HomeMy WebLinkAboutCFR-04.28.2017-Romero,LawrenceCANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
The C/OH Instruction Guide explains how to complete this form.
1 Filer ID (Ethics Commission Filers)
2 Total pages filed:
3 CANDIDATE/
OFFICEHOLDER
NAME
MS/MRS/MR FIRST Mt
�. L �wiG,ve�
OFFICE USE ONLY
Date Received
NICKNAME LAST SUFFIX
RECEIVED
APR 2 8 2011
4 CANDIDATE/
OFFICEHOLDER
MAILING[�2AUG
ADDRESS / PO BOX; APT / SUITE S; CITY; STATE; ZIP CODE
/
ADDRESS
5di(-c //b-'ri-q
City Secretary
❑ Change of Address
e�/,< /79L2�-
5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER
PHONE
11 -
( 5 �L1 �So'62g1
Date Hand-delivered or Date Postmarked
6 CAMPAIGN
TREASURERht
NAME
MS/MRS/MR FIRST MI
/,.
. .
. . . . . . . . . . . . . . . . . .
Recelptp
Amount$
Date Processed
NICKNAME LAST SUFFIX
5e, &
Data Imaged
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE e; CITY; STATE;
ZIP CODE
TREASURER✓1
ADDRESS
../!
/iQ� Si QOSjr� %4Ge-- S�Ul7C 11(,4 =Z/3
(Residence or Business)
L C%J F�7aDJ/),j /Y 7? .Z-
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
9 REPORT TYPE
❑ January 15 El 30th day before election E]Runoff
❑ treasurer appointment canripaign
(Officeholder Only)
❑ July 15 Eg Bth day before election ❑ Ezceeded$50011mit
Final Report (Aileen C/OH- FR)
10 PERIOD
COVERED
Month Day Year Month Day Year
�t OV1 2Y //7
/U % / 17 THROUGH 7
11 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
❑ Pdmary ❑ RunoK ❑ Other
Description
General ❑ Special
12 OFFICE
OFFICE HELD Cd any)
13 OFFICE SOUGHT known)
I� i`S orr Uf � �O�jr7Ci�
GO TO .PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.bc.us Revised 9/8/2015
CANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME
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
suPPORr THE CANDIDATE I OFFICEHOLDER. THESE EXPENDITURES MAY RAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDERS
COMMITTEE(S)
KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IFTHEY RECEIVE NOTICE
OF SUCH EXPENDITURES.
COMMITTEE TYPE
COMMITTEE NAME
❑ GENERAL
❑SPECIFIC
COMMITTEE ADDRESS
COMMITTEE CAMPAIGN TREASURER NAME
❑ Additional Pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION
TOTALS
1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
$
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
2. TOTAL POLITICAL CONTRIBUTIONS
$
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE
TOTALS
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
$
UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES
$
CONTRIBUTION
BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
$
OF REPORTING PERIOD
OUTSTANDING
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS
LAST DAY OF THE REPORTING PERIOD
$
18 AFFID I
MICHELE NONRING Iswear, or affirm, under penalty of perjury, that the accompanying report is
1110111111110 0 129233532 true and correct and Includes all Information required to be reported by me
My Calllmiuion Exp(nt under-Title 15, Election Code.
0sufty 13.2020
Signature of Candidate or Officeholder
1�
AFFIX NOTARY STAMP/SEALABOVE
Swam to and subscribed before me, by the said La.wc H14'.�COPA2P O , this the tw A
day of if"', FR I L . 20_L?. to certify which, witness my hand and seal of office.
S 4 �fk N 11 Cl <-wc.rtj-a.r
M
Signature ofto r administer o Printed nam officer admini twin oath Titl Ricer adminleterl Da
Forms provided by Texas Ethics Commission www.ethics.state.N.us Revised 9/9/2015
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
SUBTOTALS - C/OH FORM C/OH
COVER SHEET PG 3
19
FILER NAME
20 Flier ID (Ethics Commission Fliers)
21
SCHEDULE PUBTOTALS
NAMEOF rHEDULE
SUBTOTAL
AMOUNT
1.
