Birdia Johnson January 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 ............................ A r�.�.A,......................I............ Date R cei
NICKNAME LAST SUFFIX ''DECEIVED
y q q
4 CANDIDATE/ ADDRESS I PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE i.AN 1 4 2021
OFFICEHOLDER
MAILING City Manager's/City
ADDRESS
/ n /a ` b Secretary's Office
❑ Change of Address of to
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION Date Hand-delivered or Date Postmarked
OFFICEHOLDER PHONE 19 ) _ i
Receipt# Amount$
6 CAMPAIGN MS! /MR FIRST MI
TREASURER Date Processed
NAME ............................. .�.....................................
NICKNAME LAST SUFFIX
�) Date Imaged
7 CAMPAIGN STREETADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY, STATE; ZIP CODE
TREASURER
ADDRESS
i r
(Residence or Business) C _
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
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 Modified Final Report(Attach C/OH-FIR)
Reporting Limit
10 PERIOD Month Day Year Month Day Year
COVERED , D / ( ( THROUGH IJIV
11 ELECTION ELECTION DATE 7� ELECTION TYPE
Month Day Year ❑ Primary ❑ Runoff Other
Description
❑ General ❑ Special
12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known)
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 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)
—R \ ,cA , A
17 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
TOTALS PLEDGES, LOANS,OR GUARANTEES OF LOANS,OR $
CONTRIBUTIONS MADE ELECTRONICALLY) 1 U
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
. . . . . . . . . . . . . . . . . . .
EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE.
TOTALS $ _O
4. TOTAL POLITICAL EXPENDITURES $ ,
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY 11
BALANCE OF REPORTING PERIOD $
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.
Signature�of Candidate or Officeholder
Please complete either option below:
�.�t►R;° ROSA A, RIOS
a° Notary Public, State of Texas
q�;.,,�, }- Comm. Expires 05-23-2024
(1)Affidavit '��,;oF� .�� Notary ID 8760780
NOTARY STAMP/SEAL
Swornto and subscribed before me by sCl�� �L�L lld7SeA this the day of
20 to certify which,witness my hand a al of office. /
Signature of officer administering oath Printed name of officer administering oath Title 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 FILER NAME 20 Filer ID(Ethics Commission Filers)
z, 1
21 SCHEDULE SUBTOTALS SUBTOTAL
NAME OF SCHEDULE AMOUNT
1• SCHEDULEA1: MONETARY POLITICAL CONTRIBUTIONS $
2. SCHEDULEA2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $
3. SCHEDULE B: PLEDGED CONTRIBUTIONS $
4. El 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 $
$• El 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 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 8/1 712 0 2 0
POLITICAL EXPENDITURES MADE SCHEDULE F 1
FROM POLITICAL CONTRIBUTIONS
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense
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 SalariesANages/Contract Labor Other(entera category not listed above)
Credit Card Paym4nt
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F1: 2 FIL
7ME 3 Her ID (Ethics Commission Filers)
1 C a 1
4 Date 5 Payee name \
6 Amount ($) 7 Payee address; City; State; Zip Code
C-) c Mro N.e J�e rJ o rJ X 760
t
8 (a) Category (See Categories listed at the top of this schedule) b) Description
PURPOSE
OF
EXPENDITURE h r j lJ C er G Y--i)
(c) Checkiftravelou exas.Complete Schedule T. ❑ Check if Austin,TX,officeholder living expense
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule) Description
PURPOSE
OF
EXPENDITURE
❑ Check if travel outside of Texas.Complete ScheduleT. ElCheck 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