SPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT 8951 The SPAC Instruction Guide explains how to complete this form. 1 Filer ID 3 COMMITTEE NAME Friends of North Shore Fire Department 4 COMMITTEE ADDRESS 0 Change of Address 5 CAMPAIGN TREASURER NAME ADDRESS I PO BOX; APT I SUJTE #; CITY; 1505 Jackie Robinson Pl Round Rock, TX 78665 MS/MRS/MR FIRST Michael NICKNAME LAST Johnson STATE; ZIP CODE FORM SPAC COVER SHEET PG 1 2 Total pages filed: 37 OFFICE USE ONLY Date Receoved Date Hand-<lelivered or Date fosunarl<ed ' Receipt# Date Piocessed Date Imaged • ' Ml c SUFFIX 6 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); 1505 Jackie Robinson Pl APT f SUITE#; CITY; STATE; TX ZIP CODE 78665 TREASURER STREET ADDRESS (Residence or Busmess) 7 CAMPAIGN TREASURER MAILING ADDRESS 0 Change of Address Round Rock STREET OR PO BOX; APT I SUITE#; CITY; 1505 Jackie Robinson Pl Round Rock STATE; TX ZIP CODE 78665 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE 9 REPORT TYPE 10 PERIOD COVERED 11 ELECTION 512-740-3108 O January 15 O JulylS Month Day Year 07/20/2016 ELECTION DATE Month Day Year 11108/2016 orms prov1oea oy 1exas c.t111cs L.Omm1ss1on d it 'sr: ' eras 8th day before election 0 Runoff 0 Exceeded $500 Limit O Dissolution (Attach PAC·OR) O loth day alter campaign treasurer termination Month Day Year THROUGH O Primary 0 General GOTO PAGE2 ELECTION TYPE O Runoff D "'"'" www.etn1cs.state.tx.us 10/31/2016 O Other version , .... u .... ....
37
Embed
SPECIFIC-PURPOSE COMMITTEE FORM SPAC CAMPAIGN FINANCE REPORT · SPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT 8951 ... GOTO PAGE2 TYPE O Runoff D "'"'" 10/31/2016 O
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
The SPAC Instruction Guide explains how to complete this form. 1 Filer ID
3 COMMITTEE NAME
Friends of North Shore Fire Department
4 COMMITTEE ADDRESS
0 Change of Address
5 CAMPAIGN TREASURER NAME
ADDRESS I PO BOX; APT I SUJTE #; CITY;
1505 Jackie Robinson Pl
Round Rock, TX 78665
MS/MRS/MR FIRST
Michael NICKNAME LAST
Johnson
STATE; ZIP CODE
FORM SPAC COVER SHEET PG 1
2 Total pages filed:
37
OFFICE USE ONLY Date Receoved
Date Hand-<lelivered or Date fosunarl<ed
' Receipt#
Date Piocessed
Date Imaged • '
Ml
c SUFFIX
6 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE);
1505 Jackie Robinson Pl
APT f SUITE#; CITY; STATE;
TX ZIP CODE
78665 TREASURER STREET ADDRESS
(Residence or Busmess)
7 CAMPAIGN TREASURER MAILING ADDRESS
0 Change of Address
Round Rock
STREET OR PO BOX; APT I SUITE#; CITY;
1505 Jackie Robinson Pl Round Rock
STATE;
TX ZIP CODE
78665
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE
9 REPORT TYPE
10 PERIOD COVERED
11 ELECTION
512-740-3108
O January 15
O JulylS
Month Day Year
07/20/2016
ELECTION DATE
Month Day Year
11108/2016
orms prov1oea oy 1exas c.t111cs L.Omm1ss1on
~as& d it 'sr: ' eras
~ 8th day before election
0 Runoff
0 Exceeded $500 Limit
O Dissolution (Attach PAC·OR)
O loth day alter campaign treasurer termination
Month Day Year
THROUGH
O Primary
0 General
GOTO PAGE2
ELECTION TYPE
O Runoff
D "'"'"
www.etn1cs.state.tx.us
10/31/2016
O Other
version , .... u .... ~ ....
SPECIFIC-PURPOSE COMMITTEE REPORT: FORM SPAC PURPOSE AND TOTALS COVER SHEET PG 2
12 COMMITTEE NAME 13 Filer ID
Friends of North Shore Fire Department
14 COMMITTEE CANDIDATE I OFFICEHOLDER NAME PURPOSE
(Attach lists on plain D Candidate paper to complete this report if necessary.) 0 Officeholder OFFICE SOUGHT (candidate) I OFFICE HELD (officeholder)
0 SUPPORT
(Cafldidate or Measure) BALLOT IDENTIFICATION I# ELECTION DATE
D OPPOSE Prop 1 Month Day Year
(Candidate or Measure) 11/0812016
D ASSIST [Kl Measure
DESCRIPTION (Officeholder)
Emergency Service District Overlay, ESD #7 Fire Department
15 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS(OTHER THAN PLEDGES, TOTALS LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ $0.00
2. TOTAL POLmCAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $ $13,812.68
-------------EXPENDITURE 3. TOT AL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED TOTALS $ $0.00
4. TOTAL POLITICAL EXPENDITIJRES $ $13,578.16
-------------CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF THE BALANCE REPORTING PERIOD $ $234.52
-------------OUTSTANDING 6. TOT AL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST LOAN TOTALS DAY OF THE REPORTING PERIOD $ $0.00
16 AFFIDAVIT
,,,,~~'t~1,,, SR\ilAN°" WILLl:t~~1u1s 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
.:-'b-":······:9<~-:;. Noterv Pubhc. State Title 15, Election Code. ~:'"(*)~~ Comm. Ellpi1es 09·12-2020
sw"'"Q~'o~th' ,.;,\J\\thl (;\ CJa\~JDY\re>V:tth, 3\ day
of, 20 , to certify which, witness my hand and seal of office.
