161031 - Campaign Finance Report - John Nichols C A K11 D 9 D b0ir E 0 F F�C E 910 L D E F-3 FORM C/OH
CARM PPUGN MMANCE REPORT COVER SHEET PG 11
The C/01i Instruction Guide explains how to complete this form, I Filer ID(Ethics Commission Filers) 2 Total pages filed:
3 CANDIDATE/ MS/MRSIMR FIRST MI
OAMEFFICEHOLDER I OFFICE USE ONLY
N tr/-//V /I i
. . . . . . . . . . . . . . . . . . i Date Received
NICKNAME LAST SUFFIX
I
HAND
4 CANDIDATE/ ADDRESS I PO BOX; APT I SUITE 11;
❑ Change of Address DELIVERED
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER Date Hand-delivered or Date Postmarked
PHONE
I
6 CAMPAIGN MS/MRS/MR FIRST Ml —4-8—celp" 'Goan,—$
rREASURER '5' 74�VbF
NAME . . . . . . . . . Date Proc6ssed
NICKNAME LAST SUFFIX
/3 i�f AclAr Date imaged
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT SUITE fl; CITY; STATE; ZIP CODE
TREASURER f
ADDRESS
(Residonce or Business)
colk-le-- -7 7 i'ViP
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
RER FREASU
PHONE ( 971
9 REPORT TYPE 171 January 15 30th day before election ED Runoff f 15th day after campaign
treasurer appointment
(Olticeholder Only)
F-1 July 15 Oth day before election Exceeded$500 limit Final Report(Attach C/OH-FA)
10 PERIOD Month Day Year Month Day Year
COVERED -s THROUGH
----------
11 ELECTION ELECTION DATE
ELECTION TYPE
El Primary Runofl
Month Day Year El 001her
Genera! ❑ Spacial Description
12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (it known)
et
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/812015
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 OH OFFICEHOLDER'S
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 �•, ! l�
4. TOTAL POLITICAL EXPENDITURES ] G�3 ` 5-3
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY /
BALANCE OF REPORTING PERIOD $ / L��
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 penally of perjury,that the accompanying report is
true and correct and includes all information required to be reported by me
TANYA MCNUTT under Election Code.
1 65
Notary Puublic,,State State of Texas
s� My Commission Expires ) <i
2r..- Februanf 14,2018`
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP/SEAL ABOVE 1
Sworn to and subscribed before me, by the saidUl:I -/C this the
ay of. oe AWL ,20 ,to certify which,witness my hand and seal of office.
g ature of of c r administering oath Printed name oYofficer administering oath Titie of o r administering oath
Farms provided by Texas Ethics Commission www.ethics.state.lx.us Revised 9/8/2015
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SUBTOTALS C/OH FORM C/®H
COVER SHEET PG 3
19 FILER NAME 20 Filer ID(Ethics Commission Filers)
l
21 SCHEDULE SUBTOTALS SUBTOTAL
NAME OF SCHEDULE AMOUNT
AMOUNT
1. SCHEDULEA-1: MONETARY POLITICAL CONTRIBUTIONS $ .. /,57),
2• ` SCHEDULE A2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $
8• SCHEDULES: PLEDGED CONTRIBUTIONS
4, , SCHEDULE E: LOANS $
- - - - -- -----------------
5• NA SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
@• SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $
7. SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS l=
8• SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $
8• SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
10• ++ SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $
it• I^. 1 SCHEDULE-is NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $
- - - ---------
Y2, + SCHEDULE K: INTEREST CREDITS, GAINS, REFUNDS,AND CONTRIBUTIONS
l 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. 1 Total pages Schedule Al:
2 FILER NAM � � 3 Filer ID (Ethics Commission Filers)
4 Date S Full name of contributor ❑out-of-slate PAC(loq:_ _) 7 Amount of contribution ($)
6 Contributor address; City; State; Zip Code Al
gr �s.
