HomeMy WebLinkAboutStacey Kemp 07132014[JORIGINAl
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512)463-5800 (TOO 1-800-735-2989)
CANDIDATE I OFFICEHOLDER
CAMPAIGN FINANCE REPORT
The C/OH Instruction Guide explains how to complete this form.
3 CANDIDATE 1
OFFICEHOLDER
NAME
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NICKNAME LAST
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ADDRESS IPOBOX: APT ISUITE#: CITY:
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AREA CODE PHONE NUMBER
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AREA CODE PHONE NUMBER
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D January 15 30th day before electionD
~UIY15 8th day before election0
Montll cay Year
I I /~O J Lf THROUGH
ELECTION DATE ELECTIONTYPE
Month cay Year o Porn,..,
1L/L.\ /~o I t.f
OFFICE HELD (if any)
CoLl<" CQLl"~ LIe.; k
4 CANDIDATE 1
OFFICEHOLDER
MAILING
ADDRESS
D change of address
5 CANDIDATEI
OFFICEHOLDER
PHONE
6 CAMPAIGN
TREASURER
NAME
7 CAMPAIGN
TREASURER
ADDRESS
(residence or business)
8 CAMPAIGN
TREASURER
PHONE
9 REPORT TYPE
10 PERIOD
COVERED
11 ELECTION
12 OFFICE
GO TO PAGE 2
FORM C/OH
COVER SHEET PG 1
1 ACCOUNT # 2 Total pag es filed:
(Ethics Commission Filers) ;;t
MI OFFICE W~ff,~~LY
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SUFFIX # .... ..... '\
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EXTENSION
Date Processed
1-161"'\
MI
Date '=il,s lit.(tLQ'/; e II
SUFFIX
CITY: STATE; ZIP CODE
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EXTENSION _..A.
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Runoff 15th day after campaigoo.0 0 n;""Titreasurer appointment:lt .: ~ t(officel1older only) --G::i.m·'·'""~ Exceeded $500 Final report (Attach C/OH ~l'R)0 0limit W ...... ~, :'CO
Month cay Year
~/3D /~O/~
Runoff SpeCIalo ~Gen"'aI o
13 OFFICESOUGHT (if known)
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www.elhics.stale.lx.us Revised 04/19/2013
Texas Ethics Commission PO. Box 12070 Austin, Texas 78711-2070 (5QlJmG I NAL-800-735-2989)
CANDIDATE I OFFICEHOLDER REPORT: FORM C/OH
SUPPORT & TOTALS COVER SHEET PG 2
15 ACCOUNT # (Ethics Commission Filers)
16 NOTICE FROM THIS BOX IS FORNOTICEOF POUTICAL CONTRIBUTIONSACCEPTEDOR POUTICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORTTHE
POLITICAL CANDIDATE 1OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S KNOWLEDGE OR
COMMITTEE(S) CONSENT. CANDIDATESAND OFFICEHOLDERSARE REQUIREDTOREPORTTHIS INFORMATIONONLYIF THEYRECEIVENOTICEOF SUCH EXPENDITURES.
COMMITTEE NAME
COMMITTEE TYPE
D GENERAL
COMMITTEE ADDRESS
D SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
D additional pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $
2. TOTAL POLITICAL CONTRIBUTIONS $(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE
TOTALS 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED $
4, TOTAL POLITICAL EXPENDITURES $ .er
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY ()O
BALANCE $OF REPORTING PERIOD lOu
OUTSTANDING 6, TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THELOAN TOTALS $LAST DAY OF THE REPORTING PERIOD
18 AFFIDAVIT
I swear, or affirm, under penalty of perjury, th8\the accompanying report
is true and correct and includes al~ information lequired to be reported by
me underJitle 15, Ele:tion coG
c. /t '\ )
AFFIX NOTARY STAMP I SEAL ABOVE
Sworn to and subscribed before me, by the said 3:\0 c.e. j K-e ((\ V 'this the
\ S-\-h day of :::J\.J....,\':; 20 .1.'~----\ , to certify which, witness my hand and seal of office.,
m
www.ethics.state.tx.us
istering oath
Revised 04/19/2013