Filer 10 (E thi cs Commission Filers) Total pages filed: The C/OH Instruction Guide explains how to complete this form. Koh-er+o ...

Size: px
Start display at page:

Download "Filer 10 (E thi cs Commission Filers) Total pages filed: The C/OH Instruction Guide explains how to complete this form. Koh-er+o ..."

Transcription

1 ,. CANIATE I FICEHOLER CAMPAIGN FINANCE REPORT FORM C /OH COVER SHEET PG 1 1 Filer 1 (E thi cs Commission Filers) 2 Total pages filed: The C/OH Instruction Guide explains how to complete this form. 3 CANIATE / FICEHOLER NAME MS I MRS I MR FIRST J)}r Mt Koh-er+o NICKNAME.. FICE USE ONLY.. ate Received(.".) SUFFIX LAST ARESS I PO BOX; APT I SU ITE #; l ;'l STATE; CITY; ZI P COE PHONE NUMBER 6 CAMPAIGN TREASURER NAME MS I MRS I MR '. - ;-:; EXTENS ION...:1,.;~ ~ 'l J!'-..),. FIRST rj..s. Receipt # Ml C / Otuo!J ' Cj. V.... Amount $ I ate Processed SU FFIX LAST ate Imaged b~/j, CAMPAIGN TREASURER ARESS ~)..:t:: ate H and de li v W~-~ or C11lQ Postmarked NICKNAME 7 :-;1 :.::: t:y -:; AREA COE.,:7 (.) 5 CANIATE/ FICEHOLER PHONE :a - :; ; ~ Ch a nge of Address -:.-- :::~ --~,.,._. f ' -1' FICEHOLER MAILING ARESS so-- - :: <:n oajj, 4 CANIATE / r-.) =- t STREET ARESS (NO PO BOX PLEASE); APT I SUITE #; CITY; STATE; ZIP COE ( R es idence or Business) 8 CAMPAIGN TREASURER PHONE 9 REPORT TYPE AREA COE PHONE NUMBER IJ2(January 15 3th day before election Runoff 15th day after campaign treasurer appointment (OIIiceholder On ly) 8th day before election Exceeded $5 limit Final Report (Attach CIOH- FR) July 15 1 PERIO COVERE Month ay ol / oj Month Year / '2.\5 Month ay / / Primary General c;+y + i c.+ 8 Runofl Year 31 / 2\5 Other escription Special 13 FICE HEL (if any) --:::[:) i <S ay ELECTION TYPE Year Lc:veo\o 12. / THROUGH ELECTION ATE 11 ELECTION 12 FICE EXTENSION FICE SOUGHT (if known) Counc.i\ J y GO TO PAGE 2 Forms provided by Texas Ethics Commission us Rev1sed 9/8/2 15

