200116- Campaign Finance Report - John Nichols CANDIDATE / OFFICEHOLDER FORM C/OFF
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.
MS/MRS/MR FIRST MI
3 CANDIDATE! OFFICE USE ONLY
OFFICEHOLDER Q J
NAME {Z[�j + Date Received
NICKNAME LAST SUFFIX
`V/ DC RECEIVED
q CANDIDATE/ ADDRESS /PO BOX; APT!SUITE#; CITY; STATE; ZIP CODE J Jt N 16 2020
OFFICEHOLDER
MAILING
MAILING //
,� ................
❑ Change of Address
5 CANDIDATE/ AREA CODE ,
/!��/ Dale Hand-delivered or Dale Postmarked
PHONE
6 CAMPAIGN MS/MRS/MR FIRST MI Receipt# Amount$
TREASURER
NAME . . . . . . . .'. `i Date Processed
NICKNAME LAST SUFFIX
Date Imaged
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); �APQT/SUITE#; CITY; STATE; ZIP CODE
TREASURADDRESS ADDR
(Residence or Business) /
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE 71� )
9 REPORT TYPE 15th de g
January 15 ❑ 30lh day before election ❑ Runoff ❑ y alter campaign
treasurer appointment
(Officeholder Only)
❑ July 15 ❑ 81h day before election ❑ Exceeded$500limit ❑ Final Report(Attach C/OH-FR)
10 PERIOD Month Day Year —Month Day Year COVERED /U /' /w r/ 9 THROUGH q� C`C � /.� � /
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year ❑ Primary ❑ Runoff ❑ Other
Description
/ / ❑ General ❑ Special
12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (il known)
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Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME ---- -- --
�/ c f 15 Filor ID (Ethics Commission Filers)
_ C
16 NOTICE FROM THIS BOX I$FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COIAPA1TTEES TO
POLITICAL SUPPORT THE CANDIDATE I 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
GENERAL
COMMITTEE ADDRESS
SPECIFIC
I
COMMITTEE CAMPAIGN TREASURER NAME
Additional Pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
I
17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF$50 OR LESS (OTHER THAN _
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ C)
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 $
CONTR
BALAN tBUTIOtV
BALAN TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
CE OF REPORTING PERIOD
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ / �� 0
18 AFFIDAVIT - - -
I swear,or affirm,under penalty of perjury,that the accompanying report is
I true and correct and includes all information required to be reported by me
Ely-'
� IAN WMITTENTON underT 5, lection Code.
* 12946552-2 )
* Notary Public.State of Texas
S� My Commission Expires
June 20,2021
Signature of Candidate or Officeholder
AFFIX NOTARY S TAMP(SEAL ABOVE
Sworn to and subscribed before me, by the said _ h Y 1 G !_S _. _ this the v
- - - -
day of.:Scnn_1 __,20 Q-0 to certify which,witness my hand and seat of office.
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