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Burkhalter, Tab CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Judicial Single - Candidate Committees 1. DATE OF REPORT 12.a. NAME OF CANDIDATE 9 _ cf_ 19 2. NAME OF CANDIDATE'S COMMITTEE 3. ELECTION DATE A~~ l4 4.a. CAMPAIGN ADDRESS AND PHONE U Street or Rural Route ciiitty State Zip Code Phone _\O~ 4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.) Street or Rural Route City State Zip Code Phone 5. JUDICIAL OFFICE SOUGHT (inclu district number, if applicable) 6. NAME OF POLITICAL TREASURER k- D: v S , cr~-t1~-- 7. CATEGORY OR REPORT (Check one) ❑ F-1 N 1:1 1:1 El ❑ ❑ 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 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 12d., 12e. and 12f.) b. 0 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. SIGNATURE OF CANDID 11. SIGNATURE OF POLITICALTREASURER I do solemnly swear or affirm that the information contained in thiscampaign financial disclosure report is true and accurate. Additionally, I swear or affirm that no campaign contributions have been expended for the personal Si atue of andi a at financial benefit of the candidate or for any other nonpolitical purpose as defined by the federal internal revenue code. /~C y Signatue of Witness Date Aigna of Political Treasurer ate -7 -41 -1 of Witness Date 12. SUMMARY 3 rr ~G ~ a. BALANCE ON HAND LAST REPORT $ b d 1 $ O " b. TOTAL RECEIPTS THIS PERIOD c. TOTAL DISBURSEMENTS THIS PERIOD $ d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ F LOANS OUTSTANDING $ 49 OBLIGATIONS OUTSTANDING $ SS-1137 (Rev. 2/06) Page I of _a RDA 1159 SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD 'CSL7 FROM: RECEIPTS 15. CONTRIBUTIONS (other than loans and interest) a. Unitemized Contributions ($100 or less from each source this period) $ ~d b. Itemized Contributions (over $100 from each source this period) $ C. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ 16. LOANS RECEIVED THIS REPORTING PERIOD $ 17. INTEREST RECEIVED THIS REPORTING PERIOD 18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 121.) 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 C-3 $ 2. $ $ $ $ $ $ $ $ Oo Total of Expenditures ($100 or less each payee) $ 2 b. Itemized Expenditures (Over $100 each payee this period) $ . oy - c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $ c 20. LOAN REPAYMENTS MADE THIS PERIOD 6 S-t/ 2• ~S9 3 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.) $ 23.013LIGATIONS a. Unitemized Obligations Outstanding ($100 or less each) $ b. Itemized Obligations Outstanding Over $100 each $ c. TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 12.f.) $ SS-1133 (Rev. 4102) Page of (0 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE E REPORT COVERING THE PERIOD 2. 1. NAME OF CANDIDAT OR COMMITTEE Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION conUibutions totalin more than $100 from an contributor) First Name Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name ❑ Primary Election ❑ General Election [3 Runoff (Local Elections Only) Address EE state Zip Code Date of Contribution Aggregate This Election City Occupation Employer Middle Name Contribution Received For: Amount of Contribution First Name last Name/Organization Name ❑ Primary Election ❑ General Election ❑ Runoff (Local Elections Only) Address City State Zip Code Date of Contribution Aggregate This Election Occupation Employer ddleName Contribution Received For: Amount of Contribution First Name ame rgan¢ on am ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) State Zip Code Date of Contribution Aggregate This Election City Occupation -Employer Middle Name Contribution eceive or: Amount o Contribution First Name Last NamelOrganizatlonName ❑ 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.) Page 3 of RDA 1159 0 SS-1131(Rev. 2106) ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 2. REPORT COVERING THE PERIOD 1. NAME OF CANDIDATE OR COMMITTEE I FROM: l,t_Z T0: -3 U - o.J~ 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) Purpose of Expenditure Amount of Expenditure First Name Middle Name Last NamelBusi ess Name C-t t ' U S~ V City Stale Zip Code C9~~ N 3 Middle Name Purpose of Expenditure Amount of Expenditure First Name Last amelBusiness Name so C.J' ~ Address City State Zip Code Middle Name Purpose of Expenditure Amount of Expenditure First Name s Last NameBusinesame Cil ~ Address \sc~` 00 cry Gty State Zip Code 1 Middle Name Purpose of Expenditure Amount of Expenditure First Name Last Name/Business Name Address _ Il~y"~ V O C t, 3 0 Gly Stale Zip Code Middle Name Purpose of Expenditure Amount of Expenditure First Name Last Name/Business Name Address city state Zip Code Middle Name Purpose of Expenditure Amount of Expenditure First Name Last Name/Business Name 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.) Page of v RDA 1159 SS-1129 (Rev. 4102) ITEMIZED STATEMENT OF LOANS - CANDIDATE N2. EPORT COVERING THE PERIOD 1. NAME OF CANDIDATE OR COMMITTEE M: T0: 3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED LOAN (loans totaling more than E100from any source during the period) Complete the Following for the Source of the Loan First Name Middle Nam@ Outstanding Loan Balance Loans Loan Outstanding Loan Balance T j2 cK fAC (Beginning of Period) Received ,{Payments (End of Period) LastNa IOrganizationName SQ b 0 4 to, GU ,p bsyZ ~9 r Date Loan A - Address Loan Received For. I ate Mof bv>LwV~~- Primary Election ❑ General Election COUPS i 0. Cny: rY b City Stale Zip Code 1 V( )1 ❑ Runoff (Local Elections Only) q;,, -Vol List All Endorsers or Guarantors for Above Loan (If more space is needed please attach a page) 1 Middle Name First Name Middle Name First Name Last NamelOrganiza0on Name Last Name/Organization Name Address Address Gty State Zip Code City State Zip Code Amount Guaranteed Outstanding Amount Guaranteed Outstanding Middle Name First Name Middle Name First Name Last Name/Organization Name Last NamelOrganization Name Address Address State Zip Code Dty Slate Zip Code city Amount Guaranteed Outstanding ount Guaranteed Outstanding Middle Name First Name Middle Name First Name Last Name/Organization Name Last NamelOrganization Name Address Address State Zip Code City State Zip Code City Amount Guaranteed Outstanding Amount Guaranteed Outstanding Middle Name First Name Middle Name First Name Last Name/Organization Name Last NamelOrganization Name Address Address Slate Zip Code City State Zip Code City mount 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 Payments (End of Period (Total loan payments should also be shown in item 20. on summary page.) O 6 (Total outstanding loan balance should also be shown in item 12.e. on front page.) 7S S~~ ` 0 0 U v II~ L' Page of ~o RDA 1159 SS-1132 (Rev. 4102) ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE 2. REPORT COVERING THE PERIOD 1. NAME OF CANDIDATE OR COMMITTEE ~ ROM: %--k- V. I TO: - 3 O - , ~ 3. OMPLETE THE APPROPRIATITEM FOR EACH ITEMIZED Outstanding Balance Debt Incurred Payments Outstanding Balance OBLIGATION (obligations totaling more than $100 owed to any (Beginning of Period) This Period This Period (End of Period) person/vendor at the end of the reporting period) First Name Middle Name Last Name/Business Name n / Address / V City State Zip Code Description of obligation Middle Name First Name Last Name/Business Name Address city State Zip Code Description of Obligation First Name Middle Name Last Name/Business Name Address cry State Zip Code Description of Obligation Middle Name First Name Last NamelBusiness Name Address State Gty Zip Code Description of Obligation Middle Name First Name Last Name/Business Name Address fly State Zip Code C Description of Obligation 4. TOTALS (Total from Outstanding Balance - (End of Period) column must also be shown in item 23b. on summary page.) Page of RDA 1159 SS-1127 (Rev. 4102) CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Judicial Single - Candidate Committees 1. ATE OF REPORT I2.a. NAMEODIDATE A~\k 2 2.b NAME OF CANDIDATES COMMITTEE 3. ELECTION DATE ~U',Ajk~~~ -tj~~ ~13L_a 7 IJZ ~0, -C I 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone LAU bS k 4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.) Street or Rural Route City State Zip Code Phone 5. JUDICIAL OFFICE SOUGHT (include district umber, if appli ble) 6. NAME OF POLITICAL TREASURER C 7. CATEGORY OR REPO (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 9. (Check one) a. ❑ 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 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. SIGNATURE OF CAN E 11. SIGNATURE OF POLITICALTREASURER I do solemnly swear or affirm that the information contained in thiscampaign financial disclosure report is true and accurate. Additionally, I swear or ~Z y affirm that no campaign contributions have been expended for the personal Sig Ca a Date financial benefit of the candidate or for any other nonpolitical purpose as defined b he federal internal revenue code. yma& "EAU p y-ZI-Iy 7-Z~ t -or Signatue of Witness Date nature of Political Treasurer Date L RE CE I v a \ ~~rl ALJ.yt/1 (i-f I„ Signatue of Witness Date 12. SUMMARY a. BALANCE ON HAND LAST REPORT $ 131 3 • - oL) b. TOTAL RECEIPTS THIS PERIOD $ c. TOTAL DISBURSEMENTS THIS PERIOD $ 3 ' fi q d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ d ( 3 e. TOTAL LOANS OUTSTANDING S~ V f. TOTAL OBLIGATIONS OUTSTANDING $ 3 S , S-U U , U u SS-1137 (Rev. 2/06) Page 1 ofL RDA 1159 SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD FROM: , , T0: _ Z G RECEIPTS 15. CONTRIBUTIONS (other than loans and interest) a. Unitemized Contributions ($100 or less from each source this period) 0 uo b. Itemized Contributions (over $100 from each source this period) $ I SO Q, Uv c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ 16. LOANS RECEIVED THIS REPORTING PERIOD., 3SU U. U0 17. INTEREST RECEIVED THIS REPORTING PERIOD O 18. TOTAL RECEIPTS (add 15.c., 16., and 17. must be shown in item 12.b. & 300. 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) "r, A $ s. $ ZS. k $ $ $ $ $ $ 41 Total of Expenditures ($100 or less each payee) I ZZ b. Itemized Expenditures (Over $100 each payee this period) $ 6 3. 3 c. TOTAL EXPENDITURES other than loan re ments add 19.a. and 19.b. 3 •6 20. LOAN REPAYMENTS MADE THIS PERIOD $ -F~- /l, b- 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) $ 13 S b. Itemized in-kind contributions (over $100 from each source this period) $ Z V • 12-0 c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.) $ 30L[2-.'j 23. OBLIGATIONS a. Unitemized Obligations Outstanding ($100 or less each) vu b. Itemized Obligations Outstanding (Over $100 each) $ S o. U1~ G TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 12.f.) $ 3 S SUS, SS-1133 (Rev. 4/02) Page of ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 71.1~4AME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: to i:AQ a 7: Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 ff 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 me/Organization Name Primary Election ❑ General Election Q Address ( ❑ Runoff (Local Elections Only) City a\ 4_V State Zip Code Date of Contribution Aggregate This Election Occupation V Employer qr vv Rrst Name R~ Middle Name Contribution Received For: Amount of Contribution Last Name/Orga miflon Name Primary Election ❑ General Election o ,1 f'J Address ❑ Runoff (Local Elections Only) U City State Zip Code Z Date of Contribution Aggregate This Election Ocwpation P-A ILI - t Employer 6 k A killklft,~ LK;4 a/v-,,- ~ /20o, RrstName ~ \ iddleName Contribution Received Foh Amount of Contribution Lag an ame ® Primary Election ❑ General Election 576/0 Address ` ❑ Runoff (Local Elections Only) city Zi p Code Date of Contribution Aggregate This Election AAQ- Occupation tsj,) First Name Middle Name Con butlonecme!Mvor. Amount of Contribution last Name/Organiza' n Name Primary Election ❑ General Election / rl ~ Address ❑ Runoff (Local Elections Only) $ 1 U o 2- -1 5 City zii Code Date of Contribution Aggregate This Election PITA Occupation Employer 5. TOTAL ITEMIZED CONTRIBUTIONS 00 (Carry forward to item 3. of next page N 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.) 