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170710 - Campaign Finance Report - John Nichols CANDWAi3 F / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Filer ID(Ethics Commission Filers) 2 Total page*pled: The C/OH Instruction Guide explains how to complete this form. L 3 CANDIDATE/ MS/MRS/MR FIRST MI OFFICE OFFICEHOLDER n USE ONLY `J'" NAME 2� r Date Received NICKNAME LAST SUFFIX rc�ii © ls _ RECEIVEII 4 CANDIDATE/ ADDRESS /PO Box; APT/SUITE 11; CITY: STATE; ZIP CODE I MAILINOFFICEHG OLDER ��LV`�'' °""'. 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION OFFICEHOLDER / 6 CAMPAIGN Ms/MRS/MR FIRST MI Receipt N Amount$ TREASURER �'T~" ✓e NAME . . . . . . . . . . . . . . . . . . . . . . . . . . Date Processed NICKNAME LAST SUFFIX Date Imaged 7 CAMPAIGN STREET ADDRESS a(NO PO BOX J PLEASE); APT/SUITE 11; CITY; STATE; ZIP CODE ADDR TREASURER not o t N1,eq-( !/)G '02 . (Residence or Business) CO Ie5� e— +�i il/ x 7 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE l ! l / G ✓` C 9 REPORT TYPE ❑ January 15 ❑ 30th day before election ❑ Runoff f--1 151h day after campaign 1-1 treasurer appointment (Otticeholder Only) July 15 ❑ Dth day before election ❑ Exceeded$500limit ❑ Final Report(Attach C/OH-FR) 10 PERIOD Month Day Year 1lonth Day Year COVERED / THROUGH r"' � �Q j 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year ❑ Primary ❑ Runofl ❑ Other Description ❑ General ❑ Special 12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (il 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 iG C/OH NAME -- ----------- ---- -.`e 1 .D, A r/ C' � / 15 Filer ID Ethics Commission Filers J J (� t t ) 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 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 - 0 GENERAL COMMITTEE ADDRESS FISPFCIFIC 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 $ 4. TOTAL POLITICAL EXPENDITURES . . . . . . . . . . . . . - - - - ... --- --- - --- - ` - --- CONTRIBUTION TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY BALANCE OF REPORTING PERIOD $ ` r� OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE _ LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ 13 �}yJ o 18 AFFIDAVIT - ------ - _ I swear,or affirm,under penalty of perjury,that the accompanying report is =o1gaY.Pve1, / SHERRY MASHBURN true and correct and includes all information required to be reported by me � 1 1168633.0 ) u erTitle 5,Election Code. Notary Public,State of Texas srhyl M Commission Expires I y p July26,2p1,9 Signature of Candidate or Officeholder AFFIX NOTARY STAMP/SEALABOVE - Sworn to nd subscribed before me, by the said /� S _,this the v7 — -- — day of -(,���/ ,20 ! to certify which,witness my hand and seal of office. A, S- gnature of offi or 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 S1,J TOT L - / H 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, L�J SCHEDULE Al: MONETARY POLITICAL CONTRIBUTIONS 2• I--� SCHEDULE A2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $ 3• [- I SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4, [ SCHEDULE E: LOANS $ 5• SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ -_- ------- .. � - l-- 6. — SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 7. SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ 8• SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ I_. 9• SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 10. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ 11• SCHEDULE 1: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 12 (( SCHEDULE K: INTEREST, CREDITS,GAINS, REFUNDS,AND CONTRIBUTIONS $ RETURNEDTOFILER 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 NAME „ f 3 Filer ID (Ethics Commission Filers) cze 4 Date 5 Full name of contributor ❑out-of-slate PAC(Iou: _._.._,_—` ) 7 Amount of contribution ($) M '- � . . . QJ ° ` . . . .f� 3 I / .3Contributor address;. . . : . . . City; .St.ate;. y 9 !/!"` 8 Principal occupation/Job title(See Instructions) ( 9 Employer(See Instructions) Date Full name of contributor ❑out-of-slate PAC poa: ) Amount of contribution ($) /1� Contributor address; City; St/ 7 a'te; Zip Coode {y Principal occupation/Job title(See Instructions) I Employer(See Instructions) Date Full name of contributor ❑oul-oi-state PAC(ID#: ) Amount of contribution ($) . . . . . . . . . . . . . . . Contributor address; City; State; Zip Code Principal occupation/Job title(See Instructions) Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC(IDtt: .._ _} Amount of contribution ($) Contributor address; City; State; Zip Code Principal occupation/Job title (See Instructions) Employer(See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED It 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 POLUTUCAL I'll-EXPENDUTUFF-IMS MADE FROM, POLPT90AL CONTRMUTHONS SCHEDULE EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimburseinent Solicilation/Fujidraising rxp(,,r)sL 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 Gifl/Aviards/Mornorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Commillea Legal Services Salaries/Wages/Contract Labor Other(enter a category net listed above) Credit Card Payment The Instruction Guide explains how to complete this form. I Total pages Schedule; F1 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 pa te 7te ---------Pae,name y Oc 1), C IV?> --- 6 Amount 7 Payee address; City; State*, Zip Code --------------- (a)Category (See Categories listed at the top of I his schedule) (b) Description PURPOSE 0 Checkil travel outside ofTexas Complete Schedule T OF ❑Check if Austin,TX,officeholder living expense EXPENDITURE ------------ 9 Complete ONLY it direct Candidate I Officeholder name Office sought Office held expenditure to benefit C10H Date Payee name ------------ ------------- Amount Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSE Check if travel oulsidoofTbxas CompleloSdieWeT. OF Check If Austin,TX,officeholder living expense EXPENDITURE Complete ONLY if direct Candidate Officeholder name Office sought Office held expenditure to benefit C/01-1 Date Payee name Amount Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSE Check if travel outside of Texas.Complete Schedulel OF Chock it Austin, officeholder living expense EXPENDITURE Complete ONLY if direct Candidate Officeholder name Office sought Office held expenditure to benefit C1011 --- --------- ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED ---------—------ Forms provided by Texas Ethics Commission vmmethics.state.lix.us Revised 918/2015