HomeMy WebLinkAbout2023 Martin semi JanuaryCANDIDATE / 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 /
S MRS / MR FIRST MI
OFFICEHOLDER
NAME
,, n \
............................. Lt Yl>r�K l ....... , ................. !^
OFFICE USE ONLY
Date Received
........
NICKNAME LAST SUFFIX
Ma ( ti ji�
D NEU
4 CANDIDATE /
-
ADDRESS / PO BOX; APT I SUITE it; CITY; STATE; ZIP CODE
OFFICEHOLDER
MAILING
BAN 1 7 2023
ADDRESS
❑ Change of Address
r �, U 7 �t
CITY O F E U L E S S
5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
Date Hand-dellvere or
OFFICEHOLDER�g^
PHONE
�U1r 2�,30Gt/URecalpt
7e6F]
6 CAMPAIGN
MS /MRS l� FIRST MI
#
I Am
TREASURER
r__ -'
�''..........
Date Processed
NAME.............
.............. .�.o...... ...........................
NICKNAME LAST SUFFIX
Date Imaged
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY;
STATE; ZIP CODE
TREASURER
ADDRESS
(Residence or Business)
Lana,
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
(�
z63:lUm
9 REPORT TYPE
FN January 15 ❑ 30th day before election Runoff
151h day after campaign
treasurer appointment
(Officeholder Only)
❑ 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
`p
/ l / Z to 2 THROUGH 12,` 3 I/
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)
A
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
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
x x x 0 Lei ARA:101a
15 C/OH NAME
17 CONTRIBUTION
TOTALS
EXPENDITURE.
TOTALS
CONTRIBUTION
BALANCE
..................
OUTSTANDING
LOAN TOTALS
16 Filer ID (Ethics Commission Filers)
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 I s
OF REPORTING PERIOD
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD
5 2 i `1 ee/
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 Candida e or Officeholder
P," KIM SUTTER
�`��' • t""
w® Notary Public, State of Texas
(1)AffldaVit �: Comm, Expires 08-25.2025
f� Notary ID 10956806
NOTARY STAMP/SEAL c- /
Sworn to and subscribed before me by ktVL CL r -.(7 V1 this the l day of
20, Z -$ . to ceri{�if r which, witness my hand and seal of office,
1-n � #-e4-
ature of officer administering oath
(2) Unsworn Declaration
Printed name of officer administering oath
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)