Johnson, Birdia - 30-day Before Election COH - Filed 04-06-2023 CANDIDATE / OFFICEHOLDER FORM CIOH
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 I MRS I MR FIRST MI
OFFICEHOLDER
NAME
OFFICE USE ONLY
..... 5................ .. .d.1. .................................
Date Received
NICKNAME LAST SUFFIX
6 5 RECEIVED
4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE
OFFICEHOLDER j� 1 API 0 6 2023
MAILING /I? /L"T lgbl -t1 t-✓�Aj DA T'
ADDRESS
City Manager's/City
Change of Address �L` 1 Secretary's Office
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
Date Hand-delivered or Date Postmarked
OFFICEPHONE HOLDER A� \ ,� /> � r ���
/ J Receipt# Amount$
6 CAMPAIGN MS/MRS/MR FIRST MI
TREASURER ��AA z�G
NAME ......`•� S >.....7D.y.n.......... .`.e�Q.��.���......... Date Processed
NICKNAME LAST SUFFIX
Date Imaged
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER
ADDRESS
(Residence or Business) 1 P 1- CC,G eo C le
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE ! 2) ` V3 S
9 REPORT TYPE ` January 15 3oth day before election y after campaign
F ry I y y ' ' Runoff trey da
1,/� 1 6 treasurer appointment
I���jjj (Officeholder Only)
July 15 8th day before election Exceeded Reporting Modified Final Report(Attach C/OH-FR)
Limit
10 PERIOD Month Day Year Month Day Year
COVERED I / 18/ a3 1,X7 /a.�
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)
&dA � L b \� C,
14 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT
POLITICAL THE CANDIDATE I 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
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
15 C/OH NAME 16 Filer ID (Ethics Commission Filers)
17 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN /�
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS,OR $ V 5,
CONTRIBUTIONS MADE ELECTRONICALLY)
2. TOTAL POLITICAL CONTRIBUTIONS _
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $
EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE. Q
TOTALS $ _
4. TOTAL POLITICAL EXPENDITURES $ -f 5 Q
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY /
BALANCE OF REPORTING PERIOD $ �l�Y� •� / 7
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE l l
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.
Signature of Cal date or Officeholder
Please complete either option below:
.; ERIC CHASCO
(1)Affidavit �*= My Notary ID#133681666
"_,fic EXPreg Apd 1,2D26
or,
NOTARY STAMP/SEAL
Sworn to and subscribed before me by CL11 1 w this the day of
20 �' to certify which,witness my hand and seal of office. f,
C- C,( 3 cam. 71-zs9 No���
Signature of officer administering oath Printed name of officer administering 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
SUBTOTALS - C/OH FORM C/OH
COVER SHEET PG 3
19�AMEf f� \ 20 Filer ID(Ethics Commission Filers)
21 SCHEDULE SUBTOTALS SUBTOTAL
NAME OF SCHEDULE AMOUNT t�
1. SCHEDULEAI: MONETARY POLITICAL CONTRIBUTIONS $ /f o5•
2. SCHEDULE A2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $
3. SCHEDULE B: PLEDGED CONTRIBUTIONS $
4. SCHEDULE E: LOANS $
5. SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $
6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $
7. SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $
8. SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $
9. SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $
10. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $
11. SCHEDULE I: 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 D 3 Filer ID (Ethics Commission Filers)
8
4 Date 5 Full name of contributor out-of-state PAC(ID#: 7 Amount of contribution ($)
�k.,�.► .k... .� ......`�` .v .,. ...............I.........
1 6 Contributor address; City; State; Zip Code CAD
(La(y)b r 1�e;�6
t; Principal occupation/Job title(See Instructions) g Employer(See Instructions)
Date (Full name of contributor J out-of-state PAC(ID#:� Amount of contribution ($)
3
U..�.✓Yl.✓.!\. .�G✓v Q!r
......S....r.o...W..Aj.........................
Contributor address; City; State; Zip Code /� p�
aIf +Nam Ar a oM 74
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date r� Full name of contributors out-of-state PAC(ID#: 1 Amount of contribution ($)
3 /-
Contributor address; City; State; Zip Code
F
I ff
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor out-of-state PAC(ID#: Amount of contribution ($)
..................................................................................
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 Expense Loan Repayment/Reimbursement Solicitation/FundraisingExpense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related ExoPnse
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal 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 F1: 2 FIL ME 3 Filer ID (Ethics Commission Filers)
ht U �i
4 Date 6 Payee name
63 - // -d o ti 5
6 Amount ($) 7 Payee address; City; State; Zip Code
va�'/U I� 5� �0 � -btJ�-Or f� 4, gef� t
8 (a) Category (See Categories listed at the top of this schedule) (b) Description
PURPOSE
OF
EXPENDITURE �" I 4 ` /1JCs e/
(c) Check if travel outside ofTexas. mplete Schedule T. Check if Austin,TX,officeholder living expense
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date / Payee name
Amount ($) Payee address; City; State; Zip Code
IL i x 74 tid /
Category(See Categories listed at the top of this hedule) Description
PURPOSE
OF ,� /
EXPENDITURE S v *.t�c ' —cr 44,r/ r�
Check if travel outside of Texas.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
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule) Description
PURPOSE
OF
EXPENDITURE
Check if travel outside of Texas.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