HomeMy WebLinkAboutEilenfeldt semi July 2016 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
1 ACCOUNT* 2 Total pages Fled:
The CION Instruction Guide explains how to complete this form. (Ethics Commission Filers) a
3 CANDIDATE 1 MS/MRS I MR FIRST MI , OFFICE USE ONLY
OFFICEHOLDER NAME j C7 do__ u ,V �1
NICKNAME LAST SUFFIX . g
E f le r) e I et-
JUL 0 5 2016 .„J
4 CANDIDATE / ADDRESS r PO BOX; APT!SUITE#; CITY; STATE; ZIP CODE
OFFICEHOLDER r ?'. r� Unr\
MAILING i r 1 i` ❑ LL \4-Q t fl c_C€d e r, Dcz4,,,GlEratuLEsS
ADDRESS I change of address E, u -T X-t o SS + r) 10 0 3 9
Receipt# 1 Amart
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION 1
OFF
PHOINE (HOLDER ern 5-) I. 36 [� ry Date Processed
6 CAMPAIGN MS I MRS I MR FIRST D aL MI Date Imaged
TREASURER 20 (Der+ (rBQ [„
NAME �+
'Y
•
NICKNAME LAST SUFFIX
J3aGter-
7 CAMPAIGN STREET ADDRESS NO PO BOX PLEASE); APT I SUITE#; CITY: STATE; ZIP CODE
TREASURER
ADDRESS 41'.Z-1 --'o Ln-(-a Ir\ Sid-e-QS,:
(residence or business)
ewless TX- -Rao3i
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER (8 11 ) 5 7 1. o f- q
PHONE
9 REPORT TYPE
❑ January 15 ❑ 30th day before election 1 Runoff ❑ 15th day after campaign
treasurer appointment
-I
r July 15 0 8th day before election 0 Exceeded$500 1 Final report(Attach C/OH-FR)
limit
10 PERIOD Morel Day Year with rear
COVERED '/ / / THROUGH r / O. ' /
11 ELECTION ELECTIONDATE ELECTION TYPE
Month Cay Year ❑ Prima) ❑ Ruidl I General ❑ Spacial
12 OFFICE OFFICE HELD(early) 13 OFFICE SOUGHT (if known)
Eck-le 3 S C" i (ounC: I
tP(ace `I
GO TO PAGE 2
wwwethics.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)
CANDIDATE I OFFICEHOLDER REPORT: FORM CIOH
SUPPORT & TOTALS COVER SHEET PG 2
14 C/OH N ME 15 ACCOUNT# {Ethics Commission Filers)
L i n n CL Et Le n. ,g e 1
16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMtTTEES TO SUPPORT THE
POLITICAL CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WMTHOUT THE CANDIDATES OR OFFICEHOLDERS 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 v
FT 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 $ ^ O
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 $ —tl
4. TOTAL POLITICAL EXPENDITURES
/ ok •
oz
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY ¢ Q p
BALANCE OF REPORTING PERIOD •P G f 7. , 1
❑UTSTANOING 6. TOTAL PRINCIPAL AMOUNT OF At 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
4e,,,,,,' MAGGIE BOWERS me under Title 15,Election Code.
' {' ._Notary Public. State of Texas
' '`= Comm.Expires 03-14-2020'•'tai 's Notary ID 13058044141.4-45LdJ �{
Signature of Candidate or Office older
AFFIX NOTARY STAMP/SEAL ABOVE N /,� O_ l
Sworn to and subscribed before me, by the said ► _.� A. ` , this the
S"' day of SJ1t�s , 2D 1� , to certify which, witness my hand and seal of office.
Signature of officer administering oath Printed name of officer administering oath Title of Ticer 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 tocomplete this form.
1 Total pages 5ihedule F: 2 FILER_ � n NA � �r 'e 3 ACCOUNT#{Ethics Commission Filers)
4 Date 5 Payee name
I_ I. I G L1 n d cam ,`le nth l r -t'-
6 Amount ($) 7 Payee address; City; Stale; Zip Code
I atoff. LHI �oun+,a�� SldQ -3c:
EcAlesr TX 70037
$ PURPOSE (a) Category (See categories listed at the top of this schedule) (l7) Description (N travel outside of Texas,complete Schedule T)
OF � /�
EXPENDITURE V Br'T I S �n,g ‘31per t, 3 trtain i et. to u Z
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH 1 t rt J g 1e _ I^_,Id� r�ts.s O- gcs 4 C0 ..1
Date Payee name f ��1�i C
Amount ($) Payee address; City; State; Zip Code
PURPOSE Category (See categories listed at the top of this schedule) Description (lf travel outside of Texas,complete Schedule T)
OF
EXPENDITURE
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
J
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE Category (See categories listed at the top of this schedule) Description i If travel 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
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE Category (See categories listed al the top of this schedule) Description (If travel outside of Texas,complele 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