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Home My WebLink AboutCFR-04.04.2018-EbyCANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: The C/OH Instruction Guide explains how to complete this form. 11 3 CANDIDATE/ MS / MRS / MR FIRST MI OFFICE USE ONLY OFFICEHOLDER Anna Date Received NAME _ NICKNAME LAST SUFFIX Eby RECEIVED APR 0 4 2018 4 CANDIDATE/ ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE OFFICEHOLDER MAILING ADDRESS City Secretary ❑ Change of Address 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION Date Hand -delivered or Date Postmarked OFFICEHOLDER ( ) PHONE 6 CAMPAIGN MS / MRS / MR FIRST MI Receipt # Amount $ TREASURER Rick NAME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date Processed NICKNAME LAST SUFFIX Vasquez STREET ADDRESS (NO PO BOX PLEASE); APT i SUITE #; CITY; STATE; Date Imaged ZIP CODE 7 CAMPAIGN TREASURER ADDRESS (Residence or Business) 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE ( 9 REPORT TYPE ❑ January 15 � 30th day before election ❑ Runoff❑ 15th day after campaign treasurer appointment (Officeholder Only) ❑ July 15 ❑ 8th day before election ❑ Exceeded $500 limit ❑ Final Reporl (Attach C/OH - FR) 10 PERIOD Month Day Year Month Day Year COVERED 01 01 2018 THROUGH 04 04 2018 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year ❑ Primary ❑ Runoff ❑ Other Description 05 05 2018 ® General ❑ Special 12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (il known) Georgetown City Council, District 1 Georgetown City Council, District 1 GO TOPAGE 2 Forms provided by Texas Ethics Commission www ethics state.tx us Revised 9/8/2015 CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 14 C/OH NAME Anna Eby 15 Filer ID (Ethics Commission Filers) 16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO POLITICAL SUPPORT THE CANDIDATE / OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDER'S COMM ITTEE(S) KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES. COMMITTEE TYPE COMMITTEE NAME ❑ GENERAL COMMITTEE ADDRESS SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME Additional Pages COMMITTEE CAMPAIGN TREASURER ADDRESS 17 CONTRIBUTION TOTALS f, TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $ 3,060.00 EXPENDITURE TOTALS $ 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED 4. TOTAL POLITICAL EXPENDITURES $ 752.55 CONTRIBUTION BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF REPORTING PERIOD $ 1,432.45 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 perjury, that the accompanying report is true and correct and includes all information required to be reported by me under Title 15, EIectio 0 a. DENISE PUTNAM Notary ID #6434548 ' My Commisslon Expires h May 21, 2021 Signature of Candidate dr Officeholder AF I% pTRRYSTRMP/SEALA . V %%�� // Sworn to and subscribed before me, by the said /�`7�n C..:Y 4 this the day of 20-4?—. to certify which, witness my hand and seal of office. d Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath Forms provided by Texas Ethics Commission www.ethics.state,tx.us Revised 9/8/2015 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 SUBTOTALS i - C/OH FORM C/OH COVER SHEET PG 3 19 FILER NAME 20 Filer ID (Ethics Commission Filers) Anna Eby 21 SCHEDULE SUBTOTALS SUBTOTAL NAMEOFSCHEDULE AMOUNT 1, SCHEDULEAI: MONETARY POLITICAL CONTRIBUTIONS $ 1,460.00 2• SCHEDULE A2: NON -MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS $ 1,600.00 3• SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4. F1 SCHEDULE E: LOANS $ 5. SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 752.55 6. L SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 7. L1 SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ 8, F-1 SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 9• E SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 10. !J SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ 11. SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 12 171SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS $ RETURNED TO FILER Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule A1: 4 2 FILER NAME 3 Filer ID (Ethics Commission Filers) Anna Eby 4 Date 5 Full name of contributor ❑ out-of-state PAC (ID#: 1 7 Amount of contribution ($) Patty Eason 2/14/18 $100.00 6 Contributor address; City; State; Zip Code 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) I i ry Date Full name of contributor 11 out-of-state PAC (ID#: 1 Amount of contribution ($) Alex Fuller Law, PLLC 2/25/18 $100.00 Contributor address; City; State; Zip Code Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (ID#: ) Amount of contribution ($) Robert