1-itr.Ht-- · ~'n\fA-nv.\Al\\\tlrvitJ tJ\k ·1~) l::iignature of officer administering oath Printed name of offictir administering oath Title of offi ad minis: ring oath
-......rms prov1ae .... uy 1 exas ctn1cs L.Omm1ss1on www.eth1cs.state.tx.us Version Vl.0.14o
SUBTOTALS-SPAC FORM SPAC COVER SHEET PG 3
3 of 37
17 COMMITTEE NAME 18 Filer ID
Friends of North Shore Fire Department
19 SCHEDULE SUBTOTALS
NAME OF SCHEDULE SUB TOT AL AMOUNT
1. 0 SCHEDULE Al: MONET ARY POLITICAL CONTRIBUTIONS $ 6,462.68
2. 0 SCHEDULE A2: NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS $ 1,500.00
3. 0 SCHEDULE B: PLEDGED CONTRIBUTIONS $ 0.00
4. 0 SCHEDULE Cl: MONETARY CONTRIBUTIONS FROM CORPORATION OR LABOR $ 5,850.00 ORGANIZATION
5. D SCHEDULE C2: NON-MONETARY (JN-KIND) CONTRIBUTIONS FROM CORPORATION OR $ LABOR ORGANIZATION
6. D SCHEDULE 0: PLEDGED CONTRIBUTIONS FROM CORPORATION OR LABOR ORGANIZATION $
7. D SCHEDULE E: LOANS $
8. 0 SCHEDULE Fl: POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS $ 13,578.16
10. D SCHEDULE F3: PURCHASE OF INVESTMENTS FROM POLITICAL CONTRIBUTIONS $
lL 0 SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 0.00
12. D SCHEDULE H: PAYMENT FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF CJOH $
13. D SCHEDULE 1: NON-POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS $
14. D SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED
$ TO FILER
orms prov1ueu uy I exas ttn1cs L:omm1ss1on www.etiucs.state.tx.us version vl.u.J.qou
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al:
Sch: 1/23 Rpt 4/37
2 FILER NAME 3 Filer ID
Friends of North Shore Fire Department
4 Date 5 Full name of contributor D out-of-state PAC (ID#: ' 7 Amount of Contribution($)
10/05/2016 Buck, Taylor $50.00 ........................................................................................... ··················· . ........................................... 6 Contributor address; City; State; Zip Code
12525 Enchanted Forest Dr
Austin, TX 78727
8 Principal occupation 1 Job title (5ee Instructions) 9 Employer (See Instructions)
Firefighter TCESDl
Date Full name of contributor D out-of-state PAC (!D#: ' Amount of Contribution ($)
09/2112016 Buck, Taylor $50.00 ............................................................................................................................................................ Contributor address; City; State; Zip Code
12525 Enchanted Forest Dr
Austin, TX 78727
Principal occupation f Job title (See Instructions) Employer (see Instructions)
Firefighter TCESDl
Date Full name of contributor D out-of-state PAC (ID#: ' Amount of Contribution ($)
10/1912016 Buck, Taylor $50.00 ............................................................................................................................................................
Contributor address; City; State; Zip Code
12525 Enchanted Forest Dr
Austin, TX 78727
Principal occupation f Job title (see Instructions) Employer (see Instructions)
Firefighter TCESDl
Date Full name of contributor D out-Of-state PAC (ID#: ·. Amount of Contribution{$)
09/2112016 Buckley, Charles $50.00 ............................................................................................................................................................
Contributor address; City; State; Zip Code
21118 Highland Lake Dr
#2 Lago Vista, TX 78645
Principal occupation f Job title (see Instructions) Employer (see Instructions)
Firefighter TCESD 1
Date Full name of contributor D out-of-state PAC (ID#: ' Amount of Contribution ($)
1010512016 Buckley, Charles $50.00 ............................................................................................................................................................
Contributor address; City; State; Zip Code
21118 Highland Lake Dr
#2 Lago Vista, TX 78645
Principal occupation f Job title (See Instructions) Employer (5ee Instructions)
Firefighter TCESD 1
>:orms prov .... c:U oy I exas ~u 1cs t_;ommtss1on www.et~1cs.state.tx.us version vl.u.:i.48
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
1 Total pages Schedule Al: The Instruction Guide explains how to complete this form.
Sch: 2/23 Rpt 5/37
2 FILER NAME 3 Filer ID
Friends of North Shore Fire Department
4 Date 5 Full name of contributor D out-of-state PAC (ID#: l 7 Amount of Contribution{$)
10/1912016 Buckley, Charles $50.00 ............................................................................................................................ ................ . ............. 6 Contributor address; City; State; Zip Code
21118 Highland Lake Dr
#2 Lago Vista, TX 78645
8 Principal occupation f Job title (5ee Instructions) 9 Employer (See Instructions)
Firefighter TCESD 1
Date Full name of contributor D out-of-state PAC (ID#: l Amount of Contribution($)
09/07/2016 Buckley, Charles $50.00 ............................................................................................................................................................ Contributor address; City; State; Zip Code
21118 Highland Lake Dr
#2
Lago Vista, TX 78645
Principal occupation I Job title (See Instructions) Employer (See Instructions)
Firefighter TCESD 1
Date Full r1ame of contributor D out-of-state PAC {ID#: l Amount of Contribution ($)
09/07/2016 Campbell, Tim $50.00 ............................................................................................................................................................
Contributor address; City; State; Zip Code
609 Highcrest or
# 112 Granite Shoals, TX 78654
Principal occupation f Job title (See Instructions) Employer (See Instructions)
Firefighter TCESO 1
Date Full name of contributor 0 out-of-state PAC (ID#: ' Amount of Contribution($)
09/21/2016 Campbell, Tim $50.00 ............................................................................................................................................................
Contributor address; City; State; Zip Code
609 Highcrest Dr
# 112 Granite Shoals, TX 78654
Principal occupation f Job title (See Instructions) Employer (See Instructions)
Firefighter TCESD 1
Date Full name of contributor D OUt·Of·state PAC (ID#: ' Amount of Contribution ($)
10/05/2016 Campbell, Tim $50.00 ...................................................... ...................................................... ·····································
Contributor address; City; State; Zip Code
609 Highcrest Dr
# 112 Granite Shoals, TX 78654
Principal occupation I Job tide (See Instructions) Employer {See Instructions)
Firefighter TCESD 1
-vrms prov1ue\.l oy 1 exas t:tn1cs 1....omm1ss1on www .eu 11cs.state .tx.us version v..1..0 . .1.'+0
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form. l Total pages Schedule Al:
Sch: 3/23 Rpt: 6/37
2 FILER NAME 3 Filer ID
Friends of North Shore Fire Department
4 Date 5 Full name of contributor 0 out-of-state PAC (10#: ' 7 Amount of Contribution ($)
10/19/2016 Campbell, Tim $50.00 .............................................................................................................................. ............................. 6 Contributor address; City; State; Zip Code
609 Highcrest Dr
# 112
Granite Shoals, TX 78654
8 Principal ocC1..1pation I Job title (See Instructions) 9 Employer (See Instructions)
Firefighter TCESD 1
Da"' Full name of contributor D out-of-state PAC (ID#: ' Amount of Contribution{$)
Principal occupation I Job title {See Instructions) Employer (See Instructions)
Firefighter TCESDl
Date Full name of contributor D out-of-state PAC (\0#: ' Amount of Contribution{$)
10/19/2016 Condit, Dustin $25.00
·········· ································ ....................................................................................................... Contributor address; City; State; Zip Code
13304 lvywood cv
Austin, TX 78729
Principal occupation I Job title {See Instructions) Employer (See Instructions)
Firefighter TCESDl
orms p rov1Cleu uy I exas Etn1cs comm1ss1on www.em1cs.state.tx.us versfon Vl.0 . .L4t
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form. l Total pages Schedule Al:
Sch: 4/23 Rpt: 7/37
2 FILER NAME 3 Filer ID
Friends of North Shore Fire Department
4 Date 5 Full name of contributor D out-of-state PAC (ID#: ' 7 Amount of Contribution ($)
09/07/2016 Daigle, David $50.00 ........................................................................................... ................................................................ 6 Contributor address: City; State; Zip Code
1007 Oak Hollow Dr
Leander, TX 78641
8 Principal occupation I Job title (See Instructions) 9 Employer (See Instructions)
Fireifghter TCESDl
Date Full name of contributor D out-of-state PAC (ID#: ' Amount of Contribution ($)
09/21/2016 Daigle, David $50.00 .................................................................................. .........................................................................
