e-z.- µe ljj j · candidate/ officeholder campaign finance report form c/oh cover sheet pg 2 14...

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CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Filer ID (Ethics Commission Filers) 2 Total pages filed : The C/OH Instruction Guide explains how to complete this form. 3 CANDIDATE / MS / MRS / MR FIRST Ml OFFICEHOLDER tJ..,s L1,,:0A- OFFICE USE ONLY NAME uafe~ece1vedEL PASO . . .. NICKNAME LAST SUFFIX {;n· t.. '~ \e-z.- μe fJS/'.;2,IJ COMMUNITY COLL EGE 4 CANDIDATE / ADDRESS / PO BOX ; APT / SUITE #; CITY; STATE ; ZIP CODE OFFICEHOLDER JUL MAILING 1 5 2019 ADDRESS 0 Change of Address ~\OG lJJ 11\oi2nc.k- 7 J P4,~:1)( 1</"(e RECEIVED . 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION OFFICEHOLDER (~\;$"') PHONE 5q3-o,\"2.. PRE'S'H,ENaf'S 1 0F F CE 6 CAMPAIGN MS / MRS / MR FIRST Ml Receipt# I Amount $ TREASURER .~5.eP.A:ev . NAME .. . ... . Date Processed NICKNAME LAST SUFFIX L~μt)A Date Imaged 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE) ; APT / SUITE #; CITY; STATE ; ZIP CODE TREASURER ADDRESS So 'l ~l'l.-itLtE- (Residence or Busi ness) 02-QA-~ 1-:t 1 Cf<it..S- I 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER ( er, s- ) 37? - 3- ~7 PHONE 9 REPORT TYPE D January 15 30th day before election Runoff D 15th day after campaign treasurer appointment (Officeholder Only) July15 8th day before eleciion Exceeded $500 limit Final Report (Attach C/OH · FR) 10 PERIOD Month Day Year Month Day Year COVERED / t:Z'i' / 1tj 1 / ls / 11 t/ THROUGH - 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year 0 Primary Runoff D Other Description 5/ L/ / /(j ~eneral Special 12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known) t£fJ cc.. ·~ &f-r~· feq_ D ISTJU c.t s- GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015

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Page 1: e-z.- µe lJJ J · candidate/ officeholder campaign finance report form c/oh cover sheet pg 2 14 c/oh name l,)1)a-15 filer 10 (ethics commission filers) 16 notice from political committee(s)

CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1

1 Filer ID (Ethics Commission Filers) 2 Total pages filed :

The C/OH Instruction Guide explains how to complete this form.

3 CANDIDATE / MS / MRS / MR FIRST Ml

OFFICEHOLDER tJ..,s L1,,:0A-OFFICE USE ONLY

NAME uafe~ece1vedEL PASO . . ..

NICKNAME LAST SUFFIX

{;n·t.. '~ \e-z.- µe fJS/'.;2,IJ COMMUNITY COLL EGE 4 CANDIDATE / ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE

OFFICEHOLDER JUL MAILING 1 5 2019 ADDRESS

0 Change of Address ~\OG lJJ 11\oi2nc.k- 7 J P4,~:1)( 1</"(e RECEIVED .

5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION

OFFICEHOLDER (~\;$"') PHONE 5q3-o,\"2.. PRE'S'H,ENaf'S10F F CE

6 CAMPAIGN MS / MRS / MR FIRST Ml Receipt#

I Amount $

TREASURER .~5.eP.A:ev . NAME .. . ... . Date Processed

NICKNAME LAST SUFFIX

L~µt)A Date Imaged

7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE) ; APT / SUITE #; CITY; STATE; ZIP CODE

TREASURER ADDRESS

So 'l ~l'l.-itLtE-(Residence or Business) 02-QA-~ 1-:t 1 Cf<it..S-

I

8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION

TREASURER ( er, s- ) 37? - ~ 3-~7 PHONE

9 REPORT TYPE

□ D January 15 30th day before election □ Runoff D 15th day after campaign treasurer appointment (Officeholder Only)

