HomeMy WebLinkAboutTerrye Evans 02242014Austin Texas 78711-2070 (512)463-5800 (TOO 1-800-735-2989) Texas Ethics Commission PO Box 12070 ,
CANDIDATE I OFFICEHOLDER FORMC/OH
CAMPAIGN FINANCE REPORT [J ORIGINALcoVER SHEET PG 1
1 ACCOUNT # 2 Total pages filed ....;;.
(Ethics Commission FIlers) The CIOH Instruction Guide explains how to complete this form. ~
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MSIMRSIMR FIRST MI3 CANDIDATE 1 ",..11 '1j~~~... .... ',," ~OFFICEHOLDER
NAME
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NICKNAME LAST SUFFIX f~( '" :. \g~
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ADDRESS f PO BOX: APT f SUITE #: CITY, STATE, ZIP CODE
OFFICEHOLDER
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ReceIpt # ....I~tIAREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER
5 CANDIDATEI
Dale ProceSSede·tl/j ) ,}, I.j 1PHONE 44-f .:;.. ',;z.,Lf ~ I tf_.
Date Imaged 6 CAMPAIGN ~'MRS/MR FIRST MI
TREASURER ;;). 'J..£f ./1NAME C +JI.1t:'t.., .. ..Y
NICKNAME LAST SUFFIX
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STREET ADDRESS (NO PO BOX PLEASE), APT ISUIT\!#, CITY: STATE: ZIP CODE
TREASURER ... ~
7 CAMPAIGN
c? 00 I CerJ-,Q) CI~C.)e, -St(1 k
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-, ..ADDRESS 100I I .,,,(residence or business) ;
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Nill =-K.\V) (\ €-<J -tl' 7S'()~1
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AREA CODE PHONE NUMBER EXTENSION8 CAMPAIGN -0
~TREASURER
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PHONE (C)r;~ Y'1~ /9 q / ~ :.oa=-,
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9 REPORT TYPE D D D D 15th day after campaign
treasurer appOintment
(officeholder only)
January 15 30th day before election Runoff
D
JUly 15 ~ay before election Exceeded $500 Final report (Attach CfOH . FR)
D Dlimit
10 PERIOD Month Dai Year Month Dai Year
COVERED
THROUGH
l / I~/~ 1<-/ d.. / d.3/ /'1
ELECTION11 ELECTION ELECTION DATE
Monlh Dai Year
Primal)' DRunoII D General D Special
3 /1/ J~
13 OFFICESOUGHT (If known) OFFICE HELD (ff any)12 OFFICE
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GO TO PAGE 2
www.elhicsslate.lx.us Revised 04/19/2013
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Texas Ethics Commission P.O Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TOO 1-800-735-2989)
CANDIDATE I OFFICEHOLDER REPORT: FORM C/OH
SUPPORT & TOTALS COVER SHEET PG 2
[JORIGINAL
14 C/OH NAME 15 ACCOUNT # (Ethics Commission Filers)
16 NOTICE FROM
POLITICAL
COMMITTEE(S)
0 additional pages
17 CONTRIBUTION
TOTALS
EXPENDITURE
TOTALS
CONTRIBUTION
BALANCE
OUTSTANDING
LOAN TOTALS
18 AFFIDAVIT
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1
THIS BOX IS FOR NOncE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLillCAL EXPENDllURES MADE BY POLITICAL COMMITIEES TO SUPPORT THE
CANDIDATE 1OFFiCEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S KNOWLEDGE OR
CONSENT. CANDtDA res AND OFFICEHOLDERS ARE REQUIRED 10 REPORT THIS INFORMATlON ONl..Y IF THEY RECEIVE NOTICE OF SUCH EXPENDtlURES.
