CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN ......2019/04/04 · CANDIDATE / OFFICEHOLDER CAMPAIGN...

28

Shirley

Gonzales

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 09/08/2015

CANDIDATE / OFFICEHOLDER

CAMPAIGN FINANCE REPORTFORM C/OH

COVER SHEET PG 1

The C/OH Instruction Guide explains how to complete this form.

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GO TO PAGE 2

Filer ID (Ethics Commission Filers) Total pages filed:

OFFICE USE ONLY

Date Received

Date Hand-delivered or Date Postmarked

Receipt # Amount $

Date Processed

Date Imaged

CANDIDATE /

OFFICEHOLDER

NAME

CANDIDATE /

OFFICEHOLDER

MAILING

ADDRESS

Change of Address

CANDIDATE /

OFFICEHOLDER

PHONE

CAMPAIGN

TREASURER

NAME

CAMPAIGN

TREASURER

ADDRESS

CAMPAIGN

TREASURER

PHONE

REPORT TYPE

PERIOD

COVERED

ELECTION

OFFICE

(Residence or Business)

MS / MRS / MR FIRST MI

NICKNAME LAST SUFFIX

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MS / MRS / MR FIRST MI

NICKNAME LAST SUFFIX

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ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE

STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE

AREA CODE PHONE NUMBER EXTENSION

( )

AREA CODE PHONE NUMBER EXTENSION

( )

Month Day Year Month Day Year

Month Day Year

THROUGH

ELECTION DATE ELECTION TYPE

OFFICE HELD (if any) OFFICE SOUGHT (if known)

2723 Buena Vista

San Antonio TX 78207

210 601-1536

Kevin

Barton

2723 Buena Vista

San Antonio TX 78207

210 317-5703

Primary

General

Runoff

Special

Other

Description

30th Day Before General Election

1/1/2019 3/25/2019

5/4/2019 X

Council District 5 Council District 5

CANDIDATE / OFFICEHOLDER

CAMPAIGN FINANCE REPORTFORM C/OH

COVER SHEET PG 2


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Filer ID (Ethics Commission Filers)C/OH NAME

NOTICE FROM

POLITICAL

COMMITTEE(S)

Additional Pages

THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL

COMMITTEES TO SUPPORT THE CANDIDATE / 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 TYPE

GENERAL

SPECIFIC

COMMITTEE NAME

COMMITTEE ADDRESS

COMMITTEE CAMPAIGN TREASURER NAME

COMMITTEE CAMPAIGN TREASURER ADDRESS

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CONTRIBUTION

TOTALS

AFFIDAVIT

EXPENDITURE

TOTALS

CONTRIBUTION

BALANCE

OUTSTANDING

LOAN TOTALS

$

$

$

$

$

$

1.

2.

3.

4.

5.

6.

TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN

PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED

(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)

TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED

TOTAL POLITICAL EXPENDITURES

TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY

OF REPORTING PERIOD

TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE

LAST DAY OF THE REPORTING PERIOD

TOTAL POLITICAL CONTRIBUTIONS

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.

Signature of Candidate or Officeholder

Sworn to and subscribed before me, by the said _________________________________________________. this the _____________ day

AFFIX NOTARY STAMP / SEAL ABOVE

of ________________, 20 _______, to certify which, witness my hand and seal of office.

Signature of officer administering oath Title of officer administering oathPrinted name of officer administering oath

Shirley Gonzales

2959.00

8659.00

567.08

9667.55

11866.28

0

* * * Electronically Certified * * *

Shirley Gonzales 4th

April 19

SUBTOTALS - COHFORM C/OH

COVER SHEET PG 3

19 FILER NAME 20 Filer ID (Ethics Commission Filers)

21 SCHEDULE SUBTOTALS

NAME OF SCHEDULE

SUBTOTAL

AMOUNT

$

$

$

$

$

$

$

$

$

$

$11.

10.

9.

1.

2.

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5.

6.

7.

8.

