HomeMy WebLinkAboutJay Bender 07152014Texas Ethics Commission p.0 Box 12070 Austin ,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
FORM JC/OH
COVER SHEET PG 1
..•.
JUDICIAL CANDIDATE I OFFICEHOLDER
CAMPAIGN FINANCE REPORT q-1 A'ry,r;II\~·1\ I
1
The JC/OH Instruction Guide explains how to complete this form.
3 CANDIDATE 1 MS/MRS/MR FIRST MI
OFFICEHOLDER
NAME MR :JAY A
NICKNAME lAST SUFFIX
B2NDt.K
4 CANDIDATE 1 ADDRESS I PO BOX; APT I SUITE II: CITY; STATE: ZIP CODE
OFFICEHOLDER
MAILING 2.tO c 6L-c {'IV\U/l-U;; /ZO./ JT£ ,3c 3~4-
ADDRESS
D change of address M c k UJIJ'Ey 1 .~ -'S-ci I
5 CANDIDATEI AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER
PHONE (112 ) 5 i.f 7-iB,~C
6 CAMPAIGN MS/MRS/MR FIRST MI
TREASURER
NAME (V\ R. "i)Av/'D
--.. '
NICKNAME lAST SUFFIX
(JJADDILL
7 CAMPAIGN STREET ADDRESS (NOPO BOXPLEASE); APT I SUITE #: CITY; STATE:
TREASURER
ADDRESS 1'3c,L ?~ESTtlN RD '.1:t ;);J C
(residence or business) 'vA U,..-A s. i 'T/< 15;J.S':;l.
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE (Q1).. ) "I ?:> -13:.,0
9 REPORT TYPE D January 15 D 30th day before election D Runoff
~ July 15 D 6th day before election D Exceeded $500
limit
10 PERIOD Mon1h Day Year Mon1h
COVERED
oj // f lJ lif THROUGH 0 7 /~ 1!7
11 ELECTION ELECTIONDATE ELECTIONTYPE
Mcn1h Day Year o Plimary D Runoff
II Cllf <I tt
12 OFFICE OFFICE HELD (ff any) 13 OFFICESOUGHT
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ACCOUNT #
(Ethics Commission Filers)
AT
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Receipt # I Amount
Date Processed
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Date Imaged
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ZIP CODE
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D 15th day after campaign
treasurer appointment
(officeholderonly)
D
Final report (Attach C/OH -FR)
Day Year
Jtt
o~ Generel Special
(ifknown)
C~UJ~ C Cl.AlUn'
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www.ethlcs.state.tx.ue Revised 04/19/2013
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
JUDICIAL CANDIDATE I OFFICEHOLDER REPORT: FORM JC/OH
t " . r-l\ !J ;~"-. ) _, ';
SUPPORT & TOTALS ~_~.P d j u ~ §i; "~tOVER SHEET PG 2
15 ACCOUNT # (Ethics Commission Filers) 14 C/OH NAME
.1 A\.
16 NOTICE lHlS BOX IS FOR N01lCE OF POL/IlCAI. CONTRIBUTIONS ACCEPTED OR POLITlCAI. EXPENDITURES MAIlE BY POLmCAL COMMmEES TO SUPPORT lHE
FROM CANDIDATE IOFFICEHOLDER. THESE EXPENDITVRES MAY HAVE BEEN IlADE WITHOUT THE CANDIDATE'S DR OFFICEHOLDER'S KNOWLEDGE OR
POLITICAL CONSENT. CANIIDATES ANDOFFICEHOlDERS ARE REQUIRED TO REPORT nes IlFORMATlON ONLYIF lHEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE(S)
COMMITTEE NAME
COMMITTEE TYPE
D GENERAL COMMITTEE ADDRESS
D SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
D additional pages
COMMITTEE CAMPAIGN TREASURERADDRESS
17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN $TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED 0
2. TOTAL POLITICAL CONTRIBUTIONS $(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) .>: 0':
EXPENDITURE
TOTALS 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS. UNLESS ITEMIZED $ r-,U
4. TOTAL POLITICAL EXPENDITURES $ f 103 9/p
-u
3:
W
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTiONS MAINTAINED AS OF THE LAST DAYBALANCE OF THE REPORTING PERIOD
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LOAN TOTALS LAST DAY OF THE REPORTING PERIOD
$ I ~·::;tC ~~7--1.
