OWENS WOODY_ JULY 15 2022_CAMPAIGN FINANCE REPORTCANDIDATE / OFFICEHOLDER
CAMPAIGN FINANCE REPORT
The C/OH Instruction Guide explains how to complete this form.
3 CANDIDATE /
O FFICEHOLDER
NAME
4 CANDIDATE/
O FFICEHOLDER
MAILING
ADDRESS
Change of Address •
5 CANDIDATE/
OFFICEHOLDER
P HONE
6 CAMPAIGN
TREASURER
NAME
7 CAMPAIGN
TREASURER
ADDRESS
(Residence or Business)
8 CAMPAIGN
TREASURER
PHONE
9 REPORT TYPE
10 PERIOD
COVERED
11 ELECTION
12 OFFICE
MS/MRS/MR
tep
ADDRESS /PO
EXTENSION
FIRST
LAS
FORM C/OH
COVER SHEET PG 1
OFFICE USE ONLY
Date Received
JUL 1 1 2022
CITY OF PEARLAND
I-FY SECRETARY'S OFFICE
Date Hand -delivered or Date Postmarked
Receipt #
Date Processed
Date Imaged
STREET ADDRESS (N 'PO BOX PLE E); A / SUITE /2; CITY; STATE; ZIP CODE
AREA CODE
January 15
PHONE NUMBER
30th day before election
July 15 n 8th day before election
Month
Month Day Year
ELECTION DATE
Day Year
OFFICE HELD (if any)
Forms provided by Texas Ethics Commission
Revised 9/8/2015
EXTENSION
THROUGH
Primary 1 1 Runoff
General
Special
Runoff
Amount $
15th day after campaign
treasurer appointment
(Officeholder Only)
Final Report (Attach C/OH - FR)
Month Day Year
ELECTION TYPE
Other
Description
13 OFFICE SOUGHT (if nown)
www. eth i cs. s tate. tx. u s
CANDIDATE / OFFICEHOLDER
CAMPAIGN FINANCE REPORT
FORM C/OH
COVER SHEET PG 2
14 C/O NAME
Ir
16 NOTICE FROM
POLITICAL
COMMITTEE(S)
n Additional Pages
&briatz,
15 Filer ID (Ethics Commission Filers)
THIS BOX IS FOR NOTICE OF POLmCAL CONTRIBUTIONS ACCEPTED OR POLmCAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
SUPPORT THE CANDIDATE / OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S
KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT'THIS INFORMATION ONLY IF THEY RECEIVE NOTICE
OF SUCH EXPENDITURES.
COMMITTEE TYPE
GENERAL
El SPECIFIC
COMMITTEE NAME
COMMITTEE ADDRESS
COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION
TOTALS
EXPENDITURE
TOTALS
1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
LC-
CONTRIBUTION
BALANCE
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
UNLESS ITEMIZED
OUTSTANDING
LOAN TOTALS
4. TOTAL POLITICAL EXPENDITURES
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD
18 AFFIDAVIT
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g_ ��pY A CINDY JOY MARTIN
i�i, Notary ID p125157676
My Commission Expires
:_ '� or t� June 11. 2025
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AFFIX NOTARY STAMP / SEALABOVE
I swear, or affirm, under penalty of perjury, that the accompanying report is
true and correct • nd Includes all information required to be reported by me
under Title 15,; IectioCode.
Signature of C.
1
Sworn to and subscribed before me, by the said , i tr,C)C\cery- � 'A .
KCJX1.,\ , 20', , to certify which, witness my hand and seal of office.
Printed name of officer administering oath
day of
ndidate or Officeholder
cc,\ \( 1
Signature of officer administering oath
, this the LI/
act
Title of officer administering oath
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 9/8/2015
CANDIDATE / OFFICEHOLDER REPORT:
DESIGNATION OF FINAL REPORT
FORM C/OH - FR
The Instruction Guide explains how to complete this form.
•• Complete only if "Report Type" on page 1 is marked "Final Report" •-
1 C/OH NAME
711,45S. P )69-
3 SIGNATURE
2 Filer ID (Ethics Commission Filers)
I do not expect any further political contributions or political expenditures in connection with my candidacy. I understand that designat-
ing a report as a final report terminates my campaign treasurer appointment. I also understand that I may not accept any campaign
contributions or make any campaign expenditures without a campaign treasurer appointment on file.
Signa ufe ofndidate / Offi
4 FILER WHO IS NOT AN OFFICEHOLDER
•• Complete A & B below only if you are not an officeholder. ••
A. CAMPAIGN FUNDS
Check only one:
I do not have unexpended contributions or unexpended interest or income earned from political contributions.
I have unexpended contributions or unexpended interest or income earned from political contributions. I understand that I
may not convert unexpended political contributions or unexpended interest or income earned on political contributions to
personal use. I also understand that I must file an annual report of unexpended contributions 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 dispose of unexpended political contributions and unexpended interest or
income earned on political contributions in accordance with the requirements of Election Code, § 254.204.
B. ASSETS
Check only one:
ri I do not retain assets purchased with political contributions or interest or other income from political contributions.
I do retain assets purchased with political contributions or interest or other income from political contributions. I understand
that I may not convert assets purchased with political contributions or interest or other income from political contributions to
personal use. I also understand that 1 must dispose of assets purchased with political contributions in accordance with the
requirements of Election Code, § 254.204.
I
Signature of Candidate
5 OFFICEHOLDER
•• Complete this section only If you are an officeholder ••
( riegl am aware that I remain subject to filing requirements applicable to an officeholder who does not have a campaign treasurer on
file. I am also aware that I will be required to file reports of unexpended contributions if after filing the last required report as an
officeholder, I retain political contributions, interest or other income from political contributions or assets purchased with politi-
cal contributions or interest or other income from political contributions. l� I/ice fir .. '°.etityl/Z •
Signature of Officeholder
www.ethicsstate.tx.us
Revised 9/8/2015
Forms provided by Texas Ethics Commission