HomeMy WebLinkAbout2017 Martin semi January CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Filer ID{Emres Commission Fliers) 2 Total pages filed:
The C/OH Instruction Guide explains how to complete this form.
3 CANDIDATE 1 ' MS r MRS J MR FIRST MI
OFFICEHOLDER OFFICE USE ONLY
NAME L I nda. L p Date Received
NICKNAME LAST S •FIX
M alh A 021/7 etp,...„,
4 CANDIDATE I ADDRESS i PO BOX: APT i surrE I; CITY; STATE. ZIP CODE
OFFICEHOLDER
MAILING L f
ADDRESS 305 �k T1 ELdL5 Tx
❑ Change of Address /1003
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER ( Date Hand-delivered or Dale Postmarked
2s
PHONE g 1 3 . 7a 3 Ei
6 CAMPAIGN MS 1 MRS'r Je FIRST MI Receipt F Ampunt$
TREASURER v �rf _
NAME T.&Or)CA ►+►,.- Dale Processed
NICKNAME LAST SUFFIX
Date Imaged
Il at•h ri
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT!SUITE a; CITY; STATE; ZIP CODE
TREASURER
ADDRESS h� c+_ ' _ f a
(Residence or Business) JD 6 La 441�ifs e wd5 - ` r o
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER PHONE ((Ddry ) 2. . _ 7a a8
r
9 REPORT TYPE
fyy January 15 ❑ 301h day before election ❑ Firma! ❑ 151h day alter campaign
J'1 treasurer apparrlment
(Officeholder Only)
❑ July 15 ❑ ath day before election ❑ Exceeded$500 hrnil ❑ Final Report(Attach CJOH-FR)
10 PERIOD Month Day Year Month Day Year
COVERED �/O„1 / a{ /� r _ THROUGHlU 1 2/ 3) / g Olea
- W
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year ❑ Primary ❑ Runoff ❑ other
Deecriphon
/ / ❑ Genera! ❑ special
12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known)
14.0j
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I- •-
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Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME LaL
15 Filer ID (Ethics Commission Filers)n I pp NV,c2- -�-
16 NOTICE FROM THIS BOX IS FOR NOTICE OF POUT GILL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
POLITICAL SUPPORT THE CASEMATE/OFFICEHOLDER. THESE E7PEADITURES NAY NAYS BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDER'S
COMMITTEE(5) KNOWLEDGE OR CONSENT. CANDIOATES 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 S50 OR LESS (OTHER THAN �L
TOTALS PLEDGES, LOANS,OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ !71 '
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE OTALS 3. TOTAL POLITICAL EXPENDITURES OF S100 OR LESS, $
UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES $
COONTRIB TION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $
OF REPORTING PERIOD 2 7o 7f
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE Y" v�
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ y
18 AFFIDAVIT [�
l 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
AIRY AI•y KIM SUTTER under Title 15,Election Code.
$V.: b r 9
?i: Notary Public,State of Texas
}T •
Comm.Expires 08.25-201 7
•�•,,WO- Notary ID 10956806
Signature o andidate or Otticehol er
AFFIX NOTARY STAMP I SEAL ABOVE !��1 `1 r� �] 1 �7
Sworn to and subscribed before me,by the said ��-1I LC[I t 4• AlI:[r `�' ,this the _ [
day of9na-42.1 ,20 P [ ,to certify which,witness my hand and seal of office.
gram- d[4 Y PooLIC %n
ignature or officer administering oath Printed name of officer administering oath Tide of officer administering oath
Forms provided by Texas Ethics Commission www.ethics.state.tx-us Revised 9/8/2015