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HomeMy WebLinkAbout2023 Gyawali semi JulyCANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT The C/OH Instruction Guide explains how to complete this form. FORM C/OH COVER SHEET PG 1 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: 5 3 CANDIDATE / MS / MRS / MR FIRST MI OFFICEHOLDER MOM �t n � j OFFICE USE ONLY 1 NAME............................1....1... �y........................................... Date Received NICKNAME LAST SUFFJY 4 CANDIDATE / OFFICEHOLDER MAILING ADDRESS ❑ Change of Address 5 CANDIDATE/ OFFICEHOLDER PHONE 6 CAMPAIGN TREASURER NAME 7 CAMPAIGN TREASURER ADDRESS (Residence or Business) 8 CAMPAIGN TREASURER PHONE UVA W ',A L-L ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP Pu LL,s s Tex s 7 G o 39 AREA CODE PHONE NUMBER EXTENSION j I DD, 741 JUL. 1? 2023 3.alpr ,. I (;ITY OF EULESS (6.46 > 299 —c A4<7 Receipt # I Amount $ MS / MRS / MR �T�FIIRRST ` p , MI ...... ..................... :�1.0.��\.Q.1�\...................................... Date Processed NICKNAME LAST SUFFIX (7 Date Imaged �"� � N u � 12.Z. STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE 7S 36 —TN DrG6pkj)( L= T); }_ 0 Q i W 01Z TF-1 T >( , '-7 6 131 AREA CODE PHONE NUMBER EXTENSION (—�►=1) G- 5G -- 32Tj 9 REPORT TYPE January 15 30th day before election Runoff 15th day after campaign treasurer appointment (Officeholder Only) 10 July 15 8th day before election El Exceeded Modified Final Report (Attach C/OH - FIR) Reporting Limit 10 PERIOD Month Day Year Month Day Year COVERED G / /0l /202 ,3 THROUGH L 6 13 0 /G 0 Z '3 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year ❑ Primary ❑ Runoff ❑ Other I /} Description 0 5/ 0 '7 12—o Z 2 ❑ General ❑ Special r1JTI�LC17 6 h (t.l 7U 111� 12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known) �'P-ULESSCJIV CC N C L L PLACE') 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 I COMMITTEE NAME GENERAL ❑ Additional Pages ❑ SPECIFIC COMMITTEE ADDRESS COMMITTEE CAMPAIGN TREASURER NAME COMMITTEE CAMPAIGN TREASURER ADDRESS Forms provided by Texas Ethics Commission GO TO PAGE 2 www.ethics.state.tx.us Revised 11/15/2022 CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 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) ................... EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE. TOTALS $' 4. TOTAL POLITICAL EXPENDITURES $ ................... CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY BALANCE OF REPORTING PERIOD $ .................. OUTSTANDING LOAN TOTALS 6 LADAYOFTHE REPORTING PERIOD TOTAL PRINCIPAL LOANS AS OF THE $ 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: 1 Affidavit 2`., - e) , KIM SUTTER ( Notary Public, lic, State of Texas �01%�Comm. Expires 08-25-2025 oil ,;.+� Notary ID 10956806 NOTARY STAMP / SEAL Sworn to and subscribed before me by '"L° �� Q w C this the ' day of 20 . 2 to rtify which, witness my hand and seal of offic i Sig ture 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 20 (month) (year) Signature of Candidate/Officeholder (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/15/2022 19 FILER NAME FORM C/OH COVER SHEET PG 3 20 Filer ID (Ethics Commission Filers) 21 SCHEDULE SUBTOTALS SUBTOTAL NAME OF SCHEDULE AMOUNT 1. F] SCHEDULEAl: MONETARY POLITICAL CONTRIBUTIONS $ 2. SCHEDULEA2: NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS $ 3. F] SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4. F] SCHEDULE E: LOANS $ 5. SCHEDULE Fl: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 94 6. El SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ — 7. n SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ 8. F-1 SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 9. F-1 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. F] 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 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 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/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense Consulting Expense FoodBeverage 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 Salaries Wages/Contract Labor Other (entera 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) 4 Date i /16 /1 5 Payee name c23 APO Lu g 6 Amount ($) 7 Payee � address; �� } 'p y- City; y i State; Zip �Code (� r tb d-{ Z� ' / if �/ ° �'�l A W /A V -- t' Q L _S M o c ' 1 9 -3 / ) 4 8 J (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE OF EXPENDITURE 9 Complete ONLY if direct expenditure to benefit C/OH Date Amount ($) PURPOSE OF EXPENDITURE Complete ONLY if direct expenditure to benefit C/OH Date --s /Z 2, Amount ($) PURPOSE OF EXPENDITURE Complete ONLY if direct expenditure to benefit C/OH CCOUN"r(Nq pmk)g6 (c) El Check 'rftravel outside ofTexas. Complete Schedule T. Candidate / Officeholder name Payee name (\1) )L0(1 Check if Austin, TX, officeholder living expense Office sought Office held Payee address; City; 4 /) -�. V�) .-�; H f=iZ(-3SNG Category (See Categories listed at the top of this schedule) cCoUwn I�j� . �).j ill be( N CI Check if travel outside of Texas. Complete Schedule T. Candidate / Officeholder name Payee name ApC U Description State; Zip Code C A 9�aiC4 QAtS)Iv Check if Austin, TX, officeholder living expense Office sought Office held Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) /A C1,y�,i�WIN C Ci Check if travel outside of Texas. Complete Schedule T. Candidate / Officeholder name Description Check if Austin, TX, officeholder living expense Office sought Office held ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/15/2022 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 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/Reimbursement Solicitalion/FundraisingExpense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Conhibutions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services Salaries/VVages/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 A 3 Filer ID (Ethics Commission Filers) 4 Date $ Payee name c 6 Amount ($) 7 Payee address; City; State; Zip Code V we - A. 8 (a) Category (See Categories listed at the lop of this schedule) (b) Description PURPOSE OF EXPENDITURE C C rk" FI V /) 94 V KI N 'l �_A �j t` Q t (C) ❑ Check if travel outside ofTexas. Complete Schedule T. Check if Austin, TX, officeholder living expense 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Cz3 Amount ($) 919 , 0 PURPOSE OF EXPENDITURE Complete ONLY if direct expenditure to benefit C/OH Date r117 /l C ,� `-�, Amount ($) �•i. L og f PURPOSE OF EXPENDITURE Complete ONLY if direct expenditure to benefit C/OH Payee name APic,u Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) A CCGUKVTJ AA - �('):?-► Kjk,(N� ElCheck if travel outside of Texas. Complete Schedule T. Candidate / Officeholder name Payee name IiA PC LP `S Payee address; y �p Category (See Categories listed at the top of this schedule) 1 Check if travel outside of Texas. Complete Schedule T. Candidate / Officeholder name Description CIA N Check if Austin, TX, officeholder living expense Office sought Office held City; State; Zip Code F 2C sN6 CA Description Check if Austin, TX, officeholder living expense Office sought Office held ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/15/2022