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HomeMy WebLinkAboutCFR-01.14.2022-Heintzmann, ChereCANDIDATE / 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 / OFFICEHOLDER MS / MRS / MR FIRST MI / em L i(I e- I. @ OFFICE USE ONLY NAME........................................................................................ ..� .,..» .. _.u. Date Recel NICKNAME LAST SUFFIX Pz �v, �. ,� , JAN 14 2022 4 CANDIDATE / ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE OFFICEHOLDER MAILING' . ADDRESS / e 7e6 2 6 V'AI;Lj ❑ Change of Address 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION Date Eland -dell f00 or Dale Postmarked POFFICEHOLDER HONE •U # Amount $ 6 CAMPAIGN MS / MRS / MR FIRST MI TREASURER /vl Date Processed NAME..' —....6........................................ NICKNAME LAST SUFFIX Date Imaged 'NJ0Y" ` 214 . 5 i 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY: STATE; ZIP CODE TREASURER f /' ,�J '-7 6 ,r� U I,)�1/ / �� 2- 16 eSidance or Business) JL f 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE `` C� REPORT TYPE ❑ January 15 30th day before election Runoff 15th day after campaign treasurer appointment (Officeholder Only) July 15 8th day before election Exceeded Modified Final Report (Attach C/OH - FIR) Reporting Limit 10 PERIOD Month Day Year Month Day Year COVERED /Q / 1 6' A— f ! 3} 1 THROUGH 11 ELECTION ELECTION DATE ELECTION TYPE ❑ Primary ❑ Runoff ❑ Other Month Day Year Description I//D Z /q ' I� ❑ General Special 12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known) avC e y`-/j(Is „J r- ; � 1 cG,"J'-. , / n , Is M. 14 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT POLITICAL THE CANDIDATE I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES. COMMITTEE(S) COMMITTEE TYPE COMMITTEE NAME GENERAL COMMITTEE ADDRESS Additional Pages SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME COMMITTEE CAMPAIGN TREASURER ADDRESS GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 15 C/OH NAME L/ 16 Filer ID (Ethics Commission Filers) r� t e / 7` 'ti Z ,n-t a .v IV' 17 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN \� TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR $ CONTRIBUTIONS MADE ELECTRONICALLY) 2. TOTAL POLITICAL CONTRIBUTIONS $ (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE TOTALS $ ................. CONTRIBUTION BALANCE OUTSTANDING LOAN TOTALS 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 18 SIGNATURE 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 under Title 15, Election Code. — 0�_,,, , " [ IYI� "6 Signature c Candidate or fficeholder Please complete either option below: YP " H WH..••`� LINDA RUTITE My Notary ID#9 2(1) Affidavit Expires May024 , 24 NOTARY STAMP / SEAL r Sworn to and subscribed before me by Is the 0 day 20 tocertifywhich, it smyhand ndsealofoffice. • f aju Sig ature of officer dministering oath Printed name of officer administering oath Title of officer administering oath (2) Unsworn Declaration My name is _ My address is Executed in and my date of birth is (street) (city) (state) (zip code) (country) County, State of on the day of 20 (month) (year) Signature of Candidate/Officeholder (Declarant) Forms provided by Texas Ethics Commission www.ethics .state tx.us Revised 8/17/2020 SUBTOTALS - C/OH FORM C/OH COVER SHEET PG 3 19 FILER NAME 20 Filer ID (Ethics Commission Filers) I e r e 11 21 SCHEDULE SUBTOTALS SUBTOTAL NAME OF SCHEDULE AMOUNT 1 ® SCHEDULEAI: MONETARY POLITICAL CONTRIBUTIONS $ 2• SCHEDULEA2: NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS $ 3 SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4. SCHEDULE E: LOANS $ 5. ® SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ y Y. 6- SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 7 SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ S u SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 9 SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS G U 10. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ $ y. 11, © SCHEDULE I: NON -POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS 12. ElSCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED $ TO FILER Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 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 RepaymenVReimbursement 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 (entera category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form, 1 Total pages chedy{e')F1; 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 1 L L v- J C. `. 4- zlk-) 4 Date ) 5 Payee name // ✓U / Z I !mil "Al k r1 .J �°fes S 6 Amount ($) 7 Payee address; City; State; Zip Code C:,- eo 8 (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE P�" o` N f. •N/ �� aJ SCE EOF XPENDITURE (c) Check iftravel outside ofTexas Complete ScheduleT. ❑ Check if Austin, TX, officeholder living expense 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Il�3D Amount ($) Payee address; City; State; Zip Code 4 7, 00 ea rS�, f"o w ,� ✓ Category (See Categories listed at the lop ofthiis/schedule) Description PURPOSE OF /M �J �'� �/ G !U �C� 4e- EXPENDITURE ❑ Check if travel outside ofTexas. Complete ScheduleT ❑ 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 ll��lzl face %�jc�dK Amount ($) Payee address; City; State; Zip Code /"elV16 Pati >- C A I Category (See Categories listed at the top of this schedule) Description PURPOSE OF EXPENDITURE /-27 G C' S �' �'H 42 �— ElCheck if travel