201026 - 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
OFFICEHOLDER OFFICE USE ONLY
NAME `�� s c / ,
. _ Date Received
NICKNAME LAST SUFFIX
1-4 1 C- %lOL,5� RECEIVED
4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE A; CITY: STATE; ZIP CODE
OFFICEHOLDER
MAILING / ✓� /
ADDRESS
HY�: ..: :3.���
Change of Address /
5 CANDIDATE/ AREA CODE PHONE NUMBER
��// Dale Hand-delivered or Dale Postmarked
PHO
6 CAMPAIGN MS/MRS/MR FIRST Mf Receipt A Amount$
TREASURER 5I--tle— I
NAME . . . . . . . . . . . . . . . . . . . . . . . . . . . Date Processed
NICKNAME LAST/ SUFFIX
P_4 Date Imaged —
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SURE p; CITY; STATE; ZIP CODE
TREASURER
ADDRESS l 1 t�l �/
(Residence or Business)
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
9 REPORT TYPE
January 15 301h day before election Runoll I l 15th day after campaign
L—I treasurer appointment
(Officeholder Only)
❑ July 15 81h day before election Exceeded$500limit EJ Final Report(Attach C/OH-FRI
10 PERIOD Month Day Year Month Day Year
COVERED G/ /
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 (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
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 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
COMMITTEE CAMPAIGN TREASURER NAME
❑ Additional Pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR $
CONTRIBUTIONS MADE ELECTRONICALLY)
2. TOTAL POLITICAL CONTRIBUTIONS (�
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $ /.'J 7 C ��
EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE.
TOTALS $
4. TOTAL POLITICAL EXPENDITURES $
BALANCE CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY J
OF REPORTING PERIOD <]f 74
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 penalty of perjury,that the accompanying report is
true and cop- and includes all information required to be reported by me
JACKIE RANGEL under T' a 15,Iflection Code. `
Notary Publk-State of Texas I
IDO 13268326-5
M_ y Comm.Expires W18-2024 P 4C
'�.:• / Signature of Candidate or Officeholder
AFFIX NOTARY STAMP/SEALABOVE
Sworn to pnd subscribed before me, by the said.. ILA /�"Lj this the "�u
day of 01 I&I 20 to certify which,witness my hand and seal of office.
ia'1411
igture of officer ad ni tering oath Printed name of officer adm istering oath Title of officer administering oath
4�p'ovlded
by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020
SUBTOTALS - C/OH 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 SCHEDULEAl: MONETARY POLITICAL CONTRIBUTIONS
$
2. El SCHEDULEA2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $
3. El SCHEDULE B: PLEDGED CONTRIBUTIONS $
4. SCHEDULE E: LOANS $
5. SCHEDULE Fl: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $
6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $
7. SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS I $
8. SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $
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 RETURNED $
TO FILER
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020
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)
1
4 Date 5 Full name of contributor ❑out-of-state PAC(ID#: ) 7 Amount of contribution ($)
)VJV
6 Contributor address; Cit State; Zip Code
I L�q0 y rut pwza��, / x
$ Principal occupation/Job title (See Instructions) I g Employer(See Instructions)
Date Full name of contributor ❑out-of-state PAC(ID#: Amount of contribution ($)
Icaa i
Contributor address; City; State; Zip Code �� `�1< o
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor ❑out-of-state PAC(ID#: ) Amount of contribution ($)
i
Ki ,� � g
10//tj 90 Contributor address; City; State; Zip Code
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor ❑out-of-state PAC(ID#: ) Amount of contribution ($)
. . . . . . . . . . . . . . . . . . . .
/Gf(VI Contributor address; City; State; bode ®O/ can
Principal occupation/Job title(See Instructions) Employer(See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC,please see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form. 1 Total pages Schedule At:
2 FILER NAME ,/�, • /J , , 3 Filer ID (Ethics Commission Filers)
4 Date 5 ull name of co tributor out-of-state PAC(ID#: 1 7 Amount of contribution ($)
. . . . . . . . . . . . . . . . . . . . . . . . . .
