ADDRESS oralt.coxnewsweb.com/shared-blogs/austin/hillcountry/upload... · 2008-10-14 · Texas...
Transcript of ADDRESS oralt.coxnewsweb.com/shared-blogs/austin/hillcountry/upload... · 2008-10-14 · Texas...
Texas Ethics Commission PO Box 12070 Austin Texas 787112070 512 4635800 18003258506
CANDIDATE OFFICEHOLDER FORM COHCAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 ACCOUNT 2 Total pages filedThe COH Instruction Guide explains how to complete this form Ethics Commission filers
3 CANDIDATE MSMRSMR FIRST MI
OFFICEHOLDER 4Mr OFFICE USE ONLY
NAME 0 e
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TREASURER r1 14cxjt Datait e 2008NAME
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TREASURER
ADDRESS
Residence or business
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8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
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O January 15 30th day before election Runoff 0 15th day after campaign treasurer
appointment officeholder only
11 July 15 F1 8th day before election E Exceeded 500 limit El Final report Attach COH FR
10 PERIOD Month Day Year Month Day Year
COVERED Ot n ObQ THROUGH
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11 ELECTION ELECTION DA ES ELECTION TYPEMonth Day Year
Vl l h4 lim Primary Runoff General Special
12 OFFICE OFFICE HELD if any 13 OFFICE SOUGHT if known
A Ca14 NOTICE
OF DIRECT Direct campaign expenditures are campaign expenditures made by others without the candidatesprior consent or approvalCandidates are required to disclose this information onl if the r i ifi iCAMPAIGN y y eceve not cat on of the direct campaign expenditureEXPENDITUREBY OTHER Name
INDIVIDUALS
Address PO Box Apt Suite City State Zip Code
additional pages
GO TO PAGE 2
Revised06272008
Texas Ethics Commission POBox 12070 Austin Texas 787112070 512 4635800 18003258506
CANDIDATE OFFICEHOLDER REPORT FORM COHSUPPORT TOTALS COVER SHEET PG 2
15 COH NAME16ACCOUNT Ethics Commission Filers
hr 5AorSan A0 S17 NOTICE This box isfor notice of political contributions accepted or political expenditures made bFROM by political committees to support thecandidate officeholder Theseexpenditures may havebeen made without the candidatesor officeholdersknowledge or consentPOLITICAL Candidates and officeholders are required to report this information only if they receive notice of such expenditures
COMMITTEESCOMMITTEE NAME
COMMITTEE TYPE
O GENERAL
COMMITTEE ADDRESS
a SPECIFIC
additional pages COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
18 CONTRIBUTION 1 TOTAL POLITICAL CONTRIBUTIONS OF 50 OR LESS OTHER THANTOTALS PLEDGES LOANS OR GUARANTEES OF LOANS UNLESS ITEMIZED
20D l
2 TOTAL POLITICAL CONTRIBUTIONSw
OTHER THAN PLEDGES LOANS OR GUARANTEES OF LOANS r
EXPENDITURE 3 TOTAL POLITICAL EXPENDITURES OF 50 OR LESS UNLESS ITEMIZEDTOTALS
4 TOTAL POLITICAL EXPENDITURES
I Zv ypCONTRIBUTION 5 TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAYBALANCE OF REPORTING PERIOD
X36 q OOUTSTANDING 6 TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THELOAN TOTALS LAST DAY OF THE REPORTING PERIOD
19 AFFIDAVIT
I swear oraffirm under penalty of perjury that the accompanying report
iiC i Sr ifllis true and correct and includes all information required to be reported byme under T e 5 Election
Nil
Jan
Signature of CandidateorOfficeholder
AFFIX NOTARY STAMP SEAL ABOVE
Sworn to and subscribed before me by the said S tl5is the dayof 209 to certify which witness my hand and seal of office
Signature officera inistering oath Printed name of officer administering oath Title of offs er dministenng oath
Revised 0612712008
Texas Ethics Commission POBox 12070 Austin Texas 787112070 512 4635800 18003258506
POLITICAL CONTRIBUTIONS SCHEDULE AOTHER THAN PLEDGES OR LOANS
The Instruction Guide explains how to complete this form1 Total pages ScheduleA
2 FILER NAME 3 ACCOUNT Ethics Carndssionfilers
CIn S4 Date 5 Full nameof contributor E3 outofstatePACIi7 i 7 Amount of 8 Inkind contribution
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116 120o 11
Contributor address City State Zip Code 1000DL1v PActno SAcv IscQn McLoS j
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Date Full name of contributor outofslatePACID Amount of Inkind contribution
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Wpa Contributor address City State Zip Code D
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Principal occupation Job title See Instructions Employer See Instructionst
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ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDEDIf contributor is outofstatePAC please see instruction guide foradditional reporting requirements
