1 Filer ID ( Ethics Commission Filers) 2 Total pages filed: Ccr //` /7574 Office of. TN f CE. C Date Processed. Lame.
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1 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/ MS/ MRS/ MR FRST M OFFCEHOLDER A]{ NAME Mk. Uri' i Date Received OFFCE USE ONLY NCKNAME LAST SUFFX City of League City 4 ALLis -/ Received MAR CANDDATE/ ADDRESS / PO BOX; APT/ SUTE C; CTY; STATE; ZP CODE OFFCEHOLDER MALNG ADDRESS 9 v & )( 33L e Ā u r j Ccr //` /7574 Office of Change of Address 5 CANDDATE/ AREA CODE PHONE NUMBER EXTENSON OFFCEHOLDER _ J QQ PHONE City Secretary Date Hand- d ivered or Date Postmarked Ut V 6/54 " 943--iii 3''; vi4 :( CM a,c.r 6 CAMPAGN MS/ MRS/ MR FRST M NAME 7 CAMPAGN Receipt X L.5 TN f CE. C Date Processed NCKNAME LAST SUFFX 4/4, 6 V Date maged STREET ADDRESS ( NO PO BOX PLEASE); APT/ SUTE it; CTY; STATE; ZP CODE ADDRESS J Residence or Business) c d c f CP C A S Lame. / i` t r k/ irf 2 Amount$ 8 CAMPAGN AREA CODE PHONE NUMBER EXTENSON PHONE gib - Vn ga 9 REPORT TYPE l January 5 n 30th day before election n Runoff 5th day after campaign treasurer appointment Officeholder Only) 34 lam,, n July 5 x eth ḋay before election n Exceeded$ 500 limit n Final Report( Attach C/OH- FR) 0 PEROD Month Day Year Month Day Year COVERED 3 / / / / 6 THROUGH 3/ /' / / 6. ELECTON ELECTON DATE ELECTON TYPE Month Day Year Primary Runoff Other Description 3/ / 7/ 6 General EX Special 2 OFFCE OFFCE HELD ( if any) 3 OFFCE SOUGHT ( if known) GO TO PAGE 2 Forms provided by Texas Ethics Commission tx. us Revised 9/8/205
2 CANDDATE/ OFFCEHOLDER FORM C/OH CAMPAGN FNANCE REPORT COVER SHEET PG 2 4 C/ OH NAME 5 Filer D ( Ethics Commission Filers) i - LLSLY 6 NOTCE FROM THS BOX S FOR NOTCE OF POLTCAL CONTRBUTONS ACCEPTED OR POLTCAL EXPENDTURES MADE BY POLTCAL COMMTTEES TO POLTCAL SUPPORT THE CANDDATE/ OFFCEHOLDER. THESE EXPENDTURES MAY HAVE BEEN MADE WTHOUT THE CANDDATES OR OFFCEHOLDER' S COMMTTEE( S) KNOWLEDGE OR CONSENT. CANDDATES AND OFFCEHOLDERS ARE REQURED TO REPORT THS NFORMATON ONLY F THEY RECEVE NOTCE OF SUCH EXPENDTURES. COMMTTEE TYPE GENERAL ElSPECFC COMMTTEE NAME JO COMMTTEE ADDRESS COMMTTEE CAMPAGN NAME Additional Pages Pt COMMTTEE CAMPAGN ADDRESS tia- 7 CONTRBUTON TOTALS. TOTAL POLTCAL CONTRBUTONS OF$ 50 OR LESS ( OTHER PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS TEMZED THAN L'V TOTANS TURE 2. TOTAL POLTCAL CONTRBUTONS OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) 3. TOTAL POLTCAL EXPENDTURES OF$ 00 OR LESS, UNLESS TEMZED t] 0) V / 4. TOTAL POLTCAL EXPENDTURES CONTRBUTON BALANCE 5. TOTAL POLTCAL CONTRBUTONS MANTANED AS OF THE LAST DAY $ OF REPORTNG PEROD V/ v" Jg g. j OUTSTANDNG 6. TOTAL PRNCPAL AMOUNT OF ALL OUTSTANDNG LOANS AS OF THE LOAN TOTALS LAST DAY OF THE REPORTNG PEROD 8 AFFDAVT Witi;;,,, JEANNE HAMMACK under T lection C "- My Notary O# tay * 0 Expires March 3, swear, or affirm, under penalty of perjury, that the accompanying report is true and - and includes all information required to be reported by me Signature of Candidat or Officeholder AFFX NOTARY STAMP/ SEALABOVE Sworn to annd subscribed before me, by the said 7kf G; t'4 4 this the to Utkday r rc of / tc, A,20 o,to certify which, witness my hand and seal of office. Pt/dirk c k 3 4NAV8 C 4'7 dry A Lc ignature of officer administering oath Printed name of officer administering oath Title of officer administering oath Forms provided by Texas Ethics Commission Revised 9/8/205
