HomeMy WebLinkAbout2024 Gyawali semi JanCANDIDATE / OFFICEHOLDER
CAMPAIGN FINANCE REPORT
The C/OH Instruction Guide explains how to complete this form.
3 CANDIDATE /
OFFICEHOLDER
NAME
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
9 REPORT TYPE
10 PERIOD
COVERED
11 ELECTION
12 OFFICE
14 NOTICE FROM
POLITICAL
COMMITTEE(S)
❑ Additional Pages
FORM C/OH
COVER SHEET PG 1
1 Filer ID (Ethics Commission Filers) 2 Total pages filed: 7
MS / MRS / MR FIRST MI
OFFICE USE ONLY
Q �CtGL
...........................................................................
mate -Renewed
NICKNAME LAST SUFFIX
ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODI
33L JAN 19 2024
Ettless,QL
T/c 76c5T CITY OF EULESS
AREA CODE PHONE NUMBER EXTENSION `� Date Hand -delivered or Date Postmarked
( 64-6) 2c cj - 6 44
Receipt # j Amount $
MS /MRS / MR FIRST MI
...................... ,1. n.q`\.,...............,.,........................... Date Processed
NICKNAME LAST SUFFIX
Date Imaged
J h oI rLoiew I`
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE
AREA CODE PHONE NUMBER
(241
dJanuary 15 30th day before election
July 15 ❑ 8th day before election
Month Day Year
ELECTION DATE
Month Day Year ❑ Primary
h A (7 ❑ General
EXTENSION
ElRunoff
El
15th day after campaign
treasurer appointment
(Officeholder Only)
El
Exceeded Modified
El
Final Report (Attach C/OH - FR)
Reporting Limit
Month
Day
Year
THROUGH
1 Z/
2/
/ `ZO 2 3
ELECTION TYPE
❑ Runoff ❑ Other
Description 1
❑ Special 0'1 5�t 0-1 (PA 10 1"A�
OFFICE HELD (if any) I
13 OFFICE SOUGHT (if known)
C �(e s_S crly C"I"ICI P(CL(,.e — 3
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT
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 TYPE COMMITTEE NAME
❑ GENERAL
SPECIFIC
Forms provided by Texas Ethics Commission
COMMITTEE ADDRESS
COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
GO TO PAGE 2
www.ethics.state.tx.us
Revised 11/15/2022
CANDIDATE / OFFICEHOLDER
CAMPAIGN FINANCE REPORT
15 C/OH NAME
kCL
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
FORM C/OH
COVER SHEET PG 2
16 Filer ID (Ethics Commission Filers)
$
I $
4. TOTAL POLITICAL EXPENDITURES
I $
CONTRIBUTION (
5.
TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
$
BALANCE J+
OF REPORTING PERIOD
OUTSTANDING
I
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS
LAST DAY OF THE REPORTING PERIOD $
%6o, -�n
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:
'%`Y PU'�i JACOUELINE ROSS
Notary Public, State of Texas
(1) Affidavit w•; *� Comm. Expires 01-18-2028
Notary ID 133538661
NOTARY STAMP/SEAL
Sworn to and subscribed before me by M OkANI 14yal (A)6u i this the day of ' 1anve-W V
20 to certify which, witness my hand and seal of office. I
Signat officer administering oath Printed na of
re oTofficer administering oath Title of offider 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
SUBTOTALS - C/OH
i 19 FILER NAME
FORM C/OH
COVER SHEET PG 3
20 Filer ID (Ethics Commission Filers)
21
SCHEDULE SUBTOTALS
SUBTOTAL
AMOUNT
NAME OF SCHEDULE
1.
SCHEDULEA1: MONETARY POLITICAL CONTRIBUTIONS
$
2.
El
SCHEDULE A2: NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS
$
3•
SCHEDULE B: PLEDGED CONTRIBUTIONS
$
'-
4.
SCHEDULE E: LOANS
$
POLITICAL CONTRIBUTIONS
$
5•
SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM
6.
SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
$
—
7.
El
SCHEDULE 173: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$
8.
El
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.
El
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 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
Accounting/Banking
Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Fees Office Overhead/Rental Expense Transportation Equipment $ Related Expense
Consulting Expense
Contributions/Donations Made By
Food/Beverage Expense Polling Expense Travel In District
Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political
Committee Legal Services Salaries/Wages/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 �/j r )
U t 6 0 CUL) Ct
3 Filer ID (Ethics Commission Filers)
4 Date
)126 120i-3
5 Payee name
A Pn(c,s
6 Amount ($)
7 Payee address;
City; State; Zip Code
�g try
4 a 4 vo. slc,, D
tU q 3 `7o4-.
8
(a) Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
OF
/� P
—i
EXPENDITURE
(e) Check if travel outside of Texas. Complete ScheduleT.
Check if Austin, TX, officeholder living expense
9 Complete ONLY if direct
Candidate / Officeholder name
Office sought Office held
expenditure to benefit C/OH
Date
Payee name
2.0 4 3
A )' (r(Zk5
Amount ($)
Payee address;
City; State; Zip Code
t/<
�'1�
�rerSvt� C+1 �37L4-
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
OF
EXPENDITURE
Cc cr2 t vz
ElCheck if travel outside of Texas. Complete Sc duleT.
Check if Austin. TX, officeholder living expense
Complete ONLY if direct
Candidate / Officeholder name
Office sought Office held
expenditure to benefit C/OH
Date
Payee name
312-�, f 2VZa
ApcAv-�5
Amount ($)
address;
City; State; Zip Code
AAPayee
!� �5 �I • [Ali'JI
T- Y f.S�1'1-C) C-/') C1 6
Category (See Categories listed at the lop of this schedule)
Description
PURPOSE
OF
EXPENDITURE
{I
C
Check if travel outside of Texas.CompleleScheduleT.
Check ifAuslin, TX, officeholder living expense
Complete ONLY if direct
Candidate / Officeholder name
Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us
Revised 11/15/2022
POLITICAL EXPENDITURES MADE SCHEDULE F1
FROM POLITICAL CONTRIBUTIONS
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/FundralsingExpense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Ofriceliolder/Political Committee Legal Services Salades/Wages/Contract Labor Other (enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Fi: 2 FILER NAME rt` ,� (� ( 3 Filer ID (Ethics Commission Filers)
4 Date
//�
`i-12-6 12-o 23
6 Amount ($)
Vb
8
PURPOSE
OF
EXPENDITURE
9 Complete ONLY if direct
expenditure to benefit C/OH
Date
5 12r- � .z 013
Amount ($)
99,
PURPOSE
OF
EXPENDITURE
Complete ONLY if direct
expenditure to benefit C/OH
Dale
�12.6%02-3
Amount ($)
;�,t?
PURPOSE
OF
EXPENDITURE
Complete ONLY if direct
expenditure to benefit C/OH
5 Payee name A
7 Payee address;
(a) Category (See Categories listed at the lop of this schedule)
C C
�CG.t.w�C t�L
(c) Check if travel outside of Texas, Complete Schedule T.
Candidate / Officeholder name
Payee name
A p (3 CQTS
Payee address;71
Category (See Categories listed at the top of this schedule)
Check if travel outside of Texas. Complete Schedule T.
Candidate / Officeholder name
Payee name
A -Pis Lo—s.
Payee address;
Category (See Categories listed at the lop of this schedule)
Check if travel outside of Texas. Complete Schedule T.
Candidate / Officeholder name
City; State; Zip Code
FC C-s"b CA 9 3.7 a 4—
(b) Description
J
Check if Austin, TX, officeholder living expense
Office sought Office held
City; State; Zip Code
re svl._C 1 j% 6 4--
Description
c"'] L-i V-'p, -'-.