Pandya 2/27/18 ....... Contributor address; City; State; Zip Code $150.00 Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (ID#: ) Amount of contribution ($) Stephen Fought 2/27/18 $150.00 Contributor address; City; State; Zip Code Principal occupation / Job title (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 2 FILER NAME Anna Eby 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor ❑ out-of-state PAC (IDN- 7 Amount of contribution ($) 2/28/18 Michael Walton 6 Contributor address; City; State; Zip Code $50.00 j 8 Principal occupation / Job title (See Instructions) 1 9 Employer (See Instructions) Date 3/5/18 Full name of contributor ❑ out-of-state PAC (IDN: Luis Mario Zervigon Contributor address; City; State; Zip Code Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑ out -o( -state PAC (IDN: ) Jon E. Sloan 3/15/18 Contributor address; City; State; Zip Code Principal occupation / Job title (See Instructions) I Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (IDN: ) 3/18/18 Joseph Kahler Contributor address; City; State; Zip Code Principal occupation / Job title (See Instructions) Employer (See Instructions) Amount of contribution ($) $25.00 Amount of contribution ($) $100.00 Amount of contribution ($) $100.00 ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission W www. ethics. state. tx.us Revised 9/8/2015 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) Anna Eby 4 Date 5 Full name of contributor ❑ out -of -stale PAC (ID#: ) 7 Amount of contribution ($) 3/19/18 Alex Fuller Law, PLLC $200.00 6 Contributor address; City; State; Zip Code 8 Principal occupation / Job title (See Instructions) g Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC Walter Doering 3/20/18 Contributor address; City; State; Zip Code ---------- Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (ID#: Taylor Kidd 3/27/18 Contributor address; City; State; Zip Code Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (ID#: 1 James Hellebusch 3/28/18 Contributor address; City; State; Zip Code ... - ... ........ Principal occupation / Job title (See Instructions) Employer (See Instructions) Amount of contribution ($) $85.00 Amount of contribution ($) $50.00 Amount of contribution ($) $100.00 ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule At: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) Anna Eby 4 Date 5 Full name of contributor ❑ out-of-state PAC (ID#: 7 Amount of contribution ($) Joshua Schroeder 3/28/18 - - - - - - - - - - - - - - - $100.00 6 Contributor address; City; State; Zip Code 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (ID#: Amount of contribution ($) Marc Truxillo 3/31/18 Contributor address; City; State; Zip Code $50.00 i Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (ID#: ) Amount of contribution ($) Guadalupe Carranco 4/3/18 Contributor address; City; State; Zip Code $100.00 Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (ID#- 7 Amount of contribution ($) Contributor address; City; State; Zip Code 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 for additional reporting requirements. Forms provided by Texas Ethics Commission www. ethics, state.tx.us Revised 9/8/2015 NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS SCHEDULE A2 The Instruction Guide explains how to complete this form. 1 Total pages Schedule A2: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) Anna Eby 4 TOTAL OF UNITEMIZED IN-KIND POLITICAL CONTRIBUTIONS $ 5 Date 6 Full name of contributor ❑ out-of-state PAC (ID#: 8 Amount of 9 In-kind contribution Contribution $ description Jeff Maurice 03/2018 .. .. ... .. $1,600.00 design services for 7 Contributor address; City; State; Zip Code website and campaign materials ❑Check if travel outside of Texas. Complete Schedule T. 10 Principal occupation / Job title (FOR NON-JUDICIAL)(See Instructions) 11 Employer (FOR NON-JUDICIAL)(See Instructions) 12 Contributor's principal occupation (FOR JUDICIAL) 13 Contributor's job title (FOR JUDICIAL) (See Instructions) ................ 