HomeMy WebLinkAbout170630 - Campaign Finance Final Report - Jerome Horace Rektorik CANDIDATE / OFFICEHOLDER REPORT:
DESIGNATION OF FINAL REPORT FORM C/OH - FR
The Instruction Guide explains how to complete this form.
•- Complete only if "Report Type" on page 1 is marked "Final Report" •-
1 C/OH NAME � 2 Filer ID (Ethics Commission Filers)
hio�9CE •lEg,DME" Ee4 Tozik
3 SIGNATURE
I do not expect any further political contributions or political expenditures in connection with my candidacy. I understand that designat-
ing a report as a final report terminates my campaign treasurer appointment. I also understand that I may • .ccept any campaign
contributions or make any campaign expenditures without a campaign treasurer aPpo' on file.
•
Si nature of Candi,ate/•fficeholder
4 FILER WHO IS NOT AN OFFICEHOLDER
-- Complete A & B below only if you are not an officeholder. •-
A. CAMPAIGN FUNDS
Check only one:
XrI do not have unexpended contributions or unexpended interest or income earned from political contributions.
I I have unexpended contributions or unexpended interest or income earned from political contributions. I understand that I
may not convert unexpended political contributions or unexpended interest or income earned on political contributions to
personal use. I also understand that I must file an annual report of unexpended contributions and that I may not retain
unexpended contributions or unexpended interest or income earned on political contributions longer than six years after filing
this final report. Further, I understand that I must dispose of unexpended political contributions and unexpended interest or
income earned on political contributions in accordance with the requirements of Election Code,§254.204.
B_ ASSETS
Check only one:
I do not retain assets purchased with political contributions or interest or other income from political contributions.
1 I do retain assets purchased with political contributions or interest or other income from political contributions. I understand
that I may not convert assets purchased with political contributions or interest or other income f - •• itical contributions to
personal use. I also understand that I must dispose of assets purchased polit al contributions i' ac or ance h the
requirements of Election Code,§254.204. `
i./.
Signature o •idate
5 OFFICEHOLDER
-- Complete this section only if you are an officeholder •-
I am aware that I remain subject to filing requirements applicable to an officeholder who does not have a campaign treasurer on
file. I am also aware that I will be required to file reports of unexpended contributions if,after filing the last required report as an
officeholder,I retain political contributions,interest or other income from political contri utions,or assets chased with po iti-
cal contributions or interest or other income from political contributions.
/ !
Signature of Offi older
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
CANDIDATE / OFFICEHOLDER FORM C/OH—UC
REPORT OF UNEXPENDED CONTRIBUTIONS COVER SHEET PG 1
1 Filer ID (Ethics Commission Filers)
The C/OH-UC Instruction Guide explains how to complete this form.
2 CANDIDATE/ rvas/JMRRS/AMR FIRST y MI OFFICE USE ONLY
OFFICEHOLDER /�'t/'• 17 DR/Q'(,�E+ �-It.. A(6.NDa
t
e
DECEIVED
NICKNAME LAST SUFFIX
EKToPi(�
—. JUN 2 6 2011
3 CANDIDATE/ ADDRESS/PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE BY:....iPrj
OFFICEHOLDER -'
ADDRESS 3 Chi M 4 ej 1st,I\ R i J Date Hand-delivered or Date Postmarked
change of address C 2 1'e,J A e S I-4 ' i en 7 . 8 1,l1 Receipt# Amount$
4 REPORT V ' Date Processed
TYPE I I Annual Final Disposition
5 PERIOD Month // Day Year Month Day Year • Date Imaged
COVERED .40, / /0p/zID f7 THROUGH ,�unt%Qi/20 )7
6 TOTALS
1. TOTAL AMOUNT OF UNEXPENDED POLITICAL CONTRIBUTIONS AS OF
DECEMBER 31 OF THE PREVIOUS YEAR. �� 0
r
2. TOTAL AMOUNT OF INT T AND OTHER IN,CpME EARNED ON $
UNEXPENDED POLITICAL CONTRIBUTIONS DURING THE PREVIOUS YEAR. hi f 9
zD/� "T• -�
7 AFFIDAVIT
I swear,or affirm,under penalty of perjury, that the accompanying
report is true a correct and include 'nformation equired",be
reported y e nder Title 15,Ele ion ode.
,
` /
/o pP�1.1-,?., SHERRY MASHBU /i ,/
/?: 1168633-0 ) Signature of Candidate o ' holder
* *: Notary Public,State of Texas
I srti� „IV My Commission Expires )
'Tf•. vE�.. y.1Uly 26,2019_ .. )
•
AFFIX NOTARY STAMP/SEAL ABOVE
Sworn to ,end subscribed before me, by the said •
v�7T C� RD � ��'(� �• this the
t � day of J LWkt, , 20 I 1 , to certify which, witness my hand and seal of office.
