S/1 / / J CANDIDATE / O F F I C E H O L D E R CAMPAIGN FINANCE R E P O R T FORM C/OH COVER SHEET PG 1 GO TO PAGE 2

Size: px
Start display at page:

Download "S/1 / / J CANDIDATE / O F F I C E H O L D E R CAMPAIGN FINANCE R E P O R T FORM C/OH COVER SHEET PG 1 GO TO PAGE 2"

Transcription

1 CANDDATE / O F F C E H O L D E R CAMPAGN FNANCE R E P O R T FORM C/OH COVER SHEET PG 1 The C/OH nstructon Gude explans how to complete ths form. 1 Fler D (Ethcs Commsson Flers) 2 Total pages fled: 5" 3 CANDDATE/ FCEHOLDER NAME FLRST Date Receved RCE USE ONLY 4 CANDDATE/ FCEHOLDER MALNG ADDRESS ADDRESS / PO BOX; APT / SUTE #; CTY; STATE; ZP CODE Change of Address 5 CANDDATE/ FCEHOLDER PHONE AREA CODE PHONE NUMBER Date Hand-delvered or Date Postmarked 6 CAMPAGN NAME MS / MRS / MR NCKNAME FRST LAST S. Ml ReoelDtW Amount $ Date Processed Date maged 7 CAMPAGN ADDRESS STREET ADDRESS (NO PO BOX PLEASE); APT / SUTE #; GTY; STATE; (Resdence or Busness) 8 CAMPAGN PHONE AREA GODE PHONE NUMBER 9 REPORT TYPE January 15 30th day before electon Runoff July 15 Q sth day before electon Exceeded$500lmt 15th day after campagn ' ' treasurer appontment (Offceholder Only) Fnal Report (Attach G/OH - FR) 10 PEROD COVERED THROUGH 11 ELECTON ELECTON DATE S/1 / / J Prmary [^'"General ELECTON TYPE Runoff O Other Descrpton Specal 12 FCE FCE HELD (f any) 13 FCE SOUGHT (f known) GO TO PAGE 2

2 Texas Ethcs Commsson P.O. Box Austn, Texas (512) (TDD ) CANDDATE / O F F C E H O L D E R S U P P O R T & TOTALS REPORT: FORM C/OH COVER SHEET PG 2 14 C/OH NAME 16 ACCOUNT* (Ethcs Commsson Flers) 16 NOTCE FROM POLTCAL COMMTTEE(S) THS BOX S FOR NOTCE POUTCAL CONTRBUTONS ACCEPTED OR POLTCAL EXPENDTURES VADE BY POLTCAL COMMTTEES TO SUPPORT THE CANDDATE / FCEHOLDER. THESE EXPENDTURES MAY HAVE BEEN MADE WTHOUTTHE CANDDATE'S OR FCEHOLDER'S KNOWLEDGE OR CONSENT. CANDDATES AND FCEHOLDERS ARE REQURED TO REPORT THS NFORMATON ONLY F THEY RECEVE NOTCE SUCH EXPENDTURES. COMMTTEE TYPE COMMTTEE NAME GENERAL COMMTTEE ADDRESS SPECFC COMMTTEE CAMPAGN NAME addtonal pages COMMTTEE CAMPAGN ADDRESS 17 CONTRBUTON TOTALS TOTAL POLTCAL CONTRBUTONS $50 OR LESS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES LOANS), UNLESS TEMZED TOTAL POLTCAL CONTRBUTONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES LOANS) EXPENDTURE TOTALS TOTAL POLTCAL EXPENDTURES $100 OR LESS, UNLESS TEMZED 4. TOTAL POLTCAL EXPENDTURES CONTRBUTON BALANCE OUTSTANDNG LOAN TOTALS TOTAL POLTCAL CONTRBUTONS MANTANED AS THE LAST DAY REPORTNG PEROD TOTAL PRNCPAL AMOUNT ALL OUTSTANDNG LOANS AS THE LAST DAY THE REPORTNG PEROD ^ 30f $ 5/ s^o 18 AFFDAVT swear, or affrm, under penalty of perjury, that the accompanyng report /^%JOm DAVE WARREN l^'vp'*! MY COMMSSON EXPRES JULY 21, 2018 s true and correct and ncludes all nformaton reqjr^to be reported by me under Ttle 15, Electon Code. ^ ^ - ^ / Sgnature of Canddate or Offceholder AFFX NOTARY STAMP / SEALABOVE Sworn to and subscrbed before me, by tte ' day of \ACn U 20 sad tts the to certfy wtch, wtness my hand and seal of offce. Sg nature of offcer admnsterng oath Prnted name of offcer admnsterng oath Ttle of offcer admnsterng oath Revsed 07/28/2014

3 SUBTOTALS - COH FORM c/oh COVER SHEET PG 3 19 FLER NAME J J 20 Fler D (Ethcs Commsson Flers) 21 SCHEDULE SUBTOTALS NAME SCHEDULE SUBTOTAL AMOUNT 1- Q SCHEDULEA1: MONETARY POLTCAL CONTRBUTONS $ 2. Q SCHEDULE A2: NON-MONETARY (N-KND) POLTCAL CONTRBUTONS $ 3. Q SCHEDULE B: PLEDGED CONTRBUTONS $ 4. ~/^ SCHEDULE E: LOANS $ 5- [y]'' SCHEDULE F1: POLTCAL EXPENDTURES FROM POLTCAL CONTRBUTONS $ 6. SCHEDULE F2; UNPAD NCURRED OBLGATONS $ 7. Q SCHEDULE F3: PURCHASE NVESTMENTS FROM POLTCAL CONTRBUTONS $ - Q SCHEDULE G: POUTCAL EXPENDTURES FROM PERSONAL FUNDS $ 9- SCHEDULEH: PAYMENT FROM POLTCAL CONTRBUTONS TO A BUSNESS C/OH $ 10. SCHEDULE!: NON-POLTCAL EXPENDTURES MADE FROM POLTCAL CONTRBUTONS $ ^ f 1 1 SCHEDULE K: NTEREST, CREDTS, GANS, REFUNDS, AND CONTRBUTONS 1 RETURNEDTO FLER $

4 LOANS SCHEDULE E The nstructon Gude explans how to complete ths form. 1 Total pages S^edule E: 3 Fler D (Ethcs Commsson Flers) 4 TOTAL UNTEMZED LOANS $ 5 Date of loan 7 Name of lender D out-of-state PAC (D#: ) 9 Loan Amount ($) 6 s lender a fnancal nsttuton? Y 0 8 Lender address; Cty; State; Zp Code 10 nterest r a t ^ ^ ^ 11 Maturty date 12 Prncpal occupaton / Job ttle (See nstructons) 13 Employer (See nstructons). 14 Descrpton of Collateral 1 1 none 16 GUARANTOR NFORMATON 17 Name of guarantor 15 Check f personal funds were deposted nto poltcal account (See nstructons) 4g.aJ} J^/- OS fa 19 Amount Guaranteed ($) 18 Guarantor address; Cty; State; Zp Code 1 1 not applcable 20 Prncpal Occupaton (See nstructons) 21 Employer (See nstructons) Date of loan Nameof lender H out-of-state PAC (D#: ) Loan Amount ($) s lender a fnancal nsttuton? Y N Lender address; Cty; State; Zp Code nterest rate Maturty date Prncpal occupaton / Job ttle (See nstructons) Employer (See nstructons) Descrpton of Collateral 1 1 none GUARANTOR NFORMATON Name of guarantor Check f personal funds were deposted nto poltcal account (See nstructons) Amount Guaranteed ($) Guarantor address; Cty; State; Zp Code 1 1 not applcable Prncpal Occupaton (See nstructons) Employer (See nstructons) ATTACH ADDTONAL COPES THS SCHEDULE AS NEEDED f lender s out-of-state PAC, please see nstructon gude for addtonal reportng requrements.

