HomeMy WebLinkAbout2017 Tompkins semi July CANDIDATE I OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Filer ID [Ethics Commission Filers' 2 Tolal pages filed:
The C/OH Instruction Guide explains how to complete this form.
3 CANDIDATE 1 MS MRS MR FIRST u
OFFICEHOLDER �p
NAEefil OFFICE USE ONLY
NAM ' wf
Date Received
NICKNAME LAST SUFFIX
iistekhs 6I71r7
4 CANDIDATE 1 ADDRESS 'PO BOX; APT.SUITE I. CITY• STATE. ZIP CODE
OFFICEHOLDER � �r�� I_2
MAILING
ADDRESS 1( 7 o ,-74tf I-' t tecc 'Ii ibi0 / I
❑ Change of Address 1
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER +i ) p/+�� +(},-r4 24
Date Hand-delivered or Date Postmarked
PHONE ( g1
5 CAMPAIGN MS,MRS•MR FIRST MI Receipt# Amount $
TREASURER , [n for 111
NAME Date Processed
NICKNAME LAST SUF FIX
/^ Dale Imaged
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE): APT r SUITE a; CITY: STATE; ZIP CODE
TREASURER 1) ADDRESS /607 SI ' r Dr`44" %(ecs, 760V o
{Residence or Business)
B CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER PHONE 1( g/7 ) d 3 y cf/,
9 REPORT TYPE
❑ January 15 n 30th day before election ❑ Runoff ❑ 15th day after campaign
treasurer appointment
(Officeholder Only)
July 15 ❑ 8th day before election ❑ Exceeded S500limit n Final Regan(Attach 00N-FR)
10 PERIOD Month Day Year Month r� Day / Year
COVERED p,Y Z23 ,f 017 THROUGH o4/ 10 / Z0[7
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year 1 I Primary, ❑ Runoff ❑ Other
Description
0 f"./ D&. j(-7 W'General ❑ Special
12 OFFICE OFFICE HELD it any) ( 13 OFFICE SOUGHT if known)
aa C / ?(ace 2- ;i/'f C;�i a p/Rce 2_
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
•
14 C/OH NAME 15 Filer ID (Ethics Commission Filers)
y p
16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIOILS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
POLITICAL SUPPORT THE CANDIDATE i OFFICEHOLDER. THESE EXPENDITURES■AY HAVE BEEN MADE VWTHOUT THE CANDIDATES OR OFFICEHOLDER'S
COMMITTEE(S) KNOWLEDGE OR CONSENT. CANDIDATES MID OFFICEHOLDERS ARE REOUPRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE
OF SUCH EXPENDITURES.
COMMITTEE TYPE COMMITTEE NAME ! �y��!' �]yf ]��� L� �j `�`
❑GENERAL �'lA' �0 �ife 14 11teg 6W/fi •"` f`'e-r 1�'C �- o #k�
COMMITTEE ADDRESS I
❑SPECIFIC
rer gWe 372E fl,5J , 7: 1(. 0 7
COMMITTEE CAMPAIGN TREASURER NAME
❑ Additional Pages ;G44 e( i/�ie
COMMITTEE CAMPAIGN TREASURER!ADDRESS
P° ii6) y 7 t wel5, 7k 'G o 3 9
17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
TOTALS PLEDGES, LOANS. OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ .kr
2. TOTAL POLITICAL CONTRIBUTIONS $
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
%o• • . . . . . . . .
EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,TOTALS $ Qf
UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES $ `(2- z Y
BO ANCE TRIBUTION 5 TOTAL POLITICAL CONTRIBUTIONSrp J MAINTAINED AS OF THE LAST DAY $ 3 . 6
AL
OF REPORTING PERIOD (
OUTSTANDING 6. 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 corr d includes all information required to be reported by me
under T t 5. ection Code.
,.,,III,,,., KIM SUTTER
_er: rL�- Notary Public,State Of Texas
w,;:GV,),j Comm.ExpirUa 08.25.2017
' t° ,1% ,a Notary ID 10956804 i nature of Candidate or Officeholder
IIIIAAti
•
AF NOTARY STAMP!SEALABOVE �
Sworn to and subscribed before me,by the said rer /L�//��
,01-r ,this the 7
day of9U-10—e----- ,20 /7 ,to certify w cfT,witness my hand and seal of office.
,71:: (4,44.:fabeil
.4fere '..erk, Suil-e-e--- Ner-f4W-y-
Sig ature of officer administering oath Printed name of officer administering oath Title of officer administering oath
Forms provided by Texas Ethics Commission www.ethics.state,tx.us Revised 9/8/2015
SUBTOTALS - C/OH FORM C/OH
tiv COVER SHEET PG 3
19 FILER N ME 20 Filer ID(Ethics Commission Filers)
3ercm y A. IG:h5
21 SCHEDULE SUBTOTALS SUBTOTAL
NAME OF SCHEDULE AMOUNT
1- u SCHEDULE Al: MONETARY POLITICALCONTRIBUTIONS $
2. u SCHEDULEA21 NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $
3- ❑ SCHEDULE B: PLEDGED CONTRIBUTIONS $
4. E SCHEDULE E: LOANS $
$ E SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $
6. n SCHEDULE F2: UNPAID INCURRED OBLIGATIONS S
7• n SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS S
8. n SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $
9- I SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 11 0[. f
10. n SCHEDULE H. PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $
11- ❑ SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $
12, ❑ SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS,AND CONTRIBUTIONS $
RETURNED TO FILER
L
Forms provided by Texas Ethics Commission www.ethics.state.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 Repayrnent'ReirrtursemeT t SolicitahorvFundraising Expense
Accountingh3ankrrrg Fees Office Ovorhead•Rental Expense Transportation Equpmerd8 Related Expense
Consulting Expense Food/BeverageExpense Polling Expense Travel In District
Conlributronsnorrations Made Ely Cifr'AwardsrMemorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salanes'Wages,Conlract Labor Other(enter a category not listed atxs el
Credit Card Paymen I
The Instruction Guide explains how to complete this form.
