BRUZUAL ORLANDO_MAY 17 2022_FINAL_CAMPAIGN FINANCE REPORTCANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
The C/OH Instruction Guide explains how to complete this form.
I Filer ID (Ethics Commission Filers)
2 Total pages (tied:
3 CANDIDATE /
OFFICEHOLDER
NAME
Ms / MRS I/MR
NICKNAME
FIRST `� MI
VI j 01 V t J
LAST SUFFIX
Njlki CAA
OFFICE USE ONLY
Date Received
4 CANDIDATE /
OFFICEHOLDER
MAILING
ADDRESS
❑ Change of Address
ADDRESS / PO BOX; APT ! SUITE #; CITY; STATE; ZIP CODE
„, �� a,�
Veo�{(1)'ix 775SA
5 CANDIDATE/
PHONE OFFICEHOLDER
AREA CODE PHONE NUMBER EXTENSION
Dale Hand -delivered or Data Postmarked
Receipt #
Amount S
6 CAMPAIGN
TREASURER
NAME
SlMRSlMR FIRST MI
L\)6)Uj G
NICKNAME LAST SUFFIX
�r ``` VI S°�
1 4
Date Processed
Dale Imaged
7 CAMPAIGN
TREASURER
ADDRESS
(Residence or Business)
STREET ADDRESS (NO PO BOX PLEASE); APT ! SUITE #k, CITY; STATE; ZIP CODE
8 CAMPAIGN
TREASURER
PHONE
AREA CODE PHONE NUMBER EXTENSION
9 REPORT TYPE
15th after cam ai n
❑ January 15 30th day before election ! 1 Runoff daycampaign
treasurer appointment
fficeholder Only)
July 15 I ! 8th day before election Exceeded Modified I Final Report (Attach C/OH -FR)
Reporting Limit
10 PERIOD
COVERED
Month Day Year Month Day Year
4/ 21 /2922 THROUGH S /i7 /Z022
11 ELECTION
ELECTION DATE
Month Day Year
L
5 / 7 /2Q 2 Z
ELECTION TYPE
❑ Pr ary ❑ Runoff ❑ Other
Description
General � Special
12 OFFICE
OFFICE HELD (if any)
13 OFFICE SOUGHT (if known}
14 NOTICE FROM
POLITICAL
COMMITTEE(S)
❑ Additional Pages
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT
THE CANDIDATE f OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'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
GENERAL
COMMITTEE ADDRESS
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
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