HomeMy WebLinkAboutRamona Portlock Brumfield 07152016 . DOr�a�L
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CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Filer ID (Ethics Commission Filers) 2 Total pages filed:
The C/OH Instruction Guide explains how to complete this form.
3 CANDIDATE/ M /MRS/MR FI T MI
OFFICE E ONLY
OFFICEHOLDER Ln rn 40/7 4 aoH
NAME �1', I Date
NICKNAME LAST SUFFIX SJR
P0M04 lea/4W Vit: `:
4 CANDIDATE/ ADDRESS
,,/PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE S — '� ii _
MAILOFFING
OLDER /6A _ ielo pi� & Ate4/��� tti
ADDRESS ! Yf Jljl�/ ,t /
I I Change of Address / MOS,```�p`���
►.►►prrrnNr.a.`
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER (/�j// ./ - 17/�f
PHONE /"/o � / Dat Hand-delivered r Date Postmarked
6 CAMPAIGN MS/MRS/MR FIRST MI Receipt# Amount$
TREASURER / //2�/6
NAME / ' "�/� Date Processed ,7
NICKNAME LAST SUFFIX I f,5 I IL, CA
Date Imaged I
m1� i l 1 l o 1
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER
ADDRESS gags ares ��vi *3 1- . '71.4
(Residence or Business)
8 CAMPAIGN AREA CO ` PHONE NUMBER c� EXTENSION -
TREASURER /J/j/ ` TM
r ea .
PHONE ` I / U �/ / _ .
L11
9 REPORT TYPE
I I January 15 I 1 30th day before election I I Runoff 15th day after campaign
I I
treasurer appointment
(Officeholder Only)
I /./mmy 15 I] 8th day before election n Exceeded$500 limit n Final Report(Attach C/OH-FR)
10 PERIOD Month Day Year Month Day rYear
COVERED c--.' /<I,�/i� THROUGH / / /s) //
i
11 ELECTION ELECTION DATE
I�ELECTION TYPE
Month Day Year
IIIPrimary ❑ Runoff I I Other
9 ��q+'') )) Description
/
// / V //0 �eneral Il Special
12 OFFICE OFFICE HELD Of any) 13 OFFICE SOUGHT (if known)
,Jusif'e e/ die IQQ e-'
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME // Ifo ) / ,�y ,, saildwi 15 Filer ID (Ethics Commission Filers)
16 NOTICE FROM / 7 THIS BOX IS FORV�ANOTICE OF POLITICAL mCAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
POLITICAL SUPPORT THE CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDER'S
COMM ITTEE(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 /,u4 I a21 2I ii DIV(/ Deoli07/4
COMMITTEE ADDRESS
SPECIFIC
:0 beaI7 P/14/
& 7C1W
COMMITTEE CAMPAIGN TREASURER NAME j� •
n Additional Pages ,Db( be/me 4'�u'—
COMMITTEE CAMPAIGN TREASURER ADDRESS
0 24 9bm!1/ L� ; le 7
17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF$50 OR LESS (OTHER THAN q�
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $09• •(/tl
2. TOTAL POLITICAL CONTRIBUTIONS h (� /�
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $ 104 'a)
TOTALS
EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, //��//�� d�
UNLESS ITEMIZED $ 1(>U ' a
4. TOTAL POLITICAL EXPENDITURES $
CONTRIBUTION
BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY Q Jl
OF REPORTING PERIOD $ /J 19/�
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ al
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.
e LILIANA RIVERO
F
Notary Public 0�/ i z / / -7•9.0. STATE OF TEXAS / YL. / .,0 le;-' i
Nero"
My Comm.Exp.11-28-19 Signature of Candidate or Officeho der
A FIX NOTARY STAMP/SEALABOVE
Sworn to and subscribed before me, by the said& NNO11Ql ?orf-/0 C,/ &(AN h Jot this the /�
day of J 1 ,20 1 � ,to certify which,witness my hand and seal of office.
