Loading...
HomeMy WebLinkAboutCFR-05.27.2013-Baxter,BrendaTexas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 (TDD} 1 -800 - CANDIDATE OFFICEHOLDER REPORT. FORM UIUH SUPPORT & TOTALS COVER HEFT PG 2 14 CfOH NAME 15 ACCOUNT ff (Ethacs Commission F,ers) 16 NOTICE FROM THIS BOX IS FOR NOTICE €3FPOLiT ALC.CitTRBUTPONSACCEP.iEDORPOLiTECRL.EXPENDITURES MADEPYPOUT€CALCL7MUTTEESTOSUPPORTTHE POLITICAL y CANDIDATE/ OFFICEHOLDER, THESE EXPENDITURES MAY HAVE 9EEN MADE MTHOUT TIE CA1YDOATE'S OR € FRCEHOLDEWS KmowLEDrrE OR C OIVi M I TTE E (S } ii( CONSENT. fi.ANDIDATES AND OFFICE€?OLDERS ARE REQUIRED TO REPORT THIS WFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES, { COMMITTEE NAME COMMITTEE TYPE g i GENERAL COMIMITTEE ADDRESS SPECIFIC Cr?MNUTTEE CAf-APAIGN TREASURER NAME e7ddilEOnal ,pages g COMMITTEE CAN—N `s RIFA,SURER ADDRESS F 17 CONTRIBUTION 1, TOTAL POLII ICAL CONTRIBUTIONS OF $50 OR LESS (O1 HER THAN � V TOTALS PLEDGES. LOANS, OR GUARANTEES OF LOANS), UNLESS ITEWZED � + d -p 2, TOTAL POLITICAL CONTRIBUTIONS � (OT HER THAN PLEDGES. LOANS, OR GUARANTEES OF LOANS) �/��tJ EXPENDITURE TOTALS 3. T£ IAL POLITICAL EXPENDITURES OF $100 OR LESS; UNLESS ITEMIZED y f 4. TOTAL POLITICAL EXPENDITURES � f �} (� }� C� l�„/ C/ CONTRIBUTION �t 5D. TOTAL POLITICAL CONITRIBU T IONS MAiNTAWED AS OF THE LAST DA`! BALANCE I OF REPORTING PERIOD `E' V OUTSTANDING 6, T cOTAL PRINCIPAL AIV?C?UN T OF ALL OUTSTANDWG LOANS AS OF THE LOAN TOTALS LAST DAY OF THE REPORTING PERIOD 18 AFFIDAVIT I swear, or afErril, under penalty of perjury, that the accompanying report www is true and cArrect and includes all inforrin tion required to be reported by pV6 •. JESSICA ERIN BRMLE nye under Ii 15, Election Gude. r�PpY z° t NOTARY PUBLIC State of Texas Comm, Exp. 06-01-2015 .. _ ,. Signature of Candidate or Officeholder AFFIX NOTARY STAMP } SEAL. ABOVE by �"l� this the Sworn to and subscribed before me, the said — - — 20 �-�— to my hand and Seal of office. { d certify which, witness Sign Lure of fficer administering oath Printed noe of officer administering oath Title Vofficer administer` ig o th Texas Ethics Commission P.G. Box 12€370 Austin, Texas 78711-2070 (512)463-5800 (TDD 1-800- L 1 SCHEDULELS The Instruction Guide explains how to complete this form. j j 1 total pages Schedule S: FILER NAMEAKn ''s ACCOUNT # (Ethics vOFtitY4i55'ttiRci4@Ta) 4 TOTAL OF UNITEMIZEEI PLEDGES: { 5 Date 6 Full name of pledgor F'l cLe-of-sia#e P?ActfGei' : a Amount of € 9 In-kind description �� Pledge () (if applicable) 1 p Pledgor address; City; State, " Zip Code o ch0rch9-4 Cei TO V6 I2� (P (if travel outside off Texas; complete Schedule T) 10 Principal occupation f Job title (See Instructions) Employer (See instrUctions) Date Full name of pleedd'gor ou,-oi-stateP C(l i Amount of i Ire -kind description } -� pledge ( } (if appiicable)Pledgor ` address; City; State; Zip Code I 1b 4731n�c�0 I ni."I (lfHave': outside of sexes.:xrrnp.ete Schedule T} Principal occupation I Job title (See Instnsctions) Employer (See Instructions) Yin Date Full name of, pledgor{ {/� �( out-of-staleirR40__ i€�_—__"_' jWn+ e } Amountof Pledge f; g -kind description (if applicable) V✓ r' i V 11 � i V I1�(i1 I u i \ 7 P€edgrir address; City; State; Zig Code 1 V X12 (if travel outside of Texas, complete Scheduie T) Principal occupation / Job title (See Instructions) Employer --- (See Instructions) -- — Date Full name of pledgor [j cut a;-state�°C,i 1s _ �} A ount of (} # In-kind description (if applicable) Ja� Pledge g Pledgor address: City; Sia#e; Zip Cede �Z S [� Po 1 �5�7 �� A-4 � � I (if travel outside of Texas, coaipiete Schedu(e T) Principal occupation f Job tide (See Instructions) Employer (See Instructions) I } Date Full narne of pledgor