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HomeMy WebLinkAbout2019 Tompkins semi Jan CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Filer IC (Ethics Commission Filers] 2 Total pages tiled: The C?OH Instruction Guide explains how to complete this form_ 3 CANDIDATE 1 MS•MRS•MR FIRST M' OFFICE USE ONLY OFFICEHOLDER fp NAME r, .----- NAME Limy 11' , Date Received • NICKNAME LAST 1 SUFFIX ii vir ,s ,i1--)-1 ---r,-)%ipi.,i•tt, 4 CANDIDATE 1 ADDRESS r PO BOX; APT •SUITE#: CITY; STATE ZIP CODE OFFICEHOLDER �] r� JAN 1 1 2019 MAILING d l 5/pet �' �KtC�i 7 7 D ADDRESS I!! I ❑ Change of Address CITY OF E U LE5 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION o- OFFICEHOLDER ` .7 -7 Date Hand delivered or Date Postmarked PHONE `�/! ) 'f ( /-a pZ o 6 CAMPAIGN MS MRS:MR FIRST MI Receipt# Amount$ TREASURER fS f�f,i NAME (/� deltDate Processed NICKNAME LAST SUFFIX _ Date Imaged 7 CAMPAIGN STREET ADDRESS INO PO BOX PLEASEi. APT SUITE F CITY, STATE ZIP CODE TREASURER ADDRESS l (Residence or Business) '6 D 7 5i' h,fi I `ef5 7; 76byD y 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE (9/7 ) .753 ' 5-5I6' 9 REPORT TYPE 'y January 15 1 30-th day before election 0 Runoff n 15th clay after campaign Treasurer appointment (Otlicohold©r Only) n July 15 n eth day before election 0 Exceeded$500 limit n Final Report(Attach C1OH•FRI 10 PERIOD Month Day Year Month Day Year COVERED 6 , gp 2o/8 THROUGH 6/ ,/ DI /Zv' 1 11 EL ECTION ELECTION DATE ELECTION TYPE Month Day Year El Primaryu Runofl El Other Description / I General ❑ Special 12 OFFICE OFFICE HELD Of any) 13 OFFICE SOUGHT lit known) £ #s 47 Ce4.Id Pk-c. 2 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 BOY 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 OFFICEHOLDERS 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 n Additional Pages COMMITTEE CAMPAIGN TREASURER ADDRESS 17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN rt/ TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ fQ 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES. LOANS, OR GUARANTEES OF LOANS) EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS. TOT UNLESS ITEMIZED 4. TOTAL POLITICAL EXPENDITURES $ }f CBAOLANCE NTRIBUTiON 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY 5-6,OF REPORTING PERIOD 3 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 co t nd includes all information required to be reported by me under TitII 15, lection Code KIM SUTTER en'Notary Public.State of Texas }� Comm. Expires DB-25-2021 Httl Notary ID 10956806 Si ature of Candidate or Officeholder rllltr AFFIX NOTARY STAMP SEAL ABOVE J � Sworn to and subscribed before me,by the said_J2{ern Y ro-ritiokt �" this the I -� d o 20 / 9 .to certify which,witness my hand and seal of office. 7`� N 0779 fey Signature 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