HomeMy WebLinkAbout2014 Tompkins 8 day Texas Ethics Commission P.O_Box 12070 Austin,Texas 78711-2070 (512)453-5800 (TDD 1-800-735-2989)
CANDIDATE 1 OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 ACCOUNT# 2 Total pages filed.
The C/OH Instruction Guide explains how to complete this form. (Ethics Commission Filers)
3 CANDIDATE 1 MSIMRS?MR FIRST MI OFFICE USE ONLY
OFFICEHOLDER �f
NAME /ng. i-e4iAty 4 D A.R.— +/�' n
NICKNAME LAST SUFFIX D 1E 0 {1 1
11{]]] VVVV
pli•+5
4 CANDIDATE / ADDRESS/PO BOX, APT/SUITE/4. C.Tv STATE; ZIP CODE APR 3 0 ^!
OFFICEHOLDER ""
MAILING
ADDRESS Dr. 1 Doe Hand-uelrvered cif PosS-anarked
change of address /6 D 7 r5;yne 6das. �x 7& yd l V Recut it CITY p,En,EULESS
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER 7 I r� ! Date Processed
PHONE LBrr ) 0�71- 9�I2it,
6 CAMPAIGN MS/MRS/MR FIRST MI Date Imaged
TREASURER �
NAME . /� 's. G rr! 11
NICKNAME LAST SUFFIX
ont?kit r
7 CAMPAIGN STREET ADDRESS(NO PO BOX PLEASE). APT 1 SUITE A; CITY. STATE. ZIP CODE
TREASURER
ADDRESS
(residence or business) '45,07
5/p/e r dr. ti less lX 76 bye)
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER ( $r7 ) 2 . j..5�47
PHONE
9 REPORT TYPE I� I�
January 15 I I 30th day before electldn Runoff I I 15th day after campaign
I 1 treasurer appointment
{orncenalderonly)
ri July 15 rk Bth day before election n Exceeded$500 Final report tAttach C/OH-FR)
limit
10 PERIOD Month Doi Year Month c>ar Year
COVERED THROUGH
y /0 / / za'Y ii /30/ za/y
11 ELECTION ELECTION DATE ELECTION TYPE l�l I�
Month Doi Year
riPrima I I
ry Rur� � ar Geral I I Special
5—./ /o/ z Mi
12 OFFICE OFFICE HELD Man) 13 OFFICE SOUGHT Of kna m)
6tar e%',f CknGi( p44e ?.
GO TO PAGE 2
www.ethics.stale.tx.us Revised 04/19/2013
Texas Ethics Commission P.D.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
CANDIDATE / OFFICEHOLDER REPORT: FORM C/OH
SUPPORT & TOTALS COVER SHEET PG 2
14 GIOH NAME 15 ACCOUNT# (Ethics Commission Filers)
J eren'4.i �rk 0 E.;t0
16 NOTICE FROM
THIS BOX IS FCq NOTICE OF POl1T1CAL CON 7RE11TION5 ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT THE
POLITICAL CANDIDATE I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S KNOWLEDGE OR
COMMITTEE(S) CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFClMAT10N ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE NAME
COMMITTEE TYPE
n GENERAL - _ -
COMMITTEE ADDRESS
SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
LI additional pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
I
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) W �Jf �] Do
EXPENDITURE O� o
TOTALS 3 TOTAL POLITICAL EXPENDITURES OF$100 OR LESS,UNLESS ITEMIZED $ —
a. TOTAL POLITICAL EXPENDITURES $ / 5
/‘
CONTRIBUTION 5 TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF REPORTING PERIOD T _ 6 ? 8 , �:1
OUTSTANDING B. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE may/
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD re
18 AFFIDAVIT
I swear, or aflir , under penalty of perjury,that the accompanying report
is true and cor ect and includes all information required to be reported by
FeN„k, me under Ti 15, Election de.
e:".....;
e: �4 UI DSAY WELLS /
1 P IV:\ Notary public i I
STATE OF TEXAS L-
M If ComMittiOn Expims oeocca aoi s 1)1
I .�"."... ........r--......y ..r.-..-3 Lgnature of Candidate or Officeholder
AFFIX NOTARY STAMP!SEAL ABOVE
Sworn to and subscribed before me, by the said�� 3 \(of-T-•{'"� .ly'\� , this the
day of P� 1 , 2D 'i , to certify ich, witness� my hand and seal of office.
