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Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TOD 1-800-735-2989)
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 ACCOUNT# 2 Total pages filed:
The C/OH Instruction Guide explains how to complete this form. (Ethics Camrni wan Fifersl fit
4.
3 CANDIDATE / los;MRS/MR FIRST MI OFFICE USE ONLY
OFFICEHOLDER hi n d�
NAME D teR a .,.
NICKNAME LAST SUFFIX E c p w 1-i
T_.
£i` lenre) cLf ^- JAN
'
4 CANDIDATE / ADDRESS/PO BOX, APT/SUITE# CITY, STATE ZIP CoDE — \ A ` 5 2u$5 lJ
OFFICEHOLDER r _ ;n [" =1 0 1
MAILING /I �u in t� d c • y,I.d-daanvured orEsstmjarked
ADDRESS -�7! 9 CITY_-/ EUI�� II
Il change of address Etk le S s- 7X ! t+Co 3 _ _ n..c�,pl* w wv
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION ,
OFFICEHOLDER ( 1q) 3_, 1� 3 to so...
Date Processed
PHONE 1 1 dL.
6 CAMPAIGN MS/MRS/MR FIRST MI Date Imaged
TREASURER ab Pr ( /2.
NAME
NICKNAME LAST SUFFIX
3Qccer
7 CAMPAIGN STREET ADDRESS INC,PO BOX PLEASE/ APT I SUITE*. CITY, STATE. ZIPCOOE
TREASUR
ADDRESSER A/a [ I-' Q a n �1 f',
(residence or business)
EcljtICIs s TX 76 o 3 4
S CAMPAIGN r AREA CODE PHONE NUMBER EXTENSION
TREASURER ( 817 $ 7/. 0 7 4 9
PHONE
9 REPORT TYPE % n 15th day after campaign
January 15 n 30th day before election Runoff treasurer appointment
Iofficehoideton'yt
L_._} July 15 n BM day before election n Exceeded $500 n Final report IAttacrl C/OH-FR)
limit
•
10 PERIOD PAAlet Year _ — Month I� Year - - -
COVERED ft /
/ / Aa, .I THROUGH /a.../- 31 /a ch'
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year I] Puffery n Runoff X Genera, IT Special
12 OFFICE OFFICE HELD Of any) 113 OFFICE SOUGHT Irfknown)
f Ltle s.r CH`H-e( CaunCi1
?/oce (-1
GO TO PAGE 2
www.ethics.state.tx.us Revised 04/19/2013
• rl
Texas Ethics Commission P.C.Box 12070 Austin,Texas 78711-207❑ (512)463-5800 (TDD 1-800-735-2989)
CANDIDATE / OFFICEHOLDER REPORT: FORM C/OH
SUPPORT & TOTALS COVER SHEET PG 2
14 C/01-I NAME 15 ACCOUNTS {Ethics Commiasson Filers}
tanda. glensee
i
16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT THE
POLITICAL CANDIDATE l OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDERS KNOWLEDGE OR
COMMITTEE(S) CONSENT CANDIDATE5 AND OFFICEHoL0ERs ARE RFOI IIRED TO REPORT THIS INFORMATION ONLY IF THEY RECENE NOTICE OF SUCH EXPENDITURES.
COMMITTEE NAME
COM? ITTEETYPE
n GENERAL V-- --COMMITTEE ADDRESS
SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
Q 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
TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES,LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE
TOTALS 3. TOTAL POLITICAL EXPENDITURES OF$100 OR LESS, UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES $ /0 , 02--•
CONTRIBUTION 5 TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF REPORTING PERIOD _ — $ q 1 3 i
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,thet the accompanying report
is true and correct and includes all information required to be reported by
me under Title 15,Election Code.
AO' k.W
. LiNDSAY WELLS
FFj
t:orrunls: 61[>?1201 F►'^ _�
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP 1 SEAL ABOVE r l
Sworn to and subscribed before me, by the said L rsdLL C�L.e(\f j , this the
Sday n43 , 20 � , to certify which, witness my hand and seal of office.
•
14 \if)\.rt k.,c.
Signature offi r administering oath Printed name of fficer administering oath Title of officer administering oath
J
www.ethics.state.tx.us Revised 0411 9/2 0 1 3
Texas Ethics CoTmission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
POLITICAL EXPENDITURES SCHEDULE F
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Gift/AwardslMemorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment&Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER(enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F. 2 FILER NAME 3 ACCOUNT#(Ethics Commission Filers)
r Li"-I d a. Eft fP rt re I L--
4 Date / 5 Payee name
6 Amount ($) 7 Payee address; City; State; Zip Code
y f 04 0 oZ.r ! I FAD4I1 1-12 I i tSi[ a .]► .
g'uIes s 7- 766 3 g
8 PURPOSE (a) Category (See categories listed at the top of this schedule) (b) Description (If travel outside of Texas,complete Schedule T)
OF A d/Af-4)S g x pert s'e.
- 1
EXPENDITURE �VJ P� hi ll r► Matti QlYI r° Peel IA-MA
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held r
expenditure to benefit CIOH Ursa..., or fie n a to,1 5 .1ea.s L I (og'IG1 14
Date Payee name tt
Amount ($) Payee address; City; State; Zip Code
PURPOSE Category (See categories listed at the top of this schedule) Description (If travel outside of Texas,complete Schedule TI
OF
EXPENDITURE
Complete ONLY if direct Candidate I Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE Category )See categories listed at the top of this schedule) Description (If travel outside of Texas,compete Schedule TI
OF
EXPENDITURE
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE Category (See categories listed al the top of this schedule) Description (If travel outside of Texas,complete Schedule T)
OF
EXPENDITURE
Complete ONLY if direct Candidate 1 Officeholder name Office sought - Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED
www.ethics.state.tx.us Revised 09/28/2011