$ JOe
18 AFFIDAVIT
I swear, or affirm, under penalty of perjury, that the accompanying report is
true and C9-rreeramt~ncludes all information required to be reported by me
under Titl~ 15, Electi~n Cod.e/·~
I
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP I SEAL ABOVE
me, by the l~iid &l~_ A. tlfyj;w ,this the
,+1->J--'-"-1---T''I-J'''7-:7F' 20 ~ , to C~hICh, witness my hand and seal of office.
f
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TOO 1-800-735-2989)
POLITICAL CONTRIBUTIONS
OTHER THAN PLEDGES OR LOANS (JUDIC'1VG,I\JAL SCHEDULE A (J)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule A(J):
8 In-kind contribution
description(if applicable)
(If travel outside of Texas, complete Schedule T)
3 ACCOUNT # (Ethics Commission Filers)
7 Amount of
contribution ($)
10
[l,ut-of-statePAC (ID#: ~
6 Contributor address; City, State; Zip Code r \,I r'~~I~ RD, .s'-l"'"£ l,DC
D,A lA.-fl ~ 'IA 'l~d »s:
5 Full name of contributor
9 Contributor's principal occupation
4 Date
2 FILER NAME
':3 A
13 If contributor is a child, law firm of parent(s) (if any)
Date Full name of contributor [l,ut-of-statePAC (ID#'. --'
~~!:lr~dd;ir'~~o/siat~;'ZipC'ode'
if1 j; e A if!..PCte.T r W j
PI tV~R..TH . - " btl
Amount of In-kind contribution
contribution ($) I description(if applicable)
~(1 o :
I
I
I
(If travel outside of Texas, complete Schedule T)
Date Full name of contributor []out-of-state PAC(ID#: --' Amount of In-kind contribution
contribution ($) I description(if applicable) .B~ 6 HU.W.I<.RfI.!VT?- .IContributor address; City, State; Zip Code /l;;)Sv.:~ Id-! ,J-lf' ;M Pry FA I R ",AJ
IMCk tJM '-n-o 70 (If travel outside of Texas, complete Schedule T)
Contributor's job title
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.
www.ethics.state.tx.us Revised 04/19/2013
P.O. Box 12070 , (512) 463-5800 (TDD 1-800-735-2989)Texas Ethics Commission Austin Texas 78711-2070
2
4
5
10
12
14
PLEDGED CONTRIBUTIONS (JUDICIAL) -f IG11\1"~tCHEDULE B (J)
1 Total pages Schedule B(J):
The Instruction Guide explains how to complete this form.
FILER NAME 3 ACCOUNT # (Ethics Commission Filers)
TOTAL OF UNITEMIZED PLEDGES: 9 9 9 9 9 9 1$
Date 6 Full name of pledgor D out-of-state PAC(10#: ) 8 Amount of
pledge ($) 19 In-kind description
(if applicable)
I
7 Pledgor address; City; State; Zip Code I
I
I
(If travel outside of Texas, complete Schedule T)
Pledgor's principal occupation 11 Pledgor's job title
Pledgor's employerllaw firm 13 Law finn of pledgor's spouse (if any)
If pledgor is a child, law firm of parent(s) (if any)
Date Amount of I In-kind description
pledge ($) (if applicable)
Full name of pledgor D out-ct-state PAC(10#: )
I
,
Pledgor address; city; State; Zip Code
I
I
(If travel outside of Texas, complete Schedule T)
Pledgor's job tiUePledgor's principal occupation
Law firm of pledgor's spouse (if any)Pledgor's employerllaw firm
If pledgor is a child, law firm of parent(s) (if any)
Date Amount of I In-kind description
pledge ($) (if applicable)
Full name of pledgor D out-or-state PAC(10#: )
I
IPledgoraddress; City; State; Zip Code
\
I
(If travel outside of Texas, complete Schedule n
Pledgor's principal occupation ...Pledgor's job title .:-.. OJ'' ,
Pledgor's employerllaw firm Law firm of pledgor's spouse (if any) \""';'= , ;_;;'''Y'~~~
-C"'~.""""
If pledgor is a child, law firm of parent(s) (if any) Ul
jr,>
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::x ,E U ;
c....) ."
