HomeMy WebLinkAboutGoetz, Brianne Final Report 2024 CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Filer ID(Ethics Commission Filers) 2 Total pages filed:
The CIOH Instruction Guide explains how to complete this form.
3 CANDIDATE/ MS/MRS/MR FIRST MI
- OFFICE USE ONLY
( OFFICEHOLDER y�,, D
NAME / I rc .la Ked. •[ SUFFIX
Date Gel d� S
NICKNAME LAST SUFFIX a
4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE JUN
OFFICEHOLDER cr1 -7� -7 JUN 14 2024 •
MAILING ADDRESS 15?-1 FHA"Scm uil . Nit0'f 1? ( 1io 3'.6��It/1
Change of Address
CITY SECRETARY
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION Date Hand-delivered or Date Postmark d
y
OFFICPHONEEHOLDER (6�a ) y 33 ._ 3 G 3 vt, a, 6v."e.t. I �Il4lai(
Receipt# 1 Amount$
6 CAMPAIGN MS/MRS/MR FIRST MI
TREASURER I!y,�� ,//
NAME 1�+ .. . .�•.(.AAA,
..... ...... ... .......... .... .... . .
NICKNAME LAST SUFFIX
+ Date Imaged (titsI�a..._ /
7 CAMPAIGN STREET ADDRESS (NO PO BOXXr-•PLL„EAS, E)) APT!SUITE S; CITY; W STATE; ZIP CODE KI
TREASURER
ADDRESS I S a �{CAoLS 5 t. A gm -1 (0(-130
(Residence or Business) �C
i 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE 43
9 REPORT TYPE ri ./T-
January 15 s 30th day before election Runoff 151h day after campaign
i � treasurer appointment
(Offlceholder Only)
1
July 15 8th day before election �` ExcoedadModified ' )na1RePo(t(Att5chCIoH-FR)
1 Reporting LUiIff
10 PERIOD Month Day Year Month y Year
COVERED /,, f
i /2'1 / 2.'/ THROUGH `a / 1�1 /
11 ELECTION ELECTION DATE r ELECTION TYPE
Month Day Year ' 9 Primary Runoff I", Other
, Description
c/ y /2f ikt General IT Special
12 OFFICE OFFICE HELD (if any) , 13 ()FRO SOULTT (if known) •
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
COMMITTEE(S) CONSENT.CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE TYPE COMMITTEE NAME
i l GENERAL COMMITTEE ADDRESS
Additional Pages
El SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
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)
QV"I 4-414AZ qd ±
17 CONTRIBUTION 1. TOTAL UNITEMIZED 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)
EXPEND•....,.
TOTALS ITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE, $
4. TOTAL POLITICAL EXPENDITURES
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.
�
,4*f`i./ '
Signs a of Candidate or Officeholder
i ..
Please complete either option below:
I ,
(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 1! f-Pine 41444-t
My address is C t4ffSah SI-. p t 4-t "nC , 14(jQ S
Ta(rame (street) city) (state) (zip code) (country)
Executed in County,State of 1WA-414 on the 11111.- of ,20
� �/ (mo,l�+ (year)
Signature of ._•didate/Officeholdor(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 Filler ID(Ethics Commission Filers)
21 SCHEDULE SUBTOTALS SUBTOTAL
NAME OF SCHEDULE AMOUNT
1e SCHEDULEA1: MONETARY POLITICAL CONTRIBUTIONS $
2: SCHEDULEA2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $
3. SCHEDULE B: PLEDGED CONTRIBUTIONS $
4. SCHEDULE E: LOANS $
5. SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ Ifr
6, SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $
7. SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $
8. SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $
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 �LJJ
Si
i33
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2024
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE Fi
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 Salaries/Wages/Contract Labor Other(enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F1: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
t,
4 Date 5 Payee name
4r(2 t lay Iu , 4 tC9sG WeI.IoaYA
6 Amount ($) 7 Payee address; City; State; Zip Code
S-0 O . O O V-I 3 &-cci L f 1 vc.
$ (a)Category(See Categories listed at the lap of this schedule) (b)Description
PURPOSEOF rr� yc4. ,B_
EXPENDITURE
(c) Check if travel outside of Texas.Complete ScheduleT. 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(toI lit t2ti Toles 4 0.-r,I r e -Anent
Amount($) Payee address; City; State; Zip Code
a.s�
4c1 1 L.Y.. �Iz� ?c "'l,�f17
Category(See Categories listed at the top of this schedule) Description
PURPOSE +
OF U
EXPENDITURE
Check if travel outside ofTexas.Complete Schedule T. Check If Austin,TX,officeholder living expense
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Category(See Categories listed at the top of this schedule) Description
PURPOSE
OF
EXPENDITURE
Check if travel outside ofTexas.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 Commission www.ethics.state.tx.us Revised 1/1/2024
CANDIDATE/OFFICEHOLDER REPORT:
DESIGNATION OF FINAL REPORT FORM C/OH - FR
The Instruction Guide explains how to complete this form.
•• Complete only if"Report Type" on page 1 Is marked "Final Report" ••
1 C/OH NAME 2 Filer ID (Ethics Commission Filers)
.11‘1(La-Adhe o_a .
3 SIGNATURE �.
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 treasu7 appointi '-nt o le.
'Signature • andida :fficahotder
4 FILER WHO IS NOTAN OFFICEHOLDER
•• Complete A& B below only if you are not an officeholder. ••
A. CAMPAIGN FUNDS
Check only one;
0,--. I do not have unexpended contributions or unexpended interest or income earned from political contributions.
I f I have unexpended contributions or unexpended interest or income earned from political contributions. I understand that
I f 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:
I do not retain assets purchased with political contributions or interest or other income from political contributions. i
I do retain assets purchased with political contributions or interest or other income from political contributions. I understand
l 3 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. r
- 01 411AP
Signatu 4 Can. "te
5 OFFICEHOLDER
•• Complete this section only if you are 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
political contributions or interest or other income from political contributions.
Signature of Officeholder
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2024