Muller Semi Jan 2019CANDIDATE / 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 /
MS r MRS / MR FIRST
MI
OFFICE USE ONLY
OFFICEHOLDER
Received
NAME
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NICKNAME LAST
fDate
SUFFIX
RECEIVED
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q CANDIDATE /
ADDRESS / PO BOX; APT / SUITE #; CITY;
STATE; ZIP CODE
OFFICEHOLDER
DEC 2 8 2018
MAILING
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❑ Change of Address
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OFFICE OF CITY SECRETA ti
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5 CANDIDATE/
AREA CODE PHONE NUMBER
EXTENSION
Date Hand -delivered or Date Postmarked
OFFICEHOLDER
PHONE
R/ 7
6 CAMPAIGN
MS / MRS / MR FIRST
MI
Receipt #
Amount $
TREASURER
--
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Date Processed
NAME
. . . . . . . • .
. . . . . . . .
NICKNAME LAST
SUFFIX
Date Imaged
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7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE
TREASURER
ADDRESS
Business)
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/ 7
(Residence or
8 CAMPAIGN
AREA CODE PHONE NUMBER
EXTENSION
TREASURER
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/
PHONE
9 REPORT TYPE
January 15 30th day before election
❑
15th day after campaign
Runoff y
treasurer appointment
(Officeholder Only)
July 15 ❑ 8th day before election
Exceeded $500limit Final Report (Attach C/OH - FR)
10 PERIOD
Month Day Year
Month Day Year
COVERED
L� / /5 / ,Zp/
THROUGH
11 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
❑ Primary
❑ Runoff ❑ Other
Description
a 5—/ G rA?
N General
❑ Special
12 OFFICE
OFFICE HELD (if any)
13 OFFICE SOUGHT (if known)
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Rpvicpri 9/8/2015
Forms provided by Texas Ethics Commission www.e61!os.st1re.tX.d5
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 OFFICEHOLDERS
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
f - 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 TOTALS 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
UNLESS ITEMIZED $
4. TOTAL POLITICAL EXPENDITURES $
CONTRIBUTION
BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
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
, 'A tys•., MICHELLE DEVOSS under Title 15, Election Code.
MY COMMISSION EXPIRES
Sepifter 26, 2D19
Signature of Candidate or O Iceholder
AFFIX NOTARY STAMP / SEALABOVE /�� `
Sworn to and subscribed before me, by the said 16�" '—.Ca M L�'/Ie-e-- this the a(?
day of pece/YN-64-�- , 20 L$ to certify which, witness my hand and seal of office.
/��/� /�r/YOs S �Vl �'G+1'i � �� �.o'I�bS S O�'rQ �S for✓
Signature of officer administering oath 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