HomeMy WebLinkAboutContributions and Expenditure Statements-Campaign Finance Reports & Filings-01/16/2018 (3)CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Filer ID (Ethics Commission Fllars) 2 Tatal pages filetl: .
The C/OH Instruction Guide explains how to complete this form. .
S CANDIDATE/ MS/MHS/MR FIRST MI
OFFICEHOLDER r^` 1 � w OFFlCEUSEONLY
NAME � ��� c/K.c� . . . . . . . . . . . . . � I_d�,�� V �
NICKNAME LqST SUFFIX
��`"`��` JAN 16 Z016
4 CANDIDATE/ AO�RESS /P090X; APT/SUITE#; CITY; STATE; ZIPCADE
OFFICEHOLDER
MAILING � ^—� C�'�'Y �����" s
ADDRESS �ZoB N�u�. 1�R� es(,1��,��(�, 1�, �b� 3�i�— °���Y'S OfFICE
❑ Change of Address -
5 CANDIDATE/ nRea cooe PHONE NUMBER EXfENSION
OFFICEHOLDER � u�� � �ate Hantl-tleliveretl or Data Poatmarked
PHONE o � Z�. _ pt p o
6 CAMPAIGN MS/MRS/MF FIRST MI ReceiptR Amount$
TREASURER (� ,,�-1
NAME . ��' . . . !���'.'^" , _ , , , '`� �ataPmcessatl
NICKNAME LFST SUFFIX
�a � er Uate Imagetl
7 CAMPAIGN 3TREETADORESS (NO PO BOX PLEASE); APT / 3UITE 4; CITY; STATE; ZIP CO�E
TREASURER �
ADDRESS �,•_ I /� ^� 11 -I
(ResidenceorBusiness) Z�� �G(.�+Gr'� U`��GR0.,aW§-:�fr 1..��4yV4��I �% b�a � gT
� / /
8 CAMPAIGN AREA CODE PHONE NUMBEfl EMENSION
PHONE RER ���� � $ Zl .� O OO1
8 REPORT TYPE
� Januery 15 � 301h day 6efore eleclion � RunoX � 15th tley atter cempaign
treasurereppoinhnent
(OHiceholtler Only)
� July 15 � eth day 6efare eleqlon � Exceeded $50011mit � Flnal Report (Anach ClOH-FR)
10 PERIOD Month oay vaar momn oay � vea.
COVERED � / C /,^ 1 7
�.�+I / THROUGH l Z / ) ( /�-`���
Yl ELECTION ELECTION OATE ELECTION TVPE
Manth Day Veer ❑ P�Imary � Runoif ❑ Other �
Deacription
/ / � General � Special
�2 OFFICE OFFICEHELD (tany) 7$ OFFICESOUGHT Qfknown)
�4,�aT
GO TO PAGE 2
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CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH fNAME 15 Fller ID (Ethics Commisslon Filers)
\\� N
�G NOTICE FROM .TXIS BO%IS FOH NOTICE OF POLRICAL CONTNIBUiIONS ACCEPTED OX POLRICAL EXPENDITUHES MAUE BV POLITICAI COMMffTEE3 TO
POLITICAL BUPPORTTNECANOIDATE/OFFlCEHOLDEH. TNESEEXPENINIUHE9MAYNAVEBEENMADEW!lHOUTiNEC/WDIOATE30flOFflCEH01DER8
COMMITTEE(S) KNOWLEOOEONCON9EM. CANOIOqTE3pNDOFFlCEHOL�EHSAlIENEOUINFATOPEPOfiTTXI9INFOXMAl10NONLYIFIHEYpECEIVENOTICE
OF SUCX IXPENDIfUqE6. -
� COMMITTEE TYPE COMMITTEE NPME
� GENERAL
COMMITTEEADDAESS
�SPECIFIC
COMMITTEE CAMPAIGN TFlEASURER NAME
� Additional Pages
COMMITTEE CAMPAIGN TflEASUREIi ADORESS
77 CONTRIBUTION y. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED � C�
2. TOTAL POLITICAL CONTRIBUTIONS $
(OTHER THAN PLEDGES, IOANS, OR GUARANTEES OF LOANS) _ !1
,lJ
EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, �
TOTALS UNLESS ITEMIZED ^
V
4. TOTALPOLITICALEXPENDITURES $ �
BALANCE TION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY �
OF REPORTING PERIO� � q.. I t, 3i
�
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANOING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ y' ���� $
0
18 AFFIDAVIT
I swear, or aHirm, under penalty of perjury, that the accompanying report is
trueandco ectandinc�udesaliinformationrequiredtobereportedbyme
�— un itle 1, Election Code.
�i+'.,•� CHRISTINELOVEN
'� �` MyNotarylD#11092587
.�: -
�•°,.,,Rr�,t� ExPiresMay2,2�18
Signature of Candidate or Officeholder
AFFIXNOTARVSTAMP/SEALABOVE
Sworn to and subscribed before me, by the said � 1 i�.l-f�i�l2-•l� l� �f,tJ"I C/ � this the �
day of �i��LK.A-Iii� . 20 �. Q) , to certify which, witness my hand and seal of office.
� `^'1LS� GU�� V, I�i 5��I YI C.J /�-PJ l� t'//�--.� J j v � N�f.'.SI-N+cri
Signature of officer admlMs[ering oath Printed name of offlcer administering oa[h Title of officer atlministering oath
Forms provided by Texas Ethics Commission www.ethics.state.bc.us Revlsed 9/8/2015