Berrong, James Lee
CAMPAIGN FINANCIAL DISCLOSURE STATEMENT
For State and Local Candidates
For Single-Candidate Committees
1 DATE OF REPORT 2.a. NAME OF CANDIDATE OR COMMITTEE
3. ELECTION DATE
2.b. IF CO l NAME OF CANDIDATE
4.a. CAMPAIGN ADDRESS AND PHONE Slate Zip Code Phone
Street or Rural Route City _
4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.) State Zip Code Phone
Street or Rural Route City
5. OFFICE SOUGHT (include district number, if applicable) ]6. NAME OF POLITICAL TREASURER (may be candidate)
7. CATEGORY OR REPORT (Check one)
❑ ❑ ❑ ❑ El E] E-1
MID-YEAR YEAR-END
FIRST SECOND THIRD FOURTH PR PRE
ENDING DATE OF REPORTING PE SUPPLEMENTAL SUPPLEMENTAL
QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL
8.a. BEGINNING DATE OF REPORTING PERIOD L* 4
9 (Check one)
ffrom or this detailed disclosure because (Complete (incl and in-ki) d) received total $1,000 or less AND expendi-
a ❑ taThis res campaign is exempt
total b This campaign is required to file a detailed financial disclosure because contributions (including in-kind) received total more than $1,000
and/or expenditures total more than $1,000 for this reporting period.
10. I/we do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this report is an
accurate accounting of campaign contributions and expenditures required to be reported by the candidate committee by the Campaign
Financial Disclosure Act. Additionally, I/we swear or affirm that no campaign contributions have be a ended for the personal financial
benefit of the candidate or for any other nonpolitical purpose as defined by the feder ernal e e r de. a
a
s' at f oil al tr surer //-d
ignature of can • da
1
11. WI NESS SIGNATURE
Z _L5 L(--23-8
r ~
signature of witness date
signature of witne s date
12. SUMMARY ~3 X50.
a. BALANCE ON HAND LAST REPORT
b. TOTAL RECEIPTS THIS PERIOD $
9'~0.
$
M.... . . . .
c. TOTAL DISBURSEMENTS THIS PERIOD . .12 4. . . .
3 Z s
d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.)
Q'
N ~
e. TOTAL LOANS OUTSTANDING .................................r+ RECEIVEp.. . . . . tD $
APi! 2 5 2018 $
f. TOTAL OBLIGATIONS OUTSTANDING
. BLOUNTCO
LEC71ON
ate. ~a Page 1 of RDA 1159
5S-1109 (Rev. 2106) S b ~ `
SUMMARY PAGE - CANDIDATE
14. REPORT COVERING THE PERIOD
13. NAME OF CANDIDATE OR COMMITTEE (In Full) FROM T0:
C -I -Z a RECEIPTS-
15. CONTRIBUTIONS (other than loans and interest)
V'Q
a. Unitemized Contributions ($100 or less from each source this period) .O D
b. Itemized Contributions (over $100 from each source this period) $ r ,
c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.)
16. LOANS RECEIVED THIS REPORTING PERIOD
17. INTEREST RECEIVED THIS REPORTING PERIOD
18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.)
DISBURSEMENTS
19. EXPENDITURES (other than loan payments)
a. Expenditures ($100 or less each payee this period) (must be listed by category - e.g., printing, postage, gasoline)
>z
0V'j t' $ fog
$
$
$
$
$
• Iss. ~g
Total of Expenditures ($100 or less each payee) .
-
b. Itemized Expenditures (Over $100 each payee this period) $
c. TOTAL EXPENDITURES (other than loan repayments)(add 19.& and 19.b.) $
20. LOAN REPAYMENTS MADE THIS PERIOD
21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.)
22AWKIND CONTRIBUTIONS
a. Unitemized in-kind contributions ($100 or less from each source this period) $
b. Itemized in-kind contributions (over $100 from each source this period) $
c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.) $
23.013LIGATIONS
$
a. Unitemized Obligations Outstanding ($100 or less each)
b. Itemized Obligations Outstanding (Over $100 each) $
c. TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 12.f.)
Page of
SS-1133 (Rev. 4102)
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
L 1 S Ls'tr FROM. i T0: 04
Amour
3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page)
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totalin more than $too from an contributor
First Name Middle Name Contribution Received For: Amount of Contribution
Last Name/Organization Name 7rimary Election ❑ General Election
tiA O 112 - S lao rL. ! N 1.6- "1 • W
Address ❑ Runoff (Local Elections Only)
S~ S Ow) • Slwl~vv 4D
City State Zip Code Dale of Contribution Aggregate This Election 31501
Occupation
Employer
First Name Middle Name Contribution Received For: Amount of Contribution
•
Last Name/Organization Name O~Fnmary Election ❑ General Election \T7
-1 1
❑ Runoff (Local Elections Only)
Address r3 P'_ -vim V C a
city State Zip Code Date of Contribution Aggregate This Election
Jq Dt 4 31
Occupation
Employer
First Name iddle Name Contribution Received For Amount of Contribution
v°
an zahon ame rimary Election ❑ General Election
ast ame rg ~ VU
Address ❑ Runoff (Local Elections Only)
City State Zip Code Date of Contribution Aggregate This Election
.3Za07-
Occupation l l 3
mp oyer
First Name Middle Name Contribution Received For Amount of Contribution
Last Name/Organization Name 5 Primary Election El General Election
7P Ad
dress Runoff (Local Elections Only)
State Code Date of Contribution Ahis Election
City
wr+bb 11~ ~7
Occupation
Employer
5. TOTAL ITEMIZED CONTRIBUTIONS
(Carry forward to item 3 of next page if additional pages of this form are used)
(If this is the last page of contributions, this amount must be shown in item 151b of summary)
A„ Page of RDA 1159
SS-1131(Rev. 2106)
ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE
1 NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
C1~w -i t a o FJ, cj J V.," i FROM: T0: y
moun
3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page)
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures totaling more than $100 to any payee during the period)
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last NamelBusiness Name % 3 S , so
Address
0"1 5 , w (~Qt 'V~J
City State Zip Code
PwJ-J J ! J 0
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
05P.5
f/~J f 2S~.v~
Address / y 7 T-
~
City State Zip Code
r-~ Pti~ ~~.ll< ~ d
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
c)J-=1y
Addres'.. Z 77RZlJ~. r~p3 s~ Sp
City Slate Zip Code
37 go
owe J tte. 7-,J
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last NamelBusiness Name S, I '
av ti'Zw
Address
2 S l . OT'V
City State Zip Code+
~s IV-4 1-2-30-11
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
Address
City Stale Zip Code
3'1`a`-»'
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last N Business Name
Address'} 4411~~
Cit J 1~( ` State( Zip Code
t~ r, v 00
^I
5. TOTAL ITEMIZED EXPENDITURES I I w
(Carry forward to item 3. of next page if additional pages of this form are used.) ` ` I7
(If this is the last page of expenditures, this amount must be shown in item 19b. of summary.)
Page of RDA 1159
SS-1129 (Rev. 4102)
ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE
1 NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
£~V-c 1 / _ FROM: TO:
mount
3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) 1 • Ob
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures totaling more than $100 to any payee during the period)
Middle Name Purpose of Expenditure Amount of Expenditure
First Name
Last N iBusiness Name K)tzJ x~
s" 4 To. LXj--
Addres n ~k)b ~G
S At✓~ ►M n V
City hate Zip Code
CLAA1~ w c
Middle Name Purpose of Expenditure Amount of Expenditure
First Name
Last NameiBusiness Name
Address
City Stale Zip Code
First Name Middle Narne Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
Address
City State Z p Code
Middle Name Purpose of Expenditure Amount of Expenditure
First Name
Last Name/Business Name
Address
City State Zip Code
Middle Name Purpose of Expenditure Amount of Expenditure
First Name
Last Name/Business Name
Address
City State Zip Code
Middle Name Purpose of Expenditure Amount of Expenditure
First Name
Last Name/Business Name 1 7
Address
City State Zip Code
5. TOTAL ITEMIZED EXPENDITURES ~l f~ Q n ( •b~
(Carry forward to item 3. of next page if additional pages of this form are used) l u
(If this is the last page of expenditures, this amount must be shown in item 19b. of summary.)
Page of RDA 1159
SS-1129 (Rev. 4102)
CAMPAIGN FINANCIAL DISCLOSURE STATEMENT
For State and Local Candidates
For Single-Candidate Committees,
1. DATE 6F DEPORT 2.a. NAME OF CANDIDATE OR COMMITTEE _
W01/1 - I -
2.b. IF COMMITTEE, NAB, OF.CMD ATE 3. ELECTION DATE
'Zp
4.a. CAMPAIGN ADD WS$ I PH E
Street or Rur I Route City.
q . State Zip Code Phone
4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.)
Street or Ru aI Route City State, Zip Code Phone
5. ;PFFlgE,SpU4HT (include district number, if applicable) 6. NAME OF POLITICA4 TREASURER (may be candidate)
7. CATEGORY OR REPORT (Check one) 'E k ❑ 13 - ❑ ❑ ❑ E3
FIRST SECOND THIRD FOURTH PRE- PRE- MID-YEAR YEAR-END
QUARTER QUARTER QUARTER :QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL
8.a. BEGINNING DATE OF REPORTING PERIOD
8.b
. ENDING DATE OFREPORTING PERIOD
,a, ~yA,.
9. (Check one)
a. ❑ This campaign is exempt from dgtpiled dis lQsure because contributions (including in-kind) received total $1,Q99.0V;Rs4ANI~eXpendi- -
tures total $1,000 or less for this rep6rtiFtg~eriod. (Complete items 12d., 12e. and 12f.)
b. [W This campaign is required to file a' bteiled financial disclosure because contributions (including in-kir4 recelved rAf r ofe than'$1,000
and/or expenditures total more tharl $1,OQO~for this reporting period.
10. I/we do solemnly swear or affirm that the-lhfoWa(idn contained in this campaign financial disclosure report is true and•6t this retort is an
accurate accounting of campaign contributions and expenditures required to be reported by the candidate committee by the Campaign
Financial Disclosure Act. Additionally, I/wQ !vy4af or affirm that no campaign contributions have been expended for the pbrsonel f1h9ndial
benefit of the candidate or for any other nonpolitical purpose as defined by the federal internal re_ventrp code.
" /Z7 _-0,
Y I e
t Al,
signature of candidate date sig t of 'f ica treasurer dame
11. WITNESS SIGNATUR
k4o
M- . `stgna re of wi Hess date signature of witness date
12. SI~MIy1,4E2Y
a. BALANCE ON HAND LAST REPORT $ ,S)
b. TOTAL RECEIPTS THIS PERIOD $ cll~
c. TOTAL DISBURSEMENTS THIS PERIOD $
d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) a 7..... • O
e. TOTAL LOANS OUTSTANDING 6 '
Ft I $
•s, ems, ~
f. TOTAL OBLIGATIONS OUTSTANDING C? ............:"7C.J. v.............: $
C' .f~•. .,il
v ,TC
~ <LrC1 Gr i,l,! , ~
SS-1109 (Rev. 2/06) 14
Page 1 of RDA 1159
0
dZl LL01-
SUMMARY PAGE - CANDIDATE
13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD
(~e.e gt.w tin, . FROM: b TO:
RECEIP-TS
15. 'CONTRIBUTIONS'(Mher• Wr 6anq wid interest)" L
• A ~p~•ao
a. Unitemized Contributions ($100 or less from each source this period) $ s :f
b. Itemized Contributions (over $100 from each source this period) $ ' J
c. TOTAL CONTRIBUTIQNS.(other than Loans anq,intere~t)(add 15.a. and 1§.b.) $ 1
16. LOANS RECEIVED THIS REPORTING PERIOD $ j
11. 71' 1
17. INTEREST RECEIVED THIS REPORTING PERIOD ° '
18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) $
/ Baj -y~ 4
DISBURSEMENTS'-' 177 ,.m..~ 1 l 7- F
19. EXPENDITURES (other than loan payments)
a. Expenditures ($100 or less each payee this period) (must be listed by category - e.g., printing, postage, gasoline)
S~QP ts~s $ 3g • 41
q $ t1 a. so
C.e. I! P R-Ode. $ T-X 6 O B
C Ifs. ~ ycs $ p.l ,'7 5
P•fiati.K
Total of Expenditures $100 or less each payee) y
b. Itemized Expenditures (Over $100 each payee this period) $ 44 1 •
c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $
20. LOAN REPAYMENTS MADE THIS PERIOD $ q p
21. TOTAL DISBURSEMENZS.(add 19.c. and 20.) (must be shown in item 12.c.) $ 22.IN-KIND CONTRIBUTIONS
r
a. Unitemized in-kind contributions ($100 or less from each source this period) $
b. Itemized in-kind contributions (over $100 from each source this period) $
c. -TQTALIN-K(ND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.) $
23. OBLIGATIONS
a. Unitemized Obligations Outstanding ($100 or less each) $
b. Itemized Obligations Outstanding (Over $100 each) $
c. TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 121.) $
SS-1133 (Rev. 4102) Page of
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
FROM: (o T0: 3 S
Amount
3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page)]
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH-ITEMIZED CONTRIBUTION (contributions totaling more than $100 from any contributor)
First Name Middle Name Contribution Received For. Amount of Contribution
K 14-
Last Nam Org ization Name ,Primary Election
_ El General Election
t c,W,-( 01 p,
Address l*t 3$ M A L1p ❑ Runoff (Local Elections Only)
City h Slate Zip Cod Date of Contribution Aggregate This Election
Occupation _ I 1 s
oA aF SLG~~-~ J.J I
Employer ~!M )4 1
First Name f Middle Name Contribution Received For: Amount of Contribution
(ZC .)0
Last Name/Organization Name Nrimary Election ❑ General Election
Address ❑ Runoff (Local Elections Only)
3~ 1'7 ~sJw V s S ~A w
City C~KSS t~ star jD
ate of Contribution Aggregate This Election O=paGon Z,, l V 1 s
Employer
First Name iddle Name Contribution Received. For: Amount of Contribution
1ZeQ~w~ , F. IM~
ast am rgan¢abon ame ® Primary Election ❑ General Election
I~ ra al .5 ~N ~ oo .1a
Address ❑ Runoff (Local Elections Only)
a I / Q rt,-QP~~ Dw~G f~,,tJt.
City state Zip Code Date of Contribution Aggregate This Election
Occupation
Employer
First Name Middle Name Contribution Received For. Amount of Contribution
Last Name/Organiza^Name Primary Election ❑ General Election
Address ❑ Runoff (Local Elections Only)
`C q
City l 0 State
~ Zips de $ b Date of Contribution Aggregate This Election
Occupation h ( `q I Employer •G
5. TOTAL ITEMIZED CONTRIBUTIONS A
(Carty forward to item 3, of next page if additional pages of this form are used.) S L b
(If this is the last page of contributions, this amount must be shown in item 15b. of summary.)
SS-1131 (Rev. 2/06) Page J of -a- RDA 1159
ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2., REPORT COVERING THE PERIOD
FROM: TO:
ount
3. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page)
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED IN-KIND CONTRIBUTION (n-ldnd contributions totaling more than $100 from any contributor during the period)
First Name MiddleName In-Kind Contribution Received For. Value of In-fend Contribution
❑ Primary Election ❑ General Election
Last NamelOrgadizalion Name
❑ Runoff (Local Elections Only)
Address Date of ln4(ind Contribution ;a ~x• ; AggregateAeection
city State Zip Code Desaiptior of!nAnd Contribution
Occupation Employer
First Name Middle Name In-Kind Contribution Received For. Value of.ln-fdhd Contribution
❑ Primary Election ❑ General Election
Last Name/Organization Name
❑ Runoff (Local Elections Only)
Address Date of In-Idnd Contribution Aggregate this Election
City State Zip Code Description of in-IGnd Contribution
occupation Employer
FrstName MiddleName In-Kind Contribution Received For. Value of In-Kind Contribution
❑ Primary Election ❑ General Election
Last NamelOrganaation Name
❑ Runoff (Local Elections Only)
Address Date of In4nd Contribution Aggregate this Election
City State Lp Code Description of In-Knd Contribution
Occupation Employer
First Name Middle Name In-Ind Contribution Received For. Value of In-Wnd Contribution
❑ PrimaryElection General Election
Last Name/Organization Name
❑ Runoff (Local Elections Only)
Address Date of in4(ind Contribution Aggregate this aection
City State Zup Code Description of In-10nd Contribution
Occupation Employer
4
First Name Middle Name In-Kind Contribution Received For: Value of In4nd Contribution
❑ Primary Election ❑ General Election '
Last Name/Organization Name
❑.RI(goff (focal Elec(ons Only)
Address Date oflnXindContribution Aggregate this Eedion
City State ZpCode Description of ln4<ind Contribution
Occupation
5. TOTAIATEMIZED IN-KIND CONTRIBUTIONS
(Carry forward to item 3. of next page if additional pages of this form are used.)
(If this is the last page of in-Idnd contributions, this amount must be shown in Rem 22b. of summary.)
SS-1128 (Rev. 2106) Page_ of _r RDA 1159
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMIgEE 2. REPORT COVERING THE PERIOD
.;)1aer1.._ S L a, v Ms+tvb FROM: 1$ TO: 1'SC
' Amount
3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page)
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH -ITEMIZED CONTRIBUTION (contributions totaling more than $100 from any contributor)
First Nam Middle Name Contribution Received For. Amount of Contribution
~Aa c
Last Name/Orgalhization Name Primary Election ❑ General Election
Address ❑ Runoff (Local Elections Only)
City Slate Zip Code Date of Contribution Aggregate This Election
a^~v~\ -f r~ 3 03
- T1
Occupation
Employer
First Name Middle Name Contribution Received For. Amount of Contribution
o.w.. c, f Roil „3
Last Name/Organization Name PPhmary Election ❑ General Election
W tote ! 00 . 1►a
Address ❑ R Runoff (Local Elections Only)
2s ~ L~~ ~••,NB~.-f a
City State Zip Code Date of Contribution Aggregate This Election
~l~w,,.l~`L. 3~) 4o3
Occupation ~~'--11 Y
Employer ` v
First Name iddle Name Contribution Received For: Amount of Contribution
t'~wwSUw~l'C
ast Name/Organization ame %Primary Election ❑ General Election
` o, . l l .
Address 2 ❑ Runoff (Local Elections Only)
13 ? hi . M~~k:...S CoJti. Ro
City 1 State Zip Code Date of Contribution Aggregate This Election
W r 1 tW ~j Y ~'~•Q
Occupation ~1•L111$
Employer
First Name Middle Name Contribution Received For. Amount of Contribution
Last Name/Organization Name 41Primary Election ❑ General Election
I-7 CA/1 Soo.W
Address :?6"v -dot P,, ❑ Runoff (Local Elections Only)
City State Zip Code Date of Contribution Aggregate This Election
w I h A.aa T'.J
Occupation
Employer
5. TOTAL ITEMIZED CONTRIBUTIONS
(Carry forward to item 3. of next page if additional pages of this form are used.) r 1 1 , 1
(If this is the last page of contributions, this amount must be shown in item 15b. of summary.)
rQ
3 SS-1131(Rev. 2/06) Page J of A- RDA 1159
ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
•FR M. • z TO:
Amount
3. TOTAL'tTEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page)
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED IN-KIND CONTRIBUTION (fn•Idnd contributions totaling more than $100 from any contributor during the period)
First Name Middle Name In-Kind Contribution Received For. Value of In-Kind Cori4be4on
❑ Primary Election ❑ General Election
Last NamelOrganrzation Name f;
❑ Runoff (Local Elections Only)
Address Date of In-KindCOrdriihutpn egafethis Qection
city state Zip Code Description of In-Knd Contribution
occupation Employer
First Name Middle Name In-Kind Contribution Received For. Value of In-fond Contribution
❑ Primary Election ❑ General Election
Last Name/Organization Name
❑ Runoff (Local Elections Only)
Address Date of In-land Contribution Aggregate this Election
City State Zip Code Description of ln-IQndContribution
Occupation Employer
First Name Middle Name - In-Kind Contribution Received For. Value of InAnd Contribution
❑ Primary Election ❑ General Election
LastNamelOrganaation Name
❑ Runoff (Loral Elections Only)
Address Date of In-Kind Contribution Aggregate this Section
City State Zip Code Description of In-fond Contnbution
Occupation Employer
t
First Name Middle Name In-Kind gontdbution Received For. Value of InAnd Contribution
ff-'P'nmary Election ` ❑ General Election
Last Name/organization Name
❑ Runoff (Local Elections Only)
Address Date of In-Kind Caddbution Aggregate this Election
City State Zp Code Description of In-Knd Contribution
occupation Employer ~ ti
First Name Middle Name In-Kind Contribution Received For: Vale of In-Kind Contribution
E] Primary Election ❑"General`Elecfon
Last NamerOrganization Name
. [TRGnofF (Local EleaUons Only) 6, . t -
Address Date oflr,&dContribution Aggregate this Section
City State Zip Code Description ofln-KndContribution
occupation Employer
5. TOTA4,ITEMIZED IN-KIND CONTRIBUTIONS
(Carry forward to item 3. of next page if additional pages of this form are used.)
(If this is the last page of in-Idnd contributions, this amount must be shown in item Ub. of summary.)
SS-1128 (Rev. 2/06) Page fo of RDA 1159
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
~i ~.ne t-~ ire FROM: TO: 7
Amount
3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 4 , Tb
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH-ITEMIZED CONTRIBUTION (contributions totaling more than $100 from any contributor)
First Name Middle Name Contribution Received For. Amount of Contribution
C /14R( Q
Last Name/OrgaAizationName *nmary Election
❑ General Election
, t10
ST. I t. 511D
Address ❑ Runoff (Local Elections Only)
City 1r~. State Zip Code Date of Contribution Aggregate This Election
Occupation
Employer
First Name Middle Name Contribution Received For. Amount of Contribution
174.. t1~ o A
Last Name/Organization Name Primary Election ❑ General Election
7- A -W Ta I p,o . Va
Address 1 -931 tic ooo ❑Runoff (Local Elections Only)
City 1 State Zip Code Date of Contribution Aggregate This Election
Occupation
Employer
First Name iddle Name Contribution Received For: Amount of Contribution
Last am rgamzation ame R primary Election
E] General Election
K~o w*-I1 vo
Address 3o
❑Runoff (Local Elections Only)
d1~ .1t to
City State LpCode Date of Contribution Aggregate This Election
y
71 Oki)
Occupation '
Employer
First Name Middle Name Contribution Received For. Amount of Contribution
E AI o1.9
Last Name/Organiza'on Name 'Primary Election ❑ General Election
Address ❑Runoff (Local Elections Only) p ' W
City to Zip Code Date of Contribution Aggregate This Election
Occupation
Employer
5. TOTAL ITEMIZED CONTRIBUTIONS
(Carry forward to item 3. of next page if additional pages of this form are used.) 310 4 A
(If this is the last page o(contributions, this amount must be shown in item 15b. of summary.)
dam,
SS-1131 (Rev. 2/06) Page of RDA 1159
ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2.- REPORT COVERING THE PERIOD
1 s • A • "FROM: T0!- . .
