Dunlap, Bill
it
CAMPAIGN FINANCIAL DISCLOSURE STATEMENT
For State and Local Candidates
For Single-Candidate Committees
1. DATE OF REPORT 2.a. NAME OF CANDIDATE ORWMMITTEE R
~tDr C. w~
2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE
4.a. CAMPAIGN ADDRESS AND PHONE
Street or Rural Route City State Zip Code Q 4"- Phone
G .2. &r~ v+ 3 ? 80
4.b. CANDIDATE'S HOME A ESS (if different than 41.)
Street or Rural Route City State Zip Code Phone
5.A-~e,
5. OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate)
a., o
7. CATEGORY OR REPORT (Check one)
❑ ❑ ❑ ❑ ❑ 0/ ❑ ❑
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 OF REPORTING PERIOD
-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. ❑ 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 candidat r any other nonpolitical purpose as defined by the federal internal revvenue code.
:~2qz&.LA o L,* 7,,2;L / 21_~2~ kVAIA-74 f) -.1
signa ure of candidate date signature of political treasurer date
11. WITNESS SIGNATURE
signature of witness date signature of witness date
12. SUMMARY
a. BALANCE ON HAND LAST REPORT $
AM
NO
am
.o,..R . c.. o
b. TOTAL RECEIPTS THIS PERIOD . $
c. TOTAL DISBURSEMENTS THIS PERIOD t
7 ' U-1
Lo ~U~,_ of
d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.)..,A 1.10rt..... ~4 $
e. TOTAL LOANS OUTSTANDING ~.5~~ $
f. TOTAL OBLIGATIONS OUTSTANDING $
0 SS-1109 (Rev. 2/06) Page 1 of RDA 1159
CAMPAIGN FINANCIAL DISCLOSURE STATEMENT
For State and Local Candidates
For Single-Candidate Committees
1.
0- 7 2 DATE OF REPORT 12.a. NAME OF CANDIDATE OR COMMITTEE \ I \
Y f~ 1 f 1, ~l C ~3 r Y J Wh_ /
LaP
2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE
_ ` L(
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
It 6 1 J_ o c,J ® )in & „t 37 u S - ,So
5. OFFICE SOUGH (include district number, if applicable) J6~Nri AME/OF POLITICAL TREASURER (may be candidate)
!J_g_?~ v 0 r c~ 'e A-
7. ❑ ~
7. CATEGORY- OR REPORT (Check one)❑ ❑ ❑
FIRST SECOND THIRD FOURTH PRE- PRE- MID-YEAR YEAR-END
DARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL
8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD
41- 2--) - 4 - 30-
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
a d/or expenditures total more than $1,000 for this reporting period.
10. IAve 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, [/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 revenue code.
si ture of candidate - I ~ 'C
date signature of political treas er d a ate
11. WITNESS SIGNATURE
u.fu-l~v 7 - - C cr,~ 7-~ -r
signs ure of witness date signature of witness date
12. SUMMARY
a. BALANCE ON HAND LAST REPORT $ 3,Z -z L • i l
^ 40
r. d
b. TOTAL RECEIPTS THIS PERIOD $ V
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 $ _
Afflk
SS-1109 (Rev. 2/06) Page 1 of RDA 1159
SUMMARY PAGE - CANDIDATE
1 NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD
( FROM T0: - 3 C7
RECEI TS
15. CONTRIBUTIONS (other than loans and interest)
a. Unitemized Contributions ($100 or less from each source this period) $ -6-0
b. Itemized Contributions (over $100 from each source this period) $ 7d0-#J
c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ mc)
16. LOANS RECEIVED THIS REPORTING PERIOD O
17. INTEREST RECEIVED THIS REPORTING PERIOD
18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) .................................................$79's.00
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)
L.ew.b ay~ LI $ . l
Total of Expenditures ($100 or less each payee)
b. Itemized Expenditures (Over $100 each payee this period) 0 . O
c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $ ~4 O
20. LOAN REPAYMENTS MADE THIS PERIOD
21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) $ A It
G. e
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) $ V
c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.) $ b
23. OBLIGATIONS
a. Unitemized Obligations Outstanding ($100 or less each) $ O
b. Itemized Obligations Outstanding (Over $100 each) $ Z)
c. TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 121.) $ A
SS-1133 (Rev. 4102) Page of 2-
1
ITEMIZED STATEMENT OF LOANS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE
/ 2. REPORT COVERING THE PERIOD
-e_ O Y l FROM: , TO:, 3
3. COMPLETE APPROPRIATE ITEMS FOR EACH IVI L (loans totaling more than $150 from any source during the period
Complete the Following for the Source of the Loan
First Name Middle Name Outstanding Loan Balance Loans
(Beginning of Period Loan Outstanding Loan Balance
9 ) Received Payments (End of Period)
Last Name/Organization Name
Address Loan Received For:
Date of Loan
city Zip Code [I Primary Election ❑ General Election
Sfale
❑ 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 Name/Organization Name
Address
Address
city State Zip Code city
Slate 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
Lest Name/Organization Name Last Nsme/Organiza -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 Loannts
Outstanding Loan Balance
(Total bans received should also be shown in item 16. on summary page.) B innin of Period
Pa me
(Total ban payments should also be shown in item 20. on summ
ary Received End of Period
(Total outstanding loan balance should also be shown in item 12.e. on front) U
Page)
AML
SS-1132 (Rev. 4102)
Page ~ of _'41 RDA 1159
ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE
1. AME OF CANDIDATE OR COMMITTEE
2. REPORT COVERING THE PERIOD
t i Lit FROM: fTh 3. COMPLETE EAPPROPRIATE ITEMS FOR ACH ITEMI T0:
Outstanding Balance Debt Incurred nts Outstanding Balance
OBLIGATION (obligations totaling more than $100 owed to any (Beginning of Period) This Period riod (End of Period)
person/vendor at the end of the repor ting period)
First Name Middle Name
Last Name/Business Name
Address
city Stale Zip Code
Descripticn of Obligation
First Name Middle Name
Last ame usiness 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 Tip Code
Description of Obligation
First Name Middle Name
Last Name/Business Name
Address
City State Zip Cade
Description of Obligation
4. TOTALS
(Total from Outstanding Balance - (End of Period) column must also be shown O 71 C)
in item 23b. on summary page.) vv
AML
SS-1127 (Rev. 4102) Page y of
RDA 1159
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE
2. REPORT COVERING THE PERIOD
a- • FROM L/ TO: !7
3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) Amount
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totalin more than $100 from an contributor
Fir t Name Middle Name Contribution Received For.
b Amount of Contribution
Last Name/Organization Name 0Primary Election ❑ General Election
Address .2.5-o-00
❑ Runoff (Local Elections Only)
City Zip Code Date of Contribution
Aggregate This Election
Ocaupat'
~ r
Employer
First Name Middle Name Contribution Received For.
L c7 .C ~ I Amount of Contribution
Last Name/Orgg 2- atlon Name ❑ Primary Election ❑ General Election
Add ❑ Runoff (Local Elections Only)
State ZDate of Contribution
Aggregate This Election
Occupation
il~jjl
r~
Employer
First Name iddle Name Contribution Received For:
Amount of Contribution
r
a an ame ❑ Primary Election ❑ General Election
• S4
Tess ❑ Runoff (Local Elections Only) ~i
CAy ZIp Code Date of Contribution
' ~ ? 1 Aggregate This Election
Occupation
r
First Name Middle Name Contribution Received or.
