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HomeMy WebLinkAbout2023 Price FRCANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: 3 CANDIDATE / OFFICEHOLDER MS / MRS / MR MI 1 OFFICE USE ONLY NAME /FIRST M. f ................ .4!� .\ —..........................���. ....... NICKNAME LAST SUFFIX .f�ce- VJA 4 CANDIDATE/ ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE OFFICEHOLDER MAILING am/ / I\ �`"� �NOtV1��_Ce 16 2023 ADDRESS �;K, � Change of Address i CITY OF EULESS 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION Date an - rked OFFICEHOLDER PHONE / C \Vr� Z-J•7 �—O' //r/D 6CAMPAIGN MS /MRS / MR FIRST MI Receipt # Amount $ TREASURER NAME.).. t.5................... .�............................�........ Date Processed NICKNAME LAST SUFFIX Date Imaged e 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE TREASURER ADDRESS (Residence or Business)- 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE I 7 9 REPORT TYPE � January 15 301h day before election IRunoff 15th day after campaign treasurer appointment (Officeholder Only) July 15 81h day before election " Exceeded Modified II F ^' Final Report (Attach C/OH - FRI Reporting Limit 10 PERIOD COVERED Month Day Year Month Day Year ) / 'J (l�L� THROUGH D k lam-/l� 1 7 Z C�tip 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year Primary Runoff Other Description / '7 /2 .'General Special 12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known) 14 NOTICE FROM THIS BOX IS FOR NOTICIIOF 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 COMMITTEE(S) CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES. 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 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) lJ 2. TOTAL POLITICAL CONTRIBUTIONS $ ................... (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) TOTAL DITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE. t�> ................... 4. TOTAL POLITICAL EXPENDITURES $ 0 O0 CONTRIBUTION BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ C< OF REPORTING PERIOD l OUTSTANDING LOAN TOTALS 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE $ /�!'j 00 LAST DAY OF THE REPORTING PERIOD C 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. �. c Signature of Candidate or Officeholder Please complete either option below: KIM SUTTER (1) Affidavit = ° _Notary Public, State of Texas :�'� Comm. Expires 08-25-2025 Notary 10 10956806 NOTARY STAMP/SEAL Sworn to and subscribed before me by "15—U cl P�- (< e, 20 to c which witness my hand and seal of office this the day of ll-�� No 1-1-4 9 y pcc K5 L l c, nor C/ LLOK Sig ture of office administering oath Printed name of officer administering oath Title of officer administering oath o• (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 CANDIDATE/OF OFFICEHOLDER REPORT - DESIGNATION I FINAL REPORT FORM The Instruction Guide explains how to complete this form. •• Complete only if "Report Type" on page 1 is marked "Final Report" •• 1 C/OH NAME 2 Filer ID (Ethics Commission Filers) ^ 3 SIGNATURE I do not expect any further political contributions or political expenditures in connection with my candidacy. I understand that designating a report as a final report terminates my campaign treasurer appointment. I also understand that I may not accept any campaign contributions or make any campaign expenditures without a campaign treasurer Appointment on file. Signature of Candidate / Officeholder 4 FILER WHO IS NOTAN OFFICEHOLDER •• Complete A & B below only if you are not an officeholder. -- A. CAMPAIGN FUNDS Check only one: 1 1 do not have unexpended contributions or unexpended interest or income earned from political contributions. 1 have unexpended contributions or unexpended interest or income earned from political contributions. I understand that I may not convert unexpended political contributions or unexpended interest or income earned on political contributions to personal use. I also understand that I must file an annual report of unexpended contributions and that I may not retain unexpended contributions or unexpended interest or income earned on political contributions longer than six years after filing this final report. Further, I understand that I must dispose of unexpended political contributions and unexpended interest or income earned on political contributions in accordance with the requirements of Election Code, § 254.204. B. ASSETS Check only one: I do not retain assets purchased with political contributions or interest or other income from political contributions. I do retain assets purchased with political contributions or interest or other income from political contributions. I understand F that I may not convert assets purchased with political contributions or interest or other income from political contributions to personal use. I also understand that I must dispose of assets purchased with political contributions in accordance with the requirements of Election Code, § 254.204. Signature of Candidate 5 OFFICEHOLDER •• Complete this section only if you are an officeholder •• I am aware that I remain subject to filing requirements applicable to an officeholder who does not have a campaign treasurer on file. I am also aware that I will be required to file reports of unexpended contributions if, after filing the last required report as an officeholder, I retain political contributions, interest or other income from political contributions, or assets purchased with political contributions or interest or other income from political contributions. Signature of Officeholder Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020