Texas Ethics Commission P.O. Box Austin, Texas (512) ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
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1 Texas Ethics Commission P.O. Box Austin, Texas (512) GENERAL-PURPOSE 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) Total pages this report: 3 COMMITTEE NAME OFFICE USE ONLY 1/21 Burnet County Republican Women PAC Received 4 COMMITTEE ADDRESS Change of Address ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE P.O. Box 784 Burnet Hand-delivered or Postmarked 5 CAMPAIGN TREASURER NAME TITLE FIRST MI. Mrs Patricia NICKNAME LAST SUFFIX Receipt # Processed Warner Imaged 6 CAMPAIGN TREASURER'S STREET ADDRESS (Residence or business) 7 CAMPAIGN TREASURER'S MAILING ADDRESS Change of Address STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE P.O. Box 784 Burnet STREET OR PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE P.O. Box 784 Burnet CAMPAIGN TREASURER PHONE AREA CODE PHONE NUMBER EXTENSION ( 512 ) REPORT TYPE X January PERIOD COVERED July 15 30th day before election 8th day before election Runoff Month Day Year Month Day Year THROUGH 12/31/ ELECTION ELECTION DATE ELECTION TYPE Month Day Year 11/02/2004 Dissolution (attach PAC-DR) 10th day after campaign treasurer termination Primary Runoff General Special X GO TO PAGE 2
2 GENERAL-PURPOSE COMMITTEE REPORT: F ORM GPAC COVER SHEET PG PURPOSE AND TOTALS COMMITTEE NAME ACCOUNT # 13. COMMITTEE ACTIVITY (Attach lists on plain paper to complete this report if necessary.) 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 Republican B. Opposed A. Supported B. Opposed 14. NO REPORTABLE ACTIVITY Check here if no reportable activity occured during this reporting period. (Sign affidavit below and submit pages 1 and 2 only.) 15. CONTRIBUTION TOTALS 1. TOTAL OF $50 OR LESS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ EXPENDITURE TOTALS OUTSTANDING LOAN TOTALS 2. TOTAL (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) 3. TOTAL POLITICAL EXPENDITURES OF $50 OR LESS, UNLESS ITEMIZED $ 4. TOTAL POLITICAL EXPENDITURES $ 5. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY OF THE REPORTING PERIOD $ $ AFFIDAVIT I swear, or affirm, under penalty of prejury, that the accompanying report is true and correct and includes all information required to be reported by me under Title 15, Election Code. Patricia Warner Signature of Campaign Treasurer Revised 11/17/1999
3 3/ Homemaker Homemaker 12/10/2004 Homemaker 5 Jean Anderson 6 Horseshoe Bay Jean Anderson Horseshoe Bay Jean Anderson Horseshoe Bay of 8 contribution of contribution of contribution of contribution Jimmie Bennett Sunrise Beach Marina Owner of contribution Mr. Paul Brady Gift Basket & Gift Certifi - cates from River City Gr - ill donated for silent auct - ion
4 4/ Justice of Peace Justice of Peace Industrial Builder 5 Ed Cutchin 6 Ed Cutchin Jack Dabney Driftwood of 8 contribution of contribution of contribution of contribution Jack Dabney Driftwood Industrial Builder of contribution Troy Fraser Horseshoe Bay Senator Hillside Cabin B&B Two Night Stay donated for s - ilent auction
5 5/ Massage Therapist Executive Secretary 5 Cindy Grubbs 6 Barbara Harrison Granite Shoals Jolene Hawkins Buchanan Dam of 8 contribution One Hour Massage do nated for silent auction of contribution of contribution of contribution Jolene Hawkins Buchanan Dam Executive Secretary of contribution Jolene Hawkins Buchanan Dam Executive Secretary 5 'W' ketchup bottles do - nated for silent auction
6 6/ Store Owner 5 Jan Hickey 6 Austin Karin Hill Burnet Mrs. Cheryl Hubbard Semi-Conductor Engineer of 8 contribution of contribution of contribution of contribution Mrs. Cheryl Hubbard Semi-Conductor Engineer of contribution Mrs. Cheryl Hubbard Semi-Conductor Engineer Feather Purse donated - for silent auction Gentlemen's 'Pleasures' Box donated for silent a - uction
7 7/ of contribution Dave Kithil County Judge 8 of contribution Dave Kithil County Judge of contribution G. Donald Kotrady Engineer of contribution Patty Luedecke Bertram Real Estate of contribution Patty Luedecke Bertram Real Estate
8 8/ Real Estate Manager 5 Patty Luedecke 6 Bertram Will Luedecke Hutto Ann Mason Liberty Hill of 8 contribution of contribution of contribution of contribution Ann Mason Liberty Hill of contribution 12/08/2004 Ann Mason Liberty Hill Night at the Movies don - ated for silent auction
9 9/ Homemaker Homemaker 5 Leena McCurdy 6 Meadowlakes Leena McCurdy Meadowlakes Rita Motley 10 7 of 8 contribution Your Pets Portrait dona ted for silent auction of contribution of contribution of contribution Rita Motley of contribution 12/09/2004 Rita Motley 35.00