Amount o ntn ution
last Name/Organization Name ❑ Primary Election ❑ General Election
Address ❑ Runoff (Local Elections Only)
Cry ]E~zjp CDate 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.) (y v 0 (
(If this is the last page of contributions, this amount must be shown in item 15b. of summary.) I
SS-1131(Rev. 2/06)
Page of _ RDA 1159 -jr
ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE
I.CO NAME OF CANDIDATE OR COMMITTEE
~ ~ • ~ 2. REPORT COVERING THE PERIOD
Lq P FROM: T0:
TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) moun `
MPLETETHE 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 13 General Election
Address El Runoff (Local Elections Only)
Dateotln Ind contribution Aggregate this Election
n
City state Zip Code
Description of In-Kind Contribution
Occupat on Employer
First Name Middle Name
In-Kind Contribution Received For.
Value of In-Kind Contribution
Last Name/Organization Name E] Primary Election ❑ General Election
11 Runoff (Local Elections Only)
Address
Date of InAnd Contribution Aggregate this Election
City State Zip Code
Description of In-Kind Contribution
Occupation EYer
First Name Middle Name
In-Kind Contribution Received For.
Value of In-Kind Contribution
Last NamelOrganization Name ❑ Primary Election ❑ General Election
Address El Runoff (Local Elections Only)
Date ofln-Kind Contribution Aggregate this Election
City 111311:1! Zip Code
Desaipgon of IMGnd Contribution
patron
First Name Middle Name
In-find Contribution Received For. Value of In-Kind Contribution
Last NamelOrganization Name ❑ Primary Election ❑ General Election
❑ Runoff (Local Elections Only)
Address Date of In IGnd Contribution Aggregate this Election
city Smte Zip Code
Description of to-Kind Contribution
Occupation Employer
First Name Middle Name
In-Kind Contribution Received For:
Last Name/Organization Name Election Value of In-Kind Contribution
C] Primary E] General Election
Address E] Runoff (Local Elections Only)
Date of In4Qnd Contribution Aggregate this Election
City State Zip Code Description of In-Kind Contribution
p n
5. TOTAL ITEMIZED IN -KIND CONTRIBUTIONS
(Carry forward to item 3. of next pagert 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.) / J
SS-1128 (Rev. 2106)
Page of RDA 1159
ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE
2. REPORT COVERING THE PERIOD
FRO ~ ~ T0: L ~ ~O - i
-il 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) moun
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
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
Gty 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.)
Allsk
SS-1129 (Rev. 4/02)
Page of 7_ RDA 1169
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(-j ; j o
y, r q- '2 d i1-/ I W e-a r
2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE
s,d, &U a
4.a. CAMPAIGN ADDRESS AND PHONE
Street or Rural Route City State Zip Code Phone
W b. CANDIDATE'S HOME ADDRESS (if different than 4.a.)
Street or Rural Rgyte city State Zip Code Phone
40N"
5. OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate)
14 ;,G k a u er ;H-t CrcuKh fi Aefa do, c ` l3.411
1pr
7. ATEGORY OR REPORT (Check one)
❑ ❑ ❑ ❑ Er' ❑ ❑ ❑
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 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. dThis 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 revenue code.
16t4l e z jj L4gz I - iYA, ~4f C! sig ure of candidate date signature of political reasurerv date
11. WITNESS SIGNATURE
C-) . 1) ; 'P A,(, a f
X4 A
signa re of witness date signature of witness date
12. SUMMARY 9
a. BALANCE ON HAND LAST REPORT $ • 0 3
b. TOTAL RECEIPTS THIS PERIOD $ll
C. TOTAL DISBURSEMENTS THIS PERIOD $ S o - O V
d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) '
e. TOTAL LOANS OUTSTANDING $ y
f. TOTAL OBLIGATIONS OUTSTANDING $ O
SS-1109 (Rev. 2/06) Page 1 of RDA 1159
a
r
SUMMARY PAGE - CANDIDATE
13. NAME OF CANDIDATE OR COMMITTEE (In Full) I P 14. REPORT COVERING THE PERIOD
{O e- I FROM:y , l TO:
RECEIPTS
15. CONTRIBUTIONS (other than loans and interest)
a. Unitemized Contributions ($100 or less from each source this period) $ 3 A ,
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 19
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) $ O
b. Itemized Expenditures (Over $100 each payee this period) $ .5 'D
c
c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $ Sa
20. LOAN REPAYMENTS MADE THIS PERIOD $ d
21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) $ d
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) $ 0
c. TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 12.f.) $
SS-1133 (Rev. 4/02) Page i~ of
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
`
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
FROM: , TO: u
iill1A 1111, r G Amount
j, G (9
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:
~mary Election El General Election O O , d
Last Name/Organization Name
Addre W ❑ Runoff (Local Elections Only)
~1( c~ eL. G~-
Date of Contribution Aggregate This Election
` tat zipCoode~ a
City ` 3 l 0
r ~Lo I
Occupation p
Employer
Middle Name Contribution Received For: Amount of Contribution
First Name
0 I'V\
Last Name/Organization Name rimary Election ❑ General Election /
❑ Runoff (Local Elections Only)
Address
state Zip Code Date of Contribution Aggregate This Election
11 City
d N I •e
Occupation
Employer
Contribution Received For: Amount of Contribution
Primary Election General Election
on ame
7AMddress 7niz. iddle Name
❑ Runoff (Local Elections Only)
City grate Zip Code Date of Contribution Aggregate This Election
Occupation
-Employer
Middle Name Contribution Received For: mount o Contribution
First Name
Last Name/Organization Name ❑ Primary Election ❑ General Election
Address ❑ Runoff (Local Elections Only)
State Zip Code Date of Contribution Aggregate This Election
City
Occupation
Employer
5. TOTAL ITEMIZED CONTRIBUTIONS
(Carty 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.) 2
M SS-1131(Rev. 2106) Page 3 of 3 RDA 1159
ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE ( , I 1 2. REPORT COVERING THE PERIOD
e a^ ( FROM: TO. 4.
moon
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
❑ 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
❑ Primary Election ❑ General Election
Last Name/Organization Name
❑ Runoff (Local Elections Only)
Address Date of In-find Contribution Aggregate this Election
CRY State Zip Code Description of In-find Contribution
Occupation Employer
First Name 7 Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution
❑ Primary Election ❑ General Election
Last Name/Organization Name
❑ Runoff (Loral 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/OrganizationName ❑ 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
ccupa on mp r
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 Rem 22b. of summary.)
