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Hatcher, Tom ,I°FTs;T CAMPAIGN FINANCIAL DISCLOSURE STATEMENT .4;•A; \f.R7CU URF. �7 For State and Local Candidates For Single-Candidate Committees 1.Date: / y-L`/ 2.a.Candidate or Committee Name: jOZ &te-4°1-jc-.) 2.b.If Committee,Name of Candidate: /� 3.Election Date: 4. Campaign Address:l ii`�'JI I &tZ./ 64, City: �/nQluei44Ls_i State: JAA Zip Code: C31�f011' Phone: $e$ 3 8�-�a02� 5. Candidate Home Address: oitVYl•l/ ;, State: Zip Code: Phone: Caricreate Email Address: fhttehe r (/bun f ti•ara- 6. Office Sought:(include district number,if applicable) Q 7. Name of Political Treasurer(may be candidate): ` /1.,(.Q-Q.-co .4300,P7A.A Political Treasurer Email Address: 8. Category or Report:(check one) ❑First Quarter ❑ Second Quarter ❑ Third Quarter ❑Fourth Quarter ❑Pre-Primary ❑Pre-General ❑Mid-Year Supplemental ❑Year-End Supplemental 9.Reporting Period: Start Date: '1- I-2,3 End Date: I-15-d+ 10.Detailed Disclosure:(Check one) ❑ This campaign is exempt from detailed disclosures because contributions(including in-kind)received total$1,000 or less AND expenditures total $1,000 or less for this reporting period.(Complete items 12.d., 12.e.,and 12.f.) ❑ 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. 11.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 contribu ns been expended for the personal financial benefit of the candidate or for any other n o itical pur e as e ned by the federal internal revenue code. Cai-Cd ate Signature Date Political Treasurer Signat Date anmka. L-0. .SL I -ZO2-4- L.6a o.. 0. 1-5 -LDZ4- Witness Signature Date Witness Signature Date 12.Summary: a. ,Balance On Hand Last Report $ I) q g I .l5 b. Total Receipts This Period $ -�- c. Total Disbursements This Period $ I, I Fso .DO d. Balance On Hand(12.a.plus 12.b.minus 12.c.) $ 'O e. Total Loans Outstanding $ .•�' Total Obligations Outstanding RECEIVED SS-1109(Rev.1/2023) JAN 0 8. 2024 Page L of 3 Blount Co Elections ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1.Candidate or Committee Name: �i rlen 44446.124.> 2.Reporting Period: Start Date: 1- I-1-3 End Date: /-/5 3. Total campaign expenditures from preceding page(enter$0 if first page) $ -P- COMPLETE THE APPROPRIATE ITEMS FOR EACH EXPENDITURE. All expenditures must be itemized. If the expenditure is an in- kind contribution to a candidate,please remember to include the purpose of the expenditure(e.g.,postage,printing,etc.)along with the candidate's name in the purpose of the expenditure section.Business or Organization Name: IbGt-P COn1 fed Ir)1 ay) OR First Name: Middle Name: / Last Name: Address: PO. bilk 1OOJ 5 City: `fttri f it le_ State: Trl Zip Code: (3ITO z. Purpose of Expenditure: f0'vtib0r Amount of Expenditure:$ 500.00 Date of Expenditure: $ 7/6ja3 Business or Organization Name: PoriIgm-K t(gar k (.Isfi I4or.oR) OR First Name: Middle Name: Last Name: Address: City: State: Zip Code: Purpose of Expenditure: A"1Ac*1orlvpoN6nr Amount of Expenditure:$ a75.00 Date of Expenditure: s l5la3 Business or Organization Name: 1t)M B fount' Fool-ha i l Soaster OR First Name: Middle Name: Last Name: Address: City: State: Zip Code: Purpose of Expenditure: U/pOY 'I Amount of Expenditure:$ I76•DO Date of Expenditure: $$ g I)4 )2 5 Business or Organization Name: A ICOQ, Lad f"Tor n(Le),o sd<ei-batI OR First Name: Middle Name: Last Name: Address: City: State: Zip Code: Purpose of Expenditure: ( gal Amount of Expenditure:$ (9100.06 Date of Expenditure: $' 8I)'-t�13 Business or Organization Name: Pi nnac-I a bei&k. OR First Name: Middle Name: Last Name: Address: City: Aare 0 i!Ip State: -T74 Zip Code: 578094 Purpose of Expenditure: Pee. (morrrhly) Amount of Expenditure:0040 Date of Expenditure: $' Total Expenditures:$ /, /SO.Dd (Carry forward to the next page if additional pages of this form are used.If this is the last page of expenditures,this amount must be shown in the summary on first page.) SS-1129(Rev.1/2023) Page of 5 rUrpv yr�xperitutuie- SUMMARY PAGE - CANDIDATE 13.Name of Candidate or Committee: TOM Act r'►Ie4 14.Reporting Period: Start Date: 7-1•7-3 End Date: 5'a4 15. Receipts: a. Unitemized Contributions($100 or less from each source this period) $ `� (Note:Effective January 16,2023,Unitemized Contributions are capped at$2,000. See Instructions for more information.) b. Itemized Contributions(over$100 from each source this period) $ -t-- c. Loans Received This Reporting Period $ �— d. Interest Received This Reporting Period $ 412- e. Total Receipts(add 15.a.,15.b.,15.c.,and 15.d.)(must be shown in item 12.b.) $ Y 16.Disbursements: a. Total Expenditures(other than loan payments) $ I, 1 SD•do (Note:Effective January 16,2023,all expenditures must be itemized.) b. Loan Repayments Made This Period $ -t— c. Total-Obligation Payments Made This Period $ r d. Total Disbursements(add 16.a.and 16.b.)(must be shown in item 12.c.) $ I,ISO•DU 17.In-Kind Contributions: a. Unitemized In-Kind Contributions Received This Period $ b. Itemized In-Kind Contributions Received This Period $ ✓ c• Total In-Kind Contributions Received This Period $ 4- 18.Obligations: a. Total Obligations Outstanding(must be shown in item 12.f.) $ �6 SS-1133(Rev.1/2023) Page 6 ofi_ ~ a %#A%MPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORT ~j 12.a. NA YE 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 4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.) Street or Rur oute n~ Cit n Stat Zip Code hone 5. JFRCHT (i ude district n er, if a lic 6. /MME OF POLITI REASU 90 ER candidate) 7. CATEGORY OR REPORT (Check one ~A ,L/C_ ❑ ❑ ❑ ❑ ❑ ❑ FIRST SECOND THIRD FOURTH 7RE- PRE- MID-YEAR YEAR-END QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 8.a. B INNING DATE OF REPORTING PERIOD 8.b. EN NG DATE OF REPORTING PERIOD 9.(Chec 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. ddit'on ly, I/we swear or affirm that no campaign contributions have been expended for the personal financial ben f the candid to r fo an ther nonpolitical purpose as defined by the f deral internal reve ue code. signature of candidate 'date 4 / a~ signat a of p litical treasurer date 11. WITNESS SIGNATURE 1 W2( ' LCL t? L' L( c i", 6 I 2 signature of witness date signature of witness ' date 12. SUMMARY a. BALANCE ON HAND LAST REPORT b. TOTAL RECEIPTS THIS PERIOD $ Q al~ C. TOTAL DISBURSEMENTS THIS PERIOD $ 310.E q d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) a ~p1. e. TOTAL LOANS OUTSTANDING GL $ RECEIVED f. TOTAL OBLIGATIONS OUTSTANDING °f CLOUWCOUAI'° SS-1109 (Rev. 2/06) ELECiTIOM Page 1 of RDA 1159 4 ~ SUMMARY PAGE - CANDIDATE 13. NAME OF ~A R MITTEE (In Full) 14. REPORT COVERING THE PERIOD AfyjA,~r( FROM: 1/-` T0: -10 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) $ 0o ~ 0 5.ao 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) $ -ego $ $ $ $ $ Total of Expenditures ($100 or less each payee) $ a b. 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 33 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) $ b. Itemized in-kind contributions (over $100 from each source this period) $ 7-3 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.) $ 4") SS-1133 (Rev. 4102) Page of ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME 0~ C~A,ND~IDATE 0 COMMITTEE :::E ORT COVERING THE PERIOD . J.- T0: 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 totaling more than $100 from an contributor) Firs a Middle Name Contribution Received For: Amount of Contribution Last me/organization Name ❑ Primary Election ❑ General Election Addr ❑ Runoff (Local Elections Only) 4/ll OG'~ _ V Ci Stat Zip~n n Date of Contribution MIC CJ Aggregate This Election Occupation Employer FirstN a Middle Name Contribution Received For: Amount of Contribution Last Na !Organization Name El Primary Election El General Election Adil ❑ Runoff (Local Elections Only) (c X pQ .G' Ci Sta Zp Date of Contribution ~`~I,[L Aggregate This Election Occupation T Employer 7astame odaName Contribution Received For: Amount of Contribution rgani tion ame E] Primar y Election ❑ General Election Addr~ w rl F ]Runoff (Local Elections Only) 0? d, ZP e Date of Contribution Aggregate This Election Occupation mp oyer Firs me Middle Name Contribution Received For: Amount of Contribution Last Nam I rganiz ion Name ❑ PrimaryElection ❑ General Election Ad es, 1 e p ❑ Runoff (Local Elections Only) (J Ci St L Zp~dgdq~ ~D Date of Contribution Aggregate This Election Occup n Employer 5. TOTAL ITEMIZED CONTRIBUTIONS (Carryforward 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.) l I SS-1131(Rev. 2/06) / ° Page ~7 of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF C NDIDATE OR 0Z LL 2. REPORT COVERING THE PERIOD 'Jim FROMy T0: 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) Amount 5b 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION (contributions totaling more than $100 from an contributor) First a Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) c 5V•L! C' Stai Zip Code Date of Contribution Aggregate This Election Occupation Employer First me Middle Name Contribution Received For: Amount of Contribution Last a /Organization Name ❑ Primary Election ❑ General Election Addr / ❑ Runoff (Local Elections Only) City st ZpCe~e~y Date of Contribution Aggregate This Election ILIA Occupa Employer First ddleName Contribution Received For: Amount of Contribution s e qm~afl ❑ Primary Election E3 General Election Addre ❑Runoff (Local Elections Only) Ci St zp d~ CI ' } Date of Contribution Aggregate This Election Occupali mp oyer 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 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.) 6- h SS-1131(Rev. 2/06) Page ~ of ~ RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDID TE OR COM ITTEE 2. REPORT COVERING THE PERIOD FROM: T0: g Amount 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH EMIZED EXPENDITURE (expenditures totaling more than $100 to any payee during the period) First Name Middle Name Purpose of Expenditure Amount of Expenditure L Name/ Business ame a AddAssO, 3 ^ uJ4 / 1 C, We Zip C e r .hfe-~ p~ QQ First Nam Middle Name Purpose of Expenditure Amount of Expenditure La elBusiness Name A r ss City St Zip Code _ 0 First Name Middle Name Purpose of Expenditure Amount of Expenditure Las me/Business me Add::. 0'7 City Sta Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure La ame usiness Name rJA Addr s Ci LAC ~ - ~ Zip Code 06 First 'Name Middle Name Purpose of Expenditure Amount of Expenditure La Na e/ausines m ` Add t Cit l St Zip Co~p~ I Z) First Nam Middle Name VJ r~i( Purpose of Expenditure Amount of Expenditure Las me/8 s Na a jq e, Addr L l 5. T AL 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.) 'O SS-1129 (Rev. 4/02) Page J- of RDA 1159 51~EfivflMUD) 5-TAT MENIr O EXPE VDU UI RES n CANDNLIATE 1. NAME05 DATE R CO iMIT, TEE 2. REPORT COVERING THE PERIOD FROM. ~ 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 i Middle Name Purpose of Expenditure Amount of Expenditure last me/Business Na a Addres C S(e 7p on V First Nam Middle Name P se of Expenditure Amount of Expenditure Last NaWleusiness Name - Address - - State Zip Code City A~ First Name Middle Name Purpose of Expenditure Amount of Expenditure 1 ast Name/Business Name Address t Zip Code First Name ) Miudle Name i Purpose of Expenditure Amount of Expenditure I Last Name/Business Name Address S Zi Ce e ,1 Y - - late ( i I p d t ~ r NOW First Name Middle Name Purpose of Expenditure A mount of Expenditure Last NamelBusiness Name Address i City State Zip Code- First Name Middle Name Purpose of Expenditure Amount of Expenditure r ast NamelBusiness Name Address City Stale Zip Cnde 5. TOTAL ITEMIZED EXPENDITURES (Carry forward to item 3. of next page if additional pages of this form are used.) ` O~ (If this is the last page of expenditures, this amount must Le shown in itern 19b. of summary.) -o` (p :~.y SS-1129 (Rev. 4/02) Page of RDA 1159 ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE [3. NAME OF VNDIDATE 0 COM ITTEE / 2. REPORT COVERING THE PERIOD 1 FROM: Lzi TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) mount 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 /j Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution Last N lOrga za ion Name ❑ Primary Election 11 General Election ❑ Runoff (Local Elections Only) ICJ . CS' 1 Addre ]:D..Pb te ofln-KindContrbution d' C ~j p Aggregate this Election S te1~ Zi o Q`I on ofln-KindContnbution J Q v Occupa on Employer Is, Middle Name In-Kind Contribution Receiv r: Value of In-Kind Contribution =Name ❑ Primary Election ❑ General Election ❑ Runoff (Local Elections Only) a. 7 Dateofin-KindContrlbution Q A 0 J Q ggregatethisElection C S e Zip de Description of In-Kind Contribution 0 UO c up1tion Employer / First Name Middle Name In-Kind / Value of In-Kind Contribution Primary Contribution Election Recei d 0 For: General Election Last NamelOrganizationName El ❑ Runoff (Local Elections Only) Address Date oftnNnd 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/Organization Name E] Primary Election El 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 NamelOrgan¢ationName ❑ Primary Election E] General Election ❑ Runoff (Local Elections Only) Address Date of In-Kind Contribution Aggregate this Election City State Zip Code Description of In-Kind Contribution ccupation mp 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 in-kind contributions, this amount must be shown in item 22b. of summary.) a SS-1128 (Rev. 2/06) ~ Page of RDA 1159 ~Me4fw-4 ~ vztl CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORT 12.a. NAME OF CANDIDATE OR COMMITTEE ~2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE 'j- C n~f 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 P, oute ti Cit Stle Zip Code Phone 5. OFICE SOUGHT Oclufle district numbe~-! if ,pplicable) 6. NAME OF POLITICAL TREASURER (ma be candidate) 7. CATEGORY OR REPORT (Check one, El 1:1 ❑ ❑ ❑ ❑ ❑ lir S_T 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. [his 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. Addition ly, I/we swear or affirm that no campaign contributions have been expended for the personal financial benef of the candida or r a other nonpolitical purpose as defined by ~he~ ra4 internal evenue code. U signature of candidate dat ture of political treasurer date 11. WITNESS SIGNATURE y I 1 O 1c, l A Cl- 4 <<~ Ik r (u, 1 signature of witness date signature of witness date 12. SUMMARY ~J a. BALANCE ON HAND LAST REPORT $ / G b. TOTAL RECEIPTS THIS PERIOD $ / _ / f. -6 11-0 c. TOTAL DISBURSEMENTS THIS PERIOD r..,. ' ~r7P1 ^ ~r~rT 7 d. BALANCE ON HAND 12.a. plus 12.b. minus 12.0 . e. TOTAL LOANS OUTSTANDING $ 5• 7C E VED"" f. TOTAL OBLIGATIONS OUTSTANDING .........AP.R.Z.1.ZOl8 $ E1.ECO 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 ( 2.a. NAME OF CANDIDATE OR COMMITTEE 2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE C~t O l £s 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 oute Cit Sta a Zip Code Phon 5. O FICE SOUGHT inclu district number if pplicable) 6. NAME OF POLITICAL TREASURER (may be candidate) V1__1 I O L~~d ru 7. CATEGORY OR REPORT (Check one) ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 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 i 9. (Che 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. 52i his 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. Addition ly, I/we swear or affirm that no campaign contributions have been expended for the personal financial bene of the candida or r a other nonpolitical purpose as defined by Stheremaf evenue code. signature of candidate ~&at ture of political treasurer dat 11. WITNESS SIGNATURE Y '1 c k j w Y _ a_ L 1 ) Q D . _Q~ J QJ-(YLiLC_ u,cj 4, t L4 1 signature of witness date signature of witness date 12. SUMMARY a. BALANCE ON HAND LAST REPORT $ , /yGI b. TOTAL RECEIPTSTHIS PERIOD $ QPrl I C') 1r;1~ ' 33'1. ~3 c. TOTAL DISBURSEMENTS THIS PERIOD t;,Cf $ M COUNTY CTfON d. BALANCE ON HAND (12.a. plus 12.b. minus 12.0 $ e. TOTAL LOANS OUTSTANDING $ ! C/ f. TOTAL OBLIGATIONS OUTSTANDING $ SS-1109 (Rev. 2/06) Page 1 of RDA 1159 eaa~.e.,.~.....~w.~._......, _...:v.:~....... .6.~ . ~ . I _ ice.,. i 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.) $ wqz 16. LOANS RECEIVED THIS REPORTING PERIOD 019. 17. INTEREST RECEIVED THIS REPORTING PERIOD 18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) $ 4; 36cl DISBURSEMENTS 19. EXPENDITURES (other than loan payments) a. Expenditures ($100 or less e h payee this period) (must be listed by category - e.g., printing, postage, gasoline) $ , $ 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.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.) $ 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.) $ 45 SS-1133 (Rev. 4102) Page of ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1, NAME OF CANDIDATE O.R CCQMIMITTTEEEQ 2. REPORT COY RING THE PE OD JV-M )H UL ( z,4-, FROM: / JU TO: ~g 3'I 1 Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) I -r 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 N e/ rganization ame Primary Election ❑ General Election Add re s ❑ Runoff (Local Elections Only) oce, C t Zip d~ Date of Contribution Aggregate This Election Occupation Employer First Nam Middle Name Contribute n Received For: Amount of Contribution Last Name/ gonizatio Name • Primary Election 1:1 General Election IN" Addres D ❑ Runoff (Local Elections Only) city scat ZipCgde „ Date of Contribution Aggregate This Election Occupation Employer FirstN a iddle Name Contribution Received For: Amount of Contribution as a rganiza ion Narfq Primary Election ❑ General Election Addr ❑ Q Runoff (Local Elections Only) 9/ 17 &A~ C11 t, . Sta Zip ode Date of Contribution Aggregate This Election Oceuplion / Employer Firs a e Middle Name Contribution Received or: mount o Contrt u t i o n Last a 0 ani tion Name LJ Primary Election ❑ General Election Addres / 11 /0 ❑ Runoff (Local Elections Only) Go. D city - S e zip 61, 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 t7 RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDI ATE OR CO M TTEE 2. REPORT COVERING THE PERIOD FROM: T0: 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 totaling more than $100 from an contributor First N e Middle Name Contribution Received For: Amount of Contribution Last s e/ rganization Nam Primary Election ❑ General Election Addres ❑ Runoff (Local Elections Only) _ City Sta Zip q, Date of Contribution Aggregate This Election Occupation Employer FirstN Middle Name Contribution Amo Received For: unt of Contribution Last Na 10 anization Name .LJ Primary Election ❑ General Election Addre!~ sy* ❑Runoff (Local Elections Only) _ G GC.(~' Gvd ✓ S~t@14 c Date of Contribution Aggregate This Election Occupation Employer First Name iddleName Contribution Received For: Amount of Contribution Name Pr anrzahon We rimary Election ❑ General Election Addr ss 4Ahyn E ]Runoff (Local Elections Only) City Scat Zp~ Date of Contribution Aggregate This Election Occupation / Employer kF,l A/Organi, Middle Name ont~uive or: mount a onto ution sl N o n me YJ Primary Election 11 General Election Ad s . ❑ Runoff (Local Elections Only) Cityl S Zi o Date of Contribution Aggregate This Election Occupation Employer oZ r a2 ~i 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.) d N C Q 49 SS-1131(Rev. 2/06) Page of ~t RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1, NAME OF CA IDATE OR C MMI E~ Ef 2. REPORT COVERING THE PERIOD CSR FROM: T0: 3 3 / f Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) , c e-L' 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor Fir N me Middle Name Contributio eceived For: Amount of Contribution Las ame/Organization Nam Primary Election ❑ General Election Addr s Sja:j~~ ~~Ju u El Runoff (Local Elections Only) [ov City iA/ S e L'pp~dg, Date of Contribution Aggregate This Election Occup do Employer Firstiarrp Middle Name Contrfbuti Received For: Amount of Contribution 4 as NamelOrganiz tion Name Primary Election ❑ General Election 14 ❑ Runoff (Local Elections Only) etc, Ad~ T4 r Z City /l 1 W S Zip d © Date of Contribution Aggregate This Election Occupation Employer Fl Nrs`r / E (i1 iddl Name Contribution Received For: Amount of Contribution n sm rg rza on Name rimary Election E] General Election a ❑Runoff (Local Elections Only) Add r-he C~l.t.~-C~ State Lp6p~g~(f ~ Date of Contribution Aggregate This Election Occupation Employer Firs m Midd Name Contribution Received or: mount of Contribution A] A-Y LastN a rganizatlonName 01prImary Election ❑ General Election Ad ss ❑ Runoff (Local Elections Only) Lj )Lt i CC Ci S Zip3 r~ Date of Contribution Aggregate This Election ,2 14 Occupation l/ Employer JJ d '1 s 5. TOTAL ITEMIZED CONTRIBUTIONS (Carry forward to item 3. of next page if additional pages of this form are used.) Q / y / I (If this is the last page of contdbufions, this amount must be shown in item 15b. of summary.) Q COQ U V SS-1131(Rev. 2106) Page-3-of RDA 1159 .3.. L...... .,_,,........_~..,,.,.,".~i:..arrYr_a~_t♦.SDL,~~fil'6M1~I5Ri~~rllCalhiiilUhYli~xaxr~ ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1, NAME OF ANDIDATE R OM ITT E 2. REPORT COVERING THE PERIOD FROM: To: 37g/ 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 ame Middle Name Contribution Received For Amount of Contribution *t LA-14 Las me/Organization Name Primary Election ❑ General Election Ad © ❑ Runoff (Local Elections Only) r Ci St 17~C SD Date of Contribution Aggregate This Election Occupation Employer FirstN a Middle Name Contribution Received For: Amount of Contribution Q Last a el0,tga ' ation Nam rimary Election ❑ General Election Add ❑Runoff (Local Elections Only) d L3 D )~/a& IQ Ci Sta Zip Cod Date of Contribution Aggregate This Election Occupation Employer FirstNa - iddle Name Contribution Received For: Amount of Contribution as a rgarnza ion me Primary Election ❑ General Election 00 ❑ Addre ~ A Runoff (Local Elections Only) nU y Ci 5 L'pspd~ Date of Contribution Aggregate This( Election r Occupation Employer Fi a Middle Name ont~n ubon Received or: mount o ontrt ution Last rganlzauon ame„ id Primary Election 13 General Election Addr C., ❑ Runoff (Local Elections Only) ([J 0 G,~L C S cJ ! D!/ Date of Contribution Aggregate This Election YU 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 A. of RDA 1159 w1~ -Llrefwe.•LL.s.._Aliex..lW.y.'.,rw~4_LL.. m:~nMe..Ju.4am~.i..-..~:.. .._•..~~l~s:,,, w.l.__~a.. •.~~...~a.r _ ---a.t.....ea.u~ .,•err,.~1,..~w..F1~..J~-l~~u~wrn,.~1 '.L..:a:-' _ _ - ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF NDIDATE 0 C MMITTE 2. REPORT COVERING THE PERIOD 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) Amo t _ 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totalin more than $100 from an contributor S~ O Firs ame Middle Name Contribution Received For: LastN at rganizationName Amount of Contribution ~l Primary Election ❑ General Election Addre / ❑ Runoff (Local Elections Only) Cy Zip e~ D Date of Contribution Aggregate This Election Occupation Employer First me ~1l g Middle Name Contribution Received For: Amount of Contribution Last N e/ rganization Name rl IT 7 mary Election ❑ General Election Addre , ' ❑Runoff (Local Elections Only) i ' Zip~~ Q~ Date of Contribution Aggregate This Election Occupago mployer n v~~ Fi e iddleName Contribution Received For: Amount of Contribution as rgamza on ame rlmary Election ❑ General Election s Addr 7 ' / ❑ Runoff (Local Elections Only) S LPC a Date of Contribution Occupad Aggregate This Election m oyer First m Middle Name onto ubon ece ve or: Las Na /Organizadan Name mount o on utton Primary Election ❑ General Election Add ~J / 7 ❑ Runoff (Local Elections Only) Ci S Zip :G / ~y l1 r,,) Date of Contributi~on /CJ / Aggregate This Election Occup n 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.) Id SS-1131(Rev. 2/06) Page of ~ RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE T'y/l 2. REPORT COVERING THE PERIO FCILLEETTEE NDIDATEORCru' M REE FROM: T0: ED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) Amount/ E APPROPRIATE ITEMS FOR EACH ITEM IZED CONTRIBUTION contributions totaling more than 2$100. from an contributor /v'' ~v 77-111111111111111 First Name Middle Name Contribution Received For: Amount of Contribution La t me/Organs lion Name ' rimary Election ❑ General Election Add s ❑ Runoff (Local Elections Only) City Slat Zip p.Date of Contribution Aggregate This Election Occupation Employer )511 g Fi me Mi dl ame Contribution Received For Amount of Contribution Last me rgani ation Name Primary Election ❑ General Election Addre ❑Runoff (Local Elections Only) Ci S Zip / ~p t Date of Contribution ' v Aggregate This Election Occupation Employer First Ne MEMNON iddle Name Contribution Received For: Amount of Contribution as am r amzabon me rimary Election ❑ General Election Addre s []Runoff (Local Elections Only) sty 9 ZipCodyu Date of Contribution C~J%S'sJ f/ Occupatio Aggregate This Election m oyer First N me Middle Name onto ution Received or: mount o ont ution l e rganization Name Primary Election ❑ General Election Addre ❑ Runoff (Local Elections Only) dy S ZipC CDi oil- cf Date of Contribution L 7 