HomeMy WebLinkAboutCFR - Ross - 07.15.2014Texas 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 1
1 ACCOUNT #
2 PAGE #
The C/OH INSTRUCTION GUIDE eX
explains how to complete this form.
p P
(Ethics Commission filers)
1 of 10
00000001
3 CANDIDATE/
MS/MRS/MR FIRST
MI
OFFICE USE ONLY
OFFICEHOLDER
Mr. Loyd
NAME
Date
RECEIVED
.............................
NICKNAME LAST
SUFFIX
Dale Ross
ADDRESS/PO BOX; APT / SUITE #; CITY;
STATE; ZIPCODE
JUL 15 2014
City Secretary
4 CANDIDATE/
OFFICEHOLDER
MAILING
ADDRESS
Georgetown, TX 78626
Date Hand -delivered or Date Postmarked
❑ Change of Address
MS/MRS/MR FIRST
MI
Receipt # Amount
Date Processed
5 CAMPAIGN
TREASURER
NAME
Mrs. Mickie
Date Imaged
...........................................
NICKNAME LAST
SUFFIX
Ross
6 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #;
CITY; STATE;
ZIP CODE
TREASURER
ADDRESS
(Residence or business)
Georgetown, TX 78626
7 CAMPAIGN
AREA CODE PHONE NUMBER
EXTENSION
TREASURER
PHONE
(
8 REPORT TYPE
January 15 � 30th day before election
� Runoff
1:1 15th day after campaign treasurer
appointment (officeholder only)
❑X July 15 El 8th day before election
Exceeded $500 limit
1:1 Final report (Attach C/OH - FR)
9 PERIOD
COVERED
Month Day Year
Month Day
Year
THROUGH
05/01/2014
06/30/2014
10 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
Primary
Runoff
General Special
05/10/2014
11 OFFICE
OFFICE HELD (if any)
12 OFFICE SOUGHT (if known)
Mayor - Georgetown
GO TO PAGE 2
Electronic Filing Version 3.4.5
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 TDD 1-800-735-2989
CANDIDATE / OFFICEHOLDER REPORT: FORM C/OH
SUPPORT & TOTALS COVER SHEET PG 2
13 C/OH NAME Ross, Loyd (Mr.)
14 ACCOUNT # (Ethics Commission filers)
00000001
15 NOTICE
This box is for notice
of political expenditures by political committees to support the candidate / officeholder. These expenditures may
have been made without
the candidate's or officeholder's knowledge or consent. Candidates and officeholders are required to report this
FROM
information only if they
receive notice of such expenditures...
POLITICAL
COMMITTEE NAME
COMMITTEE(S)
COMMITTEETYPE
GENERAL
COMMITTEE ADDRESS
SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
additional pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
16 CONTRIBUTION
1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
@ 1
$
TOTALS
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
,920.00
2. TOTAL POLITICAL CONTRIBUTIONS
@
$ 11
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
,370.00
...............
EXPENDITURE
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED
TOTALS
$ 0.00
4. TOTAL POLITICAL EXPENDITURES
17,461.21
...............
CONTRIBUTION
BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE
$ 904.08
LAST DAY OF THE REPORTING PERIOD
...............
OUTSTANDING
LOAN TOTALS
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD
0.00
17 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
me under Title 15, Election Code.
;2 P�Y PUA4. JESSICA ERIN BRETTLE
NOTARY PUBLIC n
State of Texas
0F'�,�' Comm. Exp. 06r01-2015
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP / SEAL ABOVE
1Da�e 7t. os, IS
Sworntoand subscribed before me, by the said this the day
I to hand
of — '20 _ , certify which, witness my and seal of office.
Q SSiC rt,�&YQk
Ig atu
a of officer administering oath Print name of officer administering oath Title ofWcer administering at
/ Electronic Filing Version 3.4.5
Texas Ethics Commission P.O.Box 12070 Austin, Texas 78711-2070 (512)463-5800 TDD 1-800-735-2989
POLITICAL CONTRIBUTIONS SCHEDULE A
OTHER THAN PLEDGES OR LOANS
The INSTRUCTION GUIDE explains how to complete this form.
