HomeMy WebLinkAboutEilenfeldt semi Jan 2016 Texas Ethk s Commission P.C.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
CANDIDATE 1 OFFICEHOLDER FORM CIOH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
I ACCOUNT/1 2 Total pages filed:
The C14F1 Instruction Guide explains how to complete this form. (Ethics Commission Filers)
3 CANDIDATE / MS/MRS/MR FIRST MI E ctinq k l 1
OFFICEHOLDER I n _1�
NAME [,r IDnt ived c
NICKNAME LAST SUFFIX
4 CANDIDATE / ADDRESS I PO BOX; APT/SUITE#, CrrY; STATE; ZIP CODE
MAILING
OFFICEHOLDER if r r F-0 Un--ffain am Sr .de_ IrCITY OF RILES
MAILING ! T(.�
orTrosimarked
ADDRESS L/ L);9 n Ia .
I j change of address 6( e S ^T^X
S r 7(00 3 q Raceipi An�J
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER Data Processed
PHONE (("I I7 ) 5?1• ....3 48 a..•
6 CAMPAIGN MS/MRS/MR FIRST MI O ate Imaged
TREASURER �7 G I .e ri r Bab
NAME 1.
NICKNAME/7 r p r LAST SUFFIX
B
7 CAMPAIGN STREET ADDRESS(NO PO BOX PLEASE); APT/SUITE#: CRY STATE; ZIP CODE
TREASURER
ADDRESS Ltai r2ou.A44 r Side_ fir.
(residence or business)
5L1 LesS TX 7(o039
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE HONE (f '7 ) 571 . ca749
9 REPORT TYPE ICI January 15 n 301h day before election n Runoff I—I 15th day after campaign
I� I ! treasurer appointment
(ofliceholermy)
n July 15 ❑ 6th day before election ❑ Exceeded$500 n Final report(Anadi C/OH-FR)
limit
10 PERIOD mow pity Yaw ManVti Darr Veer
COVERED / 1 / f 5 THROUGH .lam 3/ /I5
11 ELECTION ELECTION DATE ELECTION TYPE
Month n Primary ❑ Runoff General ❑ Special
/ /
12 OFFICE OFFICE HELD Vary) 13 OFFICE SOUGHT (if known)
B ate s$ Cr441 Cotvnci
Pi are 4
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www.a th ics.state.tx.us Revised 04/19/2013
Texas Ethibs Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
CANDIDATE I OFFICEHOLDER REPORT: FORM CIOH
SUPPORT & TOTALS COVER SHEET PG 2
14 CIDI-I NAME 15 ACCOUNT# (Ethics Commission Filers)
EMI le/Ice I d-f-
1 S NOTICE FROM THIS BOX IS FOR NOTICE OF POUTICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POUTICAL COMMITTEES TO SUPPORT THE
POLITICAL CANDIDATE!OFFICEHOLDER. THESE EXPENDITURES MAY HAW SEEN MADE IWTHOUT THE CANDIDATES OR OFRCEHOLDER S KNOWLEDGE OR
COMMITTEE(S) CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE NAME
COMMITTEE TYPE
Q GENERAL
COMMITTEE ADDRESS
Q 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) .... d.....
EXPENDITURE
TOTALS 3. TOTAL POLITICAL EXPENDITURES OF$100 OR LESS,UNLESS ITEMIZED $ b
4. TOTAL POLITICAL EXPENDITURES
/02,p, oa
CONTRIBUTION 5 TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF REPORTING PERIOD $ 7 q e 3 /
OUTSTANDING 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 under Title 15, Election Code.
KIM SUTTER
,,•./.)(Fte411.411—, 6(2
c'zFFr''G�r�'z Notary Public,State of iexns
' _comm.Expires DB 25 2Dt 1 Signature of Candidate or Officeholder
T
'it I;;��;� Nolary ID 10956806
AFFIX NOTARY STAMP 1 SEAL ABOVE r
5wor #o and subscrib d before me, ay the said ���� 44 `-'�1 this the
da o , 20 l , to certify which, witness my hand and seal of office.
' nature of officer administering oath Printed name of officer administering oath Title of officer administering oath
www.ethics.state.tx.us Revised 04(1912013
Texas Ethics;Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
POLITICAL EXPENDITURES SCHEDULE F
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment&Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER(enter a category not listed above)
The Instruction Guide explains how to complete this form.
7 Total pages Schedule F 2 FILER NAME 3 ACCOUNT#(Ethics Commission Filers)
I Land& Ell-IenPe Ict+
4 Date 5 Payee n me
5.14. 1 S C.1r fp a n SI c Cu.4-S
6 Amount ($) 7 Payee address; Oify; State; Zip Code
46 ,ao.00 571 /-us'--bin Cou.rf-
Co-fie ![ -t) '1SD1c
8 PURPOSE (a) Category (See categoric listed at the top of this schedule) (b) Description (If travel outside of Texas,complete Schedule Ti
OF
EXPENDITURE a d-ver 4. 4 6'1 fl43 e I(pe f i S e ti-v,f7 O 1 4 e h o rr1 1 nl
9 Complete ONLY if direct Candidate 1 Officeholder name Office sought C Office held
MOH to benefit OH Ls nd a E i Ie A C& /d.-f- G ld e s C f G 0,447
Date Payee name r
Amount (5) Payee address; City; State; Zip Code
PURPOSE Category (See categories listed at the top of this schedule) Description lIF travel outside of Texas,complete Schedule Tj
OF
EXPENDITURE
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE Category (See categories listed at the top of this schedule) Description Of travel outside of Texas,complete Schedule TI
OF
EXPENDITURE
Complete ONLY it direct Candidate I Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE Category (See categories listed at the top of this schedule) Description (IF(revel outside of Texas,complete Schedule T)
OF
EXPENDITURE
Complete ONLY if direct Candidate 1 Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 09/28/2011