Loading...
HomeMy WebLinkAbout2016 Martin semi July CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 '---- 1 Filer 1D (Ethics Commission Filers) 2 Total pages filed; The C/OH Instruction Guide explains how to complete this torm. ••�_-'�7 3 CANDIDATE/ e.'MRs IMP FIRST MI OFFICEHOLDER ■' L. OFFICE USE ONLY NAME L.1 r1t DA ► _1�� Asia Received NICKNAME LAST SUFFIX ...,, ".-] © {11 ) 4 CANDIDATE I ADDRESS r PO BOX: APT I SUITE it. CITY: STATE. ZIP CODE ji OFFICEHOLDER JUL 1 5 1016 MAILING LA ADDRESS 3❑ 1--E,5 x_. &j �rI1 Li Change of Address G CITY F E U L E S S 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION PHONE OFFICEHOLDER ( r.j _ r� n Dale Nand-delivered or Date Postmarked 6 CAMPAIGN MS MR FIRST f J MI Receipt I Amount S TREASURERSO�4 R NAME Date Processed NICKNAME LAST SUFFIX Date Imaged r bA 7 CAMPAIGN STREET ADDRESS {NO PO BOX PLEASE); APT I SUITE R; CITY; STATE; ZIP CODE TREASURER ADDRESS tom {`r,6y/�r) r q L �9 'Tx 176❑ Q (Residence or Business) � � ! �� ��^V V LJL��iJ 4:"[f { �" r`4-' J 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER ( S ri) I9 3 2 . 1 72 PHONE 9 REPORT TYPE I I� I January 15 ❑ 30th day beldre eleclion ❑ Runoff ❑ i5th day alter campaign treasurer appointment (Officeholder Only) 14. My 15 ❑ eth day before efechon ❑ Exceeded S500limit ❑ Final Report(Mark C'OH-FR) 10 PERIOD Month Day year Month Day Year COVERED I I / ) 0 THROUGH 6 /f a / l b 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year ❑ Primary Runoff ❑ Other D.acilption / / E General ❑ Special 12 OFFICE OFFICE/HELD lit any/l 13 OFFICE SOUGHT {if known) M A o'Q GO TO PAGE 2 , Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8.12015 r CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 14 C/01-i AIM 15 Filer ID (Ethics Commission Filers) 1- 1 r Pi LI PP ha/AA-FIN/ 16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUT1ON3 ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO POLITICAL SUPPORT THE CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES WAY HAVE DEEM MADE WITHOUT THE CANDIDATES OR OFFICEHOLDER'S COMMITTEE(S) KNOWLEDGE OR CONSENT. CANDIDATES 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 550 OR LESS(OTHER THAN TOTALS PLEDGES. LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ 40 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) EXPENDITURE DTALS 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, $ UNLESS ITEMIZED 4. TOTAL POLITICAL EXPENDITURES $ CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ �] ALANCE OF REPORTING PERIOD i �/�}�. . 7J OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE ¢ ►�H1 V �I�'j LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ /]] 18 AFFIDAVIT lt�J 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 me under Title 15,Election Cede. .41;70•y LINDSAY WELLS a p..-�{6 Notary Public,State of Texas ,•:,F�.''' Comm.Expires 05.02.2019 s'' •os <<'1 Notary ID ;P8C0359b Signatur Ca idate or Officehol r A?h F OTARY STAMP f SEAL ABOVE a Sworn to and subscribed before me,by the said L,n�1 e'• L1 ( n �\,, this the J Ad of �] ,20 1 ,to certify which,witness my hand and seal of office. , • L„r‘e,\. ir.. 6\---, f-z)i-,1,c. Signature . ❑ •= administering oath Printed name of nicer administering oath Title 01 oIi r a inistering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015