Muller Semi July 2019Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 ACCOUNT # 2 Total pages filed:
The C/OH Instruction Guide explains how to complete this form.
(Flhics commission Filers)
3 CANDIDATE /
M /MRS/MR FIRST MI OFFICE USE ONLY
OFFICEHOLDER
�
NAME
N /' Date ReceiverRECEIVED
CK
NINAME LAST SUFFIX
JUL 1 1 2019
4 CANDIDATE /
ADDRESS/PO BOX; APT/SUITE#; CITY, STATE; ZIP CODE
OFFICEHOLDER
MAILING
ADDRESS
-2/f' OFFICEIOFdCIPTYS9bRETAR
❑ change of address
Receipt # Amount
AREA CODE PHONE NUMBER EXTENSION
5 CANDIDATE/
OFFI
(v
(91,7 ` '1`�AjlJTi,y_06e / Dat c edPHO �
EHOLDER
6 CAMPAIGN
';mT/MRS /MR FIRST MI Date Imaged
TREASURER
NAME
. . . . . . . %��lJ�fi
NICKNAME LAST SUFFIX
7 CAMPAIGN
STREETADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIPCODE '
TREASURER
-� ADDRESS
(residence or business)T�G'p�/
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
( zq%7 /\�� o�O?
PHONE
9 REPORT TYPE
flra7 January 15 ❑ 30th day before election E Runoff E] 15th day after campaign
1/^.I
treasurer appointment
(oFceholderonly)
... .. .........
July 15 ❑ 8th day before election ❑ Exceeded $500 ❑ Final report (Attach C/OH - FR)
limit
10 PERIOD
Month Day Yee- Month Day Year
COVERED
d THROUGH ry
�� /,57azo/ %
11 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
❑ Primary ❑ Runoff ❑ General ❑ Special
12 OFFICE
OFFICE HELD (if any)FFICE
13 O SOUGHT (Vknown)
-/
GOTOPAGE2
www. eth ics.state.tx. us Revised 07/28/2014
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
CANDIDATE /OFFICEHOLDER REPORT- FORM C/OH
SUPPORT & TOTALS COVER SHEET PG 2
14 C/OH NAME
15 ACCOUNT# (Ethics Commission Filers)
16 NOTICE FROM
THIS BOX IS FOR NOTICE OF MUTICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORTTHE
POLITICAL
CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDERS KNOWLEDGE OR
-COMMITTEE(S)
CONSENT. CANDIDATESA 6FFICEHOIDERSAREREOUIREDTOREPORTTHISINFORMA MMLYIFTHEYRECENENOMCEOFSUCHEXPENDINRES.
COMMITTEE NAME
COMMITTEETYPE
O GENERAL
COMMITTEE ADDRESS
SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
additional pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
r
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)
EXPENDITURE
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED
TOTALS
4. TOTAL POLITICAL EXPENDITURES
$
CONTRIBUTION
BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
NN
OF REPORTING PERIOD
`Ir
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
ro.e.e.o....e..em.oeee is true and correct and includes all information required to be reported by
Shelley me under Title 15, Election Code.
Notary Public
EiAmy
State of Texas
d�a My Comm. Exp. 12/02/19
Not I -D-#12476110.6 Signature of Candidate or Ofr older
AFFIX NOTARY STAMP / SEAL ABOVE
,,,,��qq,,U
Sworn to and subscribed before me, by the said �[�d UV
6, ,[t e✓ this the
day oft W-Ik 20 1 , to certify which, witness my hand seal of office.
�an'•d
6&
SignatlyqDf officer admi is ring oath Printed -03e of officered inistering oath Tit f officer administe ng oath
www. eth ics.state.tx. us Revised 07/28/2014