HomeMy WebLinkAboutEilenfeldt semi July 2017 Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
CANDIDATE I OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
I ACCOUNT# 2 Total pages fled.
The C/OH Instruction Guide explains how to complete this form. (Fthica Commission Filers) al-
3 CANDIDATE / MS/MRSIMR FIRST MI r C:V
OFFICEHOLDER
NAMEL i n[�'Jeb t RRe4 e _.7. � � 'D
NICKNAME LAST SUFFIX
ErLenre Iet+ JUL 1 1 2017
4 CANDIDATE / ADDRESS IPOBOX; APT ISIJITE# CITY, STATE; ZIP CODE CITY OF EU LESS
MAIL NOFFICEG HOLDER Li f Q art�Q 1 Y1 U l d E fir'. -
Data Hand-delFvored or Poslm arked
ADDRESS
I] change of address E i e SS 7 k,. ! to 0 3q Receipt p Arnocel
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION t
OFFICEHOLDER Date Processed
PHONE (8r7 ) Sir.. 3� E.
6 CAMPAIGN MSIMRSIMR FIRST MI Dale Imaged
TREASURER /
NAME 6 er+. CBdb
NICKNAME LAST SUFFIX
lBaj.Ler"
7 CAMPAIGN STREETADDRESS(NO PO BOX PIFASE). APT I SUITE Jk CITY. STATE. ZIP CODE
TREASURER ADDRESS L � ` tie �r,
--�+ a t "dLLr �-cCi n
(residence or business)
Ea-fe ss Tic- -1 CAI 03,
e CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER (�t 1 ) �J 171. O )4
PHONE l 1
9 REPORT TYPE January 15 n 30th day before election n Runoff
❑ 15th day after campaign
treasurer appointment
��( orrice blderony)
J[ July 15 81h day before election Exceeded $500 n Final report!Attach CIOH-FR)
I� limit
10 PERIOD North Dal Year Multi Day
Yea —
COVERED 4 / ,29/f! 7 THROUGH
/ /_ /30 / r 7
11 ELECTION ELECTION DATE ELECTION TYPE
Morth. C1' Year 0 Friary Pa-off XI General Special
5 ,' 42 , 2o'7
12 OFFICE OFFICE HELD(ifany) 13 OFFICE SOUGHT (dknown)
E ale sJ c;41c0 ;1
PLace Li-
GO TO PAGE 2
Revised Q4 19l2Q13
www.ethics.state.tx.us
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-80D-735-2989)
• CANDIDATE I OFFICEHOLDER REPORT: FORM C/OH
SUPPORT & TOTALS COVER SHEET PG 2
14 CIOFt NAME 15 ACCOUNT# (Ethics Commission Filers)
18 NOTICE FROM THIS BOX IS FCC NOTICE OF POLMCAL CCNTRIBUTIONSACCFPTED OR POLITICAL EXPENDITURES MADE BY PcLmCAL COMMITTEES TO SUPPORT THE
POLITICAL cANDI]ATE I OFFICEHOLDER. THESE FYPEND1TLRES MAY HALE aEEN MADE Y.THO(IT THE CANAI)ATE S OR OFFMEHULDER S KNOWLEDGE OR
COMMITTEE(S) coNSEM►. cANornaTEs AND 0FF,r•EIAN OERS ARE REOURED TO REPORT THIS hFORMATION ONLY F THEY RECENE NOTICE of SUCH F»IDnURES.
COMMITTEE NAME
COMMITTEE TYPE
0 GENERAL
COMMITTEE ADDRESS
n SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
n 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 $ 0
2. TOTAL POLITICAL CONTRIBUTIONS
$
(OTHER THAN PLEDGES, LOANS,OR GUARANTEES OF LOANS) ._. a —
EXPENDITURE
TOTALS 3. TOTAL POLITICAL EXPENDITURES OF$100 OR LESS,UNLESS ITEMIZED $
—.- 0
4. TOTAL POLITICAL.EXPENDITURES $ — Q -�
CONTRIBUTION 5 TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY �^
BALANCE OF REPORTING PERIOD $ 3 5'7, 3 VVV
''+►
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
>>5LLi171t/ me under Title 15,Election Code.
t,{ ,Y ru,., J O H N BUSH
?z� �n�Notary Public,'State of Texas
vira Comm. Expires 01.18-2021 cif,,_
�'r+;°;„o Notary ID 130067426
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP 1 SEAL ABOVE 0 Itofte,1
Sworn t❑ and subscribed b ore me, by the said � n� , this the
day of U , 20 , to certify which, witness my hand and seal of office.
A P_ �� jr
Signature• .r Iceradrninistering oath Pri name of officer administering oath Title of officeradmi n_ 4,istering oath
www.e th ics.sta te.tx.us Revised 04I19/2013