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HomeMy WebLinkAboutCFR - McMichael - Amended - 04.09.2014np"^°Fthir-pcnmmwpmn Po.Box 1ao78 Austin. Texas 78711-2O78 (512)403-5800 (TDD 1-800-735-2989) FORM COR—C/OH CORRECTION/AMENDMENT AFFIDAVIT FOR CAN DIDATE/OFFICEHOLDER I ACCOUNT# 1411A 1 2 Total pages riled: Is-, OFFICE USE ONLY 3 CANDIDATE/ 6l, MRS / MR FIRST MI DaIRE-CEIVED OFFICEHOLDER X'4P-P,' S, NICKNAME SUFFIX APR 112014 [:] January 15 Runoff 0 Other (specify) C4 Secretary 4 ORIGINAL REPORT TYPE El July 15 F-1 Exceeded $500 limit Date Hand -delivered or Postmarked day before election 15th day after treasurer F] 'k]30th appointimemt (officeholder only) Receipt It El8th day before election El Final report Month Day Year Month Day Year 5 ORIGINAL PERIOD &/ / 0/ gly THROUGH Gly/o Date Imaged 6 EXPLANATION OF CORRECTION tZ A- 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 amendment/correction to a semiannual report due on or after September 1, 2011. If amend- ment/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 JESSICA ERIN BRE report not later than the 14th business day after the date I learned NOTARY PUBLIC filed is inaccurate incomple/tp. I I that the report as originally or swear, State of Texas 'inally ..... i or affirm, that any error or omission in the re as o filed Comm. Exp. 06-01-2015 was made in good faith. Candidate 07"older AFFIX NOTARY STAMP f SEAL ABOVE Signature of or SW to and, subscribed before me, by the said._MQ�—�t/jt OMi CA— this the day of 200 to W ss my hand and qpal of office. Signa't f officer administering oath Printed name of officer administering oath Tihe-k officer adminQgs)hg oath VRemember To Attach Any Part Of The Campaign Finance Report Form Needed To Report And Explain Corrections www.ethics.state.tx.us Revised 09/01/2011 Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 (�1-800-735-298n) CORRECTION/AMENDMENT AFFIDAVIT FOR CAN DI FFICEHO0DER All :A filer who files o corrected report must submit a correction affidavit. The affidavit must identify the information that has changed. Reports filed with Texas Ethics Commission: A corrected report (other than a report due 8 days before an election or a special report near election) filed with the Ethics Commission after its dun date is not considered late for purposes of|abe�i|inQ penalties if: (1) any error or omission in the report as originally filed was made in good faith, and (2) the person filing the report files a corrected report and a good-faith affidavit not later than the 14th business day after the date the person learns that the report as originally filed is inaccurate orincomplete. Semiannual Reports: Effective September 1, 2011, a semiannual report (due January 15 or July 15) that is amended/corrected before the eighth day after the original report was filed is considered to have been filed on the date the original report was filed. A semiannual report that is amended/corrected on or after the eighth day after the original report was filed is considered to have been filed on the date the original report was filed it (1) the amendrnant/oorreotion is made before any complaint is filed with regard to the subject of the amendmenKnorrmction; and(2)the original report was made in good faith and without intent tn mislead or misrepresent the information contained in the report. Attach additional pages osnecessary. The following numbers correspond to the numbered boxes on the other side. 1. Account #. If you file with the Ethics Commission, you should have received a letter acknowledging receipt of your campaign trmaaunareppoinbnentandasn' ningyouanancountnunmbecPutthatnunubnrin this box. If you do not fi|ewith the Ethics Commission, skip this box. 2. Total Pages Filed. After completing this form and any attachnmmnto, count the number of pages. Enter that number in this box. Each side of two-sided form counts as a page. In other words, this form is two pages. 3. Name. Put your full name here. Enter your name in the same way asonthe report you are correcting. 4. Original Report Type. Mark the type uf report you are correcting. 5. Original Period Covered. Enter the period covered by the report you are correcting. The year is important because filers sometimes correct reports years after filing the original. 6. Explanation of Correction. Attach any part of the campaign finance napnd form needed to report and explain corrections. Explain why there was on error onthe original report. Also explain what information is being corrected and how the new information is different from the information on the original report. (Use additional pages if you need more opacn.) You may also use this area tu request o waiver nr reduction ofa late-filing penalty and state the basis mf your request. 