160115 - 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.
3 CANDIDATE/ MS/MRS/MR FIRST MI
OFFICEHOLDER - OFFICE USE ONLY
NAME J
Date Received
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
NICKNAME LAST SUFFIX
N1 -IrL- ci PIF"c"x
4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE JAN 1J 2016
MAIL OFFICEHOLDER
OLDER
ADDRESS
❑ Change of Address
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER //
MI Receipt# Amount$
ram_
TREASURER
NAME . . . . . . . . . / 1l . . . . . Date Processed
NICKNAME LAST SUFFIX
/V/c // ,- /, Date Imaged
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; / STATE; ZIP CODE
ADDRESSER `/ /
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE ` / (
9 REPORT TYPE
January 15 F-1 30th day before election El Runoff 15th day after campaign
treasurer appointment
(Officeholder Only)
❑ July 15 8th day before election Exceeded$500limit ❑ Final Report(Attach C/OH-FIR)
10 PERIOD Month Day Year Month Day Year
COVERED / / c
✓ / f ev 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)
1,12 evlyIv e k--
V
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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 �Jo/mil✓ /-' /V /-� 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 POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $ ^—
EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
TOTALS UNLESS ITEMIZED $ ✓
1 4. TOTAL POLITICAL EXPENDITURES $
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF REPORTING PERIOD $ C�Z ( CJ 4 -5 15
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ / L~� �� C� c,0
18 AFFIDAVIT
•- — —. — — - 1 swear,or affirm,under penalty of perjury,that the accompanying report is
JfoPdv::a�e� YVETTE DELA TORRE true and correct and includes all information required to be reported by
me
12466937.7 ) q P
* 1 Notary Public.State of Texas ) under T' Election Code.
My Commission Expires
r
August 21,2016 v )
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP/SEALABOVE ((_� A' /,,
Sworn to and subscribed before me, by the said �,)hn e IV I Vt '0(s this the 15A
Jday of U V-CU J , 20 1 U to certify which,witness my hand and seal of office.
Oda 7orr� i\l01M kA,ki(,
Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015