KOZA JOSEPH_JULY 15 2023_CAMPAIGN FINANCE REPORTCANDIDATE
/
OFFICEHOLDER
FORM
C/OH
CAMPAIGN
FINANCE
REPORT COVER
SHEET
PG 1
1 Filer ID (Ethics Commission Filers) I 2 Total pages filed:
The C/OH Instruction Guide explains
how to complete this form.
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Date
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6 CAMPAIGN
MS / MRS / MR
FIRST MI
Receipt
#
Amount $
TREASURER
?Nut_NAME
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LAST SUFFIX
Date
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Date
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7 CAMPAIGN
TREASURER
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STATE; ZIP CODE
ADDRESS
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8 CAMPAIGN
TREASURER
AREA CODE
PHONE
NUMBER EXTENSION
PHONE
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REPORT
TYPE
January 15
30th day before election
I
I Runoff
15th day after campaign
treasurer appointment
(Officeholder Only)
02
July 15
J
8th day before election
Exceeded Modified
I
I Final Report (Attach C/OH - FR)
Reporting Limit
10
PERIOD
Month Day Year Month Day Year
COVERED
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/ 1
/ 3 THROUGH I,
/ 3o /
a3
11 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
I J
Primary
Runoff
Other
Description
/ /
General
Special
12 OFFICE
OFFICE HELD (if any)
13 OFFICE SOUGHT (if known)
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14
NOTICE
FROM
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT
THE CANDIDATE I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT CANDIDATE'S
POLITICAL
COMMITTEE(S)
THE 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
COMMITTEE NAME
GENERAL
COMMITTEE ADDRESS
Additional Pages
SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
GO
TO
PAGE
2
E_
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 11/15/2022
CANDIDATE
/ OFFICEHOLDER
FORM
C/OH
COVER
SHEET PG
2
CAMPAIGN FINANCE
REPORT
15 C/OH NAME
16 Filer ID (Ethics Commission Filers)
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17 CONTRIBUTION
TOTALS
1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR
$
CONTRIBUTIONS MADE ELECTRONICALLY)
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
$
EXPENDITURE
TOTALS
3. TOTAL UNITEMIZED POLITICAL EXPENDITURE.
$
4. TOTAL POLITICAL
EXPENDITURES
$
CONTRIBUTION
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
$
BALANCE
OF REPORTING PERIOD
SIADG.
`LA
OUTSTANDING
LOAN TOTALS
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD
$
18 SIGNATURE
I swear, or
affirm, under penalty of perjury, that the
accompanying
report is true and correct and includes all
information
required to
be reported by me under Title 15, Election Code,
etartnet-
Signature
Candidate or Officeholder
-. a -
Please
complete
either
option
below:
(1)Affidavit
`
*
My Commission
Notary
Tar
10/4/2026
Criddle
Expires
ID124500316
NOTARY
STAMP / SEAL
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JOSEPJ4
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Sworn to
before
by
1632.4
5
Jo
and
subscribed
me
K.U2.1
this
the
day
of
(.,'J
,
1
20 , to certify which
fitness my
hand and seal
of office,
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Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath
OR
(2)
My
Unsworn
name
is
Declaration
, and my date of
birth
is
My
address
is ,
Executed
(street)
in County, State of , on the
(city)
(state) (zip
day of
code) (country)
, 20
(month)
(year)
Signature of Candidate/Officeholder (Declarant)
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 11/15/2022