□ July15 □ 8th day before eleciion □ Exceeded $500 limit ~ Final Report (Attach C/OH · FR)

10 PERIOD Month Day Year Month Day Year

COVERED

/ t:Z'i' / 1tj 1 / ls / 11 t/ THROUGH

-11 ELECTION ELECTION DATE ELECTION TYPE

Month Day Year 0 Primary □ Runoff D Other Description

5 / L/ / /(j ~eneral □ Special

12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known)

t£fJ cc.. ·~ &f-r~·feq_

D ISTJU c.t s-

GO TO PAGE 2

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015

Page 2: e-z.- µe lJJ J · candidate/ officeholder campaign finance report form c/oh cover sheet pg 2 14 c/oh name l,)1)a-15 filer 10 (ethics commission filers) 16 notice from political committee(s)

CANDIDATE/ OFFICEHOLDER CAMPAIGN FINANCE REPORT

FORM C/OH COVER SHEET PG 2

14 C/OH NAME

l,)1)A-

15 Filer 10 (Ethics Commission Filers)

16 NOTICE FROM POLITICAL COMMITTEE(S)

THIS BOX IS FOR NOTICE OF LITICAL CONTRIBUTIONS ACCEPTED OR POLmCAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO

SUPPORT THE CANDIDATE/ OFFICEHOLDER, THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S

KNOWLEDGE OR CONSENT, CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE

EL COMM TEE NAME

COMMUNI Y~QU.E E f------------------------------------l

COMMI TEE ADDRESS OsPEC1F1c

JUL 1 5 2019

17 CONTRIBUTION TOTALS

EXPENDITURE TOTALS

CONTRIBUTION BALANCE

OUTSTANDING LOAN TOTALS

18 AFFIDAVIT

COMMI TEE CAMPAIGN TREASURER NAME

EIVED T'S OFFI E

1.

COMMITTEE CAMPAIGN TREASURER ADDRESS

TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED

2. TOTAL POLITICAL CONTRIBUTIONS

3 .

(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)

TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED

4. TOTAL POLITICAL EXPENDITURES

5 .

6.

TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF REPORTING PERIOD

TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY OF TH E REPORTING PERIOD

$

$ 1./ t.{ s .oo

$

$ l 'i J& .:;r

$ -fr

$ 5i3s,oo

PAMELA L PAYNE Notary ID #10447812

My Commission Expires Jan 21, 2021

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.

AFFIX NOTARY STAMP / SEAL ABOVE

Sworn to and subscriped before me, by the said l.A 0

n cl. A..-gonu,,/ez -Yensgm day of ~b~ I~ , to certify which , witness my hand and seal of office.

/J~;I, fJ~ P~el~ L. P1i:an-L

15-l±, , this the -~-----

Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015

Page 3: e-z.- µe lJJ J · candidate/ officeholder campaign finance report form c/oh cover sheet pg 2 14 c/oh name l,)1)a-15 filer 10 (ethics commission filers) 16 notice from political committee(s)
Page 4: e-z.- µe lJJ J · candidate/ officeholder campaign finance report form c/oh cover sheet pg 2 14 c/oh name l,)1)a-15 filer 10 (ethics commission filers) 16 notice from political committee(s)

SUBTOTALS - C/OH FORM C/OH COVER SHEET PG 3

19 FILER NAME 20 Filer ID (Ethics Commissio n F ilers)

21 SCHEDULE SUBTOTALS SUBTOTAL NAME OF SCHEDULE AMOUNT

1. 0 SCHEDULE A 1 : MONETARY POLITICAL CONTRIBUTIONS $ 41~.c)O 2 . □ SCHEDULE A2: NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS $

3 . □ SCHEDULE B: PLEDGED CONTRIBUTIONS $

4 . G:?' SCHEDULE E : LOANS $ h ~ -cx> 5 . ~ SCHEDULE F1 : POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS

