HomeMy WebLinkAboutCFR-04.06.2017-NicholsonCANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
Y Filer ID (Ethics Commission Filers)
2 Total pages filed: 10
The C/01-1 Instruction Guide explains how to complete this form.
3 CANDIDATE /
MS / MRS / MR FIRST MI
OFFICE USE ONLY
OFFICEHOLDER
Mrs Valerie S.
Date Received
NAME
....................................
NICIQJAME LAST SUFFIX
RECEIVED
Nicholson
APR 0 6 2017
ZIP CODE
4 CANDIDATE/
ADDRESS / PO BOX; APT / SUITE #; CITY; STATE;
OFFICEHOLDER
MAILING
City Secreta
ADDRESS
❑ Change of Address
5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
Date Hand -delivered or Date Postmarked
OFFICEHOLDER
( )
PHONE
6 CAMPAIGN
MS / MRS / MR FIRST MI
Recelpt #
Amount $
TREASURER
Mrs Vicki
Date Processed
I
NAME
. . . . . . . . . . . . . . . . . .
NICI(NAME LAST SUFFIX
Date Imaged
Jackimiec
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT / SURE #; CITY; STATE;
ZIP CODE
TREASURER
ADDRESS
(Residence or Business)
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
(
PHONE
9 REPORT TYPE
F-1January15 11 30th day before election E]Runoff❑
campaignth day after
treasurer appointment
(Officeholder Only)
❑ July 15 ❑ Sin day before election ❑ EXceeded$500limit
❑ Final Report (Attach CIOH - FR)
10 PERIOD
Month Day Year Month
Day Year
COVERED
1 / 1 / 17 4 / 6 / 17
THROUGH
11 ELECTION
ELECTION DATE
ELECTION TYPE
❑ Primary ❑ Runoff ❑ Other
Month Day Year
Description
5 / 6 / 17
A%❑ General ❑ Special
12 OFFICE
OFFICE HELD Of airy)
13 OFFICE SOUGHT Qf brown)
Georgetown City Council, District 2
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.hc.us Revised 9/8/2015
CANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME Valerie Nicholson
15 Filer ID (Ethics Commission Filers)
16 NOTICE FROM
THIS BOX IS FOR NOTICE OF POrmCAL OONIRIBUDONS ACCEPTED OR POURCAL EXPENDITURES MADE BY POLITICAL COMMMEM TO
POLITICAL
SUPPORTTHECANDIDATE/OFFICEHOLDER. THESE EXPE D URES MAYHAYE BEENMADE WRHOUT THE CANDIDATES OROFFICEHOLDERS
COMMITTEE(S)
KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS WFORIAATION ONLY IF THEY RECEIVE NOTICE
OF SUCH EXPENDRURES.
COMMITTEE TYPE
COMMITTEE NAME
GENERAL
COMMITTEE ADDRESS
SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
❑ Additional Pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION
1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
$ 2,100.00
TOTALS
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
2. TOTAL POLITICAL CONTRIBUTIONS
$ 6,450.00
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE
TOTALS
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
$ 0
UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES
$ $,972.42
CONTRIBUTION
BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
$ 2,477.58
OF REPORTING PERIOD
OUTSTANDING
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
$ 0
LOAN TOTALS
LAST DAY OF THE REPORTING PERIOD
18 AFF'I
I swear, or affirm, under penalty of periury, that the accompanying report is
MICHELE. NONRING includes all information required to be reported by me
Notary ID At 129233532 true and correct
Election
My Commission Expires under Tide 15, Election Code.
aI{,I• December 13, 2020
n ti�
Signature Candidate or Officeholder
of
AFFIX NOTARY STAMP/SEALABOVE
r
��
Sworn to and subscribed before me, by the said • 1l.. \ V tfisl O ISOi1 , this the (.D
day of IRP�'t 1 . 20_L_7. to certify which, witness my hand and seal of office.
