Humphrey, Tish, semi-annual, 7-11-18CANDIDATE / 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 /
OFFICEHOLDER
R FIRST MI
OFFICE USE ONLY
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NAME
Date
NICKNAME LAST SUFFIX
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Received
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4 CANDIDATE /
AILINGOFFICEHOLDER
MAILING
ADDRESS
❑ Change of Address
ADDRESS i PO BOX; APT 7 SUITE #; CITY; S[rAT�; ZIP CODE
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5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER
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6 CAMPAIGN
TREASURER
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NAME
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NICKNAME LAST SUFFIX 0 (Ii/
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7 CAMPAIGN
TREASURER
ADDRESS
(Residence or Business)
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP •DE
1
\ IQ aNAS C' Q N
/ /
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8 CAMPAIGN
TREASURER
PHONE
AREA CODE PHONE NUMBER EXTENSION
( )
q act--S3'3, .:D
9 REPORT TYPE
January 15 I I 30th day before election Runoff I 151h day after campaign
treasurer appointment
(Officeholder Only)
prJuly 15 I 1 8th day before election I Exceeded $500 limit I I Final Report (Attach C/OH - FR)
10 PERIOD
COVERED
Month Day Year Month Day Year
0' / 0 / / 3 O/ caO i g
2 d 1 8- THROUGH oC/CS
11 ELECTION
ELECTION DATE
Month Day Year
/ /
ELECTION TYPE
❑ Primary ❑ Runoff I 1 Other
Description
u General I I Special
12 OFFICE
OFFICE HELD (if any)
C c unCM\ f' cern\e c•
lio 0,4 Z
13 OFFICE SOUGHT (if known)
GO TO PAGE 2
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
evise
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME‘
r t
15 Filer ID (Ethics Commission Filers)
16 NOTICE FROM
POLITICAL
COMMITTEE(S)
❑ Additional Pages
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPOR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
SUPPORT THE CANDIDATE / OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES 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
j
$ .I2
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
$ D
CONTRIBUTION
BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
$ % 3
a I i
OUTSTANDING
LOAN TOTALS
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD
$ /°/
18 AFFIDAVIT
I swear, or affirm, under penalty of
perjury, that the accompanying report is
required to be reported by me
r
/
iAli_/,
AFFIX NOTARY
Sworn to
da of
LEE WOODWARD
NOTARY PUBLIC
STATE OF TEXAS
MY COMM. EXP. 2/19/21
NOTARY ID 12681012-9
true and correct and includes all information
under Title 15, Election Code.
�
* ,*
��"
OF
voisomimosiamommommosommossummoposimpow
STAMP/ SEAL ABOVE
and ubscribed before me,
_L , 20 1t ,
by the said
to certify which,
Signature of Candidate or Offic- older
` ` A l u f I , this the I \
witness my hand an seal of nflice.
a,n=ture of officer administering oath Printed name of officer administering oath Title f officer administering oat
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 JF/ore
Lehft � %'s Ix ,,
20 Filer ID (Ethics Commission Filers)
21
SCHEDULE SUBTOTALS
NAME OF SCHEDULE
SUBTOTAL
AMOUNT
1.
I I SCHEDULE A1: MONETARY POLITICAL CONTRIBUTIONS
$q5
2.
E SCHEDULE A2: NON-MONETARY(IN-KIND) POLITICAL CONTRIBUTIONS
$
c15
3.
n SCHEDULE B: PLEDGED CONTRIBUTIONS
$0
4.
SCHEDULE E: LOANS
$ P.
5.
n SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
c
6.
SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
$
7.
SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$
8.
E SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD
$
9.
n SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDSOr
$
10.
n SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH
$
11.
SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
12
fj SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS
I ' RETURNED TO FILER
$
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 9/8/2015