SCHEDULE A1: MONETARY POLITICAL CONTRIBUTIONS

SCHEDULE A2: NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS

SCHEDULE B: PLEDGED CONTRIBUTIONS

SCHEDULE E: LOANS

SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS

SCHEDULE F2: UNPAID INCURRED OBLIGATIONS

SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS

SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS

SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH

SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS

SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS

RETURNED TO FILER

Shirley Gonzales

8659.00

0

0

0

9667.55

0

0

0

0

0

0

0

X

X

X

X

X

X

X

X

X

X

12. $

X

X

SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD


Forms provided by Texas Ethics Commission

Shirley Gonzales

MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1

1 of 4

www.ethics.state.tx.us Revised 09/08/2015

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The Instruction Guide explains how to complete this form.1

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ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements

Total pages Schedule A1:

FILER NAME Filer ID (Ethics Commission Filers)

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

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1/5/2019 Sonia A Gonzalez

15043 Miss Ellie

San Antonio, TX 78247

200.00

1/5/2019 Linebarger Goggan Blair & Sampson, LLP

PO Box 17428

Austin, TX 78760

500.00

1/18/2019 Boyan Kalusevic

326 Adrian Dr

San Antonio, TX 78213-3537

200.00

1/19/2019 Irma Yolanda Flores

4111 Mt Laurel Dr


100.00


Shirley Gonzales


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1/21/2019 Enrique Martinez Davila

5424 Hwy 90 West


500.00

Administrator Davila Construction Co

1/22/2019 Kathleen Weir Vale

102 E. Hollywood Ave


100.00

1/22/2019 Debra Ann Guerrero

3915 Skylark Ave


500.00

Administrator NRP

2/16/2019 Beverly Watts Davis

230 Balboa Dr

Universal City, TX 78148-3320

500.00

Westcare FoundationChief Officer


Shirley Gonzales


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2/24/2019 Hugo A Gutierrez Jr

433 E Hildebrand Ave


500.00

Banker Falcon Bank

3/2/2019 Artemisa G De Los Santos

2822 Whisper Quill


100.00

3/9/2019 Justin Rodriguez Campaign Fund

PO Box 100153


500.00

3/25/2019 Roberto P Gonzalez

1747 Fawn Gate

San Antonioq, TX 78248

500.00

Self EmployedEngineer


Shirley Gonzales


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3/25/2019 Oscar Michael Garza

2146 Cougar Pass Dr


500.00

Engineer Self Employed

3/25/2019 Luis A Cuellar

15514 Portales Pass

Helotes, TX 78023-4700

500.00

Engineer Klotz & Associates

3/25/2019 Sergio Chico Rodriguez Campaign

638 Cantrell Dr


500.00

NON-MONETARY (IN-KIND) POLITICAL

CONTRIBUTIONSSCHEDULE A2

The Instruction Guide explains how to complete this form.



TOTAL OF UNITEMIZED IN-KIND POLITICAL CONTRIBUTIONS $

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Full name of contributor


out-of-state PAC (ID#_______________)Date

Check if travel outside of Texas, complete Schedule T

Amount of Contribution $

Principal occupation / Job title (FOR NON-JUDICIAL) (See instructions) Employer (FOR NON-JUDICIAL) (See instructions)

Contributor's principal occupation (FOR JUDICIAL)

Contributor's employer/law firm (FOR JUDICIAL)

Contributor's job title (FOR JUDICIAL) (See instructions)

Law firm of contributor's spouse (if any) (FOR JUDICIAL)

If contributor is a child, law firm of parent(s) (if any) (FOR JUDICIAL)

. . . . . . . . . . . . . . . . .In-kind contribution description

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Full name of contributor




Amount of Contribution $

Principal occupation / Job title (FOR NON-JUDICIAL) (See instructions) Employer (FOR NON-JUDICIAL) (See instructions)

Contributor's principal occupation (FOR JUDICIAL)

Contributor's employer/law firm (FOR JUDICIAL)

Contributor's job title (FOR JUDICIAL) (See instructions)

Law firm of contributor's spouse (if any) (FOR JUDICIAL)

If contributor is a child, law firm of parent(s) (if any) (FOR JUDICIAL)





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Shirley Gonzales

0




PLEDGED CONTRIBUTIONS SCHEDULE B

The Instruction Guide explains how to complete this form.Total pages Schedule B:1


TOTAL OF UNITEMIZED PLEDGES $

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Full name of pledgor

Pledgor address; City; State; Zip Code



Amount of Pledge $



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Amount of Pledge $



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Amount of Pledge $



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Amount of Pledge $



Shirley Gonzales

0

LOANS SCHEDULE E




If lender is out-of-state PAC, please see instruction guide for additional reporting requirements

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$

Total pages Schedule E:


TOTAL OF UNITEMIZED LOANS

Date of loan Name of lender out-of-state PAC (ID#_______________) Loan Amount ($)

Is lender a

financial

institution?

