5
CANDIDATE / OFFICEHOLDER FORM C/ OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Filer ID ( Ethics Commission Filers) 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 NAME V Date Received NICKNAME LAST SUFFIX CA AU Date Filed I a9 il( 4 CANDIDATE/ ADDRESS / PO BOX; APT/ SUITE It; CITY; STATE; ZIP CODE R t+`- 4 MAILING w ADDRESS CD g a-, l4- 1 v4? j,^. 5 CheC3'+ 1 / n Change of Address 71- t 1 Rebecca Huerta AREA CODE PHONE NUMBER EXTENSION Secretary CANDIDATE/ City OFFICEHOLDER // Date Hand- delivered or Date Postmarked PHONE 13( 0 ) Corttoa5° 6 CAMPAIGN MS/ MRS/ MR FIRST MI Receipt It Amount$ TREASURER titl cib' e( 3— NAME Dale Processed NICKNAME LAST SUFFIX 7 4 1/ i') Date Imaged 7 CAMPAIGN STREET ADDRESS ( NO PO BOX PLEASE); APT/ SUITE It; CITY; STATE; ZIP CODE TREASURER CVO UT aft Residence or Business) Cc)! VA, he t5 - t- t T-. 1 t- 119' 1 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE 3c. c 1 /` 6S to as- bo P 9 REPORT TYPE I I January 15 I I 30th day before election I I Runoff ri 15th day after campaign treasurer appointment Officeholder Only) I— I July 15 391.. 8th day before election I I Exceeded$ 500 limit I I Final Report( Attach C/ OH- FR) 10 PERIOD Month Day Year Month Day Year COVERED 61 / D / ,? THROUGH 0 / Z 1 / t 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year Primary Runoff Other Description tr /‘) / 1 6 General Ii Special 12 OFFICE OFFICE HELD ( if any) 1 13 OFFICE SOUGHT ( if known) IL) Gin- t C\ ANN ? our^ ei- 1 ' DtS- A- r '''" 3, GO TO PAGE 2 Forms provided by Texas Ethics Commission www. ethics. state. tx. us Revised 9/ 8/ 2015 SCANNED

SCANNED - Corpus Christi, Texas...candidate / officeholder form c/ oh campaign finance report cover sheet pg 2 14 c/ oh name ----vi 4. alii4(. 4 15 filer id ( ethics commission filers)

  • Upload
    others

  • View
    0

  • Download
    0

Embed Size (px)

Citation preview

Page 1: SCANNED - Corpus Christi, Texas...candidate / officeholder form c/ oh campaign finance report cover sheet pg 2 14 c/ oh name ----vi 4. alii4(. 4 15 filer id ( ethics commission filers)

CANDIDATE / OFFICEHOLDER FORM C/ OH

CAMPAIGN FINANCE REPORT COVER SHEET PG 1

1 Filer ID ( Ethics Commission Filers) 2 Total pages filed:

The C/ OH Instruction Guide explains how to complete this form.

3 CANDIDATE/ MS/ MRS/ MR FIRST MIOFFICE USE ONLY

OFFICEHOLDER

NAME V Date Received

NICKNAME LAST SUFFIX

CA AU Date Filed I° I a9 il(4 CANDIDATE/ ADDRESS / PO BOX; APT/ SUITE It; CITY; STATE; ZIP CODE

AILINGOFFICEHOLDERR t+`- 4MAILING

w

ADDRESS CD g a-, l4- 1 v4? j,^. 5 CheC3'+ 1 /

n Change of Address 71- t 1 Rebecca HuertaAREA CODE PHONE NUMBER EXTENSION SecretaryCANDIDATE/ City

OFFICEHOLDER // Date Hand- delivered or Date Postmarked

PHONE 13( 0 ) Corttoa5°

6 CAMPAIGN MS/ MRS/ MR FIRST MI Receipt It Amount$

TREASURER titl cib' e(3—

NAMEDale Processed

NICKNAME LAST SUFFIX

7 4 1/ i') Date Imaged

7 CAMPAIGN STREET ADDRESS ( NO PO BOX PLEASE); APT/ SUITE It; CITY; STATE; ZIP CODE

TREASURER

CVO UT aftResidence or Business)

