Davidhizar, Paul, 1-11-17CANDIDATE / 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 FIRST MI
11 Q
OFFICE USE ONLY
. 61)1.--
� L
NICKNAME LAST SUFFIX
Date Received
I
4 CANDIDATE /
OFFICEHOLDER
MAILING
ADDRESS
❑ Change of Address
ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
^-�
jj �Ilk
132 EVA NS L OLL' 13`Si1'itLEt I5( %i3�
5 CANDIDATE/
OFFICEHOLDER
PHONE
AREA CODE PHONE NUMBER EXTENSION
93� ) C�,Z-3511
D to H. �-deliver or
1
Sate P stmarked
I (� l
6 CAMPAIGN
TREASURER
NAME
MS/MRS/MR FIRST MI
t, �I`-rY'�A
Receip
Amount
$
LAST SUFFIX
D..• '�•sed
11
'
j '--/NICKNAME
1)
1C)
I ) i --"?
7 CAMPAIGN
TREASURER
ADDRESS
(Residence or Business)
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP COQ
C ��V`
I22R. cJouTrtii4)i& I I� lll.�? TX 11340
(�
8 CAMPAIGN
PHO
PHONE
AREA CODE PHONE NUMBER EXTENSION
( 93( 1333
It ��
9 REPORT TYPE
\ t'
January 15 30th day before election Runoff II 1tr5 h day
aer after campaign
t
(Officeholder Only)
July 15 I 8th day before election I I Exuded $500 limit ❑ Final Report (Attach C/OH - FR)
10 PERIOD
COVERED
Month Day Year Month Day Year
' D / 3c. /2_01U THROUGH 11 / 3 I / 201 b
11 ELECTION
ELECTION DATE
Month Day Year
/ /
ELECTION TYPE
❑ Primary ❑ Runoff ❑ Other
Description
❑ General ❑ Special
12 OFFICE
OFFICE HELD (0 any)
Autxrs0LlE (`' CGLtJCi L
fi— l Tic IS
13 OFFICE SOUGHT (it known)
GO TO PAGE 2
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 C/
AME
L.INAjlttlZ
15 Filer ID (Ethics Commission Filers)
16 NOTICE FROM
POLITICAL
COMMITTEE(S)
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLRICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
SUPPORT THE CANDIDATE / OFFICEHOLDER. THESE EEXPEENNDMIREs MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDER'S
KNOWLEDOEOR CONSENT. CANDIDATES AND OFRCEHOLDERS ARE REQUIRED TO REPORT THS INFORMATION ONLY IF THEY RECEIVE NOTICE
OF SUCH EXPENDITURES.
COMMITTEE TYPE
GENERAL
COMMITTEE NAME
SPECIFIC
COMMITTEE ADDRESS
Additional Pages
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
;\
$ U
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
$
0
EXPENDITURE
TOTALS
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
UNLESS ITEMIZED
$
4. TOTAL POLITICAL EXPENDITURES
$ /'_
YY�(
CONTRIBUTION
BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
$
Ii- r I
t
OUTSTANDING
LOAN TOTALS
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD
$
v
18 AFFIDAVIT
I swear, or affirm, under penalty of perjury, that the accompanying report is
�`�r . FRANCES LEE WOODWARD
b Notary Public
* r STATE OF TEXAS
o).44COMM. EXP. FEB. 19, 2017
NOTARY ID 12681012-9
true and torr...
u 5,
a"'.0
• • includes al
n Code.
f
ation required to be reported by me
Signature of Ca date or Officeholder
AFFIX NOTARY STAMP/SEALABOVE Q 1
\e
Sworn to and subscribed before me, by the said \ c�1.1 to k2.-— , this the )
+.11
I
day
, 20 1 --TN,
to certify which, witness my hand and seal of office.
I
l
��LD l�-� m-4-
Si.
`
ature of officer administering oat Printed name of officer administering oath Title of officer administering oa
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
FI AME (�
if_Zi1-- DPS\116141 (2
20 Filer ID (Ethics Commission Filers)
21
SCHEDULE SUBTOTALS
NAME OF SCHEDULE
SUBTOTAL
AMOUNT
1.
SCHEDULE A1: MONETARY POLITICAL CONTRIBUTIONS
$
O
2.
SCHEDULE A2: NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS
$ 0
3.
SCHEDULE B: PLEDGED CONTRIBUTIONS
$ 0
4.
I I SCHEDULE E: LOANS
$
5.
SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
Q
6.
SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
$
0
7.
SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$
D
8.
I I SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD
$
9.
I I SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
$
h
10.
SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH
$
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