HomeMy WebLinkAboutCFR - 03.31.2014 - BrainardTexas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG I
I ACCOUNT# 2 Total pages filed:
The C/OH Instruction Guide explains how to complete this form.
(Ethics Commi . ssion Filers)
3 CANDIDATE
MS/MRSjr FIRST MI OFFICE USE ONLY
OFFICEHOLDER
NAME
Date Received
NICKNAME PP LAST SUFFIX RECEIVED
APR 10 2014
ADDRESS IPO BOX- APT/SUITE*, CITY; STATE; ZIPCODE
4 CANDIDATE
OFFICEHOLDER
MAILING
ADDRESS
F-1 change of address
� 6
eceipt #�1 Anwunt
AREA CODE PHONE NUMBER EXTENSION
5 CANDIDATE/
OFFICEHOLDER(Date
PHONE
Processed
&,,
�
,
6 CAMPAIGN
MSIMRSIMR FIRST MI Datelmaged
r;
TREASURER
4;:1.Y-�.
NAME
, * * , * . . . . . . , . ...............
SUFFIX
NICKNAME Ac
�, Zw/ e �
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE*, CITY STATE; ZIP CODE
TREASURER
ADDRESS
(residence or business)
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
9 REPORT TYPE
D January 15 30th day before election Runoff15th day after campaign
El
treasurer appointment
(officeholderordy)
0 July 15 F-1 8th day before election El Exceeded $500 E-1 Final report (Attach C/OH - FR)
limit
10 PERIOD
Month Day Year Month Day Year
COVERED
THROUGH -2
11 ELECTION
ELECTION DATE
Month Day Year
ELECTIONTYPE
A—Z
/
r n
Iq
ED Primary F-1 Runoff F-'vl General F-1 Special
�Al
12 OFFICE
OFFICE HELD (Many)
13 OFFICESOUGHT (iflumn)
GOTOPAGE 2
www.ethics.state.tx.us Revised 04/1912013
Texas Ethics Commission P.O.Box 12V7Q Austin, Texas 78711-207O (512)463-5800 (TDD 1-80G-735-2989)
CANDIDATE/ OFFICEHOLDER REPORT: FORM C/OH
SUPPORT & TOTALS COVER SHEET PG 2
14 C/OH NAME
15 ACCOUNT# (Ethics Commission Filers)
16 NOTICE FROM
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT THE
POLITICAL
CANDIDATE/OFF[CfHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WMIOUT THE CANDIDATE's OR OFRCEHOLDER'S KNOV'rLEDGE OR
COMMITTEE(S)
CONSENT. CANDIDATES AM OFFICEHOLDERS ARE RE�QUIREDTO REPORT THIS INFORMATION ONLY IF THEY RECEIvE NOTICE OF SUCH EXPENDITURES.
COMMITTEE NAME
COMMITTEE TYPE
F --j GENERAL
COMMITTEE ADDRESS
E-1 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 ITEMIZED
$
2. TOTAL POLITICAL CONTRIBUTIONS
$
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED
$ 7Z?
TOTALS
4. TOTAL POLITICAL EXPENDITURES
$
CONTRIBUTION
BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
$ n
OUTSTANDING
LOAN TOTALS
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANSASOFTHE
$
LAST DAY OF THE REPORTING PERIOD
18 AFFIDAVIT
I swear, or affirm, under penalty of pedury, that the accompanying report
is true andiT�o ct and includes -ea, information require to be reported by
4- me under 15, Electio
Ry PU'LIC
RYPUBL -J
/ -7
Rek"MNMOMA e
EV.04JI15/2018
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP / SEAL ABOVE
Sworn to and subscribed before me, by the said kc;- this the
day of 20 to certify which, witness my hand and seal of office.
Signature of officer administering oath Printel name ol'officer administering oath Title of'officer administering oath
www. ethics. state.tx. us Revised 04/19/2013
Texas Ethics Commission PO.Box 12O70 Austin, Texas 78711-2O7O (512)463-5800 (TDD1-800-735-2989)
POLITICAL CONTRIBUTIONS
SCHEDULE A
OTHER THAN 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 El out-of-state PAC
7 Amountof 8 In-kind contribution
contribution description (if applicable)
...... 6� ... .............
6 Contributor City; State; Zip Cod
address;
6 kv, -761
(If travel outside of Texas, complete Schedule T)
9 Principal occupation / Job title (See Instructions)
10 Employer (See Instructions)
Date
Full name of contributor out-of-state PAC
Amountof In-kind contribution
contribution M description (if applicable)
Cont ributor address; City; State; Zi p, Code
(if travel outside of Texas, complete Schedule T)
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor out-af-statePAC(I[ilk
Amount of In-kind contribution
contribution description (if applicable)
Cont ributor address; Cit y; State Zi p Code
(if travel ounside .1 —, complete Schedule T)
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor out-of-state PAC (OM
Amount of In-kind contribution
contribution description (if applicable)
Cont rib utor address; Cit y; State; Zip Code
(if travel ou-1Q. 01 i—as, win lete Schedule T)
Principal occupation Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor El out-of-state PAC 0Dff:_
Amount of In-kind contribution
contribution description (if applicable)
Contributor address; City; State; Zip Code
(If travel outside of 1_., complete 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.
www.ethics.state.tx.us Revised 04/19/2013