JAIN RISHABH_APRIL 8 2022_CAMPAIGN FINANCE REPORT CANDIDATE ! OFFICEHOLDER F.OR61C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Filer ID(Ethics Coinmissiah 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 Mr Rishabh
NAME to elki.Aive•l
NICKNAME LAST SUFFIX RJ Jain RE ; •. .04
4 CANDIDATE/ ADDRESS /PO BOX; APT!SUITE#; CITY; STATE; ZIP CODE
OFFICEHOLDERMAILING Pearland TX 77584 APR 0 8 2022
ADDRESS -
❑ Change of Address CITY OF PEARLAND/ \ �r
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION C 1ey ir,ifk r�aid i;ztrzkdi-I E
OFFICEHOLDER
PHONE /
Receipt# i Amount$
6 CAMPAIGN MS/MRS/MR FIRST MI
TREASURER Mr Tre Date Processed.
NAME • ,
NICKNAME LAST. SUFFIX
Wagers Date Imaged
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE It; CITY' STATE; ZIP CODE
TREASURER
ADDRESS
(Residence or Business) .
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE (
9 REPORT TYPE [ January 15 ® 30lh'day before election ❑ Runoff [ ) 15th day after campaign
I I treasurer appointment
(Officeholder Only)
❑ July 15 ❑ 8th day before election n Exceeded Modified ❑ Final Report(Attach C/OH FR)
Reporting limit
10 PERIOD Month Day Year Month Day Year
COVERED
/ / THROUGH 04 / 07 / 2022
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year 0 Primary ❑ Runoff ❑ Other
Description
05/ 07 /1022 ® General ❑ Special
12 OFFICE OFFICE HELD (if eny) 13 OFFICE SOUGHT (if known)
14 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT
POLITICAL THE CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDERS 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
1 ditional Pages❑ Ad
0 GENERAL COMMITTEE ADDRESS
OSPECIFIC COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
,GOTO PAGE 2
Forms pr uided by7exas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
1
CANDIDATE/OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
15 C/OH NAME 16 Filer ID (Ethics Commission Filers)
Rishabh Jain I
17 CONTRIBUTION 1 TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS(OTHER THAN
TOTALS PLEDGES,LOANS,OR GUARANTEES OF LOANS,OR $3,000
CONTRIBUTIONS MADE ELECTRONICALLY)
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES,LOANS,OR GUARANTEES OF LOANS) $$0
EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE.
TOTALS $0
4. TOTAL POLITICAL EXPENDITURES $3,000
CONTRIBUTION
BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD $$0
OUTSTANDING 6 TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE •PP
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $0
18 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 15,Election Code.
PEA4k4-2,(4.---
Signature o andidate or Officeholder
Please complete either option below:
��� p,ij� WILLIAM LEE KENNERLY,II
o` .�e4-=Note Public,State.of Texas
xx; .o_ ry
(1)Affidavit m:: ' comm.7' Expires 09.21-2025
` ' Notary ID 131283261
NOTARY STAMP/SEAL
Sworn to and subscribed before me by `` 1 5 1i Q L o • 11 this the.4rt bl day of A f y i l ,
20 2-a- ,to certify which,witness my hand and seal of office.
Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath
OR
(2)Unsworn Declaration
'My name(s ,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 www.ethics.state.tx.us Revised 8/17/2020
SUBTOTALS - C/OH FORM C/OH'
COVER SHEET PG 3
19 FILER NAME 20 Filer ID(Ethics Commission Filers)
Rishabh Jain
21 SCHEDULE SUBTOTALS SUBTOTAL
NAME OF SCHEDULE AMOUNT
1 n S• CHEDULEAI MONETARY POLITICAL CONTRIBUTIONS $
2. ICI SCHEDULEA2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $ 3,000
3. ❑ SCHEDULE B: PLEDGED CONTRIBUTIONS $
4 [11 SCHEDULE E: LOANS $
5. 0 SCHEDULE Fl POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
6. 0 SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $
7 SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $
8. 111 SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $
9• 0 SCHEDULE G; POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $
10. El SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $
11 S• CHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $
12. Ei S• CHEDULE K. INTEREST CREDITS,GAINS, REFUNDS,AND CONTRIBUTIONS RETURNED $
TO FILER
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
NON-MONETARY (IN-KIND) POLITICAL
CONTRIBUTIONS SCHEDULE A2
If the requested information is not applicable,DO NOT Include this page in the report.
The Instruction Guide explains how to complete this form. 1 Total pages Schedule A2:
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
Rishabh Jain
4 TOTAL OF UNITEMIZED IN-KIND POLITICAL CONTRIBUTIONS
3,000
5 Date 6 Full name of.contributor 0 out-of-state PAC(ort: ) 8 Amount of 1 g In-kind contribution
Anju Chugh 'Contribution $ description
$3,000 I Print Flyers and Yard Sign
7 Contributor address; City* State; Zip Code i
4031 FM 1463.#40th, Katy, TX 77494 ❑
Check if travel outside of Texas.Complete Schedule T.
10 Principal occupation I Job title(FOR NON-JUDICIAL)(See Instructions) 11 Employer(FOR NON-JUDICIAL)(See Instructions)
Self Employeed
12 Contributor's principal occupation(FOR JUDICIAL) 13 Contributor's Job title(FOR JUDICIAL)(See Instructions)
14 Contributor's employer/law firm(FOR JUDICIAL) 15 Law firm of contributor's spouse(if any)(FOR JUDICIAL)
16 If contributor is a child,law firm of parent(s)(if any)(FOR JUDICIAL)
Date Full name of contributor ❑out-of-state PAC(IDt3: ) Amount of In-kind contribution
Contribution$ I description
Contributor address; City; State; Zip Code
❑Check if travel outside of Texas.Complete Schedule T.
Principal occupation I Job title(FOR NON-JUDICIAL)(See Instructions) Employer(FOR NON-JUDICIAL)(See Instructions)
Contributor's principal occupation(FOR JUDICIAL) Contributor's job title(FOR JUDICIAL)(See Instructions)
Contributors employer/law firm(FOR JUDICIAL) Law firm of contributor's spouse(If any)(FOR JUDICIAL)
If contributor is a child,law firm of parent(s)(if any)(FOR JUDICIAL)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor Is out-of-state PAC, please see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
CANDIDATE/OFFICEHOLDER REPORT:
DESIGNATION OF FINAL REPORT FORM C/OH - FR
The Instruction Guide explains how to complete this form.
••Complete only If"Report Type" on page 1 Is marked "Final Report"••
1 C/OH NAME 2 Filer ID (Ethics Commission Filers)
3 SIGNATURE
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.
Signature of Candidate/Officeholder
4 FILER WHO IS NOT AN OFFICEHOLDER
•• Complete A&B below only If you are not an officeholder. ••
A. CAMPAIGN FUNDS
Check only one:
0 I do not have unexpended contributions or unexpended interest or income earned from political contributions.
n I have unexpended contributions or unexpended interest or income earned from political contributions. 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 after
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. ASSETS
Check only one:
[f I do not retain assets purchased with political contributions or interest or other income from political contributions.
[I 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,§254.204
Signature of Candidate
5 OFFICEHOLDER
•• Complete this section only If you are an officeholder ••
IT I am aware that I remain subject to filing requirements applicable to an officeholder who does not have a campaign treasurer on
file. 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.ix.us Revised 8/17/2020