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HomeMy WebLinkAboutCFR - 12.31.2013 - BrainardTexas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989) CANDIDATE I OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG I I ACCOUNT 2 Total pages filed: The C10H Instruction Guide explains how to complete this form. (Ethics Commission Filers) 3 CANDIDATE OFFICEHOLDER MS/MRSO FIRST MI OFFICE USE ONLY NAME 1'414 Date .. ....... ....... RECEIVED NICKNAME LAST SUFFIX JAN 15 2014 ADDRESS /PO BOX; APT/WITE#; CITY, STATE;— ZIPCODE / 7 / City Secretary 4 CANDIDATE OFFICEHOLDER MAILING 1-t 7 , 3oe ADDRESS Date Hand -delivered or Postmarked -2 WIT IV17 E] change of address P Receipt # AnxxxA AREA CODE PHONE NUMBER EXTENSION 5 CANDIDATE/ OFFICE (, 6 CAMPAIGN MS/MRS/MR Fl ST Ml Date Imaged TREASURER NAME . . . . . . . NICKNAME ST SUFFIX 7 CAMPAIGN TREASURER STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#, CITY,, STATE; ZIPCODE ADDRESS (residence or business) 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER 2 PHONE 9 REPORT TYPE Runoff 15th day after campaign January 15 F—] 30th day before election E-1 treasurer appointment (officeholderonly) F-1 July 15 E-1 8th day before election E-1 Exceeded $500 ❑ Final report (Attach C/OH - FR) limit 10 PERIOD Month Day Year Month Day Year COVERED 12 t 3 THROUGH 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year El Primary Fj Runoff E] General Special Et / / 5, 12 OFFICE OFFICE HELD (if any) 13 OFFICESOUGHT (if kno") GO TO PAGE 2 www.ethies.state.tx.us Revised 04/19/2013 Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) OFFICEHOLDER REPORT: FORM C/OH TOTALSCANDIDATE/ SUPPORT & OVER SHEET PG 14 C/OH NAME 15 ACCOUNT # (Ethics Commission Filers) 16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICALCONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT THE POLITICAL CANDIDATE I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE W THOUT THE CANDIDATES OR OFFICEHOLDERS KNOWLEDGE OR COMMITTEE (S) CONSENT CANDIDATES AAS OFFICEHOLDERS ARE REOUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES. COMMITTEE NAME COMMITTEE TYPE GENERAL COMMITTEE ADDRESS SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME additional pages COMMITTEE CAMPAIGN TREASURER ADDRESS 17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZEDG n 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) EXPENDITURE `1) TOTALS 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED $ i J p j 4. TOTAL POLITICAL EXPENDITURES CONTRIBUTION BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF REPORTING PERIOD ) %' j Cj L OUTSTANDING LOAN TOTALS 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY OF THE REPORTING PERIOD 18 AFFIDAVIT I swear, or affirm, under penalty of pedury, that the accompanying report is true and correct and includes all information required to be reported by JESSICA ERIN BRETTLE me and Title 15,E Io Cade. x°r ' NOTARY PUBLIC r :I '* State of Texas '' ' �'"•. �'��' �i f v� o t}'' Exp. Ofi-01-2015 Comm. Signature of Candidate or Officeholder AFFIX NOTARY STAMP ! SEAL ABOVE t 'j Sworn to and subscribed before me, by the said i '� f`� this the day of 20 _ , to certify which, witness my hand and seat of office. fn;t re of officer administering oath Printed name of officer administering oath Te f officer administe ' ath www.ethics.state.tx.us Revised 04/19/2013 Texas Ethics Commission PO.Box 12O7D Austin, Texas 7O711 -207O (512)483-5800 (TDD 1-800-735-2989) POLITICAL CONTRIBUTIONS SCHEDULE A OTHER T44AN PLEDGES OR LOANS The Instruction Guide explains how to complete this form. I Total pages Schedule A: 2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers) 4 Date 5 Full name of contributor out-of-state PAC 7 Amountof 8 In-kind contribution contribution description (if applicable) 6' Contribut'gr address; City; State; Zip Code r_V �)!6111 4 (if travel outside of Texas, complete Schedule T) 9 Principal occupation I Jot� title (See Instructions) 10 Employer (See Instructions) Date Full name of contributor out-of-state PAC (1UP. Amount of In-kind contribution contribution description (if applicable) 12 17 6101'r, e aq, 5 1 (If travel outside of Texas, complete Schedule T) Principal occupation / Jo6 title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state'PAC(ID#-.------------------) Amount of In-kind contribution description contribution (if applicable) Contrib r address; City; State; Zip Code (if trav- 1—as, complete Schedule T) Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor El out-of-state PAC (otk. Amount of In-kind contribution contribution description (if applicable) Cont ributor address; Cit y; State; Zip Code Principal occupation / Job title (See Instructions) Employer (S ee Instructions) Date Full name of contributor F-1 out-of-state PAC (ID#: Amount of In-kind contribution contribution description (if applicable) Cont ributor address; City; State; Zi p Code (if travel ou We 1—as, _mplete Schedule T) Principal occupation / Job title (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see instruction guide foradditional reporting requirements. vmww.ovhics.utate.txux Revised 8@19/2O 3 Texas Ethics Commission P.O.Box 12U70 Austin, Texas 78711-2D7V (512)463-5800 (TDD 1-800-735-2989) POLITICAL EXPENDITURES SCHEDULE F 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. I Total pages Schedule F: 2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers) 4 Date -- 5 Payee na-w,,, 111241-3 6 Amount 7 Payee address; City, State, Zip Code 8 PURPOSE (a) Category (See categories listed at the top of this schedule) (b) Description (if travel outside of Texas, complete SrheduleT) OF EXPENDITURE AJIN4'-L�I�zl 9 Complete ONLY if direct I rWf-cE 'f e Office sought Office held expenditure to benefit C/OH Date z/z Payee name Amount Payee address; it City; State; Zip Code PDX PURPOSE Category �See tegaries listed at the top of this schedule) Description (if travel outside of Texas, complete Schedule T) OF EXPENDITURE VC Complete ONLY if direct Candidate / Offic6holder nag4e Office sought Office held expenditure to benefit CJOH 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 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 1) OF EXPENDITURE Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit CIOH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED "p=w.othios.otate.mux Revised 04/19/2013