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HomeMy WebLinkAbout2022 Paudel, Tika semi Jan CANDIDATE I OFFICEHOLDER FORM C/OH CAR 'AIG N FINANCE REPORT COVER SHEET PG 1 1 Filer ID(Ethics Commission Fiefs) 2 Total pages filed: The C/OH Instruction Guide explains how to complete this form. 3 CANDIDATE/ MS I MRS I MR FIRST MI OFFICEHOLDER ( n OFFICE USE NAME /� NICKNAME LAST SUFFIX 6 e F�rv© E v .8.-- 1)PA) L 4 CANDIDATE/ ADDRESS I PO BOX; APT/SUITE It; CITY; STATE; ZIP CODE FEB 0 8 2822 MAILING OFFICEHOLDER ADDRESS raS1)ar 1-� �01@s Is CITY OF EULESS n Change of Address 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION Date nd- elivered or Date Postmark 707 jd PHONE OFFICEHOLDER (a ) a- � — ( / 6 '� g/9-022,Da4ef Receipt# I Amount$ 6 CAMPAIGN MS/MRS/MR FIRST MI TREASURER NAME Date Processed NICKNAME LAST SUFFIX Date Imaged 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE II; CITY; STATE; ZIP CODE TREASURER �- 3tS'rn,3 E L :>� I' ADDRESS �T - G / k -704 c (Residence or Business) J4O 1 l cniS Tar? hU le 6 S 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE \! /)�L ) .7� 7 _ /7C 7 9 REPORT TYPE ('�( January 15 I 1 30th day before election ( I Runoff I 15th day after campaign C treasurer appointment (Officeholder Only) n July 15 n 8th day before election [-I Exceeded Modified I I Final Report(Attach C/OH-FR) Reporting Limit 10 PERIOD Month Day Year Month Day Year COVERED d7 /,.6 /202 i THROUGH IZ/ 3 I / 204�f 11 ELECTION ELECTION DATE b ELECTION TYPE Month Day Year ❑ Primary ❑ Runoff Li] Other Description / / n General ❑ Special 12 OFFICE OFFICE HELD (If any) 13 OFFICE SOUGHT (if known) /10/eSS Crir C'C7toy,c'!/ '/o,(•C C' , 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 KNOWLEDGE OR CONSENT.CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES. COMMITTEE(S) — COMMITTEE TYPE COMMITTEE NAME GENERAL COMMITTEE ADDRESS ... n Additional Pages SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME COMMITTEE CAMPAIGN TREASURER ADDRESS GO TO PAGE 2J Forms provided by Texas Ethics Commission wwv/.ethics.state.tx.us Revised B/17/202.0 CANDIDATE / OFFICEHOLDER FORM C/OH'I CAMPAIGN FINANCE REPORT COVER SHEET PG 2 15 C/OH NAME 10 Filer ID (Ethics Commission Filers) 17 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN —Y 1 TOTALS PLEDGES,LOANS, OR GUARANTEES OF LOANS, OR $ 3 -'ClZ:5' CONTRIBUTIONS MADE ELECTRONICALLY) 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE. TOTALS 4. TOTAL POLITICAL EXPENDITURES $ _ cCS2p&r3?i-.--TP CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY BALANCE OF REPORTING PERIOD 3 3U 3 • 0 OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LOAN TOTALS 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. i„.7. 4::-)....-- . Signature of Candidate or Officeholder Please complete either option below: (1)Affidavit `Pgx KIM SUTTER 3i? -SNotary Public,State of Texas ... . , +P� Comm.Expires 08-25-2025 NOTARY STAMP/SEA,. �'rrni���`� Notary ID0.._ 10956806 Sworn to and subscribed before me by / ► "� CI-CA de/ this the ek day of "�- YC,a f' ,, 20 •Z, , to ce " which,witness my hand and se of office. e' L �2a� ,.i �u .e _ ,V p--,:y Ai 6uc. /Signature of officer administering oath Printed name of officer administering oath Title of officer administering bath if l' �'I� ' I �II III , I I' ' I I '�I ) r r.1,� 'i i! � i {1 i ,•I I'.1i 1 4 I.ul i1 I Ir1 I I II. i li! li 9:, 1. I , L .t t i.;l;i! 'id 1 I. I !I. ,,..1.. 1ii i (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) (year) Signature of Candidate/Officeholder(Declarant) Forms provided by Texas Ethics Commission viww.ethics.state.tx.us Revised 8/1 712 02 0 SU BTOT,* LS 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. I SCHEDULE AI: MONETARY POLITICAL CONTRIBUTIONS 2. SCHEDULE A2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS 3. I 1 SCHEDULE 8: PLEDGED CONTRIBUTIONS 4. 1 1 SCHEDULE E: LOANS 5- SCHEDULE Fl: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 3 ? I3) 6. SCHEDULE F2: 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. I I SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ 11. I I SCHEDULE I: 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 8/17/2020