NY COH mid-year FR-2014-07-15 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 / MS/MRS/MR FIRST MI OFFICE USE ONLY
t OFFICEHOLDER
NAME M 5. ��)� 't tltC I /V DI
NICKNAME LAST SUFFIX
✓(/���/ Gin JUL 15 2014
4 CANDIDATE / ADDRESS/PO BOX; APT/9l7ITE#, ITY; STATE; ZIP CODE
OFFICEHOLDER j � City Secretary
ILF
MAILING Ov C j J City of Coppell
ADDRESS /f
fl change of address / "T p .�-��r
, y 750/' Receipt# Amount
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER Date Processed
PHONE (57d- ) 7(f5--/351
6 CAMPAIGN MS/MRS/MR FIRST MI Date Imaged
TREASURER
NAME Ins. tet:ya c.
NICKNAME LAST SUFFIX
\ SUFFIX
/44-el"..
7 CAMPAIGN STREET ADDRESS(NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER
ADDRESS / DD
(residence or business) 6 V,L/, J 7 ✓
r ci
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
PHONE URER ( `to.! ) q3' _ 4'7 /
9 REPORT TYPE I�I January 15 n 30th day before election � I Runoff n 15th day after campaign
f I treasurer appointment
(officeholder only)
Ill July 15 n 8th day before election I I Exceeded$500 Ix I Final report(Attach C/OH-FR)
limit
10 PERIOD Month Day Year Mom Day Year
COVERED 5 /3 4 Y THROUGH 7 / J5//q
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year [ 1 Primary r7 Runoff ® ( al
5 //a // if
12 OFFICE OFFICE HELD(if any) {�►� 13 OFFICE SOUGHT (if known)
pb,,,,...„ ,5
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 (.0/� / 15 ACCOUNT# (Ethics Commission Filers)
16 NOTICE FROM THIS BOX IS FOR ICE 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
I 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 $ !"7S
2. TOTAL POLITICAL CONTRIBUTIONS
0 .
(OTHER THAN PLEDGES, LOANS,OR GUARANTEES OF LOANS)
EXPENDITURE
TOTALS 3. TOTAL POLITICAL EXPENDITURES OF$100 OR LESS, UNLESS ITEMIZED $ 0
4. TOTAL POLITICAL EXPENDITURES $ `-/OL j 6Lf
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF REPORTING PERIOD $
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $
18 AFFIDAVIT
I swear,or affirm, under penalty of perjury,that the accompanying report
�i/.RY P 'N is true and correct and includes all information required to be reported by
CHRISTEL B PETTINOS me under Title 15, Election Code.
My Commission Expires / ,'
'
I
���; May 10, 2015 l�'
Signature of Ca d'•at-Office der
AFFIX NOTARY STAMP/SEAL ABOVE
•
Sworn n to and subscribed before me, by the said I I CLr` I I I,1 , this the
I S day of , 20 I 't , to certify which, witness my hand and seal of office.
(C-I' ., .,...2 1/1.111rd ... , Etta-1 -rel— --a.-rn .1.0 CA-ry sEcitcv-rxra_l_
Signature of officer administering,•ath Printed name of officer administering oath Title 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 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)
6e/ritleeril-z
4 Date 5 Payee name ��
6 Amount ($) f ; L � `I
($) 7 Payee address; City, State;1 Z�lp C/o)de / /_rl0
r �� �pV
171N - ®
eimbursement from
political contributions delJ� D I
75
intended �.J
8 PURPOSE (a)Category(See categories listed at the top of this schedule) (b) Description (If travel outside of Texas,complete Schedule T)
OF �ts ,../01 t€ ti i����
EXPENDITURE d
Date i P-yee name �' " ,(-tC
57/0//t e i
Amount ($),�,!6 �l Payee addres ; City; State; Zip e
�!f c(f 735 # G � �-�e
eimbursenbt from j �75-0�
political contributions
intended
PURPOSE Category (See categories listed at the top of this schedule) Description (If travel outside of Texas,complete Schedule T)
OF EXPENDITURE eAtikG7-1-6 /41 C�i��Date Payee name
Amount ($) 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
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Reimbursement from
l I 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
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 - FR
DESIGNATION OF FINAL REPORT
The Instruction Guide explains how to complete this form.
•• Complete only if "Report Type" on page 1 is marked "Final Report" ••
1 C/OH NAME 2 ACCOUNT# (Ethics Commission Filers)
3 SIGNATURE
I do not expect any further political contributions or political expenditures in connection with my candidacy. I understand that designating a
report as a final report terminates my campaign treasurer appointment. I also understand that I may not accept any campaign contributions
or make any campaign expenditures without a campaign treasurer appointment on file.
- /f`i!
Signature of tridat= wffice . .-r
4 FILER WHO IS NOT AN OFFICEHOLDER
-- Complete A&B below only if you are not an officeholder. --
A. CAMPAIGN FUNDS
Check only one:
I I I do not have unexpended contributions or unexpended interest or income earned from political contributions.
I I I have unexpended contributions or unexpended interest or income earned from political contributions. I understand that I may
not convert unexpended political contributions or unexpended interest or income earned on political contributions to personal
use. I also understand that I must file an annual report of unexpended contributions and that I may not retain unexpended
contributions or unexpended interest or income earned on political contributions longer than six years after filing this final
report. Further, I understand that I must dispose of unexpended political contributions and unexpended interest or income
earned on political contributions in accordance with the requirements of Election Code,§254.204.
B. ASSETS
Check only one:
I I I do not retain assets purchased with political contributions or interest or other income from political contributions.
I do retain assets purchased with political contributions or interest or other income from political contributions. I understand that
I may not convert assets purchased with political contributions or interest or other income from political contributions to personal
use. I also understand that I must dispose of assets purchased with political contributions in accordance with the requirements
of Election Code,§254.204.
Signature of Candidate
5 OFFICEHOLDER
•• Complete this section only if you are an officeholder --
I am aware that I remain subject to filing requirements applicable to an officeholder who does not have a campaign treasurer on file.
I am also aware that I will be required to file reports of unexpended contributions if,after filing the last required report as an
officeholder,I retain political contributions,interest or other income from political contributions,or assets•urchased with political
contributions or interest or other income from political contributions.
Signature -f
0 iceh;.
www.ethics.state.tx.us Revised 04/19/2013