HomeMy WebLinkAboutCFR - Ross - 07.05.2017Texas Ethics Commission P.O. Box 12070 Aistin Texas 7R711-91rr%smdnq_eunn Tnn 1_Ann_71r_')oao
CANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE
REPORT
COVER SHEET PG 1
The C/OH INSTRUCTION GUIDE explains how to complete this form.
1
ACCOUNT #
(Ethics Commission filers)
2 PAGE #
00000001
1 of 7
3 CANDIDATE /
MS/MRS/MR FIRST
MI
OFFICE USE ONLY
OFFICEHOLDER
Mr Loyd
NAME
NICKNAME LAST
SUFFIX
Date
rx
%CEIVED
Dale Ross
ADDRESS / PO BOX; APT / SUITE #; CITY:
STATE; ZIP CODE
JUL 0 5 2017
4 CAN DI DATE /
OFFICEHOLDER
��#� �PiCI,•�lC�l��
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. Mick ie
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
15th day after campaign treasurer
appointment (officeholder only)
X July 15 1-1 8th day before election
Exceeded $500 limit
Final report (Attach C/OH - FR)
9 PERIOD
COVERED
Month Day Year
Month Day
Year
THROUGH
04/29/2017
06/30/2017
10 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
Primary
E] Runoff
General Special
05/06/2017
11 OFFICE
OFFICE HELD (if any)
12 OFFICE SOUGHT (if known)
Mayor of Georgetown
Mayor of Georgetown
GO TO PAGE 2
Eleclronic 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
15 NOTICE
This box is for notice of political expenditures by political committees to support the candidate/ officeholder. These expenditures may
FROM
have been made without the candidate's or officeholder's knowledge or consent. Candidates and officeholders are required to report this
information only if they receive notice of such expenditures. ,.
POLITICAL
COMMITTEE NAME
COMMITTEE(S)
COMMITTEE TYPE
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
0.00
TOTALS
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
2. TOTAL POLITICAL CONTRIBUTIONS
THAN PLEDGES, LOANS, OR GUARANTEES
$ 4,020.00
(OTHER OF LOANS)
EXPENDITURE
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED
TOTALS
$ 0.00
4. TOTAL POLITICAL EXPENDITURES
6,408.88
CONTRIBUTION
5TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE
.BALANCE
@
$ 1,152.54
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
MICHELE NiiW m me under Title 15, Election Code.
INMry ID 0129233532
My Comrnllllsion ErpiM
DWMnW 13, 2020 (3je— (�?
ovve
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP / SEAL ABOVE
Sworn to and subscribed before me, by the said DA L.e 2055 this the day
of -TU L `( 20 �"L_ to certify which, witness my hand and seal of office.
QA�ecJ e
Signature of Ice dminlstedng oat Print name of offs er dministering 11 oath Titte of otiga administering oath
�� Electronic Filing vemor 3.4.6
Texas Ethics Commission P.O. Box 12070 Austin. Texas 78711-2070 X512)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: 1/2 Report: 3/7
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
Century 21 Hellman Stribling LLC
contribution ($) I description (if applicable)
Use of Office Space -
..............................
..... ............ •
Election Watch Event
05/06/2017
6 Contributor address; City; State; Zip Code
$320-00
Georgetown, TX 78626
(If travel outside of Texas, complete Schedule T) ❑
g Principal occupation / Job title (See Instructions)
10 Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID# )
Amount of In-kind contribution
Harris, Jerry (Mr.)
contribution ($) I description (if applicable)
05/01/2017
.. .. ...
Contributor address; City; State; Zip Code
$125.00
Austin, TX 78701
(If travel outside of Texas, complete Schedule T) ❑
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID# )
Amount of In-kind contribution
Harris, Sharon (Ms.)
contribution ($) I description (if applicable)
05/01/2017
...............................................
Contributor address; City; State; Zip Code
$125-00
Austin, TX 78701
(If travel outside of Texas, complete Schedule T) ❑
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID# ]
Amount of In-kind contribution
Husch Blackwell LLP
contribution ($) I description (if applicable)
05/01/2017
..
Contributor address; City; State; Zip Code
$750.00
St. Louis, MO 63105
(If travel outside of Texas, complete Schedule T) ❑
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID# )
Amount of In-kind contribution
Kennedy, Kathleen (Ms.)
contribution ($) I description (if applicable)
05/08/2017
... ............ . I ........... ...
Contributor address; City; State; Zip Code
$100.00
Georgetown. TX 78633
(If travel outside of Texas, complete Schedule T) ❑
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Electronic Filing Version 3.4.6
Texas Ethics Commission P.O.Box 12070 Austin. Texas 78711-207n [5121483-58nn Tnn 1_Rnn-7RFi_9gRQ
POLITICAL CONTRIBUTIONS
SCHEDULE A
OTHER THAN PLEDGES OR LOANS
The INSTRUCTION GUIDE explains how to complete this form.
