Hedspetch, Mader, 1-17 semi-annual, 8-18-17Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 9/8/2015
CANDIDATE / OFFICEHOLDER
CAMPAIGN FINANCE REPORT
FORM C/OH
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
MRS / MR F RST
l/r
NICKNAME LAST
�,> I 0 6 e i
MI
SUFFIX
OFFICE USE ONLY
Date Received
/)--74
I
CANDIDATE /
OFFICEHOLDER
MAILING
ADDRESS
U Change of Address
ADDRESS / PO BOX; APT / SUITE #; CITY; STATE;
]Z2 4-vei'1
r
ZIP CODEl�
5
CANDIDATE/
OFFICEHOLDER
PHONE
AREA CODE PHONE NUMBER EXTENSION
��fJ ��� �n��
( '3 �'1/
i:` and- livered or Da Postmarked
c it tn
CAMPAIGN
TREASURER
NAME
FIRST
n(/(
NICKNAME LAST
l
oots Re f
MI
-
SUFFIX /
#6 Amount
�
$
•�� 'ro esse Q
>' p D ) O,
I 1
m e J U
1 1
7
(Residence
CAMPAIGN
TREASURER
ADDRESS
or Business)
r
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY;
p
2.2 Aye /14 ��t♦`�v
STATE; ZIP CODE
�13O
8
CAMPAIGN
TREASURER
PHONE
AREA CODE PHONE NUMBER EXTENSION
l V ) I / �in (� 638 - 3053
9
REPORT TYPE
January 15 30th day before election I I Runoff 15th day atter campaign
treasurer appointment
(Officeholder Only)
n July 15 8th day before election I Exceeded $500 limit I 1 Final Report (Attach C/OH -FR)
10 PERIOD
COVERED
Month Day Year
10 /h0/2_09 I 9 THROUGH
Month Day Year
1,4,/it. /(2ZO1rh
11 ELECTION
ELECTION DATE
Month Day Year
nj �nI �j�
�
1 1 / 0 V/Z't/ 11�
❑ nmary ❑ Runoff
General ❑ Special
ELECTION TYPE
❑ Other
Description
12 OFFICE
OFFICE HELD (i1 any)
13 OFFICE SOUGHT (if known) `
AA
Ci�i Caccnt �fcmMr'o
1l&
ort3
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 NAME15
M a &r�.1ieds eTch
Filer ID (Ethics Commission Filers)
16 NOTICE FROM
POLITICAL
COMMITTEE(S)
n Additional Pages
THIS BOX I5 FOR NOTICE OF POLrCAICONTRIBUTIONS ACCEPTED OR POLfCAL 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 F 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
$
0
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
UNLESS ITEMIZED
$
P
$
TOALS EXPENDITURE
4. TOTAL POLITICAL EXPENDITURES
$ 0
CONTRIBUTION
BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
$
OUTSTANDING
LOAN TOTALS
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD
/�
$ ( /
I�
18 AFFIDAVIT
swear, or affirm, under penalty of perjury, that the accompanying report is
LEE WOODWARD
NOTARY PUBLIC
* * STATE OF TEXAS
"44.000.t.� MY COMM. EXP. 2/19/21
ID 12681012-9
true and correct and includes all information required to be reported by me
under Title 15, Election Code.
Avii---"&l,NOTARY
Signature
AFFIX NOTARY STAMP / SEALABOV E ,��(�l
Sworn and subscribed before me, by the said 1 ' f Qi C X
of Candida or Officeholder
I
\ , this the 15C
d. ofI--1 },lS 20
, to certify which, witness my hand nd seal of office.
K..._ "...A _C
_,.nature of officer administering oath Printed name of officer administering oath Titl of officer administering ath
111
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 ME
ad&r ecus/ &c'i
20 Filer ID (Ethics Commission Filers)
21
SCHEDULE SUBTOTALS
NAME OF SCHEDULE
SUBTOTAL
AMOUNT
1.
SCHEDULE A1: MONETARY POLITICAL CONTRIBUTIONS
$
2.
I J SCHEDULE A2: NON -MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS
$
3.
f I SCHEDULE B: PLEDGED CONTRIBUTIONS
$
4.
SCHEDULE E: LOANS
$
5.
SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
6.
1 1 SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
$
7.
SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$
8.
SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD
$
9•
I 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.
I I SCHEDULE 1: 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
Revised 9/8/2015