CAN DI DATE / OFFICEHOLDERCAMPAIGN FINANCE REPORT

FORM C/OHCOVER SHEET PG 1

The C/OH lnstruction Guide explains how to complete this form.1 Filer lD (Ethi6 Commission File6) 2 Tolal pages filed:

L3 CANDIDATE/

OFFICEHOLDERNAI\,E

IUS/[,lRS/MR FIRST

Ca\vi.\LAST

MI

RMr^NICKNAME SUFFIX

Bo" d

OFFICEUSEONLY

Date Received

RECElVED

JAN I 5 2020

BURNET CO ELECTIONS

4 CANDIDATE/OFFICEHOLDERMAILINGADDRESS

[-l cn"ng" of Address

ADDRESS / Po BoX; nPr I SUtre d CITY; STATE; ZIP CODE

ILB QoclLB\{ Ki^aa\ ^Ad Trlg oaq

5 CANDIDATE/OFFICEHOLDERPHONE

AREA CODE PHONE NUMBER

(B3D ) ZgE 11 \DEXTENSION

Date Hand-delivered or Date Postmarked

6 CAMPAIGNTREASURERNA[/E

MS/MRS/MR

Mr5NICKNAME

FIRST

5wl,,aLAST

Btrr, d

MI

PSUFFIX

Receipt # Amount $

Dale Processed

Date lmaged

7 CAMPAIGNTREASURERADDRESS

(Residence or Business)

STREET ADDRESS (No PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE

lLe (or-r'Ef tr \Ci^ o<\t nrt Trc 1(urt8 CAMPAIGN

TREASURERPHONE

AREA CODE PHONE NUMBER

t8)o t LZ] \bo+r,)

EXTENSION

9 REPORTTYPES ;anuarv ts

l-l lury t s

f 1 sth day after campaigntreasurer appointment(Officeholder Only)

30th day before election

|_l am day before elBction Final Report (Attad| CIOH - FR)

10 PERIODCOVERED

Month Day Year

1 / ti ,/ ZctctMonth Day Year

Ol ,/ l5 ,/ zozoTHROUGH

11 ELECTION ELECTION DATE

Month Day Year

OV,/fi,/zoto

ELECTION TYPE

s,,,,,of] c"n"rat

I--l nunon trI-l speciat

OtherDescription

12 oFF|CE OFFICE HELD (if any) 13 oFFrcE SoUGHT (if knom)

TAexr {+ S\""r if +

GO TO PAGE 2

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 912612019

[-l Runoff

Tl Exeeded$500limit

CAN DI DATE / OFFICEHOLDERCI\MPAIGN FINANCE REPORT

FORM C/OHCOVER SHEET PG 2

14 C.IOH NAME- a',i,'i^, Fo, Co[v,n %,,,AQo, lae*,$15 Filer lD (Ethics Commission Filers)

16 NOTICE FROMPOLITICALcoMMTTTEE(S)

Additional Pages

THrs Box rs FoR NorcE oa "oau,"o/"onrRrBuTro*s

AccEprED oR polrrcAL ExpENorruREs MA'E By poLITrcAL coxtrrrEEs rosuppoRT rxe coroolre / oFFIcEHoLDER. raEsE arpEvDrruREs NAy HAW BEEil UADE wfHout rHE cnnotoerz's oR oFnc*otD*'sKNOWLEI'GE AR COflSE'VT. CANDIDATES AND OFFICEHOLDERS ARE REOUIRED TO REPORT THIS INFOR.ilATIOiI ONLY IF THEY RECEIVE NOTICE

OF SUCH EXPENDITURES.

COMMITTEE TYPE

ft=ru=*ot

I-l spectrtc

COMMITTEE NAME

Lex\ s" U","G c\ r t\ar, ( [COMMITTEE ADDRESS

IZ n (,t n K laCOMMITTEE CAMPAIGN TREASURER NAME

COMMITTEE CAMPAIGN AODRESS

\r"J Tx gb17 CONTRIBUTION

TOTALSI TOTAL POLITICAL CONTRIBUTIONS OF $50 OR (OTHER THAN

$PLEDGES, LOANS, OR GUARANTEES OF LOANS, ORCONTRIBUTIONS MADE ELECTRONICALLY), UNLESS ITEMIZED

2 TOTAL POLITICAL CONTRIBUTIONS(oTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $

EXPENDITURETOTALS 3. TOTAL POLITICAL EXPENDITURES OF $1OO OR LESS, $ DUNLESS ITEMIZED

4. TOTAL POLITICAL EXPENDITURES $ cCONTRIBUTIONBALANCE 5 TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY

OF REPORTING PERIOD $

OUTSTANDINGLOAN TOTALS

TOTAL PRINCIPALAMOUNT OF ALL OUTSTANDING LOANS AS OF THELAST DAY OF THE REPORTING PERIOD $ o

18 AFFIDAVITI swear, or affirm, under penalty of perjury, that the accompanying report is

true and conect and includes all information required to be reported by me

underTitle Code.

of Candidate or Officeholder

AFFIX NOTARY STAMP/ SEALABOVE

Swom to and subscribed before me, by the said-a

this the / 5+hday of ,O 3C , to certify which, witness my hand and seal of office.

usSignature of officer administering oath Printed name of oflicer administering oath oath

tffi llotary Public, Sute ol Toos

ExPires 01/2112023

t.D.* 625072'7

DONNA TRITSCH

'l-itle of officer

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 912612019

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