HomeMy WebLinkAboutContributions and Expenditure Statements-Campaign Finance Reports & Filings-04/25/2018 (2)CANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN
FINANCE REPORT
COVER SHEET PG 1
1 Filer ID (Ethics Commission Filers)
2 Total pages filed:
The C/OH Instruction Guide explains how to complete this form.
3 CANDIDATE/
OFFICEHOLDER
NAME
MS/MRS/MR FIRST
n (� �5' I i
MI'�-
OFFICE USEONLY
IN1'LPR
NICKNAME LAST
SUFFIX
4 CANDIDATE/
ADDRESS / PO BOX; APT / SUI #; ITY; STATE;
ZIP CODEOFFICEHOLDER
MAILING
OFFICE
ADDRESS
❑ Change of Address
-Bo 2 Wk X [,pu r+ co i I 1j f
003
5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER
PHONE
(- 6 ^
( [✓0I ) L
Data Hand -delivered or Date Postmarked
`.GJ'�
6 CAMPAIGN
MS / MRS / MR FIRST
MI
Receipt #
Amount $
TREASURER
,ry��
NAME
. Q 19.0
Date Processed
NICKNAME LAST
SUFFIX
Li nolam coca
Date Imaged
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY;
STATE; ZIP CODE
TREASURER
ADDRESS
(Residence or Business)
OgJanP lIe i
o
8 CAMPAIGN
AREA CODE PHONE NUMBER EX ENSION
TREASURER
PHONE
f �1
/` bU I f 1
1 / —!
9 REPORT TYPE
El January 15 ❑ 30th day before election Runoff
❑ 15th day after campaign
treasurer appointment
(Offlceholder Only)
July 15 3th day before election ❑ Exceeded$500 limit ❑ Final ReportfAdach C/OH- FR)
10 PERIOD
Month Day Year
Month Day Year
COVERED
l/
9 / 51 2—/ ll (1 f $ THROUGH
� /2,5- / 2D I g
11 ELECTION
ELECTION DATE
EL TION TYPE
Month Day Year
❑ Primary ❑ Runoff
Other
r7/ 15—/' ^'j(�J(
!✓1
❑General ❑ Special
Description
- 1 t / a I
VU" � l/y
12 OFFICE
OFFICE HELD (it any)
13 OFFICE SOUGHT (if known)
C-� l/
Co Lt,n C t I �I aGe,6
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
CANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME
1p'75
Filer ID (Ethics Commission Filers)
r/1M1
16 NOTICE FROM
POLITICAL
THIS BOX IS FO OTICE OF 6LITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
SUPPORT THE CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDERS
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
r-ICOMMITTEE
SPECIFIC
ADDRESS
COMMITTEE CAMPAIGN TREASURER NAME
❑ Additional Pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION
TOTALS
1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
$A`/1
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
2. TOTAL POLITICAL CONTRIBUTIONS
$
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE
TOTALS
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
$ / t
UNLESS ITEMIZED
V
4. TOTAL POLITICAL EXPENDITURES
$
D
CONTRIBUTION
BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
$
OF REPORTING PERIOD
OUTSTANDING
LOAN TOTALS
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY
/1 �.,
$ 25 OO v
OF THE REPORTING PERIOD
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
; y (%IR TWE LOVEN under Title 15, ElectioDLOdle.
_+: •} MyNOWYN # I M587 -
a; B#aMq 2 2D22
Sign . u�nddet cr OffI.Jbbd.r
AFFIX NOTARY STAMP/SEALABOVE
Sworn to and subscribed before me, by the said L.f's 4 I 1c, 1 ) ) 6-1 I , this the a5#X,
day o .20 , to certify which, witness my hand and seal of office.
.�1�
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