HomeMy WebLinkAbout250114 --Campaign Finance Report Final -- Elizabeth Cunha1 C/OH NAME 4-za et `7 C- <1
3 SIGNATURE
CANDIDATE / OFFICEHOLDER REPORT:
DESIGNATION OF FINAL REPORT
FORM C/OH - FR
The Instruction Guide explains how to complete this forrn.
•• Complete only if "Report Type" on page 1 is marked "Final Report"
2 Filer ID (Ethics Commission Filers)
I do not expect any further political contributions or political expenditures in connection with my candidacy. I understand that
designating a report as a final report terminates my campaign treasurer appointment. I also understand that I may not accept any
campaign contributions or make any campaign expenditures without a campaign treasurer appointment on file.
Si e[ureof Candidate
ature of Candidate / Officeholder
4 FILER WHO IS NOT AN OFFICEHOLDER
•• Complete A & B below only if you are not an officeholder. -•
A. CAMPAIGN FUNDS
Check only one:
I-1 I do not have unexpended contributions or unexpended interest or income earned from political contributions.
I have unexpended contributions or unexpended interest or income earned from political contributions. I understand that I
may not convert unexpended political contributions or unexpended interest or income earned on political contributions to
personal use. I also understand that ► must file an annual report of unexpended contributions and that I may not retain
unexpended contributions or unexpended interest or income earned on political contributions longer than six years after
filing this final report. Further, I understand that I must dispose of unexpended political contributions and unexpended
interest or income earned on political contributions in accordance with the requirements of Election Code, § 254.204.
B. ASSETS
Check only one:
!- 1 do not retain assets purchased with political contributions or interest or other income from political contributions.
I do retain assets purchased with political contributions or interest or other income from political contributions. I understand
that I may not convert assets purchased with political contributions or interest or other income from political contributions to
personal use. I also understand that I must dispose of assets purchased with political contributions in accordance with the
requirements of Election Code, § 254.204.
5 OFFICEHOLDER
•• Complete this section only if you are an officeholder ••
1
t , 7 /
Signature of Candidate
I am aware that I remain subject to filing requirements applicable to an officeholder who does not have a campaign treasurer on
file. I am also aware that I will be required to file reports of unexpended contributions if, after filing the last required report as
an officeholder, I retain political contributions, interest or other income from political contributions, or assets purchased with
political contributions or interest or other income from political contributions.
Signature of Officeholder
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT
The C/OH Instruction Guide explains how to complete this form.
3 CANDIDATE /
OFFICEHOLDER
NAME
4 CANDIDATE /
OFFICEHOLDER
MAILING
ADDRESS
❑ Change of Address
5 CANDIDATE/
OFFICEHOLDER
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 OFFICE
14 NOTICE FROM
POLITICAL
COMMITTEE(S)
Additional Pages
MS / MRS / MR FIRST
/rlr5 /G
1 Filer ID (Ethics Commission Filers)
MI
NICKNAME
LAST
ADDRESS / PO BOX; APT / SUITE #; CITY;
SUFFIX
STATE; ZIP CODE
AREA CODE
?"
MS / MRS / MR FIRST
4/4vecfrj
4
NICKNAME
LAST
Cvn Au -
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #;
EXTENSION
CITY;
MI
SUFFIX
COVER SHEET PG 1
2 Total pages filed:
OFFICE USE ONLY
Date Received
Date Hand -delivered or Date Postmarked
Receipt #
Amount $
Date Processed
Date Imaged
STATE; ZIP CODE
`.
AREA CODE
PHONE NUMBER
(
January 15
n July 15
Month
Month
ELECTION DATE
Day Year
/ /
OFFICE HELD (if any)
n30th day before election
n8th day before election
Day Year
/?Z/;'/
❑ Primary
❑ General
EXTENSION
THROUGH
Runoff
Exceeded Modified
Reporting Limit
Month
ELECTION TYPE
❑ Runoff ❑ Other
❑ Special
Description
13 OFFICE SOUGHT (if known)
1 ❑ 15th day after campaign
treasurer appointment
(Officeholder Only)
n Final Report (Attach C/OH - FR)
Day
Year
75 /o`C
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT
THE CANDIDATE / 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 TYPE
❑ GENERAL
SPECIFIC
COMMITTEE NAME
COMMITTEE ADDRESS
COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
Forms provided by Texas Ethics Commission
GO TO PAGE 2
www.ethics.state.tx.us
Revised 1/1/2024
CANDIDATE / OFFICEHOLDER
CAMPAIGN FINANCE REPORT
15 C/OH NAM
l'z44►€f h Go •,
17 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR
CONTRIBUTIONS MADE ELECTRONICALLY)
EXPENDITURE
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
TOTALS 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE. $
FORM C/OH
COVER SHEET PG 2
16 Filer ID (Ethics Commission Filers)
$
CONTRIBUTION
BALANCE
OUTSTANDING
LOAN TOTALS
4. TOTAL POLITICAL EXPENDITURES
$
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $
OF REPORTING PERIOD
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
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 Code.
Signature of Candidate or Officeholder
Please complete either option below:
(1) Affidavit
NOTARY STAMP/SEAL
Sworn to and subscribed before me by
20 , to certify which, witness my hand and seal of office.
Signature of officer administering oath
Printed name of officer administering oath
this the day of
Title of officer administering oath
OR
(2) Unsworn Declaration
and my date of birth is ID NO (JeJV1;er1f 68
/ (city) (state) (zip code) (country)
Executed in /. 3 (fit County, State of X4 S , on the � 1 day of / - , , 20
(month) ( ar)
f i't l� �
My name is £4 2.LL 6 f, i 4 h
My address is 77/1 77-crfon v _T
(Ave)
—
Signature of Candidate/Officeholder (Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us
Revised 1/1/2024