SPECIFIC- COMMITTEE FORM SPAC CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The SPAC Instruction Guide explains how to complete this form. 3 COMMITTEE NAME 1 ACCOUNT # 2 Total Pages Filed: 7 OFFICE USE ONLY Received 4 COMMITTEE ADDRESS cchange of Address ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE 5930 ROYAL LANE, BOX 170 Dallas TX 75230 Hand-delivered or Postmarked 5 CAMPAIGN TREASURER NAME MS / MRS / MR FIRST MI Ms PATRICIA P Receipt # Amount NICKNAME LAST SUFFIX TRISH ALDREDGE Processed Imaged 6 CAMPAIGN TREASURER'S STREET ADDRESS (Residence or business) STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE 10842 RIDGE SPRING DR Dallas TX 75218 7 CAMPAIGN TREASURER'S MAILING ADDRESS c Change of Address STREET OR PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE 10842 RIDGE SPRING DR Dallas TX 75218 8 CAMPAIGN TREASURER PHONE AREA CODE PHONE NUMBER EXTENSION (214) 499 5490 9 REPORT TYPE 30th Day Before Main Election 10 PERIOD COVERED 2/10/2011 THROUGH 4/4/2011 11 ELECTION ELECTION DATE ELECTION TYPE 5/14/2011 General GO TO PAGE 2 1
SPECIFIC- COMMITTEE REPORT: FORM SPAC AND TOTALS COVER SHEET PG 2 12 COMMITTEE NAME ACCOUNT # 13 COMMITTEE (Attach lists on plain paper to complete this report if necessary.) c CANDIDATE CANDIDATE / OFFICEHOLDER NAME ANN E. MARGOLIN OFFICE SOUGHT (candidate) / OFFICE HELD (officeholder) c SUPPORT (Candidate or Measure) cx OFFICEHOLDER Council District 13 c OPPOSE (Candidate or Measure) BALLOT IDENTIFICATION / # ELECTION DATE cx ASSIST (Officeholder) c MEASURE DESCRIPTION 18 CONTRIBUTION TOTALS 1. TOTAL POLITICAL CONTRIBUTIONS OF 50 OR LESS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED 0... TOTALS 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) 3. TOTAL POLITICAL S OF 50 OR LESS, UNLESS ITEMIZED 13250.00 0 4. TOTAL POLITICAL S 1313.82... CONTRIBUTION BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF REPORTING PERIOD 11936.18... OUTSTANDING LOAN TOTALS 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY OF THE REPORTING PERIOD 0 19 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. AFFIX NOTARY STAMP / SEAL ABOVE ***ELECTRONICALLY CERTIFIED*** Signature of campaign treasurer Sworn to and subscribed before me, by the said, Ms PATRICIA P ALDREDGE this the 14th day of, April 20, 11 to certify which, witness my hand and seal of office. Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath 2
POLITICAL CONTRIBUTIONS OTHER THAN PLEDGES OR LOANS SCHEDULE A The Instruction Guide explains how to complete this form 1 Total pages Schedule A: 1 of 3 2 FILER NAME 3 ACCOUNT # 5 Sydney K Kay PhD 6 7 Contribution () 250.00 5718 Harvest Hill Rd Dallas, TX 75230 8 9 10 Mrs Eugene McDermott 4701 Drexel Dr Dallas, TX 75205 Contribution () Employeer (See Instructions) Naomi D Aberly 500.00 10210 Strait Lane Dallas, TX 75229 Contribution () Margot B Perot 10444 Strait Lane Dallas, TX 75229 Contribution () Garrett Boone Contribution () 6522 Belmead Dr Dallas, TX 75230 ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements. 3
POLITICAL CONTRIBUTIONS OTHER THAN PLEDGES OR LOANS SCHEDULE A The Instruction Guide explains how to complete this form 1 Total pages Schedule A: 2 of 3 2 FILER NAME 3 ACCOUNT # 5 Cecilia G Boone 6 7 Contribution () 6522 Belmead Dr Dallas, TX 75230 8 9 10 Sydney K Kay PhD 5718 Harvest Hill Rd Dallas, TX 75230 Contribution () Employeer (See Instructions) Caren H Prothro 500.00 3929 Potomac Ave Dallas, TX 75205 Contribution () Ronald L McCutchin P.O. Box 670307 Dallas, TX 75367 Contribution () Carolyn McCutchin Contribution () P.O. Box 670307 Dallas, TX 75367 ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements. 4