5 POLTCAL EXPENDTURES FROM POLTCAL CONTRBUTONS SCHEDULE F1 EXPENDTURE CATEGORES FOR BOX 8(a) Advertsng Expense Event Expense Loan Repayment/Rembursement Solctaton/Fundrasng Expense Accountng/Bankng Fees Offce Ovettead/Rental Expense Transportaton Equpment & Reated Expense Consultng Expense Food/Beverage Expense Pollng Expense Travel n Dstrot Contrbutons/Donatons Made By Gft/Awards/Memo rals Expense Prntng Expense Travel Out Of Dstrct Canddate/Offceholder/Poltcal Commttee Legal Servces SalarlesA/Vages/Contract Labor Otfer (enter a category not lsted above) The nstructon Gude explans how to complete ths form. 1 Total pages Schedule F1: 1 2 FLER NAME f f l X 3 Fler D (Ethcs Commsson Flers) 4 Date ^ 5 Payee name <» 6 Amount ($) 7 Payee address; Cty; State; Zp Code. j 8 (a) Category (See categores lsted at the top of ths schedule) (b) Descrpton EXPENDTURE 1 Check f travel outsde of Texas, complete Schedule T 1 Check f Austn, TX, offceholder lvng expense 9 Complete ONLY f drect Canddate / Offceholder name Offce sought Offce held expendture to beneft C/OH Date Payee name Amount ($) Payee address; Cty; State; Zp Code ll SO Category (See categores lsted at the top of ths schedule) Descrpton EXPENDTURE 1 Check f trave! outsde of Texas, compete Schedule T Check f Austn, TX, offceholder lvng expense 1 / ^ Complete ONLY f drect Canddate / Offceholder name Offce sought Offce held expendture to beneft C/OH Date Payee name Amount ($) Payee address; Cty; State; Zp Code Category {See categores lsted at the top of ths schedule) Descrpton EXPENDTURE 1 Check f travel outsde of Texas, complete Schedule T ' 1 Check f Austn, TX, offceholder lvng expense Complete ONLY f drect Canddate / Offceholder name Offce sought Offce held expendture to beneft C/OH ATTACH ADDTONAL COPES THS SCHEDULE AS NEEDED

CAMPAIGN FINANCE REPORT COVER SHEET PG 1

CAMPAIGN FINANCE REPORT COVER SHEET PG 1 Texas Ethcs Commsson RO. Box 12070 Austn, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989 CANDDATE FCEHOLDER FORM COH CAMPAGN FNANCE REPORT COVER SHEET PG 1 The COH nstructon Gude explans how to complete

More information

CAMPAIGN FINANCE REPORT COVER SHEET PG 1

CAMPAIGN FINANCE REPORT COVER SHEET PG 1 CANDDATE / FCEHOLDER FORM C/ OH CAMPAGN FNANCE REPORT COVER SHEET PG 1 The C/ OH nstruction Guide explains how to complete this form. 1 Filer D ( Ethics Commission Filers) 2 Total pages filed: 7-3 CANDDATE/

More information

ADDRESS IPOBOX; APT/SUITE#'; CITY; STATE; ZIP CODE APT / SUITE #; ckÿej- before election [] Exceeded $500 [] limit THROUGH. i LECTION TYPE ] Prirnary

ADDRESS IPOBOX; APT/SUITE#'; CITY; STATE; ZIP CODE APT / SUITE #; ckÿej- before election [] Exceeded $500 [] limit THROUGH. i LECTION TYPE ] Prirnary ,lÿm Texas Ethcs Commsson P.O. Box" 207O Austn, Texas 78711-2070 CANDDATE FCEHO.DER CAMPAGN FNAN( ;E RE ORT (512) 463-5800 (-DD 1-800-735-2989' FORM COH COVER SHEET PG '1 1 ACCOUNT # (Ethcs Commsson Flers),,,,4

More information

PHONEURER CIMP

PHONEURER CIMP T M e Texas Ethcs Commsson Pt3ox 12070 Austn Texas 78711 207L 512 463 5800 1800 325 8506 CANDDATE OFFCEHOLDER FORM COH CAMPAGN FNANCE REPORT COVER SHEET PG 1 The COH nstructon Gude explans how to complete

More information

1 Filer ID ( Ethics Commission Filers) 2 Total pages filed: Ccr //` /7574 Office of. TN f CE. C Date Processed. Lame.

1 Filer ID ( Ethics Commission Filers) 2 Total pages filed: Ccr //` /7574 Office of. TN f CE. C Date Processed. Lame. CANDDATE/ OFFCEHOLDER FORM C/OH CAMPAGN FNANCE REPORT COVER SHEET PG The C/OH nstruction Guide explains how to complete this form. Filer D ( Ethics Commission Filers) 2 Total pages filed: 6 3 CANDDATE/

More information

u. NICKNAME LAST SUFFIX

u. NICKNAME LAST SUFFIX '' Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) CANDDATE FCEHOLDER FORM C/OH CAMPAGN FNANCE REPORT CovER SHEET PG 1 The C/OH nstruction Guide explains

More information

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. Date Received NICKNAME LAST SUFFIX r--:! (T,..all ~ 'r_i"';t TX - (J. N :t: ADDRESS.

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. Date Received NICKNAME LAST SUFFIX r--:! (T,..all ~ 'r_i';t TX - (J. N :t: ADDRESS. CANDDATE / OFFCEHOLDER FORM C/OH CAMPAGN FNANCE REPORT COVER SHEET PG 1 1 Filer D (Ethics Commission Filers) 2 Total pages filed: The e/oh nstruction Guide explains how to complete this form. - 3 CANDDATE/

More information

IWS/MRS/MR. PHONE NUIUIBER Date Processed STREETADDRESS (NO PO BOX PLEASE) APT/SUITE#; CITY; STATE; ELECTION TYPE

IWS/MRS/MR. PHONE NUIUIBER Date Processed STREETADDRESS (NO PO BOX PLEASE) APT/SUITE#; CITY; STATE; ELECTION TYPE Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) C A N D D A T E / O F F C E H O L D E R C A M P A G N F N A N C E R E P O R T FORM C/OH COVER SHEET PG

More information

,., :::v. = :;:::f " February 24, Ms. Pamela Flow Tarrant County Election Office 2700 Premier Street Fort Worth, Texas 76111

,., :::v. = :;:::f  February 24, Ms. Pamela Flow Tarrant County Election Office 2700 Premier Street Fort Worth, Texas 76111 February 24, 214 Ms Pamela Flow Tarrant County Electon Offce 27 Premer Street Fort Worth, Texas 76111 Re: Campagn Fnance Report for 8 day report Canddate for Justce of the Peace, Precnct 7 Dear Ms Flow:

More information

Texas Ethics Commission P.O. Box Austin, Texas (512) (TOO ) FORMC/OH FINANCE REPORT CovER SHEET PG 1

