The URL can be used to link to this page

Home My WebLink About2024 Gyawali FRCANDIDATE / 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 FORM C/OH COVER SHEET PG 1 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: MS / MRS / MR FIRST MI OFFICE USE ONLY �� Q.H ..1•�1............................................................ Date Received NICKNAME LAST SUFFIX DDSS / O BBOOX APT / SUITE #; CITY; STATE; ZIP C ED Ai4 ❑ ❑ ❑ h �j D i .33 3 T, DEL 21 2024 C-t eSS 76039 AREA CODE PHONE NUMBER EXTENSION a -delivered r a e Foos marked e an I MS /MRS / MR FIRST MI Receipt # Amount E T i J 14 1111 A U i' Dale Processed NICKNAME LAST SUFFIX ,� Dale Imaged I�i-iJanl 1�I�ri{ l '': i STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE Tye 7 G r 3 I AREA CODE PHONE NUMBER ( ) 656- 32-1'4 January 15 ❑ 30th day before election ❑ July 15 ❑ 8th day before election 10 PERIOD Month Day Year COVERED / 11 ELECTION ELECTION DATE Month Day Year ❑ Primary r j� /�t02L ❑General 12 OFFICE OFFICE HELD (if any) EXTENSION ❑ Runoff ❑ 15th day after campaign treasurer appointment (Officeholder Only) ❑ Exceeded Modified Final Report (Attach C/OH - FIR) Reporting Limit Month Day Year THROUGH 12 /1 17 / 2 e7 Z L, ELECTION TYPE ❑ Runoff ❑ Other ❑ Special Description Cvf%tS4i-J�,y��-j � , _r (? ( 1 13 OFFICE SOUGHT (if known) 14 NOTICE FROM THIS BOX Is FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT POLITICAL THE CANDIDATE / 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 I COMMITTEE ADDRESS ❑ Additional Pages ❑SPECIFIC I COMMITTEE CAMPAIGN TREASURER NAME COMMITTEE CAMPAIGN TREASURER ADDRESS GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2024 CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT 15 C/OH NAME 17 CONTRIBUTION TOTALS ................... EXPENDITURE TOTALS CONTRIBUTION BALANCE .................. OUTSTANDING LOAN TOTALS FORM C/OH COVER SHEET PG 2 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 EXPENDITURE. $ 4. TOTAL POLITICAL EXPENDITURES $ ` 30 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 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. / U Signature of Candidate or Officeholder Please complete either option below: KIM SUTTER 1... Notary Public, State of Texas :"a e Comm. Expires 08-25-2025 Notary ID 10956806 NOTARY STAMP/SEAL Swornto and subscribed before me by PWLu `-� �� U-"CLA 1 this the day of , 20 11--A to ify which, witness my hand and s a office. Signatre of officer administering oath Printed name of officer administering oath Title of officer ad mis ering oath (2) Unsworn Declaration • My name is and my date of birth is My address is 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 1/1/2024 SUBTOTALS - C/OH 19 FILER NAME FORM C/OH COVER SHEET PG 3 20 Filer ID (Ethics Commission Filers) 21 SCHEDULE SUBTOTALS SUBTOTAL NAME OF SCHEDULE AMOUNT 1.1-1 SCHEDULEA1: MONETARY POLITICAL CONTRIBUTIONS $ 2• ❑ SCHEDULEA2: NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS $ 3•1-1 SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4. El SCHEDULE E: LOANS $ 5. El SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 6. El SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 7. ❑ SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ 8. ❑ SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 9• El SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 10. El 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 $ J 9 - TO FILER l o Forms provided by Texas Ethics Commission www.eth1cs.state.tx.us Revised 1/1/2024 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor ❑ out-of-state PAC (ID#: ) 7 Amount of contribution ($) ................................................................................... 6 Contributor address; City; State; Zip Code 8 Principal occupation / Job title (See Instructions) 19 Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (ID#: t Amount of contribution ($) ................................................................................ Contributor address; City; State; Zip Code Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (ID#: Amount of contribution ($) ................................................................................... Contributor address; City; State; Zip Code Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (ID#: 1 Amount of contribution ($) ................................................................................... Contributor address; City; State; Zip Code Principal occupation / Job title (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2024 CANDIDATE / OFFICEHOLDER REPORT: DESIGNATION OF FINAL REPORT FORM C/OH - FR The Instruction Guide explains how to complete this form. ��G�� l�t �i}T1f C2 p n page 1 is marked "Final Report" •• / ( �t,�I 1 1 C/OH NAME 2 Filer ID (Ethics Commission Filers) 0 3 SIG T E J I do not expect any further political contributions or political expenditures in connection with my candidacy. I understand that designating a report as a final report terminates my campaign treasurer appointment. I also understand that I may not accept any campaign contributions or make any campaign expenditures without a campaign treasurer appointment on file. Signature of Candidate / Officeholder 4 FILER WHO IS NOTAN OFFICEHOLDER •• Complete A & B below only if you are not an officeholder. •• A. CAMPAIGN FUNDS C hick only one: 7LPI do not have unexpended contributions or unexpended interest or income earned from political contributions. F-1 I have unexpended contributions or unexpended interest or income earned from political contributions. I understand that I may not convert unexpended political contributions or unexpended interest or income earned on political contributions to personal use. I also understand that I must file an annual report of unexpended contributions and that I may not retain unexpended contributions or unexpended interest or income earned on political contributions longer than six years after filing this final report. Further, I understand that I must dispose of unexpended political contributions and unexpended interest or income earned on political contributions in accordance with the requirements of Election Code, § 254.204. B. ASSETS Check only one: F--J I do not retain assets purchased with political contributions or interest or other income from political contributions. 0 I do retain assets purchased with political contributions or interest or other income from political contributions. I understand that I may not convert assets purchased with political contributions or interest or other income from political contributions to personal use. I also understand that I must dispose of assets purchased with political contributions in accordance with the requirements of Election Code, § 254.204. ) Signature of Candidate 5 OFFICEHOLDER •• Complete this section only if you are an officeholder •• 0 I am aware that I remain subject to filing requirements applicable to an officeholder who does not have a campaign treasurer on file. I am also aware that I will be required to file reports of unexpended contributions if, after filing the last required report as an officeholder, I retain political contributions, interest or other income from political contributions, or assets purchased with political contributions or interest or other income from political contributions. Signature of Officeholder Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2024 9'e, AFFIDAVIT FOR CANDIDATE OR OFFICEHOLDER: ELECTRONIC FILING EXEMPTION An exemption affidavit must be submitted with each paper report. Beginning on January 1, 2024, a candidate or officeholder who has accepted more than $32,810 in political contributions or made more than $32,810 in political expenditures in any calendar year must file all subsequent reports electronically. Eller name Filer ID # l�lOHAN C� YAWALJ OFFICE USE ONLY Date Received Dale Hand -delivered or Date Postmarked Receipt # I Amount $ Date Processed Date Imaged 1. 1 swear or affirm that I have not accepted more than $32,810 in political contributions or made more than $32,810 in political expenditures in a calendar year. 2. 1 further swear or affirm that I do not use computer equipment to keep current records of political contributions, political expenditures, or persons making political contributions to me. 3. 1 further swear or affirm that no person acting as my agent or consultant, and no person with whom I contract, uses computer equipment to keep current records of political contributions, political expenditures, or persons making political contributions to me. 4. 1 further swear or affirm that I understand that I am required to file my campaign finance reports electronically if I, my agent or consultant, or a person with whom I contract exceeds $32,810 in political contributions or political expenditures in a calendar year, or uses computer equipment to keep current records of political contributions, political expenditures, or persons making political contributions to me. 5. 