0'Vi~ Aggregate This Election Occupation Employer MENEM 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) ~i l RD V Page of d RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CAND 1, NAME OF NDIDATE 0 COMMI EE (DATE 2. REPORT COVERING THE PERIOD FROM: 3 ~8 3. TOTAL ITEMIZED CAMPAIGN CONTRIB TO: UTIONS 4. COMPLETE APPROPRIATE ITEMS FROM PRECEDING PAGE (enter $0 if first itemized page) THE FOR EACFI mount li / C.CO First N e ITEMIZED CONTRIBUTION contributions tofalin more than $100 from an contributor A Middle Name Contribution Received For: Last Nam rganlzation Name Amount of Contribution Primary Election ❑ General Election Address ❑ city Runoff (Local Elections Only) State Zip Date of Contribution ~U Occupation Aggregate This Election Employer FirstN e Mid me Contribution Received For: Last a/Organization Name Amount of Contribution PrimaryElection ❑ General Election Addr CI ❑Runoff (Local Elections Only) ~r S ZipC a Date of Contribution Occupation Aggregate This Election Employer / First m iddle Name d, Contribution Received For: ast am rganrzat on ame Amount of Contribution Primary Election ❑ General Election Address city 0 Runoff (Local Elections Only) ~J Stat Z' 61- Date of Contribution Occupa ion J Aggregate This Election mp oyer Fi a Middle Name onto uti on ece ve or: ` Last N /Organization Na mount o onn ution ~1 Primary Election ❑ General Election Addre ❑ Runoff (Local Elections Only) S L bate of Contribution Occupatio < Aggregate This Election Employer 5. TOTAL ITEMIZED CONTRIBUTIONS (Carry forward to item 3. of next page 0 additional pages of this form are used.) (11 this is the last page of contributions, this amount must be shown in item 15b. of summary) 7dG CC SS-1131 (Rev.2/O6) ~y Page of 1 RDA 1169 `li ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1, NAME OF NDIDATE 0 MI E~-E 2, REPO T COVERING THE P IOD FROM:) 1(Q T0. u 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 First Name Middle Name Contributio .Received for: Amount of Contribution Last m /Organlzatlo N Primary Election ❑ General Election Addrewy ❑ Runoff (Local Elections Only) CRY Slat Zip &7?® Date of Contribution /L/ 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 Slate ZlpCode Date of Contribution Aggregate This Election Occupation Employer First Name fiddle Name Contribution Received For: Amount of Contribution as am rgamzabon ame Q Primary Election Q General Election Address Q Runoff (Local Elections Only) City State Zip Cade Date of Contribution Aggregate This Election Occupation m oyer First Name Middle Name Contribution ece ve or: Amount o Contribution Last Name/Organization Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City state 21 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) p' Page ~L of O RDA 1159 t ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NA OF CANDIDAT R CO MITTEE 2. REPO T CO ERING THE PERIOD FROM jp T0: '31,31 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 L amelBusiness Name I rte/ "0119 aty S We zl ;)l/J' / First Na a Middle Name Pu~rpi a Expenditure Amount of Expenditure Last a elBusiness Name i Addr o A, v ity a Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Na elB in N e Address City Stat Zip Code n Y I First Name Middle Name Purpose of Expenditure Amount of Expenditure Las lBusin s Name ' Addres City St Zip Code ~ 770 l Y:rZZ-+c~' 3_ First Name Middle Name Purpose of Expenditure Amount of Expenditure Last IBusinesyNa ' Addr ~ Ci St Zip 9ok First Name Middle Name Purpose of Expenditure Amount of Expenditure Last elBusiness Na e Addr s C' St Zip Code 5. TO AL IT IZED 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.) ~g O, SS-1129 (Rev. 4102) Page of , RDA 1159 ..I. ...,rr. .I. n..-..-CAI ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME 0 CANDIDATE CO MITTEE 2. REPORT COVERING THE PE IOD FROM. 0: moun 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) 1-1 ?0'33 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 a elB iness Name Addrs P O City 4/ Sta Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last m IBusin Name AdM C'ty Sta Zip Co e i First Name Middle Name Purpose of Expenditure Amount of Expenditure Last amelBusine Na e Addpess _ ° afAj City^C~C St Zip`J / V VV~G'U First Name Middle Name Purpose of Expenditure Amount of Expenditure L ame/Business Name } r Addr v City S to Zip Code , First Name Middle Name Purpose of Expenditure Amount of Expenditure jAddrs /Business e C~ St VZ,,pTe r Q Fir st Name Middle Name Purpose of Expenditure Amount of Expenditure Las N elBusin s Addr s L~/rw Cit Sta Zip Cie `~uu2 l ~'G 5. T TAL I MIZED 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.) G SS-1129 (Rev. 4/02) Page of RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES ~ CANDIDATE 1. NAME OF CAN IDATE OR C M ITT 2. REPO_ T COVERING THE PE IIOD FROM: t 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) m1/4 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 i ei0usiness Na Addrn~~ Ci SS ~JJSS St e Y Zip co First Name Middle Name Purpose of Expenditure Amount of Expenditure LastNamelBusinessName Address v I City T State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address City Slate Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name 4 w Address City State ZName Middle Name Purpose of Expenditure Amount of Expenditure Last NamelBusiness N;1 71a Address City- State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last NamelBusiness Name Address _ City ~ i State 1.1p-codo 5. TOTAL ITEMIZED EXPENDITURES (Carry forward to item of next page if additional pages of this form are used 13 (It this is the last page of of expenditures, this amount must be shown in item 19bb. . of summary.) ) SS-1129 (Rev. 4102) Page of 3 RDA 1159 CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORT 2.a. A NAME OF CANDIDAT OR OME ult cr 2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE 4.a. CAMPAIGN ADDRESS AND PHONE / ZUl Street or Rura oute City State Zip Code Phone 4.b. CANDI E'S HOME ADDRESS (if different than 4.a.) Street or Rural Rout r^~ City //e State Zip Code Phone zq! 5. FFICE SOUGH ?1 clude district nu ber,iapple able) 6. ME OF POLITICA TREASURER (may be candidate) ~l Urf rfCT II~i 7. CATEGORY OR REPORT (Check one) 1:1 O El D ❑ G3' FIRST SECOND THIRD FOURTH PRE- MID-YEAR YEAR-END F UARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL GINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD ck one) ❑ This campaign is exempt from detailed disclosure because contributions (including in-kind) received total $1,000 or less AND expendi- tures tal $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 and/or expenditures total more than $1,000 for this reporting (including in-kind) received total more than $1,000 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 ntributions have bee expended for the personal financial benefit of the can i ate or for pny other nonpolitical purpose as defined by th deral ynEgmal rev JJJ code. I signature of candidate i signatu of politica date treasurer date 11. ESS SIGNATURV signature f witness ate signature of witness date 12. SUMMARY a. BALANCE ON HAND LAST REPORT $ b. TOTAL RECEIPTS THIS PERIOD $ 13, CO J D O O c. TOTAL DISBURSEMENTS THIS PERIOD ........$_~3 7 b~D d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ p 7 a, a0 e. TOTAL LOANS OUTSTANDING . 7".,.- $ EC Ep fTOTAL OBLIGATIONS OUTSTANDING R ......E..N.V $ SS-1109 (Rev. 2/06) BTU GOU►~fT`f ►ON ~ Page 1 of ~ RDA 1159 ~ 0 SUMMARY PAGE - CANDIDATE 13. NAME OF %-"A7 O COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD REFROM S / 7 ro: 15. S (o ther than loans and interest) ntributions ($100 or less from each source this period) $~t ibutions (over $100 from each source this period) $ 1 40.00 IBUTIONS (other than loans and interest) (add 15.a. and 15.b.) 16. LOANS RECEIVED THIS REPORTING PERIOD $ gt 17. INTEREST RECEIVED THIS REPORTING PERIOD 18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) $ I3 / Q0 DISBURSEMENTS 19. EXPENDITURES (other than loan payments) a. Ex enditures ($100 or less each payee this period) (must be listed by category - e.g., printing, postage, gasoline) $ $ ~o Total of Expenditures ($100 or less each payee) b. Itemized Expenditures (Over $100 each payee this period) $ Sjs 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.) 737 8d 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) $ V c TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 121) SS-1133 (Rev. 4/02) Page 2~_ ofr~_ ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE rzM-L(z~ E OF CA NDI~AT OR COMMITTEE REPORT COVERING THE PERIOD FROMtr S To: i s FI 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 $too to any payee during the period) First Name Middle Name Purpose of Ex enditure Amount of Expenditure La Na /~usines ame 411&x-' / n~ Addr A Q ~ ,lvnU^ City Sta Zip d cl~Dl 144 7.8 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Nape/Busine" Name Addr s City Sta Zip Code First Name Middle Name Purpose of Expe ditu~ree Amount of Expenditure Last me/BusipessName ^ ~~7YL -ti✓LCL[~(. (fl/ Add/!/_rgss City State Zip Code J?00D-~- ` First hame Middle Name Pu ose of Expenditure Amount of Expenditure Last lime/Business N e `Jj~c~~l Addr- o !/n City State Zip Code L~- t J78-0-3 `~I' g~f5 O First Nai fe Middle Name Purpose of Expenditure Amount of Expenditure Last Na /Busi ess Name Addre D / ~ a t a cite T~~ J ICA Zip~c~ 7,k) First Name Middle Name Purpose of Expenditure Amount of Expenditure Las a/BusinpssNa tt,, Address City St at Zip cage 5. TOTAL ITEWIZED EXPENDITURES (Carrforward 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 191b. of summary.) SS-1129 (Rev. 4/02) Page I of RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAl Y' OF CANDIDA E 0 COMMITTEE 2. REPORT COVERING THE PERIOD //D TO: I ~s Ff Amount 4191. 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) 44, 3 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 Las sine, ;shame Ad s o / City Ste Zi d First Nar& Middle Name Pu ose of Expenditure ~ Amount of Expenditure Last am Business Na Address e ©Gr City ,,''yy Stat Zip Code W~ -2/c / First Nara Middle Name Purpose of Expenditure Amount of Expenditure Las a e/Bus' ss Na Address City Stat Zip Code First N Middle Name Purpose of Expenditure Amount of Expenditure Las a e/Buss Na e/ AddT7V/ City St to Zip Code 0) 500 First Nalne Middle Name Purpose of Expenditure Amount of Expenditure Las elBusines Na e ~ V Addre I- in 0 First Name Middle Name Purpose of Expenditure Amount of Expenditure La;t a e/Business Name lL4/ Addre` Glyn Stat Zip Code e - 4j, 6 o. 05- 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 J RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAM& OF CANDID T 0 COMMITTEE 2. REPORT COVERING THE PERIOD ' J FROM:91/ T0: l 72~f779 unt 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) a 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 E•xxp-~enditur/e~ Amount of Expenditure Last Nr~]e/Bus' ess Name Addre / Ci ;MiddleName Zi d First Namb Purpose of Expenditure . Amount of Expenditure Last ame/Business Name _ ~r~LZ~ 111 t~ I Addr 1 / City State Zip Code yx- 37f91A First Name Middle Name Purpose of Expenditure Amount of Expenditure L t Nam urines a e Addr C Y State Zip Code ciau First Nanje, Middle Name Purpose of Expenditure Amount of Expenditure Last /Business N e ~`~/1 J!•]i~f /!2 Addre ity Stet/ Zip`C~ode First Name Middle Name Purpose of Expenditure Amount of Expenditure Me/Bu siness Nam `~I"Il t0 A61 ~ ~ aSIP City - SZip C de Ali: ~1~y1~BD~ o v First Name l Middle Name Purpose of Expenditure Amount of Expenditure Addres - OA tY Stay Zip Code 77 ~ S" `~u~DD.QG 5. TOTAL ITEMIZED EXPENDITURES (Carry forward to item 3. of next page if additional pages of this form are used.) p (If this is the last page of expenditures, this amount must be shown in item 19b. of summary.) O SS-1129 (Rev. 4/02) Page of RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME CANDI T R OMMITTEE 2. REPORT COVERING THE PERIOD ~rn Urj FRO S TO: k<Tl~ i~n 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) m 9 .3 ~7 ~d 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 Las ame/Busines Nam Addre City state Zip C ev 06 First Name Middle Name Pose of Expenditure Amount of Expenditure Last N elBusiness Name Address City - Stat!,, Zip Code ~ ~ ~D 3 ~/QD, p0 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 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.) 