HomeMy WebLinkAboutMichael Missildine - 30 Day - January 2022 CANDIDATE / OFFICEHOLDER OR1G1NAL 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. f ( 111
3 CANDIDATE; I Ms MR /MR c ocr MI ``\. * Sy ",
OFFINAMCEHOLDER MR Michael A `•,.....' = L"(ee,,''
Date...1 d
NICKNAME LAST SUFFIX ;..,' `,�0�
Mike Missildine = \
4 CANDIDATE/ ADDRESS /PO BOX', APT/SUITE#; CITY; STATE; ZIP CODE Jilt
OFFICEHOLDER P.O.O. Box 863465 Plano TX 75086 %2�i` .. ,,�. %`'
MAILING
ADDRESS ,'�J ............. +���••
uNn 0,
Change of Address ���,///IIIIItIIItt�`
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
elivered or ate Postm..r
OFFICEHOLDER
PHONE ( 214 ) 994-7175 or. z�, Dz-2
---- Receipt# Amount$
6 CAMPAIGN MS/MRS/MR FIRST MI
TREASURER
NAME MR Jerry Da Proce,,seJQ�j. �-Da L�
NICKNAME LAST SUFFIX 4C l " `i
Date Imaged
Missildine
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE ft, CITY. STATE ZIP CODE
ADDRESSTREASURER 5709 Butterfly Way Fairview, TX 75069
(Residence or Business)
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE ( 214 ) 236-4785
9 REPORT TYPE r January 15 (El 30th day before election Runoff 15th day after campaign
treasurer appointment
(Officeholder Only)
f July 15 8th day before election Exceeded Modified Final Report(Attach C/OH-FR)
i Reporting Limit
10 PERIOD Month Day Year Month Day Year
COVERED
1 / 16 / 22 THROUGH 1 / 27 / 22
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year
• Primary Runoff Other
Description
3 / 1 / 22 General Special
12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known)
Justice of the Peace Pct. 3 Justice of the Peace Pct. 3
14 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT
POLITICAL THE CANDIDATE I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDERS KNOWLEDGE OR
CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTLGE OF SUCH EXPENDITURES.
COMMITTEE(S)
COMMITTEE TYPE COMMITTEE NAME 1 N
d
CO IN*
—< N
GENERAL COMMITTEE ADDRESS L
�r
Additional Pages ./
SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME ►V
COMMITTEE CAMPAIGN TREASURER ADDRESS 3
co
coGO TO PAGE 2 w
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
• AIM
CANDIDATE / OFFICEHOLDEFO R I 131 NAL FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
15 C/OH NAME 16 Filer ID (Ethics Commission Filers)
Michael "Mike" Missildine
17 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
TOTALS PLEDGES. LOANS, OR GUARANTEES OF LOANS, OR $
CONTRIBUTIONS MADE ELECTRONICALLY)
2. TOTAL POLITICAL CONTRIBUTIONS $
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE. $
TOTALS
4. TOTAL POLITICAL EXPENDITURES $ 49.00
00NTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF REPORTING PERIODOUTSTANDING $
LOAN TOTALS 6 LTOT DAYAL IOFIPAL AMOUNT OF ALL THE REPORTING PERIODSTANDING LOANS AS OF THE $ 53000.00
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.
Signature of Candidate or Officeholder
^'e 1.,"�'''1' Please complete either option below:
i
(1)Affidavit =* N,9 Py
'•ep FOF o: *`
1,,p, 02/19)Z
NOTARY STAMP/SEQL�iiiirtti�llittt�������� M c �(� 1A
Sworn to and subscribed before me by �1 ` V�\9� \ � k\�, 1 I Vk this the -2-23 day of y
20 Zi o certify which,witness my hand ands al of office.
\Jl _____ 6-6\
Si r in' iafering oath Printed name of officer administering oath Title of officer administering oath
(2) 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 or ,20 .
(month) (year)
Signature of Candidate/Officeholder(Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
SUBTOTALS - C/OH ORIGINAL FORM C/OH
COVER SHEET PG 3
19 FILER NAME 20 Filer ID(Ethics Commission Filers)
Michael "Mike" Missildine
21 SCHEDULE SUBTOTALS SUBTOTAL
NAME OF SCHEDULE AMOUNT
1. SCHEDULE A1: MONETARY POLITICAL CONTRIBUTIONS $
2. SCHEDULE A2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $
3. SCHEDULE B: PLEDGED CONTRIBUTIONS $
4. IN SCHEDULE E: LOANS $ 5,000.00
5. ■ SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 49.00
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 $
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
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
ORIG/NAL
LOANS SCHEDULE E
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 E:
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
Michael "Mike" Missildine
4 TOTAL OF UNITEMIZED LOANS $ 5,000.00
5 Date of loan 7 Name of lender ❑out-of-state PAC(ID# ) 9 Loan Amount($)
07/05/2021 Michael Missildine 2,500.00
6 Is lender 8 Lender address; City; State; Zip Code 10 Interest rate
a financial 0.00
Institution? 3504 Harpers PI, Plano, TX 75075
11 Maturity date
Y • N
12 Principal occupation / Job title (See Instructions) 13 Employer (See Instructions)
Justice of the Peace, Pct. 3 Justice of the Peace, Pct. 3
14 Description of Collateral 15
Check if personal funds were deposited into political
1 account (See Instructions)
• none
16 GUARANTOR 17 Name of guarantor 19 Amount Guaranteed($)
INFORMATION
18 Guarantor address; City; State; Zip Code
■ not applicable
20 Principal Occupation (See Instructions) 21 Employer (See Instructions)
Date of loan Name of lender ❑out-of-state PAC(ID#: ) Loan Amount($)
11/01/2021 Michael Missildine 2,500.00
Is lender Lender address; City, State; Zip Code Interest rate
a financial
Institution? 3504 Harpers PI, Plano, TX 75075 Maturity date
r y • N
Principal occupation / Job title (See Instructions) Employer (See Instructions)
Justice of the Peace, Pct. 3 Justice of the Peace, Pct. 3
Description of Collateral
Check if personal funds were deposited into political
1 account (See Instructions)
• none
GUARANTOR Name of guarantor Amount Guaranteed($)
INFORMATION
Guarantor address; City; State; Zip Code
• not applicable
Principal Occupation (See Instructions) Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If lender 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
•
CIRTGINIAL
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 a Expense PollingExpense Transportation Equipment&Related Expense
Consulting Expense Food/Beverage Pe P 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 pages Schedule F1: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
1 Michael"Mike" Missildine
4 Date
5 Payee name
01/27/2022 Campaign Partner
6 Amount ($) 7 Payee address; City; State; Zip Code
49.00 Still River, MA 01467
8 (a) Category (See Categories listed at the top of this schedule) (b) Description
PURPOSE AdvertisingExpense Website
OF p
EXPENDITURE
(c) Check tf travel outside of Texas.Complete SthediieT. Check if Austin,TX,officeholder living expense
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH Michael "Mike" Missildine Justice of the Peace Pct.3
Date Payee name
Amount ($) 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. 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
Check if travel outside of Texas.Complete Schedule T. 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
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