HomeMy WebLinkAboutCFR-04.04.2017-Kahn,SherwinCANDIDATE ! OFFICEHOLDER
FORM CIOH
CAMPAIGN
FINANCE REPORT
COVER SHEET PG 1
1 Filer ID
2 Total pages filed:
The C70H Instruction Guide explains how to complete this form.
7
3 CANDIDATE/
MS/MRS/MR FIRST MI
OFFICEHOLDER
Sherwin
Data, Recetwed
NAME
APR 0 4 2017
NICKNAME LAST SUFFIX
Kahn
City Secretary
4 CANDIDATE/
ADDRESS/POBOX; APT/SUITE#; CITY; ZIP CODE
Date Ham4derwred or Date Posbnarked
OFFICEHOLDER
908 E University Ave
MAILING
Receipt#
Mont
ADDRESS
r-1 Change of Address
Georgetown, TX 78626
Processed
Date
Dale Imaged
5 CAMPAIGN
MS/MRS / FIRST MI
TREASURER
NAME
NICKNAME LAST SUFFIX
6 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STAT ZIP CODE
TREASURER
ADDRESS
(Fealaellta or 9aalness)
/
7 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
(, /�
612, i
8 REPORT
TYPE
January 15 30th day before election Runoff
15th day after campaign treasurer
appointment (officeholder only)
July 15 8th day before election 1:1 Exceeded $500 limit
1:1 Final Report (Attach GOH-FR)
9 PERIOD
Month Day Year Month Day Year
COVERED
02/17/2017 THROUGH 04/06/2017
10 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
Primary E]RunoffOther
05/06/2017
General Special
11 OFFICE
OFFICE HELD (if any)
12 OFFICE SOUGHT (if known)
None Place Georgetown District Williamson
Mayor Place Georgetown District Williamson
GO TO PAGE 2
Forms provided oy Texas Ethics commission www.etnics.state.tx.us version V2.0.881
CANDIDATE I OFFICEHOLDER REPORT: FORM CIOH
SUPPORT & TOTALS COVER SHEET PG 2
2 of
13 C / OH NAME
Kahn, Sherwin
14 Filer ID
15 NOTICE
This box is for notice of political contributions accepted or political expenditures made by political committees to support the
FROM
candidate / officeholder. These expenditures may have been made without the candidate's or officeholder's knowledge or
POLITICAL
consent Candidates and officeholders are required to report this information only if they receive notice of such expenditures.
COMMITTEE(S)
COMMITTEETYPE
COMMITTEENAME
❑Addlgonal Pages
GENERAL
COMMITTEE ADDRESS
El SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
16 CONTRIBUTION
TOTALS
1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN PLEDGES,
LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
$ 0.00
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
$ 800.00
EXPENDITURE
TOTALS
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED
$ 0.00
4. TOTAL POLITICAL EXPENDITURES
$ 1,032.38
CONTRIBUTION
BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF THE
REPORTING PERIOD
$ 0.00
OUTSTANDING
LOAN TOTALS
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY
OF THE REPORTING PERIOD
$ 0.00
17 AFFADAVIT
MICHELE. NMINO 1 swear, or affirm, under penalty of perjury, that the accompanying report is
Nolery 10 hb 129233532 true and correct and includes all information required to be reported by me
-
My conwAeelon ENW" under Title 15, Election Code.
Oecember 13, 2020
0 q1'_ 4 - 02��
Signature of Candidate or Officeh9ld r
AFFIX NOTARY STAMP / SEAL ABOVE '
``y�1 \
Sworn to and subscribed before me, by the said ShP—r W t r' `� Oma''' n , this the day
of A P c , 2Q.__N 1 , to certify which, witness my hand and seal of office.