t'it.411 LL u A c/1,t;9 ti anCA f�iv.e . I
Signature of officer a ministering oath Printed name of officer administering oath Title of officer ad inistering oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al:
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
hi)itt4 hatlit 19E1/Mk7/k-1
4 Date 5 Full name of contributor ❑out-of-state PAC(IDS: ) 7 Amount of contribution ($)
jb,34, Z}'-'e/e--,a} / Mth)///--- 01.° i
6 Contributor address;
City; State; Zip Code
3C1 W /3/ lis frjek eA *) /
8 Principal occupation/Job title(See Instructions) g Employer (SeeLInstructions)
ih, I`4vifri pi ME 4i.E7 merfv&iiir,,
Date Full name of contributor 0 out-of-state PAC(ID#: ) Amount of contribution ($)
x/023//Z0 •i a /)11/r1
Contributor address; City; State; Zip Code
i) jf
Principal occupation/Job title(See Instructions) Employer (See Instructions)
,e,9 ;o/e&
Date Full name of contributor 0 out-of-state PAC(ID#: I Amount of contribution ($)
*234ili)
j 11. /2/f-/ /(4'/2/f-/ /(4'Contributor addres City; State; Zip Code
/4/'i, t9 a" / ZiJ 47:546 of ��e'/3-
Principal occupation/Job title(See Instructions) Employer(See Instructions)
7., --4e/Ci./Z-1
G je /-/ Wiil %4-- 651 j gi ,/J ,--7)9e -,5/
Date Full name of contributor ❑out-of-state PAC(IDS: ) Amount of contribution ($)
J �ta�� A ,ezy,€ X f
I� Contributor address; City; State; Zip Code al"
'7/22 7 //d/,a1///Me m,/,,,e , - .a
Principal
oocccuup�ation/Job title(See Instructions) Employer (See Instructi/'s)
.1, 040#
L l
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
1
.
•
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al:
2 FILER NAME
/6. W# ,yet Scat',71e/ /' 3 Filer ID (Ethics Commission Filers)
4 Date 5 Full name of contributor
0 out-of-state PAC(ID#: ) 7 Amount of contribution ($)
��a �� ZI1,e/ .�Z/
6 Contributor address; City; State; Zip Code !J�, �l/{C/B 1
ID ��'U ., i
4 4 esdep,e,4r- g///)g///),3
8 Principal occupatiion/Job title (See Instructions) 9 Employer (See Instructi s)
,-6(14/e Ate/44 g
Date Full name of contributor 0 out-of-state PAC(ID#: 1 Amount of contribution ($)
c / 3J ,i ' /e,3. /-P /1 -
Contributor address; City; State; Zip Code / e e
j 3 e' rytiyaola7k/ i ei,: e� .
Td
Principal occupation/Job title(See Instructions) Employer (See Instructions)
/ e r' d lfzi
Date / F l nanny cp bytq 0 out-of-state PAC(ID#: ) Amount of contribution ($)
/ 1/a 7���/140/2/il'f,�c b(4:9/1//hZii 1 G'/ eili J)no�' ! S
/ Contributor a �/ City; State; Zip Code k. �d
451O'&'
o `��/6 Pe Od,4D 7i 761'4'4((
Principa occupation/Job title(See Instructions) . Employer(See Instructions)
47 '514(r✓- die / g/t( 12.se tpd1 hee 494.4) da),;b411712C/1/469
c
Date Full name of contributor ❑out-of-state PAC(ID#: 1 Amount of contribution ($)
10/ ItOiePti6 .4P
nd el %14i
Contributor address; City; State; Zip Code A6),01)
SePDLft?b7 1/P n 4 / X 'V0
Principal occupation/Job title(See Instructions) Employer (See Instructions)
0 azi4e a / d
e,_ w
Lrl
CS7
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
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE Fl
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Ex Loan Repayment/Reimbursement
Accounting/Banking pence Transportation
Expense
Accountin g Fees Office Overhead/Rental Expense
Consulting Expense Food/Beverage Expense PollinglIn Equipment&Related Expense
Contributions/Donations Made By Expense Travel Out Districtf
Gift/Awards/Memorials Expense Printing Expense Travel Of District
Candidate/Officeholder/Political Committee Legal Services SalariesMlages/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 NAME
64
�4,4-"' 4,49,,t3 Filer ID (Ethics Commission Filers)
,0hntf
4 Date/ 47 5 Payee name�D/ &4d1
6 Amount ($) 7 Payee address; City; State; Zip Code
/ 1J, It‘oce r A/ � , Az- , '/.
8 (a) Category (See Categories listed at the top of this schedule) (b) Description
PURPOSE j��s�,.�Q I I Check if travel outside of Texas.Complete Schedule T.
