Loading...
HomeMy WebLinkAboutContributions and Expenditure Statements-Campaign Finance Reports & Filings-01/13/2020CANDIDATE / 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/ OFFICEHOLDER NAME MS/ Rs MR �B.r l/� obMm OFFICE USE ONLY NICNAME LAST FFIX v I Gvn v JA�� 1 2c�1 9 4 CANDIDATE / OFFICEHOLDER MAILING ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE ink�2.. i�l� ITY SECRETARY'S OFFICE ADDRESS j ❑ Change of Address 5 CANDIDATE/AREA CODE PHON NUMBER EXTENSION PHONEHOLDER /)/(/ ` ,/ ^ 4p �{/ Date Hantltleliveretl or Date Postmarked — 6 CAMPAIGN TREASURER MSp�RS/"/R FIRST`J•L, M1fl Receipt It Amount$ NAME /� J! (.rt!yI ✓7'IX . Date Processed NICKNAME LAS'j Fx / SUFFIX Date Imaged N/] IK /y n�1 `''I � iM V ""L/ 7 CAMPAIGN TREASURER STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE ADDRESS J ��I"� Lnv (Residence or Business) / / / /k� -76 V / D, TZ l/PHONE 8 CAMPAIGN AREA CODE/`'a•�C_) NUMBER/// EXTENSION TREASPHONE UREfl •}/(i 4 74_r990 o���/// 7 9 REPORTTYPE I \,{" January 15 30th day before election Runoff trey day after campaign ''y�\ (Offceerappointment (O#icehaber Only) y) July 15 8th day before election ❑ Exceeded$50011mit Final Report(Anach C/OH-FR) 10 PERIOD Month Day Year Month Day Year COVERED / THROUGH 11 ELECTION ELECTION DATE ELECTION TYPE El Primary ElRunoffOther Month y Year 5 / / /Q / Description ❑ General ❑ Special Q I 12 OFFICE OFFICE HELD (if any)' ^ e LX I V 1 11 �D�nc.f 7uGHT (it known) GO TO PAGE 2 Forms provided by Texas Ethics Commission vrvyw.ethics.state.N.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) 18 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO POLITICAL SUPPORT THE CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WRN ME CANDIDATES OR OFFXEHOLDERS COMMITTEE(S) KNOWLEDGEORCONSENT. CANDIDATES AND OFFICENDLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES. COMMITTEE TYPE COMMITTEE NAME ❑GENERAL N ❑SPECIFIC COMMITTEE ADDRESS 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 _Q 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $ — Q EXPENDITURE TOTALS 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, $ © — UNLESS ITEMIZED ' 4. TOTAL POLITICAL EXPENDITURES $ O CONTRIBUTION BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ OF REPORTING PERIOD OUTSTANDING LOAN TOTALS 8. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY OF THE REPORTING PERIOD $ OD 18 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the accompanying report is true and GO rect I includes all information required to be reported by me cWHUSTME LOVEN under Title 15, El Non Code. My NotaryID $ 77092581 Expires May 2, 2022 Signature Idandidlete r Officeholder AFFIX NOTARY STAMP/SEALABOVE /L /y1 (,1 / ^ �y]� //� 3 / 37'A.. Sworn to and subscribed before me, by the said _-rl !�n i 17 /�J (9 / ! f-L.F.// this the day of5l�, 20 , to certity/which, witness my hand and seal of office. MO i 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