HomeMy WebLinkAboutLance Baxter 01202016 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. 5--
3 CANDIDATE/ MS/MRS/MR FIRST MI
OFFICEHOLDER
OFFICE USE ONLY
NAME (AM6
Date ReceivtiloW,"'MN/44.
NICKNAME LAST SUFFIX %%%%%99YYP1"'i,,
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4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE z r
OFFICEHOLDER
MAILINGT
S 0 /Y8 ;c3me-140AGir---ek4-5 ti" \ )11k :' .17
ADDRES .... ..„.,
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0 Change of Address '7 V
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5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION ...................'
OFFICEHOLDER ( ..22._) 6-71- 9(7o5 - Dat Hand-deliv ed or ostmarked
PHONE
6 CAMPAIGN MS/MRS/MR FIRST MI Receipt# Amount$
TREASURER 1)00 ii ,e___
NAME Date Processed
NICKNAME LAST SUFFIX /• 2.0 4,6, 1
1-'4(a8 .,t qper- oA) Date Imaged •//i20/I
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER
ADDRESS 2-3°( Vit "-l' I(Ot PAX-(4"4/41 r dALK-11/1 Ile LI q—{,104 5 7Q--7/
,
(Residence or Business)
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
( )
PHONE
9 REPORT TYPE
X January 15 in 30th day before election D Runoff 1-7 15th day after campaign
1--I treasurer appointment
(Officeholder Only)
0 July 15 ri 8th day before election El Exceeded$500 limit 0 Final Report(Attach C/OH-FR)
01
10 PERIOD Month Day Year Month Day Year
COVERED
7 / ( /K THROUGH C-7---/ i /(5–
C i)
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year 0 Primary 0 Runoff E Other ....ii* J L i
Description
/ / General El Special -- i
•,-,°-
12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known)
COLink- bt4--- Li /1/0,
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Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
1
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/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 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
E GENERAL A(A- I
COMMITTEE ADDRESS
SPECIFIC
C
.--
IN.,,
COMMITTEE CAMPAIGN TREASURER NAME C)
-0 xa
n Additional Pages = `'
t.
COMMITTEE CAMPAIGN TREASURER ADDRESS N
O
17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF$50 OR LESS (OTHER THAN
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $
K-
2. TOTAL POLITICAL CONTRIBUTIONS $
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) Qf
TOTALS EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, $ /
UNLESS ITEMIZED Y
4. TOTAL POLITICAL EXPENDITURES $ `7 Q �--
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ !2v /�/ 3f
BALANCE OF REPORTING PERIOD J`� r- 73
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
true and correct and includ-s all information require.to be reported by me
4,,,F11'P,,,,,,
,,F11'P,,,,,, �y�i6�'lecti• o�
MINDY QUINT under
My Commission ExpiresVAS
� r. --•-%
August 10.2018 7///��
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP/SEALABOV E
Sworn to and subscribed before me,by the said LO.I-\Le. 1„ -k X 4: r- ,this the e�
day of .\. . ,20 1 4, ,to certify which,witness my hand and seal of office.
� _ r
4.,„,(3.,,G.„,1/4...:,....,\A-- (� h �\1 C1C� �I\,,:k1,--\-k- K\l`'FO.Y-.
Signature of(Alder administering oath Printed name-4f officer administering oath Title of officer administering oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
x ,11
SUBTOTALS - C/OH FORM C/OH
COVER SHEET PG 3
19 FILER NAME 20 Filer ID(Ethics Commission Filers)
I
21 SCHEDULE SUBTOTALS SUBTOTAL
NAME OF SCHEDULE AMOUNT
1. 0 SCHEDULE Al: MONETARY POLITICAL CONTRIBUTIONS $ p
2. LJ SCHEDULE A2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $ f"
3- ❑ SCHEDULE B: PLEDGED CONTRIBUTIONS $
4. U SCHEDULE E: LOANS $ fr
5 f� SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $
6. ❑ SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ a-
7. ❑ SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ 1
8. 0 SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $
9. 0 SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ lec
10. n SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $
11. El SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $
12. SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS,AND CONTRIBUTIONS
RETURNED TO FILER $ € f 07
WI
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N
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Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F7
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/FundraisingExpense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense
Consulting E FoodBeverage 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.
I
1 Total pages Schedule F1: 2 FILER AME 3 Filer ID (Ethics Commission Filers)
// � Gti�
4 Date 5 Payee name
( (z--( (t' A I Cry •
6 Amount ($) 7 Payee address; City; State; Zip Code
f ('7-0 ` —
8 (a)Category (See Categories listed at the top of this schedule) (b) Description
PURPOSE Check if travel outside of Texas.Complete Schedule T.
OF � V �nsf ElCheck if Austin,TX,officeholder living expense
EXPENDITURE (/
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
ro(t 366--
, e 42',C-f-eor 54 00 (-0 vt_E
Amount ($) Payee address; City; State; Zip Code
(30
Category (See Categories listed at the top of this schedule) Description
PURPOSE , ❑Check if travel outside of Texas.Complete Schedule T.
OF �,.�G/ CICheck if Austin,TX,officeholder living expense
EXPENDITURE V I
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code ;., -,
N
Category (See Categories listed at the top of this schedule) Description ..a.
PURPOSE ❑Check if travel outside of Texas.Complete Schedule T.N
OF ❑Check if Austin,TX,officeholder living expenseC)
EXPENDITURE
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
•
INTEREST, CREDITS, GAINS, REFUNDS, AND
CONTRIBUTIONS RETURNED TO FILER SCHEDULE K
The Instruction Guide explains how to complete this form. 1 Total pages Schedule K:
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
4 Date 5 Name of person from whom amount is received 8 Amount($)
-7(((( r- '16\e- 4(44_ frtL__
` Op(--21�(fs 6 Address of person from whom amount is received; City; State; Zip Code
7 Purpose for which amount is received ❑ Check if political contribution returned to filer
Date Name of person from whom amount is received Amount($)
Address of person from whom amount is received; City; State; Zip Code
Purpose for which amount is received ❑ Check if political contribution returned to filer
Date Name of person from whom amount is received Amount($)
Address of person from whom amount is received; City; State; Zip Code
Purpose for which amount is received E Check if political contribution returned to filer
Date Name of person from whom amount is received Amount($)
0i
�^^L�.�.
:...-31 _.
Address of person from whom amount is received; City; State; Zip Code ---
y,
Purpose for which amount is received ❑ Check if political contribution returned to file
t.
N
Q
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015