HomeMy WebLinkAboutKathy Ward 07152014Austin Texas 78711-2070 (512)463-5800Texas Ethics Commission PO Box 12070 (TOO 1-800-735-2989)
CANDIDATE I OFFICEHOLDER
CAMPAIGN FINANCE REPORT
1J ORIGINAL FORM C/OH
COVER SHEET PG 1
The C/OH Instruction Guide explains how to complete this form .
.----<'
1 ACCOUNT #
(Ethics Commission Filers)
2 Total pages filed:
I Anx>JntReceipt #
Date Processed
-r III J)J.
PHONE NUMBER EXTENSION
8t~1-(';81
AREA CODE
ADDRESS I PO BOX;
NICKNAME
o change of address
5 CANDIDATEI
OFFICEHOLDER
PHONE
4 CANDIDATE 1
OFFICEHOLDER
MAILING
ADDRESS
6 CAMPAIGN
TREASURER
NAME
MS/MRSIMR
NICKNAME
MI
SUFFIX
Date Imaged
1 /)1 J;,~
ZIP CODE CITY; STATE;
EXTENSION
APT I SUITE #;
PHONE NUMBER
STREET ADDRESS (NO PO BOX PLEASE);
AREA CODE
( )
7 CAMPAIGN
TREASURER
ADDRESS
(residence or business)
8 CAMPAIGN
TREASURER
PHONE
9 REPORT TYPE D January 15
~
D
D
30th day before election
8th day before election
D
D
Runoff
Exceeded $500
limit
D
D
15th day after campaign
treasurer appointment
(officeholderonly)
Final report (Attach C/OH • FR)
10 PERIOD
COVERED
Month Day Year
/ / THROUGH
GO TO PAGE 2
13 OFFICE SOUGHT (W known)
ELECTION DATE
Month Day
/ /
OFFICE HELD (Wany)
Year
ELEcnON TYPE
D Primary DRunoff D General D Special
www.ethlcs.state.tx.us Revised 04/19/2013
Texas Ethics Commission PO 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
~~lORIGINAL
14 C/OH NAME 115 ACCOUNT # (Ethics Commission Filers) t &l )~1il
16 NOTICE .F~Q~ THIS'Box IS FORNOTICEOF POUTlCAL CONlRIBUTIONS ACCEPTEDOR POUTlCAL EXPENDITURES MAIJE BY POUTICAL COMMITTEES TO SUPPORTTHE '.
POliTICAL ,CANDIDATE 1OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S KNDWLEDGE DR :COM~~)'.· (;pNSENT. CANDIDATESANDOFFICEHOLDERSARE REQUIRED TO REPORTTHIS INFORMATION ONLYIFTHEYRECEIVENOTICEOF SUCHEXPENDITURES.
COMMITTEE NAME ,r
COMMITTEE TYPE,,~~~
" .
•D GENERAL
"'-;,~.: .
COMMITIEE ADDRESS'~"/C: ,. D SPECIFIC
COMMITIEE CAMPAIGN TREASURER NAME
additional pages 71v{J ck~~D
t/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
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY BALANCE OF REPORTING PERIOD
OUTSTANDING
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LOAN TOTALS LAST DAY OF THE REPORTING PERIOD
$
$
$
$
$
$
18 AFFIDAVIT
",\\\"!!I11/111 1 ~,,\,,~ p.., POLAN-'III/. I swear, or affirm, under penalty of perjury, that the accompanying report~"S(j ••••••• CO~ '" ~'* ":\~'( Pue2i:·. ~ is true and correct and includes all information required to Fe reported by .... . . .,. -. . .., me under Title 15, Election Code.: : ~~-. .~ "'*~': : : = -. .. ~ -•• <P~ &~.: ~ ;:::;~ )/101)" /~ '. "'/fOF\ .' ~ ~ ··.,£XPI?S·,~,·· ~ ~i ':!. ~iJi ~ ignature of Ca idate or Officeholder
"1"1 4·3-2Q'\':> """
~..I: ••••••• ~
''''IJljO,,:Q\''\' .
AFFIX NOTARY STAMP I SEAL ABOVE
Sworn to and subscribed before me, by the said K<r +-l,r.. ('/\ \"1./:' r: cL , this the
r S-+->
day of 'j,-, \7 '20 It.( to certify which, witness my hand and seal of office.
0~~/4-• ~~~-O'.J c~::::.c.>,\ A r c> IC'~<:-Q /1/uh:... r,/
I" Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath
www.ethlcs.state.tx.us Revised 04/19/2013