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 1200 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) 2 PAGE # 1 of 3 COMMITTEE NAME OFFICE USE ONLY Texas Equity PAC Received 4 COMMITTEE ADDRESS Change of Address ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE P O Box 2340 Austin, TX Hand-delivered or Postmarked 5 CAMPAIGN TREASURER NAME MS / MRS / MR FIRST MI Ms. Anne S NICKNAME LAST SUFFIX Wynne Receipt # Processed Imaged 6 CAMPAIGN TREASURER'S STREET ADDRESS (Residence or business) STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE 515 Congress Ave #1320 Austin, TX 801 CAMPAIGN TREASURER'S MAILING ADDRESS STREET OR PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE 515 Congress Ave #1320 Austin, TX 801 Change of Address 8 CAMPAIGN TREASURER PHONE AREA CODE PHONE NUMBER EXTENSION (512) REPORT TYPE January 15 30th day before election Dissolution (attach PAC-DR) X July 15 8th day before election Runoff 10th day after campaign treasurer termination 10 PERIOD COVERED Month Day Year Month Day Year THROUGH 01/01/ /30/ ELECTION ELECTION DATE ELECTION TYPE Month Day Year Primary Runoff General Special GO TO PAGE 2
2 GENERAL-PURPOSE COMMITTEE REPORT: F ORM GPAC COVER SHEET PG PURPOSE AND TOTALS 2 12 COMMITTEE NAME 13 COMMITTEE ACTIVITY (Attach lists on plain paper to complete this report if necessary.) Texas Equity PAC 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 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED (OR $100 OR LESS IF QUALIFIED FOR HIGHER THRESHOLD) X Check here if this report qualifies for the higher itemization threshold. 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $ $ EXPENDITURE TOTALS 3. TOTAL OF $50 OR LESS, UNLESS ITEMIZED $ TOTAL $ CONTRIBUTION BALANCE OUTSTANDING LOAN TOTALS 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF THE REPORTING PERIOD $ 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY OF THE REPORTING PERIOD $ 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. Anne S. Wynne 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 CONTRIBUTIONS OTHER THAN PLEDGES OR LOANS SCHEDULE A Schedule: 1/1 Report: 3/ 4 5 Full name of contributor out-of-state PAC (ID# ) Smith, Chuck (Mr.) /19/ Contributor address; City; State; Zip Code Austin, TX Principal occupation / Job title (See Instructions) 10 Employer (See Instructions) Deputy Director Equality Texas of 8 contribution $ In-kind contribution description (if applicable)
4 Schedule: 1/4 Report: 4/ /31/ /28/ /31/ /30/2009
5 Schedule: 2/4 Report: 5/ /31/ /30/ /03/2009 Annie's List P O Box 699 Austin, TX Contribution 01/31/2009 $ $9.90
6 Schedule: 3/4 Report: 6/ /28/ /31/ /30/ /31/2009
7 Schedule: 4/4 Report: / /30/
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 TDD 1-800-735-2989
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