HomeMy WebLinkAboutCFR - McMichael - 12.31.2013Texas Ethics Commission NU. Box 12U(U Austin, texas (Hill -zUtu (b1z)4bj-,--YbUU (I UU,
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG I
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
t
TREASURER
PHONE ( )
9 REPORT TYPE
jj January 15
30th day before election
1
ACCOUNT#
2 Total pages filed:
The C/01-11 Instruction Guide explains how to complete this form.
(Ethi iss FiWs
3 CANDIDATE I
Ms /MRS /MR
FIRST
74 MI
OFFICE USE ONLY
OFFICEHOLDER
I
:mM. OM Aft =14 firo
P6Q%,09;1 V
NAME
Exceeded $500
El Final report (Attach C/OH - FR)
Date
NICKNAME
...........
LAST
SUFFIX
JAN 15 2014
10 PERIOD
Month Day
year
4 CANDIDATE
ADDRESS /PO
BOX; APTISUITE#, CITY;
STATE; 23PCODE
City Secretary
OFFICEHOLDER
MAILING
n
-
'U 4-
A 6,� O /
A
/01
Date Hand-delivered or Postmarked
ADDRESS
E] change of address
Receipt #
Amamt
5 CANDIDATE/
AREA CODE
PHONE NUMBER
EXTENSION
OFFICEHOLDER
/
Date Processed
PHONE
6 CAMPAIGN
MS /MRS (9
FIRST
MI
Date Imaged
TREASURER
NAME
. . .
. . . . . . . . . . . . . . . .
. . . . . . . . . .
NICKNAME
LAST
SUFFIX
V
Z'
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT1SUrrEft;
CITY; STATE;
ZIPCODE
TREASURER
ADDRESS
-_4-
TX
(residence or business)
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
t
TREASURER
PHONE ( )
9 REPORT TYPE
jj January 15
30th day before election
El
Runoff
15th day after campaign
treasurer appointment
(olliceholderonly)
F-1 July 15
8th day before election
Exceeded $500
El Final report (Attach C/OH - FR)
limit
10 PERIOD
Month Day
year
Month Day
Year
COVERED
1,2- 11.2-,3
11-22010 THROUGH
Id,- 1-31
111 ELECTION
112 OFFICE
ELECTION DATE
Month Day Year
oX110 /, ol �
OFFICE HELD (zany)
/VP
ELECTION TYPE
Primary RWIDff General El Sp-dal
13 OFFICESOUGHT (ifknavin)
-1
-14
Ior 01 T�'
IX L/
www.ethics.state.tx.us Revised 04119/2013
Texas Ethics Commission PO. Box 12070 Austin, Texas 78711-207O (512)463-5800 (TDD1-8UO-735-288S
CANDIDATE / OFFICEHOLDER REPORT: FORM CIOH
SUPPORT & TOTALS COVER SHEET PG 2
14 C/OH NAME
lilt
15 ACCOUNT# (Ethics Commission Filers)
16 NOTICE FROM
THIS SOX IS FOR NOME OF POUTICALCONTRIBUTIONIS ACCEPTED OR POLITICALEXPENDVIURES MADE BY POUTICALCOMMITTrES TO SUPPORT THE
POLITICAL
cAmomATE1OFFICEHOLDER. THESE EXPENDITURES KAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDER's KNO1'nEDGE OR
COMMITTEE(S)
CONSENT CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE NAME
COMMMEETYPE
F---j GENERAL
COMMITTEE ADDRESS
COMMITTEE CAMPAIGN TREASURER NAME
F-1 additional pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION
1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
Iv-
TOTALS
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
$
2. TOTAL POLITICAL CONTRIBUTIONS
$
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE
TOTALS
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED
$
4. TOTAL POLITICAL EXPENDITURES
$
CONTRIBUTION
BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
$
OF REPORTING PERIOD
OUTSTANDING
LOAN TOTALS
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANSASOFTHE
$
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 require to be reported by
me under Title 15, Election Code.
.. ... JESSICA ERIN BRETTLE
S' TTL]
OTARY PUBLIC
EI-1
�' State of Texas
'-, Comm. Exp. 06-01-2015
. -
Signature of Candidate or 00.holder
AFFIX NOTARY STAMP / SEAL ABOVE
M
k- (4-f this the
Sworn to and subscribed before me, by the said
day of, )aMAN�,,- , 20 to certify which, witness my hand and seal of office.
Si��Df offi t admini�teing oath Printed name of officer administering oath T.UUO officer administekQjath
www.etmcs Revised 04119/2013
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711 -2070 (512) 463 -5800 (TDD 1- 800 - 735 -2989)
POLITICAL EXPENDITURES
SCHEDULE
MADE O PERSONAL FUNDS
EXPENDITURE CATEGORIES FOR BOX 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.
1 Total pages Schedule G:
2 FILER NAME
3 ACCOUNNT # (Ethics Commission Filers)
V fp f
y 12i t
A
4/f Date
5 Payee name
)) pp
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6 Amount ($)
7 Payee addre s; City; State; Zip Code ''
Y Z /o
'
a
I 4 / t V q� a
G' ,,,
Reimbursement from
political contributions
intended
8 PURPOSE
(a) Category (See categories listed at the top of this schedule)
(b) Description (If travel outside of Texas, complete Schedule T)
EXPENDITURE
f
l � n
rte-
J?—¢ � /
f
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
from
❑Reimbursement
political contributions
intanded
PURPOSE
Category (See categories listed at the top of this schedule)
Description (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
from
ElReimbursement
political contributions
intended
PURPOSE
Category (See categories listed at the lop of this schedule)
Description (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
from
❑Reimbursement
politcal contributions
intended
PURPOSE
Category (see categories listed at the top of this schedule)
Description (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 04/19/2013