CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE … · THESE EXPENDITURES MAY HAVE BEEN MADE...

51

Manuel

Pelaez

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

. . . . . . . . . . . . . . . . . . . . . . . . . . .

Manny

MS / MRS / MR FIRST MI

NICKNAME LAST SUFFIX

. . . . . . . . . . . . . . . . . . . . . . . . . . .

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)

12402 Abbey Park

San Antonio TX 78249

210 902-9265

Chad

Taylor

3115 Pinto Pass

San Antonio TX 78247

210 875-8747

Primary

General

Runoff

Special

Other

Description

30th Day Before General Election

1/1/2019 3/25/2019

5/4/2019 X

District 8 Councilman Council District 8

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

Manuel Pelaez

0

37434.00

932.22

32850.45

31329.04

0

* * * Electronically Certified * * *

Manuel Pelaez 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.

3.

4.

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

Manuel Pelaez

37434.00

0

0

0

32850.45

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

Manuel Pelaez

MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1

1 of 28

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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1/1/2019 Margie Lucey

12835 Castle Bend

San Antonio, TX 78230

20.00

retired retired

1/3/2019 Julio Garcia

25 Calle Anacua

Brownsville, TX 78520

100.00

n/a n/a

1/14/2019 Rick Cavender

21105 IH 10 West


500.00

Auto Dealer Audi Dominion

1/15/2019 Richard Wells

600 E. Market Street #3302


500.00

SelfDailey/ Wells


Manuel Pelaez


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1/15/2019 Jo Anne Wells

600 E Market Street #3302


500.00

Dailey/Wells Self

1/15/2019 Jennifer Yantis

12018 Indigo Bend


500.00

Real Estate Mosaic Development

1/15/2019 Bradley Carson

128 W Mistletoe Ave


500.00

Attorney Kruger, Carlson

1/15/2019 John A. Ernst

9366 Huebner Rd #107 A


500.00

SelfContractor


Manuel Pelaez


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1/15/2019 Colleen Ernst

9386 Huebner Rd #107 A


500.00

n/a n/a

1/16/2019 James Burdine

27211 Timberline Drive


500.00

President Pyramid Group

1/16/2019 Mark Granados

112 Warbler Way


500.00

Owner GFR Development

1/17/2019 Paul Basaldua

3 Woltwood


500.00

Mosaic DevelopmentReal Estate Developer


Manuel Pelaez


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1/17/2019 Jorge Herrera

105 Blackhawk Trail


500.00

Attorney Herrera Law Firm

1/17/2019 Joshua Cude

1160 Rodalyn Drive


500.00

President Cude Engineers

1/17/2019 Anne Cude

1160 Rodalyn Drive


500.00

n/a n/a

1/17/2019 Dan Leverett

4555 Krueger Rd.

Washington, TX 77880

500.00

n/an/a


Manuel Pelaez


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1/17/2019 Chris Martinez

9855 Oakland Rd.


500.00

Project Mgr. Central Electric

1/17/2019 Ernest Mora

2511 Old Gate Rd.


250.00

CFO Central Electric Enterprises

1/19/2019 Kelly Basaldua

3 Woltwood


500.00

Physician Southwest Children's Center

1/23/2019 Red McCombs

PO Box 003


500.00

Business OwnerMcCombs


Manuel Pelaez


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1/23/2019 James Lifshutz

215 W. Travis St.


250.00

Business Owner Self Employed

1/23/2019 Edward Cross

2 Laurel Pl.


250.00

retired retired

1/23/2019 Blake Yantis

12018 Indigo Bend


500.00

Business Owner Mosaic Development

1/23/2019 John Kirk

326 Tophill Rd


250.00

Embrey PartnersReal Estate


Manuel Pelaez


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1/24/2019 John Cooley

309 Irvington Dr.


500.00

COO Terramark

1/24/2019 J. Stephen Lopez

6619 Broadway St.


500.00

Attorney Oscar Garza Law Firm

1/24/2019 Michael Nava

13823 Ridge Chase Dr.


500.00

Attorney Self

1/24/2019 Breanna Nava

13823 Ridge Chase Dr.


500.00


Manuel Pelaez


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1/25/2019 Cruz Paloma Cortez