Revised 0612712008
Texas Ethics Commission POBox 12070 Austin Texas 787112070 512 4635800 1RnnRFiRSn
POLITICAL CONTRIBUTIONS SCHEDULE AOTHER THAN PLEDGES OR LOANS
The Instruction Guide explains how to complete this form 1 Total pages ScheduleA
2 Fl
fNAME
c VNPr oceae3 ACCOUNT Ethics Commission filers
4 Date 5 Full name of contributor outofstatePAC ID 7 Amount of 8 Inkind contribution
Pec ur econtribution
I description if applicable
NW 6 Contributor address City State Zip Code O
11 SJrmi Kc 2 Dr3 1CAx 0 S If travel outside of Texas complete ScheduleT
9 Principal occupation Job title See Instructions 10 Employer See Instructions
Date Full name of contributor floutofstatePACID Amount of Inkind contribution
iZobler Doe contribution
I description if applicable
1 i n1A Contributor address City State Zip Code
tnl 1 1 If travel outside of Texas complete Schedule TPrincipal occupation Job title See Instructions Employer See Instructions
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Contributor address City State Zip Code
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Principal occupation Job title See Instructionsr s
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ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDEDIf contributor is outofstatePAC please see instruction guide foradditional reporting requirements
Revised062712008
Texas Ethics Commission POBox 12070 Austin Texas 787112070 512 4635800 18003258506
POLITICAL CONTRIBUTIONS SCHEDULE AOTHER THAN PLEDGES OR LOANS
The Instruction Guide explains how to complete this form 1 Total pages ScheduleA
2 FILER NAME 3 ACCOUNT Ethics Commission filers
4 Date 5 Full name of contributor Eoutoj t topAc IDM 1 7 Amount of 8 Inkind contributioncontribution d tii i
V 0ei Iescrp on f applicable
IUD 6 Contributor address City State Zip CodeV
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hj Contributoraddress City State Zip Code
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0 CAC1eS 115 SDeCA1Nincontribution
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ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDEDIf contributor isoutofstate PAC please see instruction guide foradditional reporting requirements
Revised 06272008
Texas Ethics Commission POBox 12070 Austin Texas 787112n70 Is19 daARnnn 1unn10Gocna
POLITICAL CONTRIBUTIONS SCHEDULE AOTHER THAN PLEDGES OR LOANS
The Instruction Guide explains how to complete this form 1 Total pages ScheduleA
2 FILER NAME
O A3 ACCOUNT Ethics Commission filers
W 5 04 Date 5 Full name of contributor oulolstalePACIQk 1 7 Amount of Inkind contribution
contributionI description if applicable
6 Contributor address City State Zip Codec2 1 Pt rroyo Dob e I
Sur K1 C c cc S If travel outside of Texas complete Schedule T9 Principal occupation Job title See Instructions 10 Employer See Instructions
Date Full name of contributor oulolstatePAC10M Amount of Inkind contribution
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1 I 1 Contributor address City State ZipCode 1 1pi1AD W C0D DD
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Principal occupation Job title See Instructions Employer See Instructions
ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDEDIf contributor isoutofstate PAC please see instruction guide foradditional reporting requirements
Revised0E27r2008
Texas Ethics Commission POBox 12070 Austin Texas 787112070 512 4635800 18003258506
POLITICAL CONTRIBUTIONS SCHEDULE AOTHER THAN PLEDGES OR LOANS
The Instruction Guide explains how to complete this form1 Total pages Schedule A
2 FILER NAME 3 ACCOUNT Ethics Commission filers
4 Date 5 Full name of contributor I l oulcfstateePACIpg 7 Amount of g Inkind contributionQ Gi ecnn McmJZ xi JK X contribution I description if applicable
cmfSStude7v 6 Contributor address City State Zip Code
C21lwq t4eWtmb er1 T T 6Q if travel outside of Texas complete Schedule T
g Principal occupation Job title See Instructions 1o Employer See Instructions
Date Full name of contributor outofstatePAClo Amount of Inkind contributioncontribution
I description if applicable
Contributoraddress Clty State Zip Code
If travel outside of Texas complete Schedule
Principal occupation Job title See Instructions Employer See Instructions
Date Full name of contributor oulofstatePACID Amount of Inkind contribution
contribution I description if applicable
Contributoraddress City State Zip Code
I
If travel outside of Texas complete Schedule TPrincipal occupation Job title See Instructions Employer See Instructions
Date Full name of contributor outofstatePAC ID Amount of Inkind contributioncontribution I description if applicable
