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)
36
00067539 3
CANDIDATE / OFFICEHOLDER NAME
C/OH
MS / MRS / MR
FIRST
MI
The Honorable
Patrick E.
OFFICE USE ONLY Date Received
ELECTRONICALLY FILED
4
CANDIDATE / OFFICEHOLDER MAILING ADDRESS
NICKNAME
LAST
Pat
Fallon
ADDRESS / PO BOX;
SUFFIX
APT / SUITE #;
CITY;
ZIP CODE
07/15/2015
Date Hand-delivered or Date Postmarked
Receipt #
Amount
Change of Address Date Processed
Date Imaged
5
CAMPAIGN TREASURER NAME
MS / MRS / MR
FIRST
Ms.
Nancy
NICKNAME
LAST
MI
SUFFIX
Dillard 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
PHONE NUMBER
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
ELECTION DATE Day Year
03/01/2016
11 OFFICE
EXTENSION
Month THROUGH
Day
Year
06/30/2015 ELECTION TYPE
X Primary General
OFFICE HELD (if any)
Runoff
Other
Special
12 OFFICE SOUGHT (if known)
State Representative District 106
State Representative District 106
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www.ethics.state.tx.us
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