Robin Thompson 7-15CANDIDATE I OFFICEHOLDER
CAMPAIGN FINANCE REPORT
FORM CIOH
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. rr
3 CANDIDATE /
OFFICEHOLDER
NAME
q CANDIDATE /
OFFICEHOLDER
MAILING
ADDRESS
❑ Change of Address
5 CANDIDATE/
OFFICEHOLDER
PHONE
6 CAMPAIGN
TREASURER
NAME
7 CAMPAIGN
TREASURER
ADDRESS
(Residence or slr'Sess
8 CAMPAIGN
TREASURER
PHONE
9 REPORT TYPE
10 PERIOD
COVERED
11 ELECTION
MS 1 MRS / MR FIRST MI
OFFICE USE ONLY
p %, f\ Date Received
NICKNAME LAST SUFFIX
ADDRESS I PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
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AREA CODE
PHONE NUMBER EXTENSION
(2X13 )
5 rl i •-a3 45
MS / MRS /'C�
FIRST MI
❑ 8th day before election ❑
C, 9\C
NICKNAME
LAST SUFFIX
M Month
Wlv�tVe-
STREET ADDRESS (NO PO BOX PLEASE); APT / SURE #;
`79'kS4
AREA CODE PHONE NUMBER
( at`o ) (9 fit_ (0 dab
Date Hand- dellvered or Date Postmarked
Receipt # Amount $
Date Processed
Dale Imaged
CITY; STATE; ZIP CODE
EXTENSION
❑ January 15
❑ 30th day before election ❑
Runoff
15th day after campaign
treasurer appointment
July Is
❑ 8th day before election ❑
Exceeded $5OD limit
Iron
❑
(Officeholder Only)
Final Report (Attach C /OH - FR)
M Month
Day Year
Month
Day
Year
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ELECTION DATE
ELECTION TYPE
Month Day Year ❑ Primary ❑' Runoff ❑ Other
Description
General ❑ Special
OFFICE HELD (W any) 13 OFFICE SOUGHT ('rf known)
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Forms provided by Texas Ethics Commission www,ethics. state. tx.us Revised 02/27/2015
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C /OFT NA 16 Filer ID (Ethics Commission Filers)
8\0
16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
POLITICAL SUPPORT THE CANDIDATE I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE' CANDIDATES 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
F SP EC IF IC
COMMITTEE CAMPAIGN TREASURER NAME
Additional Pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION
1.
TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
$
required to be reported by me
TOTALS
under Title 15, Election Cade.
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
NOTARY PUBLIC
STATE QF TEXAS
(t� •—
V.T
so,,
2.
TOTAL POLITICAL CONTRIBUTIONS
$
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP/ SEALABOVE
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
v
EXPENDITURE
3.
TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
�., ,this _
TOTALS
witness my hand and seal Of office.
UNLESS ITEMIZED
4.
TOTAL POLITICAL EXPENDITURES
$
1
CONTRIBUTION F,
BALANCE
OUTSTANDING j g
LOAN TOTALS 1QI
1S AFFIDAVIT
TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $
OF REPORTING PERIOD
TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD $
Forms provided by Texas Ethics Commission
www. eth ics. state.bc us
Revised 02/27/2015
1 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
BRENDA LOUISE DENNIS
under Title 15, Election Cade.
NOTARY PUBLIC
STATE QF TEXAS
41�- r ,
t�
so,,
My Ct MMMIlon blrlms 11 -03.10
��✓✓
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP/ SEALABOVE
d
the
Sworn t an subscribed before I�by the said
�., ,this _
20 - to certify which,
witness my hand and seal Of office.
;daof
1
Signature of Icer administering oath Printed name of officer administering oath
Title of officer administerin oath
Forms provided by Texas Ethics Commission
www. eth ics. state.bc us
Revised 02/27/2015
SUBTOTALS - COH
18 FILER NAME
21 SCHEDULE SUBTOTALS
NAME OF SCHEDULE
1• SCHEDULEAI: MONETARY POLITICAL CONTRIBUTIONS
2• I I SCHEDULEA2: NON - MONETARY (IN- KIND)POLITICALCONTRIBUTIONS
4.
6.
6,
7.
e.
s.
10,
11.
FORM C /OH
COVER SHEET PG 3
20 Filer ID (Ethics Commission Filers)
El SCHEDULEB: PLEDGED CONTRIBUTIONS
SCHEDULE E: LOANS
❑ SCHEDULE F1: POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS
SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
SCHEDULE F3: PURCHASE OF INVESTMENTS FROM POLITICAL CONTRIBUTIONS
El SCHEDULE G: POLITICAL EXPENDITURES FROM PERSONAL FUNDS
SCHEDULE H: PAYMENT FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C /OH
SCHEDULE 1: NON - POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
❑SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS,AND CONTRIBUTIONS
RETURNEDTO FILER
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B ROA
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SUBTOTAL
AMOUNT
$
$
$ 0
$ U
$
$
$ V
$ _Gr
$
$ LJ
Forms provided by Texas Ethics Commission www, ethics, state. tx,us Revised 02/2712015