14 Contributor's employer/law firm (FOR JUDICIAL) 15 Law firm of contributor's spouse (if any) (FOR JUDICIAL) 16 If contributor is a child, law firm of parent(s) (if any) (FOR JUDICIAL) Date Full name of contributor ❑ out-ol-state PAC (ID#: Amount of In-kind contribution Contribution $ description Contributor address; City; State; Zip Code Check if travel outside of Texas. Complete Schedule T. Principal occupation / Job title (FOR NON-JUDICIAL) (See Instructions) Employer (FOR NON-JUDICIAL)(See Instructions) Contributor's principal occupation (FOR JUDICIAL) Contributor's job title (FOR JUDICIAL) (See Instructions) Contributor's employer/taw firm (FOR JUDICIAL) Law firm of contributor's spouse (if any) (FOR JUDICIAL) If contributor is a child, law firm of parent(s) (if any) (FOR JUDICIAL) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics-state.tx.us Revised 9/8/2015 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense Consulting Expense Food/eeverage Expense Polling Expense Travel In District Con tributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other (enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) Anna Eby 4 Date 5 Payee name 3/7/18 Danwal, Inc. 7 Payee address; City; State; Zip Code 6 Amount ($) $730.87 12404 State Highway 155 South, Tyler, TX 75703 8 (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE ❑ Check if travel outside of Texas. Complete Schedule T. OF Advertising Expense ❑ Check if Austin, TX, officeholder living expense EXPENDITURE 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name 2/25/18 PayPal Amount ($) Payee address; City; State; Zip Code $3.20 2211 North First Street, San Jose, CA 95131 Category (See Categories listed at the top of this schedule) Description ❑ Check if travel outside of Texas, Complete Schedule T. PURPOSE OF Fees ❑ Check if Austin, TX, officeholder living expense EXPENDITURE Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name 2/27/18 PayPal Payee address; City; State; Zip Code Amount ($) $4.65 2211 North First Street, San Jose, CA 95131 Category (See Categories listed at the top of this schedule) Description ❑ Check if travel outside of Texas. Complete Schedule T PURPOSE OF Fees ❑ Check if Austin, TX, officeholder living expense EXPENDITURE Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www ethics state. tx.us Revised 9/8/2015 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS EXPENDITURE CATEGORIES FOR BOX 8(a) SCHEDULE F1 Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Con tributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other (enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1; 2 FILER NAME 3 Filer ID (Ethics Commission Filers) Anna Eby 4 Date 5 Payee name 2/28/18 PayPal 6 Amount ($) 7 Payee address; City; State; Zip Code $1.75 2211 North First Street, San Jose, CA 95131 a (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE ❑ Check if travel outside of Texas. Complete Schedule T. OF Fees ❑ Check if Austin, TX, officeholder living expense EXPENDITURE 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name 3/5/18 PayPal Amount ($) Payee address; City; State; Zip Code $1.03 2211 North First Street, San Jose, CA 95131 Category (See Categories listed at the top of this schedule) Description PURPOSE ❑ Check if travel outside of Texas. Complete Schedule T. OF Fees j❑ Check if Austin, TX, officeholder living expense EXPENDITURE Complete ONLY if direct Candidate / Officeholder name expenditure to benefit C/OH Office sought Office held Date Payee name 3/19/18 PayPal Amount ($) Payee address; City; State; Zip Code $6.10 2211 North First Street, San Jose, CA 95131 Category (See Categories listed at the top of this schedule) Description PURPOSE ❑ Check it travel outside of Texas. Complete Schedule T_ OF ❑ Check if Austin, TX, officeholder living expense EXPENDITURE j Fees Complete ONLY if direct Candidate / Officeholder name expenditure to benefit C/OH Office sought ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Office held Forms provided by Texas Ethics Commission www,ethics.state.tx.us Revised 9/8/2015 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other (enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) Anna Eby 4 Date 5 Payee name PayPal 3/27/18 6 Amount ($) 7 Payee address; City; State; Zip Code $1.75 2211 North First Street, San Jose, CA 95131 8 (a) Category (See Categories listed at the lop of this schedule) (b) Description PURPOSE ❑ Check if travel outside of Texas, Complete Schedule T. OF ❑ Check if Austin, TX, officeholder living expense EXPENDITURE Fees 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name 3/28/18 PayPal Amount ($) Payee address; City; State; Zip Code $3.20 2211 North First Street, San Jose, CA 95131 Category (See Categories listed at the top of this schedule) - - Description ❑ Check if travel outside of Texas. Complete Schedule T. PURPOSE OF ❑ Check if Austin, TX, officeholder living expense EXPENDITURE Fees Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description ❑ Check if travel outside of Texas. Complete Schedule T. PURPOSE OF ❑ Check if Austin, TX, officeholder living expense EXPENDITURE Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state tx.us Revised 9/8/2015