Texas Ethics Commission P.O. Box Austin, Texas (512) (TOO ) FORMC/OH FINANCE REPORT CovER SHEET PG 1 ' {-~,, CAMPAGN TREASURER Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TOO 1-800-735-2989) CANDDATE FCEHOLDER FORMC/OH FNANCE REPORT CovER SHEET PG 1 1 ACCOUNT# 2 Total

More information

11 Date Recei dzccivcd 44 C7. eno a 1. 7t0Z. July 15 8th day before election Exceeded Final report Attach COH FR limit I I

11 Date Recei dzccivcd 44 C7. eno a 1. 7t0Z. July 15 8th day before election Exceeded Final report Attach COH FR limit I I Texas Ethcs Commsson PO Box 2070 Austn Texas 7872070 52 463 5800 TDD 800 7352989 CANDDATE FCEHOLDER FORM COH CAMPAGN FNANCE REPORT COVER SHEET PG The COH nstructon Gude explans how to complete ths form

More information

6 OFFICE USE ONLY. /It!{YJ /I 76'90/ W;/1Jt{ /l! SA/Y/J#~O.71. /!/ic./(y. S~ c/2 /d1/02c9/1

6 OFFICE USE ONLY. /It!{YJ /I 76'90/ W;/1Jt{ /l! SA/Y/J#~O.71. /!/ic./(y. S~ c/2 /d1/02c9/1 lexl:s t:ulcs \Jommlsslon t"'u. COX,",UU 1'\Usun, lexl:ls 11 -,",UU l:> '"'J ",)-:> UU 1--1 '):>-,",':O'l:lJ CANDDATE FCEHOLDER FORMC/OH CAMPAGN FNANCE REPORT COVER SHEET PG 1 The etoh nstruction Guide

More information

S Q S feecd. 79 Data Processed

S Q S feecd. 79 Data Processed V Texas Ethcs Commsson PO Box 2070 Austn Texas 787 2070 52 463 5800 800 325 8506 CANDDATE FCEHOLDER FORMCOH CAMPAGN FNANCE REPORT COVER SHEET PG The COH nstucton Gude explans how to complete ths fom ACCOUNT

More information

1 Filer ID (Ethics Commission Filers) 2 Total pages filed: co.-- r-..;). CarE?Y... Date Recii~d ~c :: - NICKNAME LAST SUFFIX.

1 Filer ID (Ethics Commission Filers) 2 Total pages filed: co.-- r-..;). CarE?Y... Date Recii~d ~c :: - NICKNAME LAST SUFFIX. JUCAL CANATE OFFCEHOLER FORM JC/OH CAMPAGN FNANCE REPORT COVER SHEET PG 1 The JC/OH nstruction Guide explains ho to complete this form. 1 Filer (Ethics Commission Filers) 2 Total pages filed: 3 CANATE/

More information

1. / j_/2.01.~ ii/ i..t /2. 0.1} 1. D January 15. D 3oth day before election D Runoff D. DPrimarv DRt.nolf ~ D Special

1. / j_/2.01.~ ii/ i..t /2. 0.1} 1. D January 15. D 3oth day before election D Runoff D. DPrimarv DRt.nolf ~ D Special Texas Ethics Commission PO Box 12070 Austin, Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989) CANDDATE CAMPAGN FNANCE REPORT CovER SHEET PG 1 FORM C/OH The C/OH nstruction Guide explains how to complete

More information

I Amount. D January 15 ~ 30th day before election D Runoff D D July 15 D Bth day before election D Exceeded $500 D

I Amount. D January 15 ~ 30th day before election D Runoff D D July 15 D Bth day before election D Exceeded $500 D Texas Ethics Commission PO Box 12070 Austin, Texas 78711-2070 (512} 463-5800 (TDD 1-800-735-2989) CANDDATE OFFCEHOLDER 04-09-14 P02:37 N FORM C/OH CAMPAGN FNANCE REPORT CovER SHEET PG 1 The C/OH nstruction

More information

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Commission Filers) 2 Total pages f~~:

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Commission Filers) 2 Total pages f~~: CANDDATE / FCEHOLDER FORM C/OH CAMPAGN FNANCE REPORT COVER SHEET PG 1 The e/oh nstruction Guide explains how 10 complete this form. J~.'! r:.~l.. 1 Filer D (Ethics Commission Filers) 2 Total pages f~~:

More information

Receipt Fmountb TREASURER Mrs. Betty. 9 REPORT TYPE January 15 30th day before election Runoff 15th day after campaign treasurer appointment THROUGH

Receipt Fmountb TREASURER Mrs. Betty. 9 REPORT TYPE January 15 30th day before election Runoff 15th day after campaign treasurer appointment THROUGH CANDDATE / FCEHOLDER FORM C/ OH CAMPAGN FNANCE REPORT COVER SHEET FSG 1 The GOH nstructon Gude explans how to complete ths form. 1 Fler D( Ethcs Commsson Flers) 2 Total wages fled_ 17 3 CANDDATE/ MS/ MRS

More information

State of Georgia Campaign Contribution Disclosure Report

State of Georgia Campaign Contribution Disclosure Report 1. Report Type (Select One) jl Orgnal Report O Amended Report Amendment #. Flng s beng made on behalf of (Select One): [^Canddate or Publc Offcal.. A J s*>,,, /) jj Offce Sought or Held: ''^ W^^*/ /JfaZA^f

More information

D Runoff D. D General. D Primary. O Change of Address CANDIDATE I OFFICEHOLDER CAMPAIGN FINANCE REPORT. ~ January 15 D. CovER SHEET PG 1 GOTOPAGE2

D Runoff D. D General. D Primary. O Change of Address CANDIDATE I OFFICEHOLDER CAMPAIGN FINANCE REPORT. ~ January 15 D. CovER SHEET PG 1 GOTOPAGE2 Texas Ethcs Commsson P.O. Box 12070 Austn Texas 78711-2070 T 1-800-735-2989 CANATE FCEHOLER CAMPAGN FNANCE REPORT FORM C/OH CovER SHEET PG 1 The C/OH NSTRUCTON GuE explans how to complete ths form. 3 CANA

More information

r - 4 CANDIDATE/ ADDRESS I PO BOX; APT I SUITE#; CITY; ZIP CODE Date '~nd deliv~&d ~r Date~mark~_.,: OFFICEHOLDER ~- ~ - :::z.

r - 4 CANDIDATE/ ADDRESS I PO BOX; APT I SUITE#; CITY; ZIP CODE Date '~nd deliv~&d ~r Date~mark~_.,: OFFICEHOLDER ~- ~ - :::z. CANATE FCEHOLER CAMPAGN FNANCE REPORT COVER SHEET PG 1 FORM C/OH The C/OH nstruction Guide explains how to complete this form. 1 Filer 2 Total pages filed: 7 3 CANATE/ MS/MRS/MR FRST Ml FCE USE ONLY FCEHOLER

More information

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. MG-~UvL.- ~ 3.'d'i"fll4.. rn THROUGH

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. MG-~UvL.- ~ 3.'d'ifll4.. rn THROUGH Texas Ethics Commission PO Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506 CANDDATE FCEHOLDER FORM C/OH CAMPAGN FNANCE REPORT COVER SHEET PG 1 1 ACCOUNT # 2 Total pages filed: The C/OH

More information

FORMC/OH CAMPAIGN FINANCE REPORT CovER SHEET PG 1. Maca rio. Date Received :,;; : z!;--q NICKNAME LAST SUFFIX ;r-.,_. r':: -- -:.

