HomeMy WebLinkAboutDenise Alberino 01152014' ..
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 46:>-5800 (TOO 1-800-735-2989)
Dale Imaged
SUFFIX
EXTENSION
EXTENSION
[Aly Yea-0-:x
THROUGH / / N
U)
ELECTION TYPE ~ DR>.mlI D General Dspecial
FlRST
ffi\Q.l ..t€-\.
LPST
-h \
PHONE NUMBER
ELECTlON DATE
-D9) veer 03/0~/i4
9 REPORT TYPE D 30th day before election D Runoff D 15th day after cam
treasurer appointma
(officeI1older only)
D July 15 0 8th day before election D Exceeded $500 D Final report (Altadl C
limit
W
6 CAMPAIGN MS/MRS/MR
TREASURER
NAME
NICKNAME
8 CAMPAIGN
TREASURER
PHONE
11 ELECTION
10 PERIOD
COVERED
I---D__ch_ange__of_add_ress__+-I Receipt II
5 CANDIDATEI AREA CODE
~~~I~~HOLDER (Yto<t)
12 OFFICE OFFlCE HELD (W.-ry)
CANDIDATE I OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT [) ORIGINAL COVER SHEET PG 1
1 ACCOUNT# 2 Total pages filed:
(Ettlics Commission Filers)The etOH Instruction Guide explains how to complete this form.
3 CANDIDATE I
OFFICEHOLDER
NAME
4 CANDIDATE I
OFFICEHOLDER ~~~~~~s
lollMS/MRS/MR
ffie? .
NICKNAME SUFFlX
'\'-lno
ADDRESS IPOBOX; APT I SUITE It; CITY; STATE; ZIP CODE
~
19::>3 cteeu.:xLd ~t\'Q\ Ll~ Ile-lr\~'18
GO TO PAGE 2
www.ethics.state.tx.U5 Revised 04/19/2013
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 (TOO 1-800-735-2989)
CANDIDATE I OFFICEHOLDER REPORT:
SUPPORT & TOTALS
14 C/OH NAME 15 ACCOUNT # (Ethics Commission Filers)
MELISSA SMITH ~ Notary Public. Stole ot !exas
My Commlaslon Exp Ie
MOlch oe. 2017
AFFIX NOTARY STAMP I SEAL ABOVE
Sworn to and subscribed before me, by the said , this the
• 20 11---.to certify which. witness my hand and seal of office.
Signature of Candidate or Officeholder
."""'........J.U"""--+__
16 NOTICE FROM
POLITICAL
COMMITTEE(S)
o additional pages
17 CONTRIBUTION
TOTALS
EXPENDITURE
TOTALS
CONTRIBUTION
BALANCE
OUTSTANDING
LOAN TOTALS
18 AFFIDAVIT
THS BOX IS FOR f'OOTICE OF POUTICAI.. CON1llIIll11lON ACCe'lED OR POlffiCAL EXPENIJl1lJRES MADE BY POUTICAL COMMITIEES TO SU'PORT THE
CANIlKlATE I OFFICEHOLDER. THESE EXPENDfTURES IlIAY HAVE BEEN MADE 'MTHOUT THE CANDIDATE'S OR DFRCEHOLDER'S KNOWLEDGE OR
CQH!IEIIT. CAMJlOATES ~0ffJCEH0I.DERS /lSI£ ~TO REPORT ~ INRlflMo\TION ON-Y F THEY RECBVE NOTICE OF SUCH EXPEI\DITURES.
COMMITTEE NAME
COMMITlEE TYPE
o GENERAL
COMMITTEE ADDRESS
o SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
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)
'70 C,'~.
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED $
4. TOTAL POLITICAL EXPENDITURES
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD
Printed name of officer administering oath r administering oath
www.elhics.state.lX.us Revised 04119/2013
9
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TOO 1-800-735-2989)
Principat o=upation f Job title (See Instructions) 10 Employer (See Instructions)
Date Full name of contributor 0 out-of·state PACODII: Amount of In-kind contribution
description (if applicable)\: ' ~ A\ _~ contribution ($)
_\..4 . . :"'".. l.'('Q..\l'-:\Lt l\ ~\L l\c3L\.~'-1. . . . .
