HomeMy WebLinkAboutCFR-01.16.2018- EbyCANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT
COVER SHEET PG 1
1 Filer ID (Ethics Commission Filers)
2 Total pages filed:
The C10H Instruction Guide explains how to complete this form.
3 CANDIDATE/
MS / MRS / MR FIRST
MI
OFFICEHOLDER
OFFICE USE ONLY
NAME
Anna. _ . . . . .
Date Received
NICKNAME LAST
SUFFIX
RECEIVED
Eby
4 CANDIDATE/
OFFICEHOLDER
ADDRESS / PO BOX; APT / SUITE If; CITY; STATE;
ZIP CODE
JAN 16 20
MAILING
ADDRESS
Georgetown, TX 78626
ti
City � e creta
F Change of Address
5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER
Date Hand -delivered or Date Postmarked
PHONE
6 CAMPAIGN
MS / MRS / MR FIRST
MI
Reccipl #
Amount $
TREASURER
NAME
. . . . _ . . . . , , Rick . _ . . . . . . . . .
. .
Date Processed
NICKNAME LAST
SUFFIX
Dale Imaged
Vasquez
7 CAMPAIGN I
STREETADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY;
STATE:
ZIP CODE
TREASURER
ADDRESS
(Residence or Business)
8 CAMPAIGN
TREASURER
PHONE
Georgetown, TX 78626
AREA CODE PHONE NUMBER EXTENSION
(
9 REPORTTYPE
January 15
❑ July 15
10 PERIOD
COVERED
11 ELECTION
12 OFFICE
Month
07
❑ 30th day before election ❑ Runoff
❑
8th day before olection ❑ Exceeded $500 ilmh
Day Year Montt
01 2017 THROUGH 12
ELECTION DATE
Month Day Year
OFFICE HELD (if any)
Georgetown City Council
ELECTION TYPE
❑ Primary ❑ Runoff ❑ Other
Description.
❑ General ❑ Special
13 OFFICE SOUGHT (if known)
GO TOPAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us
❑ 15th day after campaign
Treasurer appointment
(Officeholder Only)
❑ Final Report (Attach C/OH - FR)
Day Year
31 2017
Revised 9/8/2015
CANDIDATE / OFFICEHOLDER
CAMPAIGN FINANCE REPORT
14 C/OH NAME
16 NOTICE FROM
POLITICAL
COMMITTEES)
Additional Pages
17 CONTRIBUTION
TOTALS
EXPENDITURE
TOTALS
CONTRIBUTION
BALANCE
OUTSTANDING
— —LOAN TOTALS
18 AFFIDAVIT
FORM C/OH
COVER SHEET PG 2
15 Filer ID (Ethics Cornmisslen Filers)
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
SUPPORT THE CANDIDATE/ OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDER'S
KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE
OF SUCH EXPENDITURES.
COMMITTEE TYPE COMMITTEE NAME
❑ GENERAL
COMMITTEE ADDRESS
SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
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) $ 0
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES $ 0
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ 725.00
OF REPORTING PERIOD
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD $
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
under Title 15, Election Code.
Signature of Candidate or Offira Idef
AFFIX NOTARY STAMP / SEALABOVE
Sworn to and subscribed before me, by the said Anna Eby
day of._ January 20 2018 , to certify which, witness my hand a
Denise Putnam
Signature of officer administering oath Printed name of officer admiMSt
Forms provided by Texas Ethics Commission www.ethics.state.tx.us
this the 12th
DENISE PUTNAM
Notary ID 46434548
YM>•torinfj oath
Revised 9/8/2015