BARNES, LEWIS_DECEMBER 7 2020_CAMPAIGN FINANCE REPORTCANDIDATE / OFFICEHOLDER
FORM
C/OH
CAMPAIGN
FINANCE REPORT
COVER
SHEET PG
1
The
C/OH
Instruction Guide
explains
how to complete
this
form.
1
Filer ID (Ethics Commission Filers)
2 Total pages filed:
I
3 CANDIDATE
OFFICEHOLDER
/
MS /
/..‘.e
MRS /
lu
MR FIRST MI
1 J
OFFICE
USE
ONLY
NAME
NICKNAME
LAST SUFFIX
Date
Received
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4
CANDIDATE
OFFICEHOLDER
/
ADDRESS
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CO
Change
of
Address
5
CANDIDATE/
AREA CODE
6
CAMPAIGN
TREASURER
NAME
'/
MS yINR)/
MR FIRST MI
Receipt
#
Amount $
Ct.-0 l 6
NICKNAME LAST SUFFIX
Date Processed
n
Date Imaged
7
(Residence
CAMPAIGN
TREASURER
ADDRESS
or
Business)
STREET ADDRESS
(
7794
1Boo
tl Go1/4,--
ct
\A
8
CAMPAIGN
TREASURER
PHONE
I
AREA CODE PHONE NUMBER EXTENSION
(
9
REPORT
TYPE
1
January 15
30th day
before election
V.Runoff
15th day after campaign
treasurer appointment
(Officeholder Only)
July 15
8th day
before election
Exceeded Modified
❑
Final Report (Attach C/OH - FR)
Reporting Limit
10
PERIOD
Month Day Year
Month Day Year
COVERED
j
/ 3b /020'
THROUGH
2 //c. / a0
(
9 f
19
ELECTION DATE
Month Day Year
is / /pC`
ELECTION TYPE
11
ELECTION
�l
I
I Primary
Ir
Runoff
n
Other
Description
General
Special
is- olQ`
12
OFFICE
OFFICE HELD (if any)
13
OFFICE
CI-I-y
SOUGHT (if
known)
i
Pas
,,,c,
14
NOTICE
FROM
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES
THE CANDIDATE / OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE
CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY
MADE BY POLITICAL COMMITTEES TO SUPPORT
CANDIDATE'S OR OFFICEHOLDER'S KNOWLEDGE OR
IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
POLITICAL
COMMITTEE(S)
COMMITTEE TYPE
COMMITTEE NAME
GENERAL
COMMITTEE ADDRESS
n
Additional Pages
SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
GO
TO
PAGE
2
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 8/17/2020
CANDIDATE /
OFFICEHOLDER FORM
C/OH
CAMPAIGN FINANCE REPORT
COVER
SHEET PG
2
15
C/OH
NAME
16
Filer ID (Ethics Commission Filers)
17
CONTRIBUTION
1.
TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
TOTALS
PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR
CONTRIBUTIONS MADE ELECTRONICALLY)
$
2.
TOTAL
POLITICAL
CONTRIBUTIONS
$
(OTHER THAN PLEDGES LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE
3. TOTAL UNITEMIZED POLITICAL EXPENDITURE.
TOTALS
$
4.
TOTAL
POLITICAL
EXPENDITURES
$
.-
CONTRIBUTION
BALANCE
5. TOTAL POLITICAL
CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
OUTSTANDING
6. TOTAL PRINCIPAL
AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN
TOTALS
LAST DAY OF THE
REPORTING PERIOD
$
18
SIGNATURE
I swear
required
or
to
affirm,
be
reported
under
by
penalty
me under
of
perjury,
Title
15,
that
Election
the
accompanying
Code.
report
is true and correct and includes
all
information
/60,-f1- ii Q7-a-
L
Signature of Candid to r Officeholder
Please
complete
either
option
below:
(1)
Affidavit
os'ar`e, RENEE KROSS
: _ij._ r Notary ID # 132042519
�C y My Commission Expires
0r� June 6, 2023
NOTARY
STAMP/SEAL
L_tuD
s
t5(L
Sworn to
and
subscribed
before
me
by
1
('JN.
S this
the
day
of
Nece
(Moe
r ,
ad
20
, to certify
which,
witness my
hand
and
seal
of
off
ce.
I
R-us
mac.
-- ties-e-C
V_ foSS
ie,
Ct Sc_n__,zicu-c
.t f
Signature of officer administering oath
Printed name of officer administering oath Title of officer administering o ti
OR
(2)
My
Unsworn
name
is
Declaration
, and
my date
of
birth
is
My
address
is ,
Executed
in County,
(street)
State of on the
(city)
day
of
(state) (zip
code)
20
(country)
,
,
(month)
(year)
Signature
of Candidate/Officeholder
(Declarant)
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 8/17/2020
SUBTOTALS
-
C/OH
FORM
C/OH
COVER
SHEET PG
3
19 FILER NAME
20 Filer ID (Ethics Commission Filers)
21 SCHEDULE SUBTOTALS
SUBTOTAL
NAME OF SCHEDULE
AMOUNT
1 •
SCHEDULE A1: MONETARY POLITICAL CONTRIBUTIONS
$
2.
SCHEDULE A2: NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS
$ 6*-./
3.
I
I SCHEDULE B: PLEDGED CONTRIBUTIONS
$
y
4.
I
l SCHEDULE E• LOANS
$
0-
5.
I
I SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
6.
SCHEDULE F2• UNPAID INCURRED OBLIGATIONS
$
7•
SCHEDULE F3: PURCHASE
$
OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
Ay.
8•
SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD
$
9•
I
J SCHEDULE G:
POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
$
(,
es, 7/
'
I%
10.
SCHEDULE H:
PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH
$
11.
I
SCHEDULE I: NON -POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
yqa
12.
SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED
$ /
TO FILER
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 8/17/2020