HomeMy WebLinkAboutBhojani semi January 2019 CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Filer ID (Ethics Commission Filers) 2 Total pages filed:
The C/OH Instruction Guide explains how to complete this form.
5
,
3 CANDIDATE.1 MS?MRS!MR FIRST MI
OFFICEHOLDER OFFICE USE ONLY
NAME Mr. Salman
Uaie rre CBI V ea NICKNAME LAST SUFFIX
D 1E-1le ] FHB6hojani
4 CANDIDATE! ADDRESS !PO BOX; APT r SUITE 8; CITY'. STATE: ZIP CODE JAN 1 5 2019
OFFICEHOLDER 1010 Lost Valley Drive Euless TX 76039
MAILING
ADDRESS CITY OF FU1 L.F_S
n Change o1 Address
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER Date Hand delivered or Dale Postmarked
PHONE ( 469 ) 774-0469
6 CAMPAIGN MS!MRS/MR FIRST MI Receipt# Amount 1
TREASURER Ms. Tiffany
NAMEDate Processed
NICKNAME LAST SUFFIX
Date Imaged
Smith
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE# CITY, STATE, ZIP CODE
TREASURER
ADDRESS 3932 Jasmine Fox Lane Arlington TX 76005
(Residence or Business)
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER ( 806) 441-3895
PHONE
9 REPORT TYPE
i Xil January 15 1 301h day before eleclion n Runoff ❑ 15th day after campaign
treasurer appointment
(Officeholder Only)
❑ July 15 n Bo day before election n Exceeded$500 limit ❑ Final Report lAtlach CrOH FR)
10 PERIOD Month Day Year Month Day Year
COVERED 01 /2018 12 /31 /2018
07
/ THROUGH
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year ❑ Primary ElRunoff ❑ Other
Description
05 /05 /L18 0 General ❑ Special
12 OFFICE OFFICE HELD J{il any) D 13 OFFICE SOUGHT (it known)
City Council PI. 6
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
` CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME 15 Filer ID (Ethics Commission Filers)
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 CANDIDATE'S 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)
EXPELS
EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF$100 OR LESS,
$
UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES $ 554.04
CONTRIBUTION 5 TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF REPORTING PERIOD 1,341.90
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD
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.
+,,,III,,. KIM SUTTER --
A1'gY P `•U8',
=r: S Notary Public,State of Texas
'; 4 Comm.Expires OB-25-2021 Signature of Ca date or Officeholder
'%14; Via' Y
Notar 1D 10956806
IrnnS+
AjI
Sworn t and subscribed before me,by the said ��44 2� r�� Cn--4—' f this the `
day of . 20 fq ,to certify which,witness my hand and seal of office.
7/).-Firk.7 3-u-(1-60- A, •:,774--i2Y ru_60.c.,
S nature of officer administering'Path Printed name of officer administering oath Title of officer administering oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/6/2015
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• n SCHEDULE A1: MONETARY POLITICAL CONTRIBUTIONS
2. n SCHEDULEA2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $
3. n SCHEDULE R: PLEDGED CONTRIBUTIONS $
4. SCHEDULE E: LOANS $
5. [x] SCHEDULE Ft: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 554.04
s• u SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $
7. E SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $
8- n SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $
9. E SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $
1D- E SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $
11. E 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 9/8/2015
•
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE Fl
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense [nail Repays sn t'Reiin rursemernl Soli cltaflaniF undralsing Expense
Acoounting/Canking Fees Office OvenkeadrRental Expense Transportation Equipment&Related Expense
Consulting Expense Foad+Reverege Expense Polling Expense Travel In Dislrict
Contnbfltions/Donations Made By GifiAwards/MMemorials Expense Printing Expense Travel Out Of District
CandidateiOfficeholderrPolitical Committee Legal Services Salanea.Wsges'Contract Labor Other tenter acafegory not listrdabovnl
Cn3dl Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Fl: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
1 of 2 Salman Bhojani
4 Date 5 Payee name
07/06/18-12/06/18 Google Email Account
6 Amount ($) 7 Payee address: City; State; Zip Code
$63.96
8 (a) Category (See Categories fisted at the top of this schedule) (6) Description
PURPOSE I_ I Check it travel outside of Texas.Complete ScheduleT.
OF Email Service I Check if Austin.TX,officeholder living expense
EXPENDITURE
9 Complete ONLY it direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
07/01/18-12/26/18 Campaign Partners
Amount ($) Payee address: City: State: Zip Code
$75.77
Category (See Categories listed al the top of this schedule) Description
PURPOSE ❑Cheek if travel outside olTexas.CD-Vete Scheduler.
OF Website Hosting ❑Check if Austin,TX,officeholder living expense
EXPENDITURE
Complete ONLY if direct Candidate 1 Officeholder name Office sought Office held
expenditure to benefit CiOH
Date Payee name
08/23/18 USPS
Amount ($) Payee address: City. State; Zip Code
$340.60
Category (See Categories listed at the top of this schedule) Description I
PURPOSE Postage Chock dtraveloutsideof Texas.Complete Schedule T.
OF ❑Check if Austin,TX,officeholder living expense
EXPENDITURE
Complete ONLY if direct Candidate' Officeholder name Office sought Office held
expenditure to benefit CIOH l
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan nepayn lei rt•TieimLursement Sol icitaliin+undo uisrngExpense
A000umingiBankirig Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense
Consulting ExpUlise FaodDeverage Expense Polling Expense Travel In District
Contributions/Donations Made By GituAwerds/Me mortal s Expense Panting Expeitse Travel Out 01 District
Cando}ate/OfficeholdenPolitical Committee Legal Seances SnlanesrWagns,Cnntrart Labor Other(enter acategory not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
Tolal pages Schedule F1: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
2 of 2 Salman Bhojani
4 Date 5 Payee name
08/06/18 Facebook
6 Amount ($) 7 Payee address. City: State; Zip Code
$73.71
8 (a) Category lsee Categories listed at the top of Ihis schedules (b) €Description
PURPOSE Cfla if Travel outside of Texas.Complete Schedule T
OF Marketin E Check if Austin,TX.officeholder living expense
EXPENDITURE 9
9 Complete ONLY it direct Candidate'Officeholder name Office sought Office held
expenditure to benefit CiDH
•
Date Payee name
Amount ($) Payee address: City: State: Zip Code
Category {See Categories listed at the top otthis schedule] Description
PURPOSE Gil-ask it travel oulskleof Texas.Complete Schedule T.
OF I Check if Austin,TX,officeholder living expense
EXPENDITURE
Complete ONLY it direct Candidate 1 Officeholder name Office sought Office held
expenditure to benefit C+OH
Date Payee name
Amount ($) Payee address: City: Slate; Zip Code
Category +Sea Categories listed at the lop of the schedule, r-- Description
PURPOSE Check d travel outside of Texas.Complete Schedule T
OF I Check if Austin,TX,officeholder living expense
EXPENDITURE
Complete ONLY if direct Candidate ±Officeholder name Office sought Office held
expenditure to benefit CiOH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9+812015