CF-FO-CS 2001-02-19A2-15PM
1 by Secretary of State
41.031, 143.004, 143.006, Texas Election Code
I/00
All information b r~iulred to be provided nniess indicated as optional. (Se requiere coda la informacidn, a rnenos que hays alguna indicacldn que no es
obligatoria.)
APPLICATION FOR A PLACE ON THE CITYOF (Zo ? 9~, L t. GENERAL ELECTION BALLOT
(APLICACION PARA UN LUGAR EN LA BOLETA DE LA CIUDAD DE GENERAL ELECCION)
TO: City Secretary
(4: Secretario(a) de la Ciudad)
I request that my name be placed on the above-named official ballot as a candidate for the office indicated below.
(Solicito que mi hombre estd puesto en la arriba nombrada boleta como cundidato para puesto oflcial indicado abajo.)
OFFICE SOUGHT (PUESTO OFICIAL SOLICIT~lDO) INDICATE FULL OR UNEXPIRED TERM
Include any place number or other distinguishing number. (INDIQUE Sl EL TERM[NO DEL PUESTO OFIC1AL ES TERM[NO COMPLETO 0 NO
(lncluya cualquier n~mero de lugar u otro nfimero que hace el puesto oficial diferente a COMPLET/IDO)
o,,o,.) F'o
FULL NAME (First, Middle, L~t) PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT
(NOMBRE COMPLETO) (Nombre de Pila, Segundo Nombre, /lpellido) (ESCRIB/I SU NOMBRE COMO DESE2 QUE /IP/IREZCA SOBRE Ld BOLET/I)
Larry Wheeler
PERMANENT RESIDENCE ADDRESS Street address and ap~tment MAILING ADDRESS (If different from residence address)
number. If none, describe location of residence (do not include P.O. (DIRECCION POST.4L (Si es diferente a su direccidn de residencla))
Box or Rural Rt.) (DIRECCION DE RESIDENCI/I PERMANENTE: Calla y N~onero
de Departamento; si no tiene, describa la loculid~d de su residencia. No incluya su caja
C CITY, STATE
(CIUD/ID), (EST~lDO) (ZON/I POST~IL) (CIUD/ID), (EST~lDO) (ZON/I POST~IL)
OCCUPATION DATE OF BIRTH VOTER REGISTRATION CERTIFICATE NUMBER (ff applicable)
(EMPLEO) (FECH/l DE N/ICIMIENTO) (NUM. DE CERT. DE VOT/INTE (si aplicable))
TELEPHONE NUMBER (Include area code) (Optional) Length of Continuous Residence as of Date Application Sworn
(NUMERO DE TELEFONO--lncluya el codigo de la are~) (Facultativo) (Tiempo en que ha Residido en un Solo Lugar en la Fecha en que Prest6 Juramento Sobre la Solicitud)
~ INSTATE IN CITY IN DISTRICT OR PRECINCT
OFFICE:
(DE SU OFICIN/I:)'''~~"~ ~ ~1 ~ (EN EL EST~lDO) (EN EL CUID/ID) (EN EL DIST.RITO 0 PRECINTO)
(DE SU DOMICILIOO (aSo(s) (mes(es)) (a~o(s) (roes(es)) (aSo(s) (roes(es))
Before me, the underdgned authoritya on this day,personally appeared ~.~B/'LtI4n ~J~e~lCtL/ , who being by me here and now
duly sworn, upon oath says: "I, L~rt~-,~ J.O/n~elt~.~ of I ~)~/.4.~4 County, Texas, being a
candidate for the office of C~r',n ~v~x~..,a. ~'b~e. ~ P-ooo-t-.i-swear that I will support and defend the Constitution and laws of the United
States and of the State of Texas."~ am a citizen of the United States eligible to hold such office under the Constitution and laws of this ~ate. I have
not been declared mentally incompetent as determined by final Judgment of a court, nor have I been finally convicted of a felony for which I have
not been pardoned or had my full rights of citizenship restored by other official action. I am aware of the nepotism law, Chapter 573, Government
Code.
If using a nickname as part of your name to appear on the ballot, you are also signing and swearing to the following statements: I further swear:
that my nickname does not constitute a slogan nor does it indicate a political, economic, social, or religious view or affiliation. I have been commonly
known by this nickname for at least three years prior to this election.
