HomeMy WebLinkAboutCFR-03.14.2014-Fought, SteveTexas Ethics Commission PO.Box 12orn Austin, Texas 78711-2o7O (512)463-5e00 (TDD1-800-735-2989)
www.,:Ahics.state,tx.us Revised 09101/2011
CORRECTIONIAM ENDM ENT AFFIDAVIT
FOR CAN DIDATE/OFFICEHOLDER
I ACCOUNT#
1 2 Total pages filed; OFFICE USE ONLY
OFFICEHOLDER
41z,
NAME
MAR 14 2014
January 15 Runoff Other (specify) City Secretary
4 ORIGINALREPORT
TYPE
DJuly 15 El Exceeded $500 limit
Date Hand -delivered or Postmarted
0 30th day before election F 1 5th day after treasurer
appointment (officeholder only) Receipt Amount
8th day before election 17 Final report
Date Processed
5 ORIGINALPERIOD
Month Day Year Month Day Year
COVERED
THROUGH 71 Date Imaged
6 EXPLANATION OF CORRECTION
I swear, or affirm, under penalty of perjury, that this corrected
7 AFFIDAVIT report is true and correct.
Check ONLY if applicable:
Semiannual reports: This report is an amend ment/correcti on to a
semiannual report due on or after September 1, 2011. If amend-
iment/correction is filed on or after the eighth day after the original
report was filed, I swear, or affirm, that the original report was made
in good faith and without an intent to mislead or to misrepresent the
information contained in the report.
Other reports (excluding semiannual reports due on or after
September 1, 2011): 1 swear, or affirm, that I am filing this corrected
report not later than the 14th business day after the date I learned
that the report as originally filed is inaccurate or incomplete. I swear,
JESSICA ERIN BRETTLE or affirm, that any error or omission in the report as originally filed
NOTARY PUBLIC was made in good faith.
State of Texas
Comm. Exp. 06-01-2015
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP / SEAL ABOVE
I JA
Sworn ta-aLd subscribed before me, by the said e'l this the I I day of LVAIT'l—,
to certi y w;
Si cer administe ath Printed name of officer administering oath Title o1officer administeri �!- J,
Remember To Attach Any Part Of The Campaign Finance Report Form
Needed To Report And Explain Corrections
www.,:Ahics.state,tx.us Revised 09101/2011
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
CANDIDATE/ OFFICEHOLDER REPORT- FORSC/OH
SUPPORT & TOTALS OVER SHEET PG
14 C/OH NAME
15 ACCOUNT # (Ethics Commission Filers)
16 NOTICE FROM
THIS BOX TS FOR NOTICE OF POLTICALCO.NTRISUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORTTHE
POLITICAL
CANDIDATE /OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDERS KNOWLEDGE OR
COMMITTEE(S)
CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES,
COMMITTEE NAME
COMMITTEE TYPE
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
2. TOTAL POLITICAL CONTRIBUTIONSQ
LOANS, OR GUARANTEES OF LOANS)
c
$
(OTHER THAN PLEDGES,
EXPENDITURE
3. TOTAL POLITICAL EXPENDITURES OF 5100 OR LESS, UNLESS ITEMIZED
$
TOTALS
�-
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 LOANS AS OF THE
$
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 Title 15, Election Code.
�4 PUS ERIN BREiiLE'✓r'
aEBBIA
= z°. cs ; No-rARY PUBLIC
Texas
State OfSignature of Candidate or Officeholder
'` •..... `�PExp. 06 0 2015 g
Cornrn'
AFFIX NOTARY STAMP / SEAL ABOVE
fry ✓®
Sworn to and subscribed before me, by the said _s �r-��— this the
day o 20 ' to certify which, witness my hand and seal of office.
/�
1C -t-. T t. �✓'1 f fi
t7lo'officer administering oath Printed name of officer administering oath Tie officer admini ri oath
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission P.O. Box 12070 Austin. Texas 78711-2070 (512)463-5800 {TDD 1-800-735-2989)
CANDIDATE / OFFICEHOLDER FORM CIOH
CAMPAIGN FINANCE REPORT COVER SHEET PG I
I ACCOUNT# 2 Total pages filed:
The C10H Instruction Guide explains how to complete this form.
(Ethics Commission Filers)
3 CANDIDATE
MS I MRS 6P; FIRST MI
OFFICEHOLDER
T /-"Datl=
NAME
NICKNAME LAST SUFFIX MAR 14 2014
ADDRESS I PO BOX; APTISUITE#; CITY" STATE; ZIPGODE city secretary
4 CANDIDATE
OFFICEHOLDER
MAILING
ADDRESS
Date Hand -delivered or Postmarked
E] change of address
Receipt # araunt
AREA CODE PHONE NUMBER EXTENSION
5 CANDIDATE/
OFFICEHOLDER
Data Processed
PHONE
6 CAMPAIGN
MS/Rf�IMR FIRST MI Date Imaged
TREASURER
f > 14z,
NAME
. . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . .j
NICKNAME LAST SUFFIX
7 CAMPAIGN
STREETADDRESS (NO PO BOX PLEASE): APTISUITE#; CITY STATE: 7JPCODE
TREASURER
ADDRESS
-
(residence or business)
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
, -
PHONE
9 REPORT TYPE
tart January 15 El 30th day before election D Runoff 16th day after campaign
treasurer appointment
(olficeholderonly)
ED July 15 El 8th day before election El Exceeded $500 E-1 Final report (Attach CIOH - FR)
limit
10 PERIOD
month my Year Month Day Year
COVERED11
THROUGH i / ,
116)
11 ELECTION
ELECTIONDATE
ELECTION TYPE
Month Day Year
Primary
El Runoff � General El Special
12 OFFICE
OFFICE HELD (il'any)
13 OFFICESOUGHT (ifknown)
GO TO PAGE 2
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission PO.Box 12oTn Austin, Texas re711-2O70 (512)463-500 (TDD1-800-735-2989)
POLITICAL CONTRIBUTIONS
SCHEDULE A
OTHER THAN PLEDGES OR LOANS
1 Total pages Schedule A:
The Instruction Guide explains how to complete this form.
2 FILER NAME
3 ACCOUNT # (Ethics Commission Filers)
4 Date
5 Full name of contributor out-of-state PAC (IM.
7 Amountof 8 In-kind contribution
contribution description (if applicable)
s
6 Contributor address; City; State; Zip Code
(if travel outside of Texas, complete Schedule T)
9 Principal occupation / Job title (See Instructions)
(See Instructions)
Date
Full name of contributor out-of-state PAC (Off:
Amount of In-kind contribution
S
contribution description (if applicable)
Contributor address; Cit y; State; Zi p Code
(if travel outside of Texas, complete Schedule T)
Principal occupation Job title (See Instructions)
(See Instructions)
Date
Full name of contributor out-of-statePAC(Olk
Amount of In-kind contribution
X
contribution description (if applicable)
Contributor address; City; State; Zip Code
(if tra-1 wts— of —as, complete Schedule T)
Principal oc ation /, Job title (See Instructions)
Employer (See 11 rActions)
Date
Full name of contributor out-of-statePAC(II)k
Amountof In-kind contribution
contribution description (if applicable)
Cont rib utor address; Cit y; State; Zi p Code
(if travel outside .1 w—plete Schedule T)
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor out-of-state PAC(ID#:
Amountof In-kind contribution
contribution description (if applicable)
(if travel outs— 1—as, --plete Schedule T)
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-stato PAC, please see instruction guide foradditional reporting requirements.
www.ethics.state.tx.us Revised 04/19/2013