Amount
3.'TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page)
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED IN-KIND CONTRIBUTION (in-Idnd contributions totaling more than $100 from any contributor during the period)
First Name Middle Name In-Kind Contribution Received For. Value of Jri-Krtd:Cont!'ibution
❑ Primary Election ❑ General Election
Last NamefOrganlzadgn Name
- ❑ Runoff (Local Elections Only)
Address Date ofln-KndContribution,• • a s Aggtpgfilethis l3ecpw,,
Gty State Zip Code Description ofktJ iOdConWbution
t r .
Occupation Employer
First Name Middle Name In-Kind Contribution Received For. Value of In-Kind Contribution
❑ Primary Election ❑ General Election
Last Name/Organization Name
❑ Runoff (Logl`Plections Only) j ' ~ -
Address Date of In-Knd Contribution Aggregate this Eleclion
City State Zip Code Description of In-Kind Contribution
Occupation Employer
First Name Middle Name In-tend Contribution Received For. Value of In-tend Contributi on
❑ Primary Election ❑ General Election
LastNamelOrganaation Name
❑ Runoff (Local Elections Only)
Address Date ofln4<indContribution Aggregate this Bedon
City State Zip Code Description of In-Knd Contribution
occupation'- r e Employer
First Name Middle Name In-Kind Conkibption Received For. Value of I4nd Contribution
Q$nmary Election ''0 General Election '
Last NamelOrganizationName `
❑ Runoff (Local Elections Only)
Address Date of ln-Knd Contribution Aggregate this Election
City State Zip Code Desaiptionofln-KmdContrbudon
Occupation Employer . t 1
A
First Name Middle Name In-Kind Contribution Received For: Value of In40nd Contribution
U s
❑ Primary Election u General E1ec9on • `
Last NamefOrgan¢adon Name
e0 Runoff (Local Elections Only)
Address Date of ln4Qnd Contn'bution Aggregate this Election
City State ZrpCode Description of In-l(ind Contribution
Oixupation Lmployer
5. TOTAL'1T5MIZED IN-KIND CONTRIBUTIONS
(Carry forward to item 3. of next page if additional pages of this form are used.)
(If this is the last page of in Idnd agntributions, this amount must be shown in item 22b. of summary.)
SS-1128 (Rev. 2106) Page of RDA 1159
-m.
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
J• •v.Ql ~cw,w~o FROM: L TO:
Amount
3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) Q7 9 ~''I o
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH-ITEMIZED CONTRIBUTION (contributions totaling more than $100 from any contributor)
First Name Middle Name Contribution Received For. Amount of Contribution
:'_N-1 Last Name/OrgdAtzation Name [x primary Election ❑ General Election
Address ❑ Runoff (Local Elections Only)
~ 3 w K~ a Qe s ,q ✓ ~
City State Zip Code Date of Contribution Aggregate This Election
Occupation
Employer
First Name cdu t- Middle Name Contribution Received For. Amount of Contribution
1~-r
last Name/Organization Name .primary Election El General Election
A
1
Address ❑ -7 o -Runoff (Local Elections Only)
S'cHo ~ Spa
City state Zip Code Date of Contribution Aggregate This Election
VJ~ w.., JN 2-111korl
Occupation
Employer /l
First Name Iddle Name Contribution Received For. Amount of Contribution
g~~7
Last Name/Organization Name Primary Election ❑ General Election
tAMt- ~ ~ 9
Address ❑ Runoff (Local Elections Only)
90,
City state LpCode Date of Contribution Aggregate This Election
Occupation
/ ll
Employer
First Name r Middle Name Contribution Received For. Amount of Contribution
CNAIt(ie.t F -POwlwstA
Last Name/Organization'Name Primary Election ❑ General Election Soo 1r~
F1\ea k.~►.v Dom,
Address SUS El Runoff (Local Elections Only)
City State Zp0ode Date of Contribution Aggregate This Election
Occupation
Employer
5. TOTAL ITEMIZED CONTRIBUTIONS ^ ~r
(Carty forward to item 3. of next page if additional pages of this form are used.) Y 7 b • 16%
(If this is the last page of contributions, this amount must be shown in item 15b. of summary.)
SS-1131 (Rev. 2106) • Page 5 of RDA 1159
ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD,
"ti - FROM.` TO: At
oust
1-TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page)
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED IN-KIND CONTRIBUTION (in-Idnd contributions totaling more than $100 from any contributor during the period)
First Name Middle Name In-Kind Contribution Received For. Value ofIiii-i 0ontribution
❑ Primary Election ❑ General Election
Last NamelOrgpn¢adon Name 4
❑ Runoff (Local Elections Only) -O1"
Address Date ofln-14ndCon*utn -i Aggregate tW Efq. m
City State Zip Code Descriptioaofln&dConbiWtion
Occupation Employer
First Name Middle Name In-Kind Contribution Received For. Value of In-tend Contribution
❑ Primary Election ❑ General Election
Last Name/Organization Name
❑ Runoff (Local Elections Only)
Address ;s . Date of In-Kind Contribution Aggregate this Election
City State Zip Code Description of In-Knd Contribution
Occupation Employer
First Name Middle Name In-Kind Contribution Received For. Value of In-rnd Contribution
❑ Primary Election ❑ General Election
Last Name/Organization Name
❑ Runoff (Local Elections Only)
Address Date of In-I4nd Contribution Aggregate this Election
f... Y. ^
city State Zip Code Description of In-Knd Contribution
Occupation Employer
First Name Middle Name In-Wind Contribution Received For. Value of In-find Cogtribution
❑ Pdmary'Election d General Election 3' K's
Last Name/Organization Name
❑ Runoff (Local Elections Only)
Address Dale of In44nd Conbibution Aggregate this Election
City State Zip Code Description of In44nd Contribution
Occupation Employer
.t
First Name Middle Name In-Kind Contribution Received For: Value of In-fend Contribution
❑ Primary Eledtiori [I GeAerel EledL
Last Name/Organization Name
Rt6a1F (I,ocel Elections Only) k 1~ • %
Address ` Date ofln--KnJContnbution Aggregate this Eection
City State Zip Code Description of IM4nd Contribution
Occupation p oyer
5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS
(Carry forward to item 3. of next page if additional pages of this form are used.)
(If this is the last page of in4dnd ptributions, this amount must be shown in item 22b. of summary.)
SS-1128 (Rev. 2106) Page b of RDA 1159
-m.
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2: REPORT COVERING THE PERIOD
~A+v.ti C•a FROM: 11[t,111 TO: S Sl
Amount
3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) liS • v
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH -ITEMIZED CONTRIBUTION (contributions totaling more than $100 from any contributor)
First Name 1 Middle Name Contribution Received For. Amount of Contribution
Last Name/OrgdhizadonName Primary Election ry ❑ General Election 7 S
V~j
wc~
0"
Address ❑ Runoff (Local Elections Only)
) t Do LwD LwAZw~ Q~ up
City State Pp Code Date of Contribution Aggregate This Election
1-3
Omupatlon 3
Employer
First Name Middle Name Contribution Received For. Amount of Contribution
SC.o 11 C ?a -j (A? Q.
Last Name/Organization Name Primary Election
AT ~ ~ s ry El General Election
o.. vD
Address ❑ Runoff (Local Elections Only)
City CA to j Z 71 U Date of Contribution Aggregate This Election
Occupation
Employer
First Name iddle Name Contribution Received For. Amount of Contribution
•`rl P C V-stt2
Last am rganaa on ame (primary Election ❑ General Election
~.R+.•w~ ~O o . Y4
Address P E] Runoff (Local Elections Only)
r11r l0 4o S ~ (oo ~ p•
City state Zp Code Date of Contribution Aggregate This Election
~42Cw►SJ~~I.~ J-J 3771
Occupation X7/ 9 ~rj
mp oyer First Name f Middle Name Contribution Received For. Amount of Contribution
Last Name/Organization Name Primary Election ❑ General Election
Address '~S 3 t 2 ❑ Runoff (Local Elections Only)
City State Zip Code Date of Contribution Aggregate This Election
7-) 5 t
occupation
Employer
5. TOTAL ITEMIZED CONTRIBUTIONS It t~ 01M
(Cant' forward to item 3. of next page if additional pages of this form are used.)
(If this is the last page of contributions, this amount must be shown in item 15b. of summary.) '
SS-1131 (Rev. 2/06) Page f l of l RDA 1159
ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2.4EPORT COVERING THE PERIOD
T0:•. w
ount
3. TOTAI!I?WIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page)
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED IN-KIND CONTRIBUTION On-ldnd contributions totaling more than 8100 from any contributor during the period)
First Name Middle Name In-Kind Contribution Received For. Value of in-IGOd Contribution
❑ Primary Election ❑ General Election ~y t
Last NamelOrgenizafionName , ,
❑ Runoff (Local Elections Only)
Address Dale ofln-KpWzo r4tion QggregatetlhisBedion
City State Zip Code 4esaipp. of loxind Contdbutioq , . r
Occupation Employer
First Name Middle Name In-Kind Contribution Received For. Value of In-find Contribution
❑ Primary Election ❑ General Election
Last Name/Organization Name
❑ Runoff (Local Elections Only) `
Address Date of In-Kind Contribution Aggregate this Election
city state Zip Code Description of In-10nd Contribution
Occupation Employer
First Name Middle Name In-Kind Contribution Received For. Value of In-tend Contribution
❑ Primary Election ❑ General Election
Last Name/Organization Name
❑ Runoff (Local Elections Only)
Address Date of In-IGnd Contribution Aggregate this Election
Gty state Zip Code Description of In-Knd Contribution
Occupation Employer
i ti-
First Name Middle Name In-Kind C•pnjribution Received For. Value of lr d Contribution
Primary Election ' General Election
IastNamelOrganizationNome
❑ Runoff (Local Elections Only)
Address Date of In-lend Contribution Aggregate this Election
City State Zip Code Description ofln-IOndContrbution
Occupation Employer °
First Name Middle Name In-Kind Contribution Received For: Value of In-IGnd.Cogtribution
E] Primary Election - E? General tlectdton '
Last Name/OrganizatlanName
❑ Runoff (I bcal Elections Only) ,
Address ° Date ofln-CardContribution Aggregate this Eection
City State Zip Code Description of In-I(ind Contribution
occupation
Lployer
T _6
5. "TOTAL NE(NI?ED IN-KIND CONTRIBUTIONS
(Carry forward to item 3. of next page if additional pages of this form are used.)
Of this is the last page of in-Idnd cNbibutlons, this amount must be shown in item 22b. of summary.)
SS-1128 (Rev. 2106) Page of RDA 1159
ANA .m.
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
~pM ~a 3 L •4 s- ~o•.+}v FROM: ( TO: 3
Amount
3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page)
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH-ITEMIZED CONTRIBUTION (contributions totaling more than $100 from any contributor) Oo , 10
First Name Middle Name Contribution Received For. Amount of Contribution
A- 0, N G .
Last Name/Organization Name - Primary Election El General Election
Address I N El Runoff (Local Elections Only)
S' w sib... Rn
Ci 1 to ZZpC e 5 Date of Contribution Aggregate This Election
E\~'Lc0 Plows wJ !
Occupation
9lVic
Employer
First Name Middle Name Contribution Received For. Amount of Contribution
Last Name/Organization Name Primary Election ~loa~rt v~'p f?y ry ❑ General Election
~,S~oa • vo
Address ❑ Runoff (Local Elections Only)
4 w ( 0>t.,
city Stat Zip Code Date of Contribution Aggregate This Election
~ 770
Occupation C `
Employer
First Name Iddle Name Contribution Received For: Amount of Contribution
1Tt,Tc_rV
Last am rgamzation amePrima Election
ry [3 General Election ~ Oo . W
-Tvw
Address ❑ Runoff (Loral Elections Only)
City state Zip Code ^ Date of Contribution Aggregate This Election
aa
Occupation
ll `
Employer
First Name , Middle Name Contribution Received For. Amount of Contribution
LOA
Last Name/Organization Name ,primary Election ❑ General Election
300 • W
Address e. ❑ Runoff (Local Elections Only)
City State Zip Code Date of Contribution Aggregate This Election
Occupation
Employer
5. TOTAL ITEMIZED CONTRIBUTIONS
(Carryforward to item 3. of nextpage if additional pages of this form are used.)
(If this is the last page of contributions, this amount must be shown in item 15b. of summary.) •r'
SS-1131 (Rev. 2/06) Page of RDA 1159
ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
z' ,r•- `FROM:' TO:
mount
T.10TAI_ ITEMFZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page)
4. COMPLETE THE•APPROPRIATE ITEMS FOR EACH ITEMIZED IN-KIND CONTRIBUTION (n4dnd contributions totaling more than $100 from any contributor during the period)
First Name Middle Name In-Kind Contribution Received For. Value q; ln7i! nd Contribution
❑ Primary Erection ❑ General Election
Last Name/Organiz1tion Name
❑ Runoff (Local Elections Only)
Address Date ofln4GndContribution lAgragatethis gothbrf
City State Zip Code Descr iongf4n 1 `nd Contributi$n , ; : ; r 3 a
Occupation Employer
First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution
❑ Primary Election ❑ General Election
Last Name/Organization Name
❑ Runoff (Local Elections Only)
Address 1- Date of ln4<ind Contribution Aggregate tbisBecti , on.. .
City State Zip Code Description of In-Knd Contribution
Occopation Employer
First Name Middle Name In-KGnd Contribution Received For. Value of In-Kmd Contribution
❑ Primary Electon ❑ General Election
Last Name/Organization Name
❑ Runoff (Loral Elections Only)
Address Date of InAnd Contribution Aggregate this Election
K
City State Zip Code Description of ln4nd Contribution
Occupation Employer
First Name Middle Name In-KoV Contr)bution Received For. Value of In4nd Contribution
❑ Primary`Elecdon 'El r : i
General Election
Last Name/Organization Name
❑ Runoff (Local Elections Only)
Address Date of In-lend Contribution Aggregate this Section
City State Zip Code Description of In4(ind Contribution
Occupation Employer
- i
First Name Middle Name In-Kind Contribution Received For: Value of In-IGnd Cq*buton
❑ Primary Election 10 9i nerA. Election
Last Name/Organization Name
RuGoft (L.•ocal Elections Only)
Address Date of lnXind Contribution Aggregate this Bection
City State Zip Code Description of In-Kind Contribution
patron Employer
5. TO1f4L MIZED IN-KIND CONTRIBUTIONS
(Carry forward to item 3. of next page if additional pages of this form are used.)
(If this is the last page of in•Idnd oor*ibutions, this amount must be shown in item 22b. of summary.)
SS-1128 (Rev. 2106) Page of RDA 1159
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
FROM: TO: 3 7
Amount
3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page)
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH-ITEMIZED CONTRIBUTION (contributions totaling more than $100 from any contributor)
First Name Middle Name Contribution Received For. Amount of Contribution
/eJt •tA
Last Name/Orgdhiza 'on Name Primary Election ❑ General Election 0,0 0
V.1- Tr
Address ❑ Runoff (Local Elections Only)
3YS•p /G.ow ~{wy
city state Zip Code Date of Contribution Aggregate This Election
~Go V) P_
Occupation ft~
Employer
First Name Middle Name Contribution Received For. Amount of Contribution
Last Name/Organization Name Primary Election ❑ General Election 'z>0 - V0
Address ~y ❑ Runoff (Local Elections Only)
/8 W~L1 11 L..w.r., nC 7.~1wA
City * ti vJl~. State Zip 3; b, Date of Contribution Aggregate This Election
Occupation
Employer
First Name iddle Name Contribution Received For. Amount of Contribution
-4.1%.5, 1 Ls w"
Last am rganizabon a Primary Election ❑ General Election
NAn► s
Address ❑ Runoff (Local Elections Only)
k1t.l, &-1// Q9
City state Zip Code Date of Contribution Aggregate This Election
M...,, ~.1 a ~»o
Occupation
m over 1 ll
First Name Middle Name Contribution Received For. Amount of Contribution
Last Name/Organization Name ❑ Primary Election ❑ General Election
Address ❑ Runoff (Local Elections Only)
City State Zip Code Date of Contribution Aggregate This Election
Occupation
Employer
5. TOTAL ITEMIZED CONTRIBUTIONS
(Carry forward to item 3. of next page if additional pages of this form are used.) I ~1 1~ : ~!D
(If this is the last page of contributions, this amount must be shown in item 15b. of summary.) J D
SS-1131(Rev. 2/06) w • Page of RDA 1159
ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REP RT COVERING THE PERIOD
"FROM: ' TO:' r.•
mount
3. TOTALITWIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page)
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED IN-KIND CONTRIBUTION (inddnd contributions totaling more than $100 from any contributor during the period)
First Name Middle Name In-Kind Contribution Received For. i ,V41tp, of IR-Kni:14 hibutfon
❑ Primary Election ❑ General Election
Last NamelQrganization Name 'a-
❑ Runoff (Local Elections Only)
Address Date ofln4ndContnbution Aggregat&WsDid;
City State ZpCode DescriptionoflrrlWCon UibuGpn e
Occupation Employer
First Name Middle Name In-Kind Contribution Received For. Value of In-Kind Contribution
❑ Primary Election ❑ General Election
Last Name/Organization Name
❑ Runoff (Local Elections Only)
Address • . Date of InMnd Contribution Aggregate this Election
city State Zip Code Description of Iu JGnd Contribution
f
Occupation Employer
First Name MiddleNtime In-Kind Contribution Received For. Value of In4(ind Contribution
❑ Primary Election ❑ General Election
IastNamelOrganization Name
❑ Runoff (Local Elections Only)
Address Date of IndGnd Contribution Aggregate this Election
City State Zip Code Description oflnXind Contribution
Occupation Employer
First Name Middle Name In-Kindiontribution Received For. Value of In-Kind Contribution
❑ Primary Election ❑ General Election
Last NamelOrganization Name ,
❑ Runoff (Local Elections Only)
Address Date of In-fond Contribution Aggregate this Section
City State Zip Code Description of In4Qnd Conhrbution
Occupation Employer
First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution
❑ Primary Election ❑ General Election
Last NamelOrgan'aation Name
❑ Runoff (Local Elections Only)
Address Date of lnXind Contribution Aggregate this Election
City State Zip Code Desaiptionofln-NndContribution
Occupation Employer
5. TOTA1 ITEMISED IN-KIND CONTRIBUTIONS
(Carty forward to item 3. of next page if additional pages of this form are used.)
(If this is the last page of in-Idnd ,ontributions, this amount must be shown in item 22b. of summary.)
SS-1128 (Rev. 2106) Page Of_ RDA 1159
ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
FROM: (6 f TO: 3 3!
mount
3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page)
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures totaling more than $100 to any payee during the period)
First N Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
R:i7 PATtc
s, ITs~~ ~ 300°.
Address 3 ~ 6'0 R9(6-41-) jai Us Da
City State Zip Code ♦ e
First Name Middle Name . Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
Ri4►&-r V'114
Address 3 C11, v RID l1-41Iti 14AI IS . Co►vS~, I &+.,4 O;D 'o
.
City M State Zi Cod
QV Jv,-- f~ GSA 10', ~ l
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name _
Address 2 pp o . W
Sw.,,, R,.llcal3c 0lo
city State Zip Code
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last NameBusiness Name
~.,.SN ~J..(
Address • Vp
14-/ 5--, Q:7e...,i R/or-, a.~1=tee Ao
city State Zip Code
First Nama Q p Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
R^sM c.a. a &r.,~.s M.,. ~
Address
a5~$D Cue-e-14 sue. cm-,
city State Zip Code
M An~j J3 `k, r.l
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
n
Address
~ a@ spec
City State Zip Code
n~Asl~,l,lk f-rA 37220
5. TOTAL ITEMIZED EXPENDITURES
(Carry forward to item 3. of next page if additional pages of this form are used.) I '
(If this is the last page of expenditures, this amount must be shown in item 19b. of summary.)
Afti,
SS-1129 (Rev. 4102) Page of RDA 1159
ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
Z7~1~wR~ Ltr~- 8~+~w~ov FROM: //,I, TO: ?
mount
3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) If ( l l S
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures totaling more than $100 to any payee during the period)
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
Na / _
Address Q f )
City State Zip Code
M, 0.
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
Sst,~S
P s A1,q&k>L-' -vb Aqc%lp
Address
253 Co•rw~.e l.~t $IJ~ ZSa.Sb
Ciy State Zip Code
C?N C7Nr~l A ~z ON
LtS2~!
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Nre/Business Name
ks p>R, -cT-A p„ala•,,~ Ate
3 0 . ro
Address o l 5+~~. Qs 1?e y 3C..,g g~Ut~ rJ~ S s7~. ~
City State Zip Code
Q4A4. l cs ie... sc.. tie,kk
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
N-r ?ATE
Cow 5~ r~~~ 4~~n10 1D , w
Address
City State Zip Code
C~ ~1A 310
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
SIJG,
Address~3 ~S ?JC.~Mew l Qty STc. f~po. v to .>ti .p~f+ 7~ 7~s'', ~
City Stale Zip Code
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
.
Address S 9S fp
V 44
1 0B S . ~l
t
City State Zip Code
5. TOTAL ITEMIZED EXPENDITURES
(Carry forward to item 3. of next page if additional pages of this form are used.)
(if this is the last page of expenditures, this amount must be shown in item 19b. of summary.)
SS-1129 (Rev. 4/02) Page of RDA 1159
ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
1_.-w- Rer"% J FROM: 6 TO: 3 I 1
3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) mount ZT 1,p ~.ZU
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures totaling more than $100 to any payee during the period)
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
KnW4acrz
Address ; As ~ A~tof ~ O • ~
so tj . Fo -Ti-4:r 11-r P IA'bq
City M N+s'j State Zip Code
?a 378 a 1
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
~ SAP ~1.'L r
Address r..2 y-j-g £IQS ! L,AP,AA SAS ~h1~~ ~~j
City State Tip Code
r-tk o' o -s 1lt •J 3'18,
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last NameBusinass Name
o %Q.-~ ^
Address 3o W LCZj c.gNt. 1 . StltrR~S /~S.
City State Zip Code
PIG~A 7'i~ 3~1b1
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
sQ..-M a P-2 C a~ Q ,w ~k3
Address o~
13) FasT AjjDADwwn M>e..13
City State Tip Code
First Name Middle Name Purpose of Expenditure Amount of Expenditure
a~:s«~s~ e,.~.~s
Last Name/Business Name
e4c. l~ e. D,.kt-cf ue* o wrl~w
Address
25' MAW., S% EvvejapIt's city State Tip Code ~-Ippt l
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
/9124 ce,.,;," r'Aa. W n. coop
Address
City State Zlp Code
5. TOTAL ITEMIZED EXPENDITURES
(Carry forward to item 3. of next page if additional pages of this form are used.)
