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190711 - Campaign Finance Report - Jerome RektorikCANDIDATE I OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Flier ID (Eth ics Commission Fliers) 2 Total pages filed: The C/OH Instruction Guide explains how to complete this form. - 3 CANDIDATE/ MS /MRS~ FIRST Ml -OFFICE USE ONLY OFFICEHOLDER fl DA.A t... £ '"1E.fOM£ NAME Date Received . . . . . . . . . . . . .... . . . . . . .... NICl<NAME LAST SUFFIX RECEIVED -R..i= 1tt.a1L1 k. 4 CANDIDATE/ ADDRESS I PO BOX: APT I SUITE #; 1-liYi STATE; ZIP CODE JUL 1 l L019 OFFICEHOLDER 'f '.31 Lh ihWE.f J):A.\v( BY: .B..;.1.~.~~ .. Pf.. MAILING ADDRESS 0 Cha nge of Address 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION OFFICEHOLDER ( q7' ) 8%w272.1 Dale Hand·dellvered or Date Postmarked PHONE ~ 6 CAMPAIGN MS /MRS e> FIRST Ml Receipt# I Amount$ TREASURER .~A .M .~~. -NAME ' ..... .. . ......... . . . . Date Processed NICKNAME LAST SUFFIX J;M. Ross Date Im aged 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT I SUITE #; CITY; STATE ; ZIP CODE TREASURER 102. fu.tt ER. L.oLAU. ADDRESS (Residence or Business) LAJ Js-6";:. -5 LAti ~N,,1-I ~)l.A.5 11/~S 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER ( ~19 ) 1.. 1. i.J ... LJ. 9-~s-PHONE 9 REPORT TYPE D D D January 15 30th day before election Runoff 0 15th day alter campaign treasure r appointment (Ofliccholder Only) ~ Juty1S D 8th day before electlon D Exceeded $500 limit 0 Final Report (Attach CIOH -FA) 10 PERIOD Month Day Ye ar Month Day Year COVERED ~& /'fob/1 J'ujy //f £" /u19 _/·j THROUGH C---· 11 ELECTION ELECTION DATE ELECT ION TYPE Month Day Year 0 Primary D Runoff 0 Oth er Description J\J oV. S. /2.0 J ~ ~General D Special 12 OFFICE OFFICE HELD (ii any) l....on.:.c.,~ .Si:. " t i e))J 13 t°dcf liET < 11S1..Ai. j o JJ lii)I Lil u uL~ I, fJJ Ac.£ 2. lit.Y Lau Ail.;} , p l.AL.e. 2- GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics .state .tx.us Revised 9/8/2015 CANDIDATE I OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 14 C/OH NAME H 16 NOTICE FROM POLITICAL COMMITTEE(S) D Additional Pages 17 CONTRIBUTION TOTALS EXPENDITURE TOTALS CONTRIBUTION BALANCE OUTSTANDING LOAN TOTALS 18 AFFIDAVIT 15 Filer ID (Ethics Commission Filers) OA ACE.. THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITIEES TO SUPPORT THE CANDIDATE / OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDER'S KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES. COMMITTEE TYPE COMMITTEE NAME D GENERAL Al. A. COMMITTEE ADDRESS OsPEC1F1c COMMITTEE CAMPAIGN TREASURER NAME COMMITTEE CAMPAIGN TREASURER ADDRESS 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS , OR GUARANTEES OF LOANS) 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED 4. TOTAL POLITICAL EXPENDITURES 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF REPORTING PERIOD ___..l 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY OF THE REPORTING PERIOD . --.; SARAH E SIKES t240827M Notary Public, State of Tex• My Commission Expires February 15, 2022 $ :Y:OPtJ ~ $ f;; PP '!!-- $ $ ____.. ~ $ ;(,S: (//JP $ ---- AFFIX NOTARY STAMP I SEAL ABOVE . -~ -P · · · II Sworn to and subscribed before me, by the said f/Pll.4Cf: ~ ~O.t.f 6 'JC/GT°t1J/(..,, this the --"--''----- day o , 20 f CJ , to certify which , witness my hand and seal of office. Signature of officer administering oath Printed name of officer admin istering oath Title of officer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 SUBTOTALS -C/OH FORM C/OH COVER SHEET PG 3 19 FILER NAME 20 Filer ID (Ethics Commission Filers) flo'RAC-£. Je..RoM.£ l<f:K/'.6 R..i k. 21 SCHEDULE SUBTOTALS SUBTOTAL NAME OF SCHEDULE AMOUNT ~ "" ·1. SCHEDULE A 1 : MONETARY POLITICAL CONTRIBUTIONS $ t,oo ~ 2 . D SCHEDULE A2: NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS $ - 3. D SCHEDULE B : PLEDGED CONTRIBUTIONS $ - 4. ~ SCHEDULE E: LOANS $ ..26; !Jf)i) u::...