$ t J 7L .~I 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 . 0 SCHEDULE G : POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ :L 5/, CJ&, 10. □ SCHEDULE H : PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $

11. □ SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $

12. □ SCHEDULE K : INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS $ RETURNED TO FILER

-EL PA~(;

COMMUNITY CC-i...-~

JUL 1 5 2019

REcr:·· r- 1

PRESID7- ' -~FICE -

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015

Page 5: e-z.- µe lJJ J · candidate/ officeholder campaign finance report form c/oh cover sheet pg 2 14 c/oh name l,)1)a-15 filer 10 (ethics commission filers) 16 notice from political committee(s)

MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1

The Instruction Guide explains how to complete this form. 1 Total pages Schedule A 1:

2 FILER NAME 3 Filer ID (Ethics Commission Filers)

Li IUhA-Gu P ~'L- ~':V}j ......

4 Date 5 Full name of contributor D out-of-stale PAC (ID#: I 7 Amount of contribution ($)

~ ,~7)\\~ ~ ~ff'\.l 14' 6 Contributor address; City; State; Zip Code tt )00, Oc>

tr (D<;" w h ,-rc,oµ_b fsi__Q~-rx-10t2--s r 8 Principal occupation I Job title (See Instructions) 9 Employer (See Instructions)

\lox,M.li~ Date Full name of contributor D out-of -stale PAC (ID#: l Amount of contribution ($)

it\~o\ l°c -~0 l)~so~

~W.oa Contributor address; City ; State; Zip Code

l7 oo L-(+-i_ t- LJJ ~ B~n 79102. Principal occupation I Job title (See Instructions)

~ ,-....at:> Employer (See Instructions)

Date Full name of contributor D out-of-state PAC (ID#: l Amount of contribution ($)

~ )1,-i-/ l~ ~-~ \},~ff\ . ..

$'100.00 Contributor address; City ; State ; Zip Code

\\'3"~ Ve,~ l.{)A-Slt_i e_ u ~~ TX' 7q~3<t, Principal occupation I Job title (See Instructions) Employer (See Instructions)

~.l -'\.e~~( ~-rn-7~/'r ~'S1)

Date Full name of contributor D out-of-slate PAC (ID#: l Amount of contribution ($)

$ ----. _f"~H.¾~C<.) . . . . .

5\1\\9 Contributor address ; City ; State ; Zip Code

J .J-S'O. v o Lo t-Je vJ" ';) ,i) QP~-rx 7qq_zs \2,"Z-\

Principal occupation I Job title (See Instructions) Employer (See Instructions)

~iL0M6 u'4~A-4-(.- U\-Jom1~l A-< d,..,,n&-5

EL PASO COMMUNITY COLLEGE

JUL 1 5 2019

nct"CI\/Cn ·---·. --P,RF~ lr4'Z:1'",6l 1 -- • ~ 001BOFTHISSCHEDULEASNEEDED !}::::. l~m-"M~~ r. 1 L r- ,struction guide for additional reporting requirements.

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015

Page 6: e-z.- µe lJJ J · candidate/ officeholder campaign finance report form c/oh cover sheet pg 2 14 c/oh name l,)1)a-15 filer 10 (ethics commission filers) 16 notice from political committee(s)

MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1

The Instruction Guide explains how to complete this form. 1 Total pages Schedule A 1:

z..

2 FILER NAME

L tt.J DA--1 _""""1()\lh 4 .. \~~sro..J 3 Filer ID (Ethics Commission Filers)

4 Date 5 - Q

Full name of contributor 0 out-of-state PAC (ID#: l 7 Amount of contribution ($)

Mtut-1~ tJA-((11){\

11 \~( I 1 6 Contributor address ; City ; State; Zip Code -lf'zs:oo ~~2'-{ U:)6 l f o ctJ)t f.J) ~a,1"1- 7fifU-

8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions)

Date Full name of contributor 0 out-of-state PAC (ID#: l Amount of contribution ($) '

Contributor address; City ; State; Zip Code

Principal occupation / Job title (See Instructions) Employer (See Instructions)

