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Home My WebLink AboutDenise Alberino 02032014[JORfGfNAL Texas Ethics Commission PO. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) CANDIDATE I OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. Dale Imaged ~'B')i 2 Total pages lied: SUFFIX ZIP CODE SUFFIX MI MI EXTENSION STATE: 1 ACCOUNT# (Ethics Commission Filers) CITY.APT I SUITE #: MS I MRS IMR l\ '7.> NICKNAME ADDRESS I PO BOX: AREA CODE PHONE NUMBER (LJCrCO 7~~ 7':":lA ~ MS/MRS/MR FIRST \\\-\2: X I\,C \ -.l. NICKNAME LAST \ I I· D change of address 5 CANDIDATEI OFFICEHOLDER PHONE 3 CANDIDATE 1 OFFICEHOLDER NAME 6 CAMPAIGN TREASURER NAME 4 CANDIDATE 1 OFFICEHOLDER MAILING ADDRESS 7 CAMPAIGN TREASURER ADDRESS (residence or business) STREET ADDRESS (NO PO BOX PLEASE): APT I SUI TE #: Month Day Year ;7/3//l\THROUGH Day YearMonth 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER 'S~~ ~llD0 --" PHONE 7 ....., ITI CO I 9 REPORT TYPE D January 15 ~th day before election D Runoff D 15th day after campaign treasurer appointmeift) (officeholder only) :I: D July 15 D 8th day before election D Exceeded $500 0 Final report (Attach ~ -FR} limit U1 10 PERIOD COVERED 11 ELECTION ELECTION DATE Month Day Year .-4/'-\/ l~ ELECTION TYPE D Runoff D General D Spedal 12 OFFICE OFFICE HELD (d any) GOTO PAGE 2 www.ethics.state.lx.us Revised 04/19/2013 DORIGINAL Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) CANDIDATE IOFFICEHOLDER REPORT: FORM C/OH SUPPORT & TOTALS COVER SHEET PG 2 ( 14C~~AME AU \ 115 ACCOUNT # (Ethics Commission Filers) I \\fx "f+-t I - 16 NOTICE FROM TIjIS BOX IS FOR NOTlCE OF POUTlCAL CONlRlBUllONS ACCEPTlED OR POUTlCAL EXPENDITURES MADE BY POUTlCAL COMMITTlEES TO SUPPORT TIjE POLITICAL CANDIDATlE 1OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S KNOWLEDGE OR COMMITTEE(S) CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT TIjIS INFORMATION ONLY IF TIjEY RECEIVE NOTICE OF SUCH EXPENDITURES. COMMITTEE NAME COMMITTEE TYPE -' D GENERAL .::, COMMITTEE ADDRESS ""T'l u rrl ~D SPECIFIC CO I r--: W I, COMMITTEE CAMPAIGN TREASURER NAME -0 rr,:r 0 Nadditional pages .. h,_C' ,. COMMITTEE CAMPAIGN TREASURER ADDRESS CJl " I 17 CONTRIBUTION 1 TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN $ y(~.TOTALS -PLEDGES. LOANS. OR GUARANTEES OF LOANS). UNLESS ITEMIZED 2. TOTAL POLITICAL CONTRIBUTIONS $( I (OTHER THAN PLEDGES. LOANS. OR GUARANTEES OF LOANS) EXPENDITURE $ (J'TOTALS 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS. UNLESS ITEMIZED .\ 4. TOTAL POLITICAL EXPENDITURES $ I l( ~\ CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ (-).BALANCE OF REPORTING PERIOD -( (- OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE $ (T'LOAN TOTALS LAST D,<.,Y OF THE REPORTING PERIOD \ 18 AFFIDAVIT 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 . '.. m, "cd" Till' \S, ~J"'"".,~~u:"J'''''' MELISSA SMITH ]...'....\:''"<-Normy PubliC, Slote olIexos;!l~~ ...~~ ,'(V -t-,-" !,. L )~~ J:··l~':~j My Commission Expnes )\'lfl'; ..... .,.~ March 08. 2017 .. S~··tl':~\'\" I Si~~ature of Candidate or Officeholder.. ,.......... ~ $ AFFIX NOTARY STAMP / SEAL ABOVE ~\~ ~kc\~OSworn to and subscribed before me. by the said , this thelEtlilia, of Ji»fUi-' 20 ~ , to certify which, witness my hand and seal of office. \'i\p \~ Ic~,\h tJMn.N Signature of officer administering oath Printed name of officer administering oath Title of officfer administering oath wwwethics.state.tx.us Revised 04/19/2013 INAL Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TOO 1-800-735-2989) 3 SCHEDULE G Loan RepaymenVReimbursement Transportation Equipment & Related Expense ContributionslDonations Made By Candidate/Officeholder/Political Committee OTHER (enter a category not listed above) ACCOUNT # (Ethics Commission Filers) .