HomeMy WebLinkAboutCFR-05.07.2012-EasonTexas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
FOR COR - /OH
CORRECTION/AMENDMENT1
FOR CAN DIDATE/OFFICEHOLDER
1 ACCOUNT# 2 Total pages filed:
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3 CANDIDATE/ MS/MRS/MR ST MI
OFFICEHOLDER
NAME
NICKNAME T SUFFIX it
iD 7 "N11
4 ORIGINAL REPORT ❑ January 15 � Runoff � Other (specify) �
TYPE
July 15 Exceeded $500 limit
30th day before election El 15th day after treasurer
appointment (officeholder only) Receipt # Amount
8th day before election El Final report
Date Processed
5 ORIGINAL PERIOD Month Day Year Month Day Year
COVERED —"
THROUGH' / / < / Date Imaged
6 EXPLANATION OF CORRECTION
swear, or affirm, under penalty of perjury, that this corrected
7 AFFIDAVIT report is true and correct.
Check ONLY if applicable:
❑Semiannual reports: This report is an amend ment/correction to a
semiannual report due on or after September 1, 2011. If amend-
ment/correction is filed on or after the eighth day after the original
report was filed, I swear, or affirm, that the original report was made
in good faith and without an intent to mislead or to misrepresent the
information contained in the report.
Other reports (excluding semiannual reports due on or after
September 1, 2011): 1 swear, or affirm, that I am filing this corrected
report not later than the 14th business day after the date i learned
soot„„, that the report as origin filed is inaccurate or incomplete. I swear,
AAA p 0JESSICA � � or affirm, that any err” r or mission in th report as originally filed
a swas made in good fail I
. $awe of is p\ i
e P js
00mm Exp.
oa W01-2015 V Signature Candidate or Officeholder
AFFIX NOTARY STAMP / SEAL ABOVE
Sworn to and subscribed before me, by the said ` ` this the day of d
r
0 to c rtify h, witness my hand and seal of ice.
S' natu e of officer admi ng oath Printed name of officer administering oath of officer adminis oath
Remember To Attach Any Part Of The Campaign Finance Report Fora
Needed To Report And Explain Corrections
www.ethics.state.tx.us Revised 09/01/2011
POLITICAL EXPENDITURES
SCHEDULE G
MADE FROM PERSONAL FUNDS
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Gift/Awards/Memorials Expense Salaries,[Wages/Contract Labor Loan RepaymentfReimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel in District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/OfceholdedPolitical Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule G: 2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers)
)Vf
4 Date }
5 Payee name
6 Amount () r
7 Payee address; city;State; Zip c6de
>>
`Fd
Reimbursement from
litical contributionsmoi`%(
�
intended
;Y / ! T id .
PURPOSE
(a) Category (See cafe Dries listed at the top of this schedule)
(b) Description (if travel outside of Texas, pieie Schedule T)
OF
EXPENDITURE
> G1 fG jib _ t rvj
i
c/
Date
Payee name
Amount {}
Payee address; City; State; Zip Code
Reimbursement from
_
political contributions
intended
PURPOSE
Category (See categories listed at the top of this schedule)
Description (if travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Date
Payee name
Amount {$}
Payee address; City; State; Zip Code
Reimbursement from
political contributions
intended
PURPOSE
Category (See categories listed at the top of this schedule)
Description (if travel outside of Texas, complete Schedule T)
OF
EXPEND11TURE
Date
Payee name
Amount {$}
Payee address; City; State; Zip Code
Reimbursement from
political contributions
intended
PURPOSE Category (See categories listed at the top of this schedule) Description (if travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
ATTACH ADDITIONAL COPIES OF THIS CHEDULE AS NEEDED
wvvw,ethics.state.tx.us Revised 08/28/2011