Professional Documents
Culture Documents
R.8Ert. Grear : 3/1 5Al/Jna O CT
R.8Ert. Grear : 3/1 5Al/Jna O CT
(512)463-5800
1-800-325-8506
FORM
C/OH
COVER SHEET PG
1 ACCOUNT#
(Ethics Commission filers) SUFFIX MI 1 Dale Received
this form.
3
LAST
GrEAR>
MSIMRSIMR
NICKNAME
A-. *R.8ERT.
ADDRESS I PO BOX;
3/1~
AREA CODE
Change of Address
PHONE NUMBER
EXTENSION
MS I MRS I MR
FIRST
MI STATE;
.....
MS
SA rnv\~
NICKNAME
.M '.
CITY:
SUFFIX
Date Imaged
ZIP CODE
7 8
TREASURER ADDRESSor business) CAMPAIGN (Residence CAMPAIGN TREASURER PHONE REPORT TYPE
AREA CODE
PHONE NUMBER
{977J
~
7
30th day before election 8th day before eiection Day Year THROUGH
January 15
o
10 PERIOD COVERED
Monlh
July15
Runoff
o
Day
o
o
15th day after campaign treasurer appointment (officeholderonly) Final report (Attach C/OH FR) Year
ta/2/09
ELECTIONDATE Month Day Year
11 ELECTION
ELECTIONTYPE
fo/tl/O~
12 OFFICE
OFFICE HELD (~any)
Primary
jgj
13
Runoff
General
Special
OFFICESOUGHT (~known)
MAllo
14 NOTICE OF DIRECT CAMPAIGN EXPENDITURE BY OTHER INDIVIDUALS
Name
P...
Direct campaign expenditures are campaign expenditures made by others without the candidate's prior consent or approval. Candidates are required to disciose this information only if they receive notification of the direct campaign expenditure .
Address I PO Box;
Apt. I SUlle#:
City:
Siale;
Zip Code
additional
pages
GOTOPAGE2
~ Printed on recycled paper Revised
11/05/2003
(512)463-5800
REPORT:
FORM
C/OH
COVER SHEET PG
16ACCO UNT # (Ethics
CommiSsion filers)
A. GEA~S
This box is for notice of political expenditures by political committees to support the candidate I officeholder. These expenditures may have been made without the candidate's or officeholder's knowledge or consent. Candidates and officeholders are required to report this information only if they receive notice of such expenditures .
COMMITTEE COMMITTEE TYPE NAME
D D
o
addilional pages
COMMITTEE
CAMPAIGN
TREASURER
NAME
COMMITTEE
CAMPAIGN
TREASURER
ADDRESS
18 CONTRIBUTION TOTALS
1.
TOTAL POLITiCAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS iTEMIZED
$
2. TOTAL
(OTHER
.P..70.00
POLITICAL
CONTRIBUTIONS
LOANS, OR GUARANTEES OF LOANS)
THAN PLEDGES,
$ II)
EXPENDITURE TOTALS 3.
TOT AL POLITICAL EXPENDITURES OF $50 OR LESS, UNLESS ITEMIZED
600.00
$
4. TOTAL POLITICAL EXPENDITURES
-if
Lf'? ~
'810,000;
CONTRIBUTION BALANCE
5.
TOTAL
POLITICAL
CONTRIBUTIONS PERIOD
MAINTAINED
OF REPORTING
I$
LOANS AS OF THE
7
00
6.
TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LAST DAY OF THE REPORTING PERIOD
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
RHONDA LIFSEY
Match 27,2007
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP / SEAL ABOVE
d subscribed
before
~M __ c..~L ,
~~:d:"?;];J
of offi~
this the
_1_1~
oath
day
of
20 ~-
to_cort,> wh;ch
tJ,;,r
Revised 11/05/2003
ributor
3 -.-Date. . .I .,Full name _n .. -. -.. ---- Commission _.. -.. . ----contribution .... description _ScheduIe _ I filers) applicable) contribution ($)...($) Amount FullState; #address; A:City; contributor name Amount ofPAC Amount of out-of-stale -> Contributor5(if(Ethics name of contributor ACCOUNTofof (See name of contributor PAC (10#: ______________ Slate; 1 applicable) TotaIZip Codecontributor of (See applicable)7 _______________ (10#: _____________ Amount of... I pages applicable) description Full Instructions)(if out-of-state (10#:______________ Employercontribution In-kind Employer (See descriptionout-of-slale PAC (10#: II In-kind contribution contribution ($) I Employer1 (See Instructions)(if Instructions) ______________ out-of-slale I ))) I I Employer out-of-slate 5> contribution ($) I princi~cupation I title /DD{),OtJl (See Instructions) 110 Employer (See Instructions) C.r./Tf?I I is out-at-state PAC, please see instruction guide tor additional I II reporting requirements. I FILlliAME Date Date Date O~
1 "'-
--- .-18
GUIDE
r 3
The
INSTRUCTION
ATTACH ADDITIONAL
this form.
