HomeMy WebLinkAboutBarnett Walker Jr 07152014Texas Ethics Commission po. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
3 CANDIDATE I
OFFICEHOLDER
NAME
4 CANDIDATE 1
OFFICEHOLDER
MAILING
ADDRESS
D change of address
5 CANDIDATEI
OFFICEHOLDER
PHONE
6 CAMPAIGN
TREASURER
NAME
7 CAMPAIGN
TREASURER
ADDRESS
(residence or business)
8 CAMPAIGN
TREASURER
PHONE
9 REPORT TYPE
10 PERIOD
COVERED
11 ELECTION
JUDICIAL CANDIDATE I OFFICEHOLDER FORM JC/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
ACCOUNT # 2 Total pages filed
(EHlics Comrrussron Filers)The JCIOH Instruction Guide explains how to complete this form.
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AREA CODE PHONE NUMBER EXTENSION
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treasurer appointment
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Monlo Day Year Month Day Year en
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ELECTION TYPE ELECTION DATE
Month Day Year D Pnmary D Ruroft ~ General
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www.ethics.state.tx.us 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
SUPPORT & TOTALS COVER SHEET PG 2
14 C/OH NAME 15 ACCOUNT # (Ethics Commission Frlers)
16 NOTICE
FROM
POLITICAL
COMMITTEE(S)
o additional pages
17 CONTRIBUTION
TOTALS
EXPENDITURE
TOTALS
CONTRIBUTION
BALANCE
OUTSTANDING
LOAN TOTALS
THIS BOX IS FOR NonCE OF POLinCAL CONffilBunONS ACCEPTED OR POLInCAL EXPENDITURES MADE BY POLInCAL COMMITTEES TO SUPPORT THE
CANDIDATE 1OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S KNOWLEDGE OR
CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMAnON ONLY IF THEY RECEIVE NonCE OF SUCH EXPENDITURES.
COMMITTEE TYPE
o GENERAL
o SPECIFIC
COMM!TTEE NAME
COMMITTEE ADDRESS
COMMITTEE CAMPAIGN TRE,~SURER NAME
COMMiTTEE CAMPAIGN TREASURER ADDRESS
1 , TOTAL POLITICAL CONTRIBUTIONS OF $5D 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 $100 OR LESS, UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES
5, TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF THE REPORTING PERIOD
6 TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD
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$
$
$
$
$
$
18 AFFIDAVIT
I swear, or affirm, under penalty of perjury, that the accornpanying report is
true and correct and includes all information required to be reported by me
under Title 15, Election Code,
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP (SEAL ABOVE
Sworn to and subscribed before me, by the said -::Bar 1e:1-f: WcJ tLer) ,fr, this the
DEBOIAH JOY PINA....,NIIic
STATE OFTEXAS
Nrc-.....-..1"2016
Print name of officer administering oath
to certify which, witness my hand and seal of office.20 pi
www.ethics.state.tx.us Revised 04/19/2013
1
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 ,,-, i1IGI!'JAL
The Instruction Guide explains how to complete this form .
•• Complete only if "Report Type" on page 1 is marked "Final Report" ••
2 ACCOUNT # (Ethics Commission Filers)C/OH NAME
-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
;7 /~u-/;~(/-~d~
C~s:atureof Candidate 1 Officeholder
4 FILER WHO IS NOT AN OFFICEHOLDER
•• Complete A & B below only if you are not an officeholder.••
A. CAMPAIGN FUNDS
Check only one:
~ 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 earned on political
contributions in accordance with the requirements of Election Code, § 254.204.
.....
B. ASSETS +
'<:::Check only one: r-
~ 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 und~and~haJYl
may not convert assets purchased with political contributions or interest or other income from political contributions to personal us~ ,
I also understand that I must dispose of assets purchased with political contributions in accordance with the req~mentS-oM
Election Code, § 254.204. ~ . [;,.j
7~)~~~J------------
'---_ Signature of Candidate
5 OFFICEHOLDER
•• Complete this section only if you are an officeholder ••
j:8l I am aware that I remain subjectto filingrequirementsapplicabletoanofficeholderwho does not haveacampaign treasureronfile. 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. -"
~< ~:~~.---------J-~-~_-.0~----~-:~-
,~_/ Signature of Officeholder
www.etrucs.state.tx.us Revised 04/19/2013