Loll, Clyde, semi-annual, 1-18provided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 9/8/2015
CANDIDATE / 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 file
3
CANDIDATE/
OFFICEHOLDER
NAME
ms/ MRS /►t/IR ) FIRST �^ Ml
`� � Ci-C
NICKNAME LAST SUFFIX
L011
OFFICE USE ONLY
Date Received
B,
4 CANDIDATE /
OFFICE OLDER
ADDRESS
Change of Address
ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
I / 3 7 L, / / ' 4:t 5 /�
I4/l-.5tAK lle / 7u734'
5
CANDIDATE/
OFFICEHOLDER
PHONE
AREA CODE PHONE NUMBER EXTENSION
\
( \ i3/.? / 2,,i1-- 4047
Date a d-de eredr Da
a
Postmarked
r
6
CAMPAIGN
TREASURERA
M /M
S RS/pot ► FIRST
`/ ] 1
Vl/
NICKNAME LAST
5fry
t #
pil •UJ
/jnNAME
la..
Amount
$
D ? f a
� SUFFIX
SUFFIX � L )3
g 's16
7 CAMPAIGN
TREASURERDS
ADDRESS
(Residence or Business)
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; \ Z CODE
'l • % _ ��� \
Q,1 7/611.‘
(/ �K �-s�•L/G� �7
du,,,,,,54the / x ? 7al/c.
8
CAMPAIGN
TREASPHONE URER
AREA CODE PHONE NUMBER EXTENSION
( q 311 ) (161- 51,10
9
REPORT TYPE
January 15 I I 30th day before election I 1 Runoff I 15th day after campaign
treasurer appointment
(Officeholder Only)
I July 15 8th day before election Exceeded $500 limit I I Final Report (Attach C/OH - FR)
10 PERIOD
COVERED
Month Day Year Month Day Year
n �/ /� / g/ / / 7
/ D/ /iC v � 7 THROUGH
11 ELECTION
ELECTION DATE
Month Day Year
/ /
P1 Primary 1
I
H General 1 1
ELECTION TYPE
Runoff n Other
Description
Special
12 OFFICE
OFFICE HELD (if any)
eLCLn c ) main' -/W -JQ" '`,
13 OFFICE SOUGHT (if known)
GO TO PAGE 2
provided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 9/8/2015
CANDIDATE / OFFICEHOLDER
CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PGG 2 2
14 C/OH NAME
16 NOTICE FROM
POLITICAL
COMMITTEE(S)
Additional Pages
1,/,/dt 1 Li/
15 Filer ID (Ethics Commission Filers)
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
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
$
0
4. TOTAL POLITICAL EXPENDITURES
$
CONTRIBUTION
BALANCE
OUTSTANDING
LOAN TOTALS
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD
$
D
18 AFFIDAVIT
1
LEE WOODWARD
NOTARY PUBLIC
STATE OF TEXAS
MY COMM. EXP. 2/19/21
NOTARY ID 12681012..9
AFFIX NOTARY STAMP / SEAL ABOVE
Sworn to and subscribed beforee, by the said
, 20 1
ture of officer administering o th
I swear, or affirm, under penalty of perjury, that the accompanying report is
true and correct and includes all information required to be reported by me
under Title 15, Election Code.
Signure of Candidate or Officeholder
81\ UZI
to certify which, ness my hand and seal of office.
, this the
ADCIDI (Lk: --C-tAC
Printed name of officer administering oath rite jbf officer administerin 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
(,Q.@., d.t 1
1I(.
20 Filer ID (Ethics Commission Filers)
21
SCHEDULE SUBTOTAL
NAME OF SCHEDULE
SUBTOTAL
AMOUNT
1.
SCHEDULE A1: MONETARY POLITICAL CONTRIBUTIONS
$ 0
2.
SCHEDULE A2: NON -MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS
$
3.
SCHEDULE B: PLEDGED CONTRIBUTIONS
$ C'\
4.
1 1 SCHEDULE E: LOANS
$
L
5.
SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
6.
SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
$ V
7
SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$
8.
SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD
$
9.
SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
$ !1
10.
SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH
$
11.
SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
D
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