SS-1128 (Rev. 2106) Page of RDA 1159
ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE ;r 2. REPORT COVERING THE PERIOD
<-0 r e, w 1 W% tAc 11 L kit, FROM:,4- TO:
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 Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name G tS ra 1 C
Address
G
City / Stale Zip Code
0- it tc l L t Gam- ~ 0
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
U
Address
d LwB-t S
City State Zip Code
ce r 3
First Na a Middle Name Purpose of Expenditure Amount of Expenditure
v Yo
Last Name/Business Name
Q
Addres
`L a I~
13 i!~ s Y 11
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
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.) j~
(If this is the last page of expenditures, this amount must be shown in item 19b. of summary.) L
r
SS-1129 (Rev. 4/02) Page of RDA 1159
r +
ITEMIZED STATEMENT OF LOANS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
FROM: TO:
4/- - to
tw G r I f 4mot La 10 (
&o
IT I
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 can
❑ 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 TMiddle Name First Name Middle Name
Last NamelOrganization Name Last Name/Organization 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 City State Zip Code
Amount Guaranteed Outstanding Amount Guaranteed Outstanding
First Name Middle Name First Name Middle Name
Last NamelOrganization 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
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 E of Period
(Total loan payments should also be shown in item 20. on summary page.) O 0 n\
(Total outstanding loan balance should also be shown in item 12.e. on front page.) (J
SS-1132 (Rev. 4/02) Page & of _ RDA 1159
y
ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE ( 2. REPORT COVERING THE PERIOD
I" I ( ,(,d FROM: 4t'/ r TO:
3. COMPLE 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 1 /
U U
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
Flrst Name Middle Name
Last Name/Business Name
Address - -i'
city State Zip Code
Description of Obligation
First Name Middle Name
Last Name/Business Name
Address
City State Zip Code
Description of Obligation
.TOTALS
(Total from Outstanding Balance - (End of Period) column must also be shown
in item 23b. on summary page.)
Afft
SS-1127 (Rev. 4102) Page -7- of RDA 1159
i
- CAMPAIGN FINANCIAL DISCLOSURE STATEMENT
For state Local
Com a ttees
For Single-Candidate
A
NAME OF CANDIDATE ORCOMMITTEEC a i 1 11
1. DATE OF REPORT I (rGe r LI - k-% d 7
3. ELECTION DATE I
2.b. IF COMMITTEE, NAME OF CANDIDATE S
Zip Code Phone
OOP
4.a. CAMPAIGN ADDRESS AND PHONE City XSlate
s d S
Street or Rural Route J h 3 j
it ~0
State Zip Code Phone
S HOME ADD SS (if different than 4.a.)
4.b. CANDIDATE'S
Street or Rural Route
livable) 6. NAME OF POLITICAL TREASURER (may 3 candidate)
5. OFFICE SOUGHT (include district number, if app d Y
7. CATEG Y OR REPORT (Check one)❑ 0 0 MID-YEAR YEARR--END 13 El FOURTH PRE PRE
FIRST SECOND THIRD GENERAL SUPPLEMENTAL SUPPLEMENTAL
UARTER UARTER UARTER UgRTER PRIMARY
8.b. ENDINGDATE OFREPORTINGPERIOD
. BEGINNING DATE OF REPORTING PERIOD
8.a
9. (Check one) (including ' received total $1,000 or less AND expendi ure because ❑
a• This campaign is exempt from detailed disderiod. (Compete items 12d. 12eand12f ) tures total $1,000 or less for this reporting p
b. (,d/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. Ilwe do solemnly swear or affirm that the information excontained in this campaign financial disclosure port is true and that this report is an
ate committee Campaign for the personal financial
accurate accounting of campaign contributions a ti Penditures required to be reported by the candidat no
ed by the contributions
internal beennue code.
exp Financial Disclosure Act. Additionally, I/we swear or affir has decampaign
benefit of the candidate or for any other nonpolitical purpose
date
3 - z~l Cr TA,
dale signature of poli cal tre asurer
sig lure of candidate
11. TN SS SIGNATURE _ r
f 3 q J1 # _
date
date signature of witness
signature of witness
12. SUMMARY ' 19
a. BALANCE ON HAND LAST REPORT $ D V
b. TOTALRECEIPTSTHISPERIOD
3 0 g- N
. 83
c. TOTALDISBURSEMENTSTHIS PERIOD
.
d. BALANCE ON HAND (12.a. plus 12.b. menu
e. TOTAL LOANS OUTSTANDING ~j
f. TOTALOBLIGATIONS OUTSTANDING
Page 1 of RDA 1159
SS-1109 (Rev. 2106)
4MW
SUMMARY PAGE - CANDIDATE
14. REPORT COVERING THE PERIOD
FROM: - T0:
13. NAME OF CANDIDATE OR COMMITTEE (In Full)
Lill
V' Q v Y
RECEIPT
15. CONTRIBUTIONS (other than loans and interest)
a. Unitemized Contributions ($100 or less from each source this period) $ , O J
b. Itemized Contributions (over $100 from each source this period) $
$ 0
C. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.)
16. LOANS RECEIVED THIS REPORTING PERIOD $
$ 0
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) gasoline)
must be listed by category - e.g., printing, postage, g
a. Expenditures ($100 or less each payee this period) ( $ 's aCi
Jill
It
v9 ~ 14 gyp
Total of Expenditures ($100 or less each payee
w
• "1 y
Itemized Expenditures (Over $100 each payee this period)
c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and '19.b.)
20. LOAN REPAYMENTS MADE THIS PERIOD $ D ~ ~ u
21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.)
22.IN-KIND CONTRIBUTIONS O
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) $ $ O
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
VW S&1133 (Rev. 4102)
i
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
2. REPORT COVERING THE PERIOD
1. NAME OF CANDIDATE OR COMMITTEE 1 1 FROM: ` TO: 3
y .Q /~4 J.JN' Amount
o•O~
3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0'tf first itemized page)
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor Amount of Contribution
Middle Name Contribution Received For:
Fi ame
'rimary Election ❑ General Election
tNamelOrga 1bnName
t
ress ❑ Runoff (Local Elections Only)
Ad d 4 C
ity Date of Contribution Aggregate This Election
C Sfate tip Code ~
ar ~ le C.~
1 1
Occupation if Aj Ft s
r
Employer r
T
Middle Name Contribution Received For: Amount of Contribution
First N~tne \
rimary Election ❑ General Election
Last Nam 1 .4enization Name t r 300
r ` ` ❑ Runoff (Local Elections Only)
Address
city Date of Contribution Aggregate This Election
c ~p
' • V
Occupation ~ ~ ,y ~ Y
Emplbyer 1
Ix Amount of Contributlorl
Middle Name Contribution Received For:
First Name
-:r,• th !4 tmary Election General Election ~CO 0
a amza ame j
r+ ❑ Runoff (Local Elections Only)
Address x/
~!C State 7Jp Code Date of Contribution Aggregate This Election
City Occupation )t4 4 Y' 17 1
r
ontri ution Received or VmiunT-df ution
Middle Name
Fit Name ~I \
Address J Ild'Primary Election ❑ General Election OVI
Last NamelOrganizatlon Name
[3 Runoff (Local Elections Only)
sir L p ti Aggregate This Election
City rpCode y Date of r Contribution I '
`
i - 1
Occupa,0 a
Employer
L. 5. TOTAL ITEMIZED CONTRIBUTIONS ve d •
(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.)
Page of RDA 1159
SS-1131(Rev. 2106)
k
ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE J j li,
2. REPORT COVERING THE PERIOD
-t r 0 L Q FROM: !1 TO: 3
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 ng contributor duri ®e
period)
First Name Middle Name In-Kind Contribution Received For. Value of In-Kind Contribution
Last NamelOrgan¢ation Name ❑ Primary Election ❑ General Election
❑ Runoff (Local Elections Only)
Address
Date of In-Kind Contribution Aggregate this Election
City State Z
Description of In-Kind Contribution
Occupation Employer
First Name Middle Name In-Kind Contribution Received For.
