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HomeMy WebLinkAboutMelvin Thathiah 01152016 -------, „..,. 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& FIRST MI OFFICEHOLDER OFFICE USE ONLY NAME 04 e-1 V(A- Date Recei#16-Zrririn % NICKNAME LAST SUFFIX e. 7•:-'-' !!!! ' , ....-: i 4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE 3 PP.- 1 1 1 OFFICEHOLDER F 1 -"411 Ili i i S.CD 1. 1 )47 I MAILING dr. t ADDRESS 3V.e-I AAe_01.,,,' it,- 'PLA-4(4) 11 '1S7'] - , 1 I Change of Address vtd. •Sektis0 Ot. 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION ....smist OFFICEHOLDER Date nd-delivere or Dat Postmarked ( ) PHONE ( 8c-1 S-71 I L.....4„._ Receipt # Amount$ 6 CAMPAIGN MS/MRS FIRST MI TREASURER Date Processed NAME 1 - 1(-2 -1/0 NICKNAME LAST SUFFIX RDate Imaged e-wcit--- 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE TREASURER ti ADDRESS ......,, (Residence or Business) Xp./.1 Erv,z,r-s-o-vx 1--n C—a-vv-Oti -Ovt —0( 15 o I 0 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER ....— ..- PHONE (.2)/4 ) 14 — 370 to CD CD ....... 9 REPORT TYPE [ 'January 15 I I 30th day before election I I Runoff I I 15th day after campaign treasurer appointment (Officeholder Only) , i i I I July 15 I I 8th day before election I I Exceeded$500 limit I I Final Report(Attach C/OH-FR) i 10 PERIOD Month Day Year Month Day Year COVERED THROUGH /q /1 .5— i., .. /.? ELECTION ELECTION ELECTION TYPE 11 ELECTION DATE Month Day Year [ j'Primary 0 Runoff 1111 Other Description 3/ I / i I, El General [J Special 12 OFFICE OFFICE HELD (it any) 13 OFFICE SOUGHT (if known) GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 � ; E s A@ ,t , CANDIDATE / OFFICEHOLDER FORM JC/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 14 JC/OH NAME „ 15 Filer ID (Ethics Commission Filers) AAe i ti:.A- 1r~ 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 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 0 GENERAL t;?') COMMITTEE ADDRESS SPECIFIC '-� tea;. -'l COMMITTEE CAMPAIGN TREASURER NAME = i9 $�'., a I I 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) $ ?oO_ COl EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, TOTALS UNLESS ITEMIZED $ O - 4. TOTAL POLITICAL EXPENDITURES $ l5G7yL CONTRIBUTION BALANCTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ OF REPORTING PERIOD 3SD• OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ jp6. a, 18 AFFIDAVIT I swear,or affirm,under penalty of perjury,that the accompanying report is �1r�r true and correct and includes all information required to be reported by me y p 4 DIANA UMANA under Title 15,Election Code. Kfr .a. 74--------- ignature of Candidate or Officeholder AFFIX NOTARY STAMP/SEAL ABOVE e • • Sworn to and subscribed before me, by the said Re iv 1r Tcla t-h(�h •,this th th day of Y4 1W►>�.\(20 LV ,to certify which,witness my hand and set of f�fikl0,, DIANA UMANA 4' .Notary Public,State of Texas Lattfts'i.\:;,.*:".!1:4) Comm.Expires 01.27.2019 Signature of officer administering oath Printed name of officer administering o ._ • _ _ . th Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 SUBTOTALS - JC/OH FORM JC/OH COVER SHEET PG 3 19 FILER NAME 20 Filer ID(Ethics Commission Filers) 21 SCHEDULE SUBTOTALS SUBTOTAL NAME OF SCHEDULE AMOUNT 1. I✓1 SCHEDULE A(J)1: MONETARY POLITICAL CONTRIBUTIONS(JUDICIAL) $ e250. 