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HomeMy WebLinkAboutRamona Portlock Brumfield 01292016 r '4 ; tl CANDIDATE / OFFICEHOLDER —1 ., FORM C/OH CAMPAIGN FINANCE REPORT ,_-,2: ., :.,, ,t bI L COVER SHEET PG 1 1 Filer ID (Ethics Commission Filers)' 2 Total pages filed: The C/OH Instruction Guide explains how to complete this fordo. - 3 CANDIDATE/ MS)MRS/MR FIRSTMI OFFICEHOLDER �jy OFFICE.. ONLY NAME /�/ l�✓ J gN �,, Date Rec ' • ' NICKNAME LAST SUFFIX P114#(.7f/6 4 ///171he/7 J 4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE `S } OFFICEHOLDER ,i 9/212 i MAILING /(< -I�ljf_`1 ✓�f%2C 111/�l' 7 /`� p r: ADDRESS /' / /�/ t, ,,`.4 . ❑ Change of Address �`'��`i `X ��' �g '����� 444m1111%%%%%%%%% 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION OFFICEHOLDER i /} / i'7/�l Date ' r Date P ar ed C��''%rte ' /V/FIRS I1 pr 6 CAMPAIGN r //MRS/MR FIRST MI Receipt# Amoun TREASURER NAME ��7�7��� Date Processed )/ ��1//'� NICKNAME LAST SUFFIX I{/ rri./ Date Imaged ✓/l W 7 CAMPAIGN STREET ADDRESS (NO PO BOXOPLEASE); APT/SUITE#; CITY; STATE; ZIP CODE TREASURER /,/,/� / � �'/ —/ �C ADDRESS C'[ ' 1 /(, /) /-'& f 1 l-)C ! :.-) (Residence or Business) x u ;4: . r is 8 CAMPAIGN AREA CODE THONI NI IBER EXTENSION ! TREASURER / 11 PHONE 4 /2/ ) 1�1 `%I,5 l i i 9 REPORT TYPE ). nJanuary 15 �� ��� th day be[ore'electioe ❑ liunoff i 15th day after campaign '''''' ' 7 . N treasurer appointment �a n; „ Pi, (Officeholder Only) n July 15 [J 8th day before election ' ❑ tceeded$500 limit n Final Report(Attach C/OH-FR) 10 PERIOD Month Day Year Month Day >ct'Yeear COVERED ) / i . /j /N /THROUGH 4- / / / ` 11 ELECTION ELECTION DATE (l/ ELECTION TYPE Month Day Year E1.4flary U Runoff ❑ Other Description / / /j4-' ❑ General ❑ Special 12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known) Tial Z`e c( >the A ' -rim 1 ,,,- i GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 • CANDIDATE / OFFICEHOLDER a rFORM C/OH CAMPAIGN FINANCE REPORTSHEET PG 2 16 -'' ? � 14 C/OH NAMEj� 15 Filer ID (Ethics Commission Filers) L'i 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 El GENERAL COMMITTEE ADDRESS SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME 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 /�..�g, -�j 2. TOTAL POLITICAL CONTRIBUTIONS I / (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $ 1 / ( . 11 ") EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, TOTALS UNLESS ITEMIZED $ � 4. TOTAL POLITICAL EXPENDITURES $ )C CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ BALANCE OF REPORTING PERIOD ) ),): , 5 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 includes all information required to be reported by me under Title 15,Election Code. UUANA RIVERO a4 Notary Public c ' (.4e-eZe. �lY� 1:50; STATE OF TEXAS o► My Comm.Exp.11-28-19 Signature of Candidate or Officeholder Sworn to and subscribed before me,by the said_kapiat)nekAdied,this the [,q day of 3a(\11.0.19 ,20 (p ,to certify which,witness my hand and seal of office. 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 EXPENDITURES MADE BY CREDIT CARD1 r "s" 9 PM 12: 14RCHEDULE F4 EXPENDITURE CATEGORIES FOR BOX 10(a) Advertising Expense Event Expense Loan RepaymentReimbursement 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 SalariesM/ages/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 NAM 3 Filer ID (Ethics Commission Filers) ' All^, ,t Iorfr urllie 4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TO A CREDIT CARD $ ij �i -) 5 Date 6 Payee name 361+ 7 Amount ($) 8 Payee address; City; State; Zip Code 7L1 9 TYPE OF EXPENDITURE r Political Non-Political 10 (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE / P1Check iftravel outside ofTexas.Complete Schedule T. OF j(Cu t ( ) / 1 di .JT1 i(.