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