2 , CANIATE I FICEHOLER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 14 C /OH NAME Kola erm o~~\~ 15 Filer I (Ethics Commission Filers) 16 NOTICE FROM THIS BOX IS FOR NOTICE POLITICAL CONTRIBUTIONS ACCEPTE OR POLITICAL EXPENITURES MAE BY POLITICAL COMMITTEES TO POLITICAL SUPPORT THE CANIATE / FICEHOLER. THESE EXPENITURES MAY HAVE BEEN MAE WITHOUT THE CANIATE'S OR FICEHOLER'S COMMITTEE(S) KNOWLEGE OR CONSENT. CANIATES AN FICEHOLERS ARE REQUIRE TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE SUCH EXPENITURES. COMM ITTEE TYPE ~ENERAL OsPEC JFJC COMMITTEE NAME I "12-..t.-p A c \ Tex.ru 'Assad o. -hov) ot \2-.-eCI \1-ov s -:po\ ~ -h ca.\ ~ c.-+1 o VI Col-v!Ml't\-ee.. COM MITTEE ARESS t'. Q. bo)c.. '2.'l.L\Lo ~u~-hv\, COMMITTEE CAMPAIGN TREASURER NAME \~ \ <Q \to < - LL...4(p Addition al Pages K-cnjq ""b uvv~ l\- \lo..v\ WovYv!-e. r COMM ITTEE CAM PAIGN TREASURER ARE SS t>.o. po 1\ 2.2.-t.\-lp ~us-\. V\ \I) \ t?il.lo - 1-:v-t \o 17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS $5 OR LESS (OTHER THAN TOTALS PLEGES, LOANS, OR GUARANTEES LOANS ), UNLESS ITEMIZE $ 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEGES, LOANS, OR GUARANTEES LOANS) $ I,Ooo.oo EXPENITURE TOTALS 3. TOTAL POL ITICAL EXPENITURES $1 OR LESS, $ UNLESS ITEMIZE 4. TOTAL POLITICAL EXPENITURES $ \lt.l'ol CONTRIBUTION BALANCE 5. TOTAL PO LITICAL CONTRIBUTIONS MAINTAINE AS THE LAST AY REPORTING PERIO $ ~) 12JS. ~i OUTSTANING 6. TOTAL PRINCIPAL AMOUNT ALL OUTSTANING LOANS AS THE LOAN TOTALS LAST AY THE REPORTING PERIO $ I, 5oo. oo 18 AFFIAVIT 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 ~-t:.t:jf'~~,~ ANGELITA ACEVES oodect~ ~~~[~ Notary Public. state or Texas \.,:..:~: My Commission Expires 'S>."'Jt" ~ A ~,,,,r;,~,~,,~... pr, \ signature of Candidate or Officeholder AFFIX NOTARY STAMP I SEAL ABOVE Sworn to and subscribed before me, by the said \2-ob.e. V' W b~ \ ~ i, this the t4-hl day of Jb "". \lq ':], 2 I lp, to certify which, witness my hand and seal of office. ~olat".a ~o.~. fl,,~:1\to J\('l_f'VP"" o-kvv) Signatu9e of officer administering oath PrintecTname of officer administering oath Title of officezjdministering oath Forms provided by Texas Ethics Commission us Rev1sed 9/8/215

3 SUBTOTALS - C/OH FORM C/OH COVER SHEET PG 3 19 FILER NAME 2 Filer I (Ethics Commission Filers) 12--obe(+o oet\ L. 21 SCHEULE SUBTOTALS SUBTOTAL NAME SCHEULE AMOUNT 1. ' SCHEULEA1: MONETARY POLITICAL CONTRIBUTIONS $ \1. QQ SCHEULE A2: NON-MONETARY (IN-KIN) POLITICAL CONTRIBUTIONS $ SCHEULE B: PLEGE CONTRIBUTIONS $ SCHEULE E: LOANS $ 5. ' SCHEULE F1: POLITICAL EXPENITURES MAE FROM POLITICAL CONTRIBUTIONS $ 4-\ l\. Co\ 6. SCHEULE F2: UNPAI INCURRE OBLIGATIONS $ SCHEULE F3: PURCHASE INVESTMENTS MAE FROM POLITICAL CONTRIBUTIONS $ SCHEULE F4: EXPENITURES MAE BY CREIT CAR $ SCHEULE G: POLITICAL EXPENITURES MAE FROM PERSONAL FUNS $ SCHEULE H: PAYMENT MAE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS C/OH $ SCHEULE 1: NON-POLITICAL EXPENITURES MAE FROM POLITICAL CONTRIBUTIONS $ 12. SCHEULE K: INTEREST, CREITS, GAINS, REFUNS, AN CONTRIBUTIONS $ RETURNE TO FILER Forms provided by Texas Ethics Commission Revise d 9/8/215

