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HomeMy WebLinkAboutCFR-04.24.2018-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 i MR FIRST MI OFFICE USE ONLY OFFICEHOLDER Anna Dale Received NAME _ _ _ _ NICKNAME LAST SUFFIX Eby ADDRESS i PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE RECF1;1F.D 4 CANDIDATE/ OFFICEHOLDER APR Z 4 2018 MAILING 1206 College Street, Georgetown, TX 78626 ADDRESS ❑ Change of Address AREA CODE PHONE NUMBER EXTENSION City Secretary 5 CANDIDATE/ OFFICEHOLDER ( ) Date Hand -delivered or Date Postmarked PHONE 512 508-2396 Receipt # Amount $ 6 CAMPAIGN MS / MRS! MR FIRST MI TREASURER Rick NAME . . . . - - - _ - _ . . _ . Date Processed NICKNAME LAST SUFFIX Date Imaged Vasquez 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE TREASURER ADDRESS 2001 18th Street, Georgetown, TX 78626 (Residence or Business) 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE ( 512 ) 639-7327 9 REPORT TYPE L❑ 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 Report (Attach CrOH - FR) 10 PERIOD Month Day Year Month Day Year COVERED 04 05 2018 THROUGH 04 24 2018 11 ELECTION ELECTION DATE ELECTION TYPE ❑ Primary ❑ Runoff ❑ Other Month Day Year Description 05 05 2018 © General ❑ Special 12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if 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 I COMMITTEE NAME D GENERAL FISPECIFIC Additional Pages COMMITTEE ADDRESS COMMITTEE CAMPAIGN TREASURER NAME 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 $ 500.00 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $1,958.58 TOTANS ITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, $ UNLESS ITEMIZED 4. TOTAL POLITICAL EXPENDITURES $ 1,965.41 CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY BALANCE OF REPORTING PERIOD $1,425.62 OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ V30 18 AFFIDAVIT rn + DENISEpUTNAM Notary ID #6434546 Myr ,ommisslon Explres May 21, 2021 nr+ AFFIX NOTARY STAMP/ SEALABOVE 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 e, ig a of Candidate or Of ceholder Sworn to and subscribed before me, by the said this the _ day of rL , 20/f' , to certify which, witness my hand and seal of office_ 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 - C/OH FORM C/OH COVER SHEET PG 3 19 FILER NAME 20 Filer ID (Ethics Commission Filers) Anna Eby 21 SCHEDULE SUBTOTALS SUBTOTAL NAME OF SCHEDULE AMOUNT 1. SCHEDULEAI: MONETARY POLITICAL CONTRIBUTIONS $ 1,875.00 2, M SCHEDULEA2: NON-MONETARY(IN-KIND) POLITICAL CONTRIBUTIONS $ 83.58 • SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4, SCHEDULE E: LOANS $ 1,301.03 5. SCHEDULE Fl: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 1,965.41 6, SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 7. SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ a. SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 9• SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 10. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ 11. El SCHEDULE I: NON -POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 12. ❑SCHEDULE 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 11AnMF=TARV PrIl ITIP--AI C_C1IVTRIRIITI[1fUS -- — - -- - - - - — -- — -- — — - - — — — -- �%.ncuvL-c r-% The Instruction Guide explains how to complete this form. es Schedule Al:g Total p 4 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 ($) Larry and Susan Brundidge 4/2/18 . . . . $50.00 6 Contributor address; City; State; Zip Code 908 South Pine Street, Georgetown, TX 78626 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (ID#' Amount of contribution ($) Robert and Beverly Harrison 4/4/18 Contributor address; City; State; Zip Code $75.00 424 Champions Drive., Georgetown, TX 78628 Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (ID#: Amount of contribution ($) Maryellen Kersch 4/9/18 Contributor address; City; State; Zip Code $50.00 200 River Oaks Cove 1511, Georgetown, TX 78626 Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (ID#: Amount of contribution ($) Julianne Shepherd 4/9/18 Contributor address; City; State; Zip Code $100.00 2918 Gabriel View Drive, Georgetown, TX 78628 Principal occupation / Job title (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) Anna Eby 4 Date 5 Full name of contributor out-of-state PAC (ID#: 7 Amount of contribution ($) Patty Eason 4/16/18 . .. . .. • . .. $500.00 6 Contributor address; City; State; Zip Code 1401 S. College Street, Georgetown, TX 78626 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Date Full name of contributor E] out-of-stale PAC LOC I Amount of contribution ($) John & Scherry Chapman 4/18/18 . .. . . . . . . . . . $100.00 Contributor address; City; State; Zip Code 1307 Olive Street, Georgetown, TX 78626 Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor [] out-of-state PAC (IDN: _} Amount of contribution ($) Contributor address; City; State; Zip Code Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor Ll out-of-slate PAC (ID#: ) 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 g In-kind contribution Contribution $ description Eby Law Firm, PLLC April 2018 $66.27 postage 7 Contributor address; City; State; Zip Code 302 North Lampasas Street, Round Rock, TX 78664 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-of-state PAC (ID#: Amount of In-kind contribution Contribution $ description Eby Law Firm, PLLC 4/23/18 Contributor address; City; State; Zip Code $17.31 campaign supplies 302 North Lampasas Street, Round Rock, TX 78664 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/law 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 