Montgomery, Mari, 30-day prior, 10-8-18CANDIDATE / 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 pag s fled:
3 CANDIDATE /
OFFICEHOLDER
NAME
/ Mme//MRS/MR FIRST MI
4 1'
NICKNAME LAST SUFFIX
oNTe)oM CR 1/4-1""��i
OFFICE USE ONLY
Date
v
Received
SI ��
'
I
4 CANDIDATE /
OFFICEHOLDERA
MAILING
ADDRESS
5 Change of Address
ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP ZIP COD/EL
! 5 / 5 / 2 - a � i� / 4;137'
J
5 CANDIDATE/
PHONE OFFICEHOLDER
AREA CODE PHONE NUMBER EXTENSION
(CM) T 3 9 _ (j/ // [ /
r `f(� I
n el verd Date Postmarked
ill
6 CAMPAIGN
TREASURER
NAME
M / MRS/ MR FIRST
i7 / �� L
NICKNAME LAST SUFFIX
irle
t # Amount $$
Ill
„ . ess ... c�[,
�' U
�j II/
S I D S A
P ODE /'
/ 3TC!
7 CAMPAIGN
ADDRESSTREASURER
(Residence or Business)
STREET ADDRESS (NO PO BOX PLEASE);/ APT/ SUITE #; CITY; STATE;
3( 03/1/S LG`?�--- �GL YI,I e
8 CAMPAIGN
TREAS
PHO EURER
AREA CODE ,� f PHONE NUMBER EXTENSION
) 5 q _, E-/„ 4
( /;3b "'i
9 REPORT TYPE
30th day before election Runoff ❑ 15th daey ar fter campaign
trY`��Y""'''���LLII (Officeholder Only)
8th day before election pi Exceeded $500 limit ❑ Final Report (Attach C/OH - FR)
January 15
July 15
10 PERIOD
COVERED
Month Day Year Month Day ear
/ f /2_U t THROUGH 9 /a -q--/,20/
11 ELECTION
ELECTION DATE
Month Day Year
t I / to /? \t'
❑ Primary ❑
XGeneral ❑
ELECTION TYPE
Runoff ❑ Other
Description
Special
12 OFFICE
OFFICE HELD (if any)
13 OFFICE SOUGHT (it kno ) I
PUn f5v// C1-.1 / a U n C /
p 0 5 4 — Af Lar9-e-
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 M A
A
0 NiC� U NAE lkY
15 Filer ID (Ethics Commission Filers)
16 NOTICE FROM
POLITICAL
COMMITTEE(S)
Additional Pages
THIS BOX IS FOR NOTICE OF POLMCAL CONTRIBUnONs ACCEPTED OR POLmCAL 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
COMMITTEE NAME
GENERAL
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
$
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
$
EXPENDITURE
TOTALS
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
UNLESS ITEMIZED
$
4. TOTAL POLITICAL EXPENDITURES
$ 33-3—. 20
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
$
t
18 AFFIDAVIT
I swear, or affirm, under penalty of perjury, that the accompanying report is
LEE WOODWARD
PUBLIC
STATE OF TEXAS
MY COMM. EXP. 2/19/21
NOTARY ID 126810129
true and correct and includes - nformation'r- • _' :• • be reported by me
und= itle 15, io
i''NOTARY
�j
✓//
AFFIX NOTARY STAMP / SEALABOV E
w
Signature of Candid- e or Officeholder
44)
(� �{
Sworn to and s bscribed before me, by the said 1 1 91 f3r�i , this the v
d y f r` , 20
I 0 to certify which, witness my hand anti meal of office.
p-eN....•)v /NU-- CXX\ - Lt-'"---A ___:„A.._ Scra
Si atu e of o icer administering ath Printed name of officer administering oath Title of officer administ ng oath
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 9/8/2015
Forms provided by Texas Ethics Commission
www. eth i cs . state. tx . u s
Revised 9/8/2015
SUBTOTALS - C/OH FORM C/OH
COVER SHEET PG 3
19
FILER NAME
Pqe_ I UADNfCOMe'--
20 Filer ID (Ethics Commission Filers)
21
SCHEDULE SUBTOTALS
NAME OF SCHEDULE
SUBTOTAL
AMOUNT
1.
n SCHEDULE A1: MONETARY POLITICAL CONTRIBUTIONS
$
2.
E SCHEDULE A2: NON -MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS
$
3.
n SCHEDULE B: PLEDGED CONTRIBUTIONS
$
4.
SCHEDULE E: LOANS
$
5-
SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
6.
n SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
$
7.
n . SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$
8.
IIT SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD
$ /53+,30
9-
SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
$
10.
SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH
$
11.
SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
12
1 SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS
L_ RETURNED TO FILER
$
Forms provided by Texas Ethics Commission
www. eth i cs . state. tx . u s
Revised 9/8/2015
EXPENDITURES MADE BY CREDIT CARD SCHEDULE F4
EXPENDITURE CATEGORIES FOR BOX 10(a)
Advertising EVent Expense Loan Repayment/Reimtxnsement Solicitation/Fundraising Expense
Consulting Expense Food/Beverage Expense Polling ng Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense
Contributions/Donations Made By Gift/Awards/Memorials ExpenseExpense Travel OutIn Of Dt
Candidate/Officeholder/Political Committee LegalSalari g Expense Other raDistrict
Services Salaries/Wages/CoMract Labor Other (enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F4:
2 FILER NAMEL
ti\ Ala l . M v N T( AAE\2 (
3 Filer ID (Ethics Commission Filers)
4 TOTAL OF UNITEM IZED EXPENDITURES CHARGED TOACREDITCARD
$ `S 3 ',D
5 Date
Ab 5kOiS
6 Payee name
S k(_-_, N13 /(,0 5
7 Amount ($)
53 nSi
8 Payee address; City; State; Zip Code
‘-k-6 r ,1 o orwArt 6, Or 1 i 315
9 TYPE OF
EXPENDITURE
K Political Non -Political
10
PURPOSE
OF
EXPENDITURE
(a) Category (See Categories listed at the top of this schedule)
F 3 C. \ .J r--\--,. Q s \ 11n ��C 1(i� M,
�1'� �
(b) Description
❑ Check if travel outside of Texas. Complete Schedule T.
❑Check if Austin, TX, officeholder living expense
11 Complete ONLY if direct
Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
TYPE OF
EXPENDITURE
Political Non -Political
PURPOSE
OF
EXPENDITURE
Category (See Categories listed at the top of this schedule)
Description
❑ Check if travel outside of Texas. Complete Schedule T.
Check if Austin, TX, officeholder living expense
Complete ONLY if direct
Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 9/8/2015