HomeMy WebLinkAbout2021.04.22 - ECRG - Campaign Finance Report SPECIFIC-PURPOSE COMMITTEE FORM SPAC
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Filer ID(Ethics Commission Filers) 2 Total pages filed:
The SPAC Instruction Guide explains how to complete this form. is,
3 COMMITTEE NAME
OFFICE USE ONLY
v l( A--1."1 0471-iz_ rt,S -4--6V' `>LY 1 i,1- CHI P-r ri VYiti _
Date Rec iveeii M
-ED4)
4 COMMITTEE ADDRESS /PO BOX; APT/SUI S; CITY; STATE; ZIP CODE
ADDRESS APR 2 2 2021
Change of Address 5 4) Dq \Y I 1 lb y. l l-ii'�ttLJ I
City of Stephenville
Date Hand-delivered or Date Postmarked
5 CAMPAIGN MS/MRS/MR FIRST MI
TREASURER `/ 5j' Receipt# Amount$
NAME
Y J �- L V I
NICKNAME LAST SUFFIX Date Processed
9
I V Li__ r L.I ,A Date Imaged
6 CAMPAIGN STREET ADDRESS (NO PO BOX PLEAS ; APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER ..
STREETADDRESS
(Residence or Business) ci--) 'n�f; 1 I 1 1 i_0 -) 1
STREET ADDRESS OR PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE
7 CAMPAIGN �>�
� I
n Change of Address I
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE ( /
9 REPORT TYPE
❑ January 15 0 30th day before election 0 Exceeded Modified Reporting Limit
July 15 8th day before election n Dissolution Report(Attached PAC-FR)
nRunoff 0 10th day after campaign treasurer termination
10 PERIOD COVERED Month Day Year Month Day Year
,,L /'t / ...71 I THROUGH ddd���i )G1-/`�a/3 1
11 ELECTION ELECTION DATE ELECTION TYPE ��'
Month Day Year I Primary n Runoff ❑ Other
C /L.) 1 / -1 i /General E Special Description
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/13/2020
SPECIFIC-PURPOSE COMMITTEE REPORT: FORM SPAC
PURPOSE AND TOTALS COVER SHEET PG 2
12 COMMITTEE NAME 13 Filer ID (Ethics Commission Filers)
t
r
1, r
.., [ f i :'1 i i } �� r i t i i 1 L (i(, )' (_ r r )i TA -t
14 COMMITTEE CANDIDATE/OFFICEHOLDER NAME
PURPOSE n CANDIDATE
(Attach lists on plain paper to
complete this report If OFFICE SOUGHT(candidate)/OFFICE HELD(officeholder)
necessary.)
Irj OFFICEHOLDER
n SUPPORT
(Candidate or Measure) BALLOT IDENTIFICATION/# ELECTION DATE
Month Day Year
RI OPPOSE , I
(Candidate or Measure) It MEASURE E A . L. i /..
.2
DESCRIPTION
u ASSIST ``ii -, _ --ice _
(Officeholder) 1)r ,Ir` l' 1k_--- j C 1 ,_)' l t t, , Lilo ) - (i/c �. i„,(--, 1--'L,
15 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR $
CONTRIBUTIONS MADE ELECTRONICALLY) ,�
❑ Check here if this report qualifies for the higher itemization threshold I?LD ✓f(1-) `'p
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $ I( ),CC
EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURES $
TOTALS
4. TOTAL POLITICAL EXPENDITURES $ /fFL 3
CONTRIBUTION 5. TOTAL
CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF THE REPORTING G PERIOD $ ! 5-j .i `)
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE $ JA
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD
16 SIGNATURE 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 u der Title 15, Election Code.
Si ure of Campaign Treasurer(Declarant)
Please complete either option below:
(1)Affidavit
AFFIX NOTARY STAMP/SEALABOVE /� �y- �M /f
Sworn to and subscribed befor- me,by the said `S 1►\ 1�f► ticm , this the G.i
'''' q
day of 41.1.10111116, ,2' . ,to certify which,witness my hand and seal of office.
Stiti.• 1-* . ,
Signatur- of offs.-r administering • Printed name of officer administeri . oath Title of fficer administerin. ath
OR
(2) Unsworn Declaration
My name is , and my date of birth is .
My address is ,
(street) (city) '(state) (zip codeXcountry)
Executed in County,State of ,on the day of ,20 .