LOANS SCHEDULE E The Instruction Guide explains how to complete this form. 1 Total pages Schedule E: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) Anna Eby 4 TOTAL OF UNITEMIZED LOANS $ 1,301.03 5 Date of loan 7 Name of lender © out-of-state PAC (ID#: 9 Loan Amount ($) 4/3/18 Eby Law Firm, PLLC $1,301.03 6 Is lender 8 Lender address; City; State; Zip Code 10 Interest rate a financial Institution? — 302 North Lampasas Street, Round Rock, TX 78664 11 Maturity date �� Y Lr..a 12 Principal occupation / Job title (See Instructions) 13 Employer (See Instructions) 14 Description of Collateral 15 Check if personal funds were deposited into political account (See Instructions) ❑ none ❑ 16 GUARANTOR 17 Name of guarantor 19 Amount Guaranteed ($) INFORMATION 18 Guarantor address; City; State; Zip Code ❑ not applicable 20 Principal Occupation (See Instructions) 21 Employer (See Instructions) Date of loan Name of lender ❑ out-of-state PAC (ID#: ) Lender address; City: SiZip Code Loan Amount ($) Is lender Interest rate a financial Institution? Maturity date Y N Principal occupation / Job title (See Instructions) ................ Employer (See Instructions) Description of Collateral Check if personal funds were deposited into political account (See Instructions) ❑ none ❑ GUARANTOR Name of guarantor Amount Guaranteed ($) INFORMATION Guarantor address; :ity. State; Mp Code ❑ not applicable Principal Occupation (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If lender 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/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 (entera category not listed above) Credit Card Payment The Instruction Guide explains how to compete this form. 1 Total pages Schedule F1: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) Anna Eby 5 Payee name 4 Date April 2018 Jeff Maurice 6 Amount ($) 7 Payee address; City; State; Zip Code $58.99 310 Heritage Loop, Hutto, TX 78634 8 (a) Category (See Categories listed at the lop of this schedule) (b) Description PURPOSE ❑ Check if [ravel outside of Texas. Complete Schedule T. OF EXPENDITURE Advertising Expense ❑ Check if Austin, TX, officeholder living expense campaign business cards 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name April 2018 Jeff Maurice Amount ($) Payee address; City; State; Zip Code $97.06 310 Heritage Loop, Hutto, TX 78634 Category (See Categories listed at the lop of this schedule) Description ❑ Check if travel outside of Texas. Complete Schedule T. PURPOSE OF Advertising Expense ❑ Check if Austin, TX, officeholder living expense EXPENDITURE campaign push cards Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name 4/16/18 Jeff Maurice Amount ($) Payee address; City; State; Zip Code $1,231.35 310 Heritage Loop, Hutto, TX 78634 Category (See Categories listed at the top of this schedule) Description ❑ Check if travel outside of Texas. Complete Schedule T. PURPOSE OF Advertisin Ex g Expense ❑ Check if Austin. TX, officeholder living expense EXPENDITURE second campaign mailer Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Con tributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other (enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1; 2 FILER NAME 3 Filer ID (Ethics Commission Filers) Anna Eby 5 Payee name 4 Date 4/17/18 Office Depot 7 Payee address; City; State; Zip Code 6 Amount ($) $10.81 110 N. Interstate Highway 35, Suite 298, Round Rock, TX 78681 -------------- (a) Category (See Categories listed at the top of this schedule) (b) Description a ❑ Check if travel outside of Texas Complete Schedule T. PURPOSE OF Supplies ❑ Check if Austin, TX, officeholder living expense EXPENDITURE envelopes for campaign mailing 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name 4/18/18 Williamson County Sun Payee address; City; State; Zip Code Amount ($) $503.75 P. O. Box 39, Georgetown, TX 78627 Category (See Categories listed al the top of lhis schedule) Description Check if travel outside of Texas Complete Schedule T. PURPOSE l❑f OF Advertising Expense Check if Austin, TX, officeholder living expense EXPENDITURE campaign advertisement Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name 4/18/18 R Bank Amount ($) Payee address; City; State; Zip Code $10.00 3600 E. Palm Valley, Round Rock, TX 78665 Category (See Categories listed at the top of this schedule) Description PURPOSE ❑ Check if travel outside of Texas, Complete Schedule T. OFFees ❑ Check if Austin, TX, living expense EXPENDITURE officeholder returned check fee -4 (�C{,i5(� o(OVAVA Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx,us Revised 9/8/2015 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE ri EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment& Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Con tributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other (enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1; 2 FILER NAME 3 Filer ID (Ethics Commission Filers) Anna Eby 5 Payee name 4 Date 4/20/18 Jeff Maurce 6 Amount ($) 7 Payee address; City; State; Zip Code $53.45 310 Heritage Loop, Hutto, TX 78634 . ........... 8 (a) Category (See Categories listed at the top of this schedule) (b) Description ❑ Check if travel outside of Texas, Complete Schedule T. PURPOSE OF ❑ Check if Austin, TX, officeholder living expense Supplies EXPENDITURE note cards for campaign mailing 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) ............ 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 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. Ix. us Revised 9/8/2015