HomeMy WebLinkAboutLaPrelle, Chad - July 14, 2022CANDIDATE / OFFICEHOLDER FORnn cioH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
9 Filer ID (Ethics Commission Filers) 2 Total pagas flled:
The CIOH Instruction Guide explains how to complete this form. �
3 CANDIDATE/ MsiMasiMa FIRST Mi pFFICEUSEONLY
OFFICEHOLDER n �l,�At�
NAME M �` ....................... !.«�. �
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NICKNAME LAST SUFFIX
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4 CANDIDATE / ADDRESS / PO BOX�, APT / SOITE #; CITV; STATE; ZIP CODE �� � V I��'} ���p�
OFFICEHOLDER ��3�pcu�FGrs CGLLEiVjUF �FX �i�cUS�y �
MAILING ---��C7
ADDRESS
� Change of Address
5 CANDIDATE/ AftEA CO�E PHONE NUMBER E%TENSION
�ate Hand-tlelivered or Oa[e Postmarketl
PHONEHOLDER ���..y �
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Receipt p I Amount $
6 CAMPAIGN MS/MRS/MR FIRST MI
TREASURER MR G'I'��v I�
NAME................................................................................. �ate Processetl
NICKNAME LAST SUFFIX
LR��ELL(� Da�e Imaged
E
7 CAMPAIGN STREET AD�RESS (NO PO BOX PLEASE); APT I SUITE M; CITV; STATE; ZIP CO�E
TREASURER ��3 ReuFF LN C�ec�7v�.�� "�x %(pCS3��
ADDRESS
(Residence or Business)
8 CAMPAIGN AREA CODE PHONE NIIMBER EXTENSION
TREASURER
PHONE � �+7 `
� qo�-�a39
9 REPORT TYPE ❑ �anuary 15 � 30Ih day hefore election � Runaff � i5ih day after campaign
treasurer appoiniment
(OHiceholtler Only)
� July 15 � B�h day before elec�ion � Exceetled Mod�ed � Final Report (Atlech C/OH -FR)
Reporting Limit
10 PERIOD � Momn oay vear momn oey vear
COVERED r� /�
/`� � /�' /d�ii� THROUGH O� /�L7 /o[(�j2Z
V
i7 ELECTION ELECTION �ATE ELECTION TVPE
Mon�h Day Vear ❑ P�imary � Runoff ❑ Otha�
Oescriptian
/ / � General � Special
12 OFFICE OFFICE HEL� (if any) i$ OFRCE SOUGHT Qf known)
14 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTEO OR POLITICAL EXPENUITUNES MAOE BY POLITICAL COMMITTEES TO SUPPORT
POLITICAL 1HECANOIOATEIOFFICEHOLDER. THESEEXPENOITUFESMAYHAVEBEENMADEWITHOUiTHECANDIDATE'SOROFFICEHOLOER'SKNOWLEDGEOR
CONSENT. CANUIOATES ANO OFFICEHOLOERS ARE REQUIRED TO REPORT THI8INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH E%PENDITURES.
COMMITTEE(S)
COMMITTEE TVPE COMMITTEE NAME
�GENERAL COMMITTEEAODRESS
� Atltlitional Pages
�SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER AD�RESS
GO TO PAGE 2
Forms providedby Texas Ethics Commission www.ethicsstate.tx.us Revised 8/17/2020
CANDIDATE / OFFICEHOLDER
CAMPAIGN FINANCE REPORT
'IS C/OH NAME
'17 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR
CONTRIBUTIONS MADE ELECTRONICALLY)
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
...................
EXPENDITURE 3. TOTAL UNITEMIZEO POLITICAL EXPENDITURE.
TOTALS
..................
CONTRIBUTION
BALANCE
.................
OUTSTANDING
LOAN TOTALS
FORM C/OH
COVER SHEET PG 2
16 Filer ID (Ethics Commission Filers)
$ �, ��
$ Q� GD
$ aDooO
4. TOTALPOLITICALEXPENDITURES $ ��9'�'�
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ �a ��
OF REPORTING PERIO�
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE I$
LAST �AY OF THE REPORTING PERIOD
'IB 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 75, Eleciion Code.
�� ��_
Signature of Cantlitlate or O�ceholder
Please complete either option below:
o"'vP'�. FATIMA MOHAMED
� 1�• .V6��
(1) Affidavit 2?i � 'h=NOtery Public, $tate of Texes
;'•�`�F Comm. Expirea 01-21•2026
�''�9,;,,'�`�` Notary ID 129683430
NOTARY STAMP/SEAL
Swom to and subscribed before me by I..ND(� �l'����- "�Pi+CG�'� this the ��' day of �i UL�( ,
20 �, to certifywhich, uvitness my hand and seal ofoffice. „
Signatureofo' 'R��ly�t�NH
(2) Unsworn Declaration
My name is
My address is
Executed in
Printed name of officer administering oath
and my date of birth is
(street)
County, State of
Forms provided by Texas Ethics Commission
Title of officer administering oath
(city) (state) (zip code) (country)
, on the day of , 20
(month) (year)
Signature of Canditlate/Offceholder (Declarant)
www.ethics.state.bc.us Revised 8/17/2020
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Ezpense Even[Fxpense LoanRepeymenVReimbursement Solici�atioNFundraisingExpensa
Acwunting/Banking Fees OfficaOve�headlRentalExpense TrensportationEqulpmentBRela[etlEryense
ConsNtingFxpense Footl/BeverlqeEnpense PollingExpense havellnDistricl
ConVibutions/DonationsMadeBy GifVAwards/MemonalsExpense PrinlingExpense TravalOu[OfDistnct
Canditla[e/Officeholder/PoliticalCommittee LegelServiws SalatlesNJages/ContractLabor Other(entereca[egorynotlis�etlabova)
Cred'RCard Payment
The Instruction Guitle explains how io complete thls form.
