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191230 -- Campaign Finance Report -- David FujimotoCANDIDATE I OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 -· 1 Fi l er ID (Ethic s Commission Filers) 2 Total pages fil ed: The C/OH Instruction Guide explains how to complete this form. 1- 3 CAND I DATE/ MS / MRS I MR FIRST M l OFFICEHOLDER D~"' ci OFFICE USE ONLY NAME {V\<'. w. Date Received .... . . . ..... NICKNAME LAST SUFF IX -----,, ,, Fu.~\ Mc-\-o RECE '';;:·'?,l'F~!C~. Fu:\\ B Y~~ 20:.9.J 4 CAND IDAT E/ ADDRESS I PO BOX; APT I SUITE #; CITY; STATE; ZIP CODE OFFICEHOLDER \G:,o 1-Cu.Hu.< e Lc...t\e MAILING ADDRESS Co\le~e Sta..\-\ OX"\ )\')(. 17~4-S-D Change of Address 5 CAND IDATE/ AREA CODE PHONE NUMBER EXTENSION OFF ICEHOLDER ( 7-03,) Lt~\~ ~cA-:r Date Hand-delivered or Date Postma rk ed PHONE 6 CAMPAIGN MS I MRS I MR FIRST Ml Receipt # I Amount $ TREASURER fv\c. ( ~<'.i?-\b .~he .Y--. o . NAME . . ... Date Processed NICKNAME LAST SUFFIX •' .. Ch\\'!) L 'i OY\ Da te Imaged 7 CAMPA IGN STREET ADDRESS (NO PO BOX PLEASE); APT I SUITE 11; CITY; STATE; ZIP CODE TREASURER 27ai ~\<'le. \,,~<s-\--ADDRESS ( f'. (Residence or Business) ~a'f\ ~Ti 77~0d. 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENS ION TREASURER (C\1'\ ) ~ 20 -5(;,\ 0 PHONE 9 REPO RT TYPE ~30th day before election D January 15 D Runoff D 15th day aft e r campaign treasurer appoinlmen t (Officeholder On ly) D Ju ly 15 D 8th day before election D Exceeded $500 li mit D Final Report (Allach C/OH -FR) 10 PERIOD Month Day Yea r Month Day Year COVERED \ d. / \4 / \ '\ \2 /30 / THROUGH \1 11 ELECTION EL ECT ION DATE EL EC TI ON TYPE Month Day Year D Primary D Runoff D Other ~peci a l Description \ /ZZ /Zo D Gen e ral 12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known) c \ +1 ( 0 u. ('\(' ~ ) P\4ce :t1: 1t GO TO PAGE 2 Forms provid ed by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 CANDIDATE I OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 14 C/OH NAME 16 NOTICE FROM POLITICAL COMMITTEE(S) 0 Additional Pages 17 CONTRIBUTION TOTALS EXPENDITURE TOTALS CONTRIBUTION BALANCE OUTSTANDING LOAN TOTALS 18 AFFIDAVIT ;' Oav \ c\ 15 Filer ID (Ethics Commission Filers) 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 COMM ITT EE NAME 0GENERAL COMMITTEE ADDRESS OsPEC 1F1c 1. COMMITTEE CAMPAIGN TREAS URER NAME COMMITTEE CAMPAIGN TREASURER ADDRESS TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED 2. TOTAL POLITICAL CONTRIBUTIONS 3 . (OTHER THAN PLEDGES, LOANS , OR GUARANTEES OF LOANS) TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED 4. TOTAL POLITICAL EXPENDITURES 5 . 6 . TOTAL POLITICAL CONTR I BUTIONS MA INTAIN ED AS OF THE LAST DAY OF REPORTING PERIOD TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY OF THE REPORTING PERIOD $ ¢ $ 9 00 .OD $ ¢ $ 201 . 