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HomeMy WebLinkAbout2022 Martin semi JulyCANDIDATE / 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 / OFFICEHOLDER / MRS / MR FIRST MI OFFICE USE ONLY 1^ tl�ii[c.� Date Received NAME .........................� " " " " " NICKNAME LMac -h AST SUFFIX . C 4 CANDIDATE / ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE OFFICEHOLDER ,0 JVL 15 2022 MAILING ADDRESS 1 El Change of Address 366 - x 7�003 CITY OF EULESS 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION — Date Hand -delivered or Date Postmarked' OFFICEHOLDER PHONE 17 2r)3 -- "jv3 ,' n I ;0 5?� Receipt # Amount $ 6 CAMPAIGN MS /MRS / FIRST MI TREASURER r /� �+ ''� �-�! Date Processed NAME......................... p1.(JnL.�iJt..-t'...........................i^ .......... NICKNAME LAST SUFFIX Date Imaged T CAMPAIGN STREETADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE TREASURER ADDRESS (Residence or Business) X 7 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE 6 17/` n� j❑ 9 REPORT TYPE ❑ January 30th day before election Runoff 15th day after campaign El treasurer appointment (Officeholder Only) 14 July 15 ❑ 8th day before election Exceeded Modified Final Report (Attach C/OH - FR) Reporting Limit 10 PERIOD Month Day Year Month Day Year COVERED /� v `/ ©( / 2� � L / THROUGH 0 / 0 / /, z N� 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year ❑ Primary ❑ Runoff " Other Description / / ❑ General ❑ Special 12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known) 14 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT POLITICAL THE CANDIDATE I 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 PIS 2 15 C/OH NAME 116 Filer ID (Ethics Commission Filers) 17 CONTRIBUTION TOTALS .................. EXPENDITURE TOTALS .................. CONTRIBUTION BALANCE .................. OUTSTANDING LOAN TOTALS 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR $ CONTRIBUTIONS MADE ELECTRONICALLY) 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE. $ 4. TOTAL POLITICAL EXPENDITURES $ �, 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ OF REPORTING PERIOD 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE F. 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. Signatu a of Candidate or iceho der Please complete either option below: (1)Affidavit ���`r3.L.Y KIM SUTTER i?' Notary Public, State of Texas =�'• '�' CommLExptlres 08-25-2025 Not0956806 NOTARY STA �f Sworn to and subscribed before me by 20 , to 12 ffy which, witness my hand and sr office. SigrfatGre of officer administering oath (2) Unsworn Declaration Printed name of officer administering oath this the Sday of Gvar�R y Pv�c��. Title of officer administering oath 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)