out-o<-statePAC (10#-" J� l Amount of In -bind description pledge {) (if applicable) !j Pledgor address; City; State; Zip Code i Of travel outside of Texas. complete Schedule T) Principal occupation t Job title (See instructions) Employer (vee Instructions) ATTACH ADDITIONAL COPIES €3F THIS SCHEDULE AS NEEDED If rnnfributor is out -cif -state PAC. Dlease see instruction ouide for additional rebortinct reouirements. Texas Ethics Commission RO. € ox 12070 Austin, Texas 78711-2070 (512)463-5800 (TDD 1 -800 - POLITICAL EXPENDITURES SCHEDULE F EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense GiftlAwardsWemorio^ls Expense SalariesMageslContract Labor Loan Repay men ttReimbursemelit Accounting/Banking Legal Services Soiicitationlrundraising Expense Transportation Equipment & Related Expense: Consulting Expense FoodlBeverage Expense Terve! in District Contributions/Donations glade By Event Expense Polling Expense Trave: Out Of District CandidatelCifticeholdertPoliticai Committee Fees Printing Expense Office Overheadr`Rentaf Expense OTHER (enter a category not listed above) The instruction Guide explains how to complete this form. 'i Total pages Schedule F: 2 FILER NAME3 , ACCOUNT # (Ethics Commission Filers) I ends. 4 date id -20 C 8 Payee name �} `Yankt , La L J j tna u 8 Amount { ) 7 Payee address; City; State: zip Cade 8 PURPOSE (a) Category (See categones l,steo at the top of this scriedu'�) (I* Description ;� fs2vet a s de Gf Yexas, Ga t ck2,e Sc;z2duFe T) OF EXPENDITURE 9 Complete ONL if direct Candidate f Offi6eliolder name Office song Office field expenditure to benefit C/OH Date � a Payee pprrale (, I CS Amount (S} e addr .ss; City; State; Zip Code7 Paye (� u�-i er Rld t f s4ly PURPOSE Cat eg ry 1,S,ee�c2��teCofiess listed at the top of ihiss scriedute Description tifyt;stye4outs Pio f Te'x?s, cornpl$i» Schedule T) OF EXPENDITURE t i Y 1��Vii 1 tt rEXPENDITURE Complete ONLY i€ direct Candidate t Officeholder name Office sought Office held exoenditure to benefit CION Rafe Payee Hams �-D��� d i(�2CSi3 1 wtwo Amount ( ) Zip Coded address- City; State; Zip Payee t � �t^ o + i tv }(� '_7�V l' PURPOSE OF Category ((See categories listed at the tap of this schedule) Description of travel outside o`Texas, cGrtiplete Schedule T; EXPEL FD� �Y 1cli UL Complete ONLY if direct Candidate t Officeholder name office sought Office held expenditure to benefit CfOHDat e. Payee name j _ f ] a YV g h ( � ��' 2D 3 is l V Amount (S) Payee address;/���I City; State; Zip Code Q 0 tSly Loh I'll PURPOSE Categoryy (See categories listed at the top of this schedule) of travel outside of rextaas, conipiete Schedule T; OF EXPENDITURE � /Description Complete QLa if direct Candidate �,Cifficeholder name Office s grit Office held expenditure to benefit CIOH ATTACH ADDITIONALCOPIES OF THIS SCHEDULE NEEDED Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 POLITICAL MADE FROM PERSONAL FUNDS EXPENDITURE CATEGORIES FOR OX 8(a) Advertising Expense GiIwAYYards/�tiernoria(s Expense Salaries,"Wt2geslContract Labor Loar,, RepaytnentiReimbur'setn€:nt Accounting/Banking Legal Services SoficiiaiioniFuridraiss.n Expense Tra=nsportation Equipment & Relater, Expense Consulting Expense Food/Beverage Expar,5e 3 r " ei In Distnct o'rtriS3 t[OflstDonat#©ns ¢4ld ie By Event Expense Polling Expense Travel Out O} Mstiit t vEi ff t{jSt€1v FiC@hOl�eriPGht C l �0 tlr ittBe Fees P int;ng Expense Cftice OverheadlRenta: Expense OTHER (,enter a category not listed above) The Instruction Guide explains how to complete this fcirm. I Total pages Schedule G: 2 FILER NAME 3 ACCOUNT # (E2liics Commission, Filers) 4 Date, 5 Payee narne (�I2oc3 �i1c s��, Nn - 6 Amount ($) f Pc1}eE rtiGtr25S: C(t}r, State; Zip Code ( '�TJ{�/ �L tr:,cii N.