HomeMy WebLinkAboutDaniel St Clark 03312016 03/31/2016 11:54 9726651515 CINEMARK USA PAGE 01/03
CANDIDATE /OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
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1 Filer ID(EINcn Commnuon Fuer•.) 2 Total pages filed:
The CrOH Instruction Guide explains how to complete this form:
3 CANDIDATE/ M9 r MRS/MR FIRST MI
OFFICEHOLDER `^ r (7avlle `0�1IFAGgr}'SEONLY
,"1 f t` ?left
NICKNAME LAST. •SUFFIX c„, .'•• ..Liz
=_Ue j�. {WS
4 CANDIDATE/ scones /PO BOX. APT/SUITE ii. CITY, STATE., 21P CODE =W
OFFICEHOLDER 1. t /4'1
MAILING ':y
ADDRESS qoq Stme 1 Lk ve. t AIWA- TX 75902 %f'`.i''4 h`y
0 Change of Address ''/rrrrr rrCO ,`,,,,``
S CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER PHONE ` ��Li ) n �� ��� Dm.Hend.o•IIv.nd or Dale Poelmerkea
C--U%-& 313\\k tp
6 CAMPAIGN MS/MRS/MR FIRST MI Rocnlpr a Amounr S
TREASURER
NAME r t�l e DraP eo:an CoCKNAME LAST SUFFIX r l i /J 1 r Oe t aged, �F+
7 CAMPAIGN STREET ADDRESS (NO PO BOA PLEASE). APT/SUITE I. CITY, STATE! ZIP COOE
TREASURER
ADDRESS
(Residence or 9uslnasa) Li o1{ Sfiolle Ceeek. Dr A(IevA Tx 75ooZ
8 CAMPAIGN AREA COOT PHONE NUMBER EXTENSION
TREASURER
PHONE ( 2I' t4 331f 891) C]
9 REPORT TYPE
O January 15 0 Sots day before eMcrton 0 Runoff 1-1 1 Sin dny•'.tier eAmpe.gn
1 1 I reasurer'Ippoinimeni
(Olncenoleer Only)
0 July 15 0 am before elecllon El Er condor(5500I1mlt ill Final Reprn(Almon CJOH•FR)
10 PERIOD Mont, Day Yen, Monlh Day. v.t,,
COVERED
I / 1 o //OUP THROUGH 3 /3 /2.c 1 6
11 ELECTION ELECTION DATE ELECTION TYPE
Month Oey Year 0 Primary 0 Runoff 0 Oilier
y/�� �J (/� Deacnpiion
J ( / V /2 0 I If7 ® Gnnnral 0 eo c iI
12 OFFICE OFFICE HELD (d anyl 13 OFFICE SOUGHT (II known)
Sliefitt 4- CoI Iivt (,),01"14-6(
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Forms provided by Toxas Ethics Commission www.ethica.slate.l%.us Revised 9/8/2015
03/31/2016 11:54 9726651515 CINEMARK USA PAGE 02/03
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
I
14 C/OH NAME t' 15 r'drar 10 (Ethics •3ommisftlon Paws)
T2c1n(eI Si C,[air
16 NOTICE FROM TMs sox is FOR NOTICE OF POLITICAL CONTRIBUTORS accerreo OR POLITICAL EXPENDITURES MADE eV POLITICAL COMMITTEES TO
POLITICAL SUPPORT TME CANDIDATE/OPPICENOLOER. THESE EXPENDITURES MAY NAVE SEEN MADE WITHOUT THE CANDIDATE S OR OFFICEMOLOER s
COMMITTEE(S) KNOWLEDGE OR CONSENT. CANODATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY F THEY RECEIVE NOTICE
OF SUCH EXPENDITURES,
COMMITTEE TYPE COMMITTEE NAME
❑GENERAL
COMMITTEE ADDRESS
❑SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
D 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 $ 0
I
2. TOTAL POLITICAL CONTRIBUTIONS $
(OTHER THAN PLEDGES, LOANS. OR GUARANTEES OF LOANS) D
EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF 5100 OR LESS. $
TOTALS O
UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES $
0
CONTRIBUTION
BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD $
0
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ D
18 AFFIDAVIT
I swear.or affirm,under penalty of penury,mat the accompanying report Is
true and correct and includes all information required to be repored by me
under Title 15.Election Code
/ /. a AfI
L.., , � /�
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP/SEAL ABOVE
Sworn tond subs ribed before me. by the said this the _ I
0
day f /
0 / " to certify which,witness my hand and seal of olfico.
frArdit /(��-
Signature of officer administor,r+g oath /Printed name of otfCOr Administerinp Cetho .1,U4 erl oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us ��� 1��r21- •• .!/B/2015
03/31/2016 11:54 9726651515 CINEMARK USA PAGE 03/03
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CANDIDATE / OFFICEHOLDER REPORT:
DESIGNATION OF FINAL REPORT FORM C/OH - FR
•
The Instruction Guide explains how to complete this form.
-- Complete only if "Report Type" on page 1 is marked "Final Report" ••
1 C/OH NAME •
2 Fifer ID (Ethics Commission Filers)
DaniO S -- Clair
3 SIGNATURE
I do not expect any further political contributions or political expenditures In connection with my candidacy. I understand that designat-
ing a report as a final report terminates my campaign treasurer appointment. I also understand that I may not accbpt any campaign
contrIbutions or make any campaign expenditures without a campaign treasurer appointmeentt on file. n,
—,$)4, ‘4,
ZA._
Signature of Candidate/Orficeholder
4 FILER WHO IS NOT AN OFFICEHOLDER
•. Complete A & B below only If you are not an officeholder. --
A. CAMPAIGN FUNDS
Check only one:
CEI I do not have unexpended contributions or unexpended interest or Income earned from political contributiians,
0 I have unexpended contributions or unexpended interest or income earned from political contributions. I understand that I
may not convert unexpended political contributions or unexpended interest or Income earned on political contributions to
personal use I also understand that I must file an annual report of unexpended contributions and that I may not retain
unexpended contributions or unexpended interest or income earned on political contributions longer than s,x years after filing
this final report. Further, I understand that I must dispose of unexpended political contributions and unexpended interest or
income earned on political contributions in accordance with the requirements of Election Code,§254.204.
B. ASSETS
Check only one::
[r I do not retain assets purchased with political contributions or interest or other Income from political contrihutlons,
O I do retain assets purchased with political contributions or Interest or other income from political Contributions. I understand
that I may not convert assets purchased with political contributions or interest or other income from political contributions to
personal use. I also understand that I must dispose of assets purchased with Iltical contributions in accordance with the
requirements of Election Code,§254.204.
•
Signature of Candidette
S OFFICEHOLDER
-- Complete this section only If you ere an officeholder --
n I am aware That I remain subject to filing requirements applicable to an officeholder who does not have a campaign treasurer on
file, I am also aware that I will be required to file reports of unexpended contributions if,after filing the last required report as an
officeholder.I retain political contributions,interest or other income from political contributions.or assets purchased with politi-
cal contributions or interest or other income from political contributions.
Signature of Offlcehol4er
Forms provided by Texas Ethics Commission www.elhics.staio.tx.us Revised 9/8/2015