HomeMy WebLinkAboutCFR-10.26.2021-Heintzmann, ChereCANDIDATE / 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 filk
3 CANDIDATE /
OFFICEHOLDER
MS / MRS / MR �F Rs M�
Aft �I eL—
(/ +�re
OFFICE USE ONLY
Date Recei
RECEIVE
NAME
.�
NICKNAME LAST SUFFIX
%fn'f2 Mann
Ul,l ��-/)�
"
4 CANDIDATE /
ADDRESS / PO BOX: APT / SUITE C CITY; STATE; ZIP CODE
OFFICEH
MAILING OLDER
O
/
�E�g� �V✓►1` �X �O GZ�
/
MGMT■ SW
❑ Change of Address
5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER
5��� �
Hand -delivered or Date Poshn d
PHONE
6 CAMPAIGN
MS / MRS / MR F� ST MI
Receipt If
Amount $
TREASURER
/j]�J
r i�` its
Date P =ed
NAME
NICKNAME LAST SUFFIX
ff�� 0
VIIO L..'y" �.. A'
Date Imaged
BOXOOXX `PLEAS/E)/; /AAPPT
7 CAMPAIGN
STREET ADDRESS (NO PO / SUIUIT��,E #;- CITY: STATE:
ZIP CODE
TREASURADDRESSER
/J
or Business)
&tor� e,4 vi) T;, ?S(-L4
8 CAMPAIGN
TREASURER
AREA CODE PHONE NUMBER EXTENSION
PHONE
9 REPORT TYPE
January 15 F-1 30th day before election F-1 Runoff
El 15th day after campaign
treasurer appointment
(Officeholder Only)
rr--�y
July 15 I yl 8th day before election Exceeded $500 limit
Final Report (Attach CrOH - FR)
10 PERIOD
Month Day Year Month
Day Year
COVERED
0 /O t(/ 2 r THROUGH /0 /; 5-/;2_ I
11 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
❑ Primary ❑ Runoff ❑ Other
/ �/� / Z I
Description
❑ General Special
12 OFFICE
OFFICE HELD (If any)
13 OFFICE OUGHT I'll, w I /
GO TO PAGE 2
rorms provided by texas Lthics Commission www.ethlcs.state.tx.us Revised 9/8/2015
X
I'
C
CANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME
XQ 7L N
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 CANDIDATE'S 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
TOTALS
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)
$ / n
/_O�
• (�V
.
EXPENDITURE
TOTALS
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS.
$
UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES
$
CONTRIBUTION
BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
$ I
. . . . . .
---------------
a
OUTSTANDING
LOAN TOTALS
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
$
LAST DAY OF THE REPORTING PERIOD
a 6 . Qv
18 AFFIDAVIT
I swear, or affirm, under penalty of perjury, that the accompanying report is
4�pr•v•,,
true and correct and includes all information required to be reported by me
LINDA RUTH WHITE
under Title 15, Election Code.
My Notary ID # 124936123
'•'f.oF fit'•'
Expires May 24, 2024
Signature of Candidate pr fficeholder
AFFIX NOTARY STAMP / SEALABOV E
damm
Sworn t an bs ribed before me, by the said4L- �� an)s the
4;
day of
to certify which, witness my hand a d seal office.
Signature of o ficer administering oath Printed name of officer administering oath Title of officer administering oath
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 %1 %�
*1�`J
OT
20 Filer ID (Ethics Commission Filers)
21
SCHEDULE SUBTOTALS/^l
NAME OF SCHEDULE
SUBTOTAL
AMOUNT
1•
SCHEDULEAI: MONETARY POLITICAL CONTRIBUTIONS
$ / (�OQ av
If
2•
SCHEDULEA2: NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS
$
3.
SCHEDULE B: PLEDGED CONTRIBUTIONS
$
4.
FV
SCHEDULE E: LOANS
$ (00.6-0
5.
119
SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$ % (0y. 13
6•
SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
$
7•
SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$
8•
El
SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD
$
9.
�4
SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
$ /'1Z 7
10.
❑
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
$
rorms provlaea oy texas ttnics commission www.etnics.state.tx.us Revised 9/8/2015
MONETARY POLITICAL CONTRIBUTIONS
SCHEDULE Al
The Instruction Guide explains how to complete this form.
1
Total pages Schedule At: `
/
2 FILER NAME
�
�� re �in-Fz /c a ki VA
3
Filer ID (Ethics CommissionFilers)
4 Date
5 Full name of contributor El out-of-state PAC (ID#:
7
Amount of contribution ($)
/
r �i CIsoil
6�Contributor address; !��/ City; State; Zip Code
8 Principal occupation / Job title (See Instructions)
9 Employer (See Instructions)
Date
Full ,name of contributor ❑ out-of-state PAC (ID#: I
Amount of contribution ($)
e
/00 ,
Contributor address; City; State; Zip C de
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor out-of-state PAC (ID#: )
Amount of contribution ($)
Contributor
�v "
address; City; State; Zip Code
br•��Dffrc �DrT�C
1
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID#: 1
as r pwf 74 ku s
Amount of contribution ($)
/0/42 (
a /
Contributor address; City; State; Zip Code
PD 60x 3Sv �rPPI� sPc►-SST
`
Vv
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.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
LOANS SCHEDULE E
The Instruction Guide explains how to complete this form.
