Williamson Semi Jan 2023CANDIDATE / 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 / MR M FIRST MI
�j
OFFICE USE ONLY
NAME.r!`+
!v...............................................................
Dale Received
NIC AME LAST SUFFIX
LAST
� Oi;e" �r-
4 CANDIDATE /
ADDRESS / POSOX; AP / SUITE CITY; STATE; ZIP CODE
OFFICEHOLDER
A N - 5 2023
❑ Change of Address
5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
D&ff li
OFFICEHOLDER
PHONE
lQ7` ^
#
Amount $
6 CAMPAIGN
MS / MRS / MR FIRST MI
TREASURER
NAME
,4 .....,
Date Processed
NICKNAME LAST.. SUFFIX
Date Imaged
7 CAMPAIGN
TREASURER
STREET ADDRESS (NO PO 80! PLEASE); APT/.SUITE �/ CITY;
STATE; ZIP CODE
ADDRESS
(Residence or Business)
8 CAMPAIGN
AREA CODE PHONE/ NUMBEREXTENSION
PHONE TREASURER
` ry
\
REPORT TYPE
January 15 30th day before election Runoff
El 0
15th day after campaign
treasurer appointment
(Officeholder Only)
❑ July 15 8lh day before election Exceeded Modified
Final Report (Attach C/OH - FIR)
Reporting Limit
10 PERIOD
Month Day Year Month
Day
COVERED
—Ye�arA
7 / // /2OZ� THROUGH / /S / !�Z--3
b
11 ELECTION
ELECTION DATE
ELECTION TYPE
❑ Primary ❑ Runoff ❑ Other
Month Day Year
Description
/ /
❑ General ❑ Special
12 OFFICE
OFFICE HELD (if ny)
13 OFFICE SOUGHT (if known)
44 NOTICE FROM
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT
P L
THE CANDIDATE I OFFICEHOLDER THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S KNOWLEDGE OR
CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF
THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTE
CO TYPE
COMMITTEE NAME
GENERAL
COMMITT RE
❑ Additional Pages
COMMITTEE CAMPAIGN TREASURER
11SP
COMMITTEE CAMPAIGN TREASURER ADDRESS
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/15/2022
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
15 C/OH NAME � /J. C//,`� M r
16 Filer ID (Ethics Commission Filers)
17 CONTRIBUTION
1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
�/
$///j
TOTALS
PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR
CONTRIBUTIONS MADE ELECTRONICALLY)
2. TOTAL POLITICAL CONTRIBUTIONS
$ A
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
...................
EXPENDITURE
TOTALS
3 TOTAL UNITEMIZED POLITICAL EXPENDITURE.
,,,,,,///
$ I�
//
4. TOTAL POLITICAL EXPENDITURES
$
CONTRIBUTION
5 TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
$
BALANCE
OF REPORTING PERIOD
J (f 7
OUTSTANDING
6, TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
$ (J (�
LOAN TOTALS
LAST DAY OF THE REPORTING PERIOD
18 SIGNATURE 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 under Title 15, Election Code.
Signature of Candidate or Officeholder
VERONICA LOMAS
PVe�
:Notary Public, State of Texas
Comm. Expires 06-27-2024 Please complete either option below:
%''aof Notary ID 12901312$
(1) Affidavit
NOTARY STAMP/SEAL/
�l
-04 this the Sday of �1 Yl UGt Y
Sworn to and subscribed before me by a Gl mil/ an'1 Y%
20 2 3 , to certify which, witness my hand and se %IQfoffice.
ko
Lys ,' rah'rc R wl G/J
Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath
(2) Unsworn Declaration
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
(month) (year)
Signature of Candidate/Officeholder (Declarant)
Forms provided by Texas Ethics Commission www.etmcs.siate.tx.us �� ���-
Forms provided by Texas Ethics Commission www.cu
INTEREST, CREDITS, GAINS, REFUNDS, AND
CONTRIBUTIONS RETURNED TO FILER SCHEDULE K
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
1 Total pages Schedule K:
2 FILER NAME A / i
3 Filer ID (Ethics Commission Filers)
4 Date
5 Name of person from whom amou�ieived
($)
8 Amount....
....... f ")
I2
6 Address of person from whom amount is received; City; State; Zip Code
ZI�I
LIK
7 Purpose for which amount is received Check if political contribution returned to filer
Date
Name of person from whom amount is received
Amount ($)
................................................................................................
Address of person from whom amount is received; City; State; Zip Code
Purpose for which amount is received ❑ Check if political contribution returned to filer
Date
Name of person from whom amount is received
Amount ($)
................................................................................................
Address of person from whom amount is received; City; State; Zip Code
Purpose for which amount is received Check if political contribution returned to filer
Date
Name of person from whom amount is received
Amount ($)
................................................................................................
Address of person from whom amount is received; City; State; Zip Code
Purpose for which amount is received ❑ Check if political contribution returned to filer
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/15/2022