4 MONETARY POLITICAL CONTRIBUTIONS SCHEULE A1 The Instruction Guide explains how to complete this form. 1 Total pages Schedu le A 1: 2 FILER NAME 3 Fi ler I (Ethics Comm ission Filers) 12 olo e v -\-o -n~lli 4 ate 5 Full name of contributor out-of-state PAC (I#: ) 7 Amount of contribution ($) 12-\ 2.1 I 15 Tf\EfAC/TNO.S ~6.SoGiCl hov! ot Reol+ors \J ooo. 6 Contributor address; City; State; Zip Code -:r.o. 'box 22.L\U> p IJ~hV)' T~ I B l(o ~- 224(p 8 Principal occupation I Job title (See Instructions) 9 Employer (See Instructions) \ ate Full name of contributor out-of-state PAC (I#: ) Amount of contribution ($).. Contributor address; City; State; Zip Code Principal occupation I Job title (See Instructions) Employer (See Instructions) ate Full name of contributor out-of-state PAC (I#: ) Amount of contribution ($) Contributor address; City; State; Zip Code Principal occupation I Job title (See Instructions) Employer (See Instructions) ate Full name of contributor out-of-state PAC (I#: ) Amount of contribution ($) Contributor address; C ity; State; Zip Code Principal occupation I Job title (See Instructions) Employer (See Instructions). ATTACH AITIONAL COPIES THIS SCHEULE AS NEEE If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission Rev1sed 9/8/215

5 POLITICAL EXPENITURES MAE FROM POLITICAL CONTRIBUT IONS SCHEULE F1 EXPENITURE CATEGORIES FOR BOX 8(a) Adve rtis ing Expe nse Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In istrict Contributions/onations Made By GifVAwards/Memorials Expense Printing Expense Travel Out Of istrict Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other (enter a category not listed above) Credit Card Payment The Instruction Guide explains how t o complete this f orm. 13 F il er I (Ethics Commissi on Fi lers) 1 Total pages Schedule F1 : 2 F ILER N A ME K 2 I olo.ev-to o.\\, 4 ate 5 Payee name -=p '(+y Ol \1.\ l5 ~ity 6 Amount ($) 7 Payee address; City; State; Z ip Code j\,1~. 5(p llq~\ SaY\ J)dri o ~ve,. lc;.v-cd.o 1 \'( \BoL\5 8 (a) Category (See Categories listed at the top ol this schedule) (b) escription Check if travel outside of Texas. Complete Schedule T. E v-eva- t. x~e-v\se. Check if Austin, TX, officeholder living expense EXPENITURE bo..:s 9 Complete ONLY if di rect Candidate I Officeholde r na m e O ffice soug ht Office held ate Ol\2o\\5 Payee na m e c.asa C,\r) vis ljvvl M-evc.cuio Amount ($) Pay e e address; C ity; State; Z ip Code -1VF1.lo :r ~ v, O.t~r.) -T L ~v.-cclo 1 T)( \ <-\ Category (See Categories listed at the top of this sched ul e) Eve(/\+ Ex.t'eVlS~ EXPENITURE escri ption Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense.s e-\-to o\ Gup-p\ le_s Complete ONLY if direct Candidate I Officeho lder na m e O ffice soug ht Office h e ld ate \OlOStts Payee name 6 lowoy\ivevse.. Amount ($) Payee address; C ity; State; Z ip Code 4~' () :PC'\{\~ C..,ivG\.e.,vr. I S-\-e. ~ ~V\ove.r-, M' 2\ Ol.(o Category (See Categories listed at the top of this schedule) escription P URPOS E Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX. off iceholder living expense EXPENITURE :E:.veV\t 'Ex? e.v1se.. ':J) e: cor Ct-\-\ CJ V\S Complete ONLY if direct Candidate I O fficeho lder nam e O ffice soug ht O ffice he ld ATTACH AITIONAL COPIES THIS SCHEULE AS NEEE Forms provided by Texas Ethics Commission Revtsed 9/8/215

