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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. !� A 3 CANDIDATE/ Mqj KARS / MR FIRST MI OFFICE USE ONLY OFFICEHOLDER — Date Received ff NAME A".7%//* NICKNAME LAST SUFFIX nI f V 0� 1 4 2017 4 CANDIDATE/ ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE OFFICEHOLDER MAILING S ADDRESS/j` �r s���ov� 134 T OFFICE OF CITY SECR ❑ Change of Address f' ,�7/ 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION Hand-delivered or Date Postmarked OFFICEHOLDERDate /7 ) yge -col PHONE 6 CAMPAIGN S / RS / MR FIRST MI Receipt # Amount $ TREASURER �-- 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) o"wn-1 I,Z C S-- GO TOPAGE 2 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