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Texas EthicsCommssion

P.O. Box 12070

Austin, Texas 78711-2070

(512)463-5800

1-BQO.325-8506

SS Gfilers) AIGN DUALS DITURE

8 9

1 receive others . . . . . ZIP PHONE FIRST . NameMonth Candidates if theyACCOUNT# without the direct campaign consent reo ' Ignulred by - notification MSIMRS/MR SUFFIX MI expenditures are campaign expenditures NUMBER SUITE OFFICE OFFICESOUGHT (~known) Direct 2 ELECTIONDATE ZipSTATE; Code #; LAST REPORTCity; ProcessedFR) CODEareAPT(~any) CANDIDATE CODETHROUGH campa req(NO PO disclose this CAMPAIGN Apt.CITY: "MS/MRS/MRHELD Month toBOX PLEASE); information only .... made EXTENSION" of the candidate's prior expendituor approval. 15th Year Date en TotalState; Day(Attach SuiteAREA CODE EXTENSIONPHONE NUMBER AREA USE Exceeded filed: I CIOHtreasurer before IBOX; Final day after report TYPE YearELECTIONTYPE - 30th day SUFFIX CANDIDATE! I OFFICEADDRESSONLY CAMPAIGN campaignSTREETADDRESSelection #: APT13 Date pages $500 limit Primary Special d I(officeholderonly) I SUITE #; ~tre~Weate Post~ Runoff day beforePOI General CITY: STATE: ZIP Secretaf) CODE ~_lQ'C,~t ~ Receive<L 8thDate ImagedelectionL., Date appointment 15 (Residence or business) January ADDRESS OF DIRECT BYOTHER

~ ....... CANDIDATE III OFFICEHOLDER SHEET P. 2. PG REPORT~/}.e3 '7X. fYlS 171\) 79/-0592.- 79/ -053 2- C-I .~ .foS,A-rv\ /+.SANTlAGo ft.R SRv A (972,).. /1 /ofoI-fERe~RTE.AJfo) COVER 75D6 1 IFINANCE M~. G f.Y72J 37/~ ~_117.~ r6'4f ~ ~
Address I PO Box;

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GOTOPAGE2

Office of CilJ

2006

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FORM C/OH I

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Printed on recycled

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Revised 11/05/2003

Texas EthicsComnission

P.O.Box 12070

Austin. Texas 78711-2070

(512)463-5800

1-800-325-8506

CANDIDATE I OFFICEHOLDER SUPPORT & TOTALS


15 C/OH NAM 17 NOTICE FROM POLITICAL COMMITTEE(S)

REPORT:

FORM

C/OH

COVER SHEET PG
16ACCOUNT#(Elhics

CommisslOllfilers)

GfARS
This box is for notice of political expenditures by political committees to support the candidate I officeholder. These expenditures may have been made without the candidate's or officehoider's knowledge or consent. Candidates and officeholders are required to report this information only if they receive notice of such expenditures .
COMMITTEE COMMITTEE TYPE NAME

D D
o
additional pages

GENERAL COMMITTEE SPECIFIC ADDRESS

COMMITTEE

CAMPAIGN

TREASURER

NAME

COMMITTEE

CAMPAIGN

TREASURER

ADDRESS

PLEDGES. MAINTAINED LOANS. OR OF REPORTING 1. TOTAL POLITICAL 5. EXPENDITURES$50 ORREPORTING THE AS OF DAY 3. TOT AL POLITICAL 6. CONTRIBUTIONS PERIOD GUARANTEES LAST THE CONTRIBUTIONS OF PERIODOF LOANS), AMOUNT OF ALL OF THE LAST OUTSTANDING AS UNLESS THAN OF POLITICAL TOTAL PRINCIPAL CONTRIBUTIONS EXPENDITURESDAYOF $50 OR LESS, LOANS LESS (OTHER ITEMIZED 18 CONTRIBUTION $ $ (OTHERfCJ, THAN PLEDGES, ILOANS, OR GUARANTEES I OF LOANS)

i DOC), 50Y7. ') 00

&/,000.00() '<9 ~ $ ~'iODo, 0

UNLESS

ITEMIZED

19 AFFIDAVIT
RHONDA LIFSEY

I swear, or affirm, under penalty of pe~ury. that the accompanying report is true and correct and includes all information required to be reported by me under Title 15. Election Code.

Notary Publi<:,State of Texas My Commission Expires March 27, 2007

AFFIX NOTARY STAMP!

SEAL ABOVE

administering

oath
Revised
11/05/2003

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SCHEDULE

AL COPIES OFThe INSTRUCTION AS NEEDED how THIS FORM GUIDE explains

to complete

this form.

Printed on recycled

paper

Revised

11/05/2003

Texas Ethics Commission


... .

P.O. Box 12070


.. .. .. .. .. .. .. .. .. .. ..

Austin, Texas 78711-2070


C/OH

(512) 463-5800
to benefit C/OH

1-800-325-8506

($)
Date

. 3 . . Zip .... . Payee. .City; . . Code Office held ............ ........ Amount . . .. # ... Complete direct . .. regarding . 1 Amount Date State; Purpose name (EthicsCommissionfilers) Amount Of/ce Payee address;Payee name Officeholder name expenditure ACCOUNT of5payment (See expenditure ice sought T POLITICALifname instructionsOJrICesought type of information 9($) Candidate IComplete 7if direct expenditure EXPENDITURES if . . j)(. Of to benefit 5000,00 A
.. ..
.. .. .. .. .. .. .. .. .. .. .. ..

Total pages SCherle

FILERN1tE

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SCHEDULE

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type of information

Printed on recycled paper

Revised 11/05/2003

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