1 PAGE #
Schedule: 1/3 Report: 3/10
2 FILER NAME Ross, Loyd (Mr.)
3 ACCOUNT # (Ethics Commission filers)
00000001
4 Date
5 Full name of contributor ❑ out-of-state PAC (ID# )
7 Amount of 8 In-kind contribution
Cunningham, Michael (Mr.)
contribution ($) I description (if applicable)
06/07/2014
......................................................
6 Contributor address; City; State; Zip Code
$2,000.00
Walberg, TX 78673
(If travel outside of Texas, complete Schedule T) ❑
9 Principal occupation / Job title (See Instructions)
10 Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID# )
Amount of In-kind contribution
Klein, Joan (Ms.)
contribution ($) I description (if applicable)
06/23/2014
......................................................
Contributor address; City; State; Zip Code
$1,000.00
Victoria, TX 77904
(If travel outside of Texas, complete Schedule T) ❑
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID# )
Amount of In-kind contribution
Klein, Stephen (Mr.)
contribution ($) I description (if applicable)
06/23/2014
........................................................
Contributor address; City; State; Zip Code
$1,000.00
Victoria, TX 77904
(If travel outside of Texas, complete Schedule T) ❑
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID# )
Amount of In-kind contribution
Klitz, Erin (Ms.)
contribution ($) I description (if applicable)
05/07/2014
......................................................
Contributor address; City; State; Zip Code
$500.00
Georgetown, TX 78628
(If travel outside of Texas, complete Schedule T) ❑
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID# )
Amount of In-kind contribution
Klitz, John (Mr.)
contribution ($) I description (if applicable)
05/07/2014
......................................................
Contributor address; City; State; Zip Code
$500.00
Georgetown, TX 78628
(If travel outside of Texas, complete Schedule T) ❑
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Electronic Filing Version 3.4.5
Texas Ethics Commission P.O.Box 12070 Austin, Texas 78711-2070 (512)463-5800 TDD 1-800-735-2989
POLITICAL CONTRIBUTIONS SCHEDULE A
OTHER THAN PLEDGES OR LOANS
The INSTRucnoN GUIDE explains how to complete this form.
1 PAGE #
Schedule: 2/3 Report: 4/10
2 FILER NAME Ross, Loyd (Mr.)
3 ACCOUNT # (Ethics Commission filers)
00000001
4 Date
5 Full name of contributor ❑ out-of-state PAC (ID# )
7 Amount of 8 In-kind contribution
Novak Brothers LLC
contribution ($) I description (if applicable)
06/23/2014
........................................................
6 Contributor address; City; State; Zip Code
$2,500.00
Georgetown, TX 78628
(If travel outside of Texas, complete Schedule T) ❑
g Principal occupation / Job title (See Instructions)
10 Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID# )
Amount of In-kind contribution
Steger, Mary (Ms.)
contribution ($) I description (if applicable)
06/07/2014
......................................................
Contributor address; City; State; Zip Code
$250.00
Georgetown, TX 78626
(If travel outside of Texas, complete Schedule T) ❑
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID# )
Amount of In-kind contribution
Steger, Perry (Mr.)
contribution ($) I description (if applicable)
06/07/2014
......................................................
Contributor address; City; State; Zip Code
$250.00
Georgetown, TX 78626
(if travel outside of Texas, complete Schedule T) ❑
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID# )
Amount of In-kind contribution
Stevens, Holly (MS.)
contribution ($) I description (if applicable)
06/07/2014
......................................................
Contributor address; City; State; Zip Code
$250.00
Georgetown, TX 78628
(If travel outside of Texas, complete Schedule T) ❑
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID# )
Amount of In-kind contribution
Stevens, Patrick (Mr.)
contribution ($) I description (if applicable)
06/07/2014
........................................................
Contributor address; City; State; Zip Code
$250.00
Georgetown, TX 78628
(If travel outside of Texas, complete Schedule T) ❑
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Electronic Filing Version 3.4.5
Texas Ethics Commission P.O.Box 12070 Austin, Texas 78711-2070 (512)463-5800 TDD 1-800-735-2989
POLITICAL CONTRIBUTIONS SCHEDULE A
OTHER THAN PLEDGES OR LOANS
The INSTRUCTION GUIDE explains how to complete this form.