06 2. I A4 SCHEDULE A2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $ 50. CrO 3. II SCHEDULE B(J): PLEDGED CONTRIBUTIONS(JUDICIAL) $ 4. I1 I SCHEDULE E(J): LOANS(JUDICIAL) $ /06 O� 5. I SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 6. I SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 7. SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ 8. I' SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ kc". qc, $ 9. `1' SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS 1S-oo. rry 10• I I SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ 11. I SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 12. I J TO EDURLE K: INTEREST,CREDITS,GAINS,REFUNDS,AND CONTRIBUTIONS RETURNED $ crs is oznimss; G1 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 • .,..E MONETARY POLITICAL CONTRIBUTIONS (JUDICIAL) SCHEDULE A(J)1 1 Total pages Schedule A(J)1: The Instruction Guide explains how to complete this form. 2 FILER NAME 3 Filer ID (Ethics Commission Filers) ( l' �,a (evt‘w-L- 4 Date 5 Full name of contributor ❑out-of-state PAC ID#: I 7 Amount of contribution ($) SAJ1�y 14 -V / la)3(7115.- 6 Contributor address; City; State; Zip Code 0,d5p 00 tall Ed cocJ L A l le 1)( Is7)12? 8 Contributor's principal occupation 9 Contributor's job title Ri-Lt 64,6414 14-1='W 10 Contributor's employer/law firm 11 Law firm of contributor's spouse (if any) 0 110 tf'cLi 12 If contributor is a hild, law firm of parent(s) (if any) Date Full name of contributor ❑out-of-state PAC IDu: Amount of contribution ($) Contributor address; City; State; Zip Code Contributor's principal occupation Contributor's job title Contributor's employer/law firm Law firm of contributor's spouse (if any) If contributor is a child, law firm of parent(s) (if any) Date Full name of contributor 0 out-of-state PAC IDu: Amount of contribution ($) Contributor address; City; State: Zip Code " Contributor's principal occupation Contributor's job title U—' Contributor's employer/law firm Law firm of contributor's spouse (if any) ,14-6,1': If contributor is a child, law firm of parent(s) (if any) 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 • NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS SCHEDULE A2 The Instruction Guide explains how to complete this form. 1 Total pages Schedule A2: 2 FILER NAME /14t I 3 Filer ID (Ethics Commission Filers) 4 TOTAL OF UNITEMIZED IN-KIND POLITICAL CONTRIBUTIONS $ 5 Date 6 Full name of contributor ❑out-of-state PAC(ID#: ) 8 Amount of . 9 In-kind contribution 1/ i� �,ena�� Contribution $ description 11 -�1/ $-'s-� lol D))y 7 Contributor address; City; ;Sttate; Zip bode ,,1I` 75-0-4 Y�oS `b 8 f-I 8 `""� 7 7 / Check if travel outside of Texas.Complete Schedule T. 10 Principal occupation/Job title(FOR NON-JUDICIAL)(See Instructions) 11 Employer (FOR NON-JUDICIAL)(See Instructions) 12 Contributor's principal occupation (FOR JUDICIAL) 13 Contributor's job title(FOR JUDICIAL)(See Instructions) SGie-e .i !U�+r�e�✓ 14 Contributor's employer/law firm OR JUDICIAL) 15 Law firm of contributor's spouse (if any) (FOR JUDICIAL) R "--01t YG DC5 Vi s 16 If contributor is a child,law firnh of parent(s)(if an FOR JUDICIAL) Date Full name of contributor ❑out-of-state PAC(ID#: ) Amount of In-kind contribution Contribution $ . description Contributor address; City; State; Zip Code . [1 Check if travel outside of Texas.Complete Schedule T. Principal occupation/Job title (FOR NON-JUDICIAL)(See Instructions) Employer (FOR NON-JUDICIAL)(See Instructions) Contributor's principal occupation (FOR JUDICIAL) Contributor's job title(FOR JUDICIAL)(See Instructions) Contributor's employer/law firm(FOR JUDICIAL) Law firm of contributor's spouse(if any) (FOR JUDICIAL) If contributor is a child, law firm of parent(s) (if any)(FOR JUDICIAL) a) CJ 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 LOANS (JUDICIAL) SCHEDULE E(J) 1 Total pages Schedule E(J): The Instruction Guide explains how to complete this form. 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 TOTAL OF UNITEMIZED LOANS $ 5 Date of loan 7 Name of lender 0 out-of-state PAC(log: ) 9 Loan Amount($) 6 Is lender 8 Lender address; City; State; Zip Code 10 Interest rate a financial Institution? I PL---c. J�� Q 410 Y ?q?