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Texas Ethics Commission P.O. Box 1207Q Austin.

Texas 78711-2Q7Q (512) 463-5800 1-800-325-8506

SPECIFIC-PURPOSE COMMITTEE FORM SPAC


CAMPAIGN FINANCE REPORT COVER SHEET PG 1

1 ACCOUNTS 2 Total pages filed;


The SPAC Instruction Guide explains how to complete this form. (Ethics Commission Filers)
4
3 COMMITTEE NAME
OFFIC^^EONLY

Sensible Transportation Solutions for Austin Date Received

4 COMMITTEE ADDRESS / PO BOX; APT / SUITE *; CITY; STATE: ZIP CODE


ADDRESS

I \ Change of Address -<


PO Box 43, A u s t i n , TX 78767 Dale Hand-dellveredjjcfcate

5 CAMPAIGN MS/MRS/MR FIRST Receipt ft jAmount


TREASURER
NAME
. .Mr... D o m i n i c .Chav.e.z. Date Processed

NICKNAME LAST SUFFIX


Date Imaged

STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE
6 CAMPAIGN
TREASURER'S
STREET ADDRESS
(Residence or Business) 9A01 Queenswood Drive, Austin, TX 78748

STREET OR PO BOX: APT/SUITES; CITY; STATE; ZIP CODE


7 CAMPAIGN
TREASURER'S
MAILING ADDRESS PO Box 43, A u s t i n , TX 78767
Change of Address

AREA CODE PHONE NUMBER EXTENSION


8 CAMPAIGN
TREASURER
PHONE ( 512 ) 9 0 6 - 9 4 6 8

9 REPORTTYPE j j January 15 | | 30th day before election \] Exceeded $500 limit

[~] July 15 |Qf 8th day before election r~] Dissolution (attach PAC-DR)

| | Runoff 10th day after campaign treasurer termination

10 PERIOD COVERED Month Day Year Day Year

10 / 5 / 2010 THROUGH 10 / 23 / 2010

11 ELECTION ELECTION DATE ELECTION TYPE


Month Day Year

11/2 20K Primary Runoff General Special

GO TO PAGE 2

Revised CM/21/2010
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506

SPECIFIC-PURPOSE COMMITTEE REPORT: FORM SPAC


PURPOSEAND TOTALS COVER SHEET PG 2
12 COMMITTEE NAME ACCOUNT # (Ethics Commission Filers)

Sensible Transportation Solutions for Austin


13 COMMITTEE CANDIDATE / OFFICEHOLDER NAME
PURPOSE

(Attach lists on plain


paper to complete this
j~~] CANDIDATE
report if necessary.)

SUPPORT OFFICE SOUGHT (candidate) / OFFICE HELD (officeholder)


(Candidate or Measure) D OFFICEHOLDER

.OPPOSE
(Candidate or Measure)
BALLOT IDENTIFICATION / # ELECTION DATE
Month Day Year

Proposition 1 11 2010
[~] ASSIST
DESCRIPTION
(Officeholder)

2010 City of Austin Mobility Bond Package

14 CONTRIBUTION TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN


TOTALS $ 0
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED

TOTAL POLITICAL CONTRIBUTIONS


(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
$ 42,290.44
EXPENDITURE
TOTAL POLITICAL EXPENDITURES OF $50 OR LESS, UNLESS ITEMIZED
TOTALS $ 0

TOTAL POLITICAL EXPENDITURES $ 0

CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY


BALANCE OF THE REPORTING PERIOD

TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE


OUTSTANDING
LAST DAY OF THE REPORTING PERIOD $ 0
LOAN TOTALS

15 AFFIDAVIT
I swear, or affirm, under penalty of perjury, that the accompanying
report is true and correct and includes all information required to be

PAM EL
reported txyl9ie under Title 15, Election Code.
JSE KELLER
Notar
v Public, State of Texas
My Commission Expires
October 27,2010

AFFIX NOTARY STAMP / SEAL ABOVE

^ u -u ^ u .
Sworn to and subscribed before me, by the said
u *u -. DOMINIC CHAVEZ , this the

u
day of Uctoper 20 to certify which, witness my hand and seal of office.

