BRUZUAL ORLANDO_APRIL 29 2022_CAMPAIGN FINANCE REPORTCANDIDATE / OFFICEHOLDER
CIIOH
FORM
CAMPAIGN REPORT
FINANCE COVER
SHEET
PG I
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explains
how
to
complete
this
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CAMPAIGN
AREA
CODE
PHONE
r1UI.'EER
EXTENSION
TREASURER
PHONE
(
REPORT
TYPE
Januiry
15
30th
day
before
electon
I
Runoff
15th
day
after
campa
n
treasurer
(Ofltcchc!der
appointment
Only)
July
15
utll
day
before
election
Ecceeded
Modtied
Final
Report
(Minch C/CN
FE<)
Reporting
Limit
10
PERIOD
Month
U.ry
Year
Month
(hi
Year
COVERED
1
1
20
2
2.
THROUGH
29 I
2)
2 Z
11
ELECTION
ELECTION
DATE
ELECTION
TYPE
Month
Day
YC
Primiry
Runoff
�
Other
,r
Descr
i pt,on
5
7
2022
[General
Special
_
12
OFFICE
OFFICE
HELD
('f
any)
13
OFFICE
SOUGHT
(if
knor,n)
NIPv
N/A
14
NOTICE
FROM
THIS
BOX
IS
FOR
NOTICE
OF POUTICAL
CONTRIBUTIONS
ACCEPTED
OR
POUTICAL
EXPENDITURES
LIADE
BY
POLITICAL
coft4ITTEES
TO
POLITICAL
THE
CANDIDATE
/ OFFICEHOLDER
THESE
E_PENCYTURES
MAY
HAVE
BEEN
MADE
iifTTIOUT
THE
CAUDIDATES
OR OFFICEHOLDER'S
KNOISLEDGE
SUPPORT
OR
CONSENT.
CANDIDATES
AND
OFFICEHOLDERS
ARE
REQUIRED
TO
REPORT
THIS
INFORHATION
ONLY
IF
THEY
RECEIVE
NOTICE
OF
SUCH
EXPENDITURES
COMMITTEE(S)
COMMITTEE
TYPE
COMMITTEE
NAME
GENERAL
COMMIT
T
LE ADDRESS
[ I
Addition
it
P.u;u',
SPECIFIC
COMMITTEE
CAMPAIGN
TREASURER
NAME
Crl'.1MI1
TEE
CAMPAIGN
TREASURER
ADDRESS
GO
TO
PAGE
2
Forms provided by Texas Ethics Commission
vim/ ethics state tx us
Revised 8/17/2020
r-_
CANDIDATE I OFFICEHOLDER
CAMPAIGN FINANCE REPORT
FORM C/OH
COVER SHEET PG 2
16 CIOK NAME ov V V l i J o Bruzuoti
17 CONTRIBUTION 1 TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
TOTALS PLEDGES, LOANS OR GUARANTEES OF LOANS OR
CONTRIBUTIONS MADE ELECTRONICALLY)
EXPENDITURE
TOTALS
CONTRIBUTION
BALANCE
OUTSTANDING
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES. LOANS. OR GUARANTEES OF LOANS)
3 TOTAL UNITEMIZED POLITICAL EXPENDITURE
4. TOTAL POLITICAL EXPENDITURES
16 Fifer ID (Ethics Commission Filers)
5 TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
6 TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD
a
aU
U
s U
18 SIGNA
(1 )Affidav
TURE I swear, or affirm. under penalty of perjury. that the accompanying report is true and cone Land ,dudes all inrorrnauon
required to be reported by me under Title 15, Election Code
It
NOTARY STAMP SEAL
Sworn to a
20
S&Era
Please complete either option below:
ate or Officeholder
nd subscnbed before me by this the day of
to certify which, witness my hand and seal of office
Signature of officer administering oath
Printed name of officer adrnmistenng oath
Title of officer administering oath
OR
(2) Unsworn Declaration
My name is
My address
Executed in
Is
, and my date of birth is
(street)
County, State of
My. T9iRs41hasZst ,
on the
(city) (state) (zip code) (country)
day of 20
(month) (year)
Signature of Candidate/Officeholder (Declarant)
Revised d I7 i
1s1
SUBTOTALS - C/OH
19 FILER NAME
21 SCHEDULE SUBTOTALS
NAME OF SCHEDULE
1" ❑ SCHEDULEAl MONETARY POLITICAL CONTRIBUTIONS
2 ❑ SCHEDULE AZ NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS
FORM CIOH
COVER SHEET PG 3
20 Filer ID (Ethics Commission Filers)
3 ❑ SCHEDULE B. PLEDGED CONTRIBUTIONS
4 ❑ S• CHEDULE E_ LOANS
S ❑ S• CHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
6 ❑ SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
$
$
SUBTOTAL
AMOUNT
S
$
7. ❑ SCHEDULE F3 PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
b
$ ❑ SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD
E
9. n SCHEDULE G. POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
$
SCHEDULE H PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $
SCHEDULE I NON -POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
SCHEDULE K INTEREST. CREDITS, GAINS, REFUNDS. AND CONTRIBUTIONS RETURNED
TO FILER
S
Forms provided by Texas Ethics Commission
www ethics slate tx us
Revised 81170020