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HomeMy WebLinkAbout2021 Martin Semi January CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Filer ID (Ethics Commission Hers) 2 Total pages filed: ,✓ The C/OH Instruction Guide explains how to complete this form. 3 CANDIDATE / V MRS / MR FIRST MI OFFICEHOLDER OFFICE USE ONLY NAME ► et n• 1%•••e • Date Received NICKNAME LAST SUFFIX i 1 6.- 10)...1 fro/ 4 CANDIDATE / ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE I �� OFFICEHOLDER ( 10 V MAILING C �t] ADDRESS 11 Change of Address 305 Lark, Lan & , t,OtL s ' x t,� 5 CANDIDATE/ / � AREA CODE PHONE NUMBER EXTENSION Date Hand-delivered or Date Postmarked OFFICEHOLDER 6111 �� `� PHONE t ('✓I 11 ) e 3 rf 0 (9 �C� Receipt # Amount $ 6 CAMPAIGN MS / MRS /® FIRST MI TREASURER '� NAME ` © oa G� Date Processed NICKNAME LAST SUFFIX Date Imaged 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CRY; STATE; ZIP CODE TREASURER ADDRESS (Residence or Business) 306 ,c am E e- S �j J �X Wo 6 3q 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE I 011 ) 743 'I039 9 REPORT TYPE IW January 15 I 30th day before election I Runoff 15th day after campaign treasurer appointment (Officeholder Only) 1 July 15 8th day before election I I Exceeded Modified Final Report (Attach C/OH - FR) Reporting Limit 10 PERIOD Month Day Year Month Day Year COVERED lO / (0 / r,ZOp THROUGH I2-73U / 2r^1t1 0 11 ELECTION ELECTION DATE ✓ ELECTION TYPE (` —V Month Day Year I i Primary n Runoff Other Description ' ; / 3 / 0 ry General n Special 12 OFFICE OFFICE HELD (if any) �1•„� 13 OFFICE SOUGHT (if known) M0.-ti) Or Nfl ya 0 14 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACGter D OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT POLITICAL THE CANDIDATE / OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES. COMMITTEE(S) COMMITTEE TYPE COMMITTEE NAME GENERAL COMMITTEE ADDRESS n Additional Pages nSPECIFIC 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 FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 15 C/OH NAME A 16 Filer ID ( Ethics Commission Filers) 17 CONTRIBUTION 1 . TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS , OR $ 40 CONTRIBUTIONS MADE ELECTRONICALLY) 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES , LOANS , OR GUARANTEES OF LOANS ) TOTALS EXPENDITURE 3 . TOTAL UNITEMIZED POLITICAL EXPENDITURE. $ 4. TOTAL POLITICAL EXPENDITURES $ 1 5o ,.y 6 CONTRIBUTION 5 . TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY (1 ( � r7 BALANCE OF REPORTING PERIOD $ 9 3 2. L� t OUTSTANDING 6 . TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ 02 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. aael Signature of Candidate or ceholder • `�ai �,, KIM SUTTER ' lease complete either option below: :%"PY PU*.< t Notary Public , State of Texas %/I , ' Qc Comm . Expires 08-25-2021 �'//,fo sk. Notary ID 10956806 (1 ) Affidavit NOTARY STAMP / SEAL 'J Sworn to and subscribed before me by L) ill 4 Q M ct rti 11 this the 1 day of ( Clint./ a n , , c 20 f/ Z ,>!^' , to c fy which, witness my hand and sea ofoffice. L . ign ure 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 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE Fl If the requested information is not applicable, DO NOT include this page in the report. EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense LoanRepayrnent/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Offax Overhead/Rental Expense Transportation Equipment & Related FxpPnse Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other (enter a category not listed above) CreditCard Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule Fl : 2 FILER NAME .. 3 Filer ID (Ethics Commission Filers) Lir teitt Nita' sr) 4 Date 5 Payee name 6 Amount ($) 7 Payee address; City; State; Zip Code ( 6r , to 57I Au 10 Cdt- r- t j 1�G 01q 8 (a) Category (See Categories listed at the top of this schedule) (b) D c 'ption PURPOSE OF EXPENDITURE Acj `J'6Mo' i 60Cf ► a$ MCA 1. a (c) Checkd travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($ ) Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSE OF EXPENDITURE Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSE OF EXPENDITURE Check it travel outside ot Texas. Complete dsiredalet Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics. state . tx. us Revised 8/17/2020