HomeMy WebLinkAbout20230818114215CANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT
COVER SHEET PG I
The C/OH Instruction Guide explains how to complete this form.
1 'Filer ID (Ethics Commission Filers)
2 Total pages filed:
3 CANDIDATE /
OFFICEHOLDER
FIRST MI
MS /MRS / MR�h�i
OFFICE USE ONLY
NAME........
.................. .....................--..... .---.........
Date Received
NICKNAME LAST SUFFIX
1 Y IC- /-f 0�-s
73 w- M0�0
/
ADDRESS / PO BOX; APT / SUITE #; CITY;
4 CANDIDATE
STATE; ZIP CODE
OFFICEHOLDER
l 31
MAILING
ADDRESS
❑ Change of Address
5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
Date Hand -delivered or Date Postmarked
OFFICEHOLDER
r
lReceipt
PHONE
6 CAMPAIGN
MS /MRS / MR FIRST Mt
#
Amount $
TREASURER
5 re, i✓ If
Date Processed
NAME.................................................................................
NICKNAME LAST SUFFIX
<j e A t%
Date Imaged
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY;
STATE; ZIP CODE
TREASURER
ADDRESS
) �t 7e
/ cl
(Residence or Business)
l
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
-7
r q 7c?) � � -
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 - FRI
Reporting Limit
10 PERIOD
Month Day Year Month
Day Year
COVERED
9 / )
3 THROUGH r
✓ b / 3
11 ELECTION
ELECTION DATE
ELECTION TYPE
❑ Primary ❑ Runoff ❑ Other
Month Day Year
Description
❑ General ❑ Special
12 OFFICE
OFFICE HELD (if any) /) 13 OFFICE SOUGHT (d known)
%/k cti
14 NOTICE FROM
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT
POLITICAL
THE CANDIDATE / OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDERS KNOWLEDGE OR
COMMITTEE(S)
CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE TYPE
COMMITTEE NAME
GENERAL
COMMITTEE ADDRESS
Additional Pages
SPECIFIC
COMMITTEE 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 / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
15 C/OH NAME �; / 16 Filer ID (Ethics Commission Filers)
Jv -I rc�Col�
17 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR $ U
CONTRIBUTIONS MADE ELECTRONICALLY)
2. TOTAL POLITICAL CONTRIBUTIONS $
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE.
TOTALS $ 0
4. TOTAL POLITICAL EXPENDITURES $ id
...................
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF REPORTING PERIOD $ �- v J " r J
0
..................
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE _.
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ —
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 C . f
Signature of Candidate or Officeholder
Please complete either option below:
�',._ �• LAN WHITTENTON
_,, ^ •��� Notary Public
•' �' • STATE OF TEXAS
(7) A °' `� My C-or^-n En. Jun. 06. 2a25
NOTARY STAMP/SEAL
Sworn to and subscribed before me by �h A 1`� 1 \ 5 this the 1 day of .� t,►� ti
which, witness my hand and seal of office.
�6►r� i `-�'�n c � �1
Signature of officer ministering oath Printed name of officer administering oath Tid of officer adminis eying oath
1 (2) Unswom 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