FORMC/OH CAMPAIGN FINANCE REPORT CovER SHEET PG 1. Maca rio. Date Received :,;; : z!;--q NICKNAME LAST SUFFIX ;r-.,_. r':: -- -:. Texas Ethics Commission PO Box127 Austin Texas 78711-27 (512) 463-58 (TDD 1-8-735-2989) CANDDATE OFFCEHOLDER FORMC/OH CAMPAGN FNANCE REPORT CovER SHEET PG 1 The C/OH nstruction Guide explains how to complete

More information

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Flier ID (Elhlcs Commission Filers) 2 Total pages filed:

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Flier ID (Elhlcs Commission Filers) 2 Total pages filed: CANDDATE/ FCEHOLDER FORM C/OH CAMPAGN FNANCE REPORT COVER SHEET PG 1 The C/OH nstruction Guide explains how to complete this form. 1 Flier D (Elhlcs Commission Filers) 2 Total pages filed: 3 CANDDATE/

More information

FORM C/OH CAMPAIGN FINANCE REPORT CovER SHEET PG 1. i~~-~ ;..,. 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION f :... NICKNAME LAST SUFFIX.

FORM C/OH CAMPAIGN FINANCE REPORT CovER SHEET PG 1. i~~-~ ;..,. 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION f :... NICKNAME LAST SUFFIX. .. Texas Ethics Commission P.O. Box 12070 Austin, Texas 787112070 (512)4635800 (TOO 18007352989) CANDDATE FCEHOLDER FORM C/OH CAMPAGN FNANCE REPORT CovER SHEET PG 1 The C/OH nstruction Guide explains how

More information

NtciNAMe LAST SUFFIX CITY; STATE; ZIP CODE APT I SUITE#; D Runoff. 8th day before e.lection. limit THROUGH ELECTION TYPE. o Primary.

NtciNAMe LAST SUFFIX CITY; STATE; ZIP CODE APT I SUITE#; D Runoff. 8th day before e.lection. limit THROUGH ELECTION TYPE. o Primary. Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 CAN.ATE FCEHOLER CAMPAGN FNANCE REPORT FORMC/OH CoVER SHel:T PG 1 The C/OH nstruction Guide explains how to complete this form.

More information

1 Filer ID (Ethics Commission Filers) 2 Tota1es filed: VIA) 5q_. -rxl 9-S-DS-/

1 Filer ID (Ethics Commission Filers) 2 Tota1es filed: VIA) 5q_. -rxl 9-S-DS-/ CANATE/ FCEHOLER FORM C/OH CAMPAGN FNANCE REPORT COVER SHEET PG 1 The C/OH nstruction Guide explains how to complete this form. _;VV(' ccu: 1 A 1 Filer (Ethics Commission Filers) 2 Tota1es filed: 3 CANATE/

More information

8 3 CANDIDATE I MS/M~~

8 3 CANDIDATE I MS/M~~ Texas Ethics Commission P.O. Box 12070 Austin, Texas 787112070 (512) 4635800 (TOO 18007352989) JUDCAL CANDDATE FCEHOLDER CAMPAGN FNANCE REPORTM/~8' ) FORM JC/OH CovER SHEET PG 1 1 ACCOUNT# 2 Total pages

More information

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: OFRCE US~NLY OFFICEHOLDER

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: OFRCE US~NLY OFFICEHOLDER CANATE FCEHOLER FORM C/OH CAMPAGN FNANCE REPORT COVER SHEET PG 1 The C/OH nstruction Guide explains how to complete this form. 1 Filer (Ethics Commission Filers) 2 Total pages filed:. M? :. ~?'VtJ~. L.

More information

JUDICIAL CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT

JUDICIAL CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) JUDICIAL CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM JC/OH COVER SHEET PG 1 The JC/OH Instruction

More information

COUNTY EXECUTIVE COMMITTEE CAMPAIGN FINANCE REPORT

COUNTY EXECUTIVE COMMITTEE CAMPAIGN FINANCE REPORT COUNTY EXECUTIVE COMMITTEE CAMPAIGN FINANCE REPORT FORM CEC COVER SHEET PG 1 The CEC Instruction Guide explains how to complete this form. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: 3 COMMITTEE

More information

Texas Ethics Commission P.O. Box Austin, Texas (512) (TDD )

Texas Ethics Commission P.O. Box Austin, Texas (512) (TDD ) MONTHLY FILING COUNTY EXECUTIVE COMMITTEE CAMPAIGN FINANCE REPORT FORM MCEC COVER SHEET PG 1 The MCEC Instruction Guide explains how to complete this form. 1 ACCOUNT # (Ethics Commission Filers) 2 Total

More information

fl\v 111ft LA cp~ 1>JL ~ ~ ~948 f / 3ll /~t<f- Nrt-. J vs..,..,t-l (J;;E 5 /to /'J,.-r>J4 T~ercs~ fl~_( 4/ I /~J+ q11cf Aeo~ {'Pk'L-J;t.

fl\v 111ft LA cp~ 1>JL ~ ~ ~948 f / 3ll /~t<f- Nrt-. J vs..,..,t-l (J;;E 5 /to /'J,.-r>J4 T~ercs~ fl~_( 4/ I /~J+ q11cf Aeo~ {'Pk'L-J;t. 05-02-14 A08:38 N Texas Ethics Commission PO Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) CANDDATE FCEHOLDER FORM C/OH CAMPAGN FNANCE REPORT CovER SHEET PG 1 The C/OH nstruction

More information

LL 7X 38. X 1 7 Date Processed. am aware of the Nepotism Law Chapter 573 of the Texas Government Code

LL 7X 38. X 1 7 Date Processed. am aware of the Nepotism Law Chapter 573 of the Texas Government Code Texas Ethics Commission PO Box 2070 Austin Texas 787 2070 2 463800 TDD 800732989 APPONTMENT A CAMPAGN FORM CTA BY A CANDDATE PG See CTA nstuction Guide fo detailed instuctions Total pages filed 2 CANDDATE

More information

1 Filer ID 2 Total pages filed: NAME DateRe~ed :!'--.:> f:-:-j -. -"-

1 Filer ID 2 Total pages filed: NAME DateRe~ed :!'--.:> f:-:-j -. -- .. CANATE FCEHOLER CAMPAGN FNANCE REPORT COVER SHEET PG 1 FORM C/OH The C/OH nstruction Guide explains how to complete this form. 1 Filer 2 Total pages filed: 11 3 CANATE MS/MRS/MR FRST Ml FCE USE ONLY

More information

p Gr gi 3 12 J pffice USEONLY OFFICEHOLDER CAMPAIGN FINANCE REPORT CANDIDATE COVER SHEET PG I FiR 71j JiL IR r Ort g0 S3Z 311I Z 2S I

p Gr gi 3 12 J pffice USEONLY OFFICEHOLDER CAMPAIGN FINANCE REPORT CANDIDATE COVER SHEET PG I FiR 71j JiL IR r Ort g0 S3Z 311I Z 2S I Texas Ethcs Commsson PO Box 2070 Austn Texas 787 2070 52 463 5800 TDD 800 735 2989 CANDDATE CAMPAGN FNANCE REPORT FORMCOH COVER SHEET PG The COH lnstructon Gude explafns how to complete ths form ACCOUNT

