Birdia Johnson 30th Day Before General Election 2021 CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Filer ID(Ethics Commission Filers) 2 Total pages filed:
The C/OH Instruction Guide explains how to complete this form.
to
3 CANDIDATE/ MS MRS MR - IRST MI OFFICE USE ONLY
OFFICEHOLDER
NAME ..... ....................... �.. . ..t.1 ................................. Date R ceived
NICKNAME LAST SUFFIX RECEIVED
4 CANDIDATE/ ADDRESS I PO BOX; APT I SUITE#; CITY; STATE; ZIP CODE 1
APR —;y 2�7�
OFFICEHOLDER
MAILING
ADDRESS City Managers/City
Secretary s Office
❑ Change of Address cr j
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION Date Hand-delivered or Date Postmarked
OFFICEHOLDER
PHONE "7 � 0 11
Receipt# I Amount$
6 CAMPAIGN MS I MRS I MR FIRST MI
TREASURER
NAME . ...........................�Q..A..Pt................................. Date Processed
NICKNAME LAST SUFFIX
_ Date Imaged
t, I C L
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER
ADDRESS
(Residence or Business) ILA -f % ---\ )
8 CAMPAIGN AREA CODE PHONE NUM EXTENSION C
TREASURER
PHONE / �9 / 61
c
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 CIOH-FR)
Reporting Limit
10 PERIOD Month Day Year Month Day Year
COVERED
/ / J THROUGH 3 / /)
11 ELECTION ELECTION DATE + ELECTION TYPE
Month Day Year ❑ Primary ❑ Runoff ❑ Other
I�I Description
General ❑ Special
12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known)
CdL4Or1l Ln2J
14 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CO TRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COM ITTEES 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 r — 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 J�` 7
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) v7
. . . . . . . . . . . . . . . . . . .
EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE. �
TOTALS l!/)
4. TOTAL POLITICAL EXPENDITURES $ 9 551.3-1
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 $
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 Canc)i ate or Officeholder
Please complete either option below:
ROSA A. RIOS
sa°� z Notary Public,State of Texas
(1)Affidavit �,•; ;y_
` Comm.Expires 05-23.2024
Notary ID 8760780
NOTARY STAMP/SEAL
� i
Sworn to and subscribed before me by Sl�x- this the S day of e4 —
20 ,to certify which,witness my hand and seal of office.
Signature of officer administering oath Printed name of officer administering oath Title oflolf6lcer administering oath
(2)Unsworn Declaration •
My name is and my date of birth is
My address is
(street) (city) (state) (zip code) (co-Intry)
Executed in County,State of on the day of 120
(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)
1
21 SCHEDULE SUBTOTALS SUBTOTAL
NAME OF SCHEDULE AMOUNT
1• ® SCHEDULEA1: MONETARY POLITICAL CONTRIBUTIONS $
2. ❑ SCHEDULEA2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $ 1
3. SCHEDULE B: PLEDGED CONTRIBUTIONS $
4. SCHEDULE E: LOANS $
5. SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $
6• El SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 'J
7. 11 SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $
8. El SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $
9. ❑ SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $
10. u 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 NAME 3 Filer ID (Ethics Commission Filers)
r ri R jv A Ns o
4 Date 5 Full name of contributor ❑out-of-state PAC(ID#: 7 Amount of contribution ($)
...............................
'7
6 Contributor address; City; State; Zip Code G
4
f :5 tca - 2 Ili D
8 Principal occupation/Job title(See Instructions) g mployer(See Instructions)
Date Full name of contributor ❑out-of-state PAC(ID#: Amount of contribution ($)
........... 5..f... ./IsJ...1��. �? .�.........................
Iir Contributor address; City; State; Zip Code ,
Principal occupation/Job title(See Instructions) Employer(See Instructions)
I)ate Full name of contributor ❑out-of-state PAC(ID#:_ 1 Amount of contribution (R)
..................................................................................
Contributor address; City; State; Zip Code
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor ❑out-of-state PAC(ID#: t 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 BOX8(a)
Advertising Expense Event Expense Loan Repayment(Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees 9 P
Consulting Expense Office Overhead/Rental Expense Transportation Equipment&Related Expense
9 p 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(entera category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F1: 2�E NAME 3 Filer ID (Ethics Commission Filers)
r
4 Date 5 Payee name
6 Amount ($) 7 Payee address; City; State; Zip Code
8 (a) Category (See Categories lis d at the top of this schedule) (b) Description
PURPOSE
OF
EXPENDITURE
(C) Check if travel outside of Texas.Complete ScheduleT. ❑ Check if Austin,TX,officeholder living expense
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
-6- 9,� I 1)4, re,
Amount ($) Payee address; City; State; Zip Code
�r G✓� 00S -�
Category (See Categories listed at the top of this schedule) Description
PURPOSE
OF
EXPENDITURE
❑ Check if travel outside of Texas.Complete ScheduleT. Check i Austin,TX, officeholder living expense
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
t
Amount ($) Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule) Description
PURPOSE
OF
EXPENDITURE
❑ Check if travel outside of Texas.Co IeteScheduleT. Check if Austin,TX,officeholder living expense
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
POLITICAL EXPENDITURES MADE SCHEDULE F1
FROM POLITICAL CONTRIBUTIONS
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan RepaymenUReimbursemerd Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
contributions/Donations Made By GiftlAwards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services SalariesMages/Contract Labor Other(enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F1: NAME 3 Filer ID (Ethics Commission Filers)
'71 1 kc �1 I '-'� 3 b
4 Date rj Payee name
b- r iJ
6 Amount ($) 7 Payee address; City; State; Zip Code
I ®q . 5-7 1 wc: ..Ltd X 75 c�
8 (a) Category(See Categories listed at the top of this schedule)-) (b) Description
PURPOSE
OF
EXPENDITURE 1 `d c
(c) Check if travel outside of
Texas.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
✓ AA- i A Y-. f
Amount ($) Payee address City; State; Zip Code
pG, A Z r C"s -=r 41 Ocf " T (9-1(�
Category (See Categories listed at the top of this schedule) Description
PURPOSE
OF EXPENDITURE �r t f y CIDr'3 t
Check if travel outside of Tel.CompleteScheduleT Check if Austin,TX,officeholder livil expense
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
"i- -'�
Amount ($) Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule) Description
PURPOSE
OF `'
EXPENDITURE Ad Y� r ` r I\v /I _
-LJ t"Kt '
ElCheckiftravel outside ofTexas, omplete Schedule T. Check if Austin,TX,officeholder living xpense
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 8/17/2020