Birdia Johnson July 2022 Semi-Annual CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 'I
The ClOH Instruction Guide explains how to complete this form. 1 Filer ID(Ethics Commission Filers) 2 Total pages filed:
3 CANDIDATE/ MS/MRS/MR IRST MI
OFFICE USE ONLY
OFFICEHOLDER
NAME /•t/6 �5................. �.r.�t.�C............................ Date cei d
NICKNAME LAST SUFFIX RECEIVED
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4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE JUL 18 2022
OFFICEHOLDER
MAILING / L
ADDRESS /� At,4.{�'!`,j Oa n �� ����7 Secret rysO�ice
Change of Address l&p��
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
Date Hand-delivered or Date Postmarked
OFFICEHOLDER ��//
PHONE ( 1*c) > ! 1
Receipt# Amount$
6 CAMPAIGN MS/MRS/MR FIRST MI
NAME TREASURER Nu� is Date Processed
NICKNAME LAST SUFFIX
l Date Imaged
-�e�(-e rJ S o►�
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER I
ADDRESS ` 1 T 1 bra ��t-o�L e. l �Q (sl
(Residence or Business) V �����
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE / l4 q` +t 3 -- 0 6
9 REPORT TYPE January 15 30th day before election Runoff 15th day after campaign
i treasurer appointment
(Officeholder Only)
July 15 8th day before election Exceeded Modified Final Report(Attach C/OH-FR)
Reporting Limit
10 PERIOD Month Day Year Month Day Year
COVERED /,Cg / 1 /� ' THROUGH 7
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year Primary Runoff Other
Description
5 /J / General Special
12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known)
Cr
, t0—Itq 1
14 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POI mC EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT
POLITICAL THE CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES 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
f%-n 'rn DAnc 7
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
15 C/OF
` 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)
TOTALS EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE.
^�
4. TOTAL POLITICAL EXPENDITURES $ r
. . . . . . . . . . . . . . . . . . .
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF REPORTING PERIOD $
. . . . . . . . . . . . . . . . . .
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE $
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD /U\
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.
:Z5- -Llm�
Signature of didate or Officeholder
Please complete either option below:
tY' JESUS J.SNAZAR
(1)Affidavit _ MY fiery 10 13150421H
EVk"MKCh 21�20M
NOTARY STAMP/SEAL
Sworn to and subscribed before me by j3aQ P-A '06 N SO✓l/ this the I day of
20 to c .ify which,witness my hand and seal of office.
/L
n re o er administerin ath Printed name of officer administering oath Title of officer a ministering 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)