Pam E. Keller Notary Public


Sign iture of officeradministaing oath Printed name of officer administering oath Title of officer administering oath

Revised 04/21/2010
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506

POLITICAL CONTRIBUTIONS
SCHEDULE A
OTHER THAN PLEDGES OR LOANS

1 Total pages Schedule A:


The Instruction Guide explains how to complete this form.
1 of 2
2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers)
Sensible T r a n s p o r t a t i o n S o l u t i o n s for Austin

4 Date 5 Full name of contributor [~J out-of-state PAC (ID#: i 7 Amount of 8 In-kind contribution
contribution (S) description (if applicable)
10/8/10 Michael R . L e v y

6 Contributor address; Crty; State; Zip Code $4500.00


newspaper
PO B o x 1 4 6 , Austin, TX 78767 advertising
(If travel outside sf Texas, complete Schedule T)
9 Principal occupation /Job title (See Instructions) 10 Employer (See Instructions)
retired retired
Date Full name of contributor Q out-of-stata PAC (ID#: i Amount of In-kind contribution
contribution ($) description (if applicable)
Michael R. Levy
$640.00 newspaper
10/8/10 Contributor address; City; State; Zip Code
advertising
PO Box 1 4 6 , Austin, TX 78767

(If travel outside c f Texas, complete Schedule T)


Principal occupation / Job title (See Instructions) Employer (See Instructions)
r P. f- i r P rl T F- f- i r (^ rl
Dale Full name of contributor fj out-of-state PAC (IDS; J Amount of In-kind contribution
contribution {$) description (if applicable)
Michael R . Levy
10/8/10 Contributoraddress; City; State; Zip Code
$15,411.4 f printing
PO Box 146, AUstin, TX 78767
(If travel outside 3f Texas, complete Schedule T)
Principal occupation /Job title (See Instructions) Employer(See Instructions)
retired retired
Date Full name of contributor Q out-of-state PAC (IDS, i Amount of In-kind contribution
contribution (S) description (if applicable)
Michael R-. Levy
Contributor address; Crty; State: Zip Code $8234.00 newspaper
10/12/10 advertising
PO Box 146, Austin, TX 78767
(If travel outside c f Texas, complete Schedule T)
Principal occupation /Job title (See Instructions) Employer(See Instructions)

retired
Date Full name of contributor Q out-of-state PAC (IM- , Amount of In-kind contribution
contribution (S) description (if applicable)

- - - Michael - R . - -L-evv
Contributor address; City; "State; Zip Code
10/13/10 $1500.00 mailing list
PO Box 146, Austin, TX 78767
(if travel outside f Texas, complete Schedule T)
Principal occupation /Job title (See Instructions) Employer (See Instructions)

retired retired

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED


If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.

Revised 04/21/2010
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506

POLITICAL CONTRIBUTIONS
OTHER THAN PLEDGES OR LOANS SCHEDULE A

1 Total pages Schedule A:


The Instruction Guide explains how to complete this form.
2 of 2
2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers)

Pppp-f "f-il ,=> T-ra-nesnn-r-f-af-n nrt Rnl 11 1- -f on c -fru- At'i'Qtin


4 Date 5 Full name of contributor Q oui-of-statePAC(IW. 7 Amount of 8 In-kind contribution
contribution (S) description (if applicable)
Michael R. Levy
10/14/10 $505.00 printing
6 Contributor address; City; State; Zip Coda

PO Box 146, Austin, TX 78767


(It travel outside rf Texas, complete Schedule T)
9 Principal occupation /Job (itle (See Instructions) 10 Employer (See Instructions)
retired retired
Date Full name of contributor D oui-of-st8lePAC(lD»; ) Amount of In-kind contribution
contribution (S) description {if applicable)
10/23/10 Edward Wendler, Jr.
Contributor address; City; State; Zip Code $250.00

4803 Bale-ones Drive, Austin, TX 73 731


(If travel outside c f Texas, complete Schedule T)
Principal occupation / Job title (See Instructions) Employer (See Instructions)

Date Full name of contributor n oui-ol-staiePAC(lD«: i Amount of In-kind contribution


contribution (S) description (if applicable)

Contributor address; Cify; State; Zip Code


(10/22/10 $10,000.0
4700 Toreador Drive, Austin, TX 7£ 746 >
(If travel outside 3! Texas, complete Schedule T)
Principal occupation /Job title (See Instructions) Employer (See Instructions)

Date Full name of contributor Q oui-oi-siaie PAC (IDS' ) Amount of In-kind contribution
contribution (S) description (if applicable)
Dominic Chavez
Contributor address; City; State; Zip Code $250.00
10/23/10
9401 Queenswood Drive, Austin, TX / 3748
(If travel outside c f Texas, complete Schedule T)
Principal occupation /Job title (See Instructions) Employer (See Instructions)

Date Full name of contributor fj oui-of-staiaPAC(iD*: i Amount of In-kind contribution


contribution (S) description (if applicable)

Contributor address; City; State; Zip Code


10/20/10 $1000.00
1717 W. Sixth S t . , Austin, TX 7870:
Suite 390 (II travel outside c f Texas, complete Schedule T)
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.

Revised 04/21Q010

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