6 Contributor address; City; State; Zip Code 16vr00
8 Principal occupation/Job title (See Instructions) I g Employer(See Instructions)
Date Full name of contributor out-of-state PAC(ID#: Amount of contribution ($)
'. . °tk .J ('Ut' . . . . . . . . . . . . . . . . . . . . .
Con ributo ddrel Cit State; Zip Code lee" C c
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor out-of-state PAC (ID#: 1 Amount of contribution ($}
I - 1 �
�d14 Contributorvaddress; r City State; Zip Code
CAU A ' '
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor out-of-state PAC (ID#: 1 Amount of contribution ($)
tl� le
lof ��� Contributor address; City; State; Zip Code /
Principal occupation/Job title(See Instructions) Employer(See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC,please see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: ,
2 FILER NAME jl�) 7// I -' 3 Filer ID (Ethics Commission Filers)
4 Date 5 Full name of contributor ❑out-of-state PAC(ID#: ) 7 Amount of contribution ($)
/��v'��(o g Contributor address; City State; Zip Code
"VIxl e# 4- � /-1/ #lk*3
8 Principal occupation /Job title(See Instructions) I g Employer (See Instructions)
Date Full name of contributor ❑out-of-state PAC (ID#: Amount of contribution ($)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Contributor address; City; State; Zip Code
Principal occupation /Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor ❑out-of-state PAC(ID#: Amount of contribution ($)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Contributor address; City; State; Zip Code
Principal occupation /Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor ❑out-of-state PAC(ID#: 1 Amount of contribution ($)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Contributor address; City; State; Zip Code
Principal occupation /Job title(See Instructions) Employer(See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED
If contributor is out-of-state PAC,please see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salaries/VVages/Contract Labor Other(enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F1: 2 FILER NAME ✓- 3 Filer ID (Ethics Commission Filers)
4 Date f 6 Payee name
6 Amount ($) 7 Payee address; City; State; Zip Code
8 (a) Category (See Categories listed at the top of this schedule) (b) Description {
PURPOSE '?)7
OF L & lrG.62 C/�✓l �
EXPENDITURE
(C) Check K travel outside ofTexas.Complete Schedule T. Check if Austin,TX, officeholder living expense
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
o
Category (See Categories listed at the top of this schedule) Description -/
PURPOSE �—
OF i GG d
EXPENDITURE
ElCheck if travel outside of Texas.Complete Schedule T El Check if Austin,TX,officeholder living expense
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name --
(/ Y
Amount ($) Payee address; City; State; Zip Code
f"
Category (See Categories listed at the top of this schedule) Description
PURPOSE I /
OF GII
EXPENDITURE
ElCheck if travel outside of Texas.CompleteScheduleT. Check if Austin,TX, officeholder living expense
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 www.ethics.state.tx.us Revised 1/1/2020
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan RepaymenVReimbursement Solicitation/Fundraising Expense
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 Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salaries/VVages/Contract Labor Other(enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule 171: 2 FILER NAME J �, // 3 Filer ID (Ethics Commission Filers)
4 Date 5 Payee name/
6 Amount ($) 7 Payee address; City; State; Zip Code
8 (a)Category (See Categories listed at the top of this schedule) (b) Description
PURPOSE /{ JI J p�
OF Ad-ye'I1-16f r l lL C
EXPENDITURE
(C) Check if travel outside of Texas.Complete Schedule T. El Check if Austin,TX, officeholder living expense
g Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule) Description
PURPOSE
OF
EXPENDITURE
❑ Check irf travel outside ofTexas.Complete Schedule T. El Check if Austin,TX, officeholder living expense
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule) Description
PURPOSE
OF
EXPENDITURE
Check irf travel outside of Texas.Complete Schedule T. El Check if Austin, TX,officeholder living expense
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 www.ethics.state.tx.us Revised 1/1/2020