HomeMy WebLinkAboutCFR-01.03.2019-Gonzalez,TommyCAN DI DATE / 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
MS / MRS / MR FIRST MI
.� M/R j /+
M(�° lT
OFFICE USE ONLY
Date Received
NAME
_ _
NICKNAME LAST SUFFIX
G0qz4`(kz_
RECEIVE
JAN
4 CANDIDATE/
OFFICEHOLDER
ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
(Li l0 Su Qr� r� s 3W9
l
0 3 2019
MAILING
ADDRESS
y�
CIO Vk,
`7t= •]
City Secretary
❑ Change of Address
5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
Date Hand-delivered or Dale Postmarked
OFFICEHOLDER
C, 1 \ r �r^Q L�
W `FIRST
PHONE
`J
6 CAMPAIGN
TREASURER
MS / MRS / MR MI
n 1
M(Z f�)4((A L..
Receipt #
Amount $
Date Processed
NAME
. . . . . . . . . . . . . . . .
NICKNAME LAST SUFFIX
l eZ_
`APT
Date Imaged
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); / SUITE #; CITY; STATE;
ZIP CODE
TREASURER
140SN�iMerC►�`eS'Sv
ADDRESS
(Residence or Business)
B CAMPAIGN
TREASURER
AREA CODE PHONE NUMBER EXTENSION
/ Ol
` ADskit
S�Z
` /
PHONE
9 REPORT TYPE
January 15 30th day before election 0 Runoff
15th day after campaign
treasurer appointment
(Officeholder Only)
❑ July 15 8th day before election Exceeded $500 limit
Final Report (Attach C/OH - FR)
10 PERIOD
Month Day Year Month
COVERED
fDay +Year
t
0-7 /b ! / I THROUGH / ` 1
b
11 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
❑ Primary Runoff ❑ Other
Description
J /
❑ General ❑ Special
12 OFFICE
OFFICE/HELD litany) C " l C WAGI
13 OFFICE SOUGHT (if known)
Mew 6erft -7
GO TO PAGE 2
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 1 0 II5 Filer ID (
VM ( 1Ethics 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 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 ,f31
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
TOTALS
EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES $ /C
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY //�`CA,()
fJ
A(�)�
BALANCE OF REPORTING PERIOD $ t_\�(7�
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
; t ROBYN LOUSE ORE under?
tie 15, Election Code.
:- My Notary ID # 125657056
�1�V. NAM 15, 2022 ti
BONAM
. ature of Candidate or Aiceholder
AFFIX NOTARY STAMP/SEALABOVE
Sworn to and subscribed before me, by the said OM- a- L this the 3sA
day of 20 lC to certify which, witness my and and seal of office.
Signature of officer administering oath Printed Inne of officer administering oath Title of officer a inistering oath
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/LU15
SUBTOTALS - C/OH FORM C/OH
COVER SHEET PG 3
19
FILER NAMFlI\ A ,� ���r' ��� � 20 Filer ID (Ethics Commission Filers)
�t
21
SCHEDULE SUBTOTALS
SUBTOTAL
NAME OF
SCHEDULE
AMOUNT
1-
SCHEDULEAI: MONETARY POLITICAL CONTRIBUTIONS
$
2.
SCHEDULE A2: NON -MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS
$
3.
❑
SCHEDULE B: PLEDGED CONTRIBUTIONS
$
4.
SCHEDULE E: LOANS
$
�•
❑
SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
B.
SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
$
7.
SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$
$•
❑`
SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD
$
9•
SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
$
10.
SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH
$
11.
❑
SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$ 1 /1
K�
12ElSCHEDULE
K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS
$
RETURNED TO FILER
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/LU15