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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