Loading...
HomeMy WebLinkAboutCFR-04.28.2017-SrayCANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: The C/OH Instruction Guide explains how to complete this form. Q /� 3 CANDIDATE/ MS/MRS/MR FIRST MI OFFICE USE ONLY OFFICEHOLDER (_)aYICI _ Date Received NAME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NICKNAME LAST. SUFFIX sray RECEIVED q CANDIDATE/ ADDRESS / PO 80X; APT / SURE #; CITY: STATE; ZIP CODE OFFICEHOLDERAPR MAILING �.pZ I4afinfooC� Dir'vJ C�-ev�.ecun-r�C 2 8 2017 ADDRESS -1g(pj City Secretary F-1 Change of Address 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION Dale Hsnd�dellvered or Date Postmarked OFFICEHOLDER / 51 �1 /_ 5?�.r Q'2 .MR lC7 UU PHONE 6 CAMPAIGN MRS II MI Receipt # Amount $ TREASURER ,1'�FIRRSTJJ Date Processed NAME . . . . . . . . . . . . . . . . . . . . . . . . NICKNAME LAST .Tre✓t no SUFFIX Date Imaged 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CRV; STATE: ZIP CODE TREASURER ADDRESS ��/I ! i �Z �I ""' y `-^`_L Df / .f_,, T �/ p ��.C'1715jDwn i)c 1 AZO (Residence or Business) +J 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE 9 REPORTTYPE January 15 301h day before election Runoff 15th day alter campaign treasurer appointment (Officeholder Only/l ❑ July 15 8th day before election ❑ Exceeded $500 limit ❑ Final Report (Attach C/OH - FR) 10 PERIOD Month Day Year Month Day Year COVERED / 1 4/� / Z-7 THROUGH 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year ❑ Primary ❑ Runoff ❑ Other Description r 1 RrGeneral ❑ Special 12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known) Coc)nct GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.N.us Revised 9/8/2015 CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 14 C/OH NAME Dtw/lV //I11I Sra. n 15 Filer ID (Ethics Commission Filers) 16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO POLITICAL SUPPORTTHECANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDERS COMMITTEE(S) KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES. COMMITTEE TYPE COMMITTEE NAME ❑ 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 L,.� ✓ O 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $ 5),5 EXPENDITURE TOTALS 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, $ UNLESS ITEMIZED 4. TOTAL POLITICAL EXPENDITURES $ 3r% :5q B 5 CONTRIBUTION BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF REPORTING PERIOD $ U 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 be reported by me "°TNT under Title 15, EI Ction Code. PO4yy NANCY JOYCE PENNER :=oppY :Notary Public, State of Texas �c Comm, Expires 06.10-2020 ,1ti`r Notary ID 130698763 Signature ofr a or Officeholder AFFIX NOTARY STAMP /SEALABOVE ,I1 r� Pow d, S r 01,?/— Sworn to and subscribed before me, by the said this the day 20-1, to which, witness my hand and seal of office. of , certify Na.vlAio�v, P��ea- 1,cit" Signature of icer ad inistering oath Printed name of officer dministering oath Title of officer administering oath Forms provided by Texas Ethics Commission www.ethics.state.N.us Revised 9/6/2015 Forms provided by Texas Ethics Commission v .ethics.state.tx.us Revised 9/8/2015 SUBTOTALS - C/Ohl FORM C/OH COVER SHEET PG 3 19 FILER NAME 20 Filer ID (Ethics Commission Filers) 21 SCHEDULE SUBTOTALS NAMEOFSCHEDULE SUBTOTAL AMOUNT 1• SCHEDULEAI: MONETARY POLITICAL CONTRIBUTIONS $ a a-:5 2. Y' SCHEDULEA2: NON-MONETARY(IN-KIND) POLITICAL CONTRIBUTIONS $ I (;C7O 3. ❑ SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4. F-1 SCHEDULE E: LOANS $ 5. Ff SCHEDULE F7: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 2-157.35 6. F-1 SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 7. n SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ 3. F-1 SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 9. Rr SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 1 83 ,. o a 10. n SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ 11. ❑ SCHEDULE I: NON -POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 12 ❑SCHEDULE K: RETURNED TO INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS FILER $ Forms provided by Texas Ethics Commission v .ethics.state.tx.us Revised 9/8/2015 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 'I Total pages Schedule All: I 2 FILER NAME .. .t)avi l4 560. 