Patton 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 C/01-1 Instruction Guide explains how to complete this form.
3 CANDIDATE/
MS,MRS'MR FIRST Ml
E SE ONLY
US
OFFICEHOLDER
NAME
Chad M
Date Recei
VECEIVED
NICKNAME LAST SUFFIX
Patton
4 CANDIDATE/
ADDRESS / PO BOX, APT .' SUITE #: CITY; STATE; E; ZIP CODE
OFFICEHOLDER
J U L 2 5 20P-3
MAILING
1111 LaPaloma Ct.
ADDRESS
Southlake, TX 76092
D Change of Address
Fr-lrE OF CITY SECRETAR'
5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION L
OFFICEHOLDER
i 817 ) 733-7191
PHONE
--
Receipt#
Amount
6 CAMPAIGN
MS i MRS,MR FIRST MI
I
TREASURER
Date Processed
NAME
Bill
NICKNAME LAST SUFFIX
Date Imaged
Webb
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT! SUITE #; CITY;;;;;
STATE; ZIP CODE
TREASURER
566 N. Kimball Ave. Suite 120
ADDRESS
(Residence or Business)
Southlake, TX 76092
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
214 ) 205-7495
9 REPORT TYPE
January 15 F-1 30th day before election Runoff
15th day after campaigntreasurer
appointment
(Officeholder Only)
July 15 F-1 8th day before election Exceeded Modified
Final Report (Attach C/OH - FRI
Reporting Limit
10 PERIOD
Month Day Year Month
Day Year
COVERED
07 / 01 / 2022 THROUGH 12
31 / 2022
11 ELECTION
ELECTION DATE ELECTION TYPE
F-1 Primary F-1 Runoff 1:1 Other
Month Day Year Description
General Special
12 OFFICE
OFFICE HELD (if any) �
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 IOFFICEHOLDER, THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES 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
SPECIFIC F COMMITTEE CAMPAIGN TREASURER NAME
]
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
16 Filer ID (Ethics Commission Filers)
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)
EXPTOTAENDITURE
3. TOTAL UNITEMIZED POLITICAL EXPENDITURE.
...................
4. TOTAL POLITICAL EXPENDITURES
$
CONTRIBUTION
BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
$ $436
..................
OF REPORTING PERIOD
OUTSTANDING
TOTALS
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
$
LOAN
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. -
d
/• � t�f N
Signature of Candi ate or Officeholder
Please complete either option below:
.�1y AMY SHELLEY
:1Y PV6 ���
(1) Affidavit =?_Notary Public, State of Texas
Q� Comm. Expires 12-02-2023
NN Notary ID 12476110 5
lit
NOTARY STAMP/SEAL
Sworn to and subscribed before me by this the^Jday of
3 to certify which, witness my hand ands I of office.
Sign lure ffic r dministering oath Printed nam o officer administering oath Title of fficer 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 120
(month) (year)
Signature of Candidate/Officeholder (Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/15/2022