6 POLITICAL EXPENITURES MAE FROM POLITICAL CONTRIBUTIONS SCHEULE F1 EXPENITURE CATEGORIES FOR BOX 8(a) Adve rti s ing Expe n s e Event Expense Loan RepaymenVReimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & R elated Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In istrict Contributions/onations Made By Giff/Awards/Memorials Expense Printing Expe nse Travel Out Of istrict Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other (enter a category not listed above) Cred it Card Payment The Instruction Guide explains how to complete this form. 1 Total pag es Schedule F1 : 2 FILER NAME'K. 2 aloe v-\-o by\\i 13 Filer I (Ethics Commission Filers) 4 ate 5 Payee name \\2(&,\15 H-E"b 6 Amount ($) 7 Payee address; City; State; Zip Code &t6. B~ 2\ W. :be\ Mo.r '"b\vd.. Loveclo) n 'l<qol\ \ 8 (a) Category (See Categories listed at the top ol this schedule) (b) escription Check il travel outside ol Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense EXPENITURE E\J-eVtt GA?eVlse food }b-eve v4'\]e. Ex -p-ev'l s e 9 Complete ONLY if direct Candidate I Officeholder name Office sought Office held expenditure to benefit CIOH ate \\\o2.\\5 Payee name IbC Amount ($) Payee address ; City; State; Zip Code $l otVl Oevrtav~O L C\,Ye.M) \)( \ Jo'-\ Category (See Categories listed at the top of this schedul e) escription Check if travel outside ol Texas. Complete Schedule T. bo..nk fe_e_, Check if Au stin, TX, olficeholder living expense EXPENITURE Serv, c.e ~r5e Compl ete ONLY if direct Candidate I Officeholder name Office sought Office held ate Payee name Amount ($) Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) escription Check if travel outside of Texas. Complete Schedule T. Check if. Austin, TX, olficeholder livi ng expense EXPENITURE Complete ONLY if direct Candidate I Officeholder name Office sought Office held ATTACH AITIONAL COPIES THIS SCHEULE AS NEEE Forms provided by Texas Ethics Commission us Revised 9/8/215

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

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

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 Filer ID (Ethics Commission Filers) 2 Total paqss,.. -d: ~5f;>( Vl,,-0 ) v'- . fts

1 Filer ID (Ethics Commission Filers) 2 Total paqss,.. -d: ~5f;>( Vl,,-0 ) v'- . fts CANIATE/ FICEHOLER CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 3 CANIATE/ FICEHOLER NAME 4 CANIATE/ FICEHOLER MAILING ARESS Change of Address

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

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG th day before election 0. Dt1st.:ri1Jiiurr 5 /6 / 2017 [29 General D Special / /

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG th day before election 0. Dt1st.:ri1Jiiurr 5 /6 / 2017 [29 General D Special / / CANIATE I OFFICEHOLER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Flier I (l::thlcs t:ommlss1on Hiers) 2 Total pages flied: The CIOH Instruction Guide explains how to complete this form. 9 3 CANIATE/

More information

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: b. . P?.t-!-!~...

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: b. . P?.t-!-!~... CANIATE/ OFFICEHOLER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Gulde explains how to complete this form. JosWA 1 Filer I (Ethics Commission Filers) 2 Total pages filed: b

More information

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed : I oo--r-h Wltt.Vfl..

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed : I oo--r-h Wltt.Vfl.. CANIATE/ 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/ M~MRS / MR FIRST Ml

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

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

i1!) 17 D Primary D D Special D Change of Address I Date Processed CANDIDATE I OFFICEHOLDER CAMPAIGN FINANCE REPORT ... a... '... NICKNAME LAST SUFFIX

i1!) 17 D Primary D D Special D Change of Address I Date Processed CANDIDATE I OFFICEHOLDER CAMPAIGN FINANCE REPORT ... a... '... NICKNAME LAST SUFFIX ~ CANIATE I FICEHOLER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 3 CANIATE/ FICEHOLER NAME MS/ MRS I MR FIRST 1 Filer I (Ethics Commission