COMMITTEE TYPE
o GENERAL
o SPECIFIC
I
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)
3 TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES
5 TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD
-
COMMITTEE NAME
rJ}A
COMMITTEE ADDRESS
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COMMIHEE CAMPAIGN TREASURER NAME
N /w
COMMITTEE CAMPAIGN TREASURER ADDRESS
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I swear, or affirm, under penalty of perjury, that the accompanying report
is true and correct and includes all information required to be reported byD£BOIAH K1V PIMA
me under Title 15, Election Code.~""'ic
STA~ Of TEXAS
Myeo-. Elql. AIIFIl '''2016
dL'1L~ t~~
Slg'nature of Candidate or Officeholder
AFFIX NOTARY STAMP I SEAL ABOVE
-J I!. , r
Sworn to and subscribed be,f re me, by the said , -, II f v~ / , this the,1./9/day of l-ep/bl"J ' .20 ! ,
• to certify Wb ch. witness my
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'-fl l ,./.-, ./'.Y~ td1!J~Y Sig~~f officer ~dministerin~athl Printed name of officer administering oath
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hand and seal of office.
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Title of officer administering oath
www.elhics.state.tx.us Revised 04/19/2013
I
liexas EhtiCS Commission P.O. B:lOX 12070 Austin, Texas 78711-2070
POLITICAL CONTRIBUTIONS
OTHER THAN PLEDGES OR LOANS )
11::='
The Instruction Guide explains how to complete this form.
2 FILERNAME~
Ie 1~'l1 e.,,
,/k-Vel nS
4 Date 5 Full name of contributor o out-ot-state PAC (IDIt: )
Ivor ; CCf-tl{)
6 Contributor address City; State; Zip Code~I ;r3!li ~)O-)...S I DO w· ~ t U'r o....d 0 / m ~~ --'7<50/70e--I Y\ ~--I
(512) 463-5800 (TOO 1-800-735-298)9
SCHEDULE ARrGINAL
1 Total pages Schedule A:
3 ACCOUNT # (Ethics Commission Filers)
7 Amount of 18 In-kind contribution
contribution ($) I description (if applicable)
60.00 I
I
I
(If travel outside of Texas, complete Schedule T)
9 Principal occupation 1 Job title (See Instructions) I 1 10 Employer (See Instructions)
r!
Date
j~
Full name of contributor o out-af-state PAC (10#: )
~,V\hu ,':( s; \V1
Contributor address City; State; Zip Code
~O~ La kewood tJf(
fV\~ lL 11.Y1...-e-v, T1: Y) ,!>tJ 70
I
Amount of I In-kind contribution
contribution ($) I description (if applicable)
,
300,00
I
I
(If travel outside of Texas, complete Schedule T)
Principal occupation / Job title (See Instructions) Employer (See Instructions)
I
Full name of contributor o out-of-state PAC (10#' )Date
~
eOS€.(\ #:0..;1~ntriS::::re1s;. City; State; Zip Code~/~J/J ( '7 ~J-3 k:.e V I V\ DJ(
/) u 1\ q s \)C 1/52.-...( ;y
Amount of I In-kind contribution
contribution ($) I description (if applicable)
100.00 I
I
I
(If travel outside of Texas, oomplete Schedule n
Principal occupation / Job title (See Instructions) Employer (See Instructions)
I
Amount of I I n-kind contribution
contribution ($) description (if applicable)
Date Full name of contributor o out-of-state PAC (10#,_,. )
II
Contributor address; City; State; Zip Code I
-....
~I ..... ....., ..rI
(If travel ,?utside of Texas comple'insehedule_ n ......,
Principal 0CGupation / Job title (See Instructions) Employer (See Instructions) ,..
NI ....
Date Full name of contributor o oul-of-Slate PAC (10#' ) Amount of
contribution ($)
I
I
In-kind ~ntri~
descriptio~f a~li I
Contributor address; City; State; Zip Code I
I
~
W w
,
,~
-
f
I
(If travel outside of Texas, complete Schedule n
Principal occupation / Job title (See Instructions) Employer (See Instructions)I
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC. please see Instruction guide foradditionat reporting requirements.
wwwethics.state,lx,us Revised 0411912013
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c Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
POLITICAL EXPENDITURES SCHEDULE F
Advertising Expense
Accounting/Banking
Consulting Expense
Event Expense
Fees
1 Total pages Schedule F
4 Date
6 Amount ($)
l Ott~,OO
S PURPOSE
OF
EXPENDITURE
9 Complete Qlli.':( if direct
expenditure to benefit C/OH
Date \?S \1Y)..r
Amou t ($)
Slo. oD
PURPOSE
OF
EXPENDITURE
Complete Qlli.'t if direct
Date
Amount ($)
d. Lt,. 00
PURPOSE
OF
EXPENDITURE
Complete ONLY if direct
expenditure to benefit C/OH e,r-n·-(f" V,,1 \1\5 0/ s-l-Y'i e-f-
Payee name 1~ O,)'\€.. Depo+-..