Contributor address City State Zip Code
I
IIf travel outside of Texas complete Schedule
Principal occupation Job title See Instructions Employer See Instructions
Date Full name of contributor ouWstatePAC11W Amount of Inkind contribution
contribution I description if applicable
Contributor address City State Zip Code
IIf travel outside of Texas complete Schedule
Principal occupation Job title See Instructions Employer See Instructions
ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDEDIf contributor is outofstate PAC please see instruction guide foradditional reporting requirements
Revised 061272008
Texas Ethics Commission POBox 12070 Austin Texas 787112070 512 4635800 18003258506
PLEDGED CONTRIBUTIONS SCHEDULE B
The Instruction Guide explains how to complete this form1 Total pages this Schedule El
2 FILER NAME 3 ACCOUNT Ethics commission filers
4 TOTAL OF UNITEMIZED PLEDGES b b b b b
5 Date 6 Full name of pledgor outofstalePAC ID g Amount of g Inkind descriptionpledge
Iif applicable
7 Pledgor address City State Zip Code
If travel outside of Texas complete Schedule T10 Principal occupation Job title See Instructions 11 Employer See Instructions
Date Full name of pledgor outofstatePAC D Amount of Inkind descriptionpledge I if applicable
Pledgor address City State Zip Code
If travel outside of Texas complete Schedule TPrincipal occupation Job title See Instruc Employer See Instructionstions
Date Full name of pledgor outofstatePACID Amount of I Inkind descriptionpledge I if applicable
Pledgor address City State Zip Code
If travel outside of Texas complete Schedule TPrincipal occupation Job title See Instructions Employer See Instructions
Date Full name of pledgor outofstatePAC ID Amount of I Inkind descriptionpledge I if applicable
Pledgor address City State Zip Code
If travel outside of Texas complete ScheduleTPrincipal occupation Job title See Instructions Employer See Instructions
Date Full name of pledgor outofstatePAC ID Amount of Inkind descriptionpledge I if applicable
Pledgor address City State Zip Code
r r
If travel outside of Texas complete Schedule T
Principal occupation Job title See Instructions Employer See Instructions
ATTACH ADDITIONAL COPIES OF THIS FORMAS NEEDEDIf contributor is outofstatePAC please see instruction guide for additional reporting requirements
Revised0612712008
TCvnQ Ffhirzc CnmmiSSion POBox 12070 Austin Texas 787112070 512 4635800 18003258506
LOANS SCHEDULE E
1 Total pagesSchedule E
The Instruction Guide explains how to complete this form
2 FILER NAME 3 ACCOUNT Ethics Commission filers
4
TOTAL OF UNITEMIZED LOANS b b b
5 Date of loan 7 Name of lender outofstale PAC ID 9 Loan Amount
6 Is lender a 8 Lender address City State Zip Code 10 Interest rate
financial Institution
Y N 11 Maturity date
12 Principal occupation Job title See Instructions 13 Employer See Instructions
14 Description of Collateral
none
15 GUARANTOR 16 Nameof guarantor 18 AmountGuaranteed
INFORMATION
17 Guarantor address City State Zip Code
not applicable
19 Principal Occupation 20 Employer
Date of loan Name of lender outofstatePAC ID Loan Amount
Is lender a Lender address City State Zip Code Interest rate
financial Institution
Y N Maturity date
Principal occupation Job title See Instructions Employer See Instructions
Description of Collateral
none
GUARANTOR Nameof guarantor AmountGuaranteed
INFORMATION
Guarantor address City State Zip Code
not applicable
Principal Occupation Employer
ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED
If lender is outofstatePAC please see instruction guide for additional reporting requirements
Revised06272008
Texas Ethics Commission POBox 12070 Austin Texas 787112070 512 4635800 18003258506
POLITICAL EXPENDITURES SCHEDULE F
The Instruction Guide explains how to complete this form1 Total pages Schedule F
2 FILER NAME 3 ACCOUNT Ethics Commission filers
4 Date 5 Payee name 7 Amount
ry S
1111 JJJJ
6 Payee address City State Zip Code
301 9 15w mcrczs rrc8 Purpose of payment See instructions regarding type of information
required9 Complete if direct expenditure to benefitCOH
C TOO MmeCandidate Officeholder name Office sought Office held
If travel outside of Texas complete Schedule T
Date Payee name
Si4oAmount
q N I nVPayee address City State Zip Code
O1 101 or e tanlrmrcosrPurpose of payment See instructions regarding type of informationrequired Complete if direct expenditure to benefit COH
Candidate Officeholder name Office sought Office held
If travel outside of Taxes complete ScheduleTJDate Payee name
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G Payee address City State Zip Code
3 b N PrTorlAc l 1Z
