HomeMy WebLinkAboutSusan Fletcher - January 2022 P62. 147
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT ORIGINAL
COVER SHEET PG 1
1 Filer ID (Ethics Commission Filers) 2 Total
a pa ',s le
The C/OH Instruction Guide explains how to complete this form. y/
3 CANDIDATE/ M /MRS MR (-, FIRST M
OFFIc EU ONLY
OFFICEHOLDER NE/IN/� / `,.ov rIP
NAME y vl I( � 1 Date c ................ y,
.....
NICKNAME LAST SUFFIX . �t-�-'. ' '•"I'"
4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE#, CITY; STATE; ZIP CODE - i C
OFFICEHOLDER / L Q j c/;� o, �\
MAILING 1 G e' 76 L DR' f/'/JW4 7 s v•••.
ADDRESS -
g 7�0�3� , ..... . .
Change of Address '�
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION /
G� J� / Dad Hand-delivered Date Po m rked
PHONE OFFICEHOLDER ( / 72 ) /) ! 7_"/ /(CJ� ci, i e- 2� l�
�--,, !/l/v" Receipt # Amount $
6 CAMPAIGN MS/MRSty�br ^� FIRST I
TREASURER J(/ / y�
NAME 711.
NICKNAME LAST ( SUFFIX D!1.Propeed 021)07 c,
(11M4, 4
SA/ 17 / Date Imaged
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER
ADDRESS //0 DbA/V N6 D k . A-118, Y TX 762 7
(Residence or Business)
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER �y
PHONE (arA) q5& gf✓J3-40
9 REPORT TYPE yl January 15 30th day before election I Runoff 15th day after campaign
treasurer appointment
(Officeholder Only)
July 15 8th day before election Exceeded Modified Final Report(Attach C/OH-FR)
Reporting Limit
10 PERIOD Month Day Year Month Day Year
COVERED 7 / / / 020 l 3
1 THROUGH /0 / // pq cv
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year Primary Runoff Other
Description
/ / I General Special
I
12 OFFICE OFFICE HELD (if any) f C.7 / 13 OFFICE SOUGHT (if known)
C 1-LIN COWNT'V CWfl/SS(DNEk
14 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMIl%UES TO SUPPORT
POLITICAL THE CANDIDATE I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OlckEHOLDEKNOWLEDGE OR
CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE tar ICE OF S EXPENDITURES.
COMMITTEE(S) -<
COMMITTEE TYPE COMMITTEE NAME ]I.
GENERAL COMMITTEE ADDRESS
Additional Pages
SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME 3C
COMMITTEE CAMPAIGN TREASURER ADDRESS N.)
Cn
4
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
P6, 7
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
15 C/OH NAME 91/t5
4-1\I �'/l/T—� 16 Filer ID (Ethics Commission Filers)
17 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR $
CONTRIBUTIONS MADE ELECTRONICALLY)
2. TOTAL POLITICAL CONTRIBUTIONS $ —49
I 21 �O r
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE. , /
TOTALS $ y/(/n
4. TOTAL POLITICAL EXPENDITURES $ I J I 5� ' b
CONTRIBUTION
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY 1
BALANCE OF REPORTING PERIOD $ I I
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $
18 SIGNATURE 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.
de / ' I/, ----
Signature of Can, •- e or Officeholder
Please complete either option below:
;o�.5"&';', JACKIE LANE
‘ !+;`i o Notary Public
I 1:-.a', ". ''f STATE OF TEXAS
%'r; of , Notary ID#13288000-6
(1)Affidavit My Comm.Exp.January 8,2025
NOTARY STAMP/SEAL ��jj�
Sworn to and subscribed before me by`- 0 1 �' Fit e'� this the IS day of Jvy
20 C9 / ,tto c- ifyi ich,witness my hand a d seal of office.
ekt
.ignatur of officer. AI oath Printed name of officer administering oath Title of officer administering oath
OR
Unsworn Declaration
My name is , and my date of birth is .
My address is , , ,
(street) (city) (state) (zip code) (country)
Executed in County, State of , on the day of , 20 .
(month) (year)
Signature of Candidate/Officeholder (Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
N 3 c� 7
SUBTOTALS - C/OH FORM C/OH
COVER SHEET PG 3
19 FILER NAME 20 Filer ID(Ethics Commission Filers)
c-? 1 sitt N 1- . F L�
21 SCHEDULE SUBTOTALS SUBTOTAL
NAME OF SCHEDULE AMOUNT
1 SCHEDULEA1: MONETARY POLITICAL CONTRIBUTIONS $ 2,500,
2. SCHEDULEA2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $
3. SCHEDULE B: PLEDGED CONTRIBUTIONS $
4. SCHEDULE E: LOANS $
5. SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 2 flq J99—
6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $
7 SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $
8. SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $
9. SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 21 7 "
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
LitSf (AAi ANNI
PPVLou5 : $ q 7R5, 2v
( c- D1A + 2 50 . °°
12 , 2'1 5, a
(SCL-4-6D, F-1 ) 5, --
E AS
DN CVUGI2 10A-Ge
bN c5D
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
PG, q 4 1
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al
2 FILER NAME nUMW
/ 3 Filer ID (Ethics Commission Filers)
4 Date 5 Full name of contributor E out-of-state PAC(ID#: ) 7 Amount of contribution ($)
/07// TRE/C 6- 5
/�/ 6 Contributor address; City; State; Zip Code �7
Al Mr ;0?1"/ r7//17X 7�76C
8 Principal occupation/Job title (See Instructions) 9 Employer (See Instructions)
Date Full name of contributor El out-of-state PAC(ID#: Amount of contribution ($)
Contributor address; City; State; Zip Code
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor Ei out-of-state PAC(ID#: ) Amount of contribution ($)
Contributor address; City; State; Zip Code
Principal occupation/Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor out-of-state PAC(ID#. Amount of contribution ($)
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 8/17/2020
15w •
POLITICAL EXPENDITURES MADE SCHEDULE Fl
FROM POLITICAL CONTRIBUTIONS
If the requested information is not applicable, DO NOT include this page in the report.
