HomeMy WebLinkAbout2020 Uhatafe 8 day 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.
3 CANDIDATE/ MS/MRS/MR IRST / MI OFFICE USE ONLY
OFFICEHOLDER
NAME
(� ( Date Received
NICKNAME AFJT I SUFFIX
a4 hE
r i
4 CANDIDATE/ A DRESS /PO BOX; APT/S TE#; CITY; STATE; ZIP CODEg U I
OFFICEHOLDER
MAILING ( a
ADDRESS 2�6
❑ Change of Address (o(J 9'3 F
5 CANDIDATE/ AREA CODE PONE NUMBER EXTENSION CITY OF E U L E S S
OFFICEHOLDER I DateLH�and-deliv �
PHONE �� � �•- 25 W
6 CAMPAIGN MS/MRS/MR FF ) mi.
Receipt#Date Processed
Amount$
TREASURER �� /�/Q !-1
NAME . . . . . . . . . lc / 1 . . _
NICKNAME LAST/, SUFFIX
Date Imaged
TR
7 CAMPAIGN SEET ADD SS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER
ADDRESS o
(Residence or Business) (/ ?�o
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER / W)--) � 1 ,� -7 S j
PHONE ` (�
9 REPORT TYPE 15th day after campaign
January 15 30th day before election Runoff Ye
treasurer appointment
(Officeholder Only)
El
July 15 8th day before election Exceeded Modified Final Report(Attach C/OH-FIR)
Reporting Limit
10 PERIOD Month Day Year Month Day Year
COVERED L�J THROUGH / /-�0 Q
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year ❑ Primary ❑ Runoff ❑ Other
f Description
// / 3 /_0 /^� eneral El Special
12 OFFICE OFFICE HELD (if any) P) ` 13 OFFICE SOUGHT (if known)
1 0 6
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Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME � f� /' 15 Filer ID (Ethics Commission 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 I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDERS
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
ENERAL
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 $
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE. $ O
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 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
,uuu
LINDSAY WELLS under Title 15,Election C de.
��tiPaYP�e,� �
v
,Notary Public, State of Texas
Comm. Expires 05 02-2023 �r
Notary ID 128603536 `
>' Signatur of Candidate or Officeholder
AFFIX NOTARY STAMP!SEALABOVE
Sworn to and subscribed before me, by the said �tjw this the
day f O 20 �,to certify which,witness my hand and seal of office.
ature of icer a ministering oath Printed name f o icer administering oath Title of officer dministering oath
Revised 1/1/2020
Forms provided by Texas Ethics Commission www.ethics.state.tx.us