219 Produce Road


500.00

Business Owner Cortez Restaurants

1/25/2019 Tim Carrasco

6963 Willow Oak St.


50.00

Systems Analyst USAA

1/28/2019 Rod Riodan

444 Ranch Pass

Fair Oaks Ranch, TX 78015

250.00

Finance Embrey Partners

1/28/2019 James Andrews

215 Luther Dr.


500.00

Overland PartnersArchitect


Manuel Pelaez


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1/29/2019 Madison Smith

122 Roy Smith #4216

San Antono, TX 78215

500.00

Founder Overland Partners

1/29/2019 Jason Arechiga

1903 Preakness Lane


250.00

Developer NRP Group

1/29/2019 Peter Yeager

8110 Pintado


500.00

Engineer Big Red Dog Engineering

1/29/2019 Marco Barros

14018 Sage Blf


150.00

San Antonio Tourism CouncilPresident


Manuel Pelaez


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1/29/2019 Laurie Griffith

235 Ammann


250.00

President & Exec. Director Real Estate Council

1/29/2019 April Ancira

31305 Keeneland Drive

Boerne, TX 78015

250.00

Vice President Ancira Auto Group

1/29/2019 William Travis Kowalski

1636 Santa Fe Trail Dr.


500.00

Director of Operations The RK Group

1/29/2019 Katy Cigarroa

18 Gallery Ct.


150.00

Norton, Rose, FulbrightAttorney


Manuel Pelaez


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1/29/2019 NuStar PAC

19003 IH 10 West


500.00

PAC NuStar

1/29/2019 Patrick Shearer

PO Box 23129


250.00

Developer Self Employed

1/29/2019 Katie Harvey

2 Queens Gate


500.00

CEO KGBT Communications

1/31/2019 Heriberto Morales

401 Quarry St.

Eagle Pass, TX 78852

500.00

Langley & Banack Inc.Attorney


Manuel Pelaez


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1/31/2019 George Block

127 Burr Rd. #4


100.00

retired retired

2/4/2019 Charles Gonzalez

206 E. Locust St.


100.00

Attorney Ogletree Deakins, P.C.

