HomeMy WebLinkAboutStacey Kemp 01142016 CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Filer ID (Ethics Commission Filers) 2 Total pages filed:
The C/OH Instruction Guide explains how to complete this form. I
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3 CANDIDATE/ MS/MRS/MR FIRST MI
OFFICEHOLDER /� L'' OFFICE USE ONLY
NAME 0.C Date aconk IONi
NICKNAME LAST SUFFIX ,``%���' •l
V
."" Vt.
4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE 7 1 / =+l'
OFFICEHOLDER _ .
MAILING D -&‘v
y� ,I _ `� �� \ _ a
ADDRESS I ` 0. 1���C c34 ! IV cJ l
Change of Address5. �4
5 CANDIDATE! AREA CODE PHONE NUMBER EXTENSION �>N ........
OFFICEHOLDER Date I nd-delI red ate Postmarked
PHONE (:�14 )35tQ- 8C e
L.6 CAMPAIGN MS/MRS/MR FIRST MI Receipt# Amount$
TREASURER C aiies " C'O r1IC. "�
NAME Date Processed /,///.../6,NICKNAME ''llam� LAST SUFFIX
7 i^ , I I I p C J Date Imaged /. /�-[/ // ,
r 1 / - !O
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER
ADDRESS 1 L
(Residence or Business) c30 II \Ii r�I nl a PQrkiJo-�-,/ 1 lCt�..�NAe� �] �j,i-ii ` "07 1
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASPHONE URER ( Ci y, ) 5b,-61 4O
1
9 REPORT TYPE
January 15 I 1 30th day before election I I Runoff I I 15th day after campaign ,
treasurer appointment
(Officeholder Only)
I I July 15 I I 8th day before election I I Exceeded MO limit [ I Final Report(Attach C/OH-FR)
10 PERIOD Month Day Year Month Day Year
COVERED
l
�Q15- THROUGH i� 3 i
jD 15
11 ELECTION ELECTION DATE ELECTION TYPE
Primar Runoff Other 1
Month Day Year ❑ y ❑ ❑ -
Description µ i
/�pi4 ❑
General Special
12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known)
CO U-i(\41 6(I k-- z,„ 7,-,... .---,,,rp
C...)
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Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
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CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME 15 Filer ID (Ethics Commission Filers)
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16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED LITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
POLITICAL SUPPORT THE CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S
COMM ITTEE(S) KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE
OF SUCH EXPENDITURES.
COMMITTEE TYPE COMMITTEE NAME
Cr) r,
D GENERAL C— 11 L.
COMMITTEE ADDRESS
El SPECIFIC w-.- "
x. z
" ' "4
COMMITTEE CAMPAIGN TREASURER NAME -
Additional Pages W
tf� .
COMMITTEE CAMPAIGN TREASURER ADDRESS '
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it
17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF$50 OR LESS (OTHER THAN
TOTALS PLEDGES. LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ 0
2. TOTAL POLITICAL CONTRIBUTIONS $ ^
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) U
EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
TOTALS UNLESS ITEMIZED $ 0
4. TOTAL POLITICAL EXPENDITURES $ �'1
CONTRIBUTION �/
BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ /as OCD
OF REPORTING PERIOD
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ i
18 AFFIDAVIT
I swear,or affirm,under penalty of perjury,that t :accompanying report is
.o-._.4'• DEBORAH JOY PIMA
true a d correct and includes all information requi ed to be reported by me
3i =1.4'•" _
Notary Public , under Title 1 , . ection Code.
.' Alf
'� %* STATE OF TEXAS '"
�,, a My Caw Earp.Amps IS.216
a
ignature oI Candidat- or Officehdlder
AFFIX NOTARY STAMP/SEALABOV E
Sworn to and subscribed before me, by the said /lekY? 17 ,this the lVt-IL...,d
day of I. /_, ,20 1(p ,to c- which,witnes my and and seal of office.
l' i D—. ‘,..-1/..--- / 0 r ,tD
_ re of officer adminis--r' g ._th Printed name of officer administering oath Title of officer ad inistering oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015