HomeMy WebLinkAbout2015 Zimmer final CANDIDATE 1 OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Filer ID(Ethics Commission Fliers) 2 Total pages filed
The C/OH instruction Guide explains how to complete this form.
3 CANDIDATE/ MsIMRs1 FIRST MI
OFFICEHOLDER � OFFICE USE ONLY
NAME k key, I I' Oat• •Se{yrpri
NICKNAME LAST suFFII( cIL�� fL11 1LYf1
l] w E l
zImmEz t�l E
4 CANDIDATE 1 ADDRESS 1 PO SOX: APT/SUITE ir. CITY, STATE, ZIP CODE JUN `G
OFFICEHOLDER !5 14 A L3 EF_T DTZN E - 9 2015
MAILING
ADDRESS ELi L Es5, TX 1 39 . r i, --
; Change of address CITY OF E UL E S S
5 CANDIDATE/ AREA oninF PHONE NUMBER EXTENSION
OFFICEHOLDER ( S In ) ..� O e, ,1 Date Hand-delivered or Date Postmarked
PHONE L�.•[y�
6 CAMPAIGN a MRS 1 MR FIRST MI Recelpt 4 Amount S
TREASURER K ELLY B .
NAME Date Processed
NICKNAME LAST SUFFIX
A `4 C 2. v Date Imaged
1
7 CAMPAIGN STREET ADDRESS (NO PO SOX PLEASE); APT/SUITE S; CITY, STATE; ZIP CODE
TREASURER 15 0❑ F!O Q I 4 , 1 p
ADDRESS ❑ ^��� l►\F
(Residence or Business) E.tJ L T -3 S I 1 J'S
1 39
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER PHONE )( p U[1 l 2. 6 9 — -7 9,
9 REPORT TYPE
❑ January 15 ❑ 300h day before elec'hon ❑ Runoff ❑ 15th day attar campaign
r treasurer appointment
(ORlcehokier Only)
n July 15 n ern day before electron El Exceeded 550D hrnt1 ® Final Report IAIIarh CJOH-FR)
10 PERIOD Month Day Year Month Day Year END
Q +
COVERED f
4 / 30/3,0I 5 THROUGH l �Q` Amp ' 614
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year ❑ Primary LiRunoff ❑ Other
Description
5/ 9 A O's g General ❑ Special
12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT Ot kruw)
El1L.E55 0. Lt ( Co3]NCIL E UL E55 C ►T'f COUNNCtL,
FL AC E 5 P L AQ 5
GO TO PAGE 2
Forms provided by Texas Ethics Commission vwvw.ethics.stale.tx.us Revised 02/27 120 1 5
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME o 15 Filer ID (Ethics Commission Filers)
H Prt.2.4, --E. el rtr1 oil EZ - [i L
16 NOTICE FROM THIS BOX IS FOR NOTCE of POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
POLITICAL SUPPORT THE CANDIDATE I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE IFIER4 MADE WITHOUT THE CA ha DATE'S OR OFFICEHOLDER
COMMITTEES) KHOWLEOGE OR CONSENT- CANtifDATES ARO OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE
OF SUCH EXPENDITURES.
COMMITTEE TYPE COMMITTEE NAME
0 GENERAL
COMMITTEE ADDRESS
SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
Additional Pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION 1. TOTAL POL ITICAL CONTRIBUTIONS OF$50 OR LESS(OTHER THAN
TOTALS PLEDGES, LOANS,OR GUARANTEES OF LOANS). UNLESS ITEMIZED $ --.Q....
�
2. TOTAL POLITICAL CONTRIBUTIONS $ I 5*
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) GO
EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF$100 OR LESS,
TOTALS UNLESS ITEMIZED $
.--O
4. TOTAL POLITICAL EXPENDITURES $ 455IQ
CONTRIBUTION 5 TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF REPORTING PERIOD $ —O~
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ —�Q`—,
18 AFFIDAVIT
!swear,or affirm,under penalty of perjury,that the accompanying report is
true and correct and includes ail information required to be reported by me
a"'N.I.,, under Title 15,Election Code.
ri.+�� �. JULIE SwARi2
"= Notary Public,State of texas
-„ ,..�1 My Commission Expires '
"''ti,,',;;,,wr April 15, 2019 AtoJaa • It
i Si na 4 of Candidate or Officeholder
AFFIX NOTARY STAMP ISEALABOVE },n I LL
Sworn to and subscribed before me, by the said I-{ar'r'� -t �t1-e-r ,this the �,
day of:,--;f k n- ,20 15 ,to certify which,witness my hand and seal of office.