OF d`j2� ,i 4A- Z42‘4.5'& ❑Check if Austin,TX,officeholder living expense
EXPENDITURE / sl
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date i Payee name
*WM 14, -1--frPk-s
Amount ($) Payee address; City; State; Zip Code
/40. °d /k(1 /7 �1 �
41 � z /73),4
Category (See Categories listed at the top of this schedule) IDee lscription
PURPOSE I I Check if travel outside of Texas.Complete Schedule T.
OF / /// -r
//51/1 ❑Check ii Austin,TX,officeholder living expense
JlEXPENDITURE a/�e -/i-
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
's
Amount ($) Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule) Description
PURPOSE I I Check it travel outside of Texas.Complete Schedule T , lt
OF
EXPENDITURE ❑Check if Austin,TX,officeholder living expense ••
(.1'1
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
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 FIWR NAME ��h r /��� n'�a'"` 3 Filer ID (Ethics Commission Filers)
4 TOTALOFUNITEMIZEDTE�X"�PENDITURESCHt/(AjRGEDTQO/A/CREDIT CARD $ 0/702. DZ7
5 Date 6 Payee name h
7 Amount ($) 8 Payee address; City; State; Zip Code /d
dS/ OrY Za010(LJ t*-: irk?'/lb/
7/401 rOd
9 TYPE OF
EXPENDITURE r Political Non-Political
10 (a) Category (See Categories listed at the top of this schedule) (b) Description
PURPOSE O /f i/ 4�%5f n„-5o . ri Check if travel outside of Texas.Complete Schedule T.
EXPENDITURE /�///'/' U` (-/ Check if Austin,TX,officeholder living expense
_4
11 Complete ONLY if direct
P Candidate/Officeholder name Office sought Office hel`d-- ..
expenditure to benefit C/OH -r-.....
.. 1
Date 5//i gy/40
//i /i4 Payee name 4s,ss
Amount ($) Payee address; City; State; Zip Code
-0 4 33.33 frs1i ?6 sa, 12 161'43" c
TYPE OF
EXPENDITURE Jr Political Non-Political
Category (See Categories listed at the top of this schedule) Description
PURPOSE /' _y� ( nCheck iftravel outside ofTexas.CompleteSchedule T.
O F p j/7)r g z ey �+ -w nCheck if Austin,TX,officeholder living expense
EXPENDITURE C/
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
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 6 Payee name
7 Amount ($) 8 Payee address; City; State; Zip Code !
/, 61 X5`7 teSthvi, / 125eV1
9 TYPE OF I��
EXPENDITURE I (X Political Non-Political
10 (a) Category (See Categories listed at the top of this schedule) (b) Description
PURPOSEri Check if travel outside of Texas.Complete Schedule T.
OF
EXPENDITURE Check if Austin,TX,officeholder living expense
c, C/fell/ fxpalSC�
11 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date She/ Payee name
-
Amount ($) Payee address; City; State; Zip Code
ob). 16) (41( t°ie-Slit) iae 441/ '2
TYPE OF
EXPENDITURE t„,4, Political Non-Political
Category (See Categories listed at the top of this schedule) Description
l
PURPOSE , I I Check if travel outside of Texas.Complete ScheipleOF Cr)
T.
EXPENDITURE �t ney /�iCG ape4Se7 I Check if Austin,TX,officeholder living expense .•
Complete ONLY if direct Candidate/Officeholder name Office sought Office held -51
expenditure to benefit C/OH
cn
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
1
SUBTOTALS - C/OH FORM C/OH
COVER SHEET PG 3
19 FILER NAME Ad-he olid 20 Filer ID(Ethics Commission Filers)
21 SCHEDULE SUBTOTALS SUBTOTAL
NAME OF SCHEDULE AMOUNT
1. R SCHEDULE A1: MONETARY POLITICAL CONTRIBUTIONS $ /216/ $D61
2. SCHEDULE A2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $
3. SCHEDULE B: PLEDGED CONTRIBUTIONS $
4. SCHEDULE E: LOANS $
5. SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ .5W Ov
6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $
7. SCHEDULE F3: PURCHASE OF INVESTMENTS'MADE FROM POLITICAL CONTRIBUTIONS $
8. R-76CHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 17/41,/
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
_..*
CY)
C_n
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015