Montgomery, Lydia, final report, 5-14-18CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
C./OH Instruction Guide explains how to complete this form.
1 Filer ID (Ethics Coon Wens)
2 Total pages filed: oThe
5
3 CANDIDATE /
OFFICEHOLDER
NAME
MS /MRS/MR
rS
FIRST
AIL0.-,
MI
OFFICEUSE ONLY
NICKNAME
LAST
SUFFIX
Date Received
5
1 1 4 t
(A)
4 CANDIDATE /
OFFICEHOLDER
ADDRESS / PO BOX; APT / SUITE 5 CITY; t STATE; ZIP CODE
MAILING
((_
"(� )(j i &r s s •" N161e_
ADDRESS
II
Change of Address
v
TIM
5 CANDIDATE/
OFFICEHOLDER
AREA CODE PHONE NUMBER EXTENSION
I
PHONE
l t,
( Y ,) 22Q f _� CI f
D :: v . . ed or D tot Po arked
5 14 11
6 CAMPAIGN
NAME TREASURER
MS/MRS/MR FIRST MI
� J r. C ��+ S
Rec:' . 5
JOssed
Amount $
jjICK
NICKNAME LAST SUFFIX''
r
/ CJ^
• v
r
, ald
s
ly ic.4
7 CAMPAIGN
TREASURER
ADDRESS
(Residence or Business)
STREET ADDRESS (NO PO BOX E);
�d �S�
APT / SUITE
CITY; STATE; ZIP ►• I
{ o �( �% %(�
'1 L �L�� I� L ` '� i
"
8 CAMPAIGN
TREASPHONE URER
AREA CODE PHONE NUMBER EXTENSION
( Ik5 `f0 ` 2 1 Cl1f
9 REPORT TYPE
January 15 30th day before election Runoff ❑ 15th day after campaign
atgn
treasurer ent
(Officeholder Only)
yr July 15 ❑ 8th day before election I I Exceeded $500 limit Final Report (Attach C./OH - FR)
10 PERIOD
COVERED
Month Day Year Month Day Year
1 u `
t / /� l g THROUGH l+ / 30 /gof
11 ELECTION
ELECTION DATE
Month Day Year
/ /
ELECTION TYPE
❑ Primary ❑ Runoff ❑ Other
Description
❑ General ❑ Special
12 OFFICE
OFFICE HELD (it any)
13 OFFICE SOUGHT (d known)
GO TO PAGE 2
www.ethlcs.state.tx.us
Revised 9/8/2015
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME 1 <-
IL-4o� �J t �r '4 1 r-,
15 Filer ID (Ethics Commission Filers)
16 NOTTICAL M
POLITICAL
T BOX IS FOR NOTICE (. .. • ii, ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
SUPPORT THE T• -
COMMITTEE(S)
CAIIO®ATE - ., ... _- ,. , ., nay M4VE BEEN MADE WITHOUT THE CANDIDATE'S OR OFRCETIO DER'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
Additional Pages
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)
$
(,�,
() ` V
EXPENDITURE
TOTALS
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
UNLESS ITEMIZED
$
0I.ov
4. TOTAL POLITICAL EXPENDITURES
$
0 -UO
CONTRIBUTION
BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
$ / „OLf , O�
�(/
OUTSTANDING
LOAN TOTALS
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD
$
0.0D
18 AFFIDAVIT
ipu+`Y LEE WOODWARD
NOTARY PUBLIC
* is * STATE OF TEXAS
MY COMM. EXP. 2/19/21
NOTARY ID 12681012-9
I swear, or affirm, under penalty
true • . •, ect and includes
under �E I . `y
`�
'
of
all information
-
I444bFve
perjury, that the accompanying report is
required to be reported by me
&a
`Sign turn o-S'�.1 • - to or • ...
AFFIX NOTARY STAMP/ SEALABOVE
Sworn to and subscribed before me, by the saidL.is\\a- br pill\ this t
.. =r
e �i
,
• . y of ii J 20 to certify which, mess my hand
and t�t of office.
• _ . ture of • -..-r administering oath Printed name of officer administering oath rtle officer administering th
wwethi
w.cs.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
19LER NAME
L>k,«i
,.COQ
-el
20 Filer ID (Ethics Commission Filers)
21 SCHEDULE SUBTOTALS
NAME OF SCHEDULE
SUBTOTAL
AMOUNT
1.
