Muller Semi Jan 2020CANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET FIG 1
1 Filer ID (Ethics commission Filers)
2 Total pages filed:
The C/OH Instruction Guide explains how to complete this form.
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3 CANDIDATE/ c"
OFFICEHOLDER
NAME
M --/. MRS /MR FIRST MI
._,
_ _ _ �/?/7f �f✓'i" . . . . . . . . . . . 4
OFFICE USE ONLY
Data Received
NICKNAME LAST SUFFIX
I /d �/-CC /C-
RECEIVED
4 CANDIDATE/
ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
OFFICEHMAILING
DEC
DEC 2 7 2019
ADDRESS
/�' USF_ s1 wev:riJ
❑ Change of Address
.SC'J1(��(�f lZr... -GOA'
-OFFICE OF CITY SECRET
5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER/
PHONE
(81'? ) YP g '" 4
Date Hand -delivered or Data Postmarked
z%
6 CAMPAIGN
MS / MRS / MR FIRST MI
Receipt #
Amoun[ $
TREASURER
NAME
__
/?u
Date Pracessetl
NICKNAME LAST SUFFIX
�
C7i�tl..{f✓ wo'70
Date Imaged
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT / SUr-E #; CITY; STATE;
ZIP CODE
TREASURER
ADDRESS
(Residence or Business)
---
/� �� tit% 93 ! �/ 3 S&W�-�4144-if
/
7/
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
9 REPORT TYPE
January 15 F-1 30th day before election F� Runoff
15th day after campaign
treasurer appointment
(Officeholder Only)
❑ July 15 E] 81h day before election Exceeded$5001imit
Final Report (Attach C/OH - FR)
10 PERIOD
COVERED
Month Day Year Month Day Year
cCiO f THROUGH
11 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
Q.;j pti
❑ Primary ❑ Runoff ❑ Other
Description
General ❑ Special
12 OFFICE
OFFICE HELD (if any)
13 OFFICE SOUGHT (if known)
GO TO PAGE 2
Forms provided by Texas Ethics Commission w .ethics.state.tx.us Revised 9/8/2015
aY
CANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME
75 Filer ID (Ethics Commission Filers)
18 NOTICE FROM
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLRICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
POLITICAL
SUPPORTTHECANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAYHAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFWCEHOLOERS
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
❑ SPECIFIC
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
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
$
i
CONTRIBUTION
5.
BALANCE
TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
$
OF REPORTING PERIOD
OUTSTANDING
6. TOTAL PRINCIPALAMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS
LAST DAY OF THE REPORTING PERIOD
$
18 AFFIDAVIT
AFFIDAVIT
I swear, or affirm, under penalty of perjury, that the accompanying report is
VERONICA LOMAS true and correct and includes all information required to be reported by me
Notary Public, Slate of Texas under Title 15, Election Code.
_ '•'Q�
Comm. Expires 06-27-2020
°,; Notary ID 12901312-8
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP /SEALABOVE
Sworn to before ea my lq /J(% Iml z % AI,
And subscribed me, by the said this the
day of VQU441k2V 20 ZO to
, , certify which, witness my hand and seal of office.
U APtA -d "C9 MRS AID{
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