Humphrey, Tish, semi-annual, 7-17-17CANDIDATE / 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
NAME
MS MR FIRST. MI
1
Le ���� 0.
OFFICE USE ONLY
NICKNAME LAST SUFFIX
Date Received
4 CANDIDATE /
OFFICEHOLDER
MAILING
ADDRESS
I I Change of Address
ADDRESS i PO BOX; APT / SUITE #; CITY:STATE ZIP CODE
3 D J Po f -e5 T 1- 0L.,(\ e- -7 7 390
\`
�� g v'AVQT
5 CANDIDATE/
OFFICEHOLDER
PHONE
AREA CODE PHONE NUMBER EXTENSION
L •t- d-delive ••d or
( i � 57 7 — z o c� ( -7
to Pos
1-7MS
ar^kedd
6 CAMPAIGN TREASURER
NAME
/MRS / MRFIRST MI ei
M�
Amount
e 5 c� r' else.
NICKNAME LASTnSUFFIX ' )77
1
1
A \ e 0-Y4er
f
,�� / -7 / h7
D411.E
7 CAMPAIGN
TREASURER
ADDRESS
(Residence or Business)
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY: STATE;
(�1/ �3 b 0.Z b s r
/--k) (ttS vale T 773` 0
8 CAMPAIGN
TREASURER
PHONE
AREA CODE PHONE NUMBER EXTENSION
� '�
( q3(Q� O 1- 3(. o3
9 REPORT TYPE
I I January 15 I I 30th day before election 1 I Runoff I 15th day after campaign
treasurer appointment
(Officeholder Only)
July 15 I I 8th day before election [ Exceeded $500 limit I I Final Report (Attach DOH - FR)
10 PERIOD
COVERED
Month Day Year Month Day Year
1
D r/O // O I 1 THROUGH 0(9/30 /0-U 1 7
11 ELECTION
ELECTION DATE
Month Day Year
�7 /I5.-
1 t / 3
ELECTION TYPE
❑ Primary [1 Runoff ❑ Other
Description
General I Special
12 OFFICE
OFFICE HELD (0 any)
Co�nc�\ �at``tkUeC'
13 OFFICE SOUGHT (0 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/OH NAME -Li_ t I
eft" TI ( \sVl. I--1Upip )re
15 Filer ID (Ethics Commission Filers)
16 NOTICE FROM
POLITICAL
COMMITTEE(S)
I-7 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 OFFICEHOLDERS
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
�(
$ ?(`fes,
2. TOTAL POLITICAL. CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
$
EXPENDITURE
TOTALS
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
UNLESS ITEMIZED
$ I n T o 4
�v1 `a'\J
,p
4. TOTAL POLITICAL EXPENDITURES
0
$ I C,
BALANCE CONTRIBUTION
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
$7 3
3 `/1.
OUTSTANDING
LOAN TOTALS
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD
$
0
18 AFFIDAVIT
I
perjury, that the accompanying report is
required to be reported by me
4-(1) .
N.
AFFIX
Sworn to
d of
4` meu
* ;` *
LEE WOODWARD
NOTARY PUBLIC
STATE OF TEXAS
MY COMM. EXP. 2/19/21
NOTARY ID 12681012-9
swear, or affirm, under penalty of
true and correct and includes all information
under Title 15, Election Code.
c 'e J.i
NOTARY STAMP/
and ubscribed
SEALABOVE
before me,
, 20 ,
by the said
to certify
\-.431,
,7Signature of Candidate or fficehol
)...._a.kk\a,\\Lirno, , this the '
which, witness my hand and seal of off
6_..(^kt.,,, 0,....„‘.....2,111/k
ature of officer administering oath Printed name of officer administering oath Tit of officer administering oath
Forms 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
FILER NAME�/
L e f H a_ is k 0 cn el, re/
20 Filer ID (Ethics Commission Filers)
21
SCHEDULE SUBTOTALS
NAME OF SCHEDULE
SUBTOTAL
AMOUNT
1.
SCHEDULE A1: MONETARY POLITICAL CONTRIBUTIONS
$ ;2/
2.
SCHEDULE A2: NON -MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS
$(21
3.
SCHEDULE B: PLEDGED CONTRIBUTIONS
$ S f.
4.
1 I SCHEDULE E: LOANS
$ 0.
5.
SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$ //J
6.
SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
$
7.
I I SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$
6.
SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD
$
Of
9•
SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
$
10.
SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH
$
11.
SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$ / //
12.
1
I
I0
SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS
RETURNED TO FILER
$
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 9/8/2015