220124 - Campaign Finance Report - Elizabeth CunhaCANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
The C/OH Instruction Guide explains how to complete this form.
1 Filer ID (Ethics Commission Filers)
2 Total pages filed:
3 CANDIDATE /
OFFICEHOLDER
NAME
MS �SR ) MR FIRST MI
./,,. G•-e/ ' l
/
NICKNAME LAST SUFFIX
LV4 A--
OFFICE USE ONLY
Date Received
RECEIVED
IAN 2 4 2022
4 CANDIDATE /
OFFICEHOLDER
MAILING
ADDRESS
Change of Address
ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
/
5 CANDIDATE/
PHONE OFFICEHOLDER
AREA CODE PHONE NUMBER EXTENSION
'/ .
Date Hand -delivered or Date Postmarked
Receipt #
Amount $
6 CAMPAIGN
TREASURER
NAME
MS / MRS / R , F%RST MI
�' i([/7Vfl
`F�`
NICKNAME LAST SUFFIX
j n / ,i
Date Processed
Date Imaged
7 CAMPAIGN
TREASURER
ADDRESS
(Residence or Business)
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE
�-.
8 CAMPAIGN
TREASURER
PHONE
AREA CODE PHONE NUMBER EXTENSION
(`�� �/ )/
9 REPORT TYPE
January 15 I 30th day before election Runoff 15th day after campaign
rd treasurer appointment
(Officeholder Only)
July 15 8th day before election Exceeded Modified Final Report (Attach C/OH - FR)
Reporting Limit
10 PERIOD
COVERED
Month Day Year Month Day Year
// _ —/ v/ THROUGH ci/j r / L/ /2/7.--
11 ELECTION
ELECTION DATE
Month Day Year
/ /
/ /
Primary
General I I
ELECTION TYPE
12 OFFICE
OFFICE HELD (if any)
13 OFFICE SOUGHT (if known)
14 NOTICE FROM
POLITICAL
COMMITTEE(S)
Additional Pages
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT
THE CANDIDATE I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDERS 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
GO TO PAGE 2
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 8/17/2020
CANDIDATE / OFFICEHOLDER
CAMPAIGN FINANCE REPORT
FORM C/OH
COVER SHEET PG 2
15 C/OH NAME
16 Filer ID (Ethics Commission Filers)
17 CONTRIBUTION
TOTALS
1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR
CONTRIBUTIONS MADE ELECTRONICALLY)
$ c)
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE
TOTALS
CONTRIBUTION
BALANCE
OUTSTANDING
LOAN TOTALS
3. TOTAL UNITEMIZED POLITICAL EXPENDITURE.
$
4. TOTAL POLITICAL EXPENDITURES
C/
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.
(1) Affidavit
.t/
gnature of Candidate or Officeholder
Please complete either option below:
JACKIE RANGEL
Notary Public - State of Texas
ID, 13268326-5
My Comm. Expires 09-18-2024
NOTARY STAMP/SEAL
day of .ithitk-Gthis the /
Sworn to and subscribed before me bya it-4L t„i i 1�l.GL�v 1
`t
20 ?G)a} '', to certifywhic • wit, ess my hand and scat f office.
' atur of officer administerin
(2) Unsworn Declaration
ath
Printed name of officer administering oath
OR
Title of officer tering oath
admTnis
My name is , and my date of birth is
My address is
(street)
Executed in County, State of , on the day of , 20
(month) (year)
(city) (state) (zip code) (country)
Signature of Candidate/Officeholder (Declarant)
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 8/17/2020
SUBTOTALS - C/OH FORM C/OH
COVER SHEET PG 3
19
FILER NAME
20 Filer ID (Ethics Commission Filers)
21
SCHEDULE SUBTOTALS
NAME OF SCHEDULE
SUBTOTAL
AMOUNT
1.
SCHEDULE Al : MONETARY POLITICAL CONTRIBUTIONS
$
2.
SCHEDULE A2: NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS
$
3.
SCHEDULE B: PLEDGED CONTRIBUTIONS
$
4.
SCHEDULE E: LOANS
$
5.
SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
6.
SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
$
7
SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$
8.
SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD
$
9.
I SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
$
10.
SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH
$
11.
SCHEDULE I: NON -POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
12.
SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED
TO FILER
$
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 8/17/2020