DAGGET JAI_NOVEMBER 1 2019_CAMPAIGN FINANCE REPORT CANDIDATE / OFFICEHOLDER 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. 7
3 CANDIDATE/ MS/MRS/MR FIRST MI
OFFICEHOLDER OFFICE USE ONLY
NAME Mr Jai L
Date Received
• NICKNAME LAST SUFFIX c —
Daggett [ .iLl' LVE :
4 CANDIDATE/ ADDRESS /PO BOX, APT/SUITE#• CITY* STATE; ZIP CODE
OFFICEHOLDER NOV 01 2019
MAILING
ADDRESS Pearland, TX 77584 CITY OF PEARL.ANID
❑ Change of Address C IT1'SECRETARY S COFFIC E
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER Date Hand-delivered or ate Postm
PHONE ( 111- ar
,
6 CAMPAIGN MS/MRS/MR FIRST MI Receipt# Amount$
TREASURER Mrs. Katie L. _
NAME , Date Processed
NICKNAME LAST SUFFIX
Daggett Da... maged
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#• CITY* STATE; ZIP CODE
TREASURER
ADDRESS Pearland, TX 77584
(Residence or Business)
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER (
PHONE
9 REPORT TYPE
n January 15 I 30th day before election n Runoff n 15th day after campaign
1 treasurer appointment
(Officeholder Only)
n July 15 Lg 8th day before election I Exceeded$500 limit [] Final Report(Attach C/OH FR)
10 PERIOD Month Day Year Month Day Year
COVERED 10 08 2019
/ / THROUGH 10 / 28 / 2019
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year ❑ Primary ❑ Runoff ❑ Other
Description
11 / 05 / 2019 ❑ General EX Special
12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known)
City of Pearland
City Council Position 2
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME 15 Filer ID (Ethics Commission Filers)
Jai Daggett ,
16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
POLITICAL SUPPORT THE CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S
COMMITTEE(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
N/A
❑GENERAL
COMMITTEE ADDRESS
SPECIFIC
I
COMMITTEE CAMPAIGN TREASURER NAME
I I Additional Pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION 1 TOTAL POLITICAL CONTRIBUTIONS OF$50 OR LESS (OTHER THAN
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS) UNLESS ITEMIZED $ 120 00
2. TOTAL POLITICAL CONTRIBUTIONS $ 2,060 00
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
TOTALSN EXPENDITURE 3 TOTAL POLITICAL EXPENDITURES OF$100 OR LESS, $
UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES $ 3,244 00
CONTRIBUTION 5 TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF REPORTING PERIOD $ 1274 00
OUTSTANDING 6 TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ 2000 00
18 AFFIDAVIT
I swear,or affirm,under penalty of perjury,'that the accompanying report is ___,
true and correct and includes all information required to be replV 10/28/2019 bYjerirl d by PDFfiller I
DAISY MATA under Title 15,Election Code. I ---
a'N.' NOTARY PUBLIC,STATE OF TEXAS ✓�
MV COMMISSION EXPIRES . —"�( �
Expires:July 9,2019
' `` Notary 10 I*12e59125 2
Signature of Candidate or Officeholder
I
AFFIX NOTARY STAMP/SEALABOVE 1
Sworn to and subscribed before me, by the said "Q\ Q'(C T` ,this the
day of ,20 t^"1, ,to certify which,witness my hand and seal of office.
csi.X. 11 -AC3Act Q____!6 ____
Signatur of ministering oath Printed name of officer dministering oath Title of officer administe' th
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
SUBTOTALS - C/OH FORM C/OH
COVER SHEET PG 3
19 FILER NAME 20 Filer ID(Ethics Commission Filers)
Katie Daggett
21 SCHEDULE SUBTOTALS SUBTOTAL
NAME OF SCHEDULE AMOUNT
1 .K I SCHEDULE A1 MONETARY POLITICAL CONTRIBUTIONS $ 2060 00
2. SCHEDULE A2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $ 0 00
3. SCHEDULE B: PLEDGED CONTRIBUTIONS $ 0 00
4 X SCHEDULE E: LOANS $ 2000 00
5. )( SCHEDULE Fl POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 3244 00
6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 0 00
7 n S• CHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ 0 00
8. SCHEDULE F4 EXPENDITURES MADE BY CREDIT CARD $ 0 00
9. SCHEDULE G. POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 0 00
10. fI S• CHEDULE H PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ 0 00
11 n S• CHEDULE I NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 0 00
12 SCHEDULE K. INTEREST, CREDITS, GAINS, REFUNDS,AND CONTRIBUTIONS $ 0 00
RETURNED TO FILER
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al
2 FILER NAME Jai Daggett 3 Filer ID (Ethics Commission Filers)
4 Date 5 Full name of contributor ❑out-of-state PAC(ID#. ) 7 Amount of contribution ($)
Ferdinand Bautista
10/10/2019 $100 00
6 Contributor address; City State; Zip Code
13001 Shoalwater In Pearland,TX 77584
8 Principal occupation/Job title(See Instructions) 9 Employer (See Instructions)
Date Full name of contributor ❑out-of-state PAC(ID#• ) Amount of contribution ($)
Heather Haq
10/10/2019
Contributor address; City• State; Zip Code $100 00
13617 Violet Bay CT Pearland, TX 77584
Principal occupation/Job title (See Instructions) Employer(See Instructions)
Date Full name of contributor ❑out-of-state PAC(ID#• ) Amount of contribution ($)
Prince Daniels
10/11/2019 .
