HomeMy WebLinkAboutRamona Portlock Brumfield 10112016 r
CANDIDATE / OFFICEHOLDER - D ORIGINAL FORM C/OH
CAMPAIGN FINANCE REPORT . r, 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/ - MS/MRS/MR FIRS MI
OFFICEHOLDER � OFFICE USE ONLY
NAME I. kftwi/- 3
Date Received
NICKNAME LAST SUFFIX
hAq0el ')/1/71h7e41-I ''t '''.t W4=t, ' ' '.
4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE --�.
OFFICEHOLDER /� / - j. !
MAILING jou) ! ��J f �f� ��`(J � s��
ADDRESS l 10/ —Ti s--1-15/t. � r .; ` ' t
El Change of Address ~:.., .• !
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION qrNr'
OFFICEHOLDER /�J�/� Date and-deliver ostmarked
PHONE "/ /C� 7/7 M
6 CAMPAIGN MS/MRS/MR FIRST MI Receipt a /'� Amount$
TREASURER n/c;ii' � A—
NAME A /(i/ Date Processed 04 //
NICKNAME LAST SUFFIX `(� (Q
f�/atli 5 Date Imaged i
r. 4,
7 CAMPAIGN STREET0,&()
ADDRESS (NO PO BOX PLEASE); APT/SUITE 5; CITY; STATE;STATE; ZIP CODETREASUR
(s
ADDRESSER Iar19s H) �/�aiee - 3 PA , '.`l(Residence or Business)
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE \� •J/ Yom/ 1M05✓a,C�
9 REPORT TYPE
Ti January 15 nth day before election n Runoff n 15th day after campaign
treasurer appointment
(Officeholder Only)
n July 15 n 8th day before election n Exceeded$500 limit I I Final Report(Attach C/OH-FR)
10 PERIOD Month Day Year Month Day Year
COVERED 77
/ / /'/b THROUGH Q //. / *
2
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year ❑ Primary ❑ Runoff ❑ Other
-- / Description
�/ /c / //2 I `1 general D Special
12 OFFICE OFFICE HELD (if any) `/I//� --Ibbs „"' 13 OFFICE SOUGHT (if known)
IIS /4( e •#I
,/((lie/ 3'/
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
. , . ., .
ORIGINAL
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME 1Arn &e '4 2t,eanzWei 15 Filer ID (Ethics Commission Fliers)
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
"• 1
ri GENERAL !'ti.! `+y�' i
COMMITTEE ADDRESS ,+ °
SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
Additional Pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN '1
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ 9,O
2. TOTAL POLITICAL CONTRIBUTIONS ,7
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $ 30b .OV
TOTALSEXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, $ h
UNLESS ITEMIZED (�
4. TOTAL POLITICAL EXPENDITURES $ 3D,av
CONTRIBUTION ^
BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ /vJ
OF REPORTING PERIOD
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE O
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.
4.0R7/• LILIANA RIVERO
(O,
�,��'fSTATE OF tEXAS &`'« ,, - L?4?Ir �` My Comm.Exp.11-28-19 Signature of Candidate or Officeh Ider
AFFIX NOTARY STAMP I SEALABOVE Payola.
�/� ® �h -I
Sworn to and subscribed before me,by the said .a ayol j....._..i..QX dQc'(�. ,Nlfio ( ,this the
day of Oc.�ber ,20 Ile ,to certify which,witness my hand and seal of office.
et,t2tAul. 414,1x5 v
QVC KN.)tro N351r Qu 1, I i
Signature of officer dministering� oath Printed name of officer administeringoath Title oYofficer administering oath
9
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
ORIGINAL
SUBTOTALS - C/OH FORM C/OH
COVER SHEET PG 3
19 FILER NAM 20 Filer ID(Ethics Commission Filers)
idad h -4-/L
21 SCHEDULE SUBTOTALS SUBTOTAL
NAME OF SCHEDULE AMOUNT
1. I VI"SCHEDULE Al: MONETARY POLITICAL CONTRIBUTIONS $ �UD 0°
2. I I SCHEDULE A2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $
3. SCHEDULE B: PLEDGED CONTRIBUTIONS $
4. SCHEDULE E: LOANS $ /�
5. I—% SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 3 52 O`'
6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $
7. SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $
8. I I SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $
9. r"SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $
10. I SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $
11. SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $
12. ISCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS,AND CONTRIBUTIONS $
I RETURNED TO FILER
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
•
2:20170A
AL
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)
kook yeeplie _13giem.476/.
