Mathew, Biju-COH 2021-06-04CANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT
COVER SHEET PG 1
1 Filer ID (Ethics Commission Filers)
2 Total pages filed'
The C/OH Instruction Guide
explains how to complete this form.
3 CANDIDATE/
MS / MRS / MR FIRST MI
OFFICEHOLDER
MR BIJU
OFFICE USE ONLY
NAME.................................................................................
Date Received
NICKNAME LAST SUFFIX
MATHEW
4IL4 I2
4 CANDIDATE/
ADDRESS / PO BOX, APT / SURE #; CITY; STATE; ZIP CODE
OFFICEHOLDER
ADDRESS
Change of Address
5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
Date Hand -delivered or Date Postmarked
OFFICEHOLDER
(
PHONE
Receipt #
Amount $
6 CAMPAIGN
MS / MRS / MR FIRST MI
TREASURER
BARBARA
Date Processed
NAME
.............. .. ............. ..................................
NICKNAME LAST SUFFIX
Date Imaged
SCHMIDT
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY,
STATE: ZIP CODE
TREASURER
682 PHEASANT LN, COPPELL, TX 75019
ADDRESS
(Residence or Business)
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
( 214 5024467
9 REPORT TYPE
January 15 30th day before election Runoff
I
I 15th day after campaign
I treasurer appointment
(Officeholder Only)
t�
July 15 r 8th day before election I Exceeded Modified
I - Final Report (Attach C/OH - FR)
_
I Reporting Limit
I
10 PERIOD
Month Day Year Month
Day Year
COVERED
4 /24 /21 THROUGH 5
1 /21
11 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
Primary Runoff Other
Description
5 / 1 / 21
0 General Special
12 OFFICE
OFFICE HELD (A any)
13 OFFICE SOUGHT (if known)
COUNCIL PLACE 6
COUNCIL PLACE 6
14 NOTICE FROM
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT
POLITICAL
THE CANDIDATE I 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(S)
COMMITTEE TYPE
COMMITTEE NAME
GENERAL
COMMITTEE ADDRESS
Additional Pages
COMMITTEE CAMPAIGN TREASURER NAME
SPECIFIC
COMMITTEE CAMPAIGN TREASURER ADDRESS
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
CANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT
COVER SHEET PG 2
15 C/OH NAME
16 Filer ID (Ethics Commission Filers)
BIJU MATHEW
17 CONTRIBUTION
1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
TOTALS
PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR
$ 0.00
CONTRIBUTIONS MADE ELECTRONICALLY)
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
$ 0.00
...................
EXPENDITURE
TOTALS
3. TOTAL UNITEMIZED POLITICAL EXPENDITURE.
$
0.00
...................
4. TOTAL POLITICAL EXPENDITURES
$ 967.91
CONTRIBUTION
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
$ 0.00
BALANCE
..................
OF REPORTING PERIOD
OUTSTANDING
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
/�
$
LOAN TOTALS
LAST DAY OF THE REPORTING PERIOD
—n
3L .09
18 SIGNATURE 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 under Title 15, Election Co
Signature of Candidate or Officeholder
Please complete either option below:
ASHLEY M. OWENS
Notary Public, State of Texas
(1)Affidavit 9•.,r Comm. Expires 02-24-2023
Notary ID 130128128
NOTARY STAMP/ SEAL
Sworn
nto and subscribed before me by it U r' 1IMWAV this the day of
20 to ceo* which, witness my hand and seal of office. In
(2) Unsworn Declaration
My name is and my date of birth is
My address is
(street) (city) (state) (zip code) (country)
Executed in County, State of on the day of 20
(month) (year)
Signature of Candidate/Officeholder (Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
j,t tai Vol J
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
SUBTOTALS
- C/OH FORM C/OH
COVER SHEET PG 3
19 FILER NAME
BIJU MATHEW
20 Filer ID (Ethics Commission Filers)
21
SCHEDULE SUBTOTALS
NAME OF SCHEDULE
SUBTOTAL
AMOUNT
1.
SCHEDULEAI: MONETARY POLITICAL CONTRIBUTIONS
$
2•
SCHEDULE A2: NON -MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS
$
3.
SCHEDULE B:
PLEDGED CONTRIBUTIONS
$
4.
SCHEDULE E:
LOANS
$
5.
■ SCHEDULE F1:
POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$ 967.91
6.
SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
$
7•
SCHEDULE F3:
PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$
8.
SCHEDULE F4:
EXPENDITURES MADE BY CREDIT CARD
$
9•
SCHEDULE G:
POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
$
10.
SCHEDULE H:
PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH
$
11.
SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
12.
SCHEDULE K:
INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED
TO FILER
$
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
POLITICAL EXPENDITURES MADE
SCHEDULE F1
FROM POLITICAL CONTRIBUTIONS
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursernent Solicitation/FundraisingExpense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
C AriWrtbns/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candkfate/Officeholder/Pobtical Committee Legal Services Selades/Wages/Contrac[ Labor Otherenter a category gory 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 (Ethics Commission Filers)
BIJU MATHEW
4 Date
5 Payee name
05/20/2021
BIJU MATHEW
6 Amount ($)
7 Payee address; City; State; Zip Code
967.9 1
760 KILBRIDGE LANE, COPPELL, TX 75019
8
(a) Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
LOAN
OF
REPAYMENT/REIMBURSEMENT
EXPENDITURE
(c) Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense
9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
OF
EXPENDITURE
Check if travel outside of Texas. Complete Schedule Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / 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
OF
EXPENDITURE
Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / 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 8/17/2020