POBox 12070 rexas Ethics Commission Austin Texas (512) 463-5800 78711-2070 CANDIDATE I OFFICEHOLDER CAMPAIGN FINANCE REPORT 3 CANDIDATE I OFFICEHOLDER NAME I V~";~ MR f({'aTu.r I n ~ i UIL~ie~ 4 g~~,~1~6~~E: -II NICKNAME FORM ;;TY 0'" R":~:ICE MI ~ d~- STATE--~;PCODE---- • :, JK. 4='1 ~\ K..C>a I __ q~~geOfAdd~e''L;U4Ik,s_~X _'l~8-ctq~ ________ 5 CANDIDA rEI I AREA EXTENSION ~~~~~HOLDER 6 CAMPAIGN I (q,/d-.) l ~ ;::0 ~ "':". -~ Date Harld-de!lvered or Da!e~ar~ed~,._; PHONE NUMBER ::'4'1 - t '73S MSfMRS/MR TREASURER NAME 1 USE ONLY ~ MAILING ADORESS CODE C/OH COVER SHEET PG SC,FF" iP080~:PTISU"E#~d- -~ ;ORE't 1-800-325-8506 J Mr. NICKNAME • FIRST MI LAST SUFFIX at m"~ RCtrnC5rt 7-:~~~i~~~R --- i aT~E~~~;Et :ND~:~~ A~~'TE# 1~;;Y~Ttl~-~-~~~E~-C) ~~- ----- (Residence or business) 8 r;- CAMPAIGN I ~~~~~URER I (c:}lq ) q -'59 - 4 90 ~ REPORT TYPE AREA CODE PHONE NUMBER I KJ I" - ----~~-~-D~--~----~--~-~~~-~~------- I Jan a ,i CJ July 15 15 u ry , II 30thd 0 8th day before election '---------I ay bat ore e lect' Eon -- --~- - -t------ --- ---- I 10 PERIOD Mortth 0'7 COVERED 11' ELECT10-N I I Day 0 I ELECTION Month Day ··015 I [] Exceeded $500 linll! [] Final repan (Attach C/OH PR) Day ""2, I Year 0'6 DATE~- -T-E-LE=-O=-n--O=-N-'::-y::-P::-E---------------- ----------~-"Year Ii [-.J o Pnmary __ "_ Runoff General QFFlCESOUGHT o Special I-"-kf-f~--,----~---~------- _________________ •• Direct campaign expenditures are campaign expendit(!res made by others Without the candidate's prior consent or i'lpprova! Candidates are required 10 disctose this Information only if they receille notlficatlOr! of the (jirecl campaign expenditure •• ~N¢~O~~~~~:E [,,~~-, 15Ihdaya/tercampalgntreaS\Jrer appo,ntrnent (otficeholmronly) Month 1.D;i\~LD ~~:kA1 ~ -C-O·~fy'\~I'11::-':--IS-;'S-cI-::-O-Y\-~-r__--r13 I 0L._. I:Y THROUGH f---~------f])'S-t.iu± ' l - . 14 NOTICE OF DIRECT CAMPAIGN 0 Runoff ~ -----~----C-" ----"---------~ Year I 1"2--0-F-F-IC-E---- ------~-------.~------ EXH.:NSION - Address I PO Box --~-- ~------ ~-- -----~--~--~===-----Apt I Suite 11 City State Z,p Code additional pages I GOTO PAGE 2 R" ..,sed 061271200e ,~.> Texas Ethics Commission PO 80x 12070 Austin Texas 78711-2070 CANDIDATE I OFFICEHOLDER REPORT: SUPPORT & TOTALS 17 NOTICE FROM POLITICAL COMMITTEE(S) 1 ~800-325-8506 (512) 463-5800 C/OH SHEET PG 2 FORM COVER .. This box IS for notice of po!itlcal contributions accepted or political expenditures made by political commlt1ees to support the candidate J officeholder These expenditures may have been made wlthoullhe 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 •• i I i . "- i-----~---~- -~'·! COMM-iT-TEE -NAM-E'-··--~-'-~---'~"--""------"-"-~-----'----'"-----.---""-""------ COMMITTEE TYPE ,I [J GENERAL -~~---.--~-~~-- CoMMiTTEE ADDRESS o $PECIAC I COM"nEE CAMPAIGN mEASURER I NA"M;CE~--------------------------I h 6MMITTEE CAMPAIGN-iREASIJRERADDRESS C ----,""~-,,-----.----,---"""--------- 18--;~NTRI~UTION---t---,---- l; ;:;TlC-;:~-; -ONTR~ ~TIDNS ; ;S; -~R LES -'DTHE-;'-~HAN TOTAL TOTALS I" '--'['-$---------------.- PLEDGES. LOANS. OR GUARANTEES OF LOANS) UNLESS ITEMIZED +------""-------I $ ~ 3~ (). 00 '---2-.---roT AL POLITICAL CON-TRIBUTIONS ! EXPENDITURE TOTALS CONTRIBUTION BALANCE ~ZZ~~~NT~I~SG ------I (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) l~- ,;;;c~="","",c",, 0' " ; , , " " c,,,,,~,;,,, t.--= ..