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Hedspetch, Mader, semi-annual, 1-16-18CANDIDATE / 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 / NAMEOFFIC EHOLDER MS /MRS /MR FIRST MI ly eg- M�, n���✓ ICKN`AME AST SUFFIX -F0--Ort-5 l D D —3 ED5PEIGH` OFFICEUSEONLY Date Received LQ) 111Pi ti 4 CANDIDATE / ADDRESSMAILING n Change of Address ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE 1 02,), AYE. M/-/aill3vJIi7T7i32oOFFICEHOLDER 5 CANDIDATE/ OFFICEHOLDER PHONE AREA CODE PHONE NUMBER EXTENSION /0 ` 83 8- /3(i3 2 ' = _ 4 Ijand-d ivere or Da a Postmarked 6 CAMPAIGN TREASURER NAME NAME MS /MRS /MR /j FIRST MI /�l'�ADE?7 A // (` NICKNAME LAST SUFFIX ' -T0-6775 ��asP c� I✓i = eipt # Amount $ g rIcess ( /1/ 14) )v (/ •-g ,/ 1/I6 IV 7 CAMPAIGN TREASURER or Business) STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; P ODE ��/ / J h�L %� j J`/ADDRESS%O ct AVE /1 V/ 1/.11`•Y i f / r --F"( ' 775(Residence act 8 CAMPAIGN PHONE AREA CODE PHONE NUMBER EXTENSION (2/ V ) TQ3g J q3 JTREASURER 9 REPORT TYPE January 15 30th day before election I I Runoff 15th day after campaign fvf treasurer appointment (Officeholder Only) I July 15 8th day before election Exceeded $500 limit Final Report (Attach C/OH - FR) 10 PERIOD COVERED Month Day Year Month Day Year �J /0/30 /2011 THROUGH //2/3/ hvI / 11 ELECTION ELECTION DATE Month Day Year I I /C 1 /2.07 1 1 Primary LJ V General ELECTION TYPE Runoff n Other Description Special 12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known) n-fy (?ounci l MLS 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 15 Filer ID (Ethics Commission Filers) 16 NOTICE FROM POLITICAL COMMITTEE(S) 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 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 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)/ $ l/ TOTALS EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED $ 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 $0 18 AFFIDAVIT I that the is LEE WOODWARD ti�rr +P NOTARY PUBLIC * , k* STATE OF TEXAS `k or., MY COMM. EXP. 2/19/21 NOTARY ID 12681012-9 swear, or affirm, under penalty of perjury, accompanying report true and correct and includes all information required to be reported by me under Title 15, Election Code. / /&i&'/ Signature of Candidate or Of eholder AFFIX NOTARY STAMP / SEAL ABOVE Sworn to and subscribed before me, by the said \\()D)\„5"\ (�i� Q this the K I LlJ da o ;r►►_ - a, , 20 1 •ftp , to certify which, witness my hand anal of office. CJS --a_c__,, �Y+�� S ature of officer administering o- h Printed name of officer administering oath Ti le 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 evise SUBTOTALS - C/OH FORM C/OH COVER SHEET PG 3 19 F L NAME lady reFd6pe+c/Ii 20 Filer ID (Ethics Commission Filers) 21 SCHEDULE SUBTOTALS NAME OF SCHEDULE SUBTOTAL AMOUNT 1. SCHEDULE Al : MONETARY POLITICAL CONTRIBUTIONS $ 0 2. I I SCHEDULE A2: NON -MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS $ D 3. SCHEDULE B: PLEDGED CONTRIBUTIONS $ D 4. I 1 SCHEDULE E: LOANS $ a 5. I I SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 19 6. I I SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 7. SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ 0 8. I I SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 0 9. I I SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ Q 10. I I SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ O 11. 1 1 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 evise