1 am filing this affidavit with the report due on I understand that this affidavit is required to be filed with each campaign finance report for which I am claiming an exemption from electronic filing. Please complete either option below: (1) Affidavit NOTARY STAMP/SEAL Sworn to and subscribed before me by 20 , to certify which, witness my hand and seal of office. Signature of officer administering oath (2) Unsworn Declaration My name is My address is Executed in Printed name of officer administering oath Signature of Filer this the day of Title of officer administering oath and my date of birth is (street) (city) (state) (zip code) (country) County, State of on the day of 20 (month) (year) Signature of Filer (Declarant) FILERS WHO ARE EXEMPT FROM THE ELECTRONIC FILING REQUIREMENT ARE STILL REQUIRED TO FILE CAMPAIGN FINANCE REPORTS ON PAPER Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2024 INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED TO FILER SCHEDULE K If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total pages Schedule K: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Date 5 Name of person from whom amount is received S Amount ($) 4.�'.--T W s2 a) cS �-o�.J A-v' e Fre n s n o CA 93 4a �J .. 61 C� (F t J j.i 6 Address of person from whom amount is received; City; State; Zip Code gX�m S? rvi c e C"S e 4 4/" -( 7 Purpose for which amount is received Check if political contribution returned to filer Date Name of person from whom amount is received Amount ($) -2 .�. .....G!�e� ... s -v'.e..... j^�"a ..... c�A... 7 761 / Address of person from whom amount is received; City; State; Zip Code Purpose for which amount is received Check if political contribution returned to filer Date Name of person from whom amount is received Amount ($) ................................................................................................ Address of person from whom amount is received; City; State; Zip Code Purpose for which amount is received Date Name of person from whom amount is received ❑ Check if political contribution returned to filer ............................................................................................... Address of person from whom amount is received; City; State; Zip Code Amount ($) Purpose for which amount is received ❑ Check if political contribution returned to filer ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2024 IN -KIND CONTRIBUTIONS OR POLITICAL EXPENDITURES SCHEDULE T FOR TRAVEL OUTSIDE OF TEXAS If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total pages Schedule T: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Name of Contributor / Corporation or Labor Organization / Pledgor / Payee 5 Contribution / Expenditure reported on: ❑ Schedule A2 ❑ Schedule B ❑ Schedule B(J) ❑ Schedule C2 ❑ Schedule D ❑ Schedule F1 ❑ Schedule F2 ❑ Schedule F4 ❑ Schedule G ❑ Schedule H ❑ Schedule COH-LIC ❑ Schedule B-SS 6 Dates of travel 7 Name of person(s) traveling 8 Departure city or name of departure location 9 Destination city or name of destination location 10 Means of transportation 111 Purpose of travel (including name of conference, seminar, or other event) Name of Contributor / Corporation or Labor Organization / Pledgor / Payee Contribution / Expenditure reported on: ❑ Schedule A2 ❑ Schedule B ❑ Schedule B(J) ❑ Schedule C2 ❑ Schedule D ❑ Schedule F1 ❑ Schedule F2 ❑ Schedule F4 ❑ Schedule G ❑ Schedule H ❑ Schedule COH-LIC Schedule B-SS Dates of travel I Name of person(s) traveling Departure city or name of departure location Destination city or name of destination location Means of transportation I Purpose of travel (including name of conference, seminar, or other event) Name of Contributor / Corporation or Labor Organization / Pledgor / Payee Contribution / Expenditure reported on: ❑ Schedule A2 ❑ Schedule B ❑ Schedule B(J) ❑ Schedule C2 ❑ Schedule D ❑ Schedule F1 ❑ Schedule F2 ❑ Schedule F4 ❑ Schedule G ❑ Schedule H Schedule COH-LIC ❑ Schedule B-SS Dates of travel Name of person(s) traveling Departure city or name of departure location Destination city or name of destination location Means of transportation I Purpose of travel (including name of conference, seminar, or other event) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2024