Value of In-Kind Contribution
Last Name/Organization Name Primary Election El General Election
❑ Runoff (Local Elections Only)
Address
Date of In-Kind Contribution Aggregate this Election
City Stale Zip Code
Description of In-Kind Contribution
Occupation Flrpbyer
First Name Middle Name In-Kind Contribution Received For.
Value of In-Kind Contribution
Last Name/Organization Name ❑ Primary Election [I General Election
❑ Runoff (Local Elections Only)
Address
Date of In-Kind ContritKft Aggregate this Election
City State Zip Code
Description of In-ICnd Contribution
n
First Name Middle Name In-Kind Contribution Received For. Value of In-Kind Contribution
Primary Election ❑ General Election
Last Name/Organization Name ❑ ry , i ❑ Runoff (Local Elections Only)
Address Date of In-Kind Contribution
Aggregate this Election
city Sfate Zip Code Description of In-Kind Contribution
Occupation Employer
First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution
LaslNarrre/O~anizationName ❑ Primary Election ❑ General Election
❑ Runoff (Local Elections Only)
Address Date of Kn-KOnd Contribution Aggregate this Election
City State Zip Code Description of In-Kind Contribution
Occupation t:mployW
5. TOTAL ITEMIZED 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-kind contributions, this amount must be shown in item 22b. of summary.) v
SS-1128 (Rev. 2/08) Page of RDA 1159
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
2. REPORT COVERING THE PERIOD
1. NAME OF CANDIDATE OR COMMITTEE r ` FROM: TO: 3 S J
Amount
3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page)
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contri butions totaling more than $100 from an contributor ZAmount of Contribution
Middle Name Contribution Received For:
ame ,
Fi
y Q
V
Q rimary Election C1 General Election
Last Name/ nization` Name ry Election C1 General Election
h d C./ ❑ Runoff (Local Elections Only)
Add f O
Date of Contribution Aggregate This Election
State ZAP Code
city d-yt O
Occupation, ~
vl
V w~ K
Employer
S.GL. ~ Amount of Contribution
Middle Name Contribution Received For:
First ame
t" rimary Election ❑ General Election e 0
Last NameloTanization Name
1 ❑ Runoff (Local Elections Only)
Address G~ ens e h ~ . ~ C eta
Date of Contribution Aggregate This Election
City Slate Zi Code '
ha v
occupation
1-Y r Gn
Y' yv Q ~ 1.6G
Employer C
Amount of Contribution
iddle Name Contribution Received For:
First Name
t GaA*ary Election General Election 0 0, S a me an¢aron ame
dre ❑ Runoff (Local Elections Only)
Address
Date of Contribution Aggregate This Election
State Zip Code
city
A~~. Q
Occupation
YK.L mp oyer
G O a t 'f y mount o Contribution
Middle Name ontrt ution Received or.
First Name
C3 Primary Election ❑ General Election
Last Name/Organization Name
❑ Runoff (Local Elections Only)
Address
Date of Contribution Aggregate This Election
State Zip Code
City Occupation
Employer
5. TOTAL ITEMIZED CONTRIBUTIONS
(Carry forward to item 3. of nerd page 9 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.)
Page of RDA 1159
SS-1131(Rev. 2106)
ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE
2. REPORT COVERING THE PERIOD
3
1. NAME OF CANDIDATE OR CQMMITTEE FROM: G T0: moun
~
WI (,.w 3 o q ~1 • L(c,V IL Jr r $ it
itemized 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM
ITEMIZED EXPENDITURE CDING P GE (enfuresOtotalmgtmore than gpoo9o , any payee during the period)
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH Amount of Expenditure
Middle Name Purpose of Expenditure
First Name
r L~~ ~•~~~j Y
LastNarnamusinessName
C n d
Address I A• r- G 1 0- d[ d
1Y State lip Code /1 a
City JL 4-- 1
r Purpose of Expenditur~ ejo Amount of Expenditure
Middle Name
First Name
Last Name/Business Name S LY
• ~6
14 1 1 d5
Address
state UP Code
city II
K fi` ' -a I ' N Amount of Expenditure
a Middle Name Purpose of Expenditure First Name ^ ~}S D C.
(//'r~`/ Ji 4
Last Name/Business Name , • 1
Address ^
State rip Code
City
t 0 Y G / ~V Amount of Expenditure
Middle Name Purpose of Expenditure
First Name L
Last Name/Business Name r 3
I-I 5;gh5
Addres • D P%
State Zip Code
~CK•or C h
Amount of Expenditure
r Middle Name Purpose of Expenditure
First Name
Last Name/Business Name
Address
State Zip Code
Gty
Amount of Expenditure
Middle Name Purpose of Expenditure
First Name
Last Name/Business Name
Address
State Zip Code
City 'G
5. TOTAL ITEMIZED EXPENDITURES usee.) 3c 1 p7 l w
(Carry forward to item 3. of next page if additional pages otthis form are
(H this is the last page of expenditures, this amount must be shown in item 19b. of summary.) RDA 1159
Page of
SS-1129 (Rev. 4102)
r '
ITEMIZED STATEMENT OF LOANS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
L t FROM: T0:
6-4-a,, 5,-C DtL I. L. t--*l I/- 3 '
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 Stale Zip Cafe 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 Stale Zip Code city Stale 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
State Zip Code city State Zip Code
city
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 mount 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 Payments En f PenodL_j
(Total ban 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.)
AWL SS-1132 (Rev. 4/02) Page of RDA 1159
i
ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE
~ 2. REPORT COVERING THE PERIOD
LETE ±EA E OR COMMITTEE N~ FROM: J (t T0: 3
ROPRIATE ITEMS FOR EACH ITEMIZED Balance
Period DThislPenod This Period 0 (End of Period) ce cu ts ons totaling more than $100 owed to any ( 9nnn9 o )
end of the reporting period)
First Name MiddleName
Last Nam dBusiness Name
Address
City State Zip Code
Descripti m of Obligation
First Name Middle Name
Last usmess ame
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 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.)
Page of RDA 1159
AWL
SS 1127 (Rev. 4102)
01/21/2014 TUE 8:59 FAX 8652735927 Blount Cc Election 0002/008
40
I b 9~
RFC a
~~EO
';i
CAMPAIGN FINANCIAL DISCLOSURE STATEMENT, ti
For State and Local Candidates
For Single-Candidate Committees
1. DATE OF REPORT 2.a. NAME OF CANDIDATE (
t'- z r :2 0) 4/ 1 e- d-r i l~lK~0.
2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE
sate s- G
4.a. CAMPAIGN ADDRESS AND PHONE
Street or Rural Route City r State Zip Code Phone
'J' Ad Ing A ll ~o Li 0- R'* n
4.b. CANDIDATE'S ME ADDRESS (if different than 4.a.)
