HomeMy WebLinkAbout2022.04.07 Campaign Finance Report CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Filer ID (Ethics Commission Filers) I 2 Total pages filed:
The C/OH Instruction Guide explains how to complete this form.
3 CANDIDATE/ MS/MRS/MR FIRST MI OFFICE USE ONLY
OFFICEHOLDER MR LEONARD D
NAME �_n •
NICKNAME LAST SUFFIXDOUG SVIEN l L co f'114 �WED
D
{1 V �;
4 CANDIDATE/ ADDRESS /PO BOX: APT/SUITE#; CITY; STATE; ZIP CODE W
OFFICEHOLDER , APR 7 2022
MAILING STEPHENVILLE, TX 76401
ADDRESS
Change of Address City of Stephenville /)
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION Dale Hand-delivered or Dale Postmarked /
OFFICEHOLDER
PHONE (254 ) 592-5896
Receipt# Amount S
6 CAMPAIGN MS/MRS/MR FIRST ,MI
TREASURER MRS NANCY
NAME Date Processed
NICKNAME LAST SUFFIX
ALLEN Dale Imaged
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE): APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER STEPHENVILLE TX 76401
ADDRESS
(Residence or Business)
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE (
9 REPORT TYPE -
January 15 (I. 30th day before election Runoff I 15th day after campaign
treasurer appointment
(Officeholder Only)
July 15 8th day before election Exceeded Modified Final Report(Attach C/OH-FR)
Reporting Limit
10 PERIOD Month Day Year Month Day Year
COVERED
1 / 19 / 22 THROUGH 4 / 7 / 22
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year Primary Runoff Other
Description
5 / 7 / 22 • General Special
12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known)
MAYOR MAYOR
14 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT
POLITICAL 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(S)
COMMITTEE TYPE COMMITTEE NAME
GENERAL COMMITTEE ADDRESS
Additional Pages
SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
NECEOVEi
CANDIDATE / OFFICEHOLDER APR 7 2022 FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
City of Stephenville
15 C/OH NAME . IR Filer ID (Ethics Commission Filers)
17 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN �`
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR $ U
CONTRIBUTIONS MADE ELECTRONICALLY)
2. T(OTHER
POLTHAN
ICAL LOANS,
$ 5tom ' 0• 00(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) Jf�
EXPENDITURE 3 TOTAL UNITEMIZED POLITICAL EXPENDITURE.
TOTALS $
4. TOTAL POLITICAL EXPENDITURES $ .9.�3a`• �7
CONTRIBUTION 5 TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $(�/'�J.8.73 23
BALANCE OF REPORTING PERIOD
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE O
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $
18 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.
nature of Candidate or Officeholder
Please complete either option below:
(1)Affidavit
NOTARY STAMP/SEAL •
`` �,,,,,,,,,,,,,„'",,
.K `
y % S TFp
Sworn to and s scribed •re rrieqby•' • i ,� •• .r� this the1 day of
20 (i , t ertify hi h, '.e :`:;t V. ---I Qf��ff
.1 i 1 . ..-ii.orenotilD
Signatur f officer administering oatI r "t.intednlf -f officer administering oath j Title officer administering oath
OR
• - VP' ,''
(2) Unsworn Declaration
My name is , and my date of birth is
My address is ,
(street) (city) (state) (zip code) (country)
Executed in County, State of , on the day of ,20 .
