CL COH 8 day-2014-05-05 '1
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)
3 CANDIDATE / I MS/MRS/MR FIRST rol �■�!!�.�r.�� �y��4 �� ��
OFFICEHOLDER /�� ■1-iraWni�,1i1►Wrar
NAME 1✓�', n l.-i.mak, L I V C I!J
NICKNAME LAST suffix
MAY 0 5 2014
CGirlr- Zic.✓L,.
4 CANDIDATE / AnnRFSS/PC)Am( APT/SIIITF#; CITY; STATE; ZIP CODE City Secretary
OFFICEI [OLDER y�y ' City ofCoppell
MAILING / /4 �iQLfiert- yre.? e-r 7501 Date Hand-delivered or Postmarked
ADDRESS �o/Wu. r".%
I I change of address Receipt# Amount
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER Date Processed
PHONE ('?7")i 393 -/990 2P 7
6 CAMPAIGN MS/MRS/MR FIRST MI Date Imaged
TREASURER /�rw
NAME �/
NICKNAME LAST SUFFIX
7 CAMPAIGN STREET ADDRESS(NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER
ADDRESS • 4' ,-.. .A-Qy L4 • 1 -
(residence or business) iy _PP4 " "SB/9
SL!/ T/$ fop C-1J
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE (97v) 393_ -o.5-c. .
9 REPORT TYPE I I January 15 I I 30th day before election I I Runoff I I 15th day after campaign
treasurer appointment
(officeholder only)
I I July 15 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 THROUGH
oa/ io /z,, sL Os o z/ 2-o/
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year I I
Primary I RunofF
I General I I Special
(25 /!o /j ,SL
12 OFFICE OFFICE HELD(if any) 13 OFFICESOUGHT (if known)
C,rArz,4_ 01 Ty au.✓c,L_.
,L.q C/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 I OFFICEHOLDER REPORT: FORM C/OH
SUPPORT & TOTALS COVER SHEET PG 2
14 C/OH NAME 15 ACCOUNT# (Ethics Commission Filers)
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 I SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
D additional pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF$50 OR LESS(OTHER THAN Q
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS),UNLESS ITEMIZED $
2. TOTAL POLITICAL CONTRIBUTIONS $
(OTHER THAN PLEDGES,LOANS,OR GUARANTEES OF LOANS)
EXPENDITURE
TOTALS 3. TOTAL POLITICAL EXPENDITURES OF$100 OR LESS,UNLESS ITEMIZED $ /'S
4. TOTAL POLITICAL EXPENDITURES $ /fS
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY �J
BALANCE OF REPORTING PERIOD $ '/
,2 �t z2 -
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE $
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD
/; 3ao. ce
18 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.
�`PMV AI/B WENDY FABER HERNANDEZ
V �= Notary Public,State of Texas
;.,/. My Commission Expires
%Z; o�t;:;'� October 29, 2017
V — (.....)
Sig ature of Candidate or O 1 r
AFFIX NOTARY STAMP/SEAL ABOVE
Swo�+oand subscribed AAbefore me, by the said He fQL C. Ljlir , this the
day of N` , 20 I LI , to certify which, witness my hand and seal of office.
U3b1" —e LORrao Hef-r A.JC L & cuc Cc
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 1-800-735-2989)
LOANS SCHEDULE E
I 1 Total pages Schedule F
The Instruction Guide explains how to complete this form. J
2 FILER NAME 3 ACCOUNT# (Ethics Commission Filers)
/- rob/ C'. Loll
4
TOTAL OF UNITEMIZED LOANS: b -, $
5 Date of loan 7 Name of lender / ❑out-of-state PAC(ID#: ) 9 Loan Amount($)
Z (3,/zoi A7,5'/t,,,, C. L�Cji�.-- 0.6 O
6 Is n 8 Lender address; City: State; Zip Code 10 Interest rate
a financial
774 ede,FsT/l5or/ e r— cc6 X Institution?
/,,,,A�u X 750 /' 11 Maturity date
Y N �/ ! �/ /20/ft
12 Principal occupation / Job title (See Instructions) 13 Employer (See Instructions) /
14 Description of Collateral 15 Check if personal funds were deposited into political account
none
16 GUARANTOR 17 Name of guarantor 19 Amount Guaranteed($)
INFORMATION
18 Guarantor address; City; State; Zip Code
of applicable
20 Principal Occupation (See Instructions) 21 Employer (See Instructions)
Date of loan Name of lender / El out-of-state PAC(ID#: ) Loan Amount($)
2/2G/Z014 l C. 6/1/6 /, 000 .0e
Is lender Lender address; City; State; Zip Code Interest rate
a financial /
Institution? 7 76 e 3-�r Cr 0
Q4t54G, 7sz 75-o/7 Maturity date
Y N ! 4,// /ZO/fL
Principal occupation / Job title (See Instructions)
Employer (See Instructions) _ !
f/t�f S ll,/�n/T �F�/re Jf , - 44//CZ.S /d4
Description of Collateral Check if personal funds were deposited into political account
Ikr-none
WY
GUARANTOR Name of guarantor Amount Guaranteed($)
INFORMATION
Guarantor address; City; State; Zip Code
[(not applicable
Principal Occupation (See Instructions) Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If lender is out-of-state PAC, please see instruction guide for additional reporting requirements.
www.ethics.state.tx.us Revised 04/19/2013