Signature of I
administering Printed name o offs r administering Title of o r dministenng oath /
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.881
SUBTOTALS - CIOH
FORM CIOH
COVER SHEET PG 3
3 of
18 FILER NAME
Kahn, Sherwin
19 Filer ID
20 SCHEDULE SUBTOTALS
NAME OF SCHEDULE
SUBTOTAL AMOUNT
1. n SCHEDULE Al:
MONETARY POLITICAL CONTRIBUTIONS
$
2. FXJ SCHEDULE A2:
NON -MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS
$ 800.00
3. ❑ SCHEDULE B:
PLEDGED CONTRIBUTIONS
$
4. SCHEDULE E:
LOANS
$
5. SCHEDULE F1:
POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS
$
6. SCHEDULE F2:
UNPAID INCURRED OBLIGATIONS
$
7. SCHEDULE F3:
PURCHASE OF INVESTMENTS FROM POLITICAL CONTRIBUTIONS
$
8. � SCHEDULE F4:
EXPENDITURES MADE BY CREDIT CARD
$ 1,032.38
9. rl SCHEDULE G:
POLITICAL EXPENDITURES FROM PERSONAL FUNDS
$
10. [] SCHEDULE H:
PAYMENT FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH
$
11. F1 SCHEDULE I: NON-POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS
$
12 ❑SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED
TO FILER
$
Forms Brovidea bv Texas Ethics
Commission www.e ICs.sfate. .Us
Version
NON -MONETARY (IN-KIND) POLITICAL
SCHEDULE AZ
CONTRIBUTIONS
The Instruction Guide explains how to complete this form.
1 Total pages Schedule A2:Sch:1/1
Rpt•. 417
2 FILER NAME
3 Filer ID
Kahn, Sherwin
4 TOTAL OF UNITEMIZED IN-KIND POLITICAL CONTRIBUTIONS
$
5 Date
8 Full name of contributor ❑ out-of-state PAC (IM. 1
8 Amount of In-kind contribution
03/15/2017
Gra hismo
P
19
contribufion($)1 description
....................._._......._............................_............._............._................_................_..._.._...._.
$6170.001 Signage art work and
7 Contributor address; City; State; Zip Cade
design
I
TX1
I
❑ Clredctlbavel ouf5ltle or Tees. Complete Sdietlule T.
10 Principal occupation / Job title (FOR NDN -JUDICIAL) (See instructions)
11 Employer (FOR NON -JUDICIAL) (See instrucfions)
12 Contributor's principal occupation (FOR JUDICIAL)
13 Contributor's job title (FOR JUDICIAL) (See Instrucfions)
14 Contributor's employer/law firm (FOR JUDICIAL)
15 Law firm of contributor's spouse (if any) (FOR JUDICIAL)
18 If contributor is a child, law firm of parent(s) (f any) (FOR JUDICIAL)
Forms provlaea Dy I exas ttnlcs commission www.emlrs.statexcus version v1.D.aa1
Forms provloeo Dy I exas t --mics commission www.emlcs.siaie.ix.us version v1.U.ri61
EXPENDITURES MADE BY CREDIT CARD
SCHEDULE F4
EXPENDITURE CATEGORIES FOR BOX 10(a)
Advedlsi g Expense
Event Expense Loan RepaymerNRendiursemenl solichadorYFlmeralsing Expense
Acootatinglilanking
Fees office ovemead/Renml Expense Transportation Equlpmema Related Expense
Consulting Expense
FoodlBeverage Expense Polling Expense Tmvel in DSoict
Contributions/ Donations Made By-
GiRlAwalds.Wemorlais Expense Printing Expeme Travel outol District
CandWaref011lcelwlderlPolNnl Commleee Legal Services Salade9wages/CormactLabor OTHER (enter a category not fisted above)
The Instruction Guide explains how to complete this corm.
1
Total pages Schedule F4:
2 FILER NAME
3 Filer ID
Sch: 1/3 Rpt: 5/7
Kahn, Sherwin
4
TOTAL OF UNITEMIZED EXPENDITURES CHARGED TO A CREDIT CARD
$
5
Date
6 Payee name
03/15/2017
Double wide decor III:
7
Amount ($)
a Payee address; City; State; Zip Code
$250.00
PO Box 288
Georgetown, TX 78627
9
TYPE OF
❑X Political E] Non -Political
EXPENDITURE
10
PURPOSE
(a)Category (seeCaL-gmesltsledwMetapwmisscneduie)
(b)Description
OF
printing Expense
Cheticxtravel ouSldeorTexas. Complete SchedWe T.
EXPENDITURE
Check x Austin, TX, officeholder living expense
18x24 yard signs
11 Complete ON[ Y if direct
Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
03/20/2017
Double wide decor Ilc
Amount ($)
Payee address; City; State; Zip Code
$460.00
PO Box 288
Georgetown, TX 78627
TYPE OF
El politcal Nan -Political
EXPENDITURE
PURPOSE
(a)Category (seecamgcdmiisedatthetapormissrnedwe)
(b)Description
OF
Printing Expense
Check xaavel outside olTexas. Complete Schedule T.
