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.

Size: px
Start display at page:

Download "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."

Transcription

1 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/ FICEHOLDER NAME 4 CANDIDATE/ FICEHOLDER MAILING ADDRESS D Change of Address 5 CANDIDATE/ FICEHOLDER PHONE 6 CAMPAIGN TREASURER NAME 7 CAMPAIGN TREASURER ADDRESS (Residence or Business) MS/ MRS/ MR L NICKNAME V ( s FIRST Vl 5H LAST oj If Al lf1r/ ADDRESS / PO BOX; APT / SUITE #; CITY; 2- oaq m fl r/7.. fj fll'(-} 1r es-.. STATE; - L( l tlep o 1 1--;< 11(/1 AREA CODE PHONE NUMBER EXTENSION ( 56),t7 cg 3? 1_; MS/ MRS/ MR FIR Dy. Po o-y-- Z NICKNAME {fl e.jyc[/11_{)... Ml SUFFIX ZIP CODE Ml SUFFIX FICE USE ONLY ::.- : ' ) --..),. - -,i I,J C.J Hand-deliver-a,or Dclte.."Postmarked C C ri! Receipt # Processed Imaged ZIP CODE I Amount 8 CAMPAIGN TREASURER PHONE AREA CODE (q,) PHONE NUMBER EXTENSION 9 REP ORT TYPE D January 15 July15 D 3oth day before election " ' 8th day before election Runoff Exceeded 500 limit 15th day after campaign treasurer appointment (Officeholder Only) Final Report (Attach C/ OH - FR) 10 PERIOD COVERED Month Day Year THROUGH JO Month Day Year I 11 ELECTION Month \I/ ELECTION DATE Day Year 6/tc{ 0 Primary 0 Runoff 0 Special ELECTION TYPE 0 Other 12 FICE FICE HELD (if any) 13 FICE SOUGHT (if known) C I ry C Ov\NC!l-- P1.S1f<- JC'T 6' GO TO PAGE 2

2 CANDIDATE/ FICEHOLDER CAMPAIGN FINANCE REPORT 14 C/OH ME L... V rs 16 NOTICE FROM POLITICAL COMMITTEE(S) FORM C/OH COVER SHEET PG 2 15 Filer ID (Ethics Commission Filers) THIS BOX IS FOR NOTICE POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL S MADE BY POLITICAL COMMITTEES TO SUPPORT THE CANDIDATE/ FICEHOLDER. THESE S MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR FICEHOLDER'S KNOWLEDGE OR CONSENT. CANDIDATES AND FICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE SUCH S. COMMITTEE TYPE COMMITTEE NAME GENERAL OsPEc1F1c COMMITTEE ADDRESS COMMITTEE CAMPAIGN TREASURER NAME 0 Additional Pages COMMITTEE CAMPAIGN TREASURER ADDRESS 17 CONTRIBUTION TOTALS 1. TOTAL POLITICAL CONTRIBUTIONS 50 OR LESS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES LOANS). UNLESS ITEMIZED 0 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES LOANS) 06 TOTALS 3. TOTAL POLITICAL S 100 OR LESS, UNLESS ITEMIZED 4. TOTAL POLITICAL S 2'1>3.l\?>ci(t.2., CONTRIBUTION BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS THE LAST DAY REPORTING PERIOD 2:2..+l OUTSTANDING LOAN TOTALS 6. TOTAL PRINCIPAL AMOUNT ALL OUTSTANDING LOANS AS THE LAST DAY THE REPORTING PERIOD 18 AFFIDAVIT,,...,,,,,, TIFFANY L. FRANKLIN,,, f,:1 Pu,,,... fo" i,!< Notary Public, Stole ot Iexas i.;. :, P,,.,.'.:;E comm. Expires ,,...,,(t.,,'" - fi:;,f\:_? Notary ID '''""''' I swear, or affirm, under penalty of perjury, that the accompanying report is true and correct and includes all information required to be reported by me under Title 15, Election Code. Signature of Candidate or Officeholder AFFIX NOTARY STAMP/ SEAL ABOVE Sworn to and subscribed before me, by the said _L_._v,'<w:i-v, day of Qurobev=,20 10, to certify which, witness my hand and seal of office this the z:f- - Forms provided by Texas Ethics Commission www. ethics. state. tx. us Revised 9/8/2015

