HomeMy WebLinkAboutCFR-04.28.2017-NicholsonCANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT
COVER SHEET PG 1
1
Filer ID (Ettics Commlsslon Rlers)
2 Total pages filed: 7
The C/OH Instruction Guide explains how to complete this form.
3 CANDIDATE/
MS/MRS/MR FIRST
MI
OFFICE USE ONLY
OFFICEHOLDER
Mrs Valerie
S.
Data Received
NAME
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . .
NICIWAME LAST
SUFFIX
Nicholson
RECEIVED
4 CANDIDATE/
ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
OFFMAILING OLDER
701 Greenwood Court Georgetown, TX 78628
APR 2 8 2017
ADDRESS
Change of Address
F1 Change
Secretary
5 CANDIDATE/
AREA CODE PHONE NUMBER
EXTENSION
Date Hand-delivered or Dale Postmarked
OFFICEHOLDER
( ) 512 971-5334
PHONE
6 CAMPAIGN
MS / MRS / MR FIRST
MI
Receipt #
Amount S
TREASURER
Mrs Vicki
Date Processed
NAME
- - - - - - . .. . . . . . . . . . . .
NICMAME LAST
SUFFIX
Date Imaged
Jackimiec
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT / SURE #; CITY; STATE;
ZJP CODE
TREASURER
y 125 Canyon Oak Loo p
Georgetown, TX 78633
eorg
ADDRESS
(Residence or Business)
8 CAMPAIGN
AREA CODE PHONE NUMBER
EXTENSION
TREASURER
( 512) 948-5260
PHONE
9 REPORT TYPE
❑ January 1S E] 30th day before election ❑ Runoff
ay after _
El t
treasurer appointmentgn
(Officeholder Only)
❑ July IS ® 8th day before election
❑ Exceeded $500lindt
❑ Final Report (Attach CIOH - FR)
10 PERIOD
Month Day Year
Month
Day Year
COVERED
4 / 7 / 17
4 /
28/ 17
THROUGH
11 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
❑ Primary
❑ Runoff ❑ Other
Description
5 / 6 / 17
A General
❑ Special
12 OFFICE
OFFICE HELD Of any)
13 OFFICE SOUGHT Of laown)
Georgetown City Council, District 2
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethlcs.state.tx.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 POIRICAL CONTRIBUTIONS ACCEPTED OR POUTICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
POLITICAL
SUPPORTTHECANDIDATE/OFFICEHOLDER. THESE EXPENORURES My HAVE BEEN MADE WITHOUT THE CANDNATES OROMMHOIDEAS
COMMITTEE(S)
KNOWLEDGEORCONSEA7 CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE
OF SUCH EXPENDITURES.
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
$ 0
TOTALS
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
2. TOTAL POLITICAL CONTRIBUTIONS
$ 1,1 ��.��
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
TOTALS EXPENDITURE
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
$ Q
UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES
$ 3,413.85
CONTRIBUTION
BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
$ 163.73
OF REPORTING PERIOD
OUTSTANDING
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
$ 0
LOAN TOTALS
LAST DAY OF THE REPORTING PERIOD
1S AFFIDAVIT
I swear, or affirm, under penalty of perjury, that the accompanying report is
MICHELE. HOWLING true and correct and includes all information required to be reported by me
Notary 10 • 129233532
My Commission Expires under Title 15, Election Code.
o.Rv,d' December 13, 2020
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP/SEALABOVE
) j% LWSCS
Sworn to and subscribed before me, by the said 0J\-i 1 n this the
n
p X11+ L 7
day of 20 to certify which, witness my hand and seal of office.
5�,e1 �oW 0,1,s5cC-ee
[ti
Signature of of dministering oath Printed name of ffice th administering oaTitle of 'ce administering oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.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 Filer ID (Ethics Commission Filers)
21
SCHEDULE SUBTOTALS
NAME OFSCHEDULE
SUBTOTAL
AMOUNT
1.
SCHEDULEA7:
MONETARY POLITICAL CONTRIBUTIONS
$
1,100.00
2.
SCHEDULE A2:
NON -MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS
$
0
3.
❑
SCHEDULE B:
PLEDGED CONTRIBUTIONS
$
0
4.
1:1
SCHEDULE E:
LOANS
$
0
S.
91
SCHEDULE F1:
POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
3,413.85
6.
❑
SCHEDULE F2:
UNPAID INCURRED OBLIGATIONS
$
0
7.
❑
SCHEDULE F3:
PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$
0
8.
E]
SCHEDULE 74:
EXPENDITURES MADE BY CREDIT CARD
$
0
9.
❑
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 I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
0
12
❑SCHEDULE
K:
RETURNED TO
INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS
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 Al: 2
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
Valerie Nicholson
4 Date
5 Full name of contributor ❑ out-oi-state PAC (ID#: 1
7 Amount of contribution ($)
Nancy Schriber
4/12/17
s ' state; coda
$ 50.00
Contributor address; City; ztp
1613 Sunnyvale Drive, Austin, TX 78741
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 ($)
Arthur Gary Schriber, Jr.