SUO.
!OOO,O~
II SCHEDULE
PrInted on recycled
paper
Revised
11/05/2003
512) 463-5800
1-800-325-8506
POLITICAL CONTRIBUTIONS
SCHEDULE
2
R NAME
ACCOUNT
Bf.,QT .
5
f\ H
) GAJ2S
o
out-of-state PAC (10#: )
Date
Contributor address;
!~/!'! ~. .
I7
I I
City;
State;
Zip Code
/oOD.oh
9
Date Full nal1!e of contributor
10
~.f?(
o Q .. :TAL!~ ...
outaf-stale
PAC (IO#:
.J
Contributor address;
City;
State;
Zip Code
/DOo,OO:
Employer (See Instnuctions) x=ccup Date Full name of contributor
o
City;
out-of-slale
PAC (ID#:
p ~-'L.L I/? 5.
Contributor address; Slate; Zip Code
I I
ifOOi?()~
Employer (See Instnuctions)
0
CiJ
out-of-slate
PAC (10#:
Contributor address;
.-:r~H~ E>V~.~~
I
I I I
State;
Zip Code
.
{OOO'OO
Date
0
City;
out-of-state
PAC (10#:
Contributor address;
s~ort..O.~~~Y
'{tate; e In~tnucti~,
Zi~ Code
...
{ t:cc>,OO:
Employer (See Instnuctions)
I I
V.
f,
ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED It contributor is out-at-state PAC, please see instruction guide tor additional reporting requirements.
Printed
on recycled
paper
Revised
11/0512003
1 II ...................................... bution ($) ution {$} I I Job title {See Instructions} 1 bution ($)is Iout-otstate ~~n PAC, please utor see instruction guide tor I I 1
._"'In . .. _""1111........................" .. ..--...... .. , P . '.""'. .c:...'"' .......................... . ............... _ ............... -- ..........of ,""" . 1'C;i'_~y ........ . ,............applicable) of. . . description contributionCity; ......'-' .. Amount of of {See name,"",. contribution PAC 7 ______________ Amount Date FullState;. Full Instructions) name (if(Elhics ,descriptionoul-of-slate ACCOUNT Codecontributor FILER #(if(See name contributor PAC (10#: _______________ CommissionI filers) TotalZip NAME Instructions}{if applicable}(10#: _______________ pages (See Instructions} oul-of-slale I 1 Amount of (ID#: ______________ (lD#: Amount of EmployerScheduleA: In-kind contribution oul-of-slale In-kind 1 out-of-slate In-kind 18 EmployerII (See Instructions)
.. .. .. .. .... .. ..
.. ..
GARS I
.. ..
.... .. ..
.. ..
.. .. ....
..
.. ...... ..
.. ...... ..
p
.. .. .. .. ..
o- .-
..
..
..
..
..
..
A.
) contribution ))
..
..
..
additional
{$} 00,001
SCHEDULE
AL
COPIES OFThe INSTRUCTION AS NEEDED how to complete this form. THIS FORM GUIDE explains
Printed
on recycled
paper
Revised
11/05/2003
Texas
Ethics
Commission
Austin,
Texas
78711-2070
))
(512) 463-5800
($)
1-800-325-8506
ender a
"
..
