HomeMy WebLinkAboutJerry Shaffer 07132016 nl„..., 1
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JUDICIAL CANDIDATE / OFFICEHOLDER FORM JC/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
I 1 Filer ID(Ethics Commission Filers) 2 Total pages filed:
The JC/OH Instruction Guide explains how to complete this form. ;
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3 CANDIDATE/ r MS/MRS/0 FIRST MI \M h,
NAMEOFFICEHOLDER �.JLRRY C,- t `� OI�,�, lye
Da*l v J'st Y
NICKNAME LAST SUFFIX 2 f
S.h/AFFL7Z s r �,�.�- s.i
4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE# CITY; STATE; ZIP CODE tc),
OFFICEHOLDER soSO ti
1----,
ADDRESS 40 ( FX gOLL.Jc) b�.1 `AJ l ate)/ X 7 7 o CfS7 MAILING ''�'1���" /y���/«/��..,.�....../... �`4r�```,
1 I Change of Address ',,��I�V , ��
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER Date Hand-delivered Date Postmarked j
PHONE ( 972 ) ifg2_-502 -7f 1111
Receipt #I Amount$
6 CAMPAIGN MS/625 MR FIRST MI
TREASURER p LCL/VE- G Date Processed
NAME
NICKNAME LAST SUFFIX (,` '�'1 p
Sh'4FF&-k Date Imaged
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE u
TREASURER _"
ADDRESS /I C`yL C
(Residence or Business) ( iwK /7 - d D/2t J tay I ie, Pr 7 `/
9 dt
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
PHONE
TREASURER ( 9,7) ) 4 cf 2_ 3 0-2- �f
9 REPORT TYPE
I I January 15 L_-J 30th day before election L---L Runoff 1 I 15th day after campaign
1 treasurer appointment
(Officeholder Only)
July 15 I I 8th day before election I I Exceeded$500 limit I I Final Report(Attach C/OH-FR)
10 PERIOD Month Day Year Month Day Year
COVERED THROUGH
I ,/ 1 % 7-0/(0 6 / 30/)--c/6
ELECTION ELECTION TYPE
11 ELECTION DATE �
Month Day Year u f Primary Li Runoff U Other
Description
1(/ -1(_(, /)-V�t I Lf General I I Special
12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known)
Co LC/A/ Lvu.tiTV/
TaSTI Ce 0P TAF t)674"7--
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Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
i
CANDIDATE / OFFICEHOLDER (M/
n' FORM JC/OH
CAMPAIGN FINANCE REPORT " ' _OVER SHEET PG 2
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14 JC/OH NAME — — -- — - -7 ---- ----
15 Filer ID (Ethics Commission Filers)
16 NOTICE FROM TH s 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
r
LT GENERAL i .— -- — -------- ---
COMMITTEE ADD S
El SPECIFIC
PI- en
COMMITTEE CAMPAIGN TREASURER NAME .,
1 1 Additional Pages --.-
COMMITTEE CAMPAIGN TREASURER ADDRESS
CD
17 CONTRIBUTION
1. TOTAL POLITICAL CONTRIBUTIONS OF$50 OR LESS (OTHER THAN
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ D___
2. TOTAL POLITICAL CONTRIBUTIONS $
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
TOTALS IC)
UNLESS ITEMIZED — — — — $
4. TOTAL POLITICAL EXPENDITURES $ 0 ,
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 $ " 0.0(7
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.`
Signature . Candidate or molder
AFFIX NOTARY STAMP/SEALABOVE �p�/ fSworn t. and subscribed befor me, by the said J� 1 �LI Shcger ,this the I I
rday . LL \) / ,2u I L-Y ,to certify which,witness my hand and seal of office.
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Si. ature of officer administerin oath Printed name of officer administering oath Title of office d inistering oath
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.rms provided byTexa$I type C issi n wwwilthics.state.tx.us Revised 9/8/2015
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