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