I further swear that the foregoing statements included in my application are In ali things true and correct."
(/lnte mi, la abajo firmado autoridad, apareci6 en persona la persona nombrada quten habiendo aqu[ y ahara prestado juramento debido, bajo juramento dice:
"Yo, del condado de Texas, siendo candidato para el puesto oficial de
solemnemente juro que apoyard y defender~ la Constitucidn y las layes de las Estadas Unidos y del Estado de Texas. Soy ciudadano de los Estadas
Unidos elegible para ocupar tal puesto oficial bajo la Coastitucidn y las leyes de este Estado. No he sldo declarado incapacitado de la mente como determinado par la decisidn final de una
corte, ni he sido probado culpable finalmente de una felonia por la coal no he sido perdonado o por la coal no se me han restituido enteramente mis derechas de ciudadania por medio de otra
oficial. Yo tengo conocimiento de la ley sobre el nepotismo seg~n el cap[tulo 573 de Cddigo Gobierno.
~l~oder incluir un apodo como parte de s~ norabre completo el la pal~leta, Ud. debern firm~lu' la si~.dente coastancla: /ld~,j~ro que se me ha c~ ~oc~do r este q l[odopor mas de tr~s[
anos. /ldemas. juro que el apodo no es un lema politico ni una indicacion de mis' creencias o a~liaclones political, economicus sociales o religiosas. ) I J
/
/ldemds juro que las precedentes declaraciones que incluyo en mi solicitud son verdaderas y estdn c rrectas en todas '
Sworn to and subscribed before me at ~ L,.L , this th~~4_,~/~,ta_A,/I , 20 "J ~'?.~
(Jurado y sascrito ante mi en -' este dla de 20 ,)- - _ ~ ~ ~ ' .~ '
Sig~ature of~Ofl~cc~r administering oath t Title of Officer administering o~th $ ~ ~"~
(Firms del oflctal admlnistrando el juramento) ffltulo del oflclal admini~trando el juramento) ~ %~P~:: ,,e°
TO BE COMPLETED BY CITY SECRETARY: ~-[ct-O/ ~~..~'~1~'~
Date received ~ ' Sign;~ure of C~ty Secretary
---
,,..,, · _'..,;..?.,,,,,,'/t
% /,,
A2-15PM, 1/00 INSTRUCTIONS
An application to have the name ora candidate placed on the ballot for any election may not be filed earlier than 30 days before the deadline prescribed
by this code for filing the application. An application filed before that day is void.
The filing deadline is 5:00 p.m. 45 days prior to the election day.
The candidate must sign this statement indicating his awareness of the nepotism law. The nepotism prohibitions of chapter 573, Government Code,
are summarized below:
No officer may appoint, or vote for or confirm the appointment or employment of any person related within the second degree by affinity (marriage)
or the third degree by consanguinity (blood) to himself, or to any other member of the governing body or court on which he scarves when the compensation
of that person is to be paid out of public funds or fees of office. However, nothing in the law prevents the appointment, voting for, or confirmation of
anyone who has been continuously employed in the office or employment for the following period prior to the election or appointment of the officer
or member related to the employee in the prohibited degree: one year, if the officer or member is elected at the general election for state and county officers.
No candidate may take action to influence an employee of the office to which the candidate is seeking election or an employee or officer of the governmental
body to which the candidate is seeking election regarding the appointment or employment of a person related to the candidate in a prohibited degree
as noted above. This prohibition does not apply to a candidate's actions with respect to a bona fide class or category of employees or prospective
employees.
Examples of relatives within the third degree of consanguinity are as follows:
(1) First degree: parent, child;
(2) Second degree: brother, sister, grandparent, grandchild;
(3) Third degree: great-grandparent, great-grandchild, uncle, aunt, nephew, niece.
These include relatives by blood, half-blood, and legal adoption.
Examples &relatives within the second degree of affinity are as follows:
(1) First degree: spouse, spouse's parent, son-in-law, daughter-in-law;
(2) Second degree: brother's spouse, sister's spouse, spouse's brother, spouse's sister, spouse's grandparent.
Persons related by affinity (marriage) include spouses of relatives by consanguinity, and, if married, the spouse and the spouse's relatives by
consanguinity. These examples are not all inclusive.