9 79'7. O 0 (If this is the last page of expenditures, this amount must be shown in item 19b. of summary.) / U I SS-1129 (Rev. 4102) Page of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAPE OF C D DAT OR COMMITTEE 2. REPO T COVERING THE PERIOD FROM. T0: 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 Ad35~ C~~► /f ❑ Runoff (Local Elections Only) /SO O~ ty it L l Stat PC, Date of Contribution 1 J,5 /'7 Aggregate This Election Occupation U Emp r FirstNarr~e Middle Name Contribution Received For: Amount of Contribution Last N~n~pr-ganization Name ❑ Primary Election ❑ General Election Address ` ,n • ❑ Runoff (Local Elections Only) J (f~ 4d,00-or Ci Ist~{e Zip ode eO,-S Date of Contribution 7 /3 / 7 Aggregate This Election Occupairon +7~-t-1/I~JCJ Employer First me iddle Name Contribution Received For: Amount of Contribution as me rganiza on ame ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) ATI 4,1-,00,00 City r ee Stye Lp4de 8, O 3 Date of Contribution Aggregate This Election Employer First me Middle Name Contribution Received or. Amount o Contribution Last ame/Organza n Name ❑ Primary Election ❑ General Election Ad,~ss ~Gt!(, ❑ Runoff (Local Elections Only) a0C.0o 41 ' stye Zip o a Date of Contribution 7 17/~ 17 Aggregate This Election Occupation Emp er 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.) e , SS-1131(Rev. 2/06) Page of _1 RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAMFOF CANDID MMITTEE 2. REPO T COVERING THE PERIOD d`jYl ATR FROM: T0: 115115 Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) / 0 5U 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 N me/Organization e ❑ Primary Election ❑ General Election Addr ss ❑ Runoff (Local Elections Only) 7 I ,G ` ,400.00 t Stg)pn Zip88~ Dale of Contribution Aggregate This Election 17 Occupation ,f i Emplo er ~cJu.clf,~t~ ~Nv ~ w FirslNa e, Middle Name Contribution Received For: Amount of Contribution Last ame/Organization Name ❑ Primary Election ❑ General Election e , 424, Addre;s ❑ Runoff (Local Elections Only) 14 City 44&t--, Sta ZipC Code Date of Contribution -7 Aggregate This Election lxw Date of Contribution /'7 Aggregate This Election Occup n Employer First Name iddle Name Contribution Received For: Amount of Contribution as aVme rgani bon Name ❑ Primary Election ❑ General Election Peit~~e i Tress ❑Runoff (Local Elections Only) D~ ,OD ~J 7 S City st~{e Zip Code Date of Contribution 7 Aggregate This Election Occu lion Employer First me Middle Name ontriution Received or: mount o ontn utton Last N me/Organization Name El Primary Election 11 General Election Addr/ ess 95 o v n El Runoff (Local Elections Only) /5D •OD Ci to Zip o e Date of Contribution ~f 8l~^f Aggregate This Election Occupaton Gc c.ri~~ / 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.) r~ 0 0 , 00 *p SS-1131(Rev. 2/06) Page of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF C IDATE 0 C-0 T, ITT 2. REPORT COVERING THE PERIOD D')'Yl t FROM: TO: Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 4,200-00 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 La Name/Orga~Jniz\ation Name ❑ Primary Election ❑ General Election Add s Runoff (Local Elections Only) O 3 / !o 410100 . ou c ' - n I to Zip jq go ~ Date of Contribution Aggregate This Election Occup ion C1 J Employer First me Middle acne Contribution Received For: Amount of Contribution Last N Olt g ame/Organization Name c ❑ Primary Election ❑ General Election Addres ❑ Runoff (Local Elections Only) coo 4150.00 City S e Zipd~ ~O Date of Contribution 8 / Aggregate This Election Occupation Employer First Name iddleName Contribution Received For: Amount of Contribution a rganiza on me E] Primary Election General Election Add as ❑ Runoff (Local Elections Only) City 5 to ~ 0 X37 Date of Contribution g /7 Aggregate This Election Occupation mp oyer 7Add,06 Middle Name onto u6on eceive or: mount o onto utlon asName ❑ Primary Election ❑ General Election ❑ Runoff (Local Elections Only) vv to Zip~pgy,~0/ Date of Contribution ^rAggregate 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.) 9 / Q 0o .0c) 614 4SS-1131(Rev. 2106) Page of RDA 1159 i ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF C DIDATE 0 M ITTEE 2. REPORT COVERING THE PERIOD FROM TO: / i Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) o 0 p .DO 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor First Na Middle Name Contribution Received For: Amount of Contribution LastName/Organization Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) e"L LA, ',fffa 56.0 o City to ve~/ C Date of Contribution Aggregate This Election Occupation Co(7 Employer Fi me Middle Name Contribution Received For: Amount of Contribution LA,) _ Las a e/0 anizat Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) a& #d5o•ov city .m S Zip Code Date of Contribution $ $ t Aggregate This Election Occupation Employer First a idd Name Contribution Received For: Amount of Contribution as e rganiza on ame ❑ Primary Election C] General Election .,.&y 4At Address ❑ Runoff (Local Elections Only) Ci Ste Zp de Date of Contribution Aggregate This Election Occu n Employer First Middle Name Contribution Received or: mount o Contribution Last me/Organization Name ❑ Primary Election ❑ General Election CLifrl Add s ❑ Runoff (Local Elections Only) 4/10 - 00 ty ~ to zipQo42 Date of Contribution 8 ~'r Aggregate This Election Oocupdgon 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.) 3, G 0 & o • o o SS-1131(Rev. 2/06) Page of RDA 111159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF A DIDATE C M TT E 2. REPORT COVERING THE PERIOD FROM: TO: / / Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) & [p0 (Xj 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor First me Middle Name Contribution Received For: Amount of Contribution Last me/Or anization Name ❑ Primary Election ❑ General Election a tJ4J Addr3~ ❑ Runoff (Local Elections Only) N ty k J S le Zip egO 3 Date of Contribution $ 'y Aggregate This Election Occup ion Employer FirsLYrame ' ® Mid Name Contribution Received For: Amount of Contribution La;E,d,d rga nization Name 13 Primary Election El General Election Address r /07 ❑ Runoff (Local Elections Only) / O 4 .~iQZJ2 a " ",7v 0 Stat Zip od Date of Contribution Q / Aggregate This Election Occupatipn Employer First Name iddle Name Contribution Received For: Amount of Contribution 44, as a rganiza ion ame E3 Primary Election [3 General Election L Address ❑ Runoff (Local Elections Only) IIID J `kda-or i 1 r e state Zip C de Date of Contribution 7' ~ /'7 Aggregate This Election Occup q Employer First Name Middle Name Contribution Received or: mount of Contribution Last Name/Organization Name ❑ Primary Election ❑ General Election `1~ :lo w rrv Ades ❑ Runoff (Local Elections Only) eik? • ' S e TTda~', Date of Contribution 91411-7 Aggregate This Election 0 upation 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 156. of summary.) o o SS-1131(Rev. 2106) Page of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OFCM IDATE 0 TTEE 2. REPORT COVERING THE PERIOD FROM: TO: /if Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 0/0.00 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 me/Organization Name ❑ Primary Election El General Election A4-,b dt-'k- Address<l O [I Runoff (Local Elections Only) I l U Civ to Zip de Date of Contribution / ry Aggregate This Election Occupation Employer First N Middle Name Contribution Received For: Amount of Contribution Last e/ izaLaet nName ~ ❑ Primary Election ❑ General Election d ss - ❑Runoff (Local Elections Only) q? UDodU 11 'h City i~ Isive Zip Cyde v~ Date of Contribution d / 7 Aggregate This Election Occupaton O Employer First Ime iddle Name Contribution Received For: Amount of Contribution as me rganiza on ame ❑ Primary Election ❑ General Election Address E] Runoff (Local Elections Only) /07 _ Ly 0100 .oa Ciry 5 Zip Code Date of Contribution MOO Aggregate This Election Occupa' n Employer First Name Middle Name Contribution eceive or: mount o Contribution Las Name/Organize ion Name ❑ Primary Election ❑ General Election o eA, !v~ Zit_`# L'o . Su C Address t ❑ Runoff (Local Elections Only) "Wo•a `n n SW Zip 7 Date of Contribution 8 ~7 Aggregate This Election occupgtion ~C•~•~t~ 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.) rn / d t/0 SS-1131 (Rev. 2/06) Page of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF NDIDATE MMI E 2. REPORT COVERING THE PERIOD FROM TO: 11,5LIg Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) D • D c7 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor FirstN a Middle Name Contribution Received For: Amount of Contribution Last Na /Organiz nName ❑ Primary Election El General Election Add QJI~ ❑ Runoff (Local Elections Only)( C), 611 9,T .G city/*-) Sta Zip~d~ ©1 Date of Contribution Aggregate This Election i occupatigh Employer First N a Middle Name Contribution Received For: Amount of Contribution m Last Na elOrganizatio ame ❑ Primary Election ❑ General Election Addre~ ❑Runoff (Local Elections Only) ,4 OD C n o ~ Sta Zip C~d~ I Date of Contribution q / /7 /7 Aggregate This Election iry~n L[~c-t.~ Ci i Occupa Employer First Name iddleName Contribution Received For: Amount of Contribution a ame rganizabon a~mee ❑ Primary Election [:3 General Election " A Add A ❑ Runoff (Loral Elections Only) ~[c/~ A 1460 asaoo City 5 Zip C de Date of Contribution l a /3 / Aggregate This Election 79/ 9 occu lion Employer First TN.e Middle Name Contribution Received or: mount o Contribution 13 Primary Election 13 General Election e10 'zation Name La~t)J Ad 's ❑Runoff (Local Elections Only) •DO T7'' , .2.1D1~G C Sot. Zip o~ Date of Contribution Aggregate This Election occupa on i% Employer 5. TOTAL ITEMIZED CONTRIBUTIONS (Carry forward to item 3. of next page if additional pages of this form are used.) b Q (If this is the last page of contributions, this amount must be shown in item 15b. of summary.) 9 SS-1131(Rev. 2/06) Page / of ' RDA 1159 I CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORT 2.a. NAME OF CANDIDAT ORF OM/MITTEE 2.b. IF COMMITTEE, NAME OF CA ID TE// 3. ELECTION DATE !o. ~ke2 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route Ci We Zip Code Phone 4.b. CANDIDATE'S HOME DDRESS (if different than 4.a. Street or Rural Route City State Zip Code Phone 5. OFFICE SOUGHT (in clude district number, if applicable) 6. NAME OF POLITICAL THE SURER (may be -candidate) ~zyf 1~Uadr 7. CATEGORY OR REPORT (Check one) ❑ ❑ ❑ I 13 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 of -3~ -Zpr I- 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. A ditionally /we swear or affirm that no campaign cont . utions have been ex ended for the personal financial benefi candidate or r a o r nonpolitical purpose as defined by the fed int a evenu c e. 7-6-66 signature of candidate date signal:76 f political treasurer date v 11. WITNESS SIGNATURE signature of witness date signature of witness date 12. SUMMARY r .~87 a. BALANCE ON HAND LAST REPORT . ....................:....v.................. $ b. TOTAL RECEIPTS THIS PERIOD JUL - 20t 6 ? 4 $ c. TOTAL DISBURSEMENTS THIS PERIOD ti . t uff-cNV $ ~ 10 l ~ d. BALANCE ON HAND (12.a. plus 12.b. minus 1 dj ELECT $ e. TOTAL NS OUTSTANDING $ f. TOTAL OBLIGATIONS OUTSTANDING $ SS-1109 (Rev. 2/06) Page 1 of RDA 1159 SUMMARY PAGE - CANDIDATE 14. REPORT COVERING THE PERIOD 13. NAME ~OF~CANDID TE R OMMITTEE (In Full) FROM:ji_/(~- /(0' T0: 6 -3v of e 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) $ L c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ 16. LOANS RECEIVED THIS REPORTING PERIOD V $ 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) $ -5a Total of Expenditures ($100 or less each payee) b. Itemized Expenditures (Over $100 each payee this period) $ S ^ c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $ 30 20. LOAN REPAYMENTS MADE THIS PERIOD 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) $ 367 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.) $ Page of SS-1133 (Rev. 4102) CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORT 2.a. NAME OF CANDIDATE O CO ITT E 15, 20L.5 2.b. IF COM TTEE, NAME OF CANDIDATE 3. E CTION DATE Zoe 4.a. CAMPAIGN ADDRESS AND PHONE S~~ or Rural Route M A State Zip Code ~ Phone 4.b. CANDIDATE'S HOME A [PRESS (if different than 4.a.) Street or Rural Route City State Zip Code Phone 5. FFICE SOUGHT (i clude district nu ber, if pplicable) 6. Nf~AE OF POLITICAL rSEURER (may be candidate) fn .11t2f2A4 1 6 7. CATEGORY OR REPORT (Check one) ❑ ❑ 1:1 ❑ 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 30., 2oe 5 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. his 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 t. Additi nally, Uwe swear or affirm that no campaign contributions have been expended for the personal financial b f the can id a or or ny other nonpolitical purpose as defined by the federal internal revenue code. signature of candidate date signature of political treasurer date 11. WITNESS SIGNATURE si ure of wit ass date sign 4u e of wi ss dat 12. SUMMARY a. BALANCE ON HAND LAST REPORT $ b. TOTAL RECEIPTS THIS PERIOD $ . / 0 • pp O~ qw. c. TOTAL DISBURSEMENTS THIS PERIOD d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ e. TOTAL LOANS OUTSTANDING . ~.9 10 1 1 1,~... $ f. TOTAL OBLIGATIONS OUTSTANDING 4r........... . $ 5 N N SS-1109 (Rev. 2/06) r ILL 1 5 Al Page 1 of RDA 1159 [IO'la 3 i. SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDAT O C MTTEE (In Full) 14. REPORT COVERING THE PERIOD ,e~ 70-0? 