7/, SS-1131(Rev. 2/06) Page of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. ME OF CANDID TE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: _ . T0: _ Z 6. Amount p 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) QQ, 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totalin more than $100 from an contributor First Name /V Middle Name Contribution Received For. Amount of Contribution Last Name/Organiza' Name ® Primary Election ❑ General Election Address rl ~ ❑ Runoff (Local Elections Only) sa . ' City lJ wale Zi Code 1 Date of Contribution Aggregate This Election rJ~ Occupation ~o Employer I t y Middle Name Contribution Received For. Amount of Contribution Rrst Name Ls~ Last Name/Organization ame EPrimary Election ❑ General Election Address V r,, 4 4 (,!L E. 3 El Runoff (Local Elections Only) SD, City Sty zip Code Date of Contribution Aggregate This Election Occupation ul l (/I S Q Employer J D FirstNam-/• iddieName Contribution Received For: Amount of Contribution I Q-~ IM t n a ® Primary Election ❑ General Election IJ4 Address ❑ Runoff (Local Elections Only) 1/ v City r State Zipt -2-1 Date of Contribution Aggregate This Election VV 3:V I Occupation 0- 113A Rrst Name Middle Namd- Contribution Received or. Amount to ution Last Name/Organization Name Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) 10 Q 6 'J 20 City State LpCode Date of Contribution Aggregate This Election -V H-`-T 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 shorn in item 15b. of summary.) SS-1131(Rev. 2106) Page of ~L RDA 1159 ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE 1. rME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: T0: H-2-ke-14 OMA~"Au__w ZAz, TaL 61ainal I mount 3. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED IN-KIND CONTRIBUTION (in-kind contributions totaling more than $100 from any contributor during the period) First Name 7- ► ^ Middle Name In-Kind Contribution Received For. Value of tn4and Contribution 1 a_ " E Primary Election ❑ General Election Last Namel izabi Na e $ ❑ Runoff (Local Elections Only) Address xog Date of Inx d Contritxft Agg at this E6 dion~ 11 1V-- R City St. l Zip C Desaipt on of lMGnd Contribution 0=138fion Employw~~ b First Name Middle Name In-Kind Con0b4on Received For. Value of In-Kind Contribution Primary Election ❑ General Election Last NametOrganization Nam r - ❑ Runoff (Local Elections Only) ~(1 I Date ofln-KndContribution q Aggregate this Election Address 4, J City State Zip \ Description of b4and Contribution O=Wbd Employer jjj~~_ First Name Middle Name In-Kind Contribution Received For. Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last NametOrganization Name ❑ Runoff (Local Elections Only) Address Dateof ln-IGrd Contribution Aggregate this Election City State Zip Code Description of IrAnd Contribution Occupation Employer First Name Middle Name In-Kind Contribution Received For. Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last NamOOrganization Name ❑ Runoff (Local Elections 'Only) Address DatedlnaGnd 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 LastName/Organ®tion Name ❑ Runoff (Local Elections Only) Address Date ofln-Kind ContriMon Aggregate this Election Ct state Zip Code De,aiptiar of In-Find Contribution 5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS (Carry forward to item 3. of next page if additional pages of this form are used.) (ff 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. IME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: _k%\ TO: q LA 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 ame/Business Name X300 Addr s C!t 1-t/ /Z 1 W ~0 City State Zip Code • First Name Middle Name Purpose of Expenditure Amount of Expenditure [Add Name usiness Name yv" Address I City State Zip coa TO 1 d Q) First Name Middle Name Purpose of Expenditure Amount of Expenditure t Name/Business Name QJ 1(~n Z ~Y Y r ` CJ/ Address 3 3A- 5-, o 0 5 T city State Zip Code /v c o First Name Middle Name Purpose of Expenditure Amount of Expenditure amer8usiness Name 3 Address Uo Gty state Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure usiness N k1, QA~ Address 000 ° c City state zip Code 01- 3 0 First Name Middle Name Purpose of Expenditure Amount of Expenditure Las NamerBusiness Name gP ~ (`~9~ 1Y~~ U lJ v 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.) l!V1. (If this is the last page of expenditures, this amount must be shown in item 19b. of summary.) 1 SS-1129 (Rev. 4/02) Page 1 of 1~ RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. ME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD • ~ 'rj FROM: _ T0: mount 3 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0'rffirst itemized page) ~p~Z,O . - 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures. totaling more than 5100 to any payee during the period) First Name Middle Name Purpose of Expenditure Amount of Expenditure last ameJB i s Nam (j (D 'e Ito . ✓ Address 32 W~ city State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last amelBusiness Name 00 Address O 1 city State Zip Code L First Name Middle Name Purpose of Expenditure Amount of Expenditure Name/Business Name Address y~ I Z 7 S city State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last N usiness N Address r 1 1 f 0 ~0 VA 3d city State Zip Code) First Name Middle Name Purpose of Expenditure Amount of Expenditure Last N Minessftame 9 / r Address/ / ~L. v s Zip Code -+o i City Hm First Name se of Expenditure Amount of Expenditure 7 Purpo Last u ' Name Address 2 2 S . vv city State Zip Code .~j 3 5. TOTAL ITEMIZED EXPENDITURES (Carry forward to item 3. of next page if additional pages of this form are used.) f l , Q 1 y J (if this is the last page of expenditures, this amount must be shown in item 19b. of summary.) V l SS-1129 (Rev. 4/02) Page of ~L RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. ME OF CANDIDATE OR COMMITTEES n 11 2. REPORT COVERING THE PERIOD -tip C~ FROM: y- T0: - Z. (o - I --I mount L/ / 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 'rf first itemized page) 0 ilk 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures. totaling more than $100 to any payee during the period) First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name ~ Address ~2 --1- c- -t City State Zip Code L First Name Middle Name Purpose of Expenditure Amount of Expendture Last NameiB ess Name S 3 Address City State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Las Name/Bus! Name , / (l cv-r Address O 1 4uA- city State Zip Code L T~j I &U-~O_Uala:,L First Name Middle Name Purpose of Expenditure Amount of Expenditure Last NamelBusiness Name Address City State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Lost Namet9usiness Name Address City State Zip Code First Name Middlehlame Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address City State Zip Code 5. TOTAL ITEMIZED EXPENDITURES II (Carry forward to item 3. of next page H 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 LOANS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: T0: 3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED LOAN (bans totaling more than Stoo from any source during the period) Complete the Following for the Source of the Loan First Nye Middle N Outstanding Loan Balance LLoan Outstanding Loan Balance (Beginning of Period) Payments (End of Period) las ame10rgani atio Name I t^ r 1 U Uu ry r J ~'l „1 Address Loan Received For: - Date of Loan l V 2 Primary Election 13 General Election City State Zip Code K(~\ El Runoff (Local ElecOons Only) 1 I List All Endorsers or Guarantors for Above Loan (If more space is needed please attach a page) First Name Middle Name First Name Middle Name Last Name/Organization Name Last Name/Organization Name Address Address city State Zip Code City State Zip Code Amount Guaranteed Outstanding Amount Guaranteed Outstanding First Name Middle Name First Nama 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 Amount Guaranteed Outstanding First Name Middle Name First Name Middle Name Last Name/Organization Name Last Name/Organization Name Address Address city State Zip Code city State Zip Code Amount Guaranteed Outstanding Amount Guaranteed Outstanding 4. Totals for all Loans (complete on last page of itemized loans) Outstanding Loan Balance Loans Loan Outstanding Loan Balance (Total loans received should also be shown in item 16. on summary page.) B innin of Period Received Payments End of Period (Total ban payments should also be shown in item 20. on summary page.) rr 11 ' l , l U (Total outstanding loan balance should also be shown in item 12.e. on front page.) V v v U v (9 SU 0. SS-1132 (Rev. 4/02) Page -C 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 LOA (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 N e/OrganizationName 7S -,f QQ, 9, 000, Uv 7 r_ j U,1, I 15- 0' Address Loan Received For: I/ Date of Loan V 2 I J ■ Primary Election ❑ General Election L.~ city State Zp [I Runoff (Local Elections Only) --Il 33-L List All Endorsers or Guarantors for Above Loan (If more space is needed please attach a page) First Name Middle Name First Name Middle Name Last Name/Organization Name Last Name/Organization Name Address Address city State Zip Code City State Zip Code Amount Guaranteed Outstanding Amount Guaranteed Outstanding First Name Middle Name First Name Middle Name Last Name/Organization Name Last Name/Organization Name Address Address city State Zip Code city State Zip Code Amount Guaranteed Outstanding Amount Guaranteed Outstanding First Name Middle Name First Name Middle Name Last Name/Organization Name Last Name/Organization Name Address Address City State Zip Code city State Zip Code Amount Guaranteed Outstanding Amount Guaranteed Outstanding First Name Middle Name First Name Middle Name Last Name/Organization Name Last Name/Organization Name Address Address City State Zip Code city State Zip Code Amount Guaranteed Outstanding Amount Guaranteed Outstanding 4. Touts for all Loans (complete on last page of itemized bans) Outstanding Loan Balance Loans Loan Outstanding Loan Balance (Total bans received should also be shown in item 16. on summary page.) 8 innin of Period) Received Payments End of Period (Total loan payments should also be shown in item 20. on summary page.~g) pQ U O O ~J ~ c0 0. ~ otal outstanding loan balance should also be shown in item 12.e. on front a (J J SS-1132 (Rev. 4/02) Page \0 of _ RDA 1159 ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: - - L\ TO: - -L\-o - 3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED Outstanding Balance Debt Incurred Payments Outstanding Balance OBLIGATION (obligations totaling more than $100 owed to any (Beginning of Period) This Period This Period (End of Period) person/vendor at the end of the reporting period) First Name Middle Name Last Name/Business N r I UU U0 g -4I U u o 00 Address 1 I L S&te Zip Code City Description of illation First Name Middle Nam last Name/Businbss Address 1 J U U V 13 / ✓ --J 7✓ " QA,, -j Mt4 Coh City site 3 Description of 0bligation First Name Middle Name Last Narn-Ausiness Name. Address city J State Zip Code Description of obligation First Name Middle Name Last Name/Business Name Address city State Zip Code Desaiption of obligation First Name Middle Name Last Name/Business Name Address CRY State Zip Code Description of Obligation 4.TOTALS v (rota) from Outstanding Balance - (End of Period) column must also be shown 1351-5-00, in Item 23b. on summary page.) AWL SS-1127 (Rev. 4102) Page of RDA 1159 i CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Judicial Single - Candidate Committees 1. DATE OF REPORT 2.a. NAME OF CANDIDATE o~ Z 2.b. NAME OF CANDIDATE'S COMMITTEE 3. ELECTION DATE Q,QWWA:\ k\ < o e c e 20 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 2 v v 51-tdrz9 5. JUDICIAL OFFICE SOUGHT (include di 'ct number, if applica le) 6. NAME OF POLITICAL TREASURER 2 co. 5_ S 7.:CATEGORY OR REPORT (Check on ❑ e) ❑ ❑ ❑ ❑ ❑ FIRST SECOND THIRD FOURTH PRE PRE MID-YEAR YEAR-END QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL .b. ENDINGDATEOFREPORTINGPERIOD S 8.a. BEGINNING DATE OF REPORTING PERIOD S v~ \ 9. (Check one) a. ❑ 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 12d., 12e. and 12f.) b. N 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. SIGNATURE OF CAND A 11. SIGNATURE OF POLITICALTREASURER I do solemnly swearor affirm thatthe information contained in thiscampaign financial disclosure report is true and accurate. Additionally, I swear or affirm that no campaign contributions have been expended forthe personal q 07 e of a i Date financial benefit of the candidate or for any other nonpolitical purpose as Si u defined by the federal internal revenue code. b y.