Patton Semi Jan 2018CANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT
COVER SHEET PG 1
1 Filer ID (Elhics Commission Filers)
2 Total pages filed:
The C/OH Instruction Guide explains how to complete this form.
3 CANDIDATE/
OFFICEHOLDER
NAME
MS / MRS / AR FIRST MI
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OFFICE USE ONLY
Date Received
NICKNAME LAST SUFFIX
a t(OL'i
RECEIVED
4 CANDIDATE/
ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
OFFICEHOLDER
MAILING
ADDRESS
❑ Change of Address
C+,
�.Sk"tX 7lolJ� Z
�l�l\ 1 '?01,
OFFICE OF CITY SECRET
5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER
-Date Hared deltVlNd— Date Postmarked
PHONE
6 CAMPAIGN
MS / MRS/ fv1R ! FIRST MI
Receipt #
Amount $
TREASURER
NAME
. . . . . . . . . . . . t �t. . . . . . . . . . . . . . .
Date Processed
NICKNAME LAST SUFFIX
WLf �
Date Imaged
7 CAMPAIGN
TREASURER,
ADDRESS
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE;
L . C, h'131v -
ZIP CODE
(Residence or Business)
5V / 1.�-^ � /,��
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
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
COVERED
Month Day Year Month
THROUGH /
Day Year
11 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
❑ Primary ❑ Runoff ❑ Other
Description
❑ General ❑ Special
12 OFFICE
OFFICE HELD (if any)
13 OFFICE SOUGHT (if known)
jDircce- 3 c,"'f� cvL*t c i' C
GO TOPAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.N.us Revised 9/8/2015
RY
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 CANDIDATE s OR OFFICEHOLDER's
COMMITTEE(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
COMMITTEE ADDRESS
SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
Additional Pages
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)
0
EXPENDITURE
TOTALS
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
/l
$ C
UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES
$ C
CONTRIBUTION
BALANCOF
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
REPORTING PERIOD
Q
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
```G' CAROL ANN BORGES under Title 15, Election Code.
P b'�'
z`�PPY
_?i{ `i,_ Notary Public, State of Texas
.' `� Q Comm. Expires 11-12.2 021 —O�
Notary ID 128100482
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP/ SEALABOVE
Jb 1014 1 'AJ / t�
Sworn to// and subscribed before me, by the said `'��+ this the `
day af\l� ia,L'i