HomeMy WebLinkAboutContributions and Expenditure Statements-Campaign Finance Reports & Filings-08/20/2019CANDIDATE / OFFICEHOLDER
CAMPAIGN FINANCE REPORT
FORM CiOH
COVER SHEET PG 1
The ClOH Instruction Guide explains how to complete this form. Fier ID (Ethic Commission Filers)
2 Total pages f�i ed:
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3 CANDIDATE/
MS/MRS/MR FIRST I
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OFFICEHOLDER ,/ Q�ST
NAME M1,5
OFFICE USE ONLY
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AUG � � 2019
4 CANDOFFIIDATE/
R DRESS / PO BOX; APT I SUITAg ,ITy; STATE; ZIP CODE
MAILING
ADDRESS
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CITY SECRETARY'S OFFICE
❑ Change of Address
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5 CANDIDATE/
HOLDER
AREA CODE PHONE NUMBER
EXTENSIONOFFICE
Date Hand -delivered or Date Postmarked
PHONE
49 5
6 CAMPAIGN
TREASURER
MS/MRS/MR FIRST MI
(�\�
Receipt 8
Amount$
NAME
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NICKNAME LAST
Date Processed
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Date Imaged
7 CAMPAIGN
STREETADDRESS (NO PO BOX PLEASE); APT / SUITE A; CITY, STATE;
ZIP CODE
TREASURER
ADDRESS
(Residence or Business)
i a8-t�nfier ��, Coin vI'►i� ��3
8 CAMPAIGN
PHONEURER
AREA CODE PHONE NUMBERTREASEXTENSION
�$` 1 .�J 2,A L)e
3 REPORTTYPE
January 15 30th day before election Runoff
15th day after campaign
treasurer appointment
(Officeholder Only)
Juy 15 8th day before election Exceeded $500limit
Final Report(Attach C/OH -FR)
0 COVERED
Month Day Year Month
Year
I1
I / I 0/ ` %o 1 y THROUGH
y.Day
I ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
❑ Primary ❑ Runoff ❑ Other
/ /
Description
❑ General ❑ Special
• OFFICE
OFFICE HELD Of any)
13 OFFICE SOUGHT (f known)
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wrvw.emics.siate.tX.Us Revised 9/8/2015
CANDIDATE / OFFICEHOLDER
CAMPAIGN FINANCE REPORT FORM C/OH
COVER SHEET PG 2
14 C/OH NAME �n(
15 Filer ID (Ethics Commission Filers)
16 NO CE FROM
POLITICAL
THI X IS FOR N TICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
COMMITTEES)
SUPPORT THE CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAYHAYE SEENMADE WITHOUT THE CANDIDATES OR OFFICEHOLDERS
KNOWLEDGEORCONSEW..
CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORTTHIS INFORMATION ONLY IF THEY RECEIVE NOTICE
OF SUCH EXPENDITURES.
COMMITTEE TYPE COMMITTEE NAME
GENERAL
r-ICOMMITTEE ADDRESS
SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
Additional Pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
77 TOTALS
1, TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
2. TOTAL POLITICAL CONTRIBUTIONS
Q>
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
$ �J
EXPENDITURE
S
TOTALS TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
UNLESS
ITEMIZED
AL EXPENDITURES
CONTRIBUTIONL
CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE...
rE
���D
PERIOD
OUTSTANDINGTOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANSAS OFTHE
LOAN TOTALSLAST
DAY OF THE REPORTING PERIOD
$ /vh✓
18 AFFIDAVIT
1 swear, or affirm, under penalty of per)ury, that the accompanying report is
true and corn d Includes all information required to be reported by me
!•"•° CHMSTINE LOVEN underTiti 15, EleGtio ode. 4
1
My Notary ID # 11092587
+�•a i�'.• Expires May 2, 2022
Si a ndidate Ulceholder
AFFIX NOTARYSTAMP/SEALABOVE
`�
Sworn to and subscribed before me, by the said dal � t'Pi � 7 I? R i ' this the
day of �5 1 20�to certify which, witness my hand and seal of office.
B a �434, n
Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath
ms nmi ided b TeX Eth' C
I as Gs ommission www.ethics.state.tx.us Revised 9/8/2015