HomeMy WebLinkAbout210715 -- Campaign Finance Report Correction 201026 -- Bob Brick1
CORRECTION/AMENDMENT AFFIDAVIT
FOR CANDIDATE/OFFICEHOLDER
Filer ID (Ethics Commission Filers) 2 Total pages filed:
FORM COR-C/OH
OFFICE USE ONLY
3 CANDIDATE/ MS/MR MR FIRST rt-
MW 7Z6be t OFFICEHOLDER
NAME
4 ORIGINAL REPORT
TYPE
5 ORIG INAL PER IOD
COVERED
NICKNAME ~oick.. o~
D Januaiy15 0 Runoff
JaJuty1 5 0 Exceeded modified reporting
D 3oth day before election
limit
0 8th day before election 0 15th day after trea surer
appointment (officeholder only)
Month Day Year Month
/D / b /2--D THROUGH
SUFFIX
D Final report
Other (specify) Receipt# Amount S
-------1 Oate Processed
Day Year
Date Imaged
7 SIGNATURE I swear, or affirm, under penalty of perjury, that this corrected report is true and correct.
Check ONLY if applicable :
~ ,.........--:annual reports: I swear, or affirm, that the original report was made in good faith and without an intent to ~T!r~ad or to misrepre-sent the information contained in the report.
·D Other reports: I swear, or affirm, that I am filing this corrected r~port not I ter than the 14th business day after the
date I learned that the report as originally filed is inaccurate or ir mplet I swear, or affirm, that any error or
· · · ort as originally filed was made in good fa· (
LISA F. McCRACKEN .
Notary Public -State of Texas
ID# 13297020-3
My Comm. Expires 3-11-2025
NOTARY STAMP I SEAL
lease complete either option below:
Sworn to and subscribed before me by _]3""'""_0=-b..__~ __ .._c-_.;.;.,.!J._~_,,_ ________ this the
(2) Unswom Declaration
I~
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)
Remember To Attach Any Part Of The Campaign Finance Report Form Needed To Report And Explain Corrections
Forms provided by Texas Ethics Commission www.ethics .state.tx.us Revised 4/16/2021