Signature of officer admi tenng oath Printed name of officer administering oath Title of officer administering oath
Forms provided by'Texas Ethics Commission vwvw-ethics.state tx.us Revised 0212 7 12 01 5
SUBTOTALS - OOH FORM C/OH
COVER SHEET PG 3
19 FILER NAME 20 Filer ID(Ethics Commission Filers)
21 SCHEDULE SUBTOTALS SUBTOTAL
NAME OF SCHEDULE AMOUNT
•
1. SCHEDULEAI: MONETARY POLITICAL CONTRIBUTIONS $ f SO '
2. { SCHEDULER?: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS
3. SCHEDULE B- PLEDGED CONTRIBUTIONS
nSCHEDULE Er LOANS $'
5- 7 SCHEDULE F1- POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS 5 15O-
B. SCHEDULE F2 UNPAID INCURRED OBLIGATIONS $
7- SCHEDULE F3. PURCHASE OF INVESTMENTS FROM POLITICAL CONTRIBUTIONS $
S- SCHEDULE G: POLITICAL EXPENDITURES FROM PERSONAL FUNDS $ 30 5-
9 SCHEDULE H: PAYMENT FROM POLITICAL CONTRIBUTIONS TOA BUSINESS OF C/OH S
10- 0 SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS S
11 n SCHEDULE tt INTEREST,CREDITS.GAINS,REFUNDS.AND CONTRIBUTIONS 3
RETURNED TO FILER
Forms provided by Texas Ethics Commission ~Av.ethics.state-tx.us Revised 02/2772015
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form. t Total pages Schedule Al
aµE
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
II-[ li Q _ . a L t+K W► EQ, 11'
4 Date 5 Full name of contributor ❑out-of-state PAC(ID* ) 7 Amount of contnbution ($)
5-1 q- .015 E LIF N Vo -
S Contributor address, City, State. Zip Code f V�
17.01 1 .tuLee.E5T EuL.css,Tx 1603T'
❑ILI e
8 Principal occupation/Job title(See Instructions) 9 Employer (See Instructions)
Date Full name of contributor ❑out-of-:fate PAC me } Amount of contribution (S)
�j1 E 1 EI SS•E • F U•LESS ,T'x. "14.0 3q
s-1 4_^'`S Contributor address: City. State. Zip Code yi so
S I S E. ASSI4
LANE
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor ❑out-or-state ?AC(IDA_ ) Amount of contribution ($)
Contributor address; City; State; Zip Code
Pnncipal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor out-of-stare PAC(OM ) Amount of contribution (5)
Contributor address, City. Slate, Zip Code
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 for additional reporting requirements.
