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