HomeMy WebLinkAboutCFR-04.28.2017-Kahn,SherwinCANDIDATE I OFFICEHOLDER
FORM CIOH
CAMPAIGN
FINANCE REPORT
COVER SHEET PIS 1
1 Filer ID
2 Total pages filed:
The CIOH Instruction Guide explains how to complete this form.
4
3 CANDIDATE /
MS / MRS / MR FIRST
MI
OFFICE USE ONLY
OFFICEHOLDER
SherwinNAM
Ree r
.IED
...._......_...._......._......._......._............_SUFFIX........
..NICKNAME......._ ....................... ....
APR
APR 21 72017
Kahn
4 CANDIDATE /
ADDRESS / PO BOX; APT / SURE#; CITY;
ZIP CODE
dare
OFFICEHOLDER
908 E University Ave
MAILING
ADDRESS
Receipt#
Amount
F1Changeof Address
Georgetown, TX 78626
Date Processed
care Imaged
5 CAMPAIGN
MS / MRS kMo FIRST
MI
TREASURER
NAME
NICKNAME LAST I
SUFFIX
6 CAMPAIGN
STREET ADDRESS (NN PO BOX PLEAS APT
/ SUITE#; CITY; STATE; ZIP CODE
TREASURER
ADDRESS
(Residence or Business)
)))))) // //
//�/"
// //
4 dq /
7 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
5I L �� /
l £�
8 REPORT
TYPE
January 15 30th day before electionRunoff 15th day after campaign treasurer
appointment (officeholder only)
E] July 15 El 8th day before election ❑ Exceeded $500 limit 1:1 Final Report (Attach GOH-FR)
9 PERIOD
Month Day Year
Month Day Year
COVERED
04/07/2017 THROUGH
04/28/2017
10 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
Primary
Runoff Other
05/06/2017
El GeneralSpecial
11 OFFICE
OFFICE HELD (if any)
12 OFFICE SOUGHT (if known)
None Place Georgetown District Williamson
Mayor of Georgetown Place Georgetown District
Williamson
GO TO PAGE 2
Forms provided oy Texas Ethics commission www.etmcs.state.ct.us Version V1.0.1321
CANDIDATE 1 OFFICEHOLDER REPORT: FORM C/OH
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 officeholders 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
❑Addrdonal Pages
GENERAL
COMMITTEE ADDRESS
SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
16 CONTRIBUTION
1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN PLEDGES,
$ 0.00
TOTALS
LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
2. TOTAL POLITICAL CONTRIBUTIONS
$ 0.00
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED
0.00
TOTALS
4. TOTAL POLITICAL EXPENDITURES
$ 600.00
CONTRIBUTION
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF THE
$ 0.00
BALANCE
REPORTING PERIOD
OUTSTANDING
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY
$ 0.00
LOAN TOTALS
OF THE REPORTING PERIOD
17 AFFADAVIT
WcmfilE NOwullis I swear, or affirm, under penalty of perjury, that the accompanying report Is
NoWy ID # 128233532 true and correct and includes all information required to be reported by me
My Dots llslon ENOM under Title 15, Election Code.
DR1IntO W 13, 2020 ]
Signature of Candida a or Officeholder
AFFIX NOTARY STAMP / SEAL ABOVE
1
Slne4W ", day
Sworn to and before me, by the said 1 n this the
nssubscdbed
of R P R1L , 20 \ 7 to certify which, witness my hand and seal of office.
5�.114k1"3C\ Se- Ac
Signature of o administedng Printed name Of o ce administen g Title of 0ffi 21 administering oath
orms prove y exas Ics commission www.ethics.sl&e.tx.us Version
SUBTOTALS - C10H
FORM C10H
COVER SHEET PG 3
3 of
18 FILER NAME
Kahn, Sherwin
19 Filer ID
20 SCHEDULE SUBTOTALS
NAME OF SCHEDULE
SUBTOTAL AMOUNT
1. SCHEDULE Al:
MONETARY POLITICAL CONTRIBUTIONS
$
2. SCHEDULE A2:
NON -MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS
$
3. F1 SCHEDULE B:
PLEDGED CONTRIBUTIONS
$
4. SCHEDULE E:
LOANS
$
5. SCHEDULE Fl:
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
$ 600.00
9. 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 provioeo by Texas Ethics Commission www.ethics.state.tx.us--- - - -- _----- _ -- -- _---Vers�1.63371
Forms provided Dy I exas Emlcs Commission
EXPENDITURES MADE BY CREDIT CARD E4
SCHEDULE
EXPENDITURE CATEGORIES FOR BOX 10(a)
Advertising Expense
Accounting/Banking
Event Expense Loan Repayment/Reimbursement SoilcitalioN iftraefng Expense
Fees Office Overheadmental Expense Transportation Equipment& Related Expense
Consulting Expense
Contributors/ Donations Made By-
Food/6evefage Expense Polling Expense Travel in District
GitVAwardslMemorials Expense Printing Expense Travel Out of District
Candidate/OlriceholdedPolltical Committee Legal services Salaries"es/Contracl 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
9 Filer ID
Sch: 1/1 Rpt'. 4/4
Kahn, Sherwin
4
TOTAL OF UNITEMIZED EXPENDITURES CHARGED TO A CREDIT CARD
$
5
Date
6 Payee name
04/26/2017
Kahn D.C., Sherwin (Dr.)
7
Amount ($)
8 Payee address; City; State; Zip Code
$600.00
908 E University Ave
Georgetown, TX 78626
9
TYPE OF
PoliticalNon-Political
MR 11
EXPENDITURE
10
PURPOSE
(a)Category (see categories listed at the top of this schedule)
(b)Description
OF
Advertising Expense
Check g travel outside of Texas. Complete schedule T.
EXPENDITURE
Check if Austin, Tx, officeholder living expense
Facebook promotion
11 Complete ONLY if direct
Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Forms provided Dy I exas Emlcs Commission