Johnson, Don, semi-annual, 1-11-16CANDIDATE / OFFICEHOLDER FORM C /OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
The C /OH Instruction Guide explains how to complete this form.
1 Filer ID (Ethics Commission Filers)
2 Total pages filed:
3 CANDIDATE /
OFFICEHOLDER
NAE
MS I MRS / MR FIRST MI
Do OFFICE USE ONLY
LLJJ
.,-() Date Received
NICKNAME LAST SUFFIX
1 ( 1 Lc,
4 CANDIDATE /
OFFICEHOLDER
MAILING
ADDRESS
Change of Address
ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
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5 CANDIDATE/
PHONE HONE
AREA CODE PHONE NUMBER EXTENSION
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and- delyered Date
Postmarked
6 CAMPAIGN
TREASURER
NAME
MS MRS / MR FIRST MI Rte p #
/ r^
L h S
Amount $
`7, w h 11 o Vl D Y1 / pa cess d
NICKNAME LAST SUFFIX
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rlage� I
f I t 1 4'
Il
7 CAMPAIGN
TREASURER
ADDRESS
(Residence or Business)
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP
5n3 a n 1 _ !� _
�.i -f��Z^ a
L x 13 [-O
ODE
8 CAMPAIGN
TREASURER
PHONE
AREA CODE PHONE NUMBER EXTENSION
( Q /
�4 3 +T o� 3 ,(- 0 7
9 REPORT TYPE
anuary 15 I 30th day before election I I Runoff I I 15th day after campaign
treasurer appointment
(Officeholder Only)
I I July 15 I I 8th day before election I Exceeded $500 limit I I Final Report (Attach C /OH - FR)
10 PERIOD
COVERED
Month Day Year Month Day Year
-
�q 11
01 / O ( /AV I S THROUGH (2 1
/ AD v (c-
11 ELECTION
ELECTION DATE
Month Day Year
/
(1. / 2 /s/
�.K_)
ELECTION TYPE
ri Primary I I Runoff —1 Other
Description
General I Special
12 OFFICE
OFFICE HELD
(if any)
13 OFFICE SOUGHT (if known)
GO TO PAGE 2
nin /nn•C
CANDIDATE / OFFICEHOLDER
CAMPAIGN FINANCE REPORT
FORM C /OH
COVER SHEET PG 2
14 C /OH NAME L
r�0 Yl i k Uolw c o f'\
15 Filer ID (Ethics Commission Filers)
16 NOTICE FROM
POLITICAL
COMMITTEE(S)
n Additional Pages
THIS 80X 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
E] GENERAL
Li SPECIFIC
COMMITTEE NAME
COMMITTEE ADDRESS
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
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
$ a, D
EXPENDITURE
TOTALS
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES
CONTRIBUTION
BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
$ 144,.81
OUTSTANDING
LOAN TOTALS
18 AFFIDAVIT
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD
-o
"Y' LEE WOODWARD
__•'�1 `s,r Notary Public
€;'.� r� ;;J STATE OF TEXAS
'•.,'+,r -�a My Comm. Exp. Feb. 19, 2017
AFFIX NOTARY STAMP / SEALABOVE
Sworn to
day of
d subscribed before me, by the said
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 de.
c
Si ure of Can
20 J
, to certify which, witness my hand and seal of office.
Signature of officer administering oath Printed name of officer administering oath
Tit
or Officeholder
, this the
of officer administering oath
SUBTOTALS - C /OH
19 FILER NAME j-CD
il sO y
21 SCHEDULE SUBTOTALS
NAME OF SCHEDULE
FORM C /OH
COVER SHEET PG 3
20 Filer ID (Ethics Commission Filers)
SUBTOTAL
AMOUNT
SCHEDULE Al : MONETARY POLITICAL CONTRIBUTIONS
2.
SCHEDULE A2: NON - MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS
3.
SCHEDULE B: PLEDGED CONTRIBUTIONS
4.
SCHEDULE E: LOANS
5.
SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
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.
10.
11.
SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C /OH
SCHEDULE I: NON - POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$ _p_
$ - U_
$ _v
$ -- o - --
12.
SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS
RETURNED TO FILER