HomeMy WebLinkAboutTerry Douglas 05152014Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TOO 1-800-735-2989)
CANDIDATE I OFFICEHOLDER oORIGINAL· FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 ACCOUNT# 2 Tocal pages filed:
(Elhics Comm ...m Fl....)The CIOH Instruction Guide explains how to complete this form. 4 ",1\11\1111,,,,,, "",~~~\S TRA rri'lf'""
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7 CAMPAIGN smEET AOORESS (NO PO BOX PlEASE); APTISUITEiJ; CITY; STATE; ZPCODE
TREASURER
ADDRESS 619 Stoneybrook Dr. Wylie, TX 75098
(residence or buSiness)
AREA CODE PHONE NUMBER EXTENSiON8 CAMPAIGN
TREASURER ( 214 ) 802-3960 w
PHONE
N9 REPORT TYPE 15th day oller campalglQ")JlIIluary 15 30th day before election Runoff0 0 0 treasurer appoinbnent
(--only)
Final report (Am8d'l CiOH • FR)July 15 6th day before eledion Exceeded $500 0 0 0 limit!
10 PERIOD Dey-0., y-
COVERED
THROUGH 01/01· /'2014 ..J1LI.1>l.as ,--r<--2014
ELECTIQN TYPE11 ELECTION ELECTION DATE
Dey
D Pnmay
/ /
OFFICE HELD (nany) 13 OFFICE SOUGHT (jfknOwn)12 OFFICE
Justice of the Peace, Precinct 2, Same as #11
Collin County, Texas
GOTOPAGE2
www.ethlcs.stale.lx.us Revised 09/2812011
14 C/OH NAME Terry L Douglas 15 ACCOUNT' (Ethics Commission Filers)
Texas Ethics Commission p.o. Box 12070 Austin, Texas 76711-2070 (512) 463-5600 (TOO 1-800-735-2969)
CANDIDATE I OFFICEHOLDER REPORT:
SUPPORT & TOTALS
14 CIOH NAME Terry L. Douglas
FORM C/OH
COVER SHEET PG 2
15 ACCOUNT' (Ethics Commission Filers)
16 NOTICE FROM
POLITICAL
COMMITTEE(S)
THIS BOX IS FOR NaTICI! a' POl.JTlCAL CONlRIBUTIONS ~OR PQ..l11C-'I. EXPENDITURES MADE BY POUlICAl COMMl1'TEES 10 SUPPORT THE
CAND4Ilot\n I OFl'ICEItOUleR. T~~ fX~HDfTURrSMAY HAV~ R~H 1IIADe WfTHOUT THf! CAHDlDAT~'S OR OfT~HOI..D~R·S KNOWUDG~ OR
CONSENT. CANIlIDA1'I!:5 NlD OFFlCEHa.DERS AlE REWIRED 10 REPORT nus tlFOIlMATION ONLY F lllEY IECEIVE NOTICE a' SUCH UPENIlITURES.
COMMITTEE NAME
COMlllTTEE TYPE
o GENERAL
COMMITTEE ADDRESS
o add~ional pages
-o SPECIFIC
COMMI TTEE CAMPAIGN TREASURER NAME
COMMITTE E CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION
TOTALS 1.
2.
TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
$0.00
$ 0.00
EXPENDITURE
TOTALS 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED $0.00
CONTRIBlrrlON
BALANCE
OUTSTANDING
LOAN TOTALS
18 AFFIDAVIT
4.
5.
6.
TOTAL POLITICAL EXPENDITURES
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
$103.12
$ 0.00
$ 0.00
. to certify which, witness my hand and seal of office,
I swear, or affinn, under penalty of perjury, that the accompanying report
Is tnJe and correct and Includes allnfonnation required to be reported by
me under Title 15, Election Code.
AFFIX NOTARY STAMP I SEAL ABOvt:
Swo rn to and subscribed befo re me, by t he sa id ----:T~e:::.:r:..:.ryL.:.L=-.:....::D:...:o:..:u:.;goz.l:.:a:.:s:..... . this the
7 th , 20 ..;..14-,--_
www.ethlcs.state.tx.us Revised 09/2812011
Texas Ethics Commission P.O. Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TOO 1-800-735-2989)
NON-POLITICAL EXPENDITURES SCHEDULE IMADE FROM POLITICAL CONTRIBUTIONS
EXPENDITURE CATEGORIES FOR BOX ala)
Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of DistricI 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 form.
1 Total Pfges Schedule I: 2 Mtl;ER r~¥:ty L. Douglas 13 ACCOUNT # (Ethics Commission Filers)
4
Datn5 / 01 / 2014 5 Payee name
First Baptist Church Wylie --A Heart For India
6 Amount ($) 7 Payee address; City; State; Zip Code
$103.12 200 N. Barlard St. , Wylie, TX 75098
a PURPOSE (a) Category (See categories listed at the top of this schedule) (b) Description (See Instructions regarding type of information required.)
OF
EXPENDITURE Contribution by Officeholder Charitable Contribution
Date Payee name
Amount ($) Payee address; City; State; Zip Code
";.-" .~
PURPOSE Category (See categories listed at the top of this schedule) Description (See instructions regarding type of infor~on requjre~
OF ~ :
-.c r---:,EXPENDITURE -
Date Payee name l
""0 m:r:
Amount ($) Payee address; City; State; Zip Code .. o·
N .
0) ~ -'"
PURPOSE Category (See categories listed et the lop of this schedule) Description (See instruclions regarding type of information required.)
OF
EXPENDITURE
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE Category (See categones I,sted at the lOp of this schedule) Description (See instructions regarding type of information required.)
OF
EXPENDITURE
ATIACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.lx.us Revised 09/28/2011
Texas Ethics Commission PO. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
CANDIDATE I OFFICEHOLDER REPORT:
DESIGNATION OF FINAL REPORT FORM C/OH -FR
The Instruction Guide explains how to complete this form.
Complete only if "Report Type" on page 1 is marked "Final Report" ••
1 CIOH NAME
Mr. Terry L. Douglas
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 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 treasurer appointment on file,
4 FILER WHO IS NOT AN OFFICEHOLDER
•• Complete A & B below only if you are not an officeholder.
Check only one:
D I do not have unexpended contributions or unexpended interest or income earned from political contributions, w
CAMPAIGN FUNDS
I have unexpended contributions or unexpended interest or income earned from political contributions. I understand ~t I m y
not convert unexpended political contributions or unexpended interest or income earned on political contributions to....e!HsOr$a1
use. I also understand that I must file an annual report of unexpended contributions and that I may not retain une~encr~
contributions or unexpended interest or income earned on political contributions longer than six years after filin~is fin
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,
D
A.
B. ASSETS
Check only one:
D I do not retain assets purchased with political contributions or interest or other income from political contributions.
D I do retain assets purchased with political contributions Or interest or other.incomefrom political.coQtributiQf1s I L!nd~rstand t~at
I may not convert assets purchased with political contributions or interest or other income from political contributions to personal
use. I also understand that J 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 ••
[!J 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 ccntributions, interest or other income from political contributions, or assets purchased wit olitical
contributions or interest or other income from political contributions.
www.ethics.state.tx.us Revised 09/28/2011