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Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711- 2070 512) 463- 5800 ( TDD 1- 800- 735- 2989)
CAMPAIGN
OFFICEHOLDER FORM C/ OH
INANCE REPORT COVER SHEET PG 1
1 ACCOUNT# 2 Total pages filed:
The C10H Instruction Guide explains how to complete this form. Ethics commssionFilers)
3 CANDIDATE / MSIMRSrMR FIRST MI
OFFICE USE ONLYOFFICEHOLDER
n NL
NAME t Yy Da[. R, c&-;
NICKNAME - LAST.
SUFFIX
4 CANDIDATE ! ADDRESS 1PO BOX: APTIS ITE#: CITY, STATE; ZiPCODE
OFFlCEHQLDER
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MAILING A, LL f 1
ADDRESS C Date
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v h Tx SO "7/
change of address
Raceipt# Amount
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER Date Processed
PHONE 5 G L 0 l
6 CAMPAIGN MSfMRSIMR FIRST MI Date Imaged
TREASURER
NAME
NICKNAME
LgS7c.Lv
SUFFIX .
7 CAMPAIGN STREETADDRESS( NO PO BOX PL EASE): APTISUITE; XI CITY, STATE; ZIP CODE
TREASURER
ADDRESS L 1 - 7 G r-e d kj M }{ us
J " 7residence or business) J
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
fPHONE r7
9 REPORT TYPE
January 15 30th day before election
F7 Runoff 15th day after campaign
treasurer appointment
r-
officeholder only)
July 15 81h day before election
E] Exceeded $ 500 Final report( Attach CIOH- FR)
limit
10 PERIOD Month Day Year Month Day Year
COVERED
j / THROUGH
r
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year
Primary Runoff V General Special
s Y
12 OFFICE OFFICE HELD( ifany) 13 OFFICESOUGHT ( ifknOwn)
r
GO TO PAGE 2
www. ethics- state. tx. us
Revised 07128/2014
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711- 2070 512) 463- 5800 ( TDD 1- 800- 735-2989)
CANDIDATE / OFFICEHOLDER REPORT: FORM CIOH
SUPPORT & TOTALS
COVER SHEET PG 2
14 C/ OH NAME l`
15 ACCOUNT# ( Ethics Commission Filers)
16 NOTICE FROM THIS BOX IS FORNOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT THE
POLITICAL CANDIDATE 1 OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WyTHOUr THE CANDIOA'rE'S OR OFFICEHOLDERS KNOWLEDGE OR
COMMITTEE( S) CONSENT CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COP,IMITTEE NAME
COMMITTEE TYPE
t71 GENERAL
COMMITTEE ADDRESS
SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
additional pages
CONIMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION
I. TOTAL POLITICAL CONTRIBUTIONS OF$ 50 OR
M
LESS( OTHER THAN
d
1
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
2. TOTAL POLITICAL CONTRIBUTIONS
OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE
TOTALS 3. TOTAL POLITICAL EXPENDITURES OF$ 100 OR LESS, UNLESS ITEMIZED 7
4. TOTAL POLITICAL EXPENDITURES f
CONTRIBUTION
5 TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
13ALANCE OF REPORTING PERIOD
U y
OUTSTANDING
6 TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE $
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD
J
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.
s P°;•,'.
BARBARA D. VICE
Notary Pubilc, State of Texas Signature of Candidate or O eholder
My Commission Expires
Will 19, 2017
AFFI
Sworn to and subscribed before me, by the said 4 k- this the
day of
r
20 15 , to certify which, wftness my hand and seal of office.
Signature of officer administering oath Printed name of officer administering oath Title of officer acim Istering oath
www. ethics. state. tx. us
Revised 0712812014

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2015 04-29 peter bailey - candidate officeholder campaign finance report

  • 1. Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711- 2070 512) 463- 5800 ( TDD 1- 800- 735- 2989) CAMPAIGN OFFICEHOLDER FORM C/ OH INANCE REPORT COVER SHEET PG 1 1 ACCOUNT# 2 Total pages filed: The C10H Instruction Guide explains how to complete this form. Ethics commssionFilers) 3 CANDIDATE / MSIMRSrMR FIRST MI OFFICE USE ONLYOFFICEHOLDER n NL NAME t Yy Da[. R, c&-; NICKNAME - LAST. SUFFIX 4 CANDIDATE ! ADDRESS 1PO BOX: APTIS ITE#: CITY, STATE; ZiPCODE OFFlCEHQLDER l JV , MAILING A, LL f 1 ADDRESS C Date lr v h Tx SO "7/ change of address Raceipt# Amount 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION OFFICEHOLDER Date Processed PHONE 5 G L 0 l 6 CAMPAIGN MSfMRSIMR FIRST MI Date Imaged TREASURER NAME NICKNAME LgS7c.Lv SUFFIX . 7 CAMPAIGN STREETADDRESS( NO PO BOX PL EASE): APTISUITE; XI CITY, STATE; ZIP CODE TREASURER ADDRESS L 1 - 7 G r-e d kj M }{ us J " 7residence or business) J 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER fPHONE r7 9 REPORT TYPE January 15 30th day before election F7 Runoff 15th day after campaign treasurer appointment r- officeholder only) July 15 81h day before election E] Exceeded $ 500 Final report( Attach CIOH- FR) limit 10 PERIOD Month Day Year Month Day Year COVERED j / THROUGH r 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year Primary Runoff V General Special s Y 12 OFFICE OFFICE HELD( ifany) 13 OFFICESOUGHT ( ifknOwn) r GO TO PAGE 2 www. ethics- state. tx. us Revised 07128/2014
  • 2. Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711- 2070 512) 463- 5800 ( TDD 1- 800- 735-2989) CANDIDATE / OFFICEHOLDER REPORT: FORM CIOH SUPPORT & TOTALS COVER SHEET PG 2 14 C/ OH NAME l` 15 ACCOUNT# ( Ethics Commission Filers) 16 NOTICE FROM THIS BOX IS FORNOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT THE POLITICAL CANDIDATE 1 OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WyTHOUr THE CANDIOA'rE'S OR OFFICEHOLDERS KNOWLEDGE OR COMMITTEE( S) CONSENT CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES. COP,IMITTEE NAME COMMITTEE TYPE t71 GENERAL COMMITTEE ADDRESS SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME additional pages CONIMITTEE CAMPAIGN TREASURER ADDRESS 17 CONTRIBUTION I. TOTAL POLITICAL CONTRIBUTIONS OF$ 50 OR M LESS( OTHER THAN d 1 TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED 2. TOTAL POLITICAL CONTRIBUTIONS OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) EXPENDITURE TOTALS 3. TOTAL POLITICAL EXPENDITURES OF$ 100 OR LESS, UNLESS ITEMIZED 7 4. TOTAL POLITICAL EXPENDITURES f CONTRIBUTION 5 TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY 13ALANCE OF REPORTING PERIOD U y OUTSTANDING 6 TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE $ LOAN TOTALS LAST DAY OF THE REPORTING PERIOD J 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. s P°;•,'. BARBARA D. VICE Notary Pubilc, State of Texas Signature of Candidate or O eholder My Commission Expires Will 19, 2017 AFFI Sworn to and subscribed before me, by the said 4 k- this the day of r 20 15 , to certify which, wftness my hand and seal of office. Signature of officer administering oath Printed name of officer administering oath Title of officer acim Istering oath www. ethics. state. tx. us Revised 0712812014