HomeMy WebLinkAboutMelvin Thathiah 01292016 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 v FIRST MI
OFFICEHOLDER Mat
OFFICE USE ONLY
NAME / (/L�///(th'•ti
Date R,�►4"ceiMN������gq�_
NICKNAME LAST SUFFIX _ T y., "sY,'
J-
4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE 5; CITY; STATE; ZIP CODE `
OFFICEHOLDER �/ A^� —y r. 1 `r_, a
MAILING jg6f /1/IL /V•t-- iY' . !� l X 15-01 I/ 3 .� ; •
ADDRESS It
❑ Change of Address '�.� *
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION '4#1 A( 00```
OFFICEHOLDER rr���
/ Dat Hand-deliver or Dat Postmarked
PHONE ��I )
�1D /3—Z/ / ..--,.
-L.—G.-
lJ
Receipt SS Amount$ �-
6 CAMPAIGN Ms/MRs/� FIRST MI
TREASURER 4)µn.- Date Processed I
NAME NICKNAME LAST SUFFIX I �� _ (`
Date Imaged
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE 5; CITY; STATE; ZIP CODE
TREASURER
ADDRESS
(Residence or Business) dg.)-1-1dg.)-1-1 6Aive.4-S0v\ r /� ,_ol1 —� TX /Sol c
(�'v v y
f
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION -,,�TREAS
PHONE URER (2i[4 ) 411 - 3?069
CCS " '_
9 REPORT TYPE ..c-January 15 10th day before election I-I Runoff ❑ 15th day after campaai�i
treasurer appointment
(Officeholder Only)
I July 15 I I 8th day before election I I Exceeded$500 limit I I Final Report(Attach C/OH-FR)
10 PERIOD Month Day Year Month Day Year
COVERED / / i /it, THROUGH / /?/ / 1 to
ELECTION ELECTION TYPE
11 ELECTION DATE
Month Day Year Primary ❑ Runoff ❑ Other
Description
3/ / / / ❑ General ❑ Special
12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known)
6,4 A 1
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)
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 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 '"'"
.
❑GENERAL ..-,.. .
,--T
COMMITTEE ADDRESS
SPECIFIC
M
COMMITTEE CAMPAIGN TREASURER NAME
-4-
❑ Additional Pages I J
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 $ 0
2. TOTAL POLITICAL CONTRIBUTIONS //
(OTHER THAN PLEDGES, LOANS,OR GUARANTEES OF LOANS) $ /OS v• O'D
TOTALS
EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, $
UNLESS ITEMIZED 0
4. TOTAL POLITICAL EXPENDITURES $ 140/07. 5,P,1
CONTRIBUTION
BALANCTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ _1 0
OF REPORTING PERIOD I
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ /CO •
18 AFFIDAVIT
I swear,or affirm,under penalty of perjury,that the accompanying report is
"""'I, DIANA UMANA true and correct and includes all information required to be reported by me
L,,.
;�1� .`;Notary Public.State of Texas under Title 15,Election Code.
't 1'x.3» Comm.Expires 01-27-2019I. 1:;f a,,,,, Notay ID 128375952
Si ature of Candidate or Officeholder
AFFIX NOTARY STAMP/SEAL ABOVE
I.
Sworn to
and subscribed before me,by the said M e w In ThaTr i O h ,this the 2-8Th
day f\.. rIUaQ.\ ,20 IU ,to certify which,witness my hand and seal of office.
--hiGnq UMana nui—a4
Signature of officer administering oath Printed name of officer administering oath Title of officer dministering oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
•
r
SUBTOTALS - JC/OH FORM JC
/OH
COVER SHEET PGG 3 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) $ /057-C).Ob
2. I I SCHEDULE A2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $
3. I I SCHEDULE B(J): PLEDGED CONTRIBUTIONS(JUDICIAL) $
4. SCHEDULE E(J): LOANS(JUDICIAL) $
5. I I SCHEDULE Fl: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $
6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $
7. SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $
8. 'I SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 3/ Sa
9' ✓r SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 6-de:
10. I I SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $
11. SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $
SCHEDULE K: INTEREST,CREDITS,GAINS,REFUNDS,AND CONTRIBUTIONS RETURNED
12. TO FILER $
CA7
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
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)
Ne(V: 1 A 2ti..�k 4 -,it—
4 Date 5 Full name ofcontributor
0 out-of-state PAC ID#: 7 Amount of contribution ($)
fSII('/ rn4 6Contributor address; City; State; Zip Code , vv N-6wG4Cts -.c..,- -17( '75 7
8 Contributor's principal occupation 9 Contributor's job title
GL4-
10 Contributor's employer/law firm 11 Law firm of contributor's spouse (if any)
5 b
12 If contributor is a child, law firm of parent(s) (if any)
Date Full name of contributor 0 out-of-state PAC IDu: I Amount of contribution ($)
/ J, L
1/ J c///I C� Contributor address; City; State; Zip Code fe5-0 Grp
--rx
Contributor's principal occupation // Contributor's job title
Islip �CC.r^ Py-D, )cOf
Contributor's employer/law firm Law firnikf contributor's spous (if any)
6751;N(
, lh
If contributor is a child, law firm of parent(s) (if any)
Date Full name of contributor ❑out-of-state PAC ID#: ) 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) C37
tti,
}+« t1
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
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 Salaries/Wages/Contract Labor Other(enter a category not listed above)
The Instruction Guide explains how to1complete this form.