3 SUBTOTALS C/ OH FORM C/ OH COVER SHEET PG 3 9 FLER NAME 20 Filer D( Ethics Commission Filers) Pkr 5 '( 2 SCHEDULE SUBTOTALS NAME OF SCHEDULE SUBTOTAL AMOUNT - SCHEDULE A: MONETARY POLTCAL CONTRBUTONS sit lvv/ r Ob 2. SCHEDULE A2: NON- MONETARY( N- KND) POLTCAL CONTRBUTONS 3., SCHEDULE B: PLEDGED CONTRBUTONS 4. SCHEDULE E: LOANS 5. SCHEDULE F: POLTCAL EXPENDTURES MADE FROM POLTCAL CONTRBUTONS 6. SCHEDULE F2: UNPAD NCURRED OBLGATONS 7. SCHEDULE F3: PURCHASE OF NVESTMENTS MADE FROM POLTCAL CONTRBUTONS 8. SCHEDULE F4: EXPENDTURES MADE BY CREDT CARD 9- SCHEDULE G: POLTCAL EXPENDTURES MADE FROM PERSONAL FUNDS 0. SCHEDULE H: PAYMENT MADE FROM POLTCAL CONTRBUTONS TO A BUSNESS OF C/ OH $,. SCHEDULE : NON- POLTCAL EXPENDTURES MADE FROM POLTCAL CONTRBUTONS 2 SCHEDULE K: NTEREST, CREDTS, GANS, REFUNDS, AND CONTRBUTONS RETURNED TO FLER Forms provided by Texas Ethics Commission Revised 9/8/205
4 MONETARY POLTCAL CONTRBUTONS SCHEDULE Al The nstruction Guide explains how to complete this form. Total pages Schedule A:/) 2 FLER NAME 3 Filer D ( Ethics Commission Filers) PA-i- 4 Date 5 Full name of contributor out- of- state PAC( D#: 7 Amount of contribution ($) TE FF' PP-y 0 tt,\ 3 4/ QU4 a. ENb EA, tielemasc() ood n46 8 Principal occupation/ Job title( See nstructions) 9 Employer( See nstructions) t9flebttt_a idt avelle ' 66 Date Full name of contributor out- of- state PAC( D#: Amount of contribution ($) LA-gAV to A-7-r5 3//ifiTh 7537 l0. Orb ols7l/ R7D/ NJN 6 ce / J 4a ki,, t cknn soa) 7)(. Principal occupation/ Job title( See nstructions) Employer( See nstructions) Date Full name of contributor out- of- state PAC( D#: Amount of contribution ($) hn N E EDEL MAi 3'"' 45' t tigig ef_66 bac - b(z Principal occupation/ Job title( See nstructions) ownj LEA-64 e Cf - Pi'nM3 Employ r( See nstructions) C- 4Cks- Date 3) Til ( a9 Full name of contributor out- of- state PAC( D#: Amount of contribution ($) C.._ y V DZOE CD ift 05A66-, c Lt#o, - Can n673 Principal occupation/ Job title( See nstructions) Employer( See nstructions) ATTACH ADDTONAL COPES OF THS SCHEDULE AS NEEDED f contributor is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission us Revised 9/8/205
5 MONETARY POLTCAL CONTRBUTONS SCHEDULE Al 2 FLER NAME The instruction Guide explains how to complete this form. p Al 4LLSC Total pages Schedule Al: 3 Filer D ( Ethics Commission Filers) 4 Date 5 Full name of contributor out- of- state PAC( D#: 7 Amount of contribution ($) f i( 5 e- t. CYNA) ND, of L5, ).- ) a,z S o cs_t 'l z, L u e & N 7i Principal occupation/ Job title( See nstructions) g Employer ( See nstructions) Date Full name of contributor out- of- state PAC( D#: Amount of contribution ($) 34 R N S5i. L ṉi, of-l b OD, do OD LMA- YerTL, 4A-64E Cis 7, 755 Principal occupation/ Job title( See nstructions) Employer( See nstructions) Date Full name of contributor out- of- state PAC( D#: Amount of contribution ($) Principal occupation/ Job title( See nstructions) Employer ( See nstructions) Date Full name of contributor out- of- state PAC( D#: Amount of contribution ($) Principal occupation/ Job title( See nstructions) Employer( See nstructions) ATTACH ADDTONAL COPES OF THS SCHEDULE AS NEEDED f contributor is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission Revised 9/8/205
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