HomeMy WebLinkAboutTerry Box 12162016 JORIGINAL
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
i
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 FIRST MI I
OFFICEHOLDER OFFICE USE ONLY
NAME Sheriff Terry G. , ""'
Date Rerti@N 99,,*.s, ,,,��
NICKNAME LAST SUFFIX : *A'S-'," •..b�.1.
��YC L
Box d; i� `: _
4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE „- • s P. s _
OFFICEHOLDER 4 -�`__ # \ F
MAILING �r /• i
ADDRESS ✓:;1r�'t .... n. .•
FT Change of Address 2709 Colonial Circle, McKinney, TX 75070 .,., , 1,, �.r
04,
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDERDate nd-d ' red or Date Postmarked
PHONE ( 972 ) 547-5100
6 CAMPAIGN MS/MRS/MR FIRST MI Receipt# Amount$ 1
TREASURER
NAME Mr. Chuck Date Processed /-
NICKNAME LAST SUFFIX /2,-/b '/(0
O'Reilly Date Imaged
12.1i ullto
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER
ADDRESS
(Residence or Business)
3600 Dewberry Court, Plano, TX 75025
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASPHONE URER ( 972 ) 335-8831 �
1
9 REPORT TYPE
aJanuary 15 ❑ 30th day before election n Runoff ❑ 15th day after campaign
treasurer appointment
(Officeholder Only)
❑ July 15 n 8th day before election ❑ Exceeded$500 limit U Final Report(Attach C/OH-FR)
10 PERIOD Month Day Year Month Day Year
COVERED 07/ 16 /2016 THROUGH 01 / 15 /2017
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year ❑ Primary ❑ Runoff ElOther
Description
/ / ❑ General ❑ Special
d'y's
12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known) 1
Sheriff ..
-
GO TOPAGE2 N)
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 15 Filer ID (Ethics Commission Filers)
Sheriff Terry G. Box
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 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
COMMITTEE ADDRESS
SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
IT Additional Pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
r—
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) $ 520.00
EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
TOTALS UNLESS ITEMIZED $ 0
4. TOTAL POLITICAL EXPENDITURES $ 4,494.94
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF REPORTING PERIOD $ 0
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ 0
18 AFFIDAVIT
I swear,or affirm,under penalty of perjury,that the accompanying report is
• SUSAN L.HAYES true and correct and includes all information required to be reported by me
�' a Nay Public under Title 15,Election Code.
STATE OF TEXAS —
i of I My Comm Eilp.November 3,2018
Signal a of Candidate r Officeholder
AFFIX NOTARY STAMP/SEALABOVE
Sworn to and subscribed before me,by the said Sheriff Terry G. Box ,this the 15th
day of 11ecember,20 16 ,to certify which,witness my hand and seal of office.
r �
� et:_��s� .moi, .>r� Susan L. Ha es Nota Public
Signature of Sir er admi istering 'h Printed name of officer administering oath Title of officer administering oath
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 NAME 20 Filer ID(Ethics Commission Filers)
Sheriff Terry G. Box
21 SCHEDULE SUBTOTALS SUBTOTAL
NAME OF SCHEDULE AMOUNT
1. ® SCHEDULE Al: MONETARY POLITICAL CONTRIBUTIONS $ 520.00
2. SCHEDULE A2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $ 0
3. SCHEDULE B: PLEDGED CONTRIBUTIONS $ 0
4. 0 SCHEDULE E: LOANS $ 0
5. (�( SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 4,475.51
6. ❑ SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 0
7. SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ 0
8. n SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 0
9. SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 0
10. 0 SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ 0
11. ( SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 19.43
12. n SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS,AND CONTRIBUTIONS
I I RETURNED TO FILER $ 0
`t7
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
ORIGINAL
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)
Sheriff Terry G. Box
4 Date 5 Full name of contributor ❑out-of-state PAC(ID#: ) 7 Amount of contribution ($)
Terry G. Box $ 520.00
6 Contributor address; City; State; Zip Code
2709 Colonial Circle, McKinney, TX 75070
8 Principal occupation/Job title(See Instructions) g Employer(See Instructions)
Date Full name of contributor ❑out-of-state PAC(ID#: ) Amount of contribution ($)
Contributor address; City; State; Zip Code
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor ❑out-of-state PAC(ID#: 1 Amount of contribution ($)
Contributor address; City; State; Zip Code
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor El out-of-state PAC(ID#: ) Amount of contribution ($)
Contributor address; City; State; Zip Code
Principal occupation/Job title(See Instructions) Employer(See Instructions)
r
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC,please see instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
nORIGINAL
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS , SCHEDULE Fl
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense EventFxpcnse Loan Repayment/Reimbursement SolicitatiorVFundraisi Expense
Accounting/Banking Fees
Consulting Expense Food/Beverage ense/Rental Expense TransportationlIn Equipment&Related Expense
Expense Polling Expense Travel In District
Contributions/Donations Made By GifVAwards'Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other(enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Fl: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
1 of 2 Sheriff Terry G. Box
4 Date 5 Payee name
10/05/2016 McKinney Rotary Club
6 Amount ($) 7 Payee address; City; State; Zip Code
$ 250.00 P 0 Box 552, McKinney, TX 75070
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 ❑Check if Austin,TX,officeholder living expense
EXPENDITURE
Fees Qtrly Membership Dues
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
11/11/2016 Symbol Arts
Amount ($) Payee address; City; State; Zip Code
$ 2,225.00 6083 South 1550 East, Ogden, UT 84405
Category (See Categories listed at the top of this schedule) Description
PURPOSE ❑Check if travel outside of Texas.Complete Schedule T.