"
AL
3 Name Zip lender Name Is lender address; Date0;,ofSlate: (EthicsCommissionfilers) guarantor a LenderState; FILER ofloan NAME 7 Name ofaddress; 8 Lender 9 Loan TotalpagesCode Interest ACCOUNT N # ($) City: 16 Loan AmountSchedule Instructions)of guarantor out-ol-stale PAC 13 Employer (SeeAmount Guaranteed ($) date SCHEDULE E Instructions) Maturity Employer 18 Amount Guaranteed LOANS(SeeCity;E:City; Namelender o oUI-ol-statePAC Amount ($) Employer address; Guarantor $ TOTAL!tv\J/SoR. 5/tAl77At;O of oAJC.10 Interes:~ rate I .. 37/1:;; .OF ;qt. .CT2_ LOANS: 11 Maturity UNITEMIZED Fi tJ see instruction orxl..noneG'fA .,fPJc/ 7fJ0b guide emw ~~~~.~. .Employerrequirements.date, ~....C), ..... .i ,00 none .. . additional 120 R(~~~~I!-,r. tor fl",., I reporting " ",. .., . ., IJ()(J PAC, please y . ..
""
17
"
)SA~
""
""
"
"
"
"
""
"
""
""
""
""
""
""
" ""
""
""
"
"
" "
""
"
"
"
"
"
" "
"
"
"
Printed on recycled
paper
ReVIsed
11/05/2003
Texas
Ethics
Commission
Austin.
Texas
78711-2070
(512) 463-5800
1-800-325-8506
4 ,;/3/Di
Office name filers) heid Date Purpose Code(Ethics (See regarding 9 Candidate I Officeholder name Amount to Candidate Offlceholder name City; State;Amount Payee name Instructions to Total Zipaddress; PayeeIf ................................................................................. IComplete if direct expenditure ($) benefit C/OH >. Payee NTofScheduleCommission address;Of Ice benefit type pages Complete City; ACCOU name payment F:held expenditure ice sought CIOH of information # direct ($) ($) Payee Payee address; Payee address; ($) t=l:RNAME 6 Date Date Date
'-1265,
SCHEDULE
ATTACH ADDITIONAL
Printed
on recycled
paper
Revised 11/05/2003
(512) 463-5800
C/OH
1-800-325-8506
3 ($) ($) 5 .. 9 Candidate Officehoider 1 ($) POLITICAL .................................................................... IComplete 7if direct expenditure ($) benefit EXPENDITURES I 1000,00 Amount Officeholder name Amount to SCHEDULE F La .3 <S A-I\J Lf33,DO 6 p~ 1006,00 GiAR FtJ~NAME ;< O(jOc Date
heid OfficeCity; fiiers) ,.. Date Code Olice regarding C/OH information name Purpose name (Elhics Commission (See soughl State;Amount Office held Payee address; Payee name instructions Zip Complete City; ACCOUNT of payment if direct expenditure tosought # benefit type of PayeePayee address; address; Payee address; TotalpagesScheduleF:
4.
Date
ATTACH ADDITIONAL
Printed
on recycled
paper
Revised
11/05/2003
(512) 463-5800
1-800-325-8506
POLITICAL EXPENDITURES
SCHEDULE
The
INSTRUCTION
GUIDE
explains .
thOIS
f orm .
..7 '2
Amount
($)
2 4
FILE~~,O
Date 5
6E R.T
Payee name
A
E
GEAI2-S
ACCOUNT# (ElhicsComm~sionfilers) 7
H-e
R- (3
R-T
'Ci~;'
6f/Jf(
'S~t~;'
5>
'7/8/0'
8
~;y~e~d~r~~;""
~i~~~e""""""""""
2000 ..00
Complete if direct expenditure to benefit C/OH Candidatet Officeholder name Oficesought
,.
f(VING"
IX
9 Office held
0.{Jcur LOf/N
Date Payee name Amount
.fkf~.~rt?! G~f!!2:<?
'7/t cr
.
~ ()
o~
Payee address;
City;
I~I//Nro
'/X.
State;
Zip Code
00, ()u
Office held
ercp~ LoAN
Date Payee name Amount
.Gs t9 R. S
City; State;
Zip Code
($)
7X.
d-.OOrJ
Complete if direct expenditure to benefit C/OH Candidate t Officeholder name Oficesought
(J ()
Office held
0-par
Date
~V
Amount
($)
"
Payee name
..........................................................
Payee address; City; State; Zip Code
Office held
ATTACH ADDITIONAL
~ Printed on recycled paper