(If this is the last page of expenditures, this amount must be shown in item 19b. of summary.) ( f ~V
SS-1129 (Rev. 4/02) Page of RDA 1159
CAMPAIGN FINANCIAL DISCLOSURE STATEMENT
For State and Local Candidates
For Single-Candidate Committees
1. DATE OF REPORT 2.a. NAME OF CANDIDATE OR COMMITTEE
2.b. IF OMMITTEE, NAME OF CANDIDATE 3. ELE TION DAT
J j 6_^4_j L2"4-. e S l 8
4.a. CAMPAIGN ADDRESS AND PHONE
Street or Rural Route City State Zip Code Phone
3`t~3 i~~.-~ ep.,~~► Rn ~1~h a~~~ wz) avao3
4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.)
Street or Rural Route City State Zip Code Phone
5. OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate)
7. CATEGORY OR REPO (Check one ❑ ❑ ❑ ❑ ❑
FIRST SECOND THIRD FOURTH PRE- PRE- MID-YEAR YEAR-END
QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL - S A•
8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD
1 t5 L~
9. (Check one) %
a. ❑ This campaign is exempt from detailed disclosure because contributions (including in-kind) received total $1,000 or less AND expendi-
tures total $1,000 or less for this reporting period. (Complete items 12d., 12e. and 12f.)
b. RM This campaign is required to file a detailed financial disclosure because contributions (including in-kind) received total more than $1,000
/?and/or expenditures total more than $1,000 for this reporting period.
10. I/wd do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this report is an
accurate accounting of campaign contributions and expenditures required to be reported by t candid to committee by the Campaign
Financial Disclosure Act. Additionally, Itwe swear or affirm that no campaign contri relions b e pended for the personal financial
benefit of the candidate or for any other nonpolitical purpose as defined by the fe to I rev n e,
signature of candidate date Sign o dill I t asurer d
11. WITNESS SIGNA33 'OF
signature of w ness date signature of witness date
12. SUMMARY
a. BALANCE ON HAND LAST REPORT $ ' 3 S S•
b. TOTAL RECEIPTSTHIS PERIOD
c. TOTAL DISBURSEMENTS THIS PERIOD
d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $
e. TOTAL LOANS OUTSTANDING ^.~.1..L.. $
n
f. TOTAL OBLIGATIONS OUTSTANDING 7~, 0~1.. $
N
-T I SS-1109 (Rev. 2106) k`a JM: ~ 1 11018 4 Page 1 of ~ RDA 1159
N FLOUNTCOUNTY
ELECTION
~b
Wd
SUMMARY PAGE - CANDIDATE
13. NAME OF CANDIDATE OR COMMITTEE (In Full) n' 14. REPORT COVERING THE PERIOD
C•.....,, 7e .1<,~~.7 3r►~.LS ~....,t_ ~.7~,M a w. FROM:- 1'1 TO: g
RECEIPTS
15. CONTRIBUTIONS (other than loans and interest)
a. Unitemized Contributions ($100 or less from each source this period) $
b. Itemized Contributions (over $100 from each source this period)...... $ 2 g d>n • tro
c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) ~g
16. LOANS RECEIVED THIS REPORTING PERIOD $
17. INTEREST RECEIVED THIS REPORTING PERIOD
18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in Item 12.b.) ~1 •Z+S
DISBURSEMENTS
19. EXPENDITURES (other than loan payments)
a. Expenditures ($100 or less each payee this period) (must be listed by category - e.g., printing, postage, gasoline)
prJ~lw~ $1, 61
7~~ER.• A ~•C Q,/~ $ Z O . rlo
DRS FAT `S~ i1 f#J AC%? $ /lif. 0
$
Total of Expenditures ($100 or less each payee) $
b. Itemized Expenditures Over $100 each payee this period) . $ b CIS S-.1912
c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $
20. LOAN REPAYMENTS MADE THIS PERIOD $ _
~Q 117•
21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.)
22AWKIND CONTRIBUTIONS
a. Unitemized i"nd contributions ($100 or less from each source this period) $
b. Itemized in-kind contributions (over $100 from each source this period) $
c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.) _
23.013LIGATIONS
a. Unitemized Obligations Outstanding ($100 or less each) $
b. Itemized Obligations Outstanding (Over $100 each) $
a TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 121.) $
Ag"L SS-1133 (Rev. 4102) Page e<
ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
j. rl ti c;ll J1w,•o. S Lam., ~e r` w FROM: T0.:3 IT, Ipb
moon
3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page)
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures tolaang more than $100 to any payee during the period)
First Nam Middle Name Purpose of Expenditure Amount of Expenditure
Last Nemel9uslness Name
Address b ~(Z~w to •OQ
Cit~ t>rr. Js Q R, 7~ L'lo1r #
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Nerrel0uainaas Name
;o %--I- 1k09 ! nc • .,A
City Stale Zip Code ~dw~
I"# SAM T.4
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Nam03usinee" Name _ A I v yoa.~
Address
City State Zip Code
First Ngppo Gt. Middle Name Purpose of Expenditure Amount of Expenditure
Last N Kamel&rsiness Name
Address
City ~A State Zip Code
'rj .7 To I
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last NamelBusiness Nam
F- ~--c i e.T w.J a as toll
.M..~ Sc o . w
Address
~So 5~v► s H ws`N'1 S'r~.a+.a~7
city Slate hip Code
ell 7 T1 2 03
First Nana Middle Name Purpose of Expenditure Amount of Expenditure
Last NamAusiness Name
?^Pe-,L i7iale.~.-r)t :&.%S jfL T*.._
Address • C p L'S'
City O State Zip Code
tA-,.4,0 pQe 11S hN 49 IS
o
5. TOTAL ITEMIZED EXPENDITURES
(Cary forward to item 3. of next page if additional pages of this form are used.) J l
(it this is the last page of expenditures, his amount must be shown in item 19b. of summary.)
AMIL
SS-1129 (Rev. 4102) Page 3 of a RDA 1159
i
ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE _ 2, REPO T COVERING THE PERIOD
C~-•..,.,t[~ ~s frl~-~1 ,~•w.s L•..e. ati.,~p..+~ FROM: TO: 1 S 18
Amount
3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) S ) $ 3
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expe"lures IoleBng more than $100 to any payee dwim the period)
i
First WW Middle Name Purpose of Expenditure Amount of Expenditure
`y►n,~a.s
Last N ushms Nano
Address3 y o 3 f t~r•~~ ~.ie-v •a.( C~.~.~,•C~ Q~~ 1 `!fie t w.Q..N~te..w~
city slate Zip Code
0A wetiv~ x\E+L i a y'f8d1
Forst Name Middle Name Purpose of Expenditure Amount of Expenditure
Last ernef9usiness Name
~+LtrPRs c S (~'i I SAC.
Addrese.s,15 C~,,,~1w.~e1 ~w•.lt gl•7p
CRY State Zip Code
Lo••+SO0YJ 31'1
Rost Name haddte Name Purpose of Expenditure Amount of Expenditure
Last NamNBUSiness Name
Address ~ •1 ~ 1ws s v'~ ll~.. ~.f, 3~3 0'6
city stare zip code
'ra
t~1cn s► 3 71 o i
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Leal N.Vs Name
Address .
~,l.o \ C . 8ao,t p.r w~j A•l ~t,
CRY Zip Code
first Name Middlo Name Purpose of Expenditure Amount of ExpendiWre
Last Name/Business Now
Z r ~..7N
Address 3y~o QoIl~,~., 41,,<<s nnxvc. Nv"PbAv, S%t1'Z o,alo. no
city State Tode
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Narrbf9usiness Name ~ r
t" ^9 F--O •th,~tG`t.. s-~x~~,f~ NL'~rs a `I`SC T $ •
Addresau~ ~...1 L• ~ c~ ~i~
sty 17state P Code
.4 n7 1')1%,N
5. TOTAL ITEMIZED EXPENDITURES Q
(Carry forward to Item a of next page if addidonal pages of Ws form amused.)
(1 $
(If this Is The last page of expendibxes, this amount must be shown In Item 19b. of summary.)
SS-1129 (Rev. 4102) Page_ of $ RDA 1159
ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
C o T. . 31M.r icy LL~ Q @,, FROM TO; 1 1.1
l3'
mou
3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) $ 3 V k
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures totaling more than $100 to any payee during the period)
i
First Name IuNddle Name Purpose of Expenditure Amount of Expenditure
Last NemelBusiness Name
P r &,r i ~i►.+ s fi t~A IYhd E ~~~ti~ L•-~at eMV /3.~ . Vo
Address
Cgy J L sl%.J I zip code
3 A b~
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Nameleusiness Name u
So fr* T INO. Pll,,4AN'G Q0-21,4,
p~ w w is ~r•~~ Ob . 1~
Addrea '.O
CRY-- Slate ZlpCode
First Name Mddle Name Purpose of Expenditure Amount of Expenditure
[astsinesaN
o Sys
Address ~,p o ~ as ~1<J L q~5? • 1
CRY stela zip coda r
Cj606 j4 ^
3QO41
i
First Name WKWe Name Purpose of Expenditure Amount of Expenditure
Last NemerBusiness Name
Address
City State Zip Code
First Name Middlo Now Purpose of Expenditure Amount of Expenditure
Last NamelBusinesa Now
Address
City stale Zip Code
First Noma Middle Nam Purpose of Expenditure Amount of Expenditure
Last NamelBuainess Name
Address
qty State ZIP Code
5. TOTAL ITEMIZED EXPENDITURES iy} Q c
(Carry forward to hem 3. of next page if additional pages of this form are used.) 1 I i S5 J . ~~p
(If this is the Iasi page of expenditures, We amounl must be sham In ilem 19b. of summary.) f
W SS-1129 (Rev. 4102) Page s of $ RDA 1159
ITEMIZED STATEMENT OF CONTRIBUTIONS -CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
Ca T. £.l e,e7 FROM: T0: f is '8
Amount
3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page)
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION col bibutions totaling more than $100 from an contributor
First Name Middle Name Contribution Received For. Amount of Contributon
Us sa. 4, A.+ta
LaslNahneapnizatbnName Primary Election ❑ General Election
tZw Da vt.~. Oo . w
Addresa7 ~y 1tF~~p tall! J7r,,j' ~r<. ❑Runoff (Local Elections Only) I
f
Stale c.& Dale of Contrbution Aggregate This Election
s 103
p" ►1.:,y .s1A~ 7Nfzp
Occupaton
>s ~ n t'1 ~ c9 . ~o
Employer
Final Name MiddleNX Contribution Received For Amount of Contribution
,Z;fta.a
Last NemelOrganlrelfonName Primary Election ❑ General Election
~i i{.a kt z ~ t~ . s!O
Address 1 4 5 • 7 , ❑ Runoff (Local Elections Only)
Cry ,N a.w.5 J-& rr. I 5~~ z 3~ b3 Date of Contribution Aggregate This Election
owrpaton f ~1 ~ f'1 * a.Z,oo
eye f 1
1
First Name Name Contribution Received For: Amount of Contribution
-_'Vftkk.i 10.0
Last a a Name 17p-dmary Election ❑ General Election 0,0 . 11'7
tk#, % .V !j kA
7
Address j ❑ Runoff (Local Elections Only)
LV+5 ^1 ivW
City Slate ZIpCode Date of Contribution Aggregate This Election
rl~ ~rw~ ~~v
►.N
OauW_ \ ^
EM*W
First Name Middle Name on Received or: moue of ContdWft
t~...•.y ~ GNO~
l imary Election 11 General Election
Last NameOrgenizallonName yAS
s~ Y 1
Addreset tit .3,-w ❑ Runoff (Local Elections Only)
e~ ` Date of Contribution Aggregate This Election
4Cod
qty h#~ J
b II
f)eapatan ~ ~`s ^ ~L~O• ~•SO
Employer
5. TOTAL ITEMIZED CONTRIBUTIONS c
(Cary (award to kern 3. of nerd page 9 xkW net pages of this form are used.) t 0 70
(KWs is the last page of oxftudm% this anaml must be shown In Kom 15b. of summary.)
SS-1131(Rev. 2106) Page of $ RDA 1159
..eau L-..,dl.~ll::,.~
i
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
Cto.,,~ a„ +{r r 7o V4-0 FROM; TO: $ 9
Amou t
3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) o -50
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor.
First Name Middle Name Contribution Received For. Amount of Contribution
wtCk
Last NomefOrgonizatfen Name Oprimary Election ❑ General Election
Address ❑ Runoff (Local Elections Only)
R D
Slate zlpcode Date of Contribution Aggregate This Election i
00011palion I IIS'~~ L1', (~'o •
Employer
Fiml Name MiddeName Contribution Received For Amount of Contribution
f%
LastName0gshizationName t EamaryElection ❑ General Election
2 rue tD . 1.0
address ❑ Runoff (Local Elections Only)
?~Z~ B~is+/cA Din
City Spa Zip Code Date of Contribution Aggregate This Election
G..s J -3 r 2Oe~ w
oecupation l 1 lS (t
ll
Employer
r
First Name le Name Contribution Received For: Amount of Contribution
1 r
a rga.a name Primary Election ❑ General Election
Lag
Z brr.r Vl. ~ ZSo , fro
Address o ❑ Runoff (Local Elections Only)
,
ply 6 state zip Code Date of Contribution Aggregate This Election
~'1'1Sv
kN*- aii
occupation f 1 S~ 25'v. w
yar
Find Name Middle Name Contiribution Received For. Amount of Contftlion
6%V B
Lost Nome"anizationName Primary Election ❑ General Election ~y 0
[
Address ❑ Runoff (Local Elections Only)
2z ~ ~3.. P.•~ ql~~ sTt t%-
Lgty stale Zip Code Date of Contribution Aggregate This Election
,-~A 3'1106
Occupation l1 S .,t~1
1 Iz
Employer
5. TOTAL ITEMIZED CONTRIBUTIONS
(Carty forward to item 3. of ne)d page It additional pages of this form are used.) r~~ d
(If Ws Is the last page of con0judons, this smounl must be shown In item 15b. of summary.)
SS-1131(Rev. 2106) Page of V RDA 1159
a - . as
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
2. REPORT COVERING THE PERIOD
1. NAME OF CANDIDATE OR COMMITTEE FROM: TO: ~j (1
G ( ww~3 e. a w,•,e.. Amount
3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page)
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION (contributions totaling more than $100 from an contributor Amount of Contribution
First Name Middle Name Contribution Received For.
h fir. ` (NV► 5 3. ~
Primary Election El General Election
LastNamelOrg nizatbnName
S v ;r•.L
Address ❑ Runoff (Local Elections Only)
• b RD Aggregate This Election
city Zip Code Date of Contribution
Occupation t • W
Employer
First Name Middle Name Contribution Received For: Amount of Contribution
❑ General Election
Primary Election 100. VO
Last NamelOrganlzadon Name
Address ❑ Runoff (Local Elections Only)
(p W ~~pL~ C ° ~J Sta Zip3?~ Date of Contribution Aggregate This Election
city ~
Occupation I1Qb
Employer
iddleName Contribution Received For: Amount of Contribution
First Name
rimary Election ❑ General Election w
as a za ion ame T
N f-A C'i ❑ Runoff (Local Elections Only)
Addresv. O ~ ~ S
City ~p Code Date of Contribution Aggregate This Election
Occupation rill o • 9b
\ \
Employer
Middle Name Contribution eceed For. mount o Contribution
First Name
❑ Primary Election ❑ General Election
Last NamelOrgenkation Name
❑ Runoff (Local Elections Only)
Address
city state bp Code Date of Contribution Aggregate This Election
Occupation
Employer
5. TOTAL ITEMIZED CONTRIBUTIONS fi~ C1 O •
(Carry forward to item 3. of nerd page if additional pages of this form are used.)
(If this is the last page of contributions, this amount must be shown in Item 15b. of summary.)
art Page of Q RDA 1159
` SS-1131(Rev. 2106)
CAMPAIGN FINANCIAL DISCLOSURE STATEMENT
For State and Local Candidates
For Single-Candidate Committees -Mno N
E OF CANDIDATE OR COMMITTEE % jr1. DATE OF REPORT 2.a. NAM SLI
3. ELECTION DE ra,~
2.b. IF COMMI EE, NAME OF CANDIDATE
4.a. CAMPAIGN ADDRESS AND PHONE
City State Zip Code Phone
Street or Rural Route 3
^ ~b
3 ~ 3 Lee Lrz, j to p..3a `e 1,)
4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.) State Zip Code Phone
Street or Rural Route City
5. OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITIC L TREASURER (may be candidate)
t j t NjA_ u1-V auk
7. CATEGORY OR REPORT (Check one) 1:1 1:1 El [ 1:1
FIRST SECOND THIRD FOURTH PRE- PRE- MID&R YEAR-END
QUARTER QUARTER QUARTER QUARTER PRIMARY GENEAL
DING DATE OF REPORTING PER SUPPLEMENTAL SUPPLEMENTAL
8.a. BEGINNING DATE OF REPORTING PERIOD
9. (Check one)
a. ❑ This campaign is exempt from detailed disclosure because contributions (including in-kind) received total $1,000 or less AND expendi-
tures total $1,000 or less for this reporting period. (Complete items 12d., 12e. and 12f.)
b. ❑ This campaign is required to file a detailed financial disclosure because contributions (including in-kind) received total more than $1,000
and/or expenditures total more than $1,000 for this reporting period.
10. I/we do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this report is an
accurate accounting of campaign contributions and expenditures required to be reported by the candidate committee by the Campaign
Financial Disclosure Act. Additionally, I/we swear or affirm that no campaign contributions h expended for the personal financial
benefit of the candidate or for any other nonpolitical purpose as defined by the feder 'nte all en code.
d to
signature of candidate da e g u litical treasurer
11. WITNESS SIGNATURE
date signature of witness date
IV signature of wi es
12. SUMMARY
a. BALANCE ON HAND LAST REPORT $
b. TOTAL RECEIPTS THIS PERIOD $
c. TOTAL DISBURSEMENTS THIS PERIOD $
(3a ~ 53 .
d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $
$
e. TOTAL LOANS OUTSTANDING
f. TOTAL OBLIGATIONS OUTSTANDING $
10 SS-1109 (Rev. 2106) Page 1 of RDA 1159
CAMPAIGN FINANCIAL DISCLOSURE STATEMENT
For State and Local Candidates
For Single-Candidate Committees
1. DATE OF REP RT 2.a. NAME OF CANDIDATE OR COMMITTEE
2.b. IF COMMI E, NAME OF CANDIDATE 3. ELECTION DATE
4.a. CAMPAIGN ADDRESS AND PHONE
Street or Rural Route ' Q city ^ State Zip Code Phone
4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.)
Street or Rural Route City State Zip Code Phone
5. OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate)
'S I
7. CATEGORY OR REPORT (Check one) 1:1 1:1
FIRST SEND THIRD FOURTH PRE- PRE- MI YEAR❑-END
QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL
8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD
PV-P:) ~.~c~ P., ~tS
9. (Check one)
a. This campaign is exempt from detailed disclosure because contributions (including in-kind) received total $1,000 or less AND expendi-
tures total $1,000 or less for this reporting period. (Complete items 12d., 12e. and 12f.)
b. ❑ This campaign is required to file a detailed financial disclosure because contributions (including in-kind) received total more than $1,000
and/or expenditures total more than $1,000 for this reporting period.
10. I/we do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this report is an
accurate accounting of campaign contributions and expenditures required to be reported by the candidate committee by the Campaign
Financial Disclosure Act. Additionally, I/we swear or affirm that no campaign contributions have been expended for the personal financial
benefit of the candidate or for any other nonpolitical purpose as defined by the federal internal r e code.
s
s~
2/1
signature of candidate d e 44olitical treasurer d
11. WITNESS SIGNATUR
signature of witneify date signature of witne dat
12. SUMMARY
a. BALANCE ON HAND LAST REPORT $ /.35 b. TOTAL RECEIPTSTHIS PERIOD $
c. TOTAL DISBURSEMENTS THIS PERIOD $41%a0.6%
d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ OV VS3 . ..l..
1 8
1rr?
_jL
e. TOTAL LOANS OUTSTANDING $
f. TOTAL OBLIGATIONS OUTSTANDING . r.................. $
JUL
N
SS-1109 (Rev. 2106) BLOUNT COUNTY co page 1 of RDA 1159
ELECTION
CAMPAIGN FINANCIAL DISCLOSURE STATEMENT
For State and Local Candidates
For Single-Candidate Committees
1. DATE OF REPORT 2.a. NAME OF CANDIDATE OR COMMITTEE
2.b. IF COMMI EE, ItIAME OF CANDIDATE 3. ELECTION DATE
4.a. CAMPAIGN ADDRESS AND PHONE
Street or Rural Route City M State Zip Code Phone
3*-~ 0 j wY LA-J e., t~,AV
4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.)
Street or Rural Route City State Zip Code Phone
5. OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate)
7. CATEGORY OR REPORT (Check one)
❑ ❑ ❑ ❑ ❑ ❑ ❑
FIRST SECOND THIRD FOTH PRE- PRE- MID-YEAR YEAR-END
QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL
8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD
9. (Check one)
a. ❑ This campaign is exempt from detailed disclosure because contributions (including in-kind) received total $1,000 or less AND expendi-
tures total $1,000 or less for this reporting period. (Complete items 12d., 12e. and 12f.)
b. This campaign is required to file a detailed financial disclosure because contributions (including in-kind) received total more than $1,000
and/or expenditures total more than $1,000 for this reporting period.
10. I/we do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this report is an
accurate accounting of campaign contributions and expenditures required to be reported by the candidate committee by the Campaign
Financial Disclosure Act. Additionally, Uwe swear or affirm that no campaign contributions have been expended for the personal financial
benefit of the candidate or for any other nonpolitical purpose as defined by the federal interna ev nue code.