OF ❑Check if Austin,TX,officeholder living expense
EXPENDITURE
Awards/Gifts Expense - Challenge Coins
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
11/30/2016 Terry G. Box .
Amount ($) Payee address; City; State; Zip Code
$ 500.00 2709 Colonial Circle, McKinney, TX 75070
Category (See Categories listed at the top of this schedule) Description
PURPOSE ❑Check if travel outside of Texas.Complete Schedule 1
OFCD
EXPENDITURE ElCheckif Austin,TX,officeholder living expense
,
Reimbursement Contribution reimbursement
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
I
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
I
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
•
D ORIGINAL
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE Fl
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
ng Fees
Office OverheakYRental Expense Transportation Equipment&Related Expense
Consulting Expense FoodBeverage 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 pages Schedule F1: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
2 of 2 Sheriff Terry G. Box
4 Date 5 Payee name
12/15/2016 CASA - Collin County
6 Amount ($) 7 Payee address; City; State; Zip Code
$ 1,500.51 101 E. Davis St., McKinney, TX 75069
8 (a)Category (See Categories listed at the top of this schedule) (b) Description
PURPOSE CICheck if travel outside of Texas.Complete Schedule T.
OF ❑Check if Austin,TX,officeholder living expense
EXPENDITURE
Donation (Final) Close campaign fund out
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule) Description
PURPOSE ❑Check if travel outside of Texas.Complete Schedule T.
OF I—'I(Check if Austin,TX,officeholder living expense
EXPENDITURE
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
.
Amount ($) Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule) Description N;
PURPOSE ❑Check if travel outside of Texas.Complete Schedule T.CT
OF
EXPENDITURE CICheck 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
ORIGINAL
NON-POLITICAL EXPENDITURES
MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE I
The Instruction Guide explains how to complete this form.
1 Total pages Schedule I: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
1 Sheriff Terry G. Box
4 Date 5 Payee name
08/31/2016 PayPal - Relentless Defender (Online Purchase)
6 Amount ($) 7 Payee address; City; State; Zip Code
$ 19.43 4711 Hwy 36 S., Suite 36, Rosenberg, TX 77471
8 (a)Category (See instructions for examples of acceptable (b)Description (See instructions regarding type of information
PURPOSE categories.) required.)
OF
EXPENDITURE
Other Apparel
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE Category (See instructions for examples of acceptable Description (See instructions regarding type of information
categories.) required.)
OF
EXPENDITURE
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE Category (See instructions for examples of acceptable Description (See instructions regarding type of information
OF categories.) required.)
EXPENDITURE
J
Date Payee name
Amount ($) Payee address; City; State; Zip Code
CD
PURPOSE Category (See instructions for examples of acceptable Description (See instructions regarding type of information
categories.) required.)
OF
EXPENDITURE
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
ORIGINAL
CANDIDATE / OFFICEHOLDER REPORT:
DESIGNATION OF FINAL REPORT FORM C/OH - FR
The Instruction Guide explains how to complete this form.
-- Complete only if "Report Type" on page 1 is marked "Anal Report" --
1 C/OH NAME 2 Filer ID (Ethics Commission Filers)
Terry G. Box
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 o
Signatur f Candid /Officeholder
4 FILER WHO IS NOT AN OFFICEHOLDER
-- Complete A& B below only if you are not an officeholder. --
A. CAMPAIGN FUNDS
i
Check only one:
In I do not have unexpended contributions or unexpended interest or income earned from political contributions.,- ,
0 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
personal use. I also understand that I must file an annual report of unexpended contributions and that I racy 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:
I do not retain assets purchased with political contributions or interest or other income from political contributions.
n 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.
Signature of Candidate
5 OFFICEHOLDER
-- Complete this section only if you are an officeholder --
® 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 or other income from political contributions.
Si. ature of Officeholder
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015