NY COH 30 day-2014-04-10 Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 ACCOUNT# 2 Total pages filed:
The C/OH Instruction Guide explains how to complete this form. (Ethics Commission Filers) I
3 OFFICEHOLDER
/ MS/MRS/MR FIRST MI
� � �
OFFICEHOLDER ,t (/� A���
NAME m �\JW Jae ecewed
NICKNAME LAST SUFFIX
APR 102014
City Secretary
4 CANDIDATE / ADDRESS/PO BOX, APT/SUITE#; CITY; STATE; ZIP CODE City of Coppell
OFFICEHOLDER ,�
MAILING ADDRESS 6 06.) � /t n. Wtud- Date Hand-delivered or Postmarked
75
(,t 1< O
change of address (' p n Receipt S Amount
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER Date Processed
PHONE (V1 ) rj LI:_ - f Ste )
6 CAMPAIGN MS/MRS/MR FIRST MI Date Imaged
TREASURER t ' a E i ,+' ' 1-
NAME
NICKNAME LAST SUFFIX
E l i t E. H ay i/n..
7 CAMPAIGN STREET ADDRESS(NO PO BOX PLEASE); APT/SUITE it; CITY; STATE ZIP CODE
TREASURER
ADDRESS
(residence or business) 1 00 Ta. L
Copp-at, l/ '75019
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
PHONEURER (;/6c3) 9 39 z176
9 REPORT TYPE n January 15 I I I I 15th day V 30th day before election Runoff y after campaign
treasurer appointment
(officeholder only)
I I July 15 I I 8th day before election I I Exceeded$500 I I Final report(Attach C/OH-FR)
limit
10 PERIOD Month Day Year Month Day Year
COVERED / /a %// THROUGH 4-1 / /0//y
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year I I Primary I I Runoff E77 Genera I Speaal
/ IC)/ / (-//
12 OFFICE OFFICE HELD(if any) 13 OFFICE SOUGHT (if known)
N /A L% (1o11,n GOZ P i-'64 e.-
GO TO PAGE 2
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)
CANDIDATE / OFFICEHOLDER REPORT: FORM C/OH
SUPPORT & TOTALS COVER SHEET PG 2
14 C/OH NAME t 15 ACCOUNT# (Ethics Commission Filers)
Nflct
16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT THE
POLITICAL CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S KNOWLEDGE OR
COMMITTEE(S) CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE NAME
COMMITTEE TYPE
GENERAL
COMMITTEE ADDRESS
I SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
n additional pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF$50 OR LESS(OTHER THAN $ _
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ 3CC, aC)
2. TOTAL POLITICAL CONTRIBUTIONS $
(OTHER THAN PLEDGES, LOANS,OR GUARANTEES OF LOANS) 90'(Ci 00
EXPENDITURE
TOTALS 3. TOTAL POLITICAL EXPENDITURES OF$100 OR LESS,UNLESS ITEMIZED $
CE)
4. TOTAL POLITICAL EXPENDITURES $ (3 031 , 3'
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF REPORTING PERIOD $ /l 5- 9-,
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
0 LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $
18 AFFIDAVIT
I swear,or affirm, under penalty of perjury,that the accompanying report
is true and correct and includes all information requ. -. to be reported by
me under Title. 5,E ction Code.
���YP
� 1
` CHRISTEL B PETTINOS i .\
' ll My Commission Expires .L ;, �i ����
— May 10,2015 Signatur�a ceho•er
S,�t of It*'2 // -
AFFIX NOTARY STAMP/SEAL ABOVE h
Sworn to and subscribed before me, by the said Nt c.t t gyp`I I , this the
Q day o 7.?I- \ , 20 1 1 , to certify w ich, witness my hand and seal of office.
14/.<.. .1 , 1 Ari A// Al �R-1 c �E1r1,Jos —. Q
ignature of officer a. inistering 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 1-800-735-2989)
POLITICAL CONTRIBUTIONS
OTHER THAN PLEDGES OR LOANS SCHEDULE A
• Total pages Schedule A:
The Instruction Guide explains how to complete this form.
