Nevels, Kevin-COH 2021-07-15CANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT
COVER SHEET PG 1
The ClOH Instruction Guide explains how to complete this form.
1 Filer ID (Ethics Commission Filers)
2 Total pages filed:
3 CANDIDATE /
MS / MRS / MR FIRST MI
OFFICEHOLDER
M p ,/�
OFFICE USE ONLY
NAME.......
r :.................... ..e eo.6 ...........................
""""
Date Received
NICKNAMESSUFFIX
X11512.,
4 CANDIDATE /
OFFICEHOLDER
ADDRESS / PO BOX; APT 1 SUITE #; CITY; STATE; ZIP CODE
ADDRESS
S
(0ell ,,7-X TSD/�1
tt=3o�
❑ Change of Address
5 CANDIDATE/
OFFICEHOLDER
AREA CODE PHONE NUMBER EXTENSION
Date Hand delivered or Date Postmarked
PHONE
Receipt #
Amount $
6 CAMPAIGN
MS / MRS / MR FIRST MI
TREASURER
NAME
,� A /; ,,1
....................... . .
............. �`t" G/.........
Date Processed
NICKNAME LAST SUFFIX
Date Imaged
I
/•� n
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEA E); PT / SUITE #; CITY;
STATE; ZIP CODE
TREASURER
ADDRESS
LP�10 CI,f oo Cf (Crefll
7/ 7,50/1
(Residence or Business)
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
9 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
10 PERIOD
Month Day Year Month
Day Year
COVERED
//3 /2-a?, THROUGH 7
11 ELECTION
ELECTION DATE
ELECTION TYPE
❑ Primary ❑ Runoff ❑ Other
Month Day Year
Description
(' V
General ❑ Special
12 OFFICE
OFFICE HELD (if any)
13 OFFICE SOUGHT (d known)
Councll Praire q
14 NOTICE FROM
THIS BOX IS FOR NOTICE OF POLRMAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT
POLITICAL
THE CANDIDATE / OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE W THOUT THE CANDIDATES OR OFFICEHOLDER'S KW WLEDGE OR
CONSENT. CANDIDATES AND OFnCEHOLDERS 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
SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
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)
17 CONTRIBUTION
1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
TOTALS
PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR
$ O
CONTRIBUTIONS MADE ELECTRONICALLY)
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
$
...................
EXTEEXPENDITURE
3. TOTAL UNITEMIZED POLITICAL EXPENDITURE.
$
4. TOTAL POLITICAL EXPENDITURES
$ I '
CONTRIBUTION
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
$
BALANCE
OF REPORTING PERIOD
OUTSTANDING
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
O
LOAN TOTALS
LAST DAY OF THE REPORTING PERIOD
$
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 Code.
Signature of Candidate or Officeholder
Please complete either option below:
ASHLEY M. OWENS
Notary Public, State of Texas
Zc Comm. Expires 02-24-2023 4
(1)Affidav '�%r°;,�Notary ID 130128128
NOTARY STAMP/ SEAL c'' j
Sworn to and subscribed before me by 1 VA/V�./1 �l this the 1 J day of Vv'
20 2-1 . to certifv wbich. witness my hand and seal of office. ..
(2) Unsworn Declaration
My name is _
My address is
Executed in
and my date of birth is
(street) (city) (state) (zip code) (country)
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
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
Ktv
n 'N -f Is
20 Filer ID (Ethics Commission Filers)
21
SCHEDULE SUBTOTALS
NAME OF SCHEDULE
SUBTOTAL
AMOUNT
1
Ef SCHEDULEAI:
MONETARY POLITICAL CONTRIBUTIONS
$
f
2.
0 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
$
' q7
6-
El 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-
El SCHEDULE H:
PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH
$
11.
SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
CJ /
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
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
1 Total pages Schedule At:
2 FILER NAME n&
$ Filer ID (Ethics Commission Filers)
4 Date
5 Full name of contributor ❑ out-of-state PAC (ID# _ )
7 Amount of contribution ($)
�e�.. +- P� Vat Ire//
/ I n
.. ............................................
