HomeMy WebLinkAbout2017 Tompkins 30 day r
CANDIDATE / OFFICEHOLDER FORM C:OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Filer ID (Ethics Commssion Fiers) 2 Total page: • •I
The C OH Instruction Guide explains how to complete this form, /
3 CANDIDATE; .1- 1F< 0.1F FIRST MI b
OFFICEHOLDER A OFFICE USE ONLY
NAME- �frr Date RaceNed
NICKNAME LAST SUFFIX
pk#75 415117 k4
4 CANDIDATE/ ADDRESS ;PO BOX. AFTT a SUITE p• CITY. STATF ZIP CODE
OFFICEHOLDER
MAILING Al
ADDRESS 1 ib7 Si Ref D.
�]
❑ Change pf AddresS ! l fo O
5 CANDIDATE,/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER ( 7Data Hand-dolivorad or Dace Postmarked
PHONE �� ) .�7 $�oC�
6 CAMPAIGN Ms!MRS!MR FIRST M, Receipt F Amount S
TREASURER Mrs, ��,7 Ai
NAMF �r� Dalc Proc-s„„
NICKNAME LAST SUFFIX
�M ilrGh` Date Imaged
7 CAMPAIGN STREET ADDRESS 'NO PO BOX PLEASE); APT I SUITE C. CITY, STATE ZIP CODE
TREASURER
ADDRESS
(Residence or Bus ness) /
III 5.?flu' •rye 4iie ss (DoYd
,
8 CAMPAIGN . AREA CODE PRONE NUMBER EXTENSOR
TREASURER RT ) 3 _ 55r(.
PHONE l r I I 1
9 REPORT TYPE
n January 15 yr 30th day before electron RLnor1 n 15th day after campaign
Treasurer appointment
(Officeholder Only)
July 15 n Sth day belore eleclion n Exceeded'ZOO limit n Final Report(Attach CrOH FR)
10 PERIOD Monte Day Year 'donth Day Year
COVERED rD 1/ / r,, f +�
G I / 1017 THROUGH 0y/ 0`P/ ',.1 !
^
11 ELECTION ELECTION DATE ELECT ON TYPE v
Month Day Year ❑ Primary ❑ RLnorf ❑ Other
Description
~5°./ o(./Zo1? �J Genoral ❑ Spec al
12 OFFICE OFFICE HELD Of any 13 OFFICE SOUGHr (It known)
tld f5 ei col„,G,i! place Z at te,35 C441 C.t,iI/I Plac.c z
GO TO PAGE 2
Forms provided by Texas Ethics Commission www ethics.state tx.c.; Revised 918i2015
CANDIDATE / OFFICEHOLDER FORM C.OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 CiOH NAME 15 F lei ID tiEth cs Commission Filers)
Se'emy A eruipk;Ks
16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIEUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
POLITICAL SUPPORT THE CANDIDATE'OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S
COMMITTEE(S) KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY E THEY RECEIVE NOTICE
• OF SUCH EXPENDITURES.
COMMITTEE TYPE COMMITTEE 'JAME.
GENERAL
COMMITTEE ADDRESS
SPECIE IC
COMMITTEE CAMPAIGN TREASURER NAME
❑ Additional Pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION 1 TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED �$ I
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
TOTALSEXPENDITURE 3 TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, $ Qf
UNLESS ITEMIZED f/
4. TOTAL POLITICAL EXPENDITURES $ 7 «. 4
CO LANCE NTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $
OF REPORTING PERIOD
OUTSTANDING g. 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 corre nd includes all information required to be reported fay me
urder T 15 _lection Code.
KIM SLITTER
My Commission Expires
August 25, 2017
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP•SEAL ABOVE rQvp, ,� I/
•
Sworn to a subscribed before me, by the said Ve► C.en __ I Q I f7S , this the 5—
day o .20/7 ,to certify which,witness my hand and seal of office.
