BRUZUAL, ORLANDO_OCTOBER 26 2020_CAMPAIGN FINANCE REPORTCANDIDATE / OFFICEHOLDER
FORM CIOH
CAMPAIGN FINANCE REPORT
COVER SHEET PG 1
1
Filer ID (Ethos Commission Filers)
2 Total pages filed:
The C/OH Instruction Guide explains how to complete this form.
3 CANDIDATE/
MS / MRS / MR FIRST
MI
OFFICE USE ONLY
OFFICEHOLDER
NAME
n (�
lV t
Date Received
1
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
NICKNAME LAST
SUFFIX
T
j�1�-011
(1 r
4 CANDIDATE /
ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
OFFICEHOLDER
MAILING
ADDRESS
)?
porloirA jX 715*4
❑ Change of Address
6 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
OFFICEPHONE
d-deliverred, r Date Postmarked
12i
- (� f !N
6 CAMPAIGN
MS / MRS / MR FIRST
MI
Receipt #
Amount $
TREASURER
M 1 A p '^
v' `r , 1
",' �.
Date Processed
NAME
. . . . . . . . . . . . . . . .
NICKNAME LAST
SUFFIX
Date Imaged
BV A -z"o I
,ASE);
7 CAMPAIGN
STREET ADDRESS (NPLEASE); O PO BOX APT / SUITE #, CITY;
STATE; ZIP CODE
TREASURER
ADDRESS
(Residence or Business)
(
Pea r I h d i R-/� "1 S r �+
8 CAMPAIGN
AREA CODE PHONE NUMBER
EXTENSION
TREASURER
PHONE
9
8 REPORT TYPE
January 15 30th day before electionRunoff
y after
1treawr�
a �gmpaign
ment
(Officeholder Only)
❑ July 15 8th day before election
Exceeded Modic
Final Report (Attach C/OH - FR)
Reporting Limit
10 PERIOD
Month Day Year
Month
Day Year
COVERED
IV / 01 /20-4v
10/25
/202V
THROUGH
11 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
❑ Primary
❑ Runoff ❑ Other
Description
s�
11 / O ✓/2 V L�
❑ General
❑ Special
12 OFFICE
OFFICE HELD (if any)
13 OFFICE SOUGHT (ifknown)
FLOIr IVIM CM
COMM I�os� �i o h 3
CANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME Y 1 of Irl r`'A1 1 Q 16Y V 7 °I 1
16 Filer ID (Ethics Commission Filers)
,
16 NOTICE FROM
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
POLITICAL
SUPPORT THE CANDIDATE / OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE wTHOUT THE CANDIDATES OR OFFICEHOLDERS
COMMITTEE(S)
KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE
OF SUCH EXPENDITURES.
COMMITTEE TYPE
COMMITTEE NAME
EIGENERAL
COMMITTEE ADDRESS
SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
Additional Pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
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)
$ /
3.
TOTAEXPELS
TOTAL UNITEMIZED POLITICAL EXPENDITURE.
$ /
4. TOTAL POLITICAL EXPENDITURES
$ 7 � W U7
/
CONTRIBUTION
BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
$ /
OF REPORTING PERIOD
OUTSTANDING
LOAN TOTALS
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
$
/
LAST DAY OF THE REPORTING PERIOD
18 AFFIDAVIT
I swear, or affirm, under penalty of perjury, that the accompanying report is
��•"' ° e� RENEE KROSS true and correct and includes all information req 'Fedto be reported by me
Notary ID X132042519 under Title 15, Election Code.
or*: My Commission Expires
June 6, 2023
Signature of ndid or Officeholder
71
AFFIX NOTARY STAMP/SEALABOVE
f� y� 7-tAa
t,f
Sworn to and subscribed before me, by the saidp this the
day of C )(0e i(', 20 21) , to certify which, witness my hand and seal of office.
SUBTOTALS
- C/OH FORM C/OH
COVER SHEET PG 3
19
FILER NAME
uylndlu
BvuzM
20 Filer ID (Ethics Commission Filers)
21
SCHEDULE SUBTOTALS
NAME OF SCHEDULE
SUBTOTAL
AMOUNT
1•
SCHEDULEAI: MONETARY POLITICAL CONTRIBUTIONS
$
2.
SCHEDULEA2: NON -MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS
$
3.
SCHEDULE B: PLEDGED CONTRIBUTIONS
$
4.
SCHEDULE E:
LOANS
$
5.
❑ SCHEDULE F1:
POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
6.
F� SCHEDULE F2:
UNPAID INCURRED OBLIGATIONS
$
7.
SCHEDULE F3:
PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$
$•
SCHEDULE F4:
EXPENDITURES MADE BY CREDIT CARD
$
9•
d SCHEDULE G:
POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
$316.0-7
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
$
POLITICAL EXPENDITURES
SCHEDULE G
MADE FROM PERSONAL FUNDS
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan RepaymerYlReenbumement Soficitabon/Fundraising Expense
Accourtirgeanldng Fees Office OverheadlRertal Expense Transportation Equipmerd & Related Expense
Consulting Expense FoodlBeverageExpense Polling Expense Travel In District
Cor ons/Donations Made By Gilt/AwarddlNemonals Expense Prinking Expense Travel Out Of District
Candidate/OlfioeholdedPokical Commifbe Legal Services Labor Ofher (artier a category not listed above)
Credit Card Payrierrt
The instruction Guide explains how to complete this form.
1 Total pages Schedule G:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
1
0rIC1n4V VYM-Z ��►I
4 Date
6 Payee name
19112)2v2u
ImPriVl -COY"
6 Amount ($)
T Payee address; City; State; Zip Code
3719 • u 7
Rerribxaemerthimn
Elpolitical contributions
iniended
8
(8) Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
OF
�/ e
Int �Y) I EX 'n Pi- 1 SSC.
n ^�
n�
EXPENDITURE
(c) Check iflraveloutsideofTexas.CornpleteScheduleT Check if Austin, TX, officeholder living expense
8 Candidate / Offioehoider name Office sought Offioe held
Complete Qi if direct
expenditure to benefit C/OH
Date
Payee name
Amount (;)
Payee address; City; State; Zip Code
fZeimbkrsemerthom
pokical contributions
nkended
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
OF
EXPENDITURE
E] Check iiftraveloutside ofTexas.Complete Schedule T. Check if Austin, TX, officeholder living expense
Candidate / OfficeOffice sought name Osought Office held
Complete ONLY it direct
expenditure to benefit C/OH
Date
Payee name
Amount (a)
Payee address; City; State; Zip Code
❑Reimbkrsemertfron
contributions
political
intended
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
OF
EXPENDITURE
EJCheck iftraveloutside ofTexas.CkxnpktieSchedule T Check if Austin, TX, officeholder living expense
Complete Candidate / Officeholder name Office sought Office held
p Q� if direct
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