HomeMy WebLinkAbout2022.01.18 - VS - SPAC SPECIFIC-PURPOSE COMMITTEE _ • FORM SPAC
CAMPAIGN FINANCE REPORT 11 i 18 22 f, OVER SHEET PG 1
1 Filer ID(Ethics Commission Filers) 2 Total pages filed:
The SPAC Instruction Guide explains how to complete this form.
3 COMMITTEE NAME
OFFICE USE ONLY
VI S r 0 A/ r (PR if/'j V.I C- L- .._ Date Received
4 COMMITTEE ADDRESS /PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE
ADDRESS
I I Change of Address P 0 3p x II e STEI'/-1EN✓I [.t E 1)( 74 £/01
Date Hand-delivered or Date Postmarked
5 CAMPAIGN MS/MRS/MR FIRST MI
TREASURER Receipt # Amount $
NAME MR_ e2r9-/ �/ b
NICKNAME LAST f SUFFIX Date Processed
S (4 L T Date Imaged
6 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER
STREET ADDRESS
(Residence or Business) / S TET I-I ENVVILL L / y 76 hf 0I
7 CAMPAIGN STREET ADDRESS OR PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER
MAILING ADDRESS
I - Change of Address / 5TEP14tNViLLe / .x '?f�'-10/
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
9 REPORT TYPE January 15 I I 30th day before election n
Exceeded Modified Reporting Limit
ni July 15 I 8th day before election Dissolution Report(Attached PAC-FR)
nRunoff EI 10th day after campaign treasurer termination
10 PERIOD
COVERED Month Day Year Month Day Year
i.'] / U / / 2 C>Z ) THROUGH / 2 /-i/ /), O 2 /
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year I I Primary I I Runoff I I Other
05/ 0 //20ZI
General I I 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)
VISJON 5TE1'1-ll;nJ +VZLL ,,=
14 COMMITTEE CANDIDATE/OFFICEHOLDER NAME
PURPOSE U CANDIDATE
(Attach lists on plain paper to
complete this report if OFFICE SOUGHT(candidate)/OFFICE HELD(officeholder)
necessary.)
OFFICEHOLDER
IHSUPPORT
(Candidate or Measure) BALLOT IDENTIFICATION/# ELECTION DATE
Month Day Year
U OPPOSE
(Candidate or Measure) Pr2 >F F + '} Uc/ t7/ / ? v,7,
I / MEASURE
7 ASSIST DESCRIPTION
(Officeholder) LIT`/ .1. m P f o /v i 3
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
2. TOTAL POLITICAL CONTRIBUTIONS $
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) Q
EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURES
TOTALS $
4. TOTAL POLITICAL EXPENDITURES q
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF THE REPORTING PERIOD $ _ d -
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
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 under Title 15, Election Code.
Signature of Campaign Treasurer(Declarant)
Please complete either option below:
(1)Affidavit
AFFIX NOTARY STAMP/SEALABOVE
Sworn to and subscribed before me, by the said , this the
day of , 20 , 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
OR
(2) Unsworn Declaration
My name is `. 0a ? , and my date of birth is
My address " '
(street) 11
r/� (city) (state) (zip codeXcountry)
Executed in . 62.,E 3 �1 County,State of re)c/'.1 ,on the /g day of -TA' 4r'2`j ,20 2. 2 .
