Torres-Lepp Semi Jan 2023CANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT
COVER SHEET PG I
I Filer ID (Ethics Commission Filers)
2 Total pages filed:
The G/01-1 Instruction Guide explains how to complete this form.
2
3 CANDIDATE/
MS / MRS / MR FIRST MI
OFFICEHOLDER
Amy i
NAME
— ................................ ............ .......
Date Received
NICKNAME LAST SUFFIX
Torres
J)NN '1 7 2023
4 CANDIDATE/
ADDRESS I PO BOX: APT I SUITE #; CITY; STATE; ZIP CODE
OFFICEHOLDER
MAILING
ADDRESS
OFFICE OF CITY SECRETAF
Change of Address
5 CANDIDATE/
OFFICEHOLDER
AREA CODE PHONE NUMBER EXTENSION
Date Postmarked
Ct
(
M-delivereopr
4
PHONE
Receipt #
Amount s
6 CAMPAIGN
MS t MRS / MR FIRST MI
TREASURER
Amy i
NAME.........
.............. I .................... ............... I .... — ......
Date Processed
NICKNAME LAST SUFFIX
I Date Imaged
Torres
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY;
STATE; ZIP CODE
TREASURER
ADDRESS
(Residence or Business)
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
(
9 REPORT TYPE
January 15 30th day before election Runoff
F* F
15th day after campaign
treasurer appointment
(Officeholder Only)
July 15 8th day before election Exceeded Modified
F7 Final Report (Attach CIOH - FIR)
Reporting Limit
10 PERIOD
Month Day Year Month
Day Year
COVERED
7 1 22 THROUGH 12 31 /22
11 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
Primary Runoff Other
Description
General Special
12 OFFICE
OFFICE HELD (if any))
13 OFFICE SOUGHT (if known)
Southlake City Council- Place 5
14 NOTICE FROM
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT
POLITICAL
THE CANDIDATE /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.
COMMITTEE(S)
COMMITTEE TYPE
COMMITTEE NAME
GENERAL
COMMITTEE ADDRESS
Additional Pages
COMMITTEE CAMPAIGN TREASURER NAME
SPECIFIC
COMMITTEE CAMPAIGN TREASURER ADDRESS
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx,us Revised 8/17/2020
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
15 C/OH NAME 16 Filer ID (Ethics Commission Filers)
Amy J. Torres
17 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR $
CONTRIBUTIONS MADE ELECTRONICALLY)
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $ 0.00
........... .......
EXPALSENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE.
TOT1 $
CONTRIBUTION
BALANCE
OUTSTANDING
LOAN TOTALS
4. TOTAL POLITICAL EXPENDITURES $ 0.00
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD $ 219.19
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD I $
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.
Sig `tore of Candidate or Officeholder
— --- — sm
AMY SHELLEY
Notary Public, State of Texas
(1) Affidavit Comm. Expires 12-02-2023
F
Notary ID 12476110-5
NOTARY STAMP/ SEAL
Sworn to and subscribed before me by AY\AA-Rm
2ci�? to certify which, witness my hand an 4 of office.
Si
inistering oath Printed naWe of officer ad
(2) Unsworn Declaration
this the 17114 day of J6A-tkCA4'I1
J
oath Title of officer admin
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.ethics.state.tx.us Revised 8/17/2020