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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