HomeMy WebLinkAbout2022.04.29 - Campaign Finance Report Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1i.
1 ACCOUNT# 2 Total pages filed: v
The CIOH Instruction Guide explains how to complete this form. (Ethics Commission Filers)
S
3 CANDIDATE / MS/MRS/MR FIRST MI pop USF ONI Y
NAME OFFICEHOLDER �(' . Dat`F ro= ���U D •A
NICKNAME45 SUFFIX -$°E3 �f
1/041 APR 2 9 2022 ••'*
4 CANDIDATE / ADDRESS/PO BOX APT/SUITE* CITY; STATE, ZIP CODE
OFFICEHOLDER ?° ! �/8 3 City of Stephenville >
MAILING r G7y uater aMLe,e.1,,.R.,...,ew�
ADDRESS /U change of address �C /lJNU/‘�� //'' /^/ �( O/ Receipt ItAn unt
5 CANDIDATE/ AREA CODE PHONE NUMBER_ EXTENSION
PHONE OFFICEHOLDER (
Date Processed
6 CAMPAIGN MS/MRS/MR FI ST MI Date Imaged
TREASURER /"# . / 4e---
NAME
NICKNAME T
�.j.� / SUFFIX
V _�1�jI�_iGA�//
7 CAMPAIGN STREET ADDRESS(NO PO BOX PLEASE) APT/SUITE*, CITY, STATE, ZIP CODE
TREASURER
ADDRESS
(residence or business)
YepkW/1 ?-----> (4
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER ( ' )
9 REPORT TYPE I I�I January 15 I I 30th day before election n Runoff 1 I 15ttreasurerh day after campaign
I (
r only)
I I July 15 8th day before election I I Exceeded S500 i Final report(Attach C/OH-FR)
limit
10 PERIOD MorM c Year Mo xh Day Year
COVERED 6G/ 2g ^ n THROUGH L/ 1 1 •ioy�
11 ELECTION ELECTION DATE I ELECTION TYPE � //,
Month Day fear ! I PrimaryI I Runoff 1 4.•&..- n S-
12 OFFICE OFFICE��any)
��` � 13 OFFICE SOUGHT (rt knOwn��
c;�,-�., / C/, /446%74v-
GO TO PAGE 2
www.ethics.state.tx.us Revised 09/28/2011
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
CANDIDATE / OFFICEHOLDER REPORT: FORM C/OH
SUPPORT & TOTALS COVER SHEET PG 2
14 C/OH NAME /2JA
THIS15 ACCOUNT# (Ethics Commission Filers)
#40.el
16 NOTICE FROM BOX NOTICE OF POLITICAL CONTRIBUTIO ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT THE
POLITICAL CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S KNOWLEDGE OR
COMMITTEE(S) CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECENE NOTICE OF SUCH EXPENDITURES.
COMMITTEE NAME
COMMITTEE TYPE
n GENERAL
COMMITTEE ADDRESS
n SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
I I additional pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF$50 OR LESS(OTHER THAN TOTALS PLEDGES,LOANS,OR GUARANTEES OF LOANS),UNLESS ITEMIZED $
/c 'aa
2. TOTAL POLITICAL CONTRIBUTIONS /�/ G/
(OTHER THAN PLEDGES,LOANS,OR GUARANTEES OF LOANS) `Q p ZV (2' J
�.—
EXPENDITURE
TOTALS 3. TOTAL POLITICAL EXPENDITURES OF$100 OR LESS,UNLESS ITEMIZED e0
4. TOTAL POLITICAL EXPENDITURES $3.J 5--.,,Gy2
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF REPORTING PERIOD $ O
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE $
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD
18 AFFIDAVIT
I swear,or affirm,u nalty of perjury,that the accompanying report
is true and corn and i ludes all information required to be reported by
�1"III/ MIRIAM K CERVANTES me under T 15,Ele on Code.
,s;paY PI'd.'.
.�,Notary Public, State of Texas
17-'7''..",):i?E Comm Expires 11-05-2022
,'' '.`` Notary ID 1.30002593
r.�. Signature of Candidate or Officeholder
AFFIX NOTARY STAMP/SEAL ABOVE
-.ire'
Sworn o nd subscribed bef re me. by the said � , this the
day of [ 20 �� , to certify which, witness my hand and seal of office.