1 PAGE #
Schedule: 3/3 Report: 5/10
2 FILER NAME Ross, Loyd (Mr.)
3 ACCOUNT# (Ethics Commission filers)
00000001
4 Date
5 Full name of contributor ❑ out-of-state PAC (ID# )
7 Amount of 8 In-kind contribution
Vickers, John (Mr.)
contribution ($) I description (if applicable)
05/12/2014
......................................................
6 Contributor address; City; State; Zip Code
$100.00
Georgetown, TX 78628
(If travel outside of Texas, complete Schedule T) ❑
9 Principal occupation / Job title (See Instructions)
10 Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID# )
Amount of In-kind contribution
Vickers, Vicki (Mrs.)
contribution ($) I description (if applicable)
05/12/2014
......................................................
Contributor address; City; State; Zip Code
$100.00
Georgetown, TX 78628
(If travel outside of Texas, complete Schedule T) ❑
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID# )
Amount of In-kind contribution
Visser, Eric (Mr.)
contribution ($) I description (if applicable)
05/07/2014
......................................................
Contributor address; City; State; Zip Code
$500.00
Austin, TX 78738
(If travel outside of Texas, complete Schedule T) ❑
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID# )
Amount of In-kind contribution
Wukasch, Avis (Ms.)
contribution ($) I description (if applicable)
06/07/2014
......................................................
Contributor address; City; State; Zip Code
$250.00
Georgetown, TX 78626
(if travel outside of Texas, complete Schedule T) ❑
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Electronic Filing Version 3.4.5
Texas Ethics Commission P.O.Box 12070 Austin. Texas 78711-2070 (5 1 2)463-5 800 TIT 1-800-735-2989
LOANS
SCHEDULE E
1 PAGE #
The INsraucnON GUIDE explains how to complete this form.
Schedule: 1/1
Report: 6/10
2 FILER NAME Ross, Loyd (Mr.)
3 ACCOUNT # (Ethics Commission filers)
00000001
4
TOTAL OF UNITEMIZED LOANS: C*C*C**C*b
$
5 Date of loan
7 Name of lender ❑ out-of-state PAC (ID#
9 Loan Amount ($)
05/12/2014
Ross, Dale (Mr.)
...........................................
8 Lender address; City; State;
I............
Zip Code
$2,000.00
6 Is lender a
10 Interest rate
financial Institution?
0%
Georgetown, TX 78626
11 Maturity date
No
12 Principal occupation / Job title (See Instructions)
13 Employer (See Instructions)
President
L Dale Ross CPA
14 Description of Collateral
15 Check if personal funds were deposited into political account
❑x none
16 GUARANTOR
17 Name of guarantor
19 Amount Guaranteed ($)
INFORMATION
.......................................................
18 Guarantor address; City; State;
Zip Code
❑X not applicable
20 Principal Occupation
21 Employer
Electronic Filing Version 3.4.5
Texas Ethics Commission P.O.Box 12070 Austin. Texas 78711-2070 rr1914R,i-1;RnnTnn 1-Rnn-7Rr-90Ra
POLITICAL EXPENDITURES SCHEDULE F
EXPENDITURE CATEGORIES
Advertising Expense Gifts/Awards/Memorial 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.
PAGE #
2 FILER NAME
3 ACCOUNT # (TEC filers)
Schedule: 1/3 Report: 7/10
Ross, Loyd (Mr.)
