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(512)463-5800
1-BQO.325-8506
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;
ooo00 o0 /30/0b.. o
GOTOPAGE2
Office of CilJ
2006
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FORM C/OH I
/;
Printed on recycled
paper
Revised 11/05/2003
Texas EthicsComnission
P.O.Box 12070
(512)463-5800
1-800-325-8506
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
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)
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.
SEAL ABOVE
administering
oath
Revised
11/05/2003
. 1I ~ . .... . . ....... ...... .. . .... . LJ...,,.,,""-'-'... .... 3 , I ",.,.."'" .. ..... I vAGI..,.. L-l.I........ 1I,,;;J.;;;J1 .1I' . contributor 1._. 7 - ....... contribution ($) I ) description IsFull descriptionfilers) . PAC ""''''''' Amount.. of(if "111 ' name ..contribution ... (10#: _______________ of Full In-kind I (See Instructions) Date.. address; 1-" of I~ .'~I -r'J PAC name 5 , contribution ($) 1 ACCOUNT #contributionI I -VVlJ-v"(if applicable) _______________ Contributor I (Ethics name of Dout-of-stale-u"""vv (10#: ______________ CommissionI out-of-state State;Code City; oul-ot-slale Zip Code Amount of Employer applicable) contributor oul-of-stale )) Employer contributor In-kind I out-of-slate In-kind Amount of I ....... I Instructions) I tion ($) II I Principai 97upati0J!..:.=:)e (See In~~) <1' I Ireporting (See Instructions) j110 Employer requirements. tion Total butor ($)is Iout-ot-state pages Scher Ie A: see instruction guide tor additional I I Date PAC, please FILER NAMEHcc Date
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SCHEDULE
to complete
this form.
Printed on recycled
paper
Revised
11/05/2003
(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
.. ..
.. .. .. .. .. .. .. .. .. .. .. ..
FILERN1tE
4.
SCHEDULE
ding
type of information
Revised 11/05/2003