Texas > Statewide > Ethics Commission
Political Party Report Regarding Funds From Corporations And Labor Organizations PTY-CORP - Texas
| Political Party Report Regarding Funds From Corporations And Labor Organizations Form. This is a Texas form and can be used in Ethics Commission Statewide . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) POLITICAL PARTY REPORT REGARDING FUNDS FROM CORPORATIONS AND LABOR ORGANIZATIONS 1 ACCOUNT # Form PTY-CORP Instruction Guide explains how to complete this form. (Ethics Commission Filers) FORM PTY-CORP COVER SHEET PG 1 2 Total pages filed: 3 POLITICAL PARTY NAME OFFICE USE ONLY Date Received 4 STATE OR COUNTY PARTY State Date Hand-delivered or Postmarked County: Receipt # Amount 5 POLITICAL PARTY TYPE Democratic Date Processed Republican Other: ( Party name ) Date Imaged 6 POLITICAL PARTY MAILING ADDRESS change of address ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE 7 POLITICAL PARTY CHAIR CHAIR'S MAILING ADDRESS change of address TITLE FIRST MI NICKNAME LAST SUFFIX 8 ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE 9 CHAIR'S STREET ADDRESS (residence or business) STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE 10 CHAIR'S PHONE AREA CODE PHONE NUMBER EXTENSION ( 11 REPORT TYPE ) January 15 July 15 8th day before primary election 50th day before general election 12 PERIOD COVERED Month Day Year Month Day Year THROUGH GO TO PAGE 2 www.ethics.state.tx.us Revised 04/21/2010 American LegalNet, Inc. www.FormsWorkFlow.com Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) POLITICAL PARTY REPORT: TOTALS AND AFFIDAVIT 13 POLITICAL PARTY NAME TOTALS 1. TOTAL CONTRIBUTIONS FROM CORPORATE OR LABOR ORGANIZATIONS (OTHER THAN LOANS OR GUARANTEES OF LOANS) FORM PTY-CORP COVER SHEET PG 2 14 ACCOUNT # (Ethics Commission Filers) 15 $ 2. TOTAL EXPENDITURES FROM CORPORATE OR LABOR ORGANIZATION CONTRIBUTIONS $ 3. TOTAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF REPORTING PERIOD $ A political party must file a report on Form PTY-CORP for any reporting period during which the party accepts corporate or labor organization contributions, maintains corporate or labor organization contributions, or makes expenditures from corporate or labor organization contributions. 16 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. Signature of Political Party Chair AFFIX NOTARY STAMP / SEAL ABOVE Sworn to and subscribed before me, by the said ______________________________________, ___________ day this the 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 www.ethics.state.tx.us Revised 04/21/2010 American LegalNet, Inc. www.FormsWorkFlow.com Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) CORPORATE OR LABOR ORGANIZATION CONTRIBUTIONS OTHER THAN PLEDGES OR LOANS The Instruction Guide explains how to complete this form. 2 FILER NAME SCHEDULE C 1 3 Total pages Schedule C: ACCOUNT # (Ethics Commission Filers) 4 Date 5 Corporation / Labor Organization name 7 Amount of contribution ($) 8 In-kind contribution description (if applicable) 6 Corporation / Labor Organization address; City; State; Zip Code Date Corporation / Labor Organization name Corporation / Labor Organization address; City; State; Zip Code Date Corporation / Labor Organization name Corporation / Labor Organization address; City; State; Zip Code Date Corporation / Labor Organization name Corporation / Labor Organization address; City; State; Zip Code Date Corporation / Labor Organization name Corporation / Labor Organization address; City; State; Zip Code Date Corporation / Labor Organization name Corporation / Labor Organization address; City; State; Zip Code ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED www.ethics.state.tx.us Revised 04/21/2010 American LegalNet, Inc. www.FormsWorkFlow.com (If travel outside of Texas, complete Schedule T) Amount of contribution ($) In-kind contribution description (if applicable) (If travel outside of Texas, complete Schedule T) Amount of contribution ($) In-kind contribution description (if applicable) (If travel outside of Texas, complete Schedule T) Amount of contribution ($) In-kind contribution description (if applicable) (If travel outside of Texas, complete Schedule T) Amount of contribution ($) In-kind contribution description (if applicable) (If travel outside of Texas, complete Schedule T) Amount of contribution ($) In-kind contribution description (if applicable) (If travel outside of Texas, complete Schedule T) Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) PLEDGED CORPORATE OR LABOR ORGANIZATION CONTRIBUTIONS 1 The Instruction Guide explains how to complete this form. 2 FILER NAME SCHEDULE D Total pages Schedule D: 3 ACCOUNT # (Ethics Commission Filers) 4 Date 5 Corporation / Labor Organization name 7 Amount of pledge ($) 8 In-kind description (if applicable) 6 Corporation / Labor Organization address; City; State; Zip Code Date Corporation / Labor Organization name Corporation / Labor Organization address; City; State; Zip Code Date Corporation / Labor Organization name Corporation / Labor Organization address; City; State; Zip Code Date Corporation / Labor Organization name Corporation / Labor Organization address; City; State; Zip Code Date Corporation / Labor Organization name Corporation / Labor Organization address; City; State; Zip Code Date Corporation / Labor Organization name Corporation / Labor Organization address; City; State; Zip Code ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED www.ethics.state.tx.us (If travel outside of Texas, complete Schedule T) Amount of pledge ($) In-kind description (if applicable) (If travel outside of Texas, complete Schedule T) Amount of pledge ($) In-kind description (if applicable) (If travel outside of Texas, complete Schedule T) Amount of pledge ($) In-kind description (if applicable) (If travel outside of Texas, complete Schedule T) Amount of pledge ($) In-kind description (if applicable) (If travel outside of Texas, complete Schedule T) Amount of pledge ($) In-kind description (if applicable) (If travel outside of Texas, complete Schedule T) Revised 04/21/2010 American LegalNet, Inc. www.FormsWorkFlow.com Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) LOANS The Instruction Guide explains how to complete this
|
|||||||
