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Home My WebLink About2021 Paudel, Tika 30 day-correctedCORRECTION/AMEND1111ENT AFFIDAVIT FOR CAN 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: 28 FORM COR-C`/01-1 OFFICE USE ONLY 3 CANDIDATE/ MSlIdRS/MR FIRST MI nne' OFFICEHOLDER TIKANAME ........ I....... ........NICKNAME LAST SUFFIX PAUDEL APR 16 2021 4 ORIGINAL REPORT ❑ January 15 ❑ Runoff TYPE ❑ July 15 ❑ Exceeded $500 limit ® 30th day before election ❑ 15th day after treasurer appointment (officeholder only) ❑ 8th day before election ❑ Final report Other (specify) 5 ORIGINAL PERIOD Month Day Year Month Day COVERED 02 /05 / 2021 THROUGH 03 / 22 / 6 EXPLANATION OF CORRECTION CORRECTION OF VARIOUS INADVERTENT ERRORS jDate Hand -delivered or Date Postmarked CITY OF EULESS Date Processed Year ��•�" Date Imaged 2021 7 SIGNATURE I swear, or affirm, under penalty of perjury, that this corrected report is true and correct. Check ONLY if applicable: ❑Semiannual reports: I swear, or affirm, that the original report was made in good faith and without an intent to mislead or to misrepre-sent the information contained in the report. Other reports: I swear, or affirm, that I am filing this corrected report not later than the 14th business day after the date I learned that the report as originally filed is inaccurate or incomplete. I swear, or affirm, that any error or omission in the report as originally filed was made in good faith. Signa Candidate/Officeholder EA URTIS ROBINSONPle se Complete either optima below: otary In #125587532 (1) Affidavit Commission Expires December 23, 2022 will NOTARY S Sworn to and subscribed before me by �1iic ,�hvl , this the _�C�_ day of 20 ( to certify which, witness my hand andagal of office. Signature of officer administering oath Printed name of officer administering oath Title of officer admini8ttleriiIng oath � • WIGII'�'� (2) Unsworn Declaration 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) Signature of Candidate/Officeholder (Declarant) Remember To Attach Any Part Of The Campaign Finance Report Form Needed To Report And Explain Corrections Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revisad 5/13/2020 All Reports: Afiler who files a corrected report must submit a correction affidavit. The affidavit must identify the information that has changed. Reports filed with Texas Ethics Commission: A corrected report (other than a report due 8 days before an election) filed with the Ethics Commission after its due date is not considered late for purposes of late -filing penalties if: (1) any error or omission in the report as originally filed was made in good faith, and (2) the person filing the report files a corrected report and a good -faith affidavit not later than the 14th business day after the date the person learns that the report as originally filed is inaccurate or incomplete. Semiannual Reports: A semiannual report (due January 15 or July 15) that is amended/corrected before the eighth day after the original report was filed is considered to have been filed on the date the original report was filed. A semiannual report that is amended/corrected on or after the eighth day after the original report was filed is considered to have been filed on the date the original report was filed if: (1) the amendment/correction is made before any complaint is filed with regard to the subject of the amend ment/correction; and (2) the original report was made in good faith and without intent to mislead or misrepresent the information contained in the report. Attach additional pages as necessary. INSTRUCTIONS FOR COMPLETING THIS FORM The following numbers correspond to the numbered boxes on the other side;. 1. Filer ID. If you file with the Ethics Commission, you should have received a letter acknowledging receipt of your campaign treasurer appointment and assigning you a Filer.ID. Put that number in this box. If you do not file with the Ethics Commission, skip this box. 2."Total Rages Filed. After completing this form and any attachments, count the number of pages. Enter that number in this box. Each side of a two-sided form counts as a page. In other words, this form is two pages. 3. Candidate/Officeholder Name. Put your full name here. Enter your name in the same way as on the report you are correcting. 