Contributor address; City; State; Zip Code
1007 Oak Hollow Dr
Leander, TX 78641
Principal occupation I Job title (See Instructions) Employer (See Instructions)
Fireifghter TCESDl
Date Ful! name of contributor 0 out·of·state PAC {10#: ' Amount of Contribution ($)
10/0512016 Daigle, David $50.00 ............................................................................................................................................................
Contributor address; City; State; Zip Code
1007 Oak Hollow Dr
Leander, TX 78641
Principal occupation I Job title (See Instructions) Employer (See Instructions)
Fireifghter TCESDl
Date Full name of contributor 0 out·Of·state PAC (ID#: ' Amount of Contribution ($)
10/19/2016 Daigle, David $50.00 ............................................................................................................................................................
Contributor address: City; State: Zip Code
1007 Oak Hollow Dr
Leander, TX 78641
Principal occupation I Job title (See Instructions) Employer (See Instructions)
Fireifghter TCESDl
Date Full name of contributor 0 out·Of·state PAC (ID#: ' Amount of Contribution($)
09/07/2016 Davidson, Mark $75.00 ............................................................................................................................................................
Contributor address: City; State: Zip Code
16920 Tidewater Cove
Austin, TX 78717
Principal occupation I Job title (See lnstructfons) Employer (See Instructions)
Firefighter TCESDl
r-urms prov1ae .... uy 1exas1...u,1cs t..omm1ss1on www.eu11cs.state.tx.us version V.L.u.l'+<l .
MONETARY POLITICAL CONTRIBUTIONS Al SCHEDULE
The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al:
Sch: 5/23 Rpt: 8/37
2 FILER NAME 3 Filer ID
Friends of North Shore Fire Department
4 Dote 5 Full name of contributor D out-of-state PAC (ID#: ' 7 Amount of Contribution($)
09/2112016 Davidson, Mark $75.00 .................................................................................................................. ......................................... 6 Contributor address; City; State; Zip Code
16920 Tidewater cove
Austin, TX 78717
8 Principal occupation I Job title (See Instructions) 9 Employer (see Instructions)
Firefighter TCESDl
Dote Full name of contributor D out-of-state PAC (ID#: ' Amount of Contribution ($)
10/05/2016 Davidson, Mark $75.00 ............................................................................................................................................................ Contributor address; City; State; Zip Code
16920 Tidewater Cove
Austin, TX 78717
Principal occupation f Job title (See Instructions) Employer (See Instructions)
Firefighter TCESDl
Date Full name of contributor 0 out-(lf-state PAC (10#: l Amount of Contribution ($)
10/19/2016 Davidson, Mark $75.00 ............................................................................................................................................................
Contributor address; City; State; Zip Code
16920 Tidewater cove
Austin, TX 78717
Principal occupation I Job title (See Instructions) Employer (see Instructions)
Firefighter TCESDl
Dote Full name of contributor 0 out-of-state PAC (10#: l Amount of Contnbution ($)
Principal occupation I Job title (See Instructions) Employer (see Instructions)
Firefighter TCESDl
Date Full name of contril:l.Jtor D out·Of·state PAC (ID#: ' Amount of Contribution ($)
10/0512016 Gammon, Will $50.00 ............................................................................................................................................................
Contributor address: City; State; Zip Code
2932 Angelina Dr
Round Rock, TX 78665
Principal occupation I Job title (See Instructions) Employer (See Instructions)
Firefighter TCESDl
Date Full name of contributor 0 out-of-state PAC (ID#: ' Amount of Contribution ($)
09/21/2016 Gammon, Will $50.00 ............................................................................................................................................................
Contributor address; City; State; Zip Code
2932 Angelina Dr
Round Rock, TX 78665
Principal occupation I Job title (See Instructions) Employer (See Instructions)
Firefighter TCESDl
Date Full name of contributor D out-of-state PAC (ID#: ' Amount of Contribution ($)
10/19/2016 Gammon, Will $50.00 ............................................................................................................................................................
Contributor address; City; State; Zip Code
2932 Angelina Dr
Round Rock, TX 78665
Principal occupation I Job title (See Instructions) Employer (See Instructions)
Principal occupation I Job title (see Instructions) Employer (See Instructions)
Firefighter TCESD 1
Forms p rovLCleu uy Texas Ett 1cs comm1ss1on www.em1cs.state.tx.us version vl.u ..............
MONET ARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form. 1 Total pages Sct'edule Al:
Sch: 8123 Rpt 11137
2 FILER NAME 3 Filer ID
Friends of North Shore Fire Department
4 D•te 5 Full name of contributor D out-of-state PAC (ID#: ' 7 Amount of Contribution ($)
09/21/2016 Garner, Charles $45.00 ...................................................................................................... ..................................................... 6 Contributor address: City; State; Zip Code
25200 Ranch Rd
Leander, TX 78645
8 Principal occupation I Job title (See Instructions) 9 Employer (see Instructions)
Firefighter TCESD 1
Date Full name of contributor 0 out--Of·state PAC (ID#: ' Amount of Contribution ($)
10/05/2016 Garner, Charles $45.00 ............................................................................................................... ............................................ Contributor address; City; State; Zip Code
25200 Ranch Rd
Leander, TX 78645
Principal occupation I Job title (See Instructions) Employer (See Instructions)
Firefighter TCESD 1
Date Full name of contributor 0 rut-of-state PAC (ID#: ' Amount of Contribution($)
10/19/2016 Garner, Charles $45.00 ............................................................................................................................................................
Contributor address: City; State; Zip Code
25200 Ranch Rd
Leander, TX 78645
Principal occupation I Job title (See Instructions) Employer (See Instructions)
Firefighter TCESD 1
Date Full name of contributor D out-of-state PAC (ID#: ' Amount of Contribution ($)
09/01/2016 Garner, Charles $15.00 ............................................................................................................................................................
