HomeMy WebLinkAboutEilenfeldt 8 day 2017 texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)453-5800 (TDO 1-800-735-2989)
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 ACCOUNT# 2 Total pages fled:
The C/OH Instruction Guide explains how to complete this form. (Ethics Commission Filers)
47L-
3 CANDIDATE / MSIMRS/MR FIRST MI OFFICE USE ONLY
OFFICEHOLDER Z. i nd�
NAME Date Received
NICKNAME LAST SUFFIX r' 1 T
le n Pe ) d-71- (
4 CANDIDATE / ADDRESS/PO BOX; APT I SUITE it; CITY; STATE; ZIP CODE
OFFICEHOLDER �r
MAILING 1 f TQ (L f 4 •1 n Stele Date Hand-delivered or Postmarked
ADDRESS
❑ change of address 6 L .J p SS `1' x, 7(003 ) Receipt It Amount
5 CAN DIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER p r� Date Processed
PHONE I?
)
571. a (oa a-
6 CAMPAIGN MS/MRSIMR FIRST MI Dale Imaged
TREASURER
NAME . . . PoI)Pr+ CPA)
NICKNAME LAST SUFFIX
'Bauer
7 CAMPAIGN STREET ADD RE SS(NO PO BOX PLEASE): AFT/SUITE it CITY, STATE; ZIP CODE
TREASURER
ADDRESS 14 a I r'oa._n-l-arn Sr d e fir.
(residence or business)
E.u--less -TAL 710o 3 g
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER (EL-7 Cr2 I. 0*74(�
PHONE 1 c.7 I
9 REPORT TYPE ❑ January 15 1 30th day before election ❑ Runoff 1 - 15th day after campaign
treasurer appointment
(officeholders y)
❑ July 15 Bth day before election ❑ Exceeded 1500 ❑ Roof report(Attadr C/OH-FR)
limit
10 PERIOD Molt) Day Yea Mace Dey Year
COVERED 3 /2 9 /, 7 THROUGH !r /, p /i 7
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year ❑ peniey ❑ Runoff [KI ei Specie!
S/ CO /j01'7 L� I riSpecie!
i 2 OFFICE OFFICE HELD(if any) 13 OFFICE SOUGHT Of known)
6 11,(Pss C,4y E/tiess Cr4 Cessn-
Court at
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www.ethics.state.tx.us Revised 04/19/2013
•.4'exastXhics Commission P.O-Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDE71-800-735-29$9)
CANDIDATE / OFFICEHOLDER REPORT: FORM C/OH
SUPPORT & TOTALS COVER SHEET PG 2
14 C/OFt NAME 15 ACCOUNT i! (Ethics Commission Filers)
nc#ar &: f,e,,J 'e
16 NOTICE FROM THIS BOx IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR vrr mcA EXPENDITURES MADE BY POLSCAL COMMITTEES TO SUPPORT THE
POLITICAL CANDIDATE I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN!INV Iarn4n rr THE CANDIDATE'S OR OFREEHOLDER S KNOWLEDGE OR
COMMITTEE(S) CONSENT. CANDIDATES AHD OFFICEHOLDERS ARE RE-0UIR D TO REPORT THrS INFORAIATION ONLY aF THEY RECENE NOTICE OF SUCH EXPENDRURES.
COMMITTEE NAME
COMMITTEE TYPE
n GENERAL
COMMITTEE ADDRESS
n SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
n additional pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF S50 OR LESS(OTHER THAN
TOTALS PLEDGES. LOANS,OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ 0
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS,OR GUARANTEES OF LOANS)
�V1
EXPENDITURE
TOTALS 3. TOTAL POLITICAL EXPENDITURES OF S100 OR LESS, UNLESS ITEMIZED
4. TOTAL.POLITICAL.EXPENDITURES
—mob
CONTRIBUTION 5 TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF REPORTING PERIOD — 5 ?, 43C
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE I J
LOAN TOTALS -^ 0
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 Title 15,Election Code.
II,y-dm..-Alo, L f a
ter L
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KIM SLITTER v 40—
f My Commission Expires
{ August 25,2017 Signature of Candidate or Officeholder
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�w ,■ ir. � rr �r rr r. �-�
AFFIX NOTARY STAMP 1 SEAL ABOVE ' ,�1
Sworn to and subscribed before me, by the said 1-1(4A- J�iI i 1 e d/ , this the
Z7 day of UPIF6C
, 20 1 7 to certify which, witness my hand and seal of office-
11((//11 .1774-ei9—/ — f {
Slgdature of officer administenng oath Printed name of officer administering oath Title of officer administenng oath
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www.ettlics.state.tx.us Revised 04119/2013