Payee address; City; State; Zip Code
!+ve.1615 Cei'ltni:1 ~~ k, Y)"t"-.1 -l::< '75070
Description (If travel outside of Texas. complete Schedule T)CS:~?(:el~~e~~sliT ~;; thIS~C~;) J
Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Amount ($)
PURPOSE
OF
EXPENDITURE
Complete Qlli.'( if direct
/ J
-.
uRIGINAL
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 form.
2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers)
1
5 Payee name I ,.-;-Ph V4 Vr:e-J-(\~
7 Payee a'ddress; C(ty; State; Zip Code
( 4'3ij d-f() -857'-1
ICLA)er5 -If,
(b) Description (II travel outside of Texas. complete Sctledule T)
(a) cats~~e: :a~goneTtp::O~f+i; ::e)
Candidate I Officeholder name '-J Office sought Office held
Payee name
()f-hce.. ~~
Payee address; City; State; Zip Code
0r-z;t L~ C-VO ':i"51r-g-rf\~~ Y\¥t. e...t l;< YJ r;o~OI (...
Category (See oategones listed at the top of thiS schedUle) Description (If travel outside 01 Texas, complete Schedule T)
SL-lppll~S h5 .5 8'h5
Office soughtca~/ Officeholder ~e CierL Office held
Payee name .;;:. ~
"-Tl .. .,g
Payee addres5; City; State; Zip Code '...~-=---
N
..~ T "il:
Category (See (alegones listed at the top at th" schedule) Description (If travel outside of Texas. complete ~edute~) ! t
W .~
Candidate / Officeholder name Office sought Offi'@'held ~
expenditure to benefit C/OH
ATIACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethicsstate.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 D ORIGI L
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense GiftJAwards/Memorials Expense SalarieslWages/Contract Labor Loan Repayment/Reimbursement
Acccunti ng/Banking Legal Services Solicitation/Fundraising Expense Transportation 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 form.
1 Total pages Schedule G: 3 ACCO~I~EthiCS Commission Filers)
. lGr(l~ k------VQv15
2 F~ME
5 Payee name {4 Date
p~\Jq 1\(~0 ~~,
6 Amount ($) 7 Payee Jddres~! at-}; State; Zip Code
~q;(_oo
rReimbursement from
. political contributions iC-)f .» \f ( lf3 ';).}!). '7 I f6 71
Inlended I
(a) Category (See calegories listed althe top of this schedule) (b) Description (If travel outside of Texas. complete Schedule T)8 PURPOSE
OF
EXPENDITURE
P I VI.-h f'4( l ~/~1'\~I
Payee name
DaN} ~) I~
of--F-I ~ e--(Y\ay:
Amount ($) Payee address; City; State; Zip Code
~(P. D° '\
flRelmbursement from
political contributions eV-a \3-CVOSS\~ [t!'At rr vu €if 17" r; SOY) 0
intended
Category (See categones listed at the top of this schedule) Description (If travel outSide of Texas. complele Schedule T)PURPOSE
OF
EXPENDITURE
Pr, 1\ h~J !SL-\P pi eJ
Payee name
Da?J-j 11 ) )vi Hf5Yv1G-UfJPOr
Amount ($) Payee address; City; State; Zip Code
~lp,OO
Relmbursemenl from IS lS C0vL+VZl I 4vv political contnbutions
intended
YlJ\ ~t Vt V\-~ /i-.~'b Dt 0
Category (See "'llegoCies listed at the top of this schedule) DeSCri~tio~ (If travel outSide of Texas. complete Schedule T)PURPOSE
OF
EXPENDITURE
-"
~
r"'1 Date Payee name ~a::I
N =~ -
Amount ($) Payee address; City; State; Zip Code -0
::::I: '.• r WReimbursement from -,
political contributions
intended
0 W
~., .;:
Category (See cctegones listed at the top of this schedule) Description (If travel outside of Texas. complete Schedule T)PURPOSE
OF
EXPENDITURE
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 04/19/2013