~ r Sign u of Witness Da a S' of Political Treasure Date Ib LP Signat a Witness D to 12. SUMMARY o v~ a. BALANCE ON HAND LAST REPORT $ d b. TOTAL RECEIPTS THIS PERIOD... $ c. TOTAL DISBURSEMENTS THIS PERIOD $ } rl ° d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ ~3 tp S CIL: e. TOTAL LOANS OUTSTANDING $ f. TOTAL OBLIGATIONS OUTSTANDING $ 5. a AQk SS-1137 (Rev. 2/06) Page 1 of~ RDA 1159 'Raw SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD FROM: _ T0: _ RECEIPTS 15. CONTRIBUTIONS (other than loans and interest) a. Unitemized Contributions ($100 or less from each source this period) $ r✓ J U, vv b. Itemized Contributions (over $100 from each source this period) $ U 35- 16. c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ SU u LOANS RECEIVED THIS REPORTING PERIOD $ O • u 17. INTEREST RECEIVED THIS REPORTING PERIOD $ _ uu 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) rr UV $ ? 0. $ $ z 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.) $ Z 20. LOAN REPAYMENTS MADE THIS PERIOD 21. TOTAL DISBURSEMENTS (add 19.0. and 20.) (must be shown in item 12.0.) $ n. 22AN-KIND CONTRIBUTIONS a. Unitemized in-kind contributions ($100 or less from each source this period)............. $ 1-3 b. Itemized in-kind contributions (over $100 from each source this period) $ 2- - cJ c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.) Z~~2 23. OBLIGATIONS a. Unitemized Obligations Outstanding ($100 or less each) b. Itemized Obligations Outstanding (Over $100 each) $ (J a TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 121) $ SS•1133 (Rev. 4/02) Page ` of i ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD wd FROM: b TO: 3 _ 3 Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 K first itemized page) -0- 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totalin more than $100 from an contributor RrstName die Name Contribution Received For. Amount of Contribution C Last Name/Organization Name Primary Election ❑ General Election 03 250. Address ❑ Runoff (Local Elections Only) Stye Zip Code O Date of Contribution Aggregate This Election ns v (f ~r - ~ - i ~ Z S ~ • 00 Occupation Employer sc.tF &-pt" 4 RrstN Middle Name Contribution Received For: Amount of Contribution Last Name/Organiution Nam E .Primary Election ❑ General Election U Address ❑ Runoff (Local Elections Only) U City Stores ZIpOode Date of Contribution Aggregate This Election Occupation Employer ~tl yl First Name IeName Contribution Received For Amount of Contribution Primary Election ❑ General Election -,0 LW Nameturgaritzation Name 0 Add ❑ Runoff (Local Elections Only) 2 Stall Zip Code Date of Contribution Aggregate This Election Oocupatnrr / ~ ~ Lm"w o` e First Name ! Middle Name Contribution Received or Amount Contnbution Last Name/Organization Name Primary Election ❑ General Election A~o.~ Address Z ❑ Runoff (Local Elections Only) V~ city sraoe Zip Code Date of Contribution Aggregate This Election Qv.~Sv~ 3 Occupation Em"er z,00 5. TOTAL ITEMIZED CONTRIBUTIONS / S U~ (Carry forward to item 3. of next page if additional pages of this form are used.) (lf this is the last page of contrilwtio ns, this amount must be shown in item 15b. of summary.) W SS-1131 (Rev. 2106) Page 3 of a RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. ~AME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD rM e 4c~ Q c7f r FROM: _ b,1 y T0: 3-31-1-4 mou t 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) / Z Sr i 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 S e J Q- LastNamrJOrganization Name Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) city state Zip Code ~Q Date of Contribution Aggregate This Election Ocapatbn ~ 0'0 0 EmploW RrstName n Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name E .Primary Election ❑ General Election Address Z S ❑ Runoff (Local Elections Only) city !kZpCode Date of Contribution Aggregate This Election Occupation pbyer Z J I 1 C (,MCL -Grr~Pk1(-s Rrst Name 1 le Nam Contribution Received For Amount of Contribution L me E Primary Election ❑ General Election -Last Namwagwmat*n Address \ Runoff (Local Elections Only) cib State 17Jp Code Date of Contribution Aggregate This Election \ 3~ ~1 Occupation o ~r Si (►tr Z- ~ b ~ I ~I lUU, ~ Se-1 F 1r,100 CS Rrst Name Middle Name Contribution Received For. Amount of Contribution last Name/Organizatlon Name E Primary Election ❑ General Election Address e . [3 Runoff (Local Elections Only) X00. City State Zip Code Date of Contribution Aggregate This Election 3310 O=pation u Em"w 2-- 5. TOTAL ITEMIZED CONTRIBUTIONS / (Carry forward t0 item 3. of next page N 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 W SS-1131(Rev. 2/06) Page ~ of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. ME OF CANDIDATE OR COMMITTEE 2. FRV o 00 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 2 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor Amount of Contribution Flrst Name Middle Name Contribution Received For. last forginn tan Name Primary Election ❑ General Election 5-0. Address ❑ Runoff (Local Elections Only) lik CRY Stale Zp Code Date of Contribution Aggregate This Election U spat 2,- ?cCCVrrve. I Q. ' Employer F-Ic.~r~ H~tls2 Middle Name Contribution Received For. Amount of Contribution FlrstName Last Name JprganlzatMn me S Primary Election ❑ General Election 1 LL [I Runoff (Local Elections Only) r Address State Zip ~e Date of Contribution Aggregate This Election Y~G 3'r 0 3 00 Occupafan Employer to Name Contribution Received Fo'r: Amount of Contribution First Name 1~ O \ Primary Election ❑ General Election Address ` Runoff (Local Elections Only) L Stan Zip Code Date of Contribution Aggregate This Election Gb oxr,patarr rc l t f e c r 1 Uo . s G r^. l ~h •-14ssa>~~ ~.t ~l Middle Name Contribution ecet or ount to FlrstName Last Nam&DrWtmtlon Name Primary Election ❑ General Election 00 ❑ Runoff (Local Elections Only) Address Star ^ ZlpCode Date of Contribution Aggregate This Election l~ C4 Occupation ker - I-A I Sp Employer 0 nn (Z_ U r f s c1- ~-cJM M rNl rr--fpAl- 5. TOTAL ITEMIZED CONTRIBUTIONS (Carry (award to item 3. of next page it additional pages of this torte are used.) l (If this Is the last page or contributions, this amount must be strewn in item 15b. of summary.) Page of RDA 1159 SS-1131(Rev. 2106) ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. N ARE OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD *A an GA FROM: -1 b _ c' TO: 3 Amoun V 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) Z S 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor First Name M'ddleName Contribution Received For. Amount of Contribution fNk 7 IastName/Organization Name Primary Election ❑ General Election Address Runoff (Local Elections Only) ~ ❑ ZZ o-S ~Y 00~c l u CRy State Zip Code Date of Contribution Aggregate This Election Occupation U0 EEmplow Middle Name Contribution Received For: Amount of Contribution First Name ~ rk A I Last Name/Organization Name Primary Election ❑ General Election 41 vo. Address S ❑ Runoff (Local Elections Only) N-k City State Tip Code Date of Contribution Aggregate This Election lie T S-+q -L l V ~r►-, erg c~,,, r~th~~ Arst Name iddleNm* Contribution Received Fo'r: Amount of Contribution C"t Primary Election ❑ General Election J Address ❑ Runoff (Local Elections Only)' City State Z Code Date of Contribution Aggregate This Election L Occupation Est-aye Employw Sal F- •~,P ~ First Name N ^ Middle Name Contribution ecerv or aunt o to Last Name/Organization Name Primary Election ❑ General Election U v . eA J: r) Y\ Address ~ ❑ Runoff (Local Elections Only) 5-0 City \ State Zip Code ~ Date of Contribution Aggregate This Election Occupation Emploff 5. TOTAL ITEMIZED CONTRIBUTIONS n Uv (Carryforward to item 3. of next page itadditional pages of this form are used.) Z(J ~t✓, (If this is the last page of contributions, this amount must be shown in item 15b. of summary.) SS-1131(Rev. 2106) Page of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. N ME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: 1- 16 TO: 3-3 1 _ I •t, I nt U o 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first Itemized page) 2-S-5-0. 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totalin more than $100 from an contributor FlrstName Middle Name Contribution Received For. Amount of Contribution Last me/Orgari Na Primary Election ❑ General Election CJO 2CJU, - Address ❑ Runoff (Local Elections Only) City Stale Zip Code Date of Contribution Aggregate This Election Occupation z- ~~-[~I . Zoo Employer l~ First Name / Middle Name Contribution Received For: Amount of Contribution l e_cf f Last tJamelOrganlzato Name Primary Election ❑ General Election V J Address ❑ Runoff (Local Elections Only) CIL CO- (1j, City snare Zj Code Date of Contribution Aggregate This Election Occupation Employer First Name le Name Contribution Received Foy: Amount of Contribution ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City State zip code Date of Contribution Aggregate This Election Occupation Lrnp"W First Name Middle Name Contribution Received t-or. Amount of Contribution Last Name/OrWizationName ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City Stale Zip Code Date of Contribution Aggregate This Election Occupation Employer c'a 5. TOTAL ITEMIZED CONTRIBUTIONS 3 SS (Carry (award to item a of next page I additional pages of dus 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 I RDA 1159 ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD 2 G. FROM: TO: moun 3. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED IN-KIND CONTRIBUTION (in-kind contributions totaling more than $100 from any contributor during the period) First Name 1 Middle Name In-IGnd Contribution Received For. Value of In-Kind Contribution N Primary Election ❑ General Election 1 u Last Name/Organization Name Q S ' ❑ Runoff (Local Elections Only) Address 1 O (t \ \ `/1 1 Data of In-Kind Contribution _ _ I 1 Aggregate Ihis Election ~ State 1~ Description ofIn-Kind Contribution Gh' ` r\ I ZpCode Yecsz~_CP wl `~~2 occupation Employer First Name Middle In-Kind Contiibtrtiort Received For. Value of In-Kind Contribution Primary Election ❑ General Election 1. OQ Last Name/Organization Name , y~ ~as , ❑ Runoff (Local Elections Only) ~~~kkk"' Address v ` Date ofln-Iardcontribution - Aggregate this EWfion 0 21 ~0 J, City ark Zip Code ` Description of IrNCrnd Conlnbution O=pation tmpio ew wrZ,~ C~- 0 C', cwf- First Name Middle Name In-rind Contribution Received For. Value of In-Kind Contribution Primary Election ❑ General Election Last Name/Organization Name ❑ Runoff (Local Elections Only) '0_+0. Datedin-K indContribution Aggregate this Electlon, 1 Address Z^ ` - 1 r City State Z~ Code Description of In land Contribution u=pm unpioyer First Name Middle Name In-Kind Contribution Received For~ Value of In-Kind Contribution Primary Election ❑ General Election 1 Last Name/Organization Name 3 1fl .1- ❑ Runoff (Local Eled16ns Only) Address Date ofIn-Kind Contribution AggregatethisEl don 1_0 5 - 3 city Sate zip code vDescription aln.ianndconabution v~ occupation Employer l 3 J lt~'~`~U t~n.~o ~9 ce ~+i~'rv~ >r IJ u-~` 1~) a 0 Middle Name In-Kind Contribution Received For. Value of In-Kind Contribution First Name Last Narre0ganizabon N" vi Primary Election ❑ General Election ❑ Runoff (Local Elections Only) S 3 r " 1 Address I ^ 2 DabeolIn4ftContributim Aggm atBthisElectiar city b S State Lpcode Desaiptiondin-Kind cooupaw 5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS / 3 3 (Carty fanward to Item 3. of nul page N additional pages of this form are used.) (If this is the last page of in-kind contriWbons• this amount must be stx wit In item 22b. of summary.) SS-1128 (Rev. 2/06) Page of RDA 1159 ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE 1. N !E OF CANDIDATE OR COMMITTE 2. REPORT COVERING THE PERIOD -b0 FROM: _ V TO: _ 3 _t mou 33 3. