HomeMy WebLinkAboutEilenfeldt semi July 2014 . Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
CANDIDATE / OFFICEHOLDER FORM C/OH
' CAMPAIGN FINANCE REPORT COVER SHEET PG 1
I ACCOUNT# 2 Total pages filed:
The C►OH Instruction Guide explains how to complete this form. (Ethics Commission Filers) B
3 CANDIDATE 1 MSIMRS!MR FiRSI Ml c InaliVI
Y
NAMEOFFICEHOLDER 1 n �� wr E1
L. Dt=-: 1. n
NICKNAME LAST SUFFIX
4 CANDIDATE / ADDRESS IAOBOX; APT ISUITEN. CRY, STATE: ZIP CODE
OFFICEHOLDER (�
MAILING 4' i t Pot/n-( 'r n ar] I'd e f. Date HORe FsiEULE$S
ADDRESS
I change of address E tclL s s T K. 7 6 6 3 g Receipt# Amount
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER (13r7 ) Cw +. 3` gel'
Processed
6 CAMPAIGN MSIMRS/MR y f I FIRST MI Date imaged
TREASURER NAME 50
T?
NICKNAME LAST SUFFIX
Beta er.
7 CAMPAIGN STREET ADDRESS{NO PO BOX PLEASE): APT/SUITE*: CITY: STATE: ZIP CODE
TREASURER [�
ADDRESS q as It Foun.-FQ/►1 5] l 4 e b
(residence or business)
8aless TX Too 31
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREAS
PHO EURER tom 5- 7 /. Q ?4 9
9 REPORT TYPE 0 January 15 � 3Oth day before election ❑ Runoff 15th day after campaign
treasurer appointment
(olkafrolder only)
3 July 15 El Eth day before election n Exceeded$500 n Final report(Attach CIOH-FR)
limit
10 PERIOD Month Dei Montt, Doi Yaer
COVERED / / /c THROUGH
J
/ o/ J 3o ao/4
11 ELECTION ELECTION DATE ELECTION TYPE
Monti Dray '`� El Primary ❑ Runoff XI Gen rai ❑ Speial c
5 /io /.l0
l4/
12 OFFICE OFFICE HELD(if any) 13 OFFICE SOUGHT (if known)
Eulr'SS eft Councr t
GO TO PAGE 2
www.ethics.state.tx.us Revised 04/1912013
Texas ethics Commission P.C.Box 12070 Austin,Texas 78711-207❑ (512)463-580❑ (TDD 1-800-735-2989)
CANDIDATE I OFFICEHOLDER REPORT: FORM CIOH
'SUPPORT & TOTALS COVER SHEET PG 2
14 C/OH NAME 115 ACCOUNT# (Ethics Commission Filers)
)r'd et. Silence /d*
16 NOTICE FROM THIS BOX IS FOR NOTICE OF POUTICAL CONTRIBUTIONS ACCEPTED OR POLmKCAL EXPENDITURES MADE BY POLITICAL COMMITTEES ID SUPPORT THE
POLITICAL CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAY NAVE BEEN MADE rwTHOUT THE CANDIDATES OR OFFCEHQLDER S KNOWLEDGE OR
COMMITTEE(S) CONSENT CA.NDSDATES AND OFFICEHOLDERS ARE REQUIRED m7 REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE NAME
COMMITTEE TYPE
GENERAL
COMMITTEE ADDRESS
SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
❑ additional pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
1 ,
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$100 OR LESS,UNLESS ITEMIZED
4. TOTAL POLITICAL.EXPENDITURES
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY 1 i
BALANCE OF REPORTING PERIOD
OUTSTANDING 6 TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE Q r�
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD
" / ! +% �J
18 AFFIDAVIT
I swear, or affirm, under penalty of perjury,that the accompanying report
is true and correct and includes all information required to be reported by
me under Title 15,Election Code.
��► ILIM SLITTER J.
II My Commission Expires r Signature ofCandidate or Offloeholder
August 25, 2017
�•r of.e*S
AFFIX NOTARY STAM•1 A A:•
ijkl-ACL
Sworn to and subscribe before me, by the said [ `" , this the
day of . - , 20 / I+ , to certify which, witness my hand and seal of office.
� r
�• I�� r4 #ter-- N o 7g►ey P L h L k c
ign ure of officer administering oath Printed name of officer administering oath Title of officer administering oath
www.eth ics.state.tx.us Revised 04/19/2013
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
POLITICAL EXPENDITURES SCHEDULE F
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment&Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER(enter a category not listed above)
The Instruction Guide explains how to complete this form.
'! Total pages Schedule E. 2 FILENAME/_1(i„i[� ��n���i � 3 ACCOUNT#(Ethics Commission Filers)
4 Date !` 5 Payee name
5- 30.02°I411 rnd gt Ie,ire�c `f
6 Amount ($) 7 Payee address; City; State; Zip Code
curies S TX 74,o40
8 PURPOSE (a) Category (See categories listedat the top of this schedule) (b) Description (it travel outside of Texas,complete Schedule T)
OF hq .2r �. A4i i (;r n ve l yes
EXPENDITURE �.d y�r-���r• /�����]��
9 Complete ONLY if direct Candidate)Officeholder name Office sought Office held
expenditure to benefit C/OH L 1 rya,& Ile t Pe to - 5 u.les set cl aF*C 'Lj
Date Payee name
Amount ($) Payee address; City; Slate; Zip Code
PURPOSE Category (See categories listed at the top of this schedule) Description (1f(ravel outside of Texas.complete Schedule T)
OF
EXPENDITURE
a,
Complete ONLY if direct Candidate)Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE Category (See categories listed at the top of this schedule) Description (If travel outside of Texas,complete Schedule T)
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 (If[ravel outside of Texas,complete Schedule T)
OF
EXPENDITURE
Complete ONLY if direct Candidate I 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