HomeMy WebLinkAboutCFR-07.08.2013-Gonzalez,Tommy11
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
www.ethics.state.tx.us
Revised 09/28/2011
CANDIDATE ! OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT
COVER SHEET PG 1
1 ACCOUNT #
2 Total pages filed.
The C101.1 Instruction Guide explains how to complete this form.
(Ethics Commission Filers)
3
CANDIDATE 1
MS/MRS/MR FIRST
MI
OFFICEHOLDER]
NAME`
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-
i. Asa
NICKNAME . .LAST
SUFFIX
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jUL 0 8 2013
4 CANDIDATE /
ADDRESS IPO BOX; APT/SUrrE#; CITY;
STATE; ZIP CODE
OFFICEHOLDER
MAILING
.
ADDRESS
GT c: a� c i.- 1 t � � z
#
a i .
D eli
change of address
Receipt #
Amount
5
CANDIDATE/
AREA CODE PHONE NUMBER
EXTENSION
Date Processed
OFFICEHOLDER//
PHONE
'}
6
CAMPAIGN
MSIMRS/MR FIRST
MI Date Imaged
TREASURER
MM M if I � C"
f�
NAME
..
NIIC�KjN{AMEN^ LAST
SUFFIX
7
CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT ISUITE ffi;
CITY; STATE; ZIPCODE
TREASURER
ADDRESS
(� _
.
(residence or business)
f
r
8
CAMPAIGN
AREA CODE PHONE NUMBER
EXTENSION
TREASURER
PHONE
9
REPORT TYPE
❑ January 15 ED 30th day before election
15th da after cam
0 Runoff Y campaign
treasurer appointment
(officeholder only)
July 15 ED 8th day before election
El Exceeded $500 ED Final report (Attach C/OH - FR)
limit
10
PERIOD
Month day Year
Month Day Year
COVERED
� /6 / THROUGH
^3
11
ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
Primary
ED Runoff El General F1 Special
12
OFFICE
OFFICE HELD (f any) 1
13 OFFICE SOUGHT (imnowvn)
t� _
GO TO PAGE 2
www.ethics.state.tx.us
Revised 09/28/2011
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 15 ACCOUNT # (Ethics Commission Filers)
n
1 Lrsy\L `1G�
16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLmCAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT THE
POLITICAL CANDIDATE I OFFICEHOLDER. THESE EKPENDrrURES MAY HAVE SEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDEROS KNOWLEDGE OR
COMMITTEE (S) CONSENT. CANDIDATES AM OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES,
COMMITTEE NAME
COMMITTEE TYPE
ED GENERAL
COMMITTEE ADDRESS
SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
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.
47�-
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) I
EXPENDITURE
TOTALS 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED
{
4, TOTAL POLITICAL EXPENDITURES $i s
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY t
BALANCE OF REPORTING PERIOD ( 0 m [ 9
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE ��
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD
18 AFFIDAVIT
I swear, or affirm, under penalty of perjury, that the accompanying report
is true and correct and includes all information required to be reported by
me under tie 15, Election Cof
V4
JESSICA ERIN BRETTLE
NOTARY PUBLIC �
i+ s,Y'
State of Texas
•0"1-2015
IWXI3. Signature of Candidate or ceholder
AFFIX NOTARY STAMP I SEAL ABOVE /^ �' It
Sworn to and subscribed before me, by the said '10,Vl }'ly Cj`Z-�-I.1"CZ' this the
day of Ul i 20 to certify which, witness my hand and seal of office.
C U"C-
ignat re of officer a Istering oath Printed name of officer administering oath Tit fficer administe ath
www.Wics.state.tx.us Revised 09/28/2011
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
POLITICAL CONTRIBUTIONS
OTHER THAN PLEDGES LOANS _ SCHEDULE
The Instruction Guide explains how to complete this form.
1 Total pages Schedule A:
2 FILER NAME f�
i.✓'."l ool ( i , i
3 ACCOUNT # (Ethics Commission Filers)
4 Date
5 Full name of contributor ❑ out-of-state PAC ([D#., )
6 Contributor address; Cit State; Zip Code
--L��a�
(� { i�. I
7 Amount of 8 In-kind contribution
contribution ($) ' description (if applicable)
yj
(if travel outside of Texas, complete Schedule T)
9 Principal occupation / Job title (See Instructions)
9Q Employer (See Instructions)
Date
Full name of contributor ❑ out-of-statePAC(IDM )
Amount of In-kind contribution
. . . . . . . .
Contributor address; City; State; Zip Code
contribution (S) ( description (if applicable)
'l u 1 t,, 1- --V , wi�O d c (r,
p
l Y^J �ok-"1Y)I I 3 �}(if
i {, t31
travel outside of Texas, complete Schedule T
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (IM, )
Amount of In-kind contribution
contribution (S} description (if applicable)
Contributor address; City; State; Zip Code
(If travel outside of Texas, complete Schedule T)
Principal occupation / Job title (See Instructions)
Employer (See instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID# -.1
Amount of In-kind contribution
contribution (S) ' description (if applicable)
Contributor address; City; State; Zip Code
If travel outside of Texas complete Schedule T
Principal occupation 1 Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-statePAC(ID#: )
Amount of In-kind contribution
contribution (S) ( description (if applicable)
Contributor address; City; State; Zip Code
+(
4
if travel outside of Texas, complete Schedule T
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED
If contributor is out-of-state PAC, please see instruction guide foradditional reporting requirements.
www.ethics.state.tx.us Revised 09/28/2011
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
POLITICAL EXPENDITURES SCHEDULE
EXPENDITURE CATEGORIES FOR SOX 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.
I Total pages Schedule F:
2 FILER NAME�'
I b %CJI `-'t r 't
3 ACCOUNT # (Ethics Commission Filers)
4 Date
5 Payee name
6 Amount ($)
7 Payee address; City; State; Zip Code
8 PURPOSE
OF
(a) Category (See categories listed at the top of this schedule)
Cts�tlktic'l�c
(b) Description (if travel outside of Texas, complete Schedule T)
y� t u�tS� �t:
EXPENDITURE
.1.�
9 Complete ONLY if direct Candidate! 6friceholder name Office sought Office held
expenditure to benefit CIOH
Date
Payee name
Amount ($}
Payee address; City; State; Zip Code
( [
/
PURPOSE
OF
EXPENDITURE
Category ISrrea categories sted at the top of this schedule)
04evV
Description (if travel outside of Texas, complete Schedule T)
Complete ONLY if direct Candidate 1 Officeholder name Office sought Office held
expenditure to benefit C/OH
Date(Payee
name
Amount ($)
Payee address; City; State; Zip Code
f�c
�Q r
PURPOSE
OF
EXPENDITURE
Category (See categories listed at the top of this schedule)
i J. C7�1i '
Description (If travel outside of Texas, complete Schedule T)
YvAii,k LI1%A-ts-5 r 11ci tntrff
c (:. 4114 �r tktK W4�'��1 L'vtv�I
Complete ONLY if direct Candidate/ Officeholder name Office sought Office held
expenditure to benefit CIOH
Date
Payee name
Amount {$)
Payee address; City; State; Zip Code
PURPOSE
Category (See categories listed at the top of this schedule)
Description (if travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit CIOH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www. ethics. State. tx.us Revised 09/28/2011