Lender address; City; State; Zip Code Interest rate

Maturity date

Employer (See instructions)Principal occupation / Job title (See instructions)

Description of Collateral

none

Check if personal funds were deposited into political

account (See instructions)

GUARANTOR

INFORMATION

not applicable

Guarantor address; City; State; Zip Code

Name of guarantor Amount Guaranteed ($)

Principal occupation (See instructions) Employer (See instructions)

Date of loan Name of lender out-of-state PAC (ID#_______________) Loan Amount ($)

Is lender a

financial

institution?

Lender address; City; State; Zip Code Interest rate

Maturity date

Employer (See instructions)Principal occupation / Job title (See instructions)

Description of Collateral

none

Check if personal funds were deposited into political

account (See Instructions)

GUARANTOR

INFORMATION

not applicable

Guarantor address; City; State; Zip Code

Name of guarantor Amount Guaranteed ($)

Principal occupation (See instructions) Employer (See instructions)

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Shirley Gonzales

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POLITICAL EXPENDITURES MADESCHEDULE F1FROM POLITICAL CONTRIBUTIONS

EXPENDITURE CATEGORIES FOR BOX 8(a)

The Instruction Guide explains how to complete this form



Total pages Schedule F1: FILER NAME Filer ID (Ethics Commission Filers)1 2 3

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

Date

Amount ($)

PURPOSE

OF

EXPENDITURE


Payee name






Date

Amount ($)

PURPOSE

OF

EXPENDITURE


Payee name






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1 of 9 Shirley Gonzales

2/19/2019 David Hernandez

100.00 1003 S Calaveras


Other: Campaign Expense Sign Materials & General Supplies




Other: Campaign Expense Sign Placement

2/27/2019 John Hernden

400.00 1203 S Colorado


Office Overhead/Rental Expense Campaign Rene 102-A

(a) (b)

Accounting/Banking

Advertising Expense

Consulting Expense

Contributions/Donations Made By

Candidate/Officeholder/Political Committee

Credit Card Payment

Event Expense

Fees

Food/Beverage Expense

Gifts/Awards/Memorials Expense

Legal Services

Loan Repayment/Reimbursement

Office Overhead/Rental Expense

Polling Expense

Printing Expense

Salaries/Wages/Contract Labor

Solicitation/Fundraising Expense

Transportation Equipment & Related Expense

Travel in District

Travel Out Of District

Other (enter a category not listed above)







Date

Amount ($)

PURPOSE

OF

EXPENDITURE


Payee name






Date

Amount ($)

PURPOSE

OF

EXPENDITURE


Payee name






Date

Amount ($)

PURPOSE

OF

EXPENDITURE


Payee name






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2/28/2019 3-D Screen Printing

1894.38 8015 2nd St

Somerset, TX 78069

Other: Campaign Expense General Materials

3/1/2019 Nation Builder

58.00 520 S Grand

Los Angeles, CA 90071

Office Overhead/Rental Expense Website Maintenance - 1/30/19 & 3/1/19

3/5/2019 Martha Torres

250.00 150 Lawton



Candidate/Officeholder/Political

Committee

Donation for Funeral Services

(a) (b)

Accounting/Banking

Advertising Expense

Consulting Expense



Credit Card Payment

Event Expense

Fees



Legal Services



Polling Expense

Printing Expense




Travel in District









Date

Amount ($)

PURPOSE

OF

EXPENDITURE


Payee name






Date

Amount ($)

PURPOSE

OF

EXPENDITURE


Payee name






Date

Amount ($)

PURPOSE

OF

EXPENDITURE


Payee name






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3/6/2019 Advocates - Boxing Youth Day