Date Full name of contributor 0 out-of-state PAC (ID#: l Amount of contribution ($)

. . Contributor address; City; State ; Zip Code

Principal occupation / Job title (See Instructions) Employer (See Instructions)

Date Full name of contributor 0 out-of-state PAC (ID#: l Amount of contribution ($)

Contributor address ; City; State ; Zip Code

Principal occupation / Job title (See Instructions) Employer (See Instructions)

ELPASO COMMUNITY COLLEGE

JUL 1 5 2019

c1=r.1= 1v1=n

PRE$_ IDE N-r-'S~~~A COPIES OF THIS SCHEDULE AS NEEDED se see instruction guide for additional reporting requirements.

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015

Page 7: e-z.- µe lJJ J · candidate/ officeholder campaign finance report form c/oh cover sheet pg 2 14 c/oh name l,)1)a-15 filer 10 (ethics commission filers) 16 notice from political committee(s)

EL PASO

LOANS COMMUNITY COLLEGE SCHEDULE E

The Instruction Guide explains ho, to complete t I. forhi.5 2019 Total pages Schedule E:

I

2 FILER NAME RECEIVED

Filer ID (Ethics Commission Filers)

L l Ul:> ,'~.- 6 ,,.u'">A ~ l1u=ri J f"\ I"'\ r- r, If"\ r- I. l"T'lr. - r-"r-" I "" r-,J ~ I I H,_...,,._,._, ,., V \J I I I\JL..

4 TOTAL OF UNITEMIZED LOANS $

5 Date of loan 7 Name of lender D out-of-state PAC (ID#: ) 9 Loan Amount ($)

S\ 1!.\\ lq .L ly _t> "Pr- _&z_o _µ~~ _µ~ 0~. ~ lP.:SS. ou .... . 6

. 1 O Interest rate Is lender 8 Lender address; City; State; Zip Code a financial

W, Uvr~ ~o~ TX Institution?

€) d-\c)~ r,cq z_, 11 Maturity date y

12 Principal occupation / Job title (See Instructions) 13 Employer (See Instructions)

14 Description of Collateral 15 Check if personal funds were deposited into political account (See Instructions)

D none □ 16 GUARANTOR 17 Name of guarantor 19 Amount Guaranteed ($)

INFORMATION

18 Guarantor address ; City ; State; Zip Code

D not applicable

20 Principal Occupation (See Instructions) 21 Employer (See Instructions)

Date of loan Name of lender 0 out-of-state PAC (ID#: ) Loan Amount ($)

Is lender Lender address; City; State; Zip Code Interest rate

a financial Institution?

Maturity date y N

Principal occupation / Job title (See Instructions) Employer (See Instructions)

Description of Collateral Check if personal funds were deposited into political account (See Instructions)

D none □ GUARANTOR Name of guarantor Amount Guaranteed ($) INFORMATION

Guarantor address ; City; State; Zip Code

D not applicable

Principal Occupation (See Instructions) Employer (See Instructions)

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If lender is out-of-state PAC, please see instruction guide for additional reporting requirements.

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015

Page 8: e-z.- µe lJJ J · candidate/ officeholder campaign finance report form c/oh cover sheet pg 2 14 c/oh name l,)1)a-15 filer 10 (ethics commission filers) 16 notice from political committee(s)

EL PASO

POLITICAL EXPENDITURES MADE COMMUNITY COLLEGE

FROM POLITICAL CONT RI BUTIO" s SCHEDl LE F1 .1111 1 .:. ?n10

EXPENDITURE CATEGORII S FOR BOX 8(a)

Advert isi ng Expense Event Expense Loan epayment/Rei~ E tra~Fundraising Exp nse A=unting/Banking Fees Office ::>verhead/Rental a ation Equipment & 'lelated Expense Consulting Expense Food/Beverage Expense Pellin

Expense ~~iGE Contributions/Donations Made By GifVAwards/Memorials Expense Printir ~:BEtSJ~NT · · . t · tedabove) Candidate/Officeholder/Political Committee Legal Services Salari Credit Card Payment

The Instruction Guide explains how to complete this form.

