JUDICIAL CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT 1
The JC/OH Instruction Guide explains how to complete this form.
FORM
COVER SHEET PG 1
Filer ID
2
Total pages filed:
(Ethics Commission Filers)
00061829 3
CANDIDATE / OFFICEHOLDER NAME
MS / MRS / MR
FIRST
The Honorable
Steven T.
JC/OH
6 MI
OFFICE USE ONLY Date Received
ELECTRONICALLY FILED
4
CANDIDATE / OFFICEHOLDER MAILING ADDRESS
NICKNAME
LAST
Steve
Burgess
ADDRESS / PO BOX;
07/13/2015
SUFFIX
APT / SUITE #;
CITY;
Date Hand-delivered or Date Postmarked
ZIP CODE
Receipt #
Amount
Change of Address Date Processed
Date Imaged
5
CAMPAIGN TREASURER NAME
MS / MRS / MR
FIRST
MI
Mrs.
Amy M.
NICKNAME
LAST
SUFFIX
Burgess 6
CAMPAIGN TREASURER ADDRESS
STREET ADDRESS (NO PO BOX PLEASE);
APT / SUITE #;
CITY;
STATE;
ZIP CODE
(Residence or Business)
7
CAMPAIGN TREASURER PHONE
8
REPORT TYPE
AREA CODE
X 9
PERIOD COVERED
EXTENSION
January 15
30th day before election
Runoff
15th day after campaign treasurer appointment (officeholder only)
July 15
8th day before election
Exceeded $500 limit
Final Report (Attach C/OH-FR)
Month
Day
Year
01/01/2015
10 ELECTION Month
11 OFFICE
PHONE NUMBER
ELECTION DATE Day Year
Month THROUGH
Day
Year
06/30/2015 ELECTION TYPE
Primary
Runoff
General
Special
OFFICE HELD (if any)
Other
12 OFFICE SOUGHT (if known)
District Judge District 158
District Judge District 158
GO TO PAGE 2 Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
Version V1.0.28282
FORM
JUDICIAL CANDIDATE / OFFICEHOLDER REPORT: SUPPORT & TOTALS 13 C / OH NAME
COVER SHEET PG 2 2 of 6 14 Filer ID
Burgess, Steven T. (The Honorable)
JC/OH
(Ethics Commission Filers)
00061829 15 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
COMMITTEE NAME
GENERAL
COMMITTEE ADDRESS SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
16 CONTIBUTION TOTALS
1.
TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
2.
TOTAL POLITICAL CONTRIBUTIONS
3.
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED
4.
TOTAL POLITICAL EXPENDITURES
CONTRIBUTION BALANCE
5.
OUTSTANDING LOAN TOTALS
6.
EXPENDITURE TOTALS
$
0.00
$
0.00
$
0.00
$
260.00
TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF THE REPORTING PERIOD
$
4,388.53
TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY OF THE REPORTING PERIOD
$
0.00
17 AFFADAVIT
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.
The Honorable Steven T. Burgess Signature of Candidate or Officeholder AFFIX NOTARY STAMP / SEAL ABOVE Sworn to and subscribed before me, by the said _________________________________________, this the ___________________ day of___________________, 20________, to certify which, witness my hand and seal of office.
Signature of officer administering oath
Forms provided by Texas Ethics Commission
Printed name of officer administering oath
www.ethics.state.tx.us
Title of officer administering oath
Version V1.0.28282
FORM
SUBTOTALS - JC/OH
JC/OH
COVER SHEET PG 3 3 of 6 18 FILER NAME
19 Filer ID
Burgess, Steven T. (The Honorable)
(Ethics Commission Filers)
00061829
20 SCHEDULE SUBTOTALS SUBTOTAL AMOUNT
NAME OF SCHEDULE 1.
SCHEDULE A(J)1: MONETARY POLITICAL CONTRIBUTIONS (JUDICIAL)
$
2.
SCHEDULE A2: NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS
$
3.
SCHEDULE B(J): PLEDGED CONTRIBUTIONS (JUDICIAL)
$
X
0.00
4.
X
SCHEDULE E(J): LOANS (JUDICIAL)
$
0.00
5.
X
SCHEDULE F1: POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS
$
260.00
6.
SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
$
7.
SCHEDULE F3: PURCHASE OF INVESTMENTS FROM POLITICAL CONTRIBUTIONS
$
8.
SCHEDULE G: POLITICAL EXPENDITURES FROM PERSONAL FUNDS
$
9.
SCHEDULE H: PAYMENT FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH
$
10
SCHEDULE I: NON-POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS
$
SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED TO FILER
$
11.
X
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
4.69
Version V1.0.28282
POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS
SCHEDULE
F1
EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Accounting/Banking Consulting Expense Contributions/ Donations Made By Candidate/Officeholder/Political Committee
Event Expense Fees Food/Beverage Expense Gift/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)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F1: 2 FILER NAME
Sch: 1/1 Rpt: 4/6 4 Date
3 Filer ID
Burgess, Steven T. (The Honorable)
(Ethics Commission Filers)
00061829
5 Payee name
04/21/2015
Alexander Esq., Karen (Mrs.)
6 Amount ($)
7 Payee address;
$200.00
City;
State; Zip Code
8381 Fullerton Street Lantana, TX 76226
8
PURPOSE OF EXPENDITURE
(a) Category
(See Categories listed at the top of this schedule)
(b) Description Check if travel outside of Texas. Complete Schedule T.
Event Expense
Check if Austin, TX, officeholder living expense
Portion of table cost for Lincoln Reagan Dinner 9 Complete ONLY if direct Candidate/Officeholder name expenditure to benefit C/OH Date
Payee name
01/19/2015
Solutions of North Texas
Amount ($)
Payee address;
$60.00
City;
Office sought
Office held
State; Zip Code
2216 Bolivar Denton, TX 76201
PURPOSE OF EXPENDITURE
(a) Category
(See Categories listed at the top of this schedule)
(b) Description Check if travel outside of Texas. Complete Schedule T.
Event Expense
Check if Austin, TX, officeholder living expense
Solutions of North Texas dinner Complete ONLY if direct Candidate/Officeholder name expenditure to benefit C/OH
Forms provided by Texas Ethics Commission
Office sought
www.ethics.state.tx.us
Office held
Version V1.0.28282
INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED TO FILER The Instruction Guide explains how to complete this form. 2 FILER NAME
01/01/2015
K
1 Total pages Schedule K:
Sch: 1/1 Rpt: 5/6 3 Filer ID
Burgess, Steven T. (The Honorable) 4 Date
SCHEDULE
(Ethics Commission Filers)
00061829
5 Name of person from whom amount is received
8 Amount ($)
Denton Area Teachers Credit Union
$2.42
6 Address of person from whom amount is received; City; State; Zip Code
Denton, TX 76201 7 Purpose for which amount is received
Check if political contribution returned to filer
Interest Date
Name of person from whom amount is received
04/01/2015
Denton Area Teachers Credit Union
Amount ($)
$2.27
Address of person from whom amount is received; City; State; Zip Code
Denton, TX 76201 Purpose for which amount is received
Check if political contribution returned to filer
Interest
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
Version V1.0.28282
ASSETS VALUED AT $500 OR MORE
The Instruction Guide explains how to complete this form. 2 FILER NAME
SCHEDULE
1 Total pages Schedule M:
Sch: 1/1 Rpt: 6/6 3 Filer ID
Burgess, Steven T. (The Honorable)
M
(Ethics Commission Filers)
00061829
4 Description of Asset
Computer
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
V1.0.28282