~ 5. D SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTR IBUTIONS $ ~ -- 6. D SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ ~ 7. D SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ - 8. D SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ - 9. D SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ - 10. D SCHEDULE H : PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ ,..---. 11 . D SCHEDULE I: NON-P OLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ . .-- 12. D SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS $ RETURNED TO FILER - Forms provided by Texas Ethics Commission www.ethics .s tate.t x.us Revised 9/8/2015 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1 The Instruction Guide explai ns how to complete this form . 1 Total pages Schedule A1 : 2 FILER N A ME ti() R.. A L Ii Jf..R.OMt R_, K T"tl1li k.. 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor 0 out-of -state PAC (ID#: l 7 Amo unt of contribution ($) .Jf!_yl t/,l(~/c £1/Js~~ I Sao ~ -Z))/q 6 Contributor ~ress; City; State; Zip Code td//~f S'~ h~I 4 7~ if/(} z.. 'If-th; I I.,_,/ ~- 8 Principal occupation I Job title (See Instructions) 111/blVv r=-11 v 9 Employer (See Instructions) Date Full name of contributor %ut-of·sta te PAC (l D#: ) Amount of contribution ($) '1ll0J'3 $I tlCJ ~ . !Jj&iM-~ .J?~f.. 'Ill-~ .... .. /l91i Contributor address: City; State: Zip Code &dtlJ f31C A; It/Ale, JI,/! d y:, t/Jh~n//k, / Principal occupation I Job title (See Instru c t ions) ' \/ Employer (See Instructions) Rtl//fed .. "?' Date Full name of contributor 0 out-of-state PAC (ID#: ) Amount of contribution ($) .. Contributor address; C ity; State; Zip Code Principal occupation I J ob title (See Instructions) Employer (See Instructions) Date Full name of contributor 0 out-of-slate PAC (IDll: l Amount of contribution ($) . . . ... Contributor address; City; State; Zip Code Principal occu pation I Job t itle (See Instructions) Employer (See Instructio ns) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If cont ributor Is out-of-state PAC, please see instruction guide for add it ional reporti ng req uirements . Forms provided by Texas Ethics Comm iss ion www.eth ics.state .tx.us Rev ised 9/8/2015 LOANS SCHEDULE E The Instruction Guide explains how to complete this form. 1 Total pages Schedule E: 2 FILER NAME XF..KTOKiK 3 Filer ID (Ethics Commission Filers) JI Dl<Ae.. ~ ----.J£ I( bM G:. 4 TOTAL OF UNITEMIZED LOANS $ g 5 Date of loan 7 Name of lender 0 out-of-state PAC (ID#: ) # Loan Amount ($) _.,,, . Po. 'R..A ~ t . -. R t-.t-6..t l K. . tJ{l .. ...} I.( A.I~ II U/1 1. .'-J E.R..o .Me. Z..J D tJCJ ::::. 6 / 10 lntere ~ rate K!) Is lender 8 4-3 r 7-ddre::i f, ,;N\ c;:;e y Stat;.1; I r p CD n..~ v e a financial Institution? y @ LoJJEc;,~ ~SfAn.oAJ, J(.X1r5. 17-fft/t 11 Maturity da~ 12 Principal occupation I Job title (See Instructions) 13 Employer (See In structions) 1Z ts.-/, f.~ LJ 14 Description of Collateral 15 Check if personal funds were deposited into political CX" none gaunt (See Instructions) 16 GUARANTOR 17 Name of guarantor 19 Amount Guaranteed($) INFORMATION 18 Guarantor address; City; State; Zip Code ~ not applicable .... - 20 Principal Occupation (See Instructions) 21 Employer (See In structions) Date of loan Name of lender 0 out-of-state PAC (ID#: ) Loan Amount ($) --/ / Is lender Lender address; City; State; Zip Code Interest rate a financial ~ Institution? --Maturity date y N - Principal occupation I Job title (See Instructions) Employer (See Instructions) ----r - Description of Collateral Check if personal funds were deposited into political ---account {See In structions) ----D none D GUARANTOR Name of guarantor Amount Guaranteed ($) INFORMATION --- Guarantor address; City; State; Zip Code -D not applicable Principal Occupation (See Instructions) Employer (See Instructions) ---7 ~ 7 ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If lender is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015