HomeMy WebLinkAboutChad LaPrelle - January 12, 2022CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Fller ID (Ethlcs Commiwion Filers) 2 Total pages (iled:
The C/OH Instructian Guide explains how to eomplete this form. �
� 3 CANDIDATE/ MS/MRS/MR FIRST mi
OFFICEHOLDER OFFICE USE ONLY
NAME....M� ................. GNAD...............................�...........
Date Recelved
NICKNAME LAST SUFFIX
�-APR�LL� �R''lrC�l V£D
4 CANDIDATE / AOORE55 ! PO BOX; APT / SUITE k; CITV; STATE; 21P CODE ,, a 0 a.o a�
OFFICEHOLDER f�3 ��GFF LN �jj��ty�!=/,�;� `()( 7�'Q�� I
MAILING
ADDRESS �(���� 8,�
� Change of Address
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
Oate Hentl-tlelivered or Deie Poetmarked
PHONEHOLDER ���� �
�0�-3�3`8
Recelpt # I Amount $
6 CAMPAIGN MS/MRS/MR FIRST MI
TREASURER rnR C�iAD {'�
NAfV1E................................................................................. oate Processetl
NICKNAME LAST SUFFI%
�ate Imagetl
LRPR�c�E
7 CAMPAIGN STREET A�ORE55 (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE
TREASURER i 33 AcuFf ��► GGLL�y��� �r�( %�Py"' �%
ADDRESS
(Resitlence or Business)
H CAMPAIGN HREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE ��+Iry \ ✓l���03(� .
D / / —1
9 REPORT TYPE � �anuary 15 � 30th day befare election � Runoff � 151h day aRer campaign
Ireasurer appoin�mant
(offiwhaltler Only)
� July 15 � 8th day before alection � Exceeded Mod'dietl � Final Report (Altach C/OH - FR)
Reporting Limit
10 PERIOD Mon�h � oay vear Month oay vea�
COVERED � �/o �/ao�! THROUGH r� /3' /,�Q�,,
'I'I ELECTION ELECTION DATE ELECTION TYPE
Monih Day Year ❑ Primary � RunofF ❑ Other
Oescrip�ion .
/ / � Generel � Special
12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known)
74 NOTICE FROM THIS 60X IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLRICAL EXPENOITURES MADE BY POLITICAI COMMITTEES TO BUPPORT
POLITICAL THECANOIOATE/OFFICEHOLOER. TNESEEXPENDITURESMAYHAVEBEENMADEWITHOUTTHECANOIDATE'SOHOFFICENOLDER'SKNOWLEOGEOR
CONSENT. CANOIDATESANOOFFICEHOLDERSAREREQUIREUTOREPORTTHISINFORMATIONONLYIFTHEYRECEIVENOTICEOFSULHEXPENUITURE9.
COMMITTEE(S)
COMMITTEE TYPE COMMITTEE NAME
�GENERAL COMMITTEEAD�RESS
� Adtlitional Pages
�SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRE55
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.Uc.us Revised 8/17/2020
CANDIDATE / OFFICEHOLDER
CAMPAIGN FINANCE REPORT
15 C/OH NAME
17 CONTRIBUTION
TOTALS
..................
EXPENDITURE
TOTALS
...................
CONTRIBUTION
BALANCE
..................
OUTSTANDING
LOAN TOTALS
PRf L�F_
1.
2.
3.
4.
5.
6.
TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR
CONTRIBUTIONS MADE ELECTRONICALLY)
TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
TOTAL UNITEMIZE� POLITICAL EXPENDITURE.
TOTAL POLITICAL EXPENDITURES
18 SIGNATURE I swear, or affirm, under penalty of perjury, that the accompanying report is true and wrrecl and includes all information
required to be reported by me under Tille 15, Election Code.
���
Signature of Canditlate or Officeholtler
Please complete either option below:
(1) A�davit
NOTARY STAMP/SEAL
Sworn to and subscribed before me by
20 2?i ,tocertifywhich,witness
Signature of officer administering
(2) Unsworn Declaration
My name is _
My address is
Executed in
seal of o�ce.
TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY I Q �� � o(� y
OF REPORTING� PERIOD �� �
TOTAL PRINCIPAL AMOUNT OF ALL Ol1TSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD $ "�
(street)
County, State of
Title of officer administering oath
(ciry) (state) (zip code) (country)
on the day of , 20
(month) (year)
Signature of Candidate/Officeholder (Declarant)
this the ��.?'ff day of c�`t^fuacR`(� ,
FORM C/OH
COVER SHEET PG 2
16 Filer I� (Ethics Commission Filers)
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$ a �-
$ /q �
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$ (o D. (�
name of officer administering oath
and my date of birth is
; =o:�a!,`,:!.P�s�c FATIMA MOHAMED
� Nomr��PUi�lic,5tateofTexas
_ ,_��' _
$ ,
sa�.,.�......;Py3 CommissmnExpi�e507/21/2022
',.'�oF�.n
,,,,,,,,,,,,,,,,• Notary IU 12968343-0
Forms provided byTexas 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 Ezpense . EventEnpense LoanRepaymenNReimbursement SolicitatioMFundraising6cpense
AccountingBenking Fees OfficeOverhead/Ren[al6cpense TransportationEquipmentffiRelatedF�pense
ConsulGng Expense Food/Beverege Expense Polling Expense Treval In District
Contributions/DonatlonsMadeBy GtlUAwards/MemonalsExpense PrintingExpense TrovelOutOfDistrict
Cantlitlale/Officeholder/PoliticalCommittee LegelServices SalariesNJages�ConiractLabor Other(enterecategorynotlistetlabove)
CretlitCardPayment
The Instruction Guide explalns how to complete this form.
1 Total pages Schedule F1: 2 FILER NAME � 3 Filer ID (Ethics Commisslon Filers)
1 GE+�D N �. -
4 Date 5 Payee name
(a 31 %?621 PLA�r�s CA('��r��4 �P�NjC
6 Amount ($) 7 Payee address; CiTy; State; Zip Code
��, p� Pc 8oX �71 Lut�Bac;k 7X, 79Nt�
g (2) CatBgory (SeeCategorieslisledalihetopofihisschetlule) (b) Desc�iption
PURPOSE ,4CGnuw'r �N� IQAN�NG S�2d:YCE �Pl'1As��'iEN�1n�c� 9�f_L- C�{A2GF
OF
EXPENDITURE
(c) � CheckifiraveloutsideofTenas.GompleteScheduleT. � Check if Austin, TX, otticaholtler Iiving expense
9 Complete ONLY if direct Candida[e / Officeholder name Office sought Office he�d
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; CiTy; State; Zip Code
CategOry (SeeCalegorieslistetlallhelopo(ihisschetlule) Desc�iption
PURPOSE
OF
EXPENDITURE
� � CheckiftraveloutsitleofTazas.Complele5chetluleT. � Check If Austin, TX, officehoider living ezpense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
ezpenditure to benefi[ C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Ca[egory (SeeCategorieslistetlatihetopoffhisschedule) D25c�iption
PURPOSE
OF
EXPENDITURE
� CheckiftrdvelautsitleofTexas.Camplete5cheduleL � Check if Austin, TX, oRiceholtler living expense
Complele QLI V if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH �
ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED
Forms providea by7exas Ethics Gommission www.emics.state.uc.us Hevised ein/2o2o