BM-COH_FR 2018-07-19 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 )j , ) MI OFFICE USE ONLY
OFFICEHOLDER i..3v
NAME st
tom
flin- ] J Date Re J'J i
NICKNAME LAST V V SUFFIX
4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE n
OFFICEHOLDERA -76,O Imo ' / ,t ' /119 I I(
MAILING ( Ile,� (Jv 111
ADDRESS 00-1)P-e-"U
-75 )/n Change of AddressJ /w/
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER (9 7) ` Q fj � _ g 'g Q /
-t: :ed or Date Postmarked
G\/ Dmf o U U 0,1
6 CAMPAIGN MS/MRS/MR FIRST ��% / MI Re :ipt# Amount$
TREASURER 5
NAME Date Processed
NICKNAME LAST(iffy� SUFFIX
Date Imaged
7 CAMPAIGN STREET ADDRESS ( PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER 1 g 111-460001\
ADDRESS
I
(Residence or Business) C-6-C>P 1") ) iSD I 9'
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER (:)..11
.^ ) S?� ✓f-�[1/� 9
PHONE �J il(� /
9 REPORT TYPE
January 15 30th day before election I—I Runoff 15th day after campaign
treasurer appointment
(Officeholder Only)
I July 15 8th day before election I I Exceeded$500 limit X Final Report(Attach C/OH-FR)
10 PERIOD Month Day Year Month Day Year
COVERED /_ /,6 / /ff THROUGH b 17 1 g
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year ❑ Primary Runoff 1-1Other
��" n Description
//// i()
/ /q n General ❑ Special
12 OFFICE OFFICE HELD (if any) b 13 OFFICE SOUGHT (if known)
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME 43 ( J U 1(", ea) 15 Filer ID (Ethics Commission Filers)
16 NOTICE FROM THIS BOX IS FOR NOTICE OF IOPOLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
POLITICAL SUPPORT THE CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S
COMMITTEE(S) KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE
OF SUCH EXPENDITURES.
COMMITTEE TYPE COMMITTEE NAME
EI GENERAL
COMMITTEE ADDRESS
SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
n Additional Pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF$50 OR LESS (OTHER THAN D
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $
2. TOTAL POLITICAL CONTRIBUTIONS $
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
TOTALS EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, $ `I 7,
34
UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES $ ( 0 7, t-f-
CONTRIBU
BALANCE TION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ �7
OF REPORTING PERIOD (/��
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE y
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ 1`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 Tit ,Election Code.
7,4_,e„,,,j
%* CHRISM S PETTNros . • k
, , My Commission E>Npk�t / V`
� 10, 19 Signature oaf Car d date or Officeholder
AFFIX NOTARY STAMP/SEALABOVE (� nv1
Sworn to and subscribed before me, by the said I IA, R R. M to l vt2 W ,this the 1 •'l T
d( of. --11411,-, ,20 I Q ,to certify which,witness my hand and seal of office.7/ _
di-i4, . Allid//% •R S LW 4 . , 6 JEC2ErAR y
Signature of officer ad inistering oath Printed name of officer administering oath Title of offi er administering oath/
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
SUBTOTALS - C/OH FORM C/OH
COVER SHEET PG 3
19 FILER NAME 1,1141,0)
20 Filer ID(Ethics Commission Filers)
21 SCHEDULE SUBTOTALS SUBTOTAL
NAME OF SCHEDULE AMOUNT
1. I I SCHEDULE A1: MONETARY POLITICAL CONTRIBUTIONS $
2. SCHEDULE A2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $
3. I SCHEDULE B: PLEDGED CONTRIBUTIONS $
4. I I SCHEDULE E: LOANS $
5. I SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $
6. I SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $
7. SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $
8. SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $
9' I I SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $
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
002-'
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
CANDIDATE / OFFICEHOLDER REPORT:
DESIGNATION OF FINAL REPORT FORM C/OH - FR
The Instruction Guide explains how to complete this form.
•• Complete only If "Report Type" on page 1 is marked "Final Report" •-
1 C/OH NAME � WAeu)
2 Filer ID (Ethics Commission Filers)
3 SIGNATURE
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 app.' ent on file.
Le. ` 'mo b
i!n.ture of Candidate/Officeholder
4 FILER WHO IS NOT AN OFFICEHOLDER
— Complete A & B below only if you are not an officeholder. --
A. CAMPAIGN FUNDS
Check only one:
I f I do not have unexpended contributions or unexpended interest or income earned from political contributions.
I I 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:
E7 I do not retain assets purchased with political contributions or interest or other income from political contributions.
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
requirements of Election Code,§254.204.
Signature of Candidate
5 OFFICEHOLDER
•• Complete this section only if you aro an officeholder ••
XI 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 politi I contributions,or assets purchased with politi-
cal contributions or interest or other income from political contributions.
it/kJ
Signature of Officeholder
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015