HomeMy WebLinkAbout2021 Owens 8 dayCANDIDATE / OFFICEHOLDER
CAMPAIGN FINANCE REPORT
1 r ID EthiCFil
The C/OH Instruction Guide explains how to complete this form. File(cs ommission ers)
3 CANDIDATE /
OFFICEHOLDER
NAME
4 CANDIDATE /
OFFICEHOLDER
MAILING
ADDRESS
❑ Change of Address
5 CANDIDATE/
OFFICEHOLDER
PHONE
6 CAMPAIGN
TREASURER
NAME
7 CAMPAIGN
TREASURER
ADDRESS
(Residence or Business)
8 CAMPAIGN
TREASURER
PHONE
9 REPORT TYPE
10 PERIOD
COVERED
11 ELECTION
12 OFFICE
14 NOTICE FROM
POLITICAL
COMM ITTEE(S)
❑ Additional Pages
MS / MRS /`J FIRST MI
*174
NICKNAME LAST
SUFFIX
ADDRESS / PO BOX; APT / SUITE`#; CITY; STATE; ZIP CODE
/ 0 0- FcJrzA- 1 1 O i j L C%1 .
AREA CODE PHONE NUMBER EXTENSION
( )17) �Pj� 3 ��2
MRS MS / MR FIRST MI
.................................................................................
NICKNAME LAST SUFFIX
STREET ADDRESS (NO PO BOX PLEASE); APT
SUITE #; CITY;
AREA CODE PHONE NUMBER EXTENSION
January 15
July 15
Month
f5d 8th day before election
Day E Year
Z�} Z„ � THROUGH
ELECTION DATE
Month Day Year ❑ Primary ❑ Runoff
d 5�0 I /2'D •'Lj General ElSpecial
Runoff
Exceeded Modified
Reporting Limit
FORM C/OH
COVER SHEET PG 1
2 Total pages filed:
OFFICE USE ONLY
Da
L
D
APR 2 3 2021
3: SSja•.ti
CITY OF EULESSry Dale an - e ered or Date Postmarked
Receipt # Amount $
Date Processed
Date
Imaged
STATE; ZIP CODE
15th day after campaign
treasurer appointment
(Officeholder Only)
Final Report (Attach C/OH - FIR)
Month Day Year
ELECTION TYPE
❑ Other
Description
OFFICE HELD (if any) 13 OFFICE SOUGHT (if known)
/
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT
THE CANDIDATE / OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'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
SPECIFIC
COMMITTEE ADDRESS
COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
2 Total pages filed:
OFFICE USE ONLY
Da
L
D
APR 2 3 2021
3: SSja•.ti
CITY OF EULESSry Dale an - e ered or Date Postmarked
Receipt # Amount $
Date Processed
Date
Imaged
STATE; ZIP CODE
15th day after campaign
treasurer appointment
(Officeholder Only)
Final Report (Attach C/OH - FIR)
Month Day Year
ELECTION TYPE
❑ Other
Description
OFFICE HELD (if any) 13 OFFICE SOUGHT (if known)
/
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT
THE CANDIDATE / OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'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
SPECIFIC
COMMITTEE ADDRESS
COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
15 C/OH NAME 16 Filer ID (Ethics Commission Filers)
B,�&y �CIC Oc,(->NS
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)
...................
TOTALS EXPENDITURE 3, TOTAL UNITEMIZED POLITICAL EXPENDITURE. $
4. TOTAL POLITICAL EXPENDITURES $
...................
CONTRIBUTION 5, TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF REPORTING PERIOD $ U G Q
..................
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.
Signature of Candidate or Officeholder
Please complete either option below:
(1) Affidavit
NOTARY STAMP/SEAL
Sworn to and subscribed before
20 Z+ to ce which, witness my hand and seal of office. /
7l/w�
Signa ure of officer administering oath Printed name of officer administering oath
(2) Unsworn Declaration
My name is
My address is
Executed in
(street)
County, State of
this the � � day of �C� ,
and my date of birth is
Title of officer administering oath
(city) (state) (zip code) (country)
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
SUBTOTALS - C/OH
19 FILER NAME
21 SCHEDULE SUBTOTALS
NAME OF SCHEDULE
1- SCHEDULEAI: MONETARY POLITICAL CONTRIBUTIONS
2, SCHEDULE A2: NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS
3, SCHEDULE B: PLEDGED CONTRIBUTIONS
4, SCHEDULE E: LOANS
FORM
C/OH
COVER SHEET
PG
3
20 Filer ID (Ethics Commission Filers)
5. � SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
6, SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
�• � SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $
8• � SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $
9• N 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
SUBTOTAL
AMOUNT
Forms provided by Texas Ethics Commission vdww.ethics.state.tx.us Revised 8/17/2020
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 A1:
2 FILER NAME ,,��``11 3 Filer ID (Ethics Commission Filers)
�[ L.ir� �� I C VCQc;—N �
4 Date 5 Full name of contributor ❑ out-of-state PAC (ID#: 7 Amount of contribution ($)
03/Z/ 6 Contributor) address; City; 4 0, 6 4 6 64 4 4 0 State; 0 4 Zip Codeor
J' ,�Cr I WGG��i✓�f'J'�� (� II.�S CT. ��:uCz:'C.� >�U17!.i �
8 Principal occupation / Job title (See Instructions) 19 Employer (See Instructions)
Date Full name of contributor ❑ out-of-state PAC (ID#: t Amount of contribution ($)
/ Ct /,
v21'I.S f
Contributor address; City; State; Zip Code I� Q
Cg`i G�- GLI v; p .... v
Principal occupation / Job title (See Instructions) I Employer (See Instructions)
Date Full name of contributor ❑ out-of-state PAC (ID#: 1 Amount of contribution ($)
..................................................................................
