HomeMy WebLinkAboutBoydstun_Allen 07.14.2021 Campaign Finance ReportCANDIDATE 1 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.
11
3 CANDIDATE /
MS /MRS / MR FIRST
MI
OFFICE USE OAQU
OFFICEHOLDER
Jason
oateReceivedUL I � 2021
NAME
NICKNAME LAST
SUFFIX
Norwood
f :-
4 CANDIDATE /
ADDRESS / PO BOX; APT / SUITE #; CITY;
ZIP CODE
Date Hand-deliverl or Date Postm ed
OFFICEHOLDER
421 Bluehaw Drive
— 2
MAILING
ADDRESS
Receipt
Amount
❑ Change of Address
Georgetown, TX 78628
Date Processed
Date Imaged
5 CAMPAIGN
MS / MRS / MR FIRST
MI
TREASURER
NAME
A I l e n
D
/'
..........................................................................................................................................................................................................................................
NICKNAME LAST
SUFFIX
+
9 try Yd i l l ^
6 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE);
APT / SUITE #; CITY;
STATE: ZIP CODE
TREASURER
ADDRESS
n /, /
,�`��`'"f1�/7 .� V �P� L h
(Residence or Business)
'lam
"7��3�
7 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
l L.`�/ LjL�r
8 REPORT
TYPE
January 15 30th day before election
Runoff 15th day after campaign treasurer
appointment (officeholder only)
ED 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
04/22/2021 THROUGH
06/30/2021
10 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
Primary
Runoff
Other
171 General
Special
11 OFFICE
OFFICE HELD (if any)
12 OFFICE SOUGHT (if known)
City of Georgetown city council District 5
GO TO PAGE 2
Forms proviaeo ny I exas ttnics commission www.etnics.state.tx.us Version V1.1.83d66148
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CANDIDATE 1 OFFICEHOLDER REPORT: FORM C/OH
SUPPORT & TOTALS COVER SHEET PG 2
2of11
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 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)
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)
$ 300.00
EXPENDITURE
TOTALS
3. TOTAL UNITEMIZED POLITICAL EXPENDITURES
0.00
$
4. TOTAL POLITICAL EXPENDITURES
$ 1,581.10
CONTRIBUTION
BALANCE
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF THE
REPORTING PERIOD
$ 1,646.17
OUTSTANDING
LOAN TOTALS
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS As OF THE LAST DAY
OF THE REPORTING PERIOD
$ 0.00
17 AFFADAVIT
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
under Title 15, Election Code.
• •�.1',PY P(��
LINDA RUEWHITEMy Notary ID123
Expires Ma4
Signature of Candidate r Officeholder
AFFIX NOTARY STAMP / SEAL ABOVE
S n to "and, before me, by the said this the / day
of 20 to certi6h, witness my ha nd seal of office.
ignature of er administering Printed name of officer administering Title of officer administering oath
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SUBTOTALS - CIOH
FORM C/OH
COVER SHEET PG 3
3of11
18 FILER NAME
Norwood, Jason
19 Filer ID
20 SCHEDULE SUBTOTALS
NAME OF SCHEDULE
SUBTOTAL AMOUNT
1. ❑X
SCHEDULE Al:
MONETARY POLITICAL CONTRIBUTIONS
$
300.00
2. n
SCHEDULE A2:
NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS
$
0.00
3. n
SCHEDULE B:
PLEDGED CONTRIBUTIONS
$
0.00
4. X
SCHEDULE E:
LOANS
$
0.00
S. M
SCHEDULE F1:
POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS
$
1,581.10
6. n
SCHEDULE F2:
UNPAID INCURRED OBLIGATIONS
$
0.00
7. ❑
SCHEDULE 173:
PURCHASE OF INVESTMENTS FROM POLITICAL CONTRIBUTIONS
$
8. M
SCHEDULE F4:
EXPENDITURES MADE BY CREDIT CARD
$
0.00
9. M
SCHEDULE G:
POLITICAL EXPENDITURES FROM PERSONAL FUNDS
$
0.00
10.
SCHEDULE H:
PAYMENT FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF ClOH
$
11. n
SCHEDULE I: NON -POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS
$
12 ❑SCHEDULE
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: 4/11
2 FILER NAME
3 Filer ID
Norwood, Jason
4 Date
5 Full name of contributor out-of-state PAC (ID#: )
7 Amount of Contribution ($)
06/08/2021
Boydstun, Dwaine
$100.00
...................................................................................................................................................................
6 Contributor address; City; State; Zip Code
722 Independence Creek Ln
Georgetown, TX 78633
8 Principal occupation / Job title (See Instructions)
9 Employer (See Instructions)
retired
n/a
Date
Full name of contributor out-of-state PAC (IM, )
Amount of Contribution ($)
04/27/2021
Jones, Elzayta
$100.00
...................................................................................................................................................................
Contributor address, City; State; Zip Code
2400 McClellan
#11206
Pennsauken, NJ 08109
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
retired
n/a
Date
Full name of contributor out-of-state PAC (ID#: )
Amount of Contribution ($)
04/27/2021
Wakaset, Susan
$100.00
...................................................................................................................................................................