3 SUBTOTALS C/OH FORM C/OH COVER SHEET PG 3 19 FILER L. NAME Vl Sr{ V l - uf/j N lrt/1 20 Filer ID (Ethics Commission Filers) 21 SCHEDULE SUBTOTALS SUBTOTAL NAME SCHEDULE AMOUNT 1.!ifscHEDULE A1: MONETARY POLITICAL CONTRIBUTIONS :;--oo SCHEDULE A2: NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS SCHEDULE B: PLEDGED CONTRIBUTIONS 4. SCHEDULE E: LOANS 5. ifs chedule F1: POLITICAL S MADE FROM POLITICAL CONTRIBUTIONS '363-J r- 6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS 7. SCHEDULE F3: PURCHASE INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS 8. SCHEDULE F4: S MADE BY CREDIT CARD 9. SCHEDULE G: POLITICAL S MADE FROM PERSONAL FUNDS 10. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS C/OH 11. SCHEDULE I: NON-POLITICAL S MADE FROM POLITICAL CONTRIBUTIONS 12. SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED TO FILER

4 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1 The Instruction Guide explains how to complete this form. 1 Total pa r s Schedule A 1: FILER A E / V 511 VI w 1 &7tf 1, 01i1l,r 5 Full name of contributor I-of-state PAC (ID#:. 0 4 c.o s,... ;:;::/;f/irv(,;:;;j;;f 0 4 Principal occupation / ob title (See Instructions) i""f;"' / cow o p ;: : rul 6 ) Lv. Contributor rm_ q / A v1. c; i 1 -I? -dd 6lU 1 e,,/ address; lou-{' fyjtyj :r- Principal occupati e?; i e tructions) ;;, l 7 9 Employer (See Instructions) ti Te-ll FrJt-2-. <, I..J IJ &I; f ti r,? 0 out-of-state PAC (ID#: ) Le.o Yl... City; State; Zip Code })r. La 7e-4Tr 'J re, Employer (See Instructions) tsi) 3 Filer ID (Ethics Commission Filers) Amount of contribution 4 JOO Amount of contribution 3oo' () () rol 1e,/ I(( Full name of contributor 0 out-of-state PAC (ID#: ) Oert0} k. (r;,v1/teei_ Contributor address; City; State; Zip Code <('41 ")c rcj'u)'>'juj p-,. l,(' e.,p/4'; X '? ft1f-_y-- Principal ocpe--h!t::js:e Instructions) Employer (See Instructions) Amount of contribution,d,oo () Full name of contributor 0 out-of-state PAC (ID#: l Amount of contribution () Contributor address; City; State; Zip Code Principal occupation / Job title (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.

5 POLITICAL S MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan RepaymenVReimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/Donations Made By GifVAwards/Memorials Expense Printing Expense Travel Out Of District 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 to complete this form Total pages Schedule F1: I o h etl1{ &4 q5 L 2 2 R N V, SH ll I Su.I fr /V lff}1 5 Payeenam /; ft' C<:2-Mer5 7 Payee address; City; State; Zip Code 2A 3<? rr7 (j "Y7 t>-f. ca f]y (a) Category (See Categories listed at the top of this schedule) 13 Filer ID (Ethics Commission Filers) LureTr 7<T 0 4-? (b) r6b7/ I 1Ju) tttz D Check if travel outside of Texas. Complete Schedule T. 9 Candidate I Officeholder name Office sought Office held D t, ; ll rl l r 4-a o ' ao \ 0 l l \ (( 4,400.,ro P n z ;:L (Y) ()_j 'n ; :; Tr11Jc5 Payee address; City; State; Zip Code I I l Cs(kf((/'l)y. Lq,,,J1'7 rc:14'/ Category (See Categories listed at the top of this schedule) /f-jm, rf,j,' I D Check if travel outside of Texas. Complete Schedule T. Candidate I Officeholder name Office sought Office held Payee name F; i_ P1!..LC Payee address; City; State; Zip ode b; rj, l (2- /-101.1sh * / /? fdf- (I Category (See Categories listed at the top of this schedule) /t}u) &},' 0 J D Check if travel outside of Texas. Complete Schedule T. Candidate I Officeholder name Office sought Office held ATTACH ADDITION AL COPIES THIS SCHEDULE AS NEEDED