4 Date 5 Full name of contributor 0 out-of-state PAC(IDS: ) 7 Amount of contribution ($)
a3�L �,. r r a t;IGc �'
. Old
�/ 6 Contributor address, City; State; Zip Code
3/1k Stie,/ e, .6 _- dam -751
8 Principal occupation/Job title (See Instrucg Em loyer (Seeinstructions)
Date Full name of contributor ❑out-of-state PAC(IDS ) Amount of contribution ($)
6 'e• e50/76113i4sq/ /i Contributor address; . City; State; Zip Code �U- vD
1
0ci0i &Prai mef ,4log/ 1 y0302- �
1
Principal occupation/Job title (See Instructions) Em oyer (See I tructions)
iv% . 4i-rZ
Date Full name of contributor ❑out-of-state PAC (IDS: I Amount of contribution ($)
Contributor address; City; State; Zip Code
Principal occupation I Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor 0 out-of-state PAC(105. ) Amount of contribution ($)
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
..
, , . . DoRIGINAL
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 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)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total page Schedule F1: 2 FILER NAME �J firnovA �OalOae (J/��1,'"' 3 Filer ID (Ethics Commission Filers)
4 Date/he/41 5 Payee name*. , !" 40
llr/ I,Ge db. L/1'L.
6 Amount ($) 7 Payee address; City; State; Zip Code
JdD.ea /41D/ ilatve5 by , ge407 72- .„1-3lim
8 (a) Category (See Categories listed at the top of this schedule) (b) Description
PURPOSE �/' I I Check if travel outside of Texas.Complete Schedule T.
OF ✓erch5%Gl M1 er:40//7l_ I Check if Austin,TX,officeholder living expense
EXPENDITURE VVV��ry \J/ V �H�✓
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule) Description l
PURPOSE I I Check if travel outside of Texas.Complete Schedule T.
I
OF I I Check if Austin,TX,officeholder living expense
EXPENDITURE
Corrplete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule) Description
PURPOSE I Check if travel outside of Texas.Complete Schedule T.
OF I I Check if Austin,TX,officeholder living expense
EXPENDITURE
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
J
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POLITICAL EXPENDITURES AC
MADE FROM PERSONAL FUNDS • SCHEDULE G
• •.
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other(enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pales Schedule G: 2 FILER NAME n���� /'1D�0� �� A�3 Filer ID (Ethics Commission Filers)
4 Date 5 Payee name
d(
TMJ ,�7,�nJr
g F 4 SeeaC . 4011'740 a6 14 ,Pea/GV
6 Amount ($) 7 Payee address; City; State; Zip Code
9.10 /2/0/ .Affve5 7)1/4 , J a 7 7x443
Reimbursement from
political contributions
intended
8 (a)Category (See Categories listed at the top of this schedule) (b) Description
PURPOSE ///AAA I, th brig
f I I Check if travel outside of Texas.Complete Schedule T
EXPENDITURE r � I Check if Austin,TX,officeholder living expense
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Reimbursement from
political contributions
intended
Category (See Categories listed at the top of this schedule) (b) Description
PURPOSE
OF Check if travel outside of Texas.Complete Schedule T.
EXPENDITURE I I Check if Austin,TX,officeholder living expense
Complete ONLY if direct Candidate /Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Reimbursement from
political contributions
intended
Category (See Categories listed at the top of this schedule) (b) Description
PURPOSE
OF I Check if travel outside of Texas.Complete Schedule T.
EXPENDITURE I I Check if Austin,TX,officeholder living expense
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