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Olson, Keith, semi-annual, 1-17-17CANDIDATE / 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 MS /MRS / MR FI ST t IOFFICE USE ONLY l NAME e NICKNAME LASTC Date Received SUFFIX 4 CANDIDATE / OFFICEHOLDER MAILING ADDRESS ADDRESS / PO BOX; R1( I `1 \ ) APT / SUITE #; CITY; STATE; ZIP CODE S �' \ 11' 11 Change of Address --kv,-t�t,..t � ' -775L-1 AREA CODE PHONE NUMBER EXTENSION 5 CANDIDATE/ OFFICEHOLDER PHONE C � I �(Q/ 1( d •. I -'H nd-deli red 1 �v \ r Dat Postmarked I9 1-1 6 CAMPAIGN 6,,# MS / MRS / MR FIRST MI Amo nt $ TREASURER NAME �� a ST r SUFFIX - • rocess. d ) I I Il NICKNAME w I7.7 4rja • 7 CAMPAIGN TREASURER ADDRESSrl (Residence or Business) STREET �% 1 (_-1 ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; •• IE �� .-'. ',_r.�. I ,L s, 77 l 3 8 CAMPAIGN TREASURER PHONE AREA CODE PHONE NUMBER EXTENSION ( ZDt C — X222 134) 9 REPORT TYPE15th January 15 30th day before election I I Runoff I dayatter campaign treasurer appointment (Officeholder Only) July 15 I j 8th day before election I I Exceeded $500 limit Final Report (Attach C/OH - FR) 10 PERIOD COVERED Month Day Year Month I I /©1 /Z0 1 Le THROUGH Q// Day Year 1 /Z 0 11 ELECTION ELECTION DATE Month Day Year 1 \ /08 /zo) ELECTION TYPE t�l I I Primary I I Runoff I I Other Description eneral I I Special L, 12 OFFICE OFFICE HELD (if any)1 • A'LLa �--5 (�i�}— R -....V•ami\..AA cA, N „,,,1 13 OFFICE SOUGHT (if known) Gt TO PAGE 2 Revised 9/8/2015 Forms provided by Texas Ethics Commission www.ethlcs.state.tx. CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 14 C/OH NAME , L ii15 ) l S k31------ U Filer ID (Ethics Commission Filers) 16 NOTICE FROM POLITICAL COMMITTEE(S) 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 CANDIDATE'S 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 I t 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 $ 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $ EXPENDITURE TOTALS 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED $ 4. TOTAL POLITICAL EXPENDITURES $ ----e-- CONTRIBUTION BALANCEOF 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY REPORTING PERIOD $ ���� OUTSTANDING LOAN TOTALS 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY OF THE REPORTING PERIOD $ 18 AFFIDAVIT � I swear, or affirm, under penalty of per FRANCES LEE WOODWARD true and correct and includes . I int. Notary Public under Title 15, El ction Cr :el STATE OF TEXAS that the accompanying report is ation :. uired to be reported by me 4 ''' COMM. EXP. FEB. 19, 2017 NOTARY ID 12681012-9 Signature of Candidate or Officeholder AFFIX NOTARY STAMP / SEALABOVE (.irt� boor\, this the I Sworn to and subscribed before me, by the said d., . ,, J, .I, _ , 20___\71 _ to rtify which, witness my hand and seal of office. _� EASifics--a- Si. ature o officer ad roistering oath Printed name of officer administering oath Tit of o icer administering oath Dos,i.c.i o/c/9M F Forms provided by Texas Ethics Commission www. eth ics. state.tx. us Forms provided by Texas Ethics Commission www.ethics.state.tx.us evise SUBTOTALS - C/OH FORM C/OH COVER SHEET PG 3 19 FILER NAME20 if Nt-t r0 . C 1)%-- Filer ID (Ethics Commission Filers) 21 SCHEDULE SUBTOTALS NAME OF SCHEDULE SUBTOTAL AMOUNT 1. SCHEDULE Al: MONETARY POLITICAL CONTRIBUTIONS $ 2. I I SCHEDULE A2: NON -MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS $ 0-- -3. 3. SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4. SCHEDULE E: LOANS $ 5. SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 17 6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 7. SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ (L}- l / 8. I I SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ . p 9. SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 10. I I SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ re 11. I I SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ -9- 12 SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED TO FILER $ Forms provided by Texas Ethics Commission www.ethics.state.tx.us evise