Contributor address; City; State; Zip Code
605 Friendswood Dr.
Georgetown, TX 78628
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
none
n/a
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PLEDGED CONTRIBUTIONS
SCHEDULE B
The Instruction Guide explains how to complete this form.
1 Total pages Schedule B:
Sch: 1/1 Rpt: 5/11
2 FILER NAME
3 Filer ID
Norwood, Jason
Dwaine. Boydstun@gmail.com
a TOTAL OF UNITEMIZED PLEDGES
$ 0.00
5 Date
6 Full name of pledgor out-of-state PAC (ID#: )
8 Amount of I9 In -kind description
pledge ($) I (If applicable)
.................................................... .... ........ ...............................................
7 Pledgor Address; City; State; Zip Code
I
I
1
I
Check if travel outside of Texas. Complete Schedule T.
10 Principal occupation / Job title (See Instructions)
11 Employer (See Instructions)
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LOANS
SCHEDULE E
1 Total pages Schedule E*
The Instruction Guide explains how to complete this form.
Sch: 1/1 Rpt: 6/11
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 ($)
6 Is lender a
8 Lender address; City;
State; Zip Code
10 Interest Rate
financial
institution?
11 Maturity Date
12 Principal occupation / Job title (See Instructions)
13 Employer (See Instructions)
14 Description of Collateral
15 Check if personal funds were deposited into political account
❑ None
(See Instructions)
16 GUARANTOR
17 Name of guarantor
19 Amount Guaranteed ($)
INFORMATION
not applicable
...................................................................................................................................................................................
18 Guarantor address; City;
State; Zip Code
20 Principal occupation
21 Employer (See Instructions)
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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 Fi:
2 FILER NAME
3 Filer ID
Sch: 1/5 Rpt: 7/11
Norwood, Jason
4
Date
5 Payee name
04/27/2021
Aristotle International
6
Amount ($)
7 Payee address; City; State; Zip Code
$516.33
205 Pennsylvania Ave SE
Washington, DC 20003
8
PURPOSE
(a) Category (See Categories listed at the top of this schedule)
(b) Description
OF
Advertising Expense
Check if travel outside of Texas. Complete Schedule T.
EXPENDITURE
Check if Austin, TX, officeholder living expense
prepare text bank
9
Complete ONLY if direct
Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
04/27/2021
First Texas Bank
Amount ($)
Payee address; City; State; Zip Code
$5.00
P O Box 649
Georgetown, TX 78627
PURPOSE
(a) Category (see Categories listed at the top of this schedule)
(b) Description
OF
Accounting/Banking
Check if travel outside of Texas. Complete Schedule T.
EXPENDITURE
Check if Austin, TX, officeholder living expense
banking statement fee
Complete ONLY if direct
Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
05/27/2021
First Texas Bank
Amount ($)
Payee address; City; State; Zip Code
$5.00
P O Box 649
Georgetown, TX 78627
PURPOSE
(a) Category (see Categories listed at the top of this schedule)
(b) Description
OF
EXPENDITURE
Accounting/Banking
Check if travel outside of Texas. Complete Schedule T.
❑ Check if Austin, TX, officeholder living expense
bank monthly statement fee
Complete ONLY if direct
Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
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POLITICAL EXPENDITURES FROM POLITICAL
SCHEDULE FZ
CONTRIBUTIONS
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel in District
Contributions/ Donations Made By - Gift/Awards/Memorials Expense Printing Expense Travel Out of District
Candidate/OfficeholderlPolitical Committee Legal Services SalarieslWages/Contrail labor OTHER (enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F1:
2 FILER NAME
3 Filer ID
Sch: 2/5 Rpt: 8/11
Norwood, Jason
4 Date
5 Payee name
06/27/2021
First Texas Bank
6 Amount ($)
7 Payee address; City; State; Zip Code
$5.00
P O Box 649
Georgetown, TX 78627
8 PURPOSE
(a) Category (see Categories listed at the top of this schedule)
(b) Description
OF
Accounting/Banking
Check if travel outside of Texas. Complete Schedule T.
EXPENDITURE
Check if Austin, 7X, officeholder living expense
bank service fee
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
04/26/2021
Payee name
Mail Drop
Amount ($)
$210.00
Payee address; City; State; Zip Code
2970 Williams Dr
Georgetown, TX 78628
PURPOSE
OF
EXPENDITURE
(a) Category (See Categories listed at the top of this schedule)
Advertising Expense
(b) Description
Check if travel outside of Texas. Complete Schedule T.
Check if Austin, TX, officeholder living expense
mailing expense
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
04/29/2021
Payee name
Mail Drop
Amount ($)
$428.40
Payee address; City; State; Zip Code
2970 Williams Dr
Georgetown, TX 78628
PURPOSE
OF
EXPENDITURE
(a) Category (See Categories listed at the top of this schedule)
Advertising Expense
(b) Description
Check if travel outside of Texas. Complete Schedule T.