1 Total pages Schedule F1 : 2 FILER NAME 13 Filer ID (Ethics Commission Filers)

l ttJO-A Cto~ez.. -Ueu~o.u 4 Date 5 Payee name

<...l

l.\ \ 1%\ l'l Su_µ C. ,rd-e.. >r"-A-1 £.~- IC. ai I.U)u..;0

6 Amount ($) 7 Payee address ; City ; State; Z ip Code

\5 D~ \ lo (iot µ~tJm~ A ~Q~ ~ 7'ffo1 8 (a) Category (See Categories listed at the top of this schedule) (b) Description

PURPOSE ~ <v,u.;nv$ ~ ~ ~es , D Check if travel outside of Texas. Complete Schedule T.

OF ~..;12_"'-.tis1 ~s. 1.\1 teNS--e... D Check if Austin , TX, otticeholder living expense EXPENDITURE

9 Complete ONLY if direct Candidate I Officeholder name Office sought Office held

expenditure to benefit C/OH

Date Payee name

ij \ 2:z.' L,. Su..~ C,\lc_~ ~~iblL G,~ Amount ($) Payee address ; City ; State ; Zip Code

\ q qq,tt,\ l4o \ µO ,.ST'A-·1-J {y ~\ v,1,\-St) -n r~lio7 Category (See Categories listed at the top of this schedule) Description

PURPOSE ~~~~ ~ D Check if travel outside of Texas. Complete Schedule T.

OF D Check if Austin, TX , officeholder living expense EXPENDITURE

Complete ONLY if direct Candidate I Officeholder name Office sought Office held

expenditure to benefit C/OH

Date Payee name

sh~\' C\ Suu c,,, ct s/'W-T'l t<. \ l. Grov-..D Amount ($) Payee address ; City ; State; Zip Code

331 D, Sfi lYo I M.-vu"fY-hvA U2 Q~ I ·---r-r: 71107 Category (See Categories listed at the top of this schedule) Description

PURPOSE

~su..\h ~,~ D Check rt travel outside of Texas. Complete Schedule T.

OF fJ n ~ D Check if Austin, TX, officeholder living expense EXPENDITURE

Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015

Page 9: e-z.- µe lJJ J · candidate/ officeholder campaign finance report form c/oh cover sheet pg 2 14 c/oh name l,)1)a-15 filer 10 (ethics commission filers) 16 notice from political committee(s)

EL PASO POLITICAL EXPENDITURES COMMUNITY COL~~ '-1LE G MADE FROM PERSONAL FUNDS

EXPENDITURE CATEGORIE S FOR BOX ~ ~ L l J 2019 Advertising Expense Event Expense Loan f epayment/Reimbursement Solicitation/Fundraising Exp, nse Accounting/Banking Fees Office )verhead/Rental Rinse Elion Equipment & elated Expense Consulting Expense Food/Beverage Expense Pollin1 Expense EC E I istrict Contributions/Donations Made By Gift/Awards/Memorials Expense Printin Expense Of District

Candidate/Officeholder/Political Committee Legal Services sa1a · .... K 1::~,u~ N ~,o~~otli

tad above)

Credit Card Payment The Instruction Gulde explains how

1 Total pages Schedule G: 2 FILE R NAME I 3 F i le r ID (Ethics Commission Fi lers)

Li v.J~ c,,w. ,__"' ~ - ~~ l.l<::r/">A)

4 Date 5 Pa yeenam e _;, 0-

~i.t\,q L1rt\e. c_ Az.S-A-(5 6 AmoJnt ($) 7 Payee address ; C ity; State; Z ip Code

t;l .l:flo ~ \V\? ✓1 ro '10 PR6. 0 Reimbursement from \~1o -u 7Ci<i¾ political contributions

intended

8 (a) C ategory (See Categories listed at the top of this schedule) (b) Description PURPOSE

~ 1~1¥'~ ~f)Qf.J~ D Check if travel outside of Texas. Complete Schedule T.

