HomeMy WebLinkAboutCFR-04.30.2010-Gonzalez,TommyThe C10H Instruction Guide
explains • .' to complete
CANDIDATE
OFFICEHOLDER
CANDIDATENAME
OFFICEHOLDER
MAILING
ADDRESS
F-� Change
Ei—
•' • AddreA
CANDIDATE/
OFFICEHOLDER
}
PHONE
6 CAMPAIGN
TREASURER
NAME
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MS/MRS/MR FIRST
NICKNAME LAST
s iZ.
1 ,ACCOUNT#i
(Ethics Commission tilers)
MI
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SUFFIX
ADDRESS I PO BOX; APT I SUITE #; CITY; STATE; ZIP CODE
- -
AREA CODE PHONE NUMBER EXTENSION
(
MS t MRS / MR FIRST MI
NICKNAME LAST SUFFIX
., .cit 2,10vuA
STREET ADDRESS (NO PO BOX PLEASE); APT t SUITE #; CITY; STATE;
AREA CODE PHONE NUMBER
1
❑ January 15 ❑ 30th day before election
July 15 8th day before election
10 PERIOD Month Day Year
COVERED THROUGH
11 ELECTION
12 OFFICE
14 NOTICE
OF DIRECT
CAMPAIGN
EXPENDITURE
BY OTHER
INDIVIDUALS
❑ additional pages
Month Day Year
OFFICE HELD (if arty)
ELECTION TYPE
❑ Primary
EXTENSION
❑ Runoff
❑ Exceeded $500 limit
Month /
2 Total pages filed:
APR 3 0 ?010
0
Date Processed
ZIP CODE
❑ 15th day after campaign treasurer
appointment (officeholder only)
❑ Final report (Attach CIOH - FR)
Day Year
❑ Runoff enerai
13 OFFICE SOUGHT (if known)
R
•• Direct campaign expenditures are campaign expenditures made by others without the candidate's prior consent or approval.
Candidates are required to disclose this information only if they receive notification of the direct campaign expenditure. •_
Isis
Address / PO Box; Apt. / Suite #; City; State; Zip Code
Revised 08i2512009
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CANDIDATE / OFFICEHOLDER REPORT: FORM CIOH
SUPPORT & TOTALS COVER E Y
SHEET
15 CION NAIVE
16ACCOUNT# (Ethics Commission Fifers)
17 NOTICE
This box is for notice of political contributions accepted or political expenditures made by political committees to support the
FROM
candidate / officeholder. These expenditures may have been made without the candidate's or officeholder's knowledge or consent.
POLITICAL
Candidates and officeholders are required to report this information only if they receive notice of such expenditures, b.
COMMITTEE(S)
COMMITTEE NAME
COMMITTEE TYPE
F7 GENERAL
COMMt1TEE ADDRESS
Q SPECIFIC
Q addawai pages
COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
CONTRIBUTION
4 • TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
TOTALS
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
$ a K
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
Q
- 13
EXPENDITURE
3. TOTAL POLITICAL EXPENDITURES OF $50 OR LESS, UNLESS ITEMIZED
TOTALS
r
4. TOTAL POLITICAL EXPENDITURES
L i l;
CONTRIBUTION
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE
OF REPORTING PERIOD
$
y
OUTSTANDING
6. 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
P t' r , E i i _ � is true and correct and includes all information required to be reported by
r
I.�i ,, 3,,, E ... €) me unit Title 15, Election Codqj
0,C 20 "S
y
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4 wb
Sig ature of Candidate or Officeholder
AFFIX NOTARY STAMP ! SEAL ABOVE
Sworn to and subscribed before me, by the said 707cskt 7L this the 30 day
of 20 �b , to certify which, witness my hand and seal of office.
qq('
Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath
Revised Ui25t2049
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506
OTHER THAN PLEDGESOR •
The Instruction Guide explains how to complete this form. 1 Total pages Schedule A:
2 FILER NAME 3 ACCOUNT# (EthicsCommission filers)
4 Date 5 F611 name of contributor out-of-state } 7 Amount of $ in-kind contribution
,scontribution {$) ( description (if applicable)
. . . ............. xr
t k 6 Contributor address; City; State; Zip Code {
I (, � f
wN V (If travel outside of Texas, complete Schedule T)
g Principal occupation ! Job title (See Instructions) 10 Employer (See Instructions)
Date Full name of contributor ❑ out-of-state PAC (ID#: } Amount of
contribution $
e5"
( )
Contributor address; City; State; Zip CodeXL
f 5 t X }~
} ) t f if travel outside of
Principal occupation ! Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor F�a,t-of-statePAC (ID#: Amount of
contribution ($)
Contributor address; City; State; Zip Code
(if travel outside of
Principal occupation ! Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor out.of-statePAC (iD#: ) Amount of
contribution ($)
Contributor address; City; State; Zip Code
Principal occupation ! Job title (See Instructions)
Date I Full name of contributor
Contributor address;
Employer (See instructions)
❑ out-of-state PAC (ID#: }
City; State; Zip Code
Principal occupation ( Job title (See Instructions)
Amount of I
contribution ($)
(if travel
Employer (See Instructions)
In-kind contribution
description (if applicable)
Sched
In-kind contribution
description (if applicable)
complete Schedule
In-kind contribution
description (if applicable)
In-kind contribution
description (if applicable)
ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED
If contributor is out-of-state PAC, please see instruction guide foradditional reporting requirements.
Revised 08/25/2009
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506
POLITICAL EXPENDITURES SCHEDULE
The Instruction Guide explains hone to complete this form.
I Total pages schedule F:
a 3 ACCOUNT# (Ethics Commission filers)
2 FILER NAME,�TDAA/v\-j
4. Date S Payee name
L� Amount
g�s��t; g g j
'" c€ r/JA e (S}
6 Payee address; City; State; Zip Code
8 Purpose of payment (See instructions regarding type of information
S •• Complete if direct expenditure to benefit C/OH =•
required,) PJ ak As
441
Candidate ! Officeholder name Office sought Office held
(if travel outside of Texas, complete Schedule T)
Date Payee name
p@ yQ Amount
p
Payee address; City; State; zip code
14
Purpose of payment (See instructions regarding type of information •• Complete if direct expenditure to benefit C/OH =•
required.) Candidate 1 Officeholder name office sought Office held
5oo,5cv 'Ct mal}' bpV8
(if travel outside of Texas, complete Schedule T)
twosogsotsoo.� too.
Date
Pgayeename
Amount
. . ..........
t�
Payee address; City; State; Zip Code
InsC O
I {
Purpose of payment (See instructions regarding type of information
•• Complete if direct expenditure to benefit C/OH •^
required.) { g ,
Candidate / Officeholder name Office sought Office held
(if travel outside of Texas, complete Schedule T)
Date
Payee name
Amount
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Payee address; City; State; Zip Code
Purpose of payment (See instructions regarding type of information
•• Complete if direct expenditure to benefit C/OH ••
required.)
Candidate / Officeholder name Office sought Office held
(if travel outside of Texas, complete Schedule T)
ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED
Revised 0812512009