Contributor addres~; City; Slate; Zip Code . I.{LO L0
/5 ~ C-d(~~ I ~O'-?>f("-7~~
If travel outside C1f Texas, com
Principal o=upation f Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor 0 out-of-state PACODII: Amount of In-kind contribution I I i contribution ($) I description (if applicable)
'40a\ \ .... 01.~.t1\ l\$~~rn,\'ti. u\. to l ~ Contributor alldress; Ci; Slate; Zip Code ~ leo I
I a\ C:, f\c,\:n ~~~0tllE:... ~L~,-t\-~C I
I~\ l~--r~~ (If travel outside of Texas, complete Schedule T)
Principal occupation f Job title (See Instructions) Employer (See Instructions)
Amount of In-kind contributionIDate
contribution ($) I description (if applicable)
000.1
I
I
If travel outside of Texas, com
Employer (See Instructions)
Amount of In-kind contribution
contribution ($) I description (ff""applicable)
uti name of contributor 0 oul-of-statePACQDII: ---'Date
l _~ .n. 0'~C\ lC:.<s k I\'J~""'O' ':i-9~7(740 ,"p Code I
I
If travel outside of Texas, com
Employer (See Instructions)
POLITICAL CONTRIBUTIONS
OTHER THAN PLEDGES OR LOANS
The Instruction Guide explains how to complete this fonn.
2 FIL
4 Date 5 Full name of contributor 0 out-of-state PACOOf: ---J
Qlt\{-II~ ('(\C\\A\. () ..&\.'tl(p...
- \ ...) 6 Contributor ddress' City; Slate; Zip e
I~'"S £.. J-&tt'51CfUbJ)r-ri l
SCHEDULE A
1 Total pages Schedule A:
3 ACCOUNT # (Ethics Commission Filers)
7 Amount of 8 In-kind contributionIcontribution ($) description (if applicable)
\L.O~ :
I
(If travel outside or Texas, complete Schedule n
ATIACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see instruction guide foradditional reporting requirements.
www.ethics.state.tx.us Revised 04/19/2013
\\\\.C Sl 1; Zip Cod~~
l+f\bi\
Date
Date
Date
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TOO 1-800-735-2989)
POLITICAL CONTRIBUTIONS
SCHEDULE AOTHER THAN PLEDGES OR LOANS RIGINAL
1 Total pages Schedule A' "-t --1The Instruction Guide explains how to complete this form.
3 ACCOUNT # (Ethics Commission Filers) 2 FI
7 Amountof 8 In-kind contribution
contribution ($) I description (if applicable)
4 o out-<lf-state F¥.C(IDI/: -----!
~\ .-±t l CC.<--.J :
I
(If travel outside or Texas. complete Schedule 1)
9 10 Employer (See Instructions)
Date ull name of contriqutor 0 Ollt-<lf-state PAC (IDI/: _ Amount of In-kind contributionI
contribution ($) I description (if applicable) .~.. .t ....ttW .Ei ~~ '~~(y/:
c;;;;u;add sffi~\:~~(e, _ ~
I~ii(\[\&\ I:-£-~'boq If travel outside or Texas, com
Principal occupation I Job title (See In ructions) Employer (See Instructions)
Amount of In-kind contribution
contribution ($) I description (if applicable)
1llt::o d-> I
I
I
(If travel outside of Texas, complete SChedule 1)
Employer (See Instructions)
Amount of In-kind contributionI
contribution ($) I description (if applicable)
. c...:..., I
I
I
If travel outside of Texas, corn
Employer (See Instructions)
Amount of
contribution ($) I
I-=:'l I
I
If travel outside of Texas, com
Employer (See Instructions)
ATTACH ADDmONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see instruction gUide foradditional reporting requirements.
www.ethics.state.tx.us Revised 04/1912013
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TOO 1-800-735-2989)
POLITICAL CONTRIBU-rlONS
SCHEDULE AOTHER THAN PLEDGES OR LOANS GINAL
1 Total pages Schedule A:
The Instruction Guide explains how to complete this fonn.
