GENERAL-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT
FORM
GPAC
COVER SHEET PG 1 1 Filer ID
The GPAC Instruction Guide explains how to complete this form.
2 Total pages filed:
(Ethics Commission Filers)
6
00018745 3 COMMITTEE NAME
OFFICE USE ONLY
Baptist Ministers' Association of Houston & Vicinity PAC
Date Received
ELECTRONICALLY FILED 01/14/2021 4 COMMITTEE ADDRESS
ADDRESS / PO BOX;
APT / SUITE #;
CITY;
STATE;
ZIP CODE
7817 Calhoun Rd.
Date Hand-delivered or Date Postmarked
Houston, TX 77033
Receipt #
Change of Address Amount
Date Processed
Date Imaged
5 CAMPAIGN TREASURER NAME
6 CAMPAIGN TREASURER STREET ADDRESS (Residence or Business)
7 CAMPAIGN TREASURER MAILING ADDRESS Change of Address
8 CAMPAIGN TREASURER PHONE 9 REPORT TYPE
MS / MRS / MR
FIRST
MI
Dr.
Max A.
NICKNAME
LAST
SUFFIX
Miller
Jr.
STREET ADDRESS (NO PO BOX PLEASE);
APT / SUITE #;
CITY;
STATE;
ZIP CODE
6934 Flamingo Dr. Houston, TX 77087-6612 STREET OR PO BOX;
APT / SUITE #;
CITY;
STATE;
ZIP CODE
7817 Calhoun Rd. Houston, TX 77033 AREA CODE
PHONE NUMBER
EXTENSION
(713) 504-0063 X
January 15
30th day before election
Dissolution (Attach PAC-DR)
8th day before election
10th day after campaign treasurer termination
July 15 Runoff
10 PERIOD COVERED
Month
Day
Year
10/25/2020
11 ELECTION Month
ELECTION DATE Day Year
11/03/2020
Month THROUGH
Day
Year
12/31/2020 ELECTION TYPE
Primary
X General
Runoff
Other
Special
GO TO PAGE 2 Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
Version V1.1.ceffd98a
GENERAL-PURPOSE COMMITTEE REPORT: PURPOSE AND TOTALS
FORM
COVER SHEET PG 2
12 COMMITTEE NAME
13 Filer ID
Baptist Ministers' Association of Houston & Vicinity PAC 14 COMMITTEE ACTIVITY
1. Candidates
GPAC
(Ethics Commission Filers)
00018745
A. Supported
(Identify by name or, if applicable, classify by party.)
(Attach lists on plain paper to complete this report if necessary.)
B. Opposed
2. Measures
A. Supported
(Describe by date and location of election and nature of issue.)
B. Opposed
3. Officeholders Assisted (Identify by name or, if applicable, classify by party.)
15 CONTRIBUTION TOTALS
1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR CONTRIBUTIONS MADE ELECTRONICALLY)
$
0.00
$
2,000.00
$
0.00
check here if this report qualifies for the higher itemization threshold
2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) EXPENDITURE TOTALS
3. TOTAL UNITEMIZED POLITICAL EXPENDITURES
4. TOTAL POLITICAL EXPENDITURES
$
CONTRIBUTION BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF THE REPORTING PERIOD
$
500.00
OUTSTANDING LOAN TOTALS
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY OF THE REPORTING PERIOD
$
0.00
0.00
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.
Dr. Max A. Miller Jr. Signature of Campaign Treasurer 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 V1.1.ceffd98a
SUBTOTALS - GPAC
FORM
GPAC
COVER SHEET PG 3 3 of 6 17 COMMITTEE NAME
18 Filer ID
Baptist Ministers' Association of Houston & Vicinity PAC
(Ethics Commission Filers)
00018745
19 SCHEDULE SUBTOTALS SUBTOTAL AMOUNT
NAME OF SCHEDULE 1.
X
SCHEDULE A1: MONETARY POLITICAL CONTRIBUTIONS
$
2,000.00
2.
X
SCHEDULE A2: NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS
$
0.00
3.
X
SCHEDULE B: PLEDGED CONTRIBUTIONS
$
0.00
4.
SCHEDULE C1: MONETARY CONTRIBUTIONS FROM CORPORATION OR LABOR ORGANIZATION
$
5.
SCHEDULE C2: NON-MONETARY (IN-KIND) CONTRIBUTIONS FROM CORPORATION OR LABOR ORGANIZATION
$
6.
SCHEDULE C3: MONETARY SUPPORT FROM CORPORATION OR LABOR ORGANIZATION
$
7.
