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Home My WebLink AboutCFR-07.10.2018-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. 8 3 CANDIDATE/ MS / MRS / MR FIRST MI OFFICE USE ONLY OFFICEHOLDER Anna Date Received NAME _ _ NICKNAME LAST SUFFIX Eby RECEIVED 4 CANDIDATE/ ADDRESS / PO BOX; APT / SUITE #; CITY: STATE; ZIP CODE OFFICEHOLDER MAILING 1206 College Street, Georgetown, TX 78626 JUL 10 2018 ADDRESS ❑ Change of Address l�`�- City Secretary 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION OFFICEHOLDER ( ) Date Hand -delivered or Date Postmarked PHONE 512 508-2396 Receipt # Amount $ 6 CAMPAIGN MS / MRS / MR FIRST MI TREASURER Rick Date Processed NAME, • , , , , , , , , 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 CAMPAIGNAREA CODE PHONE NUMBER E TREASURR PHONE ( 512 ) 639-7327 9 REPORT TYPE ❑ January 15 July 15 10 PERIOD Month COVERED 04 11 ELECTION ELECTION DATE Month Day EXTENSION ❑ 30th day before eleclion ❑ Runoff ❑ 151h day after campaign treasurer appointment (Officeholder Only) ❑ 81h day before election ❑ Exceeded $500 limit ❑ Final Report (Attach C/OH - FR) Day Year Month Day Year 25 2018 THROUGH 06 30 2018 Year ELECTION TYPE ❑ Primary ❑ Runoff ❑ Other Description ❑ General ❑ Special 12 OFFICE OFFICE HELD (it any) 13 OFFICE SOUGHT (if known) Georgetown City Council, District 1 Georgetown City Council, District 1 GO TO PAGE 2 Forms provided by Texas Ethics Commission www. ethics. state.tx.us Revised 9/8/2015 CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT 14 C/OH NAME 15 Filer ID (Ethics Commission Filers) FORM C/OH COVER SHEET PG 2 116 NOTICE FROM POLITICAL COMMITTEE(S) ❑ Additional Pages J 17 CONTRIBUTION I TOTALS EXPENDITURE TOTALS CONTRIBUTION BALANCE OUTSTANDING LOAN TOTALS 118 AFFIDAVIT Anna Eby THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT THE CANDIDATE/ OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDERS 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 COMMITTEE CAMPAIGN TREASURER ADDRESS I. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN I 600 00 PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $ '2,111.10 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, 0 UNLESS ITEMIZED 4. TOTAL POLITICAL EXPENDITURES $ 2,817.93 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY 74.11 OF REPORTING PERIOD 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY OF THE REPORTING PERIOD $ 1,301.03 a DENt5E PUTNAM Notary 117 96434548 My CQmmksskon Expires May 21, 2021 AF N 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 Sig ature of Candidate or Offfceh ar Sworn to and subscribed before me, by the saidthis the day of �.�20� to certify which, witness my hand and seal of office. 1 - /i 1 - 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 $1,450.00 SCHEDULEA2: NON-MONETARY(IN-KIND) POLITICAL CONTRIBUTIONS $ 61.10 3. SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4. SCHEDULE E: LOANS $ 5. SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 2,817.93 6. ❑. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 7• SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ 8• a SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 9. F� SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 10• SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ 11. 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 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 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 ($) 4/23/18 Omni Projects $250.00 6 Contributor address; City; State; Zip Code 427 E. Central Drive, Georgetown, TX 78628 8 Principal occupation / Job title (See Instructions) g Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (ID#: 1 Amount of contribution ($) John & Thoma Hesser 4/24/18 Contributor address; City; State; Zip Code $100.00 260 Red Poppy Trail, Georgetown, TX 78633 Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (iD#: 1 Amount of contribution ($) Dorsey Construction 4/25/18 $300.00 Contributor address; City; State; Zip Code 140 Market Street, Georgetown, TX 78626 Principal occupation / Job title (See Instructions) Employer (See Instructions) L Date Full name of contributor ❑ out-of-state PAC (ID#: i Amount of contribution ($) 4/20/18 Gary, & Holly Coe Contributor address; City; State; Zip Code $100.00 840 FM 1460, Georgetown, TX 78626 Principal occupation / Job title (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www. ethics. state.tx. us Revised 9/8,'2015 