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

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

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

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

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

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

SCHEDULE F1 : POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $

SCHEDULE F1 : POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ SUBTOTALS - C/OH 19 FILER NAME s~o\~ FORM C/OH COVER SHEET PG 3 20 Filer I (Ethics Commission Filers) 21 SCHEULE SUBTOTALS SUBTOTAL NAME SCHEULE AMOUNT 1. SCHEULE A 1: MONETARY POLITICAL CONTRIBUTIONS

More information

1 Filer 10 (Ethics Commission Fliers) 2 Total pages filed : NAME Dale Processed

1 Filer 10 (Ethics Commission Fliers) 2 Total pages filed : NAME Dale Processed 04-28-17 A08:48 CANIATE I OFFICEHOLER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 Filer 10 (Ethics Commission Fliers) 2 Total pages

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. 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

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

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

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

.::7~_/../ rj Date Recei~ dl- (' _,~,.;,J V

.::7~_/../ rj Date Recei~ dl- (' _,~,.;,J V CANIATE/ FICEHOLER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 3 CANIATE / MS I MRS / MR FIRST Ml FICEHOLER 17'14, -- ~ 1 Filer I (Ethics

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

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

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

V ( s. " ' 8th day before election. 6/tc{ 1--;< 11(/1. ( 56),t7 cg 3? 1_; MS/ MRS/ MR. oj If Al lf1r/ - L( l tlep o 1. Dy.

V ( s.  ' 8th day before election. 6/tc{ 1--;< 11(/1. ( 56),t7 cg 3? 1_; MS/ MRS/ MR. oj If Al lf1r/ - L( l tlep o 1. Dy. CANDIDATE/ FICEHOLDER 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 6 s 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: 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 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

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Comm1ss1on Filers) 2 Total pages filed: NICKNAME LAST SUFFIX

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Comm1ss1on Filers) 2 Total pages filed: NICKNAME LAST SUFFIX CANIATE I OFFICEHOLER 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 Comm1ss1on Filers) 2 Total pages filed: 10 3 CANIATE/

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: .. NICKNAME LAST SUFFIX Quijano

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: .. NICKNAME LAST SUFFIX Quijano CANIATE /OFFICEHOLER CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Istructio Guide explais how to complete this form. 1 Filer I (Ethics Commissio Filers) 2 Total pages filed: 5 3 CANIATE I MS / MRS

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

FORM C/OH CAMPAIG N FINANCE REPORT COV ER SHEET P G 1. 1 Filer ID (Ethics Commission Fliers) 2 Tolal pages tiled: 5],l ~A-rJ,vl

FORM C/OH CAMPAIG N FINANCE REPORT COV ER SHEET P G 1. 1 Filer ID (Ethics Commission Fliers) 2 Tolal pages tiled: 5],l ~A-rJ,vl CANIATE I FICEHOLER CAMPAIG N FINANCE REPORT COV ER SHEET P G 1 T he C/OH Instruction Guide expl ain s h o w to c omp l ete t h is form. 1 Filer I (Ethics Commission Fliers) 2 Tolal pages tiled: 3 C A

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

s--~-tt... If.. NICKNAME LAST SUFFIX

s--~-tt... If.. NICKNAME LAST SUFFIX CANIATE I FICEHOLER FORM C/OH CAMPAIGN F INANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. tj/ I+ 10 1 Filer I (Ethics Commission Filers) 2 Total pages filed:

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

STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE p'

STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE p' CANDIDATE / OFFICEHOLDER form c/qh CAMPAIGN FIN NCE REPORT cover sheet pq 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

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

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

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

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

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

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: m OFFICEHOLDER ~ l"l c;::, (")

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: m OFFICEHOLDER ~ ll c;::, () 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

1 Filer ID (Ethics Commission Filers) 2 Total pages filed: ca A*'<- - STREET ADDRESS ( O PO BOX PLEASE); APT / SUITE #; CITY; ST TE; ZIP CODE