1 FROM: / 4 _ T0: _ 36 - /,5 RECEIPTS 15. CONTRIBUTIONS (other than loans and interest) a. Unitemized Contributions ($100 or less from each source this period) $ AA~ b. Itemized Contributions (over $100 from each source this period) $ V 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 $ O 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) Vo ua {ice,; % ~~•e $ $ $ $ $ $ $ $ Total of Expenditures ($100 or less each payee) $ • Z -7 b. Itemized Expenditures (Over $100 each payee this period) $ 7 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.) $ 22. IN-KIND CONTRIBUTIONS a. Unitemized in-kind contributions ($100 or less from each source this period) $ V 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.) 23. OBLIGATIONS a. Unitemized Obligations Outstanding ($100 or less each) $ fV~ b. Itemized Obligations Outstanding (Over $100 each) $ v a 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 QELA 1DATE OM ITT E 2. REPORT COVERING THE PERIOD 6.4 -f r- FROM: I -/j 70.'&4 -,3 d - /Y- 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 Q~ s~ DANA 1 ~o Address City State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/B siness Name t Address IC.- City State Zip Code First Name Middle Name Purpose of Expenditrre Amount of Expenditure Last Name/Business Name Address City State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last NamelBusine arJ~e at f 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 paged 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.) AEk SS-1129 (Rev. 4/02) Page of RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMI 2. REPORT COVERING THE PERIOD D Iyl G FROM:/-/to -I T0: L - 3o-/ IYO, 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) / it 66. 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 a 14 D Sj alit! ~jf-T QA+" Last NameBusi ss Na ~J L c/ tam 4e Address Q C ~1 City State Zi e First Name Middle Name Purpose of Expenditure Amount of Expenditure LastName/Business ~~Q ~e/ / ~I~' `Y'om ! ~"0►~ ( .U 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 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 r (Carry forward to item 3. of next page if additional pages of this form are used.) / / .7 (If this is the last page of expenditures, this amount must be shown in item 19b. of summary.)/'Ce , 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 R COMM TTEE 2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE 4.a. CAMPAIGN ADDRESS AND PHONE Au Z D/~ Street or Rural Route City State Zip Code Phone /e. 4.b. CANDIDATE'S HOM ADDRESS (if different than 4.a.) ~?b'o 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) ~12 rl. ~ C Ir k ~ab F~K✓Ir S 7. CATEGORYORREPORT(Checkone) FIRST SECOND Th0 FOURTH P❑RE 1:1 1:1 ❑ - PRE- MID-YEAR QUARTER QUARTER UARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPELEMENTAL 8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD 9. (Chec one) d• 1'.1 Z a/ 5 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 swjea ffirm that the informati on contained in this campaign financial disclosure report is true and that this report is an accurate accounting aign contributions and expenditures required to be reported by the candidate committee by the Campaign Financial Disclosure ditionally, Uwe swear or affirm that no campaign contributions have been expended for the personal financial benefit of the candidr an other nonpolitical purpose as defined by the federal internal revenue code. signature of candidate d signal a of political treasurer d to 11. WITNESS SIGNATURE date ! /ign' ness dsigns of witnes ate ANCE ON HAND LAST REPORT $ a . 5aQ ad ALRECEIPTSTHISPERIOD [:A Y L DISBURSEMENTS THIS PERIOD $ 00 NCE ON HAND (12.a. plus 12.b. minus 12.c.) I l $ e. TOTAL LOANS OUTSTANDING 0- f. TOTAL OBLIGATIONS OUTSTANDING SS-1109 (Rev. 2/06) Page 1 of RDA 1159 SUMMARY PAGE - CANDIDATE ' 13. NAME OF CANDIDATE OR JCO TT (In Full) 14. REPORT COVERING THE PERIOD ' C C0- FROM. 1,6_1_ TO:1 - 1 "/S RECEIPTS 15. CONTRIBUTIONS (other than loans and interest) a. Unitemized Contributions ($100 or less from each source this period) $ vo b. Itemized Contributions (over $100 from each source this period) $ J~04. c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $_S040. 16. LOANS RECEIVED THIS REPORTING PERIOD $ 17. INTEREST RECEIVED THIS REPORTING PERIOD $ 6 18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 121.) $ ..7~ 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) n5 asl ~Q. $ -(ta $ $ $ $ $ $ $ Total of Expenditures ($100 or less each payee) $ G~ b. Itemized Expenditures (Over $100 each payee this period) $ ff sd c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $ 20. LOAN REPAYMENTS MADE THIS PERIOD $ I 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) $ O_ 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.) $ 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.) $ Agm§k SS-1133 (Rev. 4102) Page of I ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE / 2. REPORT COVERING THE PERIOD 5-, 4 G~ ~ FROM: /V T0: l~ / f 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 totaling more than $100 from an contributor First Name Middle Name Contribution Received For: Amount of Contribution Last Name/O~ani,,tion Name ❑ Primary Election ❑ General Election 00 ~o ar,~l o f i ~ ~c SDD 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 as ame rgamza on Name Primary Election ❑ ry ❑ General Election Address ❑ Runoff (Local Elections Only) city State ZipCode Date of Contribution Aggregate This Election Occupation Employer First Name Middle Name Contribution Received or: mount o onto ution 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.) VOA (If this is the last page of contributions, this amount must be shown in item 15b. of summary.) V 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 FROM: TO: 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-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 7 Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution Last NamelOrganlzation Name ❑ Primary Election ❑ General Election ❑ 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 Last NamelOrganaatonName ❑ 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 ❑ 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 ❑ 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 uccupation 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. 2106) Page of RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD Apot Gr FROM:/O-&,/ 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 to any payee during the period) First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name CC~~ Od Address City State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure LastN m usir--- _ Address City State Zip Code -`EMI 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 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.) AML 5S-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 (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 I I 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 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 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 mount Guaranteed Outstanding First Name Middle Name First Name 7 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.) Be innin of Period Received Pa menu 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 of RDA 1159 CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees QC ~bR REPORT 2.a. NAME OF CANDIDATE NORCOMfv~'rfE 1. DATE 2.b. IF COMMITTEE, NAME OF ANDIDATE !Y :1 3. ELE TION DATE wt . 5 z~/ 4.a. CAMPAIGN ADDRESS AND PHONE ity State Zip Code Phone Street or Rural ute , / ,hlle- 1;;:~ 3MW IL&5)1?811-1119~1 4 4.b. CANDIDATE'S HOMIE ADDRESS (if different than 41a.) Street or Rural Route City State Zip Code Phone 5. OFFICE SOUGHT nclude district number, if applicable) 6. N ^E OF POLITICAL ZI jASURER (may be candidate) our/ 7. CATEGORY OR REPORT (Check one) / ❑ ❑ ❑ ❑ ❑ 13 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- tur 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. Additi ally, Uvve swear or affirm that no campaign contributions have been expended for the personal financial benefit of the candi too for y other nonpolitical purpose as defined by the federal internal revenue code. signature of candidate date signature of political treasurer date 11. WITNESS SIGNATURE si j re vitness to ignat r of witn ss date 12. SUMMARY a. BALANCE ON HAND LAST REPORT $ / ~O b. TOTAL RECEIPTS THIS PERIOD $ ~cl, C7U 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 $ SS-1109 (Rev. 2/06) Page 1 of Z-- 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 $O 17. INTEREST RECEIVED THIS REPORTING PERIOD $ ~C7✓2 18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) $ / ✓41 cv 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) $ b. 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 $ 6 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) $ -7 1,,?6. 22.IN-KIND CONTRIBUTIONS a. Unitemized in-kind contributions ($100 or less from each source this period) $ C 1 b. Itemized in-kind contributions (over $100 from each source this period) $ U c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.) $ 23. OBLIGATIONS a. Unitemized Obligations Outstanding ($100 or less each) $ C/ 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 CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD le,? Q FROM: -Z~-/ TO: -30 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 ro-^n> / El Primary Election ❑ General Election -W,), 73 r C~_ 60 ~ ~Cj Ak'1 Address ❑ Runoff (Local Elections Only) U City State Zip Code Date of Contribution Aggregate This Election Occupation I cJ Employer First Name Middle Name Contribution Received For: Amount of Contribution Last NamelOrganization Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) Cary State Zip Code Date of Contribution Aggregate This Election Occupation Employer First Name iddle Name Contribution Received For: Amount of Contribution as am rganiza on 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 or: 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 (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.)"' / 0 SS-1131(Rev. 2/06) Page of ~ RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM. l% T0: 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 C), o / 4L mss/ / Address/ City (J7(~ Stals- Zi First Name Middle Name Purpose of Expenditure Amount of Expenditure Lest Name/Business Name, S Y1 /,?/5 14( V've'Addrrss ~Z~lSP/' f~ ~C> J sus /.J ,~/S . city State Zip Code TA/ 3 fJ c~ First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address City State Zip Code 7;~e 197 76 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name SSU~- Address city ~i/~/ C ,C• State nnn~~~Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure e_ 5-e rv(r- le -1 Last Name/Business Name G G //G `I {o /J Address city State First Name I Middle Name Purp a of Expe7d' ure Amount of Expenditure l L ast Name/Business Name ~/:Z' 5 ~c;; ~ I , / el I I ~,~p 1:j,7 se) Address a~ ke City ~C/Jl ZiI/~//~GC 5. TOTAL ITEMIZED EXPENDITURES I> (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 4 / 1 e.rc FROM: _2c _ / T0: - ou t D 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) 747,3, 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 11g1n .r1 C' 2e5 ^6~ Address D >5 ! C /~C C~< P / U~/ ~T1 ~7 C Z` 7 City State _ Zip Code c 7~ f- ~ J First Name Middle Name Purpose of Expenditure Amount of Expenditure Last NamelBusiness Na S c' X u ;%z Address OhAwl ZipCode City j State o 7f- 1 tSdeU First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name 6,D 6Q d/- t2 cs, Address City f/ State Zip Code euc? w /iew First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business N e~~er 2~5?ect/GYJ Address 5 City a Zip Code -owo,~/ First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Addre:5~y Q/t City / S Z - First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name f'~ Address 30 7 eA "'y , 6 17-v C. Zlp 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.) I SS-1129 (Rev. 4/02) Page 21f-3 RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 2. REPO 1 REPORT COVERING . NAME OF CANDIDATE OR COMMITTEE - , FROM. -2q- 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 duFirst Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Na I n Address cC.' Cd Sta Z City ML rfC C Middle Name Purpose of Expenditure Amount of Expenditure First Name Last NameBusinessName ~~wv/ Address ! !q RU City J ~ j!