Torres-Lepp Semi July 2021CANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT
COVER SHEET PIG 1
The C/01-1 Instruction Guide explains how to complete this form.
I Filer ID (Ethics Commission Filers)
2 Total page 11 d:
3 CANDIDATE/
MS / MRS / MR FIRST MI
OFFICE USE
OFFICEHOLDER
Amy i
NAME.............................
.....................................
Date ReceRELTIVED
NICKNAME LAST SUFFIX
d
Torres
J U L 1 4 2021
4 CANDIDATE
ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
OFFICEHOLDER
MAILING
ADDRESS
Change of Address
OFFICE OF CITY SECRETAIT
5 CANDIDATE/
OFFICEHOLDER
AREA CODE PHONE NUMBER EXTENSION
71N �d-dellvered Date Postmarked
�j �
(
e I
PHONE
1
Receipt #
Amount $
6 CAMPAIGN
MS I MRS / MR FIRST MI
TREASURER
Amy
Date Processed
NAME..................
I ... — 1. 1 1 ..... I .................. I..............
NICKNAME LAST SUFFIX
I Date Imaged
Torres
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY;
STATE; ZIP CODE
TREASURER
ADDRESS
(Residence or Business)
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
(
9 REPORT TYPE
January 15 30th day before election # Runoff
15th day after campaign
treasurer appointment
(Officeholder Only)
July 15 8th day before election Exceeded Modified
F, 1.1-1-31
Final Report (Attach C/OH - FRI
Reporting Limit
10 PERIOD
Month Day Year Month
Day Year
COVERED
4 /22 /21 THROUGH 6 /30 /21
11 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
Primary Runoff Other
Description
5 /1 '/ 21
General ■ Special
12 OFFICE
OFFICE HELD (if any)
13 OFFICE SOUGHT (if known)
Southlake City Council- Place 5
14 NOTICE FROM
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT
POLITICAL
THE CANDIDATE I 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(S)
COMMITTEE TYPE
COMMITTEE NAME
GENERAL
COMMITTEE ADDRESS
Additional Pages
COMMITTEE CAMPAIGN TREASURER NAME
SPECIFIC
COMMITTEE CAMPAIGN TREASURER ADDRESS
I
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
CANDIDATE /OFFICEHOLDER FORM C/OH
CAM
COVER SHEET PG 2 PAIGN FINANCE REPORT
15 C/01-1 NAME 16 Filer to (Ethics Commission Filers)
Amy J. Torres
17 CONTRIBUTION
1.
TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
TOTALS
PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR
$
0.00
CONTRIBUTIONS MADE ELECTRONICALLY)
2.
TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
$
3,250.00
EXPENDITURE
TOTALS
3.
TOTAL UNITEMIZED POLITICAL EXPENDITURE.
$
0.00
............
4.
TOTAL POLITICAL EXPENDITURES
s
167970.18
CONTRIBUTION
5.
TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
$
17060.23
BALANCE
OF REPORTING PERIOD
OUTSTANDING
6.
TOTAL PRINCIPAL AMOUNT F ALL OUTSTANDING LOANS AS OF THE
s
97441.25
LOAN TOTALS
LAST DAY OF THE REPORTING PERIOD
I
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.
ILI-1-Signature of Candidate or Officeholder
Please complete either option below:
AMY SHELLDEY
-,;r1�-S Notary Public, State of Texas
;0
(1) Affidavit Comm. Expires 12-02-2023
!�of 1 105
Notary ID 12476110-5
NOTARY STAMPISEAL
Sworn to and subscribed before me by this the day of
to certify which, witness my hand iseal of office.
A .
III - t 4.1
officer hdIninisterinq oath
1 (2) Unsworn Declaration
My name is _
My address is
I Executed in
name of offick administering oath
officer administerind oath
and my date of birth is
(street) (city) (state) (zip code) (country)
County, State of on the day of '20
(month) (year)
Signature of Candidate/Officeholder (Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
SUBTOTALS
- C/OH FORM C/OH
COVER SHEET PG 3
19 FILER NAME
Amy J. Torres
20 Filer ID (Ethics Commission Filers)
21
SCHEDULE SUBTOTALS
NAME OF SCHEDULE
SUBTOTAL
AMOUNT
1.
