HomeMy WebLinkAbout2022Martin semi January Correction CORRECTION/AMENDMENT AFFIDAVIT
FOR CANDIDATE/OFFICEHOLDER FORM COR-C/OH
1 Filer ID(Ethics Commission Filers) 2 Total pages filed:
OFFICE USE ONLY
3 CANDIDATE/ MS/MRS/MR FIRST MI Date Received
OFFICEHOLDER Ms. Linda
NAME
NICKNAME LAST SUFFIX
Martin
4 ORIGINAL REPORT ❑ January 15 I I Runoff ❑ Date yfand-de eyed or Date Postmar ed
l�l
TYPE ��� Final report //
July 15 I Exceeded modified reporting A A�-�
limit
❑ 30th day before election Other(specify) Receipt# / Amount$
pi 8th
day after treasurer
8th day before election I I appointment(officeholder only)
Date Processed
5 ORIGINAL PERIOD Month Day Year Month Day Year
COVERED 01 / 01 /202� 06 /30 /2021 Date Imaged
THROUGH
6 EXPLANATION OF CORRECTION
Incorrect balance (line 5) brought forward from previous report due to accounting error. The balance should be
$252.92)
7 SIGNATURE I swear, or affirm, under penalty of perjury,that this corrected report is true and correct.
Check ONLY if applicable:
Fif Semiannual reports: I swear, or affirm, that the original report was made in good faith and without an intent to
lm mislead or to misrepre-sent the information contained in the report.
UOther reports: I swear, or affirm, that I am filing this corrected report not later than the 14th business day after the
date I learned that the report as originally filed is inaccurate or incompll,te. I swear, or affirm, that any error or
omission in the report as originally filed was made in good faith.
Signature ofCandidae/ tceholder
���"�p,,�,, KIM BUTTER ease complete either option below:
(1)Affidavit 2`"R"'`e�^Notary Public,State of Texas
;'a; .� Comm.Expires 08-25-2025
NOTARY�AI1T„ §tL Notary ID 1 95Q.$06
Sworn to and subscribed before me by i i'wu- kar-te v this the 4� day of C a-LCL
•
20 , to certify Ich,witness my hand and a of offic U
/ L�vki, -t-`-Gird m at/LHet— 11 ' €1
S. na re of officer a ministering oath Printed name of officer administering oath Title of officer administering oath
OR
(2) Unsworn Declaration
My name is Linda Martin , and my date of birth is June 2,1946 .
My address is 305 Lark Lane , Euless , TX, 76039 , US
(street) (city) (state) (zip code) (country)
Executed in Tarrant County,State of Texas ,on the day of ,20 .
(month) (year)
Signature of Candidate/Officeholder (Declarant)
Remember To Attach Any Part Of The Campaign Finance Report Form Needed To Report And Explain Corrections
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 4/16/2021
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Filer ID (Ethics Commission Filers) 2 Total pages filed:
The C/OH Instruction Guide explains how to complete this form.
3 CANDIDATE/ MS/MRS/MR FIRST MI
OFFICEHOLDER Linda L OFFICE USE ONLY
NAME Date Received
NICKNAME LAST SUFFIX
Martin
4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE
OFFICEHOLDER 305 Lark Lane, Euless, TX 76039
MAILING
ADDRESS
Change of Address
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION Date Hand-delivered or Date Postmarked
OFFICEHOLDER
PHONE (817 ) 283-7038
Receipt# Amount$
6 CAMPAIGN MS/MRS/MR FIRST MI
TREASURER Donald
NAME Date Processed
NICKNAME LAST SUFFIX
Date Imaged
Martin
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER 305 Lark Lane, Euless, TX 76039
ADDRESS
(Residence or Business)
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE ( )
9 REPORT TYPE ( January 15 [ 30th day before election Runoff 15th day after campaign
treasurer appointment
(Officeholder Only)
®; July 15 8th day before election r Exceeded
Modified [: Final Report(Attach C/OH-FR)
is Reporting
10 PERIOD Month Day Year Month Day Year
COVERED
1 / 1 / 21 THROUGH 6 / 30 / 21
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year Primary Runoff Other
Description
If General Special
12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known)
Mayor Mayor
14 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED 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
Additional Pages
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 FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
15 C/OH NAME 16 Filer ID (Ethics Commission Filers)
Linda Martin
17 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR $ 0.00
CONTRIBUTIONS MADE ELECTRONICALLY)
2. TOTAL POLITICAL CONTRIBUTIONS $ 0.00
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPETOTALS
3. TOTAL UNITEMIZED POLITICAL EXPENDITURE. $
0.00
4. TOTAL POLITICAL EXPENDITURES $ 0.00
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ 252.92
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. /
Signature of Candidate or Officeh
Please complete either option below:
,,`‘„..1!.&/ KIM SUTTER
SP�y P 9 i
% i,:Notary Public, State of Texas
O1 Affidavit Tk h
,, '+r; Comm. Expires 08-25-2025
--ii4 GF t4.\`�.o 0,„,,, Notary ID 10956806
\NOTARY STAMP/SEAL ‘ .Sworn to and subscribed before me by e vLcfc(.._ Ala rfiki this the ta/
day o ice.„-;-„A
7
2 vZ ,to certif hich,witness my hand and sal office. �� r
-12.-- -Z., /n'7 lZ--C .7/ l` o T% e/�
Sig Lure 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