JUDICIAL CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT 1
The JC/OH Instruction Guide explains how to complete this form.
FORM
COVER SHEET PG 1
Filer ID
2
Total pages filed:
(Ethics Commission Filers)
00061829 3
CANDIDATE / OFFICEHOLDER NAME
MS / MRS / MR
FIRST
The Honorable
Steven T.
JC/OH
6 MI
OFFICE USE ONLY Date Received
ELECTRONICALLY FILED
4
CANDIDATE / OFFICEHOLDER MAILING ADDRESS
NICKNAME
LAST
Steve
Burgess
ADDRESS / PO BOX;
07/13/2015
SUFFIX
APT / SUITE #;
CITY;
Date Hand-delivered or Date Postmarked
ZIP CODE
Receipt #
Amount
Change of Address Date Processed
Date Imaged
5
CAMPAIGN TREASURER NAME
MS / MRS / MR
FIRST
MI
Mrs.
Amy M.
NICKNAME
LAST
SUFFIX
Burgess 6
CAMPAIGN TREASURER ADDRESS
STREET ADDRESS (NO PO BOX PLEASE);
APT / SUITE #;
CITY;
STATE;
ZIP CODE
(Residence or Business)
7
CAMPAIGN TREASURER PHONE
8
REPORT TYPE
AREA CODE
X 9
PERIOD COVERED
EXTENSION
January 15
30th day before election
Runoff
15th day after campaign treasurer appointment (officeholder only)
July 15
8th day before election
Exceeded $500 limit
Final Report (Attach C/OH-FR)
Month
Day
Year
01/01/2015
10 ELECTION Month
11 OFFICE
PHONE NUMBER
ELECTION DATE Day Year
Month THROUGH
Day
Year
06/30/2015 ELECTION TYPE
Primary
Runoff
General
Special
OFFICE HELD (if any)
Other
12 OFFICE SOUGHT (if known)
District Judge District 158
District Judge District 158
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