Contributor address, City; State; Zip Code $500 00
4284 Mancilla Ct San Diego, CA. 92130
Principal occupation/Job title(See Instructions) Employer (See Instructions)
Date Full name of contributor ❑out-of-state PAC(ID#• ) Amount of contribution ($)
10/11/2019 Amol Kulkarni
Contributor address, City; State, Zip Code $500 00
2414 Brun St. Houston, TX 77019
Principal occupation/Job title (See Instructions) Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC,please see instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form. I Total pages Schedule Al
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
Jai Daggett
4 Date 5 Full name of contributor 0 out-of-state PAC(ID#• ) 7 Amount of contribution ($)
Julie Branin
10/12/19 50 00
6 Contributor address; City- State; Zip Code
1815 Enclave Pkwy, Houston, TX. 77002
8 Principal occupation/Job title(See Instructions) 9 Employer (See Instructions)
Date Full name of contributor 0 out-of-state PAC(ID#• ) Amount of contribution ($)
Yvonne Tarado
10/14/19 20 00
Contributor address; City; State; Zip Code
11619 Iowa Colony Blvd, Iowa Colony, TX.77583
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor 0 out-of-state PAC(ID#:_ ) Amount of contribution ($)
10/14/19 Yusef Burgess
•
Contributor address; City; State; Zip Code 1 OO OO
5406 Meadow Spring CT Rosharron, TX. 77583
Principal occupation/Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor 0 out-of-state PAC(ID#: ) Amount of contribution ($)
10/16/19 Steve Randolph
Contributor address; City; State; Zip Code 250 00
13005 Shoalwater In, Pearland, TX. 77584
Principal occupation/Job title (See Instructions) Employer(See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC,please see instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
Jai Daggett
4 Date 5 Full name of contributor
0 out-of-state PAC(ID#: ) 7 Amount of contribution ($)
10/17/19 Chris Harmon
• 100 00
6 Contributor address; City- State; Zip Code
12515 Whispering Sands Ct. Houston, TX. 77041
8 Principal occupation/Job title(See Instructions) 9 Employer (See Instructions)
Date Full name of contributor ❑out-of-state PAC(ID#• ) Amount of contribution ($)
Mo Ovalles
10/1.9/19
Contributor address; City; State, Zip Code 100 00
13208 Laguna Shores, Pearland, TX.77584
Principal occupation/Job title(See Instructions) Employer (See Instructions)
Date Full name of contributor 0 out-of-state PAC(ID#: ) Amount of contribution ($)
10/25/19 Mona Alweiss
•
Contributor address; City- State; Zip Code
12816 Quail Creek; Pearland, TX. 77584
Principal occupation/Job title(See Instructions) Employer (See Instructions)
Date Full name of contributor ❑out-of-state PAC(ID#• ) Amount of contribution ($)
Contributor address; City; State, Zip Code
Principal occupation/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 9/8/2015
LOANS SCHEDULE E
The Instruction Guide explains how to complete this form. 1 Total pages Schedule E: 1
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
Jai Daggett
4 TOTAL OF UNITEMIZED LOANS $ 2000
5 Date of loan 7 Name of lender ❑out-of-state PAC(ID#• ) 9 Loan Amount($)
10/14/19 Daggett Consulting Group
6 Is lender 8 Lender address, City State; Zip Code 10 Interest rate
a financial 0 0
Instit •
Y 11601 Shadowcreek Pkwy, Pearland TX. 77584 1y rriyavo
12 Princi•- •ccupation /Job title (See Instructions) 13 Employer (See Instructions)
Self
14 Description of Collateral 15 Check if personal funds were deposited into political
account (See Instructions)
❑ none
16 GUARANTOR 17 Name of guarantor 19 Amount Guaranteed($)
INFORMATION
18 Guarantor address; City State, Zip Code
❑ not applicable
20 Principal Occupation (See Instructions) 21 Employer (See Instructions)
Date of loan Name of lender ❑out-of-state PAC(ID#• ) Loan Amount($)
Is lender Lender address; City; State; Zip Code Interest rate
a financial
Institution?
Maturity date
Y N
Principal occupation /Job title (See Instructions) Employer (See Instructions)
Description of Collateral Check if personal funds were deposited into political
account (See Instructions)
❑ none ❑
GUARANTOR Name of guarantor Amount Guaranteed($)
INFORMATION
Guarantor address; City* State; Zip Code
❑ not applicable
Principal Occupation (See Instructions) Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If lender 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 9/8/2015