6 POLITICAL S MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 CATEGORIES FOR BOX 8(a) Advertising Expense 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 District Contributions/Donations Made By GifVAwards/Memorials Expense Printing Expense Travel Out Of District 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 to complete this form. 1 Total pages Schedule F1 : I 36 '3 \ --r o l,, ( 9' F R NAME L. Vt.S' 5 Payee name H t' [S'lUl{N;fJJf V ( (YlI '-- tp-rcr,r 7 Payee address; City; State; Zip Code 13 Filer ID (Ethics Commission Filers) \ OL F-- At/ fyl y" 8lv-1 L.(f,fe.Lr Tr c '1 r--'1 4 < (a) Category (See Categories listed at the top of this schedule) (YJ It (LI /V h If ff NT! ti?j (b) D Check if travel outside of Texas. Complete Schedule T. 9 Candidate / Otticeholder name Ottice sought Office held tt I :2-1 lf!. yb Cj;b Payee name p,,,-, f-()14{ ayee address; A ff.2_(],c;rc7je:s: 0 :/l) s,ki La J Tr 7 fcl y:- / Category (See Categories listed at the top of this schedule) Cofj 1tf vi D Check ii travel outside of Texas. Complete Schedule T. Candidate / Otticeholder name Ottice sought Ottice held /;(c I Ir 4,J. l{l. 67 Payee name V 1St1 v ( S ()) t t tv tj-t- Payee address; City; State; Zip Code 1-oo 1 (Yl C{ r/) -(J"7l tlni /)y. L(1 J 1 7 f t:j "1 Category (See Categories listed at the top ol this schedule) P-e-f'-(j,,-t/; the)j.r e 'f/&/7"6-e D Check ii travel outside of Texas. Complete Schedule T. D Check ii Austin, TX, olliceholder living expense Candidate / Otticeholder name Office sought Ottice held ATTACH ADDITIONAL COPIES THIS SCHEDULE AS NEEDED

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

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

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

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

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

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

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

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

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

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

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

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. 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

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

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 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

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 Filer ID (Ethics Commission Filers) 2 Total pages filed: 3 CANDIDATE

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 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

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

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

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

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

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

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

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

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

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

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 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

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 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

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

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

,^..-. 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

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:

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

.::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

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

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

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

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

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

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

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

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

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

TEXAS ETHICS COMMISSION

TEXAS ETHICS COMMISSION TEXAS ETHICS COMMISSION CANDIDATE/OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH INSTRUCTION GUIDE Revised January 4, 2016 Texas Ethics Commission, P.O. Box 12070, Austin, Texas 78711 (512) 463-5800 FAX

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

1 Filer ID (Elhics Commission Filers) 2 Total pages filed: /<j 1/Ef<. f<.p ) W1 m Bel?-~-:::y, /;<- APR O D -;?07~

1 Filer ID (Elhics Commission Filers) 2 Total pages filed: /<j 1/Ef<. f<.p ) W1 m Bel?-~-:::y, /;<- APR O D -;?07~ CANDIDATE/ OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Gulde explains how to complete this form. 3 CANDIDATE/ IC~RS/MR FIRST Ml OFFICEHOLDER NAME ~EJE,EcU} 1 Filer

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

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

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

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

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

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 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

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

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

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

1 Filer ID (Ethics Commission Filers) 2 Total pages filed: Date Received NICKNAME LAST SUFFIX cg f"tl. w\ Lc\~ CITY; STATE; ZIP CODE z )>..,.

1 Filer ID (Ethics Commission Filers) 2 Total pages filed: Date Received NICKNAME LAST SUFFIX cg ftl. w\ Lc\~ CITY; STATE; ZIP CODE z )>..,. 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 CAATE/@3)..tlfFICER"OLDE NAME MSIMRS- FIRST Ml 1 Filer ID (Ethics

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

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

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

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

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

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

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

FINAL CAMPAIGN CONTRIBUTION AND EXPENDITURE REPORT For State and District Candidates Only For assistance in completing

FINAL CAMPAIGN CONTRIBUTION AND EXPENDITURE REPORT For State and District Candidates Only For assistance in completing FINAL CAMPAIGN CONTRIBUTION AND EXPENDITURE REPORT For State and District Candidates Only To be filed with: Mark Martin, Secretary of State For assistance in completing this form contact: Arkansas Ethics

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: v SCANNED 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

More information

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