Contributor address; City; State: Zip Code
25200 Ranch Rd
Leander, TX 78645
Principal occupation I Job title (see Instructions) Employer (See Instructions)
Firefighter TCESD 1
Date Full name of contributor 0 out-of-state PAC (ID#: ' Amount of Contribution ($)
Principal occupation I Job title (See Instructions) Employer (see Instructions)
Firefighter TCESDl
Date Full name of contributor 0 out·Of·state PAC (ID#: ' Amount of Contribution($)
09/21/2016 Hert, John $75.00 ............................................................................................................................................................
Contributor address: City; State; Zip Code
8001RR1869
Liberty Hill, TX 78642
Principal occupation I Job title (see Instructions) Employer (See Instructions)
Firefighter TCESDl
Date Full name of contributor D out-of-state PAC (ID#: ' Amount of Contribution($)
10/19/2016 Hert, John $75.00 ............................................................................................................................................................
Contributor address; City; Slate; Zip Code
8001RR1869
Liberty Hill, TX 78642
Principal occupation I Job tit!e (see Instructions) Employer (See Instructions)
Firefighter TCESDl
arms prov1aea oy 1 exas t:.tn1cs l..omm1ss1on www.et111cs.state.tx.us Version v l.0.i«<>u
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al:
Sch: 11123 Rpt: 14/37
2 FILER NAME 3 Filer ID
Friends of North Shore Fire Department
4 Date 5 Full name of contributor D out-of-state PAC (ID#: . 7 Amount of Contribution ($)
Principal occupation I Job title (See Instructions) Employer (See Instructions)
Firefighter TCESD1
Forms rov1ueu u· 1exas1:.tntcs c.;omm1ss1on p y www.err 1cs.state. tx.us version v1.u.14ti
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al:
Sch: 12123 Rpt: 15/37
2 FILER NAME 3 Filer ID
Friends of North Shore Fire Department
4 Date 5 Full name of contributor D out-of.-state PAC (ID#: ' 7 Amount of Contribution($)
09/06/2016 Johnson, Michael $9.21 ............................................................................................................................................................ 6 Contributor address; City; State; Zip Code
1505 Jackie Robinson Pl
Round Rock, TX 78665
8 Principal occupation I Job title (See Instructions) 9 Employer (see Instructions)
Firefighter TCESDl
Date Full name of contributor D out-Of-state PAC (ID#: ' Amount of Contribution ($)
09/07/2016 Johnson, Michael $50.00 ............................................................................................................................................................ Contributor address; City; State; Zip Code
1505 Jackie Robinson Pl
Round Rock, TX 78665
Principal occupation f Job title (See Instructions) Employer (See Instructions)
Firefighter TCESDl
Date Full name of contributor 0 out-Of-state PAC (ID#: ' Amount of Contribution ($)
09/2112016 Johnson, Michael $50.00 ................................................................................................................... _ .......................................
Contributor address; City; State; Zip Code
1505 Jackie Robinson Pl
Round Rock, TX 78665
Principal occupation f Job title (See Instructions) Employer (see Instructions)
Firefighter TCESDl
Date Full name of contributor 0 out-of-state PAC (ID#: ' Amount of Contribution ($)
10/05/2016 Johnson, Michael $50.00 ............................................................................................................................................................
Contributor address; City; State; Zip Code
1505 Jackie Robinson Pl
Round Rock, TX 78665
Principal occupation I Job title (See Instructions) Employer (5ee Instructions)
Firefighter TCESDl
Dot• Full name of contributor 0 out-01-state PAC (10#: ' Amount of Contribution ($)
10/19/2016 Johnson, Michael $50.00 ................................................. ..........................................................................................................
Contributor address; City; State; Zip Code
1505 Jackie Robinson Pl
Round Rock, TX 78665
Principal occupation f Job title (See Instructions) Employer (5ee Instructions)
Principal occi..pation I Job title (see Instructions) Employer (see Instructions)
Firefighter TCESD1
Date Full name of contributor 0 out-of-state PAC (ID#: ' Amount of Contribution ($)
10/0512016 Mcdonald, Chris $50.00 ............................................................................................................................................................
Contributor address; City; State; Zip Code
1203 North Crest
Granite Shoals, TX 78654
Principal occupation I Job title (See Instructions) Employer (5ee Instructions)
Firefighter TCESD1
arms p rov1t1ea oy l exas Etn1cs comm1ss1on www.etn1cs.state.tx.us version v1.u.1....,v
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al:
Sch: 14/23 Rpt: 17/37
2 FILER NAME 3 Filer ID
Friends of North Shore Fire Department
4 Date 5 Full name of contributor 0 out-of-state PAC (ID#: l 7 Amount of Contribution{$)
09/21/2016 Mcdonald, Chris $50.00 ............................................................................................................................................................ 6 Contributor address; City; State; Zip Code
1203 North crest
Granite Shoals, TX 78654
8 Principal occupation I Job title (See Instructions) • Employer (See Instructions)
Firefighter TCESDl
Date Full name of contributor D out-of-state PAC (ID#: l Amount of Contribution($)
09/07/2016 Mcdonald, Chris $50.00 .............................................................................................. ............................................................. Contributor address; City; State; Zip Code
1203 Northcrest
Granite Shoals, TX 78654
Principal occupation I Job title (See Instructions) Employer (5ee Instructions)
Firefighter TCESD1
Date Full name of contributor D out--Of·state PAC (ID#: l Amount of Contribution($)
10/19/2016 Mcdonald, Chris $50.00 .............................................................................................. .............................................................
Contributor address; City; State; Zip Code
1203 North Crest
Granite Shoals, TX 78654
Principal occupation I Job title (See Instructions) Emplayer (5ee Instructions)
Firefighter TCESDl
Date Ful! name of contributor D out·Ol-state PAC (ID#: l Amount of Contribution($)
08/08/2016 Minette, Laura $200.00 ............................................................................................................................................................
Contributor address; City; State; Zip Code
18208 Lura Ln
Jonestown, TX 78641
Principal occupation I Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor 0 out-of-state PAC (ID#: ' Amount of Contribution($)
10/0512016 Ming, Robert $50.00 ............................................................................................................................................................
