HomeMy WebLinkAboutBhojani semi July 2020 CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Filer ID (Ethics Commission Filers) 2 Total pages fled:
The C/OH Instruction Guide explains how to complete this form.
ciI
3 CANDIDATE/ MS I MRS/MR FIRST MI
OFFICEHOLDER OFFICE USE ONLY
NAME tAk Y. SC-.. IMOLA
Date Received
NICKNAME LAST SUFFIX
4 CANDIDATE/ ADDRESS /PO BOX; APT 1 SUITE#; CITY STATE; ZIP CODE
OFFICEHOLDER __
MAILING 1OiD Lc a'r Va 1 �i. Aess I X 7600i
ADDRESS �] t.
❑ Change of Address
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
11
OFFICEHOLDER �C� -7 -714 -0 H 4. Date yIr nd 1e{ d or Date n
ini
6 CAMPAIGN his!MRS!MR FIRST MI Receipt# Amount S
TREASURER
NAME r-ks 1 " Date Processed •.
NICKNAME LAST SUFFIX
C .4 Dale imaged
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT 1 SUITE# CITY. STATE. ZIP CODE
TREASURER `��� ))( 16005
ADDRESS 313 13 z J OL5)M t!lt T rr� 1--'el• Pt.?)
(Residence or Business)
S CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER ( 8 ot, ) qr`' 3 pQ 95
PHONE 1 '7
9 REPORT TYPE
nJanuary 15 n 30th day before election n Runoff 15th day after campaign
treasurer appointment
(Officeholder Only)
Nti July 15 n 8th day before election Exceeded Modified n Final Repoli(Attach C/OH-FR)
Reporting Limit
10 PERIOD Month Day Year Month Day Year
COVERED i 1 / id 7-0 THROUGH 6/ 3 0 / L.)-2_0
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year El PrimaryEl RunoffEl Other
/ Description
/ El GeneralEl Special
12 OFFICE OFFICE HELD HELD (it any) 13 OFFICE SOUGHT (if known)
ELklQ i ' Ci - Cows) f
T 1cxc Q (a
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 Fifers)
cOL(wtCtri 'UP-►b Ir.bA I
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 NAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDERS
COMMITTEE(S) KNOWLEDGE OR CONSENT. CANDIOATES 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)
EXPTOTANDITURE 3. TOTAL UNITEMIZE❑ POLITICAL EXPENDITURE.
$
4. TOTAL POLITICAL EXPENDITURES $ j,0 Z . 15
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY r "-1 e
►7l1+ • 1
BALANCE OF REPORTING PERIOD
_
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $
1$ AFFIDAVIT
I swear,or affirm,under penalty of perjury,that the accompanying report is
true and correct and includes all information required to be reported by me
I. '""'' KATHY WITHAM under Title 15,Election Code.
.■ !.
? ; �=Notary Public,State of Texas `
-W. 'x= Comm.Expires 08-24-2023 ■
f�1l�I11■;� _Notary 10 2219725 t
Signature Candidate or Officeholder
AFFIX NOTARY STAMP/SEAL.ABOVE C ■ y A , `
Sworn to and subscribed before me, by the said S 4'► 441-8 HT.: ..11i ,this the 1 3
y o L./ kr-1,11:`` , 20 ,to certify which,witness my hand and seal of office.
