Muller Semi Jan 2024—'-'
P.O.Box 12O7O Austin, Texas 78711-2U7O
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
The C/01-11 Instruction Guide explains how to complete this form.
(Ethics Commission Filers)
3 CANDIDATE
S MRS / MR FIRST MI OFFICE USE ONLY
Date RecelvecRECEIVED
NAME
NICKNAME LAST SUFFIX
ADDRESS / PO BOX; APT/SUITE#; CITY" STATE� ZIP CODE
4 CANDIDATE
OFFICEHOLDER
MAILING
R ETA
ADDRESS
AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER
PHONE
Da�e Processed
6 CAMPAIGN
R R FIRST MI Date Imaged
TREASURER
NAME
NICKNAME LAST SUFFIX
7 CAMPAIGN
STREETAIDDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY, STATE; ZIPCODE
TREASURER
ADDRESS
(residence or business)
—7f
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
(16/7)
9 REPORT TYPE
15th day after campaign
January 15 F-1 30th day before election F--1 Runoff El
treasurer appointment
(officeholder only)
F-1 July 15 F-1 8th day before election M Exceeded $500 El Final report (Attach C/OH - FR)
limit
10 PERIOD
Month Day Year Month Day Year
COVERED
071IS—l) THROUGH
11 ELECTION
ELECTION DATE
ELECTIONTYPE
Month Day Year
10 Primary F-1 Runoff El General El Special
12 OFFICE
OFFICE HELD (if any)
13 OFFICESOUGHT (ifknown)
7-1
7
GO TO PAGE 2
wvwwe(Nnu.statezx.00 nevised0r/2D/2O14
PO.Box 12O7O Austin, Texas 7O711-207U (512)463-5800 1-800-735-2989)
SUPPORT & TOTALS COVER SHEET PG 2
14 C/01-11 NAME
CCOUNT # (Ethics Commission Filers)
16 NOTICE FROM
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORTTHE
POLITICAL
CANDIDATE / OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S 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 NAME
COMMITTEE TYPE
COMMITTEE ADDRESS
SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
additional pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION
1, TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
TOTALS
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
$
2. TOTAL POLITICAL CONTRIBUTIONS
$
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE
TOTALS
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED
$
4. TOTAL POLITICAL EXPENDITURES
$
CONTRIBUTION
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE
OF REPORTING PERIOD
$
OUTSTANDING
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANSASOFTHE
LOAN TOTALS
LAST DAY OF THE REPORTING PERIOD
$
18 AFFIDAVIT
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.
Not ry Public, State o Texas
Comm, Expires 12-0 _2027
Sworn to and subscribed before me, by the said this the
day of �- �[LAkUhiIJ ............. . . 2 0 to certify which, witness my hand and seal of office.
Sig, of kffj�er administering oath Printed narf'e, of officer administAring oath Title of 41cer administering oa6
www.ethioe.utateux.ue
neviswdn7/28/2O14