S gnature of ffic r administering oath Printed name of officer administering oath Title of officer administering oat
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/3/2015
C/OH REPORT OF UNEXPENDED CONTRIBUTIONS FORM C/OH-UC
EXPENDITURES PG 2
8 C/OH NAME, 9 Filer ID(Ethics Commission Filers)
/tatACL '%"Th °Al )6-7Dnl/6
10 Date 11 Payee name 13 Amount
($)
12 Payee address; City; State; Zip Code
14 Purpose of expenditure(See instructions regarding type of information required.) 15
Is expenditure a contribution I I Yes
to a candidate,officeholder,or
political committee? I j No
I I Check if travel outside of Texas.Complete Schedule T.
Date Payee name Amount
($)
Payee address; City; St , ip Code
Purpose of expenditure(See instructions regarding type of information required.)
Is expenditure a contribution I I Yes
to a candidate,officeholder,or
political committee? I I No
I I Check if travel outside of Texas.Complete Schedule T.
Date Payee name Amount
($)
Payee address; City; State; ode
Purpose of expenditure(See instructions regarding type of information required.)
Is expenditure a contribution I ( Yes
to a candidate,officeholder,or
political committee? I I No
I I Check if travel outside of Texas.Complete Schedule T.
Date Payee name Amount
($)
Payee address; City; State' " Code
Purpose of expenditure(See instructions regarding type of information required.)
Is expenditure a contribution 1 I Yes
to a candidate,officeholder,or
political committee? I I No
I I Check if travel outside of Texas.Complete Schedule T.
ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED
1.1,lye 3 0r3-
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/3/2015
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Filer ID (Ethics Commission Filers) 2 Total pages filed:
The C/OH Instruction Guide explains how to complete this form. 2 3
3 CANDIDATE/ Ms/MRS/MR � <e
FIRST MI OFFICE USE ONLY
OFFICEHOLDER MR. ?4Ce co E
NAME Date Received
NICKNAME LAST SUFFIX
R, K?oi2a (c RECEIVED
4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE
OFFICEHOLDER f• �• '� I JUN 2 6 2011
MAILING �3 t C h1 M 14't V'- ` '
ADDRESS ✓ �. ,� /
/1 �t o BY: / _ . x
Change of Address Co )t Qj� °"�' 1 � �� D
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER ( 979 ) J)(Q .. � 2_7 Date Hand-delivered or Date Postmarked
PHONE 7 v T
6 CAMPAIGN MS/MRS/MR FIRST MI Receipt# Amount$
TREASURER SIR-' .Jamt$ •
NAME Date Processed
NICKNAME L„,4, SUFFIX
r M D 3 S Date Imaged
•
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER OZ 7iu /t C.K. Vou r f
ADDRESS
(Residence or Business) CO 1193e f 4 fin) —4:LW I D 4,5--
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREAPHONES ( n w9 ) Z 1 4•--' L _`qgr
9 REPORT TYPE 15th dayafter
I I January 15 30th day before election I I Runoff I I campaign
ai p g
treasurer appointment
(Officeholder Only)
I I July 15 I I 8th day before election I I Exceeded$500 limit Final Report(Attach C(OH-FR)
10 PERIOD Month Day Year Month Day Year
COVERED srat' j I f / . 0 1 ? THROUGH .•)1141,t- /3 D / 74 I
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year ❑ Primary ❑ Runoff I I Other
(f Description
/14 Y*/ O /d 0 "—'eyr�—�� General II Special
12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known r ,
eld/ae e' �e v /f/7µl
C;t nan1 / , Wt`rce 2
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME // % 15 Filer ID (Ethics Commission Filers)
/`tag-ACC- E.AoAitE K.i ota<
16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
POLITICAL SUPPORT THE CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S
COMMITTEE(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/// A__..ElGENERAL A /�
COMMITTEE ADDRESS I
SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME -
1 + Additional Pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF$50 OR LESS (OTHER THAN
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS). UNLESS ITEMIZED
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES. LOANS. OR GUARANTEES OF LOANS)
EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
TOTALS UNLESS ITEMIZED $
4. TOTAL POLITICAL EXPENDITURES $
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF REPORTING PERIOD
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD
18 AFFIDAVIT
I swear,or aft" ,un er penalty of per , t the accompanying report is
true and o e an Includes all inf rmation wired t be rep ed y me
�AAY.P�e. SHERRY MASHBURN under Ti e 1 Ele ion Code. f
( E'*'
° '4,I Notary Public,StatefTexasL.4.4Eg.�iyr- My Commission July 26,2019 Aires I
ignature of Cand a e or Officeholder
AFFIX NOTARY STAMP/SEALABO V E
..
