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HomeMy WebLinkAbout221014 -- Campaign Finance Report -- Willie BlackmonCANDIDATE I OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 1 1 1 Filer ID (Eth ics Co mmi ss ion Fi lers ) The C/OH Instruction Guide explains how to complete this form . 2 Total pages filed : 3 CAND IDATE/ OFFI CEHOLDER NAME .. w;~/{/ ....... FIR ST························£ .. M/4. NICKNA ME LAS T SUFFI X OFFICE USE ONLY Dat e Receive d ~&-..u .L3 / llr £/Jc} /J ~ RECEIVED 4 CAND I DATE/ OFF ICEHOLDER MAILING ADDRESS D Change of Address 5 CAND IDATE/ OFF I CEHOLDER PHONE 6 CAMPAIGN TREASURER NAME 7 CAMPAIGN TREASURER ADDRESS (Residence or Business) 8 CAMPAIGN TREASURER PHONE 9 REPORT TYPE 10 PERIOD COVERED 11 ELECTION 12 OFF ICE ('~, CfeuJLJC/~ ' . /_ , 14 P<IOT ICE FROM POLITI CAL COMM ITTEE(S) D Additiona l Pages ADDRESS I PO BOX ; ' APT I SU ITE #; CITY : STATE: ZIP CODE AREA CODE PHONE NUMBER EX TEN S ION e;J MRS I MR FIRST . ./~<ekL<--.ec;.-. r.9gz~(?A.L._ M l NICKNAME LAST SUFFI X OCT 14 lOZZ j,5 ~DI {Jlt1 Date Hand-deli vered or Date Postmarked Receipt# I Amoun t $ Date Processed Date Imaged STREET ADDRESS (NO PO BOX PLEASE): APT I SU ITE #; CITY ; STATE ; ZIP CODE ~ AREA CODE PHONE NUMBER EX TENSION ~ ~ D January 15 ~ 30th day before election D Juty1s D 8t h day b efore electio n Month Day Year ELECT ION DATE D Primary ~neral Month Day Year I I / g / -:Z...,"2..-- OFFICE HELD (if any) D D THROUGH Runoff Exceeded Modifi ed Reporting Limit D D Month Day ELECT ION TYPE D Oth er Desc npt io n 13 OFF ICE SO UGHT (if known ) 15t h day after campaign treasurer appointment (Officeholder On ly) Fi nal Report (Attach C/OH -FR) Year Ct "l"rv C~ U,N?/~ -,/'~ ~ TH IS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICA.,i{XPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT THE CAND IDATE I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MAD[ WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT TH IS INFORMATION ONLY IF THEY RECE IVE NOTICE OF SUCH EXPENDITURES, COMM ITTEE TYPE COMM ITTEE NAM E 0GENERAL CO MMITT EE ADDRESS OsPECIFI C CO MMITTEE CA MPAIGN TREAS URE R N AME CO MMITT EE CAMPA IGN TREASURER ADDRESS GO TO PAGE 2 Forms provid ed by Texas Ethics Commission www.ethics.sta te.tx .us Revi se d 8/17/2020 CANDIDATE I OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 15 C/OH NAME 16 Filer ID (Ethics Commission Filers) U/,. L,,/ e- 17 CONTRIBUTION TOTALS EXPENDITURE TOTALS CONTRIBUTION BALANCE OUTSTANDING LOAN TOTALS 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR CONTRIBUTIONS MADE ELECTRONICALLY) 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE. 4. TOTAL POLITICAL EXPENDITURES 5. 6. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF REPORTING PERIOD TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY OF THE REPORTING PERIOD $ 0 $ / / $ 1 I ... ~'O $ $ 18 SIGNATURE 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 ~ic:tlOlder Please complete either option below: JACKIE RANGEL Notary Public • State of Texas 10# 13268326·5 My Comm. Expires 09-18-2024 . _;g. (2) Unsworn Declaration My name is----------------------' and my date of birth is------------- My address is __________________________________________ _ (street) (city) (state) (zip code) (country) Executed in ________ County, State of ______ , on the ___ day of~-~---' 20 ___ . (month) (year) Signature of Candidate/Officeholder (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 SUBTOTALS -C/OH FORM C/OH COVER SHEET PG 3 19 FILER NAME 20 Filer ID (Ethics Commission Filers) /,,(/ / -4 4/ a-~ ,!. 8 zj L, /; 6/;rc,/4/,> ~ / -. 21 SCHEDULE SUBTOTALS SUBTOTAL NAME OF SCHEDULE AMOUNT 1. D SCHEDULEA1: MONETARY POLITICAL CONTRIBUTIONS $ I 'Yo~ c?.t"' / D 2. SCHEDULEA2: NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS $ / ,,_,,,,,....., ~ ~ , ---r 3. D SCHEDULE B: PLEDGED CONTRIBUTIONS $ c:::> 4. D SCHEDULE E: LOANS $ / -</:;t,OA l? / 5. D SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ ~oo,,a ? 6. D SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 0 7. D SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ 0 8. D SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD :_fGt:> IP~" 9. D SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ ';f&?O,&/l :> 10. D SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ 11. D SCHEDULE I NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 0 12. D SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED $ C' TO FILER Farms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1 If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total pages Schedule A 1 · 2 3 Filer ID (Ethics Commission Filers) 4 Date Full name of contributor D out-of-state PAC (ID#: ) 7 Amount of contribution ($) ... .:[' c:.~~.-r ef. t;A7.JI t:.f!./~ .. ~~ .. & P.. ~~P.;; Contributor address; City; State; Zip Code 8 Principal occupation I Job title (See Instructions) 9 Employer (See Instructions) Date Full name of contributor D out-of-state PAC (ID#: _______ _ Amount of contribution ($) State; Zip Code /Y ;J-7- Employer (See Instructions) Date Full name of contributor D out-of-state PAC (ID#: _______ _ Amount of contribution ($) ..... lf-;f?,N.: .e ..... K ~ c.:--&.?. s .... Contributor address; City; State; Zip Code ~ z..:31f' w If L.-AJer- Principal occupation I J /<.e:~ Date Full name of contributor D out-of-state PAC (ID#· _______ _ Amount of contribution ($) Contributor address; City; State; Zip Code ------------------.----···-----~-···--'-------------------1 Principal occupation I Job title (See Instructions) Employer (See Instructions) r=========================================='.:=:==============================-=-~======~ ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020