HomeMy WebLinkAboutContributions and Expenditure Statements-Campaign Finance Reports & Filings-07/15/2020CANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN
FINANCE REPORT COVER SHEET PG 1
The CIOH Instruction Guide explains how to complete this form.
1 Filer ID (Ethic Commission Filers)
2 Total pages filed:
3 CANDIDATE/
OFFICEHOLDER
NAME
MS MRS/MR FIRST MI
MR cN�� IJ
j7
OFFICEUSEONLY
Date Received
NICKNAME LAST SUFFIX
LAPRELL-F_
EEENWE
JUI_ 1 J �����
4 CANDIDATE /
OFFICEHOLDER
MAILING
ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP/ CODE
,/
�t `'�?( TfDO.J l
133 AtuFP GN Ceto--NTitc
ADDRESS
❑ Change of Address
CITY SECRETARY'S OFFICE
5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
OFFI EHOLDER
ell
ell ) 9o�s_3as9
Dale Hand.delivered or Date Postmarked
6 CPHO
AMPAIGN
NAME TREASURER
MSS/MR FIRST MI
An GI'�Ap I1
�1 H.
Receipt#
Amount$
Dale Processetl
NICKNAME LAST SUFFI%
�nI RFLL�
Date Imaged
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT I SUITE #; CITY;
STATE; ZIP CODE
TREASURER
ADDRESS
133 Acur--F <N CGLLEY'SIdF-
TX 7G0 y
(Residence or Business)
6 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
PHONE TREASURER
I 90 g- -23 7
9 REPORT TYPE
January 15 30th day before election Runoff
trey day after campaign
treasurer appointment
(Officeholder Only)
® July 15 8th day before election Exceeded Modified
Repoding Limit
Final Report (Attach C/OH -FR)
10 PERIOD
COVERED
Month Day Year Month Day Year
1
U 1 / G I 1., 02c) THROUGH Olp / 3O / 2G:2b
11 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
❑ Primary ❑ Runoff ❑ Other
Description
❑ General ❑ Special
12 OFFICE
OFFICE HELD ffany)
13 OFFICESOUGHT (#known)
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020
CANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME
15 Filer ID (Ethics Commission Filers)
CHAP N RPREGGE
16 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 WITHOUT THE CANDIDATES OR OFFICEHOLDER'S
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
SPECIFIC
COMMITTEE ADDRESS
COMMITTEE CAMPAIGN TREASURER NAME
Additional Pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION
1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
TOTALS
PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR
$ 0 —
CONTRIBUTIONS MADE ELECTRONICALLY)
2. TOTAL POLITICAL CONTRIBUTIONS
$
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
O ^
EXPENDITURE
3.
TOTALS
TOTAL UNITEMIZED POLITICAL EXPENDITURE.
$ o
4. TOTAL POLITICAL EXPENDITURES
$
0—
CONTRIBUTION
5.
BALANCE
TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
$ 7990 q
OF REPORTING PERIOD
OUTSTANDING
6. TOTAL PRINCIPALAMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS
LAST DAY OF THE REPORTING PERIOD
$
18 AFFIDAVIT
I swear, or affirm, under penalty of perjury, that the accompanying report is
D,�t,PY P BG FATIMA MOHAMED true and correct and includes all information required to be reported by me
NDlary Public, State of Texas under Title 15, Election Code.
Commission Expires 01/2112022
/
Notary ID 12968343-0
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP/SEALABOVE
//F�
Sworn to and subscribed before me, by the said CANN) t� 1MPP� I�.LIi , this the 1�1�
day of VUL�� , 20 SO , to certify which, witness my hand and seal of office.
F Mop No'CP�Q= uot�
Signat a of offic ad to ng th Printed name of officer administering oath Title of officer administering oath
Forms provided by Texas Ethics Commission w .elhics.state,tx.us Revised 1/1/2020