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 ff first itemized page) `1S5~ 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED IN-KIND CONTRIBUTION (inacind contributions totaling mare than $100 from any contributor during the period) First Name Middle Name In-Kind Contribution Received For. Value of In-Kind Contribution a Primary Election 1:1 General Election GG Last NameJOrganization Name ~ 2 ~ • -lam ❑ Runoff (Local Elections Only) Address Date of Inland Contribution 7117 ( Aggregate this Election 1-ILk V. I" I A_ City ~ State • Zp Code Desaiptilon of In-land Contribution 1 - Occupation Employer 1 1 Ul)`~ `c4,.A)`O At"(o-f~ f~ 0 S First Name Middle Name In-Kind Contribution Received For. Value of In-Kind Contribution Primary Election 11 General Election Last Name/Organization Name ^ V ~ ❑ Runoff (Local Elections Only) Address Dateofln-"Contn'bution Aggregate is 3 .'4 S 3-i3"► City Slate zip code Description of IrAnd Contribution Occupation Employer First Name Middle Name In-Kind Contribution Received For. Value of In-IQnd Contribution W Primary Election ❑ General Election 11 Last NamelOrganization Name ❑ Runoff (Local Elections Only) Address Dateofln-Iand Contribution Aggregate this Election City Sbte Zip Code DescrowofIn-Kind Contribufion n First Name Middle Name In-Kind Contribution Received For Value of In-Kind Contribution Primary Election ❑ General Election Last NamelOrganization Name ❑ Runoff (Local Elections Only) OIL 0 Address _~3 3 O - DatedlMGrndCan6lbutim 3 L Aggregate this Elections Ciy 1 State 4 Code Description of In-Grid Confrid,son Z: 2, -4 -4 31 0=0M Employer V ,01 " First Name Middle Name In-Kind Contribution Received For. Value of In-Kind Contribution Primary Election ❑ General Election Last NamelOryaniration Name 00 El Runoff (Local Elections Only) 2,00 _ U'L4 " Address Dale of ln-Iand Contribution Aggregate this Election u . ki 2,3 f. C Zip Code Description or InAnd Conmb lion Z C Tam "ripoyer 5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS (Carty forward to item 3. of next page Kadditional pages of tints form are used.) (If this is the last page of in-kind contributions, fhls amount must be shown In Item 22b. of summary.) SS-1128 (Rev. 2106) Page of RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. K~IAME OF CANDIDATE OR COMMITT E 2. REPORT COVERING THE PERIOD tLA- FROM: TO: 3_31- mount 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 If first itemized page) 43L 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures. totaling more than $100 to any payee during the period) First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address', city State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address city State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure t Name/Business Name 131 Address city State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure last amelBusiness Name J~/~\~ ' \ \UL Address CRY State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure last ameBuslness Name 1 ~ ~ Address 1 O ~ D O City State Zip Code C-k First Name MiddleName Purpose of Expenditure Amount of Expenditure Last N usiness Name V V Address V~~r O City State Zip Code 5. TOTAL ITEMIZED EXPENDITURES (Carry forward to item 3. of next page V 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. ~ME OF CANDID TE OR COMMITTE 2. REPORT COVERING THE PERIOD FROM: I-IL- TO:*3--0j-jLJ Amount 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemised page) S -~S }j. 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 amesusiness Name Address City State Zi Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Las amwBusiness Name f a AVA1 , 0 Add 7 C^1~~~ , Il I ~Z ~ I , O `I Z `Y City State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last usiness one C, Address n V ` ~p City Stae Zp Code I •3~ First Name Middle Name Purpose of Expenditure Amount of Expenditure Last N i Name n Q Address ` I L City Stale p Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last usin_ Name Address 2 5 City State Zp Code First Name MiddleName Purpose of Expen1diWren Amount of Expenditure Last Name/Business Name n M ~JtJ"~ V" Address I , 1 ~ ~ ~ lp ~ ~ S1r ~,Q~ 1 14N City Stele 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 experiftres, this anaunt must be shown in item 19b. of summary.) / SS-1129 (Rev. 4102) Page -LL of RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. ~ME OF CANDIDA OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: TO: Ail) 64,UA 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 $100 to any payee during the period) First Name Middle Name Purpose of Expenditure Amount of Expenditure Last sLl Address r State Zip Code CRY `Z First Name Middle Name Purpose of Expendture Amount of Expenditure amesusiness Name Address ,Z(::) V City State Zip ;Code First Name Middle Name Purpose of Expenditure Amount of Expenditure ame19usiness N 15-00.0 A4dres City State pCode J First Name Middle Name Purpose of Expenditure Amount of Expenditure 'I r7 Last N "r N Address SS City state Zip Code 0 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last NameSuslness Name _ Address L cay State A Zp Fast Name MiddteName Purpose of Expenditure / Amount of Expenditure Last NamelBusiness Name Q 0 1AJ t, A ddress Sfate Tip Code 5. TOTAL ITEMIZED EXPE ITURES 3 (Carty forward to item 3. of next page N additional pages of this form are used.) 1$/ (If this is the last page of expenditures, this amount must be shown in item 19b. of summary.) SS-1129 (Rev. 4102) Page of RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NA OF CANDIDATE CRCOMMITTEE 2. REPORT COVERING THE PERIOD rJMZW0,_j _i 12~t 7" FROM:- Tvt~WVI- 3 - 3 - / unZ 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 'tf first itemized page) 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 usinessame Last Name N ~J ~V ~5 S Address City State T p Code Lam'/ ~yy/ 'w~ 0 TA J1 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last N u lnessName ,f k~ Address ~ lF~ (?`Y3 City State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure usiness N Address Y3 SS- - City State Zip Code _ First Name Middle Name Purpose of Expenditure Amount of Expenditure XTWAU ' ass Name Address ?,116 azt~ ~2-0, City State 21 p Coda L First Name Middle Name Purpose of Expenditure Amount of Expenditure p Last usirteas AA J\I-.,-'A s 7 Address3 f (0 State Zip Code Cry ,4 j: 64,4 1 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 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 summery.) o t0 SS-1129 (Rev. 4102) Page 13 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 ITE IZED LOAN (loans totaling more than $100 from any source during the period) Complete the Following for the Source of the Loan Loan Outstanding Loan Balance First Name Middle Name Outstanding Loan Balance Loans (Beginning of Period) Received Payments (End of Period))~~ ov Last NamelOrg i 'an N Uv~ UQU /lj " UV -J r--^ Loan Received For. Date of Loan Address ■ Primary Election ❑ General Election city sue Zip 1 ❑ -'Local Elections Only) List All Endorsers or Guarantors for Above Loan (If more space Is needed please attach a page) Middle Name First Name Middle Name First Name ~ Lest amelOrgan Name Last Name1(kganization Name Address Tess U:a~ - I State =Zipe Gry State Zip Code Amount Guaranteed 4utstandlng mount Guaranteed Outstanding First Name Middle Name First Name Middle Name Last Name/Organization Name Last Name/Organization Name Address Address CRY State Zip Code City State Zip Code Amount Guaranteed Outstanding Amount Guaranteed Outstanding First Now Middle Name First Name Middle Name Lag Name/Organization Name Last Name/Organization Name Address Address City State Zip Code Cily State Tip Code Amount Guaranteed Outstanding Amount Guaranteed Outstanding First Name Middle Name First Name Middle Name Last Name/Organizafion Name Lag Name/Organization Name Address Address City State Tip Code City State Trp Code Amount Guaranteed Outstanding Amount Guaranteed Outstanding 4. Totals for all Loans (complete on last page of Itetnaed loans) Outstanding Loan Balance Logs Loan Outstanding Loan Balance (Total bans received should also be shown in item 16. on summary page.) inni of Period Received Payments End of Period (Total ban payments should also be shown in item 20. on summary page.) , \ ' 1 U U V (Total outstanding loan balance should also be shown in item 12.e. on front page.) tV cA ::a SS-1132 (Rev. 4/02) Page LC_ of RDA 1159 ITEMIZED STATEMENT OF LOANS - CANDIDATE 2. REPORT COVERING THE PERIOD 1. NAME OF CANDIDATE OR COMMITTEE FROM: T0: / t J J - ~31 3. MPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED LOAN (loans totaling more than $100 from any source during the period) 3F,r,tN ltthe Following for the Source of the Loan Loan Outstanding Loan Balance Middle Name Outstanding Loan Balance Loans End of Period (Beginning of Period) Received Paymre-nXtsl r N I U U U V 1 V V1/ Loan Received For. Date of Loan Primary Election ❑ General Election p Code ,J I ❑ Runo4(Local Elections Only) Guarantors for Above Loan (If more spaceLa needed please attach a page) Y QtAII~En~dorndors' ers or Middle Name First Name Middle Name First Name Last NamelOrgantzation Name Last NamelOrganization Name Address Address state Zip Code City Stale Tip Code CRY Amount Guaranteed Outstanding Amount Guaranteed Outstanding ww~ Middle Name First Name Middle Name First Name Last Name/Organization Name Last Name/Organization Name Address Address State Tip Code City State Tip Code Amount Guaranteed Outstanding Amount Guaranteed Outstanding Middle Name First Name Middle Name First Name Last Name/Organization Name Last Name/Organization Name Address Address State Tip Code City State 4 Code City Amount Guaranteed Outstanding Amount Guaranteed Outstanding Middle Nature First Name Middle Name Fast Nanre Last Na W09anization Name last Name/Organizaton Name Address Address Gty city State Zip Code State Tip Code Amount Guaranteed Outstanding Amount Guaranteed Outstanding 4. Totals for al Loans (compl& on last Page of kmftW bans) Outstanding Loan Balance Loans Loan Outstanding Loan Balance (Beginning of Period Received P menu End of Period (Total bans received should also be shown in item 16. on summary page.) (Total loan payments should also be shown in item 20. on summary page.) Sr/ (Total outstanding loan balance should also be shown in item 12.e. on front page.) SS-1132 (Rev. 4102) Page Ot RDA 1159 ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE 1. ME OF CANDIDATE OR COMMITTE 2. REPORT COVERING THE PERIOD FROM: TO: - 3. OMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED Outstanding Balance Debt Incurred Payments Outstanding Balance OBLIGATION (obligations totaling more than $100 owed to any (Beginning of Period) This Period This Period (End of Period) person/vendor at the end of the reporting period) First Middle Name S,c~Uv Lag Name/Busy Name Z, oU Address 3ou O / city State Zip Code Des of gab First Name Middle Name Last N usiness Nam Address city state Zip Code Description of obligation First Name Middle Name Last Neme/Business Name Address city state Zip Code Description of Obligation First Name Middle Name Lad Narnausiness Name Address City State Tp Code Description of Obligation Flrst Name 77deN" Last NaneSisiness Name Address CRY State Zip Code Description of Obligation 4. TOTALS (Total from Outstanding Balance - (End of Period) column must also be shown in item 23b. on summary page.) ~w D ^ t-V I ~l v w Ankh SS-1127 (Rev. 4102) Page of RDA 1169 4 CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Judicial Single - Candidate Committees 1. DATE OF REPORT 12.a. NAME OF CANDIDATE 2 r--. 3. ELECTION DATE 2.b. NAME OF CAND ATE'S OMMITTEE ^ ~Q ~l 4.a. CAMPAIGN ADDRESS AND PHONE State Zip Code Phone Street or Rural Route city ~ Lio I 1 ` Phone 4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.) State ZIP Code city \ S- 2,5'41 2_2 Street or Rural Route 2 ) 5. JUDICIAL OFFICE SOUGHT (include district umber, if applicabl 6. NAME OF POLITICAL TREASURER 10 7. CATEGORY OR REPORT (Check one) ❑ ❑ C3 ❑ ❑ ❑ PI MIDYEAR YEAR-END FIRST SECOND THIRD FOURTH PRE GENERAL SUPPLEMENTAL SUPPLEMENTAL QUARTER QUARTER QUARTER QUARTER gbI ENDING DATE OF REPORTING PERIOD 8.a. BEGINNING DATE OF REPORTING PERIOD 9. (Check one) in- a. This campaign $1,000 o from detailed disclosures less for this reporting period. 1nclud 2d.! 2e and ~2{~lved total $1,000 or less AND expenditures total b. This campaign is required to file a detailed financial disclosure because contributions (including in-kind) received total more than $1,000 and/or expenditures total more than $1,000 for this reporting period. 10. 