Muller 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 C/01-11 Instruction Guide
explains how to complete this form.
3 CANDIDATE
OFFICEHOLDER
_M8"I NIRS / MR FIRST MI
zOFFICE
Zia,
USE ONLY
NAME
Da
NICKNAME LAST SUFFIX
/"�
JAN 15 2025
I
4 CANDIDATE/
ADDRESS 'PO BOX, APT i SUITE #: CITY; STATE:. ZIP CODE
OFFICEHOLDER
MAILING
✓ '7-101q2
OFFICE OF c4Y SECRETARY
ADDRESS
Change of Address
toil
5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
Date Hand -deli I vered or Date Postmarked
OFFICEHOLDER
PHONE
e'/ o 6,
Receipt #
Amount S
6 CAMPAIGN
MRS 1 MR FIRST MI
TREASURER
6141?1 i e
Date Processed
NAME
........ ...... ..........
NICKNAME LAST SUFFIX
Date Imaged
6 6-3i
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT I SUITE CITY:
STATE; ZIP CODE
TREASURER
ADDRESS
-2—
(Residence or Business)
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
9 REPORT TYPE
January 15 30th day before election Runoff
15th day after campaign
treasurer appointment
(Officeholder Only)
July 15 8th day before election Exceeded Modified
Final Report (Attach C/OH - FR)
Reporting Limit
10 PERIOD
Month Day Year Month
Day Year
COVERED
THROUGH
11 ELECTION
ELECTION DATE
ELECTION TYPE
F-1 Primary 7 Runoff Other
Month Day Year
Description
[�enerai Special
12 OFFICE
OFFICE HELD (if any)
13 OFFICESOUGHT(,fknown)
14 NOTICE FROM
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT
POLITICAL
THE CANDIDATE IOFFICEHOLDEIR- 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
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 11/15/2022
I
CANDIDATE / OFFICEHOLDER FOR C/OH
CAMPAIGN I C 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.
f, "
4. TOTAL POLITICAL EXPENDITURES
CONTRIBUTION
5, TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
r
$ J
BALANCE
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 Beholder
Please complete either option below:
AMY SHELLEY
`�P`pµrarb,
`��e'•.•''��,� Notary Public, State of Texas
(1)Affidavit
3� Comm. Expires 12-Q2-2027
•,�'„�``� Notary ID 124761105
NOTARY STAMP/SEAL
Sworn to and subscribed before me by this the day of&,, 6—,
to certify which, witness my hand and eal of office.
t
1
Signat re office ministering oath Printed na f officer administerA oath TiA of officer administering d h
e•
(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 20
(month) (year)
Signature of Candidate/Officeholder (Declarant)
Forms provided by Texas Ethics Commission www.ethics.stateAx.us Revised 11/15/2022