HomeMy WebLinkAboutCFR-06.30.2015-Gonzalez,TommyTpy:iQ Fthir,c r.nmmicqinn P-0- Box 12070 Austin. Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
CANDIDATE I OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT
COVER SHEET PG I
1 ACCOUNT#
2 Total pages filed:
The CIOH Instruction Guide explains how to complete this form.
(Ethics Commission Filers)
3 CANDIDATE
OFFICEHOLDER
MS/MRS/MR FIRST M1
OFFICE USE ONLY
Datftec
NAMEde
NICKNAME LAST SUFFIX
, :201A2_CkZ
ADDRESS I PO BOX; APT SUITE #; CITY; STATE; ZIPCODE
JUL 2 3 2015
City Secretary
4 CANDIDATE
OFFICEHOLDER
-
MAILING
ADDRESS
Date Hand -delivered or Postmarked
[:] change of address
AREA CODE PHONE NUMBER EXTENSION
Receipt 9 Amount
5 CANDIDATE/
OFFICEHOLDER
Date Proce;sed
PHONE
6 CAMPAIGN
TREASURER
MS/MRS/MR FIRST MI
vvs
Date Ima,ed
NAME
. . . . . . . . . . . . . ...
NICKNAME LAST SUFFIX
GC) VA -,7 A '6.�2.
7 CAMPAIGN
TREASURER
STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#: CITY" STATE:
_\
ZIPCODE
ADDRESS
(residence or business)
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
9 REPORT TYPE
❑ January 15 ❑ 30th day before election Runoff
D
15th day after campaign
El treasurer appointment
(officeholderonly)
July 15 ED 8th day before election F-1 Exceeded $500
❑ Final report (Attach CIOH - FIR)
limit
10 PERIOD
COVERED
Month Day Year Month Day Year
,
U , k THROUGH OL,
11 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
D Primary El Runoff E�
General El Special
12 OFFICE
OFFICE HELD (if any) COrk, Q'ooall,
13 OFFICE SOUGHT (if known)
GO TO PAGE 2
www.ethics.state.tx.us Revised 09128/2011
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
CANDIDATE / OFFICEHOLDER REPORT: FORMC/OH
SUPPORT & TOTALS OVER SHEET PG
14 C/OH NAME ..--- ��Al ply
bN
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 XNOWLEDGE.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
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
TOTALS
PLEDGES, LOANS, OR GUARANTEES OF LOANS); UNLESS ITEMIZED
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS; OR GUARANTEES OF LOANS)
EXPENDITURE
3. TOTAL POLITICAL EXPENDITURES $100 OR LESS, UNLESS ITEMIZED
TOTALS
OF
4. TOTAL POLITICAL EXPENDITURES
CONTRIBUTION
BALANCE
5 TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
OUTSTANDING
g 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 required to be reported by
me under Title 15, Electi C
JESSICA BRETTLE
't NOTARY PUBLIC
_.,State of Texas ..
'� �F.�:.••Comm, Exp. 2019
ignature of Candidate r fficeholder
AFFIX NOTARY STAMP / SEAL ABOVE
Sworn to and subscribed before me, by the said 0Rthis the
day of r ILA ® 20 tO certify ich, witness my hand and seal of office.
Sig Printed name of officer administering oath Title of OwIr administering o
atur of�ffi-
v
www.ethics.stateAx.us Revised 09/28/2011