Texas Ethics Commission P.O. Box Austin, Texas (512) TDD

Transcription

1 Texas Ethics Commission P.O. Box Austin, Texas (512) TDD GENERAL- CAMPAIGN FINANCE REPORT GPAC FORM COVER SHEET PG 1 The GPAC INSTRUCTION GUIDE explains how to form. 1 ACCOUNT # (Ethics Commission filers) 2 PAGE # 1 of 5 3 OFFICE USE ONLY Date Received 4 ADDRESS Change of Address ADDRESS / PO BO; APT / SUITE #; CITY; STATE; ZIP CODE PO Box Houston, T Date Hand-delivered or Date Postmarked 5 CAMPAIGN TREASURER MS / MRS / MR FIRST MI Ms. Sarah NICK LAST SUFFI Miller Receipt # Date Processed Date Imaged Amount 6 CAMPAIGN TREASURER'S STREET ADDRESS (Residence or business) STREET ADDRESS (NO PO BO PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE Cavendish Dr. Houston, T CAMPAIGN TREASURER'S MAILING ADDRESS STREET OR PO BO; APT/SUITE#; CITY; STATE; ZIP CODE Cavendish Dr. Houston, T Change of Address 8 CAMPAIGN TREASURER PHONE AREA CODE PHONE NUMBER ETENSION (281) REPORT TYPE 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 THROUGH 10/27/ /31/ ELECTION ELECTION DATE ELECTION TYPE 11/05/2013 Primary Runoff General Special GO TO PAGE 2

2 GENERAL- REPORT: F ORM GPAC COVER SHEET PG AND TOTALS Anise Parker for Mayor of Houston 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) Check here if this report qualifies for the higher itemization threshold. 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) 1, , EPENDITURE TOTALS 3. TOTAL POLITICAL EPENDITURES OF 100 OR LESS, UNLESS ITEMIZED TOTAL POLITICAL EPENDITURES 2, 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 5, 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. Sarah Miller Signature of Campaign Treasurer AFFI 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 GENERAL- REPORT: F ORM GPAC ADDENDUM Page 3 of 5 13 ACCOUNT # Anise Parker, Mayor of Houston Ben Hall for Mayor of Houston

4 POLITICAL CONTRIBUTIONS OTHER THAN PLEDGES OR LOANS SCHEDULE A The INSTRUCTION GUIDE explains how to form. 1 PAGE # Schedule: 1/1 Report: 4/5 2 FILER 3 ACCOUNT # (Ethics Commission filers) 4 Date 5 Full name of contributor out-of-state PAC (ID# ) Hailey, Charles (Mr.) /25/ Contributor address; City; State; Zip Code Friendswood, T Principal occupation / Job title (See Instructions) 10 Employer (See Instructions) Retired Retired 7 Amount of Date Full name of contributor out-of-state PAC (ID# ) Jones, David (Mr.) 12/15/ Contributor address; City; State; Zip Code Houston, T Amount of Principal occupation / Job title (See Instructions) Petro-Chemical Engineer Employer (See Instructions) KBR Date Full name of contributor out-of-state PAC (ID# ) Reitz, Rebecca (Ms.) 12/08/ Contributor address; City; State; Zip Code Houston, T Amount of Principal occupation / Job title (See Instructions) Attorney Employer (See Instructions) Gay & Reitz Attorneys at Law

5 POLITICAL EPENDITURES SCHEDULE F Advertising Expense Accounting/Banking Consulting Expense Event Expense Fees EPENDITURE CATEGORIES Gifts/Awards/Memorial Expense Salaries/Wages/Contract Labor Legal Services Solicitation/Fundraising Expense Food/Beverage Expense Travel In District Polling Expense Travel Out Of District Printing Expense Office Overhead/Rental Expense The INSTRUCTION GUIDE explains how to form. Loan Repayment/Reimbursement Transportation Equipment & Related Expense Contributions/Donations Made By Candidate/Officeholder/Political Committee OTHER (enter a category not listed above) 1 PAGE # 2 FILER 3 ACCOUNT # (TEC filers) Schedule: 1/1 Report: 5/5 4 Date 5 Payee name 12/18/2013 Farley, Chester (Mr.) 6 Amount () 7 Payee address City; State; Zip Code 1, Ivy Bluff Ct. Expenditure from Houston, T corporate funds 8 (a) Category (See Categories listed at the top of this schedule) (b) Description OF Event Expense Holiday Party at La Brisa - Reimbursement EPENDITURE 9 Complete ONLY if direct expenditure to benefit C/OH Candidate / Officeholder name Office sought: Office held: Date Payee name 12/18/2013 Farley, Chester (Mr.) Amount () Payee address City; State; Zip Code Ivy Bluff Ct. Expenditure from Houston, T corporate funds OF EPENDITURE Complete ONLY if direct expenditure to benefit C/OH Category (See Categories listed at the top of this schedule) Description Contributions/Donations Made By Contribution to Bay Area Turning Point - Candidate/Officeholder/Political Committee Reimbursement Candidate / Officeholder name Office sought: Office held: