HomeMy WebLinkAboutCFR-07.09.2014-Gonzalez,Tommy—r --- Po Rnx 1 qmn Austin Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
CANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT
COVER SHEET PG 'I
1 ACCOUNT #
(Ethics Commission Filers)
2 Total pages filed:
The C/OH Instruction Guide explains how to complete this form.
3 CANDIDATE /
MS/MRS/MR FIRST MI
OFFICE USE ONLY
OFFICEHOLDER
NAME
Q
M I� 1 6 ...
Date
RIE CEIVED
... .VII
NICKNAME LAST SUFFIX
C-,PV�Zu�,eZ
JUL 09 2014
�i Secreta
4 CANDIDATE /
ADDRESS /PO BOX; APT/SUITE#; CIN; STATE; ZIP CODE
OFFICEHOLDER
ty ry
Date Hand -delivered or Postmarked
MAILING
ADDRESS
—may r_
Geor,&C4-(�-4I
Receipt #
Amount
change of address
5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
Date Processed
OFFICEHOLDER
/ �� `
/
PHONE
6 CAMPAIGN
MS/MRS/MR FIRST MI
Date Imaged
TREASURER
n�Q r
,•` ►\�... �."\.
NAME
. . . . . . .
.
NICKNAME LAST SUFFIX
X� SS GPv✓ zi i I -c -z
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT lSUITE #: CITY; STATE;
ZIPCODE
TREASURER
ADDRESS
(residence or business)
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
(�`
9 REPORT TYPE
❑ January 15 30th day before election Runoff
El 15th day after campaign
treasurer appointment
(officeholder only)
/
►�J<uly 15 8th day before election 0 Exceeded $500
} limit
Final report (Attach C/OH - FR)
10 PERIOD
Month Day Year Month
Day Year
COVEREDd
y r
,D-1r THROUGH O /30/ 61
/CA/,D-61q
11 ELECTION
ELECTION DATE
ELECTIONTYPE
Month Dai Year
❑ Primary Runoff
Special
El General El
12 OFFICE
OFFICE HELD (d any) C 1-�b C �G` I
13 OFFICE SOUGHT (if known)
GO TO PAGE 2
www.ethics.state.tx.us Revised 09/28/2011
TPYLI¢ Fthirrs (.rmmi-ion PO_ Box 12070 Austin. Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
CANDIDATE / OFFICEHOLDER REPORT: FORM C/OH
SUPPORT & TOTALS COVER SHEET PG 2
14 C/OH NAME
15 ACCOUNT # (Ethics Commission Filers)
16 NOTICE FROM
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT THE
POLITICAL
CANDIDATE / OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDERS 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
O GENERAL
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
/ y
$
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
, Il
OUTSTANDING
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
$
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 r quired to be reported by
me under Title 15, Election
SICA ERIN BRETTLENOTARY
PUBLIC
Texasmm.
E
State of
Exp. 06-01-2015 Si nature of Candidate or Officeholder
AFFIX NOTARY STAMP f SEAL ABOVE
l—WIn/T^�
Sworn to and subscribed before me, by the said this the
�—� day of J LIL 1 20_ to certify which, witness my hand and seal of office.
W 4�
I--
Signa
ur
of officer admin tering oath Printed name of officer administering oath Tit of officer administerin oath
www.ethic,6!state.tx.us Revised 09/28/2011