Ralph Gutierrez 7-16CANDIDATE / OFFICEHOLDER FORM
CIOH CAMPAIGN
FINANCE
RE PO RT COVER SHEET "PG 1 ... ....... . ...
.... ..... . .............
I Filer ID (Ethics Commission Filers) 2 Total pages filed-
The C/OH Instruction Guide explains how to complete this form.
3 CANDIDATE/
MSIMRS/MR FIRST
OFFICE USE ONLY
OFFICEHOLDER
Z
Date Received
NAME
. . .
NICKNAME LAST SUFFIX
iA CANDIDATE/
ADDRESS /POBOX; APT/ SURE CITY; STATE; ZIP CODE
OFFICEHOLDER
SAvellree
MAILING
/0/6
ADDRESS
-4 7X 7 ew Iz 9IS-01
se
s
[3 Change of Address . .....
5 CANDIDATE/ <
AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER
Va $r 81- f9le,
bite Hand-delivered or Date Postmarked
PHONE. .. . .. ....
. ......
. .......
.15CAMPAIGN
MS/ MRS MR FIRST MI
Receipt a Amount $
TREASURER
Date Processed
NAME
1. 6
NICKNAME LAST SUFFIX
Date Imaged
7 CAMPAIGN
TREASURER
ADDRESS
(Residence or Business)
8CAMPAIGN
TREASURER
PHONE
.9 REPORT TYPE
STREET ADDRESS (NO PO SOX PLEASE); ' APT I Witt
q9pf
AREA CODE PHONE NUMBER
J/49S
STA-r!j 21P CODE
January IS 30th day before election Runoff 15th day after campaign treasurer appointment (Officeholder Only)
8th day before election Exceeded Modified :Report (Attach C/OH -OR)
Reporting Urnit
—T-777-7�
Month Day Year Month Day Year
Cnluu
COVERED
J
11 ELECTION ELECTION DATE
Month Day "Y&ar
THROUGH
ELECTION TYPE
PrimaryFL—b er
76'eneralSpecial Description
Of
+ornrls proViddd by Texas Ethics Coffiffliggion vwWvv-6thIcs.state.tx-us Revised 1/1/2020
12 OFFICE OFFICE HELD (if P i( ICE SOUGHT (If known) � r
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GO TO PAGE 2
CANDIDATE/ OFFICEHOLDER
i
FORM CIOH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME 15 Filer ID (Ethics Commission Filers)
16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
SUPPORT THE CANDIDATE I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE's OR
POLITICAL OFF'CEHOLDER'S KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF
COMM ITTEE(S) THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE TYPE COMMITTEE NAME
GENERAL
COMMITTEE ADDRESS
SPECIFIC
I
COMMITTEE CAMPAIGN TREASURER NAME
Additional Pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION 1 TOTAL UNITENI'ZEb POLITICAL CONTRIBUTIONS (OTHER THAN
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR
CONTRIBUTIONS MADE ELECTRONICALLY)
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE
TOTALS 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE.
4. TOTAL POLITICAL EXPENDITURES
CONTRIBUTION
BALANCE
OUTSTANDING
LOAN TOTALS
5. TOTAL POLITICAL.CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF:
REPORTING PERIOD S7
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST
DAY OF THE REPORTING PERIOD
Forms provided by Texas Ethics Commission vvW%W- ethics.state.tii -us Revised 1/1/2020
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.
SM OF TEXl16 ture of Candidate or Officeholder
ID# 011411111014
AFFIX QANOPM"M@Au�
SW to.:'nd subscribed before me, by the said &� 6 the - day
_,20- to certify which, witness my hand and seal of office.
VA. . . ........
Signature of officer stering oath Printed name of officer administering oath Title of officer administeriL oath
SUBTOTALS C I O H FORM C/OH
COVER SHEET PG 3
19 FILER NAME 20 Filer ID (Ethics Commission Filers)
21 SCHEDULE SUBTOTALS
NAME OF SCHEDULE
7,
1 SCHEDULEAI: MONETARY POLITICAL CONTRIBUTIONS
2. SCHEDULEA2: NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS
3. SCHEDULE B: PLEDGED CONTRIBUTIONS
4. SCHEDULE E: LOANS
5.
