HomeMy WebLinkAbout2018 Martin semi January I
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Filer ID SE7iics Commission Filers) I 2 Total pages bled:
The UGH Instruction Guide explains how to complete this form.
3 CANDIDATEI MS/MRS1MR FIRST MI
l OFFICE USE ONLY
OFFICEHOLDER
NAME L+Lx1 L tap
Dale Received
NICKNAME LAST SUFFIX "I
d7a-i'ti f> e 1] W 1 3
4 CANDIDATE/ ADORESS 1 PO BOX, APT/SUITE I; CITY; STATE. ZIP CODE D
OFFICEHOLDER MAILING 2 y `I y�, JAN 1 2 201
�
ADDRESS n� � LLtiS ��9. rleA 3' ,.IC �
3
❑ Change of Address CITY OF E U L E S S
5 CANDIDATEI AREA CODE PHONE NUMBER EXTENSION i
OFFICEPHONE HOLDER ( 61 7 ) 283 —H c Dale Hand-dnlivnreJ ur Data Pustrnarked
6 CAMPAIGN MS/MRS/d4 FIRST 1 MI Receipt/ Amount$
TREASURER --PC4X1.k1 ai
NAME . . _ . . , , Date Processed
NICKNAME LAST SUFFIX
Dale Imaged
7 CAMPAIGN STREET ADORESS (NO PO BOX PLEASE); APT/SUITE f; CITY; STATE; ZIP CODE
TREASURER !t ► f)`` ,�� �,
ADDRESS 305 �lO- F-(A1 1 ' -1-')I, 7(Q 03 ci
(Residence or Business)
8 CAMPAIGN AREA GOOF PHONE] ROARER EXTENSION
PHONE TREASURER I� :3 q03
9 REPORT TYPE
n January 15 ❑ 30th day before election ❑ Runoff ❑ 15th day a maMg treasurer ppal l
V� (Onlcehokler Only)
❑ July 15 n Sin day helots election 0 Exceeded S5OO1im1t E Final Report MAt &CJOFI-FR)
10 PERIOD Month Day Year Month Day Year
COVERED �J� y 2
B1/f /LiJ O� / j I THROUGH � / 3r / 01/
11 ELECTION ELECTION DATE ELECTION TYPE
Month pay Year ❑ Primary ❑ Runoff ❑ Other
Deacrlphm
/ / ❑ General ❑ Special
12 OFFICE oFFTCE HELD (o arty) 13 OFFICE SOUGHT (if know)
Ma or
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Farms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
I
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME 15 Filer ID (Ethics Commission Filers)
16 NOTICE FROM THIS BOX IS FOR N0710E OF POLITICAL CONTFASUTIOILS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLrfCAL COMMITTEES TO
POLITICAL SUPPORT TIE CHIGpATE/OFFICEHOLDER. THESE EXPENDITURES MAY NAVE BEEN MADE Wr71A7fIT THE CA OIDATE S OR OFFICEHOLDER'S
COMMITTEE(S) KNOWLEDGE OR CONSENT CANDLATES AND OFFICEHOLDERS ARE REOURED TO REPORT THIS MFOFIMAT1ON ONLY F THEY RECEIVE NOTICE
OF SUCH EXPENDITURES,
COMMITTEE TYPE COMMITTEE NAME
❑GENERAL
COMMITTEE ADDRESS
❑SPE CIF(C
COMMITTEE CAMPAIGN TREASURER NAME
❑ 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 $ 1
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES. LOANS, OR GUARANTEES OF LOANS)
TOTALS EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF$100 OR LESS, $ �f]
UNLESS ITEMIZED L�'
4. TOTAL POLITICAL EXPENDITURES $ 6)
gOL IC�L1T10N 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
OUTSTANDING E. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ 2 3zi 2, 2''
18 AFFIDAVIT
I swear,or affirm,under penalty of perjury,that the accompanying report is
_ 1rue and correct and includes all information required to be reported by me
+N'NNIIIIII+H� WELLS underTitle 15.E7ectian Code.
State of1N3xos
Comm.Expires❑5D2 2017zNotarylD 128003536FrLINDSAY
�,,, Si nature of Candidate or
(AFFIX NOTARY STAMP/SEALABOVE
Sworn to and subscribed before me,by the said 1,t,r ia, Ma-l7f) .this the 1 Q
da of [\\](\9_,,20 1 ,to certify which,witness my hand and seal of office,
Signature of iii- inistering oath Printed name of ofh..m r administering oath Title of officer a inistering oath
Forms provided by Texas Ethics Commission www,elhics.state.lx.us Revised 9/8/2015