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Home My WebLink About2024 Tompkins semi Jan FRCANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 1 The CIOH 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: Instruction Guide explains how to complete this form. 3 CANDIDATE / NIS / M S / MR F ST Nil OFFICE USE ONLY OFFICEHOLDERj� NAME............................. ................. NICKNAME LAST SUFFIX 4 CANDIDATE / ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE pp Lc OFFICEHOLDER MAILING / / n N� ny, i D ADDRESS t/Y� (% / IJ ',✓J ��y/' P�fJ ❑ Change of Address �/ CITY OF E U L E S S 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION �u '17eY0?fi�9=deY�'e rfi�a e—P�sim'�PR€C"`"'•_, PHONEHOLDER Receipt # Amount $ 6 CAMPAIGN NIS / MRS / MR FIRST MI ` TREASURER �/s. � " NAME................................................................................. Date Processed NICKNAME LAST SUFFIX Date Imaged o5 7 CAMPAIGN STREETADDRESS (NO PO BOX PLEAE); APT // SS�UITEE #; /CITY; STATE; ZIP CODE TREASUR ADDRESSER�w'e a. fi�/� I'll / ' -76 0yO (Residence or Business) 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE ( (J (% 17) /0 9 REPORT TYPE January 15 ❑ 301h 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 ^ / 0 ! / / Z / '),` / / / '( 1) THROUGH � .Z, 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) �v1�Gff C��'J CakA� elute Z 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 I COMMITTEE NAME GENERAL ❑ Additional Pages SPECIFIC Forms provided by Texas Ethics Commission COMMITTEE ADDRESS COMMITTEE CAMPAIGN TREASURER NAME COMMITTEE CAMPAIGN TREASURER ADDRESS GO TO PAGE 2 www.ethics.state.tx.us Revised 11/15/2022 CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH 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 $ /j�//) CONTRIBUTIONS MADE ELECTRONICALLY) 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) ................... EXPTOTAENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE. 4. TOTAL POLITICAL EXPENDITURES $ s�p_ CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY 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 Officeholder Please complete either option below: (1)Affidavit KIM SUTTER o`YPGB`--' Notary Public, State of Texas Z COMM. Expires 08-26,2025 NOTARY STAMP/tdty 10 1 f)95ti806 Sworn to and subscribed before me by . 1 20 � / to certify which, witness my hand and s al of office ga e of officer administering oath Printed name of officer administering oath (2) Unsworn Declaration My name is My address is Executed in (street) County, State of this the day Title of 4,cer administering oath and my date of birth is (city) (state) on the day of (month) (zip code) (country) 20 (year) Signature of Candidate/Officeholder (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/15/2022 POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS SCHEDULE G If the requested information is not applicable, DO NOT include this page in the report. EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services Salades/Wages/Contract Labor Other (entera category notlisted above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule G 4 Date /2/051A3 6 AmounS ($) �fj� . eeimbursement from political contributions intended 8 PURPOSE OF EXPENDITURE 9 Complete ONLY if direct expenditure to benefit C/OH 2 FILE.5,;4AME 5 Pa34-W name adG 7 Payee address; foal 14116a worll� al✓d 3 Filer ID (Ethics Commission Filers) City; State; Zip Code 1-k 76 I 7s-' (a) Category (See Categories listed at the top of this schedule) (b) Description % PoS Pu 1l0 (c) Check if travel outside of Texas. Complete Sch eduleT. Check if Austin, TX, officeholder living expense Candidate / Officeholder name Office sought Office held Date / /Z/O95/73 Payee name �L5 Amount/J�$� � � Payee address; , Reimbursement from O political contributions intended PURPOSE OF EXPENDITURE Category (See Categories listed at the top of this schedule) Check if t�vel outs'ide of Texas. Complete Schedule T. Candidate / Officeholder name Complete ONLY if direct expenditure to benefit C/OH Date Payee name City; State; Zip Code 9;k le rf TX 7(ooyb Description Wank ClveS -(V 1' Check if Austin, TX, officeholder living expense Office sought Office held Amount ($) Payee address; City; State; Zip Code Reimbursement from political contributions intended Category (See Categories listed at the lop of this schedule) I Description PURPOSE OF EXPENDITURE Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/15/2022 CANDIDATE / OFFICEHOLDER REPORT: DESIGNATION OF FINAL REPORT FORM C/OH - FR 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 3 SIGNATURE / 2 Filer ID (Ethics Commission Filers) 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 tre r pointmey on file. :;4idnature of Candidate / Officeholder 4 FILER WHO IS NOT AN OFFICEHOLDER •• Complete A & B below only if you are not an officeholder. •- A. CAMPAIGN FUNDS Check only one: 0 I 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 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 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 r filing the last required report as an officeholder, I retain political contributions, interest or other income from politic onutions, or assets purchased with political contributions or interest or other income from political contributions v �ignature of Officeholder Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/15/2022