r - 125145 Texas Ethics Commission P.O.Box 12070 Austin, Texas 78711-2070 (512)463-5800 TDD 1-800-735-2989 MONTHLY FILING GENERAL-PURPOSE FORM MPAC COMMITTEE CAMPAIGN FINANCE REPORT CovER SHEET PG 1 The MPAC INsTRucTION GUIDE explains how to complete this form. (Ethics commission filers) 3 COMMITTEE NAME 1 ACCOUNT# 00016405 - I 2 PAGE.> 1of K&L Gates LLP Committee for Good Government.- -j OFFICE USE oey Dale Received 4 COMMITTEE ADDRESS/PD BOX; APT/SUITES; CITY; STATE ZIP CODE ADDRESS 1717 Main Street, Suite 2800 Li change of Address Dallas, TX 75201.. Date Heed-delivered or Dale Postmarked 5 CAMPAIGN TREASURER Ms/MRS/MR FIRST Mt Receipt S Amoanl Mr. Edward 0. NAME Date Processed NICKNAME LAST SUFFIX Coultas Date Imaged 6 CAMPAIGN TREASURER S STREET ADDRESS (NO P0 BOX PLEASE); APT / SUITES; CITY; STATE; ZIP CODE 111 Congress Avenue, Suite 900 STREET ADDRESS Austin, TX 78701 (Residence or business) 7 CAMPAIGN STREETORPOBOX; APT/SUITES; CITY; STATE; ZIPCODE TREASURER S 111 Congress Avenue, Suite 900 MAILING ADDRESS Austin, TX 78701 Change of Address 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE (512) 482-6823 9 REPORT TYPE ri Monthly Li (Enter date below) 10th day after campaign F1 Dissolution treasurer tornination.j (attach PAC-DR( 10 MONTHLY REPORT FILING Li January 5 Li April 5 [ July 5 Li October 5 DEADLINE Li February 5 Li May 5 Li August 5 Li November 5 Li March 5 Li June 5 Li September 5 Li December 5 11 PERIOD Month Day Year Month Day Year COVERED THROUGH 06/08/2012 06/25/2012 GO TO PAGE 2 Electronic Piling Version 3.4.4
3. TOTAL POLITICAL S OF $10 OR LESS, UNLESS ITEMIZED TOTALS $ 0.00 CONTRIBUTIO 5 TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY BALANCE OF THE REPORTING PERIOD $ 31,1 38.98 duip:jbrng 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ 0.00 Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath 121 45 Texas Ethics Commission P.O.Box 12070 Austin, Texas 78711-2070 (512)463-5800 TDD 1-800-735-2989 MONTHLY RLING GPAC REPORT: FORM MPAC PURPOSE AND TOTALS CovER SHEET PG 2 12 COMMITTEE K&L Gates LLP Committee for Good Government ACCOUNT # NAME 13 COMMITTEE 1. Candidates ACTIVITY (Attach lists on plain paper to (identify by name or, if applicable, classify by party) A. Supported B. Opposed A Su orted complete this 2. Measures. pp report if (describe by date necessary.) and location of election and nature of issue). ppose 00016405 SEE SCHEDULE F FOR NAMES OF CANDIDATES SUPPORTED. 3. Officeholders Assisted (identify by name or, if applicable, classify by party) 14 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $10 OR LESS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ 0.00 TOTALS (OR $20 OR LESS IF OuAUFIED FOR HIGHER THRESHOLD) Check here if this report qualifies for the higher itemization threshold. 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $ 1 0,000.00 4. TOTAL POLITICAL S $ 10,000.00 15 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 Signature of Campaign Treasurer Sworn to and subscribed before me, by the said, this the day of 20, to certify which, witness my hand and seal of office. Electronic Filing Version 3.4.4