I
�j 4j - ' .4'I L,� rr l�"- A �Is11��L iv c .
Signature of oilifri inistering oath Printed name of o er administering oath Title of officer administering oath
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission P.Q.Box 12070 Austin,Texas 78 7 1 1-2 07D (512)463-5800 (TDD 1-800-735-2989)
POLITICAL CONTRIBUTIONS SCHEDULE A
OTHER THAN PLEDGES OR LOANS
1 Total pages ScheduleA: C�
The Instruction Guide explains how to complete this form.
2 FILER NAME . 3 ACCOUNT ft (Ethics Commission Filers)
jer'c►K f T W p�`•s
4 Date 5 Full name of contributor ❑out-of-state PACK j 7 Amount of 1 8 In-kind contribution
contribution ($) I description (if applicable)
lfe "r /fJfo ui' li ,his
4 'gp/Y 6 Contnbutor address. City, State; Zip Code 1 f D. s3:1— 1
acd lei �/' /r.2 7 I (If travel outside of Texas,complete Schedule T)
9 Principal occupation 1 Job title(See Instructions) 10 Employer(See Instructional
Date Full name of contributor E out-of-state PAC(lc I Amount of In-kind contribution
contribution ($) description (if applicable)
1,41.001 Contributor address` City; State, Zip CodeVi)WWI/ p
Sob e iiihr LiZete • adws, Tx 7d ayo
I _ (If travel outside of Texas,complete Schedule T)
Principal occupation 1 Job title(See Instructions) Employer(See Instructions)
Date 1 Full name of contributor ❑ out-of-state PAC KW I Amount of In-kind contribution
T ■ contribution ($) description (if applicable)
JJJJ );►aril e. Pit h
1rc 7.Ijofi Contributor address; City; State; Zip Code
T! ia 00.
�a) /(0 2 , F.l,�(en- ,Tx 7403 9
(If travel outside of Texas,complete Schedule T)
Principal occupation I Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor ❑ out-of-sorts PACK* i Amount of In-kind contribution
�'� contribution ($) description (if applicable)
f/ 13c4cIar Y
L� ZI��[ . .
Contributor address: City, State; Zip Code
lfff a°b' �
U0X /3 cd woo;War.i , Di-- n S d 2
l (If travel outside of Texas_complete Schedule T,
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor 0 out-of-state PAC(ID#: ) Amount of T In-kind contribution
contribution ($) description (if applicable)
1)
fo / .irraye,L�ff to( Contributor address; City; State; Zip Code 1 i
. 305 -AAdaw ia..G , �r / TX 7663cy
(If travel outside of Texas,complete Schedule T) _
Principal occupation/Job title(See Instructions) Employer(See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see instruction guide toradditional reporting requirements.
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
POLITICAL CONTRIBUTIONS SCHEDULE A
OTHER THAN PLEDGES OR LOANS
1 Total pages Schedule A.
The Instruction Guide explains how to complete this form.
2 FILER NAME 3 ACCOUNT N (Ethics Commission Filers)
.-gaam L( `I ;M1)i15
4 Date 5 Full name of contributor ❑our-of-slate Pr1Cl1171t } 7 Amount of B In-kind contribution
contribution (S) + description (if applicable)
(hoer/Gs. ,4�dcr 5°n I
i/f f p/,1U 6 Contributor address; City. State; Zip Code 13 0
f S3°7 vy ff/� De: 4rLy{», i,4' 7 o�` �I
1 (If travel outside of Texas,complete Schedule T)
9 Principal occupation/Job title(See Instructions) 10 Employer)See Instructions)
Date Full name of contributor ❑out-of-state PACKS- ) Amount of In-kind contribution
��11 contribution ($) description (if applicable)
i/rO r''G �,L Cri �r1:117IeC -�r aelf245:► e e7d1Nr
q/ i zo 1L/ Contributor address: City, State, Zip Code t 75 p= f
f! 1
,3ax 3 ,S , Ealess 7C°31
(If travel outside of Texas.complete Schedule T)
Principal occupation/Job title(See instructions) Employer(See Instructions)
Date Full name of contributor ❑ out-of-state PACllpff } Amount of i In-kind contribution
contribution ($) I description (if applicable)
6-kb &i.cr
Contributor address; City; State- Zip Code
z(Ijoft 1106.