Cc)! VA, he t5 - t- t T-. —1 t-119' 1

8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION

TREASURER

PHONE3c.c 1 /` 6S to as- boP

9 REPORT TYPE

I I January 15 I I 30th day before election I I Runoff ri 15th day after campaigntreasurer appointment

Officeholder Only)

I— I July 15 391.. 8th day before election I I Exceeded$ 500 limit I I Final Report( Attach C/ OH- FR)

10 PERIOD Month Day Year Month Day Year

COVERED

61 / D / ,? THROUGH 0 / Z 1 / t

11 ELECTION ELECTION DATE ELECTION TYPE

Month Day Year Primary Runoff Other

Description

tr /‘) / 1 6General Ii Special

12 OFFICE OFFICE HELD ( if any)

1

13 OFFICE SOUGHT ( if known)

IL) Gin- t C\ ANN ? our^ ei- 1 ' DtS-A-r '''"3,

GO TO PAGE 2

Forms provided by Texas Ethics Commission www. ethics. state. tx. us Revised 9/ 8/ 2015

SCANNED

Page 2: SCANNED - Corpus Christi, Texas...candidate / officeholder form c/ oh campaign finance report cover sheet pg 2 14 c/ oh name ----vi 4. alii4(. 4 15 filer id ( ethics commission filers)

CANDIDATE / OFFICEHOLDERFORM C/ OH

CAMPAIGN FINANCE REPORT COVER SHEET PG 2

14 C/ OH NAME ----

VI 4. alii4(.415 Filer ID ( Ethics Commission Filers)

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 CANDIDATE' S OR OFFICEHOLDER' S

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

0SPECIFIC

COMMITTEE CAMPAIGN TREASURER NAME

I Additional Pages

COMMITTEE CAMPAIGN TREASURER ADDRESS

17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $ 50 OR LESS ( OTHER THANTOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ J -ep4 2 .et-

2. TOTAL POLITICAL CONTRIBUTIONS

OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) O,, e)V

TOTA S

ENDITURE3. TOTAL POLITICAL EXPENDITURES OF $ 100 OR LESS,

UNLESS ITEMIZED e ri' l--

4. TOTAL POLITICAL EXPENDITURES ZZ 54 - .

BALANCECONTRIBUTION5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY

OF REPORTING PERIOD 1 ) Z

OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THELOAN TOTALS LAST DAY OF THE REPORTING PERIOD

18 AFFIDAVIT

I swear, or affirm, under penalty of perjury, that the accompanying report is

e ,.^ ^ ^^ ^ ..'A .n. true and correct and includes all information required to be reported by me

Zz' , ALYSHA SARA BERLANGA > under Title 15, Election Code.

t° o` a ID# 13097332- 0 >

Notary PublicF r

3 STATE OF TEXAS '

My Comm. Exp. 01- 19- 2021w, , nature of Candidate or Officeholder

v v v - '-- , - -,/ 4r'r v 4.

AFFIX NOTARY STAMP/ SEALABOVE

r1 1' N_Sworn to/ and subscribed before me, by the said 11 l.- C M- this the r 9

day of Blit U bt'., 20 l' , to certify which, witness my hand and seal of office.

hL 5a)-0 jBer(a n A o ext v lo l le

Sign ture of officer administering oath Printed name f officer administering oath9

Title of officer adminis ring oath

Forms provided by Texas Ethics Commission www.ethics. state. tx. us Revised 9/ 8/ 2015

Page 3: SCANNED - Corpus Christi, Texas...candidate / officeholder form c/ oh campaign finance report cover sheet pg 2 14 c/ oh name ----vi 4. alii4(. 4 15 filer id ( ethics commission filers)