More information

Siegel. w MAILING. : ;; - "" ::1;: 0 change of address. OFFICEHOLDER Dateitocessed:::.J W PHONE! Siegel. limit THROUGH ELECTION TYPE

Siegel. w MAILING. : ;; -  ::1;: 0 change of address. OFFICEHOLDER Dateitocessed:::.J W PHONE! Siegel. limit THROUGH ELECTION TYPE Texas Ethics Commission P.O. Box 12070 Austin, Texas 787112070 (512) 4635800 (T 18007352989) CAATE FCEHOLER CAMPAG FACE REPORT FORM C/OH COVER SHEET PG 1 The C/OH nstruction Guide explains how to complete

More information

STATE / COUNTY CHAIR SPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT

STATE / COUNTY CHAIR SPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT STATE / COUNTY CHAIR SPECIFIC- COMMITTEE CAMPAIGN FINANCE REPORT FORM SC SPAC COVER SHEET PG 1 The SC SPAC Instruction Guide explains how to complete this form. 1 Filer ID (Ethics Commission Filers) 2

More information

Texas Ethics Commission PO Box Austin, Texas ) ( TDD )

Texas Ethics Commission PO Box Austin, Texas ) ( TDD ) Texas Ethics Commission PO Box 12070 Austin, Texas 78711-2070 512) 463-5800 ( TDD 1-800- 735-2989) CANDDATE / FCEHOLDER CAMPAGN FNANCE REPORT FORM C/ OH COVER SHEET PG ' The CfOH nstruction Guide explains

More information

o Check here if address has changed (3) ID Number:

o Check here if address has changed (3) ID Number: CAMPAGN TREASURER'S REPORT SUMMARY (1) MGUEL ANGEL GABELA OFFCE USE ~Y Name () 1701 NW SOUTH RVER DR Address (number and street) MAM FL 3315 Cty, State, Zp Code (, ::::'1.,,' :0 rn ':) o Check here f address

More information

CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT

CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 2 Total pages filed: 9 3 CANDIDATE / MS / MRS / MR FIRST MI

More information

1 Flier ID (Ethics Commission Fliers) ' 2 Tora/ pages filed: FIRST I,j. ;. ncrj_r~ 1 : \. ,. \. I CITY; i > ~ G :S L.\~ PHONE NUMBER FIRST

1 Flier ID (Ethics Commission Fliers) ' 2 Tora/ pages filed: FIRST I,j. ;. ncrj_r~ 1 : \. ,. \. I CITY; i > ~ G :S L.\~ PHONE NUMBER FIRST CANATE FCEHOLER CAMPAGN FNANCE REPORT COVER SHEET PG 1 The C/OH nstruction Gulde explains how to complete this form. 1 Flier (Ethics Commission Fliers) ' 2 Tora/ pages filed: 3 CANATE FCEHOLER NAME 4 CANATE

More information

POLITICAL PARTY REPORT REGARDING FUNDS FROM CORPORATIONS AND LABOR ORGANIZATIONS

POLITICAL PARTY REPORT REGARDING FUNDS FROM CORPORATIONS AND LABOR ORGANIZATIONS POLITICAL PARTY REPORT REGARDING FUNDS FROM CORPORATIONS AND LABOR ORGANIZATIONS FORM PTY-CORP COVER SHEET PG 1 Form PTY-CORP Instruction Guide explains how to complete this form. 1 Filer ID (Ethics 2

More information

1 Filer ID ( Ethics Commission Filers) 2 Total pages filed: 3 CANDIDATE/ MS/ MRS MR FIRST MI OFFICE USE ONLY OFFICEHOLDER 7 S.

1 Filer ID ( Ethics Commission Filers) 2 Total pages filed: 3 CANDIDATE/ MS/ MRS MR FIRST MI OFFICE USE ONLY OFFICEHOLDER 7 S. CANDIDATE / FICEHOLDER FORM C/ OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 Filer ID ( Ethics Commission Filers) 2 Total pages filed: 3 CANDIDATE/

More information

D January 15 30th day before election Runoff N/A. D Change of Address CAMPAIGN FINANCE REPORT COVER SHEET PG 1. Teresita. Terri. McGraw.

D January 15 30th day before election Runoff N/A. D Change of Address CAMPAIGN FINANCE REPORT COVER SHEET PG 1. Teresita. Terri. McGraw. CANDIDATE/ FICEHOLDER CAMPAIGN FINANCE REPORT COVER SHEET PG 1 FORM C/OH The C/OH Instruction Guide explains how to complete this form. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: 3 CANDIDATE/

More information

Financial Statement Auditor s Report

Financial Statement Auditor s Report Coo r r"', nstructons Mnstry of Muncpal Affars Ontaro and Housng All canddates must complete Boxes A, B, C, D, E and F and Schedule Fnancal Statement Audtor s Report Form 4 Muncpal Electons Act, 1996(

More information

Texas Ethics Commission P.O. Box Austin, Texas (512) (TDD ) Kevin. Felder.

Texas Ethics Commission P.O. Box Austin, Texas (512) (TDD ) Kevin. Felder. Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) FORM COR-C/OH CORRECTION/AMENDMENT AFFIDAVIT FOR CANDIDATE/ 1. ACCOUNT # 2. Total pages filed: 3 OFFICE

More information

This tax document is provided courtesy of efile.com. Visit our homepage:

This tax document is provided courtesy of efile.com. Visit our homepage: Ths tax document s provded courtesy of efle.com. Vst our homepage: http://www.efle.com Dscover the benefts of eflng: http://www.efle.com/efle-tax-return-drect-depost-statstcs/ Learn more about ncome taxes

More information

Date Hand:d<iJivered or P~arked' - - :.~ b ->-y1 ~ ~ N----~R~~#~. -~.-~~- 5 CANDIDATE/ AREA CODE PHONE NUMBER OFFICEHOLDER PHONE

Date Hand:d<iJivered or P~arked' - - :.~ b ->-y1 ~ ~ N----~R~~#~. -~.-~~- 5 CANDIDATE/ AREA CODE PHONE NUMBER OFFICEHOLDER PHONE Texas Ethics Commission PO Box 12070 Austin Texas 787112070 (512) 4635800 (T 18007352989) JUCAL CANATE FCEHOLER CAMPAGN FNANCE REPORT FORMJC/OH CovER SHEET PG 1 The JC/OH nstruction Guide explains how

More information

o Amendment (Explain below)

o Amendment (Explain below) Recipient Committee Campaign Statement Cover Page (Govemment Code Sections 84200-84216.5) Type or print in ink. Statement covers period of election if applicable: (Month, Day, Year) Stamp COVER PAGE CALFORNA

More information

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed:

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: CANDIDATE I FICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: 3 CANDIDATE!

