HomeMy WebLinkAboutSamuel Knapp 01092015Texas Ethics Commission P.O. Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
CANDIDATE I OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT D ORIGINAL COVER SHEET PG 1
1 ACCOUNT # 2 Total pages filed:
The etoH Instruction Guide explains how to complete this form. (E1hlcs Commission Fliers) Z.
MS/MRS/MR FIRST MI3 CA.NDIDATE /
OFFICEHOLDER
~MME
NICKNAME LAST SUFFIX
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4 CANDIDATE / ADDRESS/POBOX; APT/SUITEt/; • STATE; ZIPCODE
OFFICEHOLDER
MAILING -~~......./
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ADDRESS 2--/1) 6 Tt:t--~ ~~a
o change of address FJ: -rt/l~ %c.p~ ~ 7.JO~'7
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5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER (~...,)
PHONE 71 ~
MS/MRS/MR FIRST MI6 CAMPAIGN
TREASURER L~~ NAME
NICKNAME LAST SUFFIX
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Receipt # AmalrltI
Date Processed
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Date Imaged
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7 CAMPAIGN STREET ADDRESS (NO POBOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER -A ,.r=(:ADDRESS (,7e:;! .skf)4/ e.r-~~ ~rU~ 01
(residence or business) c....
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AREA CODE PHONE NUMBER EXTENSION8 CAMPAIGN
-0TREASURER (Zty:) S'1719/1 :J1:PHONE -n=-'
N..
-C-:' -
9 REPORT TYPE 15th day after campaign[J9 January 15 o 30th day before election Ci Run off [J treasurer appointment
(ofliceholderonly)
Final ,eport (Attach CIOH • FR)
limit
o July 15 o 8th day before election [J Exceeded $500 D
._---~-_.__..._----------_.---_._-----_._----.---------------..__..----_._-_.-----------_.---_._---_._---------------------------------------------------.--------_..-----------_._-----_..---_...._-----_.
Month C<ly Year10 PERIOD Marth C<ly Year
COVERED THROUGH()1 /0/ / ?Dlcf It.. /.3r / '2.0 I cI
ELECTION TYPE11 ELECTION ELECTION DATE
Month C<ly 'ri>ar SpecIal~ Primary o Runoff o General D
_______• ..• .. • • ---,---:~-----------____j00 00 __.._oo_.-L
1 3 OFFICE SOUGHT (~known)OFFICE HELD (II any)12 OFFICE
GO TO PAGE 2
Revised 09/2812011www.ethics.state.tx.us
OUTSTANDII-..JG
LOAN TOTALS 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING
LAST DAY OF THE REPORTING PERIOD
LOANS AS OF THE $
18 AFFlD.A.VIT
DEBOIAH JOy PINA
NaeIry NIlic
STAn OF TEXAS..,c-.&p.~ '1.2016
I swear, or affirm. under penalty of perjury, that the accompanying report
is true and correct includes all information required to be reported by
me under Title ,Election Code.
..
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TOO 1-800-735-2989)
CANDIDATE I OFFICEHOLDER REPORT: FORM C/OH
SUPPORT & TOTALS COVER SHEET PG 2
ACCOUNT # (Ethics Commission Filers)
, I L Kna,
16 NOTICE FROM THIS BOX IS FOR NOllCE OF POLIllCAL CONllllBUlIONSACCEPTED OR POLilICAL EXPENDITURES MADE BY POLITICAL COMMITIEES TO SUPPORT THE
POLITICAL CANDIDATE 1OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER's KNOWLEDGE OR
COMMITTEE(S) CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED 10 REPORT THIS INFORMAlION ONLY IF THEY RECBVE NOllCE OF SUCH EXPENDITURES.
COMMITTEE NAME
COMMITTEE TYPE
subscribed before me,
~~~.!4--'
....~~'=
AFFI,: NOTA.RY STf..M~.' SE.t\L ,.,\ROVE
by the said __. . this theUt=.10'?-1 tJ. e./ Is n.c.-Pi?
IS-to certify which, witns55 my hand and 5eal of office20
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Printed name o'f otlicer administering oaltl Title of' Office.radmir{stering oath
o additional pages
17 CONTRIBUTION
TOTALS
.
EXPENDITURE
TOTALS
CONTRIBUTION
BALANCE
o
o
GENERAL
SPECIFIC
COMMITTEE ADDRESS
_______________________________________________________________________________.__;
COMMITIEE CAMPAIGN TREASURER NAME
:n .~~
::Jl:
~
COMMITTEE CAMPAIGN TREASURER ADDRESS
1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN I $ d
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED! r1tJ
2. TOTAL POLITICAL CONTRIBUTIONS lii--$---dl---'----J
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) , ~
---....-------------------------......----------..-.---------------------.-------...----.-.-------------..-1----...-..------------.-------
3, TOTAL POLITICAL EXPENDITURES OF $1000R LESS, UNLESS ITEMIZED I $
I
4. TOTAL POLITICAL EXPENDITURES $
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $OF REPORTING PERIOD
www.ethics.state.tx.us Revised 09/28/2011