Williamson 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 l Instruction Guide explains how to complete this form.
3 CANDIDATE/
OFFICEHOLDER
MS / MRS R FIRST MI
n_ /J
At
OFFICE USE ONLY
NAME
14"
. . . . . . . . . . . . .
Dale Rece
NICKNAME LAST SUFFIX
f"t,(,J ��i
i i+iforl
1)1,
JA 1 a
4 CANDIDATE/
ADDRESS / O BOX; APT / SUITE #; CITY; STATE; ZIP CODE
OFFICEHOLDER
MAILING
�
FFICE OF CITY SECRETA
[:]Change of Address
5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER//
/(
Date Hand -delivered or Dat o tmarked
PHONE
44,5
6 CAMPAIGN
TREASURER
MS / MRS / MR FILMI
Receipt #
Amount $
Date Processed
NAME
. . . . . . . . . . . . . . .
/. . . . . . . .
NICKNAME LAST SUFFIX
W) ;/ iA w � /
� �
Date Imaged
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE;
ZIP CODE
TREASURER
ADDRESS
(Residence or Business)
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
PHO
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
/ / /`// f THROUGH / /
/�/ /"
/
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)
17-A
y//ate y
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Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
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
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
1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
$
TOTALS
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
2. TOTAL POLITICAL CONTRIBUTIONS
THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
$
(OTHER
TOTALS EXPENDITURE
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
$ D
UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES
$ 0
CONTRIBUTION
BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
$ 3'
OF REPORTING PERIOD
OUTSTANDING
LOAN TOTALS
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
$
LAST DAY OF THE REPORTING PERIOD
18 AFFIDAVIT
I swear, or affirm, under penalty of perjury, that the accompanying report is
Amy Shelley true and correct and includes all information required to be reported by me
Notary Publicunder Title 15, EI do Code.
State of Texas
Eca,
MY COMM. Exp. 12/02/19
Notary ID# 12476110-5
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP/SEALABOVE
�% I' I
Mfg � e, tI I I�
Sworn to and subscribed before me, by the said �1 W I this the
day of&OLL&N 20 (pl to certify which, witness my hand and seal of office.
(
Signal of officer ad nistering oath Printed a of officer adiistering oath Title of officer administering oa
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015