Daniel Clanton 8th Day Before General Election 2021 CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
e le
The C/OH Instruction Guide explains how to complete this form. 1 Filer ID(Ethics Commission Filers) 2 Total pag d:
3 CANDIDATE/ MS/MRS M FIRST MI
OFFICEHOLDER OFFICE USE ONLY
/NAME
NICKNAME J,FyST SUFFIX RECEIVED
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4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE fk CITY; STATE; ZIP CODE APR 2 3 $0�1
OFFICEHOLDER 2Cl0t fi6�� --K T:�TX zf.�.,�
MAILING 1�✓" ( /� /�/�J
ADDRESS City Mangers/City
❑ Change of Address SecralarftOffw
5 CANDIDATE/ AREA COD PHONE NUMBER EXTENSION
Date Hand delivered or Date Postmarked
OFFICEHOLDER
PHONE ) J
Receipt# I Amount$
6 CAMPAIGN MS/ t MR FIR OO � MI
TREASURER J"/��,iCi
NAME .......................... ...................................................
Date Processed
NICKNAME LAST SUFFIX
Date Imaged
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER
ADDRESS
(Residence or Business) l
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
9 REPORT TYPE `❑ January 15 f ❑ 30th day before election ❑ Runoff ❑ 15th day after campaign
treasurer appointment
(Officeholder Only)
❑ July 15 Bth day before election ❑ Exceeded Modified ❑ Final Report(Attach C/OH-FR)
Reporting Limit
10 PERIOD Month Day Year Month Day Year
COVERED n1 A/A/ 7?,3 / ZO 241
THROUGH
11 ELECTION ELECTION DATE ELECTION TYPE `7
Month Day Year Primary ❑ Runoff ❑ Other
Description
,< � ❑ General ElSpecial
12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known) l
14 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POI-Mc EXPENDITURES MADE BY POLITICAL coMMITTEES TO SUPPORT
POLITICAL 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(S)
COMMITTEE TYPE COMMITTEE NAME
❑GENERAL COMMITTEE ADDRESS
❑ Additional Pages
❑SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
GO TO PAGE 2
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
15 O NAME, 16 Filer ID (Ethics Commission Filers)
lG ci�
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)
. . . . . . . . .. . . . . . . . . .
EXPENDITURE TOTALS 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 accompanying report is true and correct and includes all information
required to be reported by me under Title 15,Election Code.
Signature of a or Officeho er
Please complete either option below:
e :- ZOLAINA R PARKER
(1)A I `:�* Notary Public
,. ., STATE OF TEXAS
M Comm.Ex -Sept.7,2022
NO S i --�-�
Swornto and subscribed before me by l in to tGl this the cf day of
20 to certify which,witness my hand a seal of office.
,f
3 �b
Sign fficer administering oath Printed name of officer administering oath Ij Title o o cer admin' tering oat
(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)