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HomeMy WebLinkAboutContributions and Expenditure Statements-Campaign Finance Reports & Filings-07/13/2018CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Filer ID (Ethics Commisslon Filers) 2 Total pages filed; The C/OH Instruction Guide explains how to complete this form. a 3 CANDIDATE / MS / MRS / MR FIRST MI OFFICE USE ONLY OFFICEHOLDER n^ n I���� AA C D NAME NICKNAME LAST SUFFIX ECED tj // L APRear_ V EE JUL 13 2018 4 CANDIDATE / ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE OFFICEHOLDER MAILING 1.33 A(uFF LN CCLL(jV'LLLF 'TX 76a3y ADDRESS CITY SECRETARY'S OFFICE ❑ Change of Address �I 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION OFFI / qI-7 Date Hand -delivered or Date Postmarked EHOLDER PHO, ) 903-3^3q I 6 CAMPAIGN MS / MRS / MR FIRST MI Receipt # Amount $ TREASURERI��D I, M l• H Date Processed NAME 1�. . . . . . . . . . . . . . . . NICKNAME LAST SUFFIX p LA PITYr LLE Date Imaged 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE TREASURER ADDRESS 133 Acuff LN COLLCYVILLE TX -7663y (Residence or Business) 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASPHONEURER ('317 ) I0?-3a31 9 REPORT TYPE January 75 30th day before election Runoff 15th after campaign treasureure r appointment (OHicehaltler Only) July 15 8th day before election Exceeded$500 limit Final Repon (Attach C/OH - FR) 10 PERIOD Month Day Year Month Day Year COVERED ^ I /31 / 17 THROUGH OG 130 / I p (y « 11 ELECTION ELECTION DATE ELECTION TYPE ❑ Primary ❑ Runoff ❑ Other Month Day Year Description ❑ General ❑ Special 12 OFFICE OFFICE HELD lit any) 13 OFFICE SOUGHT (if known) GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.siate.tx.us Revised 9/8/2015 CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 14 C/OH NAME 15 Filer ID (Ethics Commission Filers) C►OD H LAPRVILt 16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLRICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO POLITICAL SUPPORT THE CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDERS COMMITTEE(S) KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES. COMMITTEE TYPE COMMITTEE NAME ❑ GENERAL COMMITTEE ADDRESS ❑SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME ❑ Additional Pages COMMITTEE CAMPAIGN TREASURER ADDRESS 17 CONTRIBUTION TOTALS 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN $ PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED O 2. TOTAL POLITICAL CONTRIBUTIONS $ (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) 0 EXPENDITURE TOTALS 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, $ UNLESS ITEMIZED D 4. TOTAL POLITICAL EXPENDITURES $ 0 lJ CONTRIBUTION 5. BALANCE TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY Q (.� $ -7a OF REPORTING PERIOD 9./ 1 OUTSTANDING LOAN TOTALS 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE $ LAST DAY OF THE REPORTING PERIOD O 18 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. CAROLYN HAMM • • NOTAR NOTARY PUBLIC STATE OF TEXAS MycorAIR.EKP.fam5ra9 Signature of Candidate or Officeholder AFFIX NOTARY STAMP/SEALABOVE Sworn to and subscribed 11� ((� �,"`� before me, by the said Ll1a l�F.'td��'C..l� , this the l-'r, day of ^ 0V(L, to certify which, witness my hand and seal of office. ure' ficer ad istering oath Printed name of officer administering oath Title of officer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015