HomeMy WebLinkAboutCFR-01.11.2019-EbyCANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT COVER
SHEET PG 1
1 Filer ID (Ethics Commission Filers)
2 Total pages filed:
The C/OH Instruction Guide
explains how to complete this form.
3 CANDIDATE/
MS / MRS / MR FIRST MI
OFFICE USE ONLY
OFFICEHOLDER
NAME
Anna
Date Received
NICKNAME LAST SUFFIX
Eby
ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
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JAN 11 2019
Q CANDIDATE/
OFFICEHOLDER
MAILING
1206 College Street, Georgetown, TX 78626
ADDRESS
City Secretary
Change of Address
AREA CODE PHONE NUMBER EXTENSION
_
5 CANDIDATE/
OFFICEHOLDER
Date Hand -delivered or Date Postmarked
PHONE
( 512 ) 508-2396
MS /MRS / MR FIRST MI
Receipt # Amount $
6 CAMPAIGN
TREASURER
Rick
NAME
, , , . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Date Processed
NICKNAME LAST SUFFIX
Date Imaged
Vasquez
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE;
ZIP CODE
7 CAMPAIGN
TREASURER
ADDRESS
2001 18th Street, Georgetown, TX 78626
(Residence or Business)
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
(
PHONE
512 639-7327
9 REPORT TYPE
January 15 30th day before election Runoff
15th day after campaign
treasurer appointment
(Officeholder Only)
July 15 ❑ 8th day before election Exceeded $500 limit
Final Report (Attach C/OH - FR)
10 PERIOD
Month Day Year Month
Day Year
COVERED
07 01 2018 THROUGH 12
31 2018
11 ELECTION
ELECTION DATE ELECTION TYPE
❑ Primary ❑ Runoff ❑ Other
Month Day Year
Description
❑General❑ Special
12 OFFICE
OFFICE HELD (if any) 13 OFFICE SOUGHT (if known)
Georgetown City Council, District 1
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Forms provided by Texas Ethics Commission www.ethics.state.tx.us Hevlsea 9/b/Cu15
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
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
COMMITTEE ADDRESS
SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
Additional Pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION
1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
$
TOTALS
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
2. TOTAL POLITICAL CONTRIBUTIONS
$
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
0
EXPENDITURE
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
$
TOTALS
UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES
$ 0
CONTRIBUTION
BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
$ 47.70
OF REPORTING PERIOD
OUTSTANDING
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
$
LOAN TOTALS
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 0.
FAN"" DENISE PUTNAM
Notary ID #6434548
My Commission Expires
May 21, 2021
ignatGre of Candidate r Officeholder
AFFIX NOTARY STAMP/ SEALABOVE
/
Sworn to and subscribed before me, by the said this the _
day of _ 2t7 / ? , to certify which, witness my an 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 Hevised 9/b/2U1 b