7. Affidavit. Read the affidavit before signing. You must sign the affidavit in the presence of an individual authorized to take oaths. If signed before a notary public, the affidavit must include the notary's signature and Revised 09101/2011 Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711 -2070 (512) 463 -5800 (TDD 1-800- 735 -2989) CANDIDATE / OFFICEHOLDER FORMCIOH CAMPAIGN FINANCE REPORT COVER SHEET PG " 1 ACCOUNT # 2 Total pages filed: The C /OH Instruction Guide explains how to complete this form. (Ethics Co �issienFilers) ., 3 CANDIDATE / /MRS/MR FIRST MI OFFICE USE ONLY OFFICEHOLDER t �'✓J Date NAME / l�� NICKNAME . . . . . . . LAST . . . . . SUFFIX �!. 2 ADDRESS IPOBOX; APT /SURE#; CITY; STATE; ZIPCODE 4 CANDIDATE / OFFICEHOLDER MAILING Date Hand elivered or Postmarked wy ADDRESS ' ' %� r � � change of address { / l Receipt # Am AREA CODE PHONE NUMBER EXTENSION _ 5 CANDIDATE/ OFFICEHOLDER / [ Date Processed 6 CAMPAIGN MS / MRS FIRST MI Date Imaged TREASURER j /°- NAME . . . . . . .d':. . . . . �.�..e.� NICKNAME LAST SUFFIX 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); AP /SUITE#; CITY; STATE; ZIPCODE TREASURER ADDRESS // (residence or business) 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE 9 REPORT TYPE January 15 30th day before election F El Runoff 15th day after campaign treasurer appointment (officeholderonly) El July 15 F-1 8th day before election El Exceeded $500 Final report (Attach C/OH - FR) limit 10 PERIOD Month Day Year Month Dry Year COVERED /c3%t THROUGH, 11 ELECTION ELECTION DATE ELECTION TYPE Montt Day Year � Primary � Rtxtolf R Genera! El special ,✓ ) ,j 12 OFFICE OFFICE HELD (f any) 13 OFFICESOUGHT (ifknown) or- cs t dotOk, .h; / GO TO PAGE 2 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/ FFI E L E T: FORM C/OH SUPPORT & TOTALS C OVER SHEET PG 2 14 C /OH NAME // ` C 15 ACCOUNT (Ethics Commission Filers) 16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRiBUTiONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLL L COMMITTEES TO SUPPORT THE POLITICAL CANDIDATE / OFFICEHOLDER. THESE EXPENDITURES MAY HAVE SEEN MADE MTHOUT THE CANDIDATE 5 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 a GENERAL COMMITTEE ADDRE S F7 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 CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)_ EXPENDITURE OF $100 OR LESS, UNLESS ITEMIZED $ TOTALS 3. TOTAL POLITICAL EXPENDITURES 4. TOTAL POLITICAL EXPENDITURES $ ! O� CONTRIBUTION BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF REPORTING PERIOD 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 b ported by JESSICA ERIN BRIMLE me under Title 15, Election Code. - � } NOTARY PUBLIC � tF State of Texas �rfi 06-01-2015 +aF' t11?ttm, Exp. Signature of Candidate orCifticeho er AFFIX NOTARY STAMP f SEAL ABOVE Sworn to and subscribed before me, by the said ' t/E�- ' r t� ! i t this the day of ftZ 20 to certify which, witness my hand and seal of office. l( WA J�ss�v- Sig ure o officer a m nistering oath Printed name of officer administering oath Title Wfficer administ g oath www.Ahics.state.tx.us Revised 04/19/2013 Texas Ethics Commission P.O. Box 12070 Ausfin, Texas 78711 -2070 (512) 463 -5800 (TDD 1-800- 735 -2989) POLITICAL EXPENDITURES SCHEDULE A► 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. I Total pages Schedule G: 2 FILER NAME 3 ACCOUNT it (Ethics Commission Filers) 4 Date J JxT#jL�s 5 Payee name, 6 Amount ($) 7 Payee address; City; State; Zip Code %e GuC: r Lit✓ c �a r w Y Ld _, Reimbursement from F1 political contributions f,x�� intended 4'''�.,t,�` 8 PURPOSE (a) Category (See categories listed at the top of this schedule) (b) Description (If travel outside of Texas, complete Schedule T) OF EXPENDITURE OIKI�ec�i' y Date Payee name Amount {$) Payee address; State; Zip Cod 9/c GAS. °� �City; L.l ., ,' " iGe 1 "t..b'` F] Reimbursement from political contributions f /y intended ,r PURPOSE Category (See categories listed at the top of this schedule) Description (If travel outside of Texas, complete Schedule T) � 1 r , OF EXPENDITURE Date Payee name Amount ($} Payee address; City; State; Zip Code Reimbursement from F] political contributions intended PURPOSE Category (See categories listed at the top of this schedule) Description (If travel outside of Texas, complete Schedule T) OF EXPENDITURE Date Payee name Amount ($) Payee address; City; State; Zip Code Reimbursement from Elpolitical 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