EXPENDITURE
check 9Austin, Tx, officeholder living expense
Yard signs
Complete ONl Y if direct
Candidate/Officeholder name Office sought Office held
expenditure to benefit C/Ort Kahn D.C., Sherwin (Dr.) Mayor Place Georgetown District
Forms provloeo Dy I exas t --mics commission www.emlcs.siaie.ix.us version v1.U.ri61
Forms proviaea Dy I exas tmics commission www.emlcs.state.tx.us version v1.u.btsi
EXPENDITURES MADE BY CREDIT CARD
SCHEDULE F4
EXPENDITURE CATEGORIES FOR BOX 10(a)
Advertising Expense
Event Expense Loan RepaymentfReimbursement SoliciratioN ndraJsing Expense
AcmuntingfBanking
Fees Office Overpead/Rental Expense Transportation Equipment& Related Expense
Consulting Expense
F-oodfBeverage Expense Polling Expense Travel In District
Contributions/ Donations Made By-
Gift/Awards/Memorials Expense Printing Expense Travel Out of District
CandiM'llefORiceholder/PolNcu
Cminittee Legal Services Salaries VvageslCnrmact Labor OT ER(enmr a category not listed above)
The Instruction Guide explains how to complete this Toon.
1
Total pages Schedule F4:
2 FILER NAME
3 Filer ID
Sch: 2/3 Rpt: 67
Kahn, Sherwin
4
TOTAL OF UNITEMIZED EXPENDITURES CHARGED TO A CREDIT CARD
$
5
Date
6 Payee name
03/24/2017
Double wide decor Ilc
7
Amount ($)
6 Payee address; City; State; Zip Code
$70.00
PO BOX 288
Georgetown, TX 78627
9
TYPE OF
ElPolitical Non -Political
EXPENDITURE
10
PURPOSE
(a)Category (See Categories listed at the top of this schedule)
(b)Description
OF
Printing Expense
11 Check if travel outside of Texas. Complete Schedure T.
EXPENDITURE
Check it Austin. TX, officeholder Irving expense
IJ
Campaign signs
11 Complete ONLY I direct
Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
03/10/2017
Fenomenal Flashe Empire
Amount ($)
Payee address; City; State; Zip Code
$90.00
10606 Settlers
Austin, TX 78750
TYPE OF
Political Non -Political
EXPENDITURE
PURPOSE
(a)Category (See Categories listed at the top of this schedule)
(b)Description
OF
Translation services
❑ Check it travel outside of Texas. Complete Schedule T.
EXPENDITURE
Check it Austin. TX, officeholder Living expense
11
Campaign literature translated into Spanish
Complete ONLY if direct
Candidate/Officeholder name Office sought Office held
expenditure to benefit c/OH Kahn D.C., Sherwin (Dr.) Mayor Place Georgetown District None Place Georgetown District
Forms proviaea Dy I exas tmics commission www.emlcs.state.tx.us version v1.u.btsi
Forms provloeo oy I exas ttmcs Commission www.emlcs.state.tx.us version v1.u.as1
EXPENDITURES MADE BY CREDIT CARD
SCHEDULE F4
EXPENDITURE CATEGORIES FOR BOX 10(a)
Advertising Expense
Event Expense Loan Repayment/Relmbursement Solicibuon/Fundraising Expense
Accounting/Banking
Fees Office Overhead(Rental Expense Transpodadon Equipment& Related Expense
Consulting Expense
Eood/Beverage Expense Polling Expense Travel in Di!A C1
Contributions/ Donations Made By-
Gift/Awards/Memonals Expense Printing Expense Travel Oul of DtorU
Candidate/OfficeholderMalNcal
committee Legal Services Salaries ges/Cont act Labor OT ER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
1
Total pages Schedule F4:
2 FILER NAME
3 Filer ID
Sch: 3/3 Rpt: 7/7
Kahn, Sherwin
4
TOTAL OF UNITEMIZED EXPENDITURES CHARGED TO A CREDIT CARD
$
5
Date
6 Payee name
03/29/2017
GTX Awards & Engraving
7
Amount ($)
8 Payee address; City; State; Zip Code
$162.38
202 South Austin Avenue
Georgetown, TX 78626
9
TYPE OF
�X Political Non -Political
EXPENDITURE
10
PURPOSE
(a)category (see Categories listed at me top of this schedule)
(b)Description
OF
Printing Expense
Check ittravel oulsldeof Texas. Complete Scheddo T.
EXPENDITURE
Check if Austin, Tx, offiwholder Irving expense
Campaign caps
it Complete ONLY if direct
Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Forms provloeo oy I exas ttmcs Commission www.emlcs.state.tx.us version v1.u.as1