HomeMy WebLinkAboutTerrye Evans 02242014 (4)Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TOO 1-800-735-2989)
CANDIDATE I 0 FICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1 n __."'.... " I
1
I"l ?f rT1I"-r"--" 2 Total pages filed·
The C/OH Instruction Guide explains how to complete this form, (Etnlcs Commission Filers) , "~''''
3 CANDIDATE 1 MS/MRSIMR FIRST MI ,,"'--~~~YOFFICEHOLDER --re~Cj .e1.-. ••'''''~_ ""....\,1
NAME f~ ....~~
NICKNAME LAST SUFFIX t.ti \ ~-~~y~ ":~E~1/a. 11.5 \~ rod}4 CANDIDATE 1 ADDRESS I PO BOX; APT I SUITE il-. CITY; STATE; ZIP CODE '" .... .... ~ \,. ........ ........ .#OFFICEHOLDER
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MAILING Oat ed .
ADDRESS ~~'l"~ o change of address fY\ ~ rl It" ne....; U 7SbL
I ~-
~celPt # AmOUlt
5 CANDIDATEI AREA CODE PHONE NUMBER EX/ENSION
OFF ICEHOLDER ( Lff..a ) d-,ui9 L/LJcj Date Processed
PHONE .rl. .~L/. )¥
6 CAMPAIGN MS IMRS IMR FIRST MI Date Imaged
TREASURER ~n#.lC\/ 'd-afl-)4NAME ..
NICKNAME LAST SUFFIX
h ~rciL~
, .._-----------
7 CAMPAIGN STREET ADDRESS (IW PO BOX PLEASE). APT I SUITE #; CITY; STATE; ZIPCODE
TREASURER
Le-t''L+Va) el' reI e 0l.1 t-~ toOADDRESS Q..-c' 0 I
(residence or business) )
Nt -~, Y1 Yt. b..I CA'7 r:;OC ))
I
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER ( )PHONE cr'7~ per 1.0 Let q/ -"
+;
~
c
.-
9 REPORT TYPE ~h day before election
CO
D January 15 D Runoff D 15th day after ca=gn
treasurer appointm
(officeholder ooly) --
D July 15 D 8th day before election D Exceeded $500 D Final report (Attach c;ii2J -F
limit -"" ,,
W ~
10 PERIOD Month C>ly Year Month C>ly Y88f W '" COVERED / /r;-;/ f1 ~/ j~/ Ji .l:" -
f THROUGH
11 ELECTION ELECTION DATE ELECTION TYPE
Month / :r //I~e~ o Primary D Runoff3 D General D Special
12 OFFICE OFFICE HELD (rt any) 13 OFFICE SOUGHT (if known)
.D fS.J..Y-11!-1-eJerc
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www.ethics.state.tx.us Revised 04/19/2013
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
COVER SHEET PG 2SUPPORT & TOTALS fl RIGINAL
If
15 ACCOUNT # (Ethics Commission Filers) 14 C/OH NAM..E-r-
Le ""-.
16 NOTICE FROM
POLITICAL
COMMITTEE(S)
o additional pages
17 CONTRIBUTION
TOTALS
EXPENDITURE
TOTALS
CONTRIBUTION
BALANCE
OUTSTANDING
LOAN TOTALS
18 AFFIDAVIT
THIS BOX IS FOR NOT1C£ OF POLITlCAt CONTRIBUllONS ACCEP1ED OR POUTICI\L EXPENOIllJRES IAADE ElY POUTlCAL COMMITIEES TO SUPPORT THE
CANDIDATE f OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFRCEHOLDER'S KNOWLEDGE OR
CONSENT. GANOIDJITES IlK) OFFtcEHOLOERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOllCE OF SUCH EXPENlllT\lRf.S.
COMMITTEE NAME
COMMITTEE TYPE
o GENERAL
COMMITTEE ADDRESS o SPECIFIC
N TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
tJ ft
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 affirm, under penalty of perjury, that the accompanying report
is true and correct and includes all information required to be reported by DEBORAH JOy PlNA
me under Title 15, Election Code. NaWyPublk
STAlE OF TEXAS
..,e-~,-"I"lOt6
AFFIX NOTARY STAMP I SEAL ABOVE
Sworn to and subscribed before me, by the said -:;-=-~/_~_____'__,... , this the
r day of 1"----, 20 _---'--_ to certify which, witness my hand and seal of office.
,
Signature of officer administering oath
wwwethicsstale.lx.us Revised 04/19/2013