C--Il'�ecrek-w
Signature of Ccer dministering o Printed name oto icer administeringo Title of ffi r administering oath
Forms provided by Texas Ethics Commission wwmethics.state.N.us Revised 9/8/2015
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
Valerie Nicholson
20 Flier ID (Ethics Commission Filers)
21
SCHEDULE SUBTOTALS
NAMEOFSCHEDULE
SUBTOTAL
AMOUNT
1.
SCHEDULEA1:
MONETARY POLITICAL CONTRIBUTIONS
$
4,350.00
2.
SCHEDULEA2:
NON -MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS
$
0
3.
SCHEDULE B:
PLEDGED CONTRIBUTIONS
$
0
4.
❑
SCHEDULE E:
LOANS
$
0
S.
SCHEDULE Ft:
POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
3,972.42
a.
SCHEDULE F2:
UNPAID INCURRED OBLIGATIONS
$
0
7•
El
SCHEDULE F3:
PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$
0
3.
n
SCHEDULE F4:
EXPENDITURES MADE BY CREDIT CARD
$
0
9.
El
SCHEDULE G:
POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
$
0
10.
SCHEDULE H:
PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH
$
0
11-
SCHEDULE 1: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
0
12.
SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS
RETURNEDTO FILER
$
0
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 At: 3
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Valerie Nicholson
4 Date
5 Full name of contributor ❑ out-of-state PAC (IDN : 1
7 Amount of contribution ($)
Karen Curry
1 /23/17
fi
$1000.00
Contributor address; City; State; Zip Code
8 Principal occupation / Job title (See Instructions)
9 Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID#: 1
Amount of contribution ($)
Anita Pantillion
1/24/17
. contributor address; City; state; Zip Coda
$ 500.00
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-oi-state PAC (ID#: 1
Amount of contribution ($)
Arthur Schriber
1/24/17
Contributor address; City; .State; Zip code . . . . .
$ 400.00
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID#: 1
Amount of contribution ($)
Sue Nicholson
1124/17
Contributor address; City; State; Zip Code
$ 500.00
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 At: 3
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Valerie Nicholson
4 Date
S Full name of contributor ❑ out-of-state PAC (ID#: )
7 Amount of contribution ($)
Harry Nicholson
1 /24/17
6 Contributor address; City; State; Zip Code
$ 500.00
Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID#: 1
Amount of contribution ($)
Terrence Irion
2/24/17
......................................
Contributor address; City; State; Zip Code
$ 250.00
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID#: 1
Amount of contribution ($)
Ruth Gordon
2/24/17
contributor a'dd'ress; . . . . . - city; State; Zip Code
$ 100.00
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Data
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
William Dryden
3/12/17
Contributor address; City; State; Zip Code
$ 250.00
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.stateAx.us Revised 9/8/2015
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Al: 3
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Valerie Nicholson
4 Date
5 Full name of contributor ❑ out-of-state PAC (ID#: t
7 Amount of contribution ($)
Blair Nicholson
3/13/17
a coda
$ 250.00
Contributor address; City; state; Zip
8 Principal occupation / Job title (See Instructions)
9 Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID#: t
Amount of contribution ($)
Barrett Nicholson
3/13/17
......................................
Contributor address; City; State; Zip Code
$ 250.00
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID#: 1
Amount of contribution ($)
Mike Cunningham
3/13/17
city;
$ 250.00
Contributor address; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID#: 1
Amount of contribution ($)
Wade Todd
3/21/17
.....................
Contributor address; City; State; Zip Code
$ 100.00
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor Is out-ofstate PAC, please see instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.N.us Revised 9/8/2015
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
EXPENDITURE CATEGORIES FOR BOX 6(a)
Advertising Expense Event Expense Loan RepaymentRembursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment& Related Expense
Consulting Expense FootlBeverage Expense Palling Expense Travel In District
Contrbutiors/Donations Made By GiR/AwerdsMtemorials Expense Printing Expense Travel Out Of District
Candidate/ORceholder/Polltial Committee Legal Services Salarieslwages/Contract Labor Other (enter a category not listed above)
0,.RCard Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Fi:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
4
Valerie Nicholson
4 Date
5 Payee name
1/26/17
Gipson Group LLC dba Minuteman Press Georgetown
6 Amount ($)
7 Payee address; City; State; Zip Code
$768.50
8
(a) Category (See Categories listed at thetop ofthis schedule)
(b) Description
❑ Chskutravd outWi .fTexas.Complete ScheddeT.
