HomeMy WebLinkAbout20230818114206CANDIDATE / 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 /
OFFICEHOLDER
MS / MRS / MR
e j�J �
'/.r.
FIRST MI
J ���ih �
OFFICE USE ONLY
Date Received
NAME
........... ........... ..................... I.........
NICKNAME
LAST SUFFIX
vn &
RECEIVED
4 CANDIDATE /
ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
OFFICEHOLDER
MAIL MAILING
ADDRESS
P r �
r; fA11 Tr cs 7X 7703
JUL 18 2023 ��
Change of Address
y
5 CANDIDATE/
AREA CODE
PHONE NUMBER EXTENSION
Date Hand -delivered or Date Postmarked
OFFICEPHONE HOLDER
('77 ( )
(/ `
7.3 l v ��
Receipt #
Amount $
6 CAMPAIGN
TREASURER
MS / MRS / MR
FIRST MI
�...�................................
Date Processed
NAME....../•!
•r•a...............
NICKNAME
LAST SUFFIX
Date Imaged
vn �
7 CAMPAIGN
STREET ADDRESS
(NO PO BOX PLEASE); APT / SUITE #; CITY;
STATE; ZIP CODE
TREASURER
ADDRESS
�Iolf
/ r �j'�/
/ / n
7 2 9-IY3
(Residence or Business)
8 CAMPAIGN
AREA CODE
PHONE NUMBER EXTENSION
TREASURER
PHONE
w
9 REPORT TYPE
January 15
El
30th day before election Runoff
15th day after campaign
treasurer appointment
(Officeholder Only)
July 15
8th day before election ❑ Exceeded Modified
❑ Final Report (Attach C/OH - FR)
Reporting Limit
10 PERIOD
Month Day Year Month
Day Year
COVERED
O
/ 1.9 /-7(ij','3 THROUGH Q LL/ 7j,16 / J n2j-3
�/
11 ELECTION
ELECTION
DATE
ELECTION TYPE
❑ Primary ❑ Runoff ❑ Other
Month Day
Year
Description
/
/
❑ General ❑ Special
12 orFICr
OFFICE HELD (if any)
13 OFFICF SOUGHT (if known)
tj r-, �hy
09VAc..') a f
14 NOTICE FROM
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES 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 INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE(S)
COMMITTEE TYPE
COMMITTEE NAME
GENERAL
COMMITTEE ADDRESS
Additional Pages
COMMITTEE CAMPAIGN TREASURER NAME
SPECIFIC
COMMITTEE CAMPAIGN TREASURER ADDRESS
GO TO PAGE 2
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Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/15/2022
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
15 C/OH NAME
16 Filer ID (Ethics Commission Filers)
17 CONTRIBUTION
1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
$
TOTALS
PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR
CONTRIBUTIONS MADE ELECTRONICALLY)
2. TOTAL POLITICAL CONTRIBUTIONS
$
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE
TOTALS
3. TOTAL UNITEMIZED POLITICAL EXPENDITURE.
$
4. TOTAL POLITICAL EXPENDITURES
$
�¢
...................
CONTRIBUTION
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
$
BALANCE
OF REPORTING PERIOD
OUTSTANDING
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS
LAST DAY OF THE REPORTING PERIOD
$ V
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 Candidate or Officeholder
.�va&', ANN MARIE WILLIAMS
�� `e`� lease complete either option below:
Notary Public, State of Texas
9 ��• v Comm. Expires 06-13-2027
Notary ID 13440381-2
(1) Affidavit
NOTARY STAMP/SEAL
lI
�� �}fi un k /� ( this the � day of U 1
Sworn to and subscribed before me by C
2A to certify which, witness my hand and seal of office.
illy u pu l i
rA_ --
Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath
•
(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 11115/2022