11. SIGNATURE OF POLITICALTREASURER SIGNATURE OF CA I do solemnly swear or affirm that the information contained in thiscampaign financial disclosure report is true and accurate. Additionally. I swear or affirm that no campaign contributions have been expended for the personal f Candidate Date financial benefit of the candidate or for any other nonpolitical purpose as Si define by the federal internal revenue code. 1,21 Date Signat a of itness Date i ature P i cal Treasurer 131 (L Da Signatu of itness 12. SUMMARY a. BALANCE ON HAND LAST REPORT $ e- uJ $ b, TOTAL RECEIPTS THIS PERIOD U V c. TOTAL DISBURSEMENTS THIS PERIOD U~ d. BALANCE ON HAND (12.a. plus 12.b. minus 12.o_j LOANS OUTSTANDING e. TOTAL . OO f, TOTAL OBLIGATIONS OUTSTANDING Page 1 of SS-1137 (Rev. 2/06) RDA 1159 i I " SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD FROM: -(_1 TO: f-15 -~y 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) $ 3 , a c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ 16. LOANS RECEIVED THIS REPORTING PERIOD $ 2U 0 U~ 17. INTEREST RECEIVED THIS REPORTING PERIOD ~a 18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) $ S UfJ, " 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) J $ $ $ $ $ $ $ Total of Expenditures ($100 or less each payee) $ 2 b. Itemized Expenditures (Over $100 each payee this period) $ S 3 k j, c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $ SS/2 , 20. LOAN REPAYMENTS MADE THIS PERIOD -614- u~ 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) $ 5-5-/2, 22AWKIND CONTRIBUTIONS a. Unitemized in-kind contributions ($100 or less from each source this period) $ J'V b. Itemized in-kind contributions (over $100 from each source this period) $ Z Q , c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.) $ 2oa, y 23.013LIGATIONS a. Unitemized Obligations Outstanding ($100 or less each) $ -t- ~ c~ b. Itemized Obligations Outstanding (Over $100 each) $ 2 ooo c. TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 12.f.) $ LX30 , SS-1133 (Rev. 4102) Page of I ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: 3 T0: _ V L U` 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 Namelorgan ion Name . Primary Election ❑ General Election U p YVAo Address ❑ Runoff (Local Elections Only) City State Zp~de Date of Contribution Aggregate This Election 00 Occupation ~ t t ~ Employer First Name Middle Name Contribution Received For. Amount of Contribution last Name/Organ¢atlon Name Primary Election ❑ General Election So. - O'D Address ❑ Runoff (Local Elections Only) I go CRY State ZLpCode Date of Contribution Aggregate This Election yer . First Name ~iddle Name Contribution Received For. Amount of Contribution s acne rgan n ame M Primary Election ❑ General Election 00 I- a. VV3oe. -4- 47,5-0,- Address ❑ Runoff (Local Elections Only) 2, SE 9 1, City State ZipCode S Date of Contribution Aggregate This Election ~ I~+ 3 occuww r,~ 1 z s - 3 zso,~ m r First Name Middle Name Contribution Received or Amount o onto ution Last NamefOrga ization Name Primary Election ❑ General Election / 000/ Address l ❑ Runoff (Local Elections Only) Lid co I t., rx Sf. S City State Zip Code s~ Date of Contribution Aggregate This Election C) 0 ~'~°n Employer L w W CA \r, 5. TOTAL ITEMIZED CONTRIBUTIONS/ Sa U C~ (Carry forward to Rem 3. of next page n additional pages of this form are used.) (If this Is the last page of contributions, this amount must be shown in item 15b. of summary.) SS-1131(Rev. 2/06) Page of 1 RDA 1159 L'~Lh_.>~:S.:lli:: -;5 ~-i•~'~uL,-.-.~ LtYi~.-e~f~_~`Jrz-A,.~3't.~er ~':-~-1~-~~'F~rs__~_`•-~._'>?__~'+--' ~-'~.~t ~s.1 ~~~-:1:.~eL 3.`~.`'s~3~at~°.~li: ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE 2. REPORT COVERING THE PERIOD 1. NAME OF CANDIDATE OR COMMITTEE ` FROM: - /-13 TO: mount CAO _L 44- first Itemized page) 3. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED IN-KIND CONTRIBUTION (in-kind contributions totaling more than $100 from any contributor during the period) Middle Name In-IGnd Contribution Received For: Value First Name ■ Primary Election ❑ General Election U C) 0 Address of In-Kind Contribution Last NamelOrganizatron Name ❑ Runoff (Local Elections Only) Date of In-Kind Contribution Aggregate this Election i' ,Z~- City 2 State Zrp Description of In-IGnd Contribution {(J~ Occupation Employer ( C~ 1 C~' ~"`~J C - Middle Name In-Kind Contribution Received For. Value of In-Kind Contribution First Name ❑ Primary Election ❑ General Election Last Name/OrganizationName ❑ Runoff (Local Elections Only) Date of In-Kind Contribution Aggregate this Election Address CRY stale 2ipCode Description of In-Kind ConWyAbn Oaxrpation Fmd°Yer Middle Name In-Kind Contribution Received For. alue of In-Kind Contribution First Name Primary Election Gene ❑ Runoff (Local Elections OnlyDate of In4QM Contribution ggregate this Election Address City state Zrp Code Dascipton of In,K rd Contritwtion Employer Middle Name In4ind Contribution Received For: Value of In-Kind Contribution First Name Primary Election General Election Last Name/Organization Nara ❑ Runoff (Local Elections Only) Date of In-KW Contribution Aggregate this Elnction Address City State ~pCd. Description of In4Gnd Contribution Occupation Employer First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last NanrelOrganrza6onName ❑ Runoff (Local Elections Only) Date of In-Kind Contribution Aggregate this Election Address city state LpCode Description of In-Kind Contribufbn Occupaton yet 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-Idnd contributions, this amount must be shown in hem 22b, of summary.) Page _ of _0 RDA 1159 SS-1128 (Rev. 2106) ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 2. REPORT COVERING THE PERIOD 1. NAME OF CANDIDATE OR COMMITTE Amount /350, 2,11 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor) Amount of Contribution First N e Middle Name Contribution Received For. Primary Election ❑ General Election Ulf OrganizafronName Last Name/ r ❑ Runoff (Local Elections Only) Add ss - ' Date of Contribution TAgggreeggate s Election State Zip Code V0 pccupatbn 0 • Employer 4 Contribution Received For. Amount of Contribution F rst Name Middle Name Last E Primary Election ❑ General Election Name/Orpanizatbn Na 00 V Vt (J V ~ ❑ Runoff (Local Elections Only) ~ Address U City Stafe Date of Contribution Aggregate This Election Lp Code occupation ~ ~-(/0, r l1-36- 3 Contribution Received For. Amount of Contribution FuslName Wdle Name Y- Primary Election ❑ General Election SO st nrzatwn ame ~ ❑ Runoff (Local Elections Only) Address Z,p Date of Contribution Aggregate This Election car ~l 3 occupation f , ~ ~j ~ ( Z ~ sv , in oyer 1 l l ` /l on b 'on env ount o Contribution First ame Middle Name U~ Last Primary Election ❑ General Election Nameprganization Name ❑ Runoff (Local Elections Only) Address City State Zip Code Date of Contribution Aggregate This Election Occupation I Z~ C 0 l 3 ~ Employer 5. TOTAL ITEMIZED CONTRIBUTIONS U~ (Cam forward to item 3. of next page H additional pipes of this forth are used.) ~Y Of this is the last page of contributions, this amount must be shown in item 15b. of summary.) Page of RDA 1159 SS-1131(Rev. 2/06) ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: - k _ 1 TO: mount 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 'd first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures totaling more than $100 to any payee during the period) ~(~L Amount of Expenditure First Name Middle Name Purpose of Expenditure Last NameBusiness Name S O Address City State Zip Cade First Name Middle Name Purpose of Expenditure Amount of Expenditure Last NameBusiness Name U~ Address Qty State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last NameBusiness Nam SOO Address Qty State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure ameBusiness Name O ~ 23 2 . Address Qty State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last N eBusiness Name Address Qty State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure t NameBusiness Name C O Address Cl\,aQ~-\ O $ 19 , Qty State Zip Code \ _ M .7 CA\ \ ~o 5. TOTAL ITEMIZED EXPENDITURES (Carty forward to item 3. of next page if additional pages of this forth are used.) Of this is the last page of expenditures, this amount must be shown in item 19b. of summary.) Ask SS-1129 (Rev. 4102) Page (I of RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: TO: 5_ l ount 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) 3 3 S 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 ame/Business Name n I X Address Q~s _ ^ .y-~ r ooh- City State Zip Code 3 tS now" First Name Middle Name Purpose of Expenditure Amount of Expenditure Last N me/Business Name Address - \ C u (U , City State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Las Name/Business Name\ Address. O `1 ✓ \ City State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Las Name Business Name _ GIA-AJ Address -sI Z 0 o. City state Zip Code b L- 0 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.) y~ ss/2~ Of this is the last page of expenditures, this amount must be shown in item 19b. of summary.) 'y AMIN, SS-1129 (Rev. 4/02) Page "I of RDA 1159 ITEMIZED STATEMENT OF LOANS - CANDIDATE 2. REPORT COVERING THE PERIOD 1. NAME OF CANDIDATE OR COMMITTEE FROM: TO: -j - 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 Outstanding (Beginning of Loan Period) Balance Loans Loan Outstanding Loan Balance First Name Middl Name Received Payments (End of Period) ~ es~ rJoO . Last NamelOrg iz 'on Na e Loan Received For. Date of Loan ~ l 22 QJ 0 PrimaryElection ❑ General Election I I 1 City State Zip Code. ` ❑ Runoff (Local Elections Only) List All Endorsers or Guarantors for Above Loan (If more space is needed please attach a page) First Name Middle Name F Name NamelOrganization Name Lasl NamelOrganization Name Address ress State Zip Code city State Zip Code city Amount Guaranteed Outstanding Amount Guaranteed Outstanding Middle Name First Name Middle Name First Name Last Name/Organization Name Last Name/Organization Name Address Address State Zip Code City State Zip Code city ount Guaranteed Outstanding Amount Guaranteed Outstanding Middle Name First Name Middle Name First Name Last Name/Organization Name Last Name/Organization Name Address Address state Zip Code City state Zip Code city ount Guaranteed Outstanding Amount Guaranteed Outstanding Middle Name First Name Middle Name First Name Last Name/Organization Name Last Name/Organization Name Address Address =StateZip Code City State Zip Code City mount Guaranteed Outstanding Amount Guaranteed Outstanding Outstanding Loan Balance Loans Loan Outstanding Loan Balance 4, Totals for all Loans (complete on last page of itemized loans) Be inn n of Period Received Pa ments (End of Period (Total loans received should also be shown in item 16. on summary page.) o0 (Total loan payments should also be shown in item 20. on summary page.) Z~d~ v (Total outstanding loan balance should also be shown in item 12.e. on front page.) f/ Page ___d_-- of RDA 1159 SS-1132 (Rev. 4102) ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: TO: 3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED Outstanding Balance Debt Incurred Payments Outstanding Balance OBLIGATION (obligations totaling more than $100 owed to any (Beginning of Period) This Period This Period (End of Period) person/vendor at the end of the reporting period) First Name Middle Name LastName/Bus' es Name ^ 2, Address 1 oW, W City State Zip Code ~J,lJ~ try Description of Obligafidn First Name Middle Name Last Name/Business Name Address City State Zip Code Description of Obligation First Name Middle Name Last NanWBusiness Name Address City State Zip Code Description of Obligation First Name Middle Name Last Name/Business Name Address Cfty State Zip Code Description of Obligation First Name Middle Name Last Name/Business Name Address City State Zip Code Description of obligation 4. TOTALS (Total from Outstanding Balance - (End of Period) column must also be shown in item 23b. on summary page.) SS-1127 (Rev. 4102) Page of 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 political l Disclosure Act (T.C.A. § 2-10-105) for state and local candidates and single- candidate campaign committees. A state candidate may not receive orexpend 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: - Z I ~ ee. e TA. 4. Campaign Address and Phone: City State Zip Code Phone t- 5 1~ s f\ S. Home Address and Phone (if different th n item 4 abov :City State Zip Code Phone C lti s) Zsy - ire. 11 _~-ku 6.Office Sought (include distri ct number,' ppl)cable) 7. Pa Arniation 8. Election Year 6e r,_e4,-t,..1 SesS~ZiwS .1n`s ~ a Re kA_ 1. ~ ~,Cw v` Zo 9. Treasurer Name: 10. Treas rer a-mail address: t^reas r e r b wr k- l-k r'® c Ma % t ' COM- 11. Treasurer Address and Phone: City State Zip Code Phone 12. Candidate and Treasur gn oth sig tures m t be witnessed. Treasurer cannot witness candidate's signattur Signa a of C to Signature of Treasur 10 11 12 4 A A~ RECEIVED Signature fitness VED N Signa of Witness M NOV N ~ EIECTIQN Registry of Election Finance 6 SS-1120 (rev 10/2010) Wd Z! a 0~ 6 CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATEOFREPORT 2.a. NAME OF CANDIDATE OR COMMITTEE S- z 2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE Tx_ 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone 4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.) Street or Rural Route City State Zip Code Phone 5. OFFICE SOUGHT (include district nu Aber, if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate) 7. CATEGORY OR REPORT (Check one) El E] El 1:1 1:1 Ej FIRST SECOND THIRD FOURTH PRE- PRE- MID YF_AR YEAR❑-END QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD L-(-(Z -"2 11 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. Uwe do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this report is an accurate accounting of campaign contributions and expenditures required to be reported by the candidate committee by the Campaign Financial Disclosure Act. Addition Ily, I/we swear or affirm that no campaign contributions have been expended for the personal financial benefit~c~p ' e or her nonpolitical purpose as defined by the federal internal revenue code. ature o di ate a e.