1 Total pages Schedule F1: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
I C(���n t� GRPRf.-cc(�
4 Date 5 Payee name
31������ u�v.�� � ���r c�MP���N
6 Amount ($) 7 Payee atltlress; City; State; Zip Code
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8 (0) C2fegory (See/C�alegorieslistetla�the�opofthisschedule) (b) DBSCYIP60f1
PURPOSE l`ON1 R{��PUT�°"i'� �}'i('j7S�C6Qt CGN�R%FAS��+�'�N
EXPEN ITURE Tr% �.—'1!JP��'�
(c) � CheckiftraveloutsideofTexes.Complete5chetluleT. � Check if Austin, TX, oRceholtler Ilving expense
9 Complete ONLY if direct Candidate / Officeholder name OHice sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
C2tE90fy (SaeCatagorieslis�etlal�hetopofthisschetlule) DESCfiptl00
PURPOSE
OF
EXPENDITURE
� ChecklflraveloukidaofTexas.CompleteScheduleT. � Check ifAustiq TX, offceholder Ilving expense
Complete � if direct Candidate / Offceholder name Office sough[ Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; Sta[e; Zip Code
CategOry (SeeCategorieslistetla�the�opofthisschedule) DeSCYiPti00
PURPOSE
OF
EXPENDITURE
� Checki(travelou[sitleofTaxas.CompleteScheduleL � Check If Auslin, TX, oRiceholde� Ilving expense
Complete � if direct Cantlidate / Officeholder name Office sought Office held
expendiWre to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided byTexas Ethics Gommission www.etnicss[a�e.ix.us nevisea ari neu�o
SUBTOTALS - C/OH FORM C/OH
COVER SHEET PG 3
79 FILER NAME 20 Filer ID (Ethics Commission Filers)
G1�RV �k I�f�P�ELL�
21 SCHEDULESUBTOTALS SUBTOTAL
NAMEOFSCHE�ULE AMOUNT
�� � SCHEDULEAI: MONETARYPOLITICALCONTRIBUTIONS $
z� � SCHEDULEA2: NON-MONETARY(IN-KIND)POLITICALCONTRI6UTIONS $
3� � SCHEDULE B: PLEDGED CONTRIBUTIONS $
4. � SCHEDULE E: LOANS $
5� � SCHEDULE F1: POLITICAL EXPENDITURES MA�E FROM POLITICAL CONTRIBUTIONS $� a9. � I
6� � SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $
�� � SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $
8� � SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD S
9� � SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $
10. � SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $
��� � SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $
72. � SCHEDULE K: INTEREST, CRE�ITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED $
TO FILER
Forms provided byTexas Ethics Commission www.etnics.state.ix.us nevisea ori irzuzu
CANDIDATE / OFFICEHOLDER REPORT:
DESIGNATION OF FINAL REPORT FORnn C/OH — FR
The Instruction Guide explains how to complete this form.
•• Complete only if "ReportType" on page 1 is marked "Final Report" •-
7 C/OH NAME
3 SIGNATURE
2 Filer ID (Ethics Commission Filers)
I do not expect any further political contributions or political expenditures in connection with my candidacy. I understand that
designating a report as a final report terminates my campaign treasurer appointment. I also understand that I may not accept any
campaign contributions or make any campaign expenditures without a campaign treasurer appointment on file.
G.-6�'C._—,� %
4 FILER WHO IS NOTAN OFFICEHOLDER
•• Complete A& B below only if you are not an officeholtler. ••
I_
CAMPAIGN FUNDS
Signature of Candidate / Officeholder
Check only one:
[� I do not have unexpended contributions or unexpended interest or income earned from political contributions.
0 I have unexpended contributions or unexpended interest or income earned from political contribufions: I understand that I
may not convert unexpended political contributions or unexpended interest or income earned on political contributions to
personal use. I also understand that I must file an annual report of unexpended contributions and that I may not retain
unexpended contributions or unexpended interest or income earned on political contributions longer than six years aker
filing this final report. Further, I understand that I must dispose of unexpended political contributions and unexpended
interest or income earned on political contributions in accordance with the requirements of Election Code, § 254.204.
B.
I_FI-9 � F9
Check only one:
[� I do not retain assets purchased with political contributions or interest or other income from political contributions.
Q I do retain assets purchased with political contributions or interest or other income from political contributions. I understand
that I may not convert assets purchased with political contributions or interest or other income from political contributions to
personal use. I also understand that I must dispose of assets purchased with political contributions in accordance with the
requirements of Election Code, § 254204.
5 OFFICEHOLDER
•• Complete this section on/y if you are an officeholder ••
�`",�-G�'./
Signature of Candidate
0 I am aware that I remain subject to filing requirements applicable to an offceholder who does not have a campaign treasurer on
fle. I am also aware that I will be required to file reports of unexpended contributions if, after filing the last required report as
an officeholder, I retain political contributions, interest or other income from political contributions, or assets purchased with
political contributions or interest or other income from political contributions.
Signature of Officeholder
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Kevisea an ii�u�u