HomeMy WebLinkAboutCFR-12.31.2015-Gonzalez,TommyTexas 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 CIOH Instruction Guide explains how to complete this form.
(Ethics Commission Filers)
2-5
3 CANDIDATE I
MSIMRSIMR FIRST MI
OFFICE USE ONLY
OFFICEHOLDER
NAME
4- 1—cf/V M
mr
Date
............ ......
NICKNAME LAST SUFFIX
JAN 0 7 2016
ADDRESS I PO BOX; APT/SUITE#; CITY; STATE; ZIPCODE
4 CANDIDATE f
OFFICEHOLDER
Citv Secret—arV
MAILING
Date Hand-atlivered or Postmarked
ADDRESS
(%`C
0 change of address
AREA CODE PHONE NUMBER EXTENSION
Receipt # Amount
5 CANDIDATE/
OFFICEHOLDER
PHONE
Date Processed
6 CAMPAIGN
MSIMRSIMR FIRST Mi
Date Imaged
TREASURER
NAME
h S!�; cl,
IV ... A
L=
NICKNAME LAST SUFFIX
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT I 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 election15th
E-1 Runoff
day after campaign
E-1 treasurer appointment
(officeholder only)
0 July 15 El 8th day before election ED Exceeded $500
El Final report (Attach CIOH - FIR)
limit
10 PERIOD
Month Day Year Month
Day Year
COVERED
/ d /.10 �s THROUGH 12- /9�)iG
11 ELECTION
ELECTION DATE
ELECTIONTYPE
Month Day Year
F-1 Primary ❑ Runoff
E-1 General ❑ Special
12 OFFICE
OFFICE HELD (if any) CkA-,-,A Couvi6
13 OFFICE SOUGHT (if known)
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www.ethics.state.tx.us Revised 09/2812011
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
CANDIDATE / OFFICEHOLDER REPORT: FORMC/OH
SUPPORT
& TOTALS COVER SHEET PG
14 CfOH NAME
15 ACCOUNT# (Ethics Commission Filers)
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 EXPENDITURES MAYHAVE 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
9^'
$
TOTALS
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
(Y✓>
2. TOTAL POLITICAL CONTRIBUTIONS
L ('j
$ c
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
ti- ,
EXPENDITURE
3. POLITICAL EXPENDITURES OF OR LESS, UNLESS ITEMIZED
TOTALS
TOTAL $100
4. TOTAL POLITICAL EXPENDITURES
CONTRIBUTION
S TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE
OF REPORTING PERIOD
15/
OUTSTANDING
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
r
LOAN TOTALS
LAST DAY OF THE REPORTING PERIOD
r
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, Electio o
Eftft.
016
Si nature Of Ca nd 4 or Officeholder
AFFIX NOTARY STAMP/ SEAL ABOVE
Sworn to and subscribed
1
before me, by the said 1 M� this the
day of J , 20 1 M to ce hich, witness my hand and seal of office.
Signature ofoffice d
'nisteringoath Printednameofoffcer dministering oakth Title c(--Aeradministeringoath
www.ethics.state.tx.us Revised 09/2 8770 11
POLITICAL CONTRIBUTIONS
SCHEDULE A
OTHER THAN PLEDGES OR LOANS
The Instruction Guide explains how to complete this form.
I Total pages Schedule A . : _6---�-
2 FILER NAM (ez
3 ACCOUNT # (Ethics Commission Filers)
4 Date
5 Full name of contributor El out -of -slate PAC (IN
7 Amountof g In-kind contribution
44er 9 -eq I
contribution (S) description (if applicable)
b) -
6" C*o*nt'rlbut'orad'c1`reas*, ' 'City'; State; Zip 'Zip' C*od'e*
smoo
Ila Mollie afz
(If travel outside of Texas, complete Schedule T)
9 Principal occupation I Job title (See Instructions)
10 Employer (See Instructions)
Date
Full name of contributor F-1 out-of-slatePAC(IM:
Amountof 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 F1 out-of-state PAC (0#:
Amountof In-kind contribution
contribution description (if applicable)
Contributor address: City; State-, Zip Code
(if travel --de of 1—as, complete Schedule T)
Principal occupation / Job title (See Instructions)
See Instructions)
Date
Full name of contributor ❑ out-of-statePAC(IN:
Amountof In-kind contribution
contribution description (if applicable)
Contributor address; City; State Zip Code
(if travel outside of ..A.., complete Schedule T)
Principal occupation Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (10M 1
Amount of In-kind contribution
contribution (S) description (if applicable)
Contributor address; ' City;' State; *Zi'p Code
Of travel outside of Texas, come lete: Schedule T
Principal occupation / Job title (See Instructions) Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor Is out-of-state PAC, please see Instruction guide foradditional reporting requirements.
www.ethics.state.tx.us Revised 09/28/2011