Cantrell, Chris
CAMPAIGN FINANCIAL DISCLOSURE STATEMENT
For State and Local Candidates
For Single-Candidate Committees
1. DATEOFREPORT 2.a. NAME OF CANDIDATE OR COMMITTEE
7ec,,1- chess
2.b. IeC
, TEE
, NAME OF CANDIDATE 3. ELECTION DATE
Z o z
4.a. CAMPAIGN ADDRESS AND PHONE
Street or Rural Route City State Zip Code Phone
313 fli c k )s 0 r r Rio' '777 3-d !yy
4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.)
Street or Rural Route City State Zip Code Phone
S ,.'1 G
5. OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate)
01~'a~ .O. q.- /
7. CATEGORY OR R PORT (Check one)
❑ 29 ❑ ❑ ❑ ❑ ❑ ❑
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
Zo/Z S' 30 2-017-
9. (Ch ck one)
a. ❑ This campaign is exempt from detailed disclosure because contributions (including in-kind) received total $1,000 or less AND expendi-
tures total $1,000 or less for this reporting period. (Complete items 12d., 12e. and 12f.)
b. This campaign is required to file a detailed financial disclosure because contributions (including in-kind) received total more than $1,000
and/or expenditures total more than $1,000 for this reporting period.
10. I/we do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this report is an
accurate accounting of campaign contributions and expenditures required to be reported by the candidate committee by the Campaign
Financial Disclosure Act. Additionally, I/we swear or affirm that no campaign contributions have been expended for the personal financial
benefit of the candidate or for any other nonpolitical purpose as defined by the federal internal revenue code.
signature of candidate date signature of political treasurer date
11. WITNES IGNATURE
signature of witness date si ature of wi es date
12. SUMMARY
a. BALANCE ON HAND LAST REPORT .............rQ r:f, $
b. TOTALRECEIPTSTHISPERI OD $ 00
00
c. TOTALDISBURSEMENTSTHISPERIOD
$
U ..rrr
d. BALANCE ON HAND (12.a. plus 12.b. minus~~~ ?t $ 31
~ f.
e. TOTAL LOANS OUTSTANDING Z $
f. TOTAL OBLIGATIONS OUTSTANDING $ 2q1-00
° SS-1109 (Rev. 2106) Page 1 of 11~0 RDA 1159
SUMMARY PAGE - CANDIDATE
13. NAME OF CANDIDATE OR COMMITTEE ~/(IIn~~Full) 14. REPORT COVERING THE PERIOD
Cd/11/M, C ~1~7r;1 / " fJ FROM: / ,Z T0: Z
RECEIPTS
15. CONTRIBUTIONS (other than loans and interest)
a. Unitemized Contributions ($100 or less from each source this period) $ 3 3 JS, ao
b. Itemized Contributions (over $100 from each source this period) $ -'45-0• 00
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.) $ 7CaS~Q'~
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) $ 4006 00
c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $ . Op
20. LOAN REPAYMENTS MADE THIS PERIOD
21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) $(060.00
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 7 S
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) $ 00
c. TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 121.) $
Z GY>
10 SS-1133 (Rev. 4/02) Page Z of
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
G.C~+rlw' G `/f FROM Z
Amount
3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) "oo
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totalling more than $100 from an contributor
First Name Middle Name Contribution Received For: Amount of Contribution
Last Name/Organization me S ❑ Primary Election C9 General Election ~y
JJTT F~+• CIO
Address ❑ Runoff (Local Elections Only)
of G' '1 r P.J.
City S~tat.. Zip Code Date of Contribution Aggregate This Election
KAlowt le /n ?
Occupation
y 25- , Zvi z zock 00
Employer
First Name Middle Name Contribution Received For, Amount of Contribution
Last Name/Organization Name ❑ Primary Election ® General Election
el,w
V/6- im" cc f Sanxs epro O.00 'q 07, S
A ess O3 •'nG 1, d ❑Runoff (Local Elections Only)
City State Zip Code 03 Date of Contribution Aggregate This Election
Occupation
/sjo~ 2 9'~ ZO ~ Z Z.5'O . co
Employer
First Name iddleName Contribution Received For: Amount of Contribution
Last Name /Organization Name ❑ Primary Election ❑ General Election
Address ❑ Runoff (Local Elections Only)
City State Zip Code Date of Contribution Aggregate This Election
Occupation
Employer
First Name Middle Name Contribution Received For: Amount of Contribution
Last Name/Organization Name ❑ Primary Election ❑ General Election
Address ❑ Runoff (Local Elections Only)
City State zip Code Date of Contribution Aggregate This Election
Occupation
Employer
momm~
5. TOTAL ITEMIZED CONTRIBUTIONS ^^0~
(Carry forward to item 3. of next page if additional pages of this form are used.) y~. W
(If this is the last page of contributions, this amount must be shown in item 15b. of summary.)
r,J SS-1131(Rev. 2/06) 6
Page _3 of l.p RDA 1159
ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTE 2. REPORT COVERING THE PERIOD
FROM:V/fl
Z T0: Z
Amount
3. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) ,S"rlGl. t s'
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 W General Election
Last Name/Organization Name
❑ Runoff (Local Elections Only)
Address, I Dateof In-Kind Contribution
4 Z.. Aggreg to this Electi n
i ~'1 f l~l/'L
City a r //G I I Stat Za Description of In-K nd Contribution
Occupation Employer _4~4AA'l'&j 4, _ I _
41,4b 7Cc 7 f -+~J
First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution
❑ Primary Election General Election
Last Name Organizabon Name ZGrn. a0
.00 '0
^,X,4 C ❑ Runoff (Local Elections Only)
Ad reZ - , /w Date of In-Kind Contribution _ l Z Agg egate this Election
a
zoo.