5"3 $ 3\'\2 .ttl- $ 2,~oo . oo . . MfSTY 'J RAMOS , . Notary .Public , State ·of Texas I swear, or affirm, under penalty of perjury, that the accompanying report is true and co ct and includes all information required to be reported by me under Till 15, -J D# 13153884-3 My C o~nni i ssioil Expires rA.P B lt. ~o.:.2b~2 . AFFIX NOTARY STAMP I SEAL ABOVE Sworn to and subscribed before me, by the said D /\ \J i ~ f \JJ \ rout Q day of Dt V · , 20 \0\ , to certify which , witness my hand and seal of office . , this the 1'J ~ Yf\ Printed name of officer administering o a th Title of officer administering o a th Forms provided by Texas Ethics Commission www.ethics .state.Ix .us Revised 9/8 /2015 ' SUBTOTALS -C/OH FORM C/OH COVER SHEET PG 3 19 F ILER NAME 2 0 F il er ID (Ethics Commission Filers) Da.v\ ~ Fu.\\ N'l o-\-o " 2 1 SCHEDULE SUBTOTALS SUBTOTAL NAME OF SCHEDULE AMOUNT 1 . [lJ SCHEDULE A 1: MONETARY POLITICAL CONTRIBUTIONS $ Cf<?O .00 2. D SCHEDULE A2: NON-MONETARY (I N -K I ND) POLITICAL CONTR I BUT IONS $ 3. D SCHEDULE B: PLEDGED CONTR I BUTIONS $ 4. 0 SC H EDULE E: LOANS $ z J~oo .oo 5. 0 SCHEDULE F1: POLITICAL EXPEND ITURES MADE FROM POLIT ICAL CONTRIBUTIONS $ 2.o1 . s:-3 6. D SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 7. D SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRI BUTIONS $ 8 . D SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 9 . D SCHEDULE G : POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 10. D SCHEDULE H : PAYMENT MADE FROM POLITICAL CONTR IBUT IONS TO A BUS INESS OF C/OH $ 11. D SCHEDULE I : NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTR IBUTIONS $ 12. D SCHEDULE K: INTEREST, CREDITS, GA INS, REFUNDS, AND CONTRIBUTIONS $ RETURNED TO FILER I , Forms provided by Texas Ethics Commiss ion www.eth ics.state .tx .us Revised 9/8/2015 MON ETARY POL!T I CAL CONTR!BUT!O N S -· S CH EDULE A-1 · · · The Instruction Guide explains how to complete this form. 1 Tot a l p ages Sc hed u le A 1 : . lh .. 2 F ILE R NAM E 3 Fil e r I D (E thi cs Co mmiss ion Fil e rs) Da"' c\ F~,, \"llOW 4 D ate 5 Full n a m e of co ntri buto r D o ut-o f-sta t e PAC (ID#: 7 Amount o f contribution ($) .. \)a. ~i .~ . fv. ~\rtl o1-D .. ~ 1z./1q) l q 2l $00' oo . . . . .. (persona.\ lo<tn J 6 C o ntributor a ddress; C ity; S tate; Zip C o d e . 77'i'1.r l~D1 cu..\+u-re Ln 1 Co l\e.3 e. S ~-\-, on , TX 8 P rin c ipa l o ccupati o n I Job t itle (See Instru c tion s ) 9 Em p loye r (See Ins truc ti o n s ) Drce-c..-1-o-< e~ De\le\op~n+ Tex~~ A-A IV) re u. nd a. .\--\ o Y\ D a te F ull n a m e of contributor D o ut -o f -sta t e PAC (ID#: Amo unt o f c ontributio n ($) 12}1ctl1ci /'(\\ k~ .r\ 0 ·' ~ <-~. e.0 . ~ .. . . . . . . . . . .... \DO .OD Co ntributo r a d d r ess; C ity; St at e; Z ip C ode L.{ 'i 50 s+a:+e . HftO Sov..+h P.o.~o~ ~tf-1-c . S.\-tt-\ ,·on 1TX 11~~$;" P ri n c ipa l occ u pati o n I Job titl e (See In s tru c tion s ) Emplo y e r (See In stru c ti ons) v_c._ .~ C h,ef Oefo$l -T dXic.e'<' Tne... ~\'lk d Tr\.(~+ - Date Fu ll n a m e o f co ntributo r D o ut-o f-s ta t e PAC (ID#: Am o unt o f co ntri b ution ($) tc../zo { 14 ~<Y\o k<e'o~ .