2/5/2019 Casey ONeil

854 Fawnway


500.00

President Glacier Homes

2/5/2019 Rebecca ONeil

854 Fawnway


500.00

n/an/a


Manuel Pelaez


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2/5/2019 Thomas Yantis

1802 NW Military Dr.


500.00

Developer Mosaic Development

2/5/2019 Debra Guerrero

3915 Skylark


250.00

Gov. Affairs NRP Group

2/5/2019 Jessica Schiller

2410 Wild Turkey W.


500.00

n/a n/a

2/5/2019 Adam Schiller

2410 Wild Turkey W.


500.00

GFR DevelopmentDirector of Sales


Manuel Pelaez


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2/6/2019 Kenneth Pruitt

5413 N. New Braunfels Ave.


500.00

Director of Development GFR Development

2/6/2019 Catherine Granados

112 Warbler Way


500.00

n/a n/a

2/6/2019 Cynthia Granados

112 Warbler Way


500.00

n/a n/a

2/6/2019 Caroline Granados

112 Warbler Way


500.00

n/an/a


Manuel Pelaez


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2/6/2019 Michael Jacobson

223 Eugene Sasser


500.00

COO GFR Development Services

2/6/2019 Tanna Jacobson

223 Eugene Sasser


500.00

n/a n/a

2/7/2019 William Greehey

PO Box 780489


500.00

CEO Valero Energy

2/7/2019 Mary Rose Brown

48 Vineyard


500.00

NuStar Energy CorporationChief Administrative Officer


Manuel Pelaez


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2/9/2019 Tim Carrasco

6963 Willow Oak


50.00

Systems Analyst USAA

2/9/2019 Helen Cronenberger

3923 Heights Way


50.00

retired retired

2/9/2019 Marilyn Choate

14407 Cedar Glade


125.00

President HOA

2/11/2019 Buddy Ford

4702 Center Park Blvd.


500.00

Texas Towing Corp.Owner


Manuel Pelaez


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2/12/2019 Randolph Harig

108 Geneseo


500.00

CEO Velocity Texas

2/12/2019 David Pritchard

43 Granburg


500.00

Attorney Self

2/12/2019 Hope Andraded

300 E. Basse #128


250.00

Business Owner Self

2/12/2019 Phillip Marzec

2694 Lockhill Selma Rd.


250.00

Escamilla & PoneckAttorney


Manuel Pelaez


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2/12/2019 Jay Hulings

15523 Clover Rdg


250.00

Attorney Davis & Santos PC

2/12/2019 Patricio Alba

7123 Cresta Bulivar


45.00

Area Vice President Acera Surgical

2/12/2019 Justin Vitek

6811 Washita Way


500.00

Owner McMillen Vitek Investments

2/12/2019 Clayton Estep

270 Losoya


500.00

Babcock Social PubGeneral Manager


Manuel Pelaez


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2/12/2019 Trisha Chan

2209 Princess Julia Lane

Lutz, FL 33549

45.00

homemaker homemaker

2/13/2019 Steven Garza

210 Ridge Bluff


250.00

n/a n/a

2/14/2019 Bradford Beldon

35 Royal Waters Dr.


500.00

Owner Beldon Roofing Company

2/14/2019 Richard Thum

15 Tuscany Court


250.00

Five Star CleanersOwner


Manuel Pelaez


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2/14/2019 Michael Bernard

8602 Post Oak Ln.


250.00

Attorney Dykema

2/15/2019 Gail Markson

4610 Pinecomb Woods St.


50.00

n/a n/a

2/19/2019 Beth Laughead

5975 Lockhill Rd.


150.00

retired adminstrator retired

2/25/2019 Nancy Kelley

7 Links Green


500.00

n/an/a


Manuel Pelaez


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2/25/2019 Gary Greenburg

5311 Auburn Rdg


200.00

Retired Retired

2/25/2019 Linebarger, Goggan, Blair, Sampson Law Office

PO Box 17428

Austin, TX 78760

500.00

n/a Linebarger, Goggan, Blair, Sampson Law Firm

2/25/2019 Davidson, Troilo, Ream, Garza

601 NW Loop 410 #100


250.00

Committee for Civic Awareness Davidson, Troilo, Ream, Garza Law Firm

2/25/2019 Heriberto Guerra Jr.