PURPOSE
OF
❑ Check if Austin, TX, living
EXPENDITURE
Printing Expense
officeholder expense
9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH Valerie Nicholson District 2, Georgetown City Council
Date
Payee name
3/6/17
Gipson Group LLC dba Minuteman Press Georgetown
Amount ($)
Payee address; City; State; Zip Code
$455.00
1904 S. Austin Avenue, Georgetown, TX 78628
Category (See Categories listed at the top of this whedule)
Description
❑ Check iftmveloutside ofTexas. CompleteSchakdeT.
PURPOSE
OF
EXPENDITURE
Printing Ex
g pense
❑ Cheek If Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Valerie Nicholson District z, Georgetown City Council
Date
Payee name
3/6/17
wix.com
Amount ($)
Payee address; City; State; Zip Code
$202.90
PO Box 40190 San Francisco, CA 94140
Category (See Categories listed at the top of this schedule)
Description
Elated, iftw..m..f-facus. Canplete SdxdaeT
PURPOSE
--]Check
OF
Other -Web Site
I If Austin, TX, officeholder living expense
EXPENDITURE
Complete ONLY it direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Valerie NIChOISOn District 2, Georgetown City Council
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.eihics.staie.oc.us Revised 9/8/2615
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
EXPENDITURE CATEGORIES FOR BOX 6(a)
Advertising Expense Event Expense Loan Repayment/Reimbursemem Solicilation/FundratrJng Expense
Accounti ngBanldng Fees Office Overhead(Renml Expense Transportation Equipmem& Related Expense
Consulting Expense FoodBevemge Experse Polling Expense Travel In District
Contrbutions/Donatiors Made By Gift/AWardslMemodals Expense Printing Expense Travel Out Of District
Candidate/Officeholder/PoliimlOommitee Legal Services Salaries/Wages/Contract Labor Other(erder a category not Rated above)
Credit Carl Payment
The Instruction Guide explains how to complete this form.
I Total pages Schedule F7:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
4
Valerie Nicholson
4 Date
5 Payee name
3/13/17
Almighty Rentals
6 Amount ($)
7 Payee address; City; State; Zip Code
$ 72.78
3231 Shell Road, Georgetown, TX 78628
6
(a) Category (See Categories listed atthetop of this schedule)
(b) Description
❑ ChedctitravdoutskleoTexas. CampleteSchedileT.
PURPOSE
❑ TX, living
OFEvent
Expense
Check If Austin, officeholder expanse
EXPENDITURE
9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH Valerie Nicholson District 2, Georgetown City Council
Date
Payee name
3/16/17
Gipson Group LLC dba Minuteman Press Georgetown
Amount ($)
Payee address; City; State; Zip Code
$625.28
1904 S. Austin Avenue, Georgetown, TX 78628
Category (See Categories listed at the top of this schedule)
Description
❑ Check 0 travel &Meet T.03. CanpleteSche"T.
PURPOSE
OF
EXPENDITURE
Printing Expense
❑ Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Valerie Nicholson District 2, Georgetown City Council
Date
Payee name
3/23/17
FaceBook
Amount ($)
Payee address; City; State; Zip Code
$ 25.01
1601 Willow Road, Menlo Park, CA 94025
Category (See Categories listed at the top of this schedule)
Description
❑ Check litraveloutsideofTexas. Complete ScheeuleT.