9or cvi4m Dr. 6i41 elf, 7 76° ya
(If travel outside of Texas,complete Schedule T)
Principal occupation 1 Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor ❑ out•of-statePAC(IDk } Amount of In-kind contribution
contribution ($) description (if applicable)
Contributor address, City; State. Zip Code i
(If travel outside of Texas.corVete Schedule T)
Principal occupation 1 Job title(See Instructions) Employer(See Instructions)
Date • Full name of contributor ❑out-of-starePAC(ldf. ) Amount of In-kind contribution
contribution ($) description (if applicable)
Contributor address; City; State; Zip Code
(If travel outside of Texas.complete Schedule T)
Principal occupation 1 Job title (See Instructions) Employer(See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see instruction guide foradditional reporting requirements.
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
POLITICAL EXPENDITURES
MADE FROM PERSONAL FUNDS SCHEDULE G
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Gift/Awards/Memorials Expense Salarieslwages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment a Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contrlbutionslaonations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER(enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule G: 2 FILER NAME 3 ACCOUNT# (Ethics Commission Filers)
T e(e44Y 11/11f)/Cin5
4 Date 5 Payee name
1'RS'Za/y La;i -419 (3V'► ►]rif
6 Am aunt ($) 7 Payee address; City; State; Zip Code
$ 76.M'
Reimburso fromJpolitical contributions o27&b s i[it fill
/Z/ S E 306 64 kiS ! re 7(
b 9
intended I
8 PURPOSE (a)Category (See categories listed at the top of this schedule) (b) Description (If travel outside of Texas.complete Schedule T)
OF
EXPENDITURE AdtrC.lkS of E INIre Z. No 51 pr'+ a- e 4`" . 47
Date
Payee name +�
1'�69/Z,7/y e�1 {G lei-1,74 i - 4-7,T 0)/!Ci-
Amount ($) Payee address; City: State; Zip Code
14 76- s
�pelmbursemenl from 7 '
okitical contrihutions 32 a 0 5. 0'a 4.,4 s cd PrPit.]b ,7k ' 7
intended
PURPOSE Category (See categories listed at the top of this schedule) Description (if travel outside of Texas.complete Schedule Ty
OF EXPENDITURE ,4 1
fi/z p f k/p cc- v cif 3' - Z5 LIf€ & iy
Date Payee name f
// /ziy f71a ill 6 De)b71- £c/efr
Arno t ($) Payee address; City; State; Zip Code
738 . 6s
eimtwrsement from r J C {� 74 6 yQ
Kpditical conlribulidns �� !, I'u � � 1 �`( �7 ) �/�.
irdereied
PURPOSE Category(Sea categories listed at the top of this schedule) Description of travel outside of Texas.complete Schedule T)
OF EXPENDITUREr r 4 d p t��r 1�'j 5Th i rhge*JL Z G � r"/c4M[ /V6 1../1-6-es.
Date Payee name
c(//S/z i gym` flptir Et(ores
Amount (S) Payee address; City; State; Zip Code
ix/Reimbursement from C7 /��' I �- f
polish contributions ZC/ J• y�2 ak `1_.14,I .ele f f I ..-------
political 7 GVG
PURPOSE Categorynded
ffff (See categories listed at the top offT this lschedf ule) Description (If travel outside of Tlexxas.complete Schedule T)
OF JJ
EXPENDITURE 41 114r`{15:4 y rCKPefg
F{ , 02 6d ?---rrp 1 •e5
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.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
MADE FROM PERSONAL FUNDS SCHEDULE G
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.