- si nature ~ofpolritiaal treasurer date 11. ESI ATU E Il, 7 5 o Z Zd Z signet of witness dat sig t re of witnes date 12. SUMMARY a. BALANCE ON HAND LAST REPORT $ b. TOTALRECEIPTSTHIS PERIOD C. TOTAL DISBURSEMENTS THIS PERIOD d. BALANCE ON HAND 12.a. plus 12.b. minus 12.c. $ ( ) a.. e. TOTAL LOANS OUTSTANDING f. TOTAL OBLIGATIONS OUTSTANDING ~.........................................,..,4 $ I AIMIL SS-1109 (Rev. 2106) Page 1 of 4: RDA 1159 Wcl 1~ SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COM TTEE (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 eriod UU b. Itemized Contributions (over $100 from each source this period) $ h I c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) U 0 16. LOANS RECEIVED THIS REPORTING PERIOD 17. INTEREST RECEIVED THIS REPORTING PERIOD 18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown In item 12.b.) $ DISBURSEMENTS 19. EXPENDITURES (other than loan payments) a. Expenditures ($100 or less each payee this period) (must be listed by category - e.g., printing, postage, gasoline) $ $ Total of Expenditures ($100 or less each payee) $ b. Itemized Expenditures (Over $100 each payee this period) $ 44- 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) $ y ou b. Itemized Obligations Outstanding (Over $100 each) LI c. TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 12.f.) $ Avk SS-1133 (Rev. 4/02) Page of . w, 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 ITE ZED 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. Dale of Loan City E3 Primary Election ❑ General Election 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/Organizalion Name Last Name/Organization Name Address Address city State Zip Code City State Zip Code Amount Guaranteed Outstanding mount Guaranteed Outstanding First Name Middle Name First Name Middle Name Last Name/Organization Name Last Name/Organization Name Address Address city State Zip Code City Stale Zp Code Amount Guaranteed Outstanding Amount Guaranteed Outstanding First Name Middle Name First Name Middle Name Last Name/Organizauon 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 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.) (Begin ni of Period) Received P ments 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.) AWL SS-1132 (Rev. 4/02) Page 'Z of RDA 1159 STATEMENT OF OBLIGATIONS - CANDIDATE ITEMIZED 2 REPORT COVERING THE PERIOD TO: l 1. NAME OF CANDIDATE OR COM ITTE FROM: L " I ` Payments Outstanding Balance Outstanding Balance Debt Incurred This Period (End of Period) s period od) 3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED (Beginning of Peri Thi OBLIGATION (obligations totaling more than $100 owed to any personivendor at the end of the reporting period) Middle Name FlrstName ~1 r a Last NameB siness Name a~ . t Address Slate Zip Code city Descri pbon of tgabon f + «s t~5^~ f f Middle e First Name A A U o W✓` J~ ` ' r ' t am ust ass Address Stale Zip Code city Description of illation Middle Name First Name Last Name/Business Name Address State Tip Code city Description of Obligation Middle Name First Name LastNameBusiness Name Address State Zip Code City Description of Obligation Em- Middle Name First Name Last NameBusineSs Name Address Stale Zip Code city Description of Obligation 4 4. TOTALS.. (Total from Outstanding Balance - (End of Period) column must also be shown in item 23b. on summary page.) r,/ SS-1127 (Rev. 4102) Page of RSA 1159 Afflh s ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE =F~ROM: PORT COVERING THE PERIOD TO: \0 Q -11 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 T - I Last Narne/Organizatbn Name ❑ Primary Election General Election Add V El Runoff (Local Elections Only) z-( city stab 4Code Date of Contribution Aggregate This Election a it I -+n3- o Employer FirstName 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 FirstName iddle Name Contribution Received For: Amount of Contribution Last Na Organization Name ❑ Primary Election General Election Address []Runoff (Local Elections Only) City State Zip Code Date of Contribution Aggregate This Election Occupation Employer First Nam Middle Name Contribution Received or. Amount o Contribution Last NamefOrganization Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City State Zip Code Date of Contribution Aggregate This Election Occupalion Employer 5. TOTAL ITEMIZED CONTRIBUTIONS U (Carry forward to item 3. of next page I additional pages of this form are used.) Of this is the last page of contnbutlons, this amount must be shown in item 15b. of summary.) SS-1131(Rev. 2/06) Page 5;~ of RDA 1159 ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE 2. REPORT COVERING THE PERIOD 1. NAME OF C DIDATE OR COMMITTE~ r f mown P 3. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 4 first itemized page) } 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED IN-KIND CONTRIBUTION (in4dnd contributions totaling more than $100 from any oontributorduring the period) Middle Name In-Kind Contribution Received For. Value of In-Kind Contribution Frst Name Primary Election 11 General Election ❑ Last NamelOrganizationName ❑ Runoff (Local Elections Only) Address Daleofln-landContribullori Aggregate this Election Clty State Zip Code Description of Wand Contribution Occupation Em Middle Name In-Kind Contribution Received For. Value of In-Kind Contribution Frst Name ❑ Primary Election ❑ General Election Last NamdOrwanization Name ❑ Runoff (Local Elections Only) Date of In-Kind ContnbAon Aggregate this Election Address City Stale Zip Cale Des*tbn of in-land corrtrfbution Occupation Empbyer Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution First Name ❑ Primary Election [:1 General Election Last Namdt)rganization Name ❑ Runoff (Local Elections Only) Address Date ofln-Kind Carbibulion Aggregate this Election City, State Zip Code Description of In-Kand caddbution Occupation First Name Middle Name In-fend Contribution Received For. Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last NamelOrganizafion Name ❑ Runoff (Local Elections Only) Address Date ofln-IQA Conftutiat Aggregaleihls Election city Stale Zip Code Description of In-land 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 Daileof In-Kind Contribution Aggregate this Election City Slate Zip code Description of In-Kind Contribution FFer • p n 5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS (Carry forward to hem 3. of next page h 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.) Page of RDA 1159 - SS-1128 (Rev. 2106) ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDID TE OR COMMITTEE 2, REPORT COVERING THE PERIOD t el FROM: I! Z T0: - - moun 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures totaling more than $100 to any payee during the period) First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address Qty State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last NameSusiness Name Address Qty Stale 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 Qty State Zip Coda 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 Qty State Zip Code 7kv ITEMIZED EXPENDITURES (Carry forward to item 3. of next page N additional pages of this form are used.) _ (If this is the last page of expenditures, (his amount must be shown in item 19b. of summary.) SS-1129 (Rev. 4/02) Page of RDA 1159 Q~ CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORT I2.a. NAME OF CANDIDATE OR COMMITTEE l t r o 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 n. ~Inyo 4.. CANDIDATE'S HOME ADDRESS (if different than 4.a.) Street or Rural Route City State Zip Code Phone 5. OFFICE SOUGHT (include district nu er, if applicable) 6. NAME OF POLITICAL TI EASURER (may be candidate) J f 6 L LL: .A f.c 7. T GORY R REPORT (Check one) 0 E3 El 0 FIRST SECOND THIRD FOURTH PRE- PRE- MID YEAR YEAR-END DARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATEOFREPORTINGPERIOD 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. nally, I/we swear or affirm that no campaign contributions have been expended for the personal financial benefi of undid r y other nonpolitical purpose as defined by the federal internal revenue code. 66 gn R idate date T"' f political treasurer date ESS SIGNA E AD 12 gnat of witness d e qsign t of witness ate 12. SUMMARY a. BALANCE ON HAND LAST REPORT $ OJ 'Q 1 b. TOTALRECEIPTSTHIS PERIOD c. TOTALDISBURSEMENTSTHIS PERIOD $ ' - _ 3 5S d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ e. TOTAL LOANS OUTSTANDING $ f. TOTALOBLIGATIONS OUTSTANDING $ page 1 01 RDA 1159 0 SS-1109 (Rev. 2106) SUMMARY PAGE - CANDIDATE 13. NAME OF CAN IDAT OR CO MITT E (In Full) 14. REPORT COVERING THE PERIOD FROM: Z Z T0: 3 3 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) $ N u 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. Expenditure ($100 or less eac p ) (must be listed by category- e.g., printing, postage, gasoline) $ $ $ $ $ $ $ $ Total of Expenditures ($100 or less each payee) Ui7 b. Itemized Expenditures (Over $100 each payee this period) $ V U 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. UO 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) $ 00 c TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 12.0 $ 5-()3, Page SS-1133 (Rev. 4102) _ /-of ITEMIZED STATEMENT OF LOANS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: TO: -le j 7--! ? ~ 3L3 / 3. COMPLETE THE APPRO RIATE 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 City Zip Code [3 Primary Election ❑ General Election ❑ Runoff (Local Elections Only) List All Endorsers or Guarantors for Above Loan (If more space is needed please attach a page) First Name Middle Name First Name Middle Name Last Name/Organization Name Last Name/Organization Name Address Address City State Zip Code City State Zip Code Amount Guaranteed Outstanding Amount Guaranteed Outstanding First Name Middle Name First Name Middle Name Last Name/Organizalion Name Last NamelOrganization Name Address Address city State Zip Code City Slate Zip Code Amount Guaranteed Outstanding mount Guaranteed Outstanding First Name Middle Name First Name Middle Name Last Name/Organization Name Last Name/Organization Name Address Address city State Zip Code City 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 F 4. Totals for all Loans (complete on last page of itemized loans) Outstanding Loan Balance Loans Loan Obtstanding Loan Balance (Total loans received should also be shown in item 16. on summary page.) Be innin of Period Received Pa ments 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.) r SS-1132 (Rev. 4/02) Page of RDA 1159 ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: 7 4. TO: 3/31 3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED Outstanding Glance Debt Incurred Payments Outstanding Balance OBLIGATION (obligations totaling more than $100 owed to any (Beginning of Period) This Period This Period (End of Period) person/vendor at the end of the reporting period) First Name Middle Name Last NamelBu ' ess N U Address w~ Ci rY `1 City State Zip Code Description of U all ! ~Q) First Name Middle Name t Name/B in Name City Slate Zip Code L7 Ile Description of igation First Name Middle Name Last Namelilusiness Name Address CRY State Zip Code Description of Obligation First Name Middle Name Last NamelBusiness Name Address City State Zip Code Description of Obligation First Name Middle Name Last NamelBusiness Name Address City State Zip Code Description of Obligation 4. TOTALS (Total from Outstanding Balance - (End of Period) column must also be shown 0 3y in item 23b. on summary page.) J V SS-1127 (Rev. 4102) Page of 3,- RDA 1159 s ` ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE ::]~FR~ EPORT COVERING THE PERIOD 'f - M: f ~ 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 FlrstName MlddleNa7, Contribution Received For. Amount of Contribution -i= f: Last (rganiz ' 1 Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City Stale r ApCode Date of Contribution Aggregate This Election Occupation , G - 1 Z "C) Employer PA Plw, FkstNarne Middle Name Contribution Received For: Amount of Contribution Last NanWOrganization Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City State Zip Cade Date of Contribution Aggregate This Election Occupation Employer First Name iddle Name Contribution Received For: Amount of Contribution Last an name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City State Zip Code Date of Contribution Aggregate This Election Occupation First Name Middle Name Contribution Received or. Amount 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 L1 (Carry forward to item 3. of next page iFadditional pages of this forth are used.) Of this is the last page of contributions, this amount must be shown in item 15b. of summary.) V r SS-1131(Rev. 2/06) Page y of 7- RDA 1159 ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: Z 2 TO: 3 LJ moun 3. