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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
3 CANDIDATE / MS / MRS / MR FIRST MI
OFFICEHOLDER NAME � Q , /� OFFICE USE ONLY
V'
Date Received
NICKNAME LAST SUFFIX
(A / I / F 1 0 itc- 1-)Dr
4 CANDIDATE / ADD ESS / PO B ; �APTT ISUITE #: CITY; STATE ; ZIP CODE
OFFICEHOLDER ^- � ( 14 \ °_ � i I � ti f I t, � G_�/_'�/)
MAILING d f
ADDRESS I� G- e �S / ( � ( 7( �
/
❑ Change of Address
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER / Date and-d�vered or D Postmarked
PHONE � �J 9— � I r 75 ( ( DR/ ?Jo-0 11`
6 CAMPAIGN MS / MRS / MR MI Receipt # Amount $
TREASURER4
2.s(rea
NAME { Date Processed
NIC htAME 0LAST �I� V -Et-- SUFFIX
Date Imaged
7 CAMPAIGN S EET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CIT�Y; / STATE ; ZIP CODE
TREASURER S O2 C i , _ 1 A , . ( r{- r
ADDRESS
v / �\
(Residence or Business) 6(,, L465 11 -7C01) •
1
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER ( 2-9.49__)
I 75 �/
PHONEHONE
9 REPORT TYPE
January 15 30th day before election Runoff 15th day after campaign
treasurer appointment
(Officeholder Only)
I July 15 8th day before election Exceeded Modified Final Report (Attach C/OH - FR)
Reporting Limit
10 PERIOD Month Day Year Mo th Day Year
COVERED 61/ p 1 / THROUGH
° / 424 / 028 :02..�
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year ❑ Primary ❑ Runoff ❑ Other
Description
i / / / er eral Special
12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known)
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Forms provided by Texas Ethics Commission www.ethics . state.tx . us Revised 1 /1 /2020
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CANDIDATE / OFFICEHOLDER FORM C /OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME ' / 4 /E L-L j' 167444 � 15 Filer ID ( Ethics Commission Filers)
//i - ,16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
POLITICAL SUPPORT THE CANDIDATE I 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.
COMMITTE TYPE COMMITTEE NAME
GENERAL
COMMITTEE ADDRESS
SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
Additional Pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION 1 . TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
TOTALS PLEDGES , LOANS , OR GUARANTEES OF LOANS , OR
CONTRIBUTIONS MADE ELECTRONICALLY )
2 . TOTAL POLITICAL CONTRIBUTIONS fit" j
( OTHER THAN PLEDGES , LOANS , OR GUARANTEES OF LOANS ) (�/
TOTALSEXPENDITURE 3 . TOTAL UNITEMIZED POLITICAL EXPENDITURE . $
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 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
Pva� ,� KIM SUTTER under Title 15 , Election Co . .
P' 'A_e 1 Notary Public , State of Texas
3N;. cQ a Comm . Expires 08-25-2021 ' _
'1:,E.6°1N Notary ID 10956806
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP / SEALABOVE [( / , p
"npSworn to and subscribed before me , by the said �C. I ` ' tom, F C., ., this the
day of O Z- D , 20 ZO , to certify which , witness my hand and seal of office .
74S/766tv
j4,r‘ Cinfer p
' nature 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 1 /1 /2020