McCaffety, Tyler, 8-day prior, 5-08 pm, 10-31-16Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
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CANDIDATE / 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:
uI
3
CANDIDATE /
OFFICEHOLDER
NAME
MS / MRS / MR FIRST
C,, 1^1+0>r
NICKNAME LAST
PA
MI
T
SUFFIX
OFFICE USE ONLY
D Received
°/3 it,
C,"
4
CANDIDATE /
OFFICEHOLDER
MAILING
ADDRESS
Li Change o1 Address
ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
a7C96-.)t-,3 °- 1A...r—\-S'H.ik,k,c•,X773z-,10
5
CANDIDATE/
OFFICEHOLDER
PHONE
AREA CODE PHONE NUMBER EXTENSION
/ ?
\QJC9) (.94..i2(.94..i2- 249 i$
I t= a .-deliver d or D to Po markedI
D
/ ID �3) / `i
6 III
6
CAMPAIGN
TREASURER
NAME
MS / MRS / MR FIRST MI
)./�
�..";na—S��
NICKNAME LAST ry'— {may SUFFIX
R- - •
Amount $
/,
Z.,_s._d �� �'f
i —J
JY4a.ed
%D/3)
/ /Le
111
.
E
�`
7 yV
7
(Residence
CAMPAIGN
TREASURER
ADDRESS
or Business)
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE;
, f� \ -"�
197(t a kt i /\I�- -T1-0'_ ^ Al / T /
8
CAMPAIGN
PHONE TREASURER
AREA CODE PHONE NUMBER EXTENSION
( (LW) Ute) _ 24p ) a
9
REPORT TYPE
January 15 30th day before election j Runoff I I cm
treasurer15thday appointmentafterapaign
(Officeholder Only)
July 15 VrBth day before election I I Exceeded $500 limit Final Report (Attach C/OH - FR)
10 PERIOD
COVERED
Month Day Year Month Day Year
9 /7V /1 (i) THROUGH 10/4:q /) L
11 ELECTION
ELECTION DATE
Month Day Year
1 1 /10g/ 1 IC
❑ Primary I I
General I1
SELECTION TYPE
Runoff I I Other
Description
Special
12 OFFICE
OFFICE HELD (if any)
13 OFFICE SOUGHT (if known)
C C,,....r,c.\ c't,SAIAn a_
GO TO PAGE 2
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
evise
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME
-CQV
CL,- ;5 111/4- r C.-
15 Filer ID (Ethics Commission Filers)
16 NOTICE FROM
POLITICAL
COMMITTEE(S)
Additional Pages
THIS BOX 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
GENERAL
COMMITTEE NAME
SPECIFIC
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
$ .
00
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
$ 00,00
EXPENDITURE
TOTALS
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
UNLESS ITEMIZED
$ 'O�
4. TOTAL POLITICAL EXPENDITURES
$ 00,00
CONTRIBUTION
BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
$� / /yV ,��
OUTSTANDING
LOAN TOTALS
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD
$ O 0/� / �()
,
18 AFFIDAVIT
, .
•
FRANCES LEE WOODWARD
Notaty Public
STATE OF TEXAS
COMM. EXP FEB. 19, 2017
NOTARY ID 12681012-9
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 15, Election Code.
:O° -
: ure of Candidate or Officeholder
AFFIX NOTARY STAMP / SEAL ABOVE
bscribed bef.r= me, by thsr e said
+ f"Yb.LJ25b/this thed
Sworn to and
s
y/Io
20 , to certify w itness my hand and seal of offi!c
I C
Lari
0
J A • 1J\
ignature
of officer administering oath Printed name of officer administering oath e ,f officer administering oath
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
SUBTOTALS - C/OH FORM C/OH
COVER SHEET PG 3
19 FILER NAME
CL. r1 SA-Gpt- s T l'- .c-C6��'
20 Filer ID (Ethics Commission Filers)
21 SCHEDULE SUBTOTALS
NAME OF SCHEDULE
SUBTOTAL
AMOUNT
1.
I SCHEDULE A1: MONETARY POLITICAL CONTRIBUTIONS
$ 1 q ?..00
r
2•
I I SCHEDULE A2: NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS
$
3.
SCHEDULE B: PLEDGED CONTRIBUTIONS
$
4.
I I SCHEDULE E: LOANS
$
5.
SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
6.
SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
$
7'
I I SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$
8.
I I SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD
$
9.
1 I SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
$
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
$
12
SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS
RETURNED TO FILER
$
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
evise
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Al: i
2
FILER NAME
Cl,t-;s-k-,14or TT- c,y
3 Filer ID (Ethics Commission Filers)
4
Date
I'-'
5 Full name of contributor ❑ out-of-state PAC
(ID#: )
Zip Code
7 7,37)a
7 Amount of contribution ($)
L.Jv, 00
6 Contributor address; City; State;
Q,q 'Hwy 7S IQ t" V,A+s at {' �-, TX
8
Principal occupation / Job title (See Instructions)
g Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID#: __ )
Contributor address; City; State; Zip Code
Amount of contribution
($)
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor 0 out-of-state PAC (ID#: )
Contributor address; City; State; Zip Code
Amount of contribution
($)
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor 0 out-of-state PAC
Contributor address; City; State;
(ID#: )
Amount of contribution
($)
Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
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