BRUZUAL, ORLANDO_OCTOBER 2 2020_CAMPAIGN FINANCE REPORTCANDIDATE / OFFICEHOLDER
FORM
C/OH
CAMPAIGN1
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
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Change
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6
CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER
Date Ha
-delivered o DatePostmarked
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CAMPAIGN
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TREASURER
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Date Imaged
STREET ADDRESS (NO PO BOX PLEASE ; APT / SUITE #; CITY; STATE; ZIP CODE
7
CAMPAIGN
TREASURER
ADDRESS
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or Business)
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CAMPAIGN
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1
REPORT
TYPE
I
I January 15
30th day before election
Runoff
15th day after campaign
treasurer
appointment
(Officeholder Only)
July 15
I]
8th day before election
I
I Exceeded Modified
ri
Final Report (Attach C/OH - FR)
Reporting Limit
10
PERIOD
COVERED
Month Day Year
Month
Day Year
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THROUGH
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ELECTION DATE
ELECTION TYPE
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ELECTION
Month Day Year
n
Primary
n
Runoff
n
Other
Description
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I /
V
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n
General
n
Special
12
OFFICE
OFFICE HELD (if any)
13
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kind
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PAGE 2
Forms provided by Texas Ethics Commission
www.ethlcs.state.tx.us
Revised 1/1/2020
CANDIDATE I
0 FICEHOLDERFORM
C/OH
CAMPAIGN
FINANC REPORT
COVER
SHEET PG
2
14
C/OH
NAME
16
Filer ID (Ethics Commission Filers)
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1
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ovI
16
NOTICE
POLITICAL
FROM
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
SUPPORT THE CANDIDATE / 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
ESPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
n
Additional
Pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION
TOTALS
$
1.
TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR
CONTRIBUTIONS MADE ELECTRONICALLY)
2. TOTAL
POLITICAL
CONTRIBUTIONS
$ ,LI
CJ-
00
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
3. TOTAL UNITEMIZED POLITICAL EXPENDITURE.
$
EXPENDITURE
TOTALS
4.
TOTAL
POLITICAL
EXPENDITURES
$
l)
1 0
i , 2,C6
CONTRIBUTION
BALANCE
OUTSTANDING
LOAN
TOTALS
$
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
$
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD
18
AFFIDAVIT
I
true
swear,
and
or affirm, under
correct and
includes
penalty
all
of
information
perjury,
that
the
requi
accompanying
d
to
be
reported
report
by me
is
1
l .
CRYSTAL N ROAN'
under
Title
15,
Election
Code.
p�
14— B`o
to°
State
Teas
I
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i
i Notary Public, of
i
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Tili&
My
Commission
January
29, 2024
ID 1057222.1
Expires
111,11111-
AFFIX
�o NOTARY
NOTARY STAMP/SEALABOVE
a/c/orttzJthis
Signatur1
f C.
didate or Officeholder
�"
Sworn t• .rid
subscribed
before me,
b the
satd
the
c
.
day of Aka
/
20 C(,v
to certify
w 'ch,
witness
my
hand
,
and
seal
of office.
,
optek..,
IK-8
tortieteut
Si.' at
- .f officer adminis enng oath Printe.
-me of officer administering oath Tit
— 'f officer administering oat
Forms provided by Texas Ethics Commission
www.ethicastate.tx.us
Revised 1/1/2020
FORM
C/OH
SUBTOTALS
C/OH
COVER
SHEET PG
3
19 FILER NAME
20 Filer ID (Ethics Commission Filers)
21 SCHEDULE SUBTOTALS
SUBTOTAL
NAME OF SCHEDULE
AMOUNT
1•
SCHEDULEAI: MONETARY POLITICAL CONTRIBUTIONS
$ Zf
5.
00
2
SCHEDULEA2: NON POLITICAL CONTRIBUTIONS
$
-MONETARY (IN -KIND)
3.
I
SCHEDULE B: PLEDGED CONTRIBUTIONS
$
4.
SCHEDULE E• LOANS
$
5.
VSCHEDULE
F1: POLITICAL
$ 215.
0
0
EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
6.
I
SCHEDULE F2• UNPAID INCURRED OBLIGATIONS
$
7.
SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$
8.
SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD
$
9.
(4/
SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
$ (M
. 2
10.