■ SCHEDULEAI:
MONETARY POLITICAL CONTRIBUTIONS
$
850.00
2.
■ SCHEDULEA2:
NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS
$
2,400.00
3.
SCHEDULE B:
PLEDGED CONTRIBUTIONS
$
4.
SCHEDULE E:
LOANS
$
5.
■ SCHEDULE F1:
POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
14,509.05
6.
■ SCHEDULE F2:
UNPAID INCURRED OBLIGATIONS
$
2,461.13
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
F
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Al: 1
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Amy J. Torres
4 Date
5 Full name of contributor out-of-state PAC (ID#: )
7 Amount of contribution ($)
Gary Whatley
04/27/2021
...................................................................................
6 Contributor address; City; State; Zip Code
100.00
1740 Randoll Mill Ave Southlake, TX 76092
8 Principal occupation / Job title (See Instructions)
g Employer (See Instructions)
Date
Full name of contributor out-of-state PAC (ID#: >
Amount of contribution ($)
Stephen Gillett
04/28/2021
..................................................................................
Contributor address; City; State; Zip Code
500-00
670 S Peytonville Ave Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor out-of-state PAC (ID#: )
Amount of contribution ($)
Jim Patterson
250-00
Contributor address; City; State; Zip Code
2708 Miles City Court Southlake, TX 76092
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor out-of-state PAC (ID#: )
Amount of contribution ($)
..................................................................................
Contributor address; City; State; Zip Code
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.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
NON -MONETARY (IN -KIND) POLITICAL
CONTRIBUTIONS SCHEDULE A2
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
1 Total pages Schedule A2:
1
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Amy J. Torres
4 TOTAL OF UNITEMIZED IN -KIND POLITICAL CONTRIBUTIONS
$
5 Date
6 Full name of contributor ❑ out-of-state PAC (ID#: )
8 Amount of 19 In -kind contribution
Michelle Platt
Contribution $ I description
.......................................................................
1,200.00 i Event Expense
04/22/2021
7 Contributor address; City; State; Zip Code
I
2104 Woodbine Circle Southlake TX 76092
Check if travel outside of Texas. Complete Schedule T.
10 Principal occupation / Job title (FOR NON-JUDICIAL)(See Instructions)
11 Employer (FOR NON-JUDICIAL)(See Instructions)
12 Contributor's principal occupation (FOR JUDICIAL)
13 Contributor's job title (FOR JUDICIAL) (See Instructions)
14 Contributor's employer/law firm (FOR JUDICIAL)
15 Law firm of contributor's spouse (if any) (FOR JUDICIAL)
16 If contributor is a child, law firm of parent(s) (if any) (FOR JUDICIAL)
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
I
Amount of In -kind contribution
Bret Martin
Contribution $ I description
i Event Expense
04/22/2021
............................................................................
1,200.00
Contributor address; City; State; Zip Code
I
1120 Tealwood Court Southlake TX 76092
�
Check if travel outside of Texas. Complete Schedule T.
