HomeMy WebLinkAboutEby_Correction_07.10.2018CORRECTION/AMENDMENT AFFIDAVIT
FOR CANDIDATE/OFFICEHOLDER FORM COR-C/OH
I
1 Filer ID (Ethics Commission Filers) 2 Total pages filed
OFFICE USE ONLY
Anna Eb::J 3
3 CANDIDATE/
MS/MRS/MR FIRST MI
Date Received
OFFICEHOLDER
Anna
RECEIVED
NAME
,
NICKNAME LAST SUFFIX
JUL 10 2018
EbyL
City Secretariy
4 ORIGINAL REPORT
❑ January 15 Runoff Other (specify)
TYPE
LJ
❑ July 15 tJ Exceeded $500 limit
1230th day before election Elday after treasurer
Date Hand-delivered or Date Postmarked
appointment (officeholder only)
8th day before election ❑ Final report
Receipt #
Amount $
5 ORIGINAL PERIOD
Month Day Year Month Day Year
Date Processed
COVERED
04 /_ 05 / 2018 THROUGH 04 24: ' 2018
Date Imaged
6 EXPLANATION OF CORRECTION
The original report overstated the amount of contributions by $1,000. We have corrected that on the
attached page 3 of the report and recalculated the figures accordingly as shown on the attached page 2
of the report. These were the only two pages affected by the revisions.
7 AFFIDAVIT I swear, or affirm, under penalty of perjury, that this corrected
report is true and correct.
Check ONLY if applicable
ij Semiannual reports: I swear, or affirm, that the original report was
1 made in good faith and without an intent to mislead or to misrepre-
sent the information contained in the report.
Other reports: I swear, or affirm, that I am filing this corrected
report not later than the 14th business day after the date I learned
that the report as originally filed is inaccurate or incomplete. I swear,
or affirm, that any error or omi$S' in the report as originally filed
was made in goo
DENISE PUTNAM
Notary ID #6434548
My Commission Expires
May 21, 2021
qF JO UP 41 kip _ Signature of Candidate or Officehol e:r
Sworn to and subscribed before me, by the said _ this the ( day of T.2�
20 to certify whi . itness my hand and seal of office.
DENISE PUTNAM
NotaryID #6434548
ri
Signature of officer a inistering oath Printed name of oing iornim't T tl of officer administering oath
May 21, 2021
Remember To Attach Any Part Of The Campaign Finance Report Form
Needed To Report And Explain Corrections
Forms provided by Texas Ethics Commission www ethics state tx.us Revised 04/27/2015
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME 15 Filer ID (Ethics Commission Filers)
❑ Additional Pages
COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION
TOTALS
Ann.a Eby
16 NOTICE FROM
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
POLITICAL
SUPPORT THE CANDIDATE/ OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDERS
COMM ITTEE(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
3, TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
COMMITTEE ADDRESS
SPECIFIC
❑ Additional Pages
COMMITTEE CAMPAIGN TREASURER NAME
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
'5500,00
2. TOTAL POLITICAL CONTRIBUTIONS
THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
$ 1,458.58
(OTHER
EXPETOTALS
3, TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
UNLESS
UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES
$1,965.41
CONTRIBUTION
BALANCE
5 TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
$ 842.04
OF REPORTING PERIOD
OUTSTANDING
LOAN TOTALS
6, TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
$1,301.03
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
under Title 15, Election Code.
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP / SEALABOVE
Sworn to and subscribed before me, by the said , this the
day of ` ......... 20 , to certify which, witness my hand and seal of office.
Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/6/2015
SUBTOTALS
- C/OH FORM C/OH
COVER SHEET PG 3
19
FILER NAME
20 Filer ID (Ethics Commission Filers)
Anna Eby
21
SCHEDULE SUBTOTALS
SUBTOTAL
NAME OF
SCHEDULE
AMOUNT
1.
M
SCHEDULEAI:
MONETARY POLITICAL CONTRIBUTIONS
$ 875.00
2.
SCHEDULE A2:
NON -MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS
$ 83.58
3.
SCHEDULE B:
PLEDGED CONTRIBUTIONS
$
4.
SCHEDULE E:
LOANS
$ 1301.03
0
5.
SCHEDULE F1:
POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$ 1965.41
6.
SCHEDULE F2:
UNPAID INCURRED OBLIGATIONS
$
7=
SCHEDULE F3:
PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$
8
SCHEDULE F4:
EXPENDITURES MADE BY CREDIT CARD
$
9-
SCHEDULE G:
POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
$
10.
SCHEDULE H:
PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH
$
11.
F1
SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
12
❑SCHEDULE
K:
INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS
.........................
$
RETURNED TO
FILER
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/6/2015