HomeMy WebLinkAboutCFR-04.30.2010-MeigsTexas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8508
CANDIDATE OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT
COVER SHEET PG I
I ACCOUNT # 12 Total pages filed:
The CfCH Instruction
Guide explains how
to complete this form.
(Ethics Commission Filers)
3 CANDIDATE /
MS t MRS / MR
FIRST
MI
OFFICEHOLDER
NAME
€ ' I vi
u
.
. �. .LAST-
a e Receive
NICKNAME
SUFFIX
APR 3 0 2010
4 CANDIDATE/
ADDRESS 1 PO BOX,
APT i SUITE #; CITY;
STATE, ZIP CODE
OFFICEHOLDER
MAILING
D to n Ii redo� m
ADDRESS
A
�- .®.
.,....,
Change of Address
0...'x*....
&
5 CANDIDATE/
AREA CODE
PHONE NUMBER
EXTENSION Receipt # Amount
OFFICEHOLDER(
MS / MRS / MR
FIRST
Date Processed
MI
6 CAMPAIGN
TREASURER
lckt
Date imaged
NAME
. 9. . 1.
NICKNAME
LAST
SUFFIX
I
ut
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE), APT t SCOTE #;
CITY; STATE; ZIP CODE
TREASURER
ADDRESS
(Residence or Business)
( I
8 CAMPAIGN
AREA CODE
PHONE NUMBER
EXTENSION
TREASURER
9 REPORT TYPEJanuary
15
30th day before election El Runoff 15th day after campaign treasurer
appointment (officeholder only)
July 15
EX oe8th day before election F-1 Exceeded $500 limit ❑ Final report (Attach CIOH - FR)
10 PERIOD
Month Day
Year
Month Day Year
COVERED
THROUGH
/
11 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day
Year
t`";
! is
Primary
Runoff General El Special
12 OFFICE
OFFICE HELD (if any)
13 OFFICE SOUGHT (if known)
14 NOTICE
OF DIRECT
DIRECT CAMPAIGN EXPENQSTURES ARE CAMPAIGN EXPENDITURES
MADE BY OTHERS WITHOUT THE CANDIDATE's PRIOR CONSENT OR APPROVAL.
CAMPAIGN
CANDIDATES ARE REQUIRE DISCLOSE THIS INFORMATION ONLY IF THEY RECEIVE NOTIFICATION OF THE DIRECT CAMPAIGN EXPENDITURE,
EXPENDITURE
BY OTHER
Name
INDIVIDUALS
Address ! PO Bax: Rpt.
!Suite #; City; State; Zip Code
""•
additional pages
.
GO TO PAGE 2
Revised 04/2112010
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506
REPORT:CANDIDATE /OFFICEHOLDER FORC/OH
SUPPORT
& TOTALS COVER SHEET PG
15 C1OI-i NAME
16 ACCOUNT# (Ethics Commission Filers)
17 NOTICE '
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT THE
FROM `"'
CANDIDATE / OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN PAADE WmTHOUT THE cANDiDATE S OR OFFICEHOLDER'S KNOWLEDGE OR
POLITICAL
CONSEN€. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMAMN ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE(S)
�NF-'
COMM€TTEE q,YPE
COMMITTEE NAME
p�
w
GENERAL
,m
COMMITTDRESS
SPECIFIC
COMMITTEE CAMPAIGN TREASURER 'NAME
❑ additional pages
"
COMMITTEE CAMPAIGN TREASURER ADDRESS
I �ti
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
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE
TOTALS
3. TOTAL POLITICAL EXPENDITURES OF $50 OR LESS, UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES
CONTRIBUTION
BALANCE
5 TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
°°
OF REPORTING PERIOD
OUTSTANDINGS
g
TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS
LAST DAY OF THE REPORTING PERIOD
19 AFFIDAVIT
I swear, or affirm, under penalty of perjury, that the accompanying report
�a is true and correct and includes all information required to be reported by
PCH
t "(I AK;' + } €�(; me under Title 15, Election Code.
No
\Aiv
14
9�
3 5P�2J5'+�-• { % F
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP
1 SEAL ABOVE
s
Sworn to and subscribed before nae, by the Said s this the
day
20 to hand
of ® , certify which, wi ness my and seal of office.
_
Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath
E
f.
Revised 0412112010
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8508
POLITICAL CONTRIBUTIONS
OTHER
THAN PLEDGES
OR LOANS
SCHEDULE A
The Instruction Guide explains hots
to complete this form.
