HomeMy WebLinkAboutCFR - Ross - 07.15.2016Texas 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
The CION INSTRUCTION GUIDE explains how to complete this form.
1
ACCOUNT #
2 PAGE #
(Ethics Commission filers)
00000001
1 of 4
3 CANDIDATE/
MS/MRS/MR FIRST
MI
OFFICE USE ONLY
OFFICEHOLDER
Mr. Loyd
NAME
NICKNAME LAST
SUFFIX
Date RerRIE—d E AVE D
F�J�
Dale Ross
ADDRESS I PO BOX; APT I SUITE 11; CITY;
STATE; ZIP CODE
JUL 15 2016
4 CANDIDATE/
OFFICEHOLDER
City Secreta
MAILING
ADDRESS
Georgetown, TX 78626
Date Hand -delivered or Date Postmarked
Change of Address
MS/MRS IMR FIRST
MI
Receipt# Amount
Date Processed
5 CAMPAIGN
TREASURER
NAME
Mrs. Mickie
Dale Imaged
..................T
NICKNAME LAS
UFFI%...................UFFIX
S
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
El January 15 � 30th day before election
� Runoff
� 15th day after campaign treasurer
appointment (officeholder only)
July 15 El 6th day before election
Exceeded $500 limit
Final report (Attach C/OH - FR)
9 PERIOD
COVERED
Month Day Year
Month Day
Year
THROUGH
01/01/2016
06/30/2016
10 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
Primary
Runoff
General El Special
11 OFFICE
OFFICE HELD (if any)
12 OFFICE SOUGHT(illmmn)
GO TO PAGE 2
Electronic Filing Version 3.4.6
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
16 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 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)
COMMITTEE TYPE
O GENERAL
COMMITTEE ADDRESS
O SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
❑ additional pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
16 CONTRIBUTION
1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
@ O.00
TOTALS
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
W
2. TOTAL POLITICAL CONTRIBUTIONS
THAN
$ 1,000.00
...............
(OTHER PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED
TOTALS
$ 0.00
4. TOTAL POLITICAL EXPENDITURES
$
1,935.00
...............
CONTRIBUTION
BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE
$ 18,276.05
...............
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
P`®me under Title 15, Election Code.
MICHELE NO LIN ///
My Commissicn Expires1 C
26
,01
December 13� �4
• Signature of Candidate or Officeholder
AFFIX NOTARY STAMP / SEAL ABOVE
Sworn to and subscribed before me, by the said this the r day
of �� 20 L , to certify which, witness my hand and seal of office.
Signature of officer administering oath rint name of officer administering oath Title of office a inistering oath
�� Electronic Filing Van 3.4.6
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: 1/1 Report: 3/4
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-klnd contribution
Wedemeyer, Barkley (Mr.)
contribution ($) I description (if applicable)
04/15/2016
.......................................................
6 Contributor address; City; State; Zip Code
$500.00
Houston, TX 77057
(If travel outside of Texas, complete Schedule T) ❑
9 Principal occupation / Job title (See Instructions)
10 Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID#
)
Amount of In-kind contribution
Wedemeyer, Lori (Ms.)
contribution ($) I description (if applicable)
04/15/2016
.......................................................
Contributor address; City; State; Zip Code
$500.00
Houston, TX 77057
(Iftravel outside of Texan, complete Schedule T) ❑
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Elecirenk Fling Version 3.4.6
Texas Ethics Commission P.O.Box 12070 Austin, Texas 78711-2070 (512)463-5800TDD 1-800-735-2989
POLITICAL EXPENDITURES SCHEDULE F
EXPENDITURE CATEGORIES
Advertising Expense Gifts/Awards/Memorial Expense Salades/Wages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment 8 Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Mede By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Pollfical Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The INSTRUCTION GUIDE explains how to complete this form.
1 PAGE #
2 FILER NAME
3 ACCOUNT# (TECfilers)
Schedule: 1/1 Report: 4/4
Ross, Loyd (Mr.)
00000001
4 Date
5 Payee name
04/04/2016
City of Georgetown
6 Amount ($)
7 Payee address City; State; Zip Code
$1,600.00
113 E 8th Street
Georgetown, TX 78626
9
(a) Category (See Categories listed at the top of this schedule)
(b) Description (If travel outside of Texas, complete Schedule T) ❑
PURPOSE
Office Overhead/Rental Expense
Deposit for facility rental
OF
EXPENDITURE
Check if Austin TX officeholder living expense
9 Complete ONLY If
Candidate / Officeholder name Office sought: Office held:
direct expenditure
I
to benefit C/OH
Date
Payee name
02/03/2016
Georgetown Cultural Citizen Memorial Association
Amount ($)
Payee address City; State; Zip Code
$200.00
906 West 17th Street
Georgetown, TX 78626
Category (See Categories listed at the top of this schedule)
Description (If travel outside of Texas, complete Schedule T) ❑
PURPOSE
Contributions/Donations Made By
To Benefit Black History Month Fundraiser
OF
Candidate/Officeholder/Political Committee
EXPENDITURE
❑
Check if Austin TX officeholder living expense
Complete ONLY if
Candidate / Officeholder name Office sought: Office held:
direct expenditure
to benefit C/OH
Date
Payee name
01/29/2016
Russell, Emily (Ms.)
Amount ($)
Payee address City; State; Zip Code
$82.50
Georgetown, TX 78628
Category (See Categories listed at the top or this schedule)
Description (If travel outside of Texas, complete Schedule T) El
PURPOSE
Consulting Expense
Political Consulting Expense
OF
EXPENDITURE
❑
Check if Austin TX officeholder living expense
Complete ONLY If
Candidate / Officeholder name Office sought: Office held:
direct expenditure
to benefit C/OH
Dale
Payee name
02/06/2016
Russell, Emily (Ms.)
Amount ($)
Payee address City; State; Zip Code
$52.50
Georgetown, TX 78628
Category (See Categories listed at the top of this schedule)
Description (If travel outside of Texas, complete Schedule T) ❑
PURPOSE
Consulting Expense
Political Consulting
OF
EXPENDITURE
❑
Check if Austin T% officeholder livina expense
Complete ONLY N
Candidate / Officeholder name Office sought: Office held:
direct expenditure
to benefit C/OH
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