HomeMy WebLinkAbout2024 Paudel, Tika semi JanCANDIDATE / OFFICEHOLDER FORM C/0H
CAMPAIGN FINANCE REPORT COVER SwiEE'I' PG I
The C/OH Instruction Guide explains flow to complete this form, 1 Filer ID (Ethirs Commission Filers) 2 Total pages filed:
3 CANDIDATE / MS / MRS / MR FIRST MI
OFFICEHOLDER
dam, OFFICE USE ONLY
/' a,,.,r..aa,....,�...o...�.,.�..,.,.�,.,....�,�
NAME ....... . ...... . ..................1 ........ ............................... ,i Date Received
i
NICKNAME LAST SUFFIX
Aj
4 CANDIDATE / ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODER
OFFICEHOLDER 1
MAILING l; c,z� ' 7n�t/�� G)y i r!'/ i J ,/ / -7 (r)�
ADDRESS JAW '{ 1 2024 0
❑ Change of Address
5 CANDIDATE/ E/ AREA CODE PHONE NUMBER EXTENSION ` n -d fe +W,r it
OFFICE�,� ^7 / 7 an d fi red a os mar ed
PHONEHOLDF_R W/ > ;� / I 776
r Receipt # Amount $
G CAMPAIGN MS / MRS / MR FIRST MI i
TREASURER
NAME ..................................................
Dale Processed
NICKNAME LAST SUFFIX
ImagedDate
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT I SUITE #; CITY; tfl� STATE; ZIP CODE
TREASURER ADDRESS LiC,7 4C 7S `d»e LEI c 76, r/ o
(Residence or Business)
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE �Rlxl
9 REPORT TYPE January 15 30th day before election Runoff C� Y campaign
44-I 15th day after cam ai n
treasurer appointment
(Officeholder Only)
❑ July 15 8lh day before election Exceeded Modified C, Final Report (Attach C/OH - FIR)
Reporting Limit
10 PERIOD Month Day Year Month Day Year
COVERED
U? 01 , V,p_3 THROUGH
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year ❑ Primary ❑ Runoff ❑ Other
Description
Cr I `� �� _ J General Special
12 OFFICE OFFICE HELD (If any) 13 OFFICE SOUGHT (if known)
14 NOTICE FROM THIS BOX IS FOR NOTICE Q POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT
POLITICAL CONSENT
CANDIDATE I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE 144THOUT 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
❑ Additional Pages
SPECIFIC
COMMITTEE ADDRESS
COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
GO TO PAGE: 2
10
•, ;c. �:
., i.r
15 C/OH NAME:
17 CONTRIBUTION
TOTALS
..................
EXPENDITURE
TOTALS
...................
CONTRIBUTION
BALANCE
..................
OUTSTANDING
LOAN TOTALS
16 Filer ID (Ethics Commission Filers)
1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR
CONTRIBUTIONS MADE ELECTRONICALLY)
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
3. TOTAL UNITEMIZED POLITICAL L-XFENDITURE.
4. TOTAL POLITICAL EXPENDITURES
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
$
LAST DAY OF THE REPORTING PERIOD I v U
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.
A;ft-
Signature of Candidate or Officeholder
Please complete either option below:
JEANNE Q. FLORES
Notary Public, State of Texas
(1) Affidavit �" rPc Comm. Expires 11-20-2026
Notary ID 131801914
NOTARY STAMP/SEAL
Sworn rotoand subscribed before me by I 1 i��� i i ,UC �l�_,I this the _� day ofn u L
�/
�?0 , to certj whi h, witness my hand and seal of office.
Sig�e 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 I I .
(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
�W*11 s41111WL*3'01
19 FILER NAME
20 Filer ID (Ethics Commission Filers)
21
SCHEDULE SUBTOTALS
NAME OF SCHEDULE
1
Cl
SCHEDULEAl: MONETARY POLITICAL CONTRIBUTIONS
2.
SCHEDULEA2: NON -MONETARY (IN -KIND) POL Rl CAL GON fRIBUTI ONS
3.
SCHEDULE B: PLEDGED CONTRIBUTIONS
4.
SCHEDULE E: LOANS
5.
SCHEDULE Fl: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
6.
SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
7.
F]
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
SUBTOTAL
AMOUNT
$ 3
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/1512022