HomeMy WebLinkAboutWirth, Jason_CFR 10.05.2020CANDIDATE / 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 forth.
3 CANDIDATE /
OFFICEHOLDER
MS / MRS / MR FIRST MI.
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OFFICE USE ONLY
NAME
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NICKNAME LAST SUFFIX
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RECEIVED
4 CANDIDATE /
ADDRESS / PO BOX; APT I SUITE 8; CITY; STATE; ZIP CODE
OFFICEHOLDER
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8
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MAILING
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ADDRESS
❑ Change of Address
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A
5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER
37,/z
Date Hand -delivered or Date Postmarked
PHONE
Receipt # Amount E
6 CAMPAIGN
MS I MRS / MR FIRST MI
TREASURER
/� -r S
Date Processed
NAME
. . . . . . U v. . . . . . . . . . .
NICKNAME LAST SUFFD(
Date Imaged
W !-M
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE N; CITY; STATE; ZIP CODE
TREASURER
Cp�l t �o w.lJ
ADDRESS
✓✓
(Residence or Business)
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
(St ���
PHONE
Z
8 REPORT TYPE
10 PERIOD
COVERED
11 ELECTION
❑ January 15
❑ July 15
30th day before election
Bth day before election
Month Day Year
tic j 1,1; I20 2v
ELECTION DATE
Month Day 7 Year ❑ Primary
/`(i2V YGeneral
12 OFFICE I OFFICEHELD litany)
THROUGH
❑ Runoff
❑ Special
Runoff 15th day after campaign
treasurer appointment
(Officeholder Only)
Exceeded Modred Final Report (Attach C/OH - FR)
Reporting UmI
Month Day Year
pel" �/ zoAWo
ELECTION TYPE
❑ Other
Description
13 OFFICE SOUGHT (N known)
GO TO PAGE 2
CANDIDATE / OFFICEHOLDER
CAMPAIGN FINANCE REPORT
14 C/OH NAME ` 11
16 NOTICE FROM THIS BOX IS FOR NOTICE OF PQLIT CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
POLITICAL SUPPORT THE CANDIDATE / OFFICE WIWER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFACEHOLDER'S
COMM ITTEE(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
❑ Additional Pages
17 CONTRIBUTION
TOTALS
EXPENDITURE
TOTALS
CONTRIBUTION
BALANCE
COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
1 - TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR
CONTRIBUTIONS MADE ELECTRONICALLY)
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
3. TOTAL UNITEMIZED I'01-ITICAL EXPENDITURE.
4. TOTAL POLITICAL EXPENDITURES
i
FORM C/OH
COVER SHEET PG 2
15 Filer ID (Ethics Commission Filers)
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY I $
OF REPORTING PERICID �J
OUTSTANDING g
LOAN TOTALS
ltl Ah r IUAV I 1
TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE � $
LAST DAY OF THE REPORTING PERIOD
��rITP+••a REN,AE C SILER
y NOWY Public, State of Texas
Comm. Erpirea 1 o-15-1022
�'•:'ka�,'�� Notgry ID 125/315759
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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.
alure of Candidate or Officeholder
AFFIX NOTARY STAMP t SEALABOV E
Sworn to a d �" Subscribed before me, by the said CGS { r4h this the
day of�lJ r 20 2 V , to certify which. witness my hand and seal of office. ff
fide
i nslure of officer administering oath Printed name of officer administering oath Title of officer administering oath