HomeMy WebLinkAboutCFR-05 and 06.2012-EasonTexas Ethics Commission • i Box 12070 Austin,78711-2070
CANDIDATE1OFFICEHOLDER
FORM/
CAMPAIGN FINANCE REPORT
COVER SHEET PG
I ACCOUNT##
2 Total pages filed:
The C10H Instruction Guide explains how to complete this form.
(Ethics Commission Filers)
3 CANDIDATE I
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change of address
Receipt #
Amount
CANDIDATEI
AREA CODE PHONE NUMBER
EXTENSION
Date Processed
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PHONE
CAMPAIGN
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STATE;
ZIP CODE
TREASURADDRESS
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(residence or Business)
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8 CAMPAIGN
AREA CODE PHONE NUMBER
EXTENSION
TREASURER
PHONE
9 REPORT TYPE
r —( January 15 30th day before election
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Runoff
j D 15th day after campaign
u
treasurer appointment
(officeholderonly)
July 15 F1 8th day before election
1�1 Exceeded
$500
ED Final report (Attach CION - FR)
limit
10 PERIOD
Mon h Day Year
Month
Day
Year
COVERED//
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E
19 ELECTION
ELECTION DATE
ELECTION TYPE
Moelh Cay Year
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D General � Special
12 OFFICE
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Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDI 1-800-735-2989)
CANDIDATE / OFFICEHOLDER REPORT: FORM C10H
SUPPORT & TOTALS COVER HE T PG 2
14 C/OH NAME r'-�
I __ if
CCOUNT # (Ethics Commission Fifers)
16 NOTICE FRO
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT THE
POLITICAL
CANDIDATE/ OFFICEHOLDER. THESE EXPENDrruRE5 MAYHAME SEEN MADE MTHOUT THE CANDIDATE'S OR OFFfCEHOLDER'S KNOVAEDGE OR
COMMITTEE(S)
CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORTTHIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE NAME
COMMITTEE TYPE
Q GENERAL
COMMITTEE ADDRESS
(� SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
additional pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION
TOTALS
1. TOTAL POLITICAL CONTRIBUTIONS OF $$50 OR LESS (OTHER THAN
f r r
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 $100 OR LESS, UNLESS ITEMIZED
4. -TOTAL POLITICAL EXPENDITURES
p
I
CONTRIBUTION
BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
f•=
OUTSTANDING
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS
LAST DAY OF THE REPORTING PERIOD
18 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
JESSICA ERIN BRETTLE me under 15, Election Code.
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Signature Candida e or Officeholder
AFFIX NOTARY STAMP I SEAL ABOVE
Sworn to and subscribed before me, by the said this she
9
day of k 20 to certify which/ witness Ivey hand and seal of office.
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www.ethics.state.tx.us Revised 09128/2011
POLITICAL EXPENDITURES SCHEDULE
EXPENDITURE CATEGORIES FOR BOX 8(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 Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
3 ACCOUNT # Ethics Commission Filers
9 Total pages Schedule F: 2 FILER, AME �� �''i (
4 Date
Payee name
_5
}
iY f
B Amount ()
7 Payee address; City; State; ZipCode
g
-
owµ _
&Ile 4j
Lit
PURPOSE
(a) Category (See cate otfes listed at the top of this schedule)Description
(if travel outside of Texas complete Schedule T)
OF
EXPENDITURE
� r� � � �
� � � �
�t � j � I� It ✓a <u L� � t r
£� , s'g d t �
r
Complete ONLY if direct r"Candidate i Officeholder name Office sought Office held
expenditure to benefit C/OH a --i
v a % z
Date
Payee naive
Amount (S)
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 C/OH
Date
Payee name
Amount ($}
Payee address; City; State; Zip Code
PURPOSE E
Category (See categories listed at the top of this schedule)
Description (if travel outside of Texas, complete Schedule T)
OF
EXPEN04TURE
Complete ONLY if direct Candidate f 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 / Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE ULE S NEEDED
www.ethics.state.tx.us Revised 09128/2011
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2982
POLITICAL
MADE FROM PERSONAL FUNDS
EXPENDITURE CATEGORIES FOR BO $(a)
Advertising Expense Gift/AwardsIMemorials Expense Salaries/Wages/Contract Labor Loan RepaymenttReimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Pude By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
I Total pages Schedule G: 2 FILER NAME _. I 3 ACCOUNT # {Ethics Commission Filers}
f
a
V
4 Date g �
� Payee name
� �
�
' ?' 'L
—f � r
6 Amount {S) , a
7 Payee address; City, State Zip Code
ffzP f y ZY /V
IxReimbursement from
political contributions
intended
--^"' d "
`,
8 PURPOSE �
(a) Category (See categories listed t the top of this schedule)
(b) Description (if travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
�
P
-'Xj
Datea,
Payee name_
Amount (S)�
Payee address; City; State; Zip Code
Reimbursement from
political contributions
A
s`F
intended
PURPOSE
Category (See categories listed at the top of this schedule)
Description (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
�
t.
1� � ��1 � d �: ' C
"° °�d��
Y t '
Date
Payee name
Amount ($}
Payee address; City; State; Zip Code
Reimbursement from
political contributions
intended
PURPOSE
Category (See categories listed at the top of this schedule)
Description (if travel outside of Texas, complete Schedule T)
OF
EXPENDF17URE
Date
Payee name
Amount ($)
Payee address; City; State: Zip Code
from
FReimbursement
political contributions
intended
PURPOSE
Category (See categories listed at the top of this schedule)
Description (if travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 09/28/2019