Jon Hohman January 2021 Semi-Annual CANDIDATE / 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/ Ms/ RS/MR FIRST MI OFFICE USE ONLY
OFFICEHOLDER Kw-Tta 4 K n
NAME ........ ............ .....................V...............................
Date Received_____
NICKNAME LAST SUFFIX
RECEIVED
4 CANDIDATE/ ADDRESS /PO BOX, APT/SUITE#: CITY STATE; ZIP CODE
OFFICEHOLDER A '"
IN 1 5 1021
MAILING
ADDRESS v� �Tx 6� City Managers/City
` — ( Secretary's Office
Change of Address
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
Date Hand-delivered or Date Postmarked
OFFICEPHONE HOLDER TL(o ) 2 6$- S777 Email
Receipt# Amount $
6 CAMPAIGN MS/MRS/MR FIRST MI
TREASURER /--t r—. —SoN
NAME ................................................................................. Date Processed
NICKNAME LAST SUFFIX
416� Date Imaged
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY, STATE; ZIP CODE
TREASURER 121� 1 ` L���
ADDRESS `44
(Residence or Business) oaK4.� .
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE (01 t 0) LqI5--7!; 7
9 REPORT TYPE �JI January 15 30th day before election Runoff 15th day after campaign
II vv�l treasurer appointment
(Officeholder Only)
❑ July 15 ❑ 8th day before election Exceeded Modified Final Report(Attach C/OH-FIR)
Reporting Limit
10 PERIOD Month Day Year Month Day Year
COVERED �r11
THROUGH
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year ❑ Primary ❑ Runoff Other ---Je�
Description
❑ General ❑ Special
12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known)
14 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT
POLITICAL THE CANDIDATE I 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.
COMMITTEES)
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 8/17/2020
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
16 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)
. . . . . . . . . . . . . . . . . . .
EXPEN
TOTALS DITURE
3. TOTAL UNITEMIZED POLITICAL EXPENDITURE.
4. TOTAL POLITICAL EXPENDITURES
. . . . . . . . . . . . . . . . . . .
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE 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, or affirm, under penalty of perjury, that the accompanyi repor is true and correct and includes all information
required to be reported by me under Title 15, Election Code.
Signatur f 114 Candidate or Officeh
Please complete either option below:
(1)Affidavit
NOTARY STAMP/SEAL
Sworn to and subscribed before me by this the day of
20 , to certify which,witness my hand and seal of office.
Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath
(2) Unsworn Declaration •
My name is --/I ./� and my date of birth is
My address is 3�' I d'e'K4 1— ��f
(street) city) (state) (zip code) (country)
Executed in �k�� County,State of Tx on the le day of ,20-:0
(month) (year)
Signature of Candidate/Officeholder (Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020