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CANDIDATE / OFFICEHOLDER 0 • •' . 'FORM C/OH
CAMPAIGN FINANCE REPORT • COVER SHEET PG 1
1 Filer ID (Ethics Commission Filers) 2 Total pages filed: ,O
The C/OH Instruction Guide explains how to complete this form.
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3 CANDIDATE! MS/MRS/MR FIRST MI �,`,�• J'i,
OFFICEHOLDER < •4g E.
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NAME C�,(►eA :I .p ? `.
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NICKNAME LAST SUFFIX L'
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4 CANDIDATE/ ADDRESS PO BOX; APT/SUITE#; CITY: STATE; ZIP CODE 'is 1 �!
MAILING •
OFFICEHOLDER
FI OLDER ,tl3 _ ,N"1 1, T .447' .•. .��y, "'�`�`
ADDRESS P•O.3ttx 3461`. ' `e.IC.J n e/ 1 T 150113 4��iry'u`uusn��toN��
1 I Change of Address 1 •
5 CANDIDATE/ AREA CODE PHONE NUMBER • EXTENSION
OFFICEHOLDER Da Hand-delivAl:. or Date Postmarked
PHONE -...)4 ) 3 1e 4Q_,Q.2) ( /
6 CAMPAIGN MS;MRS/MR FIRST • MI Receipt# Amount$
TREASURERI i �
NAME . . . . C.A.1,e�V.1c5, 1 .lT a 'Y,t) Date Processed 12.-•:160 NICKNAME LAST SUFFIX O�J •l /(J
hC I i Date Imaged
pS �) IP\It
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER •
ADDRESS
(Residence or Business) ' i hJ� ���,� 501
��r�l V169; �1 � Rkwc.`y `�
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION 01
TREASURER /(, 1 r� /� • '
PHONE i�1� Jl�p -gl->}'-40 _ .....
'_
9 REPORT TYPE •
I I January 15 1 I 30th day before election • I I Runoff ( I 15th day atter cam�eign
• treasurer appointm8['ir -
(Officeholder Only)C..71
July 15 I I 8th day before election I I Exceeded$500 limit I ( -Final Report(AttacfkD78tH FR)
•
10 PERIOD Month Day Year Month Day Year
COVERED
I //D...t)I Lo THROUGH / 3c) zz av )
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year Ill Li I I Other
IDescription
�/ 4 /Apo ix General ❑ Special
•
12 OFFICE OFFICE HELD /it any) 13 OFFICE SOUGHT (if known)
n CoLuhj 0-ley k W_n �Cle,c L
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Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
n
CANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
•
14 C/OH NAME 15 Filer ID (Ethics Cgmmission Filers)
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) KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE
OF SUCH EXPENDITURES.
COMMITTEE TYPE COMMITTEE NAME
❑GENERAL
COMMITTEE ADDRESS
SPECIFIC
_m
COMMITTEE CAMPAIGN TREASURER NAME G'7
a
I Additional Pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION
1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN Cri
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ C71
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 $
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY CO
BALANCOF REPORTING PERIOD $ /'D
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $
18 AFFIDAVIT
I swear,or affirm,under penalty of perjury,that the ac mpanying report is
true and correct and includes all information required t be reported by me
•, 17 under 5,Election Code.
;�*'�_".�� . TERESA A.MERCER
+ .• Notary Public ,,
•
• STATE OF TEXAS _A.4
c My Comm.Exp.Mach 29.2019
! 7/ Signature •;'Candidate o Officeholde
AFFIX NOTARY STAMP/SEALABOVE
Sworn to and subscribed before me,by the said [ G�
C ,this the 'O
day of JLv` ,20 i(
W ,to certify which,witness my hand and seal of office.
•�� -�,�„ a. • A• Mere-r N ,rLi
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