Citizens for Maryville Schools
CAMPAIGN FINANCIAL DISCLOSURE STATEMENT
For Single-Measure Committees (SMC)
1. DATE OF REPORT 2. NAMEOFCOMMITTEE
2. SHORT NAME OF COMMITTEE(IFAPPLICABLE)
3. ADDRESSANDPHONE
Street or Rur I Route City State Zip Code Phone 77V -7 7W,0 -
4. MEA9UURES SUPPORTED OR OPPOSED 11
S.A. NAME OF POLITICAL TREASURER
5
Jr IC r e S l
6. CATEGORY RE❑P R (Check o0 ❑ ❑ ❑ ❑ ❑
FIRST SECOND THIRD FOURTH PRE- PRE- MID-YEAR YEAR-END
QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL
7.A. BEGINNING DATE OF REPORTING PERIOD 7.B. ENDING DATE OF REPORTING PERIOD
8. (Check one)
A. This committee 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. I do solemnly swear or affirm that the information contained in this statement
is true and that the committee has complied with all applicable provisions of the Campaign Financial Disclosure Act. (Items 10d., 10e.
and 1Of must also be completed.)
B. This committee 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. I do solemnly swear or affirm that the information con-
tained in this statement is true and that the following page(s) are a complete and accurate accounting of all contributions and expendi-
tures requried to be reported by political campn committees by the Campaign Financial Disclosure Act.
a7,L Ly, - V, y r~
sig ture of political treasurer date
9. WITNESSSIGNATURE J
sign ture of itne date
10. SUMMARY
7
a. BALANCE ON HAND LAST REPORT $
b. TOTAL RECEIPTSTHIS PERIOD $ ~n
c. TOTAL DISBURSEMENTS THIS PERIOD
d. BALANCE ON HAND (10.a. plus 10.1b. minus 10.c.) $
e. TOTAL LOANS OUTSTANDING $
f. TOTAL OBLIGATIONS OUTSTANDING $
SS-1140 (Rev. 2/06) RDA 1159
r,r( 1 4 i;.
SUMMARY PAGE - SMC
11. NAME OF COMMITTEE (inn Full) 12. REPORT COVERING THE PERIOD
t) Zc=?S FROM: It( T0: A411-Aj I"I
RECEIPTS
13. CONTRIBUTIONS (other than loans and interest)
a. Unitemized Contributions ($100 or less from each source this period) $ Q
v
b. Itemized Contributions (over $100 from each source this period) $
c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 13.a. and 13.b.) $
14. LOANS RECEIVED THIS REPORTING PERIOD 0
15. INTEREST RECEIVED THIS REPORTING PERIOD
16. TOTAL RECEIPTS (add 13.c., 14., and 15.) (must be shown in item 10.b.)
DISBURSEMENTS
17. EXPENDITURES (other than loan payments)
a. Unitemized Expenditures ($100 or less each payee this period) (must be listed by category - e.g., printing, postage,
gasoline)
$
$
$
$
Total of Expenditures $100 or less each payee) $
b. Itemized Expenditures (Over $100 each payee this period) $
c. TOTAL EXPENDITURES (other than loan repayments)(add 17.a. and 17.b..) $ 18. LOAN REPAYMENTS MADE THIS PERIOD
19. TOTAL DISBURSEMENTS (add 17.c. and 18.) (must be shown in item 10.c.) $ _5
20.IN-KIND CONTRIBUTIONS U
a. Unitemized in-kind contributions ($100 or less from each source this period) $ Z ] -7 32-7
b. Itemized in-kind contributions (over $100 from each source this period) $
c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 20.a. and 20.b.) $ 21.LOANS
LOANS OUTSTANDING (must be shown in item 10.e.)
