HomeMy WebLinkAboutCFR-01.10.2011-SattlerTexas Ethics Commission P.O. Box 12070
CANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT
VES SHEET PG 1
1 ACCOUNT #
2 Total pages filed:
The C10H Instruction
Guide explains how to complete this form. (Ethics Commission Fiters)
3 CANDIDATE f
MS 1 MRs 1 MR FIRST Ml
OFFICE flE^� ONLY
OFFICEHOLDER
NAME
Lev I L -o tAIL,4,
NICKNAME - .LAST - - SUFFIX
Dat
FMCEIVED
CITY; STATE; ZIP CODE
JAN 10 2011
4 CANDIDATE f
ADDRESS f PO BOX; APT f SUITE #:
OFFICEHOLDER
MAILING
ADDRESS
_ _
Dall H Ialivered or Date Postmarked
Change of Address
_
- $_
5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
Recelpt Amount
OFFICEHOLDER
MS r MRS / MR FIRST nal
Date Processed
6 CAMPAIGN
TREASURER
Date Imaged
NAME
NICKNAME LAST SUFFIX
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE;
ZIP CODE
(Residence or Business)
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
.-)
PHONE
9 REPORT TYPE
January 15 30th day before election ❑ Runoff
❑ 15th day after campaign treasurer
-.
appointment (officeholder only)
0 July 15 ED Sth day before election D Exceeded $500 limit
F'� Final report (Attach C/OH - FR)
10 PERIOD
Month Day Year Month
Day Year
COMPERED
i THROUGH
11 ELECTION
ELECTION BATE
ELECTION TYPE
Month Day Year
.
ED Primary ED Runoff
El General F--] Special
12 OFFICE
OFFICE/HELD (if any) I _
13 OFFICE SOUGHT (if
known)
e,17 -t-/ 0,e,�t"PAX.�IJ
14 NOTICE
OF DIRECT
DIRECT
RECT CAMPAIGN EXPENDITURES ARE CAMPAIGN EXPENDITURES MADE BY OTHERS WITHOUT THE CANO¢DATE'S PRIOR CONSENT PR APPROVAL.OF
ION
CANDIDATES ARE REQUIRED TO DISCLOSE THIS INFORMATION ONLY IF THEY RECEIVE NOTIFICATION OF THE DIRECT CAMPAIGN EXPENDITURE.
EXPENDITURE
BY OTHER
Name
INDIVIDUALS
Address ! PO Box: APL I Suite : City; State; Zip Code
3] additional pages
GO TO PAGE 2
www.ethics.state.tx.uS Revised 04121/2010
Texas Ethics Commission P.O. Sox 12070 Austin, Texas 78711-2070 (512} 58€30 (TDD 1-800435-2989)
CANDIDATE /OFFICEHOLDER REPORT: FORM C/OH
SUPPORT & TOTALS COVER SHEET PG 2
15 C/OH NAME 18 ACCOUNT # (Ethics Commission Filers)
DjLi _:: I %'
17 NOTICE THIS BOX 15 FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDMJRES MADE BY POLITICAL CGM?MT TEES TO SUPPORT THE
FROM #SATE I OFFICEHOLDER. THESE E.XPENDiTUFMS MAY HAVE BEEN MADE MTHOUT THE CANDIDATE°S OR OFFICEHOLDEWS KNOWLEDGE OR
POLITICAL COW&ff.. CANDIDATES AM OFFICEHOLDERS ARE REQLWZED TO REPORT THIS MWORAIATION ORLY IF THEY RECEM NOTICE OF SUCH EXPENDITURES.
COMMITTEE(S)
COMMITTEE NAME
COMMITTEE TYPE
w 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
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
2, TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)96
EXPENDITURE
TOTALS 3, TOTAL POLITICAL EXPENDITURES OF $50 OR LESS, UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF REPORTING PERIOD
OUTSTANDING 6. 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
me under Title 15, Election Code.
d flm. 5 ffi
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP/ SEAL ABOVE '
Sworn to and subscribed before me, by the said � C� � � � � this the
'771 day of jko3 it 12Y , 20 f to certify which, witness eery hand and seal of office.
A)61AIZII PivaLl
j�S: nature of officer administering oath Printed name of officer administering oath Title of officer administering oath
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