- _ I I 4. TOTAL POLITICAL EXPENDITURES I I 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF REPORTING PERIOD j 6 D-~L{~603--. '6.(rl~1. i I ,$ -~--------------------+I--------_j L ~~;;~~~I~~I;~~ ~~~~~;I~~ ;~~I~~TSTANDING _DANS AS OF THE 1$ 3d()Q. 00 F'-----c==c,=:======.::===,:.::==-::-======,=.::_=--~--..L.:'-,= ------== 19 AFFIDAVIT ! swear, or affirm, under penalty of perjury, that the accompanying report 1, "'" """"~"" .:-~~W(A. is true and correct and inciudes all information required to be reported by me under Title 15, Election Code. SHERRI STOEL 1i!{:f;~{~J NO~;C~~~~;i~~eE~~~::as ,~:=-"" AFFIX NOTARY STAMP //7 -7/1 - -#7) - // --~~~~;~fr-- April 15.2012 I Sworn to and subscribed before me. by the said I 9Cjll/\ULLf,.y ~~'- . 20 (:=1~Q-G\A V SEAL ABOVE til , 1)1(CLVI [1 e r ~ (IZi LJ this the i2 day I to certify which, witness my hand and sear of office. c.\o..Q____._~_ SI1et:vi Signature of officer administering oath SJ-cel __~ _______II)i)I-ayu M;ll:;\i C-'<I _ _ __ Printed name of officer administering oath Title of Officeradministering oath - Rev,"ed 0612712008 Texas Ethics Commission POBox 12070 Austin Texas 78711-2070 POLITICAL CONTRIBUTIONS OTHER THAN PLEDGES OR LOANS 4 5 Date 6 SCHEDULE ! i 7 Amount of contribution ($) Full name of contributor Contributor address City; i 8 A In-kind contribution description (If applicable) I I I Zip Code State, 1-800-325-8506 (512) 463-5800 (If travel outside of Texas, complete Schedule T) 9 Employer (See InslrucIJons) Principal occupation I Job title (See Instructions) Date Full name of contributor Contnbutor address, o o\lr-of-state City; State; Full name of contnbutor Contnbutor address; 0 City; I I In-kind contribution description (if applicable) I I I Zip Code /If travel outside of Texas, complete Schedule Employer (See Instructions) Principal occupation I Job title (See Instructions) Date Amount of contnbutlon ($) PAC (ID#· _ _ _ _ _ _ ""_-----------..J O\~"of·ffiatePAC State; (10# ___________ ) Amount of \ contribution ($) I n I n~kmd contribution description (if applicable) I I I Zip Code (If travel outside of Texas, complete Schedule T) Principal occupation I Job title (See Instructions) Date ------r-------- .., - -_., I Full name of contributor I Conte)butoc addee", Employer (See Instructions) I .. -" Amount of I contribution ($) I City; State; I I Zip Code I I (If travel outside of Texas, complete Schedule Pnnclpal occupation I Job title (See Instructions) ~'ci Ou!-Of-S~lePACIID#'~ ____________ J ~ 1-~o~~~~~~nOf($) r--' : I Contributor address: City; n Employer (See Instructions) I Full name of contributor Date In-kind contribution descnption (if applicable) State, ". In-kind contribution description (if applicable) Zip Code ! I I I Princrpal occupation I Job title (See Instructions) I I If travel outside of Texas, complete Schedule Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS FORMAS NEEDED If contributor is out-af-state PAC, please see instruction guide foradditional reporting requirements. n Mrs. Maurine Dickey Mrs. Maurine Dickey January 15, 2009 Contributor Address Kenneth H., Randy, Sue or Justin Fosha Northwood Republican Women Richardson Republican Women Health PAC Dallas County Medical Society 1454 County Road 219, Granby, CO 80446-0147 Total Schedule A-1 ---_._--- Page 1 Schedule A-1 -----_ ..... NA 215 Long Canyon Ct., Richardson, TX 75080 PO Box 4680, Dallas, TX 75208 - ----- Schedule A-1 07/01/08 - 12/31/08 Contri. Amt Date $680.00 $500.00 $200.00 $1,000.00 7/23/08 912/08 10122/08 12/1/08 $2,380.00 PO Texas Fthics Commission Box 12070 Austin fexas 78711-2070 (512) 463-5800 LOANS - -=-~ -=-~c: -- -- c==-=c:-c::c=--=-=CC~~--- ~ - - - - - -~----~- -- - - - - - -~--~- ~-- -~- 0\ {)I"l n .. ~-~T I 6 Is lender a financlallnstitlltion? Y {; I I S - t.G ( e( ACCOUNT # (EthicS CDmmrSS,on fliElfS) J) \ ~k-{:':J V\ (J ..