Contributor address; City; State; Zip Code
1745 CR 262
Geotgetown, TX 78633
Principal occupation I Job tide (See Instructions) Employer (5ee Instructions)
Firefighter TCESD1
;:arms prov1aea oy Texas ttn1cs Lomm1ss1on www .et1 11cs.state. tx.us version v J..U.J.'+Qu
MONETARY POLITICAL CONTRIBUTIONS Al SCHEDULE
The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al:
Sch: 15/23 Rpt: 18/37
2 FILER NAME 3 Filer ID
Friends of North Shore Fire Department
4 Date 5 Full name of contributor D out-of-state PAC (ID#: ' 7 Amount of Contribution ($)
09/2112016 Ming, Robert $50.00 ............................................................................................................................... ···························· 6 Contributor address; City; State; Zip Code
1745 CR 262
Georgetown, TX 78633
8 Principal occupation I Job title (See Instructions) 9 Employer (see Instructions)
Firefighter TCES01
Date Full name of contributor D ol.ll-of-state PAC (ID#: ' Amount of Contribution($)
09/07/2016 Ming, Robert $50.00 ............................................................................................................................................................ Contributor address: City; State; Zip Code
1745 CR 262
Georgetown, TX 78633
Principal occupation I Job title (see Instructions) Employer (See Instructions)
Firefighter TCESDl
Date Full name of contributor 0 out-of·State PAC (ID#: ' Amount of Contribution ($)
10/19/2016 Ming, Robert $50.00 ............................................................................................................................................................
Contributor address; City; State; Zip Code
1745 CR 262
Geotgetown, TX 78633
Principal occupation I Job title (see Instructions) Employer (see Instructions)
Firefighter TCESDl
Oate Full name of contributor 0 out-of·state PAC (ID#: \ Amount of Contribution ($)
10/0512016 Moore, Chris $50.00 ............................................................................................................................................................
Contributor address: City; State: Zip Code
2028 Tribal Wey
Leander, TX 78641
Principal occupation I Job title (see Instructions) Employer (See Instructions)
Firefighter TCESDl
Date Full name of contributor 0 om-of-state PAC (ID#: \ Amount of Contribution($)
09/2112016 Moore, Chris $50.00 ............................................................................................................................................................
Contributor address: City; State; Zip Code
2028 Tribal Way
Leander, TX 78641
Principal oa:upation I Job title (See Instructions) Employer (see Instructions)
Firefighter TCESDl
arms prov1oeo oy 1 exas t:tn1cs 1..omm1ss1on www.eu11cs.state.tx.us version v.1..u.l .. ov
MONET ARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al:
Sch: 16/23 Rpt 19/37
2 FILER NAME 3 Filer ID
Friends of North Shore Fire Department
4 Date 5 Full name of contnbutor D out-Of·state PAC (ID#: ' 7 Amount of Contribution ($)
10/19/2016 Moore, Chris $50.00 ................................................................................................... ........................................................ 6 Contributor address; City; State; Zip Code
2028 Tribal Way
Leander, TX 78641
8 Principal occupation f Job title (See Instructions) 9 Employer (See Instructions)
Firefighter TCESD1
Date Full name of contributor D out-Of-state PAC (ID#: ' Amount of Contribution ($)
Principal occupation I Job title (See Instructions) Employer (See Instructions)
Firefighter TCESDl
Date Full name of contributor D out-of-state PAC (ID#: - ' Amount of Contribution ($)
09/07/2016 Pipkin, David $50.00 ............................................................................................................................................................
Contributor address; City; State; Zip Code
1018 Terrace Dr
Leander, TX 78641
Principal occupation I Job title (See Instructions) Employer (See Instructions)
Firefighter TCESD 1
-urms prov1oea oy 1 exas t.tn1cs {..;Omm1ss1on www.eu 1cs.state.tx.us version vl.v.l<JOu
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al:
Sch: 18123 Rpt 21/37
2 FILER NAME 3 Filer ID
Friends of North Shore Fire Department
4 Date 5 Full name of contributor D out-of-state PAC (ID#: ' 7 Amount of Contribution{$)
09/21/2016 Pipkin, David $50.00 ...................................................................................................................... ····································· 6 Contributor address; City; State; Zip Code
1018 Terrace Dr
Leander, TX 78641
• Principal occupation I Job title {See Instructions) 9 Employer (see Instructions)
Firefighter TCESD 1
Date Full name of contributor D out-of-state PAC (ID#: ' Amount of Contribution ($)
10/05/2016 Pipkin, David $50.00 ............................................................................................................................................................ Contributor address; City; State; Zip Code I 1018 Terrace Dr
Leander, TX 78641
Principal occupation I Job title (see Instructions) Employer (see Instructions)
Rrefighter TCESD 1
Date Full name of contributor D out-of-state PAC (ID#: ' Amount of Contribution ($)
10/19/2016 Pipkin, David $50.00 ............................................................................................................................................................
Contributor address; City; State; Zip Code
1018 Terrace Dr
Leander, TX 78641
Principal occupation f Job title (see Instructions) Empbyer (see Instructions)
Firefighter TCESD 1
Dat• Full name of contributor D out-of-state PAC (ID#: ' Amount of Contribution($)
09/07/2016 Ringstaff, James $50.00 ............................................................................................................................................................
Contributor address; City; Slate; Zip Code
851CR177
Leander, TX 78641
Principal occupation I Job title (see Instructions) Employer (See Instructions)
Firefighter TCESD 1
Date Full name of contributor D out-of-state PAC (ID#: ' Amount of Contribution ($)
09/2112016 Ringstaff, James $50.00 ............................................................................................................................................................
Contributor address; City; State; Zip Code
851CR177
Leander, TX 78641
Principal occupation I Job title (See Instructions) Employer (see Instructions)
Firefighter TCESD 1
1-orms prov1aea ay 1 exas Etn1cs 1...omm1ss1on www.eth1cs.state.tx.us version vJ..U.1<1-0u
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al:
Sch: 19/23 Rpt 22/37
2 FILER NAME 3 Filer ID
Friends of North Shore Fire Department
4 Date 5 Full name of contributor D out-of-state PAC {ID#: ' 7 Amount of Contribution ($)
10/05/2016 Ringstaff, James $50.00 ............................................................................................................................................................
• Contributor address; City; State; Zip Code
851CR 177
Leander, TX 78641
8 Principal occupation I Job title (See Instructions) 9 Employer (5ee Instructions)
Firefighter TCESD 1
Date Full name of contributor 0 out-of-state PAC (ID#: ' Amount of Contribution ($}
10/19/2016 Ringstaff, James $50.00 ............................................................................................................................................................
Contributor address; City; State; Zip Code
851CR177
Leander, TX 78641
Principal occupation I Job title (See Instructions} Employer (See Instructions)
Firefighter TCESD 1
Date Full name of contributor D out·of·state PAC (ID#: ' Amount of Contribution ($}
09/07/2016 Robeson, Tim $100.00 ............................................................................................................................................................
Contributor address; City; State; Zip Code
300 Terry Ln
Leander, TX 78641
Principal occupation I Job title (See Instructions) Employer (See Instructions}
Firefighter TCESDl
Date Full name of contributor 0 out·Of-state PAC {ID#: ' Amount of Contribution ($}
09/2112016 Robeson, Tim $100.00 ............................................................................................................................................................