INSTR UCCIONE$
Una aplicaci6n para que le nombre de un candidato aparezca en la boleta para cualquier elecci6n no deberd registrarse antes de 30 dias antes del ~tltimo
dla para registrar la aplicaci6n como prescribe este c6digo. Una aplicaci6n registrada antes de ese dia se declard invdlida.
El ~ltimo dla para registrarse el 5:00p. m. a lo menos 45 dias antes del dia de la elecci6n.
El candidato debenJ firmar esta declaraci6n indicando que ~l/ella estd enterado(a) de la ley sabre el nepotismo. Lo siguiente es un resumen de las
prohibiciones del nepotismo de acuerdo de capitulo 5 73 de C6digo Gobierno:
Ning~n oficial podrd nombrar, o votar por o confirmar el nombramiento o empleo de alguna persona que estd emparentada con ~l dentro del segundo
grado par afinidad (matrimonio) o dentro del tercer grado par consanguinidad (sangre), o que estd emparentada con cualesquier otro miembro del
cuerpo directivo o carte en que ~l/ella celebra sesi6n cuando la compensaci6n de esa persona estard pagada con fondos p~tblicos o los honorarios del
puesto oficial. Sin embargo, la ley no prohibe el nombramiento, el votar por, o la confirmaci6n de alguna persona que continuadamente ha sido empleado
de la oficina o ha sido empleado durante el siguiente plazo antes de la elecci6n o el nombramiento del oficial o miembro que estd emparentado con el
empleado en el grado prohibido: un ago, si el oficial o miembro estd elegido en la elecci6n general para oficials del estado y del condado.
Ning~tn candidato podrd~ obrar para influir a un empleado del puesto oficial al cual el candidato desea estar elegido o un empleado o oficial del cuerpo
fiscal al cual el candidato desea estar elegido en cuanto al nambramiento o al empleo de una persona que estd emparentada con el candidato en un grado
. prohibido como notado arriba. Esta restricci6n no se dirige a las acciones de un candidato respecto a una clase o categorla de buenafe de empleados
o empleados anticipados.
Los ejemplos de parientes dentro del tercer grado de consanguinidad son los siguientes:
(1) Primer grado: padre, madre, hijo(a);
(2) Segundo grado: hermano(a), abuelo(a), nieto(a) primo(a);
(3) Tercer grado: bisabuelo(a), bisnieto(a), tlo(a), sobrino(a).
Los siguientes incluyen parientes de linaje (sangre), medias hermanos, y adopci6n legal.
Los ejemplos de parientes dentro del segundo grado de afinidad son los siguientes:
(1) Primer grado: esposo(a), suegro(a), yerno(a);
(2) Segundo grado: cu~ado(a), abuelo(a) del esposo o esposa.
Las persona~ q~e estdn emparentadas par afinidad (matrimonio) estdn incluyen los esposos o esposas de parientes que estdn emparentados par
consanguinidad, y, si casados, el esposo o esposa y los parientes del esposo o esposa par consanguinidad. No todos estos ejemplos son inclusivos.
hgkll oaths, affidavits, or.~ations made within this State may be administered and a certificate of the fact given by a judge,
c~erk, or commissione~o fany court of record; a notary public; a justice of the peace; the City Secretary; Secretary of State
ofT~xas.
/Todos juramentos, testimonios o a. firmaciones hechas dentro de este Estado se podrdn administrar y se podrd dar un certificado del
hect~o par unjuez, escribano, o comisionado de alguna carte de registro; un notario p~blico; un juez de paz; el Secretario(a) de la
bCiudad;el Sec~¢tario del Estado de Texas.
TexasElhics Commi~sion P.O. Box 12070 Ausl~, Texas 78711-2070 (512)4~3-5800 1-~00-325-8506
APPOINTMENT OF A CAMPAIGN FORM CTA
TREASURER BY A CANDIDATE PG 1
See CTA Instruction Guide for detelled Instructions. ¶ I Totalpagesfl~l:
Larry M. Wheeler
2 I Tm.E .,~, u, OFFICE USE ONLY
NAME
ADDRESS .. ,
C :Y SECRETARY
I ~ ~E ~E NUM~
4
H~M
CANDIDATE
OFFICE:OUGHT C '~ &
7
~x
CAMPAIGN
TREASURER
8
CAMPAIGN
(ReaMen~ or busings
J ~ ~ ~E NUM~
CAMPAIGN
NEPOTISM I am aware ofthe Nepotism Law, Chapter 573 of the Texas Government Code.