6 Contributor
address; Ci State; ZipCode
I bo I t- SadGala Rd ('gppcll 'fX -75o 1 I
8 Principal occupation / Job title (See Instructions)
g Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID#:
Amount of contribution ($)
/ ffo /IU ASSOCIAhA d� 101-i
...........................................................
Contributor address; Ci State; Zip Code
„
a)
rzo / 'V. _( iwioys raw -ba/lam
Principal occupation / Job title (See Instructions)
:[:
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID#: )
Amount of contribution ($)
..................................................................................
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID#: t
Amount of contribution ($)
..................................................................................
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www. ethics. state.tx. us Revised 8/17/2020
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS
SCHEDULE F1
If the requested information is not applicable, DO NOT include this
page in the report.
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense
Accountin9Banbn9
Coruultirtg Expanse
Event Expense Loan Repayment/Reimbursernent Soliatation/FundraisingExpense
Fees Office Overhead/Rental Expense Transportation Equipment &Related Expense
Food/Beverage Expense Polling Expense
Travel In District
C,ontr>butions/Donations Made By Gift/AWardslMernonals Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salarie sM/ages/Contrad 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 I , /�
3 Filer ID (Ethics Commission Filers)
N/(/
4 Date
� jo - Z
5 Payee name
G best
afl? i
s
6 Amount ($)
7 Payee address;
City; State; Zip Code
$ 3 Z Z sf
( 0 Z l d p
Cq�ftll 't -X 75611
8
(a) Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
OF
EXPENDITURE
/ _XQ
����
P`
(C) Check if travel outside of Texas. Complete Schedule T.
Check ifAustin, TX, officeholder living expense
9 Complete ONLY if direct
Candidate / Officeholder name
Office sought Office held
expenditure to benefit C/OH
Date
Payee name
FA- 6e
Amount ($4 7! �v
J
Payee address;
City; State; Zip Code
/ l� , Cl -U' Way
/�r� n �o f�ov I Cf� 61 VDL S
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
OF
4a�v�r��,`� t�X�t•hr�
�GCLe h0�kAa
S
EXPENDITURE
0 Check dtravel outside ofTexas. Complete Schedule T
Check if Austin, TX, officeholder living expense
Complete ONLY if direct
Candidate / Officeholder name
Office sought Office held
expenditure to benefit C/OH
Date
S - /V- z /
Payee name
of
Amount ($)
Payee address;
City; State, Zip Code
l 5
708' IVA 1n S'/.
(4AWI �X 7SGl 1
Category (Sees Categories listed the top of this schedule)
Description
POSE
PUROF
=at
EXPENDITURE
EJCheck dtravel outside ofTexas. Complete Schedule T
E:1 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
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS
SCHEDULE F1
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 RepaymenUReimlwrsement Solicitation/FundramrigExpense
Acoamting/Bantang
Consulting Expense
Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense
Food/Beverage Expense Polling Expense Travel In District
Contributions/Donations Made By Gift/Awards/Memortals 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 (Ethics Commission Filers)
4 Date
5 Payee name
�YoS7 �urt
. e- Z, (
6 Amount ($)
7 Payee address;
City; State; Zip Code
r . z-,)-
/O Z 6w*yl —F& -p
( cmi t 7' K -75011
8
(a) Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
�y
OF
/Y v'�
4CCI „�I-„_���
SPiVi Ge
EXPENDITURE
(c) E] Chedkif travel outside ofTexas. Complete Schedule T.
E] Check ifAustin, TX, officeholder living expense
9 Complete ONLY if direct
Candidate / Officeholder name
Office sought Office held
expenditure to benefit C10H
Date
Payee name
Amount ($)
Payee address;
City; State, ZZiipr Code
-" ;
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
OF
EXPENDITURE
Check if travel outside of Texas. Complete Schedule T
El Check if Austin, TX, officeholder living expense
Complete ONLY if direct
Candidate / Officeholder name
Office sought Office held
expenditure to benefit C/OH
Date
fib-hr"UZI
Payee name Pay
1 � 1
Amount ($)
Payee address;
City; State; Zip Code
%� 8d
22// n/. �'i-S� S�
s'art dost CA C1Si 3 I
Category (See Categories listed at the top of this schedule)
Description
PUROPF SE
Fe��/Pal
1,60sPc14 Fec.S
EXPENDITURE
ElCheck if travel outside of Texas. Complete Schedule T
EJ Check if Austin, TX, officeholder living expense
Complete ONLY if direct
Candidate / Officeholder name
Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
NON-POLITICAL EXPENDITURES
MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
1 Total pages Schedule 1:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
4 Date
5 Payee name
6 Amount ($)
7 Payee address; City State Zip Code
8
(a)Category (See instructions for examples of acceptable
(b) Description (See instructions regarding type of information
PURPOSE
categories.)
