HomeMy WebLinkAboutCFR-01.2012-HellmannTexas Ethics Commission p8.Box 1uo7o Austin, Texas 7o7 1e070 (512)463-5800 TDD 1-800-735-2989
CANDIDATE / OFFICEHOLDER
FORM C/0H
CAMPAIGN FINANCE REPORT
COVER SHEET PG 1
The CIOH INSTRUCTION GUIDE
1
explains how to complete this form.
ACCOUNT#
(Ethics Commission filers)
26PAGE #
1 of 2
MS/MRS/MR FIRST
00000001
MI
3 CANDIDATE/
OFFICEHOLDER
Troy
NICKNAME LAST
Hellmann
ADDRESS / PO BOX; APT / SUITE #; CITY;
SUFFIX
STATE; ZIPCODE]Cuty
JAN 1_ 0 2012-
4 CANDIDATE
OFFICEHOLDER
Secreta
MAILING
—M
ADDRESS
Georgetown, TX 78628
Date Hand -delivered or Date Postmarked
Change of Address
MS/MRS/MR FIRST
MI
Receipt # Amount
Date Processed
5 CAMPAIGN
TREASURER
NAME
David
Date Imaged
NICKNAME LAST
SUFFIX
Hays
6 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #;
CrFY; STATE;
ZIP CODE
TREASURER
ADDRESS
7 CAMPAIGN
AREA CODE PHONE NUMBER
EXTENSION
TREASURER
PHONE
(
8 REPORTTYPE
M January 15 D 30th day before election
El Runoff
15th day after campaign treasurer
appointment (officeholder only)
July 15 8th day before election
Exceeded $500 limit
Final report (Attach CIOH - FR)
9 PERIOD
COVERED
Month Day Year
Month Day
Year
THROUGH
07/01/2011
12/31/2011
10 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
El Primary
Runoff F]
General E] Special
11 OFFICE
OFFICE HELD (if any)
12 OFFICE SOUGHT (if known)
City Council District 2
GO TO PAGE 2
Electronic Filing Version 3.4.3
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070
CANDIDATE /
iDDOFFICEHOLDER REPORT;
SUPPORT
(512)463-5800 TDD 1-800-735-2989
FORM C/OH
COVER SHEET -G
13 C/OH NAME Hellmann, Troy 14 ACCOUNT # (Ethics Commission filers)
00000001
15 NOTICE This box is for notice of political expenditures by political committees to support the candidate / officeholder. These expenditures may
have been made without the candidate's or officeholder's knowledge or consent. Candidates and officeholders are required to report this
FROM information only if they receive notice of such expenditures...
POLITICAL( COMMITTEE NAME
COMMITTEE(S) COMMITTEE TYPE
® additional pages
® GENERAL COMMITTEE ADDRESS
® SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
16 CONTRIBUTION
TOTALS
1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
PLEDGES,
Q.OQ
LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
$ 0.00
...............
EXPENDITURE
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED
TOTALS
$ 0.00
4. TOTAL POLITICAL EXPENDITURES
0.00
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE
BALANCE LAST DAY OF THE REPORTING PERIOD $ 3,440.58
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD
0.00
17 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.
Yew.
_V,
v Sig aYure of Candidate or Officeholder
AFFIX NOTARY STAMP / SEAL ABOVE
Sworn to and subscribed before me, by the said "` f this the day
of. k L°l�_ 20 to certify which, witness m hand and seal of office.
of officer adeiiiYiisfking oath Print name of officer administering oath Title
Electronic Filing Version 3.4.3