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HomeMy WebLinkAboutCFR-05.04.2012-EasonTexas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (FDD 1-800-735-2989) OFFICEHOLDERCANDIDATE FORM C10H CAMPAIGN FINANCE REPORT COVER SHEET PG I I ACCOUNT # 2 Total pages filed: The C/OH Instructions Guide explains hove to complete this form. (Ethics Commission Filers) CANDIDATE / MStMRSIMR FIRST Ml OFFICEHOLDER NAME 6 L7 1_ Dat NICKNAME LAST SUFFIX 3 §Ay"OW11 4 CANDIDATE / ADDRESS IPO BOX: APT{SUITE#: CITY; STATE: ZIPCODE OFFICEHOLDER ADDRESS Dat nd I e er o ary change of address Receipt # Amount CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION OFFICEHOLDER 6 CAMPAIGN MSIMRS/MR FIRST MI Date Imaged TREASURER . . I . . 1.01,5 NICKNAME T SUFFIX 7 CAMPAIGN ST REET ADDRESS (NO PO BOX PLEASE); APTISUITE#; CITY; STATE; ZIP CODE TREASURER Ay ADDRESS • 6 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER ( �,✓ / PHONE 9 REPORT TYPE❑ January t5 F]34th day before election F] Runoff Ej 15th day after campaign treasurer appointment (ofrscehoideronly) ❑ July 15 8th day before election F1 Exceeded $504 F--1 Final report (Attach CIOH - FR) limit 10 PERIOD Math Day Year Month Day Year COVERED z- �r THROUGH&J 147 / 11 ELECTION ELECTION DATE ELECTIONTYPE Monti Day Year Primarj F-1 Runoff General El Special 12 OFFICE OFFICE HELD (if any) 13 OFFICESOUGHT jrfknown) GO l TO PAGE 2 w+tw.ethics.state.tx,us® Revised 09/28/2011 Texas Ethics Commission P.O. Bax 12070 Austin, Tees 78711-2070 (5 12) 463-5800 {i DD 1-800-735-2989) CANDIDATE / OFFICEHOLDER REPORT. FORM C/OH SHEETSUPPORT & TOTALS COVER PG 2 14 C/OH NAME A� � 25 ACCOUNT # (Ethics Commission Filers) 16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLE i tCAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT THE POLITICAL CANDIDATE /OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDERS KNOWLEDGE OR C O M I TT E E ( S) CONSENT, CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES. COMMITTEE NAME COMMITTEE TYPE GENERAL i COMMITTEE ADDRESS SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME additional pages `( COMMITTEE CAMPAIGN TREASURER ADDRESS 47 CONTRIBUTION1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED . TOTAL POLITICA,. CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) EXPENDITURE TOTALS 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED 4. TOTAL POLITICAL EXPENDITURES CONTRIBUTION �— . 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY BALANCE OF REPORTING PERIOD t / OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LOAN TOTALS i LAST DAY OF THE REPORTING PERIOD 438 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the accompanying report y is true and correct and includes all imormation required to be reported by i y'3 5 me Under jE <'�'''k' tIe 15, CtI©n Code. Signature ON andidate or Officeholder AFFIX NOTARY STAMP ! SEAL ABOVE 1 Sworn to and subscribed before me, by the said � � this the day of ` 20 to certify whic witness y hand and sea; of office. Signature of Officer administering oath Printed name of officer administering oath Title of officer ad -tinistering oath www.ethics.state.tX.us Revised 09(2812011