Purpose of payment See instructions regarding type of Informationrequired Complete if direct expenditure to benefit COH
Candidate Officeholder name Office sought Office held
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J1Amatnt
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Purpose of payment See Instructions regarding type of informationrequired Complete if direct expenditure to benefitCOH
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ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED
Revised 08272008
Twvaq Ethics Commission POBox 12070 Austin Texas 787112070 512 4635800 18003258506
POLITICAL EXPENDITURES SCHEDULE F
The Instruction Guide explains how to complete this form1 Totalpages Schedule F
2 FILER NAME 3 ACCOUNT Ethics Commission filers
4 Date 5 Payee name
M 4
7 Amount
1 I 06099V6 Payee address City State Zip Code
G
JAG
lDwonrWoc1 Sac rruccTX 7Bao8 Purpose of payment See Instructions regarding type of Information 9 Complete If directexpenditure to benefit COH
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Date Payee name
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JPayee address City State Zip 64 pl y i
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Date Payee name
S aIn S GivbAmount
j ZIPWPayee address City State ZipCode y
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i3501ejhAe SCP n 0LkfUDS IT Y ll k6
Purpose ofpayment See Instructlons regarding type of Informationrequired
Complete Ifdirect expenditure to benefit COHCandidate Officeholder name Office sought Office held
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Date Payee name
Il n
Amount
Payee address City State Zip Code
3OD i3 Vkn Lo RocuA IScn R4n J TXPurpose ofpayment Seeinstructions regarding type of information
requiredComplete Ifdirect expenditure to benefit COH
Candidate Officeholder name Office sought Office held
If travel outside of Texas complete ScheduleT i
ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED
Revised 062712008
Texas Ethics Commission POBox 12070 Austin Texas 787112070 512 4635800 18003258506
POLITICAL EXPENDITURES SCHEDULE GMADE FROM PERSONAL FUNDS
The Instruction Guide explains how to complete this form 1 Total pages Schedule G
2 FILER NAME 3 ACCOUNT Ethics Commission filers
4 Date 5 Payee name 8 Amount
6 Payee address City State Zip Code
7 Purpose of expenditure See instructions regarding type of information required 0 Reimbursement
from politicalcontributions
If travel outside of Texas complete Schedule T intended
Date Payee name Amount
Payee address City State Zip Code
Purpose of expenditure See instructions regarding type of information required Reimbursement
from politicalcontributions
If travel outside of Texas complete Schedule T intended
Date Payee name Amount
Payee address City State Zip Code
Purpose of expenditure See instructions regarding type of information required O Reimbursementfrom politicalcontributions
If travel outside of Texas complete Schedule T intended
Date Payee name Amount
Payee address City State Zip Code
Purpose of expenditure See instructions regarding type of information required F1 Reimbursementfrom politicalcontributions
If travel outside of Texas complete Schedule Tintended
Date Payee name Amount
Payee address City State Zip Code
Purpose of expenditure See instructions regarding type of information required 0 Reimbursement
from politicalcontributions
If travel outside of Texas complete Schedule T intended
ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED
Revised 061272008
on arr 1907n AStin Texas 787112070 512 4635800 18003258506
PAYMENT FROM POLITICAL CONTRIBUTIONS SCHEDULE H
TO A BUSINESS OF COH
1 Total pages Schedule H
The Instruction Guide explains how to complete this form
3 ACCOUNT Ethics Commission filers2 FILER NAME
7 Amount4 Date 5 Business name
6 Business address City State ZipCode
8 Purpose of payment See instructions regarding type of information 9 Complete if directexpenditure to benefit COH
required Candidate Officeholder name Office sought Office held
If travel outside of Texas complete Schedule T
Date Business nameAmount
Business address City State Zip Code
Purpose of payment Seeinstructions regarding type of information Complete if direct expenditure to benefit COH
required Candidate Officeholder name Office sought Office held
If travel outside of Texas complete Schedule T
Date Business nameAmount
Business address City State ZipCode
Purpose of payment See instructions regarding type of information Complete if directexpenditure to benefit COH
required Candidate Officeholder name Office sought Office held
If travel outside of Texas complete Schedule T