4.Original Report Type. Mark the type of report you are correcting. 5. Original Period Covered. Enter the period covered by the report you are correcting. The year is important because filers sometimes correct reports years after filing the original. 6. Explanation of Correction. Attach any part of the campaign finance report form needed to report and explain corrections. Explain why there was an error on the original report. Also explain what information is being corrected and how the new information is different from the information on the original report. (Use additional pages if you need more space.) You may also use this area to request a waiver or reduction of a late -filing penalty and state the basis of your request. 7. Signature. Read the affidavit before signing. You must sign the affidavit in the presence of an individual authorized to take oaths. If signed before a notary public, the affidavit must include the notary's signature and sea..l. If you are using the paper form, fill this section out by hand after you finish the rest of this report. You have :I ie option to either: (1) take the completed form to a notary public where you will sign above the first line that says "Signature of Candidate/Officeholder" (an electronic signature is not acceptable) and your signature will be notarized, or (2) sign above both lines that say "Signature of Candidate/Officeholder (Declarant)" (an electronic signature is not acceptable), and fill out the unsworn declaration section. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 6/13/2020 CANDIDATE / OFFICEHOLDER FORM It /01P1 CAIVIP'AIC3N FINANCE REPORT Corrected COVER SHEET' PC3i l 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: W The C/OH Instruction Guide explains how to complete this form. �nL "W�111198 mmlz� OFFICE IJSE CINLY 3 CANDIDATE / MS / MRS / MR FIRST MI OFFICEHOLDER NAME.. MR. TIKA R NICKNAME LAS..........................LAS.T ............... I................... SU.. ^ FFIX ...... ate ce l5 v LLL=7" PAUDEL APR 16 2021 ZIP CODE 4 CANDIDATE / ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; OFFICEHOLDER MAILING EULESS TX 76040 CITY OF EULESS ADDRESS 500 BRASHER LANE ❑ Change of Address 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION Dale Hand -delivered or Date PosTmarked OFFICEHOLDER 214 277-1767 PHONE _ Receipt # Amount $ 6 CAMPAIGN MS / MRS / MR FIRST 1141 TREASURER BASU NAME................................................................................. Date Processed NICKNAME LAST SUFFIX Date Imaged SH RESTHA 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE TREASURER ADDRESS 409 LOIS LANE EULESS TX 76040 (Residence or Business) 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE 214) 718-8746 9 REPORT TYPE ❑ January 15 30th day before election Runoff 'I5th 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 02 05 2021 THROUGH. 03 22 2021 �' 11 ELECTION ELECTION DATE ELECTION TYPE ❑ Primary ❑ Runoff ❑ Other Month Day Year Description 05 / 01, ' / 2021 N General ❑ Special _. !- 12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known) Euless City Council, Place 6 14 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT POLITICAL THE CANDIDATE I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S KA'OINLEDGf_ OR EXPENDITURES. CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH COMMITTEE(S) COMMITTEE TYPE COMAAITTEE NAME ❑ GENERAL COMMITTEE ADDRESS Additional Pages COMMITTEE CAMPAIGN TREASURER NAME SPECIFIC COMMITTEE CAMPAIGN TREASURER ADDRESS GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 CANDIDATE / OFFICEHOLDER FORM a:10H CAMPAIGN FINANCE REPORT COVER SHEET PG 15 C/OH NAME 16 Filer ID (Ethics Commission Filers) 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) $11,91,9.00 EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE. TOTALS 4. TOTAL_ POLITICAL EXPENDITURES $217.26 CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $1 BALANCE OF REPORTING PERIOD 1,700.74 OUTSTANDING LOAN TOTALS 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE $2,000.00 LAST DAY OF THE REPORTING PERIOD 18 SIGNATURE 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 under Title 15, Election Code. Signature of Candidate or Officeholder Please complete either option below: =Notary OBINSON JR (1) Affidavit #125587532ssion Expiresr 23, 2022 NOTARY STAMP/SEAL Sworn to and subscribed before me by this the _ day of 20 (l to certify which, witness my hand and seal of office. Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath (2) Unsworn Declaration 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 _ _, 2.0 _ (month) (year) Signature of Candidate/Officeholder (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 6/1 7i2020 SUBTOTALS - C10H FORM (r.,'/0H COVER SHE -ET 1!'-'G 3 19 FILER NAME Tika Paudel 20 Filer ID (Ethics Commission Filers) 21 SCHEDULE SUBTOTALS NAME OF SCHEDULE SUBTOTAL AMOUNT I• MX SCHEDULEAI: MONETARY POLITICAL CONTRIBUTIONS $ 2. SCHEDULEA2: NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS $ 3. SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4. FX❑I SCHEDULE E: LOANS $ 2,000.00 Ln SCHEDULE FI: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 217.26 6. SCIEDULEF2: UNPAID INCURRED OBLIGATIONS $ 7. 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 $ 10. F] SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ 11. SCHEDULE 1: NON -POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 12. F1 SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED TO FILER Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 811712020 M) 'Jl CINET RY POLITICAL CONTRIBUTIONS If the requested informotion.is not applicahle '.DOIWOTInalude this. pago In the rer,patrtl The Instt•uclion OuldQ e+xplsins•how to;complote thisjo." , I Tutu! pees SchsdWez At: 72 2 FILER NAME Tika Paude) 3 Fiber Ib (Ethics C.ornnLiolon"Fileiia) 4 Date 6 Full name of oontributor d w4f-utot• PAC (ID#: I' Aunt of boniribi,Mon {$} S Contributor address; City; State; ,;,,Zip Cc4e B Prindpal occupation ! Job title (See Instructions) 9 Employer (Soer Instrtictlons) Dato Full narne of contributor (] out.of-state PAC VD Arntxartt of oonfribuilon (:I} -TV) CiLD el Contributor' address; • • City; State; + 'ZIp Codo mot., Principal occupations A Job title (SebInstructions) Employer (See Instructions) ..Date Full name of contributor []g6ut-0f-03te'PAd (W, . "��- Y' Amount-of''auniribbtPan (lx) Contributor address;, City; State;. .Zip Cade ^f x1 .� Principal occupation. Job title (Soo Instructions) _ Em loyeY (Sep Instructions) Fulrnair a of contributor ❑ out.ot;arnte PAC (isk 5 Amount of„oortidbutton '(sty)' Contributor address; City,- State. Zip Code � 0 Ll Principal occupation / Job title (See fnstruc:flons) Employer (sae Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDtl'LCAi!8ivEPEl If contributor Is wit -of statts PAC, please sea instruction guide for addhional reportiq rouirements: :Forrrtsrid 'poved by Texas Ethics tiG4s on r tsthiGs st�te,.tx ui3`" - { viuctd �t I �l�ur() _ � to , If tile requested Irdbrmation is not applioable,lDO Nt TInc lud® this P2116,47t, the r(OIa011140; .: 'rotat pages Schodule Ai: 22 The insWaOOM: 011110e 0XPs hrsYu to: aOMPlsts thlOornt. tE_EF7 TtAME Ida �Paudel a Mar Id (Ethibs OOMnti0Jon FROO) 4 bate (1[?�: ...r._1 IS Full name of contributor [j out-ut�Btute PAC3 _ _ _, , ,, Amount of contribution W Coda. S Contributor atfdisss city, Stater , 8 Principal acoupsation t job 2kld (*)e instructions) 8. Employer (S&B instrt= ns) Am unt of eon.tdbt r on (S) Date Full nonce of contributor [ cut -of -were PAC (its -_. y Contributor address; city; Sfate;, Zip Colo Principal occupation 1 Job fitle, (See instructions) Employer (Saes lnstrur klons) Full nerve of:oontributor [J out-of•stoto PAti IC ) (`6) ` Arnouhk oP contrlbutsonDate Ir 1 4 1 1 t� X Contributor edtitAss; City;: State; Op Colo -7 0-0 f'fitiC l occupatlon Job title (Ses instructions) Employer (See Instructions) Bate Full name of contributor ❑ out-of-state PAC ptKf t Amount of- contribution `($j) z ' Contribu4ori aOdreis:• GI State; Zip Code t q l var tIp- TX 47 ATTACH ADDITIONAL C PIESOF1"HM$0HEI`1UMA N-090 If eanfrii9tnr Is oaf~ r=Lo P�,'pleatce sea lnicuai3on gulcta t®raddifforat ropurkitt raqulra�nt� its, :Forms provided by Texas �fhitt> Coinmistnn tv�vurethics.ie.tic g3 Forms provided by Texas Gthlcs Comrniss on " ' www;eth(cs.�tate.bLus MONETARY POLITICAL CONTRIBUTIONS SCHEDULE All If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guido explains how to complete this form. 1 Total pages Schedule Al: 3/3 2 FILER NAME TikaPaudel 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor E] out-of-state PAC (ID#: j ................................................................................... 