Street or Rural Rout City Stale Zip Code Phone
5Cf A"
5. OFFICE- SOUGHT (include district number, 0 applicable) 6. NAME OF POLITICAL TREASURER (may be candidate)
7. CA ^r1RY OR REPORT (Chock one)
FIRST SEOOND T HM FOURTH PRE- ~ M10.❑CAR END
QUARTER QUARTER QUARTER QOL16RT-IFR MARY GENERAL SUPPLEMENTAL SUPPLEMENTAL
8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERM
r '
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 (his reporting period. (Complete items 12d., 12e. and 12f.)
b. is 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. Ihve 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 AcL 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 Internal revenue code.
t
c~~~" Zvi f l„ l a
slg ure of candidate dale signature of pohUca Treasurer date
11. WI ESS SIGNA
LX7
slg u Itness / date s o witness
y date
12. SUMMARY ~t
a. BALANCE ON HAND LAST REPORT $ ~.;L (j U
5400.QU
b. TOTAL RECEIPTS THIS PERIOD
c. TOTALDISBURSEMENTS THIS PERIOD 3~ S 7 8.O
d. BALANCE ON HAND (12.a, plus 12.b, minus 12.c,) ' 3 7 r
e. TOTAL LOANS OUTSTANDING $ V
f. TOTAL OBLIGATIONS OUTSTANDING $
SS-1109 (Rev. 2106) Page 1 of RDA 1159
Im003/OOtl
01/21/2014 TUE 8:59 FAX 8652735927 Blount Co Election
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) $ -L "Old
b. Itemized Contributions (over $100 from each source this period) $ 4-r to 0'
c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a, and 15.b.) $ ~t 00 a
16. LOANS RECEIVED THIS REPORTING PERIOD 0
17. INTEREST RECEIVED THIS REPORTING PERIOD d
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) $ 3 S O ` y
b. Itemized Expenditures (Over $100 each payee this period) $ 3t i u. oT
c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $
20. LOAN REPAYMENTS MADE THIS PERIOD $ 0
21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.)
22. IN-KIND CONTRIBUTIONS
a. Unitemized in-kind contributions ($100 or less from each source this period) $ 0
b. Itemized in-kind contributions (over $100 from each source this period) $ 0
c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.) $ t~
23.013UGATIONS
a. Unitemized Obligations Outstanding ($100 or less each) $
b. Itemized Obligations Outstanding (Over $100 each) $ O
c, TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 231.) (must be shown i item 12.f.) $
SS-1193 (Rev. 4102) Page of Y
[,0004/UUi§
01/21/2014 TUE 9:00 FAX 8652735927 Blount Co Election
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE , !I 1 2. REPORT COVERING THE PERIOD
,GJ r W a,t, J La FROM: 17,1 q ~ T0: - IS - !O/
Amount
3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter EO tl first itemized page) 1
4, COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than Stoo from an contributor
First Name IfddleName Contribution Received For. Amount of Con"xAion
Ge
Last NameJ0rga Ubw Name 111 Primary FJedion ❑ neralE{edion
&0 .
U
Address ❑ Runoff (Local Elections Only)
&o3 G it C.-0,4 wy
Stale L Code Dale of Contribution Aggregate This Election
0
O=Pation
Employer
e.4e
FWNamo MiddfeName Contribution Received For: Amount of Contribution
O l<
Last melOc$aniza . me p ry Ebclion ❑ General Election
Address L ❑ Runoff (Local Elections Only)
~S
State Zprode Date of Con0x&n Aggregate Ws Election
h "Z D
0capauon
nv., r
EmO"
V r
S~
F~tNarne Name Contribution Received For. Amount of ConUiMdion
(.et r y
-Last nda me [nary Election ❑ General Electvn S d ` D
G-a r h tG r
❑ Runoff (Local Elections Only)
r' •C -e
City 14 Godo Date of Contribution Aggregate Ws Election
N ~r
jEffoom 5 {
Flrsl Name Nina ConVbW Received or Amount o n 4on
W - 5 if It, Narne* antra' Name l3 ianary Election ❑ General Election
Address ❑ Runoff (Local Elections Only)
a'
C*y ~ 75v3 code 4 Dale of ConUibuGon Aggregate This Election
o
IN&
oempatim 524l
,-o Cai O
Employer ~ L
5. TOTAL ITEMIZED CONTRIBUTIONS tU
(Carry toward b Kem 3. d nod page N t ddif wW pages of this loan are used.) a
(N ft is the last page of conWxhor+s, NG anwa+t nwst be shwa in Nom 15b. of swan n.)
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: ~ j TO: ~ y
"C . Amount
3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first item¢ed page) 00. O U
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions lotaR more than $100 from an contributor
Ftst Nance tddde Name Cont-ntn'buub/lion Received For. Amount of Contribution
lest s L~Pnmary Election ❑ General Election Sa 0 d
0 •
Address ❑ Runoff (Local Elections Only)
1o 1 Ceo-~roy.
• State LpCode Date of Contribution Aggregate This Election
Occupation
Empbyer
FsstName Contribution Received For. Amount of Coribbution
; G / [nary Election ❑ General Election - - .L.Q
s
Address A,,dt ❑Runoff (Local Elections Ony)
" 11r
State 3 "v o Date of Contribution Aggregate This Election
vl !nom
f Gdt r for S'
FrdNanw Name Contribution Received For. Amount of Conobution
-C r r V r-111,
canary Election Gefteral Election
'30d .0
129
tr n ❑ Runoff (Local Elections Only)
Address tr"
c Lc H
CKY stars za coos Date of Contribution Aggregate This Election
~d C
Ykt d r- V
0="tion
EffOoy-
Name o o Contrikiton
Frsl
Last Nartral wn!za6on Name Mirdwy Election ❑ General EWction O O v
w a~ itti ~
Address ❑ Runoff (Local Elections Only)
0 w,
city d t State Tode Dale of Contribution Aggregate This Election
3
occupation
6np{oyer
sL
5. TOTAL ITEMIZED CONTRIBUTIONS J
(Carry f award to item 3. of next Woe if addtiorW pages of ft form are used.)
(K tuts is tie last page of contributions, this ww t must be shorn in Item 15b. of wrrwrgm.)
SS-1131(Rev. 2106) Page of RDA 11159
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTE 2. REPORT COVERING THE PERIOD
FROM: TO: I
O Q. nt -1
3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 It first Itemized page) (so • ° J
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contrbutiorts totaG more than $100 from an contributor
First Name kW* Nam Conft lion Received For Ammnt of Contrbbuton
0N40.
List Narrelftargubm Name G4fd=ry Election ❑ General Election
A CA it e- ?y
e, Lp L ❑ Runoff (Local Elections Only) (J
State zip Code Date of Contribution Aggregate This Election
owupation
Wv"eName Contribution Received For. Amount of ConbWon
r
LName rinary Election ❑ General Election 5 Q ~ ~ -
Address - - - - l
❑ Runoff (Local Elections Only)
I C Zp Code J Date of St* Aggregate This Election
ocapation _
.ti
Fait Name Nif11e Contribution Received For. Amount of Conlrbutiont
L1 Election ❑ General Election J
~d
Address (]Runoff (Local Elections Only)
~c
LQA
Zip Code Date of Contribution Aggregate This Election
77 9
Ocragation
,A, N Imo'
First m 6dAe Nam*
o Contribution -Contribution Recew W. Amount ListNamdOrparQationName lR<ZryFJe " ❑ Gent" Election ~ S a . d d
L r
Address ❑ Runoff (Local Elections Ony)
` Date of Contribution Aggregate This Election
TV cok CC*4 1.3 Pl
Occupation 1, 6
EffOoyer
et 5. TOTAL ITEMIZED CONTRIBUTIONS e
(Carty bnword to item 3.O sad pays K idff*W pages of t,fs form are used.)
IN f1,is is t.0 list page of cw*bAw%s, this amount must be stows in item I W of surtvnary.)