1 PAGE #
Schedule: 2/2 Report: 4/7
2 FILER NAME Ross, Loyd (Mr.)
3 ACCOUNT # (Ethics Commission filers)
00000001
4 Date
5 Full name of contributor ❑ out-of-state PAC (ID# J
7 Amount of 8 In-kind contribution
Texas Land Developers Association PAC
contribution ($) description (if applicable)
05/08/2017
6 Contributor address; City; State; Zi Code
Zip
$2.600.00
Austin, TX 78768
(If travel outside of Texas, complete Schedule T) ❑
g Principal occupation / Job title (See Instructions)
10 Employer (See Instructions)
Electronic Filing Version 3 4 6
Texas Ethics Commission P.O.Box 12070 Austin, Texas 78711-2070 [5121403-5800 TDD 1-800-735-2PRq
POLITICAL EXPENDITURES SCHEDULE F
EXPENDITURE CATEGORIES
Advertising Expense GiftslAwards/Marrlorial Expense SaIariesANages/contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportallon Equipment & Related Expense
Consulting Expense Foodf8everage Expense Travel In District Contribu lion sfDonations Made By
Event Expense Polling Expense Travel Out Of District CandidatelOfficeholderlPolilical Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The INSTRUCTION GUIDE explains how to complete this form.
1 PAGE #
2 FILER NAME
3 ACCOUNT # (TEC filers)
Schedule: 1/3 Report: 5/7
Ross, Loyd (Mr.)
00000001
4 Date
5 Payee name
05/04/2017
Hbby Lobby
6 Amount ($)
7 Payee address City; State; Zip Code
$40.25
901 S IH -35 Suite 101
Georgetown, TX 78626
8
(a) Category (See Categories listed at the top of this schedule)
(b) Description (If travel outside of Texas, complete Schedule T)
PURPOSE
Event Expense
Election Watch Event
OF
EXPENDITURE
❑
Check if Austin, TX, officeholder living expense
g Complete ONLY if
Candidate / Officeholder name Office sought: Office held.
direct expenditure
to benefit C/OH
Date
Payee name
05/04/2017
HEB
Amount ($)
Payee address City; State; Zip Code
$105.75
1101 S IH 35
Georgetown, TX 78626
Category (See Categories listed at the top of this schedule)
Desrriptlon (If travel outside of Texas, complete Schedule T)
PURPOSE
Event Expense
Election Watch Event
OF
EXPENDITURE
check if Austin, TX, officeholder living expense
Complete ONLY if
Candidate / Officeholder name Office sought: Office held:
direct expenditure
to benefit C/OH
Date
Payee name
05/06/2017
John Muelleer Black Box Barbecue
Amount ($)
Payee address City; State; Zip Code
$523.65
201 E. 9th Street
Georgetown, TX 78626
PURPOSE
Category (See Categories listed at the top of this schedule)
Description (If travel outside of Texas, complete Schedule T)
Event Expense
Food For Election Watch Event
OF
EXPENDITURE
❑
Check if Austin TX, officeholder living expense
Complete ONLY if
Candidate / Officeholder name Office sought: Office held:
direct expenditure
to benefit C/OH
Date
Payee name
05/08/2017
Omega Stratagem
Amount ($)
Payee address City; State; Zip Code
$2,500.00
208 Sassafras Street
Hutto, TX 78634
Category (See Categories listed at the top of this schedule)
Description (If travel outside of Texas, complete Schedule T) ❑
PURPOSE
Consulting Expense
Campaign Consulting
OF
EXPENDITURE
❑ Check if Austin TX, officeholder living expense
Complete ONLY if
Candidate / Officeholder name Office sought: Office held:
direct expenditure
to benefit C/OH
Electronic Filing Version 3A 6
Texas Ethics Commission P.O.Box 12070 Austin. Texas 78711-2070 15171483-SAnn Tnn 1-Ann-7'A5-9aaa
POLITICAL EXPENDITURES SCHEDULE F
EXPENDITURE CATEGORIES
Advertising Expense GifWAwardslMemadal Expense SalariasfWageslContracttabor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Sol icitationlFundraising Expanse Transportation Equipment & Related Expense
Consulting Expense FoodlBeverage Expense Travel In District Cantribullons/Donatiorrs Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The INSTRUCTION GUIDE explains how to complete this form.
1 PAGE #
2 FILER NAME
3 ACCOUNT* (TEC filers)
Schedule: 2/3 Report: 6/7
Ross, Loyd (Mr.)
