Chavarria Mona-January 15-Campaign Finance Report CANDIDATE / OFFICEHOLDER FO.RIVI. 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.
3 CANDIDATE/ Ms i M ' / R A FIRST • ' • MI • OFFICE USE ONLY
NAMEOFFIC
� 1' °' �.
Date Received �r+ x
NICKNAMEVs\ LAST SUFFIX .Ex�E
'�'r k� .JAN i2,2024 12:59
4 CANDIDATE/ ADDRESS/PO BOX; ART/SUITE#;. CITY• STATE; ZIP CODE'
OFFICEHOLDER ��� CITY OF I�EA�iLA�11�
MAILING
/ CITY SEICRETARY'.Ss.OFFI�'F
' ADDRESS �CP\(`U nc5t)� n • -9`S
Change of Address
5 CANDIDATE/ AREA CODE .PHONE NUMBER EXTENSION
[_
.. .. .
.. . - . .. . .. . Reeeipt# ' Amount.$
6 CAMPAIGN MS/MRS/.M ' ` FIRST MI.
TREASURER V�..Q \ r
NAME • , . Date Processed
NICKNAME LAST SUFFIX
/ n Date Imaged
7' CAMPAIGN STREET ADDRESS (NO'PO BOX PLEASE); APT/SUITE# CITY' STATE; ZIP CODE
,��
TREASURER <-.� V-eo1 f I ci n()k -t--X. -3-1--- 8 +.
ADDRESS
(Residence or Business) •
8 CAMPAIGN A• REA.CODE PHONE NUMBER EXTENSION
TREASURER
\
. . .
9 .REPORT TYPE . 'January 15 ❑ 30th day before election ❑ Runoff 15th day after campaign
treasurer appointment •
(Officeholder Only).
n_ July 15 n 8th day before election n Exceeded Modified n Final Report(Attach C/OH-FR) •
• . Reporting Limit .
10 PERIOD' Month Day Year Month Day Year
COVERED o'' - /® \ /C,a . . 1 a / 3 /
THROUGH
11 ELECTION .ELECTION DATE ELECTION TYPE
Month Day Year ❑ Primary ❑ Runoff El'Other
Description
•
•i 1 /D CI /q S 1 El GeneralXZISpecial
12 OFFICE ( O• FFICE HELD (If any) . 13 OFFICE SOUGHT (It known) .
'VZ 4144(-4C00n - \ -1 Pas c 2 . . . .. .
14 NOTICE FROM 'THIS.BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT
POLITICAL THE CANDIDATE'/.OFFICEHOLDER. THESE EXPENDITURES.MAY HAVE BEEN MADE-WITHOUT THE CANDIDATES OR OFFICEHOLDER'S KNOWLEDGE OR.
CONSENT.CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEES)
COMMITTEE TYPE COMMITTEE NAME
•
GENERAL COMMITTEE ADDRESS
D. Additional.Pages
. 0 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 11/15/2022
CANDIDATE / OFFICEHOLDER FORM •C/OH
'CAMPAIGN FINANCE'REPORT COVER SHEET PG 2
15 C/OH NAME • 16 Filer ID (Ethics Commission Filers)
17 CONTRIBUTION 1 TOTAL UNITEMIZED,POLITICAL CONTRIBUTIONS (OTHER THAN.
- TOTALS. PLEDGES,LOANS,OR GUARANTEES OF LOANS,OR $
CONTRIBUTIONS MADE ELECTRONICALLY)
. .. is - --
2. TOTAL.POLITICAL,CONTRIBUTIONS $
(OTHER THAN PLEDGES, LOANS,.OR GUARANTEES OF LOANS)
TOTALS EXPENDITURE 3 TOTAL UNITEMIZED POLITICAL EXPENDITURE. $
51
4. TOTAL POLITICAL-EXPENDITURES
CONTRIBUTION 5 TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY a
BALANCE OF REPORTING PERIOD $ I j ,
OUTSTANDING 6 TOTAL.PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY. OF THE REPORTING PERIOD $ i.L)
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,Elebtiort Code. .
Signature of Candidate or Officeholder
Please complete either option below•
40;,:,i RYCCA HEYDE PILLING
(1)Affidavit i.R ` Notary Public,State of Texas
•
.. '�o_ Comm.Expires 02-14-2027
2,,`,.`' Notary ID 134200229 -
I,NOTARY STAMP/SEAL
Sworn to and subscribed before me by ra 1. ,i(Y 'j'j"t . this the. Fo 4 1 day of T Uf,/(V . ,
20 e2 ,t certi whi w
hips my handv-. and I of office.
