HomeMy WebLinkAboutCFR-04.08.2010-MeigsTexas Ethics Commission P.O. Sox 12070 Austin, Texas 78711-2070 (512) 463-5844 1-804-325-8505
Revised 0812512009
CANDIDATE OFFICEHOLDER
FOC/OH
FINANCECAMPAIGN
OVER SHEET
PG
1 ACCOUNT# 2 Total pages filed:
The C/OH Instruction Guide explains how to complete this forret. (Ethics
commission filers)
_
3
CANDIDATE/
MS I MRS,,rm'R , ` FIRST
Ml
OFFICEHOLDER
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NAME
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t
NICKNAME LAST
SUFFIX
Me
AYR 8 20110
1-6
ADDRESS I PO BOX; APT I SUITE #; CITY;
STATE; ZIP COD
4 CANDIDATE/
OFFICEHOLDER
MAILING°tit
d
ADDRESSand-
Change of Addresst
t ( I i t
.04or
e e
AREA CODE PHONE NUMBER
EXTENSION
8 CANDIDATE/
OFFICEHOLDER
PHONE
MS 1 MRS/`NR , FIRST
Date Processed
MI
CAMPAIGN
TREASURER
Date Imaged
NAME
1'
NICKNAME CAST
SUFFIX
.r%
7
CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT I�UITE #,
CITY; STATE; ZIP CODE
TREASURER
ADDRESS
or business)
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r
8
CAMPAIGN
AREA CODE PHONE NUMBER
EXTENSION
TREASURER
PHONE
`
S
REPORT TYPE
El January 15 30th day before election
day after campaign treasurer
Runoff El
appointment
appointment (officeholder only)
0 July 15 ❑ 8th day before election ❑
Exceeded $500 limit F__1 Final report (Attach C/OH - FR)
10
PERIOD
Month Day Year
Month Day Year
COVERED
� �R � THROUGH
11
ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
ate, /zo
Primary
Runoff General El Special
12
OFFICE
OFFICE HELD (if any) 13
OFFICE SOUGHT ('+f known)
14
NOTICE
I
OF DIRECT
Direct campaign expenditures are campaign expenditures
made by others without the candidate's prior consent or approval.
CAMPAIGN
Candidates are required"tt disclose this information only if they receive notification of the direct campaign expenditure. ••
EXPENDITURE
BY OTHER
Name
INDIVIDUALS �
`.,.
€
Address I PO Box; Apt I Suite #; City; Stale:;.,, Zip Code
F-1 additional pages j
t
Revised 0812512009
Texas Ethics Commission P.O. Bax 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506
CANDIDATE i FORM CIOH
SUPPORT & TOTALS COVER SHEET PG
15 CfOH NAME 16 ACCOUNT# (Ethics Commission Filers)
17 NOTICE
This ox 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 made without the candidate's or officeholder's knowledge or consent.
POLITICAL `'Candidates and officeholders are required to report this information only if they receive notice of such expenditures. ••
COMMITTEE(S)
COMMITTEE NAME
COMMITTEE TYPE...,
GENERAL
COMMITTEE ADDRESS
SPECIFIC
❑ additional pages COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZEDi
2. TOTAL POLITICAL CONTRIBUTIONS i
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $50 OR LESS, UNLESS ITEMIZED
TOTALS
4. TOTAL POLITICAL EXPENDITURES
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF REPORTING PERIOD i^
OUTSTANDING 5. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE y
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD
19 AFFIDAVIT
I swear, or affirm, under penalty of perjury, that the accompanying report
is true and correct and includes all information required to be reported by
me uWerTitl5, lection Code.
Signature of 6andidate or Officeholder
AFFIX NOTARY STAMP f SEAL ABOVE
Sworn to and subscribed before me, by the said "` `( this the day
C f " r -i J 20 to certify which, witness my hand and seal of office.
.r®"�• �L��. l..% j/` � t. X b..+'Y � b%� � �'�L
Signature'a oT r administering oath Printed n6e of offt administering oath Title of officer administering oath
Revised 08125/2008
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506
Revised 08/2512004
POLITICAL CONTRIBUTIONS
SCHEDULE A
OTHER THAN PLEDGES OR LOANS
The Instruction Guide explains hove to complete this form.
1 Total pages Schedule A:
Z
FILER NAME
3 ACCOUNT# (Ethics Commission filers)
z
4
Date
In
5 Full name of contributor D out-ot-statePAC (ID#:
)
7 Amount of
g In-kind contribution
contribution ($)
description (if applicable)
AA.° a.
I
CA
� � (
. . . . . . . . . . . . .
fs Contributor address," City; State; Zip Code
. . . . .
. .
