Williamson Semi July 2018CANDIDATE / 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.
3 CANDIDATE/
OFFICEHOLDER
MS /MRS FIRST MI
OFFICE USE ONLY
NAME
G.Vr�/nIL— /J
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Date Received
NICKNAME LAST SUFFIX
1&4,
RECEIVED
4 CANDIDATE/
OFFICEHOLDER
ADDRESS / PO BOX; I APT / SUITE #; CITY; STATE; ZIP CODE
�
❑Change of Address
/��
OFFICE OF CITY SECRE
5 CANDIDATE/
le
6 CAMPAIGN
MS/MRS/MR FI ST MI
Receipt #
Amount $
TREASURER
Date Processed
NAME
. . . . . . . . . . . y.
NICKNAME LAST SUFFIX
toi��� �
Date Imaged
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE;
ZIP CODE
TREASURER
(Residence or Business)
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
(
9 REPORT TYPE
January 15 F-1 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
/ %b / a THROUGH 7 /
/-r//f
11 ELECTION
ELECTION DATE
ELECTION TYPE
❑ Primary ❑ Runoff ❑ Other
Month Day Year
Description
❑ General ❑ Special
12 OFFICE
OFFICE HELD (if any)
s�Iwl� ix
13 OFFICE SOUGHT (if known)
Ilk
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
'ARY
CANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME it r
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 OFFICEHOLDER's
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
FIGENERAL
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
a
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
D
EXPENDITURE
TOTALS
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
/)
UNLESS ITEMIZED
v
4. TOTAL POLITICAL EXPENDITURES
$ d
TION
CONTRIBUTION
BALOF
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
3.
REPORTING PERIOD
OUTSTANDING
LOAN TOTALS
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
$
LAST DAY OF THE REPORTING PERIOD
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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 b me
CAROL ANN BORGES q P y
Notary PUbIIC, State Of Texas under Title 15, Election Code.
%r�.� COmm, Expires 11-12-2021
A
'i�rt`� NCtary ID 128100482 /1
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP/SEALABOVE
A �� ��L'Gi?�LrN /7ye-
Sworn to and subscribed before me, by the said this the
day of rti 20 le-f to certify which, witness my hand and seal of office.
Signature of officer administering o h Printed name of officer administering oath Title of officer administering oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015