Birdia Johnson July 2021 Semi-Annual CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
The C/OH Instruction Guide explains how to complete this form. 1 Filer ID(Ethics Commission Filers) 2 Total pages filed:
3 CANDIDATE/ MS(/MRS MR FIRST MI OFFICE USE ONLY
OFFICEHOLDER
NAME ................... ...........................................
Dat Received
NICKNAME LAST SUFFIX
',ry C)yj
RECEIVED
4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE
OFFICEHOLDER MAILING lUN S 202l
ADDRESS �L�rJ��tJ
City Managers/City
Change of Address A Qa Is Secretary's Office
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION Date Hand-delivered or Date Postmarked
OFFICEHOLDER ` _
PHONE q Old
�/
Receipt# Amount$
6 CAMPAIGN MS/ RS MR FIRST MI
TREASURER , n
NAME JIB................................. Date Processed
NICKNAME LAST SUFFIX
Date Imaged
Sv
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER
ADDRESS
(Residence or Business) ` r r
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE /
9 REPORT TYPE ` I January115 30th day before election Runoff 15th day after campaign
El treasurer appointment
(Officeholder Only)
July 15 8th day before election Exceeded Modified Final Report(Attach C/OH-FIR)
Reporting Limit
10 PERIOD Month Day Year Month Day Year
COVERED t ' /�z/ �
`�-- THROUGH
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year ❑ Primary ❑ Runoff ❑ Other
Description
General ❑ Special
12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known)
LI vo
14 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITIC IL 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 COMMITTEE NAME
GENERAL COMMITTEE ADDRESS
Additional Pages
[—]SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
SUBTOTALS - C/OH FORM C/OH
COVER SHEET PG 3
19 FILER NAME 20 Filer ID(Ethics Commission Filers)
21 SCHEDULE SUBTOTALS SUBTOTAL
NAMEr�/OF SCHEDULE AMOUNT
1 X I SCHEDULEAI: MONETARY POLITICAL CONTRIBUTIONS $ j 1 ,�1
2• ❑� SCHEDULEA2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $ U V
3. SCHEDULE B: PLEDGED CONTRIBUTIONS $
4. SCHEDULE E: LOANS $
5. SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ �( —
s• *❑� SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ (J T
7• El SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $
8. El SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $
9. El SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $
10. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $
11. El SCHEDULE 1: 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 8/17/2020
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 ($)
121
� 6 Contributor address; City; State; Zip Code
8 Principal occupation/Job title(See Instructions) g Employer(See Instructions)
Date Full name of contributor ❑out-of-state PAC(ID#: Amount of contribution ($)
�� ........... ... . �. - . ..... ��, ...................
/ Contributor address; City; State; Zip Code O J1 T)
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor ❑out-of-state PAC(ID#: ) Amount of contribution ($)
..................................................................................
Contributor address; City; State; Zip Code
Principal occupation/Job title(See Instructions) Employer (See Instructions)
Date Full name of contributor ❑out-of-state PAC(ID#: ) Amount of contribution ($)
..................................................................................
Contributor address; City; State; Zip Code
Principal occupation/Job title(See Instructions) Employer(See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS 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 8/17/2020
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Ex ense
Accounting/Banking Fees p Loan RepaymenUReimbursement Solicitation/Fundraising Expense
Office Overhead/Rental Expense Transportation Equipment&Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contributions/DonationsMsde By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services SalariesM/ages/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 F1: 2 =E 3 Filer ID (Ethics Commission Filers)
4 Date 5 Payee name
MVY-Plyki NMI- CSI
6 Amount ($) 7 Payee address; City; State; Zip Code
8 (a) Category(See Categories listed at the top of this schedule) (b) Description
PURPOSE
OF
EXPENDITURE �T
(c) Check if travel outside of Texas.Complete ScheduleT. Check if Austin,TX, officeh Ider living expense
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
r �
Category (See Categories listed at the top of this schedule) Description j
PURPOSE
OF
EXPENDITURE ck r
Check if travel outside of Texas.Complete Schedule Check if Austin,TX, officeholder living expense
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
_ 1 V
Amount ($) Payee address; City; State; Zip Code
v D
i sue.
.N. -IS-V- -6 e "..11 �
Category (See Categories listed at the top of this schedule) Description
PURPOSE
OF G
EXPENDITURE
Check if travel outsideofTexw Complete ScheduleT. Check if Austin,TX,officeholder living expense
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 8/17/2020
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
15 C/OH NAM 16 Filer ID (Ethics Commission Filers)
17 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
TOTALS PLEDGES, LOANS,OR GUARANTEES OF LOANS,OR
CONTRIBUTIONS MADE ELECTRONICALLY)
2. TOTAL POLITICAL CONTRIBUTIONS �
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) on
EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE.
TOTALS $
4. TOTAL POLITICAL EXPENDITURES $
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF REPORTING PERIOD $ /) /__b Z Q
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS 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.
A-6XL c
Signature of C didate or Officeholder
Please complete either option below:
KRISTEN SINGLETON
(I)Affidavit �:' :*° My Notary ID#132124789
EYpireskgust12,2023
NOTARY STAMP/SEAL
Sworn 1to and subscribed before me by �.J (Cl l C1 U 1, 1 (� this the day of
20 cam` to certify w 'ch,witness my hand and seal of office.
Sig ature of officer administering oath Printed name of officer admhUtering oath Title of officer administering oath
(2)Unsworn Declaration •
My name is and my date of birth is
My address is
(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 8/17/2020