221031 -- Campaign Finance Report -- John NicholsCANDIDATE I OFFICEHOLDER
CAMPAIGN FINANCE REPORT
FORM C/OH
COVER SHEET PG 1
The C/OH Instruction Gulde explains how to complete this form .
1 Filer ID (Ethics Commission Fliers) 2 Total page~
3 CANDIDATE I
OFFICEHOLDER
NAME
4 CANDIDATE I
OFFICEHOLDER
MAILING
ADDRESS
D Change of Address
5 CANDIDATE/
OFFICEHOLDER
PHONE
6 CAMPAIGN
TREASURER
NAME
7 CAMPAIGN
TREASURER
ADDRESS
(Residence or Business)
8 CAMPAIGN
TREASURER
PHONE
9 REPORT TYPE
10 PERIOD
COVERED
11 ELECTION
12 OFFICE
14 NOTICE FROM
POLITICAL
COMMITTEE(S)
D Additional Pages
. . ~~ '. ~~~ :.~~-....... -~~ff~/ ...................... ?. ... ~-1
• ••••••••• 1---0-F_F_•c_e_u_s_e_o_N_Lv---1
Dale Received
NICKNAME LAST SUFFIX
))11 c__f-/-(P L~t
ADDRESS I PO BOX; APT I SUITE #; CITY; STATE; ZIP CODE
AREA CODE PHONE NUMBER EXTENSION
(
NICKNAME LAST SUFFIX
·72 C--<fl_,-C--11---:J-
STREET ADDRESS (NO PO BOX PLEASE); APT I SUITE #; CITY;
AREA CODE PHONE NUMBER EXTENSION
D January 15 D 30lh day before election D Runoff
D Ju1y1s D Exceeded Modlfted
Reporting Limit
'J521 8th day before election
Month Day Year Month
RECEIVED
OCT 312012
'1: 3 \4j~
Dale Hand-delivered or Date Postmarked
Receipt#
Date Imaged
STATE; ZIP CODE
D 15th day after campaign
treasurer appointment
(Officeholder Only)
D Final Report (Attach Cf OH -FR)
Day Year
JD THROUGH ;D /.J! /~0.2_;)_
ELECTION DATE
Month Day Year D Primary
~General
D Runoff
D Special
ELECTION TYPE
D Other
Description
OFFICE HELO (if any) •
CP /k7e cf-tc;f"c"1 f3pu,,..c.il 1 'P( 5--
13 OFFICE SOUGHT (if known)
{.1.v !1-c-r·e--5 ""f /'-1-/"v h .
THIS BOX IS FOR NOTICE OF POUTICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITIEES TO SUPPORT
THE CANDIDATE I OFFICEHOLDER. THESE EXPENDrruRES MAY HAVE BEEN MADE WTTHOUT THE CANDIDATE'S OR OFFICEHOLDER'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
0GENERAL COMMITTEE ADDRESS
OsPECIFIC COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
GOTO PAGI; 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
CANDIDATE I OFFICEHOLDER
CAMPAIGN FINANCE REPORT
15 C/OH NAME
FORM C/OH
COVER SHEET PG 2
16 Flier ID (Ethics Commission Fliers)
17 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTH ER THAN
$ J o b ,&q) TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR
CONTRIBUT IONS MADE ELE CTRONICALLY)
2. TOTAL POLITICAL CONTRIBUTIONS $ 0 ~o I {)() (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) ...................
EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE. TOTALS $
4. TOTAL POLITICAL EXPENDITURES $ !1d-3.)_b
...................
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY j ;)
1
8/ ), l/D BALANCE OF REPORTING PERIOD $
....................
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE $ 131 c;-{) 0, tJ 0 LOAN TOTALS LAST DAY OF THE REPORTING PERIOD
18 SIGNATURE I swear, or affinn, under penalty of perjury, that the accompanying report is true and correct and includes all infonnation
required to be reported by me under Tille 15, Election C
Please complete either option below:
(1) Affidavi
LISA F. McCRACKEN
Notary Public • State of Texas
ID# 13297020·3
My Comm. Expires 3· 11 ·2025 NOTARY~~~~$Si~~i'S:s:~~~~~J
Sworn to and subscribed before me. by ~boJ2 A),'c.,htJ .ls
(2) Unsworn Declaration
this the ~ day of O!±oa t .
My name is---------------------· and my date of birth is ------------
My address Is ___________________ --------_____________ _
(street) (city) (state) (zip code) (country)
Executed in ________ County, State of ______ , ·on the ___ day of ______ , 20 __ .