POLITICAL CONTRIBUTIONS OTHER THAN PLEDGES OR LOANS SCHEDULE A The Instruction Guide explains how to complete this form 1 Total pages Schedule A: 3 of 3 2 FILER NAME 3 ACCOUNT # 5 Shula Netzer 6 7 Contribution () 02/14/2011 6309 Wilderness Ct Dallas, TX 75254 8 9 10 Frank A Risch 3709 Hanover Dallas, TX 75225 Contribution () 02/14/2011 Employeer (See Instructions) Ruth S Altshuler 02/14/2011 2626 Cole Ave Ste 504 Dallas, TX 75204 Contribution () Leon J Backes 02/25/2011 5400 LBJ Freeway Ste 975 Dallas, TX 75240 Contribution () Louis Okon Contribution () 03/11/2011 6622 Glendora Ave Dallas, TX 75230 ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements. 5
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506 POLITICAL S SCHEDULE F Advertising Expense Accounting/Banking Consulting Expense Event Expense Fees 1 Total pages Schedule F: 2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers) 1 of 2 5 02/12/2011 JPMorgan Chase Bank - Check Order 6 Amount () 7 17.50 Gift/Awards/Memorials Expense Legal Services Food/Beverage Expense Polling Expense Printing Expense P.O. Box 260180 CATEGORIES FOR BOX 8(a) Salaries/Wages/Contract Labor Solicitation/Fundraising Expense Travel In District Travel Out Of District Office Overhead/Rental Expense The Instruction Guide explains how to complete this form. Loan Repayment/Reimbursement Transportation Equipment & Related Expense Contributions/Donations Made By Candidate/Officeholder/Political Committee OTHER (enter a category not listed above) Baton Rouge, LA 70826 8 (a) (b) banking Description check order 9 02/12/2011 Dallas Morning News Amount () 346.32 508 Young St Dallas, TX 75202 office overhead Description subscription 02/12/2011 Foundation Fighting Blindness Amount () 7168 Columbia Gateway Dr Ste 100 Columbia, MD 21046 500.00 Description in honor of Ebby Halliday 02/15/2011 Foundation for Women's Resources Amount () 25 Highland Park Village Ste 100-371 Dallas, TX 75205 100.00 Description ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED 6
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506 POLITICAL S SCHEDULE F Advertising Expense Accounting/Banking Consulting Expense Event Expense Fees Gift/Awards/Memorials Expense Legal Services Food/Beverage Expense Polling Expense Printing Expense CATEGORIES FOR BOX 8(a) Salaries/Wages/Contract Labor Solicitation/Fundraising Expense Travel In District Travel Out Of District Office Overhead/Rental Expense The Instruction Guide explains how to complete this form. 1 Total pages Schedule F: 2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers) 2 of 2 5 02/21/2011 Dallas Regional Chamber Leadership Dallas Alumni Loan Repayment/Reimbursement Transportation Equipment & Related Expense Contributions/Donations Made By Candidate/Officeholder/Political Committee OTHER (enter a category not listed above) 6 Amount () 7 700 North Pearl St Ste 1200 Dallas, TX 75201 75.00 8 (a) (b) Description 9 03/04/2011 North Texas Crime Commission Amount () 1601 Elm Street Ste 2350 Dallas, TX 75201 125.00 Description 03/09/2011 League of Women Voters Amount () 1212 Guadalupe St Ste 107 Austin, TX 78701 50.00 Description 03/21/2011 The Mexico Institute Amount () 100.00 800 West Campbell Rd Ste JO31 Richardson, TX 75080 Description ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED 7