STATEMENT
and
CANDIDATE
SIGNATURE I am aware of my responsibility to file timely reports as required by Title 15 of
the Election Code.
GO TO PAGE 2
~ P~Me~ on m~Med papa~ (Effe~ve
~IBIT '"F'
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (S12) 463-S800 1-800-32S-8S06
CODE OF ,FAIR CAMPAIGN FO.M CFCP
PRACTICES CovE. S
Pursuant to chapter 258 of the Election Code, every candidate and OFFICE USE ONLY
to to of
Campaign Practices. The Code may be filed with the proper filing ~--~--~
authority upon submission of a campaign treasurer appointment~ -* F ' I
form. Candidates or political committees that already have a -
current campaign treasurer appointment on file as of September 1,
1997, may subscribe to the Code at any time. O~TV oconrT~!n~,
Subscription to the Code of Fair Campaign Practices is voluntary.
Dale Inmoed
1[ ACCOUNT NUMBER: 2_.J TYPE OF FILER:
[~ CANDIDATE [] POLITICAL COMMITTEE
3i NAME OF CANDIDATE TITLE (Dry. f~.. I~., etc.) nl~T
Larry Wheeler
4~ TELEPHONE NUMBER OF CANDIDATE AREACODE PHONE NUMBER EXTENSION
~_J ADDRESS OF CANDIDATE AOORESS IPO BOX; APTtEUITE#; CITY; STATE; ZIP CODE
61 OFFmE $C)UGH~ BY CANmDAT£
[ NAME OF COMMITTEE
~ NAME OF CAMPAIGN TREASURER 'n'n.E (Dr., MI'.. Ms.. Mc.) FIRST MI
NICKNAME LAST SUFFIX (Sr., Jr., III, elc.)
GO TO PAGE 2
~ Printed OB recycled puper (Rcvjscd 01t'2311
I~ItlBIT "it"
Texas Ethies Commission P.O. Box 12070 Austin, Texas 78711-2070 (S12) 463-5~99 1-~99-32.~-8506
CODE OF FAIR CAMPAIGN PRACTICES
There are basic principles of decency, honesty, and fair play that every candidate and political
committee in this state hah a moral obligation to observe and uphold, in order that, after vigorously contested
but fairly conducted campaigns, our citizens may exercise their constitutional rights to a free and untrammeled
choice and the wilY6~ people may be fully and clearly expressed on the issues.
THEREFORE::
(1) I will conduct the campaign openly and publicly and limit atta~ on my
opponent to legitimate challeng~ to my opponent's record and stated poaitions on i~'u~.
(2) I WIll not use or permit the use of character defamation, whispering
eampaigas, libel, slander, or scurrilous attae~ on any candidate or the candidate's l~n~onal or
family life.
(3) ! will not use or petmit any appeal to negative prejudice based on rac~, ~x,
religion, or ~ationai origin.
(4) ! will not use campaign mat,.n-iai of any so~t that misrepresents, distorts, or
otherwise falsifies the fa~ts, nor will I u.~ mali¢ions or unfounded accusations that aim at
creating or exploiting doubts, without justification, as to the l~n~onai integrity or patriotism of
my opponent.
(5) I Will llOt undF~'~B~ke or condone any disholl~t or uilethi~9.I ~tice that telld~
to corrupt or und~i~-,in¢ our system of free elations or that hampers or pre~ents the full and flee
expression of the will of the voters, including any a~tivity aim~ at intimidaling vot~ns or
discouraging them from voting.
(6) I will defend and uphold the right of every qualified vot~ to full and equal
participation in the electoral process, and will not engage in any activity aimed at intimidating
vote~ or discouraging them from voting.
(7) I Will immediately and publicly repudiate methods and taetic~ that may come
from oth~ that I have pledged not to use or condone. I shall take fi~n action against any
subordinate who violate~ any provision of this code or the laws governing elections.
