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