-ti'f AiletiCoNAA-d- Cf2Art" /144/NrAft f-•,?exa•Xer-- _ j/
Signature of officer administering oath Printed name of officer administering oath e of officer administering oath
www.ethics.state.tx.us Revised 09/28/2011
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
POLITICAL CONTRIBUTIONS SCHEDULE A
OTHER THAN PLEDGES OR LOANS
1 Total pages Schedule A:
The Instruction Guide explains how to complete this form.
2 FILER NptZ 61 3 ACCOUNT# (Ethics Commission Filers)
4.43.,
4 Date 5 F I n 999f contributor ❑out-of-state PnCODx ) 7 Amount of 16 In-kind contribution
/71 contribution ($) description (if applicable)
/1 /Z 71 L 6 Contributor address: City: 'State; Zip Code SCE.."
(If travel outside of Texas,complete Schedule T)
9 Principal occupation ititle,(See Inst c ns) 10 Employer(See Instructions)
Date r�,ame of contributor out-ot-state PAC(IC* Amount of I In-kind contribution
! r-- contribution ($) I description (if applicable)
F .� J J. sc..-i
1,4t„ Contributor address: City: State; Zip Code SDa'"'
C .,
94�/(c.��4•��__��- �_�y`�/ _ I (If travel outside of Texas.complete Schedule T)
Principal occup ti /Job title(See Instructions) Employer(See Instructions)
Date �e of contributor 0 outof-of 1 Amount of ' In-kind contribution
�// contribution ($) description (If applicable)
V/A/ i Contributor address; City: State; Zip Code 505.~, I
��" /74 // � �y� � (If travel outside of Texas,complete Schedule T)
Principal occupatiorlob the(See Instructions) Employer(See Instructions)
/ ,?
Date Full name of contributor out-of-state PAC(ID* t Amount of I in-kind contribution
/ �� contribution ($) description (if applicable)
�,t/f,tom State; Zip Code ,p
SAO 14 %5-' (-(,0/o
Of travel outside of Texas,complete Schedule T)
Principal occupation/ ;Me(See Instructions) Employer(See Instructions)
Date Full ame of contributor ❑out-of-state pDa ^r� 1 Amount of In-kind contribution contribution ($) description Of applicable)
VI
77L Contributor address: City; State: Zip Code
M �y / a" ./ (If travel outside of Texas,complete Schedule T)
Principal occupati n Job title(See lnstru ions) t Employer(See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see instruction guide foradditional reporting requirements.
www.ethics.state.tx.us Revised 09/28/2011
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
POLITICAL EXPENDITURES SCHEDULE F
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment&Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER(enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F: 2 FILER NAME ,..5I 3 ACCOUNT#(Ethics Commission Filers)
iiaLik
4 Date 5 Pay ame
6 Amount ($) 7 Payee address; City; State: Zip Code
8 PURPOSE (a) Category(See categories listed at the top of this schedule) (b) Description (If travel outside of Texas,complete Schedule T)
OF 14 /
EXPENDITURE �yyf�
9 Complete ONLY if direct Candidate/Officeholder me Office sought Office held
expenditure to benefit C/OH
Date / Payee name
Ll/`(( 2L 1(J7> l7.--i S 7 9 tr - -
Amount ($) Payee address; City; State; Zip Cod
e.
PURPOSE Category IS gone fisted at the top of this schedule) Description (If travel outside of Texas.complete Schedule T)
OF !
EXPENDITURE
Complete ONLY if direct Candtdate/Offi Ider name __- Office sought Office held
expenditure to benefit C/OH
Date Payee name 2/140e6
Ll/7l�L �‘e>o7
Amount ($) Payee address; ity; State; Zip Code
/. 7 o 4760 .s 6 5-7 -•As. 7.> '?"Y",
PURPOSE ate ry(See categories listed at the top of this schedule) I Description (it travel outside of Texas,complete Schedule T)
OF
EXPENDITURE
Complete ONLY if direct Candi at Officeholder name Office sought Office held
expenditure to benefit C/OH
Da // Payee name
/ite / /
Amount Payee address; City; State; Code
igl, ?C 7-7, S ,v. 61,41; 4 , 76 T'' fr•
PURPOSE I Category categories listed at the top of this schedule) Description (It travel outside of Texas,complete Schedule T)
OF
EXPENDITURE ..N, ... 1664s.„....,...,
Complete ONLY if direct C ndidate/Officehold r name / Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 09/28/2011
Texas Ethics Commission P.O_Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
POLITICAL EXPENDITURES SCHEDULE F
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Gift/Awards/Memorials Expense Sataries/WegeslCormeat Labor Loan Repayment/Reimbursement
AccotntkngBenking Legal Services Solicitation/Fundraising Expense Transportation Equipment&Related Expense
Consuitklg Expense Food/Beverage Expense Travel In District Contrbutlons/Donatlons Made By
Event Expense Polling Expense Travel Out Of District Candidate/OBicehoIder/Poftticel Committee
Fees Printing Expense Office Overtaxed/Rental Expense OTHER(enter a category not listed above)
The instruction Guide explains how to complete this form.