Forme provided by Texas Ethics Commission www-ethics.state.tx.us Revised0212712415
NON-MONETARY (IN-KIND) POLITICAL
CONTRIBUTIONS SCHEDULE A2
The Instruction Guide explains how to complete this form. 1 Total pages Schedule A2
2 FILER NAME 3 Her ID (Ethics Commission Filers)
4 TOTAL OF UNITEMIZED IN-KIND POLITICAL CONTRIBUTIONS $
5 Date 6 Full name of contributor pout-of-stall! PAC OW. 1 6 Amount of , 9 in-kind contribution
Contribution $ , description
7 Contributor address: City; State; Zip Code •
Check if travel outside of Texas, complete Schedule T
10 Principal occupation 1 Job title(FOR NON-JUDICIAL)(See Instructions) P1 Employer(FOR NON-JUDICIAL)(See Instructions)
12 Contributors principal occupation(FOR JUDICIAL) 13 Contributors job title(FOR JUDICIAL)(See Instructions)
14 Contributor's employer/law firm(FOR JUDICIAL) 15 Law firm of contributor's spouse(if any)(FOR JUDICIAL)
16 If contnbutor is a child,law firm of parent(s)(if any)(FOR JUDICIAL)
Date Full name of contributor 0 out-or-state PAC(lot ) Amount of In-kind oantnbution
Contribution $ , description
Contributor address, City: Slate; lip Code -
•nCheck if travel outside of Texas, complete Schedule T
Prmctpat occupation I Sob title(FOR HOH-JUDICIAL)(See Irrstructions) Employer(FOR NON-S(SDtCIAL)(See Instructions)
Contributor's principal occupation(FOR JUDICIAL) Contnbutor's job title(FOR JUDICIAL)(See Instructions)
Contributor's employer/law firm(FOR JUDICIAL) Law firm of contributors spouse(if any)(FOR JUDICIAL)
If contributor is a child,law firm of parent(s)(if any)(FOR JUDICIAL)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS HEEDED
If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state tx.us Revised 112t27)2015
POLITICAL EXPENDITURES
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expertise Loan RepaymertReirrtrsserneri SoliatationrFur idrasing Expense
AccoUntryBariklrg Fees Office Overteead/RertaI Fxpense Transportation Equipment A.Related Expense
ConsukingEiperee FOOMdeverage Expense Polling Expense Travel in Oes[rict
CorAndutions+Ooristlons Made By Gif VAwarcta/Memona{s Expense Punning Expense Travel Out Cf Distract
Candid rrte/icehoberPPoiktcal Committee Leal Services SalaneanM1agesJContract labor Other(enter a category net listed a Wvei
The Instruction Guide explains how to complete this form.
9 Total pages Schedule F1: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
oNE NmveV Z. w%r�4 Date VPa1L10)J5 5 Payee name
MAY 'I 5 R GD V-loo+c
6 Amount ($) 7 Payee address: City; State; Zip Code
15� P.o. Box 153
_ . VBLLEe Tx �67.4#
a ($Category (See categories hefted it the top of tnls schedule) (b)Desaipt.n
PURPOSE I Cteck if travel eittettle of Texas.complete Schedule T
OF A 0 U QT LS I N 6 I Check if Austin.TX.officeholder icing expense
EXPENDITURE
51cDrws 4 MAtilrIru65
9 Complete ONLY if direct Candidate/Ofrioeholder name Office sought Office held
expenditure to benefit CIOH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Category(See categories listed at the top of this schedule) . Deacriptiort
PURPOSE I Check If travel ouside of Texas,compete Schedule T
OF I Check if Austin,TX,Officeholder living expense
EXPENDITURE
•
Complete ONLY if direct Candidate 1 Officeholder name Office sought Office held
expenditure to benefit CIOI-(
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Category(See categories listed at the top of this schedule) Description
PURPOSE ❑Check If&reel outside of Team,complete Schedule T
❑F ❑Check If Aurflrt TX,officeholder living expense
EXPENDITURE
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit CIOH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state%x.us Revised 92t27f2015
•
POLITICAL EXPENDITURES
MADE FROM PERSONAL FUNDS SCHEDULE G
EXPENOLTUFtE CATEGORIES FOR BOX 8(a)
Advertising Experee Event Expense Loan P•epayymerN7ei rtxr..ement SolydraeoniFundreising Expense
Accourilnyrt/Bankrng Fees O+fice OvertreodRental Expense TrarerOriaton Equipment 8 Related Exmise
Consulting Expense FoodiEererage Expense Polling Expense Travel in District
Contrit&iter&Oonations Made By Gift/AwardsfMernonais Expense Pnnling Expe rise Travel Out Cf District
Canada te/Offret,older!Polrlcal Commdlee Legal Services Sala nesANagesJContraet t.atom Other(enter a rajegory not tislad atxjvel
The Instruction Guide explains how to complete this form.
