILER NAME
3 ACCOUNT # (Ethics Commission Filers)
A
Aj r j 5
v
4
TOTAL OF UNITEMIZED LOANS:
5 Date of loan
7 Name of lender ❑ out-of-state PAC !D#:
9 Loan Amount ($}
.h ■
8 Lender address; City; State; Zip Code
6 Is lender
10 Interest rate
a financial
Institution?
11 Maturity date
Y rN'
12 Principal occupation 1 Job title (See instructions)
13 Employer (See Instructions)
14 Description of Collateral
❑ none
15 GUARANTOR
16 Name of guarantor
18 Amount Guaranteed ($)
INFORMATION
17 Guarantor address; City; State; Zip Code
❑ not applicable
19 Principal Occupation (See instructions)
20 Employer (See Instructions)
Date of loan
Name of lender ❑ out-of-state PAC ID#: y
. . . . . . . . . . . . .. . .. . . * . . . . . . . . . . .
Lender address; City; State; Zip Code
Loan Amount ($)
Is lender
Interest rate
a financial
Institution?
Maturity date
Y N
Principal occupation t Job title (See Instructions)
Employer (See Instructions)
Description of Collateral
❑ none
GUARANTOR
Name of guarantor
Amount Guaranteed ($)
INFORMATION
Guarantor address; City; State; Zip Code
❑ not applicable
Principal Occupation (See Instructions)
Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED
If lender is out-of-state PAC, please see instruction guide for additional reporting requirements.
www.ethics.state.tx.us Revised 0411912013
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 SalarieslWages/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 IN 4� 6.04O 4L
3 ACCOUNT # (Ethics Commission Filers)
4 Date
5 Payee name
6 Amount ($}
7 Payee address; City; State; Zip Code
410 1) L>
Expenditure from
corporate funds
�L 9
8 PURPOSE
(a) Category (See categories listed at the top of this schedule)
(b) Description (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
_
A
9 Complete ONLY if direct Candidate t Officeholder name Office sought office held
expenditure to benefit C/OH
Date
Payee name
Amount ($}
Payee address; City; State; Zip Code
Expenditure from
corporate funds
PURPOSE
Category (See categories listed at the tap of this schedule)
Description (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Complete ONLY if direct Candidate t Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Amount ($}
Payee address; City; State; Zip Code
ElExpenditure from
corporate funds
PURPOSE
Category (See categories listed at the top of this schedule)
Description (if [ravel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Amount ($}
Payee address; City; State; Zip Code
❑Expenditure from
corporate funds
PURPOSE
Category (See categories listed at the [op of this schedule)
Description (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Complete ONLY if direct Candidate t Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDLILE AS NEEDED
www.ethics.state.tx.us Revised 04/19/2013