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 Transportation Equipment&Related Expense
Contributions/Donations Made Byg Pollingnin Expense Travel Out DistrictfDistrict
GifVAwards/Memorials Expense Printing Expense Travel Of District
Candidate/Officeholder/Political Committee Legal Services SalariesNVages/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 F1: 2 FILER NAME�U�� / ' ��� 3 Filer ID (Ethics Commission Filers)
4 Date 5 Payee name
11 , A .21 5o DA-DOY, Com
6 Amount ($) 7 Payee address; � � City; State; Zip Code
�o, / 141.46� l\Jol2.TP-f H � 6 u r7 ,aa Za
scoT-5D 1- , tet f.52--io
8 (a) Categoryat (See Categories/ ri listed at the top of this schedule) (b)JfD�esscripttiiioon f
PURPOSE
t_1 U, E P. 7 Y �8 C/�r1 Jr-) fl(�
EXPENDITURE / ' / y !/(/j'
(c) I Check if travel outside of Texas.Complete Schedule T. n Check if Austin,TX, officeholder living expense
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
0?1,, 1 60 -MDY. CoM
Amount ($) Payee address; City; State; Zip Code
;#67 6,S' Pill 65 NORM/ 1.1,4 Yd J R-CIA-6 U lT .22.b
S(omAL i A- -- 85290
Category (See Categories listed at t1 top of this schedule) Description
PURPOSE , Ep ^ W rye P E2 ^
O F 1/ /,/"J GC!/J1 G IY/ //"/
EXPENDITURE /
nCheck if travel outside of Texas.Complete Schedule T. n 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
/a7�/g1 Gio ,61)-DbY. e-0M
Amount ($) Payee address; City; State; Zip Code
5//. //7 l L4L) 5- NDRY /411-yLN RPA-D S-LA/TE ,Z °
SCOFFS bAf-1-G' ) ,zj-�- 03 4'D
Category (See Categories listed at the top of this schedule) Descriptionti ��i j
PURPOSE /� ' cp. w J� T v P/_ ''`�' " r
OF /[,mot (� V /�/� ""((JJ J
EXPENDITURE
nCheck if travel outside of Texas.Complete Scheduler I I Check if Austin,TX,officeholder living expense
Complete ONLY if direct Candidate/ Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
&get.
P6 • 664- '7
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE Fl
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense
Consulting Expense Food/Beverage Expense PollingExpense Pe nse
Travel In District
Contnbutions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salanes/VVages/Contract Labor Other(enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Fl: 2 FILEbtNAME 3 Filer ID (Ethics Commission Filers)
4 Date 5 P ee name
7// PLAN& P /4N W0N/57V
6 Amoun ($) 7 Payee address; City; State; Zip Code
?I /) 3326' 1 EXPY P14 vo, 7X 76-o7Li
8 (a) Category
(See Categories listed at the top of this schedule) (b) Description
PURPOSEOF �a 1' tfT/J es/is/V l6 b7P r Sfrti V Y --4Q 1-/-/P
EXPENDITURE MA-1214C- ? A4
(c) Check if travel outside of Texas.Complete Schedule T. I-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 ($) Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule) Description
PURPOSE
OF
EXPENDITURE
Check if travel outside of Texas.Complete Schedule T. I-I Check if Austin,TX, officeholder living expense
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule) Description
PURPOSE
OF
EXPENDITURE
II Check if travel outside of Texas.Complete Schedule T. 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 8/17/2020
29D a
Pc/ J .C1
POLITICAL EXPENDITURES MADE FROM
PERSONAL FUNDS SCHEDULE G
If the requested information is not applicable, DO NOT include this page in the report.
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 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 G: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
4 Date 5 Payee name
1 21 ALL PRONGS
6 Amount ($) �� 7 Payee address; — �i / \/ r City; State; Zip Code
Re bursement from xJ k L S 1 AV✓ ' L —S(J li` ( , CT• 0 (a L 24
political contributions
intended
8 (a) Category (See Categories listed at the top of this schedule) (b) Description
PUROF POSE f�1/ /�� ��j I I
EXPENDITURE
r1�/V. i P r / l f� `ra ��D p `'r �� 1 OL�f�14 . (�1 JI /��
(c) Check rf travel outside of Texas.Complete Schedule T. Check if Austin,TX, officeholder living expense "N
9 Candidate /Officeholder name Office sought Office held
Complete ONLY if direct
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Reimbursement from
political contributions
intended
Category (See Categories listed at the top of this schedule) Description
PURPOSE
OF
EXPENDITURE
Check rf travel outside of Texas.Complete Schedule T. Check if Austin, TX, officeholder living expense
Candidate / Officeholder name Office sought Office held
Complete ONLY if direct
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) Description
PURPOSE
OF
EXPENDITURE
Check if travel outside ofTexas Complete Schedule T Check if Austin,TX, officeholder living expense
Candidate / Officeholder name Office sought Office held
Complete ONLY if direct
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us '7 Revised 8/17/2020