SS-l13i(Rev. 2106) Page of s RDA 11159
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE :::m ORT COVERING THE PERIOD
_ TO:
nt
3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 4 O
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBl1TlON contributions totals more than 5100 from an contributor
First Name Wddle Name Contribution Received For. Arnount of Contribution
taslNamel0ryan¢eON me Etr mmry Se Lion ❑ General Election I 'D 0 . l
ct ~ (J
❑ Runoff (Local Elections Only)
i
Gh' Date of Contribution Aggregate TNs Election
z0ode pa
Oca.Qation
Empbyer
{L ~
First Name Wd*Name Contribution Received For. Amount of Contribution
❑ Primary Election ❑ General Election -
Lest NamelOryanizationName -
Mdras ❑ Runt( (Local Elections Only)
CKY Stale JZOCode Date of Contribution Aggregate This Election
f]cCUpstion
Fast Name Nana Contribution Received For. Amount of Contribution
❑ Primary Election ❑ General Election
Runoff (Local Elections Only)
C* Stale Zrp Code Date of Contribution Aggregate This Election
Occupation
ERVIom
MddleName or Arnount o Contribution
Fkst Name
Last NamdoVanization Name ❑ Primary Election ❑ General Election
Addrew ❑ Runoff (Local Elections Only)
Cub Stale Zp Code Dale of Contribution Aggregate This Election
owvabon
brglq^er
5. TOTAL ITEMIZED. CONTRIBUTIONS 7 4 d• Q w
(Csey brwsrd to kem 3. of next pays k ad0onal paga of rib form are used.)
(k INs is the last page of cw*butions, This arrant must be shown in ksm t5b. of wmrkuy.)
SS-1131(Rev. 2106) Page _y~_ of RDA 1159
01/21/2014 TUE 9:00 FAX 8652735927 Blount Co Election 0005/008
ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS . CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
V H t tw a a tl >l~ FROM: , TO:
3. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 9 first Itemized page) n
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED IN-KIND CONTRIBUTION (iraind contrbuGoru totaling more tl>art S100 from any contributor during the period)
FrslNanw MddleName In-Kind Contribution Received For: Value of In-Kind Contribution
Last NamWOrganirabwName ❑ Primary Election ❑ General Election
❑ Runoff (Local Elections Only) 0
Address Date o(k)4W Cootrfbution Aggregab Mmis Ek~cticn
City zip Code Desafptiono(kHWContbutbn
Occupation 6rpbrer
Fkst Name Middle Name In-Kind Contribution Received For. Value of In-I(ind Contribution
Last Name/Organizatioo Name ❑ Primary Election ❑ General Election
Q Runoff (Local Elections Only)
Address Daloofk WContrbution AggrogatetMsElochcrn
Cfty Stale LP Code Descrip w of k,*W C *tubw
occupation Employer
First Name Middle Name "rod Cdntributon Received For: Value of In-Idnd Contribution
Lost Nama/Orown abonName ❑ PrinwryElecwn ❑ General Election
❑ Runoff (Local Elections Only)
Address Data of 4W Carkbution Aggregate tlrts Election
city Strte Zp a Des*tian of kAGrA C *bvbon
Occupation
Fkd Name Middle Name In-Kind Conlrbition Reoeived For: Value of In-Kind Contribrution
Last Name/ prkationName ❑ Primary Election ❑ GeneralEleclion
❑ Runoff (Local Elections Only) a
Address Date of kmaW CQ*bulbn Aggregate this Election
CRY Stale Zip Code Des bonofln-1WIConhbution
occupation Fns
First Name V4* Name In-Kind Contribution Received For: Value of in-Kind Contribution
Lost NamelOrgantr WnName Primary Election ❑ General F_l~,Iction
❑ Runoff (Local Elections Only)
Address Oa4e 0(h#W Contribution Aggregate ft Election
Cdy Stale ZP Code
Oesaip6an of kmaGrd Contribution
tmp"
5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS
(Carry (award b hem 3. of next page Madditonatpages of m form are used.)
(h this B tlmo last page of km*ind oonbrbuliau, Mss amourd mull be dawn in Nam 22b. of summary.)
10 SS-1128 (Rev. 2/06) Page of RDA 1159
01/21/2014 TUE 9:00 FAX 8652735927 Blount Cc Election 2006/008
ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE
1, NAME OF CANDIDATE OR COMMITTEE • 2. REPORT COVERING THE PERIOD
V- _a- &0., lit ow LA-ba I FROM. ~ TO: - -
3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 9 first hemized page moun
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures Mating more than $100 to eny payee during the period)
Firs)
V. Z N Middle Name Purpose of Expendture Amount of Expenditure
l I N usiness Name n v 5
- 9 ress .'is r.0 5 O~ t✓G/
r-rs 2 y I f 4 2.
r"tf Slate Zip Code
i
e- 7114 1 37 d
First Name Middb Name Purpose of Expenditure Amount of Eupendtture
Last Nw*Musk-%Name a s 0 u
0. r i yt, N% r e L- S 1•
Address
O : r d s- w.~i o~+ I~
CRY Stale Zip Code
4 - .c T- 111,111virl
First Name Middle Name Purpose of Expenditures Amount of Expendfture
Lest Nw"vshwu Name 41 G A e ( S
~~•h.G ~vr ~Sd ~C)
Address
City Stale Zip Code
h• ~l h 371e [
First Name Middle Name Purpose of Expendbre Amount of Expenditure
Last NamelBuskress Name
Address
City State Zip Code
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Nw*Musiness Nam
Address s
City Stale Zip Code
First Name M dd{c Name Purpose of Expenditure Amount of Expendture
Last NamelBusbus Name
Address
City State Zip code
5. TOTAL ITEMIZED EXPENDITURES
(Carry forward to teem 3. d noxi page it additional papos o (ft form are used.) / G 7
(If this Is the Iasi pope of axpWitures, this amount must be shovm In Nam 19b. of sunvnary.) v i
Am!lk
SS-1129 (Rev. 4102) Pape i of RDA 1159
01/21/2014 TUE 9:01 FAX 8652735927 Blount Co Election 0007/008
ITEMIZED STATEMENT OF LOANS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE R,, t 2. REPORT COVERING THE PERIOD
LA~A-Ief FROM: TO:
or ~Oh? -x•13
3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED LOAN (loans awfing more than stop from any source during the peri4
Complete the Folbwing for the Soune of the Loan
First Name M drib Name Outstanding Low Balance Loans loan
Ou(staMing Loan Balance
(0ogiw4N of Period) Rocotvod Payments (End of Period)
Last Namel0rg3nlzetlon Name
Address Loan Remlved For. Oa1e o loan
Gly [3 Primary Election ❑ Corwal Election
State Lp Code
❑ Wm ff (Local Ebctions Only)
List All Endorsers or Guarantors for Above Loan 0( more spaoa Is needed please affach a page)
First Name Mddk Name Flrst Name Middle Name
last Name/Orgarkaticn Name Lasl Name
(Organization Name
Address Address
city Slalc l p Code City Slate Zip Code
Amount Guaranteed Outstanding I Guaranteed Outstanding
First Name Middle Name Fhl Name Midrib Name
Las( Narne/0rpanization Name
Last Name/Organization Name
Address
Address
C Sbte ZJp Code Qty State Zip Code
Amount Guaranteed Outstandng knoAt Cwarenteed Outstanding
Firs) Name 1Rddte Name Fiml Name Middle Name
Las( NamelOrganlzation Name
Last NameJOrpanlzation Nance
Address
Address
N Slab Zip Codo City State Zip
Amount Guaranteed Outstanding mwol Guamnloed Outstanding
First Name MiddleNarna Flrs(Namo 7 Middle N.