(month) (year)
Signature of Campaign Treasurer (Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/13/2020
FORM SPAC
SUBTOTALS - SPAC COVER SHEET PG 3
17 COMMITTEE NAME 18 Filer ID(Ethics Commission Filers)
E ath C14-121 a5 - v Ve5 s 1 hL Clove mud-
199 SCHEDULE SUBTOTALS SUBTOTAL
NAME OF SCHEDULE AMOUNT /�
1. v SCHEDULE A1: MONETARY POLITICAL CONTRIBUTIONS $ (C(;•CC
2. - SCHEDULE A2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $
3. SCHEDULE B: PLEDGED CONTRIBUTIONS $
4. - SCHEDULE C1: MONETARY CONTRIBUTIONS FROM CORPORATION OR LABOR ORGANIZATION $
5 ❑ SCHEDULE C2: NON-MONETARY(IN-KIND)CONTRIBUTIONS FROM CORPORATION OR LABOR $
ORGANIZATION
6. SCHEDULE D: PLEDGED CONTRIBUTIONS FROM CORPORATON OR LABOR ORGANIZATION $
7. n SCHEDULE E: LOANS $
8. -SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 'I(a)1 ,5.6
9. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $
10. SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $
11. SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $
12. ❑ SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $
13. n SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $
14 SCHEDULE K: INTEREST,CREDITS,GAINS,REFUNDS,AND CONTRIBUTIONS RETURNED $
TO FILER
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/13/2020
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form. i Total pages Schedule Al: I
2 FILER NAME n 3 Filer ID (Ethics Commission Filers)
LiraTh (t+ v I�Q_5(r,, st('? -rZiyt►'ar'U' "
4 Date 5 Full name of contributor ❑out-of-state PAC Me: ) 7 Amount of contribution ($)
T-ht ,yrL Z a i ?x , 60.0v
010 C 6 Contti utor address; City; State; Zip Code
LC nYiliLf1 616. J
8 Principal occupation/Jo tSee Instructions) g Employer(See Instructions'
Date Full name of contributor 0 out-of-state PAC Mt )
_ Amount of contribution ($)
(i i )0
,0kVA 1v1 i 1_ ilki
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name o�f� tcontributor 0 out-of-state PAC OM: ) Amount of contribution ($)
if Oil u j . 3.-...x.,,v ). -
Di--)Cr
Principal occupation I Job.title(See Instructions) Employer(See Instructions)
Date Full name of contributor
0 out-of-state PAC(IDS: ) Amount of contribution ($)
t)- -i Y 1 M I i sbnDli- 0 g -••) (CCJ
,
I-ig i/I Y'f 1 L 1� 1 L 4c (
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 8/17/2020
POLITICAL EXPENDITURES MADE FROM POLITICAL
CONTRIBUTIONS SCHEDULE F1
If the requested information is not applicable, DO NOT include this page in the report.
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 Fnse 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 SalariesNVages/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 Fl: ?yFIL R NAME_ 3 Filer ID (Ethics Commission Filers)
I . CH L' -hZQVIS ToirTSr,6'eh�.C1oYe_tiOff f
4 Date 6 Pe ee name
04-1 4 L i c_P?(.-t ��i
6 Amount ($) 7 Payee address; City; State; Zip Code
`two ,5. Ctv tuvIli-. -,
s (a) Category (See Categories listed at the top of this schedule) (b) Description
PURPOSEOF {� 1
EXPENDITURE Tr I �� �� `'� � �itt 1 e V
(c) n Check if travel outside of Texas.Complete ScheduleT. 0 Check if Austin,TX,officeholder living expense
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
o4-J )-4' (.,5.1)._�
Amount ($) Payee address; City; State; Zip Code
a
1' *erITYi I ►� T 1u.460i
Category (See Categories listed at the top of this schedule) Description
PURPOSE
OF AdYe_‘,4--1-S i YCj j-etVY
EXPENDITURE
nCheck if travel outside of Texas.Complete ScheduleT. n Check if Austin,TX,officeholder living expense
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) P yee address, City; State; Zip Code
lQ I NI, C.,41 t..VICk-I vt i'.
Category (See Categories listed at the top of this schedule) Description
PURPOSE `/n t� l '/ / /, I �}
O F 1 d.V C.Y l�J I t' ll) ' l.-t] �di o--- C
EXPENDITURE
El
Check if travel outside of Texas.Complete Schedule T. ❑ 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 11/13/2020