$ 2 ~o . oo .. . . . . . . . .... Contributo r addr ess; C ity; S t a t e; Z ip Cod e ~ z ~ s-w 4. ln vt .\-~ r ee \:. ('. l)v..< -T- '3r ~d"') T'}(. 77cgo-:r -4 ~~l Principal o ccu pation I Job titl e (See In s t r u ction s) E m p loye r (See Instruc ti o n s ) Re.+1ce~ Mo'f'()€'-J Re -ti<.e-~ D at e F u ll n a m e o f co ntribu tor D out-o f-state PAC (ID#: Am o unt of cont r i b uti on ($) 12/ i.t.. I 1 '\ c.. nu.c.4<.... £./I 1'S1:>h ~ .. . . . .. . . . .... z_oo . DO Co ntri b uto r add r ess; C ity; Stat e; Z ip Cod e 30'2 \-\olle_~r\ \)r.f I Ste. lfo -( o\)~"\€ S~.+i\::>'n > 'T'')( 11~l\-O Princ ipa l occu pati o n I J ob titl e (See In s tru c tion s ) Employe r (See Ins tru c ti o n s) P-t \-\-0 (' () ~ '} The 'C..l I 1so.., Fi rm ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, p l ease see instruction guide for additional reporting requirements . For ms prov id ed by Tex a s Ethi cs Co mm iss io n www.et hi cs.s t at e .Ix.u s Rev ise d 9/8/2 015 ···----MONE-TAR.Y~·POL-!TlGA-L --CO l\lT-H-~··EUT IQ .)!.S ..... ·· ., .. ~ -.. ~.s-eHEDULE-· 'A·'l ---~. , The Instruction Guide explains how to complete this form. 1 Total pages Sc t dule A1: . 'Z. 2- 2 FI L ER NAME 3 Filer ID (Ethics Commiss ion Fi lers) Da"~ ~ F~,,~ow 4 Date 5 Full n a me of contributor D out -of-state PAC (ID#: l 7 Amount of contribution ($) l?.,23) 1'1 Y\~ffe ~ .Pi.°'.n e .~~~~.~()~c . $ 6 Con tributor address ; C ity; State; Zip Code too.oa l'12 '5"" \'.:t_Ci ~I l'. Du Y'le':. Pr. 5u.v-. CI~ <:+<" , rL 33-s-1s-s~·r:r 8 Principa l occupation I Job titl e (Se e l nstrub ions) 9 Employer (See Instructions) Bu. S\nes~ r<)<tl""\ Re..-\-irea Date Full n a me o f contributor D out-of -s tate PAC (ID#: Amount of contributi on {$) .Te. <o.,..rie ~ k+ori \c:. $ \Z./21I1"\ Contributor address; Cit y; S t a t e; Z ip Code 2~o .OD lf 5 "t C\ri~rn<l~'f \·.\;l~ Dr . (. S+4+,·Cln I "f'')(. -, 1 ~I\ o ''S~o~ ~ Principal occupa ti on I Job titl e (See Instructions) Empl oyer (See In structions) ?~v\O\J..~ 0 I cel.:\t)r o ~ Oe"e\ oprnen1-Re.·h·rel D ate Full n a me o f co ntributor 0 out-of-state PAC (ID#: I Am o unt of contribution ($) Contributor a ddress; City ; State; Zip Code Principal occupation I Job titl e (See In s truction s) Employer (See Instructions) D ate Full n a me of contributor D out-of-state PAC (ID#: \ Amount of contributio n ($) Contributor a ddress; C ity; S t a t e; Zip Code - Prin cipal occupation I Job titl e (Se e In s t ructi o n s) Employer (See Ins tructions) AlTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provid ed by Texas Ethics Commission www.ethics.state.tx.us Revi sed 9/8/2015 LOANS S CHED U LE E T he Instruction Guide expl ain s how to compl ete this fo r m. 1 To ta l pages Schedule E: 1- 2 F I LE R NAME Davi J.. F~\rno+c 3 Filer ID (Ethics Commission Fi lers) 4 TOTAL O F UNITEMIZED LOANS $ 5 Date o f loan 7 Name of lender D out-of-state PAC (ID#: ) 9 Loan Amo u nt ($) rz/11/zo D<:tvi~ ~4~~~~ 2, s-oo 6 Is lender 8 L e n der address; C ity; State; Z ip Code 1 O Interest ra t e 0°/0 a f i nancial l<ot>l C.ul+u..re. Ln I nsti tut ion? ® Co\\~~ e_ 'S-\-4..