I, the undersigned, candidate for election to public office in the State of Texas or campaign treasurer of
a political commltt~, h~n~by voluntarily cndome, sub.~erib~ to, and solemnly pledge myself to conduct the
campaign in accordance with the above principles and practices.
Date
Prluted on recycled paper (~cv~s~d OI/~3/199~
MEMORANDUM
Date:
To: Chad Beach, Assistant Finance Director
From: Libby Ball, City Secretary
Subject: Candidate for Office/Application
Please be a~dviseckthat Larry Wheeler ., residing at
__ ~~, has submitted an
application to the City Secretary Department for a place on the May 5, 2001, City
of Coppell General Election ballot. In compliance with the City of Coppell Home
Rule Charter, Section 5.02 - Filing for Office and Eligibility to File, Paragraph A,
No. 3 and Section 11.15, A, B, and C - Persons Indebted to the City Shall not
Hold Office or Employment, I am requesting an update from you concerning City
Taxes and Utilities, and if money is owed to the City by this candidate.
I would appreciate you checking your records and returning this form to me by
March 22, 2001. Thank you for your cooperation.
CITY TAXES OWED: Yes No ,~/
DATE DUE:
AMOUNT OWED:
CITY UTILITIES OWED: Yes /"- No
DATE DUE: J/,.~/6~/
/
AMOUNT OWED: ~--~o
VERIFIED:
Cha~~Be ac~h.i~ss~D~~/r
Texas Elhics~ P.O. Bc~x 12070 Aus~n, Te~3s 78711-2070 (512)463-5800 1-800-325-8506
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
t ACCOUNT# 2 Totalpages filed:
The C/OH INSTRUCTION GUIDE explains how to complete (Ethics Commission filers)
this form.
3 CANDIDATE/ TITLE F[RST MI
Larry Wheeler OFFICE USE ONLY
OFFICEHOLDER /~ L r/~
NAME //~
N,CKNAME ' ' lAST suFFI~ Date Received
4 CANDIDATE / ADDRESS I PO BOX; APT t SUITE ~ CITY; STATE; ZiP CODE
OFFICEHOLDER
ADDRESS ?/~ S~'-~ //0~/'' b~. ~f/~ 7'~ ?~"~'~/? Date Hand-delivered or Date Postmarked
[] Change of Address
5 CAMPAIGN TITLE FIRST MI
NICKNAME IJ~T SUFFIX Date Processed
v
6 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT I SUITE #; CITY; STATE; ZIP CODE
TREASURER
7 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
PHONE (~/72)
8 REPORTTYPE [] January15 ~ 301hdaybefomelecfion [] Runoff' []appointmentlSth day after campaign treasurer(officeholder only)
[] July15 [] 8thdaybeforeelecfion [] Exceeded $5001imll [] Finalrepo~tCAttachC/OH-FR)
9 PERIOD Mon~ Day Year Month Day Year
COVERED &//¢ / ~ / T..O.G. ¥ /~ /0 /
10 ELECTION ELECT1ON DATE ELECTION I~¢PE
Mo~/ Day Year
11 OFFICE OFFICE HELD (if any) ~ OFFICE SOUGHCr 0fknown)
13 NOTICE
OF DIRECT ,, Direc~campaignexpendituresarecampaignexp~ndi~umsmadeby~therswith~utthecandidate'spri~rc~nsent~rappr~va~.
CAMPAIGN Candidates are required to disclose this infem3ation only if they receive notification of the dlmcl campaign expenditure.
EXPENDITURE
BY OTHER Name
INDIVIDUALS
Address I PO Box; ApL I Suite ~. City;, State; Zip Code
[] additional pages
GO TO PAGE 2
Printed on recycled paper Revised 05111/2000
'T ¸T
Texas Ethics Commission P.O. Box12070 Auslin, Texas 78711-2070 (512)463-5800
CANDIDATE I OFFICEHOLDER REPORT: FORM C/OH
SUPPORT & TOTALS COVER SHEET PG 2
16 NOTICE .- This box is for notice of political expenditures by poliUcal committees to support the candidate / officehoider. These expenditures
FROM may have been made withou~ the candidate's or officeholder's knowledge or consent. Candidates and officeholders are required to report
POLITICAL this information only if they receive notice of such expenditures...
