FAIRDOSI TIFFANY_APRIL 27 2022_CAMPAIGN FINANCE REPORTCANDIDATE
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C/OH
OFFLCEHOLD
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FORM
1
CAMPAIGN
FINANCE
REPORT
COVER
SHEET
PG
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8 CAMPAIGN
TREASURER
PHONE
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1 th day a cal I rmgn,
9 REPORT
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I January 15
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20111 day berot e eledlon
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Runoff
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[-1 July 15
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FMday before eledkan
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[Thai Recoil trt a-.h (tAori
Reporting Limit
10 PERIOD
COVERED
Month Day Year Mont, eny ra,1r
) / 22- / 2. THROUGH
11 ELECTION
ELECTION DATE
ELECTION TYPE
Li
Prim
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I Runoff
I
I Other
Month Day Year
Daxuµlion
General
l
I Specie!
b /01
/102
OFFICE HELD (if any)
13 OFFICE SOUL IT (if known)
12 OFFICE
0
14 NOTICE FROM
THIS BOX 15 FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POUT CsAL XPENDITURES MADE BY POUT CAL COMMITTEES To SUPPORT
I OFFICEHOLDER THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S KNO LEDGE OR
POLITICAL
THE CANDIDATE
CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE(S)
COMMITTEE TYPE
COMMITTEE NAME
COMMITTEC ADDRESS
1
IGENERAL
(
I Ad(fit lanal Pages
t 1SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
GO
TO
PAGE
2
Forms provided by Texas Ethics Commission
vA'AV ethicsslate.tx.us
Revised t3/17/2020
r
CANDIDATE 1 OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT
COVER SHEET PG 2
1fi CION NAME-Ti FpAis\t
Y I=Al
12D0s
17 CONTRIBUTION
TOTALS
1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
PLEDGES, LOANS. OR GUARANTEES OF LOANS, OR
CONTRIBUTIONS MADE ELECTRONICALLY)
18 Filer ID (Ethics Commission Filers)
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES. LOANS. OR GUARANTEES OF LOANS)
$ 1431i
EXPENDITURE
TOTALS
CONTRIBUTION
BALANCE
OUTSTANDING
LOAN TOTALS
3. TOTAL UNITEMIZED POLITICAL EXPENDITURE.
$
4. TOTAL POLITICAL EXPENDITURES
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 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.
Signature of Candidate or Officeholder
Please complete either option below:
(1) Affidavit
NOTARY STAMP/SEAL
Sworn to and subscribed before me by this the
20 to certify which, witness my hand and seal of office.
day of
Signature of officer administering oath
Printed name of officer administering oath
Title of officer administering oath
OR
(2) Unswom Declaration
My name is FF P N11 Y (
, t'EI`�-u\ `�� t r 1 '\r t \ASA
(� (street) �� (City) (state) (zip code) (country)
Executed in i O C) County, State of t 0 , on the ��� day of i`f� L 202�%i.
(year)
ignature of Candidate/Officeholder (Declarant)
Forms provided by Texas Ethics Commission
wow -ethics state -tx.us
Revised 8/17/2020
SUBTOTALS - CIOH FORM CIOH
COVER SHEET PG 3
19 FILER NAME
\ PP P W `{ FA I12dbs j
20 Filer ID (Ethics Commission Filers)
21 SCHEDULE SUBTOTALS
NAME OF SCHEDULE
SUBTOTAL
AMOUNT
1.
gi SCHEDULEA1: MONETARY POLITICAL CONTRIBUTIONS
$ ZS
l�
2.
SCHEDULE A2: NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS
$
3
SCHEDULE B: PLEDGED CONTRIBUTIONS
$
4.
SCHEDULE E: LOANS
$
5.
❑ SCHEDULE Ft: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
6.
❑ SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
$
7.
SCHEDULE F3. PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$
8.
SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD
$
9
A SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
$ `-l[ CI "� 1 `�D
10.
n SCHEDULE H. PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH
$
11.
0 SCHEDULE I: NON -POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
12.
n SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED
TO FILER
$
Forms provided by Texas Ethics Commission
www.ethi cs.state. tx. u s
Revised 8117r2020
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
If the requested information is not applicable, DO NOT Include this page in the report.
The Instruction Guide explains how to complete this lorm.
i total pages Schedule Al r)
2 PIL
E ME
r
J
Fa E14o63
I
3 Filer ID (Ethics Commission Fliers)
4 Date
',Ell Full name of contri ulor ❑ oul•of-llHa PAC (10! }
7 Amount of contribution (a)
(ZZW-
L15t_ CA vo
6 Contributor address, City; State, Zip Code
qio
0
a Principal occupation
! Job title (See Instructions)
9 Employer (See Instructions)
Date
Full name of contributor ❑ oul.ot-stale PAC
00e %
Amount
1 R 22
Contrlkupor
1 k
address; City:
vw 1 C
State. Zip Code
41
of contribution (S)
Principal occupation
( Job title (See Instructions)
Employer (See Instrucuonal
Date
Full name of contributor D oul•af-etale PAC
(IDe
of ;:i.ninbUlion
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C.ovtrivIt Lai-B4.-e
Contributor address;
.cktvilG
City;
.