Principal occupation / Job title (FOR NON -JUDICIAL) (See Instructions)
Employer (FOR NON-JUDICIAL)(See Instructions)
Contributor's principal occupation (FOR JUDICIAL)
Contributor's job title (FOR JUDICIAL) (See Instructions)
Contributor's employer/law firm (FOR JUDICIAL)
Law firm of contributor's spouse (if any) (FOR JUDICIAL)
If contributor is a child, law firm of parent(s) (if any) (FOR JUDICIAL)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
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 (entera 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)
g 3
Amy J. Torres
4 Date
5 Payee name
04/23/2021
Polka Dot Printing
6 Amount ($)
7 Payee address; City; State; Zip Code
9, 934.00
2140 E Southlake Blvd., Southlake, TX 76092
8
(a) Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
Advertising Expense
Mailers
OF
EXPENDITURE
(c) Check if travel outside of Texas. Complete ScheduleT. Check if Austin, TX, officeholder living expense
9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
04/30/2021
Facebook
Amount ($)
Payee address; City; State; Zip Code
119.10
1 Hacker Way Menlo Park, CA 94025
Category (see Categories listed at the top of this schedule)
Description
PURPOSE
Advertising Expense
Facebook Ads
OF
EXPENDITURE
Check if travel outside of Texas. Complete Schedule 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
06/01 /2021
Facebook
Amount ($)
Payee address; City; State; Zip Code
1 Hacker Way Menlo Park, CA 94025
180.35
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
Advertising Expense
Facebook Ads
OF
EXPENDITURE
Check if travel outside of Texas. Complete ScheduleT. Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contributions/Donations Made By Gift/Awards/Memodals Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other (enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F1:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
3
Amy J. Torres
4 Date
5 Payee name
06/02/2021
Brandstorm Creative
6 Amount ($)
7 Payee address; City; State; Zip Code
17065.94
733 Ashleigh Lane Southlake, TX 76092
8
(a) Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
Advertising Expense
Website Updates & Postcard Design
OF
EXPENDITURE
(c) Check iftraveloutside ofTexas. Complete Schedule T. 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
06/08/2021
Randy Robbins
Amount ($)
Payee address; City; State; Zip Code
1,384.54
1729 Grass Court Southlake, TX 76092
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
O F
GV�YI+-apf"S5fi
Gr v!
of n, � �
EXPENDITURE
Check if travel outside of Texas. Complete Schedule T Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
06/08/2021
Scratch Catering & Fine Foods
Amount ($)
Payee address; City; State; Zip Code
2125 W Southlake Blvd., Southlake, TX 76092
17781.92
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
Event Expense
Catering
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 8/17/2020
POLITICAL EXPENDITURES MADE
SCHEDULE F1
FROM POLITICAL CONTRIBUTIONS
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/FundraisingExpense
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)
3
Amy J. Torres
4 Date
5 Payee name
04/22/2021
Anedot
6 Amount ($)
7 Payee address; City; State; Zip Code
43.20
1340 Poydras Street, Suite 1770 New Orleans, LA 70112
8
(a) Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
Accounting/ Banking
Fees for credit card contributions
OF
EXPENDITURE
(C) Check if travel outside of Texas.CompleteScheduleT. Check if Austin, TX, officeholder living expense
9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
OF
EXPENDITURE
Check if travel outside of Texas.CompleteScheduleT. 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 lop of this schedule)
Description
PURPOSE
OF
EXPENDITURE
Check if travel outside of Texas.CompleteScheduleT. 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 8/17/2020
UNPAID INCURRED OBLIGATIONS SCHEDULE F2
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 10(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)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F2:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
1
Amy J. Torres
4 TOTAL OF UNITEMIZED UNPAID INCURRED OBLIGATIONS
$
5 Date
6 Payee name
03/30/2021
Priority Signs & Graphics
7 Amount ($)
8 Payee address; City; State; Zip Code
1,786.13
P.O. Box 32 Grapevine, TX 76051
9 TYPE OF
EXPENDITURE
l�
1.I_I Political n Non -Political
10
(a) Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
Advertising Expense
Signs
OF
EXPENDITURE
(c) Check if travel outside of Texas. Complete Schedule Check if Austin, TX, officeholder living expense
11 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
05/18/2021
Brandstorm Creative
Amount ($)
Payee address; City; State; Zip Code
675.00
733 Ashleigh Lane Southlake, TX 76092
TYPE OF
EXPENDITURE
� ; r
F�, Political 171 Non -Political
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
Advertising Expense
Mailer Design
OF
EXPENDITURE
Check if travel outside of Texas. Complete ScheduleT. 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 8/17/2020