8 Principal occupation/Job title(See Instructions) g Employer(See Instructions)
Date Full name of contributor out-of-slate PAC(IDiI: ____.. . ..__.._) Amount of contribution ($)
fo/ Contributor ad ress; Clty; State; Zip Code
Principal occupation/Job title(See Instructions) I Employer(See Instructions)
Date Full name of contributor ❑'oul--of-state PAC(ID#:PJ__—----_--_„_„_) Amount of contribution ($)
d/G✓� '� ��/ elf �ew . . . . . . . . .
G' ,Contributor ad r,ss; City; St te; ZIP Code %
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor? E]out-of-state PAC(01t: , .) Amount of contribution ($)
11
Contributor adddWss; City; St te; Zip Code
Principal occupation/Job title (See Instructions) —_ Employer(See Instructions)
ATTACH ADDITIONAL COPIES S OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC,please see instruction guide for additional reporting requirements.
Forms provided lay Fexas Ethics Commission wwmethics.state.N.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 NAME � 3 Filer ID (Ethics Commission Filers)
4 Date 5 Full name of contributor ❑out-of-slate PAC(10#:-- _- ) 7 Amount of contribution ($)
/W 6 Contri utor addrerss; City; State; Zip Cage s "
/lam ��,'�,���
8 Principal occupation/Job title(See Instructions) ( g Employer(See Instructions)
Date Full name of contributor ❑out-of-slate PAC(ID#:_ -___... ....... Amount of contribution ($)
J 6/� . . . � . . . . . . . . . . . . .
Contrilb�uI address; Cit rSttatte; Zip Co
Principal occupation/Job title(See Instructions) I Employer(See Instructions)
Date Full name of contributor ❑out-of-state PAC(ID#: . _._) Amount of contribution ($)
r
Contributor address; City; State; Zip C de C
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor ❑out-or-state PAC(tD#: _.) Amount of contribution ($)
ax,, 7" l0
Contributor dress; City,Q ate; Zip Coddee
/ X
Principal occupation/Job title (See Instructions) — Employer(See Instructions)
ATTACH ADDITIONAL COPIES®F THI S SCHEDULE AS NEEDED
If contributor is out-of-state PAC,please see instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission wwmethics.state.tx.us Revised 9/8/2015
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al:
2 FILER NAME ,o � 3 Filer ID (Ethics Commission Filers)
4 Date 5 Full name of contributor ❑out-of-stale PAC(ID#: - ) 7 Amount of contribution ($)
A4W . . . . . . . . . . . . . .
9/4, 6 Contributor address; ) City; State; Zip Code
8 Principal occupation/Job title(See Instructions) I g Employer(See Instructions)
Date Full name of contributor ❑out-of-state PAC(1Dq: _.. ) Amount of contribution ($)
Contributor address; City; State; Zip C d �
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full
�name
�off contributor+ El out-of-state PAC(IDd: ) Amount of contribution
/--IV ($)
Contr)butor ddress• t C)ty4 St te; Z)p C r
Principal occupation/Job title(See Instructions) i Employer(See Instructions)
Date Full name of contributor ❑out-of-state PAC(IDO: -) Amount of contribution ($)
Contributor address; city- State; Zip Code Q"
Principal occupation/Job title (See Instructions) Employer(See instructions)
ATTACH ADDITIONAL CONIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state BOAC,please see instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission —� _�~ www.ethics.state.tx.us — Revised 9/8/201 b
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al:
2 FILER NAME ° 3 Filer ID (Ethics Commission Filers)
4 Date 5 Full name of contributor ❑out-of-stale PAC(ID#:_ -, _ ) 7 Amount of contribution ($)
I o
1�dllz?jlk
6 Contributor addre s; City; Stat ;Zip Code
VY,V ,
8 Principal occupation/Job title(See Instructions) ( g Employer(See Instructions)
Date Full name of contributor ❑out-of-state PAC(IDN: _.-. . ) Amount of contribution ($)
Contributor ddress; City; State Zip Co
Principal occupation/Job title(See Instructions) I Employer(See Instructions)
Date Full name of contributor p ❑oul-of-state PAC(ID#: _ ) Amount of contribution ($}
Contributor a dress; City;-, SSia e; Zip C d
Principal occupation/Job title(See instructions) Employer(See Instructions)
Date Full name of contributor ❑out-of-state PAC(IDH:_ _,.__-, -) Amount of contribution ($)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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 9/8/201 b
--------------
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/PuedraisingExpense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment e Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contributions/Donations Made By Gift/Awards/Merriariats Expense Printing Vxpense Travel Out Of District
Candidate/Officehulder/Political Committee Legal Services Salim icsAMages/Contract Labor Other(enter a category not listed above)
Credit Card Payrneni
The Instruction Guide explains haw to complete this form.
