Scharli Semi Jan 2025CANDIDATE
/ OFFICEHOLDER
FORM C/OH
CAMPAIGN
FINANCE REPORT
COVER SHEET PG I
I Filer ID (Ethics Commission Filers)
2 Total pages filed:
The CIFOH Instruction Guide
explains how to complete this form.
3 CANDIDATE/
MS I MRS I MR FIRST nil
OFFICE USE ONLY
OFFICEHOLDER
rA -
NAME
Date Received
NICKNAME LAST SUFFIX
—7
RECEIVED
4 CANDIDATE/
ADDRESS / PO BOX: APT / SUITE CITY; STATE; ZIP CODE
OFFICEHOLDER
MAILING
11
ADDRESS
JAN 3 1-125
Change of Address
'TX -1007-
5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
Data Hand -delivered or Date Postmarked
OFFICEHOLDER
96 %-j
I OFFICE OF CITY SECRET) RY
PHONE
6 CAMPAIGN
PIS i MRS I MR FIRST MI
Amount $
le, 0
TREASURER
-
V!Af!, . '' , —
Date Processed
NAME
........
NICKNAME LAST SUFFIX
Date Imaged
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT I SUITE #; CITY;
STATE; ZIP CODE
TREASURER
5101 1-. STATE Wilbovili,41 114 -S 1) 41, 14
ADDRESS
(Residence or Business)
bT 14 Liil-K (t
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
p 4
9 REPORT TYPE
January 15 30th day before election Runoff
L
15th day after campaign
0
treasurer appointment
(Officeholder Only)
July 15 L 8th day before election Exceeded Modified
Final Report (Attach C/OH - FR)
Reporting Limit
10 PERIOD
Month Day Year Month
Day Year
COVERED
/ 14 THROUGH IZ/31
/
Z11
11 ELECTION
ELECTION DATE ELECTION TYPE
❑ Primary Runoff Other
Month Day Year Description
Iv:l General Special
12 OFFICE
OFFICE HELD (if any) 13 OFFICE SOUGHT hfknown)
14 NOTICE FROM
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE
BY POLITICAL COMMITTEES TO SUPPORT
POLITICAL
THECANDIDATE OFFICEHOLDER THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S KNOWLEDGE OR
1 CONSENT.CANDIDATESAND 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 COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
GO TO PAGE 2
Forms provided by Texas Ethics
Commission www.ethics.state.tx,us
Revised 1/1/2024
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 3, TOTAL UNITEMIZED POLITICAL EXPENDITURE.
TOTALS
4. TOTAL POLITICAL EXPENDITURES $
—1
k-C_JVN t RIDUTIGitrR 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $
BALANCE OF REPORTING PERIOD
OUTSTANDING & 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:
'N\isky P41, AMY SHELLEY
(1) Affidavit Notary Public, State of Texas
Z Comm. Expires 12-02-2027
Notary ID 124761105
NOTARY STAMP/SEAL
Sworn to and subscribed before me by R—Ah�tc_ this the day of
to certify which, witness my hand daseall of office.
ro"
S tin &e;fic., administering oath Printed name of officer admim eringoath Title a officer administeri ath
(2) Unsworn Declaration
My name is _
My address is
Executed in
(street)
County, State of
Forms provided by Texas Ethics Commission
and my date of birth is
(city) (state) (zip code) (country)
on the _ day of 20__
—(month) (year)
Signature of Candidate/Officeholder (Declarant)
www.ethics,state,tx.us Revised 1/1/2024