HomeMy WebLinkAboutGeorgetown_Mobility_Coalition - Campaign Finance Report 07.15.2021SPECIFIC -PURPOSE COMMITTEE
FORM SPAC
CAMPAIGN
FINANCE REPORT
COVER SHEET PG 1
1 Filer ID (Ethics Commission Filers)
2 Total pages filed:
The
SPAC Instruction Guide explains how to complete this form.
3
COMMITTEE NAME
OFFICE USE ONLY
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Date Received
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4
COMMITTEE
ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
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ADDRESS
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JAIL 15 20Ll
❑ Change of Address
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Date Hand -delivered or Itle Po arked
5
CAMPAIGN
MS / MRS / MR FIRST MI
Receipt #
Amoun
TREASURER
NAME.
ri'I Q,�J
Date Processed
........................................ .
NICKNAME LAST SUFFIX
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Date Imaged
6
CAMPAIGN
STREET ADDRESS (NO PLEASE); APT I SUITE #; CITY; STATE;
ZIP CODE
TREASURER
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STREETADDRESS
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(Residence or Business)
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7
CAMPAIGN
TREASURER
STREET ADDRESS OR PO BOX; APT / SUITE #; CITY: STATE;
�' W •
ZIP CODE
/ I �Q" S ve
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MAILING ADDRESS
Change of Address
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$
CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
9
REPORTTYPE
January15 ❑ 3oth day before election
Y
Exceeded Modified Reporting Limit
XJuly 15 8th day before election
Dissolution Report (Attached PAC-FR)
Runoff
10th day after campaign treasurer termination
10 PERIOD
COVERED
Month Day Year
Month Day Year
i ZZ Z THROUGH
30 � Z,
11
ELECTION
ELEC PION DATE
ELECTION TYPE
Month Day Year
Primary El Runoff Other
General ❑ Special Description
GO TOPAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11 /13/2020
SPECIFIC -PURPOSE COMMITTEE REPORT:
FORM SPAC
PURPOSE AND TOTALS COVER SHEET PG 2
12 MMITTEE AME M
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mob;
13 Filer ID (Ethics Commission Filers)
e a W n ob i+
14 COMMI
CANDIDA E/OFFICEHOLDER NA E
PURPOSE
CANDIDATE
(Attach lists on plain paper to
complete this report if
necessary.)
OFFICE SOUGHT (candidate) /OFFICE HELD (officeholder)
OFFICEHOLDER
SUPPORT
BALLOT IDENTIFICATION/# ELECTION DATE
(Candidate or Measure)
Month Day Year
OPPOSE
(Candidate or Measure)
MEASURE
UESCRIPTI
1 1
G(O AoW -I �00"A5
❑ ASSIST
(Officeholder)
;+ 0) 11> V.0 0y4q+;C"
15 CONTRIBUTION
1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
TOTALS
PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR
$
CONTRIBUTIONS MADE ELECTRONICALLY)
v
Check here if this report qualifies for the higher itemization threshold
2. TOTAL POLITICAL CONTRIBUTIONS
THAN
$
............................
(OTHER PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE
3. TOTAL UNITEMIZED POLITICAL EXPENDITURES
$ • �'
TOTALS
............................
4. TOTAL POLITICAL EXPENDITURES
$ 1 Z `CkS z . d(0
CONTRIBUTION
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
$
BALANCE
............................
OF THE REPORTING PERIOD
— 0 —
OUTSTANDING
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
$
LOAN TOTALS
LAST DAY OF THE REPORTING PERIOD
16 SIGNATURE I swear, or affirm, under penalty of perjury, that the accompanyin report is true and correct and
includes all information required to me unde it 1 ecti Code.
t ASHLEE NrAU MOUSER ignature of Campaign Treasurer (Declarant)
MYNpti ID # IM1024
y
EA
E�ires December 2,Please complete either option below:
i avlt
AFFIX NOTARY STAMP /SEALABOVE
(1�
Sworn to and subscribed before me, by the said �� • 1�/ 1�.'� .l Lill
:��lll C/C this the
day of 20 t:1 to certify which, witness my hand and seal of office.
Signature of officer administering oath Printed name of officer administering oath Title of officer a ministering oath
,
(2) Unsworn Declaration
My name is and my date of birth is
My address is ,
'-'(state)
(street) (city) zip codeXcountry)
Executed in County, State of on the day of , 20
(month) (year)
Signature of Campaign Treasurer (Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11 /13/2020
FORM SPAC
SUBTOTALS - SPAC
COVER SHEET
PG 3
17 COMMITTEE ME
�T►
18 Filer ID (Ethics Commission Filers)
lXrO✓ WNI a�i �l� Lb� I o
19 SCHEDb16dSUBTOTALS
SUBTOTAL
NAME OF SCHEDULE
AMOUNT
1 • *9 SCHEDULE All: MONETARY POLITICAL CONTRIBUTIONS
$�� ecc�. '00
2. ❑ SCHEDULE A2 : NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS
v —
3. ❑ SCHEDULE B: PLEDGED CONTRIBUTIONS
$ CP —�
4. El SCHEDULE Cl: MONETARY CONTRIBUTIONS FROM CORPORATION OR LABOR ORGANIZATION
$ —. Q
5 ❑ SCHEDULE C2 : NON -MONETARY (IN -KIND) CONTRIBUTIONS FROM CORPORATION OR LABOR
$ d ....