250.00 1610 Buena Vista



Candidate/Officeholder/Political

Committee

Donation - Fundraiser

3/6/2019 Prestige Printing

880.67 8 Burwood Lane


Printing Expense Mail Outs

3/6/2019 STX Circket Wireless

84.51 741 Castroville Rd


Other: Campaign Expense Phone Banking

(a) (b)

Accounting/Banking

Advertising Expense

Consulting Expense



Credit Card Payment

Event Expense

Fees



Legal Services



Polling Expense

Printing Expense




Travel in District









Date

Amount ($)

PURPOSE

OF

EXPENDITURE


Payee name






Date

Amount ($)

PURPOSE

OF

EXPENDITURE


Payee name






Date

Amount ($)

PURPOSE

OF

EXPENDITURE


Payee name






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3/7/2019 Linda Rodriguez

120.00 6234 Ridge Oak


Other: Campaign Expense Block Walking




Other: Campaign Expense Signs - Posting

3/9/2019 Josie Lynch

345.00 2818 W. Cesar Chavez



(a) (b)

Accounting/Banking

Advertising Expense

Consulting Expense



Credit Card Payment

Event Expense

Fees



Legal Services



Polling Expense

Printing Expense




Travel in District









Date

Amount ($)

PURPOSE

OF

EXPENDITURE


Payee name






Date

Amount ($)

PURPOSE

OF

EXPENDITURE


Payee name






Date

Amount ($)

PURPOSE

OF

EXPENDITURE


Payee name






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3/9/2019 Magdalena Hernandez



Other: Campaign Expense Block Walking & Gas Expense

3/9/2019 Raul Ybarra

60.00 1619 Saltillo


Other: Campaign Expense Sign Postings

3/13/2019 Imelda Obledo

442.00 118 Forrest


Other: Campaign Expense Phone Bank

(a) (b)

Accounting/Banking

Advertising Expense

Consulting Expense



Credit Card Payment

Event Expense

Fees



Legal Services



Polling Expense

Printing Expense




Travel in District









Date

Amount ($)

PURPOSE

OF

EXPENDITURE


Payee name






Date

Amount ($)

PURPOSE

OF

EXPENDITURE


Payee name






Date

Amount ($)

PURPOSE

OF

EXPENDITURE


Payee name






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3/18/2019 Yatzil Mexican Restaurant

52.85 502 S Zarzamora


Food/Beverage Expense Staff Luncheon - 3/11/19 & 3/18/19

(a) (b)

Accounting/Banking

Advertising Expense

Consulting Expense



Credit Card Payment

Event Expense

Fees



Legal Services



Polling Expense

Printing Expense




Travel in District









Date

Amount ($)

PURPOSE

OF

EXPENDITURE


Payee name






Date

Amount ($)

PURPOSE

OF

EXPENDITURE


Payee name






Date

Amount ($)

PURPOSE

OF

EXPENDITURE


Payee name






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6 7

8

9





Other: Campaign Expense Sign Materials & General Supplies

3/19/2019 Raul Ybarra

60.00 1619 Saltillo


Other: Campaign Expense Work on Signs

3/19/2019 Debra Martinez

227.50 3027 S New Braunfels



(a) (b)

Accounting/Banking

Advertising Expense

Consulting Expense



Credit Card Payment

Event Expense

Fees



Legal Services



Polling Expense

Printing Expense




Travel in District









Date

Amount ($)

PURPOSE

OF

EXPENDITURE


Payee name






Date

Amount ($)

PURPOSE

OF

EXPENDITURE


Payee name






Date

Amount ($)

PURPOSE

OF

EXPENDITURE


Payee name






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8

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330.00 2818 W Cesar Chavez



3/21/2019 Bill Miller BBQ

114.46 2823 W Commerce St


Food/Beverage Expense Staff Luncheon - 2/26/19, 3/7/19, 3/12/19 & 3/21/19



San Antonio, TN 78207


(a) (b)

Accounting/Banking

Advertising Expense

Consulting Expense



Credit Card Payment

Event Expense

Fees



Legal Services



Polling Expense

Printing Expense




Travel in District









Date

Amount ($)

PURPOSE

OF

EXPENDITURE


Payee name






Date

Amount ($)

PURPOSE

OF

EXPENDITURE


Payee name






Date

Amount ($)

