HomeMy WebLinkAboutRamona Portlock Brumfield 01292016 r
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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 ' •
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NICKNAME LAST SUFFIX
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4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE
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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 '�����
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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)
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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 '
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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' '
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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 ($) Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule) Description
PURPOSE ❑Check if travel outside of Texas.Complete Schedule T.
OF ❑Check if Austin,TX,officeholder living expense
EXPENDITURE
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
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MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
16 i:''', 2c! Ph 12: 40
1 Total pages Schedule Al:
The Instruction Guide explains how to complete this form.
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
12/111A ' t-tW171k' i_ '•4//rile)//b
4 Date 5 Full name of contributor 0 out-of-state PAC(ID#: ) 7 Amount of contribution ($)
/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
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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