The URL can be used to link to this page

Home My WebLink AboutGunderson Holt, Kimberly2-26 Prescrihed hy Secretary of State Section 141..031, Chapters 143 and 144, Texas Election Cade 09/2021 FF, ��,� � nn m�^"!� �h�IV � f � lJ U`f APPLICATION FOR A PLAC� ON TH� BAI.LOT F�R A GENERAL �LEG�TI�ON��°-��°� '�` �"""'�'��` FOR A CITY, SCHOOL DISTR[CT UR OTHER POLITlCAL SUBDIVISION LL INFORMATION 15 REQUIRE� Td BE PROVIDED UNLE55 �ICATED AS O TfON 1 Failure to rovide required information may result in rejection of application. APPLICATION FOR A PLACE ON THE � V 'rJ GENERAL ELEC710N BALL07 TO: City Secretary/Secretary of 8oard {nam f electionj I request #hat my name be placed on the above-named official ballot as a candidate for the office indicated below. OFFIC SOUG 3(Inc[ude any place number or ather distinguishing nurnber, if any.} INDICATE TERM �FULL � UNEXPiRED FULL NAM (First, Middle, �ast} PRINT NAME A5 YOU WANT ITTQ APPEAR OI� THE BALLOT� v�r�,� �n � �tY'� l o � PERMANENT RE51 1110E ADDR�SS (Do nnt include a P.d. Box or R�ral Raute. If � PUBLIC MA[LING AdD 55 {Optional} (Address for which you re�eive yo� do not ha�e a resi nce ad ress, d cr'be location of residente.} eampaign related correspondence, if availahfe.) CITY STATE ZIP CITY STATE ZIP 1� 1�C 1�. �� 3� PUBLIC EMAI ADDRESS (Optionalj (�ddressfor OCCUPATION (Dp npt leave b�an[cJ DA7E OF B11t7H VQ7ER HEGI5TRA7lQN VUID which you receive campaign related emails, if available.} NUMBERZ (Optionalj TELEPHONE COiVTACT INF�RMATION [Optionalj �1ame: Office: Cell: �ELONY CONVIC7'10f� Sl'A7U5 (You MUST check one� LENG7'W OF CONTINUOUS RE51E]ENCE AS OF dATE THIS APPLICATION WAS SWORN I have not been finally eonvicCed af a felony. IN THE STATE OFT�XAS IN TERRITORY/RISTRICT/PRECINCT FROM � I have been finally canvicted vf a felony, but I ha�e been WHiCH T�IE dFFICE S UGHT 15 EL�CTED parcEoned or otherwise released fram the resulting �Year(s} � year(sy disabi[ities of that#elorty con�iction and I have provided prpof o� this fact with the submissian of this application.3 month{s) month�s} *If using a nickname as part af your name to appearon the ballot, you are also signing and swearing to the follvwing statements: 1 furiher swear that my nickname daes not �ans�itute a slogan ar contain a title, nar does it indicate a politicai, economic, social, or religious �iew ar affiliation. I have been commonly known by this nickname for at least three years prior tp this election. Please review sections 52.031, 52.032 and 52.033 of the Texas Election Code regarding the rules for haw names may be listed on the of€icial ballot. Before me, the undersigned authority, on this day personally appeared (name vf candidatey�� v�o r� G�d�o. ho being by me here and now duly swarn, upon a#h says/:1 J a�— "I, �name of candidate} �tiry� bL?�� '�� ITL.VI�.aU��Ati , of i C� �-'�-'�''` `- v COU11ty, 7exas, being a candidate for the office of � T Co n�ei 1�I swear #hat I will support and defend t�se Constitution and laws of the United States and af the 5tate of Texas. I am a citizen of the United 5tates eligible to hold such office under the cvnstitutian and laws of this state. i ha�e not been determined 6y a final judgment af a court exercising protrate jurisdictian to be totally mentakly incapacitated or partially mentafly incapacitated without the right to �ote. I am aware pf the rtepntism law, Chapter 573, Government Code. I am aware that I must disclose any prior felony conviction, and if so canvicted, must provitfe proof that I have been pardoned or atherwise released from the resulting disabilities of any such final felony conviction. I am aware that knowingly providing false infarmation an the application regarding my possible fe[ony con�iction status constitutes a Cfass 6 misdemeanor. I further swear #hatthe foregaing stateme ts ' cluded in my application are in all things true and correct." X SiGNATURE OF CANDI[7ATE Swarn to and su6scribed 6efore me this the g ri� ay of .