00000001
4 Date
5 Payee name
06/19/2017
Rudy Ximenez Photography
6 Amount ($)
7 Payee address City; State; Zip Code
$151.55
Georgetow, TX 78628
8
(a) Category (See Categories listed at the top of this schedule)
(b) Description (If travel outside of Texas, complete Schedule T)
PURPOSE
Event Expense
Mayors of Georgetown Event - Photos
OF
EXPENDITURE
EI Check if Austin. TX, officeholder living expense
9 Complete ONLY if
Candidate / Officeholder name Office sought: Office held:
direct expenditure
to benefit C/OH
Date
Payee name
06/13/2017
Signature Coins
Amount ($)
Payee address City; State; Zip Code
$574.00
16877 E Colonial Drive
Suite 313
Orlando, FL 32820
Category (See Categories listed at the top of this schedule)
Description (If travel outside of Texas, complete Schedule T)
PURPOSE
Gifts/Awards/Memorials Expense
Coins For Citizen Awards
OF
EXPENDITURE
❑
Check if Austin TX. officeholder living exj2ense
Complete ONLY if
Candidate / Officeholder name Office sought: Office held:
direct expenditure
to benefit C/OH
Date
Payee name
05/25/2017
Terri Grimm For City Council - Hutto
Amount ($)
Payee address City; State; Zip Code
$500.00
Hutto, TX 78634
Category (See Categories listed at the top of this schedule)
Description (If travel outside of Texas, complete Schedule T)
PURPOSE
Contributions/Donations Made By
Campaign Contribution
OF
Candidate-./Officeholder/Political Committee
EXPENDITURE
❑
Check if Austin, TX, officeholder living expense
Complete ONLY if
Candidate / Officeholder name Office sought: Office held:
direct expenditure
to benefit C/OH
Date
Payee name
05/07/2017
Valdez, David (Mr.)
Amount ($)
Payee address City; State; Zip Code
$250.00
Georgetown, TX 78633
Category (See Categories listed at the top of this schedule)
Description (if travel outside of Texas, complete Schedule T)
PURPOSE
Event Expense
Campaign Photography
OF
EXPENDITURE
❑
Check if Austin. TX, officeholder living expense
Complete ONLY if
Candidate / Officeholder name Office sought: Office held:
direct expenditure
to benefit C/OH
Electronic Filing Version 3 4 6
Texas Ethics Commission P.O-Box 12070 Atlshn Texas 78711-gn7n 1C;1'71dF4_1,Anf)Tnn I_a00_7zF_')aaa
POLITICAL EXPENDITURES SCHEDULE F
EXPENDITURE CATEGORIES
Advertising Expense G fWAwards/Memorial Expense SaIariesiWages/Contract Labor Loan RepaymenURelrnbursement
Accounting/Banking Legal Services Sol lcitation/Fundraising Expense Transportation Equipment & Relaled Expense
Consulting Expense FoodlBeverage Expense Travel In District Contributlons/Donations Made By
Event Expense Polling Expense Travel Out Of District Candid911e10fficeholderlPolitical Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The INSTRUCTION GUIDE explains how to complete this form.
I PAGE #
2 FILER NAME 3 ACCOUNT # (TEC filers)
Schedule: 3/3 Repoli: 7/7
Ross, Loyd (Mr.) 00000001
4 Date
5 Payee name
05/17/2017
Valdez, David (Mr.)
6 Amount ($)
7 Payee address City; State; Zip Code
$250.00
Georgetown, TX 78633
8
(a) Category (See Categories listed at the top of this schedule)
(b) Description (If travel outside of Texas, complete Schedule T) ❑
PURPOSE
Event Expense
Photography Swearing In Ceremony
OF
EXPENDITURE
❑ Check if Austin, TX, officeholder living expense
g Complete ONLY if
Candidate / Oflicehr.,lder name Office sought: Office held:
direct expenditure
to benefit C/OH
Date
Payee name
05/31/2017
Valdez, David (Mr.)
Amount ($)
Payee address City; State; Zip Code
$250.00
Georgetown, TX 78633
Category (See Categories listed at the top of this schedule)
Description (If travel outside of Texas, complete Schedule T)
PURPOSE
Event Expense
Memorial Day Photos
OF
EXPENDITURE
Check if Austin. TX officeholder living expense
Complete ONLY if
Candidate / Officeholder name Office sought: Office held:
direct expenditure
to benefit C/OH
Date
Payee name
05/01/2017
Valerie Nicholson Campaign
Amount ($)
Payee address City; State; Zip Code
$1,200.00
Georgetown, TX 78628
Category (See Categories listed at the top of this schedule)
Description (If travel outside of Texas, complete Schedule T)
PURPOSE
Contributions/Donations Made By
Campaign Contribution
OF
Candidate/Officeholder/Political Committee
EXPENDITURE
❑
Check if Austin. TX, officeholder living expense
Complete ONLY if
Candidate / Officeholder name Office sought: Office held:
direct expenditure
to benefit C/OH
Date
Payee name
05/05/2017
Walmalt
Amount ($)
Payee address City; State; Zip Code
$63.68
2701 S135
Round Rock, TX 78664
Category (See Categories listed at the top of this schedule)
Description (If travel outside of Texas, complete Schedule T) ❑
PURPOSE
Event Expense
Election Watch Event
OF
EXPENDITURE
❑
Check if Austin TX officeholder living ex ense
Complete ONLY if
Candidate / Officeholder name Office sought: Office held:
direct expenditure
to benefit C/OH
Electronic Filing Version 3 4 6