HomeMy WebLinkAbout2021.04.01 - ECRG - Campaign Finance Report SPECIFIC-PURPOSE COMMITTEE FORM SPAC
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Filer ID(Ethics Commission Fliers) 2 Total pages filed:
The SPAC Instruction Guide explains how to complete this form.
3 C�MMI EENA C r�� ,,, '
.-rtt � Z��S ✓ K� G l BUY 1 { � CZoy�ZI�YI I�. OFFICE USE ONLY
Date Received riV40
4 COMMITTEE ADDRESS /PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE IR-EC FD
ADDRESS ,� 1rn l APR 1 2021
Change of Address 54 l.;-ptVi f t yi' I i 7 L 1 t./.4-v l
/ ' City of Stephenville
Date Hand-delivered or Date Postmarked
5 CAMPAIGN MS/MRS/MR FIRST MI
TREASURER p Receipt# Amount$
NAME V/ (,Yl
NICKNAME LAST SUFFIX Date Processed
Date Imaged
6 CAMPAIGN STREET ADDRESS NO] PO BOX P APT//SUITE#; CITY; STATE; ZIP CODE
TSTREASUREDRESS R ;
(Residence or Business) e�)j�, ;11� I / , ./O I
7 CAMPAIGN STREET ADDRESS OR PO BOX;
MAILING ADDRESS �`'� �/1�/, Jam'/ ��/'� J
n Change of Address ► 1 /f I IL i I� Lr" r I
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER �,�" (� (/(�
PHONE (
9 REPORT TYPE ❑ January 15 30th day before election n Exceeded Modified Reporting Limit
E July 15 0 8th day before election n Dissolution Report(Attached PAC-FR)
Runoff El 10th day after campaign treasurer termination
10 PERIOD COVERED Month Day Year Month Day Year
0 /A j1 I THROUGH 0
4 j0 l /J"I
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year n Pjlmary 0 Runoff n Other
OS/0I /�^/ 1 General n Special Description
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Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/13/2020
SPECIFIC-PURPOSE COMMITTEE REPORT: FORM SPAC
PURPOSE AND TOTALS COVER SHEET PG 2
12 CMITTEE N
13, Filer ID (Ethics Commission Filers)
Gl�h (ME At) ZQ YIDS -P)V L )7) Yt V L 600 yvi p i
14 COMMITTEE CANDIDATE/OFFICEHOLDER NAME
PURPOSE 0 CANDIDATE
(Attach lists on plain paper to
complete this report If OFFICE SOUGHT(candidate)/OFFICE HELD(officeholder)
necessary.) ❑
OFFICEHOLDER
ElSUPPORT ELECTION DATE
(Candidate or Measure) BALLOT IDENTIFICATION/#
Month Day Year
OPPOSE CVO / J—-1
(Candidate or Measure) MEASURE
DESCRIPTIONr� I 1 /��, R
E (Officeholder) �"t phL i,i t 1LT L r ,j'ct ell Cif 1 G 0 IP rcp A)I✓I' -b,b
15 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR $
CONTRIBUTIONS MADE ELECTRONICALLY)
0 Check here if this report qualifies for the higher itemization threshold ,ajrCZJ
2. TOTAL POLITICAL CONTRIBUTIONS $
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURES $
TOTALS
4. TOTAL POLITICAL EXPENDITURES $
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY BALANCE OF THE REPORTING PERIOD $ r .��
f�—)c
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE $
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD
16 SIGNAT R411,,,,,, I swear, or affirm, under penalty of perjury, that the accompanying report is true and correct and
ro`y OF S TEp''fnpludes all information required to be reported b e itle 15, Election Code.
•
`) : ••fL ••ti..G ignature of Campaign Treasurer(Declarant)
1-- : 1 �' : rr,., = Please complete either option below:
- }} Y b :::
(4)'A1'{'id•a; •
S� • * :_
.:
4,
=ix 'ozgkl7� 'LABOVE
�R P o , ,U/lM • 1
Sworn to and subscribed before me,by the said V
, this the
day of 4,104• 20 .� ,to certify which,witness my hand and seal of office.
�� c
„I DIA-Ci L. cit4e.
Signature o
.ministering oat Printed name of officer administering oa Title ofr administering •-
OR
(2) Unsworn Declaration
My name is , and my date of birth is
My address is
(street) (city) (state) (zip codeXcountry)
Executed in County,State of ,on the day of ,20
(month) (year)
Signature of Campaign Treasurer (Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/13/2020