HomeMy WebLinkAboutCFR-07.15.2011 thru 11.8.2011-Garverfim���
o I-
RO. Box 12070 Austin, Texas 78711-2070
^ 0,,.* '§
CANDIDATE / OFFICEHOLDER
FORMC/OH
CAMPAIGN FINANCE REPORT
COVER SHEET PG I
I ACCOUNT#
pages filed:
The C10H Instruction
Guide explains how to complete this form. (Ethics Com ission Filers)
MS/MRS/MR FIRST Mil
62Total
3 CANDIDATE
OFFICEHOLDER
to efto NW ftm ff TVs EMM
NAME
C-5 r—
NICKNAME SUFFIX
NOV 0 7 2011
ADDRESS / PO BOX; APT SUITE CITY; STATE; ZIP CODE
4 CANDIDATE/
OFFICEHOLDER
WarO-Oliverearr Pa§Un
MAILING
Dae (Y
ADDRESS
7�t
#
change of address
AREA CODE PHONE NUMBER EXTENSION
Receipt Amount
Date Processed
5 CANDIDATE/
OFFICEHOLDER
(
PHONE
6 CAMPAIGN
MS/MRS/MR FIRST MI
Date imaged
TREASURER
Al. J
NAME
. . . . . . .
NICKNAME LAST SUFFIX
7 CAMPAIGN
TREASURER
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE CITY; STATE;
ZIP CODE
ADDRESS
(residence or business)
8 CAMPAIGN
AREA CODE aHONE NUMBER EXTENSION
TREASURER
PHONE
9 REPORT TYPEF
-1 January 15 30th day before election F --j Runoff
I Sth day after campaign treasurer
F-1
appointment (officeholder only)
D July 15 8th day before election 0 Exceeded $500 limit
m It "fN
o mn
10 PERIOD
Month Day Year Month Day
Year
COVERED
THROUGH le
7 / /A 5 - / e / / 0
/ z 0
11 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
-5-1,1ellp2eli
E-1 Primary F-1 Runoff General Special
12 OFFICE
OFFICE HELD (if any)
13 OFFICE SOUGHT (if known)
14 NOTICE
DIRECT CAMPAIGN EXPENDITURES ARE CAMPAIGN EXPENDITURES MADE BY OTHERS WITHOUT THE CANDIDATE'S PRIOR CONSENTOP APPROVAL.
OF DIRECT
CAMPAIGN
CANDIDATES ARE REQUIRED TO DISCLOSE THIS INFORMATION ONLY IF THEY RECEIVE NOTIFICATION OF THE DIRECT CAMPAIGN EXPENDITURE.
EXPENDITURE
BY OTHER
Name
INDIVIDUALS
Address I PO Box; Apt. / Suite #; City; State; Zip Code
F-� additional pages
GO "6" PAGE 2
www.ethics.state.tx.us Revised 04/2112010
t w ars t■ �>; �• �+: f � — �.... f f ..� .jiff !1• :ff r.�*�
OFFICEHOLDERn FO/OH
SUPPORT & TOTALS COVER ET
16 CIOH NAME
16 ACCOUNT # (Ethics Commission Filers)
17 NOTICE
THIS BOX IS FOR NOTICE OF POLITICAL CWTRISUMONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT THE
FROM
CANDIDATE / OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDERS KNOWLEDGE OR
POLITICAL
CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMM ITTEE(S)
COMMITTEE NAME
COMMITTEE TYPE
a GENERAL
COMMITTEE ADDRESS -
SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
additional pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
18 CONTRIBUTION
1, TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
TOTAL -"u'
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE
OR LESS, UNLESS ITEMIZED
TOTALS
3. TOTAL POLITICAL EXPENDITURES OF $50
4. TOTAL POLITICAL EXPENDITURES
f
CONTRIBUTION
5 TOTAL POLITICAL CONTRIBUTIONS MAINTAiNEDAS OF THE LAST DAY
BALANCE
OF REPORTING PERIOD
OUTSTANDING
g TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS
LAST DAY OF THE REPORTING PERIOD
19 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
v} �- ETTE me un Title 15, Ele Code
PUBLIC
41
�WARY
811110" of T
EM. W-01-2015
Cam.
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP I SEAL ABOVE
Sworn to and subscribed before rine, by the said e- this the
day of 20 to certify which, witness my hand and seal of office.
` � t s e
4ignature of offioer administering oath Printed name of officer administering oath Title fficer administering at
www. ethics. state.tx.us Revised 0412112010