More information

\ e, \"Ir-. Yo. Beix \059 (C\54) \<--c::, 'c ev---\-o. TX 71go41- Oj /30/2.o\ (o. Do.\\; L=wed..o G1ry G:ioV\c..J, l\2.-l\tt0q

\ e, \Ir-. Yo. Beix \059 (C\54) \<--c::, 'c ev---\-o. TX 71go41- Oj /30/2.o\ (o. Do.\\; L=wed..o G1ry G:ioV\c..J, l\2.-l\tt0q Austn, Texas 787-2070 ( 52) 463-5800 CANDDATE FCEHOLDER CAMPAGN FNANCE REPORT FORM C/OH COVER SHEET PG The C/OH nstructon Gude expans how to compete ths form 3 CANDDATE/ FCEHOLDER NAME CANDDATE/ FCEHOLDER

More information

CORRECTION/AMENDMENT AFFIDAVIT FOR CANDIDATE/OFFICEHOLDER

CORRECTION/AMENDMENT AFFIDAVIT FOR CANDIDATE/OFFICEHOLDER CORRECTION/AMENDMENT AFFIDAVIT FOR CANDIDATE/ FORM COR-C/OH 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: 4 OFFICE USE ONLY 3 CANDIDATE / MS / MRS / MR FIRST MI Tennell NICK LAST SUFFI Atkins

More information

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. Leonard

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. Leonard etad 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.

More information

LI Primary 1:1 Runoff LI Other

LI Primary 1:1 Runoff LI Other CANDIDATE I FICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 3 CANDIDATE! MS/MRS/MR FIRST MI FICEHOLDER NAME 1 Filer ID (Ethics

More information

0. 6. a-c-ji 5 u i fie '1. day before election Runoff. Month Day Year ri Primary Runoff I I Other Description 5 / 9,,--/ I 5 tz General ri Special

0. 6. a-c-ji 5 u i fie '1. day before election Runoff. Month Day Year ri Primary Runoff I I Other Description 5 / 9,,--/ I 5 tz General ri Special coastv CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT COVER SHEET PG 1 I Filer ID( Ethics Commission Filers) 2 Total pages filed: The C/ OH Instruction Guide explains how to complete this form. 5-7.

More information

JUDICIAL CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT

JUDICIAL CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT JUDICIAL CANDIDATE / FICEHOLDER CAMPAIGN FINANCE REPORT FORM JC/OH COVER SHEET PG 1 The JC/OH Instruction Guide explains how to complete this form. CANDIDATE / FICEHOLDER NAME MS / MRS / MR Ms. NICKNAME

More information

LA IST. 37 t s. Usk. I O n. dandidate OFF EHOLDER. Vf4Vl I3W I. o le i 7 L2. eil l yc CAMPAIGN FINANCE REPORT COVER SHEET PG 1.

LA IST. 37 t s. Usk. I O n. dandidate OFF EHOLDER. Vf4Vl I3W I. o le i 7 L2. eil l yc CAMPAIGN FINANCE REPORT COVER SHEET PG 1. Texa Ethc Gct mon P Box Autn Texa 78711 2070 1207f 512 463 x300 1800 325e5W danddate FF EHLDER FRMCH CAMPAGN FNANCE REPRT CVER SHEET PG 1 1 ACCUNT 2 Totalpage fled The CH NSTRUCTN GUDE explan how to complete

More information

?'Ot&X 15g75tJt~k,7S1bfo2

?'Ot&X 15g75tJt~k,7S1bfo2 Texas Ethics Commission PO. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) JUDCAL CANDDATE OFFCEHOLDER FORM JC/OH CAMPAGN FNANCE REPORT COVER SHEET PG 1..-----.. -::-:-.=-~.::::::::=:.::::.:::==::.::.===----===:::::=-----=:::==::=.:=::==~=:=:=::==.:.=:.=::=;=:=-==:=-=:===-:====:==;='=-::==:=-==:-::':'=::::-::=-=:-::::...

More information

~CO()?-svv\ kc\ 2zg~E; So-(\ A \)l1~l 0\)(((Oq b

~CO()?-svv\ kc\ 2zg~E; So-(\ A \)l1~l 0\)(((Oq b Texas Ethics Commission P,O, Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TOO 1-800-735-2989) CANDDATE OFFCEHOLDER FORM C/OH CAMPAGN FNANCE REPORT COVER SHEET PG 1 The C/OH nstruction Guide explains

More information

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: ... De.E;...B..

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: ... De.E;...B.. CANDDATE OFFCEHOLDER FORM C/OH CAMPAGN FNANCE REPORT COVER SHEET PG 1 The C/OH nstruction Guide explains how to complete this form.,... 3 CANDDATE/ MS/MRS(d FRST Mt OFFCEHOLDER 1 Filer D (Ethics Commission

More information

CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT

CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: 3 CANDIDATE

More information

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: ... Date Received NICKNAME LAST SUFFIX

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: ... Date Received NICKNAME LAST SUFFIX CANIATE I FICEHOLER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 Filer I (Ethics Commission Filers) 2 Total pages filed: 3 CANIATE/

More information

FORMJC/OH CAMPAIGN FINANCE REPORT CoveR SHEET PG Ms. Louise. Mattern

FORMJC/OH CAMPAIGN FINANCE REPORT CoveR SHEET PG Ms. Louise. Mattern ~,:::~_:) ~ ~-... ~ Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TOO 1-800-735-2989) JUDCAL CANDDATE FCEHOLDER FORMJC/OH CAMPAGN FNANCE REPORT CoveR SHEET PG 1 The JCOH

More information

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 OFFICE U~ N "'"( OFFICEHOLDER NICKNAME LAST SUFFIX () > D Exceeded $500 limit D

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 OFFICE U~ N '( OFFICEHOLDER NICKNAME LAST SUFFIX () > D Exceeded $500 limit D Texas Ethics Commission P.O. Box 12070 Au stin, Texas 78711-2070 (512)463-5800 T 1-800-735-2989 CANATE FCEHOLER FORM C/OH CAMPAGN FNANCE REPORT COVER SHEET PG 1 The C/OH NSTRUCTON GUE explains how to complete

More information

FORMJC/OH CAMPAIGN FINANCE REPORT CovER SHEET PG 1. E; ::'! c..> --4!:: 0 change of address Re eipt # ::::::::::;: "Tommy" Boswell Jr.

FORMJC/OH CAMPAIGN FINANCE REPORT CovER SHEET PG 1. E; ::'! c..> --4!:: 0 change of address Re eipt # ::::::::::;: Tommy Boswell Jr. Texas Ethics Commission PO Box12070 Austin Texas 787112070 (512) 4635800 (TOO 18007352989) JUDCAL CANDDATE FCEHOLDER FORMJC/OH CAMPAGN FNANCE REPORT CovER SHEET PG 1 The JC/OH nstruction Guide explains

More information

JUDICIAL CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT

JUDICIAL CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT JUDICIAL CANDIDATE / FICEHOLDER CAMPAIGN FINANCE REPORT FORM JC/OH COVER SHEET PG 1 The JC/OH Instruction Guide explains how to complete this form. CANDIDATE / FICEHOLDER NAME MS / MRS / MR Ms. NICKNAME

More information

1 Filer ID 2 Total pages filed: r ~"-..> NICKNAME LAST SUFFIX - c::> MAILING ADDRESS Recei~#r \r~"~ npl C O. l<ol\a.ld. IK!