00000001
4 Date
5 Payee name
05/12/2014
Fidelis Publishing Group
g Amount ($)
7 Payee address City; State; Zip Code
$900.00
181 Town Center Blvd
Jarrell, TX 76537
8
(a) Category (See Categories listed at the top of this schedule)
(b) Description (If travel outside of Texas, complete Schedule T) E]
PURPOSE
Advertising Expense
Ads
OF
EXPENDITURE
9 Complete ONLY if
Candidate / Officeholder name Office sought: Office held:
direct expenditure
to benefit C/OH
Date
Payee name
05/12/2014
Minuteman Press
Amount ($)
Payee address City; State; Zip Code
$3,000.39
1904 S Austin Ave
Georgetown, TX 78626
Category (See Categories listed at the top of this schedule)
Description (If travel outside of Texas, complete Schedule T)
PURPOSE
Advertising Expense
Mailer and Signs
OF
EXPENDITURE
Complete ONLY if
Candidate / Officeholder name Office sought: Office held:
direct expenditure
to benefit C/OH
Date
Payee name
06/02/2014
Paypall
Amount ($)
Payee address City; State; Zip Code
$2,88
100 West Morrow Street
Georgetown, TX 78626
Category (See Categories listed at the top of this schedule)
Description (If travel outside of Texas, complete Schedule T) El
PURPOSE
Fees
Paypall Fees
OF
EXPENDITURE
Complete ONLY if
Candidate / Officeholder name Office sought: Office held:
direct expenditure
to benefit C/OH
Date
Payee name
06/16/2014
Ross, Dale (Mr.)
Amount ($)
Payee address City; State; Zip Code
$1,130.24
Georgetown, TX 78626
Category (See Categories listed at the top of this schedule)
Description (If travel outside of Texas, complete Schedule T) ❑
PURPOSE
Loan Repayment/Reimbursement
Reimbursement for April expenses paid from
OF
EXPENDITURE
personal funds - Reported on 8 day report
Complete ONLY if
Candidate / Officeholder name Office sought: Office held:
direct expenditure
to benefit C/OH
Electronic Filing Version 3.4.5
Texas Ethics Commission P.O.Box 12070 Austin. Texas 78711-2070 (512)463-580OTDD 1-800-735-2989
POLITICAL EXPENDITURES SCHEDULE F
EXPENDITURE CATEGORIES
Advertising Expense Gifts/Awards/Memorial Expense SalariesMages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The INSTRUCTION GUIDE explains how to complete this form.
1 PAGE #
2 FILER NAME
3 ACCOUNT # (TEC filers)
Schedule: 2/3 Report: 8/10
Ross, Loyd (Mr.)
00000001
4 Date
5 Payee name
06/16/2014
Ross, Dale (Mr.)
6 Amount ($)
7 Payee address City; State; Zip Code
$2,000.00
Georgetown, TX 78626
$
(a) Category (See Categories listed at the top of this schedule)
(b) Description (If travel outside of Texas, complete Schedule T) ❑
PURPOSE
Loan Repayment/Reimbursement
Loan Repayment From Loan - 05.12.2014
OF
EXPENDITURE
g Complete ONLY if
Candidate / Officeholder name Office sought: Office held:
direct expenditure
to benefit C/OH
Date
Payee name
05/30/2014
Savage, Joe (Mr.)
Amount ($)
Payee address City; State; Zip Code
$261.03
104 Thornwood Dr
Georgetown, TX 78628
Category (See Categories listed at the top of this schedule)
Description (If travel outside of Texas, complete Schedule T)
PURPOSE
Advertising Expense
Sign Materials
OF
EXPENDITURE
Complete ONLY if
Candidate / Officeholder name Office sought: Office held:
direct expenditure
to benefit C/OH
Date
Payee name
05/30/2014
Savage, Joe (Mr.)
Amount ($)
Payee address City; State; Zip Code
$133.65
104 Thornwood Dr
Georgetown, TX 78628
Category (See Categories listed at the top of this schedule)
Description (If travel outside of Texas, complete Schedule T)
PURPOSE
Advertising Expense
Sign Materials
OF
EXPENDITURE
Complete ONLY if
Candidate / Officeholder name Office sought: Office held:
direct expenditure
to benefit C/OH
Date
Payee name
06/27/2014
Savage, Joe (Mr.)
Amount ($)
Payee address City; State; Zip Code
$1,359.21
104 Thornwood Dr
Georgetown, TX 78628
Category (See Categories listed at the top of this schedule)
Description (If travel outside of Texas, complete Schedule T)
PURPOSE
Advertising Expense
Campaign Signs and Materials
OF
EXPENDITURE
Complete ONLY if
Candidate / Officeholder name Office sought: Office held:
direct expenditure
to benefit C/OH
Electronic Filing Version 3.4.5
Texas Ethics Commission P.O.Box 12070 Austin. Texas 78711-2070 (512)463-5800 TDD 1-800-735-2989
POLITICAL EXPENDITURES
SCHEDULE F
EXPENDITURE CATEGORIES
Advertising Expense
Gifts/Awards/Memorial Expense
Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking
Legal Services
Solicitation/Fundraising Expense Transportation Equipment & Related Expense
Consulting Expense
Food/Beverage Expense
Travel In District Contributions/Donations Made By
Event Expense
Polling Expense
Travel Out Of District Candidate/Officeholder/Political Committee
Fees
Printing Expense
Office Overhead/Rental Expense OTHER (enter a category not listed above)
The INSTRUCTION GUIDE
explains how to complete this form.