❑ Check if Austin, TX, officeholder living expense
mailers
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
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POLITICAL EXPENDITURES FROM POLITICAL SCHEDULE F1
CONTRIBUTIONS
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel in District
Contributions/ Donations Made By - Gift/Awards/Memorials Expense Printing Expense Travel Out of District
Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor OTHER (enter a category not listed above)
Credit Card Payment The Instruction Guide explains how to complete this form.
1 Total pages Schedule 171:
2 FILER NAME
3 Filer ID
Sch: 3/5 Rpt: 9/11
Norwood, Jason
4 Date
5 Payee name
04/29/2021
McAlisters Deli
6 Amount ($)
$18.54
7 Payee address; City; State; Zip Code
1013 W University Ave
#301
Georgetown, TX 78628
8 PURPOSE
OF
EXPENDITURE
(a) Category (See Categories listed at the top of this schedule)
Food/Beverage Expense
(b) Description
Check if travel outside of Texas. Complete Schedule T.
Check if Austin, TX, officeholder living expense
campaign lunch
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
06/09/2021
Payee name
Norwood, Jason
Amount ($)
$100.00
Payee address; City; State; Zip Code
421 Bluehaw Dr
Georgetown, TX 78628
PURPOSE
OF
EXPENDITURE
(a) Category (See Categories listed at the top of this schedule)
Advertising Expense
(b) Description
Check if travel outside of Texas. Complete Schedule T.
Check if Austin, TX, officeholder living expense
reimbursement for t shirts
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
06/05/2021
Payee name
Rewired LLC
Amount ($)
$171.37
Payee address; City; State; Zip Code
41 Flatbush Ave
FI 1 PMB 731
Brooklyn, NY 11217
PURPOSE
O
EXPENDITURE
(a) Category (See Categories listed at the top of this schedule)
Advertising Expense
(b) Description
Check if travel outside of Texas. Complete Schedule T.
11 Check if Austin, TX, officeholder living expense
on line service
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
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POLITICAL EXPENDITURES FROM POLITICAL
CONTRIBUTIONS
SCHEDULE F1
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense
Event Expense
Loan Repayment/Reimbursement
Solicitation/Fundraising Expense
Accounting/Banking
Fees
Office Overhead/Rental Expense
Transportation Equipment & Related Expense
Consulting Expense
Food/Beverage Expense
Polling Expense
Travel in District
Contributions/ Donations Made By -
Gift/Awards/Memorials Expense
Printing Expense
Travel Out of District
Candidate/Officeholder/Political Committee Legal Services
Salaries/Wages/Contract Labor
OTHER (enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F1:
2
FILER NAME
3 Filer ID
Sch: 4/5 Rpt: 10/11
Norwood, Jason
4 Date
5
Payee name
06/05/2021
Rewired LLC
6 Amount ($)
7
Payee address; City; State;
Zip Code
$2.61
41 Flatbush Ave
Fl 1 PMB 731
Brooklyn, NY 11217
8 PURPOSE (a) Category (See Categories listed at the top of this schedule) (b) Description
OF Advertising Expense Check if travel outside of Texas. Complete Schedule T.
EXPENDITURE
Check if Austin, TX, officeholder living expense
mailing software
I9 Complete ONLY if direct Candidate/Officeholder name Office sought
expenditure to benefit C/OH
Date
04/27/2021
Amount ($)
PURPOSE
OF
EXPENDITURE
Payee name
Target
Payee address; City; State; Zi
p
Office held
(b) Description
Check if travel outside of Texas. Complete Schedule T.
Check if Austin, TX, officeholder living expense
papergoods
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
05/04/2021 UPS Store
Amount ($) Payee address; City; State; Zip Code
$29.00 2970 Williams Dr
Georgetown, TX 78628
PURPOSE (a) Category (see Categories listed at the top of this schedule) (b) Description
OF Office Overhead/Rental Expense Check if travel outside of Texas. Complete Schedule T.
EXPENDITURE Check if Austin, TX, officeholder living expense
postage
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
on www
POLITICAL EXPENDITURES FROM POLITICAL
SCHEDULE F1
CONTRIBUTIONS
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment, Reimbursement
Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense
Transportation Equipment & Related Expense
consulting Expense Food/Beverage Expense Polling Expense
Travel in District
Contributions/ Donations Made By - Gift/Awards/Memorials Expense Printing Expense
Travel Out of District
Candidate/Officeholder/Political Committee Legal Services SalariesNdages/Contract Labor
OTHER (enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1
Total pages Schedule Fl:
2 FILER NAME
3 Filer ID
Sch: 5/5 Rpt: 11/11
Norwood, Jason
4
Date
5 Payee name
06/04/2021
UPS Store
6
Amount ($)
7 Payee address; City; State; Zip Code
$39.00
2970 Williams Dr
Georgetown, TX 78628
8
PURPOSE
(a) Category (See Categories listed at the top of this schedule)
(b) Description
OF
Office Overhead/Rental Expense
Check it travel outside of Texas. Complete Schedule T.
EXPENDITURE
Check if Austin,
TX, officeholder living expense
P O Box rental
9
Complete ONLY if direct Candidate/Officeholder name Office sought
Office held
expenditure to benefit C/OH
i-orms provided Dy I exas ttnics commission www.etnlcs.state.tx.us Version V1.1.83d66148