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Home My WebLink About2024 Price FR Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989) CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE. REPORT COVER SHEET PG 1 Y 1 ACCOUNT# '2 Total pages fled The C(OH Instruction Guide explains how to complete this form. (Ethics Commission Filers) 3 CANDIDATE 1 MS IMRS/MR FIRST MI OFFICE USE ONLY OFFICEHOLDER N 3Gt�1� K. NAME D ecru C E g \If tr, NICKNAME LAST SUFFIX { j [4�� Bf‘ t GR.._, ____ 4 CANDIDATE 1 ADDRESS/I //.PO 11 BOX. APT/SUITE N; C . �S+TATE; ZIP CODE MAR 2 S MI MAILING OFFICEHOLDER 0.0La Wu�Vi ..Cr, �ats5 L- . 7C'-' l" ADDRESS 1�•► Date Ha Li change cif address CITY F EtLES rrt 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION PHONE HOLDER r p 1-7 �� 57�7 Date Processed r- 1 SI 6 CAMPAIGN MSIMRSIMR FIRST Nt Date Imaged TREASURER MY- Lk-VI�_ Q NAME �� LLL� NICKNAME LAST SUFFIX 7 CAMPAIGN STREET ADDRESS(NO PO BOX PLEASE). APT 1 SUITE#; CITY; STATE. ZIP CODE TREASURERDRESS L - e r 53S � 7 1010 ADDRESS �� `�'�"��'�� - r• C (residence or business) 8 CAMPAIGN AREA COCE� PHONE NUMBER EXTENSION TREASURER ( { !7) z ^7 c 2-`5 I J 7 ---_• PHONE 1 1 9 REPORT TYPE ❑ January 15 ❑ 30th day before election Ei Runoff 15th day alter campaign treasurer appointment (officeholder ally) Ei July 15 ❑ 8th day before election ❑ Exceeded$500 ix Final report(Attach CIOH-FR) limit 10 PERIOD Mont Del Yeer Cot Year COVERED 3 / 1 O // t THROUGH IS AS 1- tit ELECTION ELECTION DATE J ELECTION TYPE Writ Dts/ Year ❑ Primary LI Runoff LI General Spmal 5 / t° / It 12 OFFICE OFFICE HELD(If any) 13 OFFICE SOUGHT (rtknown) GO TO PAGE 2 www.ethics.state.tx.us Revised 04/19/2013 Texas Ethics Commission P.O.Box 12070 Austin,Texas 78 7 1 1-20 70 (512)463-5800 (TOO 1-800-735-2989) CANDIDATE / OFFICEHOLDER REPORT: FORM CIOH SUPPORT & TOTALS COVER SHEET PG 2 1d C/OH NAME 15 ACCOUNT# (Ethics Commission Filers) •16 NOTICE FROM THIS BDX IS FOR NOTICE Cf POLITICAL CONTREUTI DNS ACCEPTED OR POLITICAL EXPENDITURES MACE BY POLITICAL COMMITTEES TO SUPPORT THE POLITICAL CANDIDATE)OFFICEHOLDER. THESE EXPENDITURES MAY NAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDERS KNOWLEDGE OR COMMITTEE(S) CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY Receive NOTICE OF SUCH EXPENDITURES. COMMITTEE NAME COMMITTEE TYPE t f isc- GENERAL COMMITTEE ADDRESS n SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME additional pages COMMITTEE CAMPAIGN TREASURER ADDRESS V 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) - --. EXPENDITURE - Y TOTALS 3. TOTAL POLITICAL EXPENDITURES OF$100 OR LESS,UNLESS ITEMIZED $ 4. TOTAL POLITICAL EXPENDITURES CONTRIBUTION $ TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY BALANCE OF REPORTING PERIOD OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LOAN TOTALS LAST DAY OF THE REPORTING PERIOD �~ 16 AFFIDAVIT I swear,or affirm, under penalty of perjury,that the accompanying report is true and correct and indudes all information required to be reported by AKIM me undere 15,Election Code( t I 'SLITTER , � My Commission Expires ''��,* August 25,2017 {�-t�1 �"-t, • Signature of Candidate or Officeholder AFFIX NOTARY STAMP 1 SEAL ABOVE Sworn to and subscribed before me, by the said �d d t ed -Pr tG P, , this the day f Yl4i1 , 20 j 4. , to certify which, witness my hand and seal of office. • grLeWer' a • ig ture of oft administering oath Pnn ed name of officer administering oath Title of offi administering oath www.eth i cs.state.tx.us Revised 04/19/2013 Texas Ethics Commission P.C.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989) CANDIDATE / OFFICEHOLDER REPORT: FORM C/OH - FR DESIGNATION OF FINAL REPORT The Instruction Guide explains how to complete this form. •• Complete only if "Report Type" on page 1 is marked "Final Report" •• 1 C/OH NAME 2 ACCOUNT# (Ethics Commission Filers) 3 SIGNATURE I do not expect any further political contributions or political expenditures in connection with my candidacy. I understand that designating a report as a final report terminates my campaign treasurer appointment. I also understand that I may not accept any campaign contributions or make any campaign expenditures without a campaign treasurer appointment on file. �gp % Signature of Candidate/Officeholder 4 FILER WHO IS NOT AN OFFICEHOLDER •• Complete A&B below only If you are not an officeholder. •• A. CAMPAIGN FUNDS Check only one: +P'U I do not have unexpended contributions or unexpended interest or income earned from political contributions. 11 I have unexpended contributions or unexpended interest or income earned from political contributions. I understand that I may not convert unexpended political contributions or unexpended interest or income earned on political contributions to personal use. I also understand that I must file an annual report of unexpended contributions and that I may not retain unexpended contributions or unexpended interest or income earned on political contributions longer than six years after filing this final report. Further.I understand that I must dispose of unexpended political contributions and unexpended interest or income earned on political contributions in accordance with the requirements of Election Code,§254.204. B. ASSETS Check only one: I do not retain assets purchased with political contributions or interest or other income from political contributions. I do retain assets purchased with political contributions or interest or other income from political contributions. I understand that I may not convert assets purchased with political contributions or interest or other income from political contributions to personal use. I also understand that I must dispose of assets purchased with political contributions in accordance with the requirements of Election Code,§254.204. igna of andi ate 5 OFFICEHOLDER •• Complete this section only if you are an officeholder •- n I am aware that I remain subject to filing requirements applicable to an officeholder who does not havea campaign treasurer on file. I am also aware that I will be required to file reports of unexpended contributions if,after filing the last required report as an officeholder,I retain political contributions.interest or other income from political contributions,or assets purchased with political contributions or interest or other income from political contributions. Signature of Officeholder www.ethics.state.tx.us Revised 04/19/2013