HomeMy WebLinkAboutCFR-01 thru 07.2011-SattlerTexas • •. Box 12070 Austin, Texas 78711-2070 •(TDD • .
www.ethics.state.tx.us Revised 04/21/2010
CANDIDATE I OFFICEHOLDER
FORM C10H
CAMPAIGN FINANCE REPORT
COVER SHEET PG
1 ACCOUNT #
2 Total pages filed:
The CION Instruction
Guide explains how to complete this form. (Ethics Commission Filers)
3
CANDIDATE/
MS / MRS I MR FIRST MI
OFFICE USE ONLY
OFFICEHOLDER
NAME
A ..
NICKNAME LAST SUFFIX
RECS Wv
A Tr
JUL, 0 8 2011
4 CANDIDATE/
ADDRESS / PO BOX; APT t SUITE It: CITY; STATE; ZIP CODE
OFFICEHOLDER
MAILING
tx
ADDRESS
Change of Address
a
f • <, ` �sra..9 rtJ sc
5
CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
Receipt # Amount
OFFICEHOLDER
(
MS f MRS t MR FIRST MI
Date Processed
_e
6 CAMPAIGN
TREASURER
C) (L& ?� 11--ev!
Data Imaged
NAME
. . . .. . .
NICKNAME LAST SUFFIX
'.mF F� o• S fes,. v+. g
xn.
`j
CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #: CITY; STATE;
ZIP CODE
TREASURER
.>
ADDRESS
(Residence or Business)
4 t . 6.../' . 'oL„"P3 5yu., ^ t^ (.wee �.A✓ f �..> ✓� �
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8
CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURERPHONE
(
9
REPORT TYPEf
—1 January 15 30th day before election Runoff
LJ
15th day after campaign treasurer
appointment (officeholder only)
12 July 15 F1 8th day before election El Exceeded $500 limit
❑ Final report (Attach C/OH - FR)
10
PERIOD
Month Day Year Month Day
Year
COVERED`
THROUGH
//
/ZO 1
F ( P
€
11
ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
ElPrimary ❑ Runoff M
General ❑ Special
12
OFFICE
HELD (if any) d p €
13 OFFICE SOUGHT (if known)
��O..FFICE
14•
NOTICE
OF DIRECT
DIRECT CAMPAIGN EXPENDITURES ARE CAMPAIGN EXPENDITURES MADE BY OTHERS NRT3tOUT 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 J PO Box; Apt / Suite #; City; State: Zip Code
additional pages
GO TO PAGE 2
www.ethics.state.tx.us Revised 04/21/2010
Texas Ethics Commission P.O. Box 12070 Austin, Texas 76711-2070 (612) 463-5300 (TDD 1-800-735-2989)
CANDIDATE / OFFICEHOLDER REPORT: FOC/OH
SUPPORT & TOTALS AVER SHEET PG 2
IS CION NAME IS ACCOUNT # 4Elhics Commissson Filers}
F
IL 7
17 NOTICE THS Box is FOR NoTica OF POUMAL CCM? Qua ACCEPTED OR PoLnicAL EXPENDITURES MADE BY POLITICAL CO E8 To SUPPORT THE
FROM CA TE 7 orncENDLOeR. THESE smovarruRes mAY HAVE SP1 MADE WITHOUT THE CAMDATE°S OR OFFICEHOLDER'S KNOV&EDGE OR
POLITICAL C EsN TES AND OFFICEHOLDERS REQUIREDTO REPORT THIS INFORMATM ONLY IF T14EY RECEIVE NO'nCE OF SUCH EXPENDITURES,
COMMITTEE(B)
COMMITTEE NAME
COMIMITTEE TYPE
GENERAL
COMMITTEE ADDRESS
SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
additional pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
18 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF S50 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) Z5
EXPENDITURE
TOTALS 3. TOTAL POLITICAL EXPENDITURES OF $50 OR LESS, UNLESS ITEMIZED f
4, TOTAL POLITICAL EXPENDITURES
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF REPORTING PERIOD ¢ f
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE i
LOAN TOTALS 0
LAST DAY OF THE REPORTING PERIOD f
19 AFFIDAVIT
I swear, or affirm, under penalty of penury, that the accompanying report
is true and correct and Includes all inforrmation required to be reported by
F°,ACKt Y'= ILma ry ; SAME!
". I .
f I £ i me under Title 15, Election Code. %
N, taC")? t b tatQp i i'xa! r
aTa¢ C
"d y C or"`t'ssio n, I„.v.,zS
iz:lctotaeY Y 20 ,x.......?
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP ! SEAL ABOVE @ 1
Sworn to and subscribed before me, by the said 4 t10. this the
day of _, 210 t i to certify which, witness tray hand and seal of office.
c .t a k Ca e
Signature of officer administ ring oath Printed name of officer administering oath Title of officer adreci tering cath
www.ethics.state.tx.us Revised 0472112010