Last NwWOrgaNzatim Name Lest NwWOrganization Name
Address Address
City State hp Code Cily Slab Zip Code
Amount Guaranteed Outstanding kmwol Guarmleod Outstanding
4. TOWS ford Loans (Complete on teal page o(Kw*ed (Oulu) Outstanding Loan Balance Loans Loan Outstanding Loan Balance
(Total barn rewW should also be Omm in ilam 16. on summary paged (Beginning of P nts End o(period)
(Total ban pa"tz should also be Own in item 20. on summary page.)
(Total outstand ng ban balance shordd also be sham In Hem Me. on front page.)
ANN
SS-1132 (Rev. 4101) Page of -4L RDA 1159
12ooa/ooa
01/21/2014 TUE 9:01 FAX 8652735927 Blount CO Election
ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE , ! GO 2, REPORT COVERING THE PERIOD
FROM: - / 3 TO: - / S- /
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 Mddto Narrw
last NwwAvslr4ss Nam
Address
Gty State Zip Code
bon of rA
FirstNamo Mddle e
Lost NarrwBusinoss
Address
city State Zip Code
Deuripsmt of oblparton
First Name MOM Name
Last NamelBusiness Name
Address
GN state Zip Code
Dosmption of Obtipation
First Name frMddfe Name
Lest Na sAuslness Nan*
Address
C'b' stale Zip Code
Desc*jon of Ob4af on
First Name? Name
Lest NamelBuslness Name
Address
city Slate 7jo Code
Dos row of obligation
4. TOTALS
(Total from Otilslandirip Balance - (End of Period) column must also be shown
In Clem 23b. on summary page,)
Ach
SS-1127 (Rev. 4/02) Pape of k RDA 1159
q
I CAMPAIGN FINANCIAL DISCLOSURE STATEMENT
For State and Local Candidates
Tor Single-Candidate Committees
1. DATE OF REPORT 2.a. NAME OF CANDIDATE OR COMMITTEE
v l o- ►M Ill h ci I~
2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE
4.8. CAMPAIGN ADDRESS AND PHONE
Street or Rural Route city state Zip Code Phone
Q,-,. It o C o w PJ - kVA0L'-V - l I h 3 o f - .q -So S
4.b. CANDIDATE'S HOME ADDRESS ('d different than 4.a.)
Street or Rural Route city state Zip Code Phone
e
5. OFFICE SOUGHT (include district number, If applicable) 6. NAME OF POLITICAL TREASURER (may be candidate)
+Coo IAJ 91, AA O
7. CATEGORY OR REPORT (Check one)
FIRST SECOND T~ ❑ ❑
FOl,1FtT}f PRE PRE MI YEAR YEAR-END
QUARTER O_QARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL.. SUPPLEMENTAL
8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD
7(Chedkone)
a. ( `pis 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. [91his 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 AcL Additionally, Vwe swear or affirm that no campaign contributions have been expended for the personal financial
benefi of the cagdidate or for any other nonpolitical purpose as defined by the federal internal revenue code.
to. W 7_ . 2 r3 -wander `f~r, fir, °B.~..
signatuGe of candidate 7 "~►0
date signature of political treasurer - date
11. WITNESS SIGNATURE
3 Y
signature of witness date signature of witness date
r.12 SUMMARY
a. BALANCE ON HAND LAST REPORT
b. TOTAL RECEIPTS THIS PERIOD .....................................i............ h O 0.
O b
c. TOTAL DISBURSEMENTS THIS PERIOD .....................5 y T `
d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.)
e. TOTAL LOANS OUTSTANDING $
t,
f. TOTAL OBLIGATIONS OUTSTANDING
SSA I09 (Rev. 2106) Page 1 of _ RDA 1159
0 .
SUMMARY PAGE - CANDIDATE
a- COVERING THE PERIOD
13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT
kA, Lw P FROM: TO:
~ ~ YH 1
RECEI TS
15. CONTRIBUTIONS (other than bans and interest)
_SAe . Q °
a. Unitemized Contributions ($100 or less from each source this period) $
b. Itemized Contributions (over $100 from each source this period) $ 1 00-60
'24oo -a
c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.)
16. LOANS RECEIVED THIS REPORTING PERIOD D
$ D
17. INTEREST RECEIVED THIS REPORTING PERIOD
0- ..1 6
18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) $,Z4 0-
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)
Fa I" it SleDhf lr 6J4'=4 tea. raMctiL~ $ to .0. O
60a :tCj& r a; /►•a(J s /oj. &.s~ $ Loa a
4L a ,e $ 3q •3
~.•jy <ovrwY $ SS • s~
$
$
$
Total of Expenditures ($100 or less each payee) $ gel'
b. Itemized Expenditures (Over $100 each payee this period) $
c. TOTAL EXPENDITURES (other than ban repayments)(add 19.a. and 19.b.) $ Y y
20. LOAN REPAYMENTS MADE THIS PERIOD 0
21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) $
22.IN-KIND CONTRIBUTIONS
a. Unitemized in-kind contributions ($100 or less from each source this period) $ D
b. Itemized in-kind contributions (over $100 from each source this period) $
d
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) $ 0
a TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 12.f.) $ 0
SS-1133 (Rev. 4102) Page Z f.
'r
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE
2. REPORT COVERING THE PERIOD
lTC O r t 1r1 1 L V l FROM: TO: S
3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) nt
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION r (nbut;ons lota6 more than $100 from an contributor
Fix Name Name Contrlbufion 'Recetved For
~ Amount of Contrbution
Last NamelOrgad bw Name
Primary Erection ❑ General Election
Addrass ❑ Runoff (Local Elections Only) • O V
Lp Code Date of Contribution
r Aggregate This FJection
Ocapation
~r
Empbw
A Contribution Received For.
~ Amount of Contribution
Loaf Nama/Ownization Name
himary Election ❑ General Election
?o~~ c~
Address ❑ Runoff (Local Elections only)
7ipCode Date of Contrbution
w j- .t state Aggregate This Election
I. , 3 Y
Emplo~W
F Name O Name Contribution Received For. Amount of Contrbu6on
h Q 1 Z fPrimarY Election E] General Election
So ~
Address ❑ Runoff (Local Elections Only) O . O
City LP Code Date of Contribution
/ Aggregate This Election
A A, '4
lion
u, r
Mid* Nam-
Fis! Name , Y D For' Amount o
Last Nam~ Name VPMwy Election ❑ General Election
L 6 do,0
c7
Address ❑ Runoff (Local Elections Only)
City Stale 740p Code Date of Contribution Aggregate This Election
Occupation n
Ik~k- i Dw~ar
Employer
5. TOTAL ITEMIZED CONTRIBUTIONS
(Cant' hrward lo Nam 3. of next page if sdff*,W pages of Ma tom, are used.)
