HomeMy WebLinkAboutKathy Ward 01162015Texas Ethics Commission P.O. Box '12070 Austin. Texas 78711-2070 (512)463-5800 (TOO 1-800-735-2989)
CANDIDATE I OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 ACCOUNT #2 Tolal pages filed;
(Ethics Commission Filers) The C/OH Instruction Guide explains how to complete this form.
3 CANDIDATE /
OFFICEHOLDER
NAME
.).~f'll\.: f' I
SUFFIX
ADDRESS I PO BOX; APT I UITE #; CllY; STATE; ZIP CODE
OFFICEHOLDER
MAILING
4 CANDIDATE /
IS ~1 1~/'C>D bt·
ADDRESS f Ia."M --r-X' 15or7 5O change of address1---------+----------------------------1 Receipt #
5 CANDIDATE/ AREA CODE t PHONE NUMBER EXTENSION
OFFICEHOLDER
fA,0;. 0 CJ 8a; Date processej /, vJ /5PHONE
MS/MRS/MR MI Data Imaged 6 CAMPAIGN FIRST /7 i. ._"-" ~ TREASURER I(/(~/ /SNAME ···~·~,7····NICKNAME lAST SUFFIX
STREET ADDRESS (NO PO BOX PLEASE~ STATE; ZIP CODE 7 CAMPAIGN 01
TREASURER L.
ADDRESS
~ :r
(residence or business)
0"'1
AREA CODE PHONE NUMBER ::It8 CAMPAIGN
TREASURER
PHONE ~~ N
9 REPORT TYPE 15th day after campaign30th day before election RunoffD D D treasurer appointment
(officeholder only)
July 15 8th day before election Exceeded $500 Final report (Atlactl C/OH -FR)D D D Dlimit
10 PERIOD Month Day Year Month Day Year
COVERED
THROUGH// I /1 5/15
13 OFFICESOUGHT (~known)
ELECTION DATE
Day
/ /
OFFICE HELD (~any)
Year
ELECTION lYPE
D D GenernI D Special
GO TO PAGE 2
www.ethics.state.tx.us Revised 07/2812014
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TOO 1-800-735-2989)
CANDIDATE IOFFICEHOLDER REPORT:
SUPPORT & TOTALS
14 C/OH NAME
16 NOTICE FROM
POLITICAL
COMMITTEE(S)
o additional pages
llilS BOX IS FOR NOTICE POUTlCAl. COHTRI:lUT1ONS ACCB'TED OR POUT1CAL EXPENDITlJRES MAIlE BY POLITICAL COMMITTEES TO SUPPORT lliE
CANDIDATE 1OFACEHO ER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S KNOWLEDGE OR
CONSENT. CANDVATES NIlJ OFACEHOlDERS ARE REQUIRED TO REPORT llilS I'lFORMATlON ONLY F lliEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE NAME
COMMITTEE TYPE
o GENERAL
COMMITTEE ADDRESS o SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
FORM C/OH
COVER SHEET PG 2
15 ACCOUNT # (Ethics Commission Filers)
17 CONTRIBUTION
TOTALS
EXPENDITURE
TOTALS
CONTRIBUTION
BALANCE
OUTSTANDING
LOAN TOTALS
18 AFFIDAVIT
COMMITTEE CAMPAIGN TREASURE4,o
1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED
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
I swear, or affinn, under penalty of perjury. that the accompanying report
is true and correct and includes all infonnation equired to be reported by
me under Title 15, Ele ion Code.
subscribed before
AFFIX NOTARY STAMP f SEAL ABOVE
me, by the said K Q ±h (\.4 n V')0 (d , this the
f Jaovo '''-1-' 20 -L-.-..L-..
www.ethics.state.tx.us Revised 07/28/2014