HomeMy WebLinkAbout2016 Tompkins semi July CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Filer ID (Ethics Commission Filers) 2 Total pages filed:
The C/OH Instruction Guide explains how to complete this form.
3 CANDIDATE/ MS I MRS I MR FIRST MI
OFFICEHOLDER OFFICE USE ONLY
NAME PK, dQ�rI�[Y
Date Received
NICKNAME LAST SUFFIX _
1"0-0 pi()45 1 le 2 {I W 1 3
4 CANDIDATE I ADDRESS /PO BOX; APT I SUITE rf; CITY; , STATE; ZIP CODE
OFFICEHOLDER ��� �"
MAILING 1 9ifr Age pi ice"'65J{ !}G !�J
c JUL 0 7 2016
ADDRESS 2; 11� vti
I I Change of Address CITY OF E U L E S S
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION -
PHONE OFFICEHOLDER ( ^J 7 ) e 1/ . L�+_ ] Dare Hand-delivered or Date Postmarked
6 CAMPAIGN Ms/MRS I MR i■ (�FIRRSpTL MI Receipt rr Amount$
TREASURER Date Processed
NICKNAME LAST SUFFIX
Date Imaged
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE}; APT I SUITE I; CITY; STATE; ZIP CODE
TREASURER ,�pG
ADDRESS
�(oarl 5i.I1,4 1Ve AC }" (o c)
(Residence or Business) l
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER V .�{-/La
PHONE ( l��7 ) 23
9 REPORT TYPE
n January 15 n 30th day before election ❑ Runolf 15th clay after campaign
treasurer appoinlment
(Officeholder Only)
7C July 15 n Sth day before election ❑ Exceeded$500limit n Final Report(Attach CIOH-FR)
10 PERIOD Month Day Year Month Day Year
COVERED /0i / Cl
/t)/ THROUGH o6/ 3aD/ Z.4 4
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Yoar . 1 I Primary ❑ Runoff ❑ Other
Description
/ / ❑ General n Special
12 OFFICE OFFICE/HELD (if any} 13 OFFICE SOUGHT (if known)
eij irc53 Lim. 6A07:i I. Pidie-e Z
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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 15 Filer ID (Ethics Commission Filers)
16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
POLITICAL SUPPORT THE CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDER'S
COMMITTEE(S) KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REOUiRED To REPORT THIS INFORMATION ONLY IF THEY RECEIVE NO110E
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 $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)
EXPEEXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, yf
UNLESS ITEMIZED 6
4. TOTAL POLITICAL EXPENDITURES $ er
CCONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY 7
OF REPORTING PERIOD r 70
7
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE K+�{
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ YJ
18 AFFIDAVIT
I swear,or affirm,under penalty of perjury,that the accompanying report is 4.
true and correct and includes all information required to be reported by me
.�r""""4, MAGGiE BOWERS under Title Election Code.
c'i ,r rU�.:$1; otary Public,State of Texas
:;%."_+= Comm. Expires 03-14-2020
• 1':: �,1°,, Notary ID 130580441
Sign ure of Candidate or Officeholder
AFFIX NOTARY STAMP!SEAL ABOVE
Sworn to and subscribed before me, by the said 'C R- l U �+-- 3 .this the —r�
�
day of 'SO b. ,20 1 c' ,to certify which,witness my hand and seal of office.
\\.,. I'LL/6.C.--,-----1,-----1.-- ''(\(\Ck.-C!' LA.- 1--&11-.-le..X S I\V-Nrkrt-A ck Pk.A61.kL
Signature of officer administering oath Printed narN of officer administering oath Title of offic4r administering oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/6/2015