�� V1 L(.,$R.`f _, .�Q v� �, by 1'1 � 1'1'I 77�� t-�� r"�` �j�t�.!'1 �2^�'l� . (day) {month) {year) (n meofcandidate) � � C.1�,� �� n� �v � r� Si$nature of Officer Authorized to Adminis#er Oath4 Printed Name of OfFicer Authorized to Administer Oath �ok� �-� � Title of Dfficer Authorized to Administer Oath rt;s,+?"'•••: C�iRIST�� dv�� T� BE COMPLE7ED BY FELENG OFFICER: 'THI5 APPLICASION 1S ACCOMPANIED BY � • EC�41j�� I i abl PAID BY: ❑ CASH ❑ CHECK ❑ MQNEY QRDER ❑ CASWIERS CHECK OR � PETITIaN [N tti,., F; p�LING I��M�2' This document and � filing fee or a nominating petition of page . . ater R' ation 5tatus Verified � �7 / d � � �� ofQo�"f' (See Section 1.OD7) `� Date Recei�ed Date Accepied Signature of Filing Officer or Designee APPOINTMENT OF A CAMPAIGN TREASURER FORnn CTA BY A CANDIDATE P� 1 1 Total pages fled: See CTA Instruction Guide for detailed instructions. g Y 2 CANDIDATE MS/MRS/MR FIRST Mi OFFICEUSEONLY NAME � --- Filer I� # -- � =----------1 rn%�c�1v,)------------------ : ,,: � ,� NICKNAME LAST 'J SUFPIX - � DateRecerved �711��.�2.�ov� � JAN 17 2C�� 3 CANDIDATE ADDRESS /POBOX; APT/SUITE#, qTY; STATE; ZIPCODE ;�J . :, .,; ` J J' :4" MAILING � �°0"a `""`1`"�""� ADDRESS `gbD �"�� C��/� II, , T1/ � In �3�' OateHand-dellveredorPostmarketl y Vl/ � xl �v 4 CANDIDATE AREA CO�E PHONE NUMBER EXTENSION Receipt# Amount$ PHONE (�) � ) l�7 "l � � l � � � oate Pmcessetl I 1 ✓ J 5 OFFICE H E L D oate imaged (if any) g OFFICE SOUGHT (if known) 7 CAMPAIGN MSIMRS/MR FIRST MI NICKNAME tAST SUFFIX TREASURER NAME �S� . C� I V V 1 "- l� �� H CAMPAIGN STREETA��RESS; APT/SUITE#; CITV; STATE; ZIPCO�E TREASURER r'� / ,� STREET �t� (��.,�CV�,Lw �/� � ADDRESS /� �/ (residence or business) I (� I I � A p��; � � Y �� O��'' l.�A1 o v�� i" 9 CAMPAIGN %�REA CODE PHONE NOMeER EXTENSION TREASURER ^ � � — � � � O PHONE � �I�1� 6 I 10 CANDIDATE SIGNATURE � am aware of the Nepotism Law, Chapter 573 of the Texas Government Code. I am aware of my responsibility to file timely reports as required by title 15 of the Election Code. I am aware of the restrictions in title 15 of the Election Code on contributions from corporations and labor organizations. �� V l � � � �� Signature of Candidate Date Signed GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2023 City of Colleyville Financial �isclosure and Business Conflict of Interest Forms INFORMATION STATEMENT TOTAL NUMBER OF PAGES FILED: OFFICE USE ONLY 1 NAME First, MI Date Received � r_...,._ _,, last, Su ix � � � -� � JAN �1 l ?��_'4 ZADDRESS Address/City/State/Zip ��,o� �r�� d � ��a��, , �v��.�,._ '�� v1,V1,�,� 'I luo3� 3 TELEPHONE Area Code, Phone Number, Extension NUMBER � Il�—(�' cJ�' ��j"�O ° REASON 0 EMPLOYEE (CIN MANAGER OR *SENIOR STAFF) FOR FILING � CANDIDATE �1 ('afP, '�J (INDICATE OFFICE) STATEMENT 0 ELECTED OFFICI (INDICATE OFFICE) � ZONING BOARD OF ADJUSTMENT cnPaucnNr oa nPPoiNree� � PLANNING & ZONING COMMISSION �naaucnrvroanPPoiNree> ❑Two (2) business days following the end of the candidate filing period or if appointment, following the end of the application period stated in the official city advertisement for the position. � Supplemental disclosure filed annually and within five (5) business days of an occurrence in previously filed form. *SENIOR STAFF is defined as those employees who are classified as directors and above in the City's classification system and the City Manager and City Secretary. SPOUSE NAME `JG'� �� DEPENDENT 1• CHILD/CHILDREN 2. NAME(S) 3. 4. COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY INITIAL HERE: �� DATE: l'��a'� City of Colleyville Financial Disclosure and Business Conflict of Interest Forms INTERESTS IN REAL PROPERTY Section 1 Describe the location, size, and current use of all property owned within the included map, or held in trust by the filer, spouse, and any dependent minor children, or any business entity in which the person has a financial interest. When reporting information about a dependent child's activity, indicate the child about whom you are reporting by providing the number under which the child is listed on the Information Statement. 1 HELD OR ACQUIRED BY FILER SPOUSE DEPENDENT CHILD # ZDESCRIPTION �ot � ��ty ��;�� _1� Block � County I ll�1 �V i�� Subdivision �IG�IGs� Valorum Tax Account Number . Acre(s) and Tract 1�� Z 3 STREET ADDRESS STREET ADD ESS, INCLUDI G CITY, COUNTY, AND STATE «a� �� Ce� u�ll�, �X �l too3� ° NAME LIST THE NAME AND ADDRESSES OF OTHER PERSONS OR BUSINESS ENTITIES WHICH OWN AN INTEREST IN THE REAL PROPERTY ' In�g�� INDIVIDUAL ��`V�'� �/�' `�' s�{� Q BUSINESS ' HELD OR ACQUIRED BY FILER SPOUSE DEPENDENT CHILD # 2 DESCRIPTION l' � Lot � City Ul �(/ �� Bbck � County I ��{��-� Subdivision ��4��-l/Ad Valorum Tax Account Number Acre(s) and Tract � � �� 3 STREET ADDRESS STREET ADDRESS, INCLUDING C TY, COUNTY, AND STATE �9 �� -�U 1 C u� � C�� IV�,� � �03� 4 NAME LIST THE NAMES AND ADDRESSES OF OTHER PERSONS OR BUSINESS ENTITIES WHICH OWN AN INTEREST IN THE REAL PROPERTY D INDIVIDUAL � `� �1 S� 1 �� BUSINESS COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY ❑ NOT APPLICABLE INITIAL HERE: �� DATE: 1��1''�� City of Colleyville Financial Disclosure and Business Conflict of Interest Forms FEE, SALARY, OR GIFT Section 2 The name and address of any person or corporation which currently has or during the preceding twelve (12) months has had a direct or indirect contractual relationship with the City and from which the person(s), their spouse, or dependent minor children have received a fee, salary, or gift of value exceeding one hundred dollars ($100.00). When reporting information about a dependent child's activity, indicate the child about whom you are reporting by providing the number under which the child is listed on the Information Statement. 1 RECIPIENT OFILER �SPOUSE �DEPENDENT CHILD # ZFEE, SALARY, GIFT NAME AND ADDRESS 3 DESCRIPTION OF FEE, SALARY, GIFT 1 RECIPIENT OFILER �SPOUSE �DEPENDENT CHILD #_ Z FEE, SALARY, GIFT NAME AND ADDRESS DESCRIPTION OF FEE, SALARY, GIFT 1 RECIPIENT OFILER �SPOUSE ODEPENDENT CHILD #_ Z FEE, SALARY, GIFT NAME AND ADDRESS 3 DESCRIPTION OF FEE, SALARY, GIFT COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY � NOTAPPLICABLE INITIALHERE:,� DATE: �� City of Colleyville Financial Disclosure and Business Conflict of Interest Forms BUSINESS INTERESTS Section 3 The name and address of any corporation or business, which currently has or in the preceding twelve (12) months has had a direct or indirect contractual relationship with the City, of which person(s), their spouse, or any dependent minor children own more than two percent (2%) of the outstanding equity interest or more than two percent (2%) of the assets. When reporting information about a dependent child's activity, indicate the child about whom you are reporting by providing the number under which the child is listed on the Information Statement. 