-41 �I/ w�` D� 1 `'""^"' �� 11 Maturity date 3ia /it/ 12 Lender's Principal O cupation 13 Lender's Job Title bc 14 Lender's Employer/Law Firm / 15 Law Firm of lender's spouse(if any) Sco- Asscc- ,---t sP i 16 If lender is a child, law firm of parent(s) (if any) 17 Description of Collateral 18 Check if personal funds were deposited into political account (See Instructions) none Q' 19 GUARANTOR 20 Name of guarantor 22 Amount Guaranteed ($) INFORMATION 21 Guarantor address; City; State; Zip Code Knot applicable 23 Guarantor's Principal Occupation 24 Guarantor's Job Title 25 Guarantor's Employer/Law Firm 26 Law Firm of guarantor's spouse (if any) 27 If guarantor is a child, law firm of parent(s) (if any) (71 SL ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If lender 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 EXPENDITURES MADE BY CREDIT CARD SCHEDULE F4 EXPENDITURE CATEGORIES FOR BOX 10(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fund raisin Expense Fees Office Overhead/Rental Expnse Transportation Equipment&Relat ed ExpInense Expense Food/BeverageExpense Polling Expense Travel DistrictContributions/Donations Made By Gift/Awards/Memorials Expense Prining Expense Travel Out fistrict Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other(enter a category not listed above) The Instruction Guide explains how to complete this form. 1 Total pages Schedule F4: I 2 FILER NAME ,fir ��F0. 3 Filer ID (Ethics Commission Filers) 4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TO A CREDIT CARD $ 5 Date , 6 Payee name jp /(5-- V;54.ry;,-,-E- 7 Amount ($) 8 Payee address; City; State; Zip Code $ l,57-q(° MckvLJc g.V. 9 TYPE OF EXPENDITURE 1.- a Non-Political 10 (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE I I Check if travel outside of Texas.Complete Schedule T. OF EXPENDITURE pni4,4i5l, t x a.eg"._T–C. I !Check if Austin,TX,officeholder living expense 11 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH 0.1 Date Payee name Lri Amount ($) Payee address; City; State; Zip Code %,i,.. x• O . TYPE OF 1_;' EXPENDITURE Political Non-Political — 1 Category (See Categories listed at the top of this schedule) Description PURPOSE I Check if travel outside of Texas.Complete Schedule T. OF I-I Check if Austin,TX,officeholder living expense EXPENDITURE Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 • POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS SCHEDULE G EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Exnse Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other(enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule G: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) t 44 e t/r'A l -/-t,:cat 4 Date 5 Payee name 12110W eo/(irt e.,3,7.....75, 6CP 6 Amount ($) 7 Payee address; City; State; Zip Code /(S—oa. Co CL r� -//� f ieimbursementfrom 1�I Y t U 1 c- (DO mGgt✓��ey TK 77o Iv political contributions // / intended 8 PURPOSE (a)Category (See Categories listed at the top of this schedule) (b) Description OF �e J` ❑Check if travel outside of Texas.Complete Schedule T. EXPENDITURE ❑Check if Austin,TX,officeholder living expense 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code ❑ Reimbursement from political contributions intended Category (See Categories listed at the top of this schedule) Description PURPOSE OF I 0 Check if travel outside of Texas.Complete Schedule T. EXPENDITURE I Check if Austin,TX,officeholder living expense Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code -" .r ❑ Reimbursement from = .�_�i political contributions intended Q Category (See Categories listed at the top of this schedule) Description O a PURPOSE I�t O F I I Check if travel outside of Texas.Complete Schedule T. EXPENDITURE ❑Check if Austin,TX,officeholder living expense 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