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Home My WebLink AboutCFR - 01.08.2015 -McMichael,MarleneCANDIDATE I OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG I I ACCOUNT# 2 Total pages Filed: The C/OH instruction Guide explains how to complete this form. (Ethics Commission Fikirs) 3 CANDIDATE 4&��IRS MR FIRST MI OFFICE USE ONLY OFFICEHOLDER Date KilkUhIVED NAME NICKNAME LAST SUFFIX an /X JAN 0 8 2015 A / Secreta 4 CANDIDATE ADDRESS IPO BOX; APTISUrFE#,, CITY; STATE; ZIPCODE OFFICEHOLDER MAILING Date Hand-defivered or Postmarked ADDRESS e-0 Receipt # Arnourit F-1 change of address C r'11--/0 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION Processed OFFICEHOLDERDate PHONE ( . 6 CAMPAIGN MSI MRS I(D FIRST MI Date Imaged TREASURER I NAME .......... — ........ NICKNAME LAST SUFFIX 7 CAMPAIGN STREETADDRESS (NO PO BOX PLEASE); APTISUITEt CITY; STATE; ZIP CODE TREASURER , (residence or business) 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE 9 REPORT TYPE El January 15 30th day before election ❑ Runoff ❑ 15th day after campaign El El treasurer appointment (offimholdoronly) July 15 ❑ 8th day before election 0 Exceeded $500 Final report (Attach CIOH - FR) limit 10 PERIOD Month COY Year Month Day Year COVERED /,?olil THROUGH 11 ELECTION ELECTION DATE ELECTIONTYPE Month Day Year ft pay 0 Runoff General❑ special io lao/,�, o,s-/ 12 OFFICE OFFICE HELD ('darty) 13 OFFICESOUGHT (ilknown) 0A 4770e"� GO TO PAGE 2 www.ethics.state.tx.us Revised 07/28/2014 01 -111111111111 0111 5111111111111 of CANDIDATE/ FORM C/OH SUPPORT & TOTALS COVER SHEET PG 2 14 C/OH NAME 15 ACCOUNT# (Ethics Commission Filers) 16 NOTICE FROM THIS BOX ISS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLTTI(AL EXPENDITURES MADE BY POLITICAL ?OMMITTEES TO SUPPORT THE POLITICAL CANDIDATE/ OFFICEHOLDER. THESE EXPENDnURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDERS KNOWLEDGE OR COMMITTEE(S) CONSElff. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES. COMMITTEE NAME COM MITTEE TYPE E-1 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 CONTRIBUTIONS $ (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED $ TOTALS P 4. TOTAL POLITICAL EXPENDITURES $ . . . . . . . . . . . . CONTRIBUTION BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF REPORTING PERIOD $ 06 .......... OUTSTANDING LOAN TOTALS 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS ASOFTHE $ 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 JESSICA ERIN BR LE me under Title 15, Election Code. NOTARY PUBLIC State of Texas Omm. Exp. 06-01-2015 -OR Signature of Candidate or Office "trier AFFIX NOTARY STAMP SEAL ABOVE Sworn to and subscribed before me, by the said this the day of 20 f to Certify which, witness my hand and seal of office. lj�k%�CP-jv Dfflcer admihi�tering oath Printed name ofofficeradministeringoath Title of 6ificer administering oa p www.et'r ics.state.tx.us Revised 07128/2014 Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989) 3 ACCOUNT # (Ethics Commission Filers) 14 m &)- POLITICAL EXPENDITURES 4 Date SCHEDULE F PURPOSE 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) OF The Instruction Guide explains how to complete this form. I Total pages Schedule F: 2 FILER NAME Date 0 ^ 3 ACCOUNT # (Ethics Commission Filers) 14 m &)- Amount "($) PaAyee address; City; State; Zip Code 4 Date 5 Payee name PURPOSE Category (See categories listed at the top of this schedule) 6 Amount 7 Payee addre7 ss; Pty: State;AZip Code 1- /-/ E] Check ifAustin, TX, officeholder living expense Complete ONLY if direct Candidate Officeholddriame Office sought Office held ZI Date Payee name L? PURPOSE (a) Category (See categories listed at the top of this schedule) (b) Descriiption (If travel outside ofTexas, complete Schedule T) OF PURPOSE Category (See categories listed at the top of this schedule) EXPENDITURE OF 4: E] Check !fAustin, TX, officeholder Wing expense 9 Complete ONLY if direct Candidate / OffiGabblder nafne Office sought Office held expenditure to benefit CIOH Date 0 ^ Payee name I-.- 14 m &)- Amount "($) PaAyee address; City; State; Zip Code r� 7,X 0. 30 PURPOSE Category (See categories listed at the top of this schedule) Description (if travel outside ofTexas, complete Schedule T) OF EXPENDITURE I fj' 0, 1k 41/ E] Check ifAustin, TX, officeholder living expense Complete ONLY if direct Candidate Officeholddriame Office sought Office held expenditure to benefit C/OH Date Payee name L? Amount Pa �e address; City; State; Zip Code PURPOSE Category (See categories listed at the top of this schedule) Description (if travel outside ofTexas, complete Schedule T) OF ifAustin, TX, living EXPENDITURE Cheek officeholder expense Complete ONLY if direct Candidate /Officeholder Officeholder nart(e Office sought Office held expenditure to benefit C/OH Date Payee name At'nount (4f) Payee address; City; State; Zi Code L/ 1 4-15 -0 Tx FFe-2- -7 PURPOSE Category (see categories listed at the Lop of this schedule) Description (if travel outside of Texas, complete Schedule T) OF Caa"W:4, EXPENDITURE E:1 TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit CICH ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED www.ethics.state.tx.us Revised 07/2812014 011121125 100 CANDIDATE I OFFICEHOLDER REPORT: FORM DESIGNATION OF FINAL REPORT The Instruction Guide explains how to complete this form. Complete only if "ReportType" on page I is marked "FinalReport" I C/OH NAME 0 � 2 ACCOUNT# (Ethics Commission Filers) �s /K el/ , y , 3 SIGNATURE 1 -do not expect any further political contributions or political expenditures in connection with my candidacy. I understand that designating a report as a final report terminates my campaign treasurer appointment. I also understand that I may not accept any campaign contributions or make any campaign expenditures without a campaign treasurer appointment on file. Signature of Candidate/ Office older 4 FILER WHO IS NOT AN OFFICEHOLDER --Complete A& B below only if you are not an officeholder. A. CAMPAIGN FUNDS Check only one: I do not have unexpended contributions or unexpended interest orincome earned from political contributions. I have unexpended contributions or unexpended interest or income earned from political contributions. I understand that I may not convert unexpended political contributions or unexpended interest or income earned on political contributions to personal use. I also understand that I must file an annual report of unexpended contributions and that I may not retain unexpended contributions or unexpended interest or income earned on political contributions longer than six years after filing this final report. Further, I understand that I 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 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. lunderstand that I may not convert assets purchased with political contributions or interest or other income from political contributions to personal use. I also understand that I must dispose of assets purchased with political contributions in accordance with the requirements of Election Code, §=254.204. Signature of Can ,/idate 5 OFFICEHOLDER -- Complete this section only if you are an officeholder r_1 I am aware that I remain subjectlofiling requirements applicable to an officeholderwho does not have a campaign treasurer on file. I am also aware that I will be required to file 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 www.ethics.state.tx.us Revised 07/28/2014