1 Total pages Schedule G• 2 FILER NAME 3 ACCOUNT# (Ethics Commission Filers)
I-e1e i' r /D/lyb rS
4 Dale 5 Payee name
I/703 6-any ti-a l'f flak felt/4( - 4..(ca
5 Arm t ($) 7 Payee address: City; State; Zip Code
'357• e r
,�cy-,�� Reimbursement from F .�/ 7
iAJ po�litl�contnbulions 3,20o s. C7 ,kr jd&/ / {favor t r lk I i I/, --
8 PURPOSE (a) Category(See categories listed at the top of this schedule) (h) Description Of travel outside of Texas,complete Schedule T)
OF /46d�p��` -�
EXPENDITURE 4V !'rI11.7 eXi "- /oo z j, %I F fri f 1A (4T r4dci
Dade Payee name r
i/q/z4ly 0-174.Cr dt,p6i-
Amount ($) Payee address; City; State; Zip Code
1/5). y1
Reimbursement from Xi political contributions cr/
F s i 4'{I YA.,i/e 5:f I /rl—r yaintended
PURPOSE Category (See categories listed at the lop of this schedule) Description (If travel outside of Texas,complete Schedule T)
❑F �j r
EXPENDITURE r/•I� •6 7 Eit'pe4f fe Armed- L)F e Bp o k ../4 5id5.
Date Payee name
y72.71zioiy u,s_ 5716,1 ,,p,•Ce
Amount ($) Payee address; City; State; Zip Code
fa
r377 -.
igfReimbursement from (J' e ,` ��r
political contributions [ 7 r r7,Z6/11( 4i i 714010
mended f` ! r f
PURPOSE Category(See categories listed at the top of this schedule) Description (If travel outside of Texas,complete Schedule T)
OF
EXPENDITURE 50 I;C:4-10 511 Er +Se R5+a7c 41 Aei 4 .
Date Payee name
`f Zl'2ay O-F 'ce kid' cifss
Amount ($) Payee address; City; State; Zip Code
$7D, '
Reimbursement from ''] //r! 7 e,�c1y�
intended cantributiana _ID 5 iJ, r,},��'� I /����• r l�' +
PURPOSE Category (See categoririiesslliistte'd.at the etop of this Lschedule) Description(If travel outseleofTexas complete Schedule TI
OF J
EXPENDITURE ?f)A.647 £ype4fc P7,017 6,ri' PPY-e ,J .
1 ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS, NEEDED !�
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission P.O Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TD❑1-800-735-2989)
POLITICAL EXPENDITURES
MADE FROM PERSONAL FUNDS SCHEDULE G
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.
1 Total pages Schedule G: 2 FILER NAME 3 ACCOUNT# (Ethics Commission Filers)ER
3 �J eroWl r ►�1���c
4 Date / 5 Payee name` ( 367?Oir 5774 a 4. 1�I`7,° eOhlo del
6 Amount (S) 7 Payee address; City; `State; Zip Code
023. ex
Reimbursement from q�n�
pahncal contributions S ■-I��n 51 b,_ e r' i7, /t9D V°
irdended LLL���� ! f
B PURPOSE (a) Category (See categories listed at the top of this schedule) (hy Description(If travel outside of Texas.complete Schedule T)
OF ®J I,�D
EXPENDITURE I-f GS V �5 %i SC ff f/D 4, 'f w4.
Date Payee name
Amount (S) Payee address; City; State; Zip Code
❑ Reimbursement from
psi iti cel contrbulions
mended
PURPOSE Category (See categories listed at the top of this schedule) Description (If travel outside of texas.complete ScheduleT)
OF
EXPENDITURE
Date Payee name
Amount (5) Payee address, City' State; Zip Code
❑ Reimbursement from
political contributions
intended
PURPOSE Category (See cetegbnes listed at the top of this schedule) Description (If travel outside of Texas,complete Schedule T)
OF
EXPENDITURE
Date Payee name
Amount (a) Payee address; City; State; Zip Code
❑ politi cal Reimbursementcon from
tributions
Mended
PURPOSE Category (See categories listed at the lop of this schedule) Description (If travel oulsideof Texas complete Schedule T)
OF
EXPENDITURE
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 04/19/2013