Guide explains how to complete this form. 10 NICKNAME LAST SUFFIX
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1 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 CANDIDATE/ MS/ MRS/ MR FIRST MI OFFICEHOLDER Mr. Richard S NAME NICKNAME LAST SUFFIX Scott Elliott OFFICE USE ONLY Ile a` ' z EIVED j j 4 CANDIDATE/ ADDRESS / PO BOX; APT / SUITE#; CITY; STATE: ZIP CODE JUL.17 &ji OFFICEHOLDER 5601 Grove Cove Dr McKinney TX 75071, MAILING ADDRESS JET-y SECRETARY Change of Address 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION OFFICEHOLDER / PHONE 1 Date Hand- delivered or Date Postmarked 6 CAMPAIGN MS/ MRS/ MR FIRST MI TREASURER Mrs. Betty NAME Receipt# Date Processed Amount$ NICKNAME LAST SUFFIX Petkovsek Date Imaged 7 CAMPAIGN TREASURER ADDRESS STREET ADDRESS ( NO PO BOX PLEASE), APT / SUITE#; CITY: STATE; ZIP CODE 1101 W Louisiana McKinney TX Residence or Business) 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE 9 REPORT TYPE January 15 30th day before election Runoff 15th day after campaign treasurer appointment Officeholder Only) JulyJuly 15 8th day before election Exceeded$ 500 limit Final Report( Attach C/ OH- FR) IN 10 PERIOD Month Day Year Month Day Year COVERED THROUGH 11 ELECTION ELECTION DATE ELECTION TYPE Month Day 1Other F- 1F-1 Description Year11Primary McKinney 1:1City Council General Special 12 OFFICE OFFICEHELD ( ifany) 13 OFFICESOUGHT ( ifknown) N/ A McKinney City Council District 3 GO TO PAGE 2 Forms provided by Texas Ethics Commission www. ethics. state. tx. us Revised 9/ 8/ 2015
2 STATE CANDIDATE / OFFICEHOLDER FORM C/ OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 14 C/ OH NAME 15 Filer ID ( Ethics Commission Filers) Richard S Elliott 16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL S MADE BY POLITICAL COMMITTEES TO- POLITICAL SUPPORT THE CANDIDATE/ OFFICEHOLDER. THESE S MAY HAVE BEEN MADE WITHOUT THE CANDIDA TES OR OFFICEHOLDERS COMMITTEE( S) KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH S. COMMITTEE TYPE COMMITTEE NAME McKinneyTeam L GENERAL t_al` COMMITTEE ADDRESS SPECIFIC P. O. Box 786 McKinney, TX Additional Pages COMMITTEE CAMPAIGN TREASURER NAME Bill Darling COMMITTEE CAMPAIGN TREASURER ADDRESS 3362 N Custer Road McKinney, TX CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $ 50 OR LESS( OTHER THAN TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ TOTAL POLITICAL CONTRIBUTIONS OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) 3, TOTALS 3. TOTAL POLITICAL S OF $ 100 OR LESS, UNLESS ITEMIZED TOTAL POLITICAL S 4, CONTRIBUTION BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ OF REPORTING PERIOD 2, OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LOAN TOTALS 7, LAST DAY OF THE REPORTING PERIOD 18 AFFIDAVIT 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. ar, mar SANDRA HART Notary Public OF TEXAS Signature of Candidate or Officeholder My Comm. Exp January 18, 2019 Swor and scribed before me, bythe said/ this the day 20/ 7 to, certify which, witness my hand and seal of office. Gl Signature of officer administering oath Printed name of officer administering oath itle of officer administering oath Forms provided by Texas Ethics Commission www. ethics. state.tx. us Revised 9/ 8/ 2015
3 SUBTOTALS - C/ OH FORM C/ OH COVER SHEET PG 3 19 FILER NAME 20 Filer ID( Ethics Commission Filers) Richard S Elliott 21 SCHEDULE SUBTOTALS SUBTOTAL NAME OF SCHEDULE AMOUNT 1. SCHEDULEAI: MONETARY POLITICAL CONTRIBUTIONS 3, SCHEDULEA2: NON- MONETARY( IN- KIND) POLITICAL CONTRIBUTIONS 3, SCHEDULE B: PLEDGED CONTRIBUTIONS 4. SCHEDULE E: LOANS 5. SCHEDULE F1: POLITICAL S MADE FROM POLITICAL CONTRIBUTIONS 4, SCHEDULE F2: UNPAID INCURRED OBLIGATIONS 7. SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS 8. SCHEDULE F4: S MADE BY CREDIT CARD 9 SCHEDULE G: POLITICAL S MADE FROM PERSONAL FUNDS 10. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/ OH $ 11. SCHEDULE I: NON- POLITICAL S MADE FROM POLITICAL CONTRIBUTIONS 12. SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED TO FILER Forms provided by Texas Ethics Commission state. tx. us Revised 9/ 8/ 2015
