Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506 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 # 1/8 3 COMMITTEE NAME OFFICE USE ONLY Texas Pest Control Association PAC Received 4 COMMITTEE ADDRESS Change of Address ADDRESS / PO BO; APT / SUITE #; CITY; STATE; ZIP CODE 100 East Anderson Lane Suite #325 Austin T 78752 Hand-delivered or Postmarked 5 CAMPAIGN TREASURER NAME MS / MRS / MR FIRST MI Ken........................................... NICKNAME LAST SUFFI Myers Receipt # Processed Imaged Amount 6 CAMPAIGN TREASURER'S STREET ADDRESS (Residence or business) 7 CAMPAIGN TREASURER'S MAILING ADDRESS Change of Address STREET ADDRESS (NO PO BO PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE 100 East Anderson Lane #325 Austin T 78752 STREET OR PO BO; APT/SUITE#; CITY; STATE; ZIP CODE 100 East Anderson Lane #325 Austin T 78752 8 CAMPAIGN TREASURER PHONE AREA CODE PHONE NUMBER ETENSION ( 512 ) 835-2801 9 REPORT TYPE January 15 30th day before election Dissolution (attach PAC-DR) 10 PERIOD COVERED 8th day before election July 15 Runoff 10th day after campaign treasurer termination Month Day Year Month Day Year THROUGH 01/16/2005 07/15/2005 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year Primary Runoff General Special GO TO PAGE 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 Pest Control Association 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 $ 50.00........................ EPENDITURE TOTALS 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $ 3. TOTAL POLITICAL EPENDITURES OF $50 OR LESS, UNLESS ITEMIZED $ 8134.00 0.00........................ CONTRIBUTION BALANCE........................ OUTSTANDING LOAN TOTALS 4. TOTAL POLITICAL EPENDITURES 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 $ $ 1500.00 27111.67 0.00 15 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. Ken Myers 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 Revised 09/01/2003
POLITICAL CONTRIBUTIONS OTHER THAN PLEDGES OR LOANS SCHEDULE A 3/8 4 01/20/2005 5 Mr. Warren Remmey 6 7 8 150.00 9 San Antonio T 78217 10 Spider Man Pest Control Mr. Sal Caballero 02/14/2005 310.00 San Antonio T 78209 Advanced Pest Control Mr. Ruben Lassman 03/07/2005 425.00 Alice T 78333 Alice Pest Control Mr. Gary Gillen 03/22/2005 100.00 Richmond T 77469 Gillen Pest Control Mr. Bill Carter 67.00 El Paso T 79914 Carter Pest Control
POLITICAL CONTRIBUTIONS OTHER THAN PLEDGES OR LOANS SCHEDULE A 4/8 4 5 Mr. Bill Stepan 6 7 8 94.00 9 Houston T 77063 Branch Manager 10 Orkin Mr. Jim Daw 63.00 El Paso T 79902 Daw Pest Control Mr. Lake Hulings 500.00 El Paso T 79932 Southwestern Pest Control Mr. Bobby Jenkins 250.00 Austin T 78753 ABC Pest Control Mr. Dennis English 04/06/2005 100.00 Dallas T 75229 Prime Pest Management Services
POLITICAL CONTRIBUTIONS OTHER THAN PLEDGES OR LOANS SCHEDULE A 5/8 4 04/06/2005 5 Mr. Raleigh Jenkins 6 7 8 100.00 9 Houston T 77064 10 ABC Pest Control Mr. Van Wilson 04/06/2005 100.00 Lubbock T 79464 J Bar V Greenlawn
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506 CORPORATION OR LABOR ORGANIZATION CONTRIBUTIONS FOR ADMINISTRATION/SOLICITATION SCHEDULE C-2 The I NSTRUCTION GUIDE explains how to complete this form. 1 PAGE # 6/8 2 COMMITTEE NAME Texas Pest Control Association PAC 4 03/07/2005 5 Corporate / Labor Organization name Greater Houston Pest Control Association 6 Amount ($) 4300.00 03/07/2005 Corporate / Labor Organization name Heart of the Hills Pest Control Association Amount ($) 25.00 06/13/2005 Corporate / Labor Organization name Worldwide Pest Control Amount ($) 1500.00
POLITICAL EPENDITURES SCHEDULE F 7/8 4 5 Payee name Friends of Susan Combs 7 Amount ($) 06/29/2005.............. 6 Payee address; City; State; Zip Code 1500.00 8 Purpose of payment (See instructions regarding type of information required.) 9.. Complete if direct expenditure to benefit C/OH.. Candidate / Officeholder name: Expenditure from corporate funds Office sought: Office held:
NON-POLITICAL EPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE I 8/8 4 05/09/2005 5 Payee name Environmental PR.............. 6 Payee address; City; State; Zip Code 323 West Hopkins 8 Amount ($) 750.00 San Marcos T 78666 7 Purpose of expenditure (See instructions regarding type of information required.) Expenditure from corporate funds 06/08/2005 Payee name Environmental PR.............. Payee address; City; State; Zip Code 323 West Hopkins San Marcos T 78666 Purpose of expenditure (See instructions regarding type of information required.) Amount ($) 750.00 Expenditure from corporate funds