Patton Semi July 2018 CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT FST COVER SHEET PG 1
1 Filer ID (Ethics Commission Filers) 2 Total pages filed:
The C/01-11 instruction Guide explains how to complete this form.
3 CANDIDATE/ i MS/MRS R FIRST MI
OFFICEHOLDER pg / OFFICE USE ONLY
NAME j�t$C�r Date Received js
NICKNAME LAST SUFFIX RECEIVED
4 CANDIDATE/ I ADDRESS !PO BOX; APT I SUITE#; CITY; STATE; ZIP CODE J U L 1 3 2018
OFFICEHOLDER
MAILING
ADDRESS
❑ Change of Address OFFICE OF CITY SECR TARY
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDERDate Hand-deliv a or Date Postmarked
PHONE
6 CAMPAIGN
MS/MRS H FIRST MI Receipt# Amount$
TREASURER Vg
IL
NAME Date Processed
NICKNAME LAST SUFFIX
Date Imaged
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER ; �y
ADDRESS a L� ``
(Residence or Business)
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER ! ) _ Ll C
PHONE i
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)
1
10 PERIOD Month Day Year Month Day Year
COVERED THROUGH
I
t
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year E� Primary 7 Runoff ❑ Other
Description
I General Special
I i
I
12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known)
a �
� E
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Forms provided by Texas Ethics Commission www.ethics,state.tx.us Revised 9/8/2015
CANDIDATE / OFFICEHOLDER FOR c/®H
CAMPAIGN FINANCE REPORT COVER SHEET FIG 2
14 C/0I-1 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
COMMITTEE(S) KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REOUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE
OF SUCH EXPENDITURES.
COMMITTEE TYPE COMMITTEE NAME
O GENERAL
COMMITTEE ADDRESS
SPECIFIC
I
COMMITTEE CAMPAIGN TREASURER NAME
Cj 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)
TOTALS
EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
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
CAROL ANN BORGES under Title 15,Election Code.
+moo; eg Notary Public,State of Texas
CoNo a 5xpiras
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Signature of Candidate or Officeholder
AFFIX NOTARY STAMP/SEALABOVE e ,„
Sworn to and subscribed before �"
me, by the said C�r�A�G� ,"� e this the
day of 0[4 _20 G1 to certify which,witness my hand and seal of office.
m
Signature of officer administering oath Printed name of officer administering oath Title of officer Wdministering oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015