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N
W .,)
ATTACH ADDITIONAL COPIES OF THiS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission Austin Texas 78711-2070 PO Box 12070 , (512)463-5800 (TDD 1-800-735-2989)
LOANS (JUDICIAL)
2 FILER NAME
4
TOTAL OF UN ITEMIZED LOANS:
5 Date of loan 7 Name of lender
6 Is lender 8 Lender address; City;
a financial
Institution?
y N
12 Lender's Principal Occupation
14 Lender's Employer/Law Firm
16 If lender is child, law firm of parentis) (if any)
17 Description of Collateral
D none
19 GUARANTOR 20 Name of guarantor
INFORMATION
21 Guarantor address;
D not applicable
23 Guarantor's Principal Occupation
2S Guarantor's Employer/Law Firm
27 If guarantor is child, law firm of parent(s) (if any)
"~r-'~f~EDULE E (J)
< , I
' ~.,
1 Total pages Schedule E(J):
The Instruction Guide explains how to complete this form.
3 ACCOUNT # (Ethics Commission Filers)
¢ ¢ ¢ ¢ ¢ ¢ $
9 Loan Amount ($)o out-of-state PAC(10#: l
10 Interest rateState; Zip Code
11 Maturity date
13 Lender's Job Title
15 Law Firm of lender's spouse (if any)
18 Check if personal funds were deposited into political account
D
22 Amount Guaranteed ($)
City; State; Zip Code
24 Guarantor's Job Title
26 Law Firm of guarantor's spouse (if any)
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AnACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED -0 ,;7Tc~:3:If lender is out-of-state PAC, please see instruction guide for additional reporting requirements. '1 ., ~'
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www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission PO Box 12070 Austin,Texas 78711-2070 (512) 463-5800 (TOO 1-800-735-2989)
POLITICAL EXPENDITURES IIG' SCHEDULE F
Advertising Expense
Accounting/Banking
Consulting Expense
Event Expense
Fees
1 Total pages Schedule F:
~
4 Date Iln\l~
6 Amount ($)
$1000., C-oJ
8 PURPOSE
OF
EXPENDITURE
9 Complete.Q!'i!..Y if direct
expenditure to benefit C/OH
Date
3 j to I I 't
Amount ($)
;;3d"Y
PURPOSE
OF
EXPENDITURE
Complete .Qt!IJ.Y if direct
Date
W !2( )'f
Amount ($)
%ISu. -;:t.:.
PURPOSE
OF
EXPENDITURE
Complete QJI!l."( if direct
11~;~4£
EXPENDITURE CATEGORIES FOR BOX 8(a)
Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense
Food/Beverage Expense Travel In District Contributions/Donations Made By
Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
2 FILER NAME 13 ACCOUNT # (Ethics Commission Filers)
::JAv ADAfV\ o.2..~{)82-
5 Payeenhme
LtU.AN CC~\~f\-'y Gtf
7 Payee address; City; sbte; Zip Code
STE: It.\::.iOifl~ s'mc'1 i<P./
All C lC-f l\.n-J e;Yj IX '7SCiC
(a)category (See categories lisledat thelop of this schedule) (b) Description (Iftravel outstce of Texas, complelaSchedule T)
t. \,/f.N\ E.Ar~St:.. LuJCCU'J '~AY OII\JNEJ2.
Candidate / Officeholder name Office sought Office held
Payee name
J !Vl 1\6 £:.5 f3v Z-e DJ.£
Payee address; City; State; Zip Code
'{(3 tc-·mNi.U~O L:l£N i) W.
