HomeMy WebLinkAboutCFR-01.15.2020-Triggs, MichaelCANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN
FINANCE REP09=,,""ii
COVER SHEET PG 1
2 Total pages filed:
1 Filer ID (Ethics Commission Filers)
The C10H Instruction Guide explains how to complete this form.
MS / MRS / MR FIRST
MI
OFFICE USE ONLY
3 CANDIDATE /
OFFICEHOLDER
NAME
r
M.9 . Ante; Pt
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Date Received
, . . .
NICKNAME LAST
SUFFIX
RECEIVED
r&-
a CANDIDATE /
OFFICEHOLDER
ADORM / PO BOX; APT / SUITE #; cITY
e�- —� t l C911 .1 �cJy<t�
STATE; ZIP CODE
JAN 14 2020
MAILING
ADDRESS
4L—
City
}y Secre} ar
❑ Change of Address
5 CANDIDATE/
AREA CODE PHONE NUMBER
EXTENSION
Date Hand -delivered or Date Postmarked
OFFICEHOLDER
/ Q
l� �ef 1 "7
PHONE
\ `/
6 CAMPAIGN
MS / MRS / MR FIRST
MI
Recaipi # Amount S
TREASURER
�a
Date Processed
NAME
, V - - - - - . - . -
NICKNAME LAST
SUFFIX
Date Imaged
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #;
CITY;
STATE; ZIP CODE
TREASURER
ADDRESS
(Residence or Business)
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE /
9 REPORT TYPE 15th day after campaign
I'� January 15 nth days ion Runoff
4� treasurer cipl�oinlrmint
(Officeholder Only)
❑ July 15 8th day before election ❑ Exceeded $500limit ❑ Final Report (Attach C/OH - FR)
10 PERIOD Month Day Year Month Day Year
COVERED
11 ELECTION
12 OFFICE
ELECTION DATE ELECTION TYPE
Month Day Year ❑ Primary ❑ Runoff ❑ Other
Description
0/ -(/q,(q 4General ❑ Special
OFFICE VELD (if any) 13 OFFICE SOUGHT (if known)
C / may' Co
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Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/26/2019
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME 16 Filer ID (Ethics Commission Filers)
1S NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
POLITICAL SUPPORT THE CANDIDATE / OFFICEHOLDER. THESE FXPENDO Ui74-3 MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDER'S
COMMITTEE(S) KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECENE NOTICE
OF SUCH EXPENDITURES.
COMMITTEE TYPE COMMITTEE NAME
GENERAL
COMMITTEE ADDRESS
SPECIFIC
Additional Pages
COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION
1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
TOTALS
PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR
$
CONTRIBUTIONS MADE ELECTRONICALLY), UNLESS ITEMIZED
2. TOTAL POLITICAL CONTRIBUTIONS
$
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE
3.
TOTALS
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 $
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 required to be reported by me
under Title 15, Election Code.
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP/SEALABOVE
Sworn to and subscribed before me, by the said
day of .20 , to certify which, witness my hand and seal of office.
Signature of officer administering oath
Forms provided by Texas Ethics Commission
Printed name of officer administering oath
www.ethics.state.tx.us
this the
Title of officer administering oath
Revised 9/2612019