Date Business nameAmount
Business address City State Zip Code
Purpose of payment See instructions regarding type of information Complete if direct expenditure to benefitCOH
requiredr
Candidate Officeholder name Office sought Office held
If travel outside of Texas complete Schedule T
ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED
Revised062712008
Texas Ethics Commission POBox 12070 Austin Texas 787112070 512 4635800 18003258506
NONPOLITICAL EXPENDITURES SCHEDULE
MADE FROM POLITICAL CONTRIBUTIONS
The Instruction Guide explains how to complete this form 1 Total pages Schedule I
2 FILER NAME 3 ACCOUNT Ethics Commission filers
4 Date 5 Payee name 8 Amount
6 Payee address City State Zip Code
7 Purpose of expenditure See instructions regarding type of information required
Date Payee name Amount
Payee address City State Zip Code
Purpose of expenditure See instructions regarding type of information required
Date Payee name Amount
Payee address City State Zip Code
Purpose of expenditure See instructions regarding type of information required
Date Payee name Amount
Payee address City State Zip Code
Purpose of expenditure See instructions regarding type of information required
Date Payee name Amount
Payee address City State Zip Code
Purpose of expenditure See instructions regarding type of information required
s
ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED
Revised06272008
r r D n Pk 17n7n Austin Taxers 787112070 512 4635800 18003258506
CREDITS optional SCHEDULE K
1 Total pages Schedule K
The Instruction Guide explains how to complete this form
2 FILER NAME 3 ACCOUNT Ethics Commission filers
4 Date 5 Payor name8 Amount
6 Payor address City State Zip Code
7 Reason for credit
Date Payor name Amount
Payoraddress City State Zip Code
Reason forcredit
Date Payor name Amount
Payor address City State Zip Code
Reason forcredit
Date Payor name Amount
Payor address City State Zip Code
Reason forcredit
Date Payor nameAmount
Payor address City State Zip Code
Reason for credit
ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED
Revised0612712008
Texas Ethics Commission PO Box 12070 Austin Texas 787112070 512 4635800 18003258506
CANDIDATE OFFICEHOLDER REPORT FORM COH FRDESIGNATION OF FINAL REPORT
The Instruction Guide explains how to complete this form
Complete only if Report Type on page 1 is marked Final Report
1 COH NAME 2 ACCOUNT Ethics Commission filers
3 SIGNATURE
I do not expect any further political contributions or political expenditures in connection with my candidacy I understandthat designating a report as a final report terminates my campaign treasurer appointment I also understand that I maynot accept any campaign contributions or make any campaign expenditures without a campaign treasurer appointmenton file
Signature of Candidate Officeholder
4 FILER WHO IS NOT AN OFFICEHOLDERComplete A B below only ifyou are not an officeholder
A CAMPAIGN FUNDS
Check only one
0 I do not have unexpended contributions or unexpended interest or income earned from political contributions
FI I have unexpended contributions or unexpended interest or income earned from political contributionsunderstand that I may not convert unexpended political contributions or unexpended interest or income earnedon political contributions to personal use I also understand that I must file an annual report of unexpendedcontributions 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 disposeof unexpended political contributions and unexpended interest or income earned on political contributions inaccordance with the requirements of Election Code 254204
B ASSETS
Check only one
0 I do not retain assets purchased with political contributions or interest or other income from politicalcontributions
I do retain assets purchased with political contributions or interest or other income from political contributionsI understand that I may not convert assets purchased with political contributions or interest or other incomefrom political contributions to personal use I also understand that I must dispose of assets purchased withpolitical contributions in accordance with the requirements of Election Code 254204
Signature of Candidate
5 OFFICEHOLDER
Complete this section only if you are an officeholder
0 I am aware that I remain subject to filing requirements applicable to an officeholder who does not have a campaigntreasurer on fie I am also aware that I will be required to 5le reports of unexpended contributions if at the timeI cease holding office I retain assets purchased with political contributions or interest or other income frompolitical contributions
Signature of Officeholder
Revised061272008