4 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al 1 Total pages Schedule A1: 2 2 FILER NAME Richard S Elliott 3 Filer ID ( Ethics Commission Filers) 4 Date 5 Full name of contributor out- of- state PAC ( ID#: 7 Amount of contribution ($) 06/ 03/ 17 George Webb Contributor address; Plano, TX W. Plano Pkwy 8 Principal occupation/ Job title( See Instructions) 9 Employer( See Instructions) Date Full name of contributor out- of- state PAC ( ID#: 06/ 03/ 17 Burress Snellings Law Firm Amount of contribution ($) Contributor address; City, State, Zip Code 6617 Virginia Parkway McKinney, TX Date Full name of contributor out- of- state PAC ( ID#: 06/ 03/ 17 Janice Elwell Amount of contribution ($) Contributor address; 1629 Landon Lane McKinney, TX Date Full name of contributor out- of- state PAC ( ID#: Amount of contribution ($) 06/ 03/ 17 Frank Kerby Contributor address; City; State, Zip Code P. O. Box 1040 McKinney, TX ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out- of- state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission state. tx. us Revised 9/ 8/ 2015
5 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al 1 Total pages Schedule A1: 2 2 FILER NAME Richard S Elliott 3 Filer ID ( Ethics Commission Filers) 4 Date 5 Full name of contributor out- of- state PAC ( ID#: 7 Amount of contribution ($) 06/ 03/ 17 Texas Association of Realtors 6 Contributor address; P. O. Box 2246 Austin, TX , Principal occupation/ Job title( See Instructions) g Employer( See Instructions) Date Full name of contributor out- of- state PAC ( ID#: Amount of contribution ($) Contributor address; Date Full name of contributor out- of-state PAC ( ID#: Amount of contribution ($) Contributor address; Date Full name of contributor out- of- state PAC ( ID#: Amount of contribution ($) Contributor address; ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out- of- state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission state.tx. us Revised 9/ 8/ 2015
6 NON- MONETARY ( IN- KIND) POLITICAL CONTRIBUTIONS SCHEDULE A2 1 Total pages Schedule A2: 2 2 FILER NAME 3 Filer ID ( Ethics Commission Filers) Richard S Elliott 4 TOTAL OF UNITEMIZED IN- KIND POLITICAL CONTRIBUTIONS $ 5 Date 6 Full name of contributor out- of- state PAC t( f#: 6/ 09/ 17 McKinneyTEAM 7 Contributor address; P. O. Box 786 McKinney, TX t 8 Amount of 9 In- kind contribution Contribution $ description 1, Printing Services Check if travel outside of Texas. Complete Schedule T. 10 Principal occupation/ 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) Date Full name of contributor out- of- state PAC( ID#: Amount of In- kind contribution 05/ 31/ 17 McKinneyTEAM Contribution $ description Printing Services Contributor address; City; Stat Zip Code Check if travel outside of Texas. Complete Schedule T. P. O. Box 786 McKinney X Principal occupation/ Job title( FOR NON- JUDICIAL)( See Instructions) Employer( FOR NON- JUDICIAL)( See Instructions) Contributor' s principal occupation ( FOR JUDICIAL) Contributor's job title( FOR JUDICIAL)( See Instructions) Contributor' s employer/ law firm( FOR JUDICIAL) Law firm of contributor' s spouse( if any)( FOR JUDICIAL) If contributor is a child, law firm of parent( s)( if any)( FOR JUDICIAL) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out- of- state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www. ethics. state.tx. us Revised 9/ 8/ 2015
7 NON- MONETARY ( CONTRIBUTIONS IN- KIND) POLITICAL SCHEDULE A2 1 Total pages Schedule A2: 2 2 FILER NAME 3 Filer ID ( Ethics Commission Filers) Richard S Elliott 4 TOTAL OF UNITEMIZED IN- KIND POLITICAL CONTRIBUTIONS $ 5 Date 6 Full name of contributor out- of- state PAC T#: 06/ 10/ 17 Keith Clifton 7 Contributor address; 1550 Bray Central Drive McKinney, TX Amount of 9 In- kind contribution Contribution $ description 1, Printing/ Canvassing Check if travel outside of Texas. Complete Schedule T. 10 Principal occupation/ Job title( FOR NON- JUDICIAt( LJ 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) Date Full name of contributor out- ofi state PAC( ID#: t Amount of In- kind contribution LI Contribution $ description Contributor address; City; Stat Zip Code Check if travel outside of Texas. Complete Schedule T. Principal occupation/ Job title( FOR NON- JUDICIAL)( See Instructions) Employer( FOR NON- JUDICIAL)( See Instructions) Contributor' s principal occupation( FOR JUDICIAL) Contributor' s job title( FOR JUDICIAL)( See Instructions) Contributor' s employer/ law firm( FOR JUDICIAL) Law firm of contributor' s spouse( if any)( FOR JUDICIAL) If contributor is a child, law firm of parent( s)( if any)( FOR JUDICIAL) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out- of- state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission state. tx. us Revised 9/ 8/ 2015