Lct, ~ ~ <J u s
signature of candidate d to si r "f political treasurer dfite
11. WITNESS SIGNATURE
26 _
signature of witness date signature of witness date
p,M P
12. SUMMARY
c~ IVED l
a. BALANCE ON HAND LAST REPORT R E C E (P $ 1 ~Lt ' IO Z'
JAN 3 0 f
b. TOTAL RECEIPTS THIS PERIOD . w $
BLOUNT COUNTY w
o
c. TOTAL DISBURSEMENTS THIS PERIOD ...............1 S" ELECTION 9- /
wb wa j9 ~'S~, Q
d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $
e. TOTAL LOANS OUTSTANDING $
f. TOTAL OBLIGATIONS OUTSTANDING $
0 SS-1109 (Rev. 2/06) Page 1 of 7 RDA 1159
SUMMARY PAGE - CANDIDATE
13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD
FROM: TO:
RECEIPTS
15. CONTRIBUTIONS (other than loans and interest)
a. Unitemized Contributions ($100 or less from each source this period) $
b. Itemized Contributions (over $100 from each source this period) $
c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $
16. LOANS RECEIVED THIS REPORTING PERIOD $
17. INTEREST RECEIVED THIS REPORTING PERIOD $
18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) $
DISBURSEMENTS
19. EXPENDITURES (other than loan payments)
a. Expenditures ($100 or less each payee this period) (must be listed by category - e.g., printing, postage, gasoline)
'014w'A- iOv~s $ `00. tv
Total of Expenditures ($100 or less each payee) $ J 1 5 S
b. Itemized Expenditures (Over $100 each payee this period) $ 1, 19 3
c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $
20. LOAN REPAYMENTS MADE THIS PERIOD $
21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) $ J 3 O 4,
22.IN-KIND CONTRIBUTIONS
a. Unitemized in-kind contributions ($100 or less from each source this period) $
b. Itemized in-kind contributions (over $100 from each source this period) $
c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.) $
23. OBLIGATIONS
a. Unitemized Obligations Outstanding ($100 or less each) $
b. Itemized Obligations Outstanding (Over $100 each) $
c. TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 12.f.) $
AML
SS-1133 (Rev. 4102) Page of~
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
FROM: TO:
Amount
3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page)
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION (contributions totalin more than $100 from an contributor
First Name Middle Name Contribution Received For: Amount of Contribution
Last Name/OrganizationName ❑ Primary Election ❑ General Election
Address ❑ Runoff (Local Elections Only)
City State Zip Code Date of Contribution Aggregate This Election
Occupation
Employer
First Name Middle Name Contribution Received For: Amount of Contribution
Last Name/Organization Name ❑Primary Election ❑ General Election
Address ❑ Runoff (Local Elections Only)
City State Zip Code Date of Contribution Aggregate This Election
Occupation
Employer
First Name iddleName Contribution Received For: Amount of Contribution
as ame rganiza ion ame ❑ Primary Election ❑ General Election
Address ❑ Runoff (Local Elections Only)
city State Zip Code Date of Contribution Aggregate This Election
Occupation
-Employer
First Name Middle Name Contribution Received or: mount of Contribution
Last Name/Organization Name ❑ Primary Election ❑ General Election
Address ❑ Runoff (Local Elections Only)
City state Zip Coda Date of Contribution Aggregate This Election
Occupation
Employer
5. TOTAL ITEMIZED CONTRIBUTIONS
(Carry forward to item 3. of next page if additional pages of this form are used.)
(If this Is the last page of contributions, this amount must be shown In Item 15b. of summary.)
SS-1131 (Rev. 2106) Page of RDA 1159
ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
FROM: TO:
mount
3. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page)
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED IN-KIND CONTRIBUTION (in-kind contributions totaling more than $100 from any contributor during the period)
First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution
Last NamelOrganizationNome ❑ Primary Election ❑ General Election
❑ Runoff (Local Elections Only)
Address Dale of In-Kind Contribution Aggregate this Election
City Stale Zip Code Description of In-Kind Contribution
Occupation Emp oyer
First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution
❑ Primary Election ❑ General Election
Last NamelOrganization Name
❑ Runoff (Local Elections Only)
Address Date of InAnd Contribution Aggregate this Election
City State Zip Code Description of In-Kind Contribution
Occupation Employer
First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution
❑ Primary Election ❑ General Election
Last Name/Organization Name
❑ Runoff (Local Elections Only)
Address Date of In-Kind Contribution Aggregate this Election
City State Zip Code Description of In-Kind Contribution
Occupation Employer
First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution
❑ Primary Election ❑ General Election
Last Name/Organization Name
❑ Runoff (Local Elections Only)
Address Date of In-Kind Contribution Aggregate this Election
City State Zip Code Description of In-Kind Contribution
Occupation Employer
First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution
E] Primary Election [3 General Election
Last Name/Organization Name
❑ Runoff (Local Elections Only)
Address Date of In-Kind Contribution Aggregate this Eledion
City State Zip Code Description of In-Kind Contribution
Occupation mp oyer
5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS
(Carry forward to item 3. of nerd page if additional pages of this form are used.)
(If this is the last page of in-kind contributions, this amount must be shown in item 22b. of summary.)
SS-1128 (Rev. 2106) Page _ of RDA 1159
ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
•e,~ n. w o. FROM:,,/, TO: I I S f
mou n
3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page)
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures totaling more than $100 to any payee during the period)
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
Address ~q J, u1T• ~a r. s 13 Y. $i-.
City State Zip Code
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Dc~„~til
Last Name/Business Name
Address C. tLt 1~ .~7" T 3 o . v .p
~
City State Zip Code
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
I
Address ~~1wf I~~ ! 5 2 5D
City State Zip Code l•
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
Address " • / D / O~ . O
City State Zip Code / J
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
Address
City State Zip Code
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
Address
City State Zip Code
5. TOTAL ITEMIZED EXPENDITURES /
(Carry forward to item 3. of next page if additional pages of this form are used.)
(If this is the last page of expenditures, this amount must be shown in item 19b. of summary.) f l
SS-1129 (Rev. 4102) Page _ of RDA 1159
ITEMIZED STATEMENT OF LOANS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
FROM: TO:
3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED LOAN (loans totaling more than $100 from any source during the period)
Complete the Following for the Source of the Loan
First Name Middle Name Outstanding Loan Balance Loans Loan Outstanding Loan Balance
(Beginning of Period) Received Payments (End of Period)
Last Name/Organization Name
Address Loan Received For: Date of Loan
❑ Primary Election ❑ General Election
City State Zip Code
❑ Runoff (Local Elections Only)
List All Endorsers or Guarantors for Above Loan (If more space is needed please attach a page)
First Name Middle Name First Name Middle Name
Last Name/Organization Name Last Name/Organization Name
Address Address
City State Zip Code Gty State Zip Code
Amount Guaranteed Outstanding Amount Guaranteed Outstanding
First Name Middle Name First Name Middle Name
Last Name/Organization Name Last Name/Organizatton Name
Address Address
City State Zip Code City State Zip Code
Amount Guaranteed Outstanding Amount Guaranteed Outstanding
First Name Middle Name First Name Middle Name
Last Name/Organization Name Last Name/Organization Name
Address Address
City State Zip Code City State Zip Code
Amount Guaranteed Outstanding Amount Guaranteed Outstanding
First Name Middle Name First Name Middle Name
Last Name/Organization Name Last Name/Organization Name
Address Address
City State Zip Code City State Tip Code
Amount Guaranteed Outstanding Amount Guaranteed Outstanding
4. Totals for all Loans (complete on last page of Itemized loans) outstanding Loan Balance Loans Loan Outstanding Loan Balance
(Total loans received should also be shown in item 16, on summary page.) (Beginning of Period Received agents End of Period
(Total loan payments should also be shown in item 20. on summary page.)
(Total outstanding loan balance should also be shown in item 12.e. on front page.)
SS-1132 (Rev. 4/02) Page _ _ ofl-- RDA 1159
.
ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
FROM: TO:
3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED Outstanding Balance Debt Incurred Payments Outstanding Balance
OBLIGATION (obligations totaling more than $100 owed to any (Beginning of Period) This Period This Period (End of Period)
person/vendor at the end of the reporting period)
First Name Middle Name
Last NamelBusiness Name
Address
City State Zip Code
Description of Obligation
First Name Middle Name
Last Name Business Name
Address
city State Zip Code
Description of Obligation
First Name Middle Name
Last Name/Business Name
Address
City State Zip Code
Description of Obligation
First Name Middle Name
Last NamelBusiness Name
Address
city State Zip Code
Description of Obligation
First Name Middle Name
Last Name/Business Name
Address
City Stale Zip code
Description of Obligation
4. TOTALS
(Total from Outstanding Balance - (End of Period) column must also be shown
In item 23b. on summary page.)
Alk -1
SS-1127 (Rev. 4/02) Page - of RDA 1159
r
CAMPAIGN FINANCIAL DISCLOSURE STATEMENT
For State and Local Candidates
For Single-Candidate Committees
1. DATE OF REPORT 12.a. NAME OF CANDIDATE OR COMMITTEE
n 3 ' J a+h ds "-I* tt 3. ELECTION DATE
2.b. IF C MMITTEE, NAME OF CANDIDATE
4.a. CAMPAIGN ADDRESS AND PHONE State Zip Code Phone
Street or Rural Route Qy h t-;-) c-k city
hlsru~~z~~ ►1
4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.) State Zip Code Phone
Street or Rural Route City
5. OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate)
S ~r
7. CATEGORY OR REPORT (Check on
❑ E] ❑ ❑ ❑ ❑ ❑
FIRST SECOND IRID FOURTH PRE- PRE- MID-YEAR SUPPLEMENTAL YEAR-END SUPPLEMENTAL
T' D
QUARTER QUARTER QUARTER QUARTER B bINIAEFI2JDING DATE OF ER PORTING PERIOD
8.a. BEGINNING DATE OF REPORTINyG PERIOD
D 1
9. (Check one
n is OOeorless for h sereportng period. (Complete temst (12d. '12eudaing nd 112fi) d) received total $1,000 or less AND expendi
a. This campaigO
tures total $1,
. ❑ This campaign is required to file a detailed financial disclosure because contributions (including in-kind) received total more than $1,000
and/or expenditures total more than
b $1,000 for this reporting period. the information
rep
disc
campaign
and 10. I/we do solemnly
ccounting of campaign conttributions and expenditue sI equ red to be eport nc' by thelcandida eocomm'ittee by the Cthis re ampaign is an
accurate accounting
isclosure Act. Additionally, I/we swear or affirm that no campaign contri on have been expended for the personal financial
Financial Disclosure g
benefit of the candidate or for any other nonpolitical purpose as defined by the fed I inte venue code.
Lsignature cand to g t r f political treasurer
11. WITNESS SIGNATURE
Q = [ 1~-~'y. L~- j
signature of witness date
signature of witnes date
12. SUMMARY C llo
17-7
a. BALANCE ON HAND LAST REPORT
$
b. TOTAL RECEIPTSTHISPERIOD
c. TOTAL DISBURSEMENTS THIS PERIOD $ ' ' I v
$
d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.)
e. TOTAL LOANS OUTSTANDING
$
f. TOTAL OBLIGATIONS OUTSTANDING
Page 1 of RDA 1159
SS-1109 (Rev. 2106)
CAMPAIGN FINANCIAL DISCLOSURE STATEMENT
For State and Local Candidates
For Single-Candidate Committees
1. DATE OF REPORT 12.a. NAME OF CANDIDATE OR COMMITTEE
1:!
2.b. IF CO ITTEE, NAM OF CANDIDATE 3. E ECTION DATE
4.a. CAMPAIGN ADDRESS AND PHONE
Street or Rural Route City State Zip Code Phone
4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.) State Zip Code Phone
Street or Rural Route City
5. OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate) 'Sp 4ja~rj~&
g flQ f V.-e- Li >A T n
7. CATEGORY OR REPOR-i (Check one) El 1:1 FIRST SECOND THIRD FOURTH PRE- MI EAR YEAR-END
QUARTER QUARTER QUARTER QUARTER PRIMARY
NDING DATE OF REPORTING PE SUPPLEMENTAL SUPPLEMENTAL
8.a. BEGINNING DATE OF REPORTING PERIOD
9. (Check one)
a. ❑ This campaign is exempt from detailed disclosure because contributions (including in-kind) received total $1,000 or less AND expendi-
tures total $1,000 or less for this reporting period. (Complete items 12d., 12e. and 12f.)
b. ❑ This campaign is required to file a detailed financial disclosure because contributions (including in-kind) received total more than $1,000
and/or expenditures total more than $1,000 for this reporting period.
10. I/we do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this report is an
accurate accounting of campaign contributions and expenditures required to be reported by the candidate committee by the Campaign
Financial Disclosure Act. Additionally, I/we swear or affirm that no campaign contributions he en expended for the personal financial d=~4 benefit of the candidate or for any other nonpolitical purpose as defined by the federal int v ue code.
L~
signature of candidate a of political treasurer date /W/~
- dat
t
`
11. ,~WITNESS ~~SIGNATURE ~1/', _5
signature of witness date J signatur witness date
12. SUMMARY II n
a. BALANCE ON HAND LAST REPORT $
b. TOTAL RECEIPTS THIS PERIOD.. . $
c. TOTAL D I SB U RSEMENTS TH I S PERIOD $ A-
d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $
e. TOTAL LOANS OUTSTANDING $
f. TOTAL OBLIGATIONS OUTSTANDING $
SS-1109 (Rev. 2106) Page 1 of RDA 1159
CAMPAIGN FINANCIAL DISCLOSURE STATEMENT
For State and Local Candidates
For Single-Candidate Committees
1. DATE OF EP RT 2.a. NA E OF CANDIDATE OR COMMITTEE
!n& ELECTION DATE
2.b. IF C MI E , NAME OF CANDIDATE
4.a. CAMPAIGN ADDRESS AND PHONE
eet Cit State Zip Code Phone
Str or Rural Route
4.b. CANDIDATE'S HOME ADDRESS (if different C in 4.a.) State Zip Code Phone
Street or Rural Route y
5. OFFICE SOUGHT (include district number, if applicable) 6. NAME F POLITICAL TREAS RER (may be cand~~
7. CATEGORY OR REA T (Check one)
❑ MID -YEAR YEAR-END
El 0 FIRST S D THIRD FOURTH PRE-
PERIOMENTAL SUPPLEMENTAL
UARTER QUARTER QUARTER QUARTER PRIIMARDING DATE GENEAL OF RE SUPPLE
8.a. BEGINNING DATE OF REPORTING PERIOD
9. (Check one)
a. ❑ This campaign is exempt from detailed disclosure because contributions (including in-kind) received total $1,000 or less AND expendi-
tures total $1,000 or less for this reporting period. (Complete items 12d., 12e. and 12f.)
b. ❑ This campaign is required to file a detailed financial disclosure because contributions (including in-kind) received total more than $1,000
and/or expenditures total more than $1,000 for this reporting period.
10. I/we do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this report is an
accurate accounting of campaign contributions and expenditures required to be reported by the candidate committee by the Campaign
Financial Disclosure Act. Additionally, I/we swear or affirm that no campaign contributions hav een expended for the personal financial
benefit of the candidate or for any other nonpolitical purpose as defined by the fe I inter re enue code. `
~ ~ ~ si a o political treasurer t
signature of candidate dat
11. WITNESS SIGNATURE
/o- D-
signature of wit e s date
signature of witness date
12. SUMMARY q q O
a. BALANCE ON HAND LAST REPORT $
b. TOTAL RECEIPTS THIS PERIOD $
c. TOTAL DISBURSEMENTS THIS PERIOD
d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $
$
e. :TOTAL LOANS OUTSTANDING
$
f. TOTAL OBLIGATIONS OUTSTANDING
Page 1 of RDA 1159
SS-1109 (Rev. 2106)
SUMMARY PAGE - CANDIDATE
13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD
FROM: TO:
RECEIPTS
15. CONTRIBUTIONS (other than loans and interest)
a. Unitemized Contributions ($100 or less from each source this period) $
b. Itemized Contributions (over $100 from each source this period) $
c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $
16. LOANS RECEIVED THIS REPORTING PERIOD $
17. INTEREST RECEIVED THIS REPORTING PERIOD
18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) $
DISBURSEMENTS
19. EXPENDITURES (other than loan payments)
a. Expenditures ($100 or less each payee this period) (must be listed by category - e.g., printing, postage, gasoline)
Total of Expenditures ($100 or less each payee) $ a$0 • V"O
b. Itemized Expenditures (Over $100 each payee this period) $ I.10
.
c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $'I
20. LOAN REPAYMENTS MADE THIS PERIOD $
21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) $
22.IN-KIND CONTRIBUTIONS t. a. Unitemized in-kind contributions ($100 or less from each source this period) $
b. Itemized in-kind contributions (over $100 from each source this period) $
c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.) $
23. OBLIGATIONS
a. Unitemized Obligations Outstanding ($100 or less each) $
b. Itemized Obligations Outstanding (Over $100 each) $
c. TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 12.f.) $
SS-1133 (Rev. 4102) Page of
ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE
1. NAME OF CANDIDATE OR
-rh OM04f VERING THE ERIOD
FROM: TO: a
3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) mou
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures totaling more than $100 to any payee during the period)
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name Tess NEE
Address
City State Zip Code i
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
Address
City State Zip Code
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
Address
CRY State Zip Code
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
Address
City State Zip Code
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
Address
City State Zip Code
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
Address
City state Zip Code
5. TOTAL ITEMIZED EXPENDITURES
(Carry forward to item 3. of next page if additional pages of this form are used.)
(If this is the last page of expenditures, this amount must be shown in item 19b. of summary.) let'
SS-1129 (Rev. 4/02) Page of RDA 1159
1
CAMPAIGN FINANCIAL DISCLOSURE STATEMENT
For State and Local Candidates
For Single-Candidate Committees
1. DATE OF REP RT 12.a. NAME OF CANDIDATE OR COMMITTEE
2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE ^ ^
~ LYE
4.a. CAMPAIGN ADDRESS AND PHONE
Street or Rural Route City State Zip Code Phone
LCA 4* V%,4 444-
4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.)
Street or Rural Route City State Zip Code Phone
5. OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TR ASURER (may be candidate)
A1 ~
7. CATEGORY OR REPORT (Check one) Ka FIRST SEND THIRD FOURTH PRE- El 13
PRE- MID-YEAR YEAR-END
QUARTER QUARTER UARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL
8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD
9. (Check one)
a. ~ This campaign is exempt from detailed disclosure because contributions (including in-kind) received total $1,000 or less AND expendi-
tures total $1,000 or less for this reporting period. (Complete items 12d., 12e. and 12f.)
b. ❑ This campaign is required to file a detailed financial disclosure because contributions (including in-kind) received total more than $1,000
and/or expenditures total more than $1,000 for this reporting period.
10. I/we do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this report is an
accurate accounting of campaign contributions and expenditures required to be reported by the candidate committee by the Campaign
Financial Disclosure Act. Additionally, I/we swear or affirm that no campaign contributions have been expended for the personal financial
nefit of the candidate or for any other nonpolitical purpose as defined by the federal internal revenue code.
L-e4'- R__~ A kc~' 114A
signature of candidate *da [Toturu f political treasurer d to
11. WITNESS SIGNATURE
signature of witne date signature of wit ess date
12. SUMMARY
a. BALANCE ON HAND LAST REPORT
`y
b. TOTAL RECEIPTS THIS PERIOD $
c. TOTAL DISBURSEMENTS THIS PERIOD $
d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $
e. TOTAL LOANS OUTSTANDING $
f. TOTAL OBLIGATIONS OUTSTANDING $
AML
IMI IQW
SS-1109 (Rev. 2/06) Page 1 of RDA 1159
CAMPAIGN FINANCIAL DISCLOSURE STATEMENT
For State and Local Candidates
For Single-Candidate Committees
1. DATE OF REPORT 12.a. NAME OF CANDIDATE OR COMMITTEE
=ELECTION ATE
2.b. IF COMMITTEE, NAME OF CANDIDATE
4.a. CAMPAIGN ADDRESS AND PHONE City State Zip Code Phone
Street or Rural Route 1~~ _ 3 ,
L1W.,~ Ro
4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.) State Zip Code Phone
Street or Rural Route city PTCATEG0
ICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate)
~,f•E- Irv
-.,RY OR REPORT (Check one) ❑ ❑
FIRST SECOND THIRD FOURTH PRE- PRE- MI YEAR YEAR-END
QUARTER QUARTER QUARTER UARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL
S.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD
9. (Check one)
a This campaign is exempt from detailed disclosure because contributions (including in kind) received total $1,000 or less AND expendi-
tures total $1,000 or less for this reporting period. (Complete items 12d., 12e. and 12f.)
b. ❑ This campaign is required to file a detailed financial disclosure because contributions (including in-kind) received total more than $1,000
and/or expenditures total more than $1,000 for this reporting period.
10. Itwe do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this report is an
accurate accounting of campaign contributions and expenditures required to be reported by the candidate committee by the Campaign
Financial Disclosure Act. Additionally, I/we swear or affirm that no campaign contributions have been expended for the personal financial
benefit of the candidate or for any other nonpolitical purpose as defined by the federal intemal rev code. ,
f olitical treasurer `ate
signature of candidate to
11. TNESS SIGNATURE
date signature of tness dat
signature of witn s
12. SUMMARY b
a. BALANCE ON HAND LAST REPORT $ 1
$
b. TOTALRECEIPTSTHIS PERIOD
$
c. TOTAL DISBURSEMENTS THIS PERIOD
'O
d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ 1 J Z.
e. TOTAL LOANS OUTSTANDING
$
f. TOTAL OBLIGATIONS OUTSTANDING
Page 1 of RDA 1159
SS-1109 (Rev. 2106)
t iL
1t 12 A"
aA
R_CEO ,
. FEB Z 1 ~~=~r Appointment of Political Treasurer
For State and Local Candidates and Single-Candidate Committees
INSTRUCTIONS
The Appointment of Political Treasurer statement must be used to appoint a political treasurer as required by
the Campaign Financial Disclosure Act (T.C.A. § 2-10-105) for state and local candidates and single- candidate
political campaign committees. A state candidate may not receive or expend funds for an election until a
political treasurer has been appointed for that election. A local candidate pursuant to T.C.A 2-10-101, may be
exempt from completing this form, please check with county election commission for more information. A
candidate may appoint himself or herself as political treasurer. A new form must be filed if the treasurer is changed.
Candidates for state public office must file their original Appointment of Political Treasurer statement ONLY with
the Registry of Election Finance, 404 James Robertson Parkway, Suite 104, Nashville, TN 37243-1360.
Candidates for local public office must file their original Appointment of Political Treasurer statement ONLY with
their county election commission.
1. Date: 2. Name of Candidate or Committee: =Caannddidate address:
/ ! k S J 41 M a i LZ a ~-G.,t A o,,,,(~ Qb ~ olio o. Cows-.
4. Campaign Address and Phone: City State Zip Code Phone
all) 3tio3 ~:..~c~ t-cv¢I c Ro Uc. Trv o3 ~Sl,~ Vag
5. Home Address and Phone (if different than Item 4 above): City State Zip Code Phone
6. Office Sought (include district number, if applicable) 7. Party Affliation 8. Election Year
e. 9-t. IF
9. Treasurer Name: 10. Treasurer e-mail address:
_I SV- f-~~--Jv\ fA4x- wu-jY lve k Z~ . UA Q_ I its-,o
.Cam,
11. Treasurer Address an Phone: City State Zip Code Phone
l S3- / !'afi,w 2p r-10 -1.,31 q- - 31 c60 -k b\.5 - 3$0 - 57
11.~L
12. Candidate and Treasurer Signature (both signatures must a witnessed. Treasurer can not witness candidate's signature):
cz L
Signature of Candidate Signature of Treasurer
1 _
Signature of Witness Signature of Witness
Registry of Election Finance
SS-1120 (rev 10/2010)
r
CAMPAIGN FINANCIAL DISCLOSURE STATEMENT
For State and Local Candidates
For Single-Candidate Committees
1. DATE OF REPORT 2.a. NAME OF CANDIDATE OR COMMITTEE
1 ? / / J L11- e.
2.b. IF CO MI E, NAME OF CANDIDATE 3. ELECTION DATE
4.a. CAMPAIGN ADDRESS AND PHONE
Street or Rural Route City State Zip Code Phone
3~0 3 e71-0 4--14L( cl-.OS, 4 Ra
4.b. CANDIDATE'S HOME ADDRESS (d different than 4.a.)