PURPOSE

OF

EXPENDITURE


Payee name






4 5

6 7

8

9


3/22/2019 Imelda Obledo

455.00 118 Forrest


Other: Campaign Expense Phone Bank


307.50 2818 W Cesar Chavez







(a) (b)

Accounting/Banking

Advertising Expense

Consulting Expense



Credit Card Payment

Event Expense

Fees



Legal Services



Polling Expense

Printing Expense




Travel in District




SCHEDULE F2UNPAID INCURRED OBLIGATIONS




1 Total pages Schedule F2: 2 FILER NAME Filer ID (Ethics Commission Filers)3

$TOTAL OF UNITEMIZED UNPAID INCURRED OBLIGATIONS4

5 Date Payee name

7 Amount ($) Payee address; City; State; Zip Code

9

PURPOSE

OF

EXPENDITURE

TYPE OF

EXPENDITUREPolitical Non-Political




10

11expenditure to benefit C/OHComplete ONLY if direct Candidate / Officeholder name Office sought Office held

Date Payee name

Amount ($) Payee address; City; State; Zip Code

PURPOSE

OF

EXPENDITURE

TYPE OF





expenditure to benefit C/OHComplete ONLY if direct Candidate / Officeholder name Office sought Office held

(a) (b)

6

8


0

Accounting/Banking

Advertising Expense

Consulting Expense



Event Expense

Fees



Legal Services



Polling Expense

Printing Expense




Travel in District



PURCHASE OF INVESTMENTS MADESCHEDULE F3FROM POLITICAL CONTRIBUTIONS



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The Instruction Guide explains how to complete this form.Total pages Schedule F3:


Date Name of person from whom investment is purchased

Address of person from whom investment is purchased; City; State; Zip Code

Description of investment

Amount of investment ($)

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Date Name of person from whom investment is purchased

Address of person from whom investment is purchased; City; State; Zip Code

Description of investment

Amount of investment ($)

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Shirley Gonzales

SCHEDULE F4EXPENDITURES MADE BY CREDIT CARD



1 Total pages Schedule F4: 2 FILER NAME Filer ID (Ethics Commission Filers)3

$TOTAL OF UNITEMIZED EXPENDITURES CHARGED TO A CREDIT CARD4

Accounting/Banking

Advertising Expense

Consulting Expense



Event Expense

Fees



Legal Services



Polling Expense

Printing Expense




Travel in District



5 Date Payee name

7 Amount ($) Payee address; City; State; Zip Code

9

PURPOSE

OF

EXPENDITURE

TYPE OF





10

11expenditure to benefit C/OHComplete ONLY if direct Candidate / Officeholder name Office sought Office held

(a) (b)

6

8

Date Payee name


PURPOSE

OF

EXPENDITURE

TYPE OF





expenditure to benefit C/OHComplete ONLY if direct Candidate / Officeholder name Office sought Office held




0

POLITICAL EXPENDITURESSCHEDULE GMADE FROM PERSONAL FUNDS



Total pages Schedule G: FILER NAME Filer ID (Ethics Commission Filers)1 2 3

Date

Amount ($)

Payee Name


4 5

6 7

PURPOSE

OF

EXPENDITURE

Category (See categories listed at the top of this schedule) Description8 (a) (b)



Reimbursement from

political contributions

intended


Candidate / Officeholder name Office sought Office held9



Date

Amount ($)

Payee name


PURPOSE

OF

EXPENDITURE




Reimbursement from


intended



Date

Amount ($)

Payee name


PURPOSE

OF

EXPENDITURE




Reimbursement from


intended




Accounting/Banking

Advertising Expense

Consulting Expense



Credit Card Payment

Event Expense

Fees



Legal Services



Polling Expense

Printing Expense




Travel in District




PAYMENT MADE FROM POLITICALSCHEDULE HCONTRIBUTIONS TO A BUSINESS OF C/OH

Shirley Gonzales



2 FILER NAME1 3


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6 7

8 (a) (b)

9

Total pages Schedule H:

Business address; City; State; Zip CodeAmount ($)

Business nameDate

Filer ID (Ethics Commission Filers)

PURPOSE

OF

EXPENDITURE

expenditure to benefit C/OHif directONLYComplete Candidate / Officeholder name Office sought Office held





