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KOZA JOSEPH_JULY 15 2022_CAMPAIGN FINANCE REPORTCANDIDATE / OFFICE OLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: The C/OH Instruction Guide explains how to complete this form. 16. 3 CANDIDATE / MS /MRS / MR FIRST MI OFFICE USE ONLY OFFICEHOLDER (�J� ()®� • Date Received NICKNAME LL S� SUFFIX 4 CANDIDATE / OFFICEHOLDER ADDRESS / PO BOX; APT / SUITE tt; CITY; STATE; ZIP CODE q MAILING ADDRESS JUL 0 1 2022 ' Change of , CITY S F C R ETA RY S O f F I C 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION Date Hand-delive ed or Date Postma ked OFFICEHOLDER \ Receipt # Amount $ 6 CAMPAIGN MS / MRS / MR FIRST MI TREASURER /�� ' 4L p tom ) Date Processed NAME f NICKNAME LAST SUFFIX Date Imaged 651001.46 7 CAMPAIGN TREASURER STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE ADDRESS PEAPAA013 `_�% EpQ (Residence or Business) 1 ( • 1 l 8 CAMPAIGN TREASURER AREA CODE PHONE NUMBER EXTENSION PHONE ( 9 REPORT TYPE 15th day January 15 30th day before election Runoff after campaign treasurer appointment (Officeholder Only) Exceeded Modified Final Report July15 8th day before election (Attach C/OH - FR) Reporting Limit 10 PERIOD Month Day Year Month Day Year COVERED •1 LI /4°,8 / ®.a� THROUGH G / 3® /ao Q� O�.Oi 11 ELECTION ELECTION DATE ELECTION TYPE Primary Runoff 1-1 OtherMonth Day Year Description General Special / / 12 OFFICE OFFICE e HELD (if COO any) ?OSA-NOIJ I 13 OFFICE SOUGHT (if known) Met PICA L, 14 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT THE CANDIDATE / OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S KNOWLEDGE OR POLITICAL CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES. COMMITTEE(S) COMMITTEE TYPE COMMITTEE NAME GENERAL COMMITTEE ADDRESS 1 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 CANDIDATE / OFFICEHOLDER FORM C/OH COVER SHEET PG 2 CAMPAIGN FINANCE REPORT 15 C/OH NAME 16 Filer ID (Ethics Commission Filers) ,,`` • ` C� .3 17 CONTRIBUTION TOTALS 1 . TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR $ CONTRIBUTIONS MADE ELECTRONICALLY) 2. TOTAL POLITICAL CONTRIBUTIONS THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $ 4151. 0• 00 (OTHER EXPENDITURE TOTAL 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE. $ 4. TOTAL POLITICAL EXPENDITURES $ 8 3• i IA CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY tal $ �f ��• ` r BALANCE OF REPORTING PERIOD OUTSTANDING LOAN TOTALS 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. gr, 4 4 . `SPY P�'.. JENNIFER `gyp e __°,� ` s Notary Public, SHYLAN State Please CADMUS of Texas complete e either option signature of Candidate or Officeholder below: (1) Affidavit 4 N •.;4 /\ ,,FOFt�,; c, My Commission Expires December 17, 2024 o NOTARY STAMP/SEAL NOTARY ID 1166200-6 r Kt/CL� ) 0.—M I Sworn to before me by this the day of 1 and subscribed .101i11\1 ,S _ ./", Z - 20 , to certify which, witness my hand and seal of office a' tL - 7\11n1. Cr Si\ \cm UstUAS! -eColos ail( elm II . g (2) ature Unsworn of o ice admini Declaration ring oa h Printed name of officer administerin OR oath Titl of officer administerinOath My name is , and my date of birth is My address is . Executed (street) in County, State of , on the (city) (state) (zip code) (country) 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 C/OH COVER FORM C/OH 3 A - SUBTO PG SHEET 19 FILER NAME rossosaiiss 20 Filer ID (Ethics Commission Filers) azzA ...3.05epo,• 21 SCHEDULE NAME SUBTOTALS OF SCHEDULE SUBTOTAL AMOUNT 1. $ q5.0• ' SCHEDULE A1: MONETARY POLITICAL CONTRIBUTIONS 00 2. SCHEDULE A2: NON -MONETARY $ (IN -KIND) POLITICAL CONTRIBUTIONS 3. SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4. I SCHEDULE E: LOANS $ I 5. SCHEDULE F1: POLITICAL $ EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS 6. SCHEDULE F2: UNPAID INCURRED $ OBLIGATIONS 7• SCHEDULE