1 Filer ID (Ethics Commission Filers) 2 Total pages filed: ca A*'<- - STREET ADDRESS ( O PO BOX PLEASE); APT / SUITE #; CITY; ST TE; ZIP CODE CANDIDATE/FICEHOLDER FORM C/GH 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 Flier ID (Ethics Commission Fliers) 2 Total pages filed:

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Flier ID (Ethics Commission Fliers) 2 Total pages filed: CANIATE/ OFFICEHOLER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Gulde explains how to complete this form. q 1 Flier I (Ethics Commission Fliers) 2 Total pages filed: 3 CANIATE/

More information

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

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 F ile r ID (Ethics Commission Filers) 2 Total pages filed: ... NICKNAME LAST SUFFIX Mo.. CANDIDATE I OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. s '-0++ 3 CANDIDATE / MS I MRS I MR FIRST Ml OFFICEHOLDER 1 F

More information

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

Texas Ethics Commission P.O.Box Austin, Texas (512) Texas Ethics Commission P.O.Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506 SPECIFIC- COMMITTEE FORM SPAC CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The SPAC Instruction Guide explains how

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

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

D Change of Address Cedar Park, TX 78630

D Change of Address Cedar Park, TX 78630 CANDIDA TE I FICEHOLDER CAMPAIGN FINANCE REPORT COVER SHEET PG 1 FORM The Instruction Guide explains how to complete this form. 1 Filer ID 2 Total pages filed: 15 3 CANDIDATE/ MS/MRS/MR FIRST Ml FICE 1

More information

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Fi ler 10 (Ethics Commission Filers) 2 Total pages fi led: N/A ,..., NAME

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Fi ler 10 (Ethics Commission Filers) 2 Total pages fi led: N/A ,..., NAME 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 Fi ler 10 (Ethics Commission Filers) 2 Total pages fi led: 17

More information

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 OFFICE USE ONLY OFFICEHOLDER NAME. J?:E/ll/J', Date ReceiveEL PA:::;U NICKNAME LAST SUFFIX.

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 OFFICE USE ONLY OFFICEHOLDER NAME. J?:E/ll/J', Date ReceiveEL PA:::;U NICKNAME LAST SUFFIX. C CANIATE/ FICEHOLER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 F iler I (Ett1ics Commission Filers) 2 Total pages fi led: The C/OH Instruction Guide explains how to complete this form. 5.MR

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

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

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

CORRECTION/AMENDMENT AFFIDAVIT FOR CANDIDATE/OFFICEHOLDER

CORRECTION/AMENDMENT AFFIDAVIT FOR CANDIDATE/OFFICEHOLDER CORRECTION/AMENDMENT AFFIDAVIT FOR CANDIDATE/FICEHOLDER FORM JCOR-C/OH 1 Filer ID (Ethics Commission Filers) 2 CANDIDATE / FICEHOLDER NAME 4 ORIGINAL REPORT TYPE MS / MRS / MR Ms. NICKNAME Patty January

More information

1 Filer ID 2 Total pages filed: MS/MRS/MR FIRST Ml STREET ADDRESS (NO PO BOX PLEASE); APT/ SUITE#; CITY; STATE; ZIP CODE

1 Filer ID 2 Total pages filed: MS/MRS/MR FIRST Ml STREET ADDRESS (NO PO BOX PLEASE); APT/ SUITE#; CITY; STATE; ZIP CODE CANIATE / FICEHOLER CAMPAIGN FINANCE REPORT COVER SHEET PG 1 FORM C/OH The CIOH Instruction Guide explains how to complete this form. 1 Filer I 2 Total pages filed: 11 3 CANIATE/ FICEHOLER NAME 4 CANIATE/

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

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

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

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. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: c;ak.f. A. ... NICKNAME 311;~1/)I/

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: c;ak.f. A. ... NICKNAME 311;~1/)I/ CANDIDATE/ OFFICEHOLDER 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