22.013LIGATIONS
a. Unitemized Obligations Outstanding ($100 or less each) $
b. Itemized Obligations Outstanding (Over $100 each) $
c. TOTAL OBLIGATIONS OUTSTANDING (add 22.a. and 22.b.) (must be shown i item 10.f.) $ y y~
r' SS-1145 (Rev. 4/02) RDA 1159 Page of
ITEMIZED STATEMENT OF CONTRIBUTIONS - SMC
~ rS 2. REPORT COVERING THE PERIOD
1. NAME OF COMMITTEE C. ; ~ ~e S r~ 2 ~1 -C 6J
FROM: TO:
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 totalin more than $100 from an contributor Burin the eriotl
First Name M.I. Last Name/OrganizatonName Amount of Contribution
Address
City State Zip Code
Occupation
Employer
First Name M.I. Last Name/Organization Name Amount ofConfibulion
Address
City State Zip Code
Occupation
Employer
First Name M.I. Last Name/Organization Name Amount of Contribution
Address
city state Zip Code
Occupation
Employer
First Name M.I. Last Name/Organization Name Amount of Contribution
Address
city state Zip Code
Occupation
Employer
FirstName M.I. Last Name/Organization Name Amount ofContnbuton
Address
Ciry 7 7 Code
Occupation
Employer
5.TOTAL ITEMIZED CONTRIBUTIONS cl
(Carry forward to item 3. of next page if additional pages of this form are used.) l
(If this is the last page of contributions, this amount must be shown in item 13b. of summary.)
r,„..rA
SS-1141 (Rev. 2106) Page of RDA 1159
ITEMIZED STATEMENT OF EXPENDITURES - SMC
1. NAME OF COMMITTEE - 2. REPORT COVERING THE PERIOD
FROM: TO:
Amount
3. TOTAL ITEMIZED EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page)
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (any expenditures totaling more than $100 to a sigle payee during the period,
must be itemized.)
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name Q-t
SSC C
Y )j
Address
city 1 State Zip Code?-f
: 7-N
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name 1 ~ ~ C ✓ ->W1,11
t, Zj E;
lJW St'~~~~~r~ //Tree ~3!I~J( I
Address /
City jkn v r ` State Zip Code X77
i
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 ame idd a ame urpose o xpen iture mount o xpen iture
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.) -5k,- , 7
If this is the last page of campaign expenditures, this amount must be shown in item 17b. of summary.)
ti;, SS-1142 (Rev. 4102) Page of RDA 1159
ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - SMC
1. NAME OF COMMITTEE r ^ , SC 6 Js 2. REPORT COVERING PERIOD
i !Zes v FROM: TO:
Amount
3. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE enter $0 if first itemized page)
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED IN-KIND CONTRIBUTION (in-kind contributions totaling morethan$f00fromanycontributor during theperiod)
First Name Middle Name Description of In-Kind Contribution Value of In-Kind Contribution
Last Name/Organization Name
J ''>,n •~Y-0 L r-' f Wit. r /~,y ~ ✓ l/. ~j)
Address / 12- A D04- .
City State _ ZipCp e
Y' I Occupation
Employer
First Name Middle Name Description of In-Kind Contribution Value of I n-Kind Contribution
Last Name/Organization Name
Address
A1- ReEJcr ~e o
city State Zip Code
Occupation
Employer
First Name Middle Name Description of In-Kind Contribution Value of In-Kind Contribution
Last Name/Organization Name
A ress
City State Zip Code
Occupation
Employer
First Name Middle Name Description of In-Kind Contribution Value of In-Kind Contribution
Last Name/Organization Name
Address
city state Zip Code
Occupation
Employer
5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS ~-)75 Z2
(Carry forward to item 3 of next page if additional pges of this form are used.)
(If this is the last page of in-kind contributions, this amount must be shown in item 20.b. of summary.)
~+r? SS-1143 (Rev. 2106) Page of RDA 1159
ITEMIZED STATEMENT OF LOANS - SMC
n r 2. REPORT COVERING THE PERIOD
1. NAME OF COMMITTEE I 3 , v
~E FROM: TO:
3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED Outstanding Balance Loans Loan Payments Outstanding Balance
LOAN (loans totaling more than $100 owed to any person/business at the end of (Beginning Received This (End
the reporting period) of Period) This Period Period of Period)
First Name Middle Name
LastNameBusiness Name
Address
city state Zip Code Date of Loan
First Name Middle Name
Last Name/Business Name
Address
City State ZipCode Date of Loan
First Name Middle Name
LastName/Business Name
Address
City State ZipCode Date of Loan
First Name Middle Name
LastName/Business Name
Address
City State ZipCode Date of Loan
First Name Middle Name
Last Name/Business Name
Address
City State ZipCode Date of Loan 11 - 4. TOTALS
(Total from "Outstanding Balance - (End of Period)" column must also be shown C J
in item 21 on summary page.)