(e Ws Is Me last tinge of cw*b Aons, Mis amaxrt nwst be O*wn in Nem 15b. of surrxnary.) ` YQ0
AWL
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
tc~ a 3 . L v FROM: TO:
AMOIJ
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 (utadnd m buttons btarrng mere tw $100 from any contrWor durirp ft period)
First Name Middle Name
In-lend Contribution Received For. Value of In-Cmd Contribution
Last NamelOrganiza6onNerme ❑ Primary Election ❑ General Election
13 RunoH (Local Elections Only)
Address Date of kw" ConbbrAion Aggregate Ihis Election
city State 4Code Desarprwo(lr cndcorarbAm
oocupabon Trp
Fast Name Afiddle Name h4Gnd CorMbution Received For. Value of In-Kind Contribution
Last Name ❑ Primary Election ❑ General Election
❑ Runoff (Local EJectiorts Ony)
Address Date 0(h4 W Cm*b Aion Aggregate Mris Bwbon
Orb' Stab ZpCode DesoWwo(kWjndContrbu6on
O0WW_ Enpbyer
First Name Middle Name "nd Corftubon Received For. Value of W &W Contribution
LaslNamefOrgaribo Name C] PAY Election ❑ General Election
❑ Runoff (Local Elections Only)
Address
Date ahac.W cer,frbu6gt AA9regate this Election
C4 state Ygcode Desaomo(fr}10nd0on6bu6ar
0-*" amloff
FW Name =Name b4W Cw*tKrtiort Received For. Value of I"Mtd Conblbution
-7 Last NameigyaNatiatName ❑ Primary Election ❑ General Election
❑ Runoff (Local Elections Only)
Address Date 0(htGW Cortbbution Aggregate Mrs t3ec6on
CRY State zip code Desa"m0fk"WCa*bAm
txcupa _ Enpgw
First Name Middle Name In4QW Contribution Rece(ved For. Value of b*W Conbibution
Lag Name0ryanb6onName Primary Election ❑ General Elecdion
❑ Runoff (Local Elections Only)
Address Date or how C *bj6w Aggregate this Election
CKY shin Zip Code Desmpson d kW W C *b Aon
5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS
(Gerry bward b kern 3. o(nezt page 6 additional pages of lk form are used.) O
(M Gds Is to hst page of b4*W m*bu6om, Mrfs anarnrt must be shown in item 22b. or wmmary.)
SS-1128 (Rev. 2108) Page of RDA 1159
25o-o c)
_,-a
1 e~q~ CA
Ncrj~r~ 2QG c9~
I
r ,
ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
0 y G ianiC ( ca Ls FROM TO:')- jS- /
moon
3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page)
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expendiwms baiinc more ow $too to any payee during ft period)
First Nane Middle Name Purpose of Expenditure Amount of Expenditure
Last Namelftus'mess Nane
j- err ce
S 7 Z- G
Address 4.. P0
ll-w z o .-ddn
CA - Safe code
koe 44. Sol (ce tit
Frst Nave VAddle Name Purpose of Expenditure Amount of Expendtute
Last NanGBusiness N~rne /7s~ i a h d l
o• 1tS-
Add
rsty State Zip Code
yn~ ry~~ 16P th
Fkst game hiddfe Name Purpose of Expenditure Amount of Expenditure
Last Yvainess Name
us Sys r
r
Address
c ty State Zip Code 3 7 • 3 C,
~c
First No= Midde Name Purpose of Expenditure Amount of Expendrttre
Nane C o F J f K -G
Address _ n a. e ~ SS . S~
0 7 C7 `lwa ~1r S G r~ SS b
City State Lp Code ~t L t I
A- A -f 3-110 (
First Name 66ddle Nams Purpose of Expenditure Amount of Expenditure
Last NameBusiness Nam ' lev N
-.p pa ),a6 a Patf(.•e S
Address / ve • ° e)
r sr
bLAL
city Stale 4 ? $
First Name L6dda Name Purpose of Expenditure Amount of Expenditure
Lot CNamelBusiness Nw e L L /oo Ms o r t "b r
Addmss
60 f- e
C4 Saw zip code
5. TOTAL ITEMIZED EXPENDITURES
(Carry toward b tam 3. d next pace d additional paces or flaw form are used.) 'f
(if M is th last pace of experdihnas, this ararxt must be stmn in item 19b. of srxmmary.) V
® SS-1129 (Rev. 4ro2) Pape of RDA 1159
ITEMIZED STATEMENT OF LOANS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
FROM: TO:
6--c or (✓~l({&ONC~~~~( ~a L0,t
3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED LOAN poans btarag more ow sloo from any souse during 0* per)
Complete the Following for the Source of the Loan
First Name tfiiddla Name Outstanding Loan Balance loans roan outstanding Loan Balance
03epirtning of Peribd) Received Payments (End of Period)
Last Na YWOrganizaW Name
Address Lm Received For. Date of Um
❑ Primary F_leo5on ❑ General E" m
G4' Stale Zy Cade
❑ WaaR(Local Elac6au OnM
List Al Endorsers or Guaranlors for Above Loan (If more space is needed please attach a page)
Frst Name Middle Name First Name Middle Name
Last Narnb"a t3bon Name Last NW*0,gm a360n Name
Address Address
C;a State Lp Coda kith &a,^ 4 cods
Amount Guaranteed Outslandin9 MwurA Guaranteed Outstanding
First Name Wddle Name Frsl Name Middle Name
Last Name Last Nam Xkgwk*5ort Name
Address Address
Stela Lp Code City Stake Zq Code
Amaral Guaranteed Oulstandng kff tGuaranleed Oulstme"
Fast Name kliiddle Name RV Name Middle Name
W Na m0lanftejon Name Last Narneftv&aljon Name
Address
Oily tale Zp Code city State W ode
AnmritCkwanbed Outstanding Guaranteed Outstanding
Fast Name Middle Name First Name Middle Name
LaslNam ftontzati Name Lost N&TWID(ganiz:ation
Address Address
CRY State Zip Code City Stale Zip Code
AnauM Guaranteed Outstanding kffoxA Guarantied Outstandap
4. Totals for all Lom (complete on last page of Mec 9nd bans) O&tanding Loan Balance Loans Loan Outstanding Lnan Balance
(Total bars received should also be shown in item 16. an w wwy page.) inning of Reeew a
(Total noon payments thould also be shown in item 20. on s mrnary page.) O
(Total outstanding ban balance shoLdd also be shown in Nam 12a. on hot page.)
® SS-1132 (Rev. 4102) Page of -7 RDA 1159
ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE
1( NAME OF CANDIDATE OR CrOMMITTEE 2. REPORT COVERING THE PERIOD
_G O `C (,v Nn I.u FROM: TO: /S-
3. COMPLET HE APPROPRIATE ITEMS FOR EACH ITE ZE 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)
personhrendor at the end of the reporting period)
Flat Name kiddie Name
Last NaT"Usiness Name
Address O
Ck Stale Cade
Dftcro- of
Flat Name i6ddb Name
Address
fah' Stale Code
Oeserom of Abigation
Flat Now
iiiddle Name
Last NamaJBusiness Name
Address
city state
DeseriP6a+of Obrgation
Flat Name W4* Name
Last NamalBushtess Name
Addmss
ck SWIe Zip Code
Ow" m of Wgaioo
First Name fiddle Name
last Nameftmirress Name
Address
City Stara Zip Code
Desaip m of Obrpation
47kem Outsfarldmp Balance - (End of Period) colutnn must also be shown 0 ~ C
3b. on summary page.)
AML
SS-11 27 (Rev. 4102) Page of RDA 1159