HomeMy WebLinkAboutDavid Smith - 30 Day - January 2022 CANDIDATE I OFFICEHOLDER ORIGINAL FORM CIOH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Filer ID 2 Total pages filed:
The CIOH Instruction Guide explains how to complete this form.
4
3 CANDIDATE/ MS/MRS/MR FIRST MI OFFICE USE ONLY
OFFICEHOLDER David
NAME Date Receivetts•" MlNlsl '''
NICKNAME LAST SUFFIX V vet —
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Smith w )
4 CANDIDATE/ ADDRESS/PO BOX; APT/SUITE#; CITY; ZIP COD sate
OFFICEHOLDER ,") 11
MAILING 101 E.Park Blvd.,Suite 600
Receipt# �,,
ADDRESS ` Gv:
❑Change of Address Plano,TX 75074
Date Processed
+fz7/22
Date Imaged
5 CAMPAIGN MS/MRS/MR FIRST MI
TREASURER i-
NAME -Tv c• .1,k vl
NICKNAME LAST SUFFIX
7Ut-iy Ni-;LtOlAy
6 CAMPAIGN STREET ADDRESS(NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER
ADDRESS 070CI x s1A LAC ( . TF-c.I(, t 4 1,10/. 77e.. Ct.L 7S02�
(Residence or Business)
7 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE I d't -- -7 .2- S-7 2_C.)
8 REPORT
TYPE 0 January 15 a 30th day before election El Runoff El 15th day after campaign treasurer
appointment(officeholder only)
EjJuly 15 El 8th day before election Ej Exceeded modified El Final Report(Attach C/OH-FR)
reporting limit
ma
9 PERIOD Month Day Year Month Day Year rno_
COVERED 01/01/2022 THROUGH 01/20/2022 co MD.. C...
10 ELECTION ELECTION DATE ELECTION TYPE Z
N
Month Day Year ❑X Primary ❑Runoff 0Other
03/01/2022 D General E3 Special i
11 OFFICE OFFICE HELD(if any) 12 OFFICE SOUGHT(if known)
Cil
Statutory County Judge CM
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CANDIDATE 1 OFFICEHOLDER REPORT: FORM CIOH
SUPPORT & TOTALS COVER SHEET PG 2
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13 C/OH NAME Smith, David 14 Filer ID
15 NOTICE This box is for notice of political contributions accepted or political expenditures made by political committees to support the
FROM candidate/officeholder. These expenditures may have been made without the candidate's or officeholder's knowledge or
POLITICAL consent. Candidates and officeholders are required to report this information only if they receive notice of such expenditures.
COMMITTEE(S)
❑Add5onal Pages COMMITTEE TYPE COMMITTEE NAME
0 GENERAL Collin County Young Democrats t�r1
COMMITTEE ADDRESS " ^�
CO N
SPECIFIC P.O.Box 1281 "'< L
7.4 Anna,TX 75409
COMMITTEE CAMPAIGN TREASURER NAME —p
ML
beland,brant
COMMITTEE CAMPAIGN TREASURER ADDRESS
1108 Foxtrail Drive N
Anna,TX 75409
16 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS(OTHER THAN PLEDGES,LOANS,
TOTALS OR GUARANTEES OF LOANS,OR CONTRIBUTIONS MADE ELECTRONICALLY) $ 95.00
2. TOTAL POLITICAL CONTRIBUTIONS 745.00
(OTHER THAN PLEDGES,LOANS,OR GUARANTEES OF LOANS)
EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURES $ 173.86
TOTALS
4. TOTAL POLITICAL EXPENDITURES $ 173.86
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF THE $ 1,682.38
BALANCE REPORTING PERIOD
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY $ 920.00
LOAN TOTALS OF THE REPORTING PERIOD
17 AFFIDAVIT
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
EIIII]
AHMED under Title 15,Election Code.
26179552on Expires 2023
Cii----')e&-tj / • —AIN-v-4
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP/SEAL ABOVE
Sworn to and subscribed before me,by the said ,, T Irt�i A ' at I i K ,this the a 1r4P day
of _TA n'1r.v Q ,20'3-2.-- ,to certify which,witness my hand and seal of office.
Signature o officer administering Printed name of officer administering Title of officer administering oath
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SUBTOTALS - CIOH FORM C1OH
COVER SHEET PG 3
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18 FILER NAME 19 Filer ID
Smith, David
20 SCHEDULE SUBTOTALS
NAME OF SCHEDULE SUBTOTAL AMOUNT
1. SCHEDULE Al: MONETARY POLITICAL CONTRIBUTIONS $ 745.00
2. El SCHEDULE A2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $
3. El SCHEDULE B: PLEDGED CONTRIBUTIONS $
4. El SCHEDULE E: LOANS $
5. ❑X SCHEDULE Ft POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS $ 123.86
6. ❑X SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 50.00
7. � SCHEDULE F3: PURCHASE OF INVESTMENTS FROM POLITICAL CONTRIBUTIONS $
8. El SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $
9. SCHEDULE G: POLITICAL EXPENDITURES FROM PERSONAL FUNDS $
10. SCHEDULE H: PAYMENT FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $
11. � SCHEDULE I:NON-POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS $
12. 0SCHEDULE K:INTEREST,CREDITS,GAINS,REFUNDS,AND CONTRIBUTIONS RETURNED
TO FILER
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MONETARY POLITICAL CONTRIBUTIONS
SCHEDULE Al
1 Total pages Schedule Al:
The Instruction Guide explains how to complete this form. Sch: 1/1 Rpt:4/4
2 FILER NAME 3 Filer ID
Smith, David
4 Date 5 Full name of contributor out-of-state PAC(ID#: ) 7 Amount of Contribution($)
01/10/2022 Hyatt,Deborah $150.00
6 Contributor address; City;State;Zip Code
3116 Stonehenge Drive
Richardson,TX 75082
8 Principal occupation/Job title(See instructions) 9 Employer(See Instructions)
Date Full name of contributor out-of-state PAC(iD#: ) Amount of Contribution($)
01/09/2022 Mirza,Nick $500.00
Contributor address; City;State;Zip Code
P.O. Box 472241
Garland,TX 75047
Principal occupation/Job title(See Instructions) Employer(See Instructions)
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