COMMITTEE(S)
COMMt't i ~- NAME
COMMFI'FEE TYPE
[-'--I GENERAL COMb# ~ ~ ~-~- ADDRESS
'--]SPECIFIC
COMMi~ ~1=~- CAMPAIGN TREASURER NAME
[] additional pages
COMM~ I ~ ~'~- CAMPAIGN TREASURER ADDRESS
17 NO REPORTABLE
ACTIVITY [] Check hem if no reportable activity occurred during this reporting period. (Sign affidavit below and submit pages 1 and 2 only.)
18 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $
7r
EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $50 OR LESS, UNLESS ITEMIZED
TOTALS $
4. TOTAL POLITICAL EXPENDITURES
OUTSTANDING 5. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ _.....~
19 AFFIDAVIT
~x~'"¥P0~'.w~_'-"'~4~'~'"~, I swear, or affirm, under penalty of perjury, that the accompanying report
is true and correct and includes all informat I~required to. be reported by
_. ,,.. /\
AFFIX NOTARY STAMP I SEAL ABOVE
Swor~ to and s, ubscrtbed before me, by the said ~.~--(zL___~~! ~ this the 5
day
'J___, 20 _L~_L , to certify which, witness my hand and seal of office.
Sigr~ ~'re of o ffi c~Z fa d ~nit~ is~rt ng oath Printed name of officer administe~ng oath Title of officer administedn~ oath
Printed m recycled paper Revised 05111/2000
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506
POLITICAL EXPENDITURES SCHEDULE G
MADE FROM PERSONAL FUNDS
Total pages
Schedule G:
The INSTRUCTION GUIDE explains how to complete this form.
/
2 FILER NAME Larry M. Wheeler 3 ACCOUNT# (Ethic~ Commission filers)
4 Date 8 Amount
5 Payee name
...........................
~"~/¢/~)( 6 Payee address; City; State; ZipCode
7 Purpose of expenditure (See instructions regarding type of information required.) ~ Reimbursement
from political
S/~') S contributions
intended
Date Payee name Amount
($)
Payee address; City; State; Zip Code
Purpose of expenditure (See instructions regarding type of information required.) r--I Reimbursement
from political
contributions
intended
Date Payee name Amount
($)
Payee address; City; State; Zip Code
Purpose of expenditure (See instructions regarding type of information required.) [~1 Reimbursement
from political
contributions
intended
Date Payee name Amount
($)
Payee address; City; State; Zip Code
Purpose of expenditure (See instructions regarding type of information required.) [~ Reimbursement
from political
contributions
intended
Date Payee name Amount
($)
Payee address; City; State; Zip Code
Purpose of expenditure (See instructions regarding type of information required.) ['-'-I Reimbursement
from political
intended
ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED
Printed on recycled paper Revised 1997
Texas EthicsCommission P.O. Box12070 Aus~n, Texas 78711-2070 (512)463~:~30 1q~0C~325-8506
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 ACCOUNT# 2 Totalpages filed:
The C/OH INSTRUCTION (~UlDE explains how to complete (Ethics Commission filers)
this form.
3 CANDIDATE ! TITLE FIRST MI OFFICE USE ONLY
· · · Date Received
NICKNAME LAST SUFFIX
4 CANDIDATE / ADDRESS I PO BOX; APT I SUITE ~, CITY; STATE; ZIP CODE
OFFICEHOLDER
Date Hand-delivered or Date Postmarked
5 CAMPAIGN TITLE AFIRST MI
TREASURERNAME ~,)~,,~ ,I t '1.~,..i/.~ I T~ r~ Receipt, A .... t
·.,C~,~E ..... ~T ..... SU~F,X ' ' Dste P~oce, se.
6 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT I SUITE #; CITY; STATE; ZIP CODE
(Residence or business)
7 CAMPAIGN A~EA CODE PHONE NUMBER EXTENSION
TREASURER
8 REPORT TYPE
[] Janua~j15 [] 301hdaybefomelection [] Runoff [] 151h day after campaign keasurer
appointment (officeholder only)
[] July15 [] 8th day before election [] Exceeded$5001imit [] Finalreporl(AttechClOH-FR)
9 PERIOD Month Day Year Month Day Year
COVERED /O / T.,OU . /,.S-' / o /
10 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year
~..~ 'J / ~.~--'~ /O / [] P~msry r"l Runoff ~ C-enersl E~] Special
11 OFFICE OFFICE HELD (if any) ~2 OFFICE SOUGHT {if known)
13 NOTICE
OF DIRECT .- Direct campaign expenditures are campaign expenditures made by othet's"wlthout the candidate's prior consent or approval.