-"----"..-'"--." ~ -- "-~"'"-- cO c) ,,~ "> --] '--,) ~ o OU1-oHtate PAC (10# _ _ _ _ _ _ _ _ _ _ 7 Name of lender 8 Lender address; City; ~) I 9 Loan Amount (S) ~O-'ote"" ,,;;;~- Zip Code State; -------~----- 1$ --- 1f---.--"-------"~'11 Maturity date , N l C '\ 13M---------~------~---- TOTAL OF UN ITEMIZED LOANS: Date of loan a 7o!a! pages Schedule E 4 5 ----- --~~~--- 3 .,'-- "-----,,-" * 1----- --=-=-=--=-=::-- -==-== -- -~- FILER NAME 'Mrs E SCHEDULE The Instruction GUIde explains how to complete thIs form 2 1-800-325-8506 ----- il I 12 Pnncipal occupalion I Job title (See Instructions) 13 Employer (See Instructions) 14 Descnption of Collateral 0 none 11 Name of guarantor 15 GUARANTOR 1 16 INFORMATION II B Amount Guaranteed {$) I I I 17 II not applicable 0 -- Guarantor address: City; "" - I J 19 Pnnclpal occupation - Zip Code State; ...,.. - - "~'T"- DateD/ loan Name of lender o out"of-St81e PAC (1011 '"~-". ---,- _... ,1 ~ IS lender a finanCial Institution? y - 20 Employer Lender address: City: State: Zip Code ) r - ~ -,- Loan Amount ($) l~~o. I M"""y d"e N i Pnncipal occupation I Job title (See Instructions) -- Employer (See instructions) I DeSCription of Collateral 0 [lone GUARANTOR , INFORMATION 0 no' appll/::aDJe !--Principal Occupation I : Name of guar'antor Amount Guaranteed {$) I I I, Guarantor address: City: State, Zip Code ----r i .. _- Employer A TTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED It lender is out-at-state PAC, please see instruction guide for additional reporting requirements. Rev,sed 0612 712008 Mrs. Maurine Dickey Mrs. Maurine Dickey. Schedule E-1 'Date Guarantor Address Schedule E-1 07/01/08 - 12/31/08 Amount 11/13/08 Roland Dickey 4514 Cole Avenue, #1100, Dallas, TX 75205 $8,000.00 Total Schedule E-1 January 15, 2009 Page 1 $8,000.00 - PO fexas Ethics Commission Austin Box 12070 Texas 78711-2070 (512) 463-5800 1-800-325-8506 SCHEDULE F POLITICAL EXPENDITURES (\+I ~==:=--====-~-====----====-===:---==:=:==-~--~---------------~-~- ~TO'" The Instruction Guida explains how to complete this form, -2 FILER NAME IN\rs 4 8 , ----~,--.--,,"---,,---,,-""---------."----------'-----~--- MCH\ Date Dt~blj ,r;n <t.. f I _ S.e e p'ge, Sohedo'e F Payee name 6 Payee address; City, State', VI .:.{d --- -----~-- -+--------------~---ACCOUNT. ,"h,,, CO~"'''h ''',,,' 13 7 5 {A.C ----= Amount ($) ZIP Code 9 Purpose of payment {See Instructions regarding type of information required.} •• Complete if direct expenditure to benefit CIOH Cand,date I Officeholder name Office sought .. Office held 1 I (If travel outsIde of Texas, complete Schedule T) - Date -- -r---Payee name- Payee address; City; State; - r - Amount ($) -- -- I Zip Code I I Purpose of payment (See instructions regarding type of information required.) I •• Complete If direct expenditure to benefit CIOH •• Candidate I Olficeholder name Office sought Office held (If travel outside of Texas, complete Schedule T) Payee name Date Amount ($) Payee address', City; State; Zip Code Purpose of payment (See Instructions regarding type of II1fonnation required.) -Date -Payee name Payee address; Oty; •• Complete If direct expenditure to benefit CIOH ., Cand,date I Officeholder name Office sought 1 (If travel outside of Texas, complete Schedule T} - I I State; I Zip Code Office held .