HomeMy WebLinkAboutCFR-06.30.2003-EasonPrinted on recycled pager Revised 05111/2000
CANDIDATE / OFFICEHOLDER
FORM f OH
FINANCE REPORT
COVERCAMPAIGN EET PG I
The CIOH INSTRUCTION
1 ACCOUNT#
GUIDE explains how to complete (Ethics Commission filers)
2 Total pages filed:
this forma.
3
CANDIDATE/
TITLE IRST rat
OFFICE USE ONLY
OFFICEHOLDER
;p
NAME
NICKNAME`S LAST _ SUFFIX
Date Received
U�
a
ADDRESS IPO BOX; APT ISUITE #; CITY; STATE; ZIP CODE
4 CANDIDATE)
OFFICEHOLDER
R
Date Hand -delivered or Date Postmarked
Change of
fEf/
TITLE FIRST MI
5 CAMPAIGN
TREASURER
�
Receipt # Amaunt
NAME
NICKNAME lAi SUFFIX
—
Date Processed
re �_
a
Date imaged
6
CAMPAIGN
TREASURER
STREET ADDRESS (NO PO BOX PLEASE); APT SUITE # CITY; STATE;
ZIP CODE
ADDRESS
ADDRESS
(Residence or business)
F
7
CAMPAIGN
AREA PHONE NUMBER EXTENSION
TREASPHONE
8
REPORTTYPE
ED January 15 ® 30th day before election ® Runoff
F"j 15th day after campaign Treasurer
appointment (officeholder only)
El July 15 ® Bth day before election Exceeded $500limit
Final report (Attach C40H - FR)
9
PERIOD
Month y_ Month Day
Year
COVERED✓��
fjDaYear
/ THROUGH �
l.
10
ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
1
® Primary Q Runoff
Goner Spacial
11
OFFICE
OFFICE HELD (if any)
1I2 OFFICE SOUGHT (if
13
NOTICE
�
OF DIRECT
sa 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 J PO Box; Apt. i Suite it, City; State; Zip Code
® additional pages
GO TO PAGE 2
Printed on recycled pager Revised 05111/2000
CANDIDATE B OFFICEHOLDER REPORT: FORC/OH
SUPPORT & TOTALS OVER SHEET PG
14 C/OH NAMES
15 ACCOUNT#(Ethicscommissiontiters)
16 NOTICE
This box is for notice of political expenditures by political committees to support the candidate/ officeholder. These expenditures
FROM
may have been made without the candidate's or officeholder's knowledge or consent. Candidates and officeholders are required to report
POLITICAL
this information only if they receive notice of such expenditures. mm
COMMITTEE(S)
COMMITTEE NAME
COMMITTEE TYPE
F7 GENERAL
COMMITTEE ADDRESS
O SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
❑ additional pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 NO REPORTABLE
ACTIVITY
Check here if no reportable activity occurred during this reporting period. (Sign affidavit below and submit pages 1 and 2 only.)
18 CONTRIBUTION
1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
TOTALS
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
$ r �;
f� f
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
$ f
EXPENDITURE
3. TOTAL POLITICAL EXPENDITURES OF $50 OR LESS, UNLESS ITEMIZED
TOTALS
4, TOTAL POLITICAL EXPENDITURES
J
. . . . . .
. . . .
OUTSTANDING
5. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS
LAST DAY OF THE REPORTING PERIOD
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
�m me under Title 15, Election Code.
SANDRAm
�•
My 0WmtWm EON
��lF`tPe..mm�A4~ .X.
i4Xtl tl $
JANU
-- '' Signature Can idate or Officeholder
AFFIX NOTARY STAMP / SEAL ABOVE"N
It �
F
Sworn to and subscribed before me, by the said z this the day
a
_,
to certify which, witness my h nd and seal of office.
120
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Signature`of officer administering oath Printed name of officer administering oath Title cofficer administering oa
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Texas Ethics Commission
P.O. Box 12070
Austin
Texas 78711-2070
512
463-5800 1-800-325-8506
POLITICAL CONTRIBUTIONSSCHEDULE Al
LOANS (FOR FORMS ClOH, C/OH-SS, SC-C/OH,
OTHER THAN PLEDGES OR SC-SPAC, SPAC, & SPAC-SS)
The INSTRUCTION GUIDE explains how to complete this form.
1 Total pages this Schedule Al:
FILEF2 NAME� / p&21 y
l° f t �l j
3 ACCOUNT # (Ethics Commission filers)
4 Date
5 Full name of contributor ❑out-ofi-state PAC (I -)
_ p
7 Amount of 8 In-kind contribution
contribution ($} ' description (if applicable)
03
6 Contributor address; City; State; ZiRCode
.
g Principal occupation (Qpttiona
10 Employer (Optional)
Dat
Ful am e of contributor ❑ out-of-state PAC (ID#:_ j
Amount of In-kind contribution
contribution ($} description (if applicable)
t�
City State; Z
Contributor addres Cadej�`
�s 1-7 t2
!
7 d
Principaioccupati {Optional
Employer(Optional)
Date
Full name of contributor ❑ out-of-state PAC (ID#:__ )
Amount of In-kind contribution
contribution ($} I description (if applicable)
Contributor address; City; State; Zip Code
'
Principal occupation (Optional)
Employer (Optional)
Date
Full name of contributor ❑ out-of-stats PAC (IDM )
Amount of In-kind contribution
contribution {$) description (if applicable)
Contributor address; City; State; Zip Code
Principal occupation (Optional)
Employer (Optional)
Date
Full name of contributor ❑ out-of-state PAC (ID#:
) Amount of In-kind contribution
contribution ($} I description (if applicable)
Contributor address; City; State; Zip Code
Principal occupation (Optional)
Employer (Optional)
ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED
If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.
Printed on recycled paper Revised 04103/2000
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070
(512)463-5800 1-800-325-8506
POLITICAL EXPENDITURES SCHEDULE
MADE FROM PERSONAL FUNDS
The INSTRUCTION GUIDE explains how to complete this form.
1 Total pages Schedule G:
2 FILER NAME)
3 ACCOUNT # (Ethics Commission filers)
f
4 Date
5 Payee name � f �
8 Amount
6 Payee address; City; State; Zip Code
34 03
Z
e)/Z � f k �
Reimbursement
7 Purpose of expenditure (See instructions regarding tle of information required.)
require*
from political
contributions
intended
Date
Payee name
Amount
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Payee address; City; State; Zip Code
El Reimbursement
Purpose of expenditure (See instructions regarding type of information required.)
from political
contributions
intended
Date
Payee name
Amount
Payee address; City; State; Zip Code
Reimbursement
Purpose of expenditure (See instructions regarding type of information required.)
from political
contributions
intended
Date
Payee name
Amount
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Payee address; City; State; Zip Code
Reimbursement
Purpose of expenditure (See instructions regarding type of information required.)
from political
contributions
intended
Date
Payee name
Amount
($)
Payee address; City; State; Zip Code
Q Reimbursement
Purpose of expenditure (See instructions regarding type of information required.)
from political
contributions
intended
ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED
Prinked on recycled paper
Revised 1997