HomeMy WebLinkAboutCFR-03.21.2006-EasonTexas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070
(04,� Printed on recycled paper Revised 11/05/2003
CANDIDATE / OFFICEHOLDER FORMC/OH
FINANCECAMPAIGN OVER SHEET 1
PG
i
The
C/OH INSTRUCTION GUIDE explains how t0 complete
1 ACCOUNT# 2 Total pages filed:
(Ethics Commission filers)
this form.
3
CANDIDATE/
MS / MRS / MRMI
OFFICEHOLDER
OFFICE USE Ofd LY
Pjf,-7
NAME
r
Date Received
NICKNAME LAST SUFFIX
a
ADDRESS / PO BOX; APT/ SUITE #; CITY; STATE; ZIP CODE
4 CANDIDATE /
OLDER
OFFICEHMAILING
®
ADDRESS1/
Change of Address
e`-7r5/ry //' Date Hand -delivered or Date Postmarked
� lir
C f �
AREA CODE PHONE NUMBER EXTENSION ii"
5 CANDIDATE/
OFFICEHOLDER
PHONE//
/
Receipt # Amount
MS / MRS / MR FIRST MI
6 CAMPAIGN
TREASURERNAME
LDaterocessed
maged
NICKNAME LAS SUFFIX
7
CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE
TREASURER
ADDRESS
��
�/ �` [�/
(Residence or business)
t/
vie
8
CAMPAIGN
AREA COD PHONE NUMBER EXTENSION
TREASURER
PHONE
��
®(
9
REPORT TYPE
ElJanuary 15 30th day before election FRunoff 15th day after campaign treasurer
appointment (officeholder only)
D July 15 E] 8th day before election F-1�/ Exceeded S500 limit Final report (Attach CIOH - FR)
10
PERIOD
Month Day Year Month Day Year
COVERED
/ / THROUGH06
11
ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
6�1% / f
(T�
Primary Runoff General Special
12
OFFICE
OFFICE HELD (if any)
'17
i3 OFFICE SOUGHT (if known)
4� +"Yci rt/ Com. 14
14
NOTICE
OF DIRECT
Direct campaign expenditures are 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 Box; Apt. / Suite #; City; State; Zip Code
❑ additional pages
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(04,� Printed on recycled paper Revised 11/05/2003
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78 71 1-20 70
ai :f• �:_ :�.
Printed on recycled paper
Revised 11/0512003
CANDIDATE/ OFFICEHOLDER REPORTO FORM C/OH FR
DESIGNATION OF FINAL REPORT
The Instruction Guide explains how to complete this form.
•• Complete only if "Report Type" on page 1 is marked "Final Report" ®•
1
C/OH NAME
2 ACCOUNT#(Ethics Commission filers)
ell
3
SIGNATURE
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 a campaign treasurer appointment on fil .
Signature of Candidate/ 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 nlyone:
1 do not retain assets purchased with political contributions or interest or other income from political contributions.
El 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 contributioN ance with the requirements of
Election Code, § 254.204.
ofCandidate
5
OFFICEHOLDER
we Complete this section only if you are an officeholder •-
am 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 interest or other income from political contributions.
IV
gnature of iceholder
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Revised 11/0512003