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