10 10/ Dean Osterberger 6 Dean Osterberger Dean Osterberger 10 7 of 8 contribution Picture of President Re - agan donated for silent - auction of contribution of contribution of contribution 12/08/2004 Dean Osterberger of contribution Cynthia Russell Nature Videos donated - for silent auction
11 11/ Pharmacist 5 Pam Scott 6 Meadowlakes Amy Shipherd Horseshoe Bay Amy Shipherd Horseshoe Bay of 8 contribution Stained Glass donated for silent auction of contribution of contribution of contribution Mr. William T. Smith Kingsland Detective of contribution Mr. William T. Smith Kingsland Detective Silk Tapestry Under Gl - ass w/rosewood Stand donated for silent aucti - on Patriotic Wall Hanging ' - God Bless the USA' do - nated for silent auction
12 12/ /27/ Detective 12/09/ Mr. William T. Smith 6 Kingsland Maggi Stevens Maggi Stevens of 8 contribution of contribution of contribution of contribution Camille Sweigart of contribution Camille Sweigart Patriotic Scarf donated - for silent auction Hand-made Broomstick Lace Afghan donated for silent auction
13 13/ Camille Sweigart 6 Camille Sweigart Camille Sweigart 10 7 of 8 contribution Patriotic Tie donated for 8.00 silent auction of contribution of contribution of contribution 12/09/2004 Camille Sweigart of contribution The Plungettes Drill Team Autographed book by K - aren Hughes donated for silent auction Furniture Connection Gi - ft Certificate donated for silent auction
14 14/ Drill Team Interior Designer Interior Designer 5 The Plungettes 6 Jeanne Whittington Granite Shoals Jeanne Whittington Granite Shoals 10 7 of 8 contribution Bee Cave Bistro Gift Ce - rtificate donated for sile - nt auction of contribution of contribution of contribution Jeanne Whittington Granite Shoals Interior Designer of contribution Jeanne Whittington Granite Shoals Interior Designer Fall Holiday Centerpiece w/cider Candle donated for silent auction Vineyard Floral Basket - donated for silent aucti - on Texas Star Wine Bottle Centerpiece donated for silent auction
15 15/ Interior Designer 12/09/2004 Interior Designer 5 Jeanne Whittington 6 Granite Shoals Jeanne Whittington Granite Shoals Lois Ann Womack 10 7 of 8 contribution of contribution of contribution of contribution Lois Ann Womack of contribution Lois Ann Womack Cosmetics for Fun in the Sun donated for silent - auction
16 POLITICAL EXPENDITURES SCHEDULE F The INSTRUCTIONGUIDE explains how to complete this form. 16/21 Burnet County Republican Women PAC Burnet County Republican Party 6 Payee address; P.O. Box Burnet 8 Purchase of antique ballot box for silent auction Burnet County Republican Party Payee address; P.O. Box Burnet Contribution Catfish Barge Catering Payee address; 201 County Road Burnet Caterer for Fund Raiser Designer's Furniture Market Payee address; 3300 Highway 281 North Purchase of Vanity Mirror for silent auction
17 POLITICAL EXPENDITURES SCHEDULE F The INSTRUCTIONGUIDE explains how to complete this form. 17/21 Burnet County Republican Women PAC /29/ Haynes Printing 6 Payee address; P.O. Box Letterhead Stationery 9 10/30/2004 Lights 'N Such Inc. Payee address; 308-B Main Street Purchase of Table Lamp for silent auction 10/25/2004 Patty Luedecke Payee address; PO Box Bertram Decorations for Fund Raiser /01/2004 Patty Luedecke Payee address; PO Box Bertram Fund Raiser Expenses 78605
18 POLITICAL EXPENDITURES SCHEDULE F The INSTRUCTIONGUIDE explains how to complete this form. 18/21 Burnet County Republican Women PAC Will Luedecke 6 Payee address; 207 Brooke Street Hutto 8 Bartender for Fund Raiser /01/2004 Mrs. Robin Messenger Payee address; 4110 Deer Trail Spicewood Newsletter /09/2004 Mrs. Robin Messenger Payee address; 4110 Deer Trail Spicewood Postage Out Back Unlimited Payee address; 2000 South Highway Tables & Chairs Rental for Fund Raiser
19 POLITICAL EXPENDITURES SCHEDULE F The INSTRUCTIONGUIDE explains how to complete this form. 19/21 Burnet County Republican Women PAC /01/ Nancy Parmeter 6 Payee address; 324 San Saba Drive Decorations for Fund Raiser 9 River City Grill Payee address; 700 1st Street Monthly luncheon meeting Megan Sullivan Payee address; c/o Will Luedecke 207 Brooke Street Hutto Bartender for Fund Raiser /29/2004 TFRW Payee address; 900 Congress Avenue Suite 300 Austin Dues
20 POLITICAL EXPENDITURES SCHEDULE F The INSTRUCTIONGUIDE explains how to complete this form. 20/21 Burnet County Republican Women PAC The Flashbacks Band Payee address; c/o Eugene Markley 2601 Hopkins Cove Lago Vista Music for Fund Raiser 9
21 TEXT ANNOTATION Information entered by filer as a memo Schedule GPAC Total political contributions maintained = $1,
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506 ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
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