Montomery, Lydia, semi-annual, 7-12-17CANDIDATE / 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 /
MS/ MRS / MR
FIRST MI
OFFICE USE ONLY
OFFICEHOLDER
NAME
I !
'-
NICKNAME
Ft
7
LAST SUFFIX
TcAerL-i
Date
Received
-"?! I i --7
4 CANDIDATE /
OFFICEHOLDERAILING
MAILING
ADDRESS
❑
ADDRESS / PO
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APT / SURE #; i CITY; STATE; ZIP CODE
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Change of Address
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5 CANDIDATE/
AREA` CODE PHONE NUMBER EXTENSION
OFFICEHOLDER
PHONE
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1 1 �(�j) O29 I — 2(iVCj -t
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6 CAMPAIGN
ms MRS / R FIRST it MI
•
'Amount $
SURER
TREAtn
( l► �—
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NAME
NICKNAME
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LAST
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1L1 SUFFIX
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1
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7 CAMPAIGN
TREASURER
ADDRESS
(Residence or Business)
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE 1;
9Sl>2--`k"\S �k_ f
CITU; STATE;
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w v
CODE
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ra
\1
8 CAMPAIGN
TREASPHONE URER
AREA CODE PHONE NUMBER EXTENSION
(',3') t (-069z+
9 REPORT TYPE
❑ January 15 n 30th day before election ❑ Runoff ❑ 15th day dayaft appointment
(Officeholder Only)
I �lY 15 ❑ 8th day before election ❑ Exceeded S500 limit ❑ Final Repo i (Attach C/OH - FR)
••
10 PERIOD
COVERED
Month Day Year Month Day Year
/ ` / Z o 1 1 /�W /
/ THROUGH / 3 O/ , rl
•
11 ELECTION
ELECTION DATE
Month Day Year
/ /
ELECTION TYPE
❑ Primary ❑ Runoff ❑ Other
Description
❑ General ❑ Special
12 OFFICE
OFFICE HELD (if any)
13 OFFICE SOUGHT (if known)
GO TO PAGE 2
exas 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 QHE .
15 Filer ID (Ethics Commission Filers)
T
a
16 NOTICE FROM
POLITICAL
COMMITTEE(S)
Additional Pages
THIS BOX IS F OF POLITICAL IBUTKINS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
SUPPORT THE TE / OFFICEHOLDER. ESE 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
$
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
$
EXPENDITURE
TOTALS
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
UNLESS ITEMIZED
$
a
4. TOTAL POLITICAL EXPENDITURES
$ 0
CONTRIBUTION
BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD11
'J I
µl
OUTSTANDING
LOAN TOTALS
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD
$ /)
(`
18 AFFIDAVIT
I swear, r affirm, under penalty of
perjury, that the accompanying report is
ation required to be reported by me
u
1M�
el
* ,
`4
LEE WOODWARD
NOTARY PUBLIC
* STATE OF TEXAS
MY COMM. EXP. 2/19/21
ID 12881 2
true a d co : and incl : -!- all info
unde Title 1 Electipfi C • , -
( i
',wilttil
vivissomenviseatEARY
AFFIX NOTARY STAMP / SEAL ABOVE
Swom to and subscribed before me, by
da of _Q►_ , 20 -1 , to
the said
ignatur of Candida - or • ceholder
\a:� WC 11 this the p
certify which, witness my hand and' al of office.
\--Uti-\.)---) DA -L)1,)4 Cl_C-Ri-k-
k...511
,-
Si nature of offi : administering oath Printed name of officer administering oath Ttl officer administering o th
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 9/8/2015
orms 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
L A J M674-vbiltl-
20 Filer ID (Ethics Commission Filers)
21
SCHEDULE SUBTOTALS
NAME OF SCHEDULE
SUBTOTAL
AMOUNT
1.
1 I SCHEDULE Al: MONETARY POLITICAL CONTRIBUTIONS
$
0
2.
SCHEDULE A2: NON -MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS
$ 0
3.
n SCHEDULE B: PLEDGED CONTRIBUTIONS
$
0
4.
SCHEDULE E: LOANS
$ �^1
�0/
5.
n SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
6.
I I SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
$ U
7•
n SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$ V
8.
n SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD
$ C)
9.
n SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
$
0
10.
n SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH
$ 0
11.
SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$ 0
12.
nSCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS
RETURNED TO FILER
$
orms provided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 9/8/2015