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210115 -- Campaign Finance Report -- John Nichols CANDIDATE / OFFICEHOLDER FORM C/OH 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. ►►�J 3 CANDIDATE/ MS/MRS/MR �- FIRST MI / OFFICE USE ONLY OFFICEHOLDER �./( / NAME / 't Date Received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NICKNAME LAST SUFFIX 4 CANDIDATE/ ADDRESS /PO BOX; APT!SUITE#; CITY; STATE; ZIP CODE J A N 1 ,1j) 1 7.1 OFFICEHOLDER . /,>( —/ 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION OFFICEHOLDER � _ !/ Date Hand-delivered or Date Postmarked PHONE / 6 CAMPAIGN MS/MRS/MR FIRST MI Receipt# Amount$ TREASURER NAME . . . . . . . Date Processed NICKNAME LAST SUFFIX y � y Date Imaged 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE TREASURER ADDRESS (Residence or Business) /, Me �� �, J �, / 1. / 7 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE ( 9y / 7 l �� � %} r,�)` / 9 REPORT TYPE January 15 � 30th day before election Runoff � 15th day after campaign treasurer appointment (Officeholder Only) ❑ July 15 8th day before election ❑ Exceeded Modified Final Report(Attach C/OH-FR) Reporting Limit 10 PERIOD Month Day Year /Month Day Year COVERED 10 / � /7 / p 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) c `1e,/� s-/W/� GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020 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 OR OFFICEHOLDERS 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 $ (J CONTRIBUTIONS MADE ELECTRONICALLY) l LITICAL 2. TOTAL(OTHER PTOHAN PLEDGES, LOANS,r RNGUARANTEES OF LOANS) �(�✓��• EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE. $ TOTALS 4. TOTAL POLITICAL EXPENDITURES $ j0 CONTRIBUTION 5. 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 $ 18 AFFIDAVIT I swear,or affirm,under penalty of perjury,that the accompanying report is true and correct and includes all infort n required to be reported by me LISA MCCRACKEN under a 15,E ion Code. 13109220-8 ) * �* Notary Public,State of Texas s P My Commission Expires April 17,2021v v ) �r Signature of Candidate or Officeholder AFFIX NOTARY STAMP/SEALABOVE ax Sworn Aand subscribed before by the said ahiq , 'v this the day of 20�,to certify which,witness my hand and seal of office. Signature of officer administering oath Printed name of officer administering oath Title of officer aam nistering oath Forms provided 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, 2. El SCHEDULEA2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $ 3. El SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4. El SCHEDULE E: LOANS $ 5. r'�71 SCHEDULE Fl: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $La qe 6. F-1 SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 7. F] SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ 8. SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 9. SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS I $ 10. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH I $ 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 chedule Al: 2 FILER NAME L)N llv Y 3 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor ❑out-of-state PAC(ID#: t 7 Amount of contribution ($) f � � . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 6 Contributor address; City; State; Zip Code C fill 8 Principal occupation/Job title(See Instructions) 9 Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: t Amount of contribution ($) coil �JC� ! riz�% 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 ($) `l Contributor address; City; State; Zip Code I)- Principal occupation/Job title(See Instructions) I Employer(See Instructions) Date Full name of contributor out-of-state PAC(ID#: ) Amount of contribution ($) / ��e- e-" n oUd 6ar�1 e Contributdress; City; State; Zip Code h 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 hedule Al: 2 FILER NAME /- 3 Filer ID (Ethics Commission Filers) _ _j v 14 4 Date 6 Full name of contributor out-of-state PAC (ID#: ) 7 Amount of contribution ($) . . . . . . . . . . . . . . . . . . . . 0 6 Contributor address; City; State; Zip Code c 8 Principal occupation/Job title(See Instructions) 9 Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC (ID#: ) Amount of contribution ($) 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 ($) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Contributor address; City; State; Zip Code Principal occupation/Job title(See Instructions) I Employer(See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution ($) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Contributor address; City; State; Zip Code Principal occupation/Job title(See Instructions) Employer(See Instructions) 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 POLITICAL EXPENDITURES FROM POLITICAL LCONTRIBUTIONSSCHEDULE 1 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/Wages/ContractLabor 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 m j r1-/Aj 3 Filer ID (Ethics Commission Filers) 4 Date/ 5 Payee name 6 Amount ($) 7 Payee address; City; State; Zip Code $ (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE ✓/� ���� �/ /,yl� OF EXPENDITURE (C) Check if travel outside ofTexas.Complete Schedule T El Check if Austin,TX, officeholder living expense 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Dat �y Payee name Amount ($) Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSE `� EXPENDITURE rj Check if travel outside of Texas.Complete Schedule T Check if Austin,TX, officeholder living expense Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Arnount ($) Payee address; _ City; _ State; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSEOF J EXPENDITURE uCheck if travel outside of Texas.Complete Schedule T Check if Austin,TX, officeholder living expense Complete D LY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL.COPIES OF THIS SCHEDUL,EAS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE1 EXPENDITURE CATEGORIES FOR BOX a(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 SalariesM/ages/Contract Labor Other(enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages clhedule F1: 2 FILER NAME ^� �1 ,, / ,r 3 Filer ID (Ethics Commission Filers) $ Date 5 Payee name 14 6 A4unt (4b T Payee address; City; State; Zip Code PdItt4pei- ;/ >� I/ 8 (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSEOF EXPENDITURE (C) Check if travel outside of Texas.Complete Schedule El 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 ($) Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSE ` OF (V12 EXPENDITURE El Check if travel outside of Texas.Complete Schedule Check if Austin,TX,officeholder living expense Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSE OF EXPENDITURE Check if travel outside of Texas.Complete Schedule 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