~ V, State 071W zi (,JrC~t Middle NamePurpose of Expenditure Amount of Expenditure First Name Last NamelBusiness Name / .~^1i1)/~~ ! E'j/~I tP/ 'S ~F'iS~E~SS~'~' ~1J e0 J~~`~ Address pD / v ~ / , J( -'L 7 City .7 State.. Zip Code p dpi ~ ~l & Middle Name Purpose of Expenditure Amount of Expenditure First Name Last Name/Business N Alms 15 ^ 1l C. ~O d -raj Address i I city State Zip Code Iq vB Ile . 5 -v A First Name Middle Name Purpose of Expenditure L Amount of Expenditure Last Name/Business Name 417 Address -O~- 75; ~ ~ City State Zi a (Jl./~ -e First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address City State Zip Code ~n 5. TOTAL ITEMIZED EXPENDITURES (Carry forward to item 3. of next page it 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.) Amh SS-1129 (Rev. 4102) Page 1:3 of 3 RDA 1159 CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees P2. DTEE,00FF R EPORT 2.a. NAME OF CANDIDATEORCOMMITTEE 1 Zvi /o il" H ~A fr" IF MMI TEE, NAME OF CANDIDATE 3. ELECTION DATE ~Iu Zo LI/ 4.a. CAMPAIGN ADDRESS AND PHONE State Zip Code Phone Street or Rural Route City ~2 IF 4.b. CANDIDATE'S HUM ADDRESS (if different than 4.a. State Zip Code Phone Street or Rural Route City 5. OFFICE SOUGH? (include //distri t numbed, if applicable) 6. NAE OF POLITICAL T ASURER (may be candidatE!) 7. CATEGORY OR REPORT (Check one) ❑ 1:1 ❑ ❑ PRE- MID-YEAR YEAR-END FIRST SECOND THIRD FOURTH PRE- QUARTER QUARTER QUARTER QUARTER PRIMARY ING DATE OF REPORTING PERIODE~ SUPPLEMENTAL B.a. BEGINNING DATE OF REPORTING PERIOD 9.(Check one) from d contribu because ng in a ❑ t This tap$1,000eorless for h sereportng per od (Complete temst12d. (112eu alnd 12f.i) d) received total $1,000 or less AND expendi- 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. Additi nally, I/we swear or affirm that no campaign contributions have been expended for the personal financial benefi of the candid o or y other nonpolitical purpose as defined by the federal internal revenue code. ignatur political treasurer d to signature of candidate ate 11. WITNESS SIGNATURE date ate natu f witn s o signs of i ss 12. SUMMARY oa 31 a. BALANCE ON HAND LAST REPORT \ , rn 7 b. TOTAL RECEIPTSTHIS PERIOD , . . $ 176-71 N 0 1 n p 0..... TOTAL DISBURSEMENTS THIS PERIOD . c. $ d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) . 61 . ......4..... t:........................................... ` V ~..c..~...... e. TOTAL LOANS OUTSTANDING f. TOTAL OBLIGATIONS OUTSTANDING Page 1 of ~ RDA 1159 SS-1109 (Rev. 2106) SUMMARY PAGE - CANDIDATE 13. NAME OF CAS DA E OR O MI /TTEE (In Full) 14. REPORT COVERING THE PERIOD , FROM: -I - cj TO:,?.-2V- RECEIPTS 15. CONTRIBUTIONS (other than loans and interest) Z c a. Unitemized Contributions ($100 or less from each source this period) $ '5o Uv b. Itemized Contributions (over $100 from each source this period) $ 7U0 7 75o c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ _ 16. LOANS RECEIVED THIS REPORTING PERIOD $ O 17. INTEREST RECEIVED THIS REPORTING PERIOD $ D .7 S~ ~v 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) U~ Total of Expenditures ($100 or less each payee) $ b. Itemized Expenditures Over $100 each payee this period) $ qo?' 7 / c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $ 7 20. LOAN REPAYMENTS MADE THIS PERIOD $ U 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) $ -7 / 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 U 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.) $ Aft SS-1133 (Rev. 4102) Page Z of S s ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAMEFE GANDIDA E C MMI EE 2. REPORT COVERING THE PERIOD Q ?t'/ FROM: ?-/-/y TO: Zfl-/c/ 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 lotalin more than $100 from an contributor First Name T Middle Name Contribution Received For: Amount of Contribution ~U L Last Name/ anizati Name ❑ Primary Election Moleneral Election '#'vD C-0 7a 14 Address ❑ Runoff (Local Elections Only) M& Al lLerJ94~ 0111% City State Zip Date of Contribution Aggregate This Election fop 2 Jr l ~v FD 31 Occupation 2 7I Employer e r ~s ( rc First Name - Middle Name Contribution Received For: Amount of Contribution LasiNamefOrganizationName ❑Primary Election eneral Election Address , /PS P~ J El Runoff (Local Elections Only) City 12 , l / State- ipaCode~ Date of Contribution Aggregate This Election 8, Occupation a~1 ,l ~t ~l~c f~a cJ~ Tul 7 Z Employer p C.~ I FlrstName ddleName Contribution Received For: Amount of Contribution as Name/Organization am ❑ Primary Election 26eneral Election Address ❑Runoff (Local Elections Only) zfhIPUJ P Ivc>l City / State ZDate of Contribution Aggregate This Election ffp o~Uc ~I~ DI Occupation ~ Jvt JI/ -54 Employer a/z First Name M' Name Contribution Received or: mount o 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 (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.) C SS-1131(Rev. 2/06) Page 3 of S r RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 2. REPORT COVERING THE PERIOD 1. NAME OF CANDIDATE OR COMMITTEE f:/0k FROM: ~-/-/c~ T0: 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) Amount of Expenditure Middle Name Purpose of Expenditure First Name Last Name/Business Name u 4 U 2 5' ,80 ,3 f . ~ S l~0 Address l~~t C IZCGIc -e city State Zip Code Purpose of Expenditure Amount of Expenditure First Name Middle Name ZLC Last Name/Business N~~wve Jw /~(Gt 4( Av>7 j ~rntr ~K(~,~e~ C'Ur'~j' Address City State Zip Code Purpose of Expenditure Amount of Expenditure First Name Middle Name Last Na 1B7nes me, / / 51,4 X01 f E~ &9 to, Address 140 CdY State Zip Code © 1 7 ~,T/ be /-1 1 C Purpose of Expenditure Amount of Expenditure First Name Middle Name Last Name/Business N 4f- cz!; Address City Slate Zip Code Co Purpose of Expenditure Amount of Expenditure First Name Middle Name Last Nam /Business Nam 6,041 /Cv,l 14- C~ira l//•r-T~ a~~ ~r ~vv Address C,h City State et) Zip Code /G~(~ Purpose of Expenditure Amount of Expenditure First Name Middle Name ( Last NamelBusiness Name Fq 11) r V Q Ov Address - t2' a City Staff Zip Code 5. TOTAL ITEMIZED EXPENDITURES / Uv (Carry forward to item 3. of next page if additional pages of this form are used.) U 4' (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 FROM?-/-/l. TO: -28--/c 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) oU/ 3 0& 116' 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 NamelBusi a~ /UM N2r Address v C~ a t- 1 V' e 7~ city State Zip Code ali u r First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name CrL '-s h ~ tG /L( too ~ /~F ~ ~C o n( 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 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 7 (Carry forward to item 3. of next page if additional pages of this form are used.) 76 7 (If this is the last page of expenditures, this amount must be shown in item 19b. of summary.) Paged RDA 1159 Aft SS-1129 (Rev. 4102) CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE O(FREPORT I2.a. NAME OF CANDIDATE0 OMMITZ,-- 2.b. 1 10, D o iw zl-~I -Jtj IF COM ITTEE, 14AME OF CANDIDATE 3. ELE TION DATE u 2-6/ 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone lemple /R) Ile _/_oy /W ~gy_46& 4.b. CANDIDATE'S HOM ADDRESS (if different than 4..) Street or Rural Route City State Zip Code Phone 5. OFFICE SOUGHT i elude district number, if ~a/pplicable) 6. NAME OF POLITICAL TREASURER (may be candidate) ul f Net 1~ ~3r~ {22 i/ 0'q ✓i S 7. CATEGORY OR REPORT eck one) ❑ ❑ ❑ ❑ ❑ IFIK 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 r / 2114 u Ate 3v 20fe-I 9. (C eck 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, [/we swear or affirm that no campaign contributions have been expended for the personal financial benefit of the candid too for other nonpolitical purpose as defined by the federal internal revenue code. v 7:~' - _71A9111 signature of candidate date -7-signature of political treasurer date 11. WITNESS SIGNATURE W sign re of witness date nature o)vvitness ate 12. SUMMARY a. BALANCE ON HAND LAST REPORT $ b. TOTAL RECEIPTSTHIS PERIOD O c. TOTAL DISBURSEMENTS THIS PERIOD $ P tJU d. BALANCE ON HAND 12.a. plus 12.b. minus 12.c. $ e. TOTAL LOANS OUTSTANDING $ f. TOTAL OBLIGATIONS OUTSTANDING $ SS-1109 (Rev. 2/06) Page 1 of _J_ RDA 1159 CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. D TEOF/ EPOF2~~ 12.a. NAME fCAN~DIDAT~~ ~ATTE- 2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code hone / Al ley 4.b. CANDIDATE'S HOME ADDRESS (if different than 44.) Street or Rural Route City State Zip Code Phone 5. OFFICE SOUGHT (include district number if app' ble 6. NAME O~LITICAL TREA ER (may be candidate) j' , 'f 5 7. CATEGORY O 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. ENDI G 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, [/we swear or affirm that no campaign contributions have been expended for the personal financial benefi f the candidate for ny her nonpolitical purpose as defined by the federal internal revenue code. signature o candidate dat si ature of political treasurer date 11. WITNESS SIGNATURE fz / PF d~ nature &witness da e si a ure witness 19 12. SUMMARY a. BALANCE ON HAND LAST REPORT $ t b. TOTAL RECEIPTS THIS PERIOD $ c. TOTAL DISBURSEMENTSTHIS PERIOD $ d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ e. TOTAL LOANS OUTSTANDING $ f. TOTAL OBLIGATIONS OUTSTANDING $ L~ SS-1109 (Rev. 2106) Page 1 of RDA 1159 CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates Tor Single-Candidate Committees 1. DATE OF REPORT 2.a. NAME OF CANDIDATE MI E 1_ 0 '~~J er 2.b. IF COMMITTEE, NAME OF CANDIDATE 3. El-,E T )ON DATE 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Rout /pityy Sta Zip Code Phone 1~--3 I, Ixe Ile 7/ 4.b. CANDIDATE'S HOME ADDRESS ('d different than 4.8 Street or Rural Route city state Zip Code Phone 5. , FFICE SOUGHT (include district np r, if applicable) 6. NAME OF OLITICAL TREASUElER (may be candidate) 1212 4,111k, 7. CATEGORY OR REPORT (Chock one) ID 13 m FIRST SECOND THIRD 0 13 13 0 FOURTH PRE- PRE= MI YEAR YEAR-END QUARTER QUARTER QUARTER QUARTER MARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD 9.(Check one) 8.0 ' campaign is exempt from detailed disclosure because contributions (including in-kind) received total $1,000 or less AND expendi- res total $1,000 or less for this reporting period. (Complete items 12d., 12e. and 12f.) b. 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 ampa n contributions and expenditures required to be reported by the candidate committee by the Campaign Financial Disclosure AcL itionally, swear or affirm that no campaign contributions have been expended for the personal financial ~ of candidat or r an o txxtpotttical purpose as defined by the federal internal revenue code. J ignature of candidate V)/,w ell signature o political treasurer d to 11. WITNESS SIGNATURE =-~U y a 3~ / 'tVnature witnes date t s ate 12. SUMMARY ^ a. BALANCE ON HAND LAST REPORT b. TOTAL RECEIPTS THIS PERIOD i~......................... $ /57 c. TOTAL DISBURSEMENTS THIS PERIOD / L' 3q d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) 5 e. TOTAL LOANS OUTSTANDING ...................................................hr, $ CJ f. TOTAL OBLIGATIONS OUTSTANDING $ SS-1109 (Rev. 2106) Pape 1 of RDA 1159 SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTE (In Full) 14. REPORT COVERING THE PERIOD E n {Cr FROM: 7 f / j TO:// /S RECEIPTS 15. CONTRIBUTIONS (other than bans and interest) a. Unitemized Contributions ($100 or less from each source this period) $ 7 fL b. Itemized Contributions (over $100 from each source this period) $ U~ c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ 16. LOANS RECEIVED THIS REPORTING PERIOD ..........................................................................................$~11 17. INTEREST RECEIVED THIS REPORTING PERIOD V 18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 121.) $ C/L 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) $ 1,76 7 b. Itemized Expenditures (Over $100 each payee this period) $ C. TOTAL EXPENDITURES (other than ban repayments)(add 19.a. and 19.b.) $ J 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 221.) 