7, N1 cp_n .I4-N(it, .f.-_1 li _NI
•Signatu of officer adm istering oath .Printed n me of officer administering oath Title of o icer administering oath
•
OR •
(2)Unsworn Declaration
My name is , and my date of birth is
My address is ,
(street) (city) (state) (zip code) (country)
Executed in. County,State of ,on the day of ,20
(month) • (year)
Signature of Candidate/Officeholder(Declarant).
.
Forms provided by Texas:Ethics Commission www.ethics.state.tx.us Revised 11/15/2022
SUBTOTALS - C/OH FORM C/OH
COVER SHEET PG 3
19 FILER NAME 20 Filer ID(Ethics Commission Filers)
21 SCHEDULE SUBTOTALS SUBTOTAL
NAME OF SCHEDULE AMOUNT
1 n S• CHEDULEAI MONETARY POLITICAL CONTRIBUTIONS $
2• n S• CHEDULEA2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS
3 n S• CHEDULE B: PLEDGED CONTRIBUTIONS $
4 n SCHEDULE E: LOANS $
5- Erzi SCHEDULE F1 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ i /„
6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $
7 n SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $
8 n SCHEDULE F4 EXPENDITURES MADE BY CREDIT CARD $
9- 0 SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
10: n SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $
11 n SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $
12. SCHEDULE K. INTEREST CREDITS, GAINS; REFUNDS,AND CONTRIBUTIONS RETURNED $
TO FILER
Forms provided by Texas:Ethics Commission www.ethics.state.tx.us Revised 11/15/2022
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. Total pages Schedule Al
-2 FILER NAME 3 Filer ID (Ethics ommission Filers) •
eir\ik
4 Date - 5 Full ame of contributor ❑,outrof-state PAC(ID#: . ) 7 Arnbunt of contribution ($),
,\ - IS-a- ` y Est 1,0
6 Contributor address; City' State; Zip Code
— { a �Xs
8 Principal occupation/Job title(See Instructions) 9 Employer(See Instructions)
P4N-12\ v� . . KG r 9
Date Full name Of contributor ❑.out-of-state PAC(ID#• ) Amount of contribution ($)
fix.,. C-12 S S a
\, \ - 1 S _y� Contributor address; City State; Zip Code 1 i)
'S3 bce i‘) t
Pith� P��p� I1. � s 1
Principal occupation/Alb-title(See Instructions) Employer(See Instructions) D
.. ik' c'\\ �1(� -- . S.--es. ' —P. PA, ( �'c,/ .
Date Full name of contributor ❑out-of-state PAC(ID#: ) Amount of contribution ($)
1
I C .ce CI:7 { f `i
•
\\ - 1 S- Contributor address; City; State; Zip Code S b 0 ' ` ,. .. 3S3 6X1k). G k A c A j • 3-)-s-5,/ 1
Principal occupation/Job title(See Instructions) Employer(See instructions)
s. sN)f-CA Y\ 1 :)s0IO S --e I C - Le. in-. i uy-Q4
Date • Full name of contributor pout-of-state PAC(ID#: ) Amount of contribution ($)
3Th\A A C\ Ct4 --- 0-
\\—CI' , Z/ Contributor address; C( • State; Zip Code w
a3): Y sZ�nQ�sz \1-Fc. I-in T V�J
Prin'al occupation/Job title
[(See Instructions) Em toyer(Sete Instructions) 9
WNSIA
C.
ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS 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 11/15/2022
MONETARY .POLITICAL CONTRIBUTIONS SCHEDULE Al
If the requested information is not applicable, DO NOT include this page in the report.
1 Total.pages Schedule Al
The Instruction Guide explains how to.complete this form.
2' FIL NAME 3 Filer ID (Ethics Commission Filers)
0 \r-NCI\ \ C-- k-t9\\TC/\ c f iiki\ .
