181203 - Campaign Finance Report - Dennis Maloney CANDIDATE / 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/ MS/MRS/C) FIRST MI
OFFICEHOLDER �_ OFFICE USE ONLY
NAME V'74f1 Ni CNi Date Received
NICKNAME LAST SUFFIX
/X4k),11e7 RECEIVED
4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE
OFFICEHOLDER �/ DEC 0 3 2018
MAILING
BY: Ateu
Change of Address
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER ` �,� Date Hand-delivered or Date Postmarked
PHONE (
6 CAMPAIGN
MS/MRS/MR FIRST MI Receipt# Amount $
"t
TREASURER
NAME Date Processed
NICKNAME LAST SUFFIX
Date Imaged
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER
ADDRESS �
(Residence or Business) ✓ /r�. /,1.-1,,e
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER /
PHONE \ ) ?1..,e
9 REPORT TYPE
January 15 30th day before election unoff 15th day after campaign
treasurer appointment
(Officeholder Only)
July 15 8th day before election Exceeded$500 limit Final Report(Attach C/OH-FR)
10 PERIOD Month Day Year /Month Day /Year
/
COVERED / / /'4/(1) !THROUGH / —s //"
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year I I Primary Runoff Other
�t�/ Description
/ / /7 /( General Special
12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known)
7,1 er7`5 � � �i/• t l
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Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME ..- 15 Filer ID (Ethics Commission Filers)
o / I fh4//<< 1
16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
POLITICAL SUPPORT THE CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S
COMMITTEE(S) KNOWLEDGE OR 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
❑SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
Additional Pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED 6)6)
2. TOTAL POLITICAL CONTRIBUTIONS $ ---6)-----
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) '
EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, —y�--
TOTALS UNLESS ITEMIZED C/
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 $ __67,/____
18 AFFIDAVIT
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
`�AV PU* SARA A. MIRZA under Title 15,Election Code.
r°: e�,Notary Public,State of Texas
-.v •v Comm. Expires 11-15 2021 <'j� 4ii
" gi%0 Notary ID 6762.979
� m1/24 iE
Signature of Candida ./*tficeholder
AFFIX NOTARY STAMP/SEALABOVE �y ,,f A A A
Sworn to and subscribed before me, by the said !J -AI f S f`�� t- 0A) Ithis the s
day of ��il 6-C- , 20 i ,to certify which,witness my hand and seal of office.
f e 5ARik A• MrRzi
•
Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015