HomeMy WebLinkAbout181029 - Campaign Finance Report - Elizabeth R Cunha CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Filer ID (Ethics Commission Filers) 2 Total pages filed:
The C/OH Instruction Guide explains how to complete this form.
3 CANDIDATE/ MS/MRS/MR FIRST MI
OFFICEHOLDER �—' USE ONLY
NAME /173
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Date Received
NICKNAME LAST SUFFIX
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4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE U L I 9 2018
OFFICEHOLDER
MAILING a
ADDRESS _ f.__
n Change of Address
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
PHONE OFFICEHOLDER (?�
/ MI Receipt# Amount$
TREASURER
NAME
Date Processed
NICKNAME LAST SUFFIX
Date Imaged
7 CAMPAIGN STREET ADDRESS� (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER /
// /
(Residence or Business)
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
PHONEHEASURER (
9 REPORT TYPE f�'''I
( I January 15 30th day before election Runoff I I 15th day after campaign
treasurer appointment
�1 (Officeholder Only)
pX I
I July 15 8th day before election Exceeded$500 limit Final Report(Attach C/OH-FR)
10 PERIOD Month Day Year Month Day Year
COVERED /0 // 1 /2 2/U THROUGH /D/41 /acyg
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year LI Primary Li Runoff Efli Other
Description
/1/l/0$ 4 O)6 General Special
12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known)
Y CO VT/ef / "14 e--- 6
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CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME /� 15 Filer ID (Ethics Commission Filers)
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16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
POLITICAL SUPPORT THE CANDIDATE I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S
COMMITTEE(S) KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE
OF SUCH EXPENDITURES.
COMMITTEE TYPE COMMITTEE NAME
GENERAL
COMMITTEE ADDRESS
SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
Additional Pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ -' .a.
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
TOTALS UNLESS ITEMIZED $ "
4. TOTAL POLITICAL EXPENDITURES $ —
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF REPORTING PERIOD $ '—�ry--
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ •--0
18 AFFIDAVIT
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
(tY PU6, STACIE ZASKOD BAG
NOTARY PUBLIC i f under Title 15,Election Code.
4
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� ID#124343790
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Si/nature of Candidate or Officeholder
AFFIX NOTARY STAMP/SEALABOVE
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Sworn to and subscribed before me, by the said 1 7Q ke.ik (iI iAA ,this the
day of ✓Gl{/ X� ,20 1 ,to certify which,witness my hand and seal of office.
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Signature of officer ministering oath Printed name of officer administering oath Title of officer administering oath