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CANDIDATE it 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/ MS I MRS CD FIRST MI
OFFICEHOLDER OFFICE USE ONLY
NAME Eliihy
Date Received
NICKNAME LAST SUFFIX y
y kW C/1,-\-- 13410457 ei)
4 CANDIDATE/ ADDRESS !P6 BOX, APT/SUITE/; CITY; STATE: ZIP CODE �f
OFFICEHOLDER r� r///;;}}}[[[
MAILING 3O 1 '[ f IL1.)066 A� UL.E55 TX ?LQ3'
ADDRESS
U Change or Address
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER ( 1 ? 1 Dale Hand-delivered or Date Postmarked
PHONE ) Gc— lac
6 CAMPAIGN MS 1e+MR FIRST MI Receipt a Amount S
TREASURER
NAME I. I 614 Dale Processed
NICKNAME LAST SUFFIX
4 Yw 4.1 Dale Imaged
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT 1 SUITE S CITY, STATE; ZIP CODE �t�
TREASURER O r-.A E-v L E55 TX .7 .-0 3 !7
ADDRESS 1 I`C PAIL—WOO 1�] G
(Residence or Business)
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER ( �')7 ) .��C I""5 r
PHONE D
9 REPORT TYPE
n January 15 n 30th day before election n Runoff 1 1 15th day after campaign
Ireasurer appainlmenl
(Officeholder Only)
n July 15 1 SIN day before election U Exceeded$5170limit Final Report(Attach CIOH-FR)
10 PERIOD Month Day Year Month Day Year
COVERED
/9 / . S / -A0/3 THROUGH •��3 / of S
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year ❑ Primary ❑ Runoff 1 Other
Description
/ / ❑ General ❑ Special
12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT of known]
C ( y Co 'vCit--
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Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 02/27/2015
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME 15 Filer ID (Ethics Commission Filers)
re cry 13(1114. i*,
16 NOTICE FROM T IS BOX IS Falk NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
POLITICAL SUPPORT THE CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDER'S
COMM ITTEE(S) KNOWLEDGE OR 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
❑SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
Additional Pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
TOTALS EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES
CONTRIBUTION TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE pF REPORTING PERIODtrj—
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD
18 AFFIDAVIT
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 Tit 5,Election Code.
KIM SUTTER
My Commission Expires
August 25, 2017 gnature, f Candidate or Officeholder
AFFIX NOTARY STAMP ISEALABOVE
Sworn to and subscribed before me, by the said P(-rL �[YL CA._b' this the
day of 2d (S ,to certify which,witness my hand and seal of office.
•
7 l/ rS Ce.. 4-ems 410 ille`
ig ture of officer administering oath Printed name of officer administering oath Title of officer administering oath
Forms provided by Texas Ethics Commission vvvwv.ethics.state.tx.us Revised 02/2712015
r
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 2 Filer ID (Ethics Commission Filers)
4
-[ k ky I 3 SIGNATURE
I do not expect any further political contributions or political expenditures in connection with my candidacy. I understand that designat-
ing 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 app ent on flu .
atur f Candidate I Officeholder
4 FILER WHO IS NOTAN OFFICEHOLDER
-• Complete A & B below only if you are not an officeholder. --
A CAMPAIGN FUNDS
Check only one:
I 1 I do not have unexpended contributions or unexpended interest or income earned from political contributions.
I 1 I 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:
n I do not retain assets purchased with political contributions or interest or other income from political contributions.
n 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 --
Egr 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 polit I contributions,or assets purchased with politi-
cal contributions or interest or other income from political contributions.
gnature of Officeholder
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 02/27/2015