-.>("\ ---> --'-~ "j~ '"TI t r"1 -;c::l I r-W ~. -U N \'--'1 t . \1 en '-' POLITICAL EXPENDITURES MADE FROM PERSO AL FUNDS EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense GlfVAwards/Memorials Expense Salaries/Wages/Contract Labor Accounting/Banking Legal Services Solicitation/Fundraising Expense Consulting Expense Food/Beverage Expense Travel In District Event Expense Polling Expense Travel Out Of District Fees Printing Expense Office Overhead/Rental Expense The Instruction Guide explains how to complete this form, 1 Total pages Schedule G: 2 '~NAME t\\ \'f ~{IY' 11 \\"'"k. {\'\ 4 Date 5 Payee name r\ .~\\\-l~ -/,-\-l'--t ~ I( "{ \\) '- 6 Amount ($) 7 Payee address: City: State: Zip Code 1 I\\ "\ {~ Lx..... L \\\..c -,~,i~\CLJ D Reimbursement from \~~\\' '~~~ -r---:. ('1politIcal contnbutions intended 8 PURPOSE (a) Category (See calegories listed at the top of this schedule) (b) Description (If travel outside of Texas, complete Schedule T) OF ~Y~ 'LEXPENDITURE ~~ \Lt:\ ~, \. c-') \ r< I \ \ Date Payee name Amount ($) Payee address: City: State: Zip Code D Reimbursement from political contributions Intended Category (See calegories listed at the lop of this schedule) Description (If travel outside of Texas, complete sCheg T)PURPOSE OF EXPENDITURE Date Payee name Amount ($) Payee address; City; State; Zip Code D Reimbursement from political contribulions intended PURPOSE Category (See calegories lis led at the lop of this schedute) Description (If travel outside of Texas, complele Schedule T) OF EXPENDITURE Date Payee name Amount ($) Payee address; City; State; Zip Code D Reimbursement from political contributions inte()Cled PURPOSE Category (See categories listed at the top of this schedute) Description (tf travel outside of Texas. complete Schedute T) OF EXPENDITURE ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED www.ethics.state.txus Revised 04/19/2013 00 L Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TOO 1-800-735-2989) CANDIDATE I OFFICEHOLDER REPORT: FORM C/OH -FRDESIGNATION OF FINAL REPORT The Instruction Guide explains how to complete this form . •• Complete only if "Report Type" on page 1 is marked "Final Report" •• 1 C/OH NAME 2 ACCOUNT # (Ethics Commission Filers) 3 SIGNATURE ....... I do not expect any further political contributions or political expenditures in connection with my candidacy, I understand thalltlesignatins a report as a final report terminates my campaign treasurer appointment. I also understand that I may not accept any campaig~ntributio S or make any campaign expenditures without a campaign treasurer appointment on file. c;o, c...:> Signature of Candidate / Officeh~er;\ i (- ~ N ,...~ 4 FILER WHO IS NOT AN OFFICEHOLDER (J1 ",.,...-I •• Complete A & B below only if you are not an officeholder, •• U1 A. CAMPAIGN FUNDS Check only one: D )dO not have unexpended contributions or unexpended interest or income earned from political contributions. d 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: o ) do not retain assets purchased with political contributions or interest or other income from political contributions. rz{ 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 pqlitical c~ntribution~iacc' Milnce with the,requirements of Election Code, § 254.204. ~ -) ~ --'J ,,_. ~ ) ~''''''---' Sign~ture of Candidate I 5 OFFICEHOLDER •• Complete this section only if you are 3n-o.f.f~~0Ider •• D 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 www.ethics.state.tx.us Revised 04/19/2013