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Home My WebLink AboutCFR - Norwood, Jason 04.23.2021CANDIDATE I OFFICEHOLDER FORM CIOH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Filer ID 2 Total pages filed: The C/OH Instruction Guide explains how to complete this form. 12 3 CANDIDATE / MS /MRS / MR FIRST MI OFFICEHOLDER Jason lum NAME Date Received ...................................................................................................................... APR 2 3 2021 NICKNAME LAST SUF..FI..X Norwood City Secretary 4 CANDIDATE / ADDRESS / PO BOX; APT / SUITE #; CITY; ZIP CODE D Hand!ellvered r Date Postmarked OFFICEHOLDER 421 Bluehaw Drive MAILING Receipt# Amount ADDRESS ❑ Change of Address Georgetown, TX 78628 Date Processed Date Imaged 5 CAMPAIGN MS / MRS / MR FIRST MI TREASURER NAME `.— j1,•�, ................................................................................................................................................................................................................................... NICKNAME LAST SUFFIX -? 01 os 6 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE TREASURER ADDRESS �-y�n �F�1 `l'r L11L�C�> �� L1\ (Residence or Business) 7 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE 8 REPORT TYPE January 15 30th day before election Runoff 15th day after campaign treasurer appointment (officeholder only) July 15 8th day before election Exceeded modified Final Report (Attach C/OH-FR) reporting limit 9 PERIOD Month Day Year Month Day Year COVERED 03/23/2021 THROUGH 04/21/2021 10 ELECTION ELECTION DATE ELECTION TYPE Month Day Year Primary Runoff Other 05/01/2021 General Special 11 OFFICE OFFICE HELD (if any) 12 OFFICE SOUGHT (if known) City of Georgetown, City Council District 5 GO TO PAGE 2 corms provinen Dy I exas 1=tmcs commission www.ethics.state.tx.us Version V1.1.eebsf84f CANDIDATE 1 OFFICEHOLDER REPORT: FORM CIOH SUPPORT & TOTALS COVER SHEET PG 2 2of12 13 C / OH NAME Norwood, Jason 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 candidates 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) COMMITTEE TYPE COMMITTEE NAME Additional Pages GENERAL COMMITTEE ADDRESS SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME COMMITTEE CAMPAIGN TREASURER ADDRESS 16 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, TOTALS OR GUARANTEES OF LOANS, OR CONTRIBUTIONS MADE ELECTRONICALLY) $ 0.00 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $ 4,070.00 EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURES $ 0.00 TOTALS 4. TOTAL POLITICAL EXPENDITURES $ 2,744.75 CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF THE $ 2,270 27 BALANCE REPORTING PERIOD OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY $ 0.00 LOAN TOTALS OF THE REPORTING PERIOD 17 AFFADAVIT 1 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 E LOUISE DEN under Title 15, Election Code. RIN := NoWy ID # 1 Ap1115, 2022 Egg Sip of Candidate fficeholder AFFIX NOTARY STAMP / SEAL ABOVE Swam to and subscribed before me, by the said A1501(� this the day of 1.20 L to certify which, witness my hand and seal of office. 7AA^-P re- S SigMatureV officer administering Panted ream of officer administering Title of o rcer administering I arms aroviced bv Texas Ethics Commission www.et ics.state.tx.us Version V1.1.eeh5f84f SUBTOTALS - C10H FORM C10H COVER SHEET PG 3 3of12 18 FILER NAME 19 Filer ID Norwood, Jason 20 SCHEDULE SUBTOTALS NAME OF SCHEDULE SUBTOTAL AMOUNT 1. ❑X SCHEDULE Al: MONETARY POLITICAL CONTRIBUTIONS $ 4,070.00 2. ❑X SCHEDULE A2: NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS $ 0.00 3. Fxj SCHEDULE B: PLEDGED CONTRIBUTIONS $ 0.00 4. ❑ SCHEDULE E: LOANS $ 0.00 5. ❑ SCHEDULE F1: POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS $ 2,744.75 6. X❑ SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 0.00 7. ❑ SCHEDULE F3: PURCHASE OF INVESTMENTS FROM POLITICAL CONTRIBUTIONS $ 0.00 8. X❑ SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 0.00 9. ❑X SCHEDULE G: POLITICAL EXPENDITURES FROM PERSONAL FUNDS $ 0.00 10. ❑ SCHEDULE H: PAYMENT FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF CIOH $ 11. ❑ SCHEDULE I: NON -POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS $ 12 ❑SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED TO FILER $ Forms orovicled uv I exa5 Emics commission www.ethics.state.tx.us Version V1.1.eeb5t8j MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al 1 Total pages Schedule Al: The Instruction Guide explains how to complete this form. Sch: 1/3 Rpt: 12 2 FILER NAME 3 Filer ID Norwood, Jason 4 Date 5 Full name of contributor out-of-state PAC (ID#: ) 7 Amount of Contribution ($) 04/19/2021 Boydstun, Dwaine $100.00 .......................................................................................................... ,... . ... 