23.013LIGATIONS . a. Unitemized Obligations Outstanding ($100 or less each) $ b. Itemized Obligations Outstanding (Over $100 each) $ G% r, a TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 121) $ SS-1 133 (Rev. 4102) Fag, of L ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR CO ME 2. REPORT COVERING THE PERIOD 7 z`- 7 %w f C L FROM: 4,,//3 TO: / 5 t 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 9 first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBIfiON car butions totaling more than $100 from an contributor Ftst Mddk Name Contrbulion Received For. Amount of Contrmution / ( /?/e ff, Lost HameOvan¢a6on Na" 1ldPrimary Election ❑ General Election c L Address / ! ❑ Runoff (Local Ekc ions Only) Cr, sb%L Zp Code S",4:1 / Dale of Contnh" Aggregate This Election P7 Ccapation Eo*W FWName MddleName Contribution Received For. Amount of Corktutien Last N me*ryanlrabon Name ✓2 r If'J Primary Election ❑ General Election c Addreu _4~ c ❑ Runoff (Local Elections only) jzoc) Date of c"&bub'on Aggregate Tlds Election Firsttlxne Name Contribution Received For. Amount of Corktx n 0 x101 y Election ❑ General Election GAG c`- Address / ❑ Runoff (Local Elections Only) / TpCode c Date of contriw6on Vale Aggregate This Election C', / occupation /f! l ! / ` Fist Name Mid* Name Conbtxjbon Received or Amount o Last NamelO ffpnim6on Name ZIre nary Election ❑ General Election C% Address 12(l ❑ RunoH (Local Elections Only) Cry ` ~ / Zip 7 / Oats of ConMbulion Aggregate This Election Employer 5. TOTAL ITEMIZFn. CONTRIBUTIONS 6)4, (Caram 3. of net t pope raddi6onat pages of rrb tom, are used.) (r this Is N W papa of cordeb Aons. M amour must be Brawn in rem 15b. of arrrrnary.) I- SS-11131(Rev. 2106) Page of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD ~v w! 7~ F7 7/(-' /1 r v FROM: 3 TO: 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING. PAGE (erder $01f first itemized page) -7 1..5 COMPLETE THE N`PIWRiATE1TP,I.tS FOR EACH ITEM12 D CON7RIeUT10N caMiibuG4su more than $100 from Name 4tddle Naiae Co(*9bu6an' Reo6w For Atribuit of Contrttxj6on t.sst wmerocs~6m Now m4 mw mocum ❑ Caenetel Election Addrtss / /i cam- ❑ Rumf( (Local Elections Only coy ZpcoWa~ Date of Coat ution Aggregate This Election Enpbyer . fistName / VAMeName ODn tbjfon Reoelved For AmowA Of Contrbution Lnt Nw4o w Norge ®P"ty Election ❑ Ge l Election <1%'/Z e CKY 21,1 ` z0o~,,,/ Dale o(n Aggregate TW Electim Ftstwn u.me C"Afkfwn Rued Fa Amount of Cw* buom loft may Bocwn ❑ Gwatat aeon S G; tv OJ C'r r<S~it/ Pr e /,5o, v ArWress p Runou MW [ 5«ns OW ~U v P r ' f ~tJ O G,. el ~ O ` c Ile T7-7,/]f?ode . (`iv&bu6on Aggregate This Eleclllon C jC?? cap.Gon IdlYll 3 Ewfbff test Nock Neale Name E u*m ❑ Gen0f81 EI cbm 6J ` -77 c O Runoff ped Eledioru °"M /`2Ui f . zpo~ae Date of Ca*bAon Aggregate TMs 13ecbm OOdi 86*n 5. TOTAL. n EMIMD. CONTRIBUTIONS try k n• m:<~e aoaw+a~c«,s, ens u+wunt ww,st a atawn rn Mem iso. a summaga (1~ M1131(Rov. 2M) Page 2 of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: ? 7~ TO: Amodint. 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING. PAGE (enter $0 If first Mated page) ~ 4. COMPLETE THE APPROPRIATE T If= FOR EACH ITEMIZED CONTRIBUTnMON oon6~uCglu moos Than 5100 firm Fist Name I~ddlb. O&*Won-Recdved For Amount of Conbbu8on Last wmelOrparJritan Name IE=f Prm~ary Election ❑ General Eledjon Addrm /v ~C(c / ! E% n ~ ❑ Runoff (Local Gedm Only) My Dale of Contr~uGoa Aggregate This Election 15P RstName vaddkName Cor&bjWn Received For. Amount of Contitation j~L(C~' ~l lmµ was ®'Primar a don ❑ Getwal Election LV Awfm 12Z) ❑ Runoff (Local Elewons only) Ck J~Dale o(Cotr&bV" Aggtegaate This Elctin Z ~v Z c r fi*Nx" HKM CoatribuGOn For Amount of OwIstubm f E x6w Gw4W Election ` I Andros: ❑ Runoff (focal Ek6ons Only) /1 /L~ / l/ t s iCl Zp A 0 2) Date of CW&b,6on Aggregate This Election o«up.6en "Xe -41 let 3 Eftv"w Firstwme n / / "1 /c... 1` ~ ~ 4idAe Name lufNa~lOr9a~6onlan,e F'ricnaryEfection 13 GeaeralEleGlon / U"~ 1 f 1 ,C' C'~. "CL ❑ Runoff (Local Heccons only as , rPc*de oafs of Cockrbution Aggregate This section $WW tkapaGon 5. TOTAL (TEMIZFD. CONTRBUTIONS D1J ( bxwnd b Nan a a neat Pap. rad~i6omal pages amt: tone are used] (His><heUdpap afcw vGons 96smountaxntbegiomInMmiSb.a 4 SS-1131(Rev. 2106) Page of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMtTTEE.._..--- 2. REPORT COVERING PERIOD : ->71 FROM: ? , / TO: / Amoutit -IL) 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING. PAGE (&Om $0 K first itemized page) - S G COMPLETE THE APPROPRIATE PIWS FOR EACH ITEMIZED CONTRIBUTION cocdr~buCgfu W.Av.mom than $100 from a fist Name tfiddle Maine boa. Amourd of ContrbuGon Lasl Na Clff mn EfecW ❑ 0w W Eloebon ❑ Runoff (Local eeaia,s only) ab (Yy 4. ~~-3 Date of C uGon Aggregate This Becdon GiEW FkIIName ifiiddeNwa ConbtK" ReoeMed For Amount of Conhbution µ IQPrinaryElection ❑ GeneralEledan 4L% Aea l /Y/ (f r' a1/ ❑ Runoff (Local sedans Only) Zpcbde Q -3 T,! Date d Cort budon Aggregate TW Bec& n r fistNana Name Ca*bJ60n Reoew Fot: Am" of Conbb." Aaamu Ro" mw sedans 0* gala 40ode Data o(Contrbuiiot~ Aggregate This Election Ooage6on R *Nsme WAMNamo W Nw&'O~ Name ❑ Primary section ❑ Genoa) section A6dcess ❑ Runoff (Local sections ow Ciy It zoo,* Dale of Om*b" Aggregate Thls Election 5. TOTAL. ITEMIM.CWTRBUTIONS ((*W wacdlokm3.anedpa"K"*i6awvap«of#*bmaeusea.) (K ft is 6,e latpape of cw*bu6ons, amount must be shown lnNem 15b.otaumrery4 4Y W1131(Rev. 2)06) Page of RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE / 2. REPORT COVERING THE PERIOD 6 Z) FROM: TO: noun 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 If first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (experoftm sxalrq node Ow $100 to any payee during the period) First Name Middle Name Purpose of Expenditure Amount of Expenditure Lasl NamaBusiness Name ~ ~ j Address cky Zip Code & Name Purpose of Expenditure Amount of E"rKrI4xe Fat N,r„e r l :'~z IT t Las! Name/8usineas Name C Addma EGG ckv stme Zip Fret Name Middle Name Purpose of Expendtre Amount of Expendtue Litt Namaeuahess Name c Adams ckf Stale Zip Code First Name Middle Name Purpose of Expe ftn Amount of Expendiu e Litt Na nbsusif"s Name Address ZIK- 014 $we Zip CO. Fret Name Middle Name Purpose of Expenditure Amount of Experidgre Last Nana usrress Name Address Oki , npcede ' Rif Name Middle Name Purpose of Expenditure Amount of Ezpendtn Last NwASusrrossName Lj C > i a k1c le c~ 5. TOTAL imkFn EXPENDITURES c 5 (Csq forwud to Clem 3. aned page MadRiond pages a f ft form am used.) (tr tNs k rie fast papa a.xperdibras,lNs aniourtnsuct Oe uutawn rr item 19b. a cunr►w7•I J ® SS-1129 (Rev. 4X12) Pape / Of ~ RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE P RIOD /11 - ~7 C 2 t~`~ FROM: % TO 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expend"w btalav more run $100 b any payee during the period) Flat Name Middle Name Purpose of E*wdkm Amount of EzpencrMm Lost Nwesusnm i=7 Addmss a l1 ,I ?s .,c zip code . Flat Name W d& Name Purpose of Exile Wdm Amount of EVendia,ne Last Namr,/Business Name C,u Addess S-W ZIP code Flat Name - - Middle Name Purpose o(E)pendaee Amount of E)"rdraxe Last Narrra8Akwa N2nK n Aae v N S p t° C S C`~ UL sr,be 01 CKy zpCode Fnt Now _ Name Pwpose of Expendaare Amount of Experxl n Last NwraBrainess Name I ~r _ ~i <~~~r f~ 2 Aaaras: I ~C ti , 7 CIV $!0%- ZIP owe Flat Name Middle NwW Purpose of Expenditu a Amount of Ewnfa,re Lasl NamaBwiness Name Address civ Fk* Name Riddle Name Purpose of Eger4kum Amount of Expe xkn Lest Noma usk*ss Name JL)1, I ct f L { C Address k 4 Code 5. TOTAL ITEM[7pD EXPENDITURES (Cara brwad to Item 3. drw gape rsddaoaal popes off* form am wed.) IN 1* kft last pageafwrp« ,thkamountmxttoOwn in rem IWof wwwya 7cY ® SS-1129 (Rev. 4102) Pape of ~ RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD le ill I k: FROM: / ~3 TO:/ 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 If first itemized page) 3~ y 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (exper4oures btarnp mae dw $100 b arty payee &ft rie period) RalName hWdk Nar"° Purpose Of Expenditure Amount of Expendihxe Last NameMus'messName Address city Fast Name LW* Name Purpose of Expemddure Amount of Expendihxe Last Nwtffiuskress Name Address city stale zip code First Name Diddle Name Purpose of Egxw digme Amount of E pence" Last NamelBuaixss Name Address w am Zip Code First Name VA* Name Purpose of Exp fun Attount o(Expe"kNe Ust Nmr*S *m Name Address ab State Zip Code First Nam Diddle Name Purpose of Expeneum Amount o(Egwdrture Last NameMuskbss Nam Address C Stab Zip Code First Nam Mme Nam" Purpose of Expwxkn Amount of ExperahW Last Na rwSusiness Now Address CV4 sae Zip Code 5. TOTAL ITEMIZED EXPENDITURES (Carty toward to Near 3. aped page Uadditimal papas d M is form amused.) (If ihk k Mie last pope of axpenft a, Mds amaxrl must be shown In Nam 19b. of sunvnay.) ® M1129 (Rev. 4/02) Pape RDA 1159 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. 2-10-10 1, may be exempt from completing this form, please checkwith 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: 3. Candidate a-mail address: 10M Af-L,n ec YlC j~~ 4. Campaign Address and Phone: City State Zip Code Phone ~i Ile- 27&X1 S. Home Address and hone (if different than item 4 abo City State Zip Code Phone 6. Office Sought (include district number, if applicable) 7. Party Affliation 8. Election Year 1 12011 it & ef 0 touk k 9. Treasurer Name: 10. Tre surer a-mail address: 1~19 olqvi-s 11. Treasurer Addre s and Phone: City State Zip Code Phone ~6~ ~_C~ Llbw ~N;Av_ -TN -S9 I 12. Candidate and Treasurer Si nature ( th signatures must be witnessed. Treasurer can not witness candidate's signature): Signature of Candidate Signature of Treasurer C ~l'1 V~ i1. ~ !I- ~l ti . Y C7uYY~G~ l t Signature of Witness Signature of Witness Registry of Election Finance SS-1120 (rev 1012010) CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORT 2.a. NAME OF CANDIDATE M( E 7- / - /3 tt ckir 2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE 4.a. CAMPAIGN ADDRESS AND PHONE _ 5 /O Street or Rural Route CI State Zip Code Phone /at$ c- a 60/ CMW41 e 4.b. CANDIDATE'S HOME ADDRESS ('d different than 4.a.) eet or Rural M R City State Zip Code Phone c e, a / , e7- OA e4 5. FFICE SOUG T (i a district number If appli ble) 6. NAME OOLITICAL TREASURER (may be candidate) 7. CATEGORY REPORT (Check one) FIRST SECOND THO FOURTH PRE- P❑R& MID-YEAR YEAR-END QUARTER QUARTER QUARTER QUARTER MARY GENERAL SUPPLEMENTA(. SUPPLEMENTAL 8.a. BEGINNIN G DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD 3~pg me l 4 Z o/ 3 o Z.o 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. VThis 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 Disdosu AcL Add' ny, Vwe swear or affirm that no campaign contributions have been expended for the fit of the to or an other nonpolitical personal financial any purpose as defined by the federal internal revenue code. signature of candidate da sig r of political treasurer date c 11. WITNE S SIGNATURE signatu f witness dab signal of witness date 12. SUMMARY a. BALANCE ON HAND LAST REPORT b. TOTALRECEIPTS THIS 00 PERIOD $ c. TOTAL DISBURSEMENTS THIS PERIOD , 5 4 d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) e. TOTAL LOANS OUTSTANDING $ I. TOTAL OBLIGATIONS OUTSTANDING $ SS-1109 (Rev. 2/06) Page 1 of RDA 1169 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAMr CANDIDA OR M ITTEE D G « 2. REPORT COVERING THE PERIOD FROM:, ~ 3 TO: ~ a0 j 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first ftemized page) t 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTIpN Fkst Name utiorts totaG more Than $100 from an mntritwtor 5 ` C Irlbution Received For. Lasl Name/Omx~ 5m Nape Amount of Conbibubon SC,/ WAY Eamon ❑ General Election 25 dv Address p HO t r ❑ Runoff (Local Elections Only) City sft- treW 3 We of Contribution Aggregate Ttds Election N ODD-paw IQ"f'f0 ''V ~~lIOO~~// .3113 ~r FkAName TC r Wide Name J Contribution Received For. ~M of Cof*j~~ Log Na;Z6;~NNava ~ / Q ry Election ❑ Genoral Election Vz) l tog *moo 7 a/`d ❑ Runoff (Local Elections Only) 04 A tt+9~ /tL 4 42`110 3 Date of ContrKK" Aggregate This Election i ask 12 / 13 First Name~~ Name Contribution Received For. ~w of Cmtr&~ [afgary Election ❑ General Election ❑ Runoff (Local Elections Only) Ck t 4 Code Date of Contrbulion occupation Aggregate This Election I c5-foR1c5 al I A fie. 3113 to Fkst Name reddle Name GonlriNkon KNOW nr o Last NameroryaNza6a,Hame Wi nary Ewoon ❑ General Election A ddm837 ❑ Runoff (Local Elections Oniy) - CRY ~ ~v 7 y j Date of Contrnilm" Aggregate This Election tion -3//3 .0 r rr a/% 5. TOTAL ITEMIZED CONTRIBUTIONS (Carry biword b hem 3. of next page tradMonal pages W V* born are used.) /tV (h ft is N last page of cmkrbAons. this amount must be down in hem 15b. of summary.) 