HomeMy WebLinkAbout2024 Paudel, Tika semi JulyCANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
15 C/OH NAME 116 Filer ID (Ethics Commission Filers)
17 CONTRIBUTION
1.
TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
p�
TOTALS
PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR
r
$ 31 / ' ✓
CONTRIBUTIONS MADE ELECTRONICALLY)
2.
TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
TOTALSEXPENDITURE
( 3.
TOTAL UNITEMIZED POLITICAL EXPENDITURE.
4.
TOTAL POLITICAL EXPENDITURES
$
...................
CONTRIBUTION
I 5.
TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
$
BALANCE
OF REPORTING PERIOD
OUTSTANDING
LOAN TOTALS
6.
TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
r
$ 3 cq
LAST DAY OF THE REPORTING PERIOD
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
NOTARY STAMP/SEAL
Sworn to and subscribed before me by this the day of
20 , to certify which, witness my hand and seal of office.
Signature of officer administering oath Printed name of officer administering oath
(2) Unsworn Declaration
Title of officer administering oath
My name is / 1 6-0`J �� E i2 Tv
r r V -D L and my date of birth is � l3 // 19`'�'Q 6
My address is R Ar HP- L#A-tJ E- �U 5S M , 760 , " S A
(street) (city) t (state) (zip code) (country)
Executed in�A I? T County, State of TC I -S , on the 2-S day of J ��( 20 '7
(mont) 1 (year)
Signature o andidate/Officeholder (Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2024