1 Total pages Schedule G• 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
oME ttAERL . �MM�e�—CTC
4 Date Va424064.5 5 Payee name
MAyl5 ED 0-004
a Amount ($) 7 Payee address; City; State; Zip Code
305° 1). Q, Box t s 3
❑Re+n�r,aemen from i� G.L L E p ) �)(
polRiralcarrtrFtwtions 7 6 P,4—/ '
irt9rided
8 (a)Category(See categories fisted at the top of this schedule) (b) Description 516 M 5 E vvt 11m L,I t i 6$
PURPOSE Li Chick if travel outside of Texas, complete Schedule 7
OF AT,\I L 2TLSL >� �s ff I
EXPENDITURE LJ Check if Austin,T%,officeholder Wing expense
9 Complete ONLY if direct Candidate 1 Officeholder name Office sought Office held
expenditure to benefit MR
Date Payee name
Amount (5) Payee address, City, Sate; Zip Code
RerrrGtreernent frdrn
political contributions
i'ePl,ded
Category(See catecuries Rated at the top of this ochedute) (b) Description
PURPOSE El Clack if travel Quakes of Texas,compete Schedule T
OF
EXPENDITURE ❑Check if Austin,TX,ofioetelder IMlnp expense
Complete ONI r,if direct Candidate/Officeholder name ❑ffice sought Office held
expenditure to benefit DOH
Date Payee name
Amount ($) Payee address; City; Sate; Zip Code
❑RD•le• irxmer{f'ion
p J•eel contributions
Category;see caheaorle,Bated at the top of this schedule) lib) Description
PURPOSE❑F f Creek if if travel outside of Texas,compete Schedule T
EXPENDITURE E:Check if Austin,TX,officeholder!Ming expense
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit CIOH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised D2127121)15
CANDIDATE 1 OFFICEHOLDER REPORT:
DESIGNATION OF FINAL REPORT FORM C/OH - FR
The Instruction Guide explains how to complete th is form.
-• Complete only if"Report Type" on page 1 is marked "Final Report" --
1 C/OH NA E 2 Filer ID (Ethics Commission Filers)
I wee al rK 1M G i2- C
3 SIGNATURE
I do not expect any further political contributions or political expenditures in connection with my candidacy. I understand that designat-
ing a report as a final report terminates my campaign treasurer appointment. I also understand that I may not accept any campaign
contributions or make any campaign expenditures without a campaign treasurer appointment on file.
EII
Signature C ndidate 1 Officeholder
4 FILER WHO IS NOT AN OFFICEHOLDER
•• Complete A& B below only if you are not an officeholder. ••
A. CAMPAIGN FUNDS
Check only one:
0 I do not have unexpended contributions or unexpended interest or income earned from political contributions.
0 I have unexpended contributions or unexpended interest or income earned from political contributions. I understand that I
may not convert unexpended political contributions or unexpended interest or income earned on political contributions to
personal use. I also understand that I must file an annual report of unexpended contributions and that l may not retain
unexpended contributions or unexpended interest or income earned on political contributions longer than six years after filing
this final report. Further,I understand that I must dispose of unexpended political contributions and unexpended interest or
income earned on political contributions in accordance with the requirements of Election Code,§254.204.
B. ASSETS
Check only one:
n !do not retain assets purchased with political contributions or interest or other income from political contributions.
n I do retain assets purchased with political contributions or interest or other income from political contributions. I understand
that I may not convert assets purchased with political contributions or interest or other income from political contributions to
personal use. I also understand that I must dispose of assets purchased with political contributions in accordance with the
requirements of Election Code,§254.204.
Signature of Candidate
6 OFFICEHOLDER
Complete this section only if you are an officeholder •-
n I am aware that I remain subject to truing requirements applicable to an officeholder who does not have a campaign treasurer on
file. l am also aware that I will be required to file reports of unexpended contributions if,atter filing the last required report as an
officeholder,!retain political contributions,interest or other income from political contributions,or assets purchased with politi-
cal contributions or interest or other income from political contributions.
Signature of Officeholder
Forms provided by Texas Ethics Commission www.elhics.state.tx.us Revised 02127l2015