HomeMy WebLinkAboutContributions and Expenditure Statements-Campaign Finance Reports & Filings-07/17/2018 (6)CANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN
FINANCE REPORT COVER SHEET PG 1
1 Flier ID (Ethics Commission Filers)
2 Total pages filed:
The C/OH Instruction Guide explains how to complete this form.
3 CANDIDATE/
Ms MFS MR FIRST MI
OFFICEHOLDER
OFFICE USE ONLY
NAME
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NICKNAME LAST SUFFIX�(i
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ADDRESS/PO BOX; APT /SUITE #; CITY; STATE; ZIP CODE
OFFICEHOLDER
MAILING
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CITY SECRETARY'S OFFICE
Change of Address
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5 CANDIDATE/
AREA CODE HONE NUMBER EXTENSION
OFFICEHOLDER
PHONE
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Date Hand -delivered or Date Postmarked
8 CAMPAIGN
TREASURER
MS MR / MR FIRST I
Receipt #
Amount $
Date Processed
NAME
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NICKNAME LA T d SUFFIX
Oats Imaged
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7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE;
ZIP CODE
ADDRESSER
SQ n e Q s abe -e—
(Residence or Business)
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASPHONE URER
( c2/ u) A -7Lt — S [
i
9 REPORT TYPE
January 15 301h day before election ElRunoff
15th day attar campaign
itment
Office olderer OinJy)
(Officeholder Only)
July 15 Bth day before election Excaeded$5001im1t
❑ Final Report(Ansch C/OH -FR)
10 PERIOD
Month Day Year Month
Day Year
COVERED
/ / /4 //� THROUGH 7 115 / / a
11 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
El Primary ❑ Runoff Other
5/ 7/ / (a
1YYY(////
Descdptio/�/a
❑ General ❑ Special
d /q I q /
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V' ll/
12 OFFICE
OFFICE HELD litany)
13 OFFICESOUGHT flknosm)
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
15 Filer ID (Ethics Commission Filers)
16 NOTICE FROM
THIS BOX IS FOR NOTICE OF POUTICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
POLITICAL
SUPPORTTHECMDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE S OR OFFICEHOLDERS
COMMITTEE(S)
KNOWLEDGEORCONSEW.. CANDIDATES ANDOFFICEHOLDERS ME REOUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE
OF SUCH EXPENDITURES.
COMMITTEE TYPE
COMMITTEENAME
GENERAL
/ �/ k
[]SPECIFIC
COMMITTEE ADDRESS
COMMITTEE CAMPAIGN TREASURER NAME
❑ Additional Pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION
TOTALS
I. 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)
O
EXPENDITURE
TOTALS
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
$ f�
UNLESS ITEMIZED
U
4. TOTAL POLITICAL EXPENDITURES
$ O
CONTRIBUTION
BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
////��
$
OF REPORTING PERIOD
U
OUTSTANDING
LOAN TOTALS
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
1%
$
LAST DAY OF THE REPORTING PERIOD
1
� 1 V
18 AFFIDAVIT
I swear, or affirm, under penalty of perjury, that the accompanying report is
true and corn ct and includes all information required to be reported by me
under Title ,Election bode.
"�i• CHPoSTINELOVEN
My Nstay ID # 11002667
K*hs May 2, 2022 aiFU
SI na urs of lindidate or Officeholder
AFFIX NOTARY STAMP/SEALABOVE
Sworn to and before me, by the said I f MMY J4A V49rn CF--a• , this the /
T, �aa'''111sI`'''u ��1bscribed
day of m, 20 I , to certify which, witness my hand and seal of office.
1
E Ck04s+in'e.J veev 3'12,
Signature of officer administering 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