Contributor address; City; State; Zip Code
300 Terry Ln
Leander, TX 78641
Principal occupation I Job title (See lnSlructions) Employer (See Instructions)
Firefighter TCESDl
Date Full name of contributor D out-of-'Slllle PAC (ID#: ' Amount of Contribution ($)
10/05/2016 Robeson, Tim $100.00 ............................................................................................................................................................
Contributor address; City; Stale; Zip Code
300 Terry Ln
Leander, TX 78641
Principal occupation I Job title (See Instructions) Employer (See Instructions)
Firefighter TCESDl
Forms prov1ueu '"':t 1 exas tthics Comm1ss1on www.etn1cs.state.tx.us vers1on v .L.O.i<t0
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al:
Sch: 20/23 Rpt 23/37
2 FILER NAME 3 Filer ID
Friends of North Shore Fire Department
4 Dfile 5 Full name of contnbutor 0 out-of-state PAC (ID#: ; 7 Amount of Contribution ($)
10/19/2016 Robeson, Tim $100.00 ............................................................................................................................................................ 6 Contributor address; City; State; Zip Code
300 Terry Ln
Leander, TX 78641
8 Principal occupation I Job title (See Instructions) 9 Employer (See Instructions)
Firefighter TCESDl
Date Full name Of contributor D out-of-state PAC (ID#: -,
Principal occupation I Job title (See Instructions) Employer (See lnstruc;tjons)
Firefighter TCESD 1
arms p rov1ue .... ~Y 1 exas Etr 1cs comm1ss1on www.etn1cs.state.tx.us vers1on v ..1..U . ..1.>K>v
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
1 Total pages Schedule Al: The Instruction Guide explains how to complete this form.
Sch: 21123 Rpt: 24/37
2 FILER NAME 3 Filer ID
Friends of North Shore Fire Department
4 Date 5 Full name of contributor D out-of-state PAC {ID#: , 7 Amount of Contribution($)
10/0512016 Sukup, Chris $50.00 ............................................................................................................................................................ 6 Contributor address; City; State: Zip Code
20706 Park Dr
Lago Vista, TX 78645
8 Principal occupation I Job title (See Instructions) 9 Employer (See Instructions)
Firefighter TCESDl
Date Full name of contributor 0 out-of-state PAC (ID#: , Amount of Contribution ($)
09121/2016 Sukup, Chris $50.00 ............................................................................................................................................................ Contributor address; City; State; Zip Code
20706 Park Or
Lago Vista, TX 78645
Principal occupation I Job title (5ee Instructions) Employer (5ee Instructions)
Firefighter TCESD1
Date Full name of contributor 0 out-of-state PAC (ID#: , Amount of Contribution ($)
10/19/2016 Sukup, Chris $50.00 ............................................................................................................................................................
Contributor address: City: State; Zip Code
20706 Park or
Lago Vista, TX 78645
Principal occupation I Job title (5ee Instructions) Employer (5ee Instructions)
Firefighter TCESDl
Date Full name of contributor 0 out-of-state PAC (ID#: ' Amount of Contribution ($)
Principal occupation I Job title (See Instructions) Employer (See Instructions)
Firefighter TCESD 1
Date Full name of contributor 0 out-of-state PAC (ID#: ' Amount of Contribution ($)
09/07/2016 VJhite, James $50.00 ............................................................................................................................................................
Contributor adctess; City; State; Zip Code
2737 Crimson Sky Ct
Round Rock, TX 78665
Principal occupation I Job title (See Instructions) Employer (See Instructions)
Firefighter TCESD 1
Date Full name of contributor 0 out-of-state PAC (ID#: ' Amount of Contribution($)
................................................................................................ ................. . ................................ $1,500.001Madea15 and 30 second 7 Contributor address: City; State: Zip Code : commercial for ESD 7.
8109 Cannon Court 1 Donated time and 1 equipment.
Lago Vista, TX 78645 I D Check ~travel outsde of Texas. complete Schedule T.
10 Principal occupation I Job title (FOR NON-JUDICIAL) (See instructions) 11 Employer (FOR NON-JUDICIAL) (see instructions)
12 Contributor's principal occupation (FOR JUDICIAL) 13 Contributor's job title (FOR JUDICIAL) (See instructions)
14 Contributor's employer/law firm (FOR JUDICIAL) 15 Law firm of contributor's spouse (if any) (FOR JUDICIAL)
16 If contributor is a child, law firm of parent(s) (if any) (FOR JUDICIAL)
orms p roviae ....... y 1 exas t:l111cs comm1ss1on www.etn1cs.state.tx.us version vl.u .... ~,,,
PLEDGED CONTRIBUTIONS SCHEDULE B
The Instruction Guide explains how to complete this form. 1 Total pages Schedule B:
5 Date • Full name of pledger Oout-of-state PAC (ID#: ' 8 Amount of ,. In-kind description pledge ($) I (If applicable)
I ................................................................................................................................................ I 7 Pledgor Address; City; State; Zip Code I I I I ' De heck 11 travel outside of Texas. Comp~e Schedule T.
10 Principal occupation I Job title (See Instructions) 11 Employer (5ee Instructions)
arms prov1aeo uy Texas Ett11cs <...:omm1ss1on www.eu11cs.state.tx.us version vl.u.1400
MONETARY CONTRIBUTIONS FROM Cl CORPORATION OR LABOR ORGANIZATION
SCHEDULE
The Instruction Guide explains how to complete this form. 1 Total pages Schedule Cl:
Sch: 1/1 Rpt: 29137
2 FILER NAME 3 Filer ID
Friends of North Shore Fire Department
4 Date 5 Corporation/ Labor Organization name 7 Amount of contnbution ($)
09/0112016 Blind Faith $200.00 ........................................................................................ ............. . .......................................... 6 Corporation I Labor Organization address; City; State; Zip Code
18601 FM 1431
Jonestown, TX 78645
Dato Corporation I Labor Organization name Amount of contribution ($)
10/1512016 Buz Henry Construction $100.00 ..................................................................................................................................................
Corporation I Labor Organization address: City; State; Zip Code
17009 Blue Canyon Cv
Leander, TX 78641
Date Corporation I Labor Organization name Amount of contribution ($)
0910112016 Doug Casey Homes lnc. $200.00 ..................................................................................................................................................
Corporation f Labor Oiyanization address; City; State; Zip Code
20624 FM 1431
Lago Vista, TX 78645
Date Corporation I Labor Organization name Amount of contribution ($)
0910712016 Lago Vista Sun Hardware $100.00 ..................................................................................................................................................
Corporation I Labor Organization address; City; State; Zip Code
7401 Lohman Ford Rd
Lago Vista, TX 78645
Date Corporation I Labor Organization name Amount of contribution ($)
09/19/2016 North Lake Travis Firefighters Association $3,000.00 ..................................................................................................................................................