1 Total pages Schedule G: 2 FILER AME 3 Filer ID (Ethics Commission Filers)
e(e" M ph
4 Date 5 Payee name
5 I r12011 &LIS ?AA?AA%i..faci
6 Amount ($) 7 Payee address; City: State: Zip Code
Z+ . 11 10o1 it ,itc45fr:a[ Fed, oP 'Tx -71,oa l
Reimbursement from
political contributions
"lanced
8 (a)Category {See Categories listed al the lop of This schedule} (b) Description
PURPOSE
OF Cheek it travel outside al Taxes.Complete Schedule T
EXPENDITURE r sail Screen ❑Check if Austin. TX,officeholder living expense
9 Complete ONLY if direct Candidate r Officeholder name Office sought Office held
expenditure to benefit CIOH
Date Payee name
5. z�i0 17 514 ref
Amount ($) Payee address: City; State; Zip Code
li 38- or 6.deif lit 74 051
}ReirrGrHsernerrtfrom
��6D w07 /Zi 1 c•'-/e / 'I
,IT political contributions
intended
Category tSee Categories listed at the top of this schedule) (b) Description h�
PURPOSE F ! ftc;1h7 ( tr
I Check if travel ouis o texas.Complete Schaduta T.
EXPENDITURE A per pekxt 1 Check if Austin.TX.officeholder living expense
Complete ONLY if direct Candidate.•'Officeholder name Office sought Office held
expenditure to benefit C/OH
.' Pit (0.-pwiti L ) 6[ 17kel 7
Date Payee name
5(cp it ir7 514 oil .4 h rs
Amount ($) Payee address: City: State. Zip Code
a 3. zo 3 0 W ,¢ur/ 7 Free,u' rutiefs , T 7�o Y�
L.... Fieirnbarsenrrntfrom
political contributions
interred
Category (See Categories fisted at the top of this schedule) (b) Description
PURPOSE
I
OF + r Check it Travel outside of Texas.Cps-plain Schedule T.
EXPENDITURE (rood i Sver/P f Check n Austin.TX. officeholder Trying expense
Complete ONLY it direct Candidate/Officeholder name Office sought Office held
expenditure to benefit CrOH "Se fe Id 7
L
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics state tx.us Revised 9/8;2015
POLITICAL EXPENDITURES I
MADE FROM PERSONAL FUNDS SCHEDULE G
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reerti.stxnent SolrciiatiorwFurdrarsrrrg Expense
A'.-+rrting/Bankirg Foes Office Overhead,Flental Expense Transportation Equipment&Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel I n District
C.ontrb t mns/Donations Marie By filfVAas friSIMI3 morals Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services SalaneseWages/Contra t Labor Other[enter a category not listed above]
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule G: 2 FILE NAME n�rn('
3 Filer ID (Ethics Commission Filers)
4 Dal 5 Payee name I 111
517(7 Dk'f 62,16 eer
6 Amount ($) 7 Payee address; City; State; Zip Code
1 3. yz '700 I]. .nd %i .c,,[tsc 7 7C a3 ?
Reimbursement from
i political contributions
`herded
8 [@)Category (See Categories listed at the top of this schedule, [b) Description field /�kr. [ih lee&o xX,,,I
PURPOSE �] 7
OF _ I Check if travel outside of Tex I omplete Sc ule T.
EXPENDITURE (124°' 44-1 VL e ❑Check if Austin.TX,officeholder living expense
II l
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
.7.d\gfe,MI '&1X:A( 44ff 6+1 GNPvicil pitzcDate Payee name
New 5/B/i 7 15 75 — 4less /7 Po - —
Amount ($) i Payee address; City; State; Zip Code
$ 3. s0 I i!n h. -far less, /Tr 76631
Reimbursement from
pdrtrcal contnhutens
intended
...
-W T Category (See Categories listed at the top of this schedule) (b) IDeDelscription
PURPOSE I Check f travel outside of Texas.Complete Schedule T
OF yt1' `-�`�^
EXPENDITURE v �J'`t�� I Check i!Austin,TX,officeholder living expense
Complete ONLY it direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH f Thi"1� r/ �/ 2
remi e.
(,2 ' �hcr ACC. ..
Date Payee name
578( /7 -� '1 of
AmountPayee address; City; State; ZipCode
($) Y Y
41 Reins irsernent from
political contributions
mended
Category (See Categories listed at the top of this schedule) (b) Description
PURPOSE I heck if travel ou6de of Texas.Complete Schedule T
OF ►]���
EXPENDITURE O tr f'le4,t G yo, � I Check it Austin,TX,officeholder living expense
Complete ONLY,f direct Ca idate/Officeholder name Office sought Office held
expenditure to benefit C/OH y
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015