HomeMy WebLinkAboutWirth, Jason_CFR 07.15.2020CANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Filer ID (Ethics Commission Filers)
2 Total pages filed
The CIOH Instruction Guide
explains how to complete this form.
3 CANDIDATE /
MS / MRS I MR FIRST MI
OFFICE USE ONLY
OFFICEHOLDER
� —4.5 o/
NAME
—
Date Received
NICKNAME LAST SUFFIX
ti
RECEIVED
q CANDIDATE /
ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
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JUL 14 2020
OFFICEHOLDER
JSbZB
ADDRESS
City Secretary
❑ Change of Address
5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
_
OFFICEHOLDER
�jZ \ /_ G+/� �!�
dJr CP 7 Z7 J
Date Hand -delivered or Date Postmarked
PHONE
/
6 CAMPAIGN
MS /MRS / MR FIRST M I
Receipt #
Amount $
TREASURER
L
�J S..
NAME
sr . . .. . . . . . . . . . .
Dale Processed
NICKNAME LAST SUFFIX
Date Imaged
A)/2,L h
7 CAMPAIGN
TREASURER
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY;
�0�0 �jQ/Z L�41 ♦t� �� l"7�G%1� t �d .a) .J
STATE; ZIP CODE
r�C / �ti Z O
ADDRESS
(Residence or Business)
6 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
(9
PHONE
January 15 30th day before election Runoff
15th day after campaign
9 REPORT TYPE
_�
treasurer appointment
(Officeholder Only)
July 15 8th day before election ❑ Exceeded Modified
Final Report (Attach C/OH - FR)
Rci acting Umlt
10 PERIOD
Month Day Year Month
Day Year
COVERED
O / y�a� d� %
O`
/ X� /�dZ0
THROUGH
ELECTION DATE ELECTION TYPE
11 ELECTION
�
Month Day Year ❑ PfiRr3r _ ElRunoff❑ Other
Description
� /Zp�O q General ❑ Special
12 OFFICE l
OFFICE HELD (It any)
13 O�FFIC`E SOUGHT (If known)
L.. ! G jeA�l ,j
GO TOPAGE 2
14 C/OH NAME
16 NOTICE FROM
POLITICAL
COMMITTEE(S)
D Additional Pages
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
15 Filer ID (Ethics Commission Filers)
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
SUPPORT THE CANDIDATE / OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDER'S
KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY F THEY RECEIVE NOTICE
OF SUCH EXPENDITURES.
COMMITTEE TYPE COMMITTEE NAME
GENERAL
COMMITTEE ADDRESS
❑ SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION
TOTALS
1,
TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR
$
O CDC)
MADE ELECTRONICALLY)
2.
TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
$
O Oct
TOTALS EXPENDITURE
3.
TOTAL UNITEMIZED POLITICAL EXPENDITURE.
$
OJ
4.
TOTAL POLITICAL EXPENDITURES
$
00
CONTRIBUTION
BALANCE
5.
TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
$
O 00
OUTSTANDING
LOAN TOTALS
6.
TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD
$
00
0
18 AFFIDAVIT
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
KELI J RUSS
NOTARY PU91.IC under Title 15, Election Code.
*; ID# 128165091 `
• 'v°� State of Texas � y
Comm. Exp, 02-01-2022
aetdr�f Candidate or Officeholder
AFFIX NOTARY STAMP / SEALABOVE
Sworn to and subscribed before me, by the said .- tr[i ' I l I this the
day of; ' , 20 , to certify which, witness my hand R eaoffice. 1
Signature of officer administering oath Printed name of officer ai rnlnisterirlg oath Tltle of officer administering oath