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HomeMy WebLinkAboutRamona Portlock-Brunifield 10312016 CANDIDATE / OFFICEHOLDER ORIGINAL FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Filer II (Ethics Commission Filers) 2 Total pages filed: • The C/OH Instruction Guide explains how to complete this torm! 4:4". 3 CANDIDATE/ MS/MRS/MR FIRST MI OFFICE USE ONLY OFFICEHOLDER NAME vl- •P Date Received NICKNAME LAST SUFFIX1`•, l 4atet- soon �k �_ f 4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE 5; CITY; STATE; ZIP CODE = \� OFFICEHOLDER /0e .P/("2 .N MAILING Yom./ n c'�+ .( ~ ADDRESS ® �• %�'" �" y / t l Change of Address L,/,'"/ 7§114-51 ...,V - / 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION ��' s\N OFFICEHOLDER (q7� ) god-/- / 7/7 7/7 Date nd-deli' r r Dat tmarked PHONE ` / j"� / 6 CAMPAIGN MS/MRS/MR FIRST �j�� • MI Receipt S Amount$ . TREASURER l/J�i�G////w / NAME Date Processed/© 3 �l NICKNAME LAST SUFFIX /uo✓%.S Date ImaoeddI DI SN 1 ` C 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE 5; CITY; STATE; ZIP CODE TREASURADDRESS il� g '33 '• p . 4thn 7�a� SG'1� T �� (Residence or Business) 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER /)G ) '//O g3 5d PHONE / ^J 9 REPORT TYPE I January 15 n 30th day before election n Runoff El 15th day atter campaign treasurer appointment (Officeholder Only) July 15 8th day before election ri Exceeded$500 limit I j Final Report(Attach C/OH-FR) 10 PERIOD Month Day Year Month Day Year � COVERED 9 /3v /c4e THROUGH �4P /f /APik /Tp 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year El Primary ❑ Runoff ❑ Other fin} {/� IT/ General� Description // / v /Alb General ❑ Special 12 OFFICE OFFICE HELD (if any) 113 OFFICE SOUGHT (if known) `� /� 5 d, AG 7CAeb GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 ORIGINAL CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT • , COVER SHEET PG 2 14 C/OH NAME15 Filer ID (Ethics Commission Filers) 4-AA 9POt zan 4' 16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLn1CAL 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 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 GENERAL COMMITTEE ADDRESS SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME El Additional Pages 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 $ O 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) TOTALS EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, $ UNLESS ITEMIZED 0 %a 4. TOTAL POLITICAL EXPENDITURES $ n BO ANCE TRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ AL OF REPORTING PERIOD D OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE /^� LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ C/ 18 AFFIDAVIT I swear,or affirm,under penalty of perjury,that the accompanying report is L.ILIANA RIVERO true and correct and includes all information required to be reported by me .0304. under Title 15,Election Code. Notary Public ts * STATE OF TEXAS Norco My Comm.Exp.11-28-19 A ��— --- Signature of Candidate or Officeholderer AFFIX NOTARY STAMP/SEALABOVE //'' Q A,n Sworn to and subscribed before me,by the said 'OmOrQ'fl 1 ocK, ?n ,this the 31' 11 day of OCktibe.r ,20 I ,to certify which,witness my hand and seal of office. I 1\aylo 1' utru (\o-&ej Po)) I;, Title ofofficer administeringoath Signature of officer administering oath Printed name of officer administering oath t e Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015