SCHEDULEAI: MONETARY POLITICAL CONTRIBUTIONS
$ QC>
2•
SCHEDULE A2: NON -MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS
$
3•
SCHEDULE B: PLEDGED CONTRIBUTIONS
$
4.
SCHEDULE E: LOANS
$
5•
SCHEDULE F7: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
6.
El
SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
$
7•
SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$
3.
SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD
$
9•
F1
SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
$
10.
El
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: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS
RETURNEDTO FILER
$
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form.
1 Total pages Schedule At:
2 FILER NAME3
Filer ID (Ethics CommMlon Filers)
4 Date
5 Full name of contributor ❑ oulrof-aorta PAC (IDN: 1
7 Amount of contribution ($)
#1,211
/
6 Contributor address; City; .State; Zip Code
8 Principal occupation / Job title (See Instructions)
9 Employer (See Instructions)
Date
Full name of contributor ❑ out-01-slate PAC (IDC. 1
Amount of contribution ($)
x.`16 , I �u?ct SEy
Contributor address; City; State; Z(p Code
fJ
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-stale PAC (IDN- i
Amount of contribution ($)
.............................. I.......
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (Intl: 1
Amount of contrlbudon (5)
Contributor address; City; State; Zip Code
Principal occupation / Job tide (See Instructions)
Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
11 contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.
Forms provided by Texas Ethlcs Commission www.ethics.state.tx.us Revised 9/8/2015
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repaymerd/Reimburseman SolitlpdoruFundralsing Expense
Aocounting6anldng Fees OfficeOvemeedTtenlal Expense Transportation Equipment& Related Expense
ConsConlultingExpense FottLBeverege
E�ense Polling Expense Travel In District
ns/ noadorn Maden Y Gin/AwentvMem mals Expense Printing F_gense Travel Out Ot DisMct
Cendidete/Officeholder/Pogdcal Committee Legal Services SalarieslW G
CnedtCanl Payment ages/ConaeLabor Omer(enter acategory not Wed above)
The instruction Guide explains how to complete this tam.
7 Total p s Schedule Ft:
2 FILER NAME -
3 Filer ID (Ethics Commission Filers)
l - -;4 ero
4 D to
5 Pa� eJg� name /
rG7�A5 vb(ir Tim
6 Amount ($)
7 Payee address; City; State; p Code
qbo. �0
.P O. A;c '2/3 :3�rr =%l 1-k
8
(a) Category (See Categories listed atthe top of this schedule)
(b) Description
PURPOSE
OFy�
,,�� "—
❑ Check it crave outside otTexce. Crunplefa SdietlWeT.
❑ Check If Austin, TX, officeholder living expense
EXPENDITURE
JfuG'C' Sir
9 Complete ONLY it direct Candidate/ Officeholder namqj flice sought Office held
expenditure to benefit C/OH
.> JYLi6-r.i
Date
Payee name
lVrf,J 6
Amount ($)
Payee address; City; State; Zip Code
Category (sae Categories listed at the hour this schedule)
Description
PURPOSE
❑ CheckffoevelowkfeatTexas.Compete SWedneL
OF
❑ Check It Austin, TX, officeholder Thing expense
EXPENDITURE
;,
nameOwe
Complete ONLY if direct /Candidate /O✓fficeholdeerr
expenditure to benefit CIOH zo , sought Office held
C�� C
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
Category(See Categories listed at the top of this schedule)
Description
PURPOSE
❑CharkdaaysiauLsitla WTeras CompleteSMedler.
OF�VP7^�
EXPENDITURE
^Sri
t. 7777 (.n/te�
El It Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder n me"��/v (fice Sought '` Office held
expenditure to benefit C/01-1! ����,�1 7- L e
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.hc.us Revised 9/8/2015
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Rdmixassmern Solichation/FurMmising Expense
AccounenyeanWng Fees Omca Overhead/Rentel on CqulpmantB Related Expense
Expense Travel
Consulting Fxperea FofAwarerage Expense
In Di
Pontin Expense
TravelInLOIDt
COM3utions/Donaaore Made @' OiNAnarda/Memodffis Expanse printing Fxparee TravalOut Ol Dishfct
CandidateADlficeholder/Porniral Committee Legal Services Salaries/Wages/Conhart Labor Oewr(emer acategory not listed above)
credicadparmas The Instruction Guido explains how to complete this form.