125145 Texas Ethics Commission PO.Box 12070 Austin, Texas 78711-2070 (51 2)463-5800 TDD 1-800-735-2989 POLITICAL CONTRIBUTIONS SCHEDULE A OTHER THAN PLEDGES OR LOANS The INSTRUcTION GuiDe explains how to complete this form. 1 PAGE # Schedule:_1/1 Report:_3/6 2 FILER NAME K&L Gates LLP Committee for Good Government 3 ACCOUNT # (Ethics Commission filers) 00016405 4 Date 5 Full name of contributor out-of-state PAC (ID# ) 7 Amount of 8 In-kind contribution K&L Gates LLP contribution ($) description (if applicable) 06/19/2012 6 Contributor address; City: State: Zip Code $10,000.00 1717 Main Street, Suite 2800 Dallas, TX 75201 9 Principal occupation / Job title (See Instructions) 10 Employer (See Instructions) Limited Liability Partnership (If travel outside of Texas, complete Schedule TI Electronic Filing Version 34.4
125145 Texas Ethics Commission P.O.Box 12070 Austin, Texas 78711-2070 (51 2)463-5800 TDD 1-800-735-2989 POLITICAL S SCHEDULE F CATEGORIES Advertising Expense Gifts/Awards/Memorial Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By Event Expense Polling Expense Travel Out Of District Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above) The INSTRUcTtON GUIDE explains how to complete this form. I PAGE# 2 FILERNAME 3 ACCOUNT# (TEOfilers) Schedule: 1/3 Report: 4/6 K&L Gates LLP Committee for Good Government 00016405 4 Date 5 Payee name 06/14/2012 Bill Whitehill for Justice 6 Amount (S) 7 Payee address City; State; Zip Code $1 000.00 1505 Elm Street #1402 Fl Expenditure from Dallas, TX 75201 8 (a) Category (See Categories listed at the top of this schedule) (b) Description (If travei outside of Texas, complete Schedule T) fl 9 complete ONLY Candidate / Officeholder name Office sought: Office held: 06/25/2012 Chuck Hopson Campaign Amount ($) Payee address City; State; Zip Code $1 000.00 P.O. Box 2286 fl Expenditure from Jacksonville, TX 75766 Category (See categories listed at the top of this schedule) Description (If travel outside of Texas, complete Schedule T) j to benefit c/oh 06/25/2012 Friends of Brandon Creighton Amount (8) Payee address City; State; Zip Code $1 000.00 715 W. Davis St., Box 265 Fl Expenditure from Conroe, TX 77301 Category (See Categories listed at the top of this schedule) Description (If travel outside of Texas, complete Schedule T) LI 06/20/2012 Geanie Morrison Campaign Amount ($) Payee address City; State; Zip Code $500.00 P:O. Box 4642 Fl Expenditure Victoria, from TX 77903-4642 L_..J Category (See Categories listed at the top of this schedule) Description )if travel outside of Texas, complete Schedule T) C Electronic Filiag verson 34.4
V V V 12Eil45 Texas Ethics Commission P.O.Box 12070 Austin, Texas 78711-2070 (512)463-5800 TDD 1-800-735-2989 POLITICAL S SCHEDULE F CATEGORIES Advertising Expense Gifts/Awards/Memorial Expense Salaries/Wages/Contract Labor Loan RepaymentlReimburaement Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By Event Expense Polling Expense Travel Out Of District., Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above) The INSTRUCTION GUIDE explains how to complete this form. 1 PAGE # 2 FILER NAME 3 ACCOUNT # (TEC filers) Schedule: 2/3 Report: 5/6 K&L Gates LLP Committee for Good Government 00016405 4 Date 5 Payee name 06/25/2012 Jane Nelson Campaign 6 Amount (5) 7 Payee address City; State; Zip Code $1 000.00 P.O. Box 608 fl Expenditure from Grapevine, TX 76099-0608 8 (a) Category (See Categories listed at the top of this schedule) (b) Description (If travel outside of Texas, complete Schedule T) 9 06/14/2012 Judge David Evans Campaign Amount (5) Payee address City; State; Zip Code $1 000.00 P.O. Box 224446 fl Expenditure from Dallas, TX 75222-4446 a Category (See Categories listed at the top of this schedule) Description (If travel outside of Texas, complete Schedule T) 1 PURPOSE Contributions/Donations Made By Campaign contribution to Support candidate. 