Loading...
BM-COH 2018-06-07 CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: 5' The C/OH Instruction Guide explains how to complete this form. 3 CANDIDATE/ MS/MRS/MR FIRST --", MI OFFICEHOLDER 1J (J OFFICE USE ONLY NAME Date Received NICKNAME LAST iti SUFFIX 6/q /zo/ S2 4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE OFFICEHOLDER MAILING //7 ,O t I 6,,,/,,peCiv ,� e '... ..() ADDRESS �`11 r7 Change of Address (`—'�"/�" / 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION PHONE OFFICEHOLDER \ /j 7� ) -f/ 888 Date Hand-delivered or Date Postmarked 6 CAMPAIGN MS/MRS/MR FIRST MI Receipt# Amount$ TREASURER amn I NAME C�+ Date Processed NICKNAME LAST n SUFFIX � M/� / // Date Imaged 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE)/;�APT`///SUIUITTEIr#; CITY; STATE; ZIP CODE TREASURER ADDRESS (Residence or Business) 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE �02I4 /` 3 7,2-09 9 REPORT TYPE i� I 1 January 15 I I 30th day before election Runoff I 15th day after campaign treasurer appointment (Officeholder Only) July 15 I I 8th day before election I I Exceeded$500 limit I I Final Report(Attach C/OH-FR) 10 PERIOD Month Day Year Month Day Year COVERED 1+ /c>" 7 / f (? THROUGH 6 / 5 / i 2 11 ELECTION ELECTION DATE jJ ELECTION TYPE Month Day Year I I Primary Runoff I Other / Description 7/ )/_/ I ' ri General El Special 12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known) CAI &ici Plat U.,t 0+ C424) GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 14 C/OH NAMEBUew- 15 Filer ID (Ethics Commission Filers) 16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POUTICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO POLITICAL SUPPORT THE CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S COMMITTEE(S) KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES. COMMITTEE TYPE COMMITTEE NAME ❑GENERAL COMMITTEE ADDRESS SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME pi 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 $ 0 2. TOTAL POLITICAL CONTRIBUTIONS $ 115-0 C1-6-9- (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) EXPENDITURE TOTALS 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, $ r 6 //I3 UNLESS ITEMIZED 4. TOTAL POLITICAL EXPENDITURES $ 1 s I g , 300 CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY BALANCE $ n C OF REPORTING PERIOD O( 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 is true and correct and includes all information required to be reported by me under 15,Election Code. JEAN DWINNELL k (4k) Notary ID*4576603 i /I� I U wMy Commission Expires I (/ r_r• June 20,2021 yyy"` Signature of Candidate or Officeholder AFFIX NOTARY STAMP/SEALABOVE Sworn to :nd subscribed before me, by the said -5 J j U Ati- Vj( ,this the TA • / 1 r:y of U n e.... .,20 I • edify ich,witness my hand and seal of office. T/ % Qn toinnaD Alb la rPu, 19/lc—. / Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 SUBTOTALS - C/OH FORM C/OH COVER SHEET PG 3 19 FILER NAME 20 Filer ID(Ethics Commission Filers) 21 SCHEDULE SUBTOTALS SUBTOTAL NAME OF SCHEDULE AMOUNT 1. SCHEDULE A1: MONETARY POLITICAL CONTRIBUTIONS $ r15 2. SCHEDULE A2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $ 3. SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4. SCHEDULE E: LOANS $ 5. [ IrSCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 00..$7 6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 7. SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ 8. SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 9. SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 10. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ 11. I SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 12. SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS,AND CONTRIBUTIONS $ RETURNED TO FILER Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: ( 2 FILER NAME �A/��'v' -� �" 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor ❑out-of-state PAC(ID#: ) 7 Amount of contribution ($) L11LS u` 4/t 6 Contributor address; City; State; Zip Code rr/2 7b O s*iieu)d- ( ;.ed,`'Yi. 1 8 Principal occu on/ ob title( e Instructions) g Employer (See Instructions) Ve Date Full name of contributor EI out-of-state PAC(KV: ) Amount of contribution ($) orrini c„,,Leph Contributor address; City; State; Zip Code — L(o/ 7 AO)4ar ed--ivrAllo-n,1/41-70D Principal occupation/Job title(See Instructions) Employer (See Instructions) cELF NIPGv El) APF- x E' tomi) ConSAnn L-LL Date Full name of contributor ❑out-of-state PAC(ID#: ) Amount of contribution ($) Contributor address; City; State; Zip Code Principal occupation/Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: ) Amount of contribution ($) Contributor address; City; State; Zip Code 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. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE Fl EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense LoanRepayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services SalariesNVages/Contract Labor Other(enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1: 2 FILER NAME �� P L II�"`� "` 1 3 Filer ID (Ethics Commission Filers) 4 Date 4a-1 g `/ J'"J 5 Payee name A Advd c 6 Amount ($) 7 Payee address; City; State; Zip Cod 3b0 ' N9� 557 yi -70/c1 8 (a) Category (See Categories listed at the top of this schedule) (b)Description PURPOSE IT Check if travel outside of Texas.Complete Schedule T. OF ❑Check if Austin,TX,officeholder living expense EXPENDITURE AdVe4-41-S/PO 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name 5/i9/19 lq S TYVD Amount ($) Payee address; City; State; Zip Code 590- 13 13 it,( k-d.tu.: ,-'Y 7W/v Category (See Categories listed at the top of this schedule) Description PURPOSE Check if if travel outside of Texas.Complete SctreduleT. OFildile)di_S/ ' I I Check if Austin,TX,officeholder living expense EXPENDITURE )16 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Zi/S/8 ; 1a CO-0-41:4- . Amount ($) Payee address; City; State; Zip ode '-tZ to 8 , r-(4-1- I 11a-, Category (See Categories listed at the top of this schedule) Description PURPOSE Check if travel outside of Texas.Complete Schedule T. OF VO-leitEXPENDITURE l L/S---h ❑Check if Austin,TX,officeholder living expense Complete ONLY If direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015