SCHEDULE C4: NON-MONETARY SUPPORT FROM CORPORATION OR LABOR ORGANIZATION
$
8.
SCHEDULE D: PLEDGED CONTRIBUTIONS FROM CORPORATION OR LABOR ORGANIZATION
$
9.
X
SCHEDULE E: LOANS
$
0.00
10.
X
SCHEDULE F1: POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS
$
0.00
11.
X
SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
$
0.00
12.
X
SCHEDULE F3: PURCHASE OF INVESTMENTS FROM POLITICAL CONTRIBUTIONS
$
0.00
13.
X
SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD
$
0.00
14.
SCHEDULE I: NON-POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS
$
15.
SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED TO FILER
$
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
Version V1.1.ceffd98a
MONETARY POLITICAL CONTRIBUTIONS
The Instruction Guide explains how to complete this form. 2 FILER NAME
SCHEDULE
1 Total pages Schedule A1:
Sch: 1/1 Rpt: 4/6 3 Filer ID
Baptist Ministers' Association of Houston & Vicinity PAC 4 Date
10/25/2020
5 Full name of contributor
A1
(Ethics Commission Filers)
00018745
out-of-state PAC (ID#:_________________________)
7 Amount of Contribution ($)
Hemphill, Sharon (Ms.)
$500.00
6 Contributor address; City; State; Zip Code
Spring, TX 77391 8 Principal occupation / Job title (See Instructions)
Date
Full name of contributor
10/29/2020
Jackson-Lee, Sheila (Ms.)
9 Employer (See Instructions)
out-of-state PAC (ID#:_________________________)
Amount of Contribution ($)
$500.00
Contributor address; City; State; Zip Code
Houston, TX 77004 Principal occupation / Job title (See Instructions)
Employer (See Instructions)
U. S. Congresswoman Date
Full name of contributor
10/25/2020
Menefee, Christian (Mr.)
out-of-state PAC (ID#:_________________________)
Amount of Contribution ($)
$500.00
Contributor address; City; State; Zip Code
Houston, TX 77021-7501 Principal occupation / Job title (See Instructions)
Date
Full name of contributor
10/25/2020
Ogg, Kim (Ms.)
Employer (See Instructions)
out-of-state PAC (ID#:_________________________)
Amount of Contribution ($)
$500.00
Contributor address; City; State; Zip Code
Houston, TX 77265 Principal occupation / Job title (See Instructions)
Forms provided by Texas Ethics Commission
Employer (See Instructions)
www.ethics.state.tx.us
Version V1.1.ceffd98a
PLEDGED CONTRIBUTIONS
SCHEDULE
The Instruction Guide explains how to complete this form. 2 FILER NAME
4
1 Total pages Schedule B:
Sch: 1/1 Rpt: 5/6 3 Filer ID
Baptist Ministers' Association of Houston & Vicinity PAC
00018745
TOTAL OF UNITEMIZED PLEDGES
$
5 Date
6 Full name of pledgor
7 Pledgor Address;
out-of-state PAC (ID#:______________________)
B
8 Amount of pledge ($)
(Ethics Commission Filers)
0.00 9
In-kind description (If applicable)
City; State; Zip Code
Check if travel outside of Texas. Complete Schedule T.
10 Principal occupation / Job title (See Instructions)
Forms provided by Texas Ethics Commission
11 Employer (See Instructions)
www.ethics.state.tx.us
Version V1.1.ceffd98a
LOANS
SCHEDULE
The Instruction Guide explains how to complete this form. 2 FILER NAME
1 Total pages Schedule E:
Sch: 1/1 Rpt: 6/6 3 Filer ID
Baptist Ministers' Association of Houston & Vicinity PAC 4
7 Name of lender
6 Is lender a financial institution?
8 Lender address;
(Ethics Commission Filers)
00018745 0.00
$
TOTAL OF UNITEMIZED LOANS
5 Date of loan
out-of-state PAC (ID#:_________________________________) 9
City;
E
State;
Zip Code
Loan Amount ($)
10 Interest Rate
11 Maturity Date
12 Principal occupation / Job title (See Instructions)
13 Employer (See Instructions)
14 Description of Collateral
15 Check if personal funds were deposited into political account (See Instructions)
None 16 GUARANTOR INFORMATION not applicable
17 Name of guarantor
18 Guarantor address;
19 Amount Guaranteed ($)
City;
20 Principal occupation
Forms provided by Texas Ethics Commission
State;
Zip Code
21 Employer (See Instructions)
www.ethics.state.tx.us
Version V1.1.ceffd98a