(month) (year)
ignatur mpaign surer (Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/13/2020
SUBTOTALS - SPAC FORM SPAC
COVER SHEET PG 3
17 COMMITTEE NAME 18 Filer ID(Ethics Commission Filers)
VI 5 T p ki 5 T C P'-1 r',/'r
19 SCHEDULE SUBTOTALS SUBTOTAL
NAME OF SCHEDULE AMOUNT
1. J SCHEDULEA1: MONETARY POLITICAL CONTRIBUTIONS $
2. n SCHEDULE A2 : NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $
3• I I SCHEDULE B: PLEDGED CONTRIBUTIONS $
4. I SCHEDULE C1: MONETARY CONTRIBUTIONS FROM CORPORATION OR LABOR ORGANIZATION $
5. I SCHEDULE C2: NON-MONETARY(IN-KIND)CONTRIBUTIONS FROM CORPORATION OR LABOR
ORGANIZATION $
6. I J SCHEDULE D: PLEDGED CONTRIBUTIONS FROM CORPORATON OR LABOR ORGANIZATION $
7. I SCHEDULE E: LOANS $
8. V' SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ D j/
D
9. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $
10. J SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $
11. I I SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $
12. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $
13. I I SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $
14, I I 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
POLITICAL EXPENDITURES MADE FROM POLITICAL
CONTRIBUTIONS SCHEDULE Fl
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/Reimbursemenl Accounting/Banking Fees Solicitation/Fundraising Expense
Ac sut g Expense Office Overhead/Rental Expense Transportation Equipment&Related Expense
Food/Beverage Expense Polling Expense Travel In District
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense
Candidate/Officeholder/Political Committee Legal Services Other
Out rOfa District
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)
Ws 7 O/V S?Eff/&'L/vr 4,4 L`^
4 Date 5 Payee name
V'n f"P S 1. b2 ,l /4. c..T 4 L. I..'r s t J le'
6 Amount ($) 7 Payee address; City; State; Zip Code
8 (a) Category (See Categories listed at the top of this schedule) (b) Description
PURPOSE
OF EXPENDITURE /r e-'-,f 5 ./:?/"'1 1/C.' v e 0 w,.7 , C'..!' S'
(c) u Check if travel outside of Texas.Complete Schedule T. l Check it Austin,TX,officeholder living expense
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; %' State; Zip Code
Category (See Categories listed al the top of!his schedule) Description
PURPOSE
OF
EXPENDITURE
ICheck if travel outside of Texas.Complete Schedule T. I I Check if Austin, TX,officeholder living expense
Complete ONLY.ir-di ect Candidate/Officeholder name Office sought Office held
expenditureto benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Category (See Categories listed al the lop of this.schedule) Description
PURPOSE
OF
EXPENDITURE
nCheck if travel outside of Texas.Complete Schedule T. 71 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
POLITICAL COMMITTEE
STATEMENT OF DISSOLUTION FORM PAC - DR
The Instruction Guide explains how to complete this form.
•• Complete only if"Report Type"on page 1 is marked"Dissolution" ••
1 COMMITTEE NAME
2 Filer ID (Ethics Commission Filers)
U..ZSTON STLF//C``rvv..rLc �'
3 Statement of Dissolution
I, the undersigned campaign treasurer, do not expect the occurrence of any further reportable activity by
this political committee for this or any other campaign or election for which reporting under the Election
Code is required. I declare that all of the information required to be reported by me has been reported. I
understand that designating a report as a dissolution report terminates the appointment of campaign
treasurer. I further understand that a political committee may not make or authorize political expenditures
or accept political contributions without having an appointment of campaign treasurer on file.
Signature o Campaig reasurer
DO NOT SIGN UNLESS POLITICAL
COMMITTEE IS TO BE DISSOLVED
Please complete either option below:
(1)Affidavit
AFFIX NOTARY STAMP/SEAL ABOVE
Sworn to and subscribed before me, by the said
, this the
day of , 20 ,to certify which,witness my hand and seal of office.
Signature of officer administering oath Printed name of officer administeringoath
Title of officer administering oath
OR
(2) Unsworn Declaration
My name is ;4R 7 5k L
and my date of birth is .
My address is /'
7it (city) (state) (zip codeXcountry)
Executed in t/Z47''1/ County,State of J Y4 S ,on the / 4 day of 6 NN A A. i ,20 2 2
(month) (yP r
nature o gn Treas er (Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us
Revised 11/13/2020