1 Total pages Schedule,E:
2 FILER NAME /
✓l�Z-►►�l4n
3 Filer ID (Ethics Commission Filers)
e / h
4 TOTAL OF UNITEMIZED LOANS
$
5 Date of loan
loll sj
f-tate PAC (ID#: )
7 Name of lender A�(sn43iKar%r--
��er
8 Lender address; City; State; Zi Code
/3aZ AWOker lly-C `
9 LoanAmount($)
2t 0&0 &0
6 Is lender
a financial
Instito
10 Interest rate
Y
4 iNK' �� -7� vlo
11 Maturity date
12 PrincipA occupation // Job title (See Instructions)
s L- MA -wit
13 Employer (See Ins ctlons)
cam!
14 Description of Collateral
15 Check if personal funds were deposited into political
[none
account (See Instructions)
❑
16 GUARANTOR
17 Name of guarantor
19 Amount Guaranteed ($)
INFORMATION
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18 Guarantor address; City; State; Zip Code
Xnot applicable
20 Principal Occupation (See Instructions)
21 Employer (See Instructions)
Date of loan
Name of lender out-of-state PAC (ID#: i
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Lender address; City; State; Zip Code
Loan Amount ($)
Is lender
Interest rate
a financial
Institution?
Maturity date
Y N
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Description of Collateral
Check if personal funds were deposited into political
account (See Instructions)
❑ none
❑
GUARANTOR
Name of guarantor
Amount Guaranteed ($)
INFORMATION
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Guarantor address; City; State; Zip Code
❑ not applicable
Principal Occupation (See Instructions)
Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If lender is out-of-state PAC, please see instruction guide for additional reporting requirements.
corms 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 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 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 Fi:
2 FILER N E/ /
3 Filer ID (Ethics Commission Filers)
l
it�✓� mctn L
4 Date ��n (
L�
5 Payee n�ml n il f ��
`-
6 Amount ($)
7 Payee address; Cit ; State; Zip Code
55
/(,pc{,�Z"
1g&`{ �'i"j h��L yb
aL or'� 1
8
gory (See Categories listed at the top of this schedule)
(a) Catefir,
(b) Description
PURPOSE
OF
' '''1YY����111,���
❑ Check if travel outside of Texas. Complete Schedule T.
❑ Check it Austin, TX, officeholder living expense
EXPENDITURE
V
9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name s�
A4 � AA CA �"/t,¢�I—
f n
Amount ($)
Payee address; City; State; Zip Code
/aoorS S. o4 u s4l rn 1"{
Category (see Negories listed at the top of this schedule)
Description
PURPOSE
p e s
Ptz-I n4 1Lc� r�
❑ Check if travel outside of Texas. Complete Schedule T.
OF
EXPENDITURE
Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C10H
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
❑ Check if travel outside of Texas. Complete Schedule T.
OF
❑ Check if Austin, TX, officeholder living
EXPENDITURE
expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
POLITICAL EXPENDITURES
MADE FROM PERSONAL FUNDS SCHEDULE G
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan RepaymenVReimbursement SolicitatiorVFundraising Expense
Aocounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salaties/Wages/Contract Labor Other (enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Scle G:
2 FILER N�jvlCy
3 Filer ID (Ethics Commission Filers)
4 Date
to Z
5 Pay name
n
WACY\ t c .S
6 Amount ($)
7 Payee address; City; Stt� ip C�
�
� i �� t
eliimbu,rsem from
4Stcacontributions
x Q(Q
intended
8
(a) Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
❑
OF
Check H travel outside of Texas. Complete Schedule T.
EXPENDITURE
❑ Check it Austin, TX, officeholder living expense
9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
❑Reimbursement from
political contributions
intended
Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
❑ Check if travel outside of Texas. Complete Schedule T.
OF
EXPENDITURE
❑ Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
❑Reimbursement from
political contributions
intended
Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
❑
OF
Check it travel outside of Texas. Complete Schedule T.
EXPENDITURE
❑ 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
I-orms provided by lexas ttmes Commission www.ethics.state.tx.us Revised 9/8/2015
POLITICAL EXPENDITURES
MADE FROM PERSONAL FUNDS SCHEDULE G
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitatiork/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 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 G:
2 FILER / //
3 Filer ID (Ethics Commission Filers)
4 Date
101z'f (Zt
5 Payee name n
c,vt l (,
6 Amount ($)
7 Payee address; City; State; Zip Code
%r
0.
Reimbursementfrom
political contributi
ons
intended
8
(a) Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
❑ Check if travel outside of Texas. Complete Schedule T.
OF
EXPENDITURE
❑ Check if Austin, TX, officeholder living expense
9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
❑Reimbursementfrom
political contributions
intended
Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
❑ Check ff travel outside of Texas. Complete Schedule T.
OF
EXPENDITURE
❑ 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
❑Reimbursementfrom
political contributions
intended
Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
OF
❑ Check if travel outside of Texas. Complete Schedule T.
EXPENDITURE
❑ 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
Forms provided by texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015