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HomeMy WebLinkAboutCFR-07.17.2017-Romero,LawrenceCORRECTION/AMENDMENT AFFIDAVIT FOR CANDIDATE/OFFICEHOLDER 1 Filer ID (Ethics Commission Filers) 3 CANDIDATE/ OFFICEHOLDER NAME 4 ORIGINAL REPORT TYPE MS/MRS/MR FIRST #4 ... �we6 NICKNAME ElJanuary 15 LJ July 15 30th day before election 8th day before election 2 Total pages filed: �ST �rn t° r- U FORM COR-C/OH OFFICE USE ONLY MI Date Received r..... RECEIVED SUFFIX I JUL 17 2017 Runoff ❑ Other (specify) CITY SEC. Exceeded $500 limit 1115th day after treasurer appointment (officeholder only) Final report 5 ORIGINAL PERIOD Month Day Year COVERED 011,91 J 6 EXPLANATION OF CORRECTION , e4 o-o� Month Day Year THROUGH v 5//e / /j —7 kid Date Hand -delivered or Date Postmarked Receipt # I Amount $ Date Processed Date Imaged 7 AFFIDAVIT I swear, or affirm, under penalty of perjury, that this corrected report is true and correct. Check ONLY if applicable: Semiannual reports: I swear, or affirm, that the original report was LyJ­made in good faith and without an intent to mislead or to misrepre- sent the information contained in the report. Other reports: I swear, or affirm, that I am filing this corrected CYNTHIA CONOMOS report not later than the 14th business day after the date I learned = that the report as originally filed is inaccurate or incomplete. I swear, _z; � Notary Public, State 6 Texas or affirm, that any error or omission in the report as originally filed �'v: Comm. Expires 06-16-2020 %r fit 1%%% was made in good faith. ��+ ,��� Notary ID 130704665C-" 1 was '/,� r AFFIX NOTARY STAMP / SEAL ABOVE Signature of Candidate or Officeholder Sworn to and subscribed before me, by the said ` �tA this the �, day of 20to certify which, witness my hand and seal of office. 1 �� �' �e,c.o r IQs 1 P ro-AA �b' Signatu'1611ami ist ing th Printed name of officer administering oath Title of o i r administering Remember To Attach Any Part Of The Campaign Finance Report Form Needed To Report And Explain Corrections Forms provided by Texas Ethics Commission www.ethics.state.tx us Revised 04/27/2015 CANDIDATE /OFFICEHOLDER REPORT: DESIGNATION OF FINAL REPORT FORM C/OH - FR The Instruction Guide explains how to complete this form. •• Complete only if "Report Type" on page 1 is marked "Final Report' •- 1 C/OH NAME 2 Filer ID (Ethics Commission Filers) 111 -to rc�UC 3 SIGNATURE I do not expect any further political contributions or political expenditures in connection with my candidacy. I understand that designat- ing a report as a final report terminates my campaign treasurer appointment. I also understand that I may not accept any campaign contributions or make any campaign expenditures without a campaign treasurer appoint r�sn file. Signature of Candidate / Officeholder FILER WHO IS NOT AN OFFICEHOLDER •• Complete A & B below only if you are not an officeholder. •• A. CAMPAIGN FUNDS Check only one: '- do not have unexpended contributions or unexpended interest or income earned from political contributions. 0 I have unexpended contributions or unexpended interest or income earned from political contributions. I understand that I may not convert unexpended political contributions or unexpended interest or income earned on political contributions to personal use. I also understand that I must file an annual report of unexpended contributions and that I may not retain unexpended contributions or unexpended interest or income earned on political contributions longer than six years after filing this final report. Further, I understand that I must dispose of unexpended political contributions and unexpended interest or income earned on political contributions in accordance with the requirements of Election Code, § 254.204. B. ASSETS Check only one: I do not retain assets purchased with political contributions or interest or other income from political contributions. F__1 I do retain assets purchased with political contributions or interest or other income from political contributions. I understand that I may not convert assets purchased with political contributions or interest or other income from political contributions to personal use. I also understand that I must dispose of assets purchaseZlwdlthcal contributions in accord with the requirements of Election Code, § 254.204. ��. Signature of Candidate 5 OFFICEHOLDER ••" Complete this section only if you are an officeholder •• F__1 I am aware that I remain subject to filing requirements applicable to an officeholder who does not have a campaign treasurer on file. I am also aware that I will be required to file reports of unexpended contributions if, after filing the last required report as an officeholder, I retain political contributions, interest or other income from political contributions, or assets purchased with politi- cal contributions or interest or other income from political contributions. Signature of Officeholder Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Flier ID (Ethics Commission Rim) 2 Total pages filed: The C/OH Instruction Guide explains how to complete this form. 3 CANDIDATE/ OFFICEHOLDER MS / MRS / MR FIRST MI % OFFICE USE ONLY Date Received NAME. L-.