-" Amount ($) I i I Purpose of payment (See Instructions regarding type of infonTlation required.) •• Complete If direct expenditure to benefit CIOH Candidate (Officeholder name Ottica wught .. Office held (If travel outside of Texas, complete Schedule T) A TTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED Re-VI$'H:I 061;:>712008 Mrs. Maurine Dickey Schedule F-1 Page 1 07/01/08 - 12/31/08 Payee Name 711/2008 Eagle Postal 7/1/2008 Costco 7/1/2008 The Home Depot 7/1/2008 Wal-mart 7/1/2008 Costco 7/1/2008 Wal-mart 7/1/2008 Minyard 7/1/2008 Greater Dallas Planning Council 7/7/2008 Ted Poe for Congress 7/8/2008 Congressman Jeb Hensarling 7/15/2008 Michelle Frazier 7/18/2008 Costco 7/18/2008 Kroger 7/18/2008 Kroger 7/18/2008 Kroger 7/18/2008 Kroger 7/18/2008 Costco 7/18/2008 Minyard 8/1/2008 Eagle Postal 8/11/2008 Friends of Jane Nelson 8/20/2008 Kroger 8/20/2008 Costco 8/20/2008 Wal-mart 8/20/2008 Office Depot 8/20/2008 Randalls Store 9/1/2008 Eagle Postal 9/18/2008 The Senior Source 9118/2008 North Texas Commission 9/1812008 GDHCC 9/18/2008 Metrocrest Chamber of Commerce 10/1/2008 Eagle Postal 10/20/2008 Lake Highlands Republican Women 10/27/2008 Marilyn Smith 10/27/2008 The Chris Harris Campaign 10/28/2008 Joanna Windham Date Payee Address 3109 Knox Street, Dallas, TX 75205 851 S. Highway 121, Lewisville, TX 75067 8555 Home Depot Drive, Irving TX 1635 Market Place Blvd., Irving TX 851 S. Highw~121, Lewisville, TX 75067 1635 Market Place Blvd., Irving TX 10909 Webb Chapel PO Box 227297, Dallas, TX 75222 PO Box 14222, Humble, TX 77347 PO Box 820504, Dallas, TX 75382 917 Miranda Drive, MesqUite, TX 75149 851 S. Highway 121, Lewisville, TX 75067 7505 E. MacArthur Blvd. 2770 Valwood 7505 E. MacArthur Blvd. 7505 E. MacArthur Blvd. 851 S. Highway 121, Lewisville, TX 75067 10909 Webb Chapel 3109 Knox Street, Dallas, TX 75205 Grapevine, TX 76051 950 E. Sandy Lake 851 S. Highway 121, Lewisville, TX 75067 Garland, TX 2909 Forest Lane, Dallas, TX 14280 Marsh Lane 3109 Knox Street, Dallas, TX 75205 3910 Harry Hines Blvd., Dallas, TX 75219 8445 Freeport Parkway, Irving, TX 75063 4622 Maple Avenue, #207, Dallas, TX 75219 1204 Metrocrest Dr., Carrollton, TX75006 3109 Knox Street, Dallas, TX 15205 4800 SI. James Ct., Mesquite, TX 75150 NA 1309A W. Abram, Arlington TX 76013 PO Box 190992, Dallas, TX 75219 Amount $114.00 $56.53 $51.83 $12.21 $63.37 $50.04 $19.68 $125.00 $200.00 $300.00 $100.00 $56.35 $40.34 $11.06 $24.17 $64.15 $36.73 $21.12 $20.00 $100.00 $37.27 $48.29 $34.33 $42.15 $22.63 $20.00 $150.00 $70.00 $150.00 $182.00 $114.00 $15.00 $650.00 $250.00 $300.00 Purpose of Payment Mailbox rental~st~ Su!,~ies for meeting_ Supplies for meeti'N. Food for meeting Sueglies for meeti'N. Food for meeting Food for meeti'N. Membership dues Contribution Contribution Contract Labor Supplies for meeting Food for meeting Food for meeti'N. Food for meetinJ;L Food for meeting Supplies for meetiflg Food for meeting MailbOX rental Contribution Food for meetinj;L Supplies for meeting Food for meetin9_ Supplies for meeti'N. Food for meeting Mailbox rental Luncheon MembershifJ. Membership Membership Mailbox rental/postage