HomeMy WebLinkAboutBhojani semi July 2019 CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Filer ID(Ethics Commission Filers) 2 Tolal pages filed:
The C/OH Instruction Guide explains how to complete this form. 9
3 CANDIDATE 1 MS 1 MRS•MR FIRST MI
OFFICEHOLDER OFFICE USE ONLY
NAME Mr Salman
Date Received
NICKNAME LAST SUFFIX '
Bhajani I I] r e y U
4 CANDIDATE 1 ADDRESS .PO BOX. APT I SUITE ril CITY: STATE ZIP CODE D
MAILING OFFICEHOLDER 1010 Lost Valley Dr. Euless 76039 i f�� 201S
ADDRESS
❑ Change of Address 1,, CITY OF E U L E S... .
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER ( 469 ) 774 0469 D�e and•c7 eliyered to Pos[mark
PHONE
5 (r�Lfl D J
6 CAMPAIGN MS 1 MRS.MR FIRST MI ccipt Amount$
TREASURER
NAME Ms. Tiffany Oats Processed
NICKNAME LAST SUFFIX
Smith Data Imaged
7 CAMPAIGN STREET ADDRESS {NO PO BOX PLEASE); APT 1 SUITE rt; CITY; STATE; ZIP CODE
TREASURER 3932 Jasmine Fox Ln. Arlington, TX 76005
ADDRESS
(Residence or Business)
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER ( 806 ) 441-3895
PHONE
9 REPORT TYPE
n January 15 LI 30th day before election ❑ Runolf 15th day alter campaign
I I Ircasurcr appointment
lOffIcehnlder Ontyl
n July 15 LI 8th day before election ❑ Exceeded$500 limit ❑ Final Report(Attach CIOH FRI
10 PERIOD Month Day Year Month Day Year
COVERED 1 / 1 / 2019 6 / 30 r 2019 •--
THROUGH
t
11 ELECTION ELECTION DATE ELECTION TYPE •
I I
Month bay Year U Primary ElRunolf ElOther i
Description
` ` General Special
12 OFFICE OFFICE/HELD (deny) 13 OFFICE SOUGHT lif tmrrown)
Euless City Council, Place 6
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
•
CANDIDATE 1 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 DR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
POLITICAL SUPPORT THE CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLOER 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
IA 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}
TOTALSEXPENDITURE TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES $ 147.06
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
`6$9'77
BALANCE OF REPORTING PERIOD
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD
1e AFFIDAVIT
I swear,or affirm,under penalty of perjury,that the accompenying report is
true and correct and includes all information required to be reported by me
r
i,,,,,,
KATHY K
. WITHAM under Title 15,Election Code.
3i;• ,� .`�E Piofory Public,State of Taxa:
=wy +* Comm.Expires 08-24-2019
eJgjdir''tj
4,,,•0 '` Nalory 10 2219726
i Signature of Candidate or Officeholder
AFFIX NOTARY STAMP ISEALABOVE
491/4
Sworn nd subscribed before me,by the said ,141$1AV.1 .1 ,this the l rj
�c.�.
d f q ,to certify which,witness my hand and seal of office.
• Ardiem0
T�1�11 I • LI•�1Trt 1�OTA
ature 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
>4
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 SCHEDULEA1: MONETARY POLITICALCONTRIBUTIONS $
2. n SCHEDULEA2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $
3• SCHEDULE B: PLEDGED CONTRIBUTIONS
4. SCHEDULE E: LOANS $
5• u SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 117.36
6. u SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $
7.
u SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $
B. X SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 29,70
9• n SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $
10. n 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. nSCHEDULE 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 B{a]
Advertising Expense Event Expense Loan Repaymerrt/Reirriarsement Solicitation:Fundraising Expense
Accountirrg•'6ar1cing Fees DHice Dverhead•'F1ental Expense Transportation Equipment&Related Expense
Consulting Expense FDA/Beverage Expense Polling Expense Travel In District
ContribvtionsiDonations Made Hy GifVAwards'Mereerials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services SalariestWagns/Contrad 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 3 Filer ID (Ethics Commission Filers)
3 Salman Bhojani
4 Date 5 Payee name
1/7/2019 Google Email Account
6 Amount ($) 7 Payee address; City: State; Zip Code
$10.66 1600 Amphitheatre Pkwy Mountain View, CA 94043
8 (a) Category (See Categories listed at the lop of this schedule) (b) Description
PURPOSE ❑Check if travel outside of Texas.Complete Schedule T.
