HomeMy WebLinkAboutCFR-05 thru 07.2013-HammerlunTexas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (51214-63-6800 (TDD 1-800} 71Fii-9QAM
www. ern ics.state, tx.us Revised 09/28/2011
Texas Ethics Commission P.O. Bax 12070 Austin, Texas 78711-2070 (812) 463-5800 (TDD 1-800-735-2989)
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CANDIDATE/
OFFICEHOLDER REPORT: FORM C10H
SUPPORT & TOTALS OVEN SHEET PG
114 I
I C/O A E 15 ACCOUNT #1 (Ethics Commission Filers)
4AM HENVOWU
116 N O T I C FROM THIS SOX IS FOR NO T lCE OF POLITICALCONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE
BY POLITICAL COMM€'17EE5 TO SUPPORT THE I
POLITICAL 1
CANDIDATE I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE MTHOUT THE CANDIDATE'S OR OFFICEHOLDER'S KNOWLEDGE OR
C O t\1[ 1 € T T EEE(S)
CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORIVAnON ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
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! COMMITTEE NAME
COMMITTEE TYPE
� R
I i
GENERAL
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1 COMMITTEE ADDRESS I
SPECIFIC
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COMMITTEE CAMPAIGN TREASURER NAME
additional pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
TOT ALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPEINDiTURE
TOTALS 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED
4. TOTAL POI_€TICAL EXPENDI T URES
CONT
BALANCE
RII'Olil
3ALAiV5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY CE $�r
OF REPORTING PERIOD a�
I
OUTSTANDING g TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE g
LOAD TOTALS LAST DAY OF THE REPORTING PERIOD $
� °I� AFFIDAVIT
I swear, or affirm, under penalty of perjury, that the accompanying report
is true and rrect and includes all information required to be reported by
me under T 1 15, Election Code.
ow a�.
o` � '
JESSICA j
aNOTARY PUBLIC
State Of Texar,
' OF. �,'' COMM.Signature of Candidate or Officeholder
"...,p. 0&01-201 5
AFFIX NOTARY STAMP / SEAL ABOVE
Sworn to and subscribed this the
before me, by the said � i�£ V �y}
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d day of U C. 1 20 . _ to c Lify which, witness my hand and seaf of office. E
S" na ure of officer dministering oath Printed name of officer administering oath Title of r administering o h
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ww . thics.state.tx.us Revised 09/28/2011