Montgomery, Lydia, 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
NAME
MS / MRS MR
4>d-CA.k a_
NICKNAME
FIRST MI
LAST SUFFIX
r
OFFICE USE ONLY
Date Received
)64,
L tires'\\ Cil/
4 CANDIDATE /
OFFICEHOLDER
MAILING
ADDRESS
❑ Change of Address
A
ADDRESS / PO BOX; SUE tr ;;
C `c7 E 1,6\s 1-k€ �l Y"
STATE; ZIP CODE
�� v;1\e
• C
5 CANDIDATE/
OFFICEHOLDER
PHONE
AREA CODE PHONE NUMBER
/ f l _ / ��
\�
EXTENSION
:. ^� a d deli re�or Da fa Postmarked
)l`Jke)
6 CAMPAIGN
TNRAEMAE S URER
MS / MRSr 1)
. V�. ` \S. .
NICKNAME
FIRST 1
,�
- - pt 1
Amount $
• • .Ih
LAST �"
I(,y] \
/ StlFFIX
1, i ' I 16
7 CAMPAIGN
TREASURER
ADDRESS
(Residence or Business)
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE*:
�/ �/��
05(o s(t4cS L
`� w L
CITY; STATE;
CODE
�%
17 340
ll II (
Vi Ile ■ X
8 CAMPAIGN
PHONE
AREA CODE PHONE NUMBER EXTENSION
(93/0 (93k, ) ,yam,, ( :9'(°C11--
9 REPORT TYPE
January 15 I 1 30th day before election ❑ Runoff ❑ 5 day afterc�paign
(Officeholder Only)
❑ July 15 ❑ 8th day before election ❑ Exceeded $500 limit ❑ Final Report (Attach C/OH - FR)
10 PERIOD
COVERED
Month Day Year Month Day Year
11 / 1 /c2_0 IS- THROUGH I a- / 3 ( / aO' S
11 ELECTION
ELECTION DATE
Month Day Year
/ /
❑ Primary ❑
General ❑
ELECTION TYPE
Runoff ❑ Description her
Special
12 OFFICE
OFFICE HELD (if any) f� (
�
1 �x
44.1 -/45V 1lie-
stvn a, M i_ sz_--
13 OFFICE SOUGHT (d (mown)
GO TO PAGE 2
orms 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 9/8/2015
SUBTOTALS - C /OH FORM C /OH
COVER SHEET PG 3
1
FILE NAME
\_S ,
( e—ey
20 Filer ID (Ethics Commission Filers)
21
SCHEDULE SUBTOTALS
NAME OF SCHEDULE
SUBTOTAL
AMOUNT
1.
SCHEDULE Al : MONETARY POLITICAL CONTRIBUTIONS
$ /D
2.
I I SCHEDULE A2: NON - MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS
$
3.
SCHEDULE B: PLEDGED CONTRIBUTIONS
$
4.
1 1 SCHEDULE E: LOANS
$
Ci
5.
(
SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$ Q
6.
I I SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
$
7.
SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$ 0
8.
SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD
$ O
9
SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
$
10.
SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C /OH
$ 0
11.
I I SCHEDULE I: NON - POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$ 0
12.
SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS
RETURNED TO FILER
$ -0
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 H NAME _j`
,
15 Filer ID (Ethics Commission Filers)
16 NOTICE FROM
POLITICAL
COMMITTEE(S)
Additional Pages
THIS BOX IS FI:4 II.Q9CE OF POLmCAL C-6(T1it8UTloNS ACCEPTED OR POLfCAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
SUPPORT THE CANDIDATE / OFFICEHOLDER. THESE EXPENDITURES NAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR O 0LDER's
KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE
OF SUCH EXPENDITURES.
COMMITTEE TYPE
GENERAL
❑ 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
$
D•oc)■.
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
$
0 1 0
EXPENDITURE
TOTALS
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
UNLESS ITEMIZED
$
a•o
4. TOTAL POLITICAL EXPENDITURES
$ 0.0
CONTRIBUTION
BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD
$
ft) O 3, 1 U
$ ' !1
v V
OUTSTANDING
LOAN TOTALS
18 AFFIDAVIT
I swear, or affirm,
true and correct
un -e tle 15
under
and i
le do
penalty of perjury, that the accompanying report is
ud all information required to be reported by me
Cod -.
n /
1
AFFIX
Swom
d y of
.4'4"; " „w
- -I LEE WOODWARD
o, °:`.
i7:, `k ��__ Notary Public
' . /\ ; *J STATE OF TEXAS
Z - +T ~' Z My Comm. Exp. Feb. 19, 2017
i
1
NOTARY STAMP
to and subscribed
/ SEAL ABOV E
before me, by
∎ 2 __ , to
the said
certify which,
LECLI /
Printed
�a
1
I liltii�>♦./
Signat e of C didate or h der
SA. this the I
.uitiii.. 1
witness my hand - • • seal of : -' e.
L ■
name of officer administering oath die of officer
admen' eying oath
oath
ignature o officer administering
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 9/8/2015