1 HELD OR ACQUIRED BY OFILER �]SPOUSE ODEPENDENT CHILD #_ Z DESCRIPTION NAME AND ADD ESS � ��"j tM fAi(, �3 Q,� 2�'j`�j a � � �V Vl e�f �01 � o� � 1�-EGJ'2 S�}' � r �2.5 t�cr�S o� uvtd2��[ape� �a��Q a�' �I(o� Olc� �i �l�rl�y `f�ratl � mAllasi `r��C�.s 3 NATURE OF BUSINESS v��e��o�� .d 1 HELD OR ACQUIRED BY OFILER [�fSPOUSE �DEPENDENT CHILD #_ 2 DESCRIPTION NAME AND ADDRESS �� o i n�e�rQsfi i n�" 1�•$� c�s o f �l a n dl � v��F IH USP'� Gl� ��c�1��1��9 �afi �^� liD�L.c� ii�SG�( ri�nciV�/2 P�l�� Da1�d�s i ��x�s 3 NATURE OF BUSINESS ��P�rG�� P ed v�ba� loa' 1 HELD OR ACQUIRED BY �FILER [�]SPOUSE �DEPENDENT CHILD #_ Z DESCRIPTION NAME AND ADDRESS ��0 i��t�Qs�- in 'Z2.5 AG7�S n� v�nc�2v�C(o�e� �Gn�, m�- N�G n� C(�isl�ol� `('ra;0 �'��,v,ry �wk R�s�� ec� �o�rk �k Wo,r�-� �'z�4� 3 NATURE OF BUSINESS ��nd2v�e[o�e� iU�� COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY � NOT APPLICABLE INITIAL HERE:� DATE: —1�� City of Colleyville Financial Disclosure and Business ConFlict of Interest Forms PERSONAL FINANCIAL STATEMENT I_1 � � �7_\�/� � � Financial Disclosure and Business Conflict of Interest Forms shall be provided by candidates for Mayor and City Council and by applicants seeking appointments to the Planning and Zoning Commission or the Zoning Board of Adjustment, and shall file such forms within two (2) business days following the end of the candidate filing period, or if for appointment, within (2) business day following the end of the application period stated in the official City advertisement for application for the position. The city manager and the city manager's senior staff members (including any staff member who is appointed with City Council approval) shall also file the same within thirty (30) days of hiring. All person(s), as outlined above, shall have a duty to file supplemental disclosures annually and within five (5) business days of an occurrence of any change in the information reflected in the forms previously filed by the individual. Before me, the undersigned authority, personally appeared: ��rvlh�.I�I }=��'�' GLIYld�i2-5o� who, after being duly sworn upon their oath and deposed and stated as follows: "My name is _�'� �✓� bP.VL-�V �I'� (SLIf'Ic�'P�?-�r�-' and I hereby submit for filing the attached Financial Disclosure and Business Conflict of Interest forms. I have personal knowledge of all information contained in said forms and all information contained in the forms is true and correct." "Further, all information contained in the forms is complete. There is no information that has been withheld or not disclosed which is responsive to or required to be disclosed by the forms." , ,n Affiant Sworn to and subscribed before me, this the �_ day of ��,i�LCa�__Y __, 20� CHRISTINE LOVEN My Notery ID # 11092587 Expires May 2, 2028 � Notary Public, State of Texas INITIAL HERE: ��' DATE: �— 11 �� CODE OF FAIR CAMPAIGN FORM CFCP PRACTICES COVER SHEET OFFICE USE ONLY Pursuant to chapter 258 of the Election Code, every candidate and OateReceived political committee is encouraged to subscribe to the Code of Fair Campaign Practices. The Code may be filed with the proper fling authority upon submission of a campaign treasurer appointment form. Candidates or political committees that already have a current campaign treasurer appointment on file as of September 1, 1997, may subscribe to the code at any time. °a1eHd""-'81VBfe'°'P°s""a`ke' Oate ProcesseE Subscription to the Code ofFair Campaign Practices is voluntary. �ate Imagetl 1 ACCOUNT NUMBER 2 TYPE OF FILER . (Ethics Commission Filere) . CANDIDATE � POLITICAL COMMITTEE � , ' If filing as a candidate, comp/ete boxes 3- 6, If filing for a political committee, complete then read and sign page 2. boxes 7 and 8, then read and sign page 2. 