Texas Ethics Commission P.O. Box Austin, Texas (512) TDD PAGE # 1 of 13 3 COMMITTEE NAME OFFICE USE ONLY
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1 Texas Ethics Commission P.O. Box Austin, Texas (512) TDD GENERAL- COMMITTEE CAMPAIGN FINANCE REPORT GPAC FORM COVER SHEET PG 1 The GPAC INSTRUCTION GUIDE explains how to complete this form. 1 ACCOUNT # (Ethics Commission filers) 2 PAGE # 1 of 13 3 COMMITTEE NAME FICE USE ONLY Citizens for Texas Received 4 COMMITTEE ADDRESS Change of Address ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE 1415 Louisiana #3200 Houston, TX Hand-delivered or Postmarked 5 CAMPAIGN TREASURER NAME MS / MRS / MR FIRST MI William NICKNAME LAST SUFFIX Bill White Receipt # Processed Imaged 6 CAMPAIGN TREASURER'S STREET ADDRESS (Residence or business) STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE 1415 Louisiana #3200 Houston, TX CAMPAIGN TREASURER'S MAILING ADDRESS STREET OR PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE 1415 Louisiana #3200 Houston, TX Change of Address 8 CAMPAIGN TREASURER PHONE AREA CODE PHONE NUMBER EXTENSION (713) REPORT TYPE X January 15 30th day before election Dissolution (attach PAC-DR) July 15 8th day before election Runoff 10th day after campaign treasurer termination 10 PERIOD COVERED Month Day Year Month Day Year THROUGH 10/30/ /31/ ELECTION ELECTION DATE ELECTION TYPE Month Day Year 11/08/2011 Primary Runoff General Special X GO TO PAGE 2
2 GENERAL- COMMITTEE REPORT: F ORM GPAC COVER SHEET PG AND TOTALS 2 12 COMMITTEE NAME 13 COMMITTEE ACTIVITY (Attach lists on plain paper to complete this report if necessary.) Citizens for Texas 1. Candidates (identify by name or, if applicable, classify by party) 2. Measures (describe by date and location of election and nature of issue) 3. Officeholders Assisted (identify by name or, if applicable, classify by party) A. Supported B. Opposed A. Supported B. Opposed ACCOUNT # 14 CONTRIBUTION TOTALS TOTALS 1. TOTAL POLITICAL CONTRIBUTIONS $50 OR LESS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES LOANS), UNLESS ITEMIZED (OR $100 OR LESS IF QUALIFIED FOR HIGHER THRESHOLD) Check here if this report qualifies for the higher itemization threshold. 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES LOANS) $ 3. TOTAL POLITICAL S $100 OR LESS, UNLESS ITEMIZED $ $ CONTRIBUTION BALANCE OUTSTANDING LOAN TOTALS 4. TOTAL POLITICAL S 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS THE LAST DAY THE REPORTING PERIOD $ 6. TOTAL PRINCIPAL AMOUNT ALL OUTSTANDING LOANS AS THE LAST DAY THE REPORTING PERIOD $ $ 10, , AFFIDAVIT 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. William H. White Signature of Campaign Treasurer 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 administering oath Title of officer administering oath
3 POLITICAL S CATEGORIES Gifts/Awards/Memorial Expense Schedule: 1/ Report: 3/13 Citizens for Texas /04/2011 Aldine Mini Market $ Aldine Bender Expenditure from Houston, TX Water reimbursement D. Darnell 10/31/2011 Arredondo, Erick $ Dipping Lane Expenditure from Houston, TX Wages 11/11/2011 Arredondo, Erick $ Dipping Lane Expenditure from Houston, TX Mileage allowance 11/15/2011 Arredondo, Erick $ Dipping Lane Expenditure from Houston, TX Wages
4 POLITICAL S CATEGORIES Gifts/Awards/Memorial Expense Schedule: 2/ Report: 4/13 Citizens for Texas /07/2011 Cartridge World Westheimer $ Westheimer, Suite 165 Expenditure from Houston, TX 7708 Office supplies reimbursements D. Darnell 11/18/2011 Community Self Storage III $1, Washington Avenue Expenditure from Houston, TX Storage Unit 10/31/2011 Darnell, Derek $1, Seaspray Court #2005 Expenditure from Houston, TX Salary 11/07/2011 Darnell, Derek $ A Kiam Expenditure from Houston, TX Mileage allowance
5 POLITICAL S CATEGORIES Gifts/Awards/Memorial Expense Schedule: 3/ Report: 5/13 Citizens for Texas /15/2011 Darnell, Derek $ Seaspray Court #2005 Expenditure from Houston, TX Salary 11/30/2011 Darnell, Derek $ Seaspray Court #2005 Expenditure from Houston, TX Salary 10/31/2011 Delgado, Gilbert $ Tuam Street Apt. A Expenditure from Houston, TX Wages 11/11/2011 Delgado, Gilbert $ Tuam Street, Apt. A Expenditure from Houston, TX Mileage allowance
