Loading...
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