Sworn to a d subscribed before me, by the said T7 DFLf1 u \TG✓ 'LtReJ W k k is the C4
day of ,20 11 .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
Forms provided by Texas Ethics Commission www.e ics.state.tx.us Revised 9/8/2015
\fivil l lei ?:v/ 4 — mow( 3€1 2i 1 4-
SUBTOTALS - C/OH FORM C/OH
COVER SHEET PG 3
19 FILER N E 20 Filer ID(Ethics Commission Filers)
,e,A,- ,r-e-i oR 6_7. ,F6-1.7--pizikd
21 SCHEDULE SUBTOTALS SUBTOTAL
NAME OF SCHEDULE AMOUNT
1• Lee SCHEDULE Al: MONETARY POLITICAL CONTRIBUTIONS $ ,L2 �1�66
2. I SCHEDULEA2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $
3. SCHEDULE B: PLEDGED CONTRIBUTIONS $ ���'e--'✓✓✓
4. I SCHEDULE E: LOANS $
5. Z SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ � :� 5'0
6. I SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 69
7. ' SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $
8. I SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $
9.
I SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $
10_ SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $
11• SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROfv>,P fi LLTIC PI �O�V�RI�UT�N$ ` $ /6� ��
12_ [ SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS,AND CONTRIBUTIONS/71�'(,/ ('I Mw/�
/L-" RETURNEDTOFILER-
ZD,/_ `T ��y $
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Forms provided by Texas Ethics Commission . www.ethics.state.tx.us Revised 9/8/2015
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POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE Fl
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other(enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F1: 2 FILE ME A0 m E' REK.--
3 Filer ID (Ethics Commission Filers)
,urz,14.
4 pate 5 Payee ame
/ /4 7-PIG AR, Ram .04-„roi+'.0- j
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I I Check if travel outside of Texas.Complete ScheduleT.OF / . gy y) 1 I Check if Austin,TX,officeholder living expense
EXPENDITURE /�����"'�~,"`It ✓t��+q{
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
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Date Payee name
i j 21) a tid I 04 q___I A 1 4 i 4
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EXPENDITURE
tips ' u/i6 A(4 —
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Date Payee name
Amount ($) Payee addre , City; State; Zip Code
Category (See ones listed at the top of this schedule) Description
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OF _S/ I I Check if Austin,TX,officeholder livin expense
EXPENDITURE 1... g P
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expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics mmission fl' T tl et An s.state.tx.us Revised 9/8/2015
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The Instruction Guide explains how to complete this form.
1 Total pages Schedule I: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
1 /lo,e x ec." 2D M 6' 6-K i o fzi x.
4 DateJ 4pJ a5; 5 Payee name I
2 011-' m i f& it sr. 174 i vain-sfi C k/.6
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OF
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EXPENDITURE
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Amount ($) Payee address; City- ; Zip Code
i
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PURPOSE categories.) J OF
EXPENDITURE
30> 20/9-
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
INTEREST, CREDITS, GAINS, REFUNDS, AND
CONTRIBUTIONS RETURNED TO FILER SCHEDULE K
The Instruction Guide explains how to complete this form. 1 Total pages Schedule K:
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
/le
( 1 E ROAE- /ZEICIvel)C,
4 Date 5 Name of person from whom amount is received 8 Amount($)
6 Address of person from whom amount is received; City; 4 State; Zp Code"\
p,3 o� F 3 , GG 26 \W1 1 hve—J
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7 Purpose for which amount is received Check if political contribution returned to filer
Z j+11$10t 'Nal on aCtiffkrtir ,i, 22,-p 1 (e
Date Name of person from whom amount is received Amount($)
Address of person from whom amoun received; City; State; Zip Code
Purpose for which amount is received I 1 Check if political contribution returned to filer
•
Date Name of person from whom amount is received Amount ($)
Address of person from m amount is received; City; State; Zip Code
Purpose for which amount is received I I Check if political contribution returned to filer
Date Name of person from whom amount is received Amount($)
Address of person fro whom amount is received; City; State; Zip Code
Purpose for which amount is received l I Check if political contribution returned to filer
\JLZ A.t .3o,20/ ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
i. IN3(UNO CONTRIBUTIONS OR POLITICAL EXPENDITURES
S
FOR TRAVEL OUTSIDE OF TEXAS SCHEDULE T
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