1 Lone Star Pass #41


500.00

SAWSChairman


Manuel Pelaez


22 of 28


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2/27/2019 Tracy Potts

7334 Carriage Lane


25.00

149 Figher Wing ANG U.S. Airforce

2/27/2019 Lisa Fullerton

13295 Hunters View St.


500.00

Food Retailer Self

3/1/2019 Steve Sanders

4512 Elohi

Austin, TX 78746

500.00

Owner UTSA Blvd LP

3/1/2019 Rob Schumacher

2995 Woodside Rd. #400

Woodside, CA 94062

500.00

Schumacher Interests Inc.Owner


Manuel Pelaez


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3/3/2019 Joe Soliz

8915 Datapoint #45B


50.00

Nurse Retired

3/8/2019 Susan Lisk

8922 Brae Bnd


25.00

Retired Retired

3/8/2019 Orlando Velasquez

12235 Vance Jackson


100.00

Attorney Law Office of Orlando Velasquez

3/10/2019 Bracewell PAC

711 Louisiana St. #2300

Houston, TX 77002

500.00

Bracewell PACPAC


Manuel Pelaez


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3/10/2019 John Gatens

8000 Donore Pl #51


250.00

n/a n/a

3/10/2019 Catherine Mann

8000 Donore Pl


250.00

n/a n/a

3/11/2019 Michael Gibbs

611 Hillsong


100.00

Attorney Whataburger

3/13/2019 Rebecca Cedillo

75 Longsord


250.00

Strategic Initiatives ConsultingPresident


Manuel Pelaez


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3/13/2019 Eleanor Sprowl

4218 Apple Tree Woods


50.00

n/a n/a

3/14/2019 Sylvia Loza

7701 Wurzbach Rd #1008


50.00

Retired Retired

3/14/2019 MItsuko Ramos

202 E. Houston #505


150.00

Gov. Relations Self Employed

3/15/2019 Kent A. Mantle

5726 Quail Cyn


250.00

Elegant RideGeneral Manager


Manuel Pelaez


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3/15/2019 Charles Garza

13202 George Rd.


150.00

Owner Spirits Business

3/15/2019 John Atterbury

24165 IH 10 #217


500.00

Retired AT&T Retired

3/15/2019 Louis Barrios

1102 Morgans Peak


200.00

President/Owner Los Barrios Restaurants

3/15/2019 David Schneider

1580 S. Main St.

Boerne, TX 78006

250.00

SelfBusiness Owner


Manuel Pelaez


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3/15/2019 George Mery

5157 Blanco Rd.


250.00

President Elegant Ride

3/16/2019 Darril Wilburn

15618 Portales Pass


250.00

Partner Honsha Associates

3/20/2019 Ken Lawrence

13307 Hunters Hollow St.


100.00

Retired Retired USAF

3/20/2019 Emil Swize

3019 Elm Creek Place


250.00

Emil Swize & AssociatesOwner


Manuel Pelaez


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3/22/2019 Jim Reed

7317 Ashton Pl


200.00

President San Antonio Medical Foundation

3/23/2019 Narciso Cano

9202 Standing Creek Lane


99.00

n/a n/a

NON-MONETARY (IN-KIND) POLITICAL

CONTRIBUTIONSSCHEDULE A2

The Instruction Guide explains how to complete this form.



TOTAL OF UNITEMIZED IN-KIND POLITICAL CONTRIBUTIONS $

. . . . . . . . . . . . . . . . . . . . . . . . .

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

. . . . . . . . . . . . . . . . . . . . . . . . .

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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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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4

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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 $



Manuel Pelaez

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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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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1/1/2019 Viva Politics

4000.00 1850 Fredericksburg Rd.


Consulting Expense campaign management

1/2/2019 Roberto Trevino Campaign

250.00 PO Box 15975


Contributions/Donations Made By

Candidate/Officeholder/Political

Committee

contribution

1/10/2019 Viva Strategy Group



Consulting Expense Fundraising

(a) (b)

Accounting/Banking

Advertising Expense

Consulting Expense


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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1/15/2019 Prestige Printing

218.67 8 Burwood Lane


Printing Expense palm cards

1/21/2019 Clear Channel Outdoor

2500.00 3714 North Pan Am Expressway


Advertising Expense Billboard

1/30/2019 Total Wines

270.59 17530 La Cantera #103


Event Expense Events

(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

9


1/30/2019 Broadway Bank

222.50 1177 NE Loop 410


Fees Check/account research fee

1/31/2019 Gabriels

274.61 10235 Ironside


Event Expense events





(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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2/5/2019 NW Democrats

500.00 5403 Jackwood Dr.



Candidate/Officeholder/Political

Committee

contribution

2/7/2019 Lone Star Media

313.93 1011 N. Frio St.


Printing Expense Banners


1027.18 1011 N. Frio St.


Printing Expense Signs and t-shirts

(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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2/8/2019 City of San Antonio

100.00 115 Plaza De Armas


Fees Filing fee

2/9/2019 The Well

456.57 5539 UTSA Blvd.


Event Expense Campaign kick off

2/20/2019 Sign Busters

3312.00 PO Box 241018


Advertising Expense Sign set up & maintenance

(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

9


2/24/2019 SkyLine Embroidery

1420.78 2044 Bedell Ave

Del Rio, TX 78840

Printing Expense Baseball caps









(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

9


3/8/2019 Hills and Dales

253.50 15403 White Fawn Drive


Event Expense Fundraiser





3/11/2019 Prestige Printing

1315.24 8 Burwood Lane


Printing Expense Doorhangers

(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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3/14/2019 Los Barrios Restaurant

237.91 4223 Blanco Rd.


Event Expense Fundraiser


1190.75 1011 N. Frio St.


Printing Expense signs

(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




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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)

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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



. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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 ($)

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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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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

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PURPOSE

OF

EXPENDITURE

TYPE OF





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

(a) (b)

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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


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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

Manuel Pelaez



2 FILER NAME1 3


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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

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .


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

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Date Name of person from whom amount is received


Amount ($)


. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .



Amount ($)


. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .



Amount ($)


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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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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.

Manuel Pelaez

CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE … · THESE EXPENDITURES MAY HAVE BEEN MADE...

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Transcript of CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE … · THESE EXPENDITURES MAY HAVE BEEN MADE...