6 Contributor address; City; State; Zip Code 722 Independence Creek Ln Georgetown, TX 78633 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) retired n/a Date Full name of contributor out-of-state PAC (ID#: ) Amount of Contribution ($) 03/30/2021 Cook, Becca $50.00 .. City; State; Zip CodeContributor address; .............. ~�� 502 Woodland Park Georgetown, TX 78633 Principal occupation / Job title (See Instructions) Employer (See Instructions) none n/a Date Full name of contributor out-of-state PAC (ID#: ) Amount of Contribution ($) 04/08/2021 Doering, Walter $100.00 .................................................................................................................................................................. . Contributor address; Ciry; State; Zip Cade 1521 Noranjo Dr Georgetown, TX 78628 Principal occupation / Job title (See Instructions) Employer (See Instructions) retired n/a Date Full name of contributor out-of-state PAC (ID#: ) Amount of Contribution ($) 03/26/2021 Einhorn, Nancy $1,200.00 ................................................................................................................................................................... Contributor address; City; State; Zip Code 3406 Cortina Lane Round Rock, TX 78681 Principal occupation / Job title (See Instructions) Employer (See Instructions) retired n/a Date Full name of contributor out-of-state PAC (ID#: ) Amount of Contribution ($) 03/30/2021 Lester, Brigid $20.00 Contributor address; City; State; Zip Code �.....,.._.................... 2209 Flaming Tree Ct Georgetown, TX 78613 Principal occupation / Job title (See Instructions) Employer (See Instructions) retired n/a Forms orovided bv Texas Ethics Commission WWW.PT 11!CS.State.IX, IIS Version VI A PP 1. MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al edu le Al 1 Total pages Schedule The Instruction Guide explains how to complete this form. Sch: 2/3 Rpt: 2 FILER NAME 3 Filer ID Norwood, Jason 4 Date 5 Full name of contributor out-of-state PAC (ID#: ) 7 Amount of Contribution ($) 03/30/2021 Nelson, Marcus $100.00 ........................................................................... . ... . .......................... 6 Contributor address; City ; State; Zip Code 2902 Whisper Oaks Georgetown, TX 78628 8 Principal occupation I Job title (See Instructions) 9 Employer (See Instructions) retired n/a Date Full name of contributor out-of-state PAC (ID#: ) Amount of Contribution ($) 04/08/2021 Norwood, Jason $10.00 ................................................................................................................................................................... Contributor address; City; State; Zip Code 421 Bluehaw Georgetown, TX 78628 Principal occupation I Job title (See Instructions) Employer (See Instructions) business owner self Date Full name of contributor out-of-state PAC (ID#: ) Amount of Contribution ($) 04/08/2021 Norwood, John $250.00 ....................................................................,. 'o''................................................................................ Contributor address; Ciry; State; Zip Code 192 Stanley Ave Moorestown, NJ 08067 Principal occupation / Job title (See Instructions) Employer (See Instructions) minister self Date Full name of contributor ❑ out of -state PAC (ID#: ) Amount of Contribution ($) 04/09/2021 Oliver, Paul $500.00 ................................................................................................................................................................... . Contributor address; City; State; Zip Code 106 Park Cove Georgetown, TX 78626 Principal occupation / Job title (See Instructions) Employer (See Instructions) retired n/a Date Full name of contributor ❑ out-of-state PAC (ID#: ) Amount of Contribution ($) 04/04/2021 Robinson, Brian $200.00 ................................................................................................................................................................... Contributor address; Ciry; State; Zip Code 404 Sunset RDG Georgetown, TX 78633 Principal occupation I Job title (See Instructions) Employer (See Instructions) not disclosed n/a arms orovided bv Texas Ethics Commission www.ethics.state.tx.us Version V1.1.eeDbts4t MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al 1 Total pages Schedule Al: The Instruction Guide explains how to complete this form. Sch; 3/3 Rpt: 12 2 FILER NAME 3 Filer ID Norwood, Jason 4 Date 5 Full name of contributor out-of-state PAC (ID#: ) 7 Amount of Contribution ($) 03/30/2021 Tiedt, Jessica $40.00 ...... ............................................................................................................................................................. 