1 Total pages Schedule A:
2 FILER NAME
3 ACCOUNT # (Ethics Commission Filers)
4 Date
Full name ott contributor
out-of-state PAC ([D#:
j
7 Amount of
8 In-kind contribution
j r)
vit
r
contribution ($}
description (if applicable)
+s
6 Contributor actress; City;
State; Zip Code
°�
`
!t t ° C,)1 g
, 61
1
4/(" it
(If travel outside
of Texas, complete Schedule T)
9 Principal
occupation 1 Job title (See Instructions)
10
Employer
(See Instructions)
Date
Full name of contributor 0
out-of-state PAC OD#
Amount of
In-kind contribution
'° - 14'
f,
contribution ($}
description (if applicable)
Contributor, ddress; Ctty;
State; Zip Code
i
(
((f travel outside
of Texas, complete Schedule T)
Principal
occupation ! Job title (See Instructions)
Employer
(See Instructions)
Date
Full name of contributor Q
out-of-state PAC (04P
Amount of
In-kind contribution
3 €
contribution {$}
I description (if applicable)
=
Contributor address; City;
State; Zip Code
gg
{ g
g�
..:.1'k
(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 (tD#:
Amount of
In-kind contribution
contribution ($}
description (if applicable)
Contributor address; City;
State; Zip Code
If travel outside
f
of Texas, com fete Schedule T
Principal
occupation 1 Job title (See Instructions)
Employer
(See Instructions)
Date
Full name of contributor
out-of-state PAC (09
j
Amount of
In-kind contribution
contribution ($}
( description (if applicable)
Contributor address; City;
State; Zip Code
If travel outside
of Texas, complete Schedule T)
Principal
occupation 1 Job title (See Instructions)
I
Employer
(See instructions)
ATTACH ADDITIONAL
COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state BAC,
please see instruction guide
foradditional reporting
requirements.
Revised 04121/2010
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78719-2070 (512) 463-5800 1-800-325-85076
Revised 04/2112010
POLITICAL EXPENDITURES
SCHEDULE
1
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 & 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 NAME
3 ACCOUNT # (Ethics Commission Filers)
4
Date
Payee name t
�� t '14-
1'
G
Amount ($) €
7
Payee address; City; State; Zip Code
�
}'¢ d �
..._„ ,,...a, _ a Q*
€4
c� ¢
8
PURPOSE
(a)
Category (See categories listed at the top of this schedule)
(b) Description (If travel outside of Texas, complete Schedule T)
OF
ypy pyry{ g pp
ERH-Etl9[.Y4Ti.iISE
� 7
rr k. vk . % y'T§f"'j{
Et
s
k 1 E t
9
Complete ONLY if direct
Candidate Officeholder name
Office sought Office held
expenditure to benefit C/OH
Date}
Payee name
S yS i "...�.r
c `v.'e..Tl
�..li i k tr t & 1� Y "'ne r&§;a.5�,: .•%,. g"'" '
y ,
Amount ($)
Payee address; City; State; Zip Code
r,uf
i
PURPOSE
Category (See categories listed at the top of this schedule)
1 Description (if travel outside of Texas, complete Schedule T)
OF
� & (
y N ck
EXPENDITURE
� ,�� v ( �
�
Complete ONLY if direct
Candidate / Officeholde"rAame
Office sought Office held
expenditure to benefit C/OH
Date
Payee name
`. t gg,t a 5
.. F.... 1 rg -" €,`s
k.'
em„.- `�.-i... Sal V S
. 8.f w..v'".-'Y
Amount $)
Payee address; City; State; Code
t.=Y>`=
tom.-`' aP4.,-'$r.''ia
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 C/OH
Qat
Payee name
Mc Y 8 t itj�'71
44....+
Amount ($)
Payee address; City; State; Zip Code
g
E
x a ,,,FS .4 - `ll`" `^, ` a.+b...
S e1
4�.?'a'.F.�'&. 6 eN i`�„✓% %,,` E, h.u,3 L + +"..'.",,
PURPOSE
Category (See categories listed at the top of this schedule)
Description (if travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
)✓ r (&
i ( t Y `( t(.
m 3
w % V " W t CAL
Complete ONLY if direct
Candidate / Offi�eho€der name
Office fought Office held
expenditure to benefit CION
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Revised 04/2112010