1 Total Degas ledule F! 2 FILER NAME �� 3 ACCOUNT*(Ethics Commission Flans)
4 Date I V r, 11161
5 Parma
6 Amount (S) 7 Payee address; City; Stale: Zip Code
Z/0/. gl n.60,a &.., e.-1.-p4-(,4 sicp4/1,,,4 /›.—. 76 ‘ice,
a PURPOSE (at Category(See categories fatedat the top of Ids schedule) !b) Description(It travel outside of Texas,complete Scneoute T)
OF
EXPENDITURE 2P411i/
9 Complete Q1tLY If direct Candidate/Officeholder name Office sought Office held
etpenrktu a to benefit C/OH
4//2.141° ti ra‘d r )..2.-A
Amount (S) Payee address; City; State: Zip Code
PURPOSE Category(Sea categories Saud at the sop or this schedule) I Description(if eovd outside of Texas,complete Schedule T)
OF
EXPENDITURE
Complete gay if direct Candldata/Officshoder reams Office sought Office held
etpendit ra to benefit C/OH
Dale Payee name
Amount (S) Payee address; City; State; Zip Code
PURPOSE Category(sae celegod+s Meted at the top of this schedule) Description(if travel outside of Texts,complete Sdadute T)
OF
EXPENDITURE
Complete QtLY if direct Candidate l Officeholder der name Office sought Office held
expendmOse to benefit C/OH
Date Payee name
Amount (S) Payee address; City; slate: Zip Code
PURPOSE Category(See categories listed et the top of this adaduie) 1 Description (if travel outside of Tyne,complete Schedule T)
OF
EXPENDITURE
i
Complete mu H direct Candidate I Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPES OF THIS SCHEDULE AS NEEDED
www.ethice.atate.tx.us Revised 09(28/2011
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
CANDIDATE / OFFICEHOLDER REPORT: FORM C/OH - FR
DESIGNATION OF FINAL REPORT
The Instruction Guide explains how to complete this form.
•• Complete only if "Report Type" on page 1 is marked "Final Report" ••
1 C/OH NAME 2 ACCOUNT# (Ethics Commission Filers)
7C1‘14/(1 \
3 SIGNATURE
I do not expect any further political contributions or political expenditures in connection wit y can ' acy. I understand that designating a
report as a final report terminates my campaign treasurer appointment. I also unders that I not accept any campaign contributions
or make any campaign expenditures without a campaign treasurer appointment o e.
Signature of Candidate/Officeholder
4 FILER WHO IS NOT AN OFFICEHOLDER
-• Complete A&B below only if you are not an officeholder. ••
A. CAMPAIGN FUNDS
Check only one:
( I I do not have unexpended contributions or unexpended interest or income earned from political contributions.
1 I I have unexpended contributions or unexpended interest or income earned from political contributions. I understand that I may
not convert unexpended political contributions or unexpended interest or income earned on political contributions to personal
use. I also understand that I must file an annual report of unexpended contributions and that I may not retain unexpended
contributions or unexpended interest or income earned on political contributions longer than six years after filing this final
report. Further,I understand that I must dispose of unexpended political contributions and unexpended interest or income
earned on political contributions in accordance with the requirements of Election Code,§254.204.
B. ASSETS
Check only one:
I i I do not retain assets purchased with political contributions or interest or other income from political contributions.
n I do retain assets purchased with political contributions or interest or other income from political contributions. I understand that
I may not convert assets purchased with political contributions or interest or other income from political contributions to personal
use. I also understand that I must dispose of assets purchased with political contributions in accordance with the requirements
of Election Code,§254.204.
Signature of Candidate
5 OFFICEHOLDER
•• Complete this section only If you are an officeholder ••
I K i am aware that I remain subject to filing requirements applicable to an officeholder who does not have a campaign treasurer on file.
I am also aware that I will be required to file reports of unexpended contributions if,after fill
e he last required report as an
officeholder,I retain political contributions,interest or other income from political contributions, assets purchased with political
contributions or interest or other income from political contributions.
e
Signature of Officeholder
www.ethics.state.tx.us Revised 09/28/2011