6.
7.
8.
9.
------------
SCHEDULE Fit POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
SUBTOTAL
AMOUNT
SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTION!
SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD
SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
Forms pfWded by Texas Ethics Connrinission WWW-w&hIcs.Ake-tk-U3 ReVittd 1/1/2020
10. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS
11. SCHEDULE 1: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUT11
12. SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETUI
TO FILER
MONETARY POLITICAL CONTRIBUTIONS
The Instruction Guide explains how to complete this form. Total pages Schedule Al:
2 FILER NAME 3 Filer'll)JEthics Commission Filei
. .... . .......... . . ..... ...... .. ... . ....... . ... . . . ..... ............. .... . .... ... ...
4 Date 5 Full name of contributor out-of-gate PAC 7 Amount of contribution (S)
1 A /f 6 Contributor address; City; Stafe; Zip Code Ave
yy
.8 Principal occupation /Job title (See Instructions) ::9 Employer (See Instructions)
SCHEDULE Al ,
Forms provid4id by Texas Ethics Comrhission mw thicsstate.tx-us Revised Ili/2020
� Is lender Lender address;
City; State; Zip Code Interest rate
j a financial
Institution?
Maturity date
Principal lob title (see Instructions) Employer (See Instructions)
occupation
Description of rteral Check if personal funds were deposited into political
none account (See Instructions)
GUARANTOR Name of guarantor
INFORMATION
Guarantor address;
not applicable City ; State; Zip Code
I Principal Occupation (See Instructions) Employer (See Instructions)
Amount Guaranteed ($)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If lender is out -of -state PAC, please see Instruction guide for additional reporting requirements.
POLITICAL EXPENDITURES MADE
a
FROM POLITICAL CONTRIBUTIONS
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement
Accounting/Banking Office Overhead /Rents' Expense
Consulting Expense Food /Beverage Expense Palling Expense
Contributions/Donations Made By GiWAwards /Memorials Expense Printing Expense
i Candidate /Officeholder /Political Committee Legal Services SalariesNVages /Contract Labor
Credit Card Pa—rd
The Instruction Guide explains how to complete this form.
2 FILER NAME,
3 Filer ID (Ethics Commission Filers)
5 Payee n me
-- u- «'—.. - - L./:SaiA�'I
7 Payee address; State; Zip Code
(a) Category (See Categories listed at the top of this schedule) {b) Description
j:
r.
EXPENDITURE _ - .....
Check iftravel outside offexes, Complete schedule T. Check iP Austin, TX, officeholder living expense
—
.1 Total pages Schedule Fl
;4 Date
6 Amount ($) '
8
PURPOSE
OF
SCHEDULE
SolicitationMindralsing Expense
Transportation Equipment & Related Expense
Travel In District
Travel Out of District
Other (enter a category not Eisted above)
,9 Complete ONLY if direct Candidate / Officeholder name Office sought Office heid expenditure to benefitC /OH
Forms provided by Texas Ethics Commission www- ethics.state.tx -us Revised 1/1/2020
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CANDIDATE I OFFICEHOLDER REPORT:
DESIGNATION OF FINAL REPORT FORM IC/OH FR
The Instruction Gulde explains; hoviito completethisfori n.
•• Complete only If "Report Type" on page 1 is marked "Final ReporC' •-
:.....__......... .
1 G /OH NAME 2 Filer ID (Ethics Commission Filers)
3 SIGNATURE
I do not expectant' further political contributions or political expenditures in connection with my candidacy. I understand that designat-
ing 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 appointm n f
gt'a f Candidate 1 Officeholder
a FILER WHO IS NOT AN OFFICEHOLDER
•• Complete A& B below only It you are not an officeholder. ••
A. CAMPAIGN FUNDS
Check only one:
F__J 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. 1 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
Check only one:
0 l 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.
8-I nature of Candidate
6 OFFICEHOLDER
•• Complete this section only if you tre an officeholder ••
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 or other income from political contributions, or assets purchased with politi-
cal contributions or interest or other income from political contributions.
L
Forms provided by Texas Ethics Commission www:ethics.state.tx.us
Signature of Officeholder
Revised '1/112020
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