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor ❑ out-of-state PAC (to#- 1 7 Amount of contribution ($) Dawn bcDker+ ................... . 6 Contributor address; City; State; Zip Code zC414 6rab(I'd 1X dee<< nfX WOW 8 Principal occupation,/ Job title (See Instructions) 9 Employer (See Instructions) Date Full name of contributor ❑ out-ol-slate PAC (IDN: I Amount of contribution ($) LYn� a(N1ftl1 Contributor address; City; Stale; Zip Code _ I dl KY*rc&!� Ce6Y66 a/un TX7&(p2s&- Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (IDN: 1 Amount of contribution ($) I � 2 "✓I L� I'� ,SSG _ Contributor address; City; State; Zip Code ^ ,,' I / V 1 QJ ��vlllJJJ q62- Vt(k66 COrnmcns 6T -'—)K -19A,3 Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (IDN: 7 Amount of contribution ($) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Contributor address; City; State; Zip Code 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 for additional reporting requirements. Forms provided by Texas Ethics Commission wwmethics.state.N.us Revised 9/8/2015 NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS SCHEDULE A2 The Instruction Guide explains how to complete this form. 1 Total pages Schedule A2: 2 FILER NAME C 3 Filer ID (Ethics Commission Filers) 4 TOTAL OF UNITEMIZED IN-KINI4 POLITICAL CONTRIBUTIONS $ 5 Date 6 Full name of contributor ❑ out-of-stale PAC (ID#' 1 .17G,nny...V,r.;,ll�o.,ms............. 7 Contributor address; j�City; State;/ Zip�}C�-odeeA.S.�il 2(o W I I ov, t-' Ca ` L-II- 1T L��-Z 'o 6 Amount of g In-kind contribution Contribution $ description (ppb �'aQngraptiy Check If travel outside of Texas. Complete Schedule T. 10 Principal occupation / Job title (FOR NON-JUDICIAL)(See Instructions) 11 Employer (FOR NON-JUDICIAL)(See Instructions) V. iie o M k-e_r (no+i1ji ITYAC 12 Contributor's principal occupatio (FOR JUDICIAL) 13 Contributor's job title (FOR JUDICIAL) (See Instructions) 14 Contributor's employer/law firm (FOR JUDICIAL) 15 Law firm of contributor's spouse (if any) (FOR JUDICIAL) 16 If contributor is a child, law firm of parent(s) (if any) (FOR JUDICIAL) Date Full name of contributor ❑ out-of-..state PAC (IDN' f Amount of In-kind contribution Contribution $ description Contributor address; City; State; Zip Code Check if travel outside of Texas. Complete Schedule T. Principal occupation / Job title (FOR NON-JUDICIAL) (See Instructions) Employer (FOR NON-JUDICIAL)(See Instructions) Contributor's principal occupation (FOR JUDICIAL) Contributors Job title (FOR JUDICIAL) (See Instructions) Contributor's employer/law fine (FOR JUDICIAL) Law firm of contributor's spouse (if any) (FOR JUDICIAL) If contributor is a child, law firm of parent(s) (if any) (FOR JUDICIAL) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 EXPENDITURE CATEGORIES FOR BOX8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment B Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contribudons/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract labor Other (enter a category not listed above) CredICard Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule F7: 2 FILER NAMES bavk J 3 Filer ID (Ethics Commission Filers) P- c{ r-a y 4 Date' r � I I>111 `tonner 5 Payee name Prtf�,,.f_ili 6 Amoufn-tx ($) 7 Payee address; City; State; Zp Code `� �i 8 (a) Category (See Categories listed at the top of this schedule) (b) Description Check g travel ounude of Texas. Complete SeheduleT. PURPOSED ❑ OF V `1 Sl t aij Check it Austin. TX, officeholder living expense EXPENDITURE / `v Lf 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name , 41.2-0(17`�OLC'he[ ��LL Brr(TIa n Amount ($) Payee address; City; State; Zip Code Voe� Category (See Categories listed at the tap of this schedule) Description ❑Check if travel outside of Texas. Complete Schedule T. PURPOSE p / ❑ OF ay