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HomeMy WebLinkAboutContributions and Expenditure Statements-Campaign Finance Reports & Filings-01/15/2018 (4)CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Filer ID (Ethics Commisslon Fllers) 2 To�al pages filed: The C/OH Instruction Guide expiains how to complete this form. � 3 CANDIDATE/ Ms as MR FIRST n•� OFFICEHOLDER � � "-1 SEONLY lCYmrn �� W rvnnne .y . a a .� . �_n NICKNAME LAST SUFFI% � /V�.�rnVl'i�..' ��`i7�} � � 701� q CANDIDATE / AO�RESS / PO BOX; APT / SUITE p; CITY; STATE; ZIP CODE (AIpV � OFFICEHOLDER // n ,�)� 4, ' ��������Y'S OFFICE MAILMG �v2O � � 6(�NJ� /''C`'�'�'1 � -- - . .. . . . ADDRESS � /� /� /I � � � � � � � Change of Address l IU 1 �1 `� 5 CANDIDATE/ AREA CODE PHONE Nl1MBER EXTENSION PHONE HOLDER ��' � ���� ^�� �� Date Hantl-delivered or Date Posimarkad 6 CAMPAIGN � Ms i R MFi FIRST M� Recelp� k Amount $ TREASURER � NAME am�y , , � , , Date Pracessetl NICKNAME LAST SUFFIX Date Imagetl R- Vh U Ya� 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITV; STATE; ZIP CODE TREASURER ADDRESS �a �E-'�— (Residence or 8usiness) 8 CAMPAIGN � AREA cooe PHONE NUMBER E%TENSION TREASURER � PHONE � �� � � 7 y"- J�� 9� 9 REPORTTYPE �.ianuary 15 � 30th dey before eledion � Runoff � 151h dey aflar campaign ireasurer appointment (Oiiiceholtler Only) �July 75 � 81h day before electian � Exceeded $SOO limd � Final Report (Attach GOH - FR) �'10 PERIOD Month Day Year � Month Day Vear COVERED � / �� / / � THROUGH / //5 // � 11 ELECTION ELECTION DHTE � ��EL{{ECTION 7VPE Month Day Vear ❑ Primary � Runoff �J Other �� Oescrip�io/q/� � / �� /J / � General � Special 1 '_I S�un I { f0 V lJ 12 OFFICE OFFICE HELD (i� any) �$ OFFICE SOUGHT (if known) GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 14. C/OH NAME � 75 Filer ID (Ethics Commission Filersj �u�m i�A.�cCtanUf"�- 16 NOTICE FROM TH�S BO% IS FOB NOTICE OF POLITICAL COMNIBUfIONS ACCEPTEO OR POLITICAL E%PENDITURES MA�E BY POLITICAL COMMITfEES TO � POLITICAL SUPPONTTHECANDIDATE�OFFICENOLDEF. THESEEXPENORUHESMAYNAVEBEENMADEWITNOUTTHECAND/OA7E30ROFflCENOLOEfl3 COMMITTEE(S) KNOWLEOGEORCONSENT. CANOIUATESANDOFFICEHOLOEqSApEREOUIflEOTOHEPOHTTXISINPONMATIONONLYIFTHEYpECE1VENOTICE . OF SUCH EXPENDITUHES. � COMMITTEE TVPE COMMITTEE NAME �OENERAL IV � , . COMMITTEE ADDRESS ❑SPEGFIC COMMITTEE CAMPAIGN TREASURER NAME . � Additional Pages COMMITTEE CAMPAIGN TflEASUF1Eq qDDRESS 17 CONTRIBUT�ON �, TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ � 2. TOTAL POLITICAL CONTRIBUTIONS $ � � (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) TOTALS ITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, $ UNLESS ITEMIZED � 4. TOTAL POLITICAL EXPENDITURES ' $ � CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY �_% BALANCE pF REPOFiTING PERIOD � �� OUTSTANDING 6. TOTAL PRINCIPALAMOUNT OF ALL OUTSTANDING LOANS AS OF THE LOAN TOTALS LAST �AV OF THE REPORTING PERIOD $ ��O O YS AFFIDAVIT I swear, or affirm, under penalty of pery'ury, that the accompanying report is true and correct and includes all information required to be reported by me � underTitle 5, ElecHon Code. _�;:��,� CHRISTINELOVEN . � ' ! +' My Nolery ID # 11092587 - � `����� Expires May 2, 201 B Sign � re of C ndidate or Offlceholder AFFIX NOTARV STAMP/ SEALABOVE Sworn to and subscribed before me, by the said TC�' I�i1 �i1. T/ v�� �\�%�'( i-t-K./ � , this the �� day of �1�(I(� l�p �, 20 � P� , to certify which, witness my hand and seal of office. ����� ���� C���,a��� ���� ��T� ��.����� Signature of officer administering oath Printed name of ofticer atlministering oath Ti[le of officer atlministering oath Forms provided bv Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015