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HomeMy WebLinkAbout2019 Tompkins semi July CANDIDATE / OFFICEHOLDER FORM C?OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 I1 Filer ID iEthics Commission Filers) I 2 Total pages filed: The CiOH Instruction Guide explains how to complete this form. t.. 3 CANDIDATE! NIS/AIRS i MR FIRST MI OFFICEHOLDER �j} ����N� �r OFFICE USE ONLY NAME f' Date Rece ved NICKNAME LAS I SUFFIX lip,tp 4141 © ��yi [l�y��r} 4 CANDIDATE/ ADDRESS 1 PC BOX; APT SUITE x CITY, STATE, ZIP CODE D 11 V OFFICEHOLDER IIILJJJI DMAILING ` ADDRESS ! to-7 strife(' Li+r/e)' , Ix ?� �Ur�� 3p� ❑ Change of Address ,Z•4 1 5 CANDIDATE AREA CODE PHONE NUMBER EXTENSION" CITY O F E U L E S S OFFICEHOLDER I �,r 1 if ��� f Et ,?h. ,�seree,v, vele ,,151,,rti.M1elf PHONE L 1 6 CAMPAIGN Ms:MRS I MR FIRST MI Receipt n ' Amount S TREASURER NAME - /7!S- . . - or I Date Processed NICKNAME LAST SUFFIX i Ms Date Imaged onp 7 CAMPAIGN I STREET ADDRESS (NO PO BOX PLEASES, APT.SUITE 5. CITY, STATE, ZIP CODE TREASURER ADDRESS (Residence or Business) /607 5: R et Ewr€ss, 6 7Gf)yD 8 CAMPAIGN AREA CODE PHONE NUMGhH tXTEVSION PHONE PHD ( ig r-1 ) d 3 3 - rr' ta 9 REPORT TYPE I January 15 ❑ 30th day before election ❑ Runoff ❑ 15th day after campaign treasurer appointment ,� fV (Officeholder Only) ;y; July 15 ElElgth day before election Exceeded$5Q0limit El Final Final Re (Attach C'OH-FR) 10 PERIOD Month Day Year Month Day Year COVERED ! i ► / a , /ailf THROUGH 14 / 30 / zoo 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year ❑ Primary ❑ Runoff ❑ Other Description / / ❑ General I Special 12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known) Ma CA7 cub-al( plate 2 GO TO PAGE 2 Forms provided by Texas Ethics Commission www-ethics-state.tx-us Revised 94312015 CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 14 C./OH E 15 Filer ID (Ethics Commission Filers) & t irt,� ploh) 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 $ 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, TOTALS $ UNLESS ITEMIZED 4. TOTAL POLITICAL EXPENDITURES $ Id- CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $BAL r� OF REPORTING PERIOD J 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 Title 15 tion Code. L LINDSAY WELLS Public, Stae of TexasComm.Expires 05-02-2023Notary ID 12860353 mo Si nature of Caate or Officeholder AFFIX NOTARY STAMP i SEAL ABOVE Sworn to and subscribed before me, by the said _c--, this the 3 d.y of - -\.], , 20 k R ,to certify which, witness my and seal a office. 41 A ,tit ,im \S 1,4 (Luc Signature o officer -dministering oath Printed name o cer administering oath Title o[ is r administering oath Forms provded by Texas Ethics Commission www.ethies.state.tx.us Revised 9/8/2015