Street or Rural Route city state Zip Code Phone
5. OFFICE SOUGHT Onclude district number, K applicable) 6. NAME O//F'' POLITICAL TREASURER (may be candidate)
7. CATEGORY OR REPORT (Check one)
FIRST F SEGO JD T ~ FOU13 RTH PRE- ~ MI YEAR D
QUARTER QUARTER QUARTER 0WTER MARY GENERAL. SUPPLEMENITAL. AL
A~
8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD
9. (Check one)
a. ❑ This campaign is exempt from detailed disclosure because contributions (including in-kind) received total $1,000 or less AND expendi-
tures total $1,000 or less for this reporting period. (Complete items 12d., 12e. and 12f.)
b. This campaign is required to file a detailed financial disclosure because contributions (including in-kind) received total more than $1,000
and/or expenditures total more than $1,000 for this reporting period.
10. Itwe do solemnly swear or affirm that the Information contained in this campaign financial disclosure report Is true and that this report is an
accurate accounting of campaign contributions and expenditures required to be reported by the candidate committee by the Campaign
Financial Disclosure Act Addibonaly, I/we swear or affirm that no campaign contributions have been expended for the personal financial
benefit of the candidate or for any other nonpolitical purpose as defined by the federal Inte I revenue code.
'/.tu~
ignatu ofcandidate to ig e f political treasurer to
11. WITNESS SIGNATURE
7. l
signature of witness date signature of witness date i
12. SUMMARY ^
a. BALANCE ON HAND LAST REPORT $ b. TOTAL RECEIPTS THIS PERIOD
c TOTAL DISBURSEMENTS THIS PERIOD $ a 30 . 03
d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.)
e. TOTAL LOANS OUTSTANDING $
f. TOTAL OBLIGATIONS OUTSTANDING $
W SS-1109 (Rev. 2106) Page 1 of RDA 1159
r
SUMMARY PAGE - CANDIDATE
13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD
FROM: y TO: / 3l
RECEIPTS
15. CONTRIBUTIONS (other than bans and interest)
a. Unitemized Contributions ($100 or less from each source this period) $ S Z~ . w
b. Itemized Contributions (over $100 from each source this period) $
c. TOTAL CONTRIBUTIONS (other than bans and interest)(add 15.a. and 15.b.) $
16. LOANS RECEIVED THIS REPORTING PERIOD $
17. INTEREST RECEIVED THIS REPORTING PERIOD
18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) $ sl:sr,"
DISBURSEMENTS
19. EXPENDITURES (other than loan payments)
a. Expenditures ($100 or less each payee this period) (must be listed by category - e.g., printing, postage, gasoline)
S~PP1x~, p $ 441 •
~~b`.1.~s, . M ~ \ • ~ T Airs $ 730 , .Ao
$ To . vo
S
$
$
$
Total of Expenditures ($100 or less each payee) 4
b. Itemized Expenditures (Over $100 each payee this period) $ l1
c. TOTAL EXPENDITURES (other than ban repayments)(add 19.a. and 19.b.) $ IA 30. U3
20. LOAN REPAYMENTS MADE THIS PERIOD $ y
21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) O. 0 I
22AWKIND CONTRIBUTIONS
a. Unitemized in-kind contributions ($100 or less from each source this period) $
b. Itemized in-kind contributions (over $100 from each source this period) $
c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.) $
23.013LIGATIONS
a. Unitemized Obligations Outstanding ($100 or less each) $
b. Itemized Obligations Outstanding (Over $100 each) $
o TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 12J.) $
AlMk
SS-1133 (Rev. 4102) Pape of
}
1
ITEMIZED STATEMENT OF EXPENDITURES -
1. NAME OF CANDIDATE OR COMMITTEE CANDIDATE
lip. «.+-s L •a+ g yy„r 2. REPORT CO~/ERING THE PERIOD
FROM: y It TO: `
3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page)
noun
4.. COMPLETE THE APPROPRIATE fiEMS FOR EACH ITEMIZED EXPENDITURE (experddures
First Name ' brat'hV more Um $100 to any Mfr during the period)
Diddle Name
Last NamelBUSiness Name Purpose of ExPendture Amount of
ame ExperxlAure
r3loa,,, 11Cw ~~a..l 7 ~
Redress Ce S !fo ~ Q..`~
state zrpcede ~►v"~- ►►1
First Name
Riddle Name Purpose of Evendture
Last NamelBusirass Name Amount of Expenditure
pnw
• Address
City St3te
P Cede
First Name
LW& Name Purpose of Expenditure
l esl NanrJBusS>ess Marne Amount of ExperKrMm
Nt, ~ 1 As l S a c,~
Address
CR,,
s>a~ 4rollla moo
First Name
V4* Name
Purpose Last Name of ExpendiWre
Amount of Expenditure
Address
State Zip Coda 1 .
~A,1 owl
First Name
fiddle Name Purpose of Expendiure
Last NamtdJ&>siness Name Amount of Expe6ftre
Address
city Stafe LP Code
First Name
Diddle Name Purpose of ExPendihrre
Les! Nameleuskms Name Amount of Expenditure
Address
CRY L smote Ezocade
5. TOTAL ITEMIZED EXPENDITURES
(C4r brtvard b ilea, 3. craw page irWftorW papas antis forts are used.)
(Nthis is the bst gape aaxperditures, tlts +anountmust be dawn h Nam 1pb. a anvnary.)
SS-1129 (Rev. 4102)
Page of RDA 1159
ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
FROM: TO:
3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter SO if first itemized page) rnoun
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures btalinp more than $100 b any payee during the period)
First None Middle Name
Purpose of Expenditure Amount of Expenditure
Last Nane/Business Name
Address
City State zip code
First Name Middle Nave Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
Address
CRY I stale Zip Code
First Name Middle Nana Purpose of Expenditure Amount of Expenditure
Last Na ro'Business Name
Address
Cltv Stale Zip Code
Fat Now vidde None Purpose of Expenditure Amount of Expenditure
Last Name8usiness Name
Address
04' Stale 21p Code
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Naval Baines Name
Address
City Stale zp Code
Fkst None fiddle None Purpose of Expenditure Amount of Expenditure
Last NamelBusbbss None
Address
Qt Slate Zip Code
5. TOTAL ITEMIZED EXPENDITURES
(Cary Conrad b lbm 3. of nett pane n adamonat paves of nos form am used.)
(if ws k the mat pace a.xpenalturec, this a oA must to shown in lWn 19a. or ox,xnay.)
® SS-1129 (Rev. 4ro2) Page of RDA 1159
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
FROM: TO:
n Amou
3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 d first Itemized page)
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION cortUbuliom totaling more than $100 from a contributor
First Name W&U Name ConMb Mn Received For. Amount of Conbyxidon
Lost NarnelOryaniration Name ❑ Primary Election ❑ General Election
Address ❑ Runoff (Local Elections Only)
Iqty Stale TV Code Date of Contribution Aggregate This Election
00C pation
Empbyer
FrstName WiiddleName Contribution Received For. Amount of Conbtubon
L29 Name+Or wk2tion Name ❑ Primary Election ❑ General Election
Address ❑ Runoff (Local Elections Ord
qty State Zip-Code Date of C &W4on Aggregate This Election
lkaVd-
FrriNwm Name ContriNfion Received For. Amount of Contribution
❑ Primary Election ❑ General Election
Address ❑ Runoff (local Elections Only)
City Stare Zip code Date of Contnbulion Aggregate This Election
00a" ion
LRV"w
B* Nome VA& Name Cw*b-t*n WNW or Arriount 0
Last NamelOrgw&tim Name ❑ Primary Election ❑ General Election
Address ❑ Runoff (Local Elections Only)
City Shia Zip code Date of ContrbtAion Aggregate This Election
Occupation
Enpbyer
5. TOTALITEMIZED.CONTRIBUTIONS
(Cony b-*wd b Nem 3. a mA pays M odditiaoW papas off* tom, are used.)
(M ft k M>e last pope of cx*bubom. Mamount must be in ilsm t5b. of vxmoq.)
SS-l13l(Rev. 2106) Page of RDA 1159
CAMPAIGN FINANCIAL DISCLOSURE STATEMENT
For State and Local Candidates
For Single-Candidate Committees
1. DATEOFREPORT 2.a. NAME OF CANDIDATE OR COMMITTEE
2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE
4.a. CAMPAIGN ADDRESS AND PHONE
Street or Rural Route city state Zip Code Phone
3403 p „o.~ [r.,.l ~z~~~ S18o
4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.)
Street or Rural Route City State Zip Code Phone
5. OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate)
S N'sftcF
7. CATEGORY OR REPORT (Check one)
RE- PRE- MID-TEAR YEAR-END
FIIRRST SECOND T~ FOURTH P ❑ ❑
QUAR QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL
8.e. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD
9. (Check one)
a. ❑ This campaign is exempt from detailed disclosure because contributions (including in-kind) received total $1,000 or less AND expendi-
tures total $1,000 or less for this reporting period. (Complete items 12d., 12e. and 12f.)
b. ~ This campaign Is required to fie a detailed financial disclosure because contributions (including in-kind) received total more than $1,000
and/or expenditures total more than $1,000 for this reporting period.
10. Vwe do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this report is an
accurate accounting of campaign contributions and expenditures required to be reported by the candidate committee by the Campaign
Financial Disclosure Act. Additionally, Uwe swear or affirm that no campaign contributions have been expended for the personal financial
be fi
t of the candidate or for any other nor7litical purpose as defined by the federal Internal venue code.
signature of candidate da a si r f pol' cal treasurer date
1(.. WITNESS SIGNATURE_.
3
&Aj
signature of wTtness ' date signature of witness date
12. SWIJARY
a. BALANCE ON HAND LAST REPORT ' $
Sg
b. TOTAL RECEIPrs Tins PERIOD :
G E 1`! E $ w
IJ +
c. TOTAL DISBURSEMENTS THIS PERIOD
. $ yy
3 3
d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ ` 1
e. TOTAL LOANS OUTSTANDING ..............................................~...i4;
. = $
f. TOTAL OBLIGATIONS OUTSTANDING $
SS-1109 (Rev. 2106) Page 1 of RDA 1159
SUMMARY PAGE - CANDIDATE
13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD
FROM: T0:
RECEIPTS
15. CONTRIBUTIONS (other than bans and interest), , P ,
a. Unhemized Contributions ($100 or less from each source this period) $ Z30-
?V
b. Itemized Contributions (over $100 from each source this period) $ _3. 3Sa
7
c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) (09
' s +
16. LOANS RECEIVED THIS REPORTING PERIOD
17. INTEREST RECEIVED THIS REPORTING PERIOD $
18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) $
DISBURSEMENTS
19. EXPENDITURES (other than loan payments)
a. Expenditures ($100 or less each payee this period) (must be listed by category - e.g., printing, postage, gasoline)
La a-n%r- $ /M-&-W
S t% PP k cf $ -1-
$
$
Total of Expenditures ($100 or less each payee) $ 30Y.-14
b. Itemized Expenditures (Over $100 each payee this period) $ #27,2.0
c. TOTAL EXPENDITURES (other than loam cepayments)(add 19.a. and 19.b.) $
20. LOAN REPAYMENTS MADE THIS PERIOD $
21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) -Sj
22.IN-KIND CONTRIBUTIONS
a. Unitemized in-kind contributions ($100 or less from each source this period) $
b. Itemized in-kind contributions. (over $100 from each source this period) $
c., TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.)
23. OBLIGATIONS
a. Unitemized Obligations Outstanding ($100 or less each)
b. Itemized Obligations Outstanding (Over $100 each) $
c. TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 121) $
Agnh
SS-1133 (Rev. 4102) Page of
~2ZL •63
ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
L _ a~lll'o FROM: TO:
„y ~ 1 te~i
n oun
3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page)
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures Wing more Cwn $10010 any payee Gunny Cme period)
First Name M& Name Purpose of ExperdAure Amount of Expenditure
Last NamelBustrim Name
N SO • W
Address 1 AS `M 19
City Slate Zip Code
First Name Middle Name Purpose of Egend'dure Amount of Expenditure
Last NawAusiness Name
144-w GQ►PF*, ?wa 311..y (.-)5. o0
r.
YmW/ Stale Zip Code
II . Z
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Nmwffi kms Name
*\+T1rea t, v e,T
^111^j h 4 Code
kd.
77
First Name Ididdte Name Purpose of Expenditure Amount of Expenditure
Last NamehkWness Name
R.w6*. AQ.s~til'•S?
Addres~r Rs~sp%Y~...- s.,r►P11~1 5'~`f•`I~I
d r °e .
rv~
lir ~ Z~4L
k"i / 1A -9 First Name waddle Name Purpose of Expenditure Amount of Expenditure
De. u~utc.
Last Nam ffi" u Name
A ~
,wares= Ste- R~.~p h /Z S . 00
Stale Tip code
First Name Diddle Name Purpose o(Expenditure Amount of Expenditure
T .ri+
Last NamelBmb*u Name
t4vflwl,f-r, 3. }!L
AGare:: ?st~c-p'?re~. w.nK~sh, s-, uo
-1 orn
Gb state
U 7 al
5. TOT ITEMIZED EXPENDITURES l7 xL'
(Carry forward loitem l o(r" pope C additional payee of Cris form are used.) 7 D
(If M Is 9* last pope of expeodibxes. M amount must be shovm in hem 19b. d wmnary.)
® SS-1129 (Rev. 4ro2) Pape of RDA 1159
t
ITEMIZED STATEMENT OF LOANS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
FROM,:. TO:
3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED LOAN (bans btararp more than $too from any source during the period)
Complete the Fo5o**V for the Source of the Loan
First Name piddle Name Outstanding Low Balance Loans Loan Outstanding Loan Balance
maginI ing or Periodl Received Payments (End of Period)
L29 Name/Orgackstion Name .
4
Address Loan Received For. Dale orloan
E3 ftM Election [3 General Eiec4on
CRY Shale Zip Code
❑ lLaatf (Local Ebctions Only)
UstAl Endorsers or Guarantors for Above Loan Of more space is needed please attach it page)
First Name bfddle Name Fhst Name Middle Name
Last NamelOryaNzatiorn Name Last NwWOrgwhation Name
Address Address
City State Lp Cock City Stale tp Cade
Amount Guarantied Or mmi ng MXKW Guaranteed Out WAV
Firs( Name VAddle Now First Name Middle Name
r.
Last Narney0ryxi¢ation N. Last Name0ganizatiar Name
Address Address
C* State Zip Code Cdy State F 2Z
Amount Guaranteed Outstandrp Guaranteed Oulsiandap
First Name Biddle Name First Name Middle Name
Lad Name0gadz6on Marne Last Narr0ftankation Name
Address Address
0tv tale Zip Cade Ott State Zip Code
Amount Guaranteed Oulrlanding , "'o t Guaranteed Oulstmely
Fiat Now. Middb Name Flrat Name WKkHe Name
Last NamWOrgantzation Name Last NamolOrgardulion Name
Address Address
City r Y Stale, zip Code aw Stale Zip Coda
Amount Guaranteed Outstwing Guaranteed Outstandrg
4. Touts for all Loads (complete on bit page of Msmtzed Bata) outstanding Loan Balance loans loan Outstanding Loan Balance
(W bans received should also be shown in ilem 1& on summary page.) 1 Of Period) Received Psyments (End d
(Total ban payments should also be shown in item 20. on summary pogo.)
(Total "tandirg ban balance should also be shown in Nairn 12.e. on konl page)
®
SS-1132 (Rev. 4102) Page of RDA 1159
JI
ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
FROM: TO:
3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 If first itemized page) mown N4
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenEiti ms lemtirp more than $100 to any Payee during the period)
Wddle Name Purpose of Expenditure Amount of Expenditure
Last Nameftsiness Name
uer aws
Address N W►tCdr.~~~+ LE P b 1...
Gty State Zip Code
First Name Riddle Name Purpose of Expenditure h LK Amount of Expenditure
Last Name/8ustness Name
h0~ ~
Address
w~.it~ f R2 ~ tz s . w
city state Zip Code
First Name
Middle Name Purpose of Expenditure Amount of Expenditure
Last NamelBusiness Name
Nv1s,.•
Address .y.
wV-4W.-L-1 Accvvit0, RILt,tt„0
CRY State Zip Code
Fast Name M d* Name
Purpose of Expenditure Amount of Expenditure
Last Name/Bus ness Name
?r,~ PA~I tJM„ ~~s gS~ . So
Address
7 E. /~ptlc~i, 14~
Cillf stare Tv Code
1,40 V,
First Name !Addle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name /
owe % SNtr~T /~Ol,.
Address t R~~~P7x+.~
U LiSw
Got o
FlrstName
tP Biddle Name Purpose of Expenditure Amount of Expenditure
rived(
Last Name/Business Name
Address
City State zip Code
5. TOTAL ITEMIZED EXPENDITURES
(Carry forward to item 3. of next page ifadditional pages of this form are used.)
(9 this is the last page of expenditures, this amount must be shovm In item 19b. of summary.) J
AMh
SS-1129 (Rev. 4102) Page of
RDA 1159
A
i
ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE
/
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
FROM: TO:
Amount
3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page)
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures totaling more than $100 io any payee during the
period) c
First Name Middle Name Purpose of Expenditure Amount of Expenditure
LastNam*IBus' Name
Address C' ou s►~ By i'~0.► Sow •
Coy State zi
0 rU 1, le- 77H 1 First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name r
i
Address
i
City State Zip Code
First Name riddle Name Purpose of Expenditure Amount of Expenditure
Last NamelBrainess Name
ti
Address
I
City State Zip Code
First Name Middle Name Purpose of Expenditure Amount of Expeodture
Last Name/Business Name
Address
City Stale Zip Code
First Name Middle Name Purpose of Expenditure
Amount of Expenditure
Last NamrJBuiurets Name
Address
City State Zip Code
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Nama/Business Name
Address
City State ZD Code
5. TOTAL ITEMIZED EXPENDITURES
(Carry forward io ham 3. of next papa Kadditional pages of this form are used.) 5
(H this Is the last page of expenditures, this amount must be shown to ilam 19b. d summary.)
AMtk
SS-1129 (Rev. 4/02) Page of RDA 1159
`~3LI 3,s.e . •o
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE
2. REPORT COVERING THE PERIOD
FROM: TO:
3. TOTAL ITEMIZED CAMPAIGN. CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 itfirst itemized nt
4. COMPLETE THE APPROPRIATE .ITEMS . FOR EACH ITEMIZED CONTRIBUTION Pace)
Ftst Name oonlnbulions totaling more than $100 from an contributor
Wdse N.
pD-c-n C«itrdxdwn Received For Artiount of Contribution
k f,
last Nart~etOcganrratpn Name
L p I QR 14 Pmnary Election ❑ General Election
Address
Ol O+ S , • `1 S r, TJ /L o. ❑ Runoff (Local Elections Only) ~SO • W
S ZPCode Dale of Contnbution
3 n It -A Aggregate TNs Election
oo p pion
FrsiNarsie WKIle Nam
C' ylq~~CS Contribution Received For. Amount of Contrbuton
Las1141 M1-nqanLz"MN*"
-SM ~7l-r Primary Ern ❑ General Election
~~So. vo
Address 3 A Zq C,JQ-ss O C Yr. ❑ Runoff (Local Elections Only)
Lo vg ll~G IStMe Tip Code Date of Contrbulion
) 1 Aggregate This Election
Wwpnm
r
Frsltlame. N&ma
L'N4q./C.1 /i p A Contribution Received For. Amount of Contrrbrrtion
C1&0-%MCA3 PIIn1aryEfedion ❑GeneralElection
Address
20~i•e. K •ye p o ~ti °t / ❑ Runoff (Local Electrons Only)
City St* Zip Code Date of Con )n
M a w~ ~z~l~- 7•~ 9190 Aggregate Tars Election
Ocapation
first Name 666aeName
S° e or t o n n
LagNDan¢aSonName,
Po~~ Primary Election ❑ General Election
Address ~o } 3 3 ❑ Runoff (Local Elections Only)
City, p~►s~,.► e f ll4L T~J X3113 Date otContnbu6on Aggregate This Election
ocapat;as
Enptoyec
5. TOTAL ITEMIZED. CONTRIBUTIONS
(Ceq brwatd to lrem 3. of mA page K*Mwal loges of Ws tom, are used.)
(lr th><s is N last page of wntrbutions, INS eftmrA must be shown in item 15b. of swe ary.)
AUK
SS-1131(Rev. 2/06) Page of RDA 1159
ITEMIZED STATEMENT OF CONTRIBUTIONS _ C
1. NAME OF CANDIDATE OR COMMITTEE AN I DATE
2. REPORT COVERING THE PERIOD
3. TOTAL ITEMIZED CAMPAIGN. CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 N first Itemized FROM. TO.
4. COMPLETE THE APPROPRU{TE.fTEMS FOR EA(:H REMIZED CONTRIBl1TI0N Page) nlc()
Fist Name oonlnbulions totalimore than $100 from an contributor 7
j~ ISddkName
Conlnbotlon Receted For.
LastNa gon Name Amount of Contribution
0A 1°0-- Primary Election ❑ General Election
Address
° g 2`11
`-Y ❑ Runoff (Local Elections Only) o O • .to
'O t Dale of Contnbutioon
O=jpation 7"t 3 3 Aggregate This Election
Empbrer
Fist F A
JO 0 WKWName Contribution Received For.
LastNamofprgy*?" Name Amount of Co~
ti wv-b attl Primary Election ❑ General Election
Address
O 2~O csw~s.~ QD ❑ Runoff (Local Elections Only) So ° • w
k.Nm } ",ekLe• Date of Contrbwtion
+pation A99tegate This Election
r
FrOName.
~L Name Contribution Receiftd For.
Amount of Contribution
~•~'~qo,+D MPftry Election General Election
kJdress ~IIYJ'O. by
l •1 U $ `7 ❑
41 (S Runoff (Local Elections Only)
c4ty
Stale =Cod. Dale of Contribution
octupatiari Aggregate This Electbn
RrslName
Con Wde Name
-J .
c
or.
~6onName oun o n ubon
o Primary Election ❑ General Election
AftM
4 1 2 0 P.. -T K ..'s ❑ Runoff (Loc t Sedorts Only) O .