Corporation I Lalxlr Organization address; City; State; Zip Code
21118 Highland Lake Dr
Lago Vista, TX 78645
Date Corporation I Labor Organization name Amount of contribution ($)
09/0112016 Ray Garner Insurance Company $2,000.00 ..................................................................................................................................................
Corporation f Labor Organization address: City; State; Zip Code
105 E Baker Ln
Austin, TX 78753
Date Corporation I Labor Organization name Amount of contribution ($)
Gand1date/Olh:;eholder/Political CCHnmmee legal Services Salanes/WagesiContract Labor OTHER (enter a category not listed above) Credit Card Pa)'Tllent
The Instruction Gulde e1<plains how to coll'4)1ete this form.
1 Total pages Schedule Fl: 2 FILER NAME 3 Filer ID
Sch: 116 Rpt: 30/37 Friends of North Shore Fire Department
4 Date 5 Payee name
10/21/2016 Deck, Mitch
6 Amount($) 7 Payee address; City; State; Zip Code
$1,500.00 8109 cannon Court
Lago Vista, TX 78645
8 PURPOSE (a) Category (See Categ0nes listed at the top of this sched.Jle) (b) Description OF
In-Kind Expense O Check~ travel ootside otTe•as- Complete SChedule T. EXPENDITURE O Cheek if Austll\ TX. ott""'holde< loviog expense
In-Kind Expense for Mitch Decks time and services.
9 Complete .Qlli.Y if direct CandidateJOfficet'older name Office sought Office held expenditure to benefit C/OH
Date Payee name
09/08/2016 Dirt Cheap Signs
Amount($) Payee address; City; State; Zip Code
$2,300.00 7301 Bar K Ranch
Lago Vista, TX 78645
PURPOSE (a) Category (See CeleQones listed at Che top of this schedule) (b) Description OF Advertising Expense O Check ff travel oucsde of Texas Complete Schedule T_
Complete~ if direct Candidate/Officeholder name Office sought Office held expenditure to benefit CfOH
Date Payee name
10/03/2016 FedEx
Amount($) Payee address; City; State; Zip Code
$132.49 1335 E VVhitestone Blvd
Cedar Park, TX 78613
PURPOSE (a) Category (See CateQOnes listed at the !Oil of this sched.Jle) (b) Description OF Printing Expense O Check LI travel outside of Texas. complete Sciledule T_
EXPENDITURE 0 Check ff AUStin, TX, otroceholder living expense
Printed out Flyers
Complete Qt:il.Y if direct Candidale/Officeholder name Office sought Office held expenditure to benefit CfOH
Klrms rovide:o o• l exas ttti1cs comm1ss1on p y www.eu11cs.state.tx.us version vl.0 . .14HU
POLITICAL EXPENDITURES FROM POLITICAL SCHEDULE Fl CONTRIBUTIONS
POLITICAL EXPENDITURES FROM POLITICAL SCHEDULE Fl CONTRIBUTIONS
EXPENDITURE CATEGORIES FOR BOX S{a} Adver\1s1n11 Expense Event E•pense Loan RepayrnenVReimbursement So4ic1laUon1Fundrais1ng Expense ACl;OUnting/Banking Fees Office Overhead/Rental Expeose Transpona11on Equ1pmem& Related Expense consulting Expense Food/Be>rerage E•pense P~ling Expense Travel 111 District Conlribu11onsl Donations Made By. Gift/AwardS/Memonals Expense Prioung Expense Travel out of D1smct
Car.dodale/Offo:eholder /Political com m 1t1ee Lewd Services Salaries/wages!Coouact Labm OTHER (enter a raceuory not l1s1ed atlove) Credtt card Payment
The -.suuction Guide explains how to complete this form.
1 Total pages Schedule Fl: 2 FILER NAME 3 Filer ID
Sch: 3/6 Rpt: 32137 Friends of North Shore Fire Department
4 Date 5 Payee name
10/06(2016 HEB
6 Amount($) 7 Payee address; Crty; State; Zip Code
$21.78 2800 E V\/hitestone Blvd
Cedar Park, TX 78613
8 PURPOSE (a) Category (See categories listed at the top o1 this schedlkl) (b} Description OF
Event Expense O Check 1f rravel outsode al Texas Comp~ Schedukl T_ EXPENDITURE O Check 1f Austin, TX. officeholder living expense
Food for Meet and Greets
9 Complete QM.Y if direct candidate/Officeholder name Office sought Office held expenditure to benefit C/OH
Date Payee name
09/26/2016 HEB
Amount($) Payee address; City; State: Zip Code
$53.38 2800 E 'M"litestone Blvd
Cedar Park, TX 78613
PURPOSE (a) Category (See categories listed at the top o1 this scl>edule) (b} Description OF
Event Expense 0 Check ff travel outside o1 Texas. Complele Schedule T. EXPENDITURE O Check~ AUSlln, TX. officeholder living expense
Food for Meet and Greet
Complete .ow_ if direct Candidate/Officeholder name Office sought Office held expenditure to benefit CIOH
Date Payee name
09/08/2016 Harland Clarke
Amount($) Payee address; City; State; Zip Code
$12.98 15955 La Cantera Parkway
San Antonio, TX 78256
PURPOSE (a) Category (See camgoroes listed at the top ot this schedule) (b} Description OF Accounting/Banking O Check ~travel outside o1 Texas Complete Schedule T.
EXPENDITURE O Check~ Austin. TX. offoceholder liv"1g e>rpense
Checking account checks.
Complete Qf:.lLY. if direct CandidatetOfficeholder name Office sought Office held expenditure to benefit C/OH
orms prov1aea oy Texas t:.tn1cs 1,,,..omm1ss1on www.et •• 1cs.state.tx.us version . -.v.l , __
POLITICAL EXPENDITURES FROM POLITICAL SCHEDULE Fl CONTRIBUTIONS
EXPENDITURE CATEGORIES FOR BOX B{a) Advert1s1ng E•pense Event Expense Loan RepaymentlReimburseme<ll Solicita11on/Fund1a1s"111 Expense Accoum1nQIBanking Fees Oll1ce overhead/Rental Expense Transportatl011 Equipment& Related Expense Consuttng Expense Food/Beverage E•pense Polling Expense Tra...el in 01Strict Contribul<onsl Dooations Made By- Gilt/Awards/Memoriats Expense Pnn!lfl!I Eiq1ense Travel out or DistrK;t
Candidate/Otliceholcler/Politocal C001 m itlee Leyal SeNK:eS Salar1eslWa(les1contract Labor OTttER (enter a category not listed above) Credit C&rd Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Fl: 2 FILER NAME 3 Filer ID
Sch: 4/6 Rpt: 33/37 Friends of North Shore Fire Department
4 Date 5 Payee name
09/06/2016 Lago Vista Booster Club
• Amount($) 7 Payee address; City; State; Zip Code
$250.00 Thunderbird
Lago Vista, TX 78645
8 PURPOSE (a) Category (See Categones listed at the top of this schedule) (b) Description OF
Advertising Expense O Checi< if travel outside of Te•as. Complete Schedule T_ EXPENDITURE 0 d>eci< ~ Austn, lX, ofliceholder 1;,,ng e•pense
Lago Vista Booster Club Paid to be on T-shirts and a Sign.