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED IN-KIND CONTRIBUTION (in-kind contributions totaling more than $100 from any contnbutorduring the period) First Name Middle Name In-Kind Contribution Received For. Value of In-Kind Contribution Last Name/Organization Name ❑ Primary Election ❑ General Election ❑ Runoff (Local Elections Only) Address Date ofinAridContnbution 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 DateorlMGnd ContnbAon 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/Organizadon Name Primary Election [I General Election ❑ Runoff (Local Elections Only) Address Dateofln-K indConMbution Aggregate this Election city State Zip Code Description of IrAnd contribution Occupation m yer First Name Meddle Name In-Kind Contribution Received For. Value of In-Kind Contribution _7 Last NamelOrganization Name ❑ Primary Election ❑ General Election ❑ Runoff (Local Elections Only) Address Date ofIn-Kind Contribu6on Aggregate this Election city Staff Zip Code Description of In-Kind Contribution Occupation Empbyer First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution Last NamelOrganizatlon Name ❑ Primary Election General Election ❑ Runoff (Local Elections Only) Address Date ofIn-Kind Contribution Aggregate this Election City Staff Zip Code Description of In-Kind Contribution Occupation Err?kiyer 5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS (Carry forward to hem 3. of next page if additional pages of this form are used.) Of this Is the last page of in-kind contributions, this amount must be shown in item 22b. of summary.) i SS-1128 (Rev. 2106) Page of RDA 11159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDID TE OR COMMI TEE 2. REPORT COVERING THE PERIOD FROM: Z TO: 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) Amount i 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures totaling more than $100 to any payee during the period) P Amount of Expenditure LAddre Middle Name Purpose of Ex enditure i i j UO , ( State Zip Code ? - ` U ~l First Name Middle Name Purpose of Expenditure Amount of Expenditure Last NameiBUMOSS Name Address Qty 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 Namefbusiness Name Address city state Tip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address city State Zip Code irst Name Middle Name Purpose of Expenditure Amount of Expenditure st Name/Business Name [-Addres s Ci ty State Zip Code 5. TOTAL ITEMIZED EXPENDITURES (Getty ftxwetd b item 3. of next page if additional pages of this form are used.) (It this Is the last page of expenditures, this amount must be shown in item 19b. of summary.) Page RDA 1159 SS• m kRev. 4102) Print Form J a ppointment of Political Treasurer 19 For State and Local Candidates and Single-Candidate Committees y INSTRUCTIONS The Appointment of Political Treasurer statement must be used to appoint a political treasurer as required by the Campaign Financial Disclosure Act (T.C.A. § 2-10-105) for state and local candidates and single- candidate political campaign committees. A state candidate may not receive or expend funds for an election until a political treasurer has been appointed for that election. A local candidate pursuant to T.C.A 2-10-101, may be exempt from completing this form, please check with county election commission for more information. A candidate may appoint himself or herself as political treasurer. A new form must be filed if the treasurer is changed. Candidates for state public office must file their original Appointment of Political Treasurer statement ONLY with the Registry of Election Finance, 404 James Robertson Parkway, Suite 104, Nashville, TN 37243-1360. Candidates for local public office must file their original Appointment of Political Treasurer statement ONLY with their county election commission. idate or Committee: 3. Candidate e-mail address: 1. jDate: =Add 4. mpaign ress and Phone : City State Zip Code hone ( e _ 5. Home Address and Phone (if fferent than item 4 above): City State Zip Code Pho a vi' ~u 6. Office Sought (include district number, if applic ble) 7. Party Affliation 8. Election Year 's too-~~ I~ 20 2 9. Treasurer Name: \ 10. rea urer e-mail address: Ue~ Ue~~ 11. Treasurer Address and Phone: u ire Y< < ' City state Zip Code Phon tos 3 3 z- lag J-2- 12. Candidate and Treasurer Signature (both signatu es must be witnessed. Treasurer can not witness candidate's signature): Signature of Cand' to Signature of Treasurer Signat of Witness Signature of Witness Registry of Election Finance SS-1120 (rev 10/2010) CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORT 12..a.. NAME OF CANDIDATE OR COMMITTEE ` -jj- 2- Ic+ 2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE 60 V k- I 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone _L V 4.b. CANDIDATE'S HOME ADDRESS (f different than 4.a.) Street or Rural Route City State Zip Code Phone 1 WO S- 10-LIA) 61,06XtkJ1,LL;, I A.) 7-I1 - 5. OFFICE SOUGHT (include district umber, if applicabl) 1 1 6. NAME OF POLITICAL TREASURER (may be candidate) AAA/// 13 El 7. CATEGORY OR REPORT (Check one) 11 El FIRST SECOND THIRD FOURTH PRE- PRE- MID-YEAR YEAR-END QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD 9. (Check one) a. ❑ This campaign is exempt from detailed disclosure because contributions (including in-kind) received total $1,000 or less AND expendi- tures total $1,000 or less for this reporting period. (Complete items 12d., 12e. and 12f.) b. This campaign is required to file a detailed financial disclosure because contributions (including in-kind) received total more than $1,000 and/or expenditures total more than $1,000 for this reporting period. 10. Itwe do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this report is an accurate accounting of campaign contributions and expenditures required to be reported by the candidate committee by the Campaign Financial Disclosure Act. Additionally, I/we swear or affirm that no campaign contributions have been expended for the personal financial benefit of the can i ate or a ther nonpolitical purpose as defined by the federal internal revenue code. ate signature of political treasurer date sign ur f didat ITNESS SIGNA E 1 31 12 i31Av: • date 4sigture of ' In I date signa of witness 12. SUMMARY a. BALANCE ON HAND LAST REPORT $ J J 71J10 b. TOTAL RECEIPTSTHIS PERIOD , C 22 c. TOTALDISBURSEMENTS THIS PERIOD d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) _ C=T $ e. TOTAL LOANS OUTSTANDING f. TOTAL OBLIGATIONS OUTSTANDING $ - Page 1 of ~ RDA 1159 SS-1109 (Rev. 2/06) SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD FROM: 10: f"- l RECEIPTS 15. CONTRIBUTIONS (other than loans and interest) a. Unitemized Contributions ($100 or less from each source this period) $ 0 b. Itemized Contributions (over $100 from each source this period) $ 200(2. Q-2 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) L) $ $ k $ Ma Zy,0? .7 .1 if $ Total of Expenditures ($100 or less each payee) $ Z b. Itemized Expenditures (Over $100 each payee this period) $ Z r c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $ 20. LOAN REPAYMENTS MADE THIS PERIOD $ .14 G Z_L 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) $ 3- s c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.) $ 23.013LIGATIONS a. Unitemized Obligations Outstanding ($100 or less each) $ - U b. Itemized Obligations Outstanding (Over $100 each) $ 9/ t" L ~ h ~3 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 A FROM: - TO: r-/ - / 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 La t ame/Orga atio Name '~Ij ® Primary Election M General Election Address ❑ Runoff (Local Elections Only)" ~O Ct© Ci State Zi Code Date of Contribution Aggregate This Election OccupaU -n& lole,4 Em~~ First Name N, I Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name ❑ Primary Election ❑ General Election Address 7 ❑ Runoff (Local Elections Only) City State Zip Code Date of Contribution Aggregate This Election l 3 Occupation Employer G First Name iddieName Contribution Received For: Amount of Contribution P 1 12 ast ame rganizatlon Name ®Primary Election ®General Election G' C Address ❑ Runoff (Local Elections Only) Z f A City State , / Zip Code Date of Contribution Aggregate This Election N Occupation Employer First Name Middle Name Contribution Received or: mount o ontnbution 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.) Z Uv V e (If this is the last page of contributions, this amount must be shown in item 15b. of summary.) 1 . SS-1131(Rev. 2/06) Page of RDA 1159 ~171? 3- ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE 1. NAME OF C NDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: 7-/-1/ T0: moun _ 3. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED IN-KIND CONTRIBUTION (in-kind contributions totaling more than $100 from any contributor during the period) First Name r Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution Primary Election ® General Election Last Name/Orga 'nation Name 3 ❑ Runoff (Local Elections Only) Address r Date of In-Kind Contribution Aggregate this Election jT CC [X t, It ~ Lt City L L? Ss' 11 Ipcode,-,1 I Dep sscrriptionofIn-Kind Contribution Occupation Employer f /t j L (Lo f /a Lk- IF' t/ 2 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 7 E] iddle Name In-Kind Contribution Received For: Value of In-Kind Contribution First Name M Primary Election ❑ General Election Last Name/Organization Name ❑ Runoff (Local Elections Only) Address Date of In-Kind Contribution Aggregate this Election City State Zip Code Description of In-Kind Contribution Occupation Employer First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last Name/Organization Name ❑ Runoff (Local Elections Only) Address Date of In-Kind Contribution Aggregate this Election City State Zip Code Description of In-Kind Contribution Occupation Employer First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last Name/Organization Name ❑ Runoff (Local Elections Only) Address Date of In-Kind Contribution Aggregate this Election City State Zip Code Description of In-Kind Contribution Occupation m yer 5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS (Carryforward to item 3. of next page if additional pages of this form are used.) (If this is the last page of in-kind contributions, this amount must be shown in item 22b. of summary.) SS-1128 (Rev. 2/06) Page of RDA 1159 Z ,V ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD k / FROM;}-/-I( TO: mount 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures totaling more than $100 to any payee during the period) First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Bus ss Nay 3 5o, U q- c Address ~ 1 City State t 1i Zip Code lr /v 3 1 ~UWrIJ. {ca~~cr L,nn✓1A \SS . c r 2r. c~.k First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business N me :t Address 7- K Y 3 9, 3 City Stile Zip Code c First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name ~CrL S 6 G S `rt7 t3,k, 4y Address City State Zip Code ril~}C!u [rJ LIf First Name Middle Name Pu/r/fp~ose, of Expenditure Amount of Expenditure L t N a/Business me U irl Address 4-0 JA S~AZ4-:4' City State Zip Code ma" Tk/1 -3 First Name Middle Name Purpose Amount of Expenditure Last Name/Business Name G ✓ y u r l J~ scar, C 4k y f" - e t U Addres City State Zip Code -rFirst Name Middle Name Purpose of Expenditure Amount of Expenditure YS0, vo Last Na e/ iness Name U- AA d J0 A ss Z 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.) Page of RDA 1159 ~ SS-1129 (Rev. 4102) ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. MME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD d k- A,) FROM: TO: moun y~ 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) 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 .two ct z Last Name/Business Name w `v Address Z Z 7 A a-411, k, //b City State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Na me N L'i Address --J City State Zip Code A/ V4-3-0 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name l C / ~V 1^ t~ cZ y Address l w City State Zip Code T~A Tku I First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/ usines Name 6k ( ~ j , rJ , 71)3o ~J City State Code GL ~ e First Name Middle Name Purpose of Expenditure Amount of Expendihir~ LastNa sines me q44 Address City State Zip 0. Middle Name Purpose of Expenditure Amount of Expenditure First Name /n yr- ,/J/J/ ~ Last Name/B 'ness Nam /~J 9-a- V 9-1 zV r S Address State Zip Code City 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.) r of RDA 1159 Page D SS-1129 (Rev. 4/02) ITEMIZED STATEMENT OF LOANS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: TO: &441tll~r,r -f(. 