HomeMy WebLinkAbout2021 Bynum semi 2021 and FRCANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT
COVER SHEET PG 1
The C/OH Instruction Guide explains how to complete this form.
1
Filer ID (Ethics Commission Filers)
2 Total pages filed:
3 CANDIDATE /
OFFICEHOLDER
MS / MRS / MRIRST
e ) I
1 °�
MI
OFFICE USE ONLY
Date Received
NAME
I ! i. �] . . . . . . . . . . . . .
NICKNAME LAST
SUFFIX
C
4 CANDIDATE /
ADDRESS / PO BOX; APT / SUITE #, CITY,
STATE, ZIP CODE
OFFICEHOLDER
MAILING
y
�(
ADDRESS
❑ Change of Address��
5 CANDIDATE/
AREA CODE PHONE NUMBER
EXTENSION
OFFICEHOLDER
PHONE
` t jt rJ
/ (—
Date Hand -delivered or Date Postmarked
Il�
6 CAMPAIGN
TREASURER
NAME
MS / MRS / MR FIRgT
'ily�� /`-
. . /. . . . . . . .
MI
-
. . . .
Receipt #
TAmount $
Date Processed
NICKNAME LAST
SUFFIX
Date Imaged
h�- ulA,..
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE
#; CITY; STATE;
ZIP CODE
TREASURER
ADDRESS
(Residence or Business)
8 CAMPAIGN
AREA CODE PHONE NUMBER
EXTENSION
TREASURER
`
PHONE
I
9 REPORT TYPE
January 15 30th day before election Runoff
15th day after campaign
treasurer appointment
(Officeholder Only)
El July 15 El8th day before election
ElExceeded $500limit
mal Report (Attach C/OH - FR)
10 PERIOD
Month Day Year
Month
Day Year
COVERED
THROUGH
11 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
❑ Primary
❑ Runoff ❑ Other
I' / /2 �p t) h t
eneral
Description
❑ Special
12 OFFICE
OFFICE HELD (if any)
13 OFFICE SOUGHT (if known)
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 NAM(
15 Filer ID (Ethics Commission Filers)
�V L � n,L
16 NOTICE FROM
T S 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
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
GENERAL
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
TOTALS
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE
TOTALS
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES
$
CONTRIBUTION
BALANCOF
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
REPORTING PERIOD
'
OUTSTANDING
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
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
and r 'tie 15, Election Code.
``IIIIIr KIM SUTTER
Notary Public, State of Texas
Comm. Expires 08-25-2021
%,9rF • •+�� Signature of Candidate or Officeholder
Notary ID 10956806
AFFIX NOTARY STAMP / SEALABOVE
Pal6-wv�-
Sworn t Ind subscribed before me, by the said this the
day o 20� to certify which witness m hand and seal of office.
N ✓ It 1-1 i+
gnature of officer administering oath 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
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Sol icitation/FundraisingExpense
Accountfng/Banking Fees Office Overhead/Rental 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 FI
R NAME
3 Filer ID (Ethics Commission Filers)
4 Dat
01 / pr 1.1 —b
nqe
5 ye1 T r �.�
6 Amount ($)
7 Payee address; City; State; Zip Code
t
'��n c - Ur I -c, r(a)
8
(a) Category (See Categories listed at the top of this schedule)
(b) Description
❑ Check if travel outside of Texas. Complete Schedule
PURPOSE
OF
❑ Check if Austin, TX, officeholder living expense
EXPENDITURE
(' j ti • t �� l -. �� ".
9 Complete ONLY if direct '—.-'Pandidate / Officeholc$ e Office sought Office h
J
expenditure to benefit C/OH
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule)
Description
❑ Check if travel outside of Texas. Complete Schedule
PURPOSE
OF
❑ Check if Austin, TX, officeholder living expense
EXPENDITURE
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule)
Description
❑ Check if travel outside of Texas. Complete Schedule
PURPOSE
OF
❑
EXPENDITURE
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
CANDIDATE/ OFFICEHOLDER REPORT:
DESIGNATION OF FINAL REPORT FORM C/ - F
The Instruction Guide explains how to complete this form.
•• Complete only if "Report Type" on page 1 is marked "Final Report" •-
1 C/OH NAME
III-Ifn R, Rt
2 Filer ID (Ethics Commission Filers)
r
3 SIGNAT RE
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 ut,0 rstand that I may not accept any campaign
contributions or make any campaign expenditures without a campaign treasurer appofnt ent oplf, le.
Siq6nrature VCandidate / Officeholder
4 FILER WHO IS NOT AN OFFICEHOLDER
•• Complete A & B below only if you are not an officeholder. --
A. CAMPAIGN FUNDS
Check only one:
0 I do not have unexpended contributions or unexpended interest or income earned from political contributions.
F-1 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 may 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.
0 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 contribution, after filing the last required report as an
officeholder, I retain political contributions, interest or other income from political co6triutions, or assets purchased with politi-
cal contributions or interest or other income from political contributions. t i1
I
Sjgnatu r of Officeholder
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015