Angelina Kiser 1-11CANDIDATE / OFFICEHOLDER PoRM C /GH
CAMPAIGN FINANCE REPORT
COVER SHEET PG 1
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Y Filer ID (Elhlrs Cammisalon Ellen)
2 Total pages filed
The C /01-1 Instruction Guide explains how to complete this form.
3 CANDIDATE / Ms k?i MR
FIRST MI
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OFFICE USE ONLY
OFFICEHOLDER
NAME
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Date Received
NICICJAME
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ADDRESS `
❑ Change of Address
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5 CANDIDATFJ pRFh CODE
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PHONE NUMBER ExTENSIDN
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Date Hand-delivered or Date Postmarked
OFFICEHOLDER
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PHONE
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Reoolpi t Amount $
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s CAMPAIFIRST l./
FIRST I.-F.
TREASURER
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Date Processed
NAME
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Data Imaged
7 CAMPAIGN STREET ADDRESS (NO PO Box PLEASE); APT I SUITE 4; CITY; STATE;
TREASURER
ZIP CODE
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ADDRESS
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8 CAMPAIGN AREA CODE
PHONE NUMBER EXTENSION
TREASURER
PHONE
8 REPORT TYPE { tats day appointment
J January 15 sots day before election Runcll treasurer appointment
(Oilloehoker only)
❑ July ath•day before election. aceeded�011mI1 RnalReport(AOachWOH - FR)
— Month Day Year
10 PERIOD 7;ih/ Day Year COVERED THROUGH
FELEEM;IA,l DN DATE ELECTION TYPE other -
Day Year ❑Primary ❑ Runan ❑ D arlpllon
� general ❑ Speolal (It any) �4 13 OFFICE SOUGHT Of IMM)
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Forms provided by Texas Ethics Commission
www.elhlcs.state.bcus Revised 9/812015
CANDIDATE / OFFICEHOLDER
CAMPAIGN FINANCE REPORT
14 C /OH NAME
All
16 NOTICE FROM
POLITICAL.
COMMITTEES)
❑ Additional Pages
FORM C /OH
COVER SHEET PG 2
_ 15 Filer ID (Ethics Commission Filers)
THIS gm IS FOR NOTICE OF POLmCAL• CONTRIBUTIONS AOC€PTED OR POLITICAL EXPENOU ORES MADE SY POLITICAL COMMITTEES TD
SUPPORT THE CANDIDATE I OFFICEHOLDER. THEW FXPSVDJTURES MAY HAVE BEEN MANE W THOUr THE CANDIDATES OR OFFICEHOLDER S -
WOWLEDeE OR CONSENT CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE
OF SUCH EXPENDITURES.
OOMMrrrW TYPE COMMITTEE NAME
GENERAL.
COMMITTEE ADDRESS
SPECIFIC
17 CONTRIBUTION f
TOTALS
EXPENDITURE
TOTALS
2.
COMMITTEE CAMPAIGN TREASURER NAME
OOMMITTEE IV,MPAIGN TREASURER ADORESS
1 _
TOTAL POLrrICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN Q
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $ 0
S. TOTAL POLITICAL EXPENDRURES OF $100 OR LESS, $ O
UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES
$a
CONTRIBUTION Q
S. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $
LANCE
BA OF REPORTING PERIOD _ D
OUTSTANDING 8. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE $
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD
18 AFFIDAVIT
1 swear, or affirm, under penalty of perjury, that ft accompanying report Is
true and correct and Includes all Information required to be reported by me
and Title 15, Election Code. .
1:BRENDA LOUISE DENNIS
NOTARY PUBLIC
STATE OF TEXAS r
COMMIU on Exptrea }1.09-18 Signature of Candidate or Otflcahoider
AFTiX NOTARY STAMP!$EALABOVE
1
Swam to an�ubscribed before me, by the said.- this the
_ ,
da 1 to certify whioh, wttness my hand and seal of office.
signature of officer administering oath Printed name of offlcer administering oath Title of r adminlstedng oe
Forms provided byTexas Ethics Commission
wwmethics.slats. bL.us
Revised 9/8!2016