I Total pages Schedule Ft 2 FILER NAME Jn A / 1 3 Filer ID (Ethics Commission filers)
4 Date Payee name` L
6 Amount ($) Z Payee address; City; State; Z_fp Code
O Category (see Categories listed at the top of this schedule) (a) Description
PURPOSEC_I Checkif travel outside of Texas Carnplete Schedule T.
OF � � ❑Check if Austin,TX,officeholder living expense
EXPENDITURE y
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OFf
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Category (See Categorias listed al the top of this schedule) Description
i PURPOSE Check if lravgl oulsido of Texas Canplele Schedufe T.
._
OF f � �� �Check if Austin.TX, officeholder living expense
EXPENDITURE
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OI-f
Date Payee name
s
I"tj< �� eL_L�(Ei fr rt�,
Amount M Payee address; City; State; Zip Code
a-
pre
or V
Category (See Categories listed at the top of this schedule) Description
PURPOSE �_,_�Check if Travel outside of Texas,CompietoScheduleT.
�x
Of / (� (> `- Check if Austin,'rX,officeholder living expense
EXPENDITURE
i�
Complete UNLY if direct Candidate!Officeholder name Office sought Office held
expenditure to benefit G/OI-f
-- - — ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
__.__._------------------_.--.-_--._.._._-.--.__.___..-___._.___._------------. _._.__-___._.__---------_----.._____—___.T_-__.�_-__----.____._._._..._....___ _._..-_.-------_.-
Forms provided lay Texas Ethics Commission wvvw.ethics.state.tx.us Revised 9/8/2015
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/FundraisingExpense
AccountingrBanking Fees Office Overhead/Rental Expense Transportation Equipment 8 Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contributions/Donations Made By Gilt/Av✓ardsriNemorials Expense Printing Exponse Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services SWarics/Wages/Contract Labor Other(enter a category not listed above)
Credit Card Payrnenl
The Instruction Guide explains how to complete this form.
'I Total pages Schedule F1 2 FILER NAME / � � 3 Filer ID (Ethics Commission Filers)
4 Date �-Payeen
CFCs � �. �1� � { £'Cr� he � CZ� L �7�"� , � ✓ /U/tvC'.f
---------- ----- — - - ----- -
6 Amount ($) r Payee address; City; tale; Zip Code
r r
g3 (a)Category (See Categories listed at[he top of this schedule) (b) (D(��e�s(Description
PURPOSEPURPOSEt�CheckiftraveloutsidoofTexas Cornp!e[oScheduleT.
_ / / q
OF �G2, !! — /l'/ / Check it Austin,TX,offirehatder living expense
EXPENDITURE
S Complete ONLY if direct Candidate J Officeholder name Office sought Office held
expenditure to benefit C/0I-1
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Category (See Categories listed a[tho top of[his schedule) Description
1 Check if travel outside of Texas Complete Schedule'L
PURPOSE
OF � �Check if Austin,TX,officeholder living expense
EXPENDITURE
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit 0/0I-1
Date Payee name
Amount (u) Payee address; City; State; Zip Code
Category (See Categories listed at the top of[his schedule) Description
PURPOSE �___�Check it travel outside of Texas.Cornpleto Schedule I
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
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission wtumethics.state.N.us Revised 9/8/2015