HomeMy WebLinkAbout221027 -- Campaign Finance Report -- Jacob RandolphCANDIDATE I OFFICEHOLDER FORM C /OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
11
Filer ID (E thics Commission Fi lers) 2 Total pages filed:_; The C/OH Instruction Guide explains how to complete this form.
3 CANDIDATE/ MS I MRS I MR FIRST Ml
OFFICEHOLDER JOI Cob L OFFICE USE ONLY
NAME . . . . . . . . . . . . . . . . . ......... ······················ ......... ............. .......... Date Received
NICKNAME LAST SUFF IX R Cif\ c) a { p 1, RECEIVED 4 CANDIDATE/ ADDRESS I PO BOX; APT I SU ITE #; CITY; STATE; ZIP CODE
OFFICEHOLDER
\ ~ D Change of Address I : I '1.pt'Y\
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION Date Hand-delivered or Date Postmarked
OFFICEHOLDER (] -;)_ )._[£ PHONE
Receipt # I Amount $ 6 CAMPAIGN MS I MRS I MR FIRST Ml
TREASURER ............................ J.~~°..,~ ......... {,.,,
NAME ................................. Date Processed
NICKNAME R~Jotfh SUFF IX
Date Imaged
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT I SU ITE #; CITY; STATE; ZIP CODE
TREASURER (Residence or Business)
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE (
9 REPORT TYPE D January 15 D 3oth day before election D Runoff D 15th day afte r campaign
treasurer appointment
(Officeholder On ly)
D July 15 ~.8th day before ele qtion ·o Exceeded Modified '. t::J • 'Final Ri!fiprt (Attach c10H -FR)
'1, ; •l . Reporti~g ~in;iit \',r.; ~!
10 PERIOD ·'· ~ f, \
Month Day Year 'i): .. 1.,4 •' >r .Mo ~th .:·oay . ~Y r ~r
COVERED 10 / J l ( / .)_o J-.~ /' ' I ·~\ [ l • \ 1
THROUGH T I .lo /_3 ~7 ./ ~o~.)_ ' '~J. I, X (. ,,,~ ' t• 1 ,J I \{
ELECTION DATE :: ~··i'..·. ELE CTION 'fYPE '1,("'. ., " 11 ELECTION
Month Day Year D Primary D Runoff D Other
Description
11 / o S' / :>,o),)_ ~General D Special
12 OFFICE OFFICE HELD (if any)
11 3
OFFICE SOUGHT (if known)
c;-&~ /l1A'1tJ r
_./
14 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLIT ICAL COMM ITTEES TO SUPPORT
POLITICAL THE CANDIDATE I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S KNOWLEDGE OR
CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INF ORMATION ON LY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE(S)
COMM ITT EE NAME COMMITTEE TYPE
0GENERAL COMM ITT EE ADDRESS
D Additional Pages
OsPECIFIC COMM ITT EE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
CANDIDATE I OFFIC E HOLDER
CAMPAIGN FINANCE REPORT
FORM C/OH
COVER SHEET PG 2
15 C/OH NAME 16 Fil er ID (Ethics Commissio n File rs)
17 CONTRIBUTION
TOTALS
...................
EXPENDITURE
TOTALS
...................
CONTRIBUTION
BAL ANCE
..................
OUTSTANDING
LOAN TOTALS
1 .
2.
3.
4.
5.
6.
TO TAL UNITEMIZED POLITICAL CONTRIBU T IONS (OTHER THAN
PLEDGES , LOANS, OR GUARANT E ES OF LOANS, OR
CONTR IBUT IONS MADE ELECTRON ICALLY)
TOTAL PO LI T ICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
TOTAL UN ITEM IZED POLIT ICAL EXPENDITURE .
TOTAL POLITI CAL EXPEND ITURES
TOTA L POLIT ICA L CONTR I BUT IONS MA INTAINED AS OF T HE LAST DAY
OF REPORTING PERIOD
TOTAL PRINC IPA L AMOUNT OF AL L OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORT ING PER IOD
$ 0
18 S IGNATURE I swear, or affirm, under penalty of pP.rj11ry , that the accompanying report is true and correct and inc ludes all informat ion
required lube reported by me under Ti ii e ·15 , Election Code .
(1 ) Aff idav it
Please complete either option below:
JACKIE RANGEL
Notary Public -State of Texas
IOI 13288326-5 ':
My Comm. Expires 09-18-2024
NOTARY STAMP/SEAL J
Sworn to and subscribed before me by -~t£~f!1~b~--+&..,,,,·~·'-udtJ-'-'. __,_4-1;2_Yll ____ this the j /
(2) Unsworn Declaration
day of
My name is ----------------------' and my date of birt h is -------------
My address 1s ____________________ --------____________ _
(street) (c ity) (sta te) (zip code) (country)
Execu ted in--------Co unty, State of ______ , on the ___ day of ______ , 20 ___ .
(mon th) (year)
Signature of Candidale/Officetio lder (Dec larant)
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) ~cob rfa/I d () J// 11
' v
21 SCHEDULE SUBTOTALS SUBTOTAL
NAME OF SCHEDULE AMOUNT
1 . D SCHEDULE A 1: MONETARY POLITICAL CONTRIBUTIONS $0
2. D SCHEDULE A2: NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS $0
3 . D SCHEDULE B: PLEDGED CONTRIBUTIONS $ {)
4. D SCHEDULE E: LOANS $0
5. D SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $(J
6. D SCHEDULE F2 : UNPAID INCURRED OBLIGATIONS $0
7. D SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ ()
8. D SCHEDULE F4 : EXPENDITURES MADE BY CREDIT CARD $ G
9. D SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS. $ 0
10. D SCHEDULE H : PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ 0
11 . D SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 0
12. D SCHEDULE K : INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED $ 0 TO FILER
Forms provided by Texas Ethics Commission www.ethi cs.s tat e.tx .us Revis ed 8/1712020