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HomeMy WebLinkAboutCFR-07.12.2010-MeigsTexas Ethics Commission P.OBox12070 Austin,78711-2070 • 80 1-800 -325-8506 CANDIDATE / OFFICEHOLDER FORM CIOH CAMPAIGN FINANCE REPORT COVER SHEET PIS 1 1 ACCOUNT # 2 Total pages filed: The CfCH Instruction Guide explains how to complete this form. (Ethics Commission Filers) 3 CANDIDATE f Ms I MRS I MR FIRST MI OFFICE L OFFICEHOLDER a NAME � e Sued tzivru NICKNAME .MAST SUFFIX JUL 12 2010 4 CANDIDATE ( ADDRESS / PO BOX; APT/ SUITE #; CITY; STATE; ZIP CODE OFFICEHOLDERMAILING , t d- D ADDRESS h f I} P Change of Address A CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION Receipt # Amount OFFICEHOLDERd ,._ _ PHONE MS / MRS / MR FIRST MI Date Processed _...... 6 CAMPAIGN TREASURERDate e.. � Imaged NAME . . . . . . . . . . . . . . NICKNAME LAST SUFFIX r. '(L V 4r ''., (, % CAMPAIGN STREETADDRESS (NO PO BOX PLEASE); APT ISUITE #; CITY; STATE; ZIP CODE TREASURER ADDRESS (Residence or Business) - 8 CAMPAIGN PHONE NUMBER EXTENSION AREA CODE PHONE II PHONETREAS 9 REPORT TYPE January 15 30th day before election Runoff 15th day after campaign treasurer appointment (officeholder only) July 15 F] 8th day before election F-1 Exceeded $500 limit Final report (Attach CIOH - FR) 10 PERIOD Month Day Year Month Day Year COVERED / / .i / o THROUGH / /ELECTION (.:f / I 11 ELECTION DATE ELECTION TYPE Month Day Year /, / t� ICA I M Primary Runoff General Special 12 OFFICE HELD fi any) OF�. 13 OFFICE SOUGHT (if known) ggFyICE 94 NOTICE OF DIRECT DIRECT CAMPAIGN EXPENDITURES ARE CAMPAIGN EXPENDITURES MADE BY OTHERS WITHOUT THE CANDIDATE'S PRIOR CONSENT OR APPROVAL. CAMPAIGN CANDIDATES ARE RE64IRED TO DISCLOSE THIS INFORMATION ONLY if THEY RECEIVE NOTIFICATION OF THE DIRECT CAMPAIGN EXPENDITUPE. EXPENDITURE BY OTHER Name INDIVIDUALS Address / PO Box; Apt. ! Suite #; City; ate; Zip Code additional pages Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506 CANDIDATE/ OFFICEHOLDER REPORT: FORM C/OH & TOTALS COVER SHEETSUPPORT 15 C/OH NAPE, 1E ACCOUNT# (Ethics Commission Filers) 17 NOTICE: THIS BOX is FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT THE FROM CANDIDATE / OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE wnwOur THE CANDIDATE °S OR OFF10EHoLDER`S KNOWLEDGE oR POLITICAL ~``.CONSENT TES AND OFFICEHOLDERS ARE REQuREO TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE of SUCH EXPENDITURES. N COMMITTEE(S) COMMITTEE NAME COMMIT7EE GENERAL COMMITTEE ADDR SPECIFIC O COMMITTEE CAMPAIGN TREASURER NAME additional pages COMMITTEE CAMPAIGN TREASURER ADDRESS 1$ CONTRIBUTION TOTALS 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED 2. TOTAL. POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) 3 2 EXPENDITURE TOTALS 3. TOTAL POLITICAL EXPENDITURES OF $50 OR LESS, UNLESS ITEMIZED 4. TOTAL POLITICAL EXPENDITURES CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY BALANCE OF REPORTING PERIOD Chi OUTSTANDING LOAN TOTALS g_ TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY OF THE REPORTING PERIOD 19 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the accompanying report is true and correct and includes all all information required to be reported by y illif0 g� s� me under Tltl Elec €I 41Si1%e. JESSICA E. ILTON My COMMISSION EXPIRES June f, 20f S Signature of Candidate or Officeholder AFFIX NOTARY STAMP I SEAL ABOVE Sworn to and subscribed before me, by the said 1 kQ i \i ��� � this the J day of LA 20 to certify which, witness my hand and seal of office. r 1 7 1. S,fgnature of offlC r a tering oath Printed name of officer administering oath Titldfl$ j f$ICef administering�f dath Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506 POLITICAL EXPENDITURES SCHEDULE EXPENDITURE CATEGORIES FOR BOX S(a) Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee Fees Printing Expense Office OverheadtRental Expense OTHER (enter a category not listed above) The Instruction Guide explains how to complete this form. 9 Total pages Schedule F: 2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers) c4 h n U�° 4 Date `1 ( 5 Payee name t/t.J t � �U €` tk- k -r -I ' C r�' G �' t , t 6 Amount ($} 7 Payee address; City; Zip Code (State; a s 8 PURPOSE a} C (See categories listed at the top of this schedule) (b) Description (if travel outside of Texas, complete Schedule T) OF EXPENDITURE pat�egory f i (r 4l.� � i J i t i 9 Complete ONLY if direct Candidate / Officehol r name Office sought Office held expenditure to benefit C/OH Date ¢ i 3 _ !( Payee name ttE✓ t`t 1lcV1 Amount ($} Payee address; City; State; Zip Code I W 7�> ( g CI '"t ( e 4 0 t. iyt E "a I 4 t PURPOSE Category (See categories listed at the top of this schedule) Description (if travel outside of Texas, complete Schedule T) OF EXPENDITURE � �" � v} $ C VA Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code PURPOSE Category (See categories listed at the top of this schedule) Description (if travel outside of Texas, complete Schedule T) OF EXPENDITURE Complete ONLY if direct Candidate t Officeholder name Office sought Office held expenditure to benefit CION Date Payee name Amount ($) 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 C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Texas Commission , P.O.'o6ox 12070 Austin, Texas 78711-2070 463-5800 1-800-325-8506 CANDIDATE/ OFFICEHOLDER REPORT: FORM I FR DESIGNATION OF FINAL REPORT She Instruction Guide explains how to complete this form® ®w Complete only if "Report Type" on page 1 is marked "Final Report" I C/OH N6Liiri%E 2 ACCOUNT" # (Ethics Commission Filers) {' {f, X6..8 3 l 4.I' e • ^` "'t C 3 SIGNATURE I do not expect any further political contributions or political expenditures in connection with my candidacy. I understand that designating 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. pp Signature of Candidate / Officeholder 4 FILER WHO IS NOT AN OFFICEHOLDER oe Complete A & B below only if you are not an ofnceholyder. ee A. CAMPAIGN FUNDS Cited only one: 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 I 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. ASSET'S Check only one: F --J I do not retain assets purchased with political contributions or interest or other income from political contributions. I do retain assets purchased with political contributions or interest or other income from political contributions. l 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, § 254204. Signature of Candidate 5 OFFICEHOLDER m® Complete this section only if you are an officeholder o. I am aware that I remain subject to filing requirements applicable to an officeholder who does not have a campaign treasurer on file. I am also aware that I will be required to file reports of unexpended contributions if, after filing the last required report as an officeholder, I retain political contributions, interest or other income from political contrib ns, ar assets purchased with political contributions or interest or other income from political contributions. i Signature of Officeholder i