Muller Semi July 2017CANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT
COVER SHEET PG 1
1
Filer ID (Ethics Commission Filers)
2 Total pages filed:
The C/OH Instruction Guide
explains how to complete this form.
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3 CANDIDATE/
Mqj KARS / MR FIRST
MI
OFFICE USE ONLY
OFFICEHOLDER
—
Date Received ff
NAME
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NICKNAME LAST
SUFFIX
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4 CANDIDATE/
ADDRESS / PO BOX; APT / SUITE #; CITY;
STATE; ZIP CODE
OFFICEHOLDER
MAILING
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ADDRESS/j`
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OFFICE OF CITY SECR
❑ Change of Address
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5 CANDIDATE/
AREA CODE PHONE NUMBER
EXTENSION
Hand-delivered or Date Postmarked
OFFICEHOLDERDate
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PHONE
6 CAMPAIGN
S / RS / MR FIRST
MI
Receipt #
Amount $
TREASURER
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Date Processed
NAME
. . . . . . . . . . . .�/~�. . . . . . . . .
NICKNAME LAST
SUFFIX
Date Imaged
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE;
ZIP CODE
TREASURER
ADDRESS
_
/� D 13 61 q/ 3 �3 S :S%yL� �— 7<
(Residence or Business)
8 CAMPAIGN
AREA CODE PHONE NUMBER
EXTENSION
TREASURER�D
n
Oof
PHONE
9 REPORT TYPE
❑ January 15 ❑ 30th day before election
Runoff
15th day after campaign
treasurer appointment
(Officeholder Only)
July 15 ❑ 8th day before election
Exceeded $500 limit
Final Report (Attach C/OH - FR)
10 PERIOD
Month Day Year
Month
Day Year
COVERED�j
0j / � � '17
THROUGH
11 ELECTION
ELECTION DATE
ELECTION TYPE
❑ Primary
❑ Runoff ❑ Other
Month Day Year
Description
General
❑ Special
12 OFFICE
OFFICE HELD (if any)
13 OFFICE SOUGHT (if known)
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Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revlsea U/n/2ul !)
:TARY
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME
15 Filer ID (Ethics Commission Filers)
16 NOTICE FROM
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
POLITICAL
SUPPORT THE CANDIDATE / OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDERS
COMM ITTEE(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
F1 GENERAL
COMMITTEE ADDRESS
SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
Additional Pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION
1, TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
$
TOTALS
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
!'
2. TOTAL POLITICAL CONTRIBUTIONS
$ �-
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE
3 TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
TOTALS
UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES
$ /
CONTRIBUTION
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
$
BALANCE
OF REPORTING PERIOD
OUTSTANDING
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
$
LOAN TOTALS
LAST DAY OF THE REPORTING PERIOD
18 AFFIDAVIT
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.
CAROL ANN BORGES
Notary Public, State of Texas
11-12.2021 c�
Q= Comm. Expires
tof0 Notary ID 128100482 Signature of Candidate or Officeholder
AFFIX NOTARY STAMP/ SEALABOVE
Sworn to and subscribed before me, by the said"�i2 �`�� %� this the
day of 20 % to certify which, witness my hand and seal of office.
Signature of officer administering lath Printed name of officer administering oath Title of officer administering oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us nevizseu .7/o/LV IU