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CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Filer ID (Ethics Commission Filers) 2 Total pages file :
The C/bH Instruction Guide explains how to complete this form.
3 CANDIDATE 1 MS,MRS MR FIRST MI
OFFICEHOLDER OFFICE USE ONLY
NAME E.-ad1� Dale Received
NICKNAME LAST SUFFIX 46 r/C,
Pr C—C,
4 CANDIDATE/ ADDRESS 1 PO BOX; APT/SUITE a; CITY; STATE; ZIP CODE
OFFICEHOLDER ��C)C" L o�V‘411--CVr IFke` 1"C)c 7Cok0
MAILING ADDRESS
❑ Change of Address
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
PHONEHOLDER ( d 1.7
7 ) 'fig L - .5-) 57 Date Hand-delivered or Dale Postmarked
6 CAMPAIGN MS I MRS i MR FIRST MI Receipt # Amounl $
TREASURER
NAME y L r Date Prpcessed
NICKNAME L T SUFFIX
Dale imaged
T CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE), APT/SUITE#; CITY; STATE;
ZIP CODE
TREASURER , a
lEt l �6c)`}-o
ADDRESS `',1"' � �Q 7� [
(Residence or Business)
8 CAMPAIGN 3�LAREA CODE PHONE NUMBER EXTENSION
THE SURER ( B t 7 ) 2 - 57 5-7
9 REPORT TYPE
n January 15 n 301h day before election El Runoff TT 15th day after campaign
treasurer appointment
(Officeholder Only)
n July 15 Nt Bth day before election El Exceeded$500 limit n Final Report(Attach C/OH-FR)
10 PERIOD Month Day 2 ]
Year Month n �Day Year
COVERED 03 /ICI /IL THROUGH 04t—/ f / 1
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year ❑ Primary ❑ Runofl ❑ other
t� Description
0 5/b7 �^C/ 1 L I� General ❑ Special
12 OFFICE OFFICE HELD iif any) 13 OFFICE SOUGHT (rt known)
EtVI24 C C.,,u:.4 NtLe.3 'F-_ ,ass C , Cu+4ul , VA.0
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
Z
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME • 15 Filer ID (Ethics Commission Filers)
c iC� c�Y cct)rteQ
16 NOTICE FROM THIS BOX IS FOR NOTICEiOF POLITICAL CONTRIBUTIONS ACCEPTED OR POLmCAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
POLITICAL SUPPORT THE CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFRCEHOLDER 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 �K7 �,�p
IR GENERAL EL1(e r,5�� � (vv.k ll 4lf 4p•C / t51 x—�Gy]�,arLl Iv4fV
COMMITTEE ADDRESS C
❑SPECIFIC 1. ll v)( ' qQ
'7‘,037
COMMITTEE
CAIM a.
PAION TREASU ER NAME
❑ 1, Vl 1c0 eel i4 &
Additional Pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
D �oi `�
7 f o,3`f . —
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)
TOTALS EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, $
UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES $
CONTRIBUTION
BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $
7 C CO
OF REPORTING PERIOD
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 me
under Tile 15,Election Code.
„I.,,,,• KIM SUTTER
voQ
Notary Public.State of Texas
Comm.Expires 08-25.201 7
s+TE of Signature Signature of Candidate or Officeholder
,,,• Notary ID 10956806
A
Sworn to nd subscribed before
me,by the said Gfci e Pr/C e ,this the 2.,
day of ,20 /(P ,to certify which,witness my hand and seal of office.
yeztt‘ee.t.)
9()%/47 %.71-7er.
gnature of officer administering oath Printed name of officer administering oath Title of officer administering oath
Forms provided by Texas Ethics Commission www-ethics.state.tx-us Revised 9/8/2015
3
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The instruction Guide explains how to complete this form. 1 Total pages Schedule Al:
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
k)Y-
4 Date 5 Full name of contributor ❑out•al•staie PAC(IDa: ; 7 Amount of contribution ($)
6 Contributor address; City; State; Zip Code
8 Principal occupation/Job title(See Instructions) 9 Employer(See Instructions)
Date Full name of contributor ❑oul-of-state PAC(ICIA: Amount of contribution ($)
Contributor address; City; State; Zip Code
Principal occupation/Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor ❑out-of-state PAC[I17L': t Amount of contribution ($)
Contributor address; City; State; Zip Code
Principal occupation/Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor ❑out-of state PAC r.ltu: t Amount of contribution ($)
Contributor address; City; State; Zip Code
Principal occupation/Job title (See Instructions) Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC,please see instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.e(hics.state.tx.us Revised 9/8/2015
4
SUBTOTALS - C/OH FORM C/OH
COVER SHEET PG 3
19 FILER NAME - 20 Filer ID(Ethics Commission Filers)
21 SCHEDULE SUBTOTALS SUBTOTAL
NAME OF SCHEDULE AMOUNT
1- /SCHEDULE Al: MONETARY POLITICAL CONTRIBUTIONS $
2. SCHEDULE A2: NON MONETAIY(IN-KIND)POLITICAL CONTRIBUTIONS $
3. ] SCHEDULE B: PLEDGED CONTRIBUTIONS $ r�
4. SCHEDULE E: LOANS $
5- SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ _
7. SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ ��
8. SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $
9• SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ -
10. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ .-
11. n SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $
12 SCHEDULE K: INTEREST, CREDITS,GAINS, REFUNDS,AND CONTRIBUTIONS $
i i RETURNED TO FILER
/Farms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015