HomeMy WebLinkAboutChavarria, Mona January 15 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.
1 Filer ID (Ethics Commission Filers)
2 Total pages filed:
3 CANDIDATE /
OFFICEHOLDER
NAME
ms / M / MR FIRST � MI
f\Ck.
NICKNAME \ LAST SUFFIX
OFFICE USE ONLY
Date Received
JAN 08, 2026 ii:1. c
CITY OF PEER `e.LA 4F
CITY SECRETARY'S F �.e:r;
4 CANDIDATE/
OFFICEHOLDER
ADDRESS
Change of Address
ADDRESS / PO BOX; APT / SUITE it; CITY; STATE; ZIP CODE
�+
y /
Q of A C., )1 A \ I�
5 CANDIDATE/
OFFICEHOLDER
PHONE
AREA CODE PHONE NUMBER
EXTENSION
Date Hand -delivered or Date Postmarked
Receipt #
Amount $
6 CAMPAIGN
TREASURER
NAME
ms / MRS FIRST MI
\I
NICKNAME LAST SUFFIX
Date Processed
1' '---4;\ J
\(-
Date Imaged
7 CAMPAIGN
TREASURER
ADDRESS
(Residence or Business)
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE • CITY; �`
PGf \c1).� j 1 X
STATE; ZIP CODE
"S I
8 CAMPAIGN
TREASURER
PHONE
AREA CODE PHONE,NUMBEREXTENSION
^^��
-
9 REPORT TYPE
January 15
July 15
30th day before election
, 8th day before election
Runoff
Exceeded Modified
Reporting Limit
15th day after campaign
treasurer appointment
(Officeholder Only)
FT Final Report (Attach C/OH - FR)
10 PERIOD
COVERED
Month Day Year Month Day Year
0 -)-. /b
( / l p` S THROUGH ) J.. / 3 //c), S-
11 ELECTION
ELECTION DATE
Month Day Year
/ /
ELECTION TYPE
Primary ITT, Runoff I. Other
Description
' `
General F-: Special
I
12 OFFICE
OFFICE HELD (if any)
C -A y (3.Qoct \ c) os .
13 OFFICE SOUGHT (if known)
14 NOTICE FROM
POLITICAL
COMM ITTEE(S)
Additional Pages
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
CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE TYPE
COMMITTEE NAME
r GENERAL
1 '
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 1/1/2025
CANDIDATE/ OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
15 C/OH NAME
16 Filer ID (Ethics Commission Filers)
17 CONTRIBUTION
TOTALS
1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR
CONTRIBUTIONS MADE ELECTRONICALLY)
$
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
$
EXPENDITURE
TOTALS
CONTRIBUTION
BALANCE
OUTSTANDING
LOAN TOTALS
3. TOTAL UNITEMIZED POLITICAL EXPENDITURE.
$
4. TOTAL POLITICAL EXPENDITURES
$ 3 Q 1,
V
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
$ I 9 -"J , 6
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD
$
18 SIGNATURE I swear, or affirm, under
required to be reported by
penalty of perjury, that the accompanying report is true and correct and includes all information
me under Title 15, Election Code.
.•`��rv'''' RYCCA HEYDE PILLING
:r°' .-o-Notary Public, State of Texas
�i' 47 Comm. Expires 02-14-2027
'' ;;;;;; ' Notary ID 134200229
'n�a
Signature of Candidate or Officeholder
(1) Affidavit
NOTARY
Sworn
Please complete either option below:
STAMP/SEAL
3--anuacyak
to and subscribed before me by Monk onk C.t 1 6,."I' ((L this the t 441 day of ea -OR -6
20 Cp
o certi whi wi s my hand d seal of offi
p I
G(.(1 l
/ceI
\fC� H-ev.e,
,�,�Iy
A� 1 i �l i � �
�t'hl n r 5;adivP
kis i s in4'
Sign ure of officer ad inistering oath
Printed name of officer administering oat Title of officer administering oath
IIIJJJ
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 1/1/2025
SU
- C/OH FORM C/OH
COVER SHEET PG 3
19
FILER NAME -------.,,
1/4.D.I cN \ C—' 1
_ , \ CN C\ i i/-
20 Filer ID (Ethics Commission Filers)
21
SCHEDULE SUBTOTALS
NAME OF SCHEDULE
SUBTOTAL
AMOUNT
1.
SCHEDULE A1: MONETARY POLITICAL CONTRIBUTIONS
$
2.
SCHEDULE A2: NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS
$
3.
SCHEDULE B: PLEDGED CONTRIBUTIONS
$
4.
SCHEDULE E: LOANS
$
5•
*
SCHEDULE Fl: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$ i
6.
SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
0
$
7.
SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$
8.
SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD
$
9.
SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
$
10.
SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH
$
11.
SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
12.
SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED
TO FILER
$
arms provided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 1/1/2025
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS
If the requested information is not applicable, DO NOT include this page in the report.
Advertising Expense
Accounting/Banking
Consulting Expense
Contributions/Donations Made By
Candidate/Officeholder/Political Committee
Credit Card Payment
EXPENDITURE CATEGORIES FOR BOX 8(a)
Event Expense
Fees
Food/Beverage Expense
Gift/Awards/Memorials Expense
Legal Services
Loan Repayment/Reimbursement
Office Overhead/Rental Expense
Polling Expense
Printing Expense
Salaries/wages/Contract Labor
The Instruction Guide explains how to complete this form.
SCHEDULE Fl
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 Fl:
4 Date
6 Amount ($)
V
2 F ER NAME
0—°C\ Q h°\\Cifrt\
5 Payee name
�f3 L,b.c)r\-y 13Qc
\\) S\-
7 Payee address;
3 Filer ID (Ethics Commission Filers)
City, State; Zip Code
-PC4(IGn4 T)(
8
PURPOSE
OF
EXPENDITURE
(a) Category (See Categories listed at the top of this schedule)
16,/1 , n
(c) Check if lravetutside of Texas. Complete ScheduWE
(b) Description
`\ nc. t-QQ
Check if Austin, TX, officeholder living expense
9 Complete ONLY if direct
expenditure to benefit C/OH
Candidate / Officeholder name
Office sought
Office held
Date
Payee name
Amount ($)
Payee address;
City;
State; Zip Code
PURPOSE
OF
EXPENDITURE
Category (See Categories listed at the top of this schedule)
Description
Check if travel outside of Texas. Complete Schedule T.
Check if Austin, TX, officeholder living expense
Complete ONLY if direct
expenditure to benefit C/OH
Candidate / Officeholder name
Office sought
Office held
Date
Payee name
Amount ($)
Payee address;
City;
State; Zip Code
PURPOSE
OF
EXPENDITURE
Category (See Categories listed at the top of this schedule)
Description
Check if travel outside of Texas. Complete Schedule T.
Check if Austin, TX, officeholder living expense
Complete ONLY if direct
expenditure to benefit C/OH
Candidate / Officeholder name
Office sought
Office held
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 1/1/2025