HomeMy WebLinkAboutDavid Rippel 01132016 L kJ I
JUDICIAL CANDIDATE / OFFICEHOLDER
CAMPAIGN FINANCE REPORT FORM JC/OH
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.
As-
3 CANDIDATE/ MS/MRS/0 FIRST
OFFICEHOLDER MI ,QFFIOGF� E ONLY
NAME DIt-V i C) CD_ IS '>
Dat sive "
• • ��,
NICKNAME LAST SUFFIX t
4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE#; 1 1 CITY; STATE; ZIP CODE
OFFICEHOLDER /\ :.*r.
MAILING --� r //--�� i '. \
ADDRESS �� / ,L- 00 rz)i CSf1Y„- 0, I e ; .0:
n Change of Address " `GIL.I - . •- -� V / ',`I,,,F upp,,,,``,``,
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER C� t "7 Dat:_red or Date Postmarked
1 !
PHONE ( 7-�L SH S � '" o / P,....-„.' ..C1___
6 CAMPAIGN MS MR FIRST MI
Receipt # Amount$
TREASURER
L �v-c� Date Processed -
NAME / q /6
NICKNAME LAST SUFFIX
L. cA. 1 Date Imaged
Q R.
l ' f3 -lCn
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE 5; CITY; STATE; ZIP CODE
TREASURER
ADDRESS ( 1a® 4 o I G %A%(" -re__.
(Residence or Business)
r) Cir\ O / '—r'ic -7 cb q
c
8 CAMPAIGN AREA CODE
` PHONE NUMBER EXTENSION TREASt„....,PHONEURER L1- -.- '
._.: .;
9 REPORT TYPE �¢
ri I January 15 I 30th day before election I Runoff I I 15th day after campaign 1 R
treasurer appointtt it
(Officeholder Only) •a..r4
t
ri July 15 l 8th day before election r7 Exceeded$500 limit I 1 Final Report(Attach C/OH-FR)
10 PERIOD Month Day Year M. y .F_
COVERED f ( � y o '�2 - j 1 „$!j A�"".r
-7/ i t®/ THROUGH 1 /34/Ls
•. w-i
r. ' �:rls� ;, ,
ELECTION ` rAIN. :
11 ELECTION DATE
Month Day Year 0 Primary 0 Runoff �'I Other
Description
&', ii,I.fr,f;11 t/t+0niti 0' 777 g l'Ct
General 0 Special ( r
.`
12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known)
-/O�u r1 q �' o l I n �O�,t n
l a :. rV-k-- C v. LA w LA
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)
4e►N1 1 C D= Q1 PP LL--
16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLmCAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
POLITICAL SUPPORT THE CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S
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
bJ-Ip❑GENERAL
COMMITTEE ADDRESS
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 125
2. TOTAL POLITICAL CONTRIBUTIONS $
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, $
TOTALSUNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES $
CONTRIBUTION 5J TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $
BALANCE OF REPORTING PERIOD
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE $
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD
18 AFFIDAVIT
I swear,or affirm,under penalty of perjury,that the accompanying report is
[-.
:r!w DARLA i.WRIGHT true and correct and includes all information required to be reported by me
�__^���� Notary Public under Title 15,Election Code.
..,y• STATE OF TEXAS�1
MY Comm ail Sifikebet30.2017.
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP/SEALABOVE
a� /`
Sworn to nd subscribed before me, by the said this the ti
day of _ ,20 /2 ,to certify which,witness my hand and seal of office.
Signature of officeadministering eh Printed name of officer administering oath Title of officer a,d istering oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
CANDIDATE / 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 C/OH NAME 2 Filer ID (Ethics Commission Filers)
Vl� ( I . 0 P � 6
1 p
3 SIGNATURE
I do not expect any further political contributions or political expenditures in connection with my candidacy. I understand that designat-
ing 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.
!�
Signature of Candidate/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:
13<1 I do not have unexpended contributions or unexpended interest or income earned from political contributions.
n 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 coitributionsJo
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 yearg after filing
this final report. Further, I understand that I must dispose of unexpended political contributions and unexpendac, interest or
income earned on political contributions in accordance with the requirements of Election Code,§254.204.
-c7
B. ASSETS
fU
Check only one: N
I do not retain assets purchased with political contributions or interest or other income from political contributions.
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 political contributions to
personal use. I also understand that I must dispose of assets purchased with political contribution .i accordance with the
requirements of Election Code,§254.204.
4111111111b
Signature of Candidate
5 OFFICEHOLDER
•• Complete this section only if you are an officeholder •-
CK 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 politi-
cal contributions or interest or other income from political contributions.
1
Signature of Officeholder
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015