+K SS-1146 (Rev. 4102) Page of RDA 1159
ITEMIZED STATEMENT OF OBLIGATIONS - SMC
1. NAME OF COMMITTEE r ~ 2. REPORT COVERING THE PERIOD
C t -'~v✓1 S FROM: TO:
3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED Outstanding Balance Debt Payments Outstanding Balance
OBLIGATION (obligations totaling more than $100 owed to any person/vendor at (Beginning Incurred This (End
the end of the reporting period) of Period) This Period Period of Period)
First Name Middle Name
Last NamelBusiness Name
Address
City State Zip Code
Description of Obligation
first ame Middle Name
Last Name/Business Name
Address
City State Zip Code
Description of Obligation
First Name Middle Name
Last Name/Business Name
Address
City State Zip Code
Description of Obligation
First Name Middle Name
Last Name/Business Name
Address
City State Zip Code
Description of Obligation
First Name Middle Name
Last Name/Business Name
Address
City State Zip Code
Description of Obligation
4. TOTALS J
(Total from "Outstanding Balance- (End of Period)" column must also be shown
in item 22.1b on summa page,)
shy' SS-1144 (Rev. 04102) Page ofRDA 1159
:ti
FINANCIAL DISCLOSURE STATEMENT
CAMPAIGN
For Multicandidate Committees (PACs)
2. NAME OF COMMITTEE - e 7 V J/ C
1. DATE OF REPORT Y /
2.A. SHORT NAME OF COMMITTEE (IF APPLICABLE)
State Zip Code Phone
3. ADDRESS AND PHONE City - ~~i% ✓ 7 fc
Street or Rural Route M v ; 1_17 f
L 7 _e;" L) v/%I i.A tJ G BOTH
STATE PUBLIC OFFICE LOCAL PUBLIC OFFICE
4. TYPE OF CANDIDATES SUPPORTED
5.6. DATE APPOINTED
c 7 `7
5.A. NAME OF OLITICA TREASURER -Z
6. CATEGORY OR REPORT (Check one Q MID -YEAR YEAR-END
❑
FIRST SECOND THIRD FOURTH PRI PREMARY _ G PRE- F.NERA~ SUPPI EMENTAI. SUPPLEMENTAL
QUARTER OU,gRTE' QUARTER QUARTER 7 B ENDING DAi EOF REPORTING PERIOD
7.A.BEGINNINGDAiEOFREPOR.IINGPERIOD /9"
~ I ~ ~..c}n t1A ~ ~
8. (Check one)
lemly swear or affirm that th information contained ' s (Item 10dstatement
A, This committee is exempt from detaileds reporting isclosures period. I because do so contributions of the (including in-ki Campaignd)nancal received Ditotal $1,closure 000 Actor less A
0e.
expenditures total $1,000 or less for tt
is true and that the committee has complied with all applicable provisions
and 1 Of must also be completed.)
B• This committee is required to file a detailed than fi $1,000 nancial for this disclosure reporting because period. I contribu do tions solemly (including in-kind) received total more t an
ation contained
firm that t expenditures
in this the in or
$1,000 and/or expenditures total mo e e s are a complete and accurate accoungwear of al
in this statem tatement is true and that the following pag ( )
required to be reported by political campaign committees by the campaign Financial Disclosure Act. date
signature of p itical treasurer
g. WITNESS SIGNATURE 7
date
signature of witn ss
10. SUMMARY `f S O~
a. BALANCE ON HAND LAST REPORT $
b. TOTAL RECEIPTSTHIS PERIOD
C. TOTAL DISBURSEMENTS THIS PERIOD $ S
d. BALANCE ON HAND (10.a. plus 10.b. minus c
e. TOTAL LOANS OUTSTANDING ✓
f. TOTAL OBLIGATIONS OUTSTANDING
RDA Pending
SS-1122(Rev. 2/06)
. ~ I
SUMMARY PAGE - PAC
12. REP RT COVERING THE PERIOD
11. NAME OF COMM/ITTEE (In Full)
[ifi-~_^S FROM T0:
RECEIPTS
13. 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) $
JC
c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 13.a. and 13.b.)
14. LOANS RECEIVED THIS REPORTING PERIOD $ /y
$
15. INTEREST RECEIVED THIS REPORTING PERT
$
16. TOTAL RECEIPTS (add 13.c., 14., and 15.) (must be shown in item 10.b.)
DISBURSEMENTS
17. EXPENDITURES (other than loan payments)
a. Unitemized Expenditures ($100 or less each payee this period) (must be listed by category - e.g., printing, postage,
gasoline) _
55,2
$
$
$
Total of Expenditures ($100 or less each payee)
b. Itemized Expenditures (Over $100 each payee this period)
c. Independent Expenditures
d. TOTAL EXPENDITURES (other than loan repayments)(add 17.a., 17.b. and 17.c.)
