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HomeMy WebLinkAboutCFR-06.28.2019-ReedholmCANDIDATE / 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. /. 3 CANDIDATE / MS / MRSJ MR FIRST MI / OFFICE USE ONLY OFFICEHOLDER NAME _ JQ� Date Received NICKNAME LAST SUFFIX 4 CANDIDATE / OFFICEHOLDER If .IUI►F- �' )� ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE — ADDRESS -� 7—x 4&63_3 MGMT,L%SVC4a ❑ Change of Address AREA CODE PHONE NUMBER EXTENSION 5 CANDIDATE/ Date Hand -delivered or Date Postmarked OFFICEHOLDER ( MS / MRS / MR FIRST MI 6 CAMPAIGN Receipt # Amount $ TREASURER NAME `` . . _ _ _ . . . . . . . i . . . . . Date Processed NICKNAME LASTf SUFFIX Date Imaged 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE TREASURER ADDRESS CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER —3 9 REPORT TYPE ❑ January 15 30th day before election Runoff 151h day after campaign treasurer appointment (Officeholder Only) ❑ July 15 8th day before election ElExceeded $500 limit X Final Report (Attach C/OH - FRI 10 PERIOD °nth Day Year Month Year COVERED �fD7ay /Z�® Ac� THROUGH 6 /2 T/ 1 C3 l 11 ELECTION ELECTION DATE ELECTION TYPE ❑ Primary ❑ Runoff ❑ Other Month Day Year C / 4 /( Description General ❑ Special 5 12 OFFICE OFFICE HELD (it any) 13 OFFICE SOUGHT (I1 kmmn) GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 918l2015 CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 14 C/OH NAM � 15 Filer ID (Ethics Commission Filers) 16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMrrrEES TO POLITICAL SUPPORT THE CANDIDATE / OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDERIS COMMITTEE(S) KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES. COMMITTEE TYPE I COMMITTEE NAME ❑ Additional Pages 17 CONTRIBUTION TOTALS EXPENDITURE TOTALS CONTRIBUTION BALANCE OUTSTANDING LOAN TOTALS 18 AFFIDAVIT ❑ GENERAL COMMITTEE ADDRESS ❑ SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME COMMITTEE CAMPAIGN TREASURER ADDRESS 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) 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED 4. TOTAL POLITICAL EXPENDITURES 5, TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF REPORTING PERIOD 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY OF THE REPORTING PERIOD KAREN E FROST s �f+ NOTARY PUSUC4TATE OF TEXAS COMM. EXP. 05-24.2020 NOTARY ID 1053608-4 AFFIX NOTARY STAMP I SEALABOV E H swear, or affirm, under penalty of perjury, that the accompanying report is true and correct and includes all information required to be_ reported by me under Title 15, Election Code. cgnature of Candidate or Officeholder Sworn to and subscribed before me, by the said day of 20 to certify which, witness my hand and seal of office. Signature of officer administering oath Printed name of officer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us . this the �9 Title of offi r administering oath Revised 9IW2015 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/FundraisingExpense Accounting/Banidng Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense Consulting Expense FoodBeverage Expense Polling Expense Travel In District Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other (enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1. 2 FILER ME f t Lo 3 Filer ID (Ethics Commission Filers) LCA 05e 4 Date 5 Payee name 6 Am unt ($) 7 Payee add: ss; City. State, Zip Code t 8 (a) Category (See Categories listadal tho lop of lhis.Fhadule) (b) Description ❑ Check if Texas. Complete Schedule T. PURPOSE l► travel outside of OF r " IJ �'I/L V ■ {;l7p�r ❑ Check if Austin, TX, officeholder living expense EXPENDITURE L LY`t Gu \ +yl c 9 ONLY if direct ndidate / Offic der n`arr Off' sought aL44 expenditure ex enditure to benefit C/OH cJ n .`� = 6 Date Payee name Amount ($) Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSE ❑ Check if travel outside of Texas. Complete Schedule OF ❑ Check if Austin, TX, officeholder living expense EXPENDITURE Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description ❑ Check if travel outside of Texas. Complete ScheduleT. PURPOSE OF ❑ Check if Austin, TX, officeholder living expense EXPENDITURE 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 CANDIDATE / OFFICEHOLDER REPORT: DESIGNATION OF FINAL REPORT FORM C/OH - FR The Instruction Guide explains howto complete this form. •• Complete only if "Report Type" on page 1 is marked "Final Report" 1 C/OH NAME � j � z ruer iu tonics uommission rners) 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 appoin�iant-ori file. f 1 � _ Sign ure of Candidate / Officeholder 4 FILER WHO IS NOT AN OFFICEHOLDER •• Complete A & B below only If you are not an officeholder. •- A. CAMPAIGN FUNDS Check only one: I do not have unexpended contributions or unexpended interest or income earned from political contributions. 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: f j I do not retain assets purchased with political contributions or interest or other income from political contributions. !...._-: 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 f Iiticaf contributions to personal use. I also understand that I must dispose of assets purchased with poi#i contri tions in ccorda a with the requirements of Election Code, § 254.204. ` nature 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 W812015