Byrdia Johnson January 2022 Semi-Annual CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
The CtOH Instruction Guide explains how to complete this form. 1 Fier ID(Ethics Commission Filers) 2 Total pages filed:2
3 CANDIDATE/ MS/MRS/MR FIRST MI OFFICE USE ONLY
OFFICEHOLDER Mrs Birdia
NAME .................................................................................
Date Received
NICKNAME LAST SUFFIX
Johnson RECEIVED
4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE
OFFICEHOLDER 1212 autumn oak Dr
MAILING Denton n( 76209 JAN 18 1011
ADDRESS
❑ Change of Address City Manager's/City
Secretary's Office
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION Date Pl5no-Siverea or Date Postmarked
OFFICEHOLDER
PHONE ( 940 735-6216
6 CAMPAIGN MS/MRS 1 MR FIRST MI Receipt# Amount .,
TREASURER Mrs Toya
NAME ........................................... ........................... • Date Processed
NICKNAME LAST SUFFIX
Date Imaged
Stevenson
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#, CITY; STATE; ZIP CODE
ADDRESSER 3141 briary trace Denton TX 76210
(Residence or Business)
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE 4 9 463-6359
9 REPORT TYPE January 15 ❑ 30th day before election Runoff 15th day after campaign
treasurer appointment
������{{{,,, (Officeholder Only)
❑ July 15 El8th day before election Exceeded ModifiedFinal Report(Attach C/OH-FRI
Reporting Limit
10 PERIOD Month Day Year Month Day Year
COVERED
01/ 01 /21 THROUGH 12/31 /21
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year ❑ Primary ❑ Runoff ❑ Other
Description
05/ 03 /22 ® General ❑ Special
12 OFFICE OFFICE HELD Cif any) 13 OFFICE SOUGHT (if known)
City Council District 1 City Council District 1
14 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL 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
COMMITTEES) T DI 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
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 8117/2n20
CANDIDATE I OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
15 C/OH NAME 16 Filer ID (Ethics Commission Filers)
Birdia Johnson
17 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS(OTHER THAN
TOTALS PLEDGES,LOANS,OR GUARANTEES OF LOANS,OR $
CONTRIBUTIONS MADE ELECTRONICALLY) 0.00
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $0.00
.... . . .. .. . .... .. . .
EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE.
TOTALS $0.00
4. TOTAL POLITICAL EXPENDITURES
...... .. . . . .. .... . .
$0.00
CONTRIBUTION 5 TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF REPORTING PERIOD $265.28
. . . . . . .. . . . . . . . . . .
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $
OAO
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.
Signature of Can ate or Officeholder
Please complete either option below:
+ YP0, ROSAA. RIOS
(1)Affidavit 32° '° :Nofary Public,State of Texas
'e= Comm.Expires 05-23-2024
'�nr° Notary ID 8760780
NOTARY STAMP/SEAL
Swom to and subscribed before me by SDst this the day of
20 to certify which,witness my hand and seal o ffice. '
i
Signature of officer administering oath Printed name of officer administering oath fitle of officer administering oath
(2)Unswom 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 8/1 712 0 2 0