�.��3.'/Re;,e=6usesnea! . f fai.icsl eanldbuticns settend� 8 PURPOSE I 1 (a) Category (b) Description (tf travel oaisEde of Texas, t:arnole,e ScFe�ute Tp OF EXPENDITURE 91 (J .�-7 (' / _ Bate 51 1C) ,t- Payee natste � C � Arn ount ($) Payee address; City; State: Zip Code �! I`` ei�nC,ursement ircm 55 ` ' E-CG�` poiiticat contriLsYsons Er;tended PURPOSE Categt n, (See cateZp i ss listed at the top of this scheduler EDescription it' travel outside of Texas. complete Schedule T) F fj EXPENDITURE F)cA (Pxyera ' WCtPO( Date 6 Payee name Amount () Payee address; City; State; Zip Code J' i' 1bu- eir'.eI from F1 polit:cialc ntributions F1 inteade{ PURPOSE Category (See categories listed at the top of this sche §v;ei Description W iFavel ou=aside of Texas. canipiete Schedule T) OF EXPENDITURE , Gate E Payee name Arnount {$} Payee address; City; State; Zip Code fron? EReirnbuisernerit politicalcontributtears intended a T URPOSE PURPOSE Category ¢See cate o2 Sas listed atthe tag of this sohedudep DeSCtiption ttitravet outsiue of Texas. c Scher.};:�e T} ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Texas Ethics Commission RO. Box 12070 Austin, Texas 787'11-2070 Signature of Officeholder CANDIDATE/ OFFICEHOLDER REPORT: FORM CIOH FR DESIGNATION OF FINAL REPORT The Instruction € uide explains how to complete this form. �- Complete only if "Report Type" on page I is marked "Final Report" �• I CfOH NAME `// �&CPd& t 2 ACCONT # (Ethics Commission: Edens) 3 SIGNATURE 1 do not expect any further political contributions or political expenditures in connection with my candidacy. 1 understand that designating a report as a final report terminates my campaign treasurer appointment. i also understand that 1 ay not accept any ca paign contributions or make any campaign expenditures without a campaign treasurer appointment on file. Signature of Candidate/ Officeholder , 4 FILER WHO IS NOT AN € EEICEHOLDER -• Complete A & B below only if you are not are officeholder. •« A. CAMPAIGN FUNDS Check only one: 1 do not have unexpended contributions or unexpended interest or income earned from political contributions, 1 lave unexpended contributions or unexpended interest orincomeearned from political contributions. f understand that 1 may not Convert unexpended political contributions or unexpended interest or income earned on political contributions to personal use. 1 also understand that i must Cite an annual report of unexpended contributions and that t may not retain unexpended contributions or unexperded interest or income earned on political contributions longer than six years after filing this final report. Further, 1 understand that 1 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 1 do not retain assets purchased with political contributions or interest or other income from political contributions. � 1 do retain assets purchased with political contributions or interest or other income from political contributions. 1 understand that 1 may not convert assets purchased with political contributions or interest or other income from political contributions to personal use. 1 also understand that 1 must dispose of assets purchased with political contributions i accordance 4lith the r ernent of Election Code, § 254.204- Signature of Candidate s OFFICEHOLDER •« Complete this section only if you are arra officeholder •- 1 am aware that 1 remain subject to filing requirements applicable to an officeholder who does not have a campaign treasurer on file. 1 am also aware that 1 will be required to fie 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 purchased with political contributions or interest or other income from political contributions. Signature of Officeholder