HomeMy WebLinkAboutJoseph Koza-January 15-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:
3
3
CANDIDATE
MS
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/
MR
FIRST
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5
CANDIDATE/
AREA
CODE
PHONE
NUMBER
EXTENSION
Date
Hand
-delivered
or
Date
Postmarked
OFFICEHOLDER
Receipt
##
Amount
$
6
CAMPAIGN
MS
/
MRS
/
MR
FIRST
MI
TREASURER
TA
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NAME
'
Date
Processed
NICKNAME
LAST
SUFFIX
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Date
Imaged
7
CAMPAIGN
STREET
ADDRESS
(NO
PO
BOX
PLEASE);
APT
/ SUITE
#;
CITY;
STATE;
ZIP
CODE
TREASURER
�"
ADDRESS
(Residence
or
Business)
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8
CAMPAIGN
AREA
CODE
PHONE
NUMBER
EXTENSION
TREASURER
PHONE
(
9
REPORT
TYPE
January
15
30th
day
before
election
Runoff
15th
day
after
campaign
treasurer
(Officeholder
appointment
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
—i
/
I
/oat\.
THROUGH
/a/3/aoau
ELECTION
DATE
ELECTION
TYPE
11
ELECTION
Month
Day
Year
Primary
Runoff
Other
Description
/
/
General
Special
12
OFFICE
OFFICE
HELD
(if
any)
13
OFFICE
SOUGHT
known)
(if
CVci
&oct.
c70sme
1
THIS
BOX
IS
FOR
NOTICE
OF
POLITICAL
CONTRIBUTIONS
ACCEPTED
OR
14
NOTICE
FROM
POLITICAL
EXPENDITURES
MADE
BY
POLITICAL
COMMITTEES
TO SUPPORT
POLITICAL
THE
CONSENT.
CANDIDATE
CANDIDATES
/ OFFICEHOLDER.
AND
OFFICEHOLDERS
THESE
EXPENDITURES
ARE
REQUIRED
MAY
HAVE
TO REPORT
BEEN
THIS
MADE
INFORMATION
WITHOUT
THE
ONLY
CANDIDATE'S
IF
THEY
OR
RECEIVE
OFFICEHOLDER'S
NOTICE
OF
SUCH
KNOWLEDGE
EXPENDITURES.
OR
COMMITTEE(S)
COMMITTEE
TYPE
COMMITTEE
NAME
GENERAL
COMMITTEE
ADDRESS
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 11/15/2022
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT
COVER SHEET PG 2
15 C/OH NAME
-leo - rust
16 Filer ID (Ethics Commission Filers)
17 CONTRIBUTION
TOTALS
EXPENDITURE
TOTALS
CONTRIBUTION
BALANCE
OUTSTANDING
LOAN 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)
3. TOTAL UNITEMIZED POLITICAL EXPENDITURE.
$
4. TOTAL POLITICAL EXPENDITURES
$
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
$ j �)o� 114
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.
(1) Affidavit
NOTARY STAMP/SEAL
Signature of Candidate or Officeholder
Please complete either option below:
GLADIS SANCHEZ
ID #130553701
My Commission Expires
March 11, 2028
Sworn to and subscribed before me by --5p5e_ch e . K
20 9.6 to certify which, witness my hand and seal of office.
Sign
•
of officer administering o
(2) Unsworn Declaration
Printed name of officer administering oath
OR
this the Sid
day of S y1U.q,Y
itle . l.fficer ad nistering oath
My name is and my date of birth is
My address is
Executed in
(street)
County, State of
, on the
(city) (state) (zip code) (country)
day of , 20
(month) (year)
Signature of Candidate/Officeholder (Declarant)
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 11/15/2022
FORM
C/OH
SUBTOTALS C/OH
-
COVER
SHEET PG
3
19 FILER NAME `
�^
20 Filer ID (Ethics Commission Filers)
(7sGP1/4\ /,/..
••3
i D
V e
21 SCHEDULE SUBTOTALS
SUBTOTAL
NAME OF SCHEDULE
AMOUNT
1.
SCHEDULE AI: MONETARY POLITICAL CONTRIBUTIONS
2.
J
SCHEDULE A2: NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS
3•
SCHEDULE B: PLEDGED CONTRIBUTIONS
$
4.
SCHEDULE E: LOANS
$
5.
$
SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
r
5.
SCHEDULE F2• UNPAID INCURRED OBLIGATIONS
$
7.
$
SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$
I
I CREDIT CARD
$
SCHEDULE F4: EXPENDITURES MADE BY
9•
MADE FROM PERSONAL FUNDS
$
SCHEDULE G: POLITICAL EXPENDITURES
10.
$ -
I
I SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH
11.
I
I SCHEDULE I: NON -POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
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