HomeMy WebLinkAboutArwine, Jeffrey 8th Day Before Election 2024 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.
3 CANDIDATE/ MS/MRS/MR FIRST MI
OFFICEHOLDER Mr. Jeff K OFFICE USE ONLY
NAME D eR eiveC E V E
NICKNAME LAST SUFFIX
Arwine
citt
4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE A"`,
OFFICEHOLDER 8932 Souththorn Dr. NRH TX 76182 / `� `� G� 6 �1►
MAILING
ADDRESS CITY SECRETARY
Change of Address
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION Date Hand-delivered or Date Postmarked
OFFICEHOLDER
PHONE ( 682 ) 209-6551
Receipt# Amount S
6 CAMPAIGN MS/MRS/MR FIRST MI
TREASURER Mr. Jeff'
NAME Date Processed
NICKNAME LAST SUFFIX
Arwine Date Imaged
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER 8932 Souththorn Dr NRH TX 76182
ADDRESS
(Residence or Business)
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE ( 682 ) 209-6551
9 REPORT TYPE 1 January 15 n 30th day before election [1 Runoff ri 15th day after campaign
treasurer appointment
(Officeholder Only)
July 15 .I I1 8th day before election 7 Exceeded Modified [] Final Report(Attach C/OH-FR)
I— Reporting Limit
10 PERIOD Month Day Year Month Day Year
COVERED 3 / 26 / 24 THROUGH 4 / 24 / 24
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year ❑ Primary ❑ Runoff ❑ Other
Description
5 , 4 / 24 ❑ General ❑ Special
12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known)
City Council Place 4
14 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT
POLITICAL 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(S)
COMMITTEE TYPE COMMITTEE NAME
NRH4U
❑✓ GENERAL COMMITTEE ADDRESS
Additional Pages P.O Box 822549
❑ SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME
Tom Lombard
COMMITTEE CAMPAIGN TREASURER ADDRESS
7105 Harlan Dr. Rockwall TX 75087
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2024
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
15 C/OH NAME 16 Filer ID (Ethics Commission Filers)
Jeff Arwine
17 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
TOTALS PLEDGES, LOANS,OR GUARANTEES OF LOANS,OR
CONTRIBUTIONS MADE ELECTRONICALLY)
2. TOTAL POLITICAL CONTRIBUTIONS $ 75.00
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE.
TOTALS $
4. TOTAL POLITICAL EXPENDITURES $ 429.77
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF REPORTING PERIOD
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD
18 SIGNATURE 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
Please complete either option below:
(1)Affidavit
NOTARY STAMP/SEAL
Sworn to and subscribed before me by this the day of
20 ,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
OR
(2)Unsworn Declaration
My name is Jeff Arwine , and my date of birth is
•
My address is 8932 Souththorn Dr. NRH TX 76182 USA
(street) 23 (city) (state) (zip code) (country)
Executed in Tarrant County,State of TX ,on th day of A rll ,20 24
(mo th) (year)
Sign t r of andi (Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2024
SUBTOTALS - C/OH FORM C/OH
COVER SHEET PG 3
19 FILER NAME 20 Filer ID(Ethics Commission Filers)
Jeff Arwine
21 SCHEDULE SUBTOTALS SUBTOTAL
NAME OF SCHEDULE AMOUNT
1. SCHEDULE A1: MONETARY POLITICAL CONTRIBUTIONS $ 75.00
2. SCHEDULE A2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $ 5,250.00
3. SCHEDULE B: PLEDGED CONTRIBUTIONS $
4. SCHEDULE E: LOANS 1 $
5. SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 1,500.00
6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $
7. SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $
8. SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 429.77
9. SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $
10. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $
11. SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $
12. SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS,AND CONTRIBUTIONS RETURNED $
TO FILER
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2024
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
Jeff Arwine •
4 Date 5 Full name of contributor out-of-state PAC(ID#: ) 7 Amount of contribution ($)
Craig Woodman
04/14/2024 25 . 00
6 Contributor address; City; State; Zip Code
6213 Winter Park NRH TX 76182
8 Principal occupation/Job title(See Instructions) 9 Employer(See Instructions)
Date Full name of contributor out-of-state PAC(ID#: ) Amount of contribution ($)
Gustav Kuelbs
04/17/2024 50 . 00
Contributor address; City; State; Zip Code
813 Water Oak Dr. Grapevine TX 76051
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor out-of-state PAC(ID#: ) Amount of contribution ($)
Contributor address; City; State; Zip Code
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor out-of-state PAC(ID#: ) Amount of contribution ($)
