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Home My WebLink AboutCFR-01.15.2010-EasonTexas Ethics Commission P.O, Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8546 Revised 08/27/2008 CANDIDATE FORC/OH CAMPAIGN OVER SHEET PG I 1 ACCOUNT* 2 Total pages filed. The C/OH Instruction Guide explains how to complete this form. (Ethics Commission filers) t 3 CANDIDATE/ MS / MRs / MR FIRST Ml OFFICEHOLDER NAME... { • Date Received ..`\ .� NICKNAME. LAST SUFFIX JAN 1 2010 ADDRESS / PO SOX, APT / SURE it, CITY; STATE. ZIP CODE 4 CANDIDATE/ OFFICEHOLDERItSecretai _ ; . -- ADDRESS Change of Address s', o f .+' ,""�. 4S� � ?i � 'r `fsd' i ; � ry �m�.A TP�r •�"�? Y` �o AREA CODE PHONE NUMBER EXTENSION 5 CANDIDATE/ OFFICEHOLDERReceipt i1 Amoun{ ' Date Processed 6 CAMPAIGN MS / MRs / MR FIRST MI TREASURER Date Imaged - --- NAME . . . . .p . . . . . . . . . . . . . . NICKNAME LAST SUFFIX 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE), APT! SUITE #, CITY; STATE; 23P CODE TREASURER ADDRESS �' .� ' f F�i (�'"-..gyp.,.,.-..+"x$` Residence or business _ g-3 gp � > a 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION , TREASURER( �- PHONE 9 REPORTTYPE ED January15 ❑ 30th day before election � Runoff ED 15th day after campaign treasurer appointment (officeholder only) 0 July 15 ❑ 8th day before election ❑ Exceeded $500 limit Final report (Attach C10H - FR) 10 PERIOD Month Day Year Month Day Year COVERED / / THROUGH / / r,. 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year / D Primary r'� Runoff D General F1 special 12 OFFICE OFFICE HELD an 131 OFFICE SOUGHT (dkimm) 14 X(if 14 NOTICE OF DIRECT °° Dir6ct campaign expenditure"re 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 / PO Sox; Apt. / Suite #, City, State; Zip Code ❑ adchtionai pages t i GO TO PAGE 2 Revised 08/27/2008 Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506 Revised 06/27/2008 CANDIDATE / OFFICEHOLDER REPORT: FORC/OH FR DESIGNATION OF FINAL The Instruction Guide explains how to complete this form, •• Complete only if "ReportType" on page 9 is marked "Final Report" •® 1 C/OH NAI ""-`�3' u 2 ACCOUNT# (Ethicscammissionfilers) a F � 47 iC 3 SIGNATURE F I do not expect any further political contributions or political expenditures in connection with my candidacy. I understand that designating a report as a final report terminates my campaign treasurer appointment. I also understand that I may not accept any campaign contributions or make any campaign expenditures without-amoampaign treasurer appointment on file. r Z J , Sigriatijr6 of Candidate I Officeholder ( 4 FILER WHO IS NOT AN OFFICEHOLDER •• Complete A & B below only if you are not an officeholder, •• A, CAMPAIGN FUNDS Check only one: I do not have unexpended contributions or unexpended interest or income earned from political contributions. I have unexpended contributions or unexpended interest or income earned from political contributions. I understand that I may not convert unexpended political contributions or unexpended interest or income earned on political contributions to personal use. I also understand that I must file an annual report of unexpended contributions and that I may not retain unexpended contributions or unexpended interest or income earned on political contributions longer than six years after filing this final report. Further, I understand that I must dispose of unexpended political contributions and unexpended interest or income earned on political contributions in accordance with the requirements of Election Code, § 254.204. B, ASSETS Check,? one: I do not retain assets purchased with political contributions or interest or other income from political contributions. I do retain assets purchased with political contributions or interest or other income from political contributions. I understand that I may not convert assets purchased with political contributions or interest or other income from political contributions to personal use. I also understand that I must dispose of assets purchased with political contributions in accordance with the requirements of Election Code, § 254.204, Signa to of Candidate t 5 OFFICEHOLDER 0e Complete this section only if you are an officeholder •• Iam aware that I remain subject to filing requirements applicable to an officeholder who does not have a campaign treasurer on file. I am also aware that I will be required to file reports of unexpended contributions if, at the time I cease holding office, I retain assets purchased with political contributions or-ipterest or other income from political contributions. -� `" TTignaturI0 of Officeholder Revised 06/27/2008 Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506 CANDIDATE / OFFICEHOLDER REPORT: FORC/OH SUPPORT & TOTALS OVER SHEET POa 15 C/01-11 NAME _ F_% t 16ACCOUNT# (Ethics Commission Filers) 17 NOTICE This box is for notice of political contributions accepted or political expenditures made by political committees to support the FROM candidate/ officeholder. These expenditures may have been made without the candidate's cr officeholder's knowledge or consent POLITICAL Candidates and officeholders are required to report this information only if they receive notice of such expenditures. •• COMMITTEE(S) COMMITTEE NAME COMMITTEE TYPE GENERAL COMMITTEE ADDRESS SPECIFIC ❑ additional pages COMMITTEE CAMPAIGN TREASURER NAME COMMITTEE CAMPAIGN TREASURER ADDRESS 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) EXPENDITURE 3, TOTAL POLITICAL EXPENDITURES OF $50 OR LESS, UNLESS ITEMIZED TOTALS $ 4, TOTAL POLITICAL EXPENDITURES Q 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 $ r 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 .og>fl�•= me under Title 15, Election Code. JESSICA E, fLT(i(s SIOPa a, m= r4V COwSci 271 I =ll�=yyY ignature of Ca idate or Officeholder AFFIX NOTARY STAMP! SEAL ABOVE Sworn to and subscribed before me, by the said �� this the t day ) ,20 to certify which, witness my haid and seal of office. Signature of offs r a i is#ering oath Printed name of officer administering oath Title of offs r administering oath Revised 0612772008