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Home My WebLink AboutCFR - Ross - 01.15.2019CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 1 iledT1 Filer ID (Ethics Commission Filers) 2 Total pages filed- The he C/OH Instruction Guide explains how to complete this form. 3 CANDIDATE/ MS / MRS11Fi iST MI OFFICEHOLDER �/ OFFICE USE ONLY NAME Com[ Date Received NICKNAME LAST SUFFIX RECEIVED 4 CANDIDATE/ ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE OFFICEHOLDER JAI 15 2019 2 / MAILING V ADDRESS ❑ �^( V 'v City Secretai Change of Address 7 CAMPAIGN TREASURER ADDRESS (Residence r Business) NICKNAMEX2) SUFFIX sS STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; X21 s. �AWC'(4 fKL- 6 ✓� � ` )"t f (X 7� z- 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE Date Hand -delivered or Date Postmarked Receipt#Amount $ Date Processed Date Imaged ZIP CODE 9 REPORT TYPE January 15 ❑ 301h day before election ❑ 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION PHONE OFFICEHOLDER �/ Z1 / ❑ General ❑ Special (Officeholder Only) 6 CAMPAIGN Ms / R MR FIRST 1 A TREASURER �A"K-J Day Year NAME..............I...... Monlh ON ye.A' 7 CAMPAIGN TREASURER ADDRESS (Residence r Business) NICKNAMEX2) SUFFIX sS STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; X21 s. �AWC'(4 fKL- 6 ✓� � ` )"t f (X 7� z- 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE Date Hand -delivered or Date Postmarked Receipt#Amount $ Date Processed Date Imaged ZIP CODE 9 REPORT TYPE January 15 ❑ 301h day before election ❑ Runoff ❑ 15th day after campaign ❑ Primary ❑ Runoll ❑ Other Month Day Year Description treasurer appointment ❑ General ❑ Special (Officeholder Only) ❑ July 15 ❑ 8th day before election ❑ Exceeded $500 limit ❑ Final Report (Attach C/OH - FR) Day Year Monlh ON ye.A' 10 PERIOD Month COVERED . 1 /"0(/ 2-01k /�-- / � %r Z -0'k THROUGH / 11 ELECTION ELECTION DATE ELECTION TYPE ❑ Primary ❑ Runoll ❑ Other Month Day Year Description ❑ General ❑ Special 12 OFFICE OFFICE HELD (if any 13 OF-hlCh SUUGHI (rt (mown) GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us mevlsea wblzu 15 CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 14 C/OH NAMElG / 15 Filer ID (Ethics Commission Filers) RO s l 60 eta 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 OFFICEHOLDERS COMMITTEE(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 ❑ Additional Pages COMMITTEE CAMPAIGN TREASURER NAME COMMITTEE CAMPAIGN TREASURER ADDRESS 17 CONTRIBUTION I I TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED 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. Election C cvc" Signature of Candidate or Officeholder AFFIX NOTARY STAMP/ SEALABOVE Sworn to and subscribed before me, by the said day of , 20 , to certify which, witness my hand and seal of office. Signature of officer administering oath Printed name of officer administering oath this the Title of officer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Hevisea ulblzui 5 2. TOTAL POLITICAL CONTRIBUTIONS $ (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) I DdQ oc) r 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, EXPENDITURE TOTALS UNLESS ITEMIZED 4. TOTAL POLITICAL EXPENDITURES $ v CONTRIBUTION $ 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY BALANCE OF REPORTING PERIOD .......... 1 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE OUTSTANDING LOAN TOTALS 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. Election C cvc" Signature of Candidate or Officeholder AFFIX NOTARY STAMP/ SEALABOVE Sworn to and subscribed before me, by the said day of , 20 , to certify which, witness my hand and seal of office. Signature of officer administering oath Printed name of officer administering oath this the Title of officer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Hevisea ulblzui 5 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) 21 SCHEDULE SUBTOTALS SUBTOTAL NAME OF SCHEDULE AMOUNT 1• �. SCHEDULEAI: MONETARY POLITICAL CONTRIBUTIONS $ i ��(7•� 2. SCHEDULE A2: NON -MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS $ 3. SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4. SCHEDULE E: LOANS $ 5. SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 6V 6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 7• SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ $• 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. 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 At: 2 FILER NAME AV L ,5, 3 Filer ID (Ethics Commission Filers) —❑ 4 Date 5 Full name of contributor out-of-state PAC (ID#: t 7 Amount of contribution ($) 6 Contributor address; City; State; Zip Code &.% 2-1fV 'if TX- $ Principal occupation / Job title (See Insirucli ns) g Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (ID#: t Amount of contribution ($) Contributor address; City; State; Zip Code Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (ID#: 1 Amount of contribution ($) Contributor address; City; State; Zip Code Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑ out-ol-state PAC (ID#: 3 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 Hevlsed U/8/2UI LOANS SCHEDULE E The Instruction Guide explains how to complete this form. 1 Total pages Schedule. E: 2 FILER NAME /J / ` 3 Filer ID (Ethics Commission Filers) 4 TOTAL OF UNITEMIZED LOANS $ 5 Dateofloan/ 7 Name of lender E]out-of-statePAC (IDO: ) / 8 Lender address; City; State; ,Zip Code 9 Loan Amount ($) 6 Is lender 10 Interest rate a financial histitutioA7 !/ l-IL 11 Maturity date YU/Vt ' r 7Ji+[�d/`l. _ I 6_S07:�CC412 Principal occupation 1 Job Infer See Instructions) 13 Employ r(Sem)nstruclionsy CiP P. C• - iarL s 14 Description of Collateral 15 Check if personal funcls were deposited into political account (See Instructions) none ❑ 16 GUARANTOR 17 Name of guarantor 19 Amount Guaranteed ($) 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; State; Zip Code Loan Amount ($) Is lender Interest rate a financial Institution? Maturity date r_ Y N Principal occupation / Job title (See Instructions) Employer (See Instructions) Description of Collateral Check if personal funds were deposited into political account (See Instructions) ❑ none ❑ GUARANTOR Name of guarantor Amount Guaranteed ($) INFORMATION Guarantor address; City; State; Zip 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/FundraisingExpense 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 Salades/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 NA C� f 3 Filer ID (Ethics Commission Filers) 4 Date/ / $ Payee na<a(i C' 7 � & C✓C72a ' 6 Amount ($) 7 Payee address; City; State., Zip Code 5 �DGk� 8 (a) Category(SeeCaiego>>asilstedalt the top ofthis schedule) (b) Description PURPOSE1:1Check if travel outside of Texas Complete Schedule T. - I,tr OF El Check it Austin, TX, officeholder living expense EXPENDITURE C 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payea address; City; [e; Zip Code �] pctCr� ��r l��►� [Zve'lclf TUU 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 lop of this schedule) Description PURPOSE ❑ Check if travel oulsideofTexas,Complete Schedule T. OF EXPENDITURE ❑ Check if Austin, TX, officeholder living expense 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