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

Texas Ethics Commission P.O.Box Austin, Texas (512) SPECIFIC-PURPOSE COMMITTEE FORM SPAC CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The SPAC Instruction Guide explains how to complete this form. 3 COMMITTEE NAME 1 ACCOUNT # (Ethics Commission filers) 2 Total

More information

,^..-. Lses iioaksc:

,^..-. Lses iioaksc: CANDIDATE / FICEHOLDER CAMPAIGN FINANCE REPORT form C/OH COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 Filer ID 2 Total pages filed: 12 3 CANDIDATE / FICEHOLDER NAME

More information

ADDRESS / PO BOX; APT i SUITE #: CITY: STATE; ZIP CODE. [] January15 [] 30th day before election [] Runoff []

ADDRESS / PO BOX; APT i SUITE #: CITY: STATE; ZIP CODE. [] January15 [] 30th day before election [] Runoff [] CANDIDATE / 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 FICE USE ONLY FICEHOLDER NAME...

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

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

FORM C/ OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID ( Ethics Commission Filers) 2 Total pages filed: Mr. Robert Date Processed I I by Texas Ethics Commission www. ethics. state. tx. us Revised 9/ 8/ 2015 SCANNED CANDIDATE / OFFICEHOLDER FORM C/ OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/ OH Instruction Guide explains how to

More information

Texas Ethics Commission P.O.Box Austin, Texas (512) Steve. Salazar. Rosario. Rodriguez

Texas Ethics Commission P.O.Box Austin, Texas (512) Steve. Salazar. Rosario. Rodriguez CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT Cover Sheet pg 1 The C/OH Instruction Guide explains how to complete this form. 3. CANDIDATE / OFFICEHOLDER NAME 1. ACCOUNT # (Ethics Commission

More information

l<.a11-l sf. kwrr/4 7c1at;

l<.a11-l sf. kwrr/4 7c1at; CANDIDATE/ FICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Filer ID (Ethics Commission Filers) 2 Tot The C/OH Instruction Guide explains how to complete this form. :::r )fr. 1flber+o 3

More information

TEXAS ETHICS COMMISSION

TEXAS ETHICS COMMISSION TEXAS ETHICS COMMISSION JUDICIAL CANDIDATE/OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM JC/OH INSTRUCTION GUIDE Revised September 28, 2011 Texas Ethics Commission, P.O. Box 12070, Austin, Texas 78711 (512)

More information

1?:- flb.11j _ - 1'1='1 1-,1llSO R,,,,iza 4 CANDIDATE / ADDRESS / PO BOX: APT / SUITE #: CITY: STATE : ZIP CODE

1?:- flb.11j _ - 1'1='1 1-,1llSO R,,,,iza 4 CANDIDATE / ADDRESS / PO BOX: APT / SUITE #: CITY: STATE : ZIP CODE 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: {1) /.J'

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/ OFFICEHOLDER 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/& FIRST Ml OFFICEHOLDER C (2_,4,f.,, /11. NAME

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

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

1 Filer ID (Ethics Commission Filers) ... \ let. , Tx: '78tl 8 \LI I. 30th day before election Runoff. 8th day before election ,,,...

1 Filer ID (Ethics Commission Filers) ... \ let. , Tx: '78tl 8 \LI I. 30th day before election Runoff. 8th day before election ,,,... 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

Texas Ethics Commission P.O. Box Austin, Texas (512) (TDD ) Reyes. c Other (specify)

Texas Ethics Commission P.O. Box Austin, Texas (512) (TDD ) Reyes. c Other (specify) 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/OFFICEHOLDER 1. ACCOUNT # 2. Total pages filed:

More information

Texas Ethics Commission P.O.Box Austin, Texas (512) Griggs. PO Box: Dallas TX

Texas Ethics Commission P.O.Box Austin, Texas (512) Griggs. PO Box: Dallas TX 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