1 PAGE #
2 FILER NAME
3 ACCOUNT # (TEC filers)
Schedule: 3/3 Report: 9/10
Ross, Loyd (Mr.)
00000001
4 Date
5
Payee name
06/27/2014
Savage, Joe (Mr.)
6 Amount ($)
7
Payee address City; State;
Zip Code
$2,900.00
104 Thornwood Dr
Georgetown, TX 78628
8
(a)
Category (See Categories listed at the top of this schedule)
(b) Description (If travel outside of Texas, complete Schedule T) ❑
PURPOSE
Advertising Expense
Campaign Signs and Consulting on Advertising
OF
EXPENDITURE
9 Complete ONLY if
Candidate / Officeholder name
Office sought: Office held:
direct expenditure
to benefit C/OH
Date
Payee name
05/12/2014
The Williamson County Sun
Amount ($)
Payee address City; State;
Zip Code
$2,811.00
P O Box 39
Georgetown, TX 76627
Category (See Categories listed at the top of this schedule)
Description (If travel outside of Texas, complete Schedule T)
PURPOSE
Advertising Expense
Ads
OF
EXPENDITURE
Complete ONLY if
Candidate / Officeholder name
Office sought: Office held:
direct expenditure
to benefit C/OH
Electronic Filing Version 3.4.5
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 TDD 1-800-735-2989
POLITICAL EXPENDITURES SCHEDULE G
MADE FROM PERSONAL FUNDS
EXPENDITURE CATEGORIES
Advertising Expense Gifts/Awards/Memorial Expense SalariesMages/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.
1 PAGE #
2 FILER NAME
$ ACCOUNT # (TEC filers)
Schedule: 1/1 Report: 10/10
1 Ross, Loyd (Mr.)
00000001
4 Date
5 Payee name
05/06/2014
Fidelis Publishing Group
6 Amount ($)
7 Payee address City; State; Zip Code
$2,150.00
181 Town Center Blvd
X Reimbursement
❑ from political
Jarrell, TX 76537
contributions intended
$
(a) Category (see Categories listed at the top of this schedule)
(b) Description (If travel outside of Texas, complete Schedule T) El
PURPOSE
Advertising Expense
Campaign Ads
OF
EXPENDITURE
Date
Payee name
05/20/2014
Gumbo's of Georgetown
Amount ($)
Payee address City; State; Zip Code
$652.59
701 Main Street
Reimbursement
❑X from political
Georgetown, TX 78626
contributions intended
Category (See Categories listed at the top of this schedule)
Description (If travel outside of Texas, complete Schedule T)
PURPOSE
Event Expense
Swearing In Reception
OF
EXPENDITURE
Date
Payee name
05/10/2014
Simply Waitstaff
Amount ($)
Payee address City; State; Zip Code
$150.00
PO Box 2296
Reimbursement
from political
Georgetown, TX 78627
contributions intended
Category (See Categories listed at the top of this schedule)
Description (If travel outside of Texas, complete Schedule T) E]
PURPOSE
Salaries/Wages/Contract Labor
Contract Labor -Election Watch Event
OF
EXPENDITURE
Date
Payee name
05/19/2014
Williamson County Elections
Amount ($)
Payee address City; State; Zip Code
$10.22
301 SE Inner Loop Ste 104
Reimbursement
0 from political
Georgetow, TX 78626
contributions intended
Category (See Categories listed at the top of this schedule)
Description (If travel outside of Texas, complete Schedule T)
PURPOSE
Polling Expense
Final Results of Election Report
OF
EXPENDITURE
Electronic Filing Version 3.4.5