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Home My WebLink About170117 - Campaign Finance Report - John Nichols C „ N,�0DA � / OFFICEHOLDER(COL®ER FORM C/OH C AAMFA 9GH FINANCE REPORT COVER SHEET PG I 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: The C/OH Instruction Guide explains how to complete this form. Q 3 CANDIDATE/ MSlMRSlMR FIRST MI OFFICEHOLDER I � E ONLY �— OFFICE NAME Dale -ReceivedHAND NICKNAME LAST SUFFIX 4 CANDIDATE/ ADDRESS /Po eox; APT/SUITE III; CITY: STATE; ZIP CODE .RANI I It 701f r OFFICEHOLDER / 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION J 4 OFFICEHOLDER Dale Hand-delivered or Dale Postmarked PHONE 6 CAMPAIGN MS/MRS/MR FIRST MI Receipt# Amount$ i TREASURER 7L� (�L --� NAME . . . Date Processed NICKNAME LAST SUFFIX _— Date Imaged 7 CAMPAIGN STREET AbDAESS (NO PO BOX PLEASE): API/SUI IF B; citY; STATE; ZIP CODE TREASURER ADDRESS (Residence or Business) 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER I C;PHONE lsl 1 / I l (o l 9 REPORT TYPE �—, l ) January 15 301h day before election Runoff f 'l a day after campaign treasurer LJ Treasurer appointment (Officeholder Only) July 15 nth day before election ❑ Exceeded$500limit Final Report(Attach C/OH-FR) 10 PERIOD Month Day Year Month Day Year COVERED V / -3 /a0�K THROUGH /23/3 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year ❑ Primary ❑ Runoff ❑ Olher Description ❑ General ❑ Special 12 OFFICE OFFICE HELD (it any) 13 OFFICE SOUGHT (if known) GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 14 C/OH NAME j ev) 15 Filor ID (Ethics Commission Filers) lid L.l�til� 16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO POLITICAL SUPPORT THE CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDERS COMMITTEE(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 Additional Pages COMMITTEE CAMPAIGN TREASURER ADDRESS 17 CONTRIBUTION 1 TOTAL POLITICAL CONTRIBUTIONS OF$50 OR LESS (OTHER THAN TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED'Q7 ) 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $ �Jl fceg . EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF$100 OR LESS, TOTALS UNLESS ITEMIZED . 4. TOTAL POLITICAL EXPENDITURES 9 ` . . . . . . . . . . . . ---- - -- — —. -- -- CONTRIBUTION 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 IS AFFIDAVIT 1 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 oa.......ua1 SHERRY MASHBURN 1 ?Z 1168633.0 underTitl le ion Code. * * Notary Public,State of Texas 1 sf`.........••.... My Commission Expires i 1 °f ` July 26,20't9 Signature of Candidate or Officeholder AFFIX NOTARY STAMP/SEALASOVE 1 ` Sworn to and subscribed before me,by the said.___v the day of UG.�-I.�CLs ,20 f, to certify which,witness my hand and seal of office. Signatur officer administering oath Printed name of officer administering oath Title of officer administering oaf Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 S3UBTOTALS C/OH FORM C/OH COVER SHEET PG 3 19 FILER NAME 20 Filer ID(Ethics Commission Filers) 21 SCHEDULE SUBTOTALS, SUBTOTAL NAME OF SCHEDULE AMOUNT -------------------- 1, HEDULEA1: MONETARY POLITICAL CONTRIBUTIONS ve, 2. SCHEDULE A2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS 3. SCHEDULE B: PLEDGED CONTRIBUTIONS 4. SCHEDULE E: LOANS 70 5. SCHEDULE FI: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS 6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 7. SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ 8. SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD SCHEDULE Q: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS 10. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH 11, I-A SCHEDULE 1: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS 12. SCHEDULE K: INTEREST, CREDITS,GAINS, REFUNDS,AND CONTRIBUTIONS L I RETURNED TO FILER Forms provided by Texas Ethics Commission www.ethics,state.tx.us Revised 9/8/2015 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 11 Total pages Schedule Al: 2 FILER NAME ' /� / 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor []out-of-stale PAC(ID71: _ ) 7 Amount of contribution ($) l l cvtcvll• � cl?C'�'e . , A� . . 6 Contributor address; City; !State; Zip Code 8 Principal occupation/Job title (See Instructions) g Employer(See Instructions) Date Full name of contributor ❑out-of-slate PAC(IDa: -_,-. _-.- ) Amount of contribution ($) / Contributor address; City; State; Zip Code) 1� n Principal occupation!Job title(See Instructions) Employer (See Instructions) Date Full name of contrriibutor ❑out-of-stale PAC(IDrr: ) Amount of contribution ($) q-tjC-.11.0 ; ' '/'-b el--�' '' Contributor address; City; State; Zip Code e, c ��duzd c� ��. e-erCj � 5 i.s� f i�--------_ _ ------- ----- ..._ --- ----- - --- --- . Principal occupation/Job title (See Instructions) Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC(IDrr: ) Amount of contribution ($) Contributor address; City; State; Zip Code Lxs 'Ty Principal occupation/Job title (See Instructions) Employer(See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC,please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 9 Total pages Schedule Al: 2 FILER NA /� i ` 3 Filer ID (Ethics Commission Filers) 4 Date 5 Fu-11 name of contributor out-of-stale PAC(ID#: ) 7 Amount of contribution ($} 1 6 Contributor address; City; State; Zip Code $ Principal occupation/Job title(See Instructions) g Employer (See Instructions) Date Full name of contributor out-of-slate PAC(IDit:.