HomeMy WebLinkAboutBARNES, LEWIS_DECEMBER 7 2020 CAMPAIGN FINANCE REPORT RUNOFFCANDIDATE / 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 CANDIDATE/
OFFICEHOLDER
NAME
MS / MRS / MR FIRST MI
e l/� I'S
NICKNAME ��yy LAST SUFFIX
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OFFICE USE ONLY
Date Received 7�,
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4 CANDIDATE /
OFFICEHOLDER
MAILING
ADDRESS
Change of Address
ADDRESS / PO BOX; APT / SUITE 5; CITY; STATE; ZIP CODE
cr1 � '1
q 09, v e v C`Ic
Peal' 1 &'1 1 ( r? 7 f 3 00
5 CANDIDATE/
OFFICEHOLDER
PHONE
/
AREA CODE PHONE NUMBER EXTENSION
( fs-I) 5 T' - c b 9)--,)-,
Date Hand -delivered or Date Postmarked
C - 1- t -2.6 GCD'/
Receipt //
Amount $
6 CAMPAIGN
TREASURER
NAME
MS &Si/ MR FIRST MI
ll %�
C. V" 0 I 6
NICKNAME LAST SUFFIX
Date Processed
Date Imaged
7 CAMPAIGN
TREASURER
ADDRESS
(Residence or Business)
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE 5; CITY; STATE; ZIP CODE
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dot b 4-V -e vc'. b-
tl G� (Gt_Act 77 5?? 4- - I 30
8 CAMPAIGN
TREASURER
PHONE
I
AREA CODE PHONE NUMBER EXTENSION
( b 3; ) 36, 8_ 7 q L(
9 REPORT TYPE
1 January 15 30th day before election RA/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
COVERED
Month Day Year Month Day Year
( I / b /gyp i 9 THROUGH f //C / a0I9
9
11 ELECTION
ELECTION DATE
Month Day Year
is /r5- S /`l0
pC �Q
❑ Primary Ir
General
ELECTION TYPE
Runoff n Other
Description
Special
12 OFFICE
OFFICE HELD (if any)
13 OFFICE SOUGHT (if known)
I -1-y ..Li C i / Pa s
14 NOTICE FROM
POLITICAL
COMMITTEE(S)
n Additional Pages
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT
THE CANDIDATE / OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES 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
SPECIFIC
COMMITTEE NAME
COMMITTEE ADDRESS
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
Li: sc A ,
17 CONTRIBUTION
TOTALS
1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR
CONTRIBUTIONS MADE ELECTRONICALLY)
16 Filer ID (Ethics Commission Filers)
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
$
EXPENDITURE
TOTALS
CONTRIBUTION
BALANCE
OUTSTANDING
LOAN TOTALS
3. TOTAL UNITEMIZED POLITICAL EXPENDITURE.
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 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 Candid Officeholder
Please complete either option below:
RENEE KROSS
ir Notary ID #132042519
• N, My Commission Expires
or June 6, 2023
Sworn to and subscribed before me by Lew 1 S h(T r -r s
20 61D , to certify which, witness my hand and seal of office.
i ru ge n -e -e x CSs
Signature of officer administering oath Printed name of officer administering oath
OR
(2) Unsworn Declaration
L
this the day of Nece_ (MO ( ,
bwct-E Ct k Se CAS
Title of officer administering o t 1
My name is , and my date of birth is
My address is
(street) (city) (state) (zip code) (country)
Executed in County, State of , on the day of , 20
(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
NAME OF SCHEDULE
SUBTOTAL
AMOUNT
1 •
SCHEDULE Al: MONETARY POLITICAL CONTRIBUTIONS
$
2.
SCHEDULE A2: NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS
$ 6
3.
SCHEDULE B: PLEDGED CONTRIBUTIONS
$
4.
SCHEDULE E: LOANS
$ ld
5.
SCHEDULE Fl: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
6.
SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
$
7.
SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$
8.
SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD
$
9.
I SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
$ '. es, ? (,
/
10.
SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH
I%
$
11.
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