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