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HomeMy WebLinkAbout2023 Paudel, Tika semi JanCANDIDATE / 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 for 3 3 CANDIDATE / MS 1 MRS / MR FIRST MI OFFICE USE ONLY OFFICEHOLDER NAME............................................................................. NICKNAME LAST � SUFFIX D � ^ ^ Vn L7 D MAR 4 CANDIDATE / ADDRESS / PO BOX; APT / SUITE P; CITY; STATE; ZIP CODE OFFICEHOLDER 1 U 3 2023 MAILING t 1L^d H en/ l� of yI esS 76� ADDRESS CITY OF EULE ❑ Change of Address 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION Dale Hand -delivered or Date Postmarce OFFICEHOLDER / F 77 — 17 e PHONE \ j7lit 7 Receipt # Amount $ 6 CAMPAIGN MS / MRS / MR FIRST MI TREASURER 13C'_'j q Date Processed NAME.............................................................................. NICKNAME LAST SUFFIX Date Imaged 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE TREASURER ADDRESS l S �n:^C FulCss Tl� 2Lc't->!U (Residence or Business) 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE \ ! Z % ? 7 G 9 REPORT TYPE ©/January/15 ❑ 30th day before election El Runoff ❑ 15th day after campaign treasurer appointment (Officeholder Only) ❑ July 15 ❑ Sth day before election ❑ Exceeded Modified ❑ Final Report (Attach C/OH - FR) Reporting Limit 10 PERIOD Month Day Year Month Day Year COVERED ay / 07 U 2-3 THROUGH &;� / 3 c% i , 11 ELECTION ELECTION DATE ELECTION TYPE ❑ Primary ❑ Runoff ❑ Other Month Day Year Description ❑ General ❑ Special _ 12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (If known) �j'( ►/C✓S C'�� Cc'��K ��/ /t7�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 / 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 ❑ Additional Pages FISPECIFIC COMMITTEE CAMPAIGN TREASURER NAME COMMITTEE CAMPAIGN TREASURER ADDRESS GO TO PAGE 2 Forms provided by Texas Ethics Commission wwm'.ethics.state.tx.us Revised 11/15/2022 CANDIDATE / OFFICEHOLDER DER FORM C/0Ea11 CAMPAIGN FINANCE REPORT COVER SHE[-T• PG 2 15 C/OH NAME T 116 Filer ID (Ethics Commission Filers) 17 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR $ 9 U '�o 5, CONTRIBUTIONS MADE ELECTRONICALLY) 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS,, OR GUARANTEES OF LOANS) EXPENDITURE 3 TOTAL UNITEMIZED POLITICAL EXPENDITURE_. T TOTALS $ 4, TOTAL POLITICAL EXPENDITURES $ 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 `A LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ —3 31-1 7'- � 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. -- 9� - ---- Signature of Candidate or Officeholder Please complete either option below: KIM SUTTER 0 1 A ••••,e�lNotary Public, State of Texas Comm. Expires 08-25-2025 Notary ID 10956806 NO Sworn to and subscribed before me by G this the day of C!/L 20 4Z�L--, t ertify which, witness my hand and seal of office. ature of officer administering oath Printed e of officer administering oath Title of officer administering oath IllIL (2) Unsworn Declaration 1� My name is _ My address is and my date of birth is (street) (city) (state) (zip code) (country) Executed in T_ _ County, State of ^ , on the _ _ day of _ , 20 (month) (year) Signature of Candidate/Officeholder (Declarant) —1111s ii—f eu uy exas cmics commission www.ethics.state.tx.us Revised 11/15/2022 SUBTOTALS - C/OH FORM C/0H COVER SHEET PG 3 19 FILER NAME 20 Filer ID (Ethics Commission Filers) 21 SCHEDULESUBTOTALS NAME OF SCHEDULE SUBTOTAL AMOUNT 1. SCHEDULEAI: MONETARY POLITICAL CONTRIBUTIONS 2. SCHEDULEA2: NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS 3. SCHEDULE B: PLEDGED CONTRIBUTIONS 4. SCHEDULE E: LOANS 51 F7 SCHEDULE Fl: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS 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. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS 'TO A BUSINESS OF C/OH 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 11/15/2022