Patton Semi July 2022CANDIDATE ! OFFICEHOLDER
FORM C/OH
CAMPAIGN1
COVER SHEET PG 1
1 Filer ID (Ethics Commission Filers)
2 Total pages filed:
The C!C>H Instruction Guide explains how to complete this form .
3 CANDIDATE /
MS t MRS I MR FIRST MI
OFFICEHOLDER
Chad M
OFFICE USE ONLY
NAME_
............................. .:..,..,_._..:....:.:::.................
NICKNAME LAST SUFFIX
D o
WMID
Patton
`
AUG
4 CANDIDATE /
ADDRESS I PO BOX; APT I SUITE #; CITY: STATE; ZIP CODE
OFFICEHOLDER
1111 LaPaloma Ct.
a
MAILING
ADDRESS
Southlake, TX 76092
} OF cis SECRETARY
❑ Change of Address
YJ CANDIDATE/
OFFI
AREA CODE PHONE NUMBER EXTENSION
J 817 733-7191
D• e an livered or Date Postmarked
EHOLDER
PHO
)
KI-
Receipt #
Amount S
6 CAMPAIGN
MS t MRS t MR FIRST MI
i
TREASURER
Bill
Date Processed
NAME......:
..:.:.::....::.........:.:...:................ _ ..........::......,....
NICKNAME LAST SUFFIX
Date Imaged
Webb
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT I SUITE #; CITY;
STATE; ZIP CODE.
TREASURER
566 N Kimball Ave. Suite 120
ADDRESS
Southlake, TX 76092
(Residence or Business)
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
( 214 ) 205-7495
9 REPORT TYPE
❑ January 15 El 30th day before election Runoff
15th day after campaign
El
treasurer appointment
(Officeholder Only)
JX July 15 8th day before election El Exceeded Modified
El Final Report (Attach CIOH - FIR)
Reporting Limit
10 PERIOD
Month Day Year Month
Day Year
COVERED
' / THROUGH
11 ELECTION
ELECTION DATE
ELECTION TYPE
Month
❑ Primary Runoff ❑ Other
Day Year
Description '
05 Y" 04 / 19
General Special
12 OFFICE
OFFICE HELD (if anO
13 OFFICE SOUGHT (if known)
City Council Place 3
14 NOTICE FROM
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT
POLITICAL
THE CANDIDATE I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'# OR OFFICEHOLDER'S KNOWLEDGE OR
COMMITTEE(S)
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
Additional Pages
SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
O TO PAGE
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
CANDIDATE/ OFFICEHOLDER FORM C/OH I
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
15 C/OH NAME 16 Filer ID (Ethics Commission Filers)
Chad Patton
xrCOmrRIBunOm 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
TOTALS
CONTRIBUTIONS MADE ELECTRONICALLY)
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
ExpEwonuRE | |
x TOTAL ow/rsMIZsoPOLITICAL EXPENDITURE.
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $436
BALANCE OF REPORTING PERIOD
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE $ 0
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD
18 SIGNATURE I swear, or affirm, under penalty of perjury, that the accompanying report is true eand c rrect gand ludes all information
required to be reported by me under Title 15, Election Code.
I. or Offic.
Signature of ndidate or Officehlder
Please complete either option below:
Notary Public, State of TexaS
�7 '
Comm, Expires 12-02-2023
Notary ID 12476110-5
NOTARY STAMP/ SEAL
Sworn to and subscribed before me by N(A CA this the day of A\A-0Lk!'R'E
to cerlif�v which, witness my hand and seal of office.
ol
Signature �kRcer kdinn�istering oath Printed n-J of officer administeringLath TitlA of officer administering
My name is and my date of birth is
My address is
(street) (city) (state) (zip code) (country)
Executed in County, State of on the _ day of 20
Signature of Candidate/Officeholder (Declarant)
Forms provided by Texas Ethics Commission www. ethics. state, IX. us Revised 8/17/2020