ORGANIZATION
s• SCHEDULE D: PLEDGED CONTRIBUTIONS FROM CORPORATON OR LABOR ORGANIZATION
$
7. El SCHEDULE E: LOANS
$ Q --
8. SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
I/l `��❑]
$� Z 17
9. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
$ _
10. El SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$ 0
11.
11 SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD
12. ❑ SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH
$ -- _.
13. SCHEDULE I: NON EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
�Q
$ y-
5, \Z'3 Sic
-POLITICAL
14. SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED
$ —�
TO FILER
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11 /13/2020
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Al
2 FILER NAME
M � ►
�bc�✓l v
3 Filer ID (Ethics Commission Filers)
COY' �1 oO ( r�d1'l
4 Date
Full name of contributor out-of-state PAC (ID#:
7 Amount of contribution ($)
Cr.r....1..... ,..-1--.fTG.................. .........................
4 c-3p
6 Contributor address; City; l State; Zip Code
1 e 2-O I�G�� I �O � s a� t`T e, 7'ld=O
Z
8 Principal occupation / Job title (See Instructions)
J Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
..................................................................................
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID#:
............................................
Contributor address; City, State; Zip Code
Amount of contribution ($)
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID#:
............................................................. ............ I........
Contributor address; City; State; Zip Code
Amount of contribution ($)
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements.
Revised 11 /13/2020
POLITICAL EXPENDITURES MADE FROM POLITICAL
CONTRIBUTIONS SCHEDULE F1
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage 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 Salanes/VVages/Contract Labor Other (enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pag Schedule F1:
2 ILER NAM
3 Filer ID (Ethics Commission Filers)
je
4 Date
4
5 Payee riame
C 6ctrICS Car+-eey-
6 Amount ($)
7 Payee address; City, State; Zip Code
'Tod .vv
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8
(a) Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
OF
EXPENDITURE
�I'i VIx Gyl 5�
q Q
J
`J
(c) El Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense
J Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
r _*- Z I
�;ar�sov� GUrit 45Nr7
Amount ($)
Payee address; City; State; Zip Code
I 1 Z99 •
.d. 3o�c 3,C? del o�ow+-t C �8loz�►
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
OF
EXPENDITURE
A))
D+uL4,SI•/�ft�lrj�
I
Check iftravel outside of Texas. Complete Schedule T El Check if Austin. TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
- 7 - 2 /
�%i-{` vJ a7 M,,r G l 4, of L-"
Amount ($)
Payee address; City State; Zip Code
say -7W
(See Categories listed at the top ofthis schedule)
Description
PURPOSE
OF
/Category
11� E- Kn l-5 e—
.1, Ac' I -*J 5
EXPENDITURE
�J
Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
corms provided by texas Ethics Commission www.ethics.state.tx.us Revised 11/13/2020
POLITICAL EXPENDITURES MADE FROM POLITICAL
CONTRIBUTIONS SCHEDULE F1
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services SalariesANages/Contract Labor Other (entera category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F1:
2 FILER NAM
3 Filer ID (Ethics Commission Filers)
Z Z
0 wVI
4 Date
5 - 14 — z (
5 Payee nwxj
oti ccevc.'o
6 Amount ($)
7 Payee add ess; City; State; Zip Code
/0)Z!60 . 9 7
7 b. 'Fp�j' 4fi "
8
(a) Category (See Categories listed at the top of this schedule)
(b) Des Criptlon
PURPOSE
i+
OF
ONSu vl�
ce4wip4,9 -!5 ru c,s
EXPENDITURE
(C) Check iftravel outside of Texas. Complete Schedule T. Check if Austin. TX, officeholder living expense
9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
to
Payee name
Amount ($)
Payee address; City; State, Zip Code
Cat ry (See Categories listed at the top of this schedule)
Description
PURPOSE
OF
EXPENDITURE
Check if travel outsideo xas. Complete Schedule T. Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name" --,Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
Category tSee Categories listed at the top of this schedule)
Description
PURPOSE
OF
EXPENDITURE
Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expens
Complete ONLY if direct Candidate / Officeholder name Office sought Office he
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 11/13/2020
NON -POLITICAL EXPENDITURES
MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
1 Total pages Schedule I:
2 FILER NAME
(Y�a�� l; Co41;t
3 Filer ID (Ethics Commission Filers)
VA o
4 Date
&Z
5 Payee na
Gcor Isis f d
z 1
le own u,--*;off aU r► t"a
6 Amount ($)
7� 9l0/.'15
7 Payee ress; City State Zip Code
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8
PURPOSE
(a)Category (See instructions for examples of acceptable
categories.)
(b)Description (See instructions regarding type of information
required1))
OF
EXPENDITURE
y.�,
-�� nCf�ldr
11 ` 1
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Vo »A S
Date
Co 1 z Z 1
Payee name 11
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Amount ($)
Payee address; City f State Zip Code
7, gc.1.'75
7-11 Cowlwlc.rCA -31ve4+ IZov►� �oc�G
'5 Lf ii I C:' /
PURPOSE
Category (See instructions for examples of acceptable
Description (See instructions regarding type of information
OF
EXPENDITURE
categories.)
"D�
required )
�ov,q� ioh Ao d;s6urse
Nq'{^� 0"
Payee name
Amount ($)
Payee address; City State Zip Code
PURPOSE
Category (See instru s for examples of acceptable
Description (See instructions regarding type of information
OF
EXPENDITURE
categories.)
required.)
Date
Payee name
Amount ($)
Payee address; Cit State Zip Code
PURPOSE
OF
EXPENDITURE
Category (See instructions for examples of acceptable
categories.)
Description (See instructions reg ing type of information
required.)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Revised 11/13/2020