6 Contributor address; Ciry; State; Zip Code 316 San Gabriel River RD Georgetown, TX 78626 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) clerk Williamson County Date Full name of contributor ❑ out-of-state PAC (ID#: ) Amount of Contribution ($) 03/30/2021 Waite, Barbara $500.00 .................................................................................................................................................................... Contributor address; City; State; Zip Cade 5201 Big Spring Tr Georgetown, TX 78628 Principal occupation / Job title (See Instructions) Employer (See Instructions) retired n/a Date Full name of contributor ❑ out-of-state PAC (ID#: ) Amount of Contribution ($) 03/28/2021 Williams, Aaron $1,000.00 .. ............................................................................................................ . .............. Contributor address; City State; Zip Code 333 Wilbarger Pt Georgetown, TX 78626 Principal occupation / Job title (See Instructions) Employer (See Instructions) not disclosed n/a Forms Drovided bv Texas Ethics commission www.et ics.state.tx.us Version . .ee 4 PLEDGED CONTRIBUTIONS SCHEDULE B The Instruction Guide explains how to complete this form. 1 Total pages Schedule B: Sch: 1/1 Rpt: 7/12 2 FILER NAME 3 Filer ID Norwood, Jason Dwaine.Boydstun@gmail.com 4 TOTAL OF UNITEMIZED PLEDGES $ 0.00 5 Date 6 Full name of pledgor out-of-state PAC (ID#: ) 8 Amount of 19 In -kind description pledge ($) 1 (If applicable) .. ....................... ... ....... 7 Pled gor Address; City; State; Zip Code I { ❑ Check if travel outside of Texas. Complete Schedule T, 30 Principal occupation / Job title (See Instructions) 11 Employer (See Instructions) -arms r) rovided bv I exas Eth ICs Cornmisslon wwvv.et Ics.state.tx.us Version VIA.eebMM LOANS SCHEDULE E 1 Total pages Schedule e E: The Instruction Guide explains how to complete this form. Sch; i/g Rpt: 8/12 2 FILER NAME 3 Filer ID Norwood, Jason 4 TOTAL OF UNITEMIZED LOANS $ 0.00 5 Date of loan 7 Name of lender out-of-state PAC (ID#: 9 Loan Amount ($) 6 Is lender a 8 Lender address; City; State; Zip Code 10 Interest Rate financial institution? 11 Maturity Date 12 Principal occupation 1 Job title (See Instructions) 13 Employer (See Instructions) 14 Description of Collateral 15 Check if personal funds were deposited into political account None (See Instructions) 16 GUARANTOR 17 Name of guarantor 19 Amount Guaranteed ($) INFORMATION not applicable .................................................................................................................................................................................. 18 Guarantor address; City; State; Zip Code . 20 Principal occupation 21 Employer (See Instructions) Forms orovided bv Texas Ethics Commission www.ethjcs.state.tx.us Version V1.1.eeb5f8j POLITICAL EXPENDITURES FROM POLITICAL SCHEDULE F1 CONTRIBUTIONS EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement 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 - Gift/Awards/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 3 Filer ID Sch: 1/4 Rpt: 9/12 Norwood, Jason 4 Date 5 Payee name 04/06/2021 Amazon 6 Amount ($) 7 Payee address; City; State; Zip Code $212.71 c/o 421 Bluehaw Amazon.com Georgetown, TX 78628 8 PURPOSE (a) Category (See Categories listed at the top of this schedule) N Description OF Office Overhead/Rental Expense ❑ Check if travel outside of Texas. Complete Schedule T. EXPENDITURE El Check if Austin, TX, officeholder living expense printer ink 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name 04/07/2021 Amazon Amount ($) Payee address; City; State; Zip Code $35.70 c/o 421 Bluehaw Amazon.com Georgetown, TX 78628 PURPOSE (a) Category (see Categories listed at the top of this schedule) (b) Description OF Advertising Expense Check if tri,vr d outsi,li� fit Tlix6!;. c:,,i,il,le(e :schedule T. EXPENDITURE Check if nusun, TX, oldire;,oiuer lining axpense Labels Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name 04/07/2021 Amazon Amount ($) Payee address; City; State; Zip Code $72.78 c/o 421 Bluehaw Amazon.com Georgetown, TX 78628 PURPOSE (a) Category (see Categories listed at the top of this schedule) (b) Description OF Printing Expense n Check if travel outside of Texas. Complete Schedule I EXPENDITURElug Check if Austin, TX, officeholder llving expense envelops Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH orrns nrovidel bv Texas Ethics ommisslon WWW. eih Ics.state. fx.us Version V1.1.eeb5fA POLITICAL EXPENDITURES FROM POLITICAL SCHEDULE F1 CONTRIBUTIONS EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Renal Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel in District Contributions/ Donations Made By - Gift/Awards/Memorials Expense Printing Expense Travel Out of District Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor OTHER (enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule Fl: 2 FILER NAME 3 Filer ID Sch: 2/4 Rpt: 10/12 Norwood, Jason 4 Date 5 Payee name 04/05/2021 Appsheet 6 Amount ($) 7 Payee address; City; State; Zip Code $50.00 c/o www.appsheet.com Seattle, WA 11111 8 PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) Description OF Solicitation/Fundraising Expense Check if travel outside of Texas. Complete Schedule T, EXPENDITURE Check if Austin, TX, officeholder Irving expense blockwalking application 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name 04/06/2021 Austin Sign Co Amount ($) Payee address; City; State; Zip Code $481.71 9012 Research Blvd Suite C-9 Austin, TX 78758 PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) Description OF Advertising Expense Check if travel outside of Texas. Complete Schedule T. EXPENDITURE H Check if Austin, Tx, officeholder living expense yard signs Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name 04/07/2021 CVS Amount ($) Payee address; City; State; Zip Code $33.00 501 University Blvd Round Rock, TX 78665 PURPOSE (a) Category (see Categories listed at the top of this schedule) (b) Description OF Office Overhead/Rental Expense ❑Check if travel outside at texas. Complete Schedule T. EXPENDITURE 1__I Check if Austin, TX, officeholder living expense stamps Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH forms r)rovided 6v T&As Ethics commission www.et ics.state.tx,u5 Version V1.1.eeb5184f POLITICAL EXPENDITURES FROM POLITICAL SCHEDULE F1 CONTRIBUTIONS EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Remal Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel in District Contributions/ Donations Made By - Gift/AWards/Memodals Expense Printing Expense Travel Out of District Candidate/Officeholder/Political Committee Legal Services Salaries/wages/Contract Labor OTHER (enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1: 2 FILER NAME 3 Filer ID Sch: 3/4 Rpt: 11/12 Norwood, Jason 4 Date 5 Payee name 04/08/2021 Focus USA 6 Amount ($) 7 Payee address; City; State; Zip Code $1,389.15 95 N State Route 17 Suite 109 Paramus, NJ 07652 8 PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) Description OF Advertising Expense ❑ Check if travel outside of Texas. Complete Schedule T. EXPENDITURE 11 Check if Austin, TX, officeholder living expense email services 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name 04/07/2021 Peiffer, April Amount ($) Payee address; City; State; Zip Code $150.00 30110 Diamond Dove Tr Georgetown, TX 78626 PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) Description OF Advertising Expense Check if travel outside of Texas. Complete Schedule T. EXPENDITURE check if Austin, Tx, officeholder living expense website design Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name 04/05/2021 The UPS Store Amount ($) Payee address; City; State; Zip Code $24.65 723 W University Ave Georgetown, TX 78626 PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) Description OF Office Overhead/Rental Expense Check if navel outsirlu ui Ivx is, canifrlele Schedule T. EXPENDITURE Check ifAuslJn,TX, nific[rlruldr.r Irving expr.nse mailbox rental Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH vrms Drovided bv Texas Ethics Commission www.ethics.state.tx.us Version7777= POLITICAL EXPENDITURES FROM POLITICAL SCHEDULE F1. CONTRIBUTIONS EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/ Donations Made By - GM/Awards/Memorials Expense Printing Expense Travel Out of District Candidate/Officehokier/Political Committee Legal Services SalariestWages/Contract Labor OTHER (enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1: 2 FILER NAME 3 Filer ID Sch: 4/4 Rpt: 12/12 Norwood, Jason 4 Date 5 Payee name 04/14/2021 Tractor Supply 6 Amount ($) 7 Payee address; City; State; Zip Code $16.41 801 S IH 35 Frontage Road Georgetown, TX 78626 8 PURPOSE (a) Category (See Categories listed at the top of this schedule) lb) Description OF Advertising Expense Check if travel outside of Texas. Complete Schedule T. ❑ P EXPENDITURE ❑ Check if Austin. TX, officeholder living expense stakes 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name 04/09/2021 Vistaprint Netherlands B V Amount ($) Payee address; City; State; Zip Code $228.63 275 Wyman St Walthan, MA 02451 PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) Description OF Advertising Expense Check if (ma t l outsoo if rf,Aas'- cor. i&i ;� Schedule T. EXPENDITURE Check if Aeislin, TX, nllrc E'hnl[ier Iwirir} vKper ise literature Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name 04/02/2021 Walmart Amount ($) Payee address; City; State; Zip Code $50.01 620 S IH 35 Georgetown, TX 78628 PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) Description OF office supplies n Check if travel outside of Texas. Complete Schedule T. EXPENDITURE uX Check If Austin, TX, officeholder 19ving expense envelopes Complete ONLY if direct Candidate/Officeholder name Offir.P Sought Office held expenditure to benefit C/OH orms Drovided bv Texas Ethics Commission www.ethics.state.tx.us Version V1.1.eeb5f84T