HomeMy WebLinkAboutCFR-07.15.2016-EbyCANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Filer ID (Ethic Commission Files)
2 Total pages filed:
The C/0H Instruction Guide explains how to complete this form.
3 CANDIDATE/
MG/MRS/MR FIRST MI
OFFICE USE ONLY
OFFICEHOLDER
NAME
ANNA
. . . ANNA . . . . . . . . . . . . . . . . .
Data Received
. . . . . . . . . . . . .
NICKNA.ME LAST SUFFIX
EEY
RECEIVED
Q CANDIDATE/
ADDRESS / PO BOX; APT / SUITE Y; CITY; STATE; ZIP CODE
OFFICEHMAILING
JUL
JUL 15 2016
ADDRESS
❑ Change of Address
GEORGETOWN TX 78626
City Secreta
5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
Dale Hand-delivered or Date Postmarked
OFFICEHOLDER
PHONE
(
6 CAMPAIGN
MS / MRS / MR FIRST MI
Receipt k
Amount $
TREASURER
RICK
Daze Processed
NAME
. . . . . . . . . . . . . . . . . . .
NICKNAME LAST SUFFIX
Dale Imaged
VASQUEZ
7 CAMPAIGN
STREETADDRESS (NO PO BOX PLEASE); APT / SUTfE $; CITY; STATE;
ZIP CODE
TREASURER
ADDRESS
(Residence or Business)
GEORGETOWN TX 78626
B CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
9 REPORT TYPE
January 15 30th day before election Runoff
15th day aper campaign
treasurer appointment
(Officeholder Only)
® July 15 811, day before election Exceeded ssoo rimil
E] Final Report (Attach C/OH - FR)
10 PERIOD
Month Day Year Month
Day Year
COVERED
01 16 2016 06
30 2016
THROUGH
11 ELECTION
ELECTION DATE
ELECTION TYPE
❑ Primary ❑ Runoff ❑ Other
Month Day Year
Description
❑ General ❑ Special
12 OFFICE
OFFICE HELD (it airy)
13 OFRCESOUGHT(pknman)
GEORGETOWN CITY COUNCIL
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Forms provided by Texas Ethics Commission warmethics.state.bc.us Revised 9/8/2015
CANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT
COVER SHEET PG 2
14 C/OH NAME
15 Filer ID (Ethics Commission Filers)
16 NOTICE FROM
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
POLITICAL
COMMITTEE(S)
SUPPORT THE CANmDATE/OFFICEHOLDER. THESE EXPENDm/RESMAYHAVEaEEN MADE WITHOUT THE CANDIDATES ON OPFICEIIOIDERS
XNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE
OF SUCH EXPENDITURES.
COMMITTEE TYPE
COMMITTEE NAME
GENERAL
SPECIFIC
COMMITTEE ADDRESS
COMMITTEE CAMPAIGN TREASURER NAME
Additional Pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION
TOTALS
1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
PLEDGES, LOANS,
$
OR GUARANTEES OF LOANS), UNLESS ITEMIZED
2. TOTAL POLITICAL 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
$ 5.00
CONTRIBUTION
BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
$ 725.00
OF REPORTING PERIOD
OUTSTANDING
LOAN TOTALS
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD
$
18 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 me
MICHELE HOWLING underTitle t 'on C e.
My COmmlSslon ExpiresDecember
is
13.2016
Igna[ure of Candidate or Orrice [der
AFFIX NOTARY STAMP/SEALABOVE
r/�;, ,J
Sworn to and su¢scribed before me, by the said �.J� n k CL Glc- j , this the 15
� Il
day`� of 20 , ci Certify which, witness my hand and seal of office.
o� n�V1.
c<
v�N1 nX_e N) 1 t)i`%t , VI) 0 ILAA n % J� G�
Signature of officer !storing o Printed name of officer administering oath Title of tti r administering oath
�mpluv,ueO by lexas Emits Commission wvnv.etmcs.state.ot.us Revised 9/8/2015