I
t
t
J f }/ F
Q.wyi..o'.5, F
(if travel outside
of Texas, complete Schedule T)
g
«a
Principal occupation / Job title (See Instructions)
10
Employer
(See Instructions)
Date
Full name of contributor ❑ out-d-statePAC (iD#:
Amount of
In-kind contribution
contribution {$)
description (i€ applicable)
-)M
}
Contributor address; City; State Zip Code
'21 s
r
""
if travel outside
of Texas, complete Schedule
Principal occupation t Job title`(See Instructions)
Employer
(See Instructions)
Date Full name of contributor ❑ ouEof-statePAC (ID#-
Amount of
In-kind contribution
contribution {$)
description (if applicable)
Contributor address; City; State; Zip Code
i
(if travel outside
of Texas, complete Schedule Ti
Principal occupation / Job title (See Instructions)
Employer
(See Instructions)
Date Full name of contributor El out-af-statePAC (ID#:
} Amount of
In-kind contribution
contribution ($)
ii description (if applicable)
Contributor address; City; State; Zip Code
I
i
if travel outside
of Texas, eom fete Schedule
Principal occupation t Job title (See Instructions)
Employer
(See Instructions)
Date
Full name of contributor out-of-state PAC (INP.}
Amount of
In-kind contribution
contribution {$)
description (if applicable)
Contributor address; City; State; Zip Code
If travel outside
of Texas, complete Schedule
Principal occupation t Job title (See Instructions)
Employer
(See Instructions)
ATTACH ADDITIONAL COPIES OF
THIS FORM AS NEEDED
If contributor is out-of-state PAG, please see instruction guide
foradditional reporting requirements.
Revised 08/2512004
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506
POLITICAL EXPENDITURES SCHEDULE F
The Instruction Guide explains how to complete this forma. 1 Total pages Schedule F:
2 FILER NAME-[),,.,. 3 ACCOUNT # (Ethics Commission tilers)
4 Date S Payee name 7 Amount
..
usy, Ii.
311 S Payee address; City; State; Zip Code
z y _
Geer k--'to-ri
8 Purpose of payment (See instructions regarding type of information Complete if direct expenditure to benefit ClOH ••
required.) Candidate f Officeholder name Office sought Office held
(if travel outside of Texas, complete Schedule T)
Date Payee name Amount
E$)
`1tk �..,
l Payee
q[addre¢ass; q City; State; iZyip9"Code fp
kul)
Purpose of payment (See instructions regarding type a€information •• Complete if direct expenditure to benefit C/OH ••
required.) _ Candidate f Officeholder name Office sought Office held
bst :. Lv� _s I
(if travel outside of Texas, complete Schedule T)
Date Payee name Amount
/rA�-"_.
E$)
.......................i
Payee address; City; State; Zip Code t
'" wr T
Purpose of payment (See instructions regarding type of information •• Complete if direct expenditure to benefit C/OH ••
required.) Candidate f Officeholder name Office sought Office held
i
(if travel outside of Texas, complete Schedule 1)
Date Payee name Amount
i
($)
{ pp Payee address; City; State; Code / 10 1
Io i
ri
i
Purpose of payment (See instructions regarding type of information > Complete if direct expenditure to benefit C/OH ••
required.) Candidate / Officeholder name Office sought Office held
r,
(if travel outside of Texas, complete Schedule T)
ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED
Revised 0812512009
Texas Ethics Commission P.O. Sox 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506
POLITICAL EXPENDITURES SCHEDULE G
MADE FROM PERSONAL FUNDS
The Instruction Guide explains how to complete this form.
1 Total pages Schedule G:
2 FILEN NAMEa � r
6;..V e
3 ACCOUNT# (Ethics Commission filers)
)� t tr' ..
s
4 Date
5 Payee name
8 Amount
6 Payee address City;. State; Zip Code
/
Reimbursement
7 Purposeofexpenditure (See instructions regarding type of information required.)
S_
t , IL WIr
from political
contributions
(if travel outsidf Texas, complete Schedule T)
intended
DatePayee
name
Amoount
Payee address; C- State; Zip Coc(e
o i � kn Al
Purpose of expenditure (See instructions regarding type of information required.)
Reimbursement
from political
-
contributions
(if travel tside of Texas, complete Schedule T)
intended
Date
Payee name
Amount
v`:`
(}
....................
Payee address; City; State; Zip Cod
{ % 10 (.k E:a._
b
H
p
Purpose of a enditure (See instdictions regarding type of information required.)
Reimbursement
from political
contributions
(if travel outside of Texas, complete Schedule T)
intended
Date
Payee name
Amount
(S)
. . . . . . . . . . . . . . . .
Payee address; City; State; Zip Code
a Reimbursement
Purpose of expenditure (See instructions regarding type of information required.)
from political
contributions
(if travel outside of Texas, complete Schedule T}
intended
Date Payee name Amount
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Payee address; City, State; Zip Code
Purpose of expenditure (See instructions regarding type of information required.) Q Reimbursement
fmm political
contributions
(if travel outside of Texas, complete Schedule T) intended
ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED
Revised 08/25/2009