HomeMy WebLinkAboutDenise Alberino 022420147
Texas 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 1DORIGI
1 ACCOUNT #2 Total pages filed:
(Ethics CommiSSion Filers)
3 CANDIDATE I
OFFICEHOLDER
NAME
4 CANDIDATE /
OFFICEHOLDER
MAILING
ADDRESS
o change of address
5 CANDIDATE/
OFFICEHOLDER
PHONE
6 CAMPAIGN
TREASURER
NAME
NICKNAME SUFFIX
MI
SUFFIX
MI
EXTENSION
FIRST
PHONE NUMBER
NICKNAME
MS 1 MRS (MR
.~.
.~~1:_-
MS(MRS/MR
AREA CODE
The C/OH Instruction Guide explains how to complete this form.
CAMPAIGN STREET ADDRESS (r~o PO BOX PLEASE): APT (SUITE~: ZIP CODE
TREASURER
ADDRESS
(residence or business)
~lo ~l(S\~~1 1n~~~~1 L{~9
AREA CODE PHONE NUMBER EXTENSION
TREASURER
8 CAMPAIGN
7d-) "2)lcQ ~llo(PPHONE
9 REPORT TYPE January 15 30th day before election Runoff0 0 0 0
0 July 15 ~eloreelection 0 Exceeded $500 0limit
10 PERIOD Month D3y Year Month D3y
COVERED / THROUGH
/0 /1-4 Ol/a~/}~
11 ELECTION ELECTION DATE
MonUl D3y Year o Runoff o General o Special
03/0--\/ I~
OFFICE HELD (it any)12 OFFICE
www.ethics.stale.lx.us
Year
ELECTION TYPE
GOTOPAGE2
Revised 04/19/2013
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
AL
15 ACCOUNT # (Ethics Commission Filers)
SUPPORT & TOTALS
14 CI
CANDIDATE I OFFICEHOLDER REPORT: FORM C/OH
COVER SHEET PG 2
16 NOTICE FROM mls BOX IS FOR NonCE OF PounCAL CONTHJBUnONS ACCEPTED OR PounCAL EXPENDITURES MADE BY POLITICAL COMMIITEES TO SUPPORT mE
POLITICAL CANDIDATE I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S KNOWLEDGE OR
COMMITTEE(S) CONSENT. CANDIDATES AND OFFiCEHOLDERS ARE REQUIRED TO REPORT mls INFORMAnON ONLY IF mEY RECEIVE NonCE OF SUCH EXPENOllURES.
COMMITTEE NAME
COMMITTEE TYPE
o GENERAL
o additional pages
17 CONTRIBUTION
TOTALS
EXPENDITURE
TOTALS
CONTRIBUTION
BALANCE
OUTSTANDING
LOAN TOTALS
18 AFFIDAVIT
COMMITTEE ADDRESS o SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
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
MELISSA SMITH ~ NOTory Public, Slote at Texas _
My CommIssion E.xP!
March 08.20
AFFIX NOTARY STAMP I SEAL ABOVE f\
Sworn to by the saidand subscribed before me, ~i:R. ti!--~l.:~.,.e,,,,CLlI--,roJJ'----' this the
of \tD<L£h'\ ~, 20 \.L.-'to certify which, witness my hand and seal of office.day
wwwethics.state.tx.us
Printed name of officer administering oathSignature of officer administering oath
Revised 04/19/2013
4
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Texas Elhics Commission po. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
CANDIDATE I OFFICEHOLDER REPORT:
FORM C/OH -FRDESIGNATION OF FINAL REPORT
The Instruction Guide explains hot rm .
•• Complete only if "Report Type" on page 1 is marked "Final Report" ••
2 ACCOUNT # (Ethics Commission Filers)
I do not expecl any further political conlributions or political expenditures in connection with my candidacy. I undersland that designating a
report as a final report lerminales my campaign lreasurer appoinlment I also understand that I may not accept any campaign conlributions
or make any campaign expenditures without a campaign treasurer appointment on file.
3
Signature of Candidate I OfficehOlder
FILER WHO IS NOT AN OFFICEHOLDER
•• Complete A & B below only if you are not an officeholder. ••
A. CAMPAIGN FUNDS
Check only one:
D I do not have unexpended contributions or unexpended interest or income earned from political contributions.
~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 undersland that I must file an annual report of unexpended contributions and thaI 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:
D I do not retain assets purchased with political contributions or interest or other income from political contributions.
~o retain assets purchased with political contributions or interest or otheRncome from political contributions. I undersland that
I may not convert assets purchased with political contributions or interest or other income fro litical tributions to personal
use. I also understand that I must dispose of assets purchased I Ical cO"tlibtJti~ ·n orda ce rith the requirement
of Election Code, § 254.204.
5 OFFICEHOLDER _____
•• Complete this section only if you are an officeholder ••
D 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
www.ethics.state.lxus Revised 04/19/2013