3 ACCOUNT # (Ethics Commission Filers) 2 Fl
7 Amountof 8 In-kind contribution
contribution ($) I description (if applicable)
te PAC (ID#:. --'
~)tt../.J01
I
I
(If travel outside of Texas, complete Schedule T)
9 Principal o=upation 1 Job title (See Instructions) 10 Employer (See Instructions)
Date F Amount of In-kind contributionI
contribution ($) I description (if applicable)
'~5cJO U>-1 I
I
I
If travet outside of Texas, com
Employer (See Instructions)
Amount of
contribution ($) I d
In-kind contribution
escription (if applicable)
~1ct9(Y I
I
I
(If travet outside of Texas, complete Schedule T)
Employer (See Instructions)
Amount of In-kind contributionI
contribution description (if applicable)(\J I
11=coJI
I
I
If travet outside of Texas, com
Employer (See Instructions)
Date In-kind contllbution
description (if -@I!PIicable)~
::=.
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor Is out-of-state PAC, please see instruction guide foradditional reporting requirements.
www.ethics.state.tx.us Revised 04/1912013
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TOO 1-800-735-2989)
POLITICAL CONTRIBUTIONS
SCHEDULE AOTHER THAN PLEDGES OR LOANS L
Total pages Schedule .
The Instruction Guide explains how to complete this fonn. 1
3 ACCOUNT # (Ethics Commission Filers)
7 Amount of I 8 In-kind contribution
contribution ($) I description (if applicable)
4 Date 5 FUll name of contributor o OUI-<lI-statePAC (ID#: ---')
0 ~.~ ~' .e~~ .
l' ~\ I~ 1blC0~ I6 Contrib address; rty; Slate; Zip Code\\ I'3:+'~ 1 \r. clc:dE2..
I
(If travel outside of Texas, complete Schedule n~~J\r\~~1 -r'1--r.yf.
9
Date Amount of In-kind contributionI
contribution \$) I description (if applicable)
I
I
I
Principal o=upation I Job title (See i~structions) Employer (See Instructions)
(If travel outside of Texas, complete Schedule n
Principal occupation I Job title (See Instructions) Employer (See Instructions)I
ull name of contributor 0 out-at-state PPi:-00#: ---'> Amount of I In-kind contributionDate r"6 contribution ($) I description (if applicable) \t··~ . ~,"\~-... .~~~ I~h~\~ ,,~ocutor \ ress~ ~; ~l; Zip Code oW I ~ I Ll,,-Q \.J~~~
~~4.\'0 I -c-'+-{~l£; (If travel outside 1Texas, complete Schedule n
Principal o=upation I Job title (See Instructions) Employer (See Instructions)
I
Full name of contributor o out-aI-state PAC (ID#: --') Amount of I In-kind contribution
contribution ($) I description (if applicable)
Date
Contributor address; City; Slate; Zip Code I
I
I
(If travel outside of Texas comolete Schedule Tl
Principal occupation I Job title (See Instructions) Employer (See Instructions)
I
Amount of I In-kind contribution
contribution ($) I description (if applicable)
Full name of contributor 0 out-ot-statePAC(ID#: ---')Date
-..
Contributor address; City; Slate; Zip Code I ~ IfC
I :: -<:u....od.
I - '.,.,."..
(If travel outside of Texas, comolete W!edule n
Principal occupation I Job title (See Instructions) Employer (See Instructions)
I
(.,.)ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED N
If contributor is out-of-state PAC, please see instruction guide foradditional reporting reqUirements.
www.elhics.slale.tx.us Revised 0411912013
(b)
The Instruction Guide explains how to complete this form.