1 Total pages Schedule F4: 2 FILER NAM� W �e✓Y� 3 Filer ID (Ethics Commission Filers)
vet-
4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TOACREDIT CARD $
5 Date6 Payee name J
/MP V --K...—If-
Gvi'LG ,CSS 1 G
7 Amount ($) 8 Payee address; City; State; Zip Code
$0sstI. 10 ' G,w,,,s-v, 5t G,...LJ 7---A/ 75 d o
9 TYPE OF
EXPENDITURE rr Political Non-Political
10 (a) Category (See Categories listed at the top of this schedule) (b) Description
l I
PURPOSE lCheck if travel outside of Texas.Complete Schedule T.
OF
EXPENDITURE Aatite e
f i...
3
673e4,-Care
a3e4,-Cre 17 Check if Austin,TX,officeholder living expense
11 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name ^}i o /'
trk
rty
0WAe
Amount ($) Payee address; City; State; Zip Code ��
S X12 . q9 '777 We All ( (,ce 7X- 1s7)TB'
TYPE OF
EXPENDITURE rj- Political Non-Political
Category (See Categories listed at the top of this schedule) Description .„,. -
r.✓)
PURPOSE r7Check if travel outside of Texas.Complete Scfule T.
OF .�--; I Check if Austin,TX,officeholder living expense
EXPENDITURE Ai/44.- ch.D 610„,v_ct,Jrs
Complete ONLY if direct Candidate/Officeholder name Office sought Office held 13,' "" :'
expenditure to benefit C/OH —' ,.
C) �
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 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: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TO A CREDIT CARD $
5 Date vo./ ltp 6 Payee name 4,i, �X
7 Amount ($) 8 Payee address; City; State; Zip Code
rf .13 ?Zr N C L/C-�w/ #ice pC�.-. "7X 75-D-75---
9 TYPE OF
EXPENDITURE. Political Non-Political
10 (a) Category (See Categories listed at the top of this schedule) (b) Description
PURPOSE / / //sem /� I I Check if travel outside of Texas.Complete Schedule T.
OF
EXPENDITURE 3OG / �P%61 t� � I 'Check if Austin,TX,officeholder living expense
11 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
TYPE OF
EXPENDITURE Political Non-Political
Category (See Categories listed at the top of this schedule) Description
PURPOSE I1 Check if travel outside of Texas.Complete Schedule T.
O Fr7 --''
EXPENDITURE Check if Austin,TX,officeholder living ex
Complete ONLY if direct Candidate/Officeholder name Office sought Office held r''
expenditure to benefit C/OH
(,J
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 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 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)
4 Date 5 Payee name
Dc5:` s
6 Amount ($) 7 Payee address; City; State; Zip Code
5A8'.aI7
f.X Reimbursement from Nor C,`'_ f J(7 ' p1, T ` is /
(r I political contributions
intended
8 (a)Category (See Categories listed at the top of this schedule) (b) Description
PURPOSE �I
OF I I Check if travel outside of Texas.Complete Schedule T.
EXPENDITURE /4d/ c,� I I Check if Austin,TX,officeholder living expense
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) 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 Check if travel outside of Texas.Complete Schedule T.
EXPENDITURE I I Check if Austin,TX,officeholder living expense
Complete ONLY it direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
ror
IReimbursement from
political contributions
intended
Category (See Categories listed at the top of this schedule) Description 6
PURPOSE --
OF I I Check if travel outside of Texas.Complete Schedule T.
EXPENDITURE I I Check if Austin,TX,officeholder living expense W
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