144,-
2 FILER NAME i - 3 ACCOUNT# (Ethics Commission Filers)
v
4 Date 5 Full name of contributor ❑out-of-state PAC(ID#: ) 7 Amount of 18 In-kind contribution
/ ' - -[Tax contribution ($) I description (if applicable)
Li I C�//t/ 6 Contributor address; City; State; Zip Code r��� �\^
1
/ 2-0 i N N . 5�.i-em rn orb Fri / Vl j I
��Z l �' (If travel outside I f Texas, complete Schedule T)
9 Principal occupation/Job title(See Instructions) 10 Employer(See Instructions)
Date Full name of contributor ❑ out-of-state PAC(ID#: I Amount of I In-kind contribution
contribution ($) description (if applicable)
Ke,i'f-h J r-)c�(,i,�,.,r
j ' `� , Contributor address; City; State; -Zip Code
a
LO C..4,0 eiI�+c ej . lvo•o� I
p () 7—" 5-0 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(ID#: I Amount of I In-kind contribution
contribution ($) description (if applicable)
3 \ l ` 1 i t Contributor address; City; State; Zip Code I
1 5 `( & dOLocnusi- ti t o 0_00 I
P i DSO
(If travel outside of Texas,complete Schedule T)
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor ❑ out-of-state PAC(ID#: ) Amount of I In-kind contribution
. bci\J.J'� I '!nJ[/l� contribution ($) description (if applicable)
Cont for address; City; Sta e; Zip Code
Cl *1 3 Fa-CC-0-1(\_ a/)1—Q._ fit(StO,00
Pe Q, 150 1c
(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(IDk ) Amount of I In-kind contribution
^� contribution ($) I description (if applicable)
3 ) 1 1 I I \ t t.Q trib>S C P t Zi e I L o•�� I
1 �Y
Co ei3sLa i 'TX 1 5o (c(
(If travel outside of Texas,complete Schedule T)
Principal occupation/Job title(See Instructions) Employer(See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see instruction guide foradditional reporting requirements.
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
POLITICAL CONTRIBUTIONS
OTHER THAN PLEDGES OR LOANS SCHEDULE A
The Instruction Guide explains how to complete this form. 1 Total pages Schedule A:
J of c)-
2 FILER NAME • 3 ACCOUNT# (Ethics Commission Filers)
NA CVY)(_.,( qt/Y1 C6L;,,,,
4 Date 5 Full name of contributor ❑out-of-state PAC(ID#: ) 7 Amount of 1 8 In-kind contribution
Y _ contribution ($) I description (if applicable)
3 1 a y/l4 6 Contributor address; City; State; Zip Code
500 ThiikaL P 4i'0 G 1 c0 I
p lQd2S2 i x '730 (9 1
I (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-state PAC(ID#• ) Amount of
I In-kind contribution
0 i ^^ contribution ($) I description (if applicable)
111 , of icti
31 , liq Contributor address; City; State; Zip Code I �ckv 1—t S i
I 3.3 3 Ioc sore (o5 O1 c �
Co Lt , TX 150 (6( I
(If travel outside of Texas,complete Schedule T)
Principal occupation/Job ti le(See Instructions) Employer(See Instructions)
Date Full name of contributor ❑ out-of-state PAC(ID# I Amount of I In-kind contribution
01 Ct contribution ($) 1 description (if applicable)
3 N Ave r4-Is I lac))) I Contributor ad ss; City; State; Zip Code `
ry $\3(1.001 Stcr)S
-7.7 3 ; . Mac_ kc kjr \ k , I
(If travel outside of Texas,complete Schedule T)
Principal occupation/Job title(See Instructions) Employer (See Instructions)
Date Full name of contributor p out-of-state PAC(Off ) Amount of 1 In-kind contribution
contribution ($) ( 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 pit: ) Amount of I In-kind contribution
contribution ($) description (if applicable)
Contributor address; City; State; Zip Code
(If travel outside of Texas,complete Schedule T)
Principal occupation/Job title (See Instructions) Employer(See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see instruction guide foradditional reporting requirements.
