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