1 Filer ID 2 Total pages filed: r ~-..> NICKNAME LAST SUFFIX - c::> MAILING ADDRESS Recei~#r \r~~ npl C O. l<ol\a.ld. IK! CANATE FCEHOLER CAMPAGN FNANCE REPORT COVER SHEET PG 1 FORM C/OH The C/OH nstruction Guide explains how to complete this fonn. 1 Filer 2 Total pages filed: 8 3 CANATE/ MS/MRS/MR FRST Ml FCE USE ONLY FCEHOLER

More information

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: rlt~e~ OFACE USE ONLY OFFICEHOLDER

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: rlt~e~ OFACE USE ONLY OFFICEHOLDER CANDIDATE I FICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form 1 Filer ID (Ethics Commission Filers) 2 Total pages filed:... 3 CANDIDATE/

More information

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: Donald ... NICKNAME LAST SUFFIX.

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: Donald ... NICKNAME LAST SUFFIX. CANIATE I OFFICEHOLER CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 Filer I (Ethics Commission Filers) 2 Total pages filed: 3 CANIATE/ MS I MRS

More information

1 ACCOUNT 2 Total pages filed. January 15 30th day before election Runoff 15th day after campaign treasurer appointment officeholder only THROUGH

1 ACCOUNT 2 Total pages filed. January 15 30th day before election Runoff 15th day after campaign treasurer appointment officeholder only THROUGH Texas Ehcs Commsson PO Box 1 Ausn Texas 78711 2070 512 463 58M 1800325 8506 CANDDATE OFFCEHOLDER FORMCOH CAMPAGN FNANCE REPORT COVER SHEET PG 1 1 ACCOUNT 2 Toal pages fled The COH NSTRUCTON GUDE explans

More information

[Z NONE (No reportable positions.)

[Z NONE (No reportable positions.) .. Jensen, Delwen L. R11port Requred by the Ethcs A010 ' FINANCIAL DISCLOSURE REPORT n Government Act of 1978 Rev: 1/o10 FOR CALENDAR YEAR 2009 (5 U.S.C. app. 101-111) 1. Person Reportng (last name frst,

More information

I Full Name of Committee/Person:

I Full Name of Committee/Person: Colorado ecn:ary of S1a1c Electons D vson 1700 RroJdway, Ste. 200 Dcm cr, CO 80290 Ph: (303) 894-2200 exl. 6383 Fax: (303) 869-4861 Ema l: cp01elp@sos.s1arc.co.us www.snsstatc.co. us REPORT OF CONTRBUTONS

More information

FORM C/OH it CAMPAIGN FINANCE REPORT COVER SHEET PG 1 J~ 3 CANDIDATE/ MS/MRS/MR FIRST Ml ::; OFFICE USE ONLY OFFICEHOLDER

FORM C/OH it CAMPAIGN FINANCE REPORT COVER SHEET PG 1 J~ 3 CANDIDATE/ MS/MRS/MR FIRST Ml ::; OFFICE USE ONLY OFFICEHOLDER \:b CANIATE/ FICEHOLER FORM C/OH it CAMPAIGN FINANCE REPORT COVER SHEET PG 1 J~,, ). --.. 1 Filer I (Ethics Commission Filers) 2 Total pages filed: The C/OH Instruction Guide explains how to complete this

More information

Incoming Account Transfer/Exchange/ Direct Rollover (Qualified Accounts Only) for Ameriprise certificates and Riversource annuities.

Incoming Account Transfer/Exchange/ Direct Rollover (Qualified Accounts Only) for Ameriprise certificates and Riversource annuities. CED0105200808 Amerprse Fnancal Servces, Inc. 70400 Amerprse Fnancal Center Mnneapols, MN 55474 Incomng Account Transfer/Exchange/ Drect Rollover (Qualfed Accounts Only) for Amerprse certfcates and Rversource

More information

D Nomination, D Initial 18 Annual D Final

D Nomination, D Initial 18 Annual D Final Report Requred by the Ethcs AOJO FNANCAL DSCLOSURE REPORT n Government Act of 1978 Rev. 112007 FOR CALENDAR YEAR 2006 (5 U.SC. app. 101-111). Person Reportng (last name, frst, mddle ntal) Court or Organzaton

More information

I 1 Filer ID (Ethics Commission Fliers) Elexis. Grimes

I 1 Filer ID (Ethics Commission Fliers) Elexis. Grimes CANDIDATE I FICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH instruction Guide explains how to complete this form. I 1 Filer ID (Ethics Commission Fliers) 3 CANDIDATE / MS I MRS I

More information

CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT

CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: 7 3

More information

D Change of Address Austin, TX 78704

D Change of Address Austin, TX 78704 CANDIDATE / FICEHOLDER " CAMPAIGN FINANCE REPORT The C/OH Instruction Guide explains how to complete this form. 1 Filer ID ~,.., s,_,..., ~: ;-;,: --:, FORM C/OH COVE'.R SHEET PG 1 2 Total pages filed:

More information

7ffiliation or If Independent Candidate

7ffiliation or If Independent Candidate REPORT OF RECEPTS AND EXPENDTURES OF A POLTCAL COMMTTEE 7 State Form 4606 (813/11-05) ndiana` lection Commission (C 3-9-5-14) NSTRUCTONS: Please type or print legibly N BLACK NK all information on thi

More information

D NONE (No reportable positions.)

D NONE (No reportable positions.) .. AO JO Rev. 11008 FNANCAL DSCLOSURE REPORT FOR CALENDAR YEAR 2008 Report Requred by the Ethcs n Government Act of 1978 (5 U.S.C. app. O). Person Reportng (last name, frst, mddle ntal) Court or Organzaton

More information

FOR CALENDAR YEAR Court or Organization : United States District Court - Utah. 5. ReportType (check appropriate type) _Nomination, Date

FOR CALENDAR YEAR Court or Organization : United States District Court - Utah. 5. ReportType (check appropriate type) _Nomination, Date 0-0 FNNCL DSCLOSURE REPOR Rev. /00 FOR CLENDR YER 005. Person Reportng (Last namr;, frst, mddle ntal) enkns, Bruce S.. Court or Organzaton : Unted States Dstrct Court - Utah Report Requred by the Ethcs

More information

FORM CIOH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID 2 Total pages filed: NICKNAME LAST SUFFIX 1.\ MAILING Receipt# Amount ADDRESS

FORM CIOH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID 2 Total pages filed: NICKNAME LAST SUFFIX 1.\ MAILING Receipt# Amount ADDRESS CANDIDATE / FICEHOLDER FORM CIOH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/ OH Instruction Guide explains how to complete this form. 1 Filer ID 2 Total pages filed: 6 3 CANDIDATE/ MS/ MRS/ MR FIRST

More information

AREA CODE PHONE NUMBER EXTENSION. ...ÿ.ÿ... dÿ/pc... NIGh,NAME LAST SUFFIX STREET ADDRESS (NO PC BOX PLEASE); APT / SUITE #; CITY; 7 %v0.