(month) (year)
Signature of Candidate/Officeholder (Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
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. I I SCHEDULE Al: MONETARY POLITICAL CONTRIBUTIONS $ 2.„CCP 2• I 1 SCHEDULEA2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $
3. SCHEDULE B: PLEDGED CONTRIBUTIONS $
4. SCHEDULE E: LOANS $
5. SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS Q,326.71
6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $
7. SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $
8. l I SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $
9. �® SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 37.77
10. I I SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ 1
11. SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $
12. SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS,AND CONTRIBUTIONS RETURNED $
TO FILER
RECEINED
APR 7 2022
City of Stephenville
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
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. 1 Total pages Schedule Al:
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
DOUG SVIEN
4 Date 5 Full name of contributor out-of-state PAC(ID#: ) 7 Amount of contribution ($)
SCOTT & JENNY ALLEN
03/18/2022 ' 00 • 00
6 Contributor address; City; State; Zip Code
STEPHENVILLE, TX 76401
8 Principal occupation/Job title(See Instructions) g Employer(See Instructions)
ATTORNEY
Date Full name of contributor out-of-state PAC(ID#: ) Amount of contribution ($)
MARION G. COLE
03/28/2022 500 . 00
Contributor address; City; State; Zip Code
STEPHENVILLE, TX 76401
Principal occupation/Job title (See Instructions) Employer(See Instructions)
RETIRED
Date Full name of contributor out-of-state PAC(ID#: ) Amount of contribution ($)
EDMUND C HORTON
03/22/2022 00 • 00
Contributor address; City; State; Zip Code
STEPHENVILLE TX 76401
Principal occupation/Job title (See Instructions) Employer (See Instructions)
REAL ESTATE
Date Full name of contributor out-of-state PAC(IDS: ) Amount of contribution ($)
ED HORTON
03/22/2022 Contributor address; City; State; Zip Code 250 . 00
STEPHENVILLE, TX 76401
Principal occupation /Job title (See Instructions) Employer(See Instructions)
PHARMACIST
WECEENED
APR 7 2022
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC,please see Instruction guide for additional reporting requirerrcrfts�� of Stephenville
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/11/202o
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. Total pages Schedule Al:
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
DOUG SVIEN
4 Date 5 Full name of contributor out-of-state PAC(ID#: ) 7 Amount of contribution ($)
ROBERT G. COOK
04/01/2022 250 . 00
6 Contributor address; City; State; Zip Code
STEPHENVILLE, TX 76401
8 Principal occupation/Job title (See Instructions) g Employer (See Instructions)
RETIRED
Date Full name of contributor out-of-state PAC(ID#: > Amount of contribution ($)
GREG BRUNER
04/01/2022 500 . 00
Contributor address; City; State; Zip Code
STEPHENVILLE, TX 76401
Principal occupation/Job title (See Instructions) Employer(See Instructions)
AUTO DEALER
Date Full name of contributor out-of-state PAC(ID#: ) Amount of contribution ($)
JIM TUCKER
03/30/2022 500 . 00
Contributor address; City; State; Zip Code
STEPHENVILLE, TX 76401
Principal occupation /Job title (See Instructions) Employer (See Instructions)
INSURANCE
Date Full name of contributor out-of-state PAC(ID#: ) Amount of contribution ($)
SETH T MOORE JR
03/28/2022 Contributor address; City; State; Zip Code 200 • 00
HOUSTON, TX 76401
Principal occupation /Job title (See Instructions) Employer(See Instructions)
APR 7 2022
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED City of Stephenville
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
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. 1 Total pages Schedule Al:
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
DOUG SVIEN
4 Date 5 Full name of contributor out-of-state PAC(10#: ) 7 Amount of contribution ($)
A.D. MAYFIELD
04/01/2022 500 . 00
6 Contributor address; City; State; Zip Code
, STEPHENVILLE, TX 76401
8 Principal occupation/Job title(See Instructions) 9 Employer(See Instructions)
RANCHER
Date Full name of contributor out-of-state PAC(IN: ) Amount of contribution ($)
ROY DITTFURTH
04/01/2022 00 . 00
Contributor address; City; State; Zip Code
STEPHENVILLE, TX 76401
Principal occupation/Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor out-of-state PAC(10#: ) Amount of contribution ($)
04/0t/2022 EDMUND HORTON Contributor address; City; State; Zip Code 200 ■ O O
STEPHENVILLE, TX 76401
Principal occupation /Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor out-of-state PAC(I0#: ) Amount of contribution ($)
y � . AM LRJp. 45oo . co
Contributor address; City; State; Zip Code
