HomeMy WebLinkAboutEilenfeldt semi July 2015 /
Texas Ethics Commission P.O.Box 12070 Austin,Texas 7 87 1 1-20 70 (512)463-5800 (TDD 1-800-735-2989)
CANDIDATE 1 OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 ACCOUNT# 2 Total pages filed:
The CIO/-( Instruction Guide explains how to complete this form. (Ethics Commission Filers)
3 CANDIDATE / MS'MRS/MR FIRST MI QFFItyF USE ONLY
OFFICEHOLDER
NAME 1 Date Received
N NICKAME LAST SUFFIX
el ler-) CeJd-* sr�
1<< �
. � [oE�
4 CANDIDATE / ADDRESS/PO BOX; APT ISUITE# CfTY; STATE; ZIP CODE
OFFICEHOLDER
MAILING 4 I I • 'ou.6-1-ext vi. S! d r'•
ADDRESS +�+ Date hand-delivered or Poslrnarked
n change of address E. (LI e S S [ k• '7(coo 39 Receipt S Arnotxx
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER r a rr�� Date Processed
PHONE IU1rT �7 1• B°�-
6 CAMPAIGN MS I MRS I MR / ^FIRST MI Dare/megad
NAME TREASURER eob,-,�, L-L701)
•
NiCI(NAME IASF SUFFIX
--r
7 CAMPAIGN STREET ADDRESS(NO PO BOX PLEASE); APT/SUITE A; FR STATE; ZIP CODE
TREASURADDRESSER T a ' FO(�t..I1.T .d/� .3 1 d Cr;
(residence Or business)
E, c,c1e s5 rx 7 too 3 1
B CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE (61_7 ) S . T'1 � 07�1C)
r
9 REPORT TYPE L I� January 15 n 30th day before election n Runoff I—I 15th day after campaign
I I treasurer appointment
(anir:ahokterony)
DrJuly 15 ❑ 8th day before election n Exceeded$500 n Final report(Attach Croft-FR)
limit
_ ^10 PERIOD Mu* Math arh naf Year
COVERED / /J / D THROUGH � ///0 / O/ c/5
�1 r.0 J G.
11 ELECTION ELECTIONDATE ELECTION TYPE
MonthDeli ❑ Prirnay ❑ Runoff V cereral ❑ Special
5/i° /40/4
12 OFFICE OFFICE HELD of any) 13 OFFICE.SOUGHT /4known)
Ca-less C6' Coin=+ 1
P Lace 4
GO TO PAGE 2
'www.eth ics.state.tx.u s Revised 04/19/2013
2
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
CANDIDATE / OFFICEHOLDER REPORT: FORM C/OH
SUPPORT & TOTALS COVER SHEET PG 2
14 C/OH NAME 15 ACCOUNT# (Ethics Commission Filers)
I-Jnda.
16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT TIE
POLITICAL CANDIDATE I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDER'S HNOHREDGE OR
COMMITTEE(S) CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMAT1CN ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE NAME
COMMITTEE TYPE
n GENERAL
COMMITTEE ADDRESS
SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME r�
❑ 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) —' 0
EXPENDITURE
TOTALS 3. TOTAL POLITICAL EXPENDITURES OF$100 OR LESS, UNLESS ITEMIZED $ ---.
4. TOTAL POLITICAL EXPENDITURES $ r—• Q
•
CONTRIBUTION 5 TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY i (�
BALANCE OF REPORTING PERIOD $ a ,
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE �y
LOAN TOTALS LAST DAY OF THE REPORTING PER#00
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
trwarmierribuirrawarwarabreseaffraidiboarna me under Title 15,Election Code.
4 44 KIIM SUTTERk It ill
My Commirlttion pins64 ,ad i,,,Q
Auquat 25,21}Ei 17 k
'20:,r Y4•04' ` Signature of Candidate or Officeholder
AFFIX NOTARY STAMP I SEAL ABOVE
L'In
Sworn to and subscribed before me, by the said �"'c 1 V '/et/ // ....._.. , this the
/ day)of , 20 f , to certify which, witness my hand and seal of office.
S' ature of officer administering oath Printed name of officer administering oath Title of officer administering oath
www.ethics.state.tx.us Revised 04/19/2013