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Connie Baker July 2020 Semi-Annual - AMENDED CORRECTION/AMENDMENT AFFIDAVIT FOR CAN FORM COR-C/OH 1 Filer ID(Ethics Commission Filers) 2 Total pages OFFICE USE ONLY 3 CANDIDATE/ MS/MR5/MR FIR MI J Date Received OFFICEHOLDER Gil�)✓t' �� NAME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . RECEIVED NICKNAME LAST , SUFFIX nrT 2 4 2020 4 ORIGINAL REPORT ❑ Manager's/Ccty January 15 Runoff Other(specify) City Manag TYPE Secretary's Office July 15 El Exceeded$500 limit 30th day before election ❑ 15th day after treasurer Date Hand-delivered or Date Postmarked appointment(officeholder only) El8th day before election 1-1 Final report Receipt# Amount$ 5 ORIGINAL PERIOD Month Day Year Month Day Year Date Processed COVERED s 2 t THROUGH �} �j /3 /� t Date Imaged v' 6 EXPLANATION OF CORRECTION I r 7 AFFIDAVIT I swear,or affirm, under penalty of perjury,that this corrected report is true and correct. Check ONLY if applicable: Semiannual reports: I swear,or affirm,that the original report was made in good faith and without an intent to mislead or to misrepre- sent the information contained in the report. Other reports: I swear, or affirm, that I am filing this corrected report not later than the 14th business day after the date I learned ROSA A. BIOS that the report as originally filed is inaccurate or incomplete. l swear, °' e�S Notary Public, State of Texas or affirm, that any error or omission in the report as originally filed ; }W. Comm.Expires 05-23-2024 was made in good faith. ,OF Notary ID 8760780 AFFIX NOTARY STAMP / SEAL ABOVE Signature of Candidate or Officeholder Sworn to and subscribed before me,by the said - _ _ _.�i7�;� ;-).2,-1;z GG�L) ,this the GPX— day of - 20 /�i ,to certify which,witness my hand and seal of office. r ,) Ltz 4 Signature of officer administering oath Printed name of officer administering oath Title ofibfficer administering oath Remember To Attach Any Part Of The Campaign Finance Report Form Needed To Report And Explain Corrections Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 04/27/2015 CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 14 C/OH NA 15 Filer ID (Ethics Commission Filers) 6C 6 cz�"- r .1 ,tj rJ I e, �0 16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO POLITICAL SUPPORT THE CANDIDATE I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDERS COMMITTEE(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 SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME Additional Pages /c f- L G I� /--� C 1/ <, COMMITTEE CAMP AN TREASURER ADDRESS 17 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN TOTALS PLEDGES, LOANS,OR GUARANTEES OF LOANS,OR 1 j� CONTRIBUTIONS MADE ELECTRONICALLY) I `,LJ• �� 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) { O TOTALS EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE. 4. TOTAL POLITICAL EXPENDITURES -� I CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY BALANCE OF REPORTING PERIOD ( ✓� I l UUX OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LOAN TOTALS LAST DAY OF THE REPORTING PERIOD y�- 18 AFFIDAVIT 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 `�.►t':' f ROSA A. RIOS � ..�s'� under Title 15,Election Code. :Notary Public.State of Texas Comm.Expires 05-23 2024 / Z'OF `�� Notary ID 8760780 Signature of Candidate or Officeholder AFFIX NOTARY STAMP/SEALABOVE Sworn to and subscribed before me, by the said l o 21g2 '2 , 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 ofricer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020 SUBTOTALS - C/OH FORM C/OH COVER SHEET PG 3 19 FILER NAME 20 Filer ID(Ethics Commission Filers) C- -I& jj (I I 'e T) 21 SCHEDULE SUBTOTALS SUBTOTAL NAME OF SCHEDULE AMOUNT 1. SCHEDULE Al: MONETARY POLITICAL CONTRIBUTIONS 2• SCHEDULEA2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $ 3. SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4. ❑ SCHEDULE E: LOANS $ 5. 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. El SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 10. El SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ 11. El 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 1/1/2020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 2 FILER E 3 Filer ID (Ethics Commission Filers) t 4 Date 5 Full name of contributor ❑out-of-state PAC(ID#: ) 7 .yyytr.ou, of c:ontributioo ($) oy -� 0 r---,C.'e —01 E CL kc r — rQ 6 Contributor address; City; State; Zip Code l ` ` r�0 r 8 Principal occupation/Job title(See Instructions) g Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: ) Amount of contribution ($) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Contributor address; City; State; Zip Code Principal occupation/Job title (See Instructions) Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: ) Amount of contribution ($) . . . . . . . . . . . . . . . . Contributor address; City; State; Zip Code Principal occupation/Job title(See Instructions) Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: ) Amount of contribution ($) . . . . . . . . . . Contributor address; City; State; Zip Code Principal occupation/Job title(See Instructions) Employer(See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED If contributor is out-of-state PAC,please see Instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020