�ili% . � '. NICKNAME LA ST SUFFIX "RDmt ieD 4 CANDIDATE/ ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE OLDER OFFICEHMAILING �/ D 4or /, eAVe- ADDRESS Sfljii1 "f 0 — A/.3 Change of Address Creor G�rA)A % 4 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION OFFICEHOLDER PHONE S�z / l0 Date Hand -delivered or Date Postmarked 7 6 CAMPAIGN MS / MRS / MR FIRST MI Receipt # Amount $ TREASURER Mr. �/)/) %a G / C �. Date Processed NAME . . . . . . . . . . . . . . . . . . . . . . . NICKNAME LAST SUFFIX s Date Imaged 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT I SUITE #; CITY; STATE; ZIP CODE ADDRESSER I�D,2. S• O OS 14 n /7 ( C_1) V G (Residence or Business)30 Coco �»� N lk 7gG 2 G 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER 6-12-) 4S -43m_9 PHONE 9 REPORT TYPE January 15 30th day before election Runoff n 15th day aper campaign IreaSurpr ppiwlnlmCn! (Officeholder Only) ❑ July 15 ❑ Sth day before election ID Exceeded $500 limit Final Report (Attach CIOH - FR) 10 PERIOD Month Day Year Month Day Year COVERED 2-07//2 THROUGH 7//57//7 12-07112 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year ❑ Primary ❑ Runoff ❑ Olhnr /7,$Q.neral C(it taany) /I Descrlpllon $Q.neral❑ Special 12 OFFICE OFFICE HELD OFFICE SOUGHT (11known) 0,p CCdrjG /0 W/7 GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 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 Filer ID (Ethics Commission Filers) 21 SCHEDULE SUBTOTALS NAME OF SCHEDULE SUBTOTAL AMOUNT 1 • SCHEDULE Al : MONETARY POLITICAL CONTRIBUTIONS $ 2• SCHEDULEA2: ................ ........ ...................... NON-MONETARY(IN-KIND) POLITICAL CONTRIBUTIONS $ O • 00 $ 3. SCHEDULE B: PLEDGED CONTRIBUTIONS 4. f-1 SCHEDULE E: LOANS $ 5. SCHEDULE Fl: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $7Jy q• / v 6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 7- ?] SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ $• 9• Ll SCHEDULE F4: SCHEDULE G: EXPENDITURES MADE BY CREDIT CARD POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ $ $ 10. l l 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 RETURNED TO FILER $ Forms provided by Texas Ethics Commission www.ethics.state.tx.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 SUPPORT THE CANDIDATE / OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDER's 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 POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN 17 CONTRIBUTION 1 . TOTAL TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED 2. TOTAL POLITICAL CONTRIBUTIONS a (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) EXPENDITURE TOTALS 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED 4. TOTAL POLITICAL EXPENDITURES $q . Q CONTRIB TION BALANCEOF 5- TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY REPORTING PERIOD OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LOAN TOTALS LAST DAY OF THE REPORTING PERIOD 18 AFFI I swear, or affirm, under penalty of perjury, that the accompanying report is MICHELE NOWLING Notary IDN 129233532 true and correct and includes all information required to be reported by me My Commicafon Expires under Title 15, Election Code. ,qac December 13, 2020 Signature of Candidate or Officeholder AFFIX NOTARY STAMP/SEALABOVE I _ ��-��MV Sworn to and subscribed before me, by the said-�-�J� ,, this the 1 �, hand day of 2Q_\ to certify which, witness my and seal of office. C'VL-' & It C, Signature ofoffIC administerin Qath Printed name of ti[i' .er administering tr intiof a cer administerin o 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 Eventnse F_xpe Loan RepaynnuntlRj:mtwr,ement Solidtadon/FuntiralsingExpense A000unting/Banidng Fees Office OverheacliFF!al Expense Transportation Equipment & Relatod Expense r Consulting Expense cadGaverage Expense polling Expense Travel In District ContribulionsrponationsMade By GilYAwaid,.V orrierielsExpense Printing Expense Travel Out OfDlshict CandidaWOffcetwlder/PoltdcelCommittee Legal Services Salades/Wages/ContraetLabor =enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pa es Schedule Ft: 2 FILER NAME 7• 3 Filer ID (Ethics Commission Filers) (jam 119ry o fter o 4 Datq G I ►S 17 5 Payee name Irlo wet 6 Amount () 7 Payee address; City; State; Zip Code Q n I 10 M L K BIV 0 S -l; C-jeoj%ge+oto n,7y - g-4` 8 (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE OF � �•� r �a 1\ \ � ❑ Check'rf f avel Austin, TX of Texas. Complete er living expensele . ❑Check if Austin, TX, officeholder living expense EXPENDITURE 1 V n 9 Complete ONLY if direct Candidate IOfflceholder n me /� Offices ght Office held expenditure to benefit C/OH A `�.