El Check if Austin, TX, officeholder living expense
Office sought Office held
City; State; Zip Code
FVe'sVL- CA, Y'J (C�4_--
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
Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense
Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Polling Expense
Travel In District
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense
Travel Out Of District
Candidate/Offrcetiolder/Political Committee Legal Services SalariesAvages/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 C p
3 Filer ID (Ethics Commission Filers)
4 Date 5 Payee name nn
�" / 2 C f 20 2: � P o" -S
6 Amount ($) 7 Payee address; City;
State; Zip Code
L - cry 4 V .1 W , "al V �) A--,^ f-e_5(2 b
C-A
8
PURPOSE
OF
EXPENDITURE
9 Complete ONLY if direct
expenditure to benefit C/OH
Date
�?12-6 /Z v 2-3
Amount ($)
99. �n)
PURPOSE
OF
EXPENDITURE
Complete ONLY if direct
expenditure to benefit C/OH
Date
91�-6 /2 0 L- 3
Amount ($)
9 9. oq
PURPOSE
OF
EXPENDITURE
Complete ONLY if direct
expenditure to benefit C/OH
(a) Category (See Categories listed at the top of this schedule)
(c) Check if travel outside of Texas. Complete Schedule T.
Candidate / Officeholder name
Payee name
p 6 l0:s
Payee address;
Category (See Categories listed at the lop of this schedule)
A C- C_ co"t,
1
El
Check if travel outside of Texas. Complete Schedule T.
Candidate / Officeholder name
Payee name
t4 P q ttn.
Payee address;
4A-:� W . 5hT-,� ► ��
Category (See Categories listed at the top of this schedule)
Check if travel outside of Texas. Complete Schedule T.
Candidate / Officeholder name
(b) Description
Check if Austin, TX, officeholder living expense
Office sought Office held
City; State; Zip Code
Fr� 1376 4--
Description
Check if Austin. TX, officeholder living expense
Office sought Office held
City; State; Zip Code
5Ye's",h CA- iY3 -(L14--
Description
ElCheck 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 11/16/2022
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
Accounting/Banking Fees Office Overhead/Rental Expense
Solicitation/Fundraising Expense
Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Polling Expense
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense
Travel In District
Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services SaladesNVages/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 Ft: 2 FILER NAME �(,
I
! 3 Filer ID (Ethics Commission Filers)
4 Date 5 Payee name
10 fz612-v23 c'tcs
6 Amount ($)
99
8
PURPOSE
OF
EXPENDITURE
9 Complete ONLY if direct
expenditure to benefit C/OH
Date
I J2G/2az3
Amount ($)
9), `AO
PURPOSE
OF
EXPENDITURE
Complete ONLY if direct
expenditure to benefit C/OH
7 Payee address;
(a) Category (See Categories listed at the lop of this schedule)
C Cv��
(c) Check iftravel outside ofTexas. Complete Schedule T.
Candidate / Officeholder name
Payee name
► F.3
Payee address;
Category (See Categories listed at the lop of this schedule)
CC C1Lf YL •�;�yti ie�Gvv✓uvt�/
Check if travel outside of Texas. Complete Schedule T.
Candidate / Officeholder name
Date Payee name
�Pctt-03
Amoun
t ($) Payee address;
(
/9 C/O- 4 s�tTx-,) tie
PURPOSE
OF
EXPENDITURE
Complete ONLY if direct
expenditure to benefit C/OH
JCategory (See Categories listed at the top of this schedule)
Check if travel outside of Texas. Complete _1Schedule T.
Candidate / Officeholder- name
City; State; Zip Code
t T-e—�"" z C A 9 3.10 4—
(b) Description
R, r, J v-c u i S w�
ElCheck if Austin, TX, officeholder living expense
Office sought Office held
City;
State; Zip Code
1' y-'VL
Cti S
?
- 13 / 6 4—
Description
Check if Austin, TX, officeholder living expense
Office sought Office held
City; State; Zip Code
y'?,Wv CA, 75 7c4_
Description
J
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