HomeMy WebLinkAboutKathy Ward - January 2022 CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT ORIG1NAL 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. ,y`� a/t✓'
3 CANDIDATE/ MS CMR, MR FIRSy, MI `�N‘" OH 1 i
OFFICEHOLDER f I— s REU .SE Y
NAMEC01 ' �.�..
Datj' rved `/
NICKNAME L SUFFIX
4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE#, CITY; STATE; ZIP CODE %Oi
OFFICEHOLDER C ct v 51 Pc, i c 1 0 s C J. :��0 �"��:
MAILING l r l -�-y c Q
ADDRESS Pio/ro 1 J 0-� ''��, �LtNnoo �.�`,.
❑ Change of Address ///11111I I,,,,,,ttt`````
6 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION Date Hand-delivered o Date Post rk d
OFFICEHOLDER PHONE ( 72 ) �� lG , O Oi. I� .1 Receipt# l Amoun
6 CAMPAIGN MS/MRS/ 7 CST MI
TREASURER 1�4,r J _p
NAME JJ I 1 li Date Proc�s�ed aD� _`/�`
NICKNAME LAST SUFFIX /
0 ) p i i/ / Date Imaged
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#, l Y CITY; STATE; ZIP CODE
ADDRESSTREASURER " a 0 0 S-eQS (�
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car`
(Residence or Business) 4) /a'yt 7 S 0 / 3
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE `( 7 ) � (� 7 _ /0 5-5--39 REPORT TYPE anuary 15 n 30th day before election n Runoff I I 15th day after campaign
treasurer appointment
(Officeholder Only)
July 15 ri 8th day before election ri Exceeded Modified ❑ Final Report(Attach C/OH-FR)
Reporting Limit
10 PERIOD Month Day Year Month Day Year
COVERED
THROUGH
11 ELECTION ELECTION DATE ELECTION TYPE
1/fre Month Day Year ❑ Primary ElRunoff ❑ Other
Description
❑ General ❑ Special
rn
C7 C7
12 OFF OFFICE HELD (if any) 13 OFFICE SOUGHT (if known) co
7
=NNNN
14 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY PO ITICAL CO%TEES TO SUPPORT
POLITICAL THE CANDIDATE/OFFICEHOLDER THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES O OFFICEHOL S KNOWLEDGE OR
CONSENT.CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEI NOTICE OF SUCH EXPENDITURES.
COMMITTEE(S) -10
COMMITTEE TYPE COMMITTEE NAME n.'
co
GENERAL COMMITTEE ADDRESS
❑ Additional Pages LP
EI SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
CANDIDATE / OFFICEHOLDER OR1GI1A FORM C/OH
CAMPAIGN FINANCE REPORT n L COVER SHEET PG 2
16 C/OH NAME 16 Filer ID (Ethics Commission Filers)
17 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN �/�
TOTALS PLEDGES, LOANS,OR GUARANTEES OF LOANS,OR $ d/
CONTRIBUTIONS MADE ELECTRONICALLY) �l/
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE.
TOTALS $
4. TOTAL POLITICAL EXPENDITURES $
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 $
18 SIGNATURE 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. ,
7L/
/ / /'
Signature of Candidate or Officeholder
NO5� �1'Ati�,,,��� Please complete either option below:
(1)Affidavit 7 Q
�TFOF1`<�aL••
/2874
NOTARY STAMP/SEJ4 413 �
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Sworn to and subscribed before me by K Ca\NY4 h p. W aU this the f t 1 day of -.rAtn ,
20 Q 2, ,to certify which,witness my hand and seal of office.
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Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath
OR
(2)Unsworn Declaration
My name is , and my date of birth is
My address is •
(street) (city) (state) (zip code) (country)
Executed in County, State of ,on the day of ,20
(month) (year)
Signature of Candidate/Officeholder(Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
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