Montgomery, Lydia, semi-annual, 7-7-16CANDIDATE / 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
3 CANDIDATE /
OFFICEHOLDER
NAME
MS MR / MR
FIRST MI
v
LAST SUFFIX
OFFICE USE ONLY
1j/ '- (.
NICKNAME
Date
Received
1) tp 6L,6
4 CANDIDATE /
MAILING LDER
MAILING
ADDRESS
Change of Address
ADDRESS / PO B
Cp(0
1'/l 1 `
�
APT / SUITE CITY; STATE; ZIP CODE
1 `j '� i/
v�L e�x { 1
5 CANDIDATE/
PHONE
PHONE
AREA CODE
��
PHONE NUMBER EXTENSION
��
1 tind-dislivered
1 L
o D e ostmar ed
6 CAMPAIGN
TREASURER
NAME
MS / MRS
NICKNAME
I
FIRST
MI
SUFFIX
Receipt
it
Amount $
r 6. •
LAS
Date
woce
I
Date
17
7 CAMPAIGN
ADDRESS
(Residence or Business)
STR/EEETT ADDRESS ((NO PO BOX PLEASE); APT / SUITE #; CITY /;; STATE; /73 ZIP CODE
crJ K7 z l (�-[ /l-.S lake_ / 5�� (,%`�f� 77 7
8 CAMPAIGN
TREASURER
PHONE
AREA CODE
(q3(, )
PHONE NUMBER EXTENSION
/ --,v6?
9 REPORT TYPE
January 15
kflJuly 15
I I 30th day before election Runoff 15th day after campaign
treasurer appointment
(Officeholder Only)
I I 8th day before election fl Exceeded $500 limit Final Report (Attach C/OH - FR)
10 PERIOD
COVERED
Month
/ /
Day Year Month Day Year
/ /gq b THROUGH / / aa/
11 ELECTION
ELECTION DATE
Month Day
/ /
Year
❑ Primary ❑
r
F General ❑
ELECTION TYPE
Runoff ❑ Other
Description
Special
12 OFFICE
OFFIC (if anjlj_
0 1
13 OFFICE SOUGHT (H known)
GO TO PAGE 2
arms 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 AME
0.J
0
15 Filer ID (Ethics Commission Filers)
16 N ICE FROM
POLITICAL
COMMITTEE(S)
Additional Pages
THIS BOX IS •' NO • OF POLmCAL IBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
SUPPORT THE CANDIDATE / OFFICEHOLD . 7HESE 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
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
$ 0. V
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
UNLESS ITEMIZED
$
(9 ` {
(9 V
$ /j1
ID '
EXPENDITURE
TOTALS
4. TOTAL POLITICAL EXPENDITURES
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
I„) /y)
(�/ `Jl/
$
b •c0
OUTSTANDING
LOAN TOTALS
18 AFFIDAVIT
I swe. or affirm, under penalty of perjury, that the accompanying report is
FRANCES LEE WOODWARD
OP% Notary Public
* 1 * STATE OF TEXAS
44.0 re COMM. EXP. FEB. 19, 2017
NOTARY ID 12681012 -9
tru - and'porrect
u der Titl 15,
1
,1i■{►\
and includes all information required to be reported by me
ec 'o Code
NIA �G 1t♦ •I /
, - . - �
ignature of -, didate or Offi V ..Ider
�� Orn , this t - ���
AFFIX NOTARY STAMP / SEAL ABOVE
Sworn to and subscribed before me, by the said C
da of \ A
► , 20 1 l� , to certify whic itness my hand seal of o ce.
i.,_
0 PA _
,
,
I
- - ■.tt
A T. ID !rDL
�i. ature of officer administering oath Printed name of officer administering oath Itle .f officer administering .ath
orms provided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 9/8/2015
arms provided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 9/8/2015
SUBTOTALS - C /OH FORM C/OW
COVER SHEET PG 3
19
FILER NAME
20 Filer ID (Ethics Commission Filers)
21
SCHEDULE SUBTOTALS
NAME OF SCHEDULE
I
SUBTOTAL
AMOUNT
1.
n SCHEDULE Al : MONETARY POLITICAL CONTRIBUTIONS
$
�T'/
2.
I I SCHEDULE A2: NON - MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS
$
3-
I I SCHEDULE B: PLEDGED CONTRIBUTIONS
$
4.
SCHEDULE E: LOANS
$ 0
5.
SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$ 0
6.
Il SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
$ 0
7•
I 1 SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$ ?��
8'
I I SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD
$/
9•
1 SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
$ 0
10.
I I 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
$
12.
ISCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS
RETURNED TO FILER
$
arms provided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 9/8/2015