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
POLITICAL EXPENDITURES SCHEDULE F
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment&Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F: 2 FILER NAME 3 ACCOUNT#(Ethics Commission Filers)
I et' d- Nay)c`--/
r j( nn
4 Date 5 Payee name
6 Amount ($) 7 Payee address; City; State Zip,Code A
��y/ 7P 773 M a I-A(-{-I\�,�r 3lvci
Co P 1 T7� -75019
8 PURPOSE (a) Category (See categories listed at the top of this schedule) (b) Description (If travel outside of Texas,complete Schedule T)
OF /-�d verI i -t�ne- / C
EXPENDITURE , �X S�, / /ti n pa wk. J terS
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name try
Amount ($) Payee address;" City; State; Zip Code
� '�yI , ( -� -? S. 01 a c r-N ti. 31kci
ct)�
( TX 73019
PURPOSE Category (3ee teg�ted at the top of this schedule) Description (If travel outside of Texas,complete Schedule T)
OF
EXPENDITURE A e_,1 4.V. 1 nCJ (p-Q n E Q• 0 (um pcu c .
Complete ONLY if direct Candidate/Officeholder name J Office sought Office he d
expenditure to benefit C/OH
Payee name.
3d0 /11 EXetite *7 ea -/s
Amount ($) Payee address; City; State; p Code
-
.1 ,._/-4 E. Sal-4<l �-�e ' D
PURPOSE Category (See categories listed at the top of this schedule) Description (If travel outside of Texas,complete Schedule T)
OF
EXPENDITURE AA - _(,sy U 71 w h , A
L
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
1 i► 1 '`I E'X ,,,},t--€- , hAi2C CIS
Amount ($) Payee address; City; State; Zip C *do
41),)‘'7 ,0(� t� yq E . <.ke r - '
de
PURPOSE Category (S egories ed at the top of this schedule) Description (If travel outside of Texas,complete Schedule T)
OF
EXPENDITURE A clu r`t ^V Y v �� ��ci
Complete ONLY if direct Candidate/Officeholder n Office sought Offtc eld
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
POLITICAL EXPENDITURES SCHEDULE F
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment&Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F: 2 FILER IslIAME
3 ACCOUNT#(Ethics Commission Filers)
0-6 )--- N cur c., InCit trn
4 Date IILI 5 Payee name
�i I
f ()ct-rn 1 C Oe v-
6 Amount ($) 7 Payee address; City; State; Zip ode
1D'Lj (-19 a3 i Gc\cs-e.LL)crai 1Dri ve
Cppetk ) --X 150 / 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 -\ e - - ( S C v` P(' 1 v-\4 1 ■r-I
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 ($) Payee address; City; State; Zip Code
PURPOSE Category (See categories listed at the top of this schedule) Description (If travel outside of Texas,complete Schedule T)
OF
EXPENDITURE
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
POLITICAL EXPENDITURES SCHEDULE G
MADE FROM PERSONAL FUNDS
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment&Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule G: 2 FILER NAME 3 ACCOUNT# (Ethics Commission Filers)
4 Date � 5 Payee name l
' `A I I UJbl,t,
6 Amount ($) 7 Payee address; City; State; Zip Code
ilOei.q5— 6-1C(4 Pa'C'L-frt'e--. AUC-*
Reimbursement from
I political contributions � A intended 1-Ac'f q` e e-�' _� , e A 9 9 B
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 ACV.) 1 ZLm
Date Payee name
3. ��b I I 9 C.0(A-
Amount ($) Payee address; City; State; Zip Code
y0, 3S s I S,. M la-1
Reimbursement from
political contributions Le W l c '� -� k
>( / 7
intended ,
PURPOSE Category (See categories listed at the top of this schedule) Description (If travel outside of Texas,complete Schedule T)
OF VDU LYI. \, P V EVe
EXPENDITURE ` tiQ ut/1Q E y(5� � La �lC' q
Date Payee name _Q
Amount ($) Payee address; City; State; Zip Cod
Reimbursement from _� J
political contributions ►...-a,L.% s- ) I > 1 _
intended /\ �,(J
PURPOSE Category (See categories listed at the top of this schedule) ,rDesc�Description (If travel o side pf Texas,complete-Schedule T)
OF r'Q _ ( `✓i-'1c h " O LLtirkJ` Pi V tom]
EXPENDITURE C- (d I L `�(
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Reimbursement from
political contributions
intended
PURPOSE Category (See categories listed at the top of this schedule) Description (If travel outside of Texas,complete Schedule T)
OF
EXPENDITURE
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 04/19/2013