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HomeMy WebLinkAboutRamona Portlock Brumfield 01152016 f A CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: The C/OH Instruction Guide explains how to complete this form. l/7/� 3 CANDIDATE/ G MRS/MR FIRST4q �0�4 MI 1 OFFICE USE ONLY OFFICEHOLDER ��fj/( „I} NAME Date Receiveil00"1.111[j'yii'a/,,' NICKNAME LAST SUFFIX 4#10?..*... -`�/�!i, 42/eilebq gemIi.. �/ 4 CANDIDATE/ ADD/R�E�SS/}/PO BOX; APT/SUITE 5; CITY; STATE; /ZIP CODE L j �` OMARL NGOLDER /wee) .r�JddijO�I/?Pi I�GJ d/J/6� , " , ` _ ADDRESS / O 1/ 7� oZ� `/ , a n Change of Address ,'����i...s*'ii3;co; ``�• 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION '.�����b11111111..""` OFFICEHOLDER / 76"1 ) /�h/G /✓///7 Date and-deli red or Date Postmarked PHONE \v/ /OS Tf(J7 / / �-^ /� �,,���''/��/ Receipt# �$ 6 CAMPAIGN 40 MRS/MR FIRST M� TREASURER f / / 1)/ p // NAME ! w/ / Ci Date Processed NICKNAME LAST SUFFIX / - /5149 Date Imaged 7 CAMPAIGN STREETSTQnADDRESS (NO PO BOX PLEASE); ,/APPTT/SUITE#; CITY; STATE; ZIP CODE TREASURERDRESS g' 'O ,/ e$ ( i/vteei 71' ,3Q F/ :seed 7X 7.1,33 ; C (Residence or Business) C1 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER 0i f ` Ile- ��_3-L� PHONE / // //`/ C1.? Ui ,,,,....,01 9 REPORT TYPE January 15 n 30th day before election I I Runoff n 15th day after campaign treasurer appointment (Officeholder Only) n 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 t//// //S THROUGH 1 //5 //far 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year Primary ❑ Runoff ❑ Other //JJ Description V./ / /�0/. ❑ General n Special 12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known) Vito o,k 7716PeAe yi'e .i>- I/ GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 A CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 14 C/OH NAME 15 Filer ID (Ethics Commission Filers) ,rm '' te/4e 34/101/W46 16 1fw- 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 CANDIDATES 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 GENERAL •--- COMMITTEE ADDRESS SPECIFIC 1,00 'p="' CO COMMITTEE CAMPAIGN TREASURER NAME C.JI n 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 $ /J6 (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) 3/, / TOTALS ENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, $ UNLESS ITEMIZED 4. TOTAL POLITICAL EXPENDITURES $ 3/#� or CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ /0�3 BALANCE OF REPORTING PERIOD OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ a 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 under Title 15,Election Code. • „0,1w.. 4 LILIANA RIVERO � Notary Public ��r K STATE OF TEXAS Signature of Candidate or Officeholder Na + My Comm.Exp.11-28-19 Sworn to and subscribed before me, bythe said '(1n00(� O OA L 2. this the LHAA a P lou ► day of �Gy‘,&ta..y ,20 LP ,to certify which,witness my hand and seal of office. -40044A___ Lidtimp ona tP\\vem NCODYVI Pub►ic. Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 ) ORIGINAL SUBTOTALS - C/OH FORM C/OH COVER SHEET PG 3 19 FILER NAME 20 Filer ID(Ethics Commission Filers) 4-mai1 /vet RWzein-,446 21 SCHEDULE SUBTOTALS SUBTOTAL NAME OF SCHEDULE AMOUNT 1- J/SCHEDULEA1: MONETARY POLITICAL CONTRIBUTIONS $ 437 '75 2. SCHEDULE A2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $ 3- I I SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4. I-I SCHEDULE E: LOANS $ 5• CHEDULE Fl: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ ago, 9D 6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 7. SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ 8- SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 3)1• O9 9. SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 10. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ 11. SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 12. SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS,AND CONTRIBUTIONS $ RETURNED TO FILER C,.) 4 • .