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 2 FILER NAME Anna Eby 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor out-of-state PAC (ID#: ) 7 Amount of contribution ($) Eby Law Firm, PLLC 5/11/18 6 Contributor address; City; State; Zip Code 1700,00 302 North Lampasas Street, Round Rock, TX 78664 8 Principal occupation / Job title (See Instructions) g Employer (See Instructions) Date Full name of contributor out-of-stale PAC (ID#: ) Amount of contribution ($) Contributor address; City; State; Zip Code Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (ID#: ) Amount of contribution ($) Contributor address; City; State; Zip Code Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-stale 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 The Instruction Guide explains how to complete this form. SCHEDULE A2 1 Total pages Schedule A2: 2 FILER NAME Anna Eby 3 Filer ID (Ethics Commission Filers) 4 TOTAL OF UNITEMIZED IN-KIND POLITICAL CONTRIBUTIONS $ 5 Date 6 Full name of contributor ❑ out -o( -state PAC (ID#:_ B Amount of 9 In-kind contribution Contribution $ description 5/2/18 Eby Law Firm, PLLC 7 Contributor address; City; State; Zip Code 61.10 postage 302 North Lampasas Street, Round Rock, TX 78664 F-1 Check if travel outside of Texas. Complete Schedule T. 10 Principal occupation / Job title (FOR NON-JUDICIAL)(See Instructions) 1 11 Employer (FOR NON-JUDICIAL)(See Instructions) 12 Contributor's principal occupation (FOR JUDICIAL) 14 Contributor's employer/law firm (FOR JUDICIAL) 16 If contributor is a child, law firm of parent(s) (if any) (FOR JUDICIAL) Date I Full name of contributor ❑ out-of-state PAC (I Contributor address; City; State; Zip Code Principal occupation / Job title (FOR NON -JUDICIAL) (See Instructions) Contributor's principal occupation (FOR JUDICIAL) Contributor's employer/law firm (FOR JUDICIAL) If contributor is a child, law firm of parent(s) (if any) (FOR JUDICIAL) 13 Contributor's job title (FOR JUDICIAL) (See Instructions) 15 Law firm of contributor's spouse (if any) (FOR JUDICIAL) Amount of In-kind contribution Contribution $ description Check if travel outside of Texas. Complete Schedule T Employer (FOR NON-JUDICIAL)(See Instructions) Contributor's job title (FOR JUDICIAL) (See Instructions) Law firm of contributor's spouse (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/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 4/2518 Leland Beatty 6 Amount ($) 7 Payee address; City; State; Zip Code $1,500.00 1103 Upland Drive, Austin, TX 78741 a (a) Category (See Categories listed at the lop of this schedule) (b) Description Check if travel outside of Texas. Complete Schedule T. PURPOSE {{❑ OF Consulting expense I`I Check if Austin, TX, officeholder living expense EXPENDITURE voter targeting 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name 5/2/18 FedEx Office Amount ($) Payee address; City; State; Zip Code $39.49 1013 W. University Avenue, Georgetown, TX 78628 Category (See Categories listed at the top of this schedule) Description ❑ Check if travel outside of Texas. Complete Schedule T. PURPOSE OF ❑ campaign supplies Check if Austin, TX, officeholder living expense EXPENDITURE Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name 5/2/18 Office Depot Amount ($) Payee address; City; State; Zip Code $17.31 110 N. Interstate Highway 35, Suite 298, Round Rock, TX 78681 Category (See Categories listed at the top of this schedule) Description ❑ Check if travel outside of Texas. Complete Schedule T. PURPOSE OF campaign supplies ❑ Check if Austin, TX, officeholder living expense EXPENDITURE Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www. ethics. state.tx us Revised 9/8/2015 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Con tributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other (enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form: 1 Total pages Schedule F1: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) Anna Eby 4 Date 5 Payee name 5/3/18 Jeff Maurice 7 Payee address; City; State; Zip Code 6 Amount ($) $1,261.13 310 Heritage Loop, Hutto, TX 78634 8 (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE ❑Check if travel outside of Texas,CompleteScheduleT OF ❑ Check if Austin, TX, officeholder living expense EXPENDITURE Advertising Expense third campaign mailer 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Payee address; City; State; Zip Code Amount ($) 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.tx.us Revised 9/8/2015