MembershiE. Christmas Luncheon Contribution Contract Labor , J I I I Mrs. Maurine Dickey 11/3/2008 11/5/2008 11/13/2008 12/15/2008 12/1612008 12/16/2008 12/16/2008 12/16/2008 Schedule F-1 Eagle Postal Dallas Audio Post Group KlUV-FM Eagle Postal Northwood Republican Women Metrocrest Republican Club Park Cities Republican Women Chris Davis 3109 Knox Street, Dallas, TX 75205 1137 Conveyor lane, Ste. 102, Dallas, TX 75247 PO Box 730224, Dallas, TX 75373 3109 Knox Street, Dallas, TX 75205 5612 Shubert Court, Dallas, TX 75252 1108 Westminister, Richardson, TX 75081 6607 WaQQoner, Dallas, TX 75230 922 Blue lake Circle, Richardson, TX 75080 Page 2 $20.00 $320.00 $8,050.00 $260.16 $30.00 $10.00 $50.00 $72.62 Mailbox rental Audio Delivery Radio commercials Mailbox rentallpostage Registration Renewal Renewal Supplies for meeting i J Total Schedule F-1 - ~---.--.-- -_ .. - - - _ ... __ ... - ---- $12,365.03 Texas Ethics Commission POBox 12070 Austin Texas 7B711~2070 (512) 463-5800 PAYMENT FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF CtOH =cc=,== ~ .. ., "----------- ....... -----~,---.,,- ---- , ..... ----- ---------- ----,-""-------~------.--,--,.,-. SCHEDULE 4 FIL.ER NAME h\,rs 1 MGlll V' 'V\ e.; ]) ILk <- "\ 3 5 BUSllless name 6 Business address; City; State; (If travel outside of Texas, complete Schedule T) T I .,-""- - ~ ')e,z.. 9 -""-"" .r -,,-- .- Business name Business address; City; State', Zip Code =c Amount ($) - .- I __L .- --"" •• Complete If direct expenditure to benefit CIOH •• Candidate I Officeholder name Office sougl\l -- - - ~ ~. --'" BUSiness name Business address; City; State; Zip Code I Office neld - ~ Amount ($) -[ i! I - ~~ If (If travel outside of Texas, complete Schedule T) f~ Office held I I ._--" Amount ($) •• Complete If direct expenditure to benefit C/OH •• Candidate I Officeholder name Office sougrll Purpose of payment (See Instructions regarding type of information required.) Date o-tbch e__ I ~----l~ - ..... c: ACCOUNT # (ElhlcS CommiSSion fliers) Zip Code required.) Date Hi J '. 17 8 Purpose of payment (See Instructions regarding type of Information =-~-. - Total pages ScheduleH: I l Dale H r='-...:"===='==c=:==c:c====~ The Instruction Guide explains how to complete this form. 2 1-800-325-8506 i I Purpose of payment (See instructions regarding type of information required.) i •• Complete If direct expenditure to benefit CIOH .. Candid ale I Offlcel10lder name Office sought Office held I! 1--- i (If travel outside of Texas, complete Schedule T) . -"" ~ Oate ~ -,-"~ -- - Business name I Business address: City. State; r'" .•. Amount ($) Zip Code I Purpose of payment (See instructions regarding type of information required,) .. Complete If direct expenditure to benefit elOH .. Candidate I Officellolder name Office sought Office held (If travel outside of Texas, complete Schedule T) A TTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED Rev>sed 06/2712008 Mrs. Maurine Dickey Date Payee Name 8/1/2008 Dickey's Barbecue Pits, Inc. 12/1/2008 Dickey's Barbecue Pits, Inc. 12/15/2008 Dickey's Barbecue Pit Wycliff Total Schedule H-1 • Schedule H-1 Payee Address 7770 Forest Lane, Dallas, Texas 75230 7770 Forest Lane, Dallas, Texas 75230 2525 Wycliff, Dallas, TX Page 1 Amount $143.59 $1,013.22 $487.03 $1,643.84 07/01/08 -12/31/08 Purpose of Payment Food for event Food for event Food for event
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