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Home My WebLink AboutJerry Shaffer 01132016 DORIGINALJUDICIAL CANDIDATE/OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM JC/OH COVER SHEET PG 1 The JC/OH Instruction Guide explains how to complete this form. I 1 Filer ID(Ethics Commission Filers) 2 Total pages filled: 3 CANDIDATE/ MS;M,RS,b1R Finsr�— OFFICEHOLDER `�7'''� MI NAME V E it , /-_ OFFICE USE ONLY NICKNAME LAST _ Date, rA ql4 SUFFIX eN`.'.' ..i. _ S gAFFek 4 CANDIDATE/ ADDRESS /PO BOX; APT i SUITE#; , = CITY, STATE; ZIP CODE OFFICEHOLDERMAILING [f qq tt�� .• ADDRESS V (}X �T OGC C1t�I A("r --t `w \ L Change of Address W y L I E 1 T X -7C-0f! S `-14 5 CANDIDATE/ AREAREfCODE PHONE NUMBER EOFFICEXTENSION '�#i � z. �`` PHONE HOLDER (9? 4.V.2_`3 O 21�L atm"I /L't •.amu _ __ t/I1 / //N/ii1111N11‘...Via. 6 CAMPAIGN rtes ''MR FIRST — error 8 ( Amount Mi TREASURER f1 LL.EIL& NAME C` Date,* at Pro ssed NICKNAME LAST SUFFIX ��3�if Sd rt ,r. Date Image i Ir31 �,1 !—!-'�K r t0 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE it, CITY; STATE, ZIP CODE TREASURER ADDRESS (Residence or Business) LI), Fox 140(4_0,, Ok`, k) 1,4) TX 7S-098 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION PHONEURER 72-) Lfr f`Z _ 3 9 REPORT TYPE January 15 ❑ 30th day before election ri Runoff ❑ 15th day after campaign treasurer appointment (Officeholder Only) n July 15 I I 8th day before electionxceee $500 I me a ❑ Exceeded LiFinal Report(Mash G(OH-FR) 10 PERIOD -, Month Day Year Month Day Year COVERED 9 7/ J /2-O/S THROUGH 1.2- / 7 //.)-o/c 11 ELECTION ELECTION ELECTION TYPE DATE Month /Day Year ❑ Primary ❑ Runoff ❑ Other DeScriprt§n "/ T 2-079 I N.-General ❑ Special —._ 12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT jif known/ Tu 5-t-/c ap-THc-PEACE C t71-L ti&J C d U.t)T Y P RC I,a-z'T 1 c_. C GO TO PAGE 2 r`a• Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 W `< ry N.) 4'.' LJORIGINAL CANDIDATE/OFFICEHOLDER FORM JC/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 14 JC/OH NAME 15 Filer It) (Ethics Commission Filers) TEg R1---6; 11AF,ER 16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO POLITICAL SUPPORT THE CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S COMMITTEE(S) KNGWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TI)REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES. COMMITTEE TYPE COMMITTEE NAME ---- -- !__ GENERAL. COMMITTEE ADDRESS [SPECIFIC COMMITTEE CAMPAIGN TREASU ER NAME ❑ Additional Pages 7I 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 3. TOTAL POLITICAL EXPENDITURES OF$100 OR LESS, $ TOTALS UNLESS ITEMIZED 4. TOTAL POLITICAL EXPENDITURES $ BALANCE CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ S-0©f 0 3. OF REPORTING PERIOD Z/ - OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE $ 5_,V l\Q//2 D LOAN TOTALS LAST DAY OF THE REPORTING PERIOD 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,El Code. SIg�3t -of .14f46of s. »� er $ AFFIX NOTARY STAMP/SEAL ABOVE y pp c\'+/14F � , Sworn to and subscribed before me,by the said '1 R g\i S '/4 F Fd _ ,this the ` /i1 day of 'JAL&A)NL.__,20 G ,to certify which,witness my hand and seal of office. Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 w• GINGER EDN►ARDB i - •. y SIC Ctf STATE OF TEXAS -,.. r _ I v •- i PO rV - . --, 1-1 'Zt. tip -5 .-..... —.4.-. . et) -11 G cn A X ., -4-•-• 19- --1- 9-, Co 1. V.1 eCt k _ -.3 ifj 0 bt) U) a) t F kft ?CY a) 6 c., m K) ....< ia'•• .1 • fi '"'• 4-, >c 'T 1 -- zr- --...r." rri ....: o •,. 4., 01 7,7z, ; = 4 -i. r'f gt; X -.7.-- _...... ....., --- 0 ,..., x... • ;. i .-:. )-I = _=. = ....= ..E. le q Wci El L'if 91. 1 i L ' =.. .:----. . . . i ft 1.-.1.vw I i . e.. 1., t '‘ L.