AREA CODE PHONE NUMBER EXTENSION. ...ÿ.ÿ... dÿ/pc... NIGh,NAME LAST SUFFIX STREET ADDRESS (NO PC BOX PLEASE); APT / SUITE #; CITY; 7 %v0. CANDIDATE / CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 Filer ID (Ethics Commission Eilers) 2 Total pages filed: ÿ,,,--"ÿ 3 CANDIDATE/ NAME

More information

-e- RECEIVED. eo BO'X 5'11. c2d/t ~0 b -0- C:::zCU1tulOj A Z- ~fo50s crz8-3(3 -~91( City Zip Code Phone. l35 \ SEP \35l

-e- RECEIVED. eo BO'X 5'11. c2d/t ~0 b -0- C:::zCU1tulOj A Z- ~fo50s crz8-3(3 -~91( City Zip Code Phone. l35 \ SEP \35l STATE OF ARZONA APACHE COUNTY POLTCAL COMMTTEE CAMPAGN FNANCE REPORT 1. J)Oy\ildson L, ~ u)jn Full of Committee eo BO'X 5'11 Address C:::zCU1tulOj A Z- ~fo50s rz8-3(3 -~91( City Zip Code Phone 2.! / k?8

More information

U\ST. I I July 15 8fh day before election Exceeded $500 limit. Day Year Month Day Year THROUGH ELECTION TYPE

U\ST. I I July 15 8fh day before election Exceeded $500 limit. Day Year Month Day Year THROUGH ELECTION TYPE Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) CANDIDATE / O F F I C E H O L D E R CAMPAIGN FINANCE R E P O R T FORM C/OH COVER SHEET PG 1 The C/OH

More information

TAX RETURN FILING INSTRUCTIONS

TAX RETURN FILING INSTRUCTIONS TAX RETURN FLNG NSTRUCTONS PUBLC DSCLOSURE COPY FEDERAL FORM 990-T FOR THE YEAR ENDNG DECEMBER 31, 2015 ~~~~~~~~~~~~~~~~~ Prepared for AMERCAN PSYCHOLOGCAL ASSOCATON, NC. 750 FRST STREET, NE WASHNGTON,

More information

SPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT

SPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT SPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT FORM SPAC COVER SHEET PG 1 The SPAC Instruction Guide explains how to complete this form. 3 COMMITTEE NAME 1 Filer ID 2 Total pages filed: 8 FICE USE

More information

J~/: ~~:;_s~ 175,P.5

J~/: ~~:;_s~ 175,P.5 CANIATE I OFFICEHOLER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Filer I (Ethics Commission Filers) 2 Total pages filed: The C/OH Instruction Guide explains how to complete this form. 1 ~~ R

More information

M AREA CODE PHONE NUMBER EXTENSTON

M AREA CODE PHONE NUMBER EXTENSTON , :l CAND DATE FCEHOLDER CAMPAGN FNANCE REPORT FORM C/OH COVER SHEET PG 1 The COH lnstruction Guide explains how to complete this form. 3 CANDDATE / FCEHOLDER NAME \ MS / MRS.9 FRST M NCKNAME 1 Filer ld

More information

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: .. NICKNAME LAST SL FIX ,_,,

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: .. NICKNAME LAST SL FIX ,_,, CANIATE/ FICEHOLER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 Filer I (Ethics Commission Filers) 2 Total pages filed: 3 CANIATE

More information

OFFICEHOLDER. 1 ACCOUNT 2 Total pages filed NICKNAME LAST SUFFIX. Nn change of address Receipt a a0 7 5 CANDIDATE AREACODEJ PHONENUMBER EXTENSION

OFFICEHOLDER. 1 ACCOUNT 2 Total pages filed NICKNAME LAST SUFFIX. Nn change of address Receipt a a0 7 5 CANDIDATE AREACODEJ PHONENUMBER EXTENSION Texas Ethics Commissio PO 8 2070 Austi Texas 787 2070 JUDCAL CANDDATE CAMPAGN FNANCE REPORT FCEHOLDER 463 5800 TDD 80Q735 2989 FORM JC OH COVER SHEET PG The JC OH structio Guide explais how to complete

More information

I :M/3. . ~rtsfzflr. If flv;_ flacl. D change of address D D. D Spedal. {)3/' o >/ ~b/ FORMC/OH COVER SHEET PG 1

I :M/3. . ~rtsfzflr. If flv;_ flacl. D change of address D D. D Spedal. {)3/' o >/ ~b/ FORMC/OH COVER SHEET PG 1 Texas Ethics Commission PO Box12070 Austin, Texas 78711-2070 (512)463-5800 (TOO 1-800-735-2989) CANATE FCEHOLER CAMPAGN FNANCE REPORT FORMC/OH COVER SHEET PG 1 The COH nstruction Guide explains how to

More information

1 Filer ID (Ethics Commission Filers) l<clc:::}ue.. STATE; CITY; o C--1- ::Unie ... Mo.r-Hne z.. CITY; Su..nda.nCe, Lp 1Bo45. D Primary Runoff Other

1 Filer ID (Ethics Commission Filers) l<clc:::}ue.. STATE; CITY; o C--1- ::Unie ... Mo.r-Hne z.. CITY; Su..nda.nCe, Lp 1Bo45. D Primary Runoff Other CANDDATE FCEHOLDER CAMPAGN FNANCE REPORT COVER SHEET PG The COH nstruction Guide explains how to complete this form. 3 CANDDATE FCEHOLDER NAME CANDDATE FCEHOLDER MALNG ADDRESS D Change of Address 5 CANDDATE

More information

CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type)

CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) CAMPAGN FNANCAL DSCLOSURE REPORT SUMMARY PAGE (Please Print or Type) C-2 Rev. 12114 Section Name of Candidate or Political Committee and Chairperson Office Sought (if candidate) District (if any) reasurer

More information

1 F'i\er 10 (Ethics Gommi5sinn Filers} 2 Total pages filed: THROUGH /0 -o / CJ Primary Runoff Other. Spacial. ['.Q/4;ene1al. i {!Ir Y Cov lljc.-1 L.

1 F'i\er 10 (Ethics Gommi5sinn Filers} 2 Total pages filed: THROUGH /0 -o / CJ Primary Runoff Other. Spacial. ['.Q/4;ene1al. i {!Ir Y Cov lljc.-1 L. "' CANDDATE/ FCEHOLDER CAMPAGN FNANCE REPORT COVER SHEET PG FORM C/OH The C/OH nstructon Gude explans how to complete ths form F'\er 0 (Ethcs Gomm5snn Flers} 2 Total pages fled: 3 CANDDATE/ FCEHOLDER NAME

More information

FINANCIAL and STATISTICAL REPORT for JULY 2018

FINANCIAL and STATISTICAL REPORT for JULY 2018 FNANCAL and STATSTCAL REPORT for JULY 218 PUBLC UTLTY DSTRCT NO. 1 OF OKANOGAN COUNTY TELEPHONE: (59)422-331 POST OFFCE BOX 912 FAX: (59)422-42 OKANOGAN, WASHNGTON 9884 PUBLC UTLTY DSTRCT NO. 1 OF OKANOGAN

More information

2/14/2011 THROUGH 4/4/2011

2/14/2011 THROUGH 4/4/2011 CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT Cover Sheet pg 1 The C/OH Instrution Guide explains how to omplete this form. 3. CANDIDATE / OFFICEHOLDER NAME 1. ACCOUNT # (Ethis Commission

More information

Date of election if (Month, Day, Statement covers period. 22 Oct of Statement: MAILING ADDRESS. CITY Oxnard. CITY Oxnard

Date of election if (Month, Day, Statement covers period. 22 Oct of Statement: MAILING ADDRESS. CITY Oxnard. CITY Oxnard COVER PAGE SEE NSTRUCTONS ON REVERSE Statement covers period ~om 25 216 22 Oct216 Date of election if (Month, Day, Nov 8, 216 1. of Committee: All Committees-complete Parts 1, 2, 3, amt 4. Offlr..,,hnl,rli:>r.

More information