IMO K.AIThi 1rri+Atdl u0771■P-`4
Signature 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 1/1/2020
SUBTOTALS - C/OH FORM C/OH
COVER SHEET PG 3
19 FILER NAME 20 Filer ID(Ethics Commission Filers)
Salt coin 3
21 SCHEDULE SUBTOTALS SUBTOTAL
NAME OF SCHEDULE AMOUNT
1. n SCHEDULE Al: MONETARY POLITICAL CONTRIBUTIONS $
2- n SCHEDULE A2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $
3. n SCHEDULE B: PLEDGED CONTRIBUTIONS $
4. n SCHEDULE E: LOANS $
5. SCHEDULE Fl: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 1 0
6- n SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $
T• n SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $
8. X SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 1I— . BS
9• l]'�1 SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ }Lt. 3S
10. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $
11. CSCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $
12. f SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS,AND CONTRIBUTIONS RETURNED $
u TO FILER
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F'I
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/FundraisingExpense
Accounling/Banking Foes Office Overhead/Rental Expense Transportation Equipment&Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Cmtrtutions/DonationsMade By Gift/Awards/Memonals Expense Printing Expense Travel Oul Of District
Candidate?OffiiceholderfPollitical Committee Legal Services SalarieslWeges/Contract Labor Other tenter a category not listed above]
Credit Cad Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F1: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
I / 3 S lmoon iNn ojtnl1
4 Date 5 Payee name
i / /3.[vw Goo&t- Erha 1l Ott
6 Amount ($) 7 Payee address; City; State; Zip Code
'6. 14 o (OO Amp h i k ef++re P t t rto,niui pt Vim CA
a (a) Category (See Categories fisted at the top of this schedule) (a) Description
PURPOSE F C) y., _�.(f- t_Al C'1 I V�VL EXPENDITURE
(c) n Check if travel outsideof Texas.Complele Schedule T. n Check if Austin, TX, officeholder living expense
9 Complete PNLY if direct Candidate 1 Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
2— I531
20L° Gyy)t &N l Auiwfi
-
Amount ($) Payee address; City: State: Zip Code
(:. 9 ° 1 Loa Arley k4 eit:tv-c- ? ,eniu;n V"l eua C A R LiDoa 3
Category (See Categories listed at the lop of this schedule) Description
PURPOSE
OF Vi Le_
EXPENDITURE
riCheck if travel outside of Texas.Complete Schedule T n 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
3 ( 8 I z°z—O Gooq 4._. E m u i 1 A CL.oo,An'r
Amount ($) Payee address. City; State; Zip Code
•4 ° 16uo Air i°h kW'i No•-n,(0-2,tiet VveA.,4 GA G►d 0 4 3
Category (See Categories listed at the lop of this schedule) Description
PUOPFOSE L.J �V C(T [:.
EXPENDITURE
nCheck it travel outside of Texas.Complete ScheduleT, I Check if Austin.TX.officeholder Jiving expense
Complete ONLY if direct Candidate 1 Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics-state.tx.us Revised 1/1/2020
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F'1
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayrnenl/Rcimhursement SolicilalionfFundraisin Expense
Accounting/Banking Fees ON-ice Overhe.ad/Rentat Expense Transportation Equipment&Related Expense
Consulting Expense Food/Beverage.Expense Polling Expense Travel In District
Contributions/Donations Made By GiftiAwards/MemorialsExpense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Sala nes/Wages/Contract Labor Other(enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F1: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
2 j 3 en 3 VI_6)C-,ft1
4 Date 5 Payee name
IA 1 (a I Dw Gaosle, Evvic,,l Accodm
6 Amount ($) 7 Payee address: City; State: Zip Code
W (r i'1° 1 L ❑O A 01 Ph'1•€01-i. Pkwi I-towthi,n V I,Eiv.► CA- 9 ti Dti 3
8 (a) Category (See Categories listed at the top of this schedule) (b) Description
PURPOSEOFrr-�y, _ _ `MA i 1
f���J✓ L Set lyrl
EXPENDITURE
(C) l I check if travel outside of Texas.Complete Schedule T. l I Check if Austin, Tx,officeholder living expense
