Ronnie Anderson 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/MRS/MR FIRST _ MI
OFFICEHOLDER f OFFICE USE ONLY
NAME ...................... .................I.................NICKNAME AST SUFFIX Date R ceiv gECEIVED
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4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE#; CITY, STATE; ZIP CODE IAN 1. J L.9091
OFFICEHOLDER L L
MAILING
ADDRESS /, / City Manager's/City
V ( Secretary's Office
Change of Address
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
Date Hand-delivered or Date Postmarked
OFFICEHOLDER `
PHONE ( /V,
Receipt# Amount$
6 CAMPAIGN MS/MRS/MR FIRST MI
TREASURER y J Date Processed
NAME ............................... 4 ` ....................................
NICKNAME 6iAv�
SUFFIX
Date Imaged
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY, STATE, ZIP CODE
TREASURER
ADDRESS r f1 ✓ Uja
(Residence or Business)
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE /
9 REPORT TYPE �j January 15 El 30th day before election Runoff ❑ 15th day after campaign
treasurer appointment
(Officeholder Only)
❑ July 15 Sth day before election Exceeded Modified Final Report(Attach C/OH-FIR)
Reporting Limit
10 PERIOD Month Day Year Month Day Year
COVERED 1 /Zko /2,0 THROUGH /_�I / Z,:�:FW
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day \ Year ❑ Primary ❑ Runoff ❑ Other
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
15 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)
. . . . . . . . . . . . . . . . . . .
TOTAL 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 $ o
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.
Signature of C di to or Officeholder
Please complete either option below:
tiPµY PU,,� ROSA A. RIOS
6%Notary Public, State of Texas
(1)Affidavit Comm.Expires 05-23-2024
Notary ID 8760780
NOTARY STAMP/SEAL
Sworn to and subscribed before me by � Ill G z4aZ114.0,h. this the ��day o
20 , to certify which,witness my hand an of office.
QS
Signature of officer administering oath Printed name of officer administering oath Title of icer administering oath
(2)Unsworn Declaration ,
My name is and my date of birth is
My eddress 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