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HomeMy WebLinkAboutUnexpended Contributions Report-08.05.2015-Fought, SteveTexas Ethics Commission P.O. Box 12070 Austin. Texas 78711-2070 (512)463-5800 (TDD 1-800-735-29991 CANDIDATE / OFFICEHOLDER FORM C/OH-UC REPORT OF UNEXPENDED CONTRIBUTIONS COVER SHEET IPG 1 1 ACCOUNT# (Ethics Commission filers) The C1OH-UC Instruction Guide explains how to complete this form. 2 CANDIDATE/ MS/MRS/MR FIRST MI OFFICE USE ONLY OFFICEHOLDER NAME Date Received . . . . . . . . . . . . . . . . . . . . RECEIVED NICKNAME LAST SUFFIX' _74d4l, "x, AUG 0 5 2015 3 CANDIDATE) ADDRESS/PO BOX; APT/SUITE#-, CITY; STATE; ZIP CODE OFFICEHOLDER ADDRESS r". W., F ^ Ata elite � ry change of address eve,"< Receipt # Amount 4 REPORT TYPE ❑ Annual Final Disposition Date Processed 5 PERIOD COVERED Month Day Year MonthDay Year '7 THROUGH Date Imaged f 6 TOTALS 1 . TOTAL AMOUNT OF UNEXPENDED POLITICAL CONTRIBUTIONS AS OF $ 2, DEC. 31 OF THE PREVIOUS YEAR. bo, 2 TOTAL AMOUNT OF INTEREST AND OTHER INCOME EARNED ON $ UNEXPENDED POLITICAL CONTRIBUTIONS DURING THE PREVIOUS YEAR. 7 AFFIDAVIT I 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 under Title 15, Election Code. y ESSICA BRE17LE PSB h° JESSICA L Signature of Candidate or Officeholder BL 0 7 IC N TAF t DRE 19 StateTexas of Texas Comm.) W. 0 omm. Exp. OU094-2019 AFFIX NOTARY STAMP / SEAL ABOVE Sworn to and subscribed before me, by the said this the day of 20 20 1 —> to certify which, witness my hand and seal of office. "C Gv v --C41 L-e-ud--� 5,e Si(dinatlyfe—of officer admi'histering oath Printed name of officer administering oath Title ofofrlQk administering oaki Kics.state.tx.us www.e Revised 12/22/2014 Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989) C/OH REPORT OF UNEXPENDED CONTRIBUTIONS FORM C/0H-1UC EXPENDITURES PG 2 8 C/OH NAME 9 ACCOUNT# (Ethics Commission filers) 10 Date 11 Payee name 13 Amount M 12 Payee address; City; State; Zip Code J-3 14 Purpose of expend'itp /7 17 1A92- 5 Is expenditure a contribution Yes to a candidate, officeholder, or No political Committee? (if travel d tside of Texas, complete Schedule T) (See Instruction Guide) Date Payee name Amount M ................. ......... Payee address; City; State; Zip Code Purpose ofexpenditure 15 Is expenditure a contribution F --j yes to a candidate, officeholder, or F --j No political committee? (if travel outside of Texas, complete Schedule T) (See Instruction Guide) Date Payeename Amount M ........................ ......... Payeeaddress; City; State; Zip Code Purpose of expenditure 15 Is expenditure a contribution Yes to a candidate, officeholder, or No political committee? (if travel outside of Texas, complete Schedule T) (See Instruction Guide) Date Payee name Amount ..................... ............ Payee address; City; State; Zip Code Purpose of expenditure 15 Is expenditure a contribution � Yes to a candidate, officeholder, or E:] No political committee? (If travel outside of Texas, complete Schedule T) (See Instruction Guide) ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED I www.ethics.state.tx.us Revised 12/22/2014