,rn
natL.Ie of officer administering oath P•inted name of officer administering oath Title Of o fifer admrnislerrng oath
Forms provided by Texas Ethics Commission www.ethics.stale tx us Revised 9;8,2015
SUBTOTALS - C/OH FORM CIOH
COVER SHEET PG 3
19 FILER NAME 20 Filer!D IE:hics Commission Fifers]
21 SCHEDULE SUBTOTALS SUBTOTAL
NAME OF SCHEDULE AMOUNT
1 n SCHEDULE Al MONETARY POLITICAL CONTRIBUTIONS $
2 u SCHEDULE A2: NON-MONETARY S.IN-KIND)POLITICAL CONTRIBUTIONS $
3. n SCHEDULE B PLEDGED CONTRIBUTIONS $
4. SCHEDULE E: LOANS $
5- n SCHEDULE F1. POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBU[IONS S
6. LI SCHEDULE F2. UNPAID INCURRED OBL IGATiONS $
7. LI SCHEDULE F3. PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $
$. LI SCHEDULE F4. EXPENDITURES MADE BY CREDIT CARD S
9. SCHEDULE G. POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS s 2.f[ • vi
10. n SCHEDULE H. PAYMENT MADE FROM POLITICAL CONTRIBUTIONS 10 A I3USINFSS OF C.OH S
11. n SCHEDULE I. NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS S
12 I I SCHEDULE K. INTEREST, CREDITS, GAINS, REFUNDS: AND CONTRIBUTIONS S
RETURNED TO FILER
Forms provided by Texas Ethics COMrni sior1 www.ethics.stale tx.us Revised 9'8 2015
POLITICAL EXPENDITURES
MADE FROM PERSONAL FUNDS SCHEDULE G
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment Reimbursement So!iota Lech,.Furidraisrnq Expense
Accounting EanKirg Fees Office Overhead Rental Expense Trarisporla too Equipment X Related Expense
C;onsultirq Expense FoodEiovorageExponse Polling Expense Travel in District
Contriputions.DonatLons Made By Grit AwardsMemorrals Expense Printing Expense Travel Out Ot District
Candidate•Oltuxl-older.Political Committee Legal Services S.aianes.Wages.Contract Labor Other Tenter a category not listed above)
cteat Cab Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule G. 2 FILER NAME 3 Filer ID (Eth cs Comm sslan Filers)
5ert.fif If i'M nS
4 Dale 5 Payee name
2IZIf I 7-47 y'n i5 a_ rafrhl .(c t
6 Amount s$1 7 Payee address. City, State. Zip Code
4 6-e)I
ermburvementfrom }/1ST Fr:At . Goy
politico!
contributions
intended
8 (a)Category (see Categories+stud at the top er th•s schedule) I(b) Description Cc i$ hp/lcikid w
PURPOSE ❑Check if navel outside of Texas.Compote Sched.rlo T
OF r
EXPENDITURE at y r 4 [ "2 7 rice264[fe ❑Check if Austin,TX. officeholder it ang expense
9 Complete ONLY if direct Candidate.' JOfficeholderr'naame' Office sought Office held
expenditure to benefit C•OH
erern y t p -`hs Eu lcrs C`e C ( ?i,, Z
Date Payee name
3/10/?..17 liOnle NI9 Ct. a(esc
ArroLlnt ( ) Payee address, City; State, Zit)Code
$ D- z 5" C I /jJ � t �F
,�J.[�(Reimbursement from c2 cl J• �4S : et't .lvC` i t io ► TIC' /4 6 'lb
t,/� political contributions
intended
C,I I rtgory (Su' it•lodes listed at the top of this vchodulel (b) Desc riptton il4 he,care r - 511 tibt de
PURPOSE
OF f� Er ,Hf G CI Chad,it'.ri3vei iiutslde 0,moos Compietu Schedule I
EXPENDITURE �� r ]" �f J ��� ❑Gnash.t Austin.TX oftrcenotder Inning expense
Complete ONLY.f direct Candidate 1 Officeholder name Office sought Office held
expenditure to beneft4 C OH SEl !
s nI fool pk c t(r5$ C:4r C ..1 ?idle 2 -_
Date Payee name
3/,If Z►r? d r.,• Cepor 641ers
%mount ($) Payee address, City, State, Zip Code
*r o[ 5 .1a Bl leg- fl 7c Y
I � :w� �� • csS d o
I�"�f Rormbursonrrnt From
`�4.I political coninbutlons
intended
Category ;See Categories listed at the top or this schedules (b) Description 1 ^ er r irOCI
tiee
PURPOSE e+dc as f"
OF �;n' ❑Cn it'ravoi eurs,e:• s.,:s .,,-,c.m..ii:r.u,juis2 i
EXPENDITURE V V tr� � Check.f Austin TX officeholder lining expanse
Complete ONLY if direct Candidate 1 Officeholder name Office sought Office held
expenditure to benefit DOH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Col Tim issidfl www.elhics.state.tx.us Revised 9/8/2015
POLITICAL EXPENDITURES
MADE FROM PERSONAL FUNDS SCHEDULE to
EXPENDITURE CATEGORIES FOR BOX 6(a)
Ad+ertisng Expense Event Expense Lean RepaymertHeimtwrsemenl Solicitation/Fundraising Expense
Accounbna•Rankinq Fees Ofhce Ovort,ead.'Fental Expense Transporlatton Equipment&Related Expanse
Consulting Expense Food/Beverage Expense Polling Expense Travel rn District
ContributionsDonations Marie By Gilt'AvvardsMamonals Expense Printing Fxpense Travel Jut Of District
Candidate/Ofrcehofc+er'Po kites!Committee Legal Services SelaneaWages Contract,ate.' Other renter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule G: 2 FIL R NAME 3 Filer ID (Ethics Commission F leis)
Oercnr y fIC:n,
4 Date 5 Payee name l
Z 41 7-17 gkri;n7 r
6 Amo I (S:1 7 Payee address: City; State, Zip Code
uf/y. 47.5.-. ) b *apea.4e ►4 !/4s • .6rteu,re Irk 1. 4-r1
(RBrrEursernenl from
�`f poiidcal contributions
intended f
a (a)Category 'See Categories Listed et the top of this schedule) (b) Description fg s sh
foie rY F ....6( /bit(AO cy4
PURPOSE I!
