HomeMy WebLinkAboutJerry Shaffer 01122015 C Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
JUDICIAL CANDIDATE / OFFICEHOLDER FORM JC/OH
CAMPAIGN FINANCE REPORT 1:::) ORIGINAL COVER SHEET PG 1
j 1 ACCOUNT# 12 Total pages filed;
The JC/OH Instruction GuIde explains how to complete this form. ! (Ethics Commission Fiera) ! /
3 CANDIDATE / MS/MR !MR FIRST I ' JF -,rfO^ .,
OFFICEHOLDER , MI .�1�FICE Ems%
NAME LJ SL V t/ " t/?
v (-4 1 �'�_ II
NICKNAME LAST SUFFIX = i
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4 CANDIDATE / ADDRESS lPOBOX, APT/SUITE it; CITY. STATE; ZIP CODE
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OFFICEHOLDERU `
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MAILING V
ADDRESS '60 / FO1/ Ha 0� 0 L Date Hand-fiver-•"=ostmarked
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7�i 7 S i) R21,1-115 groan
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION v
OFFICEHOLDER , L�`` Date races d
PHONE � / 7Z) 2 --- 3 6)2 - Y I jay I S 1
6 CAMPAIGN Nos&MR FIRST MI Date Im�idd
NAMETREASURER �LLGA/E. ClI17/ I5
NICKNAME LAST SUFFIX
5"if-OP-Peg
7 CAMPAIGN STREET ADDRESS(NO PO BOX PLEASE); APT/SUITE k; CITY; STATE; ZIP CODE '
TREASURER
ADDRESS "
(residence or business) ifLL��! ( O k f4 o L L c�W 0 Y. t`�t/!:0) t �( 5-'098
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8 CAMPAIGN AREARECODE PHONE NUMBER EXTENSION
PHONE
TREASURER ("1 12\ Z� — 3 02
1
9 REPORT TYPE (�anus 15 t5th da aver caro
`� _I rY7 30th day before election I I Runoff I ( Y paign
treasurer appointment
(officeholder only)
I I July 15 I I 8th day before election I I Exceeded$500 I I Final report(Attach C./OH-FR)
limit
10 PERIOD Month Day Year Month Day Yew
COVERED THROUGH
f )--O/ cf ( 1 20/S
11 ELECTION ELECTION DATE ELECTION TYPE
-.e. Month.. 4ay Y
�'+Yw ..r.��.,."f> ._� I I Primary Runoff ��Gertl 1 SOadel
ii 41 2011
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12 OFFICE OFFICE HELD(deny) 13 OFFICE SOUGHT (if known) t)l
tJ t4 S if G to t7 C THE PEAC4c
Lvt_L/ry 606"vr- '
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GO TOPAGE2
www.ethics.state.tx.us Revised,07/28/2014
•
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
JUDICIAL CANDIDATE/OFFICEHOLDER REPORT: FORM JC/OH
SUPPORT& TOTALS COVER SHEET PG 2
14 C/OH NAME 15 ACCOUNT k (Ethics Commission Filers)
16 NOTICE ! nus BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT THE
FROM CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE MTHOUT THE CANDIDATE'S OR OFFICEHOLDER'S KNOWLEDGE OR
POLITICAL CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE(S)
COMMITTEE NAME
COMMITTEE TYPE
r COMMITTEE / -_--
I � GENERAL 4/
/A
1 SPECIFIC </ /Y/
COMMITTEE CAMPAIGN TREASURER NAME
❑ additional pages
r
COMMITTEE CAMPAIGN TREASURER ADDRESS -_
17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF$50 OR LESS(OTHER THAN I �
TOTALS PLEDGES,LOANS,OR GUARANTEES OF LOANS).UNLESS ITEMIZED
Cr) —
2. TOTAL POLITICAL CONTRIBUTIONS tD
(OTHER THAN PLEDGES,LOANS,OR GUARANTEES OF LOANS)
EXPENDITURE
TOTALS 3. TOTAL POLITICAL EXPENDITURES OF$100 OR LESS,UNLESS ITEMIZED
II
4. TOTAL POLITICAL EXPENDITURES
CONTRIBUTION sem(',c ~
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF THE REPORTING PERIOD $ 40-190-,
OUTSTANDING 6 TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE $
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD
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18 AFFIDAVIT
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 me
under Title 15,Election Code.
+er*;.�,y BROOKE M.WIGGINS r---
` Notary Public
r. 'r L
` STATE OF TEXAS !� �
w�•�
*Caw .ture of Candidate or••••.•, •Ider
AFFIX NOTARY STAMP/SEAL ABOVE /�y /� {�'�'
Sworn to and subscribed before me, by the said i-��l`.t tc_f this the
}Z._ day of ..Qrl , 20 t,S , to certifyhich, witness my hand and seal of office.
Signature of officer admini in1g oath Print name of officer adminis oath Title of officer administering oath
www.ethics.state.tx.us Revised 07/28/2014
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