LI SCHEDULE Al: MONETARY POLITICAL CONTRIBUTIONS
$
0
2.
I I SCHEDULE A2: NON -MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS
$
D
3-
I I SCHEDULE B: PLEDGED CONTRIBUTIONS
$
Q
4.
SCHEDULE E: LOANS
$
0 l
5.
SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
0
6.
I I SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
$
O
T•
SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$ 0
8.
SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD
$
O
9.
SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
$O
10
SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH
$
j
0
11.
!xi SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
(pv (t V 8
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
NON -POLITICAL EXPENDITURES
MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE 1
The Instruction Guide explains how to complete this form.
1 Total pages Schedule I:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
L dkC(_. a, t.
4 Date -t /^ f g/5
Payee name
c`�y,1 �(J� c I (( 1w
} ter, ' `j`_ t Vg2-- CH
6 Amount ($)
50 • DS
7 Payee address; City; State; Zip Code
-P.0t 10x =--is��.11 -I X 773z1-6
Vow-e
8
PURPOSE
OF
EXPENDITURE)0/
(a)Category (See instructions for examples of acceptable
categories.)
tile:(19 ACV) 60[11(
(Payee
(b) Description (See
required.)
"EA i
(a�
instructions
_O
V
regarding type of information
�� � l
Date
3-1 (cc (V
name
5 0 s--1-th r *±i (KC lees-4
Amount ($)
100' DO
7(
Payee address; City; State; Zip Code
60XdE37 (4,4,-,4,1,11e_. —rX rw3`E0
PURPOSE
OF
Category (See instructions for examples of acceptable
categories.)
eEXPENDITURE _
X41 obi C
Description (See instructions
required.)
ep FSS—ibil
regarding type of information
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
PURPOSE
OF
EXPENDITURE
Category (See instructions for examples of acceptable
categories.)
Description (See instructions regarding type of information
required.)
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
PURPOSE
OF
EXPENDITURE
Category (See instructions for examples of acceptable
categories.)
Description (See instructions regarding type of information
required.)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 9/8/2015
CANDIDATE / OFFICEHOLDER REPORT:
DESIGNATION OF FINAL REPORT
FORM C/OH - FR
The Instruction Guide explains how to complete this form.
-- Complete only if "Report Type" on page 1 is marked "Final Report" --
1 /OH NAME
3 SIGNATURE
Omer
?7*
2 Filer ID (Ethics Commission Filers)
I do not expect any further political contributions or political expenditures in connectio th
ing a report as a final report terminates my campaign treasurer appointment. I also
contributions or make any campaign expenditures without a campaign treasurer ap
4 FILER WHO IS NOT AN OFFICEHOLDER
-• Complete A & B below only if you are not an officeholder.
A. CAMPAIGN FUNDS
cy. I nderstand that designat-
may of accept any campaign
Ch k only one:
I do not have unexpended contributions or unexpended interest or income earned from political contributions.
I have unexpended contributions or unexpended interest or income earned from political contributions. I understand that I
may not convert unexpended political contributions or unexpended interest or income earned on political contributions to
personal use. I also understand that I must file an annual report of unexpended contributions and that I may not retain
unexpended contributions or unexpended interest or income earned on political contributions longer than six years after filing
this final report. Further, I understand that 1 must dispose of unexpended political contributions and unexpended interest or
income earned on political contributions in accordance with the requirements of Election Code, § 254.204.
1
B. ASSETS
Check only one:
I do not retain assets purchased with political contributions or interest or other income from political contributions.
0 I do retain assets purchased with political contributions or interest or other i
that 1 may not convert assets purchased with political contributions or inter
personal use. I also understand that I must dispose of assets purchase
requirements of Election Code, § 254.204.
from political contributions. I understand
rom •olitical contributions to
ions ' accordance with the
5 OFFICEHOLDER
•• Complete this section only if you are an officeholder •-
Q I am aware that I remain subject to filing requirements applicable to an officeholder who does not have a campaign treasurer on
file. I am also aware that 1 will be required to file reports of unexpended contributions if, after filing the last required report as an
officeholder, I retain political contributions, interest or other income from political contributions, or assets purchased with politi-
cal contributions or interest or other income from political contributions.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us
Signature of Officeholder
Revised 9/8/2015