Loading...
HomeMy WebLinkAbout2018 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 . 1- , 3 CANDIDATE / MS / MRS / MR FIRST MI OFFICEHOLDER OFFICE USE ONLY NAME . A . eife A - Date Received NICKNAME LAST SUFFIX / ate in s r. _ _, ..., 4 CANDIDATE / ADDRESS / PO BOX; APT / SUITE #; CITY; STATE ; ZIP COD 11 © nq 1 D OFFICEHOLDER MAILING Mci / 11 ' SUN 282018 5 /1ADDRESS /L ® 7eDr; v't ofAd tl 7 4 ot ivN. dress CLT5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION Y r �� i-- EULESS OFFICEHOLDER ODate Hand delivered or date Postmarked PHONE k � 3 '7 �' Aci2 (P 6 CAMPAIGN MS / MRS / MR FIRST MI Receipt # Amount $ TREASURER hotiA NAME / q/5 Date Processed NICKNAME LAST SUFFIX Date Imaged / OAT k( 4 5 7 CAMPAIGN STREET ADDRESS ( NO PO BOX PLEASE) ; APT / SUITE # ; CITY; STATE ; ZIP CODE TREASURER ADDRESS 10 S) 1 5-ipiet Drivic le S (0616Y6 ( Residence or Business ) 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER ( g / 7 ) PHONE ZflF / 9 REPORT TYPE January 15 30th day before election Runoff 15th day after campaign treasurer appointment (Officeholder Only) 17 July 15 8th day before election Exceeded $500 limit Final Report (Attach C/OH - FR) 10 PERIOD Month Day Year Month Day Year COVERED ® I / 0 / / jO1joiY THROUGH 06, / fi / a Di 6 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year Primary Runoff Other Description / / General Special 12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known) g (J1less Z GO TO PAGE 2 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 CANDIDATE 'S 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 $ 50 OR LESS ( OTHER THAN TOTALS PLEDGES , LOANS , OR GUARANTEES OF LOANS ) , UNLESS ITEMIZED $ Or 2 . TOTAL POLITICAL CONTRIBUTIONS $ ( OTHER THAN PLEDGES , LOANS , OR GUARANTEES OF LOANS ) EXPENDITURE 3 . TOTAL POLITICAL EXPENDITURES OF $ 100 OR LESS , TOTALS $ UNLESS ITEMIZED7 4 . TOTAL POLITICAL EXPENDITURES $ CONTRIBUTION r BALANCE 5 . TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ / 50 OF REPORTING PERIOD ka 3 . OUTSTANDING 6 . TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LOAN TOTALS LAST DAY OF THE REPORTING PERIOD 9 18 AFFIDAVIT I swear, or affirm , under penalty of perjury, that the accompanying report is true and . ' ect and includes all information required to be reported by me o" "''' LINDSAY WELLSunder ' in : 15 , Election Goole .�� c,Y FL ii i *•'• '':n T Notary Public , State of texas •3/4.\ . , t Comm . Expires 05 - 02 - '�F of l`c- N• 2019 /(i _ ../iit �_ _ Notary I0 128603 Y U =_ 536 - - Sig tore of Candidate or Officeholder AFFIX NOTARY STAMP / SEAL ABOVE Sworn to and subscribed before me , by the said N\ tretin 1-�NN O CARS , this the as da of ..\0 > -e, , , 20 \ S , to certify which , witness my hand and seal of office . ., Li .\\ l's ) 17_ _o_di---)1\b � 4— VD\ Cs gnature of officer . dministering oath Low4 _ 41 LY--6\43 Printed name of officer administering oath Title of offic r administering oath Forms provided by Texas Ethics Commission www. ethics . state . tx . us Revised 9/8/2015