HomeMy WebLinkAbout210708 -- Campaign Finance Report -- John NicholsCANDIDATE I OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPOR T COVER SHEET PG 1
1 Filer ID (Ethics Commission Filers)
The C/OH Instruction Gulde explains how to complete this form.
3 CANDIDATE /
OFFICEHOLDER
NAME
4 CANDIDATE I
OFFICEHOLDER
MAILING
ADDRESS
D Change of Address
5 CANDIDATE/
OFFICEHOLDER
PHONE
6 CAMPAIGN
TREASURER
NAME
7 CAMPAIGN
TREASURER
ADDRESS
(Residence or Business)
8 CAMPAIGN
TREASURER
PHONE
9 REP OR T TYPE
10 PERIOD
MS/MRS/MR FIRST Ml
r
. . . . . . ;r�f!li. . . . . . . . . . . ... . . . ...
NICKNAME LAST SUFFIX
N l(//jPI-?
ADDRESS I PO BOX; APT I SUITE #; CITY; STATE; ZIP CODE
AREA CODE PHONE NUMBER EXTENSION
( /
MS/MRS/MR FIRST Ml
. . . . . _,?f���. . . . . ........ . . . . .
NICKNAME LAST SUFFIX 'p £ /4-C ff �·
STREET ADDRESS (NO PO BOX PLEASE); APT I SUITE #;
) I IP L 1'1 ·uv/ f;�,)<� f--1' J)4 ·'
CITY;
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AREA CODE PHONE NUMBER EXTENSION
<171 ) � fJ 3 -§'J tf 7
O January 15 D 3oth day before election D Runoff
� July15 D 6th day before election D Exceeded Modified
Reporting Limit
Monlh Day Year Month
2 Total pages filed:
�.
OFFICE USE ONLY
Dale Received
RECEIVED
JUL 0 8 2021
BY: ./Jfl ... .3,.:.1_�.r._�.
y
Date Hand-delivered or Dale Pos tmarked
Receipt# I Amount$
Dale Processed
Dale Imaged
STATE; ZIP CODE
D . 5th day after campaign
treasurer appointment
(Officeholder Only)
D Final Report (Attach C/OH • FR)
Day Year
COVERED t1> I / /3 L /..:J.O;?I &6/ 30 /.;;10.:J( THROUGH
11 ELEC TION ELECTION DATE ELECTION TYPE
Month Day Year 0 Primary D Runoff 0 Other
Description
/ / 0 General D Special
12 OFFICE OFFICE HELD (if any) d: 13 OFFICE SOUGHT (if known) c�-I te-1� s 1i , .,11/\-
C;-� C� u-1i�; J, () "'S
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Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1 /1 /2020
CANDIDATE I OFFICEHOLDER
CAMPAIGN FINANCE REPOR T FORM C/OH
COVER SHEET PG 2
14 C/OH NAME --r: I A ' f '---..J 0 ./-r 1 v. f fVJcJ!�L;? 15 Filer ID (Ethics Commission Filers)
16 NOTICE FROM
POLITICAL
COMMITTEE(S)
D Additional Pages
17 CONTRIBUTION
TOTALS
EXPENDITURE
TOTALS
CONTRIBUTION
BALANCE
OUTSTANDING
LOAN TOTALS
18 AFFIDAVIT
THIS BOX IS FOR NOTICE OF POL ITICAL CONTRIBUTIONS ACCEPTED OR POUTICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
SUPPORT THE CANDIDATE / OFACEHOLOER. THESE EXPENDITURES MAY HAVE BEEN MADE WTTHOur THE CANDIDATE'S OR DFRCEHDLDER'S
KNOWLEDGE OR CONSENT. CANDIDATES AND OFACEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE
OF SUCH EXPENDITURES.
COMMITTEE TYPE COMMITTEE NAME
0 GENERAL
COMMITTEE ADDRESS O sPEC1F1c
1.
COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR
CONTRIBUTIONS MADE ELECTRONICALLY)
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
3. TOTAL UNITEMIZED POLITICAL EXPENDITURE.
4. TOTAL POLITICAL EXPENDITURES
5.
6.
TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD
$ -o-
$ 0
$ 0 --
$ .-o -
$ 0 5rJ'3/-f�
$ I 3/StJo. c;;o
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
Election Co de.
�/ p -----111 v-t
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP I SEALABOVE
Sworn to and subscribed before me, by the said __ J_o_b�V\ __ p_._N�i_t_ho_\_5 ______ , this the --�----
day of j v..,\ � , 20 '2. \ , to certify which, witness my hand and seal of office.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020