$
18. LOAN REPAYMENTS MADE THIS PERIOD
19. TOTAL DISBURSEMENTS (add 17.d. and 18.) (must be shown in item 10.c.) $9 '2
20.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 20.a. and 20.b.)
21. LOANS
LOANS OUTSTANDING (must be shown in item 10.e.)........
22. OBLIGATIONS
a. Unitemized Obligations Outstanding ($100 or less each)
b. Itemized Obligations Outstanding (Over $100 each) $
c. TOTAL OBLIGATIONS OUTSTANDING (add 22.a. and 22.b.) (must be shown i item 10.f.) $
SS-1136 (Rev. 11/04) Page of
ITEMIZED STATEMENT OF CONTRIBUTIONS - PAC
1. NAME OF COMMITTEE 2. REPORT COVERING THE PERIOD
FROM: T0:
Amount
3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page)
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor Burin the period)
First Name M.I. last Name/Organization Name AmountofContrbAon
Address
City State Zip Code Date of Contribution
TP> , 7 ~ o
Occupation Employer
First Name M.I. last NamelOrganizatlon Name Amountof ConhibAon
Address P ✓ ~ ~s
City state Zip Code n ' Date of Contribution
Occupation Employer
~
AmounlofCwtribution
First Name M.I. Last Name/Organization Name cc,
Address ~C' ~U
City State Zip Code DateofContibutbn 3 7 -9114 Occupation Employer
First Name M.I. Last Name/Organization Name AmountofContribi6on
' c J
AM-=
City State Zip Code 7-J Date ofConhibL&n
14 (.7vi Tom/ ? ? !yam
Occupation / Employer
AmountofConlrbufon
First Name M.I. Last NamelOrganizationName
Address f7 1 `i 4~ v ✓
~L-j 2
City state Zip Code ✓ / Date of Contribution
Occupation Employer
First Name M.I. Last Name/Organization Name AmountofConhibution
Address v~
Pi r6'
City Stale Zip Code v Date of Contribution
Occupation / Employer 7 3/~
n /'n C y'k
5.TOTAL ITEMIZED CONTRIBUTIONS
i-l
(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 13b. of summary.)
SS-1119-C (Rev. 2/06) Page of RDA 1159
ITEMIZED STATEMENT OF EXPENDITURES - PAC
1. NAME OF COMMITTEE 2. REPORT COVERING THE PERIOD
FROM: TO:
Amount
3. TOTAL ITEMIZED 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). If the ex-
penditure is an in-kind contribution to a candidate, please remember to include the purpose of the expenditure (e.g. postage, printing) along with the candidate's name in
the purpose of ex endituresection.
First Name Middle Name urpose of Expenditure mount of Expenditure
Last Name/Business Name AI C, C
f
Address Date of Expenditure
C, lz ae~ ; N ll bK
City , State Zip Code
W 7
First Name Middle Name Purpose of Expenditure mount of Expenditure
Last NameBusines Name [79 j I
Address
ate of Expenditure
City U Stat ~ Zip Code
First Name Middle Name Purpose of Expenditure mount of Expenditure
Last Name/Business Name / . I , -C
/A~
Address L ate of Expenditure
City State Zip Code
First Name Middle Name Purpose of Expenditure mount of Expenditure
Last Name/Business Name
Address ate of Expenditure
city Stale Zip Code
First Name Middle Name
Purpose of Expenditure mount of Expenditure
Last Name/Business Name
Address Date of Expenditure
city state Zip Code
First Name Middle Name urpose of Expenditure %mount of Expenditure
Last Name/Business Name
Address ate of Expenditure
City State Zip Code
5. TOTAL ITEMIZED EXPENDITURES
(Carry forward to item 3. of next page if additional pages of this form are used.) ~-2- si: > L
If this is the last page of campaign expenditures, this amount must be shown in item 17b. of summary.)
Aallk
SS-1119-E (Rev. 1/00) Page of RDA 1159
is
t 10117?
