200715- Campaign Finance Report - John Nichols CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Filer 10(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
NAME OFFICEHOLDERv I OFFICE USE ONLY
Date Received
NICKNAME LAST SUFFIX
RECEIVED
4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE 0; CITY: STATE; ZIP CODE
OFFICEHMAILING OLDER / � /-/- �
` .....�.:3g• .
❑ Change of Address BY:V F ......
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFI EHOLDER Date Hand delivered or Dale Postmarked
6 CAMPAIGN MS/MRS/MR FIRST MI Receipt lI AmoarrJ 3
TREASURER
- Date Processed ---
NAME .
NICKNAME LAST SUFFIX
" !�//� /1 /�t✓!' Date Imaged - - ---
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE e; CITY; STATE; ZIP CODE
TREASURER �
ADDRESS
(Residence or Business) I/ (a� � �j� Tx,
I/ riff
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER ?
PHONE
9 REPORT TYPE
January 15 EJ 301h day before election F-1 Runoff I"l 15Ih day offer campaign
L_1 Treasurer appointment
(Officeholder Only)
July 15 8lh day before election ❑ Exceeded$500limit ❑ Final Report(Attach C/OH-FRI
10 PERIOD Month Day Year Month Day Year
COVERED /
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)
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Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
CAWNSDRI-VATE / OF-7PCEHOLDER FORM C/OH
(','A MP-A R G N F1 N A N C E R E P 0 R T COVER SHEET PQ 2
14 C/01-11 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 wirtiour THE CANDIDATE'S OR OFFICEHOLDER
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
C01'1MITTEE ADDRESS
DSPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
F-� Additional Pages
COf.fMiTTEE 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
TOTALS 3. TOTAL POLITICAL EXPENDITURES OF$100 OR LESS, $
UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES $
CONTRIBUTION
TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF REPORTING PERIOD
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE,REPORTING PERIOD- 5-C)
IS AFFIDAVIT
I swear,or affirm,under penalify of perjury,that the accompanying report!s
true and correct and includes all information required to be reported by me
and Tit 15,Election Code.
Notary Public,State of Texas
My Commission Expires
11,202 0
- - - - Augus12- - - - JAI
Signature of Candidate Or Officeholder
AFFiXNOTARYSTAiMPISEALABOVE
Sworn to and subscribed before me, by the said JOKV1 9 h 1�-- ok 1544A
this the
day of 20 to certify which,witness my hand and seal of office.
-TD V?
fo.at&ur..f officer administering oath Pri ed name of officer administering oath Title of officer administering oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/20115