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Home My WebLink AboutJay Bender 01132016 ORIGINAL JUDICIAL CANDIDATE / OFFICEHOLDER FORM JC/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: The JC/OH Instruction Guide explains how to complete this form. 3 CANDIDATE/ MS/MRS/MR FIRST MI l OFFICEHOLDER • 1:71g." 54:1817:::...... N NAME A i Date,` o.. • i NICKNAME LAST SUFFIX V4>/*" f .� ti 4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE AO's. --_�- \ f L OFFICEHOLDER 2 100 -6 Lo C vtik:b r LE- " 0A 6 %* f/Q�a MAILING ��'�O`y�y .ry'��}, ADDRESS ��C K( - ❑ Change of Address �G I ,, N COrl1�N��.... 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION OFFICEHOLDER _ _ Date and-delivered r Date Postmarked� PHONE �q- � L� 7 / 0 S 0 a)i--57-10 Sp ...e,�--' _ar, Receipt # Amount$ 6 CAMPAIGN MS/MRS/MR _ FIRST MI TREASURER I(/,R DAv,..0 Date Proces d NAME NICKNAME LAST SUFFIX I .1 Il Date Imaged Lk.)fn 6 b i t..L i 1 ( 31 ( (,>? 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE TREASUR44 ADDRESS f 3 00 j"/',G i ), , 52o <2 V (Residence or Business) DA t_(-A-S , (X 73` S-2-- 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE /�91 2_ ` 7t3 - 1 3 00 9 REPORT TYPE 0 January 15 n 30th day before election n Runoff ❑ 15th day after campaign treasurer appointment (Officeholder Only) r7 July 15 n 8th day before election n Exceeded$500 limit n Final Report(Attach C/OH-FR) 10 PERIOD Month Day Year Month Day Year COVERED 7/4-e./15` `THROUGH //5—/ /�/ / ELECTION / ELECTION TYPE 11 ELECTION DATE Month Day Year ❑ Primary ❑ Runoff ❑ Other Description / / El General El Special 12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known) C-4Q(3C.:›6 Coi Co ir`i C0 u 2r Ai C. t,J GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 CANDIDATE / OFFICEHOLDER FORM JC/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 14 JC/OH NAME 15 Filer ID (Ethics Commission Filers) 16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO POLITICAL SUPPORT THE CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDERS COMMITTEE(S) KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES. COMMITTEE TYPE COMMITTEE NAME ❑GENERAL COMMITTEE ADDRESS D SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME ❑ Additional Pages COMMITTEE CAMPAIGN TREASURER ADDRESS 17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF$50 OR LESS (OTHER THAN TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF$100 OR LESS, TOTALS UNLESS ITEMIZED 4. TOTAL POLITICAL EXPENDITURES —Re$ /� ?o CONTRIBUTION BALANCTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF REPORTING PERIOD $ ! l OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE O` LOAN TOTALS LAST DAY OF THE REPORTING PERIOD 18 AFFIDAVIT I swear,or affirm,under penalty of perjury,that the accompanying report is true and correct and includes all information required to be reported by me ~'o:A STEPHANIE ARLES under Title , ection e. s� ;* Notary Public ` //�441 STATE OF TEXAS 'iit�i' My Cara.Exp.Npil tz 2019 Signature of Candidate or Officeholder AFFIX NOTARY STAMP/SEALABOVE it �� Sworn to and subscribed before me,by the said c�tl✓ �I�l4J r this the /Q? day of JA.nyk i ,20 IV ,to certify which,witness my hand and seal of office. ,r • /nil_ ae/ig- 5ferhaiief 4/9)0 Sig ature of officer administering oath Printed name of officer administering oath Title of office dministering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 SUBTOTALS - JC/OH FORM JC /OH COVER SHEET PGG 3 3 19 FILER NAME 20 Filer ID(Ethics Commission Filers) 21 SCHEDULE SUBTOTALS SUBTOTAL NAME OF SCHEDULE AMOUNT 1. SCHEDULEA(J)1: MONETARY POLITICAL CONTRIBUTIONS(JUDICIAL) $ 2. n SCHEDULE A2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $ 3. n SCHEDULE B(J): PLEDGED CONTRIBUTIONS(JUDICIAL) $ 4. nj SCHEDULE E(J): LOANS(JUDICIAL) $ 5. I x' SCHEDULE Fl: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ l G Cho 6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 7. SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ 8. I I SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 9. n SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 10. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ 11. n SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 12. nSCHEDULE K: INTEREST,CREDITS,GAINS,REFUNDS,AND CONTRIBUTIONS RETURNED TO FILER Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE Fl EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Fees Office Overhead/Rentale Expense Transportation n Equipmenting Expense Consulting Expense Food/Beverage Expense Polling Expense TravelIn District &Related Expense Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other(enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) JA E. D /1-_ 4 Date 5 Payee name C f5' 6 Amount ($) 7 Payee address; City; State; Zip Code 1 8 (a)Category (See Categories listed at the top of this schedule) (b) Description PURPOSE ❑Check iftravel outside ofTexas.Complete Schedule T. OF E v.E w 3`'T t,1.)S L.. ❑Check if Austin,TX,officeholder living expense EXPENDITURE CtAte."'t-�kf. Ge5(Tir . I o.)k 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Pa ee name f7( ,0 LI- ( A) 4-9 6)0 P Amount ($) Payee address; City' State;1 Zip Code I 00 L; S.-TA-el KO S ZZ (Cts Category (See Categories listed at the top of this schedule) Description PURPOSE G v 6.- i\.)-r-- )y..p ❑Check if travel outside of Texas.Complete ScheduleT. OF ll... `'" �- k ❑Check if Austin,TX,officeholder living expense EXPENDITURE Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH DatePayee name c 7 !611((fri C0c.P'1 ri 6,- 0P Amount ($) Payee address; City; State; Zip Code k7 , I 7 sZ Category (Seee'Catateggoriesliisstted at the top of this schedule) l Description PURPOSE (,6-t-. E/��'-'e-t Y' I DeI Check if travel outside of Texas.Complete Schedule T. OF ❑Check if Austin TX,officeholder living expense EXPENDITURE PSS( .x.1--- > A)A—rl.DN Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015