%AY
Le w LS 4 Code
Dale of Confnburon
Ocwpation A99regate This Eloclion
Errp{oyet
PWAMOMMUNWAMM
5. TOTAL ITEMIZED. CONTRIBUTIONS
(Carry to item 3. of next page irlydditiorgt
(1f ttr: is tie W Page of cuftulioru, this anaunt paq~ must bed krtn are used.)
stawnhAemiSb.ofaunxrrary.) t~
0) SS-1131(R,,. 2M6)
Page of RDA 1159
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE
2. REPORT COVERING THE PERIOD
FROM: TO:
Arnou
3. TOTAL ITEMIZED CAMPAIGN-CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 K first itemized nl
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMI70 CONTRiIBUJION Pace)
contdbtrliorts totaling more than $100 from an contributor
Fksl Name I.Gddle Name
J ¢nw > Ccatribution'Recefved For
Last NarnelOrgaNu6enName Amount of Contribution
Prkwry Election ❑ General Election
Address ~ ~ oQ • Op
216L 57. M ws (N SW o per . ❑ Runoff (Local Elections Only)
St* Zip Code Date of Cogtnbution
Aggregate TNs Election
Employer
First Name A6"eNam
L Contribution Received For. Amount of Contribution
Lbgliamelorgan'¢a6~ Name Primary Section ❑ General Election
Address ❑ Runoff rti~ To a .
t I Is.. Il a (local Elections 0
-k A
Gh srak zpcoae
Date of Contribution Aggregate This Election
L ~1~ cc 1 7"J
occupation
. r
FrstName l~artie '
Contribution Received For. Amount of Contribution
a-I6A- Primary Election General Election
g y J e , o,
B ❑Runof (Local Elections Only)
Qty l le 4Code Date of Contribution,
+oY- T•v 3 1 1'Z. Aggregate This Elecion
oceupauon
Rrsr Name
tilt t WMeName or Amount o n n
L1NamaUqwftR6on Name. tepr,,
Primary Election ❑ General Election
So O • W
Address ❑ Runoff (Local Elections Only)
Fr' 1. ~ ~ JT (r'j c rib CT
.atl+~
City w ti gD Dale o'ConbbuGon Aggregate This Election
owvakn
5. TOTAL ITEMIZED. CONTRIBUTIONS
(Carry forward b item 3. ofnext papa if additions( pages of thh form ere used.) ~.3oe
V ft this is ft last page Of oanWftns, this amount must be shown in Item 15b. of swauuy.)
~-i SS-1131(Rev. 2106)
Page of RDA 1159
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
FROM: TO:
3. TOTAL ITEMIZED CAMPAIGN. CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 H first itemized page) iount
~>7D
4. COMPLETE THE APPROPRIATE.ITEMS FOR EACH ITEMIZED CONTRIBUTION contrbulions totaling more than $100 from an contributor
Ffst Name Wddk Name Contrbution•Received For
9 q4 •1wn A Amount of Contribution
LastName**a*aKWn me Primary Election ❑ General Election
S clle.tt_ -
Address ❑ Runoff (Local Eecttions Only)
T 1 CtawQel~j I~l~ Apt QO
CRY stale TV code Date of Contnbuton
Nlt~ 7~1~- Y~ J p Aggregate This Election
ow*auon
Bow ~7 Fast Name WkKeName Contribution Recetved For. Amount of Conlrbufion
k
t'~ ti01i1la"1e 71 __a'afyElection ❑ General Election
Q C- roo
5
. Lou
Address ❑ k r> (Local Elections Only)
~ N-•~ ~ Q 1 c
CRY • ` R ,13,1aia~ zk de 3 Date of Contrrbution Aggregate This Election
Occupation
• r
FrdName Nam Contribution Recrtived For.
Amount of Contrbution
[ tPrimaty Election ❑ General Election
L O N Z<<l ~~M~ ❑ Runoff (Local Ekxtions Only)
City state zpcodo Date of Con*ution
~•'~7 V t y'..~ 0~ A99ragale This Election
0=wtion
RrslRame
Last Hansal0~ N.M. Primary Election ❑ General Election
R w T-"p SAL.
Sb~ ..r.
Address o 1 y O ❑ Runoff (Local Elections Only)
I ~ , P.sw T Pte.
Ck N o st* C
Dale of Conlrbulron Aggregate This Election
d% 1%
Occupation
Empfoyer
5. TOTAL ITEMIZED.CONTRIBUTIONS
(Carty Wwa(d to item 3. of next page if #d0val pages of ft form are used.)
l
(K ft is ft tall page of Cw%U5=, INS eff*j It must be Shown in item 15b. of sumvnary.I
1 SS-1131(Rev. 2106) Page of RDA 1159
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
FROM: TO:
3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) nt I ~n,
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling Hare than $100 from an contributor l ,V
Ftx Name Afddk Name Contribution-Recelved For. Ammnt of Conbbution
'9. Ray
Last Name/Organlza6on Nana
'8~ri ^ ; x Primary Election ❑ General Election
~To . as•
Address ❑ Runoff (Local Elections On
311 lJJ y Iy CPaah Res ly)
CKY We LpCode Dale of Contribution
As W~ ~y 11) Aggregate TNs Election
Ocagation
EmpbW
Fas(Name r WKMe Name Contribution Received For.
W"A-v W C Lvw.v.- Amount of Contrbution
last Na Name *Primary Election ❑ General Election
V,."e 11s .$a SO. Vz)
Add ❑ Runoff (Local Elections Only)
S10 Cpl o.+ e l Ott-
Cky Zip Code Date of Contrdwtion Aggregate TNs Election
0-pat+
Emooj-
r
Fast Nam Nara Contribution Received For. Amount of Contrbution
h < STS
' Primary Election ❑ General Election
Addres.. v `F 11. ❑ Runoff (Local Elections Only)
City Stale ZV Code Date of Con*ulion
~~.lr 1 7 ;J 19 ci Aggregate This Election
Occupation
tMOOM
Post Norne
lwae Name a;
AMOunt a n n
last Namd0ganbz6on Name. Primary Election ❑ General Election t.S w'0 . M
~
Address ❑ Runoff (Local Elections Only)
City, %0 S7 e-4 Zip Code $ b Dale of Conbbution Aggregate This Election
ocwpatlon 3
Employer
5. TOTALITEMIZFD.CONTRIBUTIONS
(Cary forward lo item 3. of next page Vadditional pages of tds form are used.) (1j~ f D.
(H ets istb last page of oontrbu6W4. this -moat arttl be Lho m in kem 15b. cf summary.)
SS-113l(Rev. 2106) Page of RDA 1159
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE
2. REPORT COVERING THE PERIOD
FROM: TO:
3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 If first Itemized page) nj
4. COMPLETE THE APPROPRIATE.ITEMS FOR EACH ITEMIZED CONTRIBUTION
Fist Name oontrbulioru 1otaF more than $100 from an contributor
Wd* Name Coritrbution~Reoetved For
All
Lest Name/organb,6o„Narne Amount of Contritwtion
[A S ww+.ll Primary t~ction El General Election j
Address t J 0 O. W
36 S-y, yvAd.G.N UHF G~ ❑ Runoff (Local Elections Only)
OKY N1 State ZIP Code Date of Contribution
T 01 Aggregate This Election
oaupation
Engbyer
First Name
w Will Name Contribution Received For. Amount of Contribution
Last Nam Name Primary Election ❑ General Election
Address
'fi S ?O..a Qp ❑Runoff (Local Elections Only)
Cky Zip-Code N w,n a~~ e . y r 3 g o Date of Contribution Aggregate This Election
Oc~gatian
Fall Name
m • tiA Name Contribution Received For. Amount of Contribution
-A I t-~~
re A S *rinwry Election ❑ General Election
Address n SO VV
S~ o ~Q ~t"is S~.r r C ❑ Runoff (Local Elections Only) e
Stagy 4 Code Dale of ContrrbuGon
~M~ ru>snG 1'~ Aggregate This Election
Occupation
FM Name
t+r1.► A66dle Name or o
~ ~ Name n
❑ General Election
a 1 e- p w Q re L- Election
Address o~
~a').S T ~t>Dy tw ❑ Runoff (Local Elections Only) .C~ L-Q
J
C Staie Zip Code C7 Dale Of Contribution Aggregate This F6e %w
5. TOTAL ITEMIZED. CONTRIBUTIONS
(Carry tonvard lo item 3. of neA Page k addi6onar pages of M form are used.)
(If tlis is he lw page of con*utiom. Psis snaunt must be O*wn in kem 156. of umwrory.) 1
SS-1131(Rev. 2106)
Page of RDA 11159
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
FROM: TO:
3. TOTAL ITEMIZED CAMPAIGN.CONTRIBLITIONS FROM PRECEDING PAGE (enter $0 ff first itemized page) nj 1 Sb
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION conlnbutions totaling more than $100 from an contributor
Fksl Name Cbntrbu6on•Received For
Py L Fv is ~ Amount of Contnbutan
Last Na;95O OonName `f°~*
N A N ~ •+v `fv drnarY Elecbon ❑ General Election
Addma
y~ El Runoff (Local Elections Only) Sfale Zip Code Dale of Contnbution
1r v -6 t- 7'J e p Aggregate This Election
0=paw
Empbyer
FrstName r WKKeName Contribution Received For: Amount of Contrbution
I.aSI tlLlrle/5pn .
YajPrirtrary Election ❑ General Election
o.w
Address - ~ ~ r0 • Irv
❑ Runoff (Local Elections only)
• ' ~'v10.P1~ 'aM1 Ro
Sta1e ZpCode Dale of Contrbution Aggregate Pis Election
• r
Fast Name Mama Contribution Received For. Amount of Conbbu6on
Last NawPorganzaDon Kam Primary Election ❑ General Election
'P10 4"--% ~orJ , w
Address ❑ Runoff (Local Elections Only)
City stare codo Date of ContnbuCwn Aggregate Election
1g.3 This
M. +e. J lc, t~
Ocapation
l
Fist Name Af+ddleName
or. Amount o ntn n
l eslNamidOryankationName, f "Pdmary Election ❑ General Election
s~ w r►'9 ~ o . o0
Address A N ❑ Runoff (Local Elections Only)
-2 p 10
Zp code Dale of ContnbuWn Aggregate This Election
Ooaipation
Fmpltryar
5. TOTAL ITEMIZED. CONTRIBUTIONS
(Carry forward b item 3. of nerd pays if additional pages of thh form are used.) / Ysp
pf m is M last pago oroontrbutions, This annul must be diowm in k=15b. of aarwmary.)
tp-i SS-1131(Rev. 2106) Page of RDA 1159
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE
=~R ORT COVERING THE PERIOD
TO
3. TOTAL ITEMIZED CAMPAIGN. CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) nttYsb
4. COMPLETE THE APPROPRIATEHEMS. FOR EACH ITEMIZED CONTRIBUTION utions totaling more than $100 from an contributor
Fist Name VA& Name C&*b Aon'ReceW For
Amount of -r140 As Contrrbtrtion
Last Name0gaNra6on Name
C#A *Prmtary Election ❑ General Election
.12
Address 1
° 2-A 40-0 v S e v ( Qp ❑ Runoff (Local Elections only)
Mr St* 21p31 Date of Contnbution
I
7.~ Aggregate This Eledion
O=jpatfon
Employer
FrslName WoMeName Contribution Received For.
RI° Amount of Contrffiution
Last Hame/Orgarazay~Name ~rdmary Election ❑ General Election NI
Address 4 T w,`y a-rr•..+~ ❑ Runoff (Local Elections Only)
~P,Code
CkY Date of Contritxrtion
~J~A , ✓"11 ~ Aggregate This Election
r
FrstName Nam Contribution Received For.
Amount of Contrrbuljw
Primary Election [:1 General Elector
Non-.•~ , o o . w
Address
P . C B o sft Ss ❑ Runoff (Local Elections; Ony)
Cky ZP Code Date of Contrbution
ate This Beaton
oowpasm
t 10~ Amount I~oBT- ~+a.~w or o ntn n
Las1Na_ rne'lName. ~j
Aw b O i E a kPdmary Election ❑ General Election U.
Address 3 ❑ Runoff (Local Elections Only) .
Date of Contnbution Aggr ° L ate -This FJeaion
CMPI%W
5. TOTAL ITEMIZED.CONTRIBUTIONS
(Carry Wmard b item 3. of nerd page k W(ftW pages of Ihrs form are used.) t )t, 0 , tlb
(k M is ft fast page of oontnU ns, this amount must be shown in kern 15b. of summary,)
SS-1131(Rev. 2106)
Page of RDA 1159
ITEMIZED STATEMENT OF CONTRIBUTIONS _
1. NAME OF C
CANDIDATE OR COMMITTEE AM D I DATE
2. REPORT COVERING THE PERIOD
3. TOTAL ITEMIZED FRS' TO:
4 CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter a0 if first itemized
. COMPLETE THE APPROPRIATE.fTEMS FOR EACH ITEMIZED Page) n1
tss 3a~1
F Flartre fTt18U770N contnbWons fotaiirtmote than $100 from an
SIG ~ Gw ~ contributor
fne ~fnbuUon Received For.
Lastuartre/p~gy gonNaAmount of ConuuxXon
Adder 4 T e-: V ,Primary Elec6en ❑ General EW;on
Fla .,ro ~ SOo. v~
City t_ y d. ❑ Runoff (Local Elections Only)
4~' WS l~ ~ Slab 8 C Date of ConfnbuUon
1ion Aggregate This
Election
r
,~0 6 Ifiiddellame
Contribution Received For.
lase Nan Pnizabin
Amount of Cw&kx lion
(L A dd my Election El General Election 4-
ress QQ e , ✓e
s~` ~'l°~eww'a ❑Runoff (Locat Elections only)
of Contnbu66n
Aggregate This Election
r
FrstName.
Contribution Received For.
r~r Amount of C VdU6on
. S••J ` Q Prunary Election ❑ General Election
Address
`O S't.~1 N w. oo ❑ Runoff (Local Elections Only)
CKY 4-rj, A C0d0 Date of Contnbu6on
occupation 1) l I 1 Aggregale This Electan
t
FirslName
nenName oam o ntn upon
a k Primary EkCU n ❑ General Election
Address
I Vol
H wa p ~iL ❑ Runoff (Local Elections Only) rvo . M.
Cky, o C st Code Dale Of Contnbtrtion
Occapatan Aggregate ThIs Election
E"pioyer
5. TOTAL ITEMIZED. CONTRIBUTIONS
terry tenvaN b item 3. of next
(if "s 1s N last page of coebbA0n - visa am ount G°O pages of thh ban are used must be aft wn to ken,l5b.
cf s+xnrnary.) 3'6~. W
SS•1131(Rev. 2106)
Page _ of
RDA 1159
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
FROM: TO:
nt3d~
3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter SO if first itemized page)
4. COMPLETE THE APPROPRIATE.REMS FOR EACH ITEMIZED CONTRIBUTION contnbutons totaling more than $100 from an contributor
nstName WW"'. Name Cbntrbfion'Recelml For. Amount of Contribution
C,11+ua/L E DO.a., A
Last Name0gariza5mNarm *PdmaryElecUon ❑ General Election
A /c a."bvr - A 15,0. r
Addmss 7 j'1 A1<tL~rt t~Is IQ~ ❑ Runoff (Local Elections Only)
City M~ ~j o Z~p~Qea o Dale of Contribution Aggregate fits Election
oom~~'~
C
•-mpb)~"
FrslName Contribution Received For. Amount of Contribution
Le-4-
laslNarnelorgari¢ationName R.Pn=fy Election ❑ General Election 2S0 . t„o
Cu~byy..,j
Address f • 1, % c.K w~¢. a ~s ~C []Runoff (Local Elections Only)
Cky Stale Code Date of CwMbu66n aM• 7 .t J ~I G 7'•J p AA9tegate This Election
Occupation
EmA-
r
FW Nmw donne Contribution Received For. Amount of Contibuton
Via) V
%Printary Election ❑ General Election
Address Runoff (Local Elections Only)
Cky
_._.jZ0Code
St* M ►+6-1, J C) It ? Bale of Contribution Aggregate This EJectbn
occupation
tNa Contribution Recaryed For Amount of Contribution
WtlamdOry~Name. Primary Election ❑ General Election
Address ❑ Runoff (Local Elections 0*)
N JT
Cky f 4,code Dale of Contribution Aggregate This Eleclion
Oom"tion
Emooy-
5. TOTAL ITEMIZED. CONTRIBUTIONS
(Csny forward b Rem 3. of next page U additional pages of Ws forth are used.)
(lf Ws is he last pogo of contrbutions. This arrant must be shown inkem 15b. of aarmary.)
i SS-1131(Rev. 2106) Page of RDA 1159
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE
2. REPORT COVERING THE PERIOD
FROM: TO:
3. TOTAL ITEMIZED CAMPAIGN. CONTRIBUTIONS FROM PRECEDING PAGE (enter $0If first itemized page)
4. COMPLETE THE APPROPRIATE.ITEM$ FOR EACH ITEMIZED CONTR18ln10N nl y
Fks! Nan,c conkbutions totafi more tlian $100 from an contributor
1?o idddkName ContrbutiodReceived For. Amount of Contrrbcrtion
last Ha ;on Nam
A-r p p Primary Election ❑ General Election
Address
~~0 a • us
3- A 4&-4- sv-j Cyr, ,Q g ~b...re ~ Q ❑ Runoff (Local Elections Only)
I
~ 4~r3 ~frllt 4p 3 code o Date of Contribution
9 Aggregate TNs Election
FrstName
"t +Y WiddleName Contribution Received For. Amount of Contribution
lass ..Hams
en l ` ry Election 1:3 General Election
Address 21r TG 11, s t ❑Runofr (Local Elewm Onw
J. L Staff LpCode Date of Contrbubon
Ta 2115 Q31 Aggregate This Election
. r
FsstName N&ma
WH5 A Q o p Contribution Received For. Amount of Contrbuyo"
LUp on~Qftnary Election ❑ General Election
? l s . ~l s i l4 rC PR ❑ Runoff (Local Elections Only)
C(y
State 4Code Date of ContrbuGon
314. ] A99tegate This Election
Occupation
l
RrsiHame Arddk Name
Co"'ke-4t So ~1a or
~~lionName ° " "
Nth Primary Election ❑ General Election
Address- ..1.5'0•
P..1. R- `Zt, ❑ Runoff (Local Elections Only)
CRY
..e y 9 O Dale Of Contnbution Aggregate This Election
Occupation
Fmplo}er
5. TOTAL ITEMIZED. CONTRIBUTIONS
(Corry bwald b item 3. of next page V*d&6ww payer or Ns form amused.) IN ft is N fast pays or-ftub'ons, this enwrA must be shown in Nam 15b. of summary.)
SS-1131(Rev. 2/06)
Page of RDA 1159
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
FROM: TO:
3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first KeMized page) nt s S~
4. WMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMRED CONTRIBUTION contributions totaling mme than $100 from an contributor
N in-
FirstNarm µa,ra Cbittrbution'RemWWFor. Amount of ConbtKedon
C11~+~n
test W040ryan 350 Name Primary Election ❑ General Election
Address ❑ Runoff (Local Elections Only)
211 Qo.sc.asTC (Zp
Dale of Contrbuton Aggregate This Election
M ~ ,y (11G r~ :17~°~
O=paL;w
Empbyer
C~idd<e Name Contribution Received For. Amount of Conbbution
t~ 1~AJ e_
Log Name10cga bztion Name tpZewwry Election ❑ General Election
bo. W
Address a .l rr ❑ Runoff (Local Elections only)
~,qe~ J t , Nwg yl is
Stale ZpCode Date of Conftution Aggregate This Election
1AfJ~, like-
r
FrONarm Name Contribution Received For. Mount of Conbbution
57G~ c Primary Election ❑ General Election
J o l1•'sda
Address Runoff (Local Elections Only)
19 yt~.ll~o~ ll~.
City scales ZpCode Date of ConVb.u6on Aggregate This Election
ocapation
RrriName -Amount lfidAe Name Contribution Received or o n
Primary Election ❑ General Election A SO .
loslNarnelOrgarraationName W
Address ❑ Runoff (Local Elections Only)
$ 3 Lwva-.<-~ ~'w l~ S
City, Sft Zip Code Date of Contribution Aggregate This Election
000"bon
EmA r
5. TOTAL ITEMIZED. CONTRIBUTIONS 1 y00
(Carty (onward to item 3. o(ned pays it additional pages of this tom, are used.)
(M ft is fie W pap of oombb Aons, this .mood must be drown h item 15b. c( mmaq,)
J SSAW(Rev. 2106) Page of RDA 1159
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
FROM: TO:
Amount DO
3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 'l,
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMl2ED CONTRIBUTION conlnbutions totaling more than i100 from an contributor
Fkst Name frf Me Name Conbbution'Received For. Amount of Contrbution
WA O-t'lL
Lost Name0ganizatim Name E'rimary Election ❑ General Election S~ • .>a
N C. 'A p a
Address. O . g 430 ❑ Runoff (Local Elections Only) st* L 'l" ~~++s v sc. TO ~ $07~ Date of Contribution Aggregate This Election
patios
IE
First Name WKMName Contribution Received For. Amount of Conbbjdon
'A-%k-t ~~xAAn
Las(NamelrW&AonName L.~ednwry Election ❑ GeneralElection
L-w-.v ss I ~5'D . W
address l L,1--) 5 f . TS S l-j 4p ❑ Runoff (Local Elections Only)
CNy State ZoCode Dale of Contrbution Aggregate This Election
7 of ? 77A
Envlos-
r
FWName Name Contrilwtion Received For. Amount of Conbbution
:3,.4 •.r~5 ° a w %.o
LasiNameADipricabonName Pnmaty Election ❑ General Election
Address Runoff (Local Elections Only)
~e0 ~a►~1.-~ S ~ .
Gh ~I ~o A 3Code Date of CoaWkilion Aggregate This Election
-
0ou"tion
First Name Ididdk Name ConWWfion Received For Amount of Contribution
~7
LastNamdO~ Name. PpriknaryElection ❑ General Election
A-oO e~ ❑ Ispo , w
Adarese Ruraft (Local Elections Only)
city, S Zip Co D, Dale of Conbtution Aggregate This Election
-7 54
Occupation
Empbyer
5. TOTAL ITEMIZED. CONTRIBUTIONS
(Gerry tanvard to Kern 3. of next pays Y additional pages of Yetis form amused.)
21
(Y Yetis Is t» last page of omMkons, this emarml must be d* m in Mm 15b. of summary.)
SS-1131(Rev. 2/06) Page of RDA 1159
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
FROM: TO:
3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 If first itemized page) Amount
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION conbbulions totaling more than $100 from an contributor
FWName LoddbName C 0tution•RecelvedFor. Amount of Contribution
Last NamelOrgant a5m Name Primary Election ❑ General Election 1000 01b
3 1.0 A v C- 413 PJ2, ❑ Runoff( (Local Elections Only)
CRy TV code Date of Contribution
K+~ e ~ L1 Aggregate This Election
O=pation
Envlo)-
First Name Wd&Name Contribution Received For. Amount of Conbbution
q.NG-
tas(NamerOrg nWejm Rum Primary Election ❑ General Election t
JNtb '1~ ~1~D ~ ~
Address 7 J)k V ❑ Runoff (Local Elections Only)
I d w w wn.r' ^ aW.
r44C 1 Date of Cotttrbutan Aggregate This Election
Occupation
• r
Fast Name lbnra Contribution Received For.
p.~~~~11 Amount of Contrdxrtion
~\pftkvy Election ❑ General Election jrQ
Address 31to w 4L ❑ Runoff (Local Elecdions Only) ) b~ .