-__ _ ) Amount of contribution ($) . . y . d r. / . . . . . . . . . Contributor address; City; State; Zip Code r✓l' �'2�J 3 1 S l''oe fk v '13 — �� `e'er - --- - _.._ -- -----._.. ... . - . .._�__.... -- -- - _. Principal occupation/Job title(See Instructions) Employer(See Instructions) Date Full name of contributor ❑out-of-slate PAC(wo: _ -- ._ _ ) Amount of contribution ($) 7 Contributor address; City; State; Zip Code _— )C L 778`/l� AV Principal occupation/Job title(See Instructions) Employer (See instructions) Date Full name of contributor ❑out-ol-state PAC(IDtt: ) Amount of contribution ($) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Contributor address; City; State; Zip Code - - ----- -- - ---------- --- --- -- Principal occupation/Job title (See Instructions) Employer(See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC,please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 LOANS SCHEDULE E The Instruction Guide explains how to complete this form. 1 Total pages Schedule E: 2 FILER NAME.- 3 Filer ID (Ethics Commission Filers) 4 TOTAL OF UNITEMIZED LOANS $ 5 /pat of IOa 7 Name of lender J out-of-state PAC(ID#: ) 9 Loan Amount($) .. r '2 js jo�1 L� l�l !J l�. �>C --._ . . . . . . . . . . . . . Is lender 8 Lender address; City; State; Zip Code 10 Interest rate -� a financial — Institution / _ / � 11 Maturity date ! / � /�- 12 Principal occupation /Job title (See Instructions) 13 Employer (See Instructions) 14 Description of Collateral 15 Check if personal funds were deposited into political account (See Instructions) none 16 C;I IARANTOR 17 Name of guarantor 19 Amount Guaranteed($) INFORMATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Guarantor address; City; State; Zip Coda not applicable 20 Principal Occupation (See Instructions) l 21 Employer (See Instructions) Date of loan Name of lender EJ out-of-slate PAC(to#: ) Loan Amount($) Is lender Lender address; City; State; Zip Code n eres rate a financial Institution? --^ Maturity date Y N Principal occupation /Job title (See Instructions) Employer (See Instructions) Description of Collateral Check if personal funds were deposited into political account (See Instructions) ❑ none GUARANTOR Name of guarantor Amount Guaranteed($) INFORMATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Guarantor address; City; State; Zip Code ❑ not applicable Principal Occupation (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If lender is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 ------------ ------------- ------------ POLOTHGAL PEEXPENDOTURES MADE FRORA POLLIMICAL, CONTRMUTHONS SC�-IEDULE F1 EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repaymenllneimbursement Solicitatiooff-undralsing Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense Consulting Expense Ford/Beverage Expense Polling Expense Travel In District Contributions/Donations Made By Gift/AviardsiMemorials Expense Printing Expense Travel Out Of District Caridid-,ite/OltiretiolderlPoliticaI Committec LegalServices Salaries/Wageg/Conlract Labor Other(enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule Fl 2 FILER NAME I'La N11 3 Filer ID (Ethics Commission Filers) Date Payee narne . /,?, —,/,/ ----------------- 6 Amou�t�($) 7 Payee address; City; State; Zip Code '7 -7ff (a) Category (See Categories listed at the top of this schedule) i (b) Description PURPOSE Check if travel outside of Texas.Complete ScheduleT OF El Check if Austin,TX,officeholder living expense EXPENDITURE Me( 9 V'omptole ONLY if difon't Oindidalle I Officeholder name Office sought 01fine hPIrf expenditure to benefit C/OFI Date, Payee rialne Amount Payee address; City; State; Zip Code ZVI Ic- 7 ----------- ------ Category (See Categories listed at the top of[his schedule) Description PURPOSE Chad,if travel outside of Texas Complete Schedde T O Check if Austin,TX,officeholder living expense A-VEXPENDITURE ('�ev/-/- ;14 Complete ONLY if direct Candidate Officeholder name Office sought Office held expenditure to benefit C101-1 Date Payee name7.2Z�- Arnount M Payee address; City; State; Zip Code Category (See Categories listed al the top of this schedule) Description PURPOSE 1A Check if travel outside ofTexas.Complete Schedulo'r. OFCY Check if Austin,-TX,officeholder living expense EXPENDITURE Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission wWw.ethicS.State.tx.uS Revised 9/812015 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan RepaymenUReimbursernent Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other(enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule Ff, 2 FILER NAM r 3 Filer ID (Ethics Commission Filers) 1 gyp. �2 G-/�l T 4 Date 5 Payee name 6 Amount /( ) 7 Payee address; City; State; Zip Code �. - -- -- -- - T_7o �/O g (a) Category (See Categories listed at the lop of Ihis schedule) (b) Description PURPOSE ❑Check it travel outside of Texas.Complete Schedule OF �� ' A ❑Check if Austin,7X,officeholder living expense n 4 EXPENDITURE C G L!" 4 Comploto ONLY if dtrcot candidate/Officeholdar name Office sought Office held expenditure to benefit C/OH Dat Payee name (Amount W Payee address;/ City; State; Zip Code / a /l 61 /4 or E ( -7 7 �Y Category (See Categories listed at the top of this schedule) Description PURPOSE (___)Check if travel outside of Texas Complete ScheduleT. OF Check If Austin,TX,officeholder living expense EXPENDITURE Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount (9) Payee address; City; State; Zip Code ey Category (See Categories listed at the top of this schedule) Description PURPOSE /// —�Check if travel outside of Texas.Complete Schedule OF � �'` 0'7 ❑ Check if Austin,TX,officeholder living expense EXPENDITURE Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015