(month ) (year)
Signature of Candidate/Officeho ld er (Declarant)
Forms provided by Texas Ethics Comm ission www.ethics.state.tx .us Revised B/17/2020
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. ~ SCHEDULE A 1: MONETARY POLITICAL CONTRIBUTIONS $ &:,oo oO
2. D SCHEDULE A2.: NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS $
3. D SCHEDULE B: PLEDGED CONTRIBUTIONS $
4. D SCHEDULE E: LOANS $
5. 1>21 SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ ·1, ];;) 3. ;;,\ f;
6. D SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $
7. D SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $
8. D SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $
9. D SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $
10. D SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $
11. D SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $
12. D SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED $
TO FILER
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1
If the requested informat ion Is not applicable, DO NOT include this page in the report.
The Instruction Gulde explains how to compl ete this form. 1 Tota l pages Sched ule A1:
I
2 FILER NAME ~ /i "/U/~~/,;z,e-4 3 Filer 10 (Ethi cs Comm issio n Filers)
f-;'\/1-U ,
4 Date v 5 Fu ll n ame of contribu tor O out-of-stare PAC (10#: l 7 Amount of contribution ($)
lo/:JJ \ t.,' tt ~ .!f.AA(/. .. ~-.... -:~~~/f.1#.t! .... -~-.. <?11~~ ..................
)t}()' 00 · 6 Contributor address; City; State; Zip Code
-~
8 Principal occupation I Job title (See Instructions) 9 Employer (See Instructions)
Date Full name of contributor 0 out-of-state PAC (I D#: I Amount of contribution ($)
10/3 1 ~<I !&tu; £,..;~ r.t:
I tJ o --ocJ • • Co~;~~~t~; ~~~~~~~;·.. • .••••..... ·~;~; .....•....• -~~~~;· ••• ~~ -~~~~· .....
/t!I~ JP1~CJ<t' tctt~ /'X /;-/IJf'tfU.. ~Ji&_, :81'J
Principal occupation I Job title (See Instructio ns) Employer (See Instructions)
Date F~ nie/of r butortl!AA!Jo ou t-of-stal e PAC (ID#: I Amount of contribution ($)
J 6/J) .?" .... ~ ........................................................................
Contributor address; ~ • ~ State;-Zip Code ~oo -oo /yl/~J ·;~ ·t1,{Vf() 7k /l'tfo~
Principal occupation I Job title (See I nstructions) Employer (See Instructions)
Date Full name of contributor 0 out-of-state PAC (I D#: I Amount of contribution ($)
............................................................................................................
Contributor address; City; State; Zip Code
Principal occupation I 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.eth1cs.state.tx.us Revised 8/17/2020
POLITICAL EXPENDITURES MADE
F1 FROM POLITICAL CONTRIBUTIONS SCHEDULE
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense · Event Expense Loan Repaymenl/Reimbutsemenl Sollcitallon/Fundralslng Expense
AccounUng/Banklng Fees Office Overhead/Rental Expense Transportation Equipment& Related Expense
Consultlng Expense Food/Beverage Expense Polling Expense Travel In District
ConbibuUons/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other (enter a category notllsted above)
Credtt Card Payment
The Instruction Gulde explains how to complete this form.
1 Total pages Schedule F1: 2 FILERNAMEJ 'P. N I {, .. /-1-{JL.... > 13 Filer ID (Ethics Commission Fliers)
f Vt-Hv
4 Date 5 Payee name ·-p
() &f / l. Zl~-z,.. B V)/ cu1 ,... ~ wczd. C « ~ 1/ ;t.-!f
6 Amount ($) 7 Payee addresi;; h.... . City; State; Zip Code
I I ~l1 ,0P :<, 7C'll! ~.viL--/Q~.dkv '0f z, C, /k . .sfdo ·ix 773t/o Jl . -t ctjv lt lU T(! ... !J t't:?t:/
8 (a) Category (See Categories listed at the top of this schedule) (b) Description
PURPOSE ;} J tJ t.YYI ~ f vt7 R q_,,,J)o A-d/ OF
EXPENDITURE
(c ) 0 Check If travel outside ofTexas. Complete Schedule T. 0 Check if Austin, TX, officeholder living expense
9 Complete QM!.)'. if direct Candidate I Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
()cfJ. /t!, . .) tJ;. i A-J·M-~ J
Amount ($) Payee address; City; State; Zip Code
t t::8·.1~.d. t;. t./ ;{,. 7 u~tt..f ("'""d >f· dVJ~ . .-.---.
/X 1·1g /)/
Category (See Categories listed at the top of this schedule) Description
PURPOSE A)ric. r fi'.J > ~ '?ri ti. t•7 4 · Mcvi L OF
EXPENDITURE
0 Check If travel outside of Texas. Complete Schedule T. 0 Check If Austin, TX, officeholder living expense
Complete QNl.Y if direct Candidate I 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 oflhls schedu le) Description
PURPOSE
OF
EXPENDITURE
0 Check If travel outside of Texas . Complete Schedule T. 0 Check If Austin, TX, officeholder living expense
Complete QM!.)'. if direct Candidate I 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 .u s Revised 8 /17/2020