outside of Texas. Complete ScheduleT. ❑ Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 If the requested information is not applicable, DO NOT include this page in the report. EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan RepaymenUReimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/Donations Made By GifUAwards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other (entera category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedululle FFl: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Date 5 Payee name r q � z 6 Amount ($) 7 Payee address; City; State; Zip Code /-5� '7oP6 3 '' 8 (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE n 'G �� f OF jV ✓ 4, EXPENDITURE (c) Check if travel outside of Texas Complete Scheduler ❑ Check if Austin, TX, officeholder living expense g Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSE OF EXPENDITURE ❑ Check if travel outside of Texas Complete Schedule ❑ Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State: Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSE OF EXPENDITURE ❑ Check if travel outside of Texas. Complete Schedule ❑ 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 8/17/2020 POLITICAL EXPENDITURES MADE FROM SCHEDULE G PERSONAL FUNDS 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 Salaries/Wages/Contract Labor Other (entera category not listed above) CreditCard Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule G 2 FILER NAME 3 Filer ID (Ethics Commission Filers) / -e-1) a Y'e-, 4 Date 5 Payee name / // 30)2% f /tl 1.t7C� f'►) c�� %a�`z5_S 6 Amount ($) o j %C do 7 Payee address; City; State; Zip Code ❑Reimbursement from political contributions � if 0 ✓, G V LN (,j' T (/ p intended ,� 8 (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE OF l5_x'P S� �V EXPENDITURE /tJ (c) Check if traveloutsideofTexas. Complete Schedule T. Check if Austin, TX, officeholder living expense 9 Candidate / Officeholder name Office sought Office held Complete ONLY if direct expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code ❑Reimbursement from political contributions intended Category (See Categories listed at the top of this schedule) Description PURPOSE OF EXPENDITURE ❑ Check if travel outside of Texas. Complete Scheduler. Check if Austin, TX, officeholder living expense Candidate / Officeholder name Office sought Office held Complete ONLY if direct expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code ❑Reimbursement from political contributions intended Category (See Categories listed at the top of this schedule) Description PURPOSE OF EXPENDITURE Check if travel outside of Texas.CompleteScheduleT. Check if Austin, TX, officeholder living expense Candidate / Officeholder name Office sought Office held Complete ONLY if direct expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 NON -POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE The Instruction Guide explains how to complete this form. 1 Total pages Schedule 1 2 FILER NAME 3 Filer ID (Ethics Commission Filers) l C_kf r r: v,✓ 4 Date 5 Payee name / 2 Y e) ex a n 6 Amount ($) 7 Payee address; City; State; Zip Code s (a)Category (See instructions for examples of acceptable (b) Description (See instructions regarding type of information PURPOSE categories.) required.) OF EXPENDITURE / Cka k 7le Cm"`�✓.r pre �•v Date Payee name Amount ($) Payee address; City; State; Zip Code PURPOSE Category (See instructions for examples of acceptable Description (See instructions regarding type of information OF categories.) required.) EXPENDITURE Date Payee name Amount ($) Payee address; City; State; Zip Code PURPOSE Category (See instructions for examples of acceptable Description (See instructions regarding type of information OF categories.) required.) EXPENDITURE Date Payee name Amount ($) Payee address; City; State; Zip Code Category (See instructions for examples of acceptable Description (See instructions regarding type of information PURPOSE categories.) required.) OF EXPENDITURE 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 how to complete this form. •• Complete only if "ReportType" on page 1 is marked "Final Report" •• 1 C/OH NAME 12 Filer ID (Ethics Commission Filers) C, Nh e_re— 14e.JPz 11.A,j4)_ 3 SIGNATURE I do not expect any further political contributions or political expenditures in connection with my candidacy. I understand that designating 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 tr asurer appointment on file. } Signature of Candida# fficeholder 4 FILER WHO IS NOT AN OFFICEHOLDER •• Complete A & B below only if you are not an officeholder. A. CAMPAIGN FUNDS Check only one: ;�g 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: L I do not retain assets purchased with political contributions or interest or other income from political contributions. F--J 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 from political contributions to personal use. I also understand that I must dispose of assets purchased with political contributions in accordance with the requirements of Election Code, § 254.204. Signature of Candidate 5 OFFICEHOLDER •• Complete this section only if you are an officeholder •- Zj 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 political contributions or interest or other income from political contributions. Signature of Officeholder Forms provided by Texas Ethics Commission www.ethics.state tx us Revised 8/17/2020