CS nex vli��- 'firo
Prin pal occupation/Job title (See Instructions) Employer (See Instructions)
ec'v
RECENEk
APR 7 2022
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED of Stephenville
If contributor is out-of-state PAC,please see Instruction guide for additional reporting require s.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
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. 1 Total pages Schedule Al:
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
bOU SJ ;EJ61.1
4 Date 5 Full name of contributor ❑out-of-state PAC (ID#: ) 7 Amount of contribution ($)
T.CleVN CL A R K *S60 .oa
(-its IZ Z
6 Contributor address; City; State; Zip Code
ielewJ•Ikit F 2'l0 I
8 Principal occupation /Job title (See Instructions) g Employer (See Instructions)
Date Full name of contributor ❑out-of-state PAC (ID#: Amount of contribution ($)
Contributor address; City; State; Zip Code
Principal occupation/Job title(See Instructions) Employer (See Instructions)
Date Full name of contributor ❑out-of-state PAC(ID# ) Amount of contribution ($)
Contributor address; City; State; Zip Code
Principal occupation/Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor ❑out-of-state PAC (ID# ) Amount of contribution ($)
Contributor address; City; State; Zip Code
Principal occupation/Job title (See Instructions) Employer (See Instructions)
N'EC-EINE5
APR 7 2022
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED City of Stephenville
If contributor is out-of-state PAC,please see Instruction guide for additional reporting requifeRre'nts:— ._
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
APR 7 2022
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS City of Stephenville 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/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)
DOUG SVIEN
4 Date 5 Payee name
04/07/2022 LEONARD D. SVIEN
6 Amount ($) 7 Payee address; City; State; Zip Code
895.77 STEPHENVILLE, TX 76401
8 (a) Category (See Categories listed at the top of this schedule) (b) Description
PURPOSE REIMBURSEMENT FOR CREDIT CARD CHARGE FOR
OF YARD SIGNS
EXPENDITURE
(c) Check if travel outside of Texas.Complete Schedule T. Check if Austin,TX,officeholder living expense
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH DOUG SVIEN MAYOR MAYOR
Date Payee name
04/04/2022 BTS NEWS
Amount ($) Payee address; City; State; Zip Code
300.00 STEPHENVILLE, TX 76401
Category (See Categories listed at the top of this schedule) Description
PURPOSE ADVERTISING NEWSPAPER ADVERTISING
OF
EXPENDITURE
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 DOUG SVIEN MAYOR MAYOR
Date Payee name
04/14/2022 BORGES MEDIA, LLC
Amount ($) Payee address; City; State; Zip Code
1 , 131 .00 P.O. BOX 1201, STEPHENVILLE, TX 76401
Category (See Categories listed at the top of this schedule) Description
PURPOSE ADVERTISING DIGITAL MEDIA (BILL BOARD)
OF
EXPENDITURE
Check if travel outside of Texas.Complete Schedule T. Check if Austin,TX,officeholder living expense
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH DOUG SVIEN MAYOR MAYOR
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
RECEHE
APR 7 2022
POLITICAL EXPENDITURES MADE FROM
PERSONAL FUNDS City of Stephenville SCHEDULE G
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan RepaymenUReimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other(enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule G: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
DOUG SVIEN
4 Date 5 Payee name
03/17/2022 SIGNS EXPRESS PLUS
6 Amount ($) 7 Payee address; City; State; Zip Code
895.77 P.O. BOX 1292, STEPHENVILLE, TX 76401
Reimbursement from
✓ political contributions
intended
8 (a) Category (See Categories listed at the top of this schedule) (b) Description
PURPOSE ADVERTISEMENT YARD SIGNS
OF
EXPENDITURE
(c) Check it travel outside of Texas.Complete Schedule T. Check if Austin,TX.officeholder living expense
9 Candidate/ Officeholder name Office sought Office held
Complete ONLY if direct
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Reimbursement from
political contributions
intended
Category (See Categories listed at the top of this schedule) Description
PURPOSE
OF
EXPENDITURE
Check if travel outside of Texas.Complete Schedule T. Check if Austin,TX,officeholder living expense
Candidate /Officeholder name Office sought Office held
Complete ONLY if direct
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Reimbursement from
political contributions
intended
Category (See Categories listed at the top of this schedule) Description
PURPOSE
OF
EXPENDITURE
Check if travel outside of Texas.Complete Schedule T. Check if Austin,TX,officeholder living expense
Candidate /Officeholder name Office sought Office held
Complete ONLY if direct
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 8/17/2020