Williamson Semi July 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/
OFFICEHOLDER
MS/MRM FIRST MI
OFFICE USE ONLY
NAME
Vl
Date Receivatl
NICKNAME LAST SUFFIX
RECEIVED
bit
12 bit Annla,�
JUL 1 6 2019
4 CANDIDATE/
OFFICEHOLDER
MAILING
ADDRESS / P6 BOX; APT / SURE #; CITY; STATE; ZIP CODE
OFFICE OF CITY SECRETA
5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
OFFICEOFFICEHOLDER
�/
DateH d ver. rp Postmarked
U.I
�
6 CAMPAIGN
TREASURER
MS / MRS/ MR FIRST MI
Receipt #
Amo t $
NAME
./
Date Processed
NICKNAME LAST SUFFIX
Date Imaged
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE;
ZIP CODE
TREASURER
ADDRESS
�
8 CAMPAIGN
AREA CODE PHONE NUUMMBB
EXTENSION
TREASPHONE URER
(
9 REPORT TYPE
January 15 30th day before election Runoff
15th after campaign
tdayreasurer
(Office
older Onitment
y) (Officeholder Only)
[zj�ju1y 15 8th day before election Exceeded$500 limit
Final Report (Attach C/OH - FR)
10 PERIOD
Month Day Year Month
Day Year
COVERED
/ / /i.//I THROUGH 7114 / J
7
it ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
❑ Primary Runoff ❑ Other
Description
/ /
❑ General ❑ Special
12 OFFICE
OFFICE HEL1D- if an )
13 OFFICE SOUGHT (if known)
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Forms provided by Texas Ethics Commission www.ethics.state.N.us Revised 9/8/2015
CANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
.1'
14 C/OH NAME12 la�,ll�
1/
15 Filer ID (Ethics Commission Filers)
16 NOTICE FROM
THIS BOX IS FOR NOTICE OF POURICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
POLITICAL
SUPPORT THE CANDIDATE /OFFICEHOLDER. THESE EXPEND!NRES MAY HAPS BEEN MADE %mMOUT THE CANDIDATES OR OFFICEHOLDER'S
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-ISPECIFIC
COMMITTEE ADDRESS
COMMITTEE CAMPAIGN TREASURER NAME
Additional Pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION
TOTALS
1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
$
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
G
2. TOTAL POLITICAL CONTRIBUTIONS
$
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE
TOTALS
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
$
UNLESS ITEMIZED
Q
4. TOTAL POLITICAL EXPENDITURES
$ D
CONTRIBUTION
BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
$ 3 yy
OF REPORTING PERIOD
OUTSTANDING
LOAN TOTALS
6. TOTAL PRINCIPALAMOUNT 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
true and correct and includes all information required to be reported by me
y Shelley
under Title 15, EI Ion Code.
ary Publice
of Texas.Exp.12102119#
SO::
12476110-5 !!!
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP /SEALABOVE
Sworn to and subscribed before me, by the said this the
da of 20_-L,"---,to certify which, witne my hand and seal of office.
a,
Cr
Signare f office dministering oath Printed n OR of office ministering oath Title of Afficer admintsterini oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015