Candidates are required to disclose this information only if they receive notification of the direct campaign expenditure...
CAMPAIGN
EXPENDITURE
BY OTHER Name
INDIVIDUALS
Address I PO Box; ApL / Suite ~ City; State; Zip Code
[] additional pages
GO TO PAGE 2
Printed on recycled paper Revised 05/11/2000
~3C~IBIT 'I'
Texas Ethics~ission P.O. Box 12070 Ausl~, Texas 78711-2070 (512)463-5800 1-~30-325-85(~
CANDIDATE / OFFICEHOLDER REPORT: FOP. M C/OH
SUPPORT & TOTALS COVER SHEET P(~ 2
14 C/OH NAMEr Larry M. Wheeler I lSACCOUNT#(Et~csc~m~sion~lers)
16 NOTICE -o mis box is for notice of political expend tufas by political committees to support the candidate / officeholder. These expenditures
FROM may have been made wfthout the candidate°s or oflfceholder's knowledge or consent. Candidates and officeholders are required to report
POLITICAL this information only if they receive notice of such expenditures..,
COMMITTEE(S)
COMMITrEE NAME
COMMITTEE
---]GENERAL COMMITI'EE ADDRESS
r~ SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
[] additional pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 NO REPORTABLE
ACTIVITY [] Check here if no reportable activity occurred dudng this reporting period. (Sign affidavit below and submit pages 1 and 2 only.)
18 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ / / 3~,
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $ / J 3.
EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $50 OR LESS, UNLESS ITEMIZED
TOTALS
4. TOTAL POLITICAL EXPENDITURES
$ 172,
OUTSTANDING 5, TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ _ .
19 AFFIDAVIT
I swear, or affirm, under penalty of perjury, that the accompanying report
is true and correct and includes all informafl~;l~¥~a;~,uired to be reported by
me under Title 15, Election Code. I \
AFFIX NOTARY STAMP I SEAL ABOVE
Sworn to and subscribed before me, bythesaid~ r~. '~£~ ~'~°Cl~" thisthe (~If~(~' day
of .~.~_~"~__,./20 _~.J__[...___, to certify which, witness my hand and seal of office.
IJ ~' / S~"~U re of of~r ad'hi{ ,ist~'~ng oath Printed name of officer administering oath ' Title of officer adr~st~.ri~f~ ~
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506
POLITICAL EXPENDITURES SCHEDULE G
MADE FROM PERSONAL FUNDS
The INSTRUCTION GUIDE explains how to complete this form, I Total pages
Schedule
G:
2 FILER NAME
Larry M. Wheeler 3 ACCOUNT # (Ethics Commission filem)
4 Date Payee name I~ Amount
.. ?; .............................
Z/-.I~-OI s Payeeeddreaa; Ci~; s,~; z,~co~
7 Pu~ose of ~xpendilure (See inst~c~ons regarding ~pe of info~ation required,) ~ Reimbursement
from political
Date Payee name ~ ~ount
Payeeadd.ss; ~i~; S~te; ZipCode lZ ~, O~
Pu~ose of expendi~re (See instmcUons regarding ~pe of info~afion required.) ~ Reimbursement
from polilical
~W~ m P~ contributions intended
Date Payee name Amount
($)
Payee address; Ci~; S~te; ZipCode
Pu~ose of expendi~re (See ins~ons regaling ~pe of info~ation ~uir~.) ~ Reimbursement
from potitical
contributions
intended
Date Payee name Amount
($)
Payee address; Ci~; S~te; ZipCode
. from political
eontribution~
intond~d
Dato ~ayoO namo ~mount
Payee address; ~i~; State; ZipCode
Pu~ose of expendi~re (See ins~ons regaling ~pe of info~afion r~uimd.) ~ Reimbursement
from potitical
contributions
intended
ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED
Printed on recycled paper Revised 1997