Contributor address; City; State; Zip Code
Principal occupation /Job title (See Instructions) I Employer (See Instructions)
Date Full name of contributor ❑ out-of-state PAC (ID#: 1 Amount of contribution ($)
..................................................................................
Contributor address; City; State; Zip Code
Principal occupation /Job title (See Instructions)
Employer (See Instructions)
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
SCHEDULE rl
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/PoliticaiCommittee Legal Services SalariesANages/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
i
4 Date
0-4/2
6 Amount ($j
2 FILER NAME.-�
IS LC,
5 Payee name
7 Payee address;
C2I C �
City;
3 Filer ID (Ethics Commission Filers)
State; Zip Code
� � CrL�C_J' � O � f 0 � . kI I % Ci IT- () tI � �1 �: S i V' \( � � � t I (r0 11 1
$ (a) Category (See Categories listed at the top of this schedule) (b) Description r
PURPOSE a k,Y MLA } k G� T —
CL(I (T C✓Nzi�
OF cpC e � li"V Cdk(> TX!Vok=" V
EXPENDITURE �'I L� �% ��F_I eIJC� dVG�c ti%ijL
(c) F] Check if travel outside ofTexas, Complete Schedule T.
9 Complete ONLY if direct Candidate /Officeholder name
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address;
Category (See Categories listed al tha lop of this schedule)
PURPOSE
OF
EXPENDITURE
Check iftraveloutsideofTexas.CompleteScheduleT.
Complete ONLY if direct Candidate /Officeholder name
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address;
Category (See Categories listed at the top of this schedule)
PURPOSE
OF
EXPENDITURE
CheckifiraveloutsideofTexas.CompleteScheduleT.
Complete ONLY if direct Candidate /Officeholder name
expenditure to benefit C/OH
Check if Austin, TX, officeholder living expense
Office sought Office held
City;
Description
State; Zip Code
Check i( Austin, TX, officeholder living expense
Office sought Office held
City;
Description
State; Zip Code
Check if Austin, TX, officeholder living expense
Office sought Office held
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission vdww.ethics.state.tx.us Revised 8/17/2020
POLITICAL EXPENDITURES MADE FROM
PERSONALFUNDS
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:
I
4 Date
04 1 z ( i 12-c)
6 Amount ($)
Reimbursement tam
political contributions
intended
PURPOSE
OF
EXPENDITURE
9
Complete ONLY if direct
expenditure to benefit C/OH
Date
c�4/zi,Zr�Z1
Amount ($)
3c4?w75
Reimbursement no
political contributions
intended
PURPOSE
OF
EXPENDITURE
2 FILER NAME
5 Payee name t
V L
7 Payee address; City;
P, v% ��� (�os� 7 C► % 7 ar
(a) Category (See Categories listed at the top of this schedule)
�Pl`vt'T CAit� P�� ML�N i
(c) Check if travel outside of Texas. Complete Schedule T.
Candidate / Officeholder name
Payee name
Payee address;
Category (See Categories listed at the top of this schedule)
C��t�T LqP� ❑ Check if travel outside of Texas. Complete Schedule T.
Candidate / Officeholder name
Complete ONLY if direct
expenditure to benefit C/OH
Date
Amount ($)
Payee name
Payee address;
3 Filer ID (Ethics Commission Filers)
State; Zip Code
(b) Description
of G,2tL-�t7(LL
�rJ 2 tP.21 s\ST I io%x� (n�
❑ Check if Austin, TX, officeholder living expense
Office sought
City;
Office held
State; Zip Code
P�
Description
t�,l�T''
t2 out'f`I i 1 tw l L'�A
Check if Austin, TX, officeholder living expense
Office sought Office held
City;
State; Zip Code
❑Reimbursementfrom
political contributions
intended
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