(a) Category (See calegoPURPOSE8
4
Texas Ethics Commission PO. Box 12070 Austin, Texas 78711-2070 (512)463-5800 (TOO 1-800-735-2989)
POLITICAL EXPENDITURES IG/NALSCHEDULE F
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Gift/Awards/Memorials Expense SalarieslWageslContract Labor Loan RepaymenVReimbursement
Accounting/Banking Legal Services Solicitation/Fund raising Expense Transportation Equipment & Related Expense
Consulting Expense FoodlBeverage Expense Travel In Dis1rict ContributionsIDonations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Commit1ee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not lis1ed above)
3 ACCOUNT # (Ethics Commission Filers)
Description (If travel outside ofTexas. complete Schedule T)
OF
EXPENDITURE ~
Candidate / Officeholder name
\=i
Office held
expenditure to benefit C/OH
9 Complete ONLY if direct
PURPOSE
OF
EXPENDITURE
Complete ONLY if direct Candidate I Office
Description (If travel outside of Texas. complete Sdledule T)
expenditure to benefit C/OH
Category (See categOfies listed alllle top of lIlis sdledule) Description (If traver outside of Texas. complete Sche.dure T) PURPOSE
OF
EXPENDITURE
Complete ONLY if direct
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Category (See categories listed at the top of this sdledule)PURPOSE
OF
EXPENDITURE
Candidate / Officeholder name Office soughtComplete ONLY if diTect
expenditure to benefit C/OH
ATTACH ADOmONAL COPIES OF THIS SCHEDULE AS NEEDED
Description (If travel outside ofTexas. complete S~ule T"
~
www.ethics.state.tx.us Revised 04119/2013
8
Texas Ethics CommiSSion p.o. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TOO 1-800-735-2989)
Advertising Expense
Ac=unting/Banking
Consulting Expense
Event Expense
Fees
1 Total pages Schedule G: 2 3 ACCOUNT #
7 Payee address; City; State; Zip Code
/~a N c---s{ ts..l'E'\~LQ.
D Retmbursement from
polilical con1Jjbutions
intended
PURPOSE
OF
EXPENDITURE
Date
Amount ($)
~Qe)G:J
D Re~mbursement from
political contributions
intended
PURPOSE
OF
EXPENDITURE
J,Amount ($)
\~ L{GJ{d\
D Reimbursement from
political contributions
inteOOed
PURPOSE
POLITICAL EXPENDITURES
MADE FROM PERSONAL FUNDS [JORIGINAL
SCHEDULE G
EXPENDITURE CATEGORIES FOR BOX 8(a)
Gift/Awards/Memorials Expense SalarieslWages/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 fonn.
(Ethics Commission Filers)
\\'e 11\ ~\t\~ \ --!-7,;L1£cr
(a) Category (See categories listed at the top of this schedule)
w
Club
·on Of travel outside of Texas, complete Schedule T) ~~ 6E6b
Description (If travel outside of Texas, complete S
Description (~travel oul9i
«\;,.\ '('{\JL\ Il
l~\
~ecategO<ies listed at the top of this schedule)
Category (See categories .sIed at the top of this schedule)
Category (See categones listed at the top of this schedule)
Payee name
W
N
Reimbursement from
political contributions
intended
OF
EXPENDITURE
PURPOSE
OF
EXPENDITURE
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 EXPENDITURES SCHEDULE GMADE FROM PERSONAL FUNDS DORIGINAL
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Gift/Awards/Memorials Expense SalarieslWagesiConlract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense TranspOrlation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District ContributionslDonations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
~ The Instruction Guide explains how to complete this fonn.
1 Total pages SChedule G: 2
..3
xas, complele Schedule T)fA-.
