HomeMy WebLinkAboutCFR-01.05.2017-Gonzalez,TommyTcYnc Fthir Cnrnrniccinn P.O. Box 12070 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 #
2 Total pages filed;
The CION Instruction Guide explains how to complete this form.
(EMia Commisslon Fliers)
3 CANDIDATE /
MS/nMRS/MR FIRST
MI
OFFICE USE ONLY
OFFICEHOLDER
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ate fie I,
NAME
.....................................
NICKNAME LAST
SUFFIX
JAN 0 5 2017
Alez
City Secretary
4 CANDIDATE /
ADDRESS/PO BOX; APTISUITEM: CITY;
STATE; ZIPCODE
OFFICEHOLDER
Date HandAeriveredor Postmarked
MAILING
ADDRESS
r^ „fir �y-TN -i %, z(
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Receipt 14
Amount
❑ change of address
3 CANDIDATE/
AREA CODE PHONE NUMBER
EXTENSION
Dale Processed
OFFICEHOLDER
! `\ .
6 CAMPAIGN
MS/MRSIMR FIRST
MI Date Imaged
TREASURER
MI�.U.�
L
NAME
......I ...... ......
NICKNAME
SUFFIX
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7 CAMPAIGN
STREETADDRESS(NOPOBOXPLEASE); APTISUITE#;
CITY: STATE; ZIPCODE
TREASURER
AtDDRESS
(residence or business)
8 CAMPAIGN
AREA CODE PHONE NUMBER
EXTENSION
TREASURER
PHONE
9 REPORT TYPE
January 15 30th day before election El
Runoff day aper campaign _
`
trey15t
treasurer Ment
.n1w
(eMcehdderenty)
July 15 ❑ Bth day before election ❑
Exceeded $500 ❑ Final report (AMM C/OH - FR)
limit
10 PERIOD
Month COY Year
Moral Cay Year
COVERED
-1 ^ THROUGH
11 ELECTION
ELECTION DATE
ELECTIONTYPE
Month Dry Year
❑ Primary 7
Rump General Spedal
12 OFFICE
OFFICE HELD (Sony) �L �U`
13
OFFICESOUGHT (lm.n)
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GO TO PAGE 2
www.ethics.state.tx.us Revised 09/28/2011
Texas FthirtR Cnmmission P.O. Box 12070 Austin. Texas 78711-2070 (512) 463-5800 (rDD 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 POUTCAL CONTRIBUIONSACCEPTED OR POUTCALEXPENDRURES MADE BY POLITICAL COMMITTEES TO SUPPORT THE
POLITICAL
CANDIDATE I OFFICEHOLDER. THESE EXPENDRURES ANY HAVE BEENMADE WITHOUT THE CANDIOATE'S OR OFFICEHOIDER'S xNOWLEDGE OR
COMMITTEE(S)
CONSENT. CANDDATESANO OFFICEHOLDERSARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDRUnES.
COMMITTEE NAME
COMMITTEE TYPE
O GENERAL
COMMITTEEADDRESS
O 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)
/Vvl
EXPENDITURE
LESS, UNLESS ITEMIZED
$
TOTALS
3. TOTAL POLITICAL EXPENDITURES OF $100 OR
4. TOTAL POLITICAL EXPENDITURES
$ Vl
V/
CONTRIBUTION
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
$ 1
BALANCE
OF REPORTING PERIOD
lrY At1 1
OUTSTANDING
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
$
LOAN TOTALS
LAST DAY OF THE REPORTING PERIOD
18 AFFIDAVIT
1 swear, or affirm, under penalty of perjury, that the accompanying report
is true and Correct and includes II information required to be reported by
NOWLINO me and Title 15, Election o e.
SMICHELE
Notary ID N 129233532
/91
My Commission Expires
December13, 2020 n/LlAt
nat r ofCanditl or fnceholder
AFFIX NOTARY STAMP / SEAL ABOVE T _
Sworn to and subscribed before me, by the said,this the
r"
S day of yJ 0.4 t 20
,11 to certify which, witness my hand and seal of office.
`_
`
Pn.th
O \ C h?� lV O t ri 2.
Signature of officer administering oath Printed name of officer administering oath Title ofoffi dministering
www.ethics.state.tx.us Revised 09/28/2011