Stale, Zip Coon
,",mWcn[ (S)
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Principal occupation / Job title (See Instructions)
Employer (See Instructionsj
Date
Full o`f contributor El ❑ out -el -elate PAC
poly I
Amount of contribution ($)
4�
I
[name
Qo�r . 1 1J o
Contributor address; City,
6\z CA-vontc,
.. ....
State; Zip Code
4}
Principal occupation / Job title (See Instructions)
Employer (Sao Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
it contributor is out•of-slate PAC, please see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission
www.ethics.stale tx.us
Revised 80712020
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
I Total pages Schedule At_
2 FILE
3 Filer ID (Ethics Commission Filers)
4 Date
�1�ei2
Z
5 F amo of contributor ❑ aW.of.siate PAC
Cill c.t.Yoiu�
6 Contributor address. City,
Oa 1
7 Amount of contribution (S)
LP
State; Zip Code
B Principal occupation / Job title {See Instructions)
9 Employer (See Instructions)
Date
IA �+�1
Pull name of contributor ❑ our•ol-stets PAC
P wi at V��,}
Contributor address City.
elect r "r FI
(ICe €
Amount
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iiii
of contribution (Si
`
1 C)
State, �:p Cc,:!,-�i
Pnncipal occupation I Job title (See Instructions)
Employer (See Instructions)
Date
j�
L\ `{1-`{ f1 Lj
Full name of contributor [a oul•ar-lists PAC
� n D51
Contributor address: City
firfirg
Amount of contribution IS)
11 g
State; Zip Code
Pnncipal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
4r1i2
Full name of contributor ❑ out -or -slate PAC
A-1lIcam \.v6i
Contributor address, City.
•elect— OniG
a €
gm
Amount of contribution {5)
14 D
Slate: Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is nut -of -slate PAC, please see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission
wow elhics.slate Ix us
Revised 8/17/2020
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
Lif the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
7 Total pages Schedule Al
2 FIL En `nj+ 4 �r/� (�
c1�Y 4 kA 1 A. l Y V 1 V I
3 Filer ID (Ethics Commission Filers)
4 Date
i\V 1 lY
6 Kt name
6 Contributor
fAe c h
ofcontributor ID 1 j❑ out -or -stale PAC
QDe t
7 Amount of contribution ($)
4e2_D
State; Zip Code
8 Principal occupation 1 Job title (See Instructions)
9 Employer (See Instructions)
Date
/ ' l 1 \1
Full nameof contributor �( El out-of-state PAC
1. �
a r lI L .. dress;
Contribut r a dress; City;
6e / 1 f eM \ v
MC I
Amount of contribution ($)
State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (Sea Instructions)
Date
Full name of contributor 0 out-of-state PAC
Contributor address; City;
(IDS. 1
Amount of contribution (S)
State; Zip Code
Principal occupation ! Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC
Contributor address; City;
(IDS: 1
Amount of contribution ($)
State; Zip Code
Principal occupation I Job title (See Instructions)
Employer (See Instructions)
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
r
POLITICAL EXPENDITURES MADE FROM SCHEDULE G
PERSONAL FUNDS
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 8(4)
Advertising Expense Event Expense Loan RepayrnenSReimsursomorrt Solicitation/Fundraising Expense
AccounhngfSernking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense
Consuieng Expense FoadBeverage Expense Polling Expense Travel In District
Contributions/Donations Made By Oift!AwardsdMemoriais Expense Priming Expanse Travel Out Of District
CandidatelORlcehoider/Political Committee Legal Services SalanesNVageslContract Labor Other (enters category not listed above)
Oredt Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule G:
l
1
2 FF IAME I
1 t N` FAA. 40 DI
3 Filer ID (Ethics Commission Filers)
4e
4alt
Z-0
6 Payee
IN
narne J
*Fir 15 6)6-tan I -din 1 yt
6 Arno nt ($)
'15�,ro0
XIrr ,sam�,t,•rom
Ipolitical contributions
intended
7 Pa
1
addro
s; �i v City; State; Zip Code
in tm t
L .' 11496
CCrt50
8
PURPOSE
OF
EXPENDITURE
(a) Category (See Categories listed et the top
�i(,�„t
4pet
of this schedule)
n�.J[�
v1O1
(b)) �De�scriiptiion
7V/lI{
1
(C) ❑ Check if travel o f Texas. Complete Schedule Check if Austin, TX, officeholder living expense
9 Candidate / Officeholder name Office sought
Complete if direct
expenditure to benefit ClOH i 1 ' V-'.�}1+1Id DeYrl %.1✓/tU�,t
Office held
f Pc
Dale
Payee name V(
Amount ($)
Reimbursement from
political contributions
mended
Payee address; City; State; Zip Code
PURPOSE
OF
EXPENDITURE
Category (Sea Categories listed et the lop of this schedule)
Description
nCheck if travel outside of Texas. Complete ScheduleT. Check if Austin, TX, officeholder living expense
Candidate / Officeholder name Office sought Office held
Complete ONLY if direct
expenditure to benefit C/OH
Date
Payee name
Amount ($)
❑Reimbursement from
political contributions
intended
Payee address; City; State, Zip Code
PURPOSE
OF
EXPENDITURE
Category (See Categories listed at the top of this schedule)
Description
0 Check (travel outside ol Texas Comdata Schedule T. ❑ Check if Austin, TX, officeholder living expense
Candidate I Offceholdor name Office sought Office held
Complete ONLY 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 8/1712020