HomeMy WebLinkAboutCFR-01.04.2018-Gonzalez,TommyCANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Flier ID (Ethics Commission Filers)
2 Total pages filed:
The C/OH Instruction Guide explains how to complete this form.
3 CANDIDATE/
OFFICEHOLDER
NAME
MS / MRS / MR FIRST MI
-7JA,1AA\
_ _Date
OFFICE USE ONLY
Received
NICKNAME LAST SUFFIX
RECEIVED
4 CANDIDATE/
ADDRESS / PO BOX; APT / SUITE p; CITY; STATE; ZIP CODE
OFFICEHOLDER(
ADDRESS
Change of Address
_
� � � � � � Z
JAN o) 21=J
City Secretary
5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
Date Hand -delivered or Date Postmarked
OFFICEHOLDER
PHONE
:>
6 CAMPAIGN
MS / MRS / MR FIRST MI
Receipt p Amount $
TREASURER
NAME
. . . . . . . .
Date Processed
NICKNAME LAST SUFFIX
Date Imaged
7 CAMPAIGN
TREASURER
ADDRESS
STREET ADDRESS (NO PO BOX PLEASE): APT / SUITE H; CITY; STATE;
^
'�
ZIP CODE
(Residence or Business)
C, e !.,)b
8 CAMPAIGN
CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
//AREA
_-
9 REPORT TYPE
January 15 30th day before election Runoff
15th day atter campaign
treasurer appointment
(Officeholder Only)
July 15 ❑ 8th day before election Exceeded $500 limit
❑ Final Report (Attach C/OH - FR)
10 PERIOD
COVERED
Month Day Year Month fDay Year +
/01 0 1 / I ~� THROUGH 2-,
11 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
❑ Primary ❑ Runoff ❑ Other
Description
General ❑ Special
12 OFFICE
OFFICE HELD (If any) C'I�n . (� C , 1
13 OFFICE SOUGHT (if known)
Tf X 0, S
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
CANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME �n J
15 Filer ID (Ethics Commission Filers)
16 NOTICE FROM
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLmCAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
POLITICAL
SUPPORT THE CANDIDATE / OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUr THE CANDIDATES OR OFFICEHOLDER's
COMMITTEE(S)
KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE
OF SUCH EXPENDITURES.
COMMITTEE TYPE COMMITTEE NAME
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)
EXTEND ITURE
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
$
UNLESS ITEMIZED
LJ
4. TOTAL POLITICAL EXPENDITURES
$
CONTRIBUTION
BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
$
OUTSTANDING
LOAN TOTALS
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD
I
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 Ti le 15, Election Cod
OBYN LOUISE OENSMORE
*NOTARY PUBLIC
F46w....
State of TexasCamm.
Exp. 04/1512018
""""'"""""""" """ n ure of Candi to or Officeholder
AFFIX NOTARY STAMP/ SEALABOVE
-r'
Swom to and subscribed before me, by the said l „ 0M rv� ti 0�.� �'� this the q LL
day of 20 IS to certify which, witness my hand and seal of office.
Signature of officer administering oath Printed name of officer administering oath Title of officer 4,10,twing oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
Forms provided by Texas Ethics Commission www. ethics. state. tx.us Revised 9/8/2015
SUBTOTALS - C/OH FORM C/OH
COVER SHEET PG 3
19
FILER NAME __ (_
I
20 Filer ID (Ethics Commission Filers)
21
SCHEDULE SUBTOTALS
NAME OF SCHEDULE
SUBTOTAL
AMOUNT
1•
SCHEDULEA1: MONETARY POLITICAL CONTRIBUTIONS
$
2.
SCHEDULE A2: NON -MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS
$
3.
❑
SCHEDULES: PLEDGED CONTRIBUTIONS
4.
I�
SCHEDULE E: LOANS
$
5.
SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
6•
❑
SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
$
7•
❑
SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$
'
8
SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD
$
9.
SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
$
10.
❑
SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH
$
11.
❑
SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$ r
12
SCHEDULE K: INTEREST CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS
RETURNED TO FILER
$
Forms provided by Texas Ethics Commission www. ethics. state. tx.us Revised 9/8/2015