�7 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 0 Fl MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 2 FILER NAME� � /o }) 3 Filer ID (Ethics Commission Filers) zun 4 Date 5 Full name of contributor/ ❑out-of-state PAC(ID#: ) 7 Amount of contribution ($) 00'05' A:fitreiV(/ ge ke4 Cie&riMdal- AO,' .00 6 Contributor address; ity; State; Zipode o?� /'0400 � te- >J �/9/c) /04 yD7 7 8 Principal occupation/Job title(See Instructions) 9 mployer (See Instructions) A .. �erP 077 �4y,—f i //ej�-1 am 7-/-4(5/--- fr Date Full name of contributor 0 out-of-state PAC(ID#: 1 Amount of contribution ($) /0?l9/15' .44-//e2 71)6V/ 1/ 6 Contributor address; City; State; Zip Code � ` gag ze),'()de & 1/vash7,, a 7 7a8 9- Principal occupation/Job title(See Instructions) Employer (See Instructions) 44/es t` T/4e /'-' 3e 4l S/- Date Full name of contributor ❑out-of-state PAC(ID#: 1 Amount of contribution ($) /4/01/ Z/-)if /he/Po �✓)> Contributor address; City; State; Zip Code 44',5'/ j. 1.4.,Z/frc J.i3421G/ q � Principal occupation/Job title(See Instructions) Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: ) Amount of contribution ($) Contributor address; City; State; Zip Code Principal occupation/Job title(See Instructions) Employer (See Instructions) 2 co W CJI w' ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC,please see instruction guide for additional reporting requirements. 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 Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services SalariesWages/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 d�n / t ... C�l3 Filer ID (Ethics Commission Filers) 4 Date 40//s1 5 Payee name 41 Fe_ C fiC/�� 5%i�.,� 6 Amount ($) ( 7 Payee address; City; State; Zip Code // 69,§).OU 6-). ') zvAI- pzti I/✓e cg/'-'-- fa/d/ 7 7a)&93 8 (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE //r/A v 1 ,�5, e pos fl Check if travel outside of Texas.Complete Schedule T. OF V vvv��, y r Check if Austin,TX,officeholder living expense EXPENDITURE ?4m/ 2 iji7 T sive/--- 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name ppS ,fpce,yi silepi0// // Amount ($) Payee address; City; State; Zip Code 45'1• ov , 'off xl% kJtV, Owe, r -7.g), Category (See Categories listed at the top of this schedule) Description� PURPOSE fi/l/n ) (((///U J"/�1� jI Check if travel outside of Texas.Complete Schedule T. OF �// � I Check if Austin,TX,officeholder living expense EXPENDITURE 1t Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name �.a C ; Amount ($) Payee address; City; State; Zip Code -w- ,44.-1, c-fl Category (See Categories listed at the top of this schedule) Description i PURPOSE I I Check if travel outside of Texas.Complete Schedule T. " '': 1 EXPENDITURE I I Check if Austin,TX,officeholder living expense CJ'1 .::r-- " 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 EXPENDITURES MADE BY CREDIT CARD SCHEDULE F4 EXPENDITURE CATEGORIES FOR BOX 10(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services SalariesNVages/Contract Labor Other(enter a category not listed above) The Instruction Guide explains how to complete this form. 1 Total pages Schedule F4: 2 FILER NAME y 3 Filer ID (Ethics Commission Filers) 494/rIef)k Pa#461 Seiiimi 4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TO A CREDIT CARD $ 3 / ) 5 Date 6 Payeerd Rim/Ds 7 Amount ($) 8 Payee address; City; State; Zip Code 3'1 u) 4 ioo % r,/. Ae ‘ mi5fiet _law 9 TYPE OF EXPENDITURE Political Non-Political 10 (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE ���i'r�R �n� Ln�/» �� r7 Check if travel outside of Texas.Complete Schedule T. EXPENDITURE _ /'UGC _ /G�+ )i i ���"e 17Checkif Austin,TX,officeholder living expense U/�al(�/yJ per`//,��/j 11 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code TYPE OF EXPENDITURE Political Non-Political CTs Category (See Categories listed at the top of this schedule) Description tib PURPOSE I I Check if travel outside of Texas.Complete:Scltedule T ,_ OF EXPENDITURE Check if Austin,TX,officeholder IivinQApense,. Complete ONLY if direct Candidate/Officeholder name Office sought Office held .-,.:a;.:*. expenditure to benefit C/OH Z J k'' c_n r.,"" ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015