Connie Baker January 2023 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. I Filer ID(Ethics Commission Filers) 2 Total pages filed:
3 CANDIDATE/ MS r MR (MR FIRST Ml
OFFICEHOLDER OFFICE USE ONLY
NAME .........................��y.........
NICKNAME LAST SUFFIX
Dat
-Bcz kc r'.
RECEIVED
4 CANDIDATE/ ADDRESS /PO BOX; APT 1 SUITE# CITY STATE: ZIP CODE
OFFICEHOLDER
MAILING / JAN ,- 4 2023
ADDRESS 3613 f a Il m e et�p w �t . I iA J
�� l� '� City Manager's S I City
Change of Address
Secretary's Office
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION OFFICEHOLDER Date Hand delivered or Date Postmarked
PHONE �t/ / !' � C LIN
6 CAMPAIGN MS /MR FIRST Receipt# Amount$
MI
TREASURER
NAME ............../ � rc 11 CC
................................................. Date Processed
NICKNAME LAS SUFFIX
/r- T�e f— Date imaged
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE): APT r SUITE#. CITY. STATE: ZIP CODE
TREASURER
ADDRESS
A
(Residence or Business)
S CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE (G)L/ t 3ci 0 44
9 REPORT TYPE January 15 t 30fh day before ekchon Runoff 15th day after campaign
treasurer appointment
(Officeholder Only)
El July 15 8th day before election ❑ Exceeded MOckfied Final Report(Attach CJOH-FR)
Reporting Limit
10 PERIOD Month Day Year Month Day Year
COVERED
1. j/& / /"I I), THROUGH /a`--� / /a
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year ❑ Primary Runoff Other
Description
❑ General Special
12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT Cd kr—)
14 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT
POLITICAL THE CANDIDATE r OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE W THOUT THE CANDIDATE'$OR OFFICEHOLDERZ KNOW EDGE OR
CONSENT,CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORTTMS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
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.sfate.tx.us Revised 8/1712020
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
15 C/OH NAME � 16 Filer ID (Ethics Commission Filers)
�. , ),/ / ( l� t_�a k&�, r
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) $
. . . . . . . . . . . . . . . . . . .
TOTALSEXPENDITURE 3 TOTAL UNITEMIZED POLITICAL EXPENDITURE.
4. TOTAL POLITICAL EXPENDITURES $
. . . . . . . . . . . . . . . . . . .
CONTRIBUTION 5 TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF REPORTING PERIOD $ .3
. . . . . . . . . . . . . . . . . .
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 accompanying report is true and correct and includes all information
required to be reported by me under Title 15,Election Code.
J r / 'G /'7
Signature of Candidate or Officeholder
Please complete either option below:
ROSA A. RIOS
(1)Affidavit °t.....
' %Notary Public,State of Texas
Comm. Expires 05-23-2024
OF'����
NOTARY STAMP/S Notary ID 8760780
Swornto and subscribed before me by 4'7 �/� 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 116 of officer administering oath
(2) Unsworn Declaration •
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)
r
klex--
21 SCHEDULE SUBTOTALS SUBTOTAL
NAME OF SCHEDULE AMOUNT
1. El SCHEDULEA1: MONETARY POLITICAL CONTRIBUTIONS $
2. SCHEDULEA2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $
3- SCHEDULE B: PLEDGED CONTRIBUTIONS $
4. SCHEDULE E: LOANS $
5- El SCHEDULE F1: 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. SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $
10. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $
11- SCHEDULE 1: 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