HomeMy WebLinkAboutCFR-05.6.2011 thru 07.15.2011-GarverTexas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 (TDD 1-800-7
CANDIDATE OFFICEHOLDER FOS M CIOH
COVERCAMPAIGN FINANCE REPORT HEFT PG I
1 ACCOUNT # 2 Total pages filed:
The C10H Instruction Guide explains how to complete this form.
(Ethics Commission Filers)
3 CANDIDATE/
MSIMRSIMR FIRST MI
OFFICEHOLDER
Date Received
NAME
�. �- p
11
. - .LAST - - - - - 'SUFFIX
NICKNAME °••l
ADDRESS / PO BOX; APT I SUITE #; CITY; STATE; ZIP CODEyl City Secretary
Cit
4 CANDIDATE/
OFFICEHOLDER
--- F— --- -
Postmarked
MAILING
Date Hand -delivered or
ADDRESS
vo Ill to &V
# Amount
change of address
Receipt
AREA CODE PHONE NUMBER EXTENSION
Date Processed
5 CANDIDATE/
OFFICEHOLDER
* ®
\
PHONE
6 CAMPAIGN
MS J MRS I MR FIRST MI Date Imaged
TREASURER
0
NAME
. .
. .LAT
NICKNAME SUFFIX
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APTfSUITE#; CITY; STATE; ZIPCODE
TREASURER
ADDRESS
Vfa oft -S ` LOP
(residence or business)
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
f
PHONE
i
9 REPORT TYPE
El January 15 F� 30th day before election ❑ Runoff E] 15th day after campaign treasurer
appointment (officeholder only)
LK July 15 7 8th day before election ❑ Exceeded $500 limit Final report (Attach CIOH - FR)
10 PERIOD
Month Day Year Month Day Year
COVERED
r' ®� THROUGH 7 / / 1 / o F)
11 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
as //§z 1990 t,
F� Primary 0 Runoff General El Special
12 OFFICE
OFFICE HELD (If any))
13 OFFICE SOUGHT (if known)
14 NOTICE
OF DIRECT
DIRECT CAMPAIGN EXPENDITURES ARE CAMPAIGN EXPENDITURES MADE BY OTHERS MTHOUTTHE CANDIDATE'S PRIOR CONSENTOR APPROVAL.
CAMPAIGN
CANDIDATES ARE REQUIRED TO DISCLOSE THIS INFORMATION ONLY IF THEY RECEIVE NOTIFICATION OF THE DIRECT CAMPAIGN EXPENDITURE.
EXPENDITURE
BY OTHER
Name
INDIVIDUALS
Address 1 PO Box; Apt I Suite #; City; State; Zip Code
additional pages
GO TO PAGE 2
www. ethics. state.tx.us Revised 04/21/2010
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 JDD 1-800-735-2989)
CANDIDATE /REPORT:FORM C/OH
SUPPORT
& TOTALS OVER SHEET PG
16 C/OFTMiVA�Ze
16 ACCOUNT # (Ethics Commission Filers)
17 NOTICE Cl
THIS BOX is FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT THE
FROM
CANDIDATE/OFFICEHOLDER. THESE EXPEilDJTURESAiAYHAVE BEEumADE wrrHouT THE CANDfDAT'E`S OR oFFiceHmDER'S KNOWLEDGEOR
POLITICAL
CONSENTT, CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORTTHIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE(S)
'
COMMITTEE NAME
COMMITTEE TYPE
GENERAL
COMMITTEE ADDRESS
SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
additional pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
18 CONTRIBUTION
1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
TOTALS
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
2. TOTAL POLITICAL CONTRIBUTIONS
DO
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE:
3. TOTAL POLITICAL EXPENDITURES OF $50 OR LESS, UNLESS ITEMIZED
TOTALS
4. TOTAL POLITICAL EXPENDITURES
�
CONTRIBUTION
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE
OF REPORTING PERIOD
OUTSTANDING
g TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS
LAST DAY OF THE REPORTING PERIOD
19 AFFIDAVIT
I swear, or affirm, under penalty of perjury, that the accompanying report
v �G,
is true and correct and includes all information required to be reported by
ERINE me under Title 15, Election Code.
PUBLIC
stme of Texas4NOTARY
"I w2M 5
Signfure of Candidate or Officeholder
AFFIX NOTARY STAMP 1 SEAL ABOVE
Sworn to and subscribed
before me, by the said this the
day of S3 20^ , to certify which, witness my hard and seal of office.
SIC ,
I ature of officer administering oath Printed name of officer administering oath Titk of officer admi ring oath
www.ethics.state.tx.us Revised 04/21/2414
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-298
POLITICAL CONTRIBUTIONS
OTHER THAN PLEDGES OR LOANS
[ Total pages Schedule A:
The Instruction wide explains crow to complete this form.
2 FILER NAME
S ACCOUNT # (Ethics Commission Filers)
4 Date
6 Full nam of contributor ❑ out-of-state PAC(iD*. )
Z Amount of S In-kind contribution
contribution {$} description (if applicable)
6 Contributor address; City; State; Zip Code
ezus���
g P
(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 PACQC0, )
Amount of ( In-kind contribution
contribution ($) description (if applicable)
Contributor address; City; State; Zip Code
E
If travel outside of Texas, complete Schedule T)
Principal occupation t Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC(Off )
Amount of In-kind contribution
contribution ($} description (if applicable)
Contributor address; City; State; Zip Code
!�
i
(if travel outside of Texas, complete Schedule T)
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑outof-statePAC(1D#: )
Amount of In-kind contribution
contribution ($} ( description (if applicable)
Contributor address; City; State; Zip Code
if travel outside of Texas, complete Schedule T
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-statePAC(iD# )
Amountof In-kind contribution
contribution ($} description (if applicable)
Contributor address; City; State; Zip Code
!f 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 -o€ -state PAD, please see instruction guide foradditional reporting requirements.
wvwr.ethics.state.tx.us Revised 04/21/2010
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 (TDD 1-800-735-29��)
www.ethics.state.tx.us Revised 04121/2010
POLITICAL
EXPENDITURES SCHEDULE F
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense
GiftlAwards/Memorials Expense SalariesPNages/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 F:
2 FILER ME
3 ACCOUNT # (Ethics Commission Filers)
*
Date j
5 Payee name
*
Amount ($}
7 Payee address; Zip Code
8
PURPOSE
(a) Category (See cate orieslistedatthetop�offthisscheduie)
Aij Description (if travel outside of Texas, complete Schedule T)
EXPENDITURE
W4 aT a
9
Complete ONLY if direct
Candidate t Officeholder name Office sought Office held
expenditure to benefit CtOH
Date
®Il
Payee na e
Amount {$}
Payee address; City; State; Zip Code
PURPOSE
Category (See categories listed at the top of this schedule)
Description (if travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Complete ONLY if direct
Cand ate fftceholdername Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Amount ($}
Payee address; City; State; Zip Code
PURPOSE
Category (See categories listed atthe top of this schedule)
Description (if travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Complete ONLY if direct
Candidate / Officeholder name Office sought Office held
expenditure to benefit CfOH
Date
Payee name
Amount {$}
Payee address; City; State; Zip Code
PURPOSE
Category (See categories listed at the top of this schedule)
Description (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Complete ONLY if direct
Candidate / Officeholder name Office sought Office held
expenditure to benefit CtOH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULEA NEEDED
www.ethics.state.tx.us Revised 04121/2010