-t EXPENDITURE 'Check it Austin,TX,officeholder living expense 11 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code TYPE OF EXPENDITURE Political Non-Political Category (See Categories listed at the top of this schedule) Description PURPOSE ❑Check if travel outside of Texas.Complete Schedule T. O F ' 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 -t, . T = =` FROM POLITICAL CONTRIBUTIONS '' ' r"-, 1‘3 L ` SCHEDULE Fl 16 „Int, 23 PH 12, I-10 EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Consulting Expense Food/Beverage Expense Polling Expense Travel Ion District 4uipment&Related Expense Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services SalariesM/ages/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 Fl: 2 FILER NAMEci, n3 Filer ID (Ethics Commission Filers) ervitik- --i cp.-titer t )114,447 4 Date 5 Payee name 11.,./_)414-2 ll ibede- Rl/>l iii lk 6 Amount ($) 7 Payee address; City; State; Zip Code .,--- 8 (a) Category (See Categories listed at the top of this schedule) (b) I Description PURPOSE /� ) _ ,/�,r ri Check if travel outside of Texas.Complete Schedule T. OF / //'i1�el/.r L.r�,(�) ef.//./f��6 ❑Check if Austin,TX,officeholder living expense EXPENDITURE (G !!! 1 7 1 �f( T ` 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date i Payee name Amount ($) Payee address; City; State; Zip Code .Ar HCl 6lt_>4 cc1- .�ii( / 16l' ' z-i Category (See Categories listed at the top of this schedule) lDee lscription PURPOSE f (pi,- I I Check if travel outside of Texas.Complete Schedule T. OF .�i�C�"� %/`..1�" F, L 11 T i,).-' ❑Check if Austin,TX,officeholder living expense EXPENDITURE Y C �� 9 II'CCG kC l ( ` t r'11 L.e L&ic e rsky ??0(24:1/(74: Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSE ❑Check if travel outside of Texas.Complete Schedule T. OF ❑Check if Austin,TX,officeholder living expense EXPENDITURE Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 , . • - .--4,1 , ,, _ MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al 16 i:''', 2c! Ph 12: 40 1 Total pages Schedule Al: The Instruction Guide explains how to complete this form. 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 12/111A ' t-tW171k' i_ '•4//rile)//b 4 Date 5 Full name of contributor 0 out-of-state PAC(ID#: ) 7 Amount of contribution ($) /6--; 2 7' i ---`'' 6 Contributor address; City; State; Zip Code IXX////) , f $/ (4-y0/17 7--e 7 ///90- 4 8 Principal occupation/Job title(See Instructions) 9 Employer (See Instructions) Date Full name of contributor 0 out-of-state PAC(ID#: ) Amount of contribution ($) //04 ?Z'l// Contributor address; City; State Zip Code /fi457 2>A9-' 6i Principal occupation/Job title(See Instructions) Employer (See Instructions) / Y/11 7/74i/(216e/ (//6) /71 Date Full name of contributor El out-of-state PAC(IOC ) Amount of contribution ($) Contributor address; City; State; Zip Code Principal occupation/Job title(See Instructions) Employer (See Instructions) Date Full name of contributor 0 out-of-state PAC(ID#: ) Amount of contribution ($) Contributor address; City; State; Zip Code Principal occupation/Job title(See Instructions) Employer(See Instructions) 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 T-F fi _ .,T 0INAL- SUBTOTALS - C/OH FORM C/OH COVER T PG 3 Qa #k.` ?'1 P v: gu 19 FILER NAME // 20 Filer ID(Ethics Commission Filers) '-k j) .f%k -/-10-19ei\I-)1 l i /;'r-'l 21 SCHEDULE SUBTOTALS SUBTOTAL NAME OF SCHEDULE AMOUNT 1. t.-�SCHEDULEA1: MONETARY POLITICAL CONTRIBUTIONS $ /14114, /f4 ,7( 2. SCHEDULE A2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $ 3. l I SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4. SCHEDULE E: LOANS $ 5. F.-v--SCHEDULE Fl: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ /tie' //' 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 $ 5 [p 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 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015