Garner, Dennis R.
CLOSURE STATEMENT EXEMPTION
FINANCIAL CIS
Pursuant to TCA § 2-10-101(b) a candidate is exempt from filing financial
disclosure statements:
candidate is seeking an office for which service is
di
does not pend more
If a
com is less than $1,000 a month, and the can fil
pensation to office, the candidate does not have to e campaign
than $1,000 to get elected
Financial Disclosure Reports.
. G Y 4CANDIDATE'S INFORMATION:
- • G~ Y
Candidate !s Name'.
Candidates Position:
: 3' ~ V1/• L-''tit-~0~^-~ ~
Residential Address '7803
State: TN Zip.
City: ~
I hereby State that I meet the above qualifications for exemption and am
therefore exempt from filing financial disclosure Statements.
~ Z~Dnte
Candidates Signature
ot,2q-q
Date
Witness's Signature
han a and I realize I will spend more than $1,000 on my campaign, I
If my plans c g
will immediately make a financial disclosure report.
CAMPAIGN FINANCIAL DISCLOSURE STATEMENT
For State and Local Candidates
For Single-Candidate Committees
V 'a. I W a t• Yr
1. DATE O REPORT 2.a. NAME OF CANDIDATE OR COMMITTEE
2.b. IF COMMIT E, NAME OF CANDIDATE 3. ELECTION DATE
4.a. CAMPAIGN ADDRESS AND PHONE State Zip Code Phone
Street or Rural Route City
3 17 1/, Lit !,ti/ ~ lle ~i -3 .3
4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a. State Zip Code Phone
Street or Rural Route City
ZIL/ -71Z 52!
.317 N. ZAW&,
5. OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate)
7. CATEGO Y OR REPO
El El RT (Check one) ❑ ❑ ❑ ❑ ❑
FIRST SECOND THIRD FOURTH PRE- PRE- MID-YEAR YEAR-END
QUARTER QUARTER QUARTER QUARTER PRIMARY
ENDING DATE OF REPORTING PER SUPPLEMENTAL SUPPLEMENTAL
8.a. BEGINNING DATE OF REPORTING PERIOD
9. (Check one)
a. This campaign is exempt from detailed disclosure because contributions (including in-kind) received total $1,000 or less AND expendi-
tures total $1,000 or less for this reporting period. (Complete items 12d., 12e. and 12f.)
b. ❑ This campaign is required to file a detailed financial disclosure because contributions (including in-kind) received total more than $1,000
and/or expenditures total more than $1,000 for this reporting period.
10. I/we do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this report is an
accurate accounting of campaign contributions and expenditures required to be reported by the candidate committee by the Campaign
Financial Disclosure Act. Additionally, I/we swear or affirm that no campaign contributions have been expended for the personal financial
be efit of the candidate or for any other nonpolitical purpose as defined by the federal internal revenue code.
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signature of candidate date signature of political treasurer date
11. WITNESS SIG
~ 2g / ~ xy i
signature witness date signature of witness date
12. SUMMARY
a. BALANCE ON HAND LAST REPORT $
C,
b. TOTAL RECEIPTS THIS PERIOD .......................................i . j,,
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 RDA 1159