Business nameDate

PURPOSE

OF

EXPENDITURE






Business nameDate

PURPOSE

OF

EXPENDITURE





1 of 1

Accounting/Banking

Advertising Expense

Consulting Expense



Credit Card Payment

Event Expense

Fees



Legal Services



Polling Expense

Printing Expense




Travel in District



NON-POLITICAL EXPENDITURESSCHEDULE IMADE FROM POLITICAL CONTRIBUTIONS




Total pages Schedule I: FILER NAME Filer ID (Ethics Commission Filers)1 2 3

Date Payee name


PURPOSE

OF

EXPENDITURE

Category (See instructions for examples of acceptable Description(a) (b)categories.)

(See instructions regarding type of information required.)

Date Payee name


PURPOSE

OF

EXPENDITURE

Category (See instructions for examples of acceptable Descriptioncategories.)


Date Payee name


PURPOSE

OF

EXPENDITURE



Date Payee name


PURPOSE

OF

EXPENDITURE




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INTEREST, CREDITS, GAINS, REFUNDS, ANDSCHEDULE KCONTRIBUTIONS RETURNED TO FILER

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Date


Total pages Schedule K:

Name of person from whom amount is received

Address of person from whom amount is received; City; State; Zip Code

Amount ($)

Purpose for which amount is receivedCheck if political contribution returned to filer

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Date Name of person from whom amount is received


Amount ($)


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Amount ($)


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Amount ($)


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Shirley Gonzales


IN-KIND CONTRIBUTIONS OR POLITICAL EXPENDITURES

SCHEDULE TFOR TRAVEL OUTSIDE OF TEXAS



2

1

3 Filer ID (Ethics Commission Filers)FILER NAME

Total pages Schedule T:

Name of Contributor / Corporation or Labor Organization / Pledgor / Payee

Contribution / Expenditure reported on:

Dates of travel Name of person(s) traveling

Departure city or name of departure location

Destination city or name of destination location

Means of transportation Purpose of travel (including name of conference, seminar, or other event)

Schedule A2

Schedule F2

Schedule B

Schedule F4

Schedule B(J)

Schedule G

Schedule C2

Schedule H

Schedule D

Schedule COH-UC

Schedule F1

Schedule B-SS







Schedule A2

Schedule F2

Schedule B

Schedule F4

Schedule B(J)

Schedule G

Schedule C2

Schedule H

Schedule D

Schedule COH-UC

Schedule F1

Schedule B-SS







Schedule A2

Schedule F2

Schedule B

Schedule F4

Schedule B(J)

Schedule G

Schedule C2

Schedule H

Schedule D

Schedule COH-UC

Schedule F1

Schedule B-SS

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Shirley Gonzales


CANDIDATE / OFFICEHOLDER REPORT:FORM C/OH - FRDESIGNATION OF FINAL REPORT


•• Complete only if "Report Type" on page 1 is marked "Final Report" ••

Filer ID (Ethics Commission Filers)C/OH NAME

SIGNATURE

Signature of Candidate / Officeholder

I do not expect any further political contributions or political expenditures in connection with my candidacy. I understand that designating

a report as a final report terminates my campaign treasurer appointment. I also understand that I may not accept any campaign

contributions or make any campaign expenditures without a campaign treasurer appointment on file.

FILER WHO IS NOT AN OFFICEHOLDER•• Complete A & B below if you are not an officeholder. ••only

A. CAMPAIGN FUNDS

Check only one:

I do not have unexpended contributions or unexpended interest or income earned from political contributions.

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

Signature of Candidate

Check only one:

I do not retain assets purchased with political contributions or interest or other income from political contributions.

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 from political contributions to personal

use. I also understand that I must dispose of assets purchased with political contributions in accordance with the requirements of

Election Code, § 254.204.

OFFICEHOLDER

Signature of Officeholder

if you are an officeholder. ••only•• Complete this section

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 of other income from political contributions, or assets purchased with political contributions or

interest or other income from political contributions.

Shirley Gonzales

CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN ......2019/04/04 · CANDIDATE / OFFICEHOLDER CAMPAIGN...

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Transcript of CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN ......2019/04/04 · CANDIDATE / OFFICEHOLDER CAMPAIGN...