4 Date 5 Full name of contribute ❑out-of-state PAC(ID#: ) 7 Amount of contribution ($)
(../‘ 6 bC.1�_1A. ��t \i\ G N.) /t'Vtll l elvt�
- Ai— 6 Contributor address; City. State; Zip Code b u , L
8 Principal occupation/Job title(See Instructions) 9 Employer See Instructions)
_gyp
VIA,-Y\ju,)1v f 1.1r 11••P r
Date Full name Of contributor 0 out-of-state PAC(ID#: ) Amount of contribution ($)
Contributor address; City State; 'Zip Code
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor 0.out-of=state PAC(1D#: ). Amount.of contribution ($)
Contributor address; City; State; Zip Code
Principal occupation/Job title(See Instructions) Employer(See Instructions) .
•
•
•
Date • Full name of contributor 0•out-of-state PAC(ID#• ) Amount-of contribution ($)
Contributor address; City- 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 11/15/2022
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE Fl
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
AccountingBanking Fees Office Overhead/Rental Expense Transportation Equipment 8,Related Expense
Consulting Expense •Food/Beverage Expense Polling Expense Travel In District
Contributions/Donations Made By GiR/Awards/Memorials Expense Printing Expense Travel Out Of District
- Candidate/Officeholder/Poliitical Committee -Legal Services Salaries/Wages/Contract Labor Other(enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total (pages Schedule Fl 2 FILER NAME "�� 3 Filer ID (Ethics Commission Filers)
\ `i;,--\) -.).-- -nr.)01-Np. \
ckvoi i f 1 (A
4 Date 5 Priki name
\\ — 1 4 - )---3 • G y\ i Gce(29\ .
6 Amount ,($) 7 Payee address; n City; State; Zip Code
I S 0 4 )4-1 Is\q \,\\)_ \D C. Q.--e c4rUrti ---h( --.-1/4 Sr q
8 (a) Category (See Categories listed at the top of this schedule) (b) Description
PURPOSE
OF �.� L 11�1 \ '" S1 1
EXPENDITURE ��y ` \. � Y �
(c) n Check if travel outside of Texas.Complete ScheduleT. n C• heck if Austin,TX,officeholder living expense
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office.held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City;' State; ' Zip Code
((1)
Ci\ 1 I )-- ao \ \(),,,, .(\) s- -. -ev,A &dd ----Y -)-4ssil
Category(See Categories listed at the top of this schedule) Description
PURPOSE
OF /�
EXPENDITURE �CC0 v \ % I �' ` l
s1S-N , Vs•sz
❑ Check if travel outside of Texas.Complete ScheduleT. n C• heck if Austin,TX,officeholder living expense
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
\\-\\A -- a3 �f');\ ck z- p-.
Amount ($) Payee address; City; State; Zip Code
\
Q ‘ )
\1(%
- A.
CO
Category (See Categories listed at the top of this schedule) Description
PURPOSE \\ 1
OF 'l (�
EXPENDITURE \� - \ �/\ . y' 1.°V�.J
Cg �
nCheck if travel outside of Texas.Complete ScheduleT. n C• heck If Austin,TX,officeholder living expense
Complete ONLY if direct Candidate/Officeholder name ' Office sought 'Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/15/2022
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE Fl
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other(enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Fl 2 F R NAME _ 3 Filer ID (Ethics Commission Filers)
arc ' ' \ C \ cç)( 1,0\
4 Date 5 Payee name
6 Amount ($) 7 Payee address; City; State; Zip Code
1 SA. LVA l—o s ,Q - Ei6felpiekUci4 si, E 1 33�
8 (a) Category (See Categories listed at the top of this schedule) (b) Description <,P 1 r,PS
PURPOSE \ C\n
OF 1Q ,``� A...4,
`IJEXPENDITURE \ ` rIc q V� 11 �YY�_ ID�^S,
(C) ❑ Check if travel outside of Texas.Complete ScheduleT. n Check if Austin, ,officeholder living expense
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
` 1—)...1 \ c c_.\\-- EA S J
? F)
Amount ($) Payee address; City' State; Zip Code
\r)-\() . 3r \ Cik\ \\) 4k1. ,-3s', (
Category (See Categories listed at the top of this schedule) Description
PURPOSE ` C �QY.'\ \) 1 0� 1�
OF o 1
EXPENDITURE 1 c)11)\1 IA` S
nCheck if travel outs sofTexas.CompleteScheduleT. officeholder living expense
❑ Check if Austin,
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule) Description
PURPOSE
OF
EXPENDITURE
n Check if travel outside ofTexas.Complete ScheduleT. n 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 11/15/2022