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Birdia Johnson 30th Day Before Special Election 2020 CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Filer ID(Ethics Commission Filers) 2 Total pages filed: The C10H Instruction Guide explains how to complete this form. 3 CANDIDATE/ MS/MRS/MR FIRST MI OFFICE USE ONLY OFFICEHOLDER NAME 1 rd i FI Date Received NICKNAME LAST SUFX S c RECEIVED 4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE OFFICEHOLDER + nr,T -'51010 MAILING I iil A K ADDRESS l 1 U U City Manager's/City Change of Address —Z:) Secretary's Office 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION 1�( PHONEHOLQER (/►q6 ) I y, �� Date Hand-delivered or Date Postmarked 6 CAMPAIGN Ms/MRS/MR FIRST MI Receipt# Amount$ TREASURER I NAME I. ©.� �. Date Processed NICKNAME LAST SUFFIX Date Imaged 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE TREASURER ADDRESS `� n r, �\ f I (Residence or Business) ��l�` 1 (� 1��- 1 �Q\ v � ` �'�Ofo �\ V 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE 'T `� / �J� t I(0 , ) H��_6 5 9 9 REPORT TYPE January 15 � 30th day before election � Runoff � 15th day after campaign treasurer appointment (Officeholder Only) ❑ July 15 ❑ 8th day before election Exceeded$500limit ❑ Final Report(Attach C/OH-FR) 10 PERIOD Month Day Year OM�onth Day Year COVERED � / ' /�© THROUGH F / 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year ❑ Primary ❑ Runoff ❑ Other ppp Description /\3 General Special 12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known) C � nn �-n pence � CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 14 C/OH NAM 15 Filer ID (Ethics Commission Filers) t C) c� 18 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO POLITICAL SUPPORT THE CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDER'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 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, OR $ CONTRIBUTIONS MADE ELECTRONICALLY), UNLESS ITEMIZED L 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) a C) EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, v TOTALS UNLESS ITEMIZED $ 4. TOTAL POLITICAL EXPENDITURES $ h . . . . . . 14v S CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY /� Q BALANCE OF REPORTING PERIOD $ �1 I OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ 18 AFFIDAVIT 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 .+`11l'I'� ROSA A. BIOSjry under Title 15,Election Code. J�011I PI'l, Notary Public,State of Texas Comm. Expires 05-23-2024 Notary ID 8760780 Signature of C didate or Officeholder AFFIX NOTARY STAMP/SEALABOV E Sworn to a d subscribed before me, by the said /?Sly. —this the C�— day of �_,20_��) , ell to certify which,witness my hand and seal of office. ce� J vs . Signature of officer administering oath Printed name of officer administering oath Title of fficer administering oath SUBTOTALS - C/OH FORM C/OH COVER SHEET PG 3 19 FILER NAME 20 Filer ID(Ethics Commission Filers) :�:2 1 21 SCHEDULE SUBTOTALS SUBTOTAL NAME OF SCHEDULE AMOUNT 1- SCHEDULEA1: MONETARY POLITICAL CONTRIBUTIONS $ �D 2. SCHEDULEA2: 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 $ Jut 7. SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ 8. 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 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) VA 4 Date 5 Full name of contributor out-of-state PAC(ID#: ) 7 Amount of contribution ($) _I�ZylZa iL,Gh0.,r6 kws . 6 Contributor address; City; State; Zip Code i,L-LS s jC(>.M or e J-�and A '�' t(tiee�. "►Sc�b5 8 Principal occupation/Job title(See Instructions) g Employer (See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: ) Amount of contribution ($) ��2,Ze obrJ . . . . . . . . . . . . . . . . . . . . . �jr 0or7 Contributor address; City State; Zip Code ►�(� S'OOV1 2214(0 r) -j-,C 71 toS- 22�i Principal occupation/Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: ) Amount of contribution ($) 21Lh�✓cl �-1af/�S c Jlsho . . . . . . . . . . . 5cx,.o v Contributor address; City; State; Zip Code 122.5 -54Q--n, ;ckOr-j , 1 7� �50195 Principal occupation!Job title(See Instructions) Employer(See Instructions) Date Full name of contributor D out-of-state PAC(ID#: ) Amount of contribution ($) �2�12� 7=1r.cart rc1 jqst;t-ecS i "L - a� Contributor address; City; State; Zip Code rs 6� o r_ y11vh Principal occupation/Job title(See Instructions) Employer(See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED IL....a.L..a�..:�...a�L�a�a�oI1A ..Iw..........�I..�a......a:........:J..Lw�..JJ:a:......1�......J:.....r......:�..........a.. POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 EXPENDITURE CATEGORIES FOR BOX8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/FundraisingEx Accounting/Banking Fees Office Overhead/Rental Expense Expense ConsultingEx ExP Transportation Equipment 8 Related Expense 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 FILER NAME 3 Filer ID (Ethics Commission Filers) CJ D\-\ � s � 4 Date 5 Payee name �A _ 1 6 Amount ($) 7 Payee address; City; State; Zip Code 8 (a) Category (See Categories listed at the top of this schedule) Description PURPOSE OF EXPENDITURE (c) Check iftravel outside ofTexas.Co eScheduleT. Check if Austin,TX,officeholder living expense 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name '-) IUD C v r 5 Amount ($) Payee address; City; State; Zip Code t � �r -7� p _ . Category (See Categories listed at the top of his schedule) Description PURPOSE OF EXPENDITURE ' t Vti) C Check if travel outside o fTexas.G41ete Schedule T. 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 C -a I \ Amount ($) Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSE OF EXPENDITURE Check iftravel outside ofTexas.Complete Schedul . 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 SCHEDULEAS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/26/2019 )