Ve���nrx, Check if Austin, TX, officeholder living expense EXPENDITURE Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name qI Z� (1-7 ©vao (bk, PrJn+� Amount ($) Payee address; City; State; Zip Code I��f 7il Category (See Categories listed at the top of this schedule) Description ❑ Check ff travel outside of Texas. Complete Schedule T. PURPOSE OF^ p��� ❑ y Check it Austin. TX. officeholder living expense EXPENDITURE Yf-111G,t` fi �� �� Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 EXPENDITURE CATEGORIES FOR BOX S(a) Advertising Expense Event Expense Loan Repayment/Re-Imbursement Solicitation/Fundmising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment B Related Expense Consulting Expense Food(Beverage Expense Polling Expense Travel In District Contributions/Donations Made By GIfVAwards/Memonals Expense Printing Expense Travel Out Of Distrito Candidate/Officeholder/Political Committee Legal Services Salaries ages/Contract Labor Omer(enteracategory nodisteci above) Credd Card Payment The Instruction Guide explains how to complete this form. 1 Total pag 9—as ScheduleF1: O� 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Date -21-1'i 5 Payee name W�Iliprvlson (OLL(%+ SUN 6 Amount 7 Payee address; City; State; Zip Code n($) 8 (a) Category (See Categories listed at the top of this schedule) (b) Description ❑ Check if travel ouBideclTexas. Complete ScheduleT. PURPOSE 1::1Check TX, living OFI it Austin. officeholder expense EXPENDITURE Adv Q rA I s I t1 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name 9-28 - 1,4- CorYlmvn,413 T-mpaCF Amount ($) Payee address; City; State; Zip Code 1 �J. 5 Category (See Categories listed at the top of this schedule) Description ❑Check if travel outside oliexas. Complete Schedule T. PURPOSE OF ❑ it Austin, TX, living Check officeholder expense EXPENDITURE A. dve(- A t S in Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name q(-2�- 14 mGl{Slqa, SQA Amount ($) Payee address; City; State; Zip Code 133.(;�a Category (See Categories listed at the top of this schedule) Description ❑ Check if travel outside of Texas. Complete Schedule T. PURPOSE OF ❑ /� Check if Austin. TX, officeholder living expense EXPENDITURE o F,e� rnse t�Y1-Q /IT Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS SCHEDULE Ga EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Lean Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Feas Office Overhead'Rental Expense Transportation Equipment& Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District ContributionsfDonations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Ol District Candidate/Officeholder/PolNcal Committee Legal Services Salaries/Wages(Contrad Labor Other (enter a category not listed above) Credltaard Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule G: � 2 FILER NAME�ctYicl S (� 3 Filer ID (Ethics Commission Filers) 4 Date �zz 2oc7 5 Payee name , ,t a�S r I/IV/1 1'nl Sra 6 Amount ($) 7 Payee address; City; State; Zip Code g32; tmbursemenlfiom political contributions intended 8 (a)category, (See Categories listed at the top of this schedule) (b) Description PURPOSE I ❑Chechif travel outride oFTexas. Complete Schedul¢T. OF EXPENDITURE /�.I r/p f. LfLrr��b�� 1 j'[U Yli 1 (� t I/� // ❑ Check if Austin, TX, officeholder living expense 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code ❑Reimbursementfiom political contributions intended Category (See Categories listed at the top of this schedule) (b) Description PURPOSE ❑ Checklf travel outside afTexas. Complete Schedule T. OF EXPENDITURE ❑ Check if Austin, TX. olliceholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code ❑Relmbursementfmm political comdbutbris Intended Category (See Categories listed at the top of this schedule) (b) Description PURPOSE Checkil Vavel outside of Texas. Complete Schedule T. OF ❑ EXPENDITURE Check if Austin. TX, officeholder living expense Complete ONLY If direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Farms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015