~.?mo •r L.~
Cky state zp code Date of Con* uf*n
Aggregate This Election
T,r.) 9 -LID
Occupation
Frst Name htiaae Name C-ontriNition Kocerved For Amount o n
test NamdOrgaration Name ❑ Primary Election ❑ General Election
Address ❑ Runoff (Local Elections Only)
Cly State P;code Dale of Contribution
Aggregate This Election
OcaP36M
Emooy-
5. TOTAL ITEMIZED. CONTRIBUTIONS ll~~
(Carry forward b Bern 3. of next papa R oddi al pages of fits form are used.) 1110• ~V
(R ibis is M Iasi page of co *U6ons. this enwt must be shown in Rem 15b. of summary.)
1 SS-1131 (Rev. 2/06) Page of RDA 1159
0ooz/oos
101/28/2013 MON 16:03 FAX 8652735927 Blount Cc Election
CAMPAIGN FINANCIAL DISCLOSURE STATEMENT
For State and Local Candidates
Tor Single-Candidate Committees
1. TEOFREPORT 2.a. NAME OF CANDIDATE OR COMMITTEE
is 13 LQ.e, 3e,ens~►v
2.b. I COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE
4.a. CAMPAIGN ADDRESS AND PHONE
Street or Ru I Route City State Zip Code Phone
~y03 W,1~►~I O-Wll.eN 6 Tri 3?d°3 T95- 030c>
41. CANDIDATE'S HOME ADDRESS (d different than 4.a.)
Street or Rural Route city state Zip Code Phone
5. OFFICE SOUGHT (include district number, 9 applicable) 6. NAME OF POLITICAL REASURER (may be candidate)
5116ezr-f:: ~tY e.I. rrrl~• FaeAJa14
7. CATEGORY OR REPORT (Check one)
FIRST SECOND THM 13 FOURTH PARE- ~ MID-YEAR YEAR-END
QUARTER QUARTER QUARTER PRIMARY GENERAL grogAEKTAL SUPPLEMENT
B.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD
1\ l~l`1-
9. (Check one)
a. ❑ This campaign is exempt from detailed disclosure because contributions (including in-kind) received total $1,000 or less AND experxli-
tures total $1,000 or less for this reporting period. (Complete items 12d., 12e. and 12f.)
b. This campaign is required to file a detailed financial disclosure because contributions (Including in-kind) received total more than $1,000
and/or expenditures total more than $1,000 for this reporting period.
10. Uwe do solemnly swear or affirm that the Information contained in this campaign financial disclosure report Is true and that this report is an
accurate accounting of campaign contributions and expenditures required to be reported by the candidate committee by the Campaign
Financial Disclosure Act. Additionally, Uwe swear or affirm that no campaign contributions have been expanded for the personal financial
benefit of the candidate or for any other nonpolitical purpose as defined by the federal internal revenue code.
L-Aisnign, of candidate le f political treasurer date
11. WITNESSSIGNATURE
~4h 12-311 *it 1 signature of w s date signature of witness date
12. SUMMARY
a. BALANCE ON HAND LAST REPORT el'
-JA IV......9
2
b. TOTALRECEIPTS THIS PERIOD Z01 $ 3S. tc o
c. TOTAI.DISBURSEMENTSTHIS PERIOD $ 1,1181-10
d. BALANCE ON HAND (12.a. plus 12.b, minus 12.c.) $ • ► `9T . d
e. TOTAL LOANS OUTSTANDING $
f. TOTAL OBLIGATIONS OUTSTANDING $
M1109 (Rev. 2106) Pape I or ~ RDA 1159
%01/28/2013 MON 16:03 FAX 8652735927 Blount Cc Election 2003/008
SUMMARY PAGE - CANDIDATE
13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD
1
I~Sb'l~'~` „►..N. ~S L4✓~ FROM: ~ It 1Z T0: 11
RECEIPTS
15. CONTRIBUTIONS (other than bans and interest)
a. Unitemized Contributions ($100 or less from each source this period) $ _
b. Itemized Contributions (over $100 from each source this period) $
c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.)
16. LOANS RECEIVED THIS REPORTING PERIOD $
17. INTEREST RECEIVED THIS REPORTING PERIOD 32 3•~0~
J3
18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) $
DISBURSEMENTS
19. EXPENDITURES (other than ban payments)
a. Expenditures ($100 or less each payee this period) (must be listed by category - e.g.. printing, postage, gasoline)
$
$
$
s
$
$
Total of Expenditures ($100 or less each payee) $ `-tq -
b. Itemized Expenditures (Over $100 each payee this period) $ 115 31 (1.
c. TOTAL EXPENDITURES (other than ban repayments)(add 19.a. and 19.b.) $
20. LOAN REPAYMENTS MADE THIS PERIOD $
g9
21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) $ (1117.
22.IN-KIND CONTRIBUTIONS
a. Unitemized in-kind contributions ($100 or less from each source this period) $
b. Itemized in-kind contributions (over $100 from each source this period) $
c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.) $
23. OBLIGATIONS
a. Unitemized Obligations Outstanding ($100 or less each) $
b. Itemized Obligations Outstanding (Over $100 each) $
c, TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 12.f.) $
fich
SS-1133 (Rev. 4102) Page of
2004/008
%01/28/2013 MON 16:04 FAX 8652735927 Blount Cc Election
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
TO: III.-
Amount!
3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 9 fast itemized Page)
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CMMIBUTION conbibOW to more than $100 from an contnUAor)
FtslNarm MddleName Contribution Received For. Amount of ConttK ion
LeslName{Orpani:etiorn Name ❑ Primary Election ❑ Gomel Election
Address Runoff (Local Elections Only)
CRY Staff zip Code Date of Contr9 ution Aggregate Tlds Election
Oaft4ation
E~Yw
Contrihution Received For. Amount of Contnlwtion
Last Name0gKkA5wHme [a Primary Eloction ❑GeneralElection
Address ❑Runoff (Local Elections Only)
City sw z4code Date of ContrbAon Aggregate This Election
occupation
FirstName Nunn Contrbudon Received For. Amount of Cor&bAicn
Q Primary Election ❑ General Election
Address Runoff (Local ElecOw Only)
City Sao Date of Confrb+ufim Aggregate This Election
Oowpation
Irdd KWN or Amount o n
FltEt W me
last NamelOQ&*aban None ❑ Primary Election ❑ General Election
Aggress [7 Runoff (Local Elections Only)
~ -'11* 40D* Date of Conlnbution Aggregate This ElecWn
om"tion
Effooyer
5. TOTAL ITEMIZED CONTRIBUTIONS
(CarrybvmWtohern3.o(aedpatetedd wo!p"aoftictom,areused.)
(M this is tie tact papa of oanabubom, this amount must be shown imam 15b. of summary.)
SS-113i(Rov, 2106) Page 3 of RDA 1159
- ~n,ddavL
20o5/ooa
`01/28/2013 MON 16:04 FAX 8652735927 Blount Co Election
ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
FROM: it TO:I ~q
3. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 d first itemized page)
d. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED INAND COPffRl UTION ("nd oaitbu0om btar4V more ton $100 Mom any oontnb"during me period)
Fvsl Name M dde Nam h Kidd ConirrWdw Received For. value of In~CirM Contribution
Primary Election El General Election Ladd ougarVza mName ❑ Runoff (Local Elections Only)
Addreu Data of kA W Cm *bAon Aggepab dis Ekcfm
qty bete zlpcuda DesalpeonahJWC&*WJm
ooarpe0on
FWNWO Wide Nan* h4GO Cordrlbutlon Received For. Value of Mf-KBW Contribution
PrMnary Election ❑ General Election
Last Nan+ar0ryariratiomName ❑ Runoff (Local Elections Only)
Addreu Dale ah&dCw*bkfm Apg"are tlis Nd5m
otY State Tip Code Desaip6on f W WCmkb*n
0001* rr Eapkger
Fins Name Madde Name "nd Cd"udon Received For. Value of I"r d Contribution
Primary Election ❑ General Election
lest NamelOrysriration Name
❑ Runoff (Local Elections Only1
Address Daleo(h4 WC *bAun AWepatedisE1eebon
ptr, Smk ZpCode Dss«iptionat►Kndra>trbrbon
J
Faro Name A6odla flame hKMd Corkbidon Reonived For. Value of M 4GW Conbnbution
0 Primary Election ❑ General Election
LastName(Orparbabm Nsma
❑ Runoff (Local Elections ONy)
Adders Daloo(hKndCaWAxA n Aoega*MFJectm
c;y State zpcmde Desaip6a+dhrKndCarYbukn
O0wPa_ Employer
FkUName WddeName Indclnd Contribuion Received For: Value of In-IOnd Contrilutiort
Primary Election ❑ General Election
LastNameprquNraaionName 0Runoff (local Electim Orly)
Address Data ahKnd Conabr6on Apgrepace dis Election
stale TpCodo Dvxdp6onorb4 WC**bAon
I city 5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS
(Cary brwerd b Nom 3, of nett page N ad*WW popes of Nis corm are used.)
(Hthls k the last pope a YFkind umtbuSan, tlis amour must be stows In Nam 22b. of p wAq.)
SS-1126 (Rev. 2106) Pape of RDA 1159
2oo6/oos
101/28/2013 MON 16:05 FAX 8652735927 Blount Co Election
ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
rGF ~p~ CGS FROM: t (ti TO: 112j
Amount
3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 If first Itemized page)
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (e, paditures at kV more am $100 to dry payee dwtng the period)
Flrs1 tle ITddle Name Purpose of Expenditure Amount of Expendfdxe
K Aa.I-I (y ~c
lest NamelBusmess Nara f Yv vJ S 7
cl eJi v
Address ~n~~ • $3
city Slate Zip Codo
Fast Nana Mddle Nana, Purpose of Ex~peenddAure Amount of Expenditwe
Last NaralBushwss Now M Al i-j ,,b~
,~-f-~+s . 53 iP `3
M Q I - l S c R rC C p n•o,U "-/-gas
Address
City Slate Z"Code
First Name Middle Name Purpose of Expenditure Amount of ExpendWre
Lost NanaBuSinew Name
Address
city IN* ZIP Code
First Name Wide Name Purpose of ExWKibre Amount of Expenditure
Last N&T611"aess Name
Address
C~ Staa ~ Cade
First Name V4da Name Purpm of Expenditure Amount of Exper dtu m
last NmndBusinass Name
Address
City St* hp code
Ro Name VA* Name Purpose o(Expenftm Amount of Expenditure
Last Nameftsiness Now
Address
City T Sate zip code
5. TOTAL ITEMIZED EXPENDITURES
(Carry award a pain 3, died page b adftW pages dthm arm are used.)
(If" Is Me tall page otw" siares, this «mum must be clown In tam 19b. of sunraay.)
® SS-1129 (Rev. 4102) Page of RDA 11159
MON 16:06 FAX 8652735927 Blount Co Election
`01/28/2013 6
ITEMIZED STATEMENT OF LOANS - CANDIDATE
THE PERIOD
2. REPORT COVERING TO
FROM:
f. NAME OFCANDIDATEORCOMMITTEE 1\ (1^ ~5 l3
the
btaGnp n+ore Aran 5100 hom anY duri
3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED LOAN (woos t
roan (Eno d Penodl
Balance p~nreots
Cornpk le the Folk." the Win d the Loan Udstardiog Ingo Roo" L%"Q Name lpagh-ki of WWI
Flrsl Name
Last Na,rel0ryan~ao00 Name pate d Loan
Loan Peteked For.
Address E3 P&WYElection 0 General Eke
State Code 0 {bra(L0WEbcti0ffiw
CAY is needed Please a0ach a page)
last Ar Endorsers or GuaraMas for Above loan (U rtgte ePaoe 6GddVe Hama
~ FkslName
fYslMemo L3$tNamelONa" 'Nam
LastNan4~i0^ Name
Address
Slate zip Code
Address
State 4 Code C4
~ Guaanleed OutciaLdkN
Annunt( UXXAeed0utslardm0 "to Name
N Ftist NW*
Fkst Name
Lost Kw*0vmftK- N"
last Nmwom-3600 Name
Address
Ad"" Stale zips
Skka zip code CdY
(AY Guarsraeed0utst*g
Anpuntt,uartnlead rwlstatdaq Wddle Nana
WddleName FYStName
First Nerve
Lest NarelOrOe~°^ ~OSa
Last NamefOrOaru~On t1am0
. AAdress
Address tote ZP
Zip CkY
~ Gutranbed OutsWnd'a6
ArrnuntGua anlaed Oulsbndkg Wddle Name
Wddlettsme Fk%At me
First Name Nam JOrYOnName
LaNNa,r>slOryawzationNome
Address
state zip code
She zip code
Guaenteed OtRstardkq
grro MGuaranbed0ulslandkg loan outsta+dkgLOWBalance
Lum 0(kIBIIfIZPdlOaf Urlstandin0loanBaiarce P d
wn' d P ' Pe00Meed
4. Togs (ordlAatts l- olltastPa9e
(total low received SW also be 001n h h m 20 on summ ➢ 0 1
s~~ps h,,k%jam12A.onhompapa.f RDA 1f59
Pape of
® SS-1132 (Rev. A102)
01/28/2013 MON 16:06 FAX 8652735927 Blount Co Election 0008/008
ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE
2. REPORT COVERING THE PERIOD
3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED FROM: TO:
Utstarxiing OBLIGATION (obligations totalirg more than =100 owed to any (Beginning of Period) I ~ mooed Payments Outstanding Balance
Person/vendor at the end of the reporting period) This Period This Pori od (End of Period)
FlrsI Name
~iddfe Nartra
last Name NinessName
Address
Stale Tpcode
~ ~e Middle Name
t s
Addmss
Stab zipcade
Des«Ip6on a oDliyetion
Flnl Nana Afddle Name
tut Nacnalgusrness Namre
Addmss
C4 State ZpCode
Of
Nm W* Name
last Na~aslness Name
Addreu
State Lp Coda
onaaotpatgm
FIV Name t`Mdae Nana
last Name/e~~ Name
Address
SYete 20 oda
Descripf I O4. TOTALS
00181 from OuWa"wq Balance - (End Of Period) ooiumm must also be shown
In ilem 23b, on summary Pape)
® SS-1127 (Rev. 4102
Pape ~ or ~ RDA 1159
CAMPAIGN FINANCIAL DISCLOSURE STATEMENT
For State and Local Candidates
For Single-Candidate Committees
1. DATE OF REPORT 2.a. NAME OF CANDIDATE OR COMMITTEE
L 3 r . 1-, Q, 0- kA...a--j
2.b. IF COMMITTEE, NAME OF CANDIDATE
3. ELE TION DATE
4.a. CAMPAIGN ADDRESS AND PHONE
Street or Rural Route City State Zip Code Phone
4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.)
Street or Rural Route City State Zip Code Phone
5. OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate)
3NA,C. "4-p hs Y,~ ..IN's 'btrk ~tL~~..C11`k
7. CATEGORY OR REPORT (Check one)
FIRST SECOND THIRD F U TH ~ 1:1 1:1
QUARTER QUARTER QUARTER QUARTER PRIMARY GENPRE- MID-YEAR YEND
ERAL SUPPLEMENTAL S PPLEMENTAL
8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD
Sv~ \ 1a 1\ a R 15 o~Z
9. (Check one
a. This campaign is exempt from detailed disclosure because contributions (including in-kind) received total $1,000 or less AND expendi-
tures total $1,000 or less for this reporting period. (Complete items 12d., 12e. and 12f.)
b. This campaign is required to file a detailed financial disclosure because contributions (including in-kind) received total more than $1,000
and/or expenditures total more than $1,000 for this reporting period.
10. I/we do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this report is an
accurate accounting of campaign contributions and expenditures required to be reported by the candidate committee by the Campaign
Financial Disclosure Act. Additionally, I/we swear or affirm that no campaign contributions have been expended for the personal financial
Inefit of the candidate or for any other nonpolitical purpose as defined by the federal intern I rev nue code.
L-, I G.'e, if =z th I In,- 4 //y,/,
signature of candidate dal g u f politi treasurer d e
11. WITNESS SIGNATURE
signature of wi n
ess date
signature of witness date
12. SUMMARY
`s b38.3 f
a. BALANCE ON HAND LAST REPORT $ ~
b. TOTAL RECEIPTS THIS PERIOD $ 4 b ' 3 ~O
c. TOTAL DISBURSEMENTS THIS PERIOD $
d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ 3 1 b 4 .3a(
e. TOTAL LOANS OUTSTANDING $
f. TOTAL OBLIGATIONS OUTSTANDING
SS-1109 (Rev. 2/06) Page 1 of ( RDA 1159
SUMMARY PAGE - CANDIDATE
13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD
FROM: T0:
RECEIPTS
15. CONTRIBUTIONS (other than loans and interest)
a. Unitemized Contributions ($100 or less from each source this period) $
b. Itemized Contributions (over $100 from each source this period) $
c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $
16. LOANS RECEIVED THIS REPORTING PERIOD
17. INTEREST RECEIVED THIS REPORTING PERIOD
18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) $ DISBURSEMENTS
19. EXPENDITURES (other than loan payments)
a. Expenditures ($100 or less each payee this period) (must be listed by category - e.g., printing, postage, gasoline)
,;t $ too , w
$ 3a ov
Total of Expenditures ($100 or less each payee) $
b. Itemized Expenditures (Over $100 each payee this period) $ I TO c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $
20. LOAN REPAYMENTS MADE THIS PERIOD $
21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) $ 31-
.
22.IN-KIND CONTRIBUTIONS
a. Unitemized in-kind contributions ($100 or less from each source this period) $
b. Itemized in-kind contributions (over $100 from each source this period) $
c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.) 6
23. OBLIGATIONS
a. Unitemized Obligations Outstanding ($100 or less each) $
b. Itemized Obligations Outstanding (Over $100 each) $
c. TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 121) $ `6
SS-1133 (Rev. 4102) Page ~ of
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE
2. REPORT COVERING THE PERIOD
FROM: TO:
3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) mount
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor
First Name Middle Name Contribution Received For:
Amount of Contribution
Last Name/Organization -N...----LM
ame
❑ Primary Election ❑ General Election
Address
❑ Runoff (Local Elections Only)
city Stale Zip Code Date of Contribution
Aggregate This Election
Occupation
Employer
First Name MddleName Contribution Received For Amount of Contribution
Last Name/Organizat on Name ❑ Primary Election ry 1:1 General Election
Address ❑ Runoff (Local Elections Only)
City State Zip Code Date of Contribution
Aggregate This Election
Occupation
Employer
First Name IeName Contribution Received For:
Amount of Contribution
s m rgan¢a in ame ❑ Primary Election ❑ General Election
Address ❑ Runoff (Local Elections Only)
City Stale Zip Code Date of Contribution
Aggregate This Election
Occupation
mp oyer
First Name Middle Name Contribution Received Or
Amount o ntn u ion
Last Name/Organizabon Name ❑ Primary Election rY ❑ General Election
Address ❑ Runoff (Local Elections Only)
city staaa op Code Date of Contribution
Aggregate This Election
Occupation
Employer
5. TOTAL ITEMIZED CONTRIBUTIONS
(Carry forward to item 3. of next page if additional pages of this form are used.)
If this is the last page of contributions, this amount must be shown in item 15b. of summary.)
SS-1131(Rev. 2/06) Page of 1 RDA 1159
ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE Or,ziz R COMMITTEE
2. REPORT COVERING THE PERIOD
FROM: TO:
3. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) moun
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED IN-KIND CONTRIBUTION (in-kind contributions totaling more than $100 from any contributor during the period)
First Name Middle Name In-Kind Contribution Received For:
Value of In-Kind Contribution
Last Name/Organization Name ❑ Primary Election ❑ General Election
❑ Runoff (Local Elections Only)
Address
Date of In-Kind Contribution Aggregate this Election
City State Zip Code Description of In-Kind Contribution
Occupation Employer
First Name Middle Name In-Kind Contribution Received For:
Value of In-Kind Contribution
Last Name/Organkation Name ❑ Primary Election El General Election
❑ Runoff (Local Elections Only)
Address
Date of In Kind Contribution Aggregate this Election
City Stab Zip Code Description of IMCad Contribution
Occupation Empbyer
First Name Middle Name In-Kind Contribution Received For:
Value of In-Kind Contribution
Last Namelorgan¢ation Name [3 Primary Election F-] General Election
❑ Runoff (Loral Elections Only)
Address
Date of In-Kind Contribution Aggregate this Election
city State iCode
Desuip fion ofln-Kind Contribution
Occupation T ;Zp
First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution
Last Name/ ❑ Primary Election [3 Genera) Election
Organization Name
❑ Runoff (Local Elections Only)
Address
Date of In-Kind Contribution Aggregate this Election
City State
ZP Code Description of In-Kind Contribution
Occupation Empoyer
First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution
LastName/OrganaationName ❑Primary Election [3 General Election
❑ Runoff (Local Elections Only)
Address Date of In-Kind Contribution
Aggregate this Election
city state Zip Code Description of In-Kind Contribution
on
uccupab
5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS
(Carty forward to item 3. of nerd page If additional pages of this form are used.)
(K this is the last page of in-kind contributions, this amount must be shown in item 22b. of summary.)
SS-1128 (Rev. 2/06)
Page of RDA 1159
ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE
-75 2. REPORT COVERING THE PERIOD
1.r+.t, k." P4eA*p--4 44N FROM: ••1 / TO: / OF t
mou
A ht
3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page)
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures totaling more than $100 to any payee during the period)
First Name Middle Name Purpose of Expenditure
q.w+-. Amount of Expenditure
Last NamelBusiness Name
Add AA-2=j i a
I
a
se...o
City State Z'
Jt I
First Name Middle Name
Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
V N2T'E.O CMS
Add L!o
Ci State Zip Code
r
First Name Middle Name
Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
M C I A.41i At ~ J ~ (K~ z tw
Address
b
01;j 71 ILYN 2/4
City
State Zip Code +
L
First Name Middle Name
Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
%,.)o *Z c.,,,r w L~
Addr 2 s~ . vo
D o..►y ~s. +v
City i State Zip Code
376702-
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
Ob St zi e
z~
First Name Middle Name
Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
Address
Qty State Zip Code
7((,vot ITEMIZED EXPENDITURES
ward to ibm 3. of next page if additional pages of this form are used.) / c
he last page of exp enditures, this amount must be shown in item 19b. of summary.) ( J Q 7.