required.)
OF
EXPENDITURE
Date
Payee name Cowell
/
Amount ($)
Payee address; City State Zip Code
,5�1 /. S�
70 8 /ua l� Sf. cv1pell 7` -7501 7
PURPOSE
Category (See instructions for examples of acceptable
Description (See instructions regarding type of information
OF
EXPENDITURE
categories.)
Cot, It-bu i, an lJ .tahan s ffy A4d,' I
G
required.)
� N 7�'
�Q/Y.G'►p1 �f l J
Nn
CO�f�G�G 0 %tGi10((�i' lrRt1+l Giw�t�1/!Yt
/� � %j ' S
Date
Payee name
Amount ($)
Payee address; City State Zip Code
PURPOSE
Category (See instructions for examples of acceptable
Description (See instructions regarding type of information
OF
categories.)
required.)
EXPENDITURE
Date
Payee name
Amount ($)
Payee address; City State Zip Code
PURPOSE
Category (See instructions for examples of acceptable
Description (See instructions regarding type of information
OF
categories.)
required.)
EXPENDITURE
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www. ethics. state. tx.us Revised 8/17/2020
CANDIDATE/ OFFICEHOLDER REPORT:
DESIGNATION OF FINAL REPORT FORM C/OH - FR
The Instruction Guide explains how to complete this form.
•- Complete only if "Report Type" on page 1 is marked "Final Report" --
1 C/OH NAME
2 Filer ID (Ethics Commission Filers)
3 SIGNATURE
I do not expect any further political contributions or political expenditures in connection with my candidacy. I understand that
designating a report as a final report terminates my campaign treasurer appointment. I also understand that I may not accept any
campaign contributions or make any campaign expenditures without a campaign treasurer appointment on file.
Signature of Candidate / Officeholder
4 FILER WHO IS NOT AN OFFICEHOLDER
•• Complete A& B below only if you are not an officeholder. --
A. CAMPAIGN FUNDS
Chec only one:
1 do not have unexpended contributions or unexpended interest or income earned from political contributions.
I have unexpended contributions or unexpended interest or income earned from political contributions. I understand that I
may not convert unexpended political contributions or unexpended interest or income earned on political contributions to
personal use. I also understand that I must file an annual report of unexpended contributions and that I may not retain
unexpended contributions or unexpended interest or income earned on political contributions longer than six years after
filing this final report. Further, I understand that I must dispose of unexpended political contributions and unexpended
interest or income earned on political contributions in accordance with the requirements of Election Code, § 254.204.
B. ASSETS
Check only one:
�I do not retain assets purchased with political contributions or interest or other income from political contributions.
I do retain assets purchased with political contributions or interest or other income from political contributions. I understand
that I may not convert assets purchased with political contributions or interest or other income from political contributions to
personal use. I also understand that I must dispose of assets purchased with political contributions in accordance with th
requirements of Election Code, § 254.204.
-
Signature of Candidate
5 OFFICEHOLDER
-• Complete this section only if you are an officeholder •-
Q I am aware that I remain subject to filing requirements applicable to an officeholder who does not have a campaign treasurer on
file. I am also aware that I will be required to file reports of unexpended contributions if, after filing the last required report as
an officeholder, I retain political contributions, interest or other income from political contributions, or assets purchased with
political contributions or interest or other income from political contributions.
Signature of Officeholder
Forms provided by Texas Ethics Commission www. ethics. state .tx.us Revised 8/17/2020