6 POLITICAL S CATEGORIES Gifts/Awards/Memorial Expense Schedule: 4/ Report: 6/13 Citizens for Texas /15/2011 Delgado, Gilbert $ Tuam Street Expenditure from Houston, TX Wages 10/31/2011 Department of the Treasury $ Pennsylvania Ave. NW Expenditure from Washington, DC Payroll expenses 11/15/2011 Department of the Treasury $ Pennsylvania Ave. NW Expenditure from Washington, DC Payroll expenses 11/30/2011 Department of the Treasury $ Pennsylvania Ave. NW Expenditure from Washington, DC Payroll expenses
7 POLITICAL S CATEGORIES Gifts/Awards/Memorial Expense Schedule: 5/ Report: 7/13 Citizens for Texas /07/2011 Em Two Technologies LLC $ Chambers Rd. #72 Expenditure from Denver, CO 8023 Telephone voter outreach 10/31/2011 Gonzalez, David $1, Bell Street Expenditure from Houston, TX Salary 11/15/2011 Gonzalez, David $ Bell Street Expenditure from Houston, TX Salary 12/12/2011 Gonzalez, David $ Bell Expenditure from Houston, TX Mileage allowance
8 POLITICAL S CATEGORIES Gifts/Awards/Memorial Expense Schedule: 6/ Report: 8/13 Citizens for Texas /07/2011 Home Depot Gulf Freeway $ Gulf Freeway Expenditure from Houston, TX Field supplies stapler and staples reimbursement D. Darnell 11/07/2011 Kroger $ Polk St Expenditure from Houston, TX Field sign supplies reimbursement D. Darnell 12/2/2011 Moses, Katie $ Overcup Expenditure from Houston, TX Compliance consulting expenses 11/16/2011 Office Depot #2723 $ Eastex Freeway Expenditure from Houston, TX 7703 Photocopies reimbursement E. Arredondo
9 POLITICAL S CATEGORIES Gifts/Awards/Memorial Expense Schedule: 7/ Report: /13 Citizens for Texas /07/2011 Office Depot store # 482 $ Gulf Freeway #300 Expenditure from Houston, TX Office supplies reimbursements D. Darnell 11/07/2011 Office Max #442 $ West Gray Expenditure from Houston, TX 7701 Field sign supplies reimbursement D. Darnell 10/31/2011 Perez, Omar $ Wilmer Expenditure from Houston, TX Wages 11/15/2011 Perez, Omar $ Wilmer Expenditure from Houston, TX Wages
10 POLITICAL S CATEGORIES Gifts/Awards/Memorial Expense Schedule: 8/ Report: 10/13 Citizens for Texas /14/2011 QuickBooks Payroll Service $ E. Commerce Center Place Expenditure from Tuscon, AZ Payroll Fee and tax 12/01/2011 QuickBooks Payroll Service $ E. Commerce Center Place Expenditure from Tuscon, AZ Payroll Fee and tax 10/31/2011 Texas Workforce Commission $ E 15th St. Expenditure from Austin, TX Payroll expenses 11/15/2011 Texas Workforce Commission $ E 15th St. Expenditure from Austin, TX Payroll expenses
11 POLITICAL S CATEGORIES Gifts/Awards/Memorial Expense Schedule: / Report: 11/13 Citizens for Texas /30/2011 Texas Workforce Commission $ E 15th St. Expenditure from Austin, TX Payroll expenses 11/18/2011 Union Jobs Clearinghouse $ Calistoga Road, #181 Expenditure from Santa Rosa, CA Job posting advertising
12 INTEREST EARNED, OTHER CREDITS/GAINS/ REFUNDS, AND PURCHASE INVESTMENTS SCHEDULE K 1 PAGE # Schedule: 1/2 Report: 12/13 2 FILER NAME Citizens for Texas 3 ACCOUNT # (Ethics Commission filers) 4 5 Name of person from whom amount is received Fidelity 8 ($) 10/31/ Address of person from whom amount is received; City; State; Zip Code P.O. Box Cincinnati, OH $ Purpose for which amount is received Dividend on INVESCO security. 11/01/2011 Name of person from whom amount is received Fidelity Address of person from whom amount is received; City; State; Zip Code P.O. Box Cincinnati, OH ($) $ Purpose for which amount is received Dividend on Blackrock and Nuveen securities. 11/18/2011 Name of person from whom amount is received Fidelity Address of person from whom amount is received; City; State; Zip Code P.O. Box Cincinnati, OH ($) $7, Purpose for which amount is received Sale of 500 shares of Invesco. 11/30/2011 Name of person from whom amount is received Fidelity Address of person from whom amount is received; City; State; Zip Code P.O. Box Cincinnati, OH ($) $ Purpose for which amount is received Dividend on Invesco security.
13 INTEREST EARNED, OTHER CREDITS/GAINS/ REFUNDS, AND PURCHASE INVESTMENTS SCHEDULE K 1 PAGE # Schedule: 2/2 Report: 13/13 2 FILER NAME Citizens for Texas 3 ACCOUNT # (Ethics Commission filers) 4 5 Name of person from whom amount is received Fidelity 8 ($) 12/01/ Address of person from whom amount is received; City; State; Zip Code P.O. Box Cincinnati, OH $ Purpose for which amount is received Dividend on Blackrock and Neveen securities. 12/30/2011 Name of person from whom amount is received Fidelity Address of person from whom amount is received; City; State; Zip Code P.O. Box Cincinnati, OH ($) $ Purpose for which amount is received Dividiend and gains on Invesco, Blackrock and Nuveen securities.
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