~o qAi
CAMPAIGN FINANCIAL DISCLOSURE STATE NT~c~~~D
N 7T J
For Single-Measure Committees (SMC) 3 101, N
1. DATE OF REPORT 2. NAME OF COMMITTEE
12- 3 -1.3 C. rnZ W-ntS FoTZ "424 d1Lk_F_ Moo `s ELEC Wry h
2. SHORT NAME OFCOMMITTEE(IFAPPLICABLE)
Z/ ll cal 6 0
ADDRESS AND PH NE
Street or Rural Route City State Zip Code Phone
2c S t> L) N C-AV4 D 12 M A~`1411 L.E., -Ttt 3-1803 8~S - 4g' l - l9Zo
4. MEASURES SUPPORTED OR OPPOSED
S0 *PPORT I tJGZiaASE LOCAL- SAi-Z,%_rXy
5.A. NAME ..O••FPOLITICALTREASURER 5.6. DATEAPPOINTED
I ZLES LEST w- ZZ.-1'S
(Check 6. CATEGORY OR REPORT one
FIRS SECOND 1~ FOURTH O PRE- MID-YEAR YEAR-END
QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL
7.A. BEGINNING DATE OF REPORTING PERIOD 7.B. ENDING DATE OF REPORTING PERIOD
1v - Z2- vs I l - 30- 13
9. (Check one)
A. M This committee 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. I do solemnly swear or affirm that the information contained in this statement
is true and that the committee has complied with all applicable provisions of the Campaign Financial Disclosure Act. (Items 10d., 10e.
and 1Of must also be completed.)
B_ This committee 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. I do solemnly swear or affirm that the information con-
tained in this statement is true and that the following page(s) are a complete and accurate accounting of all contributions and expendi-
tures requried to be reported by politica mpaigm co ittees by the Campaign inancial Disclosure Act
,jj si nature I21 J J,77
g poli ' asurer date
9. WITNESS SIGNATURE
s re of witness date
10. SUMMARY
a. BALANCE ON HAND LAST REPORT $ o
b. TOTAL RECEIPTS THIS PERIOD 13r ~y l~0
c. TOTAL DISBURSEMENTSTHIS PERIOD Z to. 3S
d. BALANCE ON HAND (10.a. plus 10.b. minus 10.c.) $ 5 $9. US
e. TOTAL LOANS OUTSTANDING $ O
f. TOTAL OBLIGATIONS OUTSTANDING $
SS-1140 (Rev. 2/06) RDA 1159
SUMMARY PAGE - SMC
11. NAME OF COMMITTEE (In Full) 12. REPORT COVERING THE PERIOD
C I-t-1Z.Wt4S FOiZ MftZ4Ylu.C_' SC*+tC>%,_S FROM:10-ZZ-13
T0: U-150- I'S
RECEIPTS
13. CONTRIBUTIONS (other than loans and interest)
a. Unitemized Contributions ($100 or less from each source this period) $ O
b. Itemized Contributions (over $100 from each source this period) $ (3, $00, 00
c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 13.a. and 13.b.) $ V3, Qjm, op
14. LOANS RECEIVED THIS REPORTING PERIOD O
15. INTEREST RECEIVED THIS REPORTING PERIOD O
16. TOTAL RECEIPTS (add 13.c., 14., and 15.) (must be shown in item 10.b.) 1'5,900-00
DISBURSEMENTS
17. EXPENDITURES (other than loan payments)
a. Unitemized Expenditures ($100 or less each payee this period) (must be listed by category - e.g., printing, postage,
gasoline)
$ O
Total of Expenditures ($100 or less each payee) $ O
b. Itemized Expenditures (Over $100 each payee this period) $ C Z 10.35
c. TOTAL EXPENDITURES (other than loan repayments)(add 17.a. and 17.b..) $ <_)210.315
18. LOAN REPAYMENTS MADE THIS PERIOD $ 0
19. TOTAL DISBURSEMENTS (add 17.c. and 18.) (must be shown in item 10.c.) $ L)?-10.35
20AWKIND 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 20.a. and 20.b.) $ O
21. LOANS