7 Z 3. COMPLETE THE APPROPRIATE ITEMS OR EACH ITEMIZED LOAN (loans totaling more than $100 from any source during the period) Complete the Following for the Source of the Loan First Name Middle Name Outstanding Loan Balance Loans Loan Outstanding Loan Balance (Beginning of Period) Received Payments (End of Period) Last Name/Organization Name Address Loan Received For: Date of Loan ❑ Primary Election ❑ General Election City State Zip Code ❑ Runoff (Local Elections Only) List All Endorsers or Guarantors for Above Loan (If more space is needed please attach a page) First Name Middle Name First Name Middle Name Last Name/Organization Name Last Name/Organization Name Address Address city State Zip Code city 7-7 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 Amount Guaranteed Outstanding First Name Middle Name First Name Middle Name Last Name/Organization Name Last Name/Organization Name Address Address City State Zip Code City State Zip Code Amount Guaranteed Outstanding Amount Guaranteed Outstanding 4. Totals for all Loans (complete on last page of itemized loans) Outstanding Loan Balance Loans Loan Outstanding Loan Balance (Total loans received should also be shown in item 16. on summary page.) (Beginning of Period Received Payments End of Period (Total loan payments should also be shown in item 20. on summary page.) / /VD /L ` `,ld ~V/ 1 t/ (Total outstanding loan balance should also be shown in item 12.e. on front page.) 4,10 ./I/ (j RDA 1159 SS-1132 (Rev. 4102) Page of ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD . 4. 6jAekA1YJkr FROM: / TO: - - / 2- 3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED Outstanding Balance Debt Incurred Payments Outstanding Balance OBLIGATION (obligations totaling more than $100 owed to any (Beginning of Period) This Period This Period (End of Period) person/vendor at the end of the reporting period) First Name Middle Name ~e Last NamelBusin s Name Y .3 /J- / 1 Address city Stale Zip Code Description of Obli anon First Name Middle Name Last N me/Bu ine s Name ~ , Address City State Zip Code De ription of Ob gation "Ji JAI,- First Name Middle Name A L t NamelBusiness IN ~~rr[~ UC X L/ f l iI - Addr sU City "M / Z p Code 1 Description of Obli ation i First Name Middle Name Last NamelBusiness Name Address City State Zip Code Description of Obligation First Name Middle Name Last Name/Business Name Address city state Zip Code Description of Obligation 4. TOTALS L b+ (Total from Outstanding Balance - (End of Period) column must also be shown in item 23b. on summary page.) it Page of RDA 1159 SS-1127 (Rev. 4/02) CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORT 2.a. NAME OF CANDIDATE ORC MITTEEri L- - Z u 2.b. IF COMMITT E, NAME OF CANDIDAT 3. ELECTION DATE 1 4.a. CAMPAIGN ADDRESS AND PHONE Phone Street or Rural Route City Stattel Zip Code -2 4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.) Phone Street or Rural Route City State Zip Code W l 9 5.~ OFFICE SOUGHT (include district num er, if applicale) 6. NAME OF POLITICAL TREASURER (may be candidate) i it(/vti cN C 7. CATEGOR OR REPORT (Check one) 1:1 1:1 0 1:1 El FIRST SECOND THIRD FOURTH PREL PRE- MI YD❑EAR YEAR-END QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD /L 7- 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 04 and/or expenditures total more than $1,000 for this reporting period. 10. Uwe do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this report is an accurate accounting of campaign contributions and expenditures required to be reported by the candidate committee by the Campaign Financial Disclosure Act. Additionally, I/we swear or affirm that no campaign contributions have been expended for the personal financial benefit of the candi/dgtgor fp/any other nonpolitical purpose as defined by the federal internal revenue code. ig atu ndidate L date signaty+re of political treasurer date 1. ESS SIGN TUR 4dat wi ess signatu witness ate si4uo 12. SUMMARY a. BALANCE ON HAND LAST REPORT $ b. TOTALRECEIPTSTHIS PERIOD ~5~.......................... $ I c. TOTALDISBURSEMENTSTHIS PERIOD $ fl d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ -Z e. TOTAL LOANS OUTSTANDING $ f. TOTALOBLIGATIONS OUTSTANDING $ Page 1 of J- RDA 1159 SS-1109 (Rev. 2106) SUMMARY PAGE - CANDIDATE 13. NAM OF CANDIDATE R COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD FROM:T0: RECEIPTS 15. CONTRIBUTIONS (other than loans and interest) a. Unitemized Contributions ($100 or less from each source this period) $ b. Itemized Contributions (over $100 from each source this period) $ c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ 16. LOANS RECEIVED THIS REPORTING PERIOD 17. INTEREST RECEIVED THIS REPORTING PERIOD $ 18. TOTAL RECEIPTS add 15.c., 16., and 17.) (must be shown In item 12.b. DISBURSEMENTS 19. EXPENDITURES (other than loan payments) a. Expenditures ($100 or less each payee this period) (must be listed by category - e.g., printing, postage, gasoline) $ $ $ $ $ Total of Expenditures ($100 or less each payee) $ 3 b. Itemized Expenditures Over $100 each payee this eriod y~ c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $2 20. LOAN REPAYMENTS MADE THIS PERIOD 4 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 121) $ 563; Page of SS-1133 (Rev. 4/02) aw 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 poans totaling more than $100 from any source during the period) Complete the FoRoWing for the Source of the Loan First Name Middle Name Outstanding Loan Balance Loans Loan Outstanding Loan Balance (Beginning of Period) Received Payments (End of Period) Last Name/Organization Name Address Loan Received For: Date of Loan ❑ Primary Election ❑ General Election City State Zip Code ❑ Runoff (Local Elections Only) List All Endorsers or Guarantors for Above Loan (if more space is needed please attach a page) First Name Middle Name First Name Middle Name Last Name/Organization Name Last Name/Organization Name Address Address City State Zip Code City State Zip Code Amount Guaranteed Outstanding Amount Guaranteed Outstanding First Name Middle Name First Name Middle Name Last Name/Organization Name Last Name/Organization Name Address Address City State Zip Code city State Zip Code Amount Guaranteed Outstanding Amount Guaranteed Outstanding First Name Middle Name First Name Middle Name Last Name/Organization Name Last Name/Organization Name Address Address City State Zip Code city State 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 Zp Code City State Yip Code Amount Guaranteed Outstanding Amount Guaranteed Outstanding 4. Totals for all Loans (complete on last page of Itemized loans) Outstanding Loan Balance Loans Loan Obtstanding Loan Balance (Toted loans received should also be shown in item 16. on summary page.) (Beginning of Period Received Payments End of Pedod) (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. 4102) Page 3 of RDA 1159 ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDID E OR C MMITTEE 2. REPORT COVERING THE PERIOD / FROM: r TO: 2,-Z 7 - / Z 7 4 lr our 3. TOTAL ITEMIZED IWKIND 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 oontnbutordudng the period) First Name Middle Name In-Kind Contribution Received For. Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last NamefOrganization Name ❑ Runoff (Local Elections Only) Address DateoflnaandContrbution Aggregate this Election Cly State Zo Cade 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 Name0ganization Name ❑ Runoff (Local Elections Only) Address D&ofIn-IandCantnb" Aggrematethis Election City State Zip Code Description of Inland Contribution Occupation Employer First Name Middle Name In-Kind Contribution Received For. Value of In-Kind Contribution ❑ Primary Election ❑ General Election LastName'OrganizaW Name ❑ Runoff (Local Elections Only) Address Date of In-Kurd ContdtHAion Aggregate this Election City Stale Zip Code Dwiptbn of in-land Contribution Won POccupa First Name Middle Name In-Kind Contribution Received For. Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last NamelOrganization Name ❑ Runoff (Local Elections Only) Address N* ofin-lord Contribution Aggregate this Election City Stale Zip Code Descripibnofln-IardCmtribufion Occupation Employer First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution ❑ Primary Election [I General Election Last Name0ganization Name ❑ Runoff (Local Elections Only) Address Dare of In-Kind Cenfibution Aggregate this Election City Slate Zip Code Description of In-Kind Contribution p 5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS (Carry forward to item 3. of next page I additional pages of this form are used.) Of this is the last page of in-kind oontributims, this amount must be shown in item 22b. of summary.) 'c SS-1128 (Rev. 2106) Page_ of RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD /L FROM: _ TO: '2 / 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 $too to any payee during the period) ' Amount of Expenditure First Name Middle Name Purpose of Expenditure Name/Business Name e Z, f 41Z Address . ( /23k u). Q State/ Zip Code / z_ First Name Middle Name Purpose of Expenditure Amount of Expenditure Last NameBusiness Nine Address to City State Zip Code 7/j.,11 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last NameSustn~ss N Address s FAY State Zip Code ✓ L ✓ First Name Middle Name Purpose of Expenditure Amount of Expenditure Last eBusiness U_0 1/r 4/ Address Zoo, city state / Zip Code T-k First Name Middle Name Purpose of Expenditure Amount of Expenditure Last NamelBusiness Name Address CRY State Zip Code Middle Name Purpose of Expenditure Amount of Expenditure First Name Last NamelBusiness Name Address City State Zip Code 5. TOTAL ITEMIZED EXPENDITURES c J (Carry foniiard to item 3, of next page if additional pages of this form are used.) V, (it this is the last page of expenditures, this amount must be shown in item 19b. of summary.) RDA 1159 Page of jMhL SS-1129 (Rev. 4102) ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: - jl~-17 TO: 2-Ti- I Z Outstanding Balance 3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED Outstanding Balance Debt Incurred This Payments Period (End of Period) OBLIGATION (obligations totaling more than $100 owed to any (Beginning of Period) This ) his Period person/vendor at the end of the reporting period) First Name Middle Name Last Na mess N J~ / y s j ~f i ke. _~lJi -'CJ Address city State Zip Code Description of Obig ' n First Name Middle Name N usi ss N Address City \ State Zip Code i Aj 31 Description of OMig tion ~i First Name Midd ame L=t Nam /Rusiness Name. Addr.f - C Staff Lp Code Description of Obligation First Name Middle Name Last Nam i/Business Name Address State Zip Cade City Description of Obligation Middle Name First Name Last NarneJBusiness Name Address State Zip Code City Description of Obligation ~~3, y yy 4. TOTALS (Total from Outstanding Balance - (End of Period) column must also be shown in item 23b. on summary me.) Page of ~ RDA 1159 SS-1127 (Rev. 4/02)