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)
00069488 3
CANDIDATE / OFFICEHOLDER NAME
JC/OH
MS / MRS / MR
FIRST
Mrs.
Lori Chambers
3 MI
OFFICE USE ONLY Date Received
ELECTRONICALLY FILED NICKNAME
LAST
01/12/2021
SUFFIX
Gray 4
CANDIDATE / OFFICEHOLDER MAILING ADDRESS
ADDRESS / PO BOX;
Change of Address
Houston, TX 77291
APT / SUITE #;
CITY;
Date Hand-delivered or Date Postmarked
ZIP CODE
P.O. Box 91225 Receipt #
Amount
Date Processed
Date Imaged
5
CAMPAIGN TREASURER NAME
MS / MRS / MR
FIRST
MI
Mr.
Lathan E.
NICKNAME
LAST
SUFFIX
Johnson 6
CAMPAIGN TREASURER ADDRESS
STREET ADDRESS (NO PO BOX PLEASE);
APT / SUITE #;
CITY;
STATE;
ZIP CODE
2223 Laurel River Bend
(Residence or Business)
Houston, TX 77014
7
8
9
CAMPAIGN TREASURER PHONE REPORT TYPE
PERIOD COVERED
AREA CODE
EXTENSION
(832) 725-6696
X
January 15
30th day before election
Runoff
15th day after campaign treasurer appointment (officeholder only)
July 15
8th day before election
Exceeded modified reporting limit
Final Report (Attach C/OH-FR)
Month
Day
Year
07/01/2020
10 ELECTION Month
11 OFFICE
PHONE NUMBER
ELECTION DATE Day Year
Month THROUGH
Day
Year
12/31/2020 ELECTION TYPE
Primary
Runoff
General
Special
OFFICE HELD (if any)
Other
12 OFFICE SOUGHT (if known)
District Judge District 262 Harris
District Judge
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www.ethics.state.tx.us
Version V1.1.ceffd98a
FORM
JUDICIAL CANDIDATE / OFFICEHOLDER REPORT: SUPPORT & TOTALS 13 C / OH NAME
COVER SHEET PG 2 2 of 3 14 Filer ID
Gray, Lori Chambers (Mrs.)
JC/OH
(Ethics Commission Filers)
00069488 15 NOTICE FROM POLITICAL COMMITTEE(S) Additional Pages
This box is for notice of political contributions accepted or political expenditures made by political committees to support the candidate / 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. COMMITTEE TYPE
COMMITTEE NAME
GENERAL
COMMITTEE ADDRESS SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
16 CONTIBUTION TOTALS
1.
TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR CONTRIBUTIONS MADE ELECTRONICALLY)
$
0.00
$
0.00
$
0.00
$
0.00
2.
TOTAL POLITICAL CONTRIBUTIONS
3.
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) TOTAL UNITEMIZED POLITICAL EXPENDITURES
4.
TOTAL POLITICAL EXPENDITURES
CONTRIBUTION BALANCE
5.
TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF THE REPORTING PERIOD
$
475.10
OUTSTANDING LOAN TOTALS
6.
TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY OF THE REPORTING PERIOD
$
0.00
EXPENDITURE TOTALS
17 AFFADAVIT
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.
Mrs. Lori Chambers Gray Signature of Candidate or Officeholder AFFIX NOTARY STAMP / SEAL ABOVE Sworn to and subscribed before me, by the said _________________________________________, this the ___________________ day of___________________, 20________, to certify which, witness my hand and seal of office.
Signature of officer administering oath
Forms provided by Texas Ethics Commission
Printed name of officer administering oath
www.ethics.state.tx.us
Title of officer administering oath
Version V1.1.ceffd98a
FORM
SUBTOTALS - JC/OH
JC/OH
COVER SHEET PG 3 3 of 3 18 FILER NAME
19 Filer ID
Gray, Lori Chambers (Mrs.)
(Ethics Commission Filers)
00069488
20 SCHEDULE SUBTOTALS SUBTOTAL AMOUNT
NAME OF SCHEDULE 1.
SCHEDULE A(J)1: MONETARY POLITICAL CONTRIBUTIONS (JUDICIAL)
$
2.
SCHEDULE A2: NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS
$
3.
SCHEDULE B(J): PLEDGED CONTRIBUTIONS (JUDICIAL)
$
4.
SCHEDULE E(J): LOANS (JUDICIAL)
$
5.
SCHEDULE F1: POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS
$
6.
SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
$
7.
SCHEDULE F3: PURCHASE OF INVESTMENTS FROM POLITICAL CONTRIBUTIONS
$
8.
SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD
$
9.
SCHEDULE G: POLITICAL EXPENDITURES FROM PERSONAL FUNDS
$
10.
SCHEDULE H: PAYMENT FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH
$
11.
SCHEDULE I: NON-POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS
$
12.
SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED TO FILER
$
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
Version V1.1.ceffd98a