HomeMy WebLinkAboutMelvin Thathiah 07142016 t
ORIGINAL
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/MR FIRST MI
OFFICEHOLDER OFFICE USE ONLY
NAME //�/� ���"Ni1111
AA` !•Zl Date F As84 ,
NICKNAME LAST SUFFIX s 7__
r _ s
4 ADDRESS /PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE ..+' �/ •e
CANDIDATE/
OFFICEHOLDER l r l / y
MAILING 3Rd''l /�C�(.4✓Lw �✓• s „ ,.\ 1�
ADDRESS �,,..p -7 `�,
I I Change of Address •p I `S O 71 ''....
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5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION ",,a,
OFFICEHOLDER // Date Hand-delivered or ate <rked
PHONE ( �I ) c s / --1// .�"
Receipt # Amount$
6 CAMPAIGN MS/MRS/MR FIRST MI
TREASURER 14�A-vr- Date Processed
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NICKNAME LAST SUFFIX [! [
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Date Image
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7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE 8; CITY; STATE; ZIP CODE
TREASURER
ADDRESS v2,?..7_yS O'?,
c_ii.
(Residence or Business)
.t,,,„871 ,max -7sa/v
8 CAMPAIGN AREA CODE PHONE NUMBER // EXTENSION
TREAS
PHO EURER ( ) 4-Mct 37o lv
9 REPORT TYPE
January 15 I I 30th day before election I I Runoff I 15th day after campaign
treasurer appointment
(Officeholder Only)
I July 15 I I 8th day before election I I Exceeded$500 limit - - Final Report(Attach C/OH-FR)
10 PERIOD Month Day Year Month Day Year
COVEREDA / / 1 THROUGH 6 t i1e;r/ 1
ELECTION ELECTION TYPE
11 ELECTION DATE
Month Day Year j primary 0 Runoff n Other
Description
3 / I /I I n n General El Special
12 OFFICE OFFICE HELD (if any) lL 13 OFFICE SOUGHT (if known)
GO TO PAGE 2-, ;,._
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
DORIGIN, L
•
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 POLmCAL 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
COMMITTEE ADDRESS
❑SPECIFIC
..s
C
e
COMMITTEE CAMPAIGN TREASURER NAME
n Additional Pages
COMMITTEE CAMPAIGN TREASURER ADDRESS 's
CO
N
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) 0
EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF$100 OR LESS, O
TOTALS $
UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES $ a? I o
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $
BALANCE OF REPORTING PERIOD
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE /h�
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ V
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
�Q�V,d
/ ` under Title 15,Election Code.
,TACE YEUNG
, My Commission Expires
July 26,2017
71' ''''..,,E.“0.° Signa of Candidate or Officeholder
AFFIX NOTARY STAMP/SEALABOVE Sworn to and ubscribed before me,by the said AIut/1/I ,this theday of a TAAJ...
,20 I O ,to certify which,witness my hand and seal of office.
__St/0 e iNtA
Signature of officer admin' - g oath Printed name of ffic admi eying oath Title of officer administer' oath
Forms provided by Texa` Ics Commission www.ethics.state.tx.us Revised 9/8/2015
IORIGIN4L
SUBTOTALS - JC/OH FORM JC/OH
• COVER SHEET PG 3
19 FILER NAME
20 Filer ID(Ethics Commission Filers)
21 SCHEDULE SUBTOTALS
SUBTOTAL
NAME OF SCHEDULE AMOUNT
1. SCHEDULE A(J)1: MONETARY POLITICAL CONTRIBUTIONS(JUDICIAL) $
2. SCHEDULE A2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $
3. I I SCHEDULE B(J): PLEDGED CONTRIBUTIONS(JUDICIAL) $
4. I I SCHEDULE E(J): LOANS(JUDICIAL) $
5. [ SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ p1-710
6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $
7. I SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $
8. I I SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $
9. I I SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $
10. I I SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $
11. I I SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $
12. SCHEDULE K: INTEREST,CREDITS,GAINS,REFUNDS,AND CONTRIBUTIONS RETURNED
TO FILER
w 1_
CO
t V
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
: ORIGINAL1
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE Fl
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 FoocVBeverage 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 pagesSchedule Fl: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
' _ ��
4 Date / 5 Payee name
f
6 Amount ($) 7 Payee address; City; State; Zip Code
$.2.'7 l O.Ov 34 2-14 A/Lz_ett:..a. L r
8 (a) Category (See Categories listed at the top of this schedule) (b) Description
PURPOSE ,yt r� I-1 Check if travel outside of Texas.Complete Scheduler
OF Se— fiv'e-" f I Check if Austin,TX,officeholder living expense
EXPENDITURE ov av�I ,c
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State: Zip Code
Category (See Categories listed at the top of this schedule) Description
PURPOSE I I Check if travel outside of Texas.Complete Schedule T.
OF I I Check if Austin,TX.officeholder living expense
EXPENDITURE
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule) Description
PURPOSE I I Check if travel outside of Texas.Complete Schedule T.
OF I I Check if Austin,TX,officeholder living expense
EXPENDITURE
Complete ONLY if direct Candidate/Officeholder name Officq$otyr/tit 4 LI + i 1`s t ' 0 i„ Office held
expenditure to benefit C/OH (, 1 C. tl
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED { . ,
'
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
•
•
lJORIcIA,
CANDIDATE / OFFICEHOLDER REPORT: • •
DESIGNATION OF FINAL REPORT FORM C/OH - FR
The Instruction Guide explains how to complete this form.
P P
•- Complete only if "Report Type" on page 1 is marked "Final Report" --
1 C/OH NAME 2 Filer ID (Ethics Commission Filers)TL--FLS,
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 accept any campaign
contributions or make any campaign expenditures without a campaign treasurer appointment on file.
Signature Candidate/Officeholder
4 FILER WHO IS NOT AN OFFICEHOLDER
-• Complete A& B below only If you are not an officeholder. •-
A. CAMPAIGN FUNDS
Check only one:
I do not have unexpended contributions or unexpended interest or income earned from political contributions.
I 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 t'
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 six 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:
do not retain assets purchased with political contributions or interest or other income from political contributions.
I 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 political contributions in accordance with the
requirements of Election Code,§254.204.
Sign ure of Candidate
5 OFFICEHOLDER
-- Complete this section only if you are an officeholder ••
I J 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 or9i@etthcphaje frpnf pgiitioacpntributions.
Signature of Officeholder
t.
Forms provided by Texas Ethics CommissionwwvJ ethics:state.tx.us Revised 9/8/2015