F3: PURCHASE CONTRIBUTIONS $ I I POLITICAL OF INVESTMENTS MADE FROM 8. $ SCHEDULE F4: EXPENDITURES CARD MADE BY CREDIT 9. SCHEDULE G: POLITICAL $ EXPENDITURES MADE FROM PERSONAL FUNDS 10. SCHEDULE H: PAYMENT BUSINESS OF C/OH $ 1 Li ` in' MADE FROM POLITICAL CONTRIBUTIONS TO A 11. SCHEDULE I: NON -POLITICAL $ EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS 12. SCHEDULE K: INTEREST, $ CREDITS GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED TO FILER Revised 8 Forms provided by Texas Ethics Commission www.ethics.state.tx.us MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al If information is DO NOT include this in the report. the requested not applicable, page 1 Total pages Schedule Al: The Instruction Guide explains how to complete this form. 1 2 FILER NAME '" osE?V\ • 1 3 Filer ID ( Ethics Commission Filers) 4 Date 5 Full name of contributor 0 out-of-state PAC (ID#: ) 7 Amount of contribution ($) ' 14 q Q i Contributor City; State; Zip Code ®0� CO ) 6 address; a4®.a Cons/ ruts DR,icbsamebVx 1t 8 8 Principal / Job title (See Instructions) 9 Employer (See Instructions) occupation Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution ($) 905114 C• StMM pq❑ 5 i State; Zip Code /p®• CO Contributor address; City; 46 // I i 31 t ‘Afteek DP+, ?solt-u X 77Sg 1 Principal / Job title (See Instructions) Employer (See Instructions) occupation Date Full name of contributor 0 out-of-state PAC (ID#: ) Amount of contribution ($) Co' PAc- 66 Dizy ,. State; Zip Code Shiaa2 Contributor address; City; �� O Qo • j3y3o &oLVU FJawg1 �oa,sted11\77o44to Cv Principal / Job title (See Instructions) Employer (See Instructions) occupation Date Full name of contributor ❑ out-of-state PAC (ID#: ) Amount of contribution ($) Contributor address; City; State Zip Code Principal / Job title (See Instructions) Employer (See Instructions) occupation ATTACH If contributor is out-of-state ADDITIONAL PAC, please COPIES see Instruction OF THIS SCHEDULE guide for additional AS NEEDED reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us evise POLITICAL CONTRIBUTIONS MADE FROM PAYMENT SCHEDULE H C/OH TO A BUSINESS OF If the information is not applicable, DO NOT include this page in the report. requested EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Accounting/Banking Fees Office Overhead/Rental Expense Consulting Expense Food/Beverage Expense Polling Expense Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Candidate/Officeholder/Political Committee Legal Services Salaries/wages/Contract Labor Credit Card Paymentthis form. The Instruction Guide explains how to complete' Solicitation/Fundraising Expense Transportation Equipment & Related Expense Travel In District Travel Out Of District Other (enter a category not listed above) 1 Total pages Schedule H: 2 FILER NAME %)3 ,� Filer ID (Ethics Commission Filers) 0 os�a • 4 Datg 5 Business name 6 Amount ($) 7 Business address; City; State; Zip Code & A 74.9% till 7531 as I® pAAvrl OW .. 8 (a) Category (See Categories listed at the topofthis schedule) (b) Description PURPOSE n LAFEL P J s OF ./.�y -` I 1 TI r^�,,(�VCf�+ SIet% Ca "Pi7r EXPENDITURE (c) Check if travel outside of Texas. Complete ScheduleT. I I Check if Austin, TX, officeholder living expense 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Business name Amount ($) Business address; City; State; Zip Code PURPOSE OF Category (See Categories listed at the top of this schedule) Description EXPENDITURE Check if travel outside of Texas. Complete Schedule T. I I Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Business name State; Zip Code Amount ($) Business address; City; PURPOSE OF Category (See Categories listed at the top of this schedule) Description EXPENDITURE Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held 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 8/17/2020