Campaign Finance Report 10-11-2017CANDIDATE / OFFICEHOLDER
FORM C /OH
CAMPAIGN FINANCE REPORT
COVER SHEET -PG 1
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The (1MH Instruction Guide explains how to complete this form.
2 y�Teial ptipox glad:
3 CANDIDATE/
OFFICEHOLDER
us r MRS t tax FIRST —
MI OFFICE USE ONLY
NAME
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NIG4'i.+S LAST
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SUFFIX
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4 CANDIDATE/
OFFICEHOLDER
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OF510EHOLDER
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TREASURER
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SUFFIX
Date Imaged
7 CAMPAIGN
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TREASURER
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ADDRESS
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9 REPORT TYPE
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10 PERIOD
COVERED
Month tkay Year
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11 Ei.I =CTiON
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GO TO PAGE 2
Forms prcMded by Texas Eth m Commission wmv.Ct3115 3.d Q. wJ
CANDIDATE / OFFICEHOLDER FORM c/OH
CAMPAIGN FINANCE REPORT coVER sHEET FIG 2
14 CfCIt NA 1, 1 E
5 FIIII, 10 (Ethlcd
16 NOTICE FROM TWS Box z FDA NOTICE Of PWTICAL cohTmuneRs Accc;,Tm OR POLITICAL EMNO11URES MADE 11Y POLI-IICAL COMMMEE5 TO
POUTICAL stwpm THE CANNA I CMCE)iOLDEP, VAY HAVE BEAM MADE WMOUT THE CANDIDATE'S DR OtTICEMLOEIT'S
COMMITTEE(S) KNC1A'-=C OR CONSEV7. CANWAMS A" CMCENOOERS ARE AWMED TO AtPOAT THM INFORMATION ONLY IF THEY RECEIVE NOTICE
Of MH EMNarMnEs,
COMMa7CE TYPE COMMITTEE NAME
❑ GENERAL
COMMMEE AbORESS
[]VECIF4
[] Addtforal Pages
tom.WTTea CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER AOCRESS
17 CONTRIBUTION 1 1, TOTAL POLtTICAL CON RIBUTIONS OF $50 OR LESS (OTHER NAN
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, 08 GUARANTEES OF LOANS)
I E)<PE I N I prw E 3, TOTAL POLITICAL EXPENDITURES OF $100 OR LESS
TOTALS UNLESS ITEMIZED
A. TOTAL POLITICAL EXPENDITURES
CONTRIBUTION 5. TOTAL POLITICAL CONT81BUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF REPORTING PERIOD
OLITSTANDING 6, 'TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD
18 AFFIDAVIT
ID 0 1
bow
AFM NOTARY STAMP ISEALABOV5
$
$
$
$ P),
$ 0
$ 0
I swear, or affirm, under penalty of perjury, that the accompanying report is
true and correct and)'VO04 all Information required to be reported by me
under 110e 16, El o
Signature of Candy,11a or Officeholder
Swam to and subscribed before me, by the said Qlln�r—�IAS this the
day of C' lac r 20_L'–I to certify which, witness my hand and seal of office.
--- - --,% -c 6 -- ----.- ?hsc'. 'lik.. G4're, L. -- r pt'llk L
Signature of officer administering oath Printed name of officer administering oath We of officer administering oath
, Forms provided by Texas Ethics, Commission wym.etnics,state-mus mevisea wnreui5
Fws provided by Texas Ethics Commission www.ethlcs state.tx,us Revises etnrzoib
SUBTOTALS C /OH FORM CIOH
COVER SHEET PG 3
FILER NAME
20 Flies 10 phlcs commission Filers)
21
SCHEDULE SUBTOTALS
NAME OF SCHEDULE
S UE3 TOTAL
AMOUNT
1•
tJ
SCHEDULEAI, MONETARY POLITICAL CONTRIBLITIONS
$
2.
SCHEDULE A2; NON- MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS
$
if
3.
El
SCHEDULE B! PLEDGED CONTRIBUTIONS
�
4.
SCHEDULE E. LOANS
$
D
51
L__I
SCHEDULE Ft: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
0
6,
❑
SCHEDULE F2' UNPAID INCURRED OBLIGATIONS
$
7•
SCHEDULE Fa: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$
a.
Q
SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD
$
91
SCHEDULE G. POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
$�
10.
SCHEDULE H. PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C /OH
$
11,
SCHEDULE 1: NON - POLITICAL EXPENDITURES MA.DF. FROM POLITICAL CONTRIBUTIONS
$
12.
F1
SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS
RETURNED TO FILER
$
J
V
Fws provided by Texas Ethics Commission www.ethlcs state.tx,us Revises etnrzoib
POLITICAL EXPENDITURES
MADE FROM PERSONAL FUNDS SCHEDULE C
EXPENDITURE CATEGORIES FOR BOX 8(a)
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Candidate f Officeholder name c?ifica sought Office held
expenditwe to beneAt C/OH
A'TT`ACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED
Forms provided by Texas Ethics Commission wvrrrr. ethiss.state.tx.Ls Rsvlsed 418/2019
POLITICAL EXPENDITURES
MADE FROM PERSONAL FUNDS SCHEDULE G
EXPENDITURE CATEGORIES FOR BOX 8(a)
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The Instruction Guide explains haw to Complete this form.
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6 Amount (S)
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EXPENDfTURE Ghe + 't tusa, ix, vet? R ^.v€j awe .a
$ Camp'ete tkLy it d*fect Gard.dsw f Ctti r%hctdee natrse Wte Sdt:ght cti3 help
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PURPOSE itr€s*asmC
EXPENDITURE S` i,_ c c i a , Tx° ar er Pter4
complete CWLY I direct Cared date / C "iccencider rt.�Lrte sour, t Officer nest
expenditure to oerteftt =H
Date
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Payee name VtA ?I t/Fd
Arnount (S)
Payee ages$; city, State; Zp Code
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Category (seeu*g0r*s Wed al =atthzsre�r.�at (b) Cescripticn
PURPOSE F
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EXPENDITURE
t a;x e A €fit, taaarse
complete ONLY it alrect Candidate i Cfttcehcldet mane Office Sought Cftt es held
expet -4twe to benefit CiOH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided hY Texas Elhks Commission w+vw.ethics.slats bGus Revised 31W0£ 5