9 Complete QNlY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH
Date Payee name
10/07/2016 Lowes Market
Amount($) Payee address; City; State; Zip Code
$27.44 7708 Lohmans Ford Rd
Lago Vista, TX 78645
PURPOSE (a} Category (see caieuaries listed 111 the rop of this sche<llle) (b) Description OF Event Expense O Checi< n travel outside of re.as. complete Schedule T.
EXPENDITURE O Check ~ Austin. TX. oflocehlllder 1;,,ino e•pense
Food for meet and greet
Complete ONLY ii direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH
Date Payee name
09/06/2016 Miller Signs
Amount($) Payee address; City; State; Zip Code
$500.00 18400 FM 1431
Jonestown, TX 78645
PURPOSE (a) Category (See Cate(IOries listed at !he top of this schedule) (b) Description OF Advertising Expense O Ched< ff travel outside of Texas. Complete Schedule T_
EXPENDITURE O Check~ Austin, lX. officeholder INing .,.peose
To pay rent on a billboard.
Complete QNLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C!OH
1irlPrl h ''I e : f-'tt 1cs r~omm1ss1on Forms prov1 e y xas t www.etl1cs.state.tx.us version v 1.u ...... CJ
POLITICAL EXPENDITURES FROM POLITICAL SCHEDULE Fl
CONTRIBUTIONS
EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solic1!ation/Fmdraising Expense Acco1mtl'IGfllanking '~· Office OYerheadlRental Expense Trans!)Ortation Equipment & Related Expense Consulting Expense Food/B.....,raoe Expense Polling El<per>Se Travel in 01Str1ct Contributions/ Donations Malle By • G1ft/Awards1Memorials Expense Pnmillo Expense Travel Out of Dismct
CandidateJOHiceholder/Polttiral Committee Legal SeNICeS Salaries/Wages/Contract Labor OTHER (enter a category not losted above) Credtt Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Fl: 2 FILER NAME 3 Filer ID
Sch: 5/6 Rpt: 34/37 Friends of North Shore Fire Department
4 Date 5 Payee name
09/0712016 Miller Signs
6 Amount{$) 7 Payee address; City; State; Zip Code
$675.00 18400 FM 1431
Jonestown, TX 78645
8 PURPOSE (a) Category (See Ca1euories listed at the top of this schedule) (b) Description OF
Advertising Expense 0 Cheek n travel outside of Te.as. Complete Schedule T. EXPENDITURE D Cheek~ Austrn, TX, olhceholder l'vl"ig e><pense
Pay Banner and Billboard Production
9 Complete QNLl'. if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH
Date Payee name
09/07/2016 Miller Signs
Amount($) Payee address: City; State; Zip Code
$375.00 18400 FM 1431
Jonestown, TX 78645
PURPOSE (a) Category (See cruegories listed ai the top ol th.s schedule) (b) Description OF
Advertising Expense 0 Check Ktravel outside of Te•as. Complete Schedule T. EXPENDITURE 0 Check n Au:stin, TX, afficehoklef living e•pense
Billboard Installation.
Complete 00.U ii direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH
Date Payee name
10/0312016 Miller Signs
Amount($) Payee address: City; State; Zip Code
$500.00 18400 FM 1431
Jonestown, TX 78645
PURPOSE (a) category (See Categories l.sted al the top of this schedule) (b) Description OF
Advertising Expense 0 Ctled< tttravel oots<de of Te•as. C""1plete Schedule T.
EXPENDITURE 0 Cheek t Au:stri, TX, officeholder living expense
Rent on Billboard
Complete Qlil.Y if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Forms p rov1ued by 1 exas Etn1cs comm1ss1on www.em1cs.state.tx.us version v1.u.1 ..... ,,
POLITICAL EXPENDITURES FROM POLITICAL SCHEDULE Fl
CONTRIBUTIONS
EXPENDITURE CATEGORIES FOR BOX 8(a) Moenisilg Expense Event Expense Loan Repayment/Reimbursement Soic1tation!Fundraismg Expense Accoominglllriing - Office OwrheadlRemal Expense Transponanoo Equipment & Re1a1ed Expense ConsultllQ Expense Food/Beverage Expense Polling Expense Travel in OiSUICI ContritiutiooS/ Donruioos Made By • Gift/Awart!SIMemorials Expense Printing Expense Travel Olli of DLStriC\
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Fl: 2 FILER NAME 3 Filer ID
Sch: 616 Rpt: 35137 Friends of North Shore Fire Department
4 Date 5 Payee name
10126/2016 Quik Print
6 Amount($) 7 Payee address; City; State: Zip Code
$1,457.63 8508 Cross Park
Austin, TX 78754
8 PURPOSE (a) Category (See Categories listed at the top al this schedule) (b} Description OF
Printing Expense D Check if\favel outside ot Te•as- Complete Schedule T. EXPENDITURE 0 Check ;1 Austin, TX, officeholder llVinl! e"!"'nse
Printing tor mailers.
• Complete QM.Y. if direct Candidate/Officeholder name Office sought Office held expenditure to benefit CIOH
Date Payee name
10(07/2016 Sams Club
Amount($) Payee address; City; State; Zip Code
$136.09 10901 Lakeline Mall
Austin, TX 78717
PURPOSE (a) Category (See C8!egorieS l•Sled at the top of this schedule) (b) Description OF Event Expense 0 Clleck ~ tr.....el outside al Texas. Complete SChedule T.
EXPENDITURE O Check n Austin, TX. officeholdl!f IMng e•pense
Food for Meet and Greet and Townhall Meetings
complete ONLY. if direct CandidatelOfficeholder name Office sought Office held expenditure to benefit C/OH
Date Payee name
09/2612016 Vistago Print I Dirt Cheap Signs
Amount($) Payee address; City; State; Zip Code
$425.10 7301 Bar K Ranch
Lago Vista, TX 78645
PURPOSE (a) Category (See Cl\tegones listed at !he top ot !his schedule) (b) Description OF Advertising Expense O Check ~travel outside ol Texas Complete Schedule T-
EXPENDITURE O Chee\< 11 Aust.,, TX, offocet-.older 1illln!J e•pense
Banners
Complete Qw_ if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
arms prov1aea oy 1exas t:tn1cs Lomm1ss1on www.etn1cs.state.tx..us version v .._.u . .._-.u,