HomeMy WebLinkAbout2022 Stinneford Semi January 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/ ,l.ks-raRB/ lR FIRST MI OFFICE USE ONLY
OFFICEHOLDER T
NAME l J Date Received
NICKNAME LAST SUFFIX
'flier.,e•-IvJ
4 CANDIDATE/ ADDRESS 1 PO BOX; APT I SUITE ft; CITY; STATE; ZIP CODE
OFFICEHOLDER
MAILING ; ti® �:' a Ct y 6err) L, J
ADDRESS r'L1 eJi ,C 71 (
I I Change of Address
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER l� Date and-de iveredd or Date Postmarked
PHONE (2>li ) % / V 3-$15 2,6/ ,I'�t7! G{J`/GZ'TI-- DS
Receipt# Amount$
6 CAMPAIGN *to. MR 1 A4R- FIRST MI
TREASURER �' y
NAME 1 Date Processed
NICKNAME LAST SUFFIX
S Ai
e /- {� Dale Imaged
I—I
Aii
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/J SUITE,If; CITY; STATE; ZIP CODE
TREASURER 11,0 f3 y het 1-14-'s Ce"U (t1l --Ne" 71 C1:. '
ADDRESS
(Residence or Business)
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER _
PHONE ( S( 7 ) -1P rI C f^_S
9 REPORT TYPE \ January 15 I I 30th day before election I I Runoff I I 15Ih day after campaign
treasurer appointment
(Officeholder Only)
I I July 15 8th day before election Exceeded Modified I Final Report(Attach CJOH-FR)
Reporting Limit
10 PERIOD Month Day Year Month Day Year
COVERED ���� f / y 2
0r� / C ( / cr/--1 THROUGH / i 3/ ,. CIt9q
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year I I Primary ❑ Runoff ❑ Other
Description
/ / ❑ General El Special
12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known)
Pic,ctI
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
COMMITTEE ADDRESS
El GENERAL
❑ Additional Pages
III 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)
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)
TOTALS EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE. $
'631-
4. TOTAL POLITICAL EXPENDITURES $
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ 3 9 0 9 6
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.
(.1
gnature of Candidate o Officeholder
Please complete either option below:
```,Yii,,, KIM SUTTER
_2:A.•, :Notary Public, State of Texas
.r. . '`• Comm. Expires 08-25-2025
(1)Affidavit �4O �'+\-0n m x�` Notary ID 10956806
IL
NOTARY STAMP/SEAL
Sworn to and subscribed before me by ; , Gl/717e4ref this the /Gy
day of
20 ,to certify ich,witness my hand and seal.of office.
gna re 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