8 POLITICAL S MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 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 Printing Expense Travel Out Of District Contributions/ Donations Made By Gift/ Awards/ MemorialsExpense Candidate/ Officeholder/ Political Committee Legal Services SaladesANages/ Contract Labor Other( enter a category not listed above) Credit Card Payment 1 Total pages Schedule F1: 2 FILER NAME 3 Filer ID ( Ethics Commission Filers) 2 Richard S Elliott 4 Date 5 Payee name 07/ 10/ 17 Scott Elliott 6 Amount($) 7 Payee address, 2, Grove Cove Drive, McKinney, TX a) Category ( See Categories listed at the of lop this schedule) ( b) Description PURPOSE Loan Repayment Check iftravel outside oftexas. Complete Schedule T. OF Check if Austin, TX, officeholder living expense 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held Date Payee name 07/ 1417 The Logos Media Amount($) Payee address; Eldorado Pkwy, Suite C, McKinney, TX PURPOSE Advertising Category ( See Categories listed the at of top this schedule) Description Expense Check iftravel outside oftexas. Complete ScheduleT. OF Check if Austin, TX, officeholder living expense Complete ONLYif direct Candidate / Officeholder name Office sought Office held Date Payee name 06/ 06/ 17 Red Metrics Amount($) Payee address; 1, North Dallas Parkway, Dallas, TX PURPOSE Advertising OF Category ( See Categories listed at the of top this schedule) Description Expense Check if travel outside oftexas. Complete Schedule T. Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held Forms provided by Texas Ethics Commission www. ethics. state. tx. us Revised 9/ 8/ 2015
9 POLITICAL S MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 CATEGORIES FOR BOX 8( a) Advertising Expense Event Expense Loan Repayment/ Reimbursement Solicitation/ Fundraising Expense Accounting/ Banking Fees Office Overhead/ Rental Expense Transportation Equipment& Related Expense Consulting Expense Food/ Beverage Expense Polling Expense Travel In District Expense Travel Out Of District Contributons/ Donations Made By Gift/Awards/ Memorials Expense Printing Candidate/ Officeholder/ Political Committee Legal Services Salaries/ Wages/Contract Labor Other( enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1: 2 FILER NAME 3 Filer ID ( Ethics Commission Filers) 2 Richard S Elliott 4 Date 5 Payee name 06/ 08/ 17 Office Depot 6 Amount($) 7 Payee address, N Central Exprway Bldg H, McKinney, TX a) Category ( See Categories listed at the top of this schedule) ( b) Description PURPOSE Advertising Expense Check iftravel outside oftexas. Complete Schedule T. OF Check if Austin, TX, officeholder living expense 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held Date Payee name Amount($) Payee address; Category ( See Categories listed at the of top this schedule) Description PURPOSE Check if travel outside oftexas. Complete ScheduleT. OF Check if Austin, TX, officeholder living expense Complete ONLYifdirect Candidate / Officeholder name Office sought Office held Date Payee name Amount($) Payee address, Category ( See Categories listed at the top of this schedule) Description PURPOSE OF Check if travel outside of Texas. Complete ScheduleT. Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held Forms provided by Texas Ethics Commission www. ethics. state. tx. us Revised 9/ 8/ 2015
10 INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED TO FILER SCHEDULE K 1 Total pages Schedule K: 1 2 FILER NAME Richard S Elliott 3 Filer ID ( Ethics Commission Filers) 4 Date 5 Name of person from whom amount is received 8 Amount($) 06/ 21/ 17 Independent Bank- Texas Address of person from whom amount is received; 1600 Redbud Blvd Suite 100 McKinney, TX Purpose for which amount is received Check if political contribution returned to filer Interest Date Name of person from whom amount is received Amount($) Address of person from whom amount is received; Purpose for which amount is received Check if political contribution returned to filer Interest Date Name of person from whom amount is received Amount($) Address of person from whom amount is received; City; State, Zip Code Purpose for which amount is received Check if political contribution returned to filer Date Name of person from whom amount is received Amount($) Address of person from whom amount is received; Purpose for which amount is received Check if political contribution returned to filer ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www. ethics. state. tx. us Revised 9/ 8/ 2015
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