HomeMy WebLinkAbout2020 Tompkins semi Jan 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 . Z
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3 CANDIDATE / MS / MRS / MR fol,RST MI
OFFICEHOLDER OFFICE USE ONLY
NAME A. ("tali
Date Received
NICKNAME LAST SUFFIX `
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4 CANDIDATE / ADDRESS / PO BOX; APT / SUITE' CITY; STATE ; ZIP CODE q
OFFICEHOLDER / y� r 1 �I t W.
MAILING
ADDRESS 76t S
' 7 � �1e i a , abiefj �� ?kr°
Change of Address
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER ( na D 6 Date Hand -delivered or Date Postman e
PHONE � � � 0( l/ / 1 a
6 CAMPAIGN MS / MRS / MR FIRST MI Receipt # Amount $
TREASURER Ire
NAME Date Processed
NI/45-
NAME LAST SUFFIX
Date Imaged
'61 MO
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE ; ZIP CODE
TREASURER /
ADDRESS `6 6 7 57,4d f _clef) � 6 e.y o
( Residence or Business) �il� ( /(
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER PHONE e / `7 02 31 - s rj 4
/
9 REPORT TYPE
St-January 15 30th day before election Runoff 15th day after campaign
treasurer appointment
(Officeholder Only)
July 15 8th day before election Exceeded $500 limit Final Report (Attach C/OH - FR)
10 PERIOD Month Day Year Month Day Year
COVERED / 7
/ Di / Z6/ THROUGH / Z / 3 / / 2977
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year ❑ Primary ❑ Runoff ❑ Other
I�I Description
I
/ / I General Special
12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known)
11461f C;• G m6; l Mee 2
•
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Forms provided by Texas Ethics Commission www. ethics . state. tx. us Revised 9/26/2019
Id 0
CANDIDATE / OFFICEHOLDER FORM C / OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NkME / 15 Filer ID (Ethics Commission Filers)
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16 NOTICE FROM I 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 , OR $ .s/
CONTRIBUTIONS MADE ELECTRONICALLY) , UNLESS ITEMIZED
2 . TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES , LOANS , OR GUARANTEES OF LOANS)
EXPENEXPENDITURE 3 . TOTAL POLITICAL EXPENDITURES OF $ 100 OR LESS ,
$
UNLESS ITEMIZED pi-
4 . TOTAL POLITICAL EXPENDITURES $
BAOLANCE NTRIBUTION 5 . TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ // -- opt.
OF REPORTING PERIOD Ip3 .
OUTSTANDING 6 . TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE „ /
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ NGt
18 AFFIDAVIT
I swear, or affirm , under penalty of perjury, that the accompanying report is
true and correct an ' cludes all information required to be reported by me
under Title 15, Elec •on Code .
(••••"----
Si nature of Candidate or Officeholder
AFFIX NOTARY STAMP / SEALABOVE /rp �� / J�
mommo
Sworn to and subscribed before me , by the said ^� v1� ef'K �/i P ►m. i '� , this the a°
day of team/Jan_ , 20 19 , to certify which , witness my hand and seal of office .
e, , _, ad . npreir 191 leyier erfile
ak gna lre�. f ' r administ riff tlt . ER j ted name of officer administering oath Title of officer administering oath
I = 2° n\SIC'S Notary Public, Sraro of to
Forms prov • • STD $4.tlaRf tillor6ei)itAti€ 06-25-2021 www. ethics . state . tx. us Revised 9/26/2019
'1'46° Notary ID 10956806