6 Contributor address; City; State; Zip Code 7 Amount of contribution (S) 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (ID#: .............. I.- ................................ I''.., ...................... Contributor address; City; State; Zip Code Amount of contribution Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (ID#: i ........................................... .......... ........... Contributor address; City; State; Zip Code Amount of contribution Principal occupation Job title (See Instructions) Employer (See Instructions) Date Full name of contributor E] out-of-state PAC (IDV: ................ ........................ ........... I ........ Contributor address; City; State; Zip Code Amount of contribution 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 8/1712020 LOANS SCt-IEDIJILi--- E If the requested information is not applicable, DO NOT include this page in the report. 1 Total pages Schedule E: The Instruction Guide explains how to complete this form. 2 FILER NAME Filer ID (Ethics Commission Filers) Tika Paudel 4 TOTAL OF UNITEMIZED LOANS j $ 5 Date of loan 7 Name of lender E] out -of -slate PAC (to#:_ 9 Loan Arnount ($) 02/12/2021 TIKA PAUDEL ....................................................................... 8 Lender address; i City; State; Zip Code $2,000.00 6 Is lender 10 Interest rate a financial 0% Institution? 500 BRASHER LANE EULESS TX 76040 1 11 Maturity date Y NONE 12 Principal occupation / Job title (See Instructions) 13 Employer (See Instructions) BUSINESS OWNER/MANAGER SELF 14 Description of Collateral 15 Check if personal funds were deposited into political none ExR account (See Instructions) 16 GUARANTOR 17 Name of guarantor '19 Amount Guaranteed INFORMATION ..................... I ...... 18 Guarantor address; ........................... ..................... City; State; Zip Code F-1 not applicable 20 Principal Occupation (See Instructions) 21 Employer (See Instructions) Date of loan Name of lender Lender address; E] out-of-state PAC ([D#: City; State; Zip Code Loan Amount Is lender Interest rate a financial Institution? Maturity date Y N Principal occupation Job title (See Instructions) Employer (See Instructions) Description of Collateral Check if personal funds were deposited into political E-71 El none account (See Instructions) GUARANTOR Name of guarantor Amount Guaranteed INFORMATION .................. Guarantor address; ........................... City; State; Zip Code F] not applicable Principal Occupation (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If lender 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 8/1712020 POLITICAL_ EXPENDITURES MADE sOh1EDt1LE I�'1 FROM POLITICAL CONTRIBUTIONS 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 Repayment/Reimbursament Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & l2elatad 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 SalariesNVages/Contract Labor Other (entera category not listed above) Credit Card payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule Ft: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) Tika Paudel 4 Date 5 Payee name 02/28/2021 The Gurkha Bar and Grill 6 Amount (S) 7 Payee address; City; State; Zip Code 78.23 1060 N Main St #118, Euless, TX 76039 8 (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE FOOD OF MEETING EXPENDITURE (C) Check if travel outside of Texas. 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 03/18/2021 Office Depot Amount ($) Payee address; City; State; Zip Code 41.22 201 S Industrial Blvd, Euless, TX 76040 Category (See Categories listed at the top of this schedule) Description PURPOSE OFFICE OF SUPPLIES EXPENDITURE El Check 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 Date Payee name 03/20/2021 The Gurkha Bar and Grill Amount ($} Payee address; City; State; Zip Code 91.81 1060 N Main St #118, Euless, TX 76039 Category (See Categories listed at the top of this schedule) Description PURPOSE OF MEETING FOOD EXPENDITURE Check if travel outside of Texas. Complete Schedule T. El Check if Austin. TX, officeholder living expense Complete Qj�LY if direct Candidate / Officeholder name Office sought Office head 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 8/11/202U