4/12/17
contributor address; . . . * . . . city; ' 'State; - Zip -Code . . . .
$ 50.00
1613 Sunnyvale Drive, Austin, TX 78741
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID#: 1
Amount of contribution ($)
Glenn Hunter Aaronson
4/12/17
Contributor address; City; State; Zip Code
$ 250.00
801 Lexington Ave, New York, NY10022
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID#: 1
Amount of contribution ($)
The Hudson Road Trust
4/12/17
contributor address;. . . . . . .City; State;- zip code . . . . .
$ 250.00
801 W 5th Street, Apt 208, Austin, TX 78703
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.ethlcs.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
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 ($)
Brannin Prideaux
4/12/17
.6 Contributor address; City; State; Zip Code
$ 250.00
4106 Honeycomb Rock Circle, Austin, TX 78731
8 Principal occupation / Job title (See Instructions)
9 Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID#: I
Amount of contribution ($)
Terry Wright
4/12/17
......................................
Contributor address; City; State; Zip Code
$ 250.00
2500 N. Buffalo Dr. Suite 150, Las Vegas, NV 8912
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (lo#: )
Amount of contribution ($)
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
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
AccountingBaNdng Fees
Office Overhead/Rental Expense Transportation Equipment& Related Expense
Consulting Expense Food/Severage Expense Polling Expense Travel In District
ContibutionsIDDnations Made By GiRlAwards/Memorials Expense Printing Expense Travel Out Of District
Candidata/Officeholder/Political Committee Legal Services SalanesfWages/Conb Labor Other(emera category not listed above)
CredtCard Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F7:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
2
Valerie Nicholson
4 Date
5 Payee name
4/7/17
Fidelis Publishing Group, LLC
6 Amount ($)
7 Payee address; City; State; Zip Code
$900.00
181 Town Center Jarrell, TX 76537
8
(a) Category (See Categories listed at the lop of this schedule)
(b) Description
❑Ch.*Hti vd.Aideof Texas.Complete Schedule T.
PURPOSE
OF
EXPENDITURE
Advertising Expense
❑ Check If Austin, TX, officeholder living expense
9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure fo benefit C/OH Valerie Nicholson District 2, Georgetown City Council
Date
Payee name
4/12/17
Gipson Group LLC dba Minuteman Press Georgetown
Amount ($)
Payee address; City; State; Zip Code
$1,323.53
1904 S. Austin Avenue, Georgetown, TX 78628
Category (See Categories listed at the top of this schedule)
Description
❑ Chakdtravel adsideofTexas CompleteSdred&T.
PURPOSE
OF
EXPENDITURE
Printing Expense
❑ Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate /Officeholder name Office sought Office held
expenditure to benefit C/OH
Valerie Nicholson District 2, Georgetown City Council
Date
Payee name
4/24/17
Gipson Group LLC dba Minuteman Press Georgetown
Amount ($)
Payee address; City; State; Zip Code
$1,140.23
1904 S. Austin Avenue, Georgetown, TX 78628
Category (See Categories listed at erefop of this schedule)
Description
PURPOSE
❑ Cheekiftr velouMeofTexas.Complete Schedde T.
OF
EXPENDITURE
Printing Expense
❑ Chsck It Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Valerie Nicholson District 2, Georgetown City Council
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
EXPENDrrURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan RepaymentReimbursemenl Sollchation/Fundraising Expense
AocountingBanldng Fees Office OvemoadrRenlal Expense Transportation Equipment& Related Expense
Consulting Expense FoodBeverage Expense Polling Expense Travel In District
ConrotwtioWDonations Made By Gin/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Olnceholder/Polhical Committee Legal Services Salanes/Wages/Contract Labor Other (enter a category not listed above)
OedtCard Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Ft:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
2
Valerie Nicholson
4 Date
5 Payee name
4/27/17
FaceBook
6 Amount ($)
7 Payee address; City; State; Zip Code
$ 50.09
1601 Willow Road, Menlo Park, CA 94025
8
(a) Category (see Categories listed at thetop of this schedule)
(b) Description
PURPOSE
❑ CheckiftmvdwtsideofTexas.Complete Srhe"T.
OFOther
-Social Media
❑ Check 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
Amount ($)
Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule)
Description
❑ Check if travel outside of Texas. Complete ScheddeT.
PURPOSE
OF
❑ Check if Austin, TX, oKceholder living expense
EXPENDITURE
Complete ONLY if direct Candidate /Officeholder name Office sought Office held
expenditure to benefit C/OH
Valerie Nicholson District 2, Georgetown City Council
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule)
Description
❑ CheckifliavelouhMeolTexas. CompleteSdxedNeT
PURPOSE
OF
❑ Check if Austin, TX, officeholder living expense
EXPENDITURE
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
-penditure 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.tx.us Revised 9/8/2015