--\-\o'"' '"' 11~i+s-11 Maturity dat e y .J l:nd'1.{! 1 2 Principal occupation I Job t it le (See Instructions) 1 3 Employer (See Instructions) Drc~Y---of-Ue\I e\oprnt!!.1Yt 11'~ \e_~c::tS ~af\'1 fOu_yJ4+\ {)~ 14 Description of Coll ateral 1 5 Check i f personal funds were deposited i nto poli tical account (See Instructions) ~one ~ 1 6 GUARANTOR 17 Name of guarantor 19 Amount Guaranteed($) IN FORM ATIO N 1 8 Guarantor address; City; State; Zip Code ~ot applicabl e 2 0 Princ ipal Occupation (See Instructions) 2 1 Emp l oyer (See Instructions) Date of loan Name of lender D out-o f-state PAC (IDll: ) Loan Amount($) Is lender Lender address; C ity; State; Zip Code Interest rate a fina n c ial I nsti tuti on? Mat urity date y N Principal occupation I Job t itle (See Instructions) Emp l oyer (See Instructions) Description of Coll ateral C h eck if personal funds wer e deposit ed into political account (See Instructions) D none D GU A R AN TOR Name of guarantor Amount Guaran teed ($) INFORMATION Guarantor address; City; State; Z ip Code D not applicable Princ ipal Occupation (See Instructions) Emp l oyer (See Instructions) ATTA CH ADD ITIONAL COPI ES OF THI S SCH ED ULE AS NEE DED If l e nder is out-of-sta te PAC , please s ee instruction guid e for a ddition a l r e porting r equi re ments . For ms provided by Texas Ethics Comm iss ion www.et hics.state .Ix .us Revised 9/8/20 15 . .. _P.~OLITICAL ,E.XPENO.ITUBE .S _.MAJ~>.E; -.. -.... ~ ............. , ... ,. ....... . ........ ,...._ .. " . . ···~·K,.~-·-5·cHEriih::·E ~·-F ·1 ··· .J . FROM POLITICAL CONTRIBUTIONS EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan RepaymenVReimbursement 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 GifVAwards/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 F1: 2 FILER NAME OalJ ~ d-. Fl.{,\,"" c -tu 13 Filer ID (Ethics Commission Filers) 1- 4 Date 5 Payee name - \2/'l.7 }1~ Ltif>"f Co<0e..ir 6 Amount ($) 7 Payee address; City; State; Zip Code 2Dt .S3 2301-\e.)(4.~ f\\) e. 5 .) C.o\'L.je "S, .\-ct...\ i 0"' ) ~ )( 11i4a 8 (a) Category (See Categories listed at the top of this schedule) (b) Description -D Check if travel outside of Texas. Complete Schedule T. PURPOSE OF Pr in.\ in~ E. '><rense D Check if Austin, TX, oHiceholder living expense EXPENDITURE (>,rot\n~ " b•cid;n~ o\ c.1-\1 ~~u...,.,~.+~, ~O'(' l'<lrni:>~~ "\ n pre: pct<~ .\i or-. • -. 9 Complete ONLY if direct Candidate I Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSE D Check if travel outside of Texas. Complete Schedule T. OF D Check If Austin, TX, officeholder living expense EXPENDITURE Complete ONLY if direct Candidate I 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 D Check if travel outside of Texas. Complete Schedule T. OF D Check if Austin, TX, offic eholder living expen se EXPENDITURE Complete ONLY if direct Candidate I 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 9/8/2015