HomeMy WebLinkAboutContributions and Expenditure Statements-Campaign Finance Reports & Filings-01/14/2019CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 7
1 Filer ID (Elhics Commission Fllers) 2 Total pages filed:
The C/OH Instruction Guide explains how to complete this form. �
3 CANDIDATE / MS / MRS / MR FIRST MI
OFFICEHOLDER � OFFICE USE ONLY
NAME j�l`R � I��� j'{ oaie Received
NICKNAME LAST SUFPIX
L�aPR�[.�E � �i[{ ���Ff(I���/�(�`!,"
q CANDIDATE / AODRE55 / PO BOX; APT / SUITE #; CITY; STATE; ZIP COOE i -- - I I ��
OFFICEHOLDER ' i-"� ; �
MAILING
aooREss '�33 �iCGFF L� Co�cEYvacr,� lX 7�o3i �� �i i�?7 1�'.s;:�
� Change of Address ��.�� `� Y������ � s ,, ;;a� .. 'I,
.1 ' ii�eriB9 v9"C,O��''�� ' '�l
5 CANDIDATE/ AREA CO�E PHONE NUMBER EXTENSION --
OFFICEHOLDER �/ oate Hantl-tleliveretl or oa�e Postmarked `
PHONE ��I ` ) q0$ 323`� . � 2dec1
6 CAMPAIGN MS / MRS / MR FIRST MI Re eipt H Amount $
TREASURER y� ^ I��p `�
NAME . .M 1`. . . . . . . . �' . . . . . . . . . . . . . . . . . . . . oate Processetl
NICKNAME LAST Sl1FRX
L�^��L� Da�e Imaged
�
7 CAMPAIGN STqEET AOORESS (NO PO BO% PLEASE); APT / SUITE N; GTV; STATE; ZIP WDE
TREASURER ^� �+ u �
ADDRESS 133 /�C F/� LN
(Residence or eusiness) u CDL(.��iV�LLL� I x C�pGr� /
$ CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
PHONE RER �GI� �
� qo�s 323 4
9 REPORTTYPE
� January 15 � 30th day before election � Runoff � 15th day aker campaign
treasure� appointment
(Ofticehaltler Only)
� July 15 � 8th day hefore election � Exceeded $SOOlimil � Final Report (Anach C/OH- FF)
10 PERIOD Monih Day Vear Month Day Vear
COVERED O� /O� / �� �7 [/
THROUGH � a/7 I / I U
17 ELECTION ELECTION DATE ELECTION TVPE
Month �ay Vear ❑ P�imary � Runoit ❑ Other
�escrip[ion
/ / � General � Special �
12 OFFICE OFFICE HELD (it any) 13 OFFlCE SOOGHT (if known)
GO TO PAGE 2
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CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
74 C/OH NAME 75 Filer I� (ethics Commission Filers)
C AD la LA (lc.E
y6 NOTICE FROM THIS 90X IS FOP NOTICE OF POLITICAL CONTHIBUTIONS ACCEPTEO OP POLITICAL EXPEN�ITUflES MADE BY POLITICAL COMMITTEES TO
POLITICAL SIIPPOHTTHECANOIOATE/OFFICEHOLDEH, TNESEEXPENOITUflESMAYNAVEBEENMAOEWITHOUTTHECANOIOATE50ROFFICEHOL0Efl5
COMMITTEE(S) KNOWLEOGEOR CONSENT. CANOIDATES AN� OFFICEHOL�ERS AFE PEQUIflEO TO HEPOflT THIS INFOPMATION ONLV IF THEY PECEIVE NOTICE
OF SUCH EXPENOITIIHES.
COMMITTEE TVPE COMMITTEE NAME
�GENEFAL
� COMMITTEE ADDFESS
�SPEGFlC
COMMITTEE CAMPAIGN TREASURER NAME
� Addi[ional Pages
COMMITTEE CAMPAIGN TREASURER AOORE55
17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED � O'
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $ o
TOTANDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, $
UNLESS ITEMIZED O �
4. TOTAL POLITICAL EXPENDITURES � /� ...
\l
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY (�
BALANCE pF fiEPORTING PERIOD � 7p< q o 9�
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS 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
""� CAROLYN FtAMM under Title 75, Election Code.
+�+ NOTARY PUBLIC
STATE OF TEXA3
Mrcanm.�o.mna�9 � Z.�P�-
Signature of Candidate or Officeholder
AFFIXNOTARVSTAMP/SEALABOVE
Swom to and subscribed before me, by the said �C�C% �`Y'� !'`� , this the �
day of ��__, 20�_, to certify which, witness my hand and seal of office.
��/� d C�f../'O V,(✓l /"rGLV�1�Nl lV Di-0/�.I
�� � r of officer administering oath Printetl name of officer administering oath Title of officer administering oath
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