Loll, Clyde, 30-day prior, 10-8-18CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
The C/OH Instruction Guide explainshow to complete this form.
1 Filer ID (Ethics Commission Filers)
2 Total pages filed:
3 CANDIDATE /
OFFICEHOLDER
NAME
MS / MRS /e FIRST de MI
�/ G/
NICKNAME LAST SUFFIX
Lv ll
OFFICE USE ONLY
Date
\
Received
D Irx�
U
4 CANDIDATE /
MAILING OFFICEHOLDER
ADDRESS
n Change of Address
ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
/ C G e -7,6s- ) G. ,�
G1„
/ � t/i//- / 7 7. %56/ d
5 CANDIDATE/
OFFICEHOLDER
PHONE
AREA CODE PHONE NUMBER EXTENSION
/� 2/- /, / / )
( g 3I}I � 2' ` /— 661
D to
an-delive d or D e Po tm ed
10 pg
6 CAMPAIGN
TREASURER
NAME
MS / OOFtS+/ MR FIRST MI
ll:://
>
NICKNAME LAST SUFFIX
lel
Rece'.t
t
#
mount $
��• ;r.cessed h ��
V
f„4 :ged t�
- �11
7 CAMPAIGN
ADDRESSTREASURER
(Residence or Business)
STREET ADDRESS (NO PO BOX PLEASE);APT / SUITE #; CITY STATE;
C
/5 i e7P'nzs L=u-t-L
)_1L`vill'e 7 1733/4)
/4,1411S Vill'e
�' co
DE
8 CAMPAIGN
PHONE TREASURER
AREA CODE PHONE NUMBER EXTENSION
( 6134; ) q , / 04,7
9 REPORT TYPE
January 15 30th day before election Runoff 15th day after campaign
treasurer appointment
(Officeholder Only)
July 15 ❑ 8th day before election I Exceeded $500 limit Final Report (Attach C/OH - FR)
10 PERIOD
COVERED
Month Day Year Month Day Year
_ / F
O I c3/ , / /g 7 /..e6/(f
107 / O � /� THROUGH O
11 ELECTION
ELECTION DATE
Month Day Year
/ 1 / Q 4 / 9U/ if/—
•G
❑ Primary I I
IV General n
ELECTION TYPE
Runoff ❑ Other
Description
Special
12 OFFICE
OFFICE HELD (if any)
(0l0/01- "V) P' 1415e
pa 5 i+idyl 3
13 OFFICE SOUGHT (if known)
ae-e leC-441w' 41)
u,un,u,l rnum (4+- LAT Pas 3
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 ciy (( de J .
%/
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 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
$
0
2. TOTAL POLITICAL CONTRIBUTIONSj
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
$
6
EXPENDITURE
TOTALS
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
UNLESS ITEMIZED
$
0
4. TOTAL POLITICAL EXPENDITURES
$ ,, Y I Y
CONTRIBUTION
BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
$
. i 3
OUTSTANDING
LOAN TOTALS
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD
$
250, 0
18 AFFIDAVIT
Sworn
da
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.
( t
AFFIX
to
' of
LEE WOODWARD
NOTARY PUBLIC
STATE OF TEXAS
MY COMM. EXP. 2/19/21
NOTARY ID 12681012-9
AO
* ;
NOTARY STAMP
and ubscribed.
.4 ::f a4 I1.,
Pi14
/ SEALABOVE
before me, by
c�
20 v
the said
to certify
Signature of Candidate or Officeholder
l lie
64 Q-- I), Lam'' this the 0"\
which,
witness my hand and seal of office.
Si nature of officer administering o th Printed name of officer administering oath e of officer admini g 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
20 Filer ID (Ethics Commission Filers)
21
SCHEDULE SUBTOTALS
NAME OF SCHEDULE
SUBTOTAL
AMOUNT
1 •
1.4
$ ZSR ,
SCHEDULE AI: MONETARY POLITICAL CONTRIBUTIONS
2.
SCHEDULE A2: NON -MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS
$ ..-.-
3.
SCHEDULE B: PLEDGED CONTRIBUTIONS
$ --
4.
I I SCHEDULE E: LOANS
$
5.
$ ,l` q '.'JY
V SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
6.
I I SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
$
7.
SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$ —
8.
SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD
$
9.
I I 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.
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
LOANS
2 FILER NAME
The Instruction Guide explains how to complete this form.
4 TOTAL OF UNITEMIZED LOANS
5 Datc1 of loan
6 Is Irnder
a fiilariL al
Institution')
Y
7 Nance of lender out civ it( 'A0 :[DP
8 Lender address:
cLity. .late: Zip Cud,
d 3 ss e2 -161,0s- [j- , �fi v 7-g 773 <Lo
12 Principal e ,c iwation Job tole
14 Description of Collateral
_ rione
16 GUARANTOR
INFORMAL ION
--
17 Nan If of 1)11,1
13 Employ ,'Soo
1\1415a as
SCHEDULE E
T, Lc paae u r E
FIL
9 l_(100Arnounl
y3�t0G
10 Interr.i,i talc
11 Mal,ulty%late°
if6/o
'.. 15 Chock if personal funds ware deo ,i tI alto lx�lili� al
11CCOunt Iclruc'i
18 Guarantor address. City: Slate: Zip Cod..
20 Erincip it O cupation Otto Fisk ucUonsl
Date of loan Net c+f lender
s 1enrfti,
fi iiit al
11011U.chon"-1
Y N
19 A.,x> ,`I CJ .,ar<t itt (1
1 oil cr r.lrh 1C;
Lender address: City; Sitite: Zip Code
Principal occupation Job title rOoe Inslnic.lions;
Description of Collateral
n(111u
GUARANTOR
INFORMATION
Na,ne of guarant(1
i toployo, S , Insln,<
lutcrcalratc
CI•eck if personal funds wear dt;posited into polio c.3I
a( COunt ,SOC In'I� o tine-
Guarantor address: City: Skate: Zip Cods.
not apptic:able
Pr;r c aril C.)ri'upalion ,x..: I ti'nicuons,
I, I
Ani.)1.nt iic,a1.i Ula
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If lender is out-of-state PAC, please see instruction guide for additional reporting requirements.
Forms provided oy Texas Ethics Commission
www.othi013 state -'x us
R<2ns.:d 9 e
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS
SCHEDULE F1
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation sportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other (enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F1:
2 FILER NAME('
C. C.,
3 Filer ID (Ethics Commission Filers)
4 Datg`� / !
5 Payee name
Ffrdai* t: 11 s
6 Amount ($)
Li -rata- 4
7 Payee address; City; State; Zip Code
34gs ViOtef S—}-, J -//e
77 77361 o
8
PURPOSE
OF
EXPENDITURE
(a) Category (See Categories listed at the top of this schedule)
�,D�✓C( 11 S Vity 1. JL/J�" �",/ /je� {�'
(b) Description
Check if travel outside of Texas. Complete Schedule T.
1 1 Check if Austin, TX, officeholder living expense
9 Complete ONLY if direct
Candidate / Officeholder name
Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
PURPOSE
OF
EXPENDITURE
Category (See Categories listed at the top of this schedule)
Description
Check if travel outside of Texas. Complete Schedule T.
I I Check if Austin, TX, officeholder living expense
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
PURPOSE
OF
EXPENDITURE
Category (See Categories listed at the top of this schedule)
Description
Check if travel outside of Texas. Complete Schedule T.
1 I 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