���� .KIM Ua-w e r.a e u ru MLS,-rte Date Payee name &JI 1 11 Frf,-� �o�v V.— Amount ($) Payee address; City; State; Zip Code 0,¢ �%. ?.9� 1�-GL- Category (See Categories listed at the top of this schedule) Description PURPOSE ❑ Check d travel outside of Texas. Complete Scheduto T. OF A ` ❑Check If Austin, TX, officeholder living expense EXPENDITURE vG�s Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH �o�.wc�.t-cam �. C..d o.,�., o v,•�,l��f. te 14 7la Ido Payee name sc-ouen'cr- mount ($) Payee address; City; State; Zip Code Category (See Categories listed at the lop of this schedule) Description PURPOSE f-lf ld �r V'It ❑ Check If travel outside ofTexas. Complete Schedule T. OF EXPENDITURE nn I W on a f i*e- k-evAn4o4 Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name ffice sought Office held expenditure to benefit C/OH ' ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan RepaymenVRairnburk;ernont Solicltation/FundralsingExpense Accounting/Banking Fees OhiCC O`1erh uadiR onial I ponsn 'rrarksparkation C-qulpment &Related Expense Consulting Expense FoodGevarageExpense PallingFxpense Travel In District ContrItutfons/Donations Made By C, WAwardsWernoriafs Expense flrinting INpenso Travel Out Of District Candidate/Officeholder/PoltdcalCommittee Legal Services SalerieWWages/ContractLabor Other (enter a category not listed above) Credit Cmd Payment The Instruction Guide explains how to complete this form. 1 Total pagesScedule 11: 2 I= En NAME ^ NFA 3 Filer ID (Ethics Commission Filers) N er 4 Date � 5 P ee name m 6 Amount ($') 7 Payee address; City; State; -9pCode a-017 c sh sf. 3,44-46 c 8 (a) Category 411se Categories Ilste t the top of this schedule) (b) Description ❑ Check I travel outside of Texas. Complete Schedule T. PURPOSE OF EXPENDITURE I?r,ii»fir, A �� xCn �C 1:1 Check if Austin. TX, officeholder Irving expense ✓y 9 Complete ONLY if direct Candidate 1 Officeholder name Office ought r Office held expenditure to benefit C/OH Date Payee name 4jes11 VS PS Amount () Payee address; City; State; Zip Code • 0 v a360 Sc-en;c- C-ieorge{ooun 1 x 1 Co 7- (P Category (See Categories listed at the top of this schedule) Description PURPOSE ❑ Check if travel outside of Texas. Complete Schedule T. OF EXPENDITURE �� 1 c rElCheck T7� 4-CLOe� If Austin, TX, officeholder living expense pos Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH LaW tre n CC T• (� OTM Ci0 CoVt{1 G� �rnalt. Date Payee name 611 �1� F:�-c r, byoI- Amount ($) Payee address; City; State; Zip Code ,q , I Category (See Categories listed at the top of this schedule) Description PURPOSE ❑ Check If travel outside of Texas. Complete Schedule T. OFAlVer ❑ Check if Austin, TX, officeholder living expense EXPENDITURE 4s,,,%5 apens It- Complete ONLY if direct Candidate / O€ficename Office sought Office held Complete to benefit C/01-1a� expenditure Lrd - - n.Cl101*46Mmme; I rest rt . ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.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 3 Filer ID (Ethics Commission Filers) Fr 4 TOTAL OF UNITEMIZED IN-KIND POLITICAL CONTRIBUTIONS $ 5 Date 6 Full name of contributor ❑ out-of-state PAC (ID#: ) 8 Amount of 9 In-kind contribution Contribution $ descripti n fr 7 M �t,^ ' "b 7 Conatrriibutor address; City; State; Zip Code Lm.A. qo SIX (I f7 S-61 S - AAve— ❑Check if travel outside of Texas. Complete Schedule T. 10 Principal occupation / Job title (FOR NON-JUDICIAL) (See Ins ctions) 11 Employer (FOR NON-JU 1CIAL)(Sec: instructions) D ner C" rsAt* 12 Contributor's principal occupation (FOR JUDICIAL) 13 Contr tor's job title (FOR JUDICIAL) (See I structions) 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 (ID#: ) 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) Contributor's job title (FOR JUDICIAL) (See Instructions) Contributor's employer/law firm (FOR JUDICIAL) .1.1............. _..-... 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