9 Complete ONLY if direct Candidate 1 Officeholder name Office sought Office held
expenditure to benefit C/OH
Dote Payee name
5Pa' /l)Zo 4R. G00 )-e__ Ern col A.-cs- n -
Amount ($) Payee address; City; State: Zip Code
i 6 t 1-t c7 16 oti y'kAiv-e_ P iciAti t—to,,,niyy n \i et,' G°t Cl L1❑H
Category/See Categories listed at the lop of this schedule) Description
PURPOSE f�.�y_- _
Q F 1 V`[Ir E At c61 Se-v.v1 f.1__
EXPENDITURE
17 Check if travel outside of Texas.Complete Schedule T. Check if Austin,TX,officeholder living expense
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit CiOH
mm Date Payee name
117/?l I Zo Zo 04e. E sky l Fk c.ulun i--
Amount ($) Payee address; City; State; Zip Code
ib►'-iU 1 btu (-1fn1eAlkeatvt. Pk Ro„.(0--+,A Ni',to gGies i.t3
Category (See Categories listed at the top of this schedule) Description
PURPOSE (('`��
OF 4J E►At A l S.Q)rn CL
EXPENDITURE
17 Check if travel outside of Texas.Complele 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
C •— — —
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 Fi
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement SoiicitatiorVFundreisingExpense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contnbutrons/Oonations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Satan esA,agos1Conlract Labor Other renter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Fl: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
3/ 3 Sa 1elit_cn.. t ltio 3 a+n'l
4 Date 5 Payee name
b /30 jZoT,o ttiekfka,A 13h6)okr►
B Amount ($) 7 Payee address; City; State; Zip Code
ik 3L1 .6C 1010 Io c1- Vol\ -Y L 01-e-Ss ix -lb o 3ik
8 (a) Category (See Categories listed at the lop of this schedule) (b) Description r �r
PURPOSE l�}•ti_ ,1 min v ysl[1M1a!'�t'1' i "•'�^ti} �'rd
OF ()TWA'
[
EXPENDITURE ?Wi 1tL lr►tb l S1 (
(c) [ J Check if travel outside of Texas.Complete Schedule I Check if Austin TX,officeholder living expense
9 Complete ONLY if direct Candidate 1 Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address: City: State; Zip Code
Category (see Categories listed at the top of this schedule) Description
PURPOSE
OF
EXPENDITURE
1 I Check if travel outside of Texas.Complete ScheduleT, 0 Check it 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 lop of this schedule) Description
PURPOSE
OF
EXPENDITURE
LI Check if travel outside of Texas.Complete ScheduleT. 1 , Check if Austin,TX,officeholder living expense
Complete ONLY if direct Candidate 1 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
EXPENDITURES MADE BY CREDIT CARD SCHEDULE F4
EXPENDITURE CATEGORIES FOR BOX 10(a)
Advertising Expense Event Expense Loan IiepaymeniReirnbursernint Solicitation/Fundraising Expense
Accounting/Banking Fees Orrice Overhead/Renlal Expense Transportation Equipment&Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
ContributionslDonations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services SalariesNJeges/Contraci Labor Other(enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F4: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
► f 2- 5c&tpkv-ri 3kajoali
4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TOA CREDIT CARD $
5 Date 6 Payee name
( /19 'ZOso Corm+.yn raVilt-i7
7 Amount ($) 8 Payee address;
City; State; Zip Code
i qr 15 Po dox o shil -I\--e_ie MA of -fivi
9 TYPE OF
EXPENDITURE 5(1 Political n Non-Political
10 (a) Category ISee Categories listed at the lop of this schedule) 1 (b) Description
PURPOSE atlffer, {• tA0Iy USi"11
OF
v�i!! } r
EXPENDITURE
(c) ❑ Check if travel outsideof Texas.Complete Schedule T. Check if Austin, TX.officeholder living expense
11 Candidate/Officeholder name Office sought Office held
Complete ONLY if direct
expenditure to benefit C/OH
Date Payee name
Z r 2111070 eamvUtln PAY
Amount ($) Payee address: City; State; Zip Code
$ tj• ° s Po Pax 1/8 59» RIVev HA ofLl &1
TYPE OF n
EXPENDITURE Political l Non-Political
Category (See Categories listed at the top of this schedule) Description
PURPOSE 1 y 30e, I'
OF V�
EXPENDITURE
1 Check If travel outside of Texas.Complete Scheduler. I Check if Austin,TX,officeholder living expense
