Humphrey, Tish, semi-annual, 1-15-16Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 9/8/201
CANDIDATE / OFFICEHOLDER
CAMPAIGN FINANCE REPORT
FORM C /OH
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 YMRS dMR FIRST
�� p
L �/ t ; - I a
NICKNAME LAST
/ 751 A t�U onph(el
MI
r
SUFFIX
OFFICE USE ONLY
Date Received
l )
1Ls)
4
CANDIDATE /
OFFICEHOLDER
MAILING
ADDRESS
Change of Address
ADDRESS / PO BOX; APT / SUITE #; V CITY; U
r
30 b Po (*es T Lane
N \ U -A,S J ' \ �
�l
STATE; ZIP CODE '
—7\1(
--7—?3Y0
5 CANDIDATE/
OFFICEHOLDER
PHONE
AREA CODE PHONE NUMBER
/ n." ` Q �%
\ y l 39/ / 3 /5 J
EXTENSION
�at4:nd -d: ivered
r Date Post '�arked
Jl
� �15
6
CAMPAIGN
TREASURER
NAME
M � MR FIRST MI
e i I°_St�
NICKNAME LAST SUFFIX
Aep,tno(er ,W�i
R I
• ce = k
Amount $
'� � 0
w
1S`Ill
7
(Residence
CAMPAIGN
TREASURER
ADDRE SS
or Business)
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE 5;
o? 3Z (a -205 b r
CITY: STATE; Mr ODE
U/_/775v(//e 7
V
-77_1110
8
CAMPAIGN
TREASURER
PHONE
AREA CODE PHONE NUMBER
� 9 ?6) ,2e71 3 /
lD
EXTENSION
9
REPORT TYPE
January 15 I I 30th day before election I
July 15 1 8th day before election 1
I Runoff I I 15th day after campaign
treasurer appointment
(Officeholder Only)
1 Exceeded $500 limit I I Final Report (Attach C /OH - FR)
10 PERIOD
COVERED
Month Day Year Month Day Year
/0 /c175- / /5 THROUGH / /—?/ / /,j
11 ELECTION
ELECTION DATE
Month Day Year
/ / / 3 /,/,2015....
I l Primary Runoff
pi
General Special
ELECTION TYPE
1 I Other
Description
12 OFFICE
OFFICE HELD (if any)
COU(tc<< Ale0her
(,0 ard Z
13
OFFICE SOUGHT (it known)
GO TO PAGE
2
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 9/8/201
CANDIDATE / OFFICEHOLDER FORM C /OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C /OH NAME � �� � � J � �
I i. I � 1I- 5k I/ um(
15 Filer ID (Ethics Commission Filers)
16 NOTICE FROM
POLITICAL
COMMITTEE(S)
Additional Pages
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTOR 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 REOUIRED 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
$ ' �(
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
$
EXPENDITURE
TOTALS
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
UNLESS ITEMIZED
$ C O 0
J
i
4. TOTAL POLITICAL EXPENDITURES
$ / (` O + 0
BALANCE CONTRIBUTION
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
/ �� / 13
$ /V^
OUTSTANDING
LOAN TOTALS
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD
$
fg
18 AFFIDAVIT
Sworn
day
.
I swear, or affirm, under penalty of
perjury, that the accompanying report is
required to be reported by me
"”`
I,
�
.�Y n .
,e Itv p ,,,, „, LEE WOODWARD
t o, 4 -�
��� Notary Public
;�.,'` STATE OF TEXAS
;,,y & My Comm. Exp. Feb. 19, 2017
true and correct and includes all information
1 under Title 15, Election Code.
_ ,
c��
I ���-�, _
AFFIX
NOTARY STAMP / SEALABOVE
to and subscribed before me,
of ...AN.. ....a 20
by the said
to certify
). —.Z.Ca ,1,..(:){,14.5A
Signature of Candida or elder
° �' �� )5 \
' �' \ Im 1-0.,A.--, this the 6
,l
which, witness my hand and se of ffice.
(1 „AA-- 3.)C
i nature of o er administering oath Printed name of officer administering oath tle of officer administer g 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 9/8/2015
SUBTOTALS - C /OH FORM C /OH
COVER SHEET PG 3
19
FILER NAME
20 Filer ID (Ethics Commission Filers)
21
SCHEDULE SUBTOTALS
NAME OF SCHEDULE
SUBTOTAL
AMOUNT
1.
SCHEDULE A1: MONETARY POLITICAL CONTRIBUTIONS
$
2.
SCHEDULE A2: NON- MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS
$ / i
3•
SCHEDULE B: PLEDGED CONTRIBUTIONS
$ /�
4.
1 1 SCHEDULE E: LOANS
$ 0
5.
SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
6.
I I SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
$
7.
SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$
00
8
SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD
$
9.
I I SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
$ go
10.
I I SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C /OH
$ ( ,)
11 •
SCHEDULE I: NON - POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$ / /}
�T//
12
I I 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