3 NAME OF CANDIDATE Tjme(or.,Mr.,Ms.,am.� FIRST Mi (PLEASETYPEORPRIN"n --�`� -- ' /��,/1 f 7 1 _________L]..< < le _____________________________________ NICKNAME tAST SUFFIX(SR.,JR.,Ill,etc.) �� Y 1 Q TELEPHONE NUMBER AREA CODE PHONE NUMBER EXfENSION OF CANDIDATE / ` (PlE45ENPEORPRINT) � � 5 ADDRESS OF CANDIDATE STREET/POBOX; APT/SUITE#; CIN; STATE; ZIPCO�E (PLEASENPEORPRIIJn � ��O �� 1 ` _1 CO'/ V 1IL � (� � �l � ✓� I I V ��.(]� s OFFICE SOUGHT BY CANDIDATE (PLEASETYPEORPRINT) 7 NAME OF COMMITTEE (PLEASE TYPE OR PRI N"n � $ NAME OF CAMPAIGN TITLE(�r.,Mr.,Ms.,e[c.) FIR T nn� TREASURER IY(I�11'�(�11 (PLEASETVPEORPRINTJ ____ ! `_"� ___________�__ -�0�-------------- �---------- NICKNAME LP,ST SUFFIX(SR.,JR.,Ill,etc.) GO TO PAGE 2 Forms provitled byTexas Ethics Commission www.ethics.siaie.tx.us Revised 1/1/2021 CODE OF FAIR CAMPAIGN PRACTICES There are basic principles ofdecency, honesty, and fairplay that every candidate andpolitical committee in this state has amoralobligationto observe anduphold, in orderthat, aftervigorouslycontestedbutfairly conducted campaigns, ourcitizensmay exercise theirconstitutional rightsto a free anduntrauuneledchoice andthe willofthepeoplemaybe fully and cleazly expressed on the issues. THEREFORE: (1) I will conduct the campaign openly and publicly and limit attacks on my opponent to legitimate challenges to my opponent's record and stated positions on issues. �Z) (3) I will not use or pernut the use of chazacter defamarion, whispering campaigns, libel, slander, or scuxrilous attacks on any candidate or the candidate's personal or family life. I will not use or pemut any appeal to negative prejudice based on race, sex, religion, or narional origin. (4) I will not use campaign material of any sort that misrepresents, distorts, or otherwise falsifies the facts, nor will I use malicious or unfounded accusations that aim at creating or exploiting doubts, without justificafion, as to the personal integrity orpahiotism ofmy opponent. (5) I will not undertake or condone any dishonest or unethical prac&ce that tends to corrupt or undermine our system of free elections or that hampers or prevents the full and free expression of the will of the voters, including any activity aimed at intimidating voters ar discouraging them from voting. (6) I will defend and uphold the right of every qualified voter to full and equal participarion in the electoral process, andwill not engage in any activity aimed atintimidatingvoters or discouraging them fromvoting. (7) I will nnmediately and publicly repudiate methods and tactics that may come from others that I have pledged not to use or condone. I shall take firm action against any subordinate who violates any provision ofthis code or the laws goveming elections. I, the undersigned, candidate for election to public office in the State of Texas or campaign treasurer of a political committee, hereby voluntarily endorse, subscribe to, and solemnlypledge myselfto conduct the campaign in accordance with the above principles and practices. � Signature I -1�1-a� Date Forms provided 6yTexas Eihics Commission www.ethics.state.tx.us Revised 1/1/2021 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/ s mRsima ' /Fiast nni OFFICEHOLDER CJ y• bt�l OFFICEUSEONLY NAME. ............ ...............