HomeMy WebLinkAboutContributions and Expenditure Statements-Campaign Finance Reports & Filings-10/30/2020CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
7 Filef ID (Emics Cammtssion Fllers) 2 Total pages filetl:
The C/OH Instruction Guide explains how to complete this form. . � �
3 CANDIDATE/ MS/MRS/MR� FIRST MI
OFFICEHOLDER A ^ �/� O � , OFFICEUSEONLY
NAME ��(�,�5 ` . . . . . .W�/�.�I (J . . . . . . . . . . . . . . Date Receivetl
NICK AME LAST SUFFIX rT �����a�.�
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4 CANDIDATE / � ADDRESS 1 PO BOX; APT / SU TE , CITV; STATE; ZIP CO�E q
OFFICEHOLDER r- � ti G LO2O
MAILING
ADDRESS CITY SECRETARY°S OFFICE �
� Change of Address Q J;' �
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5 CANDIDATE/ �� CODE ( PHONE Nll ER EMENSION
OFFICEHOLDER �^ ��I ��� � Date Hand�tleliveretl or Oate Posimarked
PHONE � G �
6 CAMPAIGN MSlMRS/MR FIRST MI 'Receipt# Amounl$
NA ESURER r , ��'^�`,
5.�. Y I �. Da�e Pracessetl
NI K AME LAST SUFFIX
� � Oate Imaged -
7 CAMPAIGN STREE�A�ORESS (NO PO BOX PLEASE); APT / SUITE #; CITV; � STATE; ZIP CODE
TREASURER
ADDRESS
(Residence or Business) ,
O I�t'�2Y' �Yl • � ��. �J(, � � � �
8 CAMPAIGN AREA CO�E PHONE NIIMBER E ENSION
PHONEURER �� I� � �� . ��O g
9 REPORT TYPE
� January 15 � 30th day hefore eledion � RunoH � 15ih day after campaign
treasurerappointment
(Officeholder Only)
July15 � Bihdaybeforeelection � Fxceeded$5aolimil � FinalReport(AtlachC/OH-FR)
10 PERIOD Month Day Year Mon�h �ay Yeer
COVERED �e �7/ '�p-�%�
I /I Y /� � THROUGH / / � � / (/� ✓ �
11 ELECTION ELECTION DATE ELECTION TYPE
Manlh �sy Yaar ❑ Primary � RunoH � p�her
/ - / Descriptian
� General � Special
��1 �FF�CE OFFICEHELO Q(any) 13 OFFICESOUGHT (ifknown)
�`( ��U I J��ce b
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Forms provided byTexas Ethics Commission ww�ni.ethics.state.fx.us Revised 9/26/2019
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME 15 Piler ID (Ethics Commission Fllers)
Il��i � v� �
16 NOTICE FROM '(ry�S 8 X IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTEO OR POLITICAL EXPENOITURES MAOE BY POLITICAL COMMITfEES TO
POLITICAL SIIPPORTTHECANUIUATEIOFFICEHOL➢ER. TNESEIXP£NOIiURESMAYHAVEBEENMA0EW/THOUT.THECAN010ATE90ROFFfCEHOlDERS
COMMITTEE(S) ((ryOWLEDGEORCONSENT. CANOIOATESANOOFFICEHOLDERSAREREQUIREDTOREPORTTXISINFOftMAT10NONLYIFTHEYRECENENOTIGE
OF SULH EXPENDITfIRES.
COMMITTEE iYPE COMMITTEE NAME .
�GENERAL
COMMITTEE AD�RESS
�SPEqFIC
COMMIiTEE CAMPAIGN TREASURER NAME
� Additional Pages � � �
COMMITTEE CAMPAIGN TREASURER ADDRE55
17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN �
TOTALS . PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR $ O
CONTRIBUTIONS MADE ELECTRONICALLY), UNLESS ITEMIZED
2. TOTALPOLITICALCONTRIBUTIONS $ -
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) O
EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $700 OR LESS, $ O
TOTALS UNLESS ITEMIZED �
4. TOTAL POLITICAL EXPENDITURES $ /1
'V
CONTRIBUTION �5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $�'7 �O `
BALANCE � J Q`C7�
OF REPORTING PERIOD
OUTSTANDING 6. TOTALPRINCIPALAMOUNTOFALLOUTSTANDINGLOANSASOFTHE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $� 2�. ��
98 AFFIDAVIT . .
� I swear, oraffirm, underpenalty ofperjury, thatthe accompanying report is
true and correct and includes all information required to be reported by me
- underTitle 1 tionCode.
hy'.• '
;�"��':;,: cHwsnr�E�ov�
=�'�"; ^= Ny Noffiry ID # 11092587
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:�;o,.E,: E�tresM a,2o�2
� _ igna re f C ndidate o Officeholder
AFFIX NOTARY STAMP /SEALABOVE �
Sworn to and subscribed before me, by the said ,, �!� C 3I �J^{�/ � l(7Y l.�"�'� � , this the v`-`+' V' `��
day of�,�20 �� , to certify which, witness my hand and seal of o�ce.
l��l�s�-�ne� �o�"�
Signature of officer adminlstering oath Printetl name of officer administering oaih Title of officer administering oath
Forms provided byTexas Ethics Commission wwyv.ethics.state.bc.us Revised 9l26/2019