SS-1129 (Rev. 4/02) Page of RDA 1159
ITEMIZED STATEMENT OF LOANS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE
2. REPORT COVERING THE PERIOD
FROM: TO:
3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED LOAN (bans totaling more than 1100 from any source during the period)
Complete the Following for the Source of the Loan
First Name Middle Name Outstanding Loan Balance Loans Loan
Outstanding Loan Balance
(Beginning of Period) Received Payments (End of Period)
Last N
Address amelOnganization Name Loan Received For. Date of Loan
Gty Sta<e Zip Code E3 Primary Election ❑ General Election
❑ Runoff (Local Elections Only)
List All Endorsers or Guarantors for Above Loan (If more space is needed please attach a page)
First Name Middle Name
First Name Middle Name
Last Name/Organization Name Last Name/Organization Name
Address
Address
City State Zip Cade Gty
State Zip Code
Amount Guaranteed Outstanding Amount Guaranteed Outstanding
First Name Middle Name First Name
Middle Name
Last Name/Organization Name Last Name/Organization Name
Address
Address
City State Lp Code City State Zip Code
Amount Guaranteed Outstanding Amount Guaranteed Outstanding
First Name Middle Name First Name
Middle Name
Last Name/Organization Name Last Name/Organization Name
Address Address
City State Zip Code City State Zip Code
Amount Guaranteed Outstanding Amount Guaranteed Outstanding
First Name Middle Nart a First Name
Middle Name
Last Name/Organization Name Last Name/Organization Name
Address
Address
Qty State Zip Code City
State Zlp Code
Amount Guaranteed Outstanding Amount Guaranteed Outstanding
4. Totals forall Loans (complete on last page of Itemized bans) Outstanding Loan Balance Loans
(Total loans received should also be shown in item 16. an summa Loan Outstanding Loan Balance
Total ban summary page.) jBeginning of Period Received Pa menu End of Period
( payments should also be shown in item 20. on summary page.)
(Total outstanding ban balance should also be shown in item 12.e. on front page.)
SS-1132 (Rev. 4/02) Page of RDA 1159
r
ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
FROM: TO:
3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED Outstanding Balance Debt Incurred Payments Outstanding Balance
OBLIGATION (obligations totaling more than $100 owed to any (Beginning of Period) This Period This Period (End of Period)
person/vendor at the end of the reporting period)
First Name Middle Name
Last Name/Business Name
Address
City n Zip Code
Description o Obligation
First Name Middle Name
ast ame usiness ame
Address
city state Zip Code
Description of Obligation
First Name Middle Name
7t -N - Mu NName
Address
Qty
State Zip Code
Description of Obligation
First Name Middle Name
Last Name/Business Name
Address
city
state Zip Code
Description of Obligation
First Name Middle Name
Last Name/Business Name
Address
City State Zip Code
Description of Obligation
4.TOTALS
(Total from Outstanding Balance - (End of Period) column must also be shown
in item 23b. on summary page.)
SS-1127 (Rev. 4/02) Page of RDA 1159
CAMPAIGN FINANCIAL DISCLOSURE STATEMENT
For State and Local Candidates
For Single-Candidate Committees
1. DATE OF REPORT 2.a. NAME OF CANDIDATE OR COMMITTEE
Sv V'. 13 2 o 11 JP nn ~1) L~ 1 24-0 -
2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE
4.a. CAMPAIGN ADDRESS AND PHONE
Street or Rural Route City State Zip Code Phone
_3L{ v-2 Pi N e-n L e.-,JQA QN-a e_R kb r10~.~ IIQ 3'113 03, -3s ~ S q "L~
4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.)
Street or Rural Route City State Zip Code Phone
5. OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate)
S 9e.(,--Ir-F
7. C GORY OR REPORT (Check one)
FIRST SECON0 13 D THIRD FOURTH PRE PRE MIDYEAR YEAR-END
DARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL
8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD
9. (Check one)a. ❑ This campaign is exempt from detailed disclosure because contributions (including in-kind) received total $1,000 or less AND expendi-
tures total $1,000 or less for this reporting period. (Complete items 12d., 12e. and 12f.)
b.V This campaign is required to file a detailed financial disclosure because contributions (including in-kind) received total more than $1,000
and/or expenditures total more than $1,000 for this reporting period.
10. Uwe do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this report is an
accurate accounting of campaign contributions and expenditures required to be reported by the candidate mmlttee by the Campaign
Financial Disclosure Act. Additionally, I/we swear or affirm that no campaign contributions hav been a nd for the personal financial
benefit of the candidate or for any other nonpolitical purpose as defined by t7;T ' ue de.
10
signature of candidate d e s ref !tical treasu do
,11. WITNESS SIGNATURE
signature of witnes date sig ature of witness date
12. SUMMARY Pik PM 1 ? ~t
a. BALANCE ON HAND LAST REPORT ,5........................... $
CON
b. TOTALRECEIPTS THIS PERIOD ~ ~~..........cn.......................$ `11,`l 5 S
oc
c. TOTALDISBURSEMENTSTHIS PERIOD r $
d. BALANCE ON HAND (12.a. plus 12.b. minus 1 $ 3n.
~INV
e. TOTAL LOANS OUTSTANDING $
f. TOTALOBLIGATIONS OUTSTANDING $
SS-1109 (Rev. 2106) Page 1 of RDA 1159
SUMMARY PAGE - CANDIDATE
13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD
Junes CcL ~~ysa, , FROM: 1 tl- T0: 30 /
RECEIPTS
15. CONTRIBUTIONS (other than loans and interest)
a. Unitemized Contributions ($100 or less from each source this period) $
b. Itemized Contributions (over $100 from each source this period) $
c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $
16. LOANS RECEIVED THIS REPORTING PERIOD
17. INTEREST RECEIVED THIS REPORTING PERIOD $ 1 L . ~S
18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown In item 12.b. 1 2 -1.
S 5
DISBURSEMENTS
19. EXPENDITURES (other than loan payments)
a. Expenditures ($100 or less each payee this period) (must be listed by category - e.g., printing, postage, gasoline)
$ 33. 41
pJA.MCC P, f4 t( S IC $ /DO. LV
Total of Expenditures ($100 or less each payee)
b. Itemized Expenditures (Over $100 each payee this period) $ 2
c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) i 1 L ' I
20. LOAN REPAYMENTS MADE THIS PERIOD
21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) $ l 1 '
22.IN-KIND CONTRIBUTIONS
a. Unitemized in-kind contributions ($100 or less from each source this period) $
b. Itemized in-kind contributions (over $100 from each source this period) $
c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.) $
23.013LIGATIONS
a. Unitemized Obligations Outstanding ($100 or less each) $
b. Itemized Obligations Outstanding (Over $100 each) $
c. TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 12.f.) $
SS4133 (Rev. 4/02) Page of
ITEMIZED STATEMENT OF LOANS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
FROM: TO:
3-. e S L G e, 9e.22o U j, 1 1/1 F 4 39
3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED LOAN (loans totaling more than $100 from any source during the period)
Complete the Following for the Source of the Loan
First Name Middle Name Outstanding Loan Balance Loans Loan Outstanding Loan Balance
(Beginning of Period) Received Payments (End of Period)
Last Name/Organizalion Name
Address Loan Received For: Date of Loan
❑ Primary Election ❑ General Election
city State Zip Code
❑ Runoff (Local Elections Only)
List All Endorsers or Guarantors for Above loan (if more space is needed please attach a page)
First Name Middle Name First Name Middle Name
Last Name/Organization Name Last Name/Organization Name
Address Address
City State Zip Code City State Zip Code
Amount Guaranteed Outstanding Amount Guaranteed Outstanding
First Name Middle Name First Name Middle Name
Last Name/Organization Name Last NamelOrganization Name
Address Address
City State Zip Code City State Zip Code
Amount Guaranteed Outstanding Amount Guaranteed Outstanding
First Name Middle Name First Name Middle Name
Last Name/Organization Name Last Name/Organization Name
Address Address
City State Zip Code City State Zip Code
Amount Guaranteed Outstanding Amount Guaranteed Outstanding
First Name Middle Name First Name Middle Name
Last Name/Organization Name Last Name/Organizatton Name
Address Address
city state Zip Code City State Zip Code
Amount Guaranteed Outstanding Amount Guaranteed Outstanding
4, Totals for all Loans (complete on last page of itemized loans) Outstanding Loan Balance Loans Loan Outstanding Loan Balance
(Total loans received should also be shown in Item 16. on summary page.) Beginning of Period) Received Payments End of Period
(Total loan payments should also be shown in item 20, on summary page.)
(Total outstanding loan balance should also be shown in item 12.e. on frontpage.)
Awk
SS-1132 (Rev. 4/02) Page of RDA 1159
ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
FROM: TO:
3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED Outstanding Balance Debt Incurred Payments Outstanding Balance
OBLIGATION (obligations totaling more than $100 owed to any (Beginning of Period) This Period This Period (End of Period)
person/vendor at the end of the reporting period)
First Name Middle Name
Lest NamAusiness Name
Address
City State Zip Code
Description of Obligation
First Name Middle Name
Last NametBusiness Name
Address
City Stale Zip Code
Description of Obligation
First Name Middle Name
Last Name/Business Name
Address
City State Zip Code
Description of Obligation
First Name Middle Name
Last Name/Business Name
Address
City State Zip Code
Description of Obligation
First Name Middle Name
Last Name/Business Name
Address
City State Zip Code
Description of Obligation
4. TOTALS
(Total from Outstanding Balance - (End of Period) column must also be shown
in Item 23b. on summary page.)
Aft
SS-1127 (Rev. 4102) Page 4- of RDA 1159
y
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
FROM: TO:
Amount
3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page)
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor
First Name Middle Name Contribution Received For. Amount of Contribution
Last Name/Organizatbn Name ❑ Primary Election ❑ General Election
Address ❑ Runoff (Local Elections Only)
City State Zip Code Date of Contribution Aggregate This Election
Occupation
Employer
FlrstName Middle Name Contribution Received For Amount of Contribution
Last Name/Organization Name ❑ Primary Election ❑ General Election
Address ❑ Runoff (Local Elections Only)
City Spate ZlpCode Date of Contribution Aggregate This Election
Occupation
Employer
FlrstName le Name Contribution Received For., Amount of Contribution
as a rganiz name ❑ Primary Election ❑ General Election
Address ❑ Runoff (Local Elections Only)
Ciry State Zip Code Date of Contribution Aggregate This Election
Occupation
er
First Name Middle Name Contribution Received ~-or Amount of Contribution
Last Namerorganization Name ❑ Primary Election ❑ General Election
Address ❑ Runoff (Local Elections Only)
City State Zip Code Date of Contribution Aggregate This Election
Occupation
Employer
5. TOTAL ITEMIZED CONTRIBUTIONS
(Carry forward to item 3. of next page If additional pages of this form are used.)
Of this is the last page of contributions, this amount must be shown In Item 15b. of summary.)
IhW SS-1131(Rev. 2106) Page_ of RDA 1159
ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
FROM: TO:
oun
3. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page)
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED IN-KIND CONTRIBUTION (in-kind contributions totaling more than $100 from any oontributorduring the period)
First Name Middle Name In-Kind Contribution Received For. Value of In-Kind Contribution
❑ Primary Election ❑ General Election
Last Name/OrganizationNcrme 11 Runoff (Local Elections Only)
Address Daleofln-IdndContnbulton Aggregate this Election
CRY State Zip Code Description of In-Kind Contribution
Occupation Employer
First Name Middle Name In-Kind Contribution Received For. Value of In-Kind Contribution
❑ Primary Election ❑ General Election
Last Name/Organization Name
❑ Runoff (Local Elections Only)
Address Daleof In-land Contribution Aggregate this Election
City state zip code Description of In-Kind Contribution
Occupation Employer
First Name Middle Nance In-Kind Contribution Received For., Value of In-Kind Contribution
Last NamelOrgantzationName r] Primary Election ❑ General Election
❑ Runoff (Local Elections Only)
Address Data of In-Kind CDntdMlon Aggregate this Election
City State Zip Code Description of In-Kind ContribuUon
Occupation -Employer
First Name Middle Name In-Kind Contribution Received For. Value of In-Kind Contribution
❑ Primary Election ❑ General Election
Last NamelCxganizafion Name
❑ Runoff (Local Elections Only)
Address Dale ofIn-Kind Conhibution Aggregate this Election
City State Zip Code DesoriptionofIn-Kind Contribution
Occupation Employer
First Name MtddleName In-Kind Contribution Received For: Value of In-Kind Contribution
Last NamelOrganhatton Name ❑ Primary Election [I General Election
❑ Runoff (Local Elections Only)
Address Data crIn-Kind ContriWilon Aggregate this Election
City Slate Zip Code Description of In-Kid Contribution
Occupation
5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS
(Carry forward to item 3. of next paged additional pages of this form are used.)
(if this is the last page of In-kind contributions, this amount must be shown in item 22b. of summary.)
SS-1128 (Rev. 2106) Page of RDA 1159
ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
J ra ss t--PL - &Y v c)-J FROM: / /4 ! i T0:
Amount
3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) 2 .7
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures totaling more than $100 to any payee during the period)
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name j31~ 2,~ 1 w Y~ n
✓"1 /mar r~
Address ~nr~ j z c,
Qty State Zip Code
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name v A"Jb
Address LIw a (vy ~q~ Nn~~2 2su . P n
O llo `f- 3 oS ~
Qty State Zip Code
37So3
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
Address
Qty Stale Zip Code
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last NamelBusiness Name
Address
City State Zip Code
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
Address
Qty State Zip Code
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
Address
City State Tip Code
5. TOTAL ITEMIZED EXPENDITURES
(Carry forward to item 3. of next page N additional pages of this form are used.) 9
(if this is the last page of expenditures, this amount must be shown in item 19b. of summary.)
SS-1129 (Rev. 4102) Page of RDA 1159
CAMPAIGN FINANCIAL DISCLOSURE STATEMENT
For State and Local Candidates
For Single-Candidate Committees
1. DATE OF REPORT 2.a. NAME OF CANDIDATE OR COMMITTEE
I 3 2.0 ~w•~.s 5 L,a-e-
2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELE TION DATE
4.a. CAMPAIGN ADDRESS AND PHONE
Street or Rural Route City State Zip Code Phone
P'D T1 Pm .3
4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.)
Street or Rural Route City State Zip Code Phone
5. OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate)
7. CATEGORY OR REPORT (Check one)
❑ ❑ ❑ ❑ ❑
FIRST SECOND THIRD FOURTH PRE- MID-YEAR YEAR-END
QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL
8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD
Sv` 1°1\ a A 15 olZ
9. (Check one
a. ❑ This campaign is exempt from detailed disclosure because contributions (including in-kind) received total $1,000 or less AND expendi-
tures total $1,000 or less for this reporting period. (Complete items 12d., 12e. and 12f.)
b. This campaign is required to file a detailed financial disclosure because contributions (including in-kind) received total more than $1,000
and/or expenditures total more than $1,000 for this reporting period.
10. I/we do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this report is an
accurate accounting of campaign contributions and expenditures required to be reported by the candidate committee by the Campaign
Financial Disclosure Act. Additionally, I/we swear or affirm that no campaign contributions have been expended for the personal financial
Inefit of the candidate or for any other nonpolitical purpose as defined by the federal intern I rev nue code.
U signature of candidate dat g u f politi treasurer dale
11. WITNESS SIGNATURE
signature of wi Hess date signature of witness date
12. SUMMARY s, e
a. BALANCE ON HAND LAST REPORT $ , 03 C • 3 7
b. TOTAL RECEIPTS THIS PERIOD r,.............................................. $ SI 4 b ' 3 ~O
3ti
c. TOTAL DISBURSEMENTS THIS PERIOD $
d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ 013 1 folk .3a(
e. TOTAL LOANS OUTSTANDING $
f. TOTAL OBLIGATIONS OUTSTANDING $
SS-1109 (Rev. 2/06) Page 1 of RDA 1159
SUMMARY PAGE - CANDIDATE
13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD
FROM: TO:
RECEIPTS
15. CONTRIBUTIONS (other than loans and interest)
a. Unitemized Contributions ($100 or less from each source this period) $
b. Itemized Contributions (over $100 from each source this period) $
c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $
16. LOANS RECEIVED THIS REPORTING PERIOD $
17. INTEREST RECEIVED THIS REPORTING PERIOD V . 3
18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) $ DISBURSEMENTS
19. EXPENDITURES (other than loan payments)
a. Expenditures ($100 or less each payee this period) (must be listed by category - e.g., printing, postage, gasoline)
v••+Pt:p.a $ loo w
$ 3 .so
5NgPat~
$
$
$
$
$
$
Total of Expenditures ($100 or less each payee) $
b. Itemized Expenditures (Over $100 each payee this period) $ I TO
L ,CIQ
c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $
20. LOAN REPAYMENTS MADE THIS PERIOD $
21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) 'L
22.IN-KIND CONTRIBUTIONS
a. Unitemized in-kind contributions ($100 or less from each source this period) $
b. Itemized in-kind contributions (over $100 from each source this period) $
c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.) $
23. OBLIGATIONS
a. Unitemized Obligations Outstanding ($100 or less each) $
b. Itemized Obligations Outstanding (Over $100 each) $
c. TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 121) $
SS-1133 (Rev. 4102) Page of
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
FROM: TO:
Amount
3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page)
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor
First Name Middle Name Contribution Received For: Amount of Contribution
Last Name/Organization Name ❑ Primary Election ❑ General Election
Address ❑ Runoff (Local Elections Only)
City State Zip Code Date of Contribution Aggregate This Election
Occupation
Employer
First Name Middle Name Contribution Received For: Amount of Contribution
Last Name/Organization Name
Primary Election ❑ General Election
Address ❑Runoff (Local Elections Only)
City State Zip Code Date of Contribution Aggregate This Election
Occupation
Employer
First Name iddle Name Contribution Received For: Amount of Contribution
s a rganiza n ame Primary Election ry ❑ General Election
Address ❑ Runoff (Local Elections Only)
CM State Zip code Date of Contribution Aggregate This Election
Occupation
Employer
First Name Middle Name Contribution Received or: moue of Contribution
Last Name/Organization Name ❑ Primary Election ry ❑ General Election
Address ❑ Runoff (Local Elections Only)
City state Zip Code Date of Contribution Aggregate This Election
Occupation
Employer
5. TOTAL ITEMIZED CONTRIBUTIONS
(Carry forward to item 3. of next page if additional pages of this form are used.)
(If this is the last page of contributions, this amount must be shown in item 15b. of summary.)
SS-1131(Rev. 2106) Page of 1 RDA 1159
ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
FROM: T0:
moun
3. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page)
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED IN-KIND CONTRIBUTION (in-kind contributions totaling more than $100 from any contributor during the period)
First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution
Last Name/Organization Name ❑ Primary Election ❑ General Election
❑ Runoff (Local Elections Only)
Address Date of In-Kind Contribution Aggregate this Election
City State Zip Code Description of "rid Contnbution
Occupation Tploer
First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution
❑ Primary Election ❑ General Election
Last Name/Organization Name
❑ Runoff (Local Elections Only)
Address Date of IrrKind Contribution Aggregate this Election
City State Zip Code Description of "M Contribution
Occupation
L Employer
First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution
Primary Election [I General Election
Last Name/Organization Name
❑ Runoff (Local Elections Only)
Address Date of In-Kind Contribution Aggregate this Election
city State Zip Code Description ofIn-Kind Contribufbn
(Xcupation
m y~
First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution
❑ Primary Election ❑ General Election
Last Name/Organization Name
❑ Runoff (Local Elections Only)
Address Date of In-Kind Contribution Aggregate this Election
City State Zip Code Description of In-Kind Contribution
Occupation Employer
First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution
[3 Primary Election [j General Election
Last Name/Organization Name
❑ Runoff (Local Elections Only)
Address Date of In-Kind Contribution Aggregate this Election
City State Zip Code Description of In-Kind Contribution
pa on -Employer
5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS
(Carry forward to item 3. of next page If additional pages of this form are used.)
(If this is the last page of in-kind contributions, this amount must be shown in item 22b. of summary.)
SS-1128 (Rev. 2/06) Page of RDA 1159
ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
A«.C% l~ gItAWO rl►l, FROM:-- / 1S t
3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) Amount
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures totaling more than $100 to any payee during the period)
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
A22M 1 a
Add o . A S1o
+O
City State Z'
afuv L
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
U tv-&A" 4 M1vM~
Add
~r✓M ('3 +v~J 4
T1/7 ~6
VO rt)fj CcilK '-j State Zip Code
.r
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
y
Address A 'b
City State Zip Code
'-A/I 3-7-7771
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name^
%3 It M C rr,trf % w y~
Ad ~owl•~~OrV i~ . W
1..)o l,5
city State Zip Code
1 37802--
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Nana/Business Name
1 a
Ito 5 Jondme-ti YJ
t4grodr) St zi ' e
z0
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
Address
Gty State Zip Code
5. TOTAL ITEMIZED EXPENDITURES
(Carry forward to item 3. of next page it additional pages of this form are used.) / C 03,
e e
(If this is the last page of expenditures, this amount must be shown in item 19b. of summary.) l J R O
SS-1129 (Rev. 4102) Page of RDA 1159
ITEMIZED STATEMENT OF LOANS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
FROM: TO:
3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED LOAN (bans totaling more than $100 from any source during the period)
Complete the Following for the Source of the Loan
First Name Middle Name Outstanding Loan Balance Loans Loan Outstanding Loan Balance
(Beginning of Period) Received Payments (End of Period)
Last Name/Organization Name
Address Loan Received For: Date of Loan
❑ Primary Election ❑ General Election
city State Zip Code
❑ Runoff (Local Elections Only)
List All Endorsers or Guarantors for Above Loan (If more space is needed please attach a page)
First Name Middle Name First Name Middle Name
Last Name/Organization Name Last Name/Organization Name
Address Address
City State Zip Code City 7[!t; te Zip Code
Amount Guaranteed Outstanding Amount Guaranteed Outstanding
First Name Middle Name First Name Middle Name
Last Name/Organization Name Last Name/Organization Name
Address Address
City state Zip Code City State Zip Code
Amount Guaranteed Outstanding Amount Guaranteed Outstanding
First Name Middle Name First Name Middle Name
Last Name/Organization Name Last Name/Organaalion Name
Address Address
City State Zip Code City State Zip Code
Amount Guaranteed Outstanding mount Guaranteed Outstanding
First Name Middle Name First Name Middle Name
Last Name/Organization Name Last Name/Organization Name
Address Address
city state Zip Code Gty State Zip Code
Amount Guaranteed Outstanding Amount Guaranteed Outstanding
4. Totals for all Loans (complete on last page of Itemized bans) Outstanding Loan Balance Loans Loan Outstanding Loan Balance
(Total loans received should also be shown in item 16. on summary page.) inning of Period Received Payments End of Period
(Total loan payments should also be shown in item 20. on summary page.)
(Total outstanding ban balance should also be shown in item 12.e. on front page.)
0 SS-1132 (Rev. 4/02) Page of RDA 1159
. J
ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
FROM: TO:
3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED Outstanding Balance Debt Incurred Payments Outstanding Balance
OBLIGATION (obligations totaling more than $100 owed to any (Beginning of Period) This Period This Period (End of Period)
person/vendor at the end of the reporting period)
First Name Middle Name
Last NametBusiness Name
Address
city state Zip Code
Description o Obligation M7 First Name Middle Name
Last ame usiness Name
Address
city
State Zip Code
Description of Obligation
First Name Middle Name
Last Name/Business Name
Address
Gty State Zip Code
Description of Obligation
First Name Middle Name
Last Name/Business Name
Address
City State Zip Code
Description of Obligation
First Name Middle Name
Last Name/Business Name
Address
city State Zip Code
Description of Obligation
4. TOTALS
(Total from Outstanding Balance - (End of Period) column must also be shown
in item 23b. on summary page.)
SS-1127 (Rev. 4/02) Page -of RDA 1159