OF Other ❑Check if Austin,TX,officeholder living expense
EXPENDITURE
Email service
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
1/28/2019 Capital One
Amount (5) Payee address; City; Sate; Zip Code
$75.77 PO Box 60599 City of Industry, CA 91716
Category (See Categories listed at the lop of this schedule) Description
PURPOSE ❑Cher*if henei outside of Texas.Complete Scheduler
OF Credit Card Payment ❑Check if Austin,TX,officeholder living expense
EXPENDITURE Y
Payment of credit card bil for wehsite hosting
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
2/7/2019 Google Email Account
Amount ($) Payee address; City: State; Zip Code
$7.55 1600 Amphitheatre Pkwy Mountain View, CA 94043
Category (See Categories listed at the top of this schedule) Description
PURPOSE ❑Ohedt if travel wide of Texas.Complete Schedule T
OF Other
EXPENDITURE ❑Check if Austin,TX,officeholder living expense
Email service
Complete ONLY it direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
EXPENDITURE CATEGORIES FOR BOX 8(a)
AdvertisingExpense penso Even Expense Lo-nnnepaymcntrReimbcrsement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead,Rental Expense Transportation Equipment S Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
ContriG iUonsaDonations Made By Gift/Awards/Memorials Expense Pnntirg Expense Travel Out Of District
Candidate/Officeholder/Political Comm Legal Services SalaneSe WagenuContracl LaBar Other{entera category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F1: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
Salman Bhojani
4 Date 5 Payee name
3/6/2019 Google Email Account
6 Amount ($) 7 Payee address; City; Slate; Zip Code
$5.33 1600 Amphitheatre Pkwy Mountain View, CA 94043
8 (a)Category (See Categories listed at the lop ol this schedule) (b) Description
PURPOSE ❑Check if travel oulside of Texas Complele Schedule T.
OF Other E Check if Austin,TX.officeholder living expense
EXPENDITURE
Email service
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
4/8/2019 Google Email Account
Amount ($) Payee address; City: State; Zip Code
$5.33 1600 Amphitheatre Pkwy Mountain View, CA 94043
Category (See Categories listed at the top of this schedule) Description
I 11
PURPOSE l Check it travel ouleide of Texas.Complele Schedule T.
` ,
OF Other Check if Austin.TX,officeholder living expense
EXPENDITURE
Email service
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Dale Payee name
5/6/2019 Google Email Account
Amount ($) Payee address; City: State; Zip Code
$6.32 1600 Amphitheatre Pkwy Mountain View, CA 94043
Category (See Categories listed at the top ol this schedule) Description
PURPOSE ❑Check if navel outside of Texas.CampleteSchedule T.
OF Other ❑Check if Austin.TX.officeholder living expense
EXPENDITURE
Email service
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/B/2015
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
EXPENDITURE CATEGORIES FOR BOX 6(a)
Advertising Expense Event Expense Loan RepaymeriVfleirrt.rsement Solicitation/Fundraising Expense
AccountirrgIDanking Fees Office Overhead/RentalEx Expense Trans
ConsultingExpensep'e Transportation Equipment&Related Expense
t=cx,7d.'Br�erago Expense Polling Exr�pnse Travel In District
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate.'Officeholder/Political Committee i egal Services Salaries/Wages/Contract Labor Other(enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Fl: 2 FILER NAME 3 Filer ID (Ethics Commission Filers}
Salman Bhojani
4 Date 5 Payee name
6/6/2019 Google Email Account
6 Amount ($) 7 Payee address; City; Slate; Zip Code
$6.40 1600 Amphitheatre Pkwy Mountain View, CA 94043
a (a) Category )See Categories listed at the lop of this schedule) (b) Description
PURPOSE I�Check tf travel outside el Texas.Complete Schedule T.
Other 1 Check it Austin, TX,officeholder living expense
EXPENDITURE
Email service
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Category (See Categories lisled at the top of this schedule) Description
PURPOSE ❑Check if carrel oiulde of Texas.Complete Schedule'''.
OF ❑Check If Austin,TX,officeholder living expense
EXPENDITURE
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit CIOH
Date Payee name
Amount ($) Payee address; City; Slate; Zip Code
Category iSee Categories listed at the lop of'his schedule) Description
PURPOSE ❑ChedrIf travel article ul Texan.Complete Schedule T.
OF ❑Check if Austin,TX,officeholder living expense
EXPENDITURE
Complete ONLY if direct Candidate/Officeholder name Office sotlgilt 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 9/8/2015
EXPENDITURES MADE BY CREDIT CARD SCHEDULE F4
EXPENDITURE CATEGORIES FOR BOX 10(a)
Advertising Expense Event Expense Loan RepayrnenUReirnbursement Solidtatton/Fundraising Expense
Accounting/Banking Fees Office Overhead'ftental Expense Transporlaliun Equipruenl&Related Expense
Consulting Expense Foix1. everage Expense Pelting Expense f ravel In District
Contributions/Donations Made By GitVAwartls'Memorials Expense Printing Expense Travel Out Of District
CandidaterOfficeholderiPolilical Committee Legal Services &liariesiWeges/ConErect Labor Other{enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F4: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
3 Salman Bhojani
4 TOTAL OF UNITE MIZED EXPENDITURES CHARGED TOACR EDIT CARD
5 Date 6 Payee name
1/23/2019 Campaign Partner
7 Amount (5) S Payee address; City; State; Zip Cade
$4.95 PO Box 118 Still River, MA 01467
9 TYPE OF
EXPENDITURE X Political Non-Political
10 (a) Category (See Categores listed at the top of this schedule) (b) Description
PURPOSE ❑Chock if bevel aulsde of Texas.Complele Schedule T.