SUBTOTALS - C/ OH FORM C/ OH

COVER SHEET PG 3

19 FILER NAME 20 Filer ID( Ethics Commission Filers)

21 SCHEDULE SUBTOTALSSUBTOTAL

NAME OF SCHEDULEAMOUNT/

1. SCHEDULE A1: MONETARY POLITICAL CONTRIBUTIONSI So

2. I I SCHEDULE A2: NON- MONETARY( IN- KIND) POLITICAL CONTRIBUTIONS C/'

3. SCHEDULE B: PLEDGED CONTRIBUTIONS C/

4. I I SCHEDULE E: LOANS

5. SCHEDULE Fl: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS p.2 -co . ' Z

6. I I SCHEDULE F2: UNPAID INCURRED OBLIGATIONS t ----

7.7. SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS Y

8• SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD 4.>61----

9.9• f I SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS

10. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/ OH $ .... X..-

11.11. 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

Page 4: SCANNED - Corpus Christi, Texas...candidate / officeholder form c/ oh campaign finance report cover sheet pg 2 14 c/ oh name ----vi 4. alii4(. 4 15 filer id ( ethics commission filers)

POLITICAL EXPENDITURES MADE

FROM POLITICAL CONTRIBUTIONS SCHEDULE F1

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 PaymentThe Instruction Guide explains how to complete this form.

1 Total pages Schedule Fl: 2 FILER„ NAME 3 Filer ID ( Ethics Commission Filers)

oft Lai4 1.14 Date 5 Pay name

HI CfuoLo \ - ii Co.6 Amount ($) 7 Payee address; City; State; Zip Code

qC)(e 31 f q f yno( ak, Au-t Cc T, ---,la-J( 4

8 a) Category ( See Categories listed at the top of this schedule) ( b) Description

PURPOSE17Check it travel outside of Texas. Complete Schedule T.

OFI I Check if Austin, TX, officeholder living expenseEXPENDITURE 1 (-o er.1' 54,, Hey1 5(

9 Complete ONLY if direct Candidate/ Officeholder name Office sought Office held

expenditure to benefit C/ OH

Date Payee name

DIV-hi l :t < /o'- i, PAmount ($) Payee address; City; State; Zip Code

On, GO Po ke A. 9. 05c_i-- 7 Cc -13c ----7s7(-( a7

Category ( See Categories listed at the top of this schedule) Description

PURPOSEI Check if travel outside of Texas. Complete Schedule T.

OF ElCheck if Austin, TX, officeholder living expense

I ,

EXPENDITURE UI - r vi, St-

Complete ONLY if direct Candidate/ Officeholder name Office sought Office held

expenditure to benefit C/ OH

Date Payee name

c) Iii 117 elir4'

Amount ($) Payee address; City; State; Zip Code

z3 01 X13' 3'3 I un^ e '', 5- - CL Fit--1 (

Category ( See Categories listed at the top of this schedule) Description

IIPURPOSE

Check if travel outside of Texas. Complete Schedule T.

OF IT Check if Austin. TX, officeholder living expense

EXPENDITUREi4ue4- i

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

Page 5: SCANNED - Corpus Christi, Texas...candidate / officeholder form c/ oh campaign finance report cover sheet pg 2 14 c/ oh name ----vi 4. alii4(. 4 15 filer id ( ethics commission filers)

MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al

The Instruction Guide explains how to complete this form.1 Total pages Scedule Al:

2 FILER NAME

r l

3 Filer ID ( Ethics Commission Filers)

Coo—ItoI

4 Date 5 Full name of contributor 0 out- of- state PAC( ID#: 7 Amount of contribution ($)

COA' J4'• Fife-FIyh- 1- kms S50t,;' 6. ibii C• I47-

4t• \

fa I‘ l 6 Contributor address; City; State; Zip Code c'0

od i 44.e( 5. Sf cc- - T 1: q l5

8 Principal occupation/ Job title ( See Instructions) 9 Employer ( See Instructions)

Date Full name of contributor 0 out- of- state PAC( ID#: I Amount of contribution ($)

CCYC) 14 ( ? -

r iContributor address; City; State; Zip Code r

1° 2j GC°

512- z_ LecRc,t, s4- cc T —Roo?

Principal occupation/ Job title ( See Instructions) Employer ( See Instructions)

Date Full name of contributor 0 out- of- state PAC( 10#: 1 Amount of contribution ($)

Contributor address; City; State; Zip Code

Principal occupation/ Job title ( See Instructions) Employer ( See Instructions)

Date Full name of contributor 0 out- of- state PAC( 10#: 1 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 Revised 9/ 8/ 2015