PURPOSE
OF
❑
Other - Social Media
Check if Austin, TX, officeholder living expense
EXPENDITURE
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
_rid;tu.e to benefit C!OH
Valerie Nicholson District 2, Georgetown City Council
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
EXPENDrrURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
AccuuntiillkBanking Fees Office Overhead/Rental Expense Transportation Equipment& Related Expense
consulting Expense FoodBeverage Expense Polling Expense Travel In District
Conbibutiors/Donatiors Made By GrIVAWardsMemonals Expense Printing Expense Travel Out Of District
Candidato/Of mholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other (enter a category not listed above)
CreitCaIdPaymerR
The Instruction Guido explains how to complete this form.
I Total pages Schedule F7:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
4
Valerie Nicholson
4 Date
5 Payee name
3/29/17
Almighty Rentals
6 Amount ($)
7 Payee address; City; State; Zip Code
$ 13.24
3231 Shell Road, Georgetown, TX 78628
8
(a) Category (See Categories listed at the top of this schedule)
(b) Description
❑ Check fftravd culsideolTexas. Complete ScheddeT.
PURPOSE
❑ Check if Austin, TX, living expense
OF
EXPENDITURE
Event Expense
officeholder
9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH Valerie Nicholson District 2, Georgetown City Council
Date
Payee name
4/3/17
Almighty Rentals
Amount ($)
Payee address; City; State; Zip Code
$ 49.90
3231 Shell Road, Georgetown, TX 78628
Category (See Categories listed at the top of this schedule)
Description
❑ ChaketravtlaulsldeofTexas ConpleteSd.MeT
PURPOSE
OF
Event ExpenseElCheck
if Austin, TX, officeholder living expense
EXPENDITURE
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Valerie Nicholson District 2, Georgetown City Council
Date
Payee name
4/3/17
FaceBook
Amount ($)
Payee address; City; State; Zip Code
$ 47.59
1601 Willow Road, Menlo Park, CA 94025
Category (See Categories listed at the top of this schedule)
Description
❑ CheekHtraveloubideofTexas. CompMoSche&AoT.
PURPOSE
OF
❑
Other Social Media
Check If Austin, TX, officeholder living expense
EXPENDITURE
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Valerie Nicholson District z, Georgetown City Council
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.b(.us Revised 9/8/2015
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Wan Repayment/ReimWremem Solicitation/Fundraising 6yense
AccounfingrBanking Fees Office OverheadlRental Expense Transportation Equipment&Related Expense
Consulting Expense Food8everage Experss Polling Expense Travel In District
ContribullorNDonatims Made By Gifi/Awards/Memonas Expense Printing Expense Travel Out Of District
Candidata/Criimholder/PolMiral Committee Legal Services Salades/Wages/Contract Labor Other(enkracategorynotlsted above)
CradiCaidisayman
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Ft:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
4
Valerie Nicholson
4 Date
6 Payee name
4/3/17
JG Media/Community Impact Newpaper
6 Amount ($)
7 Payee address; City; State; Zip Code
$932.22
3600 E. Palm Valley Blvd. Box #3, Round Rock, TX 78665
8
(a) Category (See Categories listed at thetop of this schedule)
(b) Description
❑ ChedciltmelouLadeolTexas. CompleteSdsdt&T.
PURPOSE
[::]Check
OF
Advertising Expense
if Austin, TX, officeholder living expense
EXPENDITURE
9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH Valerie Nicholson District 2, Georgetown City Council
Date
Payee name
4/3/17
JG Media/Community Impact Newpaper
Amount ($)
Payee address; City; State; Zip Code
$780.00
3600 E. Palm Valley Blvd. Box #3, Round Rock, TX 78665
Category (See Categories fisted at the top of this schedule)
Description
❑ CherkifbwdoutsideofTexas.Complete SchedWeT.
PURPOSE
OF
Advertising Expense
❑ Check it Austin, TX, officeholder living expmse
EXPENDITURE
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expendfiure to benefit C/OH
Valerie Nicholson District 2, Georgetown City Council
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
Category (See Categories listed at thetop of this schedule)
Description
❑ ChedkfftravelousHoolTexas.Complete SchedLieT.
PURPOSE
OF
❑ Check if Austin, TX, officeholder living expense
EXPENDITURE
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Valerie Nicholson District 2, Georgetown City Council
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015