BRUZUAL, ORLANDO_JANUARY 15 2021_FINAL_CAMPIGN FINANCE REPORT CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Filer ID(Ethics Commission Films) 2 Total pages filed:
The C/OH Instruction Guide explains how to complete this form.
3 CANDIDATE/ MS/MRS/MR FIRST MI
OFFICEHOLDER , 1 OFFICE USE ONLY
NAME M1� Od'I "(�I V �1
Date Received
NICKNAME LAST SUFFIX
�YflVIoil
4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE •
OFFICEHOLDER / 5 O�1
MAILING / (�[ `
ADDRESS , PRAM and:, TkcgS
Change of Address 775 S1'
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION Date Hand-delivered or Date Postmarked
OFFICEHOLDER
PHONE (
Receipt# I Amount S
6 CAMPAIGN MS/MRS/MR FIRST MI
TREASURER MS Eu9-e.hi q C
NAME Date Processed
NICKNAME LAST SUFFIX
Date Imaged
13Y42U of I
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER ADDRESS , Rear I g n d J Tex q S 775 K 1d
(Residence or Business)
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE ("
9 REPORT TYPE ❑ January 15 30th day before election n Runoff rl 15th day after campaign
treasurer appointment
(Officeholder Only)
July 15 0 8th day before election Exceeded Modified ® Final Report(Attach C/OH-FR)
Reporting Limit
10 PERIOD Month Day Year Month Day Year
COVERED
i 0 /2S /2020 THROUGH 0 1 /14 / 2021
11 ELECTION ELECTION DATE l" ELECTION TYPE
(U
Month Day Year Prtmary Runoff El Other
Desorption
12 / 15 /202V ❑ General El Special
12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known)
Pear► Qn C���J (014 I it
14 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT
POLITICAL THE CANDIDATE IOFFICEHOLDER. THESE EXPEI.DITVRES MAY HAVE BEEHMALE WITHOUT THE CANDIDATES OR OFFICEHOLDERS KNOWLEDGEOR
CONSENT.CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE(S)
COMMITTEE TYPE COMMITTEE NAME
El
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
S
CANDIDATE /OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
15 C/ON NAME 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 $
(OTHER THAN PLEDGES, LOANS,OR GUARANTEES OF LOANS)
TOTALS EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE. $ /
4. TOTAL POLITICAL EXPENDITURES $ O
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 inc des all information
required to be reported by me under Title 15,Election Code.
Sig ur • -nd" ate or Officeholder
Please complete either option below:
ar'. CARLETTA J. NICHOLS
=_° .<6. Notary Public,State of Texas
^'3 . °a45: Comm.Expires 10-12-2024
(1)Affidavit Notary ID 7773769
NOTARY STAMP/SEAL // 'f'p�
Sworn to and subscribed before me by T)2i�- 6ru U!F/ ' this the day of %li. ilk ,
20 to ce ify ,w and and seal of off s°¢. �� - 10
N
Signature of officer administering oa Printed name of officer administering oath Title of officer a istering oath
OR
(2)Unsworn Declaration
My name is ,and my date of birth is
My address is ,
(street) (city) (state) (zip code) (country)
Executed in _ County,State of ,on the day of ,20
(month) (year)
Signature of Candidate/Officeholder(Declarant)
Forms provided by Texas Ethics Commission wwwethics.state.tx.us Revised 8/17/2020
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COVER SHEET PG 3
10 FILER NAME 20 Filer ID(Ethics Commission Filers)
oirlqndo J . 13yq DA GI 1
21 SCHEDULE SUBTOTALS SUBTOTAL
NAME OF SCHEDULE AMOUNT
1. Ei SCHEDULE Al: MONETARY POLITICAL CONTRIBUTIONS $ N/A
.r'•!;,:',
2- 0 SCHEDULE A2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS' $ N/A.
3. El SCHEDULE B: PLEDGED CONTRIBUTIONS $ N/A
4. 0 SCHEDULE E: LOANS $ N/A
5. D SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ N /
6. 0 SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ NjA
SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ NI/A
8. Ei SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $• N/A-
9. 0 SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ N/A
10. Ej SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ IN IA
11. 0 SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ N/4
12. ri SCHEDULE K: INTEREST,CREDITS,GAINS,REFUNDS,AND CONTRIBUTIONS RETURNED $ NA
TO FILER
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020