ItL-UN T/\ '7'!;D02
Category (Saa categories listedal thatop ofthis schedule) Description (If travaloutsideof Texas, complete Schedule T)
()T~ ~Yt\\:)h...s tt,r' ~b"'>ite Clfu{ C(.l.W~&~tI9V)
,'\IV] ~{IO '
Candidate I Officeholder name Office sought Office held
expenditure to benefit C/OH
Payee name
PU1N~ ,:2..£ PlAR L~' CA tJ L0DM~tJ
Payee address; City; State; Zip Code
Description (IftraveloutsideolTexas,completeScheduleT) Category (Seecategorieslistedaltha top ofthis schadule)
AD\f£R!I-:'i N q [)( P£~E .,
Candidate I Officeholder name Office sought Office h4Id
c:-.,~
expenditure to benefit C/OH
Payee name c-,.""'~.,,"" .Date -c.n :.Lf \2.--~ II tt 6 Cf<-v-J
Amount ($) Payee address; City; State; Zip Code -0
::J:: ('""f"'"t:(. 3 Lt ~ e Cf\ll. Pq<, L-ft~C
G:)-$ f te,c:, . ..PLANt 'IX 15C·~3 W
r
,-~' ;~
Category (See calegJies listedatthetopofthisschedule) Description (Iftraveloutside of Texas,completeSche.fuh?T)PURPOSE
OF
EXPENDITURE A'AJ£le.-n SING GXf~J~S£
Complete QNI.Y if direct Candidate I Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised04/19/2013
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
POLITICAL EXPENDITURES
Advertising Expense Gift/Awards/Memorials Expense
Accounting/Banking Legal Services
Consulting Expense Food/Beverage Expense
Event Expense Polling Expense
Fees Printing Expense
1 Total pages Schedule F: 2 FILER NAME
ADA (V\,? --rAV
4 Date 5 Payeenamb
(,,\3c '\1 C+ uSrS
6 Amount ($) 7 Payee address; City;
$ !?l.~?-I ,'2~I
petSP~ I
8 PURPOSE
OF
EXPENDITURE DT~
9 Compiete ONLY if direct Candidate I Officeholder name
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City;
PURPOSE
OF
EXPENDITURE
Complete OOL.Y if direct Candidate I Officeholder name
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City;
PURPOSE
OF
EXPENDmJRE
Complete ~ if direct Candidate / Officeholder name
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City;
PURPOSE
OF
EXPENDITURE
Complete OOL.Y if direct Candidate I Officeholder name
expenditure to benefit C/OH
} 1(''', SCHEDULE F' (:J l!i:f.4 L
EXPENDITURE CATEGORIES FOR BOX 8(a)
Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Solicitation/Fundraising Expense Transportation Equipment & Related Expense
Travel In District Contributions/Donations Made By
Travel Out Of District Candidate/Officeholder/Political Committee
Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
13 ACCOUNT # (Ethics Commission Filers)
IM-cNVa-
State; Zip Code
t'3r<CAOi-IIAy S~
T)' '7 ")c7A'
(a) Category (See categories listedatthetopoflhisschedule) (b) Description (It travel outside of Texas, complete Schedule T)
Po Btx ,(Ef\}1t-\L
Office sought Office held
State; Zip Code
Category (Seecategorieslistedatthetopofthisschedule) Description (IftraveloutsideofTexas,completeScheduleT)
Office sought Office held
State; Zip Code
Desaiption (Iftravel outside ofTexes,completeSchedule T)Category (See categories listedalthetopofthisschedule)
Office sought Office held
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'~"_'~!1:e;iti~_State; Zip Code -
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t';
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3': " fll
Category (Seecategorieslistedatthetop ofthisschedule) Description (Iftraveloutsideof Texas, completeSch~ T) " , .. 'c::o=i
~ >,,,,,,/
Office sought Office held
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.lx.us Revised 04/19/2013
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TOO 1-800-735-2989). , ",
!
/)l7IG/ SCHEDULE L
~ ~/!J I
1 Total pages SchedJe L
The Instruction Guide explains how to complete this form.
3 ACCOUNT # (Ethics Commission Filers)
AE..N~
Name of lender
:5 A } 'B>SN'~~
Lender address; City; State; Zip Code
.;J; CG B. LctJADA LE (2..D sre: 3 <..,3S'+j - I AAC~NI\JEY, "T;f 7SCi)
Name of guarantor
Guarantor address; City; State; Zip Code
Name of lender
Lender address; City; State; Zip Code
Name of guarantor
Guarantor address; City; State; Zip Code
Name of lender
Lender address; City; State; Zip Code
Name of guarantor
Guarantor address; City; State; Zip Code
Name of lender
--"
Lender address; City; State; Zip Code
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Name of guarantorGUARANTOR +
INFORMATION " ::B: J'~l'"f
ca .
Guarantor address;0 nol applicable City; State; Zip Code
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ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.elhics.slale.lx.us Revised 04119/2013
OUTSTANDING LOANS
2 FILER NAME
lrD,l1-(V\,Jl\-\J
4
INFORMAnON
LENDER J
5
6GUARANTOR
INFORMAnON
~ not applicable 7
LENDER
INFORMAnON
GUARANTOR
INFORMAnON
0 not applicable
LENDER
INFORMATION
GUARANTOR
INFORMAnON
D not applicable
LENDER
INFORMAnON