PERSONAL FINANCIAL STATEMENT

PERSONAL FINANCIAL STATEMENT 1 PERSONAL FINANCIAL STATEMENT Filed in accordance with chapter 57 of the Government Code. For filings required in 016, covering calendar year ending December 31, 015. Use FORM PFS--INSTRUCTION GUIDE when

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

SPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT COVER SHEET PG 1

SPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT COVER SHEET PG 1 SPECIFIC-PURPOSE COMMITTEE FORM SPAC CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The SPAC Instruction Guide explains how to complete this form 1 ACCOUNT # 2 Total pages filed: (Ethics Commission filers) 3

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

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

Texas Ethics Commission P.O.Box Austin, Texas (512) CANDIDATE / FORM C/OH CAMPAIGN FINANCE REPORT Cover Sheet pg 1 The C/OH Instrution Guide explains how to omplete this form. 3. CANDIDATE / 1. ACCOUNT # (Ethis Commission filers) MS / MRS / MR FIRST MI

More information

PERSONAL FINANCIAL STATEMENT

PERSONAL FINANCIAL STATEMENT PERSONAL FINANCIAL STATEMENT Filed in accordance with chapter 572 of the Government Code. For filings required in 206, covering calendar year ending December 3, 205. Use FORM PFS--INSTRUCTION GUIDE when

More information

TEXAS ETHICS COMMISSION

TEXAS ETHICS COMMISSION TEXAS ETHICS COMMISSION POLITICAL COMMITTEE DAILY PRE-ELECTION REPORT OF DIRECT EXPENDITURES FORM DAILY-E PAC INSTRUCTION GUIDE Revised January 4, 2016 Texas Ethics Commission, P.O. Box 12070, Austin,

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

PERSONAL FINANCIAL STATEMENT

PERSONAL FINANCIAL STATEMENT PERSONAL FINANCIAL STATEMENT Filed in accordance with chapter 57 of the Government Code. For filings required in 07, covering calendar year ending December, 06. Use FORM PFS--INSTRUCTION GUIDE when completing

More information

PERSONAL FINANCIAL STATEMENT

PERSONAL FINANCIAL STATEMENT PERSONAL FINANCIAL STATEMENT Filed in accordance with chapter 572 of the Government Code. For filings required in 208, covering calendar year ending December 3, 207. Use FORM PFS--INSTRUCTION GUIDE when

More information

Texas Ethics Commission P.O.Box Austin, Texas (512) Myers. Hornsby 3/31/2009 THROUGH 4/29/2009

Texas Ethics Commission P.O.Box Austin, Texas (512) Myers. Hornsby 3/31/2009 THROUGH 4/29/2009 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

PERSONAL FINANCIAL STATEMENT

PERSONAL FINANCIAL STATEMENT PERSONAL FINANCIAL STATEMENT Filed in accordance with chapter 572 of the Government Code. For filings required in 208, covering calendar year ending December 3, 207. Use FORM PFS--INSTRUCTION GUIDE when

More information

PERSONAL FINANCIAL STATEMENT

PERSONAL FINANCIAL STATEMENT PERSONAL FINANCIAL STATEMENT Filed in accordance with chapter 57 of the Government Code. For filings required in 08, covering calendar year ending December 3, 07. Use FORM PFS--INSTRUCTION GUIDE when completing

More information

Texas Ethics Commission P.O.Box Austin, Texas (512) Ron. Natinsky. Pete. Schenkel

Texas Ethics Commission P.O.Box Austin, Texas (512) Ron. Natinsky. Pete. Schenkel 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 # MS / MRS / MR FIRST

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

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

1 Filer ID( Ethics Commission Filers) 2 Total pages filed:

1 Filer ID( Ethics Commission Filers) 2 Total pages filed: 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

PERSONAL FINANCIAL STATEMENT

PERSONAL FINANCIAL STATEMENT PERSONAL FINANCIAL STATEMENT Filed in accordance with chapter 57 of the Government Code. For filings required in 05, covering calendar year ending December, 04. Use FORM PFS--INSTRUCTION GUIDE when completing

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