OF n Check,f travel outside of texas Complete Schedule T
EXPENDITURE r�' Ir,z7 p ISc
Check if Austin,TX,officeholder riving expense
9 Complete ONLY it direct Candidate 'Officeholder name Office sought Office held
expenditure to benefit C.OH
TelC 6 [
m� Dwt�rHS �cCr Z. .�
Date Payee name/Zif/txr/7 illAi5k4P5
• Amount (S) Payee address, City; Slate; Zip Code F
bue nttf om 9666 C/ "( 4 fie MA Cr��eo he ,1K 74 031
ritended
Category (See Cafegor es listed at the fop of this schedule) (b) Description net;t pc" (j, „rf• iev poi( �,,,y�t_
PURPOSE ►
OF 11 I iflecx it travel outsidede "of Texas .:Omplete Scneduse T.
EXPENDITURE A14 r� t FE, CffOre 1 y 3 Check'I Austin, TX. ofhoeroider iivrng expense
Complete ONLY it direct Candidate , Officeholder name Office sought Office held
expenditure to benefit CrOH r
le OM kF 5 fens ell L� i4 • PI4 C e Z
Date N _ Payee name
Z(2 y(zo[' gSc D`eSS 1c r Its
Am unt (.S) Payee address. City, State, Zip Code
f Zg• /Z t .�� 7�0�1
I .7 mac'/(5, VIA(�yf Reim6ursompliutiom S�� (Ated� C r fir/
[,[� polil¢:al contributions
./
intended
Category See Categories listed at the top or;his schsdute; (b) Description 7 +.'yi,„1.,,f 4i pi q��i v poll Gl1-
PURPOSE El Cheat ii trayst outside❑r Texas•Compote Scnaruie T..//rr
OF
EXPENDITURE iiiill f 11 ci47 £ice ❑:neck it Austin,TX,officeholder living expense
Complete ONLY.1 direct Can idate Officeholder name Office sought Office held
expenditure to benefit C.OH &Dti 1 si t5 16/Ac Gi `' ` 14/ ''/4(c 2
C/ y P 7 1! lr�r
ATTACH ADDITIONAL COPIESOFTHIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.stale.tx.us Revised 918,2015
POLITICAL EXPENDITURES
MADE FROM PERSONAL FUNDS SCHEDULE G
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment:Reimbursernent r olicilaunn•Fundraisinq Expense
Accountin46aneirg Fees Office Ovcrt'.Cad Rental Expense T•arisportatton Equtornenl&Related Expense
Consulting Expense FooSeieverage Expense Polling Expense Travel In District
Contribulton S Donations made%y Get:Awards Memorials Expense Printing Expense Travel Out Cf District
CandidaL OfliceholdAr•PQhbcar rommittee Legal Services Salaries Wages•Contract Labor Other(enter a category net listed above_)
Credit Card P3ymort
The Instruction Guide explains how to complete this form.
T Total pages Schedule G 2 FILER NAME 3 Filer ID (Ethics Commission Filers;
5emfmy "r;Alpi"A r
4 Date 5 Payee name
3(z-vier,17 s+:Bch. A yfiv
6 Amr nt ($) 7 Payee address, City, Slate, Zip Code
zi. row ��� S I� �� �(0°Y°
Reirr rsement from
pol itica/contributions
irnerxied
8 (e)Category 'See Categories Iisteo at the loco!This schedule) (b) Description 1 /its Di( %till.
PURPOSE ❑ ned it OF iravei custde❑t Texas.Cumplele Scladule r
�,U
EXPENDITURE [ r sin 7 ��IJ/J�, ❑Check.f Austin,TX, officeholder living expense
9 Compiere ONLY II direct Candidate 'Officeholder name Office sought Office held
expendn,Jre To benefit C'OH
Jeremy ,......-
[Date Payee name
Amount t$) Payee address, City; State; Zip Code
)� Peirrttursemont from
political contributions
intended
Category ;See Categories iisted at the top 7f this schedule) (b) Description
PURPOSE
OF ❑Check if travel aulsrde of Texas�Cri optele Schedule T
EXPENDITURE E Check if Austin.TX,ollrceholser,icing expense
Complete ONLY iI direct Candidate Officeholder name Office sought Office held
expenditure to beheld Cr01-1
Date Payee name
Amount (5) Payee address. City, Stale, Zip Code
❑ Reimbursement from
political conlnl7utrons
intended
Category ;See Categories listed et:he tap❑i this scnedute; (b) Description
PURPOSE hep,I rravoi cutstde cl Texas Canolete Schedule T,
❑F � 1
EXPENDITURE 1J Cnsck it Austin,TX,officeholder,icing expense
Complete ONLY•f direct Candidate Officeholder name Office sought Office held
expend':ure'o benefit C•OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Comm lssror WWW ethics.state.tx us Revised 9/8/2015