4177 5' 0 SS-1131(Rev. 2106) Page ~ of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE QRtOWITIEE 2. REPORT COVERING THE PERIOD FROM: /3a TO: V J* V jrkmounKA We, .Wf l3 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 K first itemized page) yI / 7,7 06 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION conbbulions totaling more than $100 from an wntribuW, First Name 7 frfddk Name Cwffl tion'Received For. Amount of Contribution Last Ksnw Vwks6m Name E~,~,v S 1! <P q Elac$w ❑ General Election Gv Address C!:5*O CP •Vl ' 4 ( d / e t~ ❑ Runoff (Local Elections Only) v CRy No", it t stal~~ Date of Contribution Aggregate This Election Ocap w 9 ORNc 3 t e ~f FsrstName r ll < W4* Name Contribution Received For. Amount of Contribution less Name<Organizatim Name ry Election ❑ General Election 1034040 oo Address 7~ 44w,44 7 C li ❑ Runoff (Local Elections OnM City / ,0g Lpgde., ~g Date of Contrbution Aggregate This Election ( e3 ( 3113 0-pad- k) N cr Fast Name --~C Name Contribution Received For Amount of Contrbubca J- r [W& - rxnary Election ❑ General Election ~ad WNam*QrqannbonKam Address of/n [ r Runoff (Local Elections Only) Q~ `T Lam- W Gh V 1 I Q Lp bane of Conhbution Aggregate This Election 0="Wn l~~ ✓ l(I! ONurnc„c~ FYSI Name ~wov# wane Name ConVbq*n Received o Amount of Contribution 04) last NamdOrya4zation Name Gary Election ❑ General Election c/e 40 Addy-Z4& M ❑ Runoff (Local Elections Only) p. City ,O(- V t / / Date of Contrbution Aggregate This Election 5. TOTAL ITEMIZED. CONTRIBUTIONS (Gerry toward to item 3. of next page K sd&6orW1 pages of MRs form are used.l 14 , (I tuts is last papa of oxftul ans. ft ,monad m ut be dawn in item 15b. of stxrvrwy.) SS-1131 (Rev. 2106) Page Z of 3 RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 2. REPORT COVERING THE PERIOD 1. NAME OF CANDIDATE OR COMMITTEE C/ FROM: TO 30 / 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 It first Itemized page) D Q P"' PRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION cw*btdlons totaling more than $100 from a contributo Arraunl of Contrbutiom Flit Nam Diddle Name ~ybution'Recehred For nmary Election ❑ General Election 7 Runoff (Local Elections OnM e Aggregate This Election ~~17~ Date of Cotdribution ~~r / 3 Wdse Name Contdt Aon Received For. Amount of Co* ution First Name ~µ~p~bmiNi a 9KI-WE_lection ❑ GeneralEleclion /ovo Cr'Soa! Adaress )v '14-1-ell 0 ❑ Runoff (Local Elections OnM zee Date of CotrtrbuGon Aggregate This Election om~ 0113 r7l~T--h ~i frf 's C.a~la/ r ..r. Name CoMrb&n Received For. Amount Of Co*bAon FastNarne ~jo C 44 _ S~Prh- ary Oaction ❑ General Election / ~u d Addrm ' ( ❑ Runoff (Local Elecliom OnM ' r C Date of Cw*u6on Aggregate This Election acv," 01. IDcct l,w s s of CoWbution l sst Nan WOrgantra6on Name ❑ Prfnlaty Election ❑ General Election ❑ Runoff (Local Elections Only) Address Sbte Tip Code Dale of Contrbulion Aggregate This Elerd on CH OCCUP86M . l.rployor . 5. TOTAL ITEMIZED. CONTRIBUTIONS 9,760 (Cary hoard b Uem l of next Woe if sdMocol pages of this form are useda (U ft isfro Iast page of cardnbrNOns."amornt must be sho" in Nam 15b. of sunvnmy.l Page Of RDA 1159 SS-1131(Rev. 2106) F • • I ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDAT 0 CO MITTEE 2. REPORT COVERING THE PERIOD 7_ f 5Y 1010 r FROM: W TO:0 W-47 tnou 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE {enter $0 )I first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMUED EXPENDITURE (expenditures totaling more than $100 to any payee during the period) First Narra Wdd,e Name Purpose of Expenditure Amount of Expenditure OY~ Last us' Name 175 Address 7 N4000 r a~ w4 / city ~ s First Name fiddle Name Purpose of Expenditure Amount of Expenditure was c* gmae-- T StAe Lp~,7 First Name Viiddle Name Purpose of Expenditure Amount of Expenditure `I AM& es&e d /ao Address ffD Z/V 7-(3 101 First Name VA& Name Purpose of Expenditure Amount of Expetxfi6ure La, ~Na f i~i~/ / d4 tt' "°*a a b• 4 »r chy St* Zip Code ~H 780 Fact Name Lime Name Purpose of Expenditure Amount of Expenditure = = Nart~ / + tP.4 A V40 Al RVe _s4c 7y em #/.0/ .006 0,0 rah r~ S=^ ~r s tab/t o~c C'o~~~sf Middle Name Purpose of Expenditure Amount of Expenditure /W ex last N 12 f N kv-.9 c IKdAw 4 y 170 5. TOTAL IT MIZED EXPENDITURES (Carty forward to item l of next page i<additional pages of b* roan are used.) (If tlds is the last page of expendUures, this amount must be shown M item ik of srxrwnary.) SS-1129 (Rev. 4/02) Pape of RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD O GH C ,e e- FROM: TO: 30 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first Itemized pap) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (upend-am baling more man $100 b any payee during the period) Nrst Name i Middle Name Purpose of Expenditure Amount of Expenditure C c Last N7 77 Address pR e i 5*,,-e I 80• t City t a3 Fiat Nane Middle Name Purpose of Expenditure Amount of Expenditure Last t~ RA kc Z•i,5 Address/ WA* #W/0 ~ If T~/Lve /s s ire Ed. City v sT~ Zip Code first Name Middle Name Purpose of Expenditure Amount of Expenditure W 2 ~c~ ~ Imo «,VS AW=s 6 /^G ~l e r .r0?30 'C uc%~e CIV S* -Tzv code First Name Middle Nave Purpose of Expenditure Amount of Expenditure La=tWirne=~~eoz~ Addre:% X13 rat 6?o f Zip code e, s Ad yr /--f %370 / Rmt Name i4ddie Name Purpose of Expendditure Amount of Expenditure d A0, Address m ~!K OIf S / 70b ck, Pro Name Wdrre Name Purpose of Expenditure Amount of Expenditure usinessNar~/J~ f'~v -~a R p~jG4 Address 70b ! S t Svl -F /aurtNA~Load lt:", t.4 x°87 b/ 5. TOTAL ITEMIZED EXPENDITURES G (Corny forward b Nam 3. d aul page if additiovW pages of tole form are used.) O W M is the last W otaxpenditm, tNs wwA must be shown in Nam 19b. of wr nary.) /0 3 ® 88-1129 (Rev. 4/02) Page of RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES 1. NAME OF CANDIDATE OR COMMITTEE C A N D I D AT E 2• REPORT COVERING THE PERIOD 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter ap if fast Itemized ROM: ~ ~ TO: 30 COMPLETE THE APPROPRIATE ITEMS FOR EACH REMIZEO E>ff'ENOtTU n Fiat Name RE Middle Name (-pendo- W"V nw a than s,oo b any payer ~D Peciod) Last gusmess Purpose of Expenditure Amount of Expenditure AA CRY S zip code 5~vs First Naive { 78 PurposO of E d m Amount of Expenditure . „°dres=a~ First Name NaTe Lftl P;y of Expec~ Amount of EzperKrdwe 3 darn! : Fist Name y,a"W.A. I~ddle Name Last Purpose of Expenditure Amount of ' Expenditure Aftess /s St* ZIP Code cil, 7~.~ Fksi Name Mddle Name p of Ex LOS M Amount of Expenditure 7e rsvoln&%A, Address/v _ 2 f~!? GL 4*AYq,?X ey r 4r~dy P~ C° ~ add 7Pllt,L ~~dat Sc,2 S T~ 74 Fka Mode Name Purpose of Expenditure ~ / 01~ws~ Amount of Experxfihire "&M P 4c, '4 c4ty S C 441.1 /4 5. TOTAL [T IZED EXPENDITURES (tarry arward a iam 3. a r~ pave r additional page= a nr= arm are usea.l L SS-1129 (Rev. 4102) Pace 3 of y RoA,fSs ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE t 2. REPORT COVERING THE PERIOD FROM:r /3 TO: j0 /3 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 H first itemized page) . /4i Q. 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expend&= btaling more than $100 b any payee dump the period) First Name Wddle Name Purpose of Expenditure Amount of Expenditure usmess • d c", Address 111:v co edo C4 m~31111~ First Name Wddle Name Purpose of Expenddure Amount of Expor dlure Last Name WAe tw (5a First Name Waddle Name Purpose of Expenditure Amount of Expendrbae Lasl mess r _MY Sd !149 i~/ ~~i.~/aa oD co 4 Code riI { xv 37drecl First Name Wddle Name Purpose of Expenditure Amount d ExperdWre LsatsssName s c 6 y Address C"' I T 3 First Name twiddle Name Purpose of Expenditure Amount of Expenditure Last NamelBusiness Name Address C* Stale Zip Code Fkst Name Riddle Name Purpose of Expenditure Amount of Expenditure Last NamelBusiness Name Address aty state Zip ude 5. TOTAL ITEMIZED EXPENDITURES n (Carry forward to item 3. of next page it additional papas or ft form are used.) q96 (tit this Is the last page of ezperdihues, this woo must be in item 19b. Of ssurmrary ) SS-1129 (Rev. 4/02) Pape of RDA 1159 CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORT 2.a. NAME CANDIDATE 71EE 2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE 4.a. CAMPAIGN ADDRESS AND PHONE Street or _ Rural aoute Stste Zip Code hone 4.15. CANDIDATE'S HO E ADDRESS (idifferent than .a.) Street or Rural Route city state Zip Code Phone 5. OF ICE SOUGHT iclude dis n mber if applicable) 6. NAME OF POLITICAL T"URER (may be candidate) 7. CATEGORY OR REPORT (Check one) 13 1:1 13 1:3 11 11 FIRST SECOND THIM QIaAR MARY PRE- MI YEAR YEAR❑.END QUARTER G-ENERAL AL SUPPLEMENTAL 8.8. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD 9. (Chock onL f+t ~Y ~J 2lam/ '_5 a. L mpaign is exempt from detailed disclosure because contributions (including in-kind) received total $1,000 or less AND e ndi- tures total $1,000 or less for this reporting period. (Complete Items 12d., 12e. and 121'.) xPe 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 campa contra ns and expenditures required to be reported the candidate committee b the Campaign Financial Disclosure Act N swear or affirm that no cam y paign contributions have been expended for the personal financial 4: benefi to a r nonpolitical purpose as defined by the federal internal revenue code. signature f candidaU a signs of lit I treasurer date 11. WITNESS SIG E i3 sig ure witness date s natu qt~ witness date 12. SUMMARY 2 u a. BALANCE ON HAND LAST REPORT $ b. TOTAL RECEIPTS THIS PERIOD $ c. TOTAL DISBURSEMENTS THIS PERIOD ...3 194' d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) LJ✓~ ~ ~ 3 e. TOTAL LOANS OUTSTANDING f. TOTAL OBLIGATIONS OUTSTANDING $ SSA109 (Rev. 2106) Pape 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 bans and interest) a. Unhemized Contributions ($100 or less from each source this period) $ r~ 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 $ f 17. INTEREST RECEIVED THIS REPORTING PERIOD 18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) $ C/ 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) $ $ $ $ $ $ $ cv Total of Expenditures ($100 or less each payee) $ ~f~~(~/ b. Itemized Expenditures (Over $100 each payee this period) $ 1 C. TOTAL EXPENDITURES (other than ban repayments)(add 19.a. and 19.b.) $ ~ (9 20. LOAN REPAYMENTS MADE THIS PERIOD 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) $ c~ ? 22AWKIND CONTRIBUTIONS a. Unitemized in-kind contributions ($100 or less from each source this period) $ lJ 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.) C~ 23.013LIGATIONS a. Unitemized Obligations Outstanding ($100 or less each) $ C b. Itemized Obligations Outstanding (Over $100 each) $ a TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 121) $ _0 AM!L SS-1133 (Rev. 4102) Page of CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATEOFREPORT 2.a. NAME OF CANDIDATE ITTEE Ii/Li J-q~ ! - C 9 2.b. IF COMMI EE, NAME OF CANDIDATE 3. ELECTION 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 SnOFFICE SOUGHT (i ude district number, if applicable) 6. N F POLITICAL SURER (may be candidate) 3- r! 2 T Pjb5 lz K 2 Ili 7. CATEGORY OR REPORT (Check one)- 0 FIST SECOND THIRD FOURTH ~ ~ MI ❑EAR YEAR-END QUARTER QUARTER TER QUARTER PRIMARY ENTAL SUPPLEMENTAL 8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD 9. (Check one) a. [Zpliis 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. 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 ActdHIonal , There swear or affirm that no campaign contributions have been expended for the personal financial ben the a prr for y r nonpolitical purpose as defined by the federal internal revenue J rgnature of n i a da signature o political treasurer date 11. WITNESS SIG RE A111 //j li~ignatu, f witness date s' ature of 'tress date 12. SUMMARY O~~ ~ti AM Q PM 1 ? r a. BALANCE ON HAND LAST REPORT OEI'VEO $ 01 rn b. TOTALRECEIPTSTHISPERIOD ........-dUl.. .a..0~~..........A..........$ 00 3 c. TOTALDISBURSEMENTSTHISPERIOD NTM.... o............$ d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) .........~.1... L~ Wy" $ e. TOTAL LOANS OUTSTANDING $ f. TOTALOBLIGATIONSOUTSTANDING $ SS-1109 (Rev. 2106) Page 1 of 4- RDA 1159