06/20/2012 Justice David Medina Campaign Amount (5) Payee address City; State; Zip Code $2 500.00 1505 Elm Street #1402 El Expenditure from Dallas, TX 75201 Category (See Categories listed at the top of this schedule) Description (If travel outside of Texas, complete Schedule T) 06/25/2012 Larry Phillips Campaign Amount (5) Payee address City; State; Zip Code $1 000.00 1100 S. Crockett fl Expenditure from Sherman, TX 75090 Category (See Categories lisled at the top of this schedule) Description (If travel outside of Texas, complete Schedule T) Q Electronic Filing Version 34.4
Texas Ethics Commission 125145 P.O.Box 12070 Austin, Texas 78711-2070 (512)463-5800 TDD 1-800-735-2989 POLITICAL S SCHEDULE F CATEGORIES Advertising Expense Gifts/Awards/Memorial Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equpment & Related Expense consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By Event Expense Polling Expense Travel Out Of District Cendidete/Officehoider/Political committee Fees Printing Expense Office Overhead/Reritai Expense OTHER (enter a category not listed above) The INSTRUCTION I PAGE# 2 FILERNAME GuiDe explains how to complete this form. 3 ACCOUNT# (TECfilers) Schedule: 3/3 Report: 6/6 K&L Gates LLP Committee for Good Government 00016405 4 Date 5 Payee name 06/20/2012 Phyllis Lister Brown Campaign 6 Amount ($) 7 Payee address City; State; Zip Code $1 000.00 P.O.Box131182 E Expenditure from Dallas, TX 75313 8 (a) Category (See Categories listed at the top of this schedule) (b) Description )lf travel outside of Texas, complete Schedule T) 9 Electronic Filing version 3.4.4
- - Suite K&LGATES r K&[Cates j LLP 111 Oopgress Avenue 900 Austin, TX 78701-4043 2.68 oo www.klgates.com ie2:. 1251 45 I) / iu- t_.l/.- Edward 0. Coultas June 27, 2012 D 5 2 4S2.6S23 F 512482.6859 d coul askkia1cs.coiu Deborah Watkins City Secretary Dallas City Hall 1500 ManIla, Room 5D South Dallas, TX 75201 Re: Monthly Filing General-Purpose Committee Campaign Finance Report for the period ending June 25, 2012, for K&L Gates LLP Committee for Good Government Dear Ms. Watkins: Enclosed, as required pursuant to Chapter 15A of the Dallas City Code, please find a copy of the K&L Gates LLP Committee for Good Government Campaign Finance Report referenced above that was filed electronically with the Texas Ethics Commission. A confirmation e-mail is attached. Please appropriately file this document. If you have any questions, please give me a call at (512) 482-6823. Very truly yours, Edward 0. Coultas Enclosures AU-2 15480 vi 0950000-00102
Camp, Linda 12i45 From: oracle@txprod.ethicsstate.tx.us Sent: Wednesday, June 27, 2012 2:12 PM To: Camp, Linda Subject: 00016405 Texas filing Acknowledgment TXP sent to: linda.camp@klgates.com Texas Campaign Finance Report Filing Acknowledgement for K&L Gates LLP Committee for Good Government(00016405). This is to acknowledge the receipt and acceptance of your electronic filing. Your filing for K&L Gates LLP Committee for Good Government(0001 6405) was t-eceived and accepted by our system at WED June 27,2012 02:12:26 PM, and was assigned the Filing ID of: TX-534250. Please make a note of this, as it will be necessary to refer to this information in the future. 1