OF D Check if Austin , TX, officeholder living expense EXPENDITURE 4Jkt.7\~ "l) I½ 9 Complete ONLY if direct C and idate I Officeholder nam e O ffice sought O ffice held

expenditure to benefit C/OH

Date Payee name

5\~\\4 ,1--~ ~\l.( Cusw1-1 lees Amount ($) Pay ee address ; C ity ; State; Zip Code

ivo,<>v 12-,3 7 Lal--( ,;_A--N'f) ~ <!. l2J Reimbursementfrom 0-P~~v r0~o7 political contributions intended

C ategory (See Categories listed at the top of this schedule) (b) Description PURPOSE D Check iftravel outside ofTexas. Complete Schedule T. OF

EXPENDITURE D Check if Austin, TX, officeholder living expense

Complete ONLY if direct C and idate I O ffice holder name O ffice sought O ffice held expenditure to benefit C/OH

Date Payee name

A m ount ($) Payee address; C ity ; State; Z ip Code

D Reimbursement from political contributions intended

Catego ry (See Categories listed at the top of this schedule) (b) Desc rip tio n PURPOSE D Check if travel outside of Texas. Complete Schedule T. OF

EXPENDITURE D Check if Austin. TX, officeholder living expense

Complete ONLY if direct Cand idate / O fficeholder n ame Office so ught Offic e held expenditu re to benefit C/OH

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

Fo rms p rovided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015

Page 10: e-z.- µe lJJ J · candidate/ officeholder campaign finance report form c/oh cover sheet pg 2 14 c/oh name l,)1)a-15 filer 10 (ethics commission filers) 16 notice from political committee(s)

CANDIDATE/ OFFICEHOLDER REPO DESIGNATION OF FINAL REPORT

1 C/OH NAME

l 3 SIGNATURE

The Instruction Guide explains how to •· Complete only if "Report Type" on page 1

0 MMUNITY COLLEGE

FORM C/OH -

mplete this fonn.

marked "Fi'A~e~\/E D

R

I do not expect any further political contributions or political expenditures in connection with my candidacy. I understand that designat­

ing a report as a final report terminates my campaign treasurer appointment. I also understand that I may not accept any campaign

contributions or make any campaign expenditures without a campaign treasurer appointment on file.

4 FILER WHO IS NOT AN OFFICEHOLDER •• Complete A & B below only if you are not an officeholder.

~ CAMPAIGN FUNDS

Check only one:

[0" I do not have unexpended contributions or unexpended interest or income earned from political contributions.

D I have unexpended contributions or unexpended interest or income earned from political contributions. I understand that I may not convert unexpended political contributions or unexpended interest or income earned on political contributions to personal use. I also understand that I must file an annual report of unexpended contributions and that I may not retain

unexpended contributions or unexpended interest or income earned on political contributions longer than six years after filing

this final report. Further, I understand that I must dispose of unexpended political contributions and unexpended interest or

income earned on political contributions in accordance with the requirements of Election Code, § 254.204.

B. ASSETS

Check only one:

Ci2(' I do not retain assets purchased with political contributions or interest or other income from political contributions.

D I do retain assets purchased with political contributions or interest or other income from political contributions. I understand

that I may not convert assets purchased with political contributions or interest or other income from political contributions to

personal use. I also understand that I must dispose of assets purchased with political contributions in accordance with the

raq,;,ements ot Elect;on Code, § 254.204. !If uiJ..o ~, • ~ S~nd;date ~

5 OFRCEHOLDER •• Complete this section only if you are an officeholder ••

D I am aware that I remain subject to filing requirements applicable to an officeholder who does not have a campaign treasurer on file. I am also aware that I will be required to file reports of unexpended contributions if, after filing the last required report as an

officeholder, I retain political contributions, interest or other income from political contributions, or assets purchased with politi­

cal contributions or interest or other income from political contributions.

Signature of Officeholder

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015