�uN�...... �..y. .................................. """ Date Recej��E/VED NICKNAME �� LAST SUFFIX u�dersor� �p� p' 2D24 q CANDIDATE / ADORESS / PO BOX', APT 15UITE #, qTY; STATE; ZIP CODE OFFICEHOLDER (�I�' �+ MAILING `D V� �GYZ1'Y� � � 1 �d�jJ ��C1Ga�r'1rRJ`s �?'i�� ADDRESS ; u � (Q p 2j(J. CO��P•v�J�lla- � � � Change ot Address �•y � pm _�,,n, � 6 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION Date Hand�delivered or Date Postmarked PHONEHOLDER � n'� � c� 5� _ �3� O d• Receipt # Amount S g CAMPAIGN MS/MRS/MR FI ST MI TREASURER C� l O� . NAME................................................................................. Date Processed NICKNAME LAST SUFFIX �1 � 1 Date Imagetl ' _;v y 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; 21P CODE TREASURER ��--I Cr'C�`LVI�CI.i LVl - ADDRESS (� 2 (Residence or Business) Cb �(�, �. � � � lQ U ,7 �'�' 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE / � I� � G� � � � � (o q v l l 9 REPORT TYPE ❑ �anuary 15 ,� 30th day before election � Runoff � 15th day after campaign lreasurer appointment (ONiceholder Only) � July 15 � 8ih day before election � Exceeded MotlRietl � Final Report (Attach c10H -FR) Reporting Limit 10 PERIOD Month Day Vear Month Day Vear COVERED � / �� / ^ � . , I // I / n� pL THROUGH H pD 11 ELECTION ELECTION DATE ELECTION TVPE Month Day Vear ❑ Primery � Runoff � Other .�y Descriptian 5� � � `� � DCI Oeneral � 8peclal -�, o. ,F-. 92 OFFICE OPFICE HELD ('rf any) 13 OF�j ICE SOUGHT (if known) U CoUnc�� G-Ce. 5 14 NOTICE FROM 1'MI& BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONB ACCEPTEO OR POLIIICAL E%PENDITURE9 MA�E BY POLITICHL COMMITTEE& TO 9UPPORT POLITICAL THE CANDIDATE / OFFICEHOLDER THESE EXPENDI7URES MAY HAVE 6EEN MADE W1iH0UT iNE CANOIDRTE'S OR OFFICEHOLOER'S NNOWLEDGE OR CONSENT. CANOIDATE6 ANDOFFICEHOL�ERS ARE REOUIRED Tp REPORT TNIS INFORMATION ONLV IF THEY RECEIVE NOTCE OF SUCH E%PENDITURES. COMMITTEE(S) COMMITTEE ?YPE COMMITTEE NAME �GENERAL COMMITTEEADDRESS � Additional Pages �SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME COMMITTEE CAMPAIGN TREASURER ADDRESS GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2024 CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT 16 C/OH NAME 17 CONTRIBUTION TOTALS .................. EXPENDITURE TOTALS .................. CONTRIBUTION BALANCE .................. OUTSTANDING LOAN TOTAIS 2. 3. 4. 5. 6. TOTAL UNITEMI2ED POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR CONTRIBUTIONS MADE ELECTRONICALLY) TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR OUARANTEES OF LOANS) TOTAL UNITEMIZED POLITICAL EXPENDITURE. TOTAL POLITICAL EXPENDITURES FORM C/OH COVER SHEET PG 2 76 Filer ID (Elhics Commission filers) $ � $ (� TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF REPORTING PERIOD TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY OF THE REPORTING PERIOD $ �� $ � � � $ � 18 SIGNATURE 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 under Title 15, Election Code. Signature of Candidate or Officeholder Please complete either option below: ;�'ns�y,; CHWSTINE LOVEN (1)Affidavit =.: K: tilyNoferylD#11082587 ��',:ra„\'.R,�' ExpYesMaY2,2026 NOTARY STAMP/SEAL Swom to and subscribed before me by RIYY1 �P1� IJ fiC)�'f"GL(.�'1c�C�� this the � 5� day of ��, 20 Ol � ., to certiiywhich vi ess my hand and seal of oifice. , Signa[ure of of(icer administering oath Printed name of officer administering oaih Title of officer administering oath (2) Unsworn Declaration • My name is , and my date of birth is My address is , , , , (street) (city) (state) (zip code) (country) Executed in County, State of , on the day of , 20_ (month) (year) Signature of Candidate/Officeholder (Dedarant) FormsprovidedbyTexasEthicsCommission wuvw.ethics.state.tx.us Revised