3 ACCOUNT # (Ethics Commission Filers)
(b) Description (If travel outside of ry~~
te; Zip Code +l(. I ' ~ S rt-e~:'U·J~·1 {q
L'I--r -::b7
Category (see categotieslisled at the top of thIS sd1edule)
Category (see categories IiSled at lI1e top or this sdledule)
.~l. l~
Payee name
Payee name
5
l
ReImbursement from
poHtical corrtributions
intended
Reimbursement from
political contributions
intended
Reimbursement from
political conbibutions
intended
ount ($)
'~\ liLJ
PURPOSE
OF
EXPENDITURE
PURPOSE
OF
EXPENDITURE
PURPOSE
OF
EXPENDITURE
PURPOSE
OF
EXPENDITURE
Date
D
D
~)\..;
D Reimbursement from
political coolributions
inleode<l
6 Amount ($)
4 Date
8
,
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.lx.us Revised 04/1912013
8
CL~+
2 FI
5
1 Total pages Schedule G:
:3
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TOO 1-800-735-2989)
POLITICAL EXPENDITURES
SCHEDULE GMADE FROM PERSONAL FUNDS o RIGINAL
OF
EXPENDITURE
~Arri~4~~cr
O Reimbursement from
polittcal contributions
ird.ended
l'f~~*lSli G·
PURPOSE
OF
EXPENDITURE
Calegoty (S.....eategotie.s Ii.sted at tile top of this schedule) ~\ ~~~l~\ t'Cf ~i ~
Advertising Expense
Accounting/Banking
Consulting Expense
Event Expense
Fees
6 Amount ($)
1t> II ~ \7.0
O Reimbursement from
political oontributions
intended
PURPOSE
EXPENDITURE CATEGORIES FOR BOX 8(a)
GifUAwards/Memorials Expense SalarieslWages/Contract Labor Loan RepaymenUReimbursement
Legal Services Solicitation/Fund raising 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 fonn.
3 ACCOUNT # (Ethics Commission Filers)
7 Payee address; City~ State; Zip C e
old..t; d., UlJ· 1~ c :s
.~~l"-)l \{ {"Lu,~
(a) Category (See categories listed at lI1e top of tIlis od1eduJe) (b) Description (If travel outside of Texas, complete Schedule n
!rL~
PURPOSE
OF
EXPENDITURE
im~T~)crt,
D political
Reimbursement from
contributions
intended
PURPOSE
OF
EXPENDITURE
Amount ($) W
1) 1qA
D Reimbursement from
political contributions
intended
Category (See categooes hsted at lIle top of IIlIS schedule)M C.otJIS!. ,~--L
Category (See categories hsted at the top of lIlis od1edule)
M L"f/~ ~') n
Description (If travel outside of Texas, complete Schedule T)
'---tt:--e\ CQ,*-~,<:-~r/~
hc~
w
N
w
N
ATTACH ADDtTIONAl COPIES OF THIS SCHEDULE AS N
www.ethics.state_tx.us Revised 04/1912013
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TOO 1-80D-735-2989)
CANDIDATE I OFFICEHOLDER REPORT:
DESIGNATION OF FINAL REPORT FORM C/OH -FR
The Instruction Guide explains how to complete this fonn.
-Complete only if "Report Type" on page 1 is marked "Final Report" ••
1 C/OHNAME 2 ACCOUNT # (Ethics Commission Filers)
3 SIGNATURE
4 FILER WHO IS NOT AN OFFICEHOLDER
-Complete A & B below only if you are not an officeholder. -
CAMPAIGN FUNDS
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 campaigJL~ntributions
or make any campaign expenditures without a campaign treasurer appointment on file. ~
L
~.
A.
Check only one:c:r I do not have unexpended contributions or unexpended interest or income earned from political contributions.
o 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
eamed on political contributions in accordance with the requirements of Election Code, § 254.204.
B. ASSETS
Check only one:
[2f I do not retain assets purchased with political contributions or interest or other income from political contributions.
o 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 pol" I contributions to personal
use. I also understand that I must dispose of assets purchased w' I..cootlihutions in rdance with the requirements
of Election Code, § 254.204.
5 OFFICEHOLDER
•• Complete this section only if you are an officeholder ••
o 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.lx.us Revised 04/1912013