City a, vt')l S / ..7 Zip d O Description of In-Kind Contribution
c
Occupation Employer R dv)
Lcrol'►~r a~- e~SP
First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution
S41'«GS ❑ Primary Election I X General Election
Last Name/Organization Name A
~C.❑ Runoff (Local Elections Only)
Address Date of In-Kind Contribution Ag egate this Election
1 O L 1 L r 1 ✓``r Z9 Z 2406 00
City Zip Code Description ofln-KindContribution
aW. r-r )c 37203
ccupation 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 Dale of In-Kind Contribution Aggregate this Election
City State Zip Code Description of In-Kind Contribution
Occupation Employer
First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution
Last Name/Organization Name E] 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
5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS
(Carry forward to item 3. of next page if additional pages of this form are used.) U/i ~7JI
(If this is the last page of in-kind contributions, this amount must be shown in item 22b. of summary.)
rte..,
SS-1128 (Rev. 2106) Page of RDA 1159
ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE
1. N E OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
FROM: TO: Z
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 N me/Business Name
b n,,4 .pia G (x.
Address/30 1/7 00
~~5h S
City St Zip Code
Gri~S GJ Z
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
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.). ~o M
(C)o
If this is the last page of expenditures, this amount must be shown in item 19b. of summary.) u
4) SS-1129 (Rev. 4/02) Page of _Cv, RDA 1159
ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE
1. N WE OF CANDIDATE OR COMMITTEE / 2. REPORT COVERING THE PERIOD
Cl* 5 LE~rf 1 FROM: T0:
3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED Outstanding Balance Debt Incurred Payments Outstanding Balance
OBLIGATION (obligations totaling more than $100 owed to any (Beginning of Period) This Period This Period (End of Period)
person/vendor at the end of the reporting period)
Flrst Name Middle Name
Last NamelBusine s Name ~ r ~ A
1-f-;,XY
,0/10.00
Addres 30
City Zip Code
77"7
Description of Obligation
R ~ /LIa: -vim
Flrst Name Middle Name
Last Na a/Busin ss Name
AI V
S~/► G ~N S., d
City / State Zip Code
W, 71
Description of Obligation /
Flrst Name Middle Name
Last Name/Business Name
Address
City State Zip Code
Description of Obligation
Flrst Name Middle Name
Last Name/Business Name
Address
City State Zip Code
Description of Obligation
First Name Middle Name
Last Name/Business Name
Address
City State Zip Code
Description of Obligation
4. TOTALS
(Total from Outstanding Balance - nd of Period) column must also be shown Co
in item 23b. on summary page.
0 SS-1127 (Rev. 4/02) Page -6a- of RDA 1159
torte
Appointment of Political Treasurer
For State and Local Candidates and Single-Candidate Committees
INSTRUCTIONS
The Appointment of Political Treasurer statement must be used to appoint a political treasurer as required by
the Campaign Financial Disclosure Act (T.C.A. § 2-10-105) for state and local candidates and single- candidate
political campaign committees. A state candidate may not receive or expend funds for an election until a
political treasurer has been appointed for that election. A local candidate pursuant to T.C.A 2-10-101, maybe
exempt from completing this form, please check with county election commission for more information. A
candidate may appoint himself or herself as political treasurer. A new form must be filed if the treasurer is changed.
Candidates for state public office must file their original Appointment of Political Treasurer statement ONLY with
the Registry of Election Finance, 404 James Robertson Parkway, Suite 104, Nashville, TN 37243-1360.
Candidates for local public office must file their original Appointment of Political Treasurer statement ONLY with
their county election commission.
1. Date: 2. Name of Candidate or Committee: 3. Candidate e-mail address:
X112-11 2.
4. Campaign Address and Phone: City State Zip Code Phone
313 7Y//"T ~/'Il.,✓ /art !i/f'~f~ T 3 7~o y l yam- 5'3~
S. Home Address and Phone (if different than item 4 above): City State Zip Code Phone
6. Office Sought (include district number, if applicable) 7. Party Affliation 8. Election Year
1_31zee.,7 P/- C',a-~,r„tf• ,Boot e A
c>&Cc+ 'o,17 acs .,►a 20/.2,
9. Treasurer Name: 10. Treasurer e-mail address:
1~,~ek 1;~Zfekr-xre-ll- O~/ e '5'"Ad,
11. Treasurer Address and Phone: City State Zip Code Phone
fl.
12. Candidate and Treasurer Signature (both signatures must be witnessed. Treasurer can not witness candidate's signature):
Signature of Candidate Signature of Treasurer
i
Sign re of Witness Signature of ness
Registry of Election Finance
SS-1120 (rev 1012010)
FINANCIAL DISCLOSURE STATEMENT EXEMPTION
f
Pursuant To TCA § 2-10-201(b) a candidate is exempt from filing financial disclosure
-statements:
"if a candidate Is seeking an office for' which service is part-time, compensation is less
than $500 a month and the candidates does not spend more than $1,000 to get elected to
office, the candidate does not have to file Campaign Financial Disclosure Reports."
CANDIDATE'S INFORMATION:
Candidate Name: _ I"~;S G~ /"e •
oO7
Candidate Position:
Residence Address: 313 Joc. eS~ 1L,41,& )D`,,~-~ '
City: i State: TN Zip: • 7
t hereby state that I meet the above qualifications for exemption and am therefore exempt
from filing financial disclosure statements.
Candidate Signature Date
3-~y-lZ
laze,,, K -
Witness Signature Date -
If. my plans change and I realize I will spend more than $1,000 on my campaign, I will
immediately make a financial disclosure report.