CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT
FORM
COVER SHEET PG 1 1
The C/OH Instruction Guide explains how to complete this form.
Filer ID
2
Total pages filed:
(Ethics Commission Filers)
102
00020673 3
CANDIDATE / OFFICEHOLDER NAME
MS / MRS / MR
FIRST
The Honorable
Jane
C/OH
MI
OFFICE USE ONLY Date Received
ELECTRONICALLY FILED NICKNAME
LAST
SUFFIX
07/15/2015
Nelson 4
CANDIDATE / OFFICEHOLDER MAILING ADDRESS
ADDRESS / PO BOX;
APT / SUITE #;
CITY;
ZIP CODE
Date Hand-delivered or Date Postmarked
Receipt #
Amount
Change of Address Date Processed
Date Imaged
5
CAMPAIGN TREASURER NAME
MS / MRS / MR
FIRST
MI
Mr.
James Michael
NICKNAME
LAST
SUFFIX
Nelson 6
CAMPAIGN TREASURER ADDRESS
STREET ADDRESS (NO PO BOX PLEASE);
APT / SUITE #;
CITY;
STATE;
ZIP CODE
(Residence or Business)
7
8
CAMPAIGN TREASURER PHONE
AREA CODE
REPORT TYPE
PERIOD COVERED
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
EXTENSION
(
X 9
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)
State Senator District 12
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