HomeMy WebLinkAboutCFR-01.2012-Sattlerff aw uzmy
CANDIDATE I OFFICEHOLDER
FORM C10H
CAMPAIGN FINANCE REPORT
COVER SHEET PG 1
1 ACCOUN #
2 Total pages filed:
The C10H Instruction
Guide explains how to complete this form. (Ethics Commission Filers)
3 CANDIDATE/
MS I MRS I MR FIRST MI
OFFICEHOLDER
M[Z all—
NAME
............* ........ * ......
Date Received
NICKNAME LAST SUFFIX
IAN 1 2012
S 14 7 —7 L
4 CANDIDATE/
ADDRESS IWO BOX; APT I SUITE CITY; STATE; ZIP CODE
c1tv S
OFFICEHOLDER
MAILING
%
P-, ralln.
ADDRESS
Change of Address
2'
5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
Receipt # Amount
OFFICEHOLDER
'6
Date Processed
PHONE
L
MS/MRS/MR FIRST Mi
Date Imaged
6 CAMPAIGN
TREASURER
M IP, 1—b t PrVIA
NAME
NICKNAME LAST SUFFIX
5-A T7 -L -E -P--
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT I SUITE #, CITY: STATE;
ZIP CODE
TREASURER
-
ADDRESS
(Residence or Business)
Com'F-0 t0tJ 7',� -7
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
9 !�-76,
PHONE
-,12) acs
9 REPORTTYPEJanuary15
X F—] 30th day before election 17 Runoff
15th day after campaign treasurer
[]
appointment (officeholder only)
F—] July 15 F7 Sth day before election � Exceeded $500 limit
Final report (Attach CIOH - FR)
10 PERIOD
Month Day Year Month Day
Year
COVERED
-71IS-/ze) THROUGH
I I // / �-
11 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
0 Primary ED Runoff El
General El Special
//
12 OFFICE
OFFICE HELD (if any) Di$7-ieic,7— 1/
13 OFFICE SOUGHT {if known)
C/7"If I!9LjAJIC-jL--
14 NOTICE
OF DIRECT
DIRECT CAMPAIGN EXPENDITURES ARE CAMPAIGN EXPENDITURES MADE BY OTHERS WITHOUT THE CANDIDATE'S PRIOR CONSENT OR APPROVAL.
CAMPAIGN
CANDIDATES ARE REQUIRED TO DISCLOSE THIS INFORMATION ONLY IF THEY RECEIVE NOTIFICATION OF THE DIRECT CAMPAIGN EXPENDITURE.
EXPENDITURE
BY OTHER
Name
INDIVIDUALS
Address /POBox: Apt. / Supe #, City; State; Zip Code
additional pages
GO TO PAGE 2
www. ethics state.tx. us Revised 04121/2010
CANDIDATE/ OFFICEHOLDER REPORT: FORM C/OH
SUPPORT
P P a COVER ` PG 2
115 CION NAME 116 ACCOUNT # (Ethics Commission Filers) I
17 NOTICE THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT THE
FROM CANDIDATE t OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WBTHOUT THE CANDIDATE's OR OFFICEHOLDER'S KNOWLEDGE OR
POLITICAL CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE(S)
COMMITTEE NAME
a COMMITTEE TYPE
GENERAL
COMMITTEE ADDRESS
0 SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
additional pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
III CONTRIBUTION 1 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
TOTALS PLEDGES. LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
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.
'bC,.'
R
Signature of Candidate or Officeholder
�P" n
"' 4 FIX1f7 T',0.da# "^ . ,,ti:SEAL ABOVE
Sworn t& arydg1ubscribed before me, by the said W(111104 c®p f � this the
day of � AJU , 20 1&2 to certify which, witness my hand and seal of office.
administering oath Printed nacre ofofficer adrrc'Inistering oath Titl�f officer administering oath
www. ethics. state.tx.us "8fyC9rf1r1c@teonnWdPW Revised 04/2112010
2.
TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE
3.
TOTAL POLITICAL EXPENDITURES OF $50 OR LESS, UNLESS ITEMIZED
TOTALS
4.
TOTAL POLITICAL EXPENDITURES
CONTRIBUTION
BALANCE
5.
TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
j
OUTSTANDING
LOAN TOTALS
6.
TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD
ff
d9 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.
'bC,.'
R
Signature of Candidate or Officeholder
�P" n
"' 4 FIX1f7 T',0.da# "^ . ,,ti:SEAL ABOVE
Sworn t& arydg1ubscribed before me, by the said W(111104 c®p f � this the
day of � AJU , 20 1&2 to certify which, witness my hand and seal of office.
administering oath Printed nacre ofofficer adrrc'Inistering oath Titl�f officer administering oath
www. ethics. state.tx.us "8fyC9rf1r1c@teonnWdPW Revised 04/2112010