Muller Semi Jan 2022k
CANDIDATE / 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/AI&MRS/MR FIRST MI
OFFICEHOLDER
NAMED
OFFICE USE ONLY
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NICKNAME LAST SUFFIX
RECEIVED
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4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE
OFFICEHOLDER JAN 1 2 2022
MAILING L/ GUf—SlGOC c Q OAADDRESS
pi Change of Address S iti7ff-/—Z 7> 7‘ " OFFICE OF CITY SECRE-ARY
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER Date Hand-delivered or Date Postmarked
PHONE C%,I L/gO c1 '— / t
6 CAMPAIGN N-pMRS/MR FIRST MI Receipt# Amount$
TREASURER j `1/
NAME
Z,
L(//; Date Processed
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
i
Residence or Business) // /` 7(">-
L 'E.S57', 2s / \
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1
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
PHONEPHO v •'
9 REPORT TYPE
January 15 I 30th day before election I Runoff 15th day after campaign
treasurer appointment
Officeholder Only)
I I July 15 8th day before election Exceeded$500 limit I 1 Final Report(Attach C/OH-FR)
10 PERIOD 'Month Day Year Month Day Year
COVERED
4"/. //S /t R.O / THROUGH
I ` ':- /1 ,::/ ... .. ..
11 ELECTION ELECTION DATE
t'; ELECTION'T LPE;`t`r
Month Day Year ICY Primary EI Runoff „ ;_Other---
Dee'scription;,,., ;
S H General Special
12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known)
C/7/ C.OZ/,V c/ 4 ,-/r_-."j,G0
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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 CANDIDATE'S OR OFFICEHOLDER'S
COMM ITTEE(S) KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE
a 'OF SUCH EXPENDITURES.
7 COMMITTEE TYPE COMMITTEE NAME
I
GENERAL
8 COMMITTEE ADDRESS
SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
ri 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)
TOTALS
EXPENDITURE
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES
CONTRIBUTION
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE
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
unlj VERONICA LOMAS under Title 15,Election Code.
P e'' State of TexasNotaryPublic,
Q Comm.Expires 06-27-2024
F.o\'' Notary ID 129013128 j fnpllq Signature of Candidate or fficeholder
AFFIX NOTARY STAMP/SEALABO V E
Sworn to and subscribed before me, by the said ` this the \Z
day of M-PK•f\ R`l to certify which,witness my hand and seal of office.
1 1
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