Y Total Schedule F1:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
4 Dat p �9 17 7
( Zi (r/
5Payeename%
V GY'
6Arlsiount ()
7 Payee address; City; State; Zip Code
obi w
3 7
-�:? 19w -
C)
�,'
g
(a) Category (See Calegods listed at the top o hisschedula)
(b) Description
PURPOSE
J
❑Checi ithavdoulsideolTexac Compete ScroduleT.
OF
EXPENDITURE
b¢CLe,� wh (s
❑ Check It Austin, TX, officeholder living expense
.
C Ca didate /Officeholder ne/n� ice sou9it�r Office held
9 Complete ONLY II directbenefit
expenditure to benefit C/OH !i�!__P^�"-+
4!_ �
Da �7 '7
�o_0/7
Pay. name n /�
/°Lift �i �/! /"%'�C S
Amount ($)
Payee address; City; State; Zip Code
'7L0-
/mss v6'/7 .e towl
Category (See Categaries listed at the top of thlsschedule)
Description
PURPOSE
OF
///
❑ChxkileaveiaualtleofTexes Complete ScheduleT.
❑
EXPENDITURE
' {/.., /��
t //7 / /�, '•y 'OS
Chark II Austin, TX, officeholder living expense
Complete ONLY it direct Candidate/ Officeholder nam tce sought Office held
expentliture to benefit C/OH / � /
(�Gt to'&, "'_ 2L Lf2�%ld�
Da
Payee name
`f )V sol?
US AS
($)
Payee address; City; Zip Code
/Amount
^
State;
/
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
❑ Check gbarel makes olTexas Compete SrheddeT
OF)
EXPENDITURE
D ��� 29 5' /J
❑Check it Austin. T%, officeholder living expanse
_
�
Com lete ONLY if direct Candidate / Officeholder rental office sought ht 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 8(a)
Advertising Expense Event Expense Loan RopayrnenpRetmbursement Sclichadon/Fundralsing Expense
Accounting/Banking Fees ONkeOverheed/Rental Expense Transportation Equlpmentli Related Expense
Consulting Expense Food/aeverege Expense Poeng Expense Travel In District
Contrihudons/Donagors Made By GNAwartivMemodals Expanse Printing Expense Travel Out Of Matra
Cendidans Oniceholder/Pogecal Committed Legal Services SalariesMlageslContregLabor Omerenter a
( category not Wed above)
CredtCad Payment
The instruction Guide explains how to complete this form.
1 Total p Schedule F7:
2 FILER NAME
9 Filer ID (Ethics Commission Filers)
VVlrno
4 D to
S Payee name
6 A ount ($)
7 Payee address; City State; 71p Code
ip�7 5:
ie/3 t, v�
D(�
5'�-
67en iv�v.7, Ny
e
S
(a) Category (See tegories listed at the top of this schedule)
(b) Description
❑ Chedse baud wtside olTazas. Complete Scheduler.
PURPOSE
OF
45
❑ Check it Austin, TX, officeholder living expense
EXPENDITURE
9 Complete ONLY If direct Candidate /Officeholder n -office sought Office held
expenditure to benefit C/OH
Date -
Payee name
Amount ($)
Payee address; City; State; Zip Code
Category (Sae Categories listed atthe top of this schedule)
Description
PURPOSE
❑ Cheek if eavelweideofTexas. Complete Sdm dWeT.
OF -
�
❑
EXPENDITURE
FiC✓C-�Gfh�-S�Lhl�- .
Check it Austin, TX, Officeholder living expense
Complete ONLY If direct Candidate / Officeholder name OFRe Office held
expenditure too benefit C/OH
'C1—tt
Data
Payee name
Amount ($)
Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
❑ CheckitlmvdweidoofTaxas.Campbw SdvealaT.
OF
❑ Cheek if Austin, TX, officeholder living g e '�me
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