Allison Heyward 7-22CANDIDATE / OFFICEHOLDER FORM CIOH
CAMPAIGN FINANCE REPORT COVER SHEET PG I
I Filer ID (Ethics Commission Filers) ; 2 Total pages fiw':
The C10H Instruction Guide explains how to complete this form. I I
-4-
OFFICE USE ONLY
i Date Received
;7-69P�04)
Date Hand-defivered or Date Postmarked
Receipt 4 Amount S
Date Proms;sad
Date Imaged
STATE: zip CODE
15th day after campaign
3 CANDIDATE
OFFICEHOLDER
MIS I MM f MR FIRST
'
NAME
(Officeholder Only)
Q PK-ary
NICKNAME LAST SUFFIX
Day
Year
4 CANDIDATE I
OFFICEHOLDER
MAILING
ADDRESS 1 PO Cam TATS; TV; ZIP CODE
/HELD
ADDRESS
Change of Address
-7
5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER
PHONE
13 OFFICESOUQIT (Irirnw.)
6 CAMPAIGN
i TREASURER
FIRST 101
NAME
NICKNAME LAST SUFFIX
7 CAMPAIGN STREET ADDRESS Po BOX PLEASE), APT I SUITE t; CITY,
TREASURER
ADDRESS
-2-6 Zg f4a 01 -5 C- 4-4 t5
jjj (Residence or Business)
1 Aar
8 CAMPAIGN
AREA CODE PHONP NUMBER EXTENSION
TREASURER
PHONE
9 REPORT TYPE
F-1 January 15 F7 30th day before election Runoff
lv� July 15 8th day ballare eledion Exceeded Mofted
Reporting Limit
10 PERIOD
..th Day Year month
COVERED
I
THROUGH
6) 2 CD 7
-4-
OFFICE USE ONLY
i Date Received
;7-69P�04)
Date Hand-defivered or Date Postmarked
Receipt 4 Amount S
Date Proms;sad
Date Imaged
STATE: zip CODE
11 ELECTION
15th day after campaign
treasurer appoi.ntment
(Officeholder Only)
Q PK-ary
Final Report (Attach mH - FR)
Day
Year
Description
11 ELECTION
y ELECTION DATE
ELECTION TYPE
Month Day -Year
Q PK-ary
17 Ruoaff El Other
Description
/HELD
j$LGeneral
Special
112 OFFICE
OFFICE [Wany)
13 OFFICESOUQIT (Irirnw.)
Coo /i. ej f vaf,.4-Y
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Forms provided by Texas Ethics Commission www.ethic:s.state.tx.us
Revised 11112020
( CANDIDATE /OFFICEHOLDER FORM CIOH
( CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 CIOH NAME _ - T 15 Filer 10 (Ethics Commission Filers)
" 16 NOTICE. FROM !' na BDX Is FOR NOTICE OF POLITICAL CONTR®UTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
POLITICAL SUPPORT THE CANDIDATE/ OFFICEHOLDER. THESE EXPEAWWRES MAY HAVE BEEN MADE Wf7HOUT THE CANDIVATES OR OFFICIWOLDPR S
COMMITTEE(S) MOWIEWE OR CONWMT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRFA TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE
OF SUCH EXPENDITURES.
COMMITTEETYPE t' COMMITTEE NAME.__.____
17 GENERAL
COMMIT EEF ADDRESS
SPECIFIC
1 COMMITTEE CAMPAIGN TREASURER N"E
,
i
Additional Pages j
COMMTEEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION
1, TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
TOTALS
PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR
_ _ _ CONTRIBUTIONS MADE ELECTRONICALLY)
_
#
1
2. TOTAL POLITICAL CONTRIBUTIONS
$
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE 1
3 TOTAL UNITEMIZEDyPOLITICAL EXPENDITURE
TOTALS
1 4. TOTAL POLITICAL EXPENDITURES $
CONTRIBUTION S. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF REPORTING PERIOD 1 $
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $
18 AFFIDAVIT�Wµ��
I swear, or affirm, under penalty of perjury, that the accompanying report is I
true and correct and includes all information requir, - be reported by me
under Title 15, Election Code.
--
�
ID#I S1,'ature of Candidate or Officeholder
AFFIX NOTARY STAMP I SEALABOVE
Sworn ti: and :, bscribed before me, by the said �. 1, {}__E� this the _
day of _ f;, , , 20 to certify which, witness my hand and seal of office,
l Signature of officer administering oath Printed name of officer administering oath 71tte of officer a mtnisW ng oath J
Forms provided by Texas Ethics Commisslon wim-ethics.state.tx.us Revised 411/2020