Patton Semi July 2023CANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT
COVER SHEET FIG 1
1 Filer ID (Ethics Commission Filers)
2 Total pages filed:
The LIONInstruction Guide
explains how to complete this form.
3 CANDIDATE/
MS,'MRS I MR FIRST MI
OFFICE USE ONLY
OFFICEHOLDER
NAME
Chad M
Fjr:rrjVE5
Dole Rec.
NICKNAME LAST SUFFIX
Patton
J U L 5 2023
4 CANDIDATE/
ADDRESS 'PO BOX. APT I SUITE ft; CITY: STATE. ZIP CODE
OFFICEHOLDER
2
MAILING
1111 LaPaloma Ct.
ADDRESS
Southlake, TX 76092
Change of Address
FFICE OF CITY SECRETAR
5 CANDIDATE/
EZ
AREA CODE PHONE NUMBER EXTENSION
DdN Hand -delivered or Do 'p Postmarked
OFFICEHOLDER
817 ) 733-7191
PHONE
Receipt #
Amount $
6 CAMPAIGN
MS / MRS,MR FIRST MI
TREASURER
Date Processed
NAME
Bill
NICKNAME LAST SUFFIX
Date Imaged
Webb
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT f 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 30th day before election Runoff
15th day after campaign
treasurer appointment
(Officeholder Only)
IX July 15 F-1 8th day before election F-1 Exceeded Modified
Final Report (Attach C/OH - FR)
Reporting Limit
10 PERIOD
Month Day Year Month
Day Year
COVERED
01 / 06 / 2023 THROUGH 07
14/ 2023
11 ELECTION
ELECTION DATE
ELECTION TYPE
F-1 Primary F-1 Runoff F-1 Other
Merin Day Year
Description
F] General 1:1 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 1OFFICEHOLDER, 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
OSPECIFIC;
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)
EXPENDITURE
TOTALS
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
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
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
Please complete either option below:
AMY SHELLEY
Notary Public, State of Texas
*
(1)Affidavit .F Comm. Expires 12-02-2023
100Notary ID 12476110-5
NOTARY STAMP/SEAL
Sworn before ".a, �C}'
to and subscribed me by l I UY \ this the day of
20 V,'to certify which, witness my hand and se I of office.
Ul 'SC
`7c
Signature o icer ministering oath Printed name o o cer administering oath '11Title If officer administering &t
• .
(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