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HomeMy WebLinkAboutBhojani 30 day 2018 amended CORRECTION/AMENDMENT AFFIDAVIT FOR CANDIDATE/OFFICEHOLDER FORM COR-C/OH i Filer ID(Ethics Commission Filers) 2 Total pages filed: "iv OFFICE„40/ ❑FFICE USE ONLY 3 CANDIDATE 1 M51 MRS 1 MR FIRST MI Date Received OFFICEHOLDER Mr. Salmon11-7 t>� NAMEID © Ill D NICKNAME LAST SUFFIX Bhojani JUN 2 6 2018 ,J 4 ORIGINAL REPORT January 15 Runoff Other(specify) ' �J TYPE n nCITY OF EULESS nJuly 15 n Exceeded$500limit 4. , 15th day after treasurer Date Hand-delivered or Dale Postmarked 30th day before election n appointment(officeholder only) n8th day before election n Final report Receipt# I Amount$ 5 ORIGINAL PERIOD Morrth Day Year Month Day Year Date Processed COVERED 02/ 09 /2018 THROUGH 03/ 26 /2018 Date Imaged 6 EXPLANATION OF CORRECTION Please see attached. 7 AFFIDAVIT I swear,or affirm,under penalty of perjury,that this corrected report is true and correct. Check ONLY if applicable: Semiannual reports: I swear, or affirm,that the original report was made in good faith and without an intent to mislead or to misrepre- sent the information contained in the report. Other reports: I swear, or affirm, that I am filing this corrected report not later than the 14th business day after the date I learned that the report as originally filed is inaccurate or incomplete. I swear, or affirm, that any error or omission in the report as originally filed se,: 1 LINDSAY WEUIS was made in good faith. i ?Notary Pubfic,swear Texas -. • � }* Comm.Expires 05-02-2019 r ' �,�.0 Notary ID 128603536 ►� ■ t AFFIX NOTARY STAMP / SEAL ABOVE Signature of Ca rate or officeholder Sworn to and subscribed before me,by the said SC-I V t a-vt- B k(-3{C t 4 ,this the c) day of Z-LyZ� 20 IF , o certify which,witness my hand and seal of office. l ibL-V"\C\ 1.----S& Ign a of❑ r ad i tst g oath Printed name of off er administering oath Title of ofri er a-dministering oath Remember To Attach Any Part Of The Campaign Finance Report Form Needed To Report And Explain Corrections Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 04/27/2015 1 . The total amount on Candidate/ OfficeHolder Campaign Finance Report Cover Sheet PG 2, Section 17 line item 2, Total Political Contributions, ' should be listed as $10,735.00. 2. The total amount on Candidate/ OfficeHolder Campaign Finance Report Cover Sheet PG 2, Section 17 line item 5, Total Political Contributions maintained as of the last day, should be listed as $4,524.91 . 3. The total amount on Subtotals Form C/OH Cover Sheet PG 3, Section 21 line item 1 , Schedule Al : Monetary Political Contributions, should be listed as $10,735.00. 4. Contributer listed on Schedule Al , Monetary Political Contributions as 'Painted Perfection, 1112 E. Copeland Rd., Ste. 140, Arlington, TX 76011 , $500.00 contribution on 3/28/18', should be known and listed as 'Vincent Porter, 1112 E. Copeland Rd., Ste. 140, Arlington, TX 76011 , $500.00 contribution on 3/28/18.' 5. Contibuter listed on Schedule Al , Monetary Political Contributions as 'Shezad Manjee of 1518 Wayside Dr., Keller, TX 76039, $100.00 contribution on 3/5/2018' should be removed. CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 14 C/OH NAME 15 Filer ID (Ethics Commission Fliers) Salman Bhojani 16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO POLITICAL SUPPORT THE CANDIDATE I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDER'S COMMITTEE(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 COMMITTEE ADDRESS SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME ❑ Additional Pages COMMITTEE CAMPAIGN TREASURER ADDRESS 17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF$50 OR LESS (OTHER THAN TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) 10,735.00 EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF Sinn OR LESS, TOTALS UNLESS ITEMIZED 4. TOTAL POLITICAL EXPENDITURES $ 6,470.54 CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY BALANCEOF REPORTING PERIOD 4,524.91 OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ 1,053.00 18 AFFIDAVIT 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 AFFIX NOTARY STAMP!SEAL ABOVE Sworn to and subscribed before me, by the said ,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 Title of officer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 Amended and Restated SUBTOTALS - C/OH FORM C/OH COVER SHEET PG 3 19 FILER NAME 20 Filer ID(Ethics Commission Filers) Salman Bhojani 21 SCHEDULE SUBTOTALS SUBTOTAL NAME OF SCHEDULE AMOUNT 1. SCHEDULEA1: MONETARY POLITICAL CONTRIBUTIONS $ 10,735.00 2. ❑ SCHEDULE A2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS 3- ❑ SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4. Xi SCHEDULE E: LOANS $ 1,053.00 5. X SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 6,470.54 6. n SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 7• u SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ 8. u SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 9. SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS 10. u SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ 11. n SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 12 n SCHEDULE K: INTEREST, CREDITS, GAINS. REFUNDS,AND CONTRIBUTIONS RETURNED TO FILER Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al 1 The Instruction Guide explains how to complete this form. Total pages Schedule Al: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) Salman Bhojani 4 Date 5 Full name of contributor ❑out of-stale PAC plop: p 7 Amount of contribution ($) 3/28/18 Vincent Porter $500.00 6 Contributor address; City; State; Zip Code 1112 E. Copeland Rd Suire 140 Arlington TX 76011 8 Principal occupation/Jab title (See Instructions) g Employer (See Instructions) CPA Porter 8 Company CPAs Date Full name of contributor ❑out or state PAC llO#: ) Amount of contribution ($) 3128118 Nadir Virani $25.00 Contributor address; City; State; Zip Code 5840 Austin Waters The Colony TX 75056 Principal occupation/Job title (See Instructions) Employer (See Instructions) Network Engineer Federal Reserve Date Full name of contributor ❑out-ol-slate PAC[ID*: ) Amount of contribution ($) 3128/18 Mina Hemani $500.00 Contributor address; City; State; Zip Code 2017 Lunenburg dr Allen TX 75013 Principal occupation/Job title(See Instructions) Employer (See Instructions) Investor Alna Properties Data Full name of contributor ❑out-el-state PAC prop: t Amount of contribution ($) 3/28/18 Asif Sarfani $250.00 Contributor address; City; State; Zip Code 16209 Ballentine St Overland Park KS 66221 Principal occupation 1 Job title(See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC,please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 7 Total pages Schedule Al: 2 FILER NAME Satman Bhojani 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor ❑out-of-stale PAC(AM: 7 Amount of contribution ($) 312/18 Jarom Yates $100.00 6 Contributor address; City; State; Zip Code 340 Redstone Dr. Sunnyvale TX 75182 8 Principal occupation 1 Job title(See Instructions) g Employer(See Instructions) Lawyer Haynes and Boone, LLP Date Full name of contributor E out-ol-dale PAC(I0M: ) Amount of contribution ($) Contributor address; City; State: Zip Code Principal occupation/Job title (See Instructions) Employer(See Instructions) Date Full name of contributor ❑out-al-state PAC(IDs: } Amount of contribution ($) 315/18 Gabriel Bach $100.00 Contributor address; City; State; Zip Code 304 Park Crest Ave Euless TX 76039 Principal occupation/Job title (See Instructions) Employer(See Instructions) Retired Retired Date Full name of contributor E oul-ol-Male PAC(101: � Amount of contribution ($) 3/8/18 Shaheen Rustom $2 000 00 Contributor address; City; State: Zip Code 2710 Grants Lake Blvd Unit K4 Sugar Land TX 77479 Principal occupation/Job title(See Instructions) Employer(See Instructions) Leasing PC ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED 11 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 9/8/2015