OF Other
EXPENDITURE nCheck it Austin,TX,officeholder living expense
Website hosting
11 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
2/23/2019 Campaign Partner
Amount (g) Payee address; City; State; Zip Code
$4.95 PO Box 118 Still River, MA 01467
TYPE OF
EXPENDITURE x Political Non-Political
Category (See Categories listed at the lop of this schedule) Description
PURPOSE Other ❑Cheek if Easel oundeof Texas.Complete Schedule T.
OF ❑Check if Austin,TX,officeholder living expense
EXPENDITURE
Website hosting
Complete ONLY if direct Candidate /Officeholder name Office sought Office held
expenditure to benefit CIOH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
EXPENDITURES MADE BY CREDIT CARD SCHEDULE F4
EXPENDITURE CATEGORIES FOR BOX 10(a)
Advertising Expense Event Expense Loan RepaymentVReimbei:oxnerf Sol icitatiorVFundraisin Exp
ense
pense
AccounhnglBardung Fcos Office Overheads Rental Expense Transportation Equipment&Related Expense
Consultiry Expense FoccliBcverar<cjo Expertso Polling Expense Travel In District
Contributions/Donations Made By Gilt/Awards/Memorials Expense Printing Expense Travel Out Of District
CendidalorO ficoholderPolitical Committee Legal Services SalariesWages/Contract Labor Other[enter a category nnl listed above]
The Instruction Guide explains how to complete this form.
t Total pages Schedule F4: 2 FILER NAME 3 Filer ID (Ethics Commission Filers(
Salman Bhojani
4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TO ACREDIT CARD
5 Date 6 Payee name
3/23/2019 Campaign Partner
7 Amount ($) 8 Payee address; City; State: Zip Code
$4.95 PO Box 118 Still River, MA 01467
9 TYPE OF n
EXPENDITURE X Political I I Non-Political
10 (a) Category (See Categories listed at the top of this schedule) (b) Description
PURPOSE ❑Check d have(oulade d Texas.Complete Schedule T.
OF Other
EXPENDITURE ❑Check If Austin.TX.officeholder living expense
Website hosting
11 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
4/23/2019 Campaign Partner
Amount ($) Payee address: City; State; Zip Code
$4.95 PO Box 118 Still River, MA 01467
TYPE OF
EXPENDITURE n Political Non-Political
Category {See Categories listed at the top olthis schedule) Description
PURPOSE ❑Check if travel eutsde of Texas.Complete Schedule T.
F Other ❑Check it Austin,Tx.officeholder loving expense
EXPENDITURE
Website hosting
Complete ONLY if direct Candidate 1 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 9/8/2015
EXPENDITURES MADE BY CREDIT CARD SCHEDULE F4
EXPENDITURE CATEGORIES FOR BOX 10(a)
Advertising Expense Event Expense Loan Repayrnord/RnirrrGursemont Solicitation/Fundraising Expense
Arx:ounhng/Bnnking Fees Office Overhead'Rental Expense Transportation Equiprufail&Related Expense
Consulting Expense Fcad/Beverage Expense Polling Fxpense Travel In District
Contributions/Donations Made By Gifl/Awards/Memorials Expense Printing Expense Travel Out Ot District
Candidate/OfficehoideriPolitical Committee Legal Services Salaries/Wages/Contract Labor Other(enter a category not listed above)
The Instruction Guide explains how 10 complete this form.
1 Total pages Schedule F4: I 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
Salmon Bhojani
4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TOACREDITCARD $
5 Date 6 Payee name
5/23/2019 Campaign Partner
7 Amount ($) 8 Payee address; City; State; Zip Code
$4.95 PO Box 118 Still River, MA 01467
9 TYPE OF
EXPENDITURE X Political n Non-Political
10 (a) Category {See Categories listed at the top of this schedule) (b) Description
PURPOSE n Check if travel outs de of Texas.Complete Schedule T.
OF Other
EXPENDITURE nCheck it Austin,TX,officeholder living expense
Website hosting
11 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
6/23/2019 Campaign Partner
Amount ($) Payee address; City; State: Zip Code
$4.95 PO Box 118 Still River, MA 01467
TYPE OF n
EXPENDITURE X Political Non-Political
Category iSee Categories listed al the tap at this schedule Description
PURPOSE n Check it travel outside el Tex es.Complete Schedule T.
OF Other
EXPENDITURE n Check if Austin,TX,officeholder living expense
Website hosting
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 9/8/2015