Candidate 1 Officeholder name Office sought Office held
Complete ONLY if direct
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
EXPENDITURES MADE BY CREDIT CARD SCHEDULE F4
EXPENDITURE CATEGORIES FOR BOX 10(a)
Advertising Expense tvent Expense: Loan Repayrncrif/Rormbursement Solicitation/Fundraising Expense
Accounting/Banking Fees OfTrue Overhead/Rental Expense Transportation Equipment
q pment&Related Expense
Consulting Expense FoedlBc.wrage Expense Pulling Expense Travel In pistnct
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Offreholder/Political Committee Legal Services SalannsrVVages/ContraCl Labor Other(enter a category not listed above)
The Instruction Guide explains how to complete this form,
1 Total pages Schedule F4: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
212- c 1+nc.v I311,1)j F let
4 TOTAL OF UNITEMJZED EXPENDITURES CHARGED TOA CREDIT CARD $
5 Date 6 Payee name
7 Amount ($) 8 Payee address; City; State; Zip Code
If'if pa cox HA 0 I 4 6 1
9 TYPE OF
EXPENDITURE Political n Non-Political
10 (a) Category t5ee Categories listed at the lop of this schedule) {b) Description
PURPOSE y _ \ bS)
OF D 1�ti/
EXPENDITURE
(c) ❑ Check if travel out5ideof Texas.Complete Schedule T. ❑ Check if Austin,TX,officeholder living expense
Candidate/Officeholder name Office sought Office held
Complete ONLY if direct
expenditure to benefit DOH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
TYPE OF n
EXPENDITURE Political L J Non-Political
Category (See Categories listed at the top of this schedulel Description
PURPOSE
OF
EXPENDITURE
ncheck if travel outside of Texas,Complete scheduleT. Check if Austin, TX,officeholder living expense
Candidate/Officeholder name Office sought Office held
Complete ONLY it direct
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 PERSONAL FUNDS SCHEDULE G
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayrneni iteimbursemenl Sot/citation/Fundraising Expanse
Accounting/Banking Fees Office Overt iead/Rental Expense Transportation Equipment&Related Expense
Consulting Expense Food/Bewerage Expense Polling Expense Travel In Distrct
Gantt-buttons/Donations Made By Gifl/Awards/Mernorrals Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salanrs/Wages/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 G: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
I1 sal rk.o.,n kL c 1
4 Date 5 Payee name
6 Prount ($) 7 Payee address: City; State; Zip Code
11. 9r Cc} (41
Reimbursement from PO Q)[ ,V If] 5ctq 0t !
1},[ political contributions
VV .) FS�Id
intended
8 (a) Category (See Categories listed al the top of this schedule) (b) Description y..
PURPOSE Cxd If Ca V d 1 LLf,]� vuzlel'� D 1k 5!1\l b,� ��.
EXPENDITURE J JJ
(c) n Check if travel outside of Texas.Comp4ete Schedule T. 1 1 Check if Austin.TX.officeholder living expense
9 Candidate 1 Officeholder name Office sought Office held
Complete ONLY if direct
expenditure to benefit C/OH
Date Payee name
Ont.-
Amount ($) Payee address; City: State; Zip Code
Reimbursement From Po 130 x 6 0 5 9 q Ci+-,0 o f -r 63 C.q q t 1-1b
FRpolitical contributions
intended
Category (See Categories listed at the top of this schedule) Description
PURPOSE
OF C►-tdi - Cad Pet vAkt Q-b - 1-6N46 fi' "`r`t.,. '71-t.
EXPENDITURE _
I 1 Check if travel ouls ids of Texas.Complete Schedule T. I J Check if Austin.TX.officeholder living expense
Candidate /Officeholder name Office sought Office held
Complete ONLY if direct ,
expenditure to benefit CIOH
Date Payee name
Amount (S) Payee address: City; State; Zip Code
C75 IP° /30x 6 "c' 9 0FSAfW, tip $i -71C,
Reimbursement from
x political contributions
intended
Category;See Categories listed at the lop of this schedule) Description PURPOSE W�sl 4i5}1rk-c) Ex N� CIA ''}J
Lat
❑F `I1 11 (veil i 1 t(1 Van
EXPENDITURE _ _
I 1 Check if travel outside of Texas.Complete Schedule T. I 1 Check if Austin,TX,officeholder living expense
Candidate /Officeholder name Office sought Office held
Complete ONLY if direct
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission Aww.ethics.state.tx.us Revised 1/1/2020