I I
SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH
$
11.
I
I 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 1/1/2020
MONETARY
POLITICAL
CONTRIBUTIONS
SCHEDULE
Al
The
Instruction
Guide
explains
how to complete
this
form.
1 Total pages Schedule Al: I
2 FILER NAME
ter
v
llnoW
3 Filer ID (Ethics Commission Filers)
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4
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Date
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6 Full name
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out-of-state
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T X
)
7
1
Amount
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.
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contribution ($)
■
'rul
Zip
Code
75
171-41
TIN
8 Principal occupation / Job title (See Instructions)
9
Employer
(See Instructions)
"I
Date
I
1 I202D
25511
Full
J
Contr'butor
name
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of contributor
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address;
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CO
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PAC
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State;
)
Amount
of
contribution ($)
■
c
Zip
Code
Principal occupation / Job title (See Instructions)
Employer
(See Instructions)
Date
(Irv/zoo
Full name
NiroVI10
Contributor
of contributor
address;
out-of-state PAC (ID#:
City; State;
)
4
Amount
I V
u
. 0
of
0
contribution ($)
■
Zip
Code
Zvi+iv►r
Principal occupation
/ Job title (See Instructions)
Employer
(See Instructions)
Date
Full name of contributor
Contributor address;
out-of-state PAC
City;
(ID#:
State;
)
Amount of contribution ($)
Zip Code
Principal occupation / Job title (See Instructions)
Employer
(See Instructions)
If
contributor
ATTACH
is out-of-state
ADDITIONAL
PAC,
please
COPIES
see
Instruction
OF
THIS
guide
SCHEDULE
for
additional
AS
NEEDED
reporting
requirements.
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 1/1/2020
POLITICAL
EXPENDITURES
MADE
Fl
SCHEDULE
FROM
POLITICAL
CONTRIBUTIONS
Advertising Expense Event
EXPENDITURE
Expense
CATEGORIES
Loan
Repayment/Reimbursement
FOR
BOX 8(a)
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/PoliticalCommittee SalariesNVages/Contract Labor
Legal Services Other (enter a category not listed above)
CreditCard Payment
The Instruction Guide explains how to complete this form.
1
Total pages Schedule Fl:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
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4
Date
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IN
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6 Payee name
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PURPOSE
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EXPENDITURE
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p�1��1►
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1."j tt
the top of this schedule)
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(b)
Description
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n
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 ($)
Payee address; City; State; Zip Code
PURPOSE
OF
EXPENDITURE
Category (See Categories listed at the top of this schedule)
Description
nCheck
if travel outside of Texas. Complete ScheduleT.
I
I Check if Austin, TX, officeholder living expense
Complete ONLY
if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
PURPOSE
OF
EXPENDITURE
Category (See Categories listed at the top of this schedule)
Description
nCheck
if travel outside of Texas. Complete Schedule T.
I
I 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.ethlcs.state.tx.us
Revised 1/1/2020
POLI
ICA
EXPENDITURES
SCHEDULE
MAD
FROM
EXPENDITURE
Advertising Expense Event Expense
Accounting/Banking Fees
CATEGORIES
Loan
Office
FOR
Repayment/Reimbursement
Overhead/Rental
BOX 8(a)
Expense
Solicitation/FundraisingExpense
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 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 G:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
0Ytank
grg7V1AA
4
Date
$I1012020
6 Payee
CillOnf
name
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6 Amount
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intended
8
EXPENDITURE
PUROF POSE
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Category
(See Categories listed at the top of this schedule)
(b)
Description
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H
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9
Candidate / Officeholder name
Office sought Office held
Complete
ONLY
if direct
expenditure
to benefit C/OH
lig[Zu2V
Date
Payee
Cl1ini
name
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at of schedule)
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Check if travel outside ofTexas. Complete Schedule T.
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Complete
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Candidate / Officeholder name
if direct
Office sought Office held
expenditure
to benefit C/OH
Date
°II
Payee name
\Ilsko
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tO2u
Amount
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Payee address;
City; State; Zip Code
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I Check iftravel outside ofTexas. Comp eteSchedule T.
I
I Check if Austin, TX, officeholder living expense
Complete ONLY
Candidate / Officeholder name Office sought Office held
if direct
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 1/1/2020