HomeMy WebLinkAbout210115 -- Campaign Finance Report -- John Nichols CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Filer ID(Ethics Commission Filers) 2 Total pages filed:
The C/OH Instruction Guide explains how to complete this form. ►►�J
3 CANDIDATE/ MS/MRS/MR �- FIRST MI /
OFFICE USE ONLY
OFFICEHOLDER �./( /
NAME / 't Date Received
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
NICKNAME LAST SUFFIX
4 CANDIDATE/ ADDRESS /PO BOX; APT!SUITE#; CITY; STATE; ZIP CODE J A N
1 ,1j) 1 7.1
OFFICEHOLDER .
/,>( —/
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER � _ !/ Date Hand-delivered or Date Postmarked
PHONE /
6 CAMPAIGN MS/MRS/MR FIRST MI
Receipt# Amount$
TREASURER
NAME . . . . . . . Date Processed
NICKNAME LAST SUFFIX
y � y Date Imaged
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER
ADDRESS
(Residence or Business) /, Me �� �, J �, / 1. / 7
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER PHONE ( 9y / 7
l �� � %} r,�)` /
9 REPORT TYPE
January 15 � 30th day before election Runoff � 15th day after campaign
treasurer appointment
(Officeholder Only)
❑ July 15 8th day before election ❑ Exceeded Modified Final Report(Attach C/OH-FR)
Reporting Limit
10 PERIOD Month Day Year /Month Day Year
COVERED 10 / � /7 / p THROUGH ,? /,-?/
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year ❑ Primary ❑ Runoff ❑ Other
Description
❑ General ❑ Special
12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known)
c `1e,/� s-/W/�
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME 15 Filer ID (Ethics Commission Filers)
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 UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN _
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR $ (J
CONTRIBUTIONS MADE ELECTRONICALLY) l
LITICAL
2. TOTAL(OTHER PTOHAN PLEDGES, LOANS,r RNGUARANTEES OF LOANS) �(�✓��•
EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE. $
TOTALS
4. TOTAL POLITICAL EXPENDITURES $ j0
CONTRIBUTION 5. 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 $
18 AFFIDAVIT
I swear,or affirm,under penalty of perjury,that the accompanying report is
true and correct and includes all infort n required to be reported by me
LISA MCCRACKEN under a 15,E ion Code.
13109220-8 )
* �* Notary Public,State of Texas
s P My Commission Expires
April 17,2021v v )
�r Signature of Candidate or Officeholder
AFFIX NOTARY STAMP/SEALABOVE
ax
Sworn Aand subscribed before by the said ahiq , 'v this the
day of 20�,to certify which,witness my hand and seal of office.
Signature of officer administering oath Printed name of officer administering oath Title of officer aam nistering oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020
SUBTOTALS - 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 SCHEDULEAl: MONETARY POLITICAL CONTRIBUTIONS $ 2,
2. El SCHEDULEA2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $
3. El SCHEDULE B: PLEDGED CONTRIBUTIONS $
4. El SCHEDULE E: LOANS $
5. r'�71 SCHEDULE Fl: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $La qe
6. F-1 SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $
7. F] SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $
8. SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $
9. SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS I $
10. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH I $
11. SCHEDULE 1: NON-POLITICAL EXPENDITURES MADE 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 Revised 1/1/2020
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form. 1 Total pages chedule Al:
2 FILER NAME L)N llv Y 3 3 Filer ID (Ethics Commission Filers)
4 Date 5 Full name of contributor ❑out-of-state PAC(ID#: t 7 Amount of contribution ($)
f � � . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3 6 Contributor address; City; State; Zip Code C
fill
8 Principal occupation/Job title(See Instructions) 9 Employer(See Instructions)
Date Full name of contributor ❑out-of-state PAC(ID#: t Amount of contribution ($)
coil �JC� ! riz�%
Contributor address; City; State; Zip Code
Principal occupation/Job title(See Instructions) Employer (See Instructions)
Date \�Full name of contributor ❑out-of-state PAC(ID#: 1 Amount of contribution ($)
`l
Contributor address; City; State; Zip Code I)-
Principal occupation/Job title(See Instructions) I Employer(See Instructions)
Date Full name of contributor out-of-state PAC(ID#: ) Amount of contribution ($)
/ ��e- e-" n
oUd 6ar�1 e
Contributdress; City; State; Zip Code h
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 1/1/2020
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form. 1 Total pages hedule Al:
2 FILER NAME /- 3 Filer ID (Ethics Commission Filers)
_ _j v 14
4 Date 6 Full name of contributor out-of-state PAC (ID#: ) 7 Amount of contribution ($)
. . . . . . . . . . . . . . . . . . . .
0 6 Contributor address; City; State; Zip Code c
8 Principal occupation/Job title(See Instructions) 9 Employer(See Instructions)
Date Full name of contributor ❑out-of-state PAC (ID#: ) Amount of contribution ($)
Contributor address; City; State; Zip Code �• ��
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor ❑out-of-state PAC(ID#: Amount of contribution ($)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Contributor address; City; State; Zip Code
Principal occupation/Job title(See Instructions) I Employer(See Instructions)
Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution ($)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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 1/1/2020
POLITICAL EXPENDITURES
FROM POLITICAL LCONTRIBUTIONSSCHEDULE 1
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement 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/ContractLabor Other(enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F1: 2 FILER NAME m j r1-/Aj 3 Filer ID (Ethics Commission Filers)
4 Date/ 5 Payee name
6 Amount ($) 7 Payee address; City; State; Zip Code
$ (a) Category (See Categories listed at the top of this schedule) (b) Description
PURPOSE ✓/� ���� �/ /,yl�
OF
EXPENDITURE
(C) Check if travel outside ofTexas.Complete Schedule T El Check if Austin,TX, officeholder living expense
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Dat �y Payee name
Amount ($) Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule) Description
PURPOSE `�
EXPENDITURE rj
Check if travel outside of Texas.Complete Schedule T Check if Austin,TX, officeholder living expense
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Arnount ($) Payee address; _ City; _ State; Zip Code
Category (See Categories listed at the top of this schedule) Description
PURPOSEOF
J
EXPENDITURE
uCheck if travel outside of Texas.Complete Schedule T Check if Austin,TX, officeholder living expense
Complete D LY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL.COPIES OF THIS SCHEDUL,EAS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS
SCHEDULE1
EXPENDITURE CATEGORIES FOR BOX a(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement 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 SalariesM/ages/Contract Labor Other(enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages clhedule F1: 2 FILER NAME ^� �1 ,, / ,r 3 Filer ID (Ethics Commission Filers)
$ Date 5 Payee name
14
6 A4unt (4b T Payee address; City; State; Zip Code
PdItt4pei- ;/ >� I/
8 (a) Category (See Categories listed at the top of this schedule) (b) Description
PURPOSEOF
EXPENDITURE
(C) Check if travel outside of Texas.Complete Schedule El Check if Austin,TX, officeholder living expense
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule) Description
PURPOSE `
OF (V12
EXPENDITURE
El Check if travel outside of Texas.Complete Schedule Check if Austin,TX,officeholder living expense
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule) Description
PURPOSE
OF
EXPENDITURE
Check if travel outside of Texas.Complete Schedule Check if Austin,TX,officeholder living expense
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 1/1/2020