Contributor address; City; State; Zip Code
Principal occupation/Job title(See Instructions) Employer(See Instructions)
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 1/1/2024
NON-MONETARY (IN-KIND) POLITICAL
CONTRIBUTIONS SCHEDULE A2
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form. 1 Total pages Schedule A2: /
•
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
Jeff Arwine
4 TOTAL OF UNITEMIZED IN-KIND POLITICAL CONTRIBUTIONS $ 4)250.00
5 Date 6 Full name of contributor ❑out-of-state PAC(ID#: ) 8 Amount of 9 In-kind contribution
NRH4U Contribution $ description
04/01/2024 4,250.00 Consultants
7 Contributor address; City; State; Zip Code
P.O Box 822459 Rockwall TX 75087 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
Contribution $ i description
Neel and Partners
04/10/2024 1,000.00 i Advertising
Contributor address; City; State; Zip Code
8601 Ice House Dr N RH TX 76182 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 www.ethics.state.tx.us Revised 1/1/2024
POLITICAL EXPENDITURES MADE SCHEDULE Fl
FROM POLITICAL CONTRIBUTIONS
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE 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
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services SalariesM/ages/ContractLabor Other(enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Fl: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
1 Jeff Amine
4 Date 5 Payee name
04/08/2024 NRH4U
6 Amount ($) 7 Payee address; City; State; Zip Code
500.00 7105 Harlan Dr. Rockwall TX 75087
8 (a) Category (See Categories listed at the top of this schedule) (b) Description
PUROPOSE Contribution by Candidate Cash Donation
EXPENDITURE
(c) Check if travel outside of Texas.Complete Schedule T. Check if Austin,TX,officeholder living expense
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
}
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Category(See Categories listed at the top of this schedule) Description
PURPOSE
OF
EXPENDITURE
Check if travel outside of Texas.Complete Schedule T. Check if Austin,TX,officeholder living expense
Complete ONLY,if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule) Description
PURPOSE
OF
EXPENDITURE
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
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2024
EXPENDITURES MADE BY CREDIT CARD SCHEDULE F4
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 10(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
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other(enter a category not listed above)
The Instruction Guide explains how to complete this form. USE A NEW PAGE FOR EACH CREDIT CARD ISSUER
1 TOTAL PAGES 2 FILER NAME 3 FILER ID (Ethics Commission Filers)
SCHEDULE F4: 1 Jeff Arwine
4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TO A CREDIT CARD $ 429.77
5 CREDIT CARD Name of financial institution
ISSUER Capital One
6 PAYMENT (a)Amount Charged (b)Date Expenditure Charged (c)Date(s)Credit Card Issuer Paid
$ 429.77 04/03/2024 4/6/2024
7 PAYEE (a)Payee name (b)Payee address; City, State, Zip Code
Victory Store 5200 SW 30th Street Davenport IA 52802
8 PURPOSE OF (a)Category(See Categories listed at the top of this schedule) (b)Description
EXPENDITURE Advertising expense SI na e
Political 9 9
❑ Non-Political (c) Check if travel outside of Texas.Complete Schedule T. Check if Austin,TX,officeholder living expense
9 Complete ONLY if direct Candidate/Officeholder name Office Sought Office Held
expenditure to benefit C/OH Jeff Arwine
City Council
PAYMENT (a)Amount Charged (b)Date Expenditure Charged (c)Date(s)Credit Card Issuer Paid
PAYEE (a)Payee name (b)Payee address; City, State, Zip Code
PURPOSE OF (a)Category(See Categories listed at the top of this schedule) (b)Description
EXPENDITURE
❑ Political
❑ Non-Political (c) Check if travel outside of Texas.Complete Schedule T. Check if Austin,TX,officeholder living expense
Complete ONLY if direct Candidate/Officeholder name Office Sought Office Held
expenditure to benefit C/OH
PAYMENT (a)Amount Charged (b)Date Expenditure Charged (c)Date(s)Credit Card Issuer Paid
PAYEE (a)Payee name (b)Payee address; City, State, Zip Code
PURPOSE OF (a)Category(See Categories listed at the top of this schedule) (b)Description
EXPENDITURE
❑ Political
❑ Non-Political (c) Check if travel outside of Texas.Complete Schedule T. Check if Austin,TX,officeholder living expense
Complete ONLY if direct Candidate/Officeholder name Office Sought Office Held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Corr Reset Form lcs.s Reset Page Revised 1/1/2024