HomeMy WebLinkAboutCFR-07.09.2019-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
Anna
Date Received
NAME
_ _ _ _ _ _ _
NICKNAME LAST SUFFIX
Eby
RECEIVED
4 CANDIDATE /
ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
OFFICEHOLDER
JUL 0 9 2019
MAILING
Georgetown, TX 78626
ADDRESS
City Secreta
Change of Address
5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
Date Hand -delivered or Date Postmarked
OFFICEHOLDER
PHONE
(
6 CAMPAIGN
MS / MRS / MR FIRST MI
Receipt #
Amount $
TREASURER
Rick
Date Processed
NAME
. . . . . . . . . . . . . . . . . . .
NICKNAME LAST SUFFIX
Date Imaged
Vasquez
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE:
ZIP CODE
TREASURER
ADDRESS
Georgetown, TX 78626
(Residence or Business)
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
(
PHONE
9 REPORT TYPE
January 15 1-1 30th day before election � Runoff
❑ 15th day alter campaign
I— treasurer appointment
'
(Officeholder Only)
Ev"July 15 El 81h day before election Exceeded $500 limit
Final Report (Attach C/OH-FIR)
10 PERIOD
Month Day Year Month
Day Year
COVERED
01 01 2019 06
30 2019
THROUGH
11 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
❑ Primary ❑ Runoff ❑ Other
Description
❑ General ❑ Special
12 OFFICE
OFFICE HELD (if any) 13 OFFICE SOUGHT (il known)
Georgetown City Council, District 1
GO TOPAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.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 SUPPORT THE CANDIDATE / OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDER'S
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
❑ Additional Pages
17 CONTRIBUTION
TOTALS
EXPENDITURE
TOTALS
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 $ 0
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, $
UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES I $ 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 rmalian required to be reported by me
under Title 15. �lssiian Cod .
DENISE PUTNAM J
Notary ID Son E 548
My Commission Expires Signature andidate or 011icehalder
May 21, 2021
AFFIX
Sworn to and subscribed before me, by the said Anna Eby this the 1 St
day of J.U11 0 19 to certify which, witness my hand and seal of office.
r I / 1 I
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