LOANS OUTSTANDING (must be shown in item 10.e.) t7
22.013LIGATIONS
a. Unitemized Obligations Outstanding ($100 or less each) $
b. Itemized Obligations Outstanding (Over $100 each) $
c. TOTAL OBLIGATIONS OUTSTANDING (add 22.a. and 22.b.) (must be shown i Rem 101) $ C>
r.a~
,Er SS-1145 (Rev. 4/02) RDA 1159 Page L of Ip
t ITEMIZED STATEMENT OF CONTRIBUTIONS - SMC
1. NAME OF COMMITTEE 2. REPORT COVERING THE PERIOD
CtTtZ~S~OZ MAR14Vt`~ ~imoFROM>10_Z~-3 TO: tl-~o-t~
Amount
3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) b
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totalin more than $100 from an contributor Burin the riod
Fast N=e~ M.I. lastparne0pnization Name Amo nt of Cartra"
RCS M t"L}FER
Address1000. coo
I`1q`l l~+R~En1T~.ZS ~vl~fl~6 F~D
City state ~ e
MAR 4,j t L Ll E 3'1 so 3
Occupalbn
~TtREZJ
Employer
Fast Name /1 . A5 M I. Last aadon Name
(~Ft~U't HE 0.S Amowt of c«iotd,aon
Address
Sot ~T~tGwoot~ <<Zi°~Il. ~looo.oo
City Stall Zip Code
MAi ll V t LLE: TN 3-1 ~0 3
Occupation ID Lo M L-
8"'or mow K~l-t OIL
Fast Name M.I. Last NameJOrganization Name
Anna of Conduitlon
AgMOty
Address '3 oo . 00
I of 3 1~ArtZk 1~~1E C-i
City State Zlp Code
VUTARHV l u-E %N 3~ 80 3
lZ€Ttr2~1~
Em*ff
Fast Name M.I. Last Nameowftaron Name Amount of Cor*mfon
STS JE 0 >;s -r
45~ t~2oA7wtopa VIZ2obcs.oo
CKY Stale Zip Code
"AQ1141LLF- t 31%03
Omupation
Rt ► l RED
Employer
Flrst Name M.I. Name/org t@fion Name Amant of Ca *bution
AQYt_ Ottts 50114
Aftem t °Jlo kZu 1~17E? ~.h~,1 E tl000. otJ
MY Stale Zip owe
Yj4ov gtt_t_,E F9
3-1919
0-pation
~lZ4k!#Lc-T
EffoW -~ot~NSoN Aw-ArrEcTvQe
5.TOTAL ITEMIZED CONTRIBUTIONS
(Carry forward to item 3. of next page if additional pages of this form are used.) S app .00
(If this is the last page of contributions, this amount must be shown in item 13b. of summary.)
! SS-1141 (Rev. 2106) Page_ of (o RDA 1159
' ITEMIZED STATEMENT OF CONTRIBUTIONS - SMC
1. NAME OF COMMITTEE c~ 2. REPORT COVERING THE PERIOD
CrTlxt--14%- ~I=61Z MfkZYdfwE. JcrtoOL.-s FROM: It, -22-13 TO: Il-3o-t3
Amount
3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) ik5300•oo
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor Burin the period)
First Name Cµo~uI.ES M.I. I Last Name/organizatiorrName Amount ofContribufon
11J ~rJ
Address
Ro 5 v Nc,M.t AZ• 2Qoo .oo
City Stale zip Code
MA"Ytt-L-c 1-%K 31803
oocupa6on ~PtZsSlT~rtT'
Briplow L.3 E'S ~1,EJj2ot,cT
First Name M.I. Last Name/Orgaruzation Name Amount of Cantrbution
l N'[tzs`ca tM Ec~ttkttitc GcxstRAcai2S I N C
Address
3 Z.oo ~~ISSaN ~a 2.50
City Staff Zip Code
~1o x0I t-Lc I-Tq -3~'t q so
Occupation
Employer
First Name M.I. Last Na mzation Name Amount of Contibution
lei IALm S -72trngLe COWWAL01, , l NC-
Address
0 i301C 15L~ ZSe.oa
City Stale Zip Code
C>) (,-J lu_E 9o t
Occupation
Employer
First Name M.I. Last NantelOrganization Name
GZRL INC- `°`CMHii6on
Address
.Zqo (a. P-)F.55EIMCt2 S-I. #tOOO.oo
City Stale Zip Code
At-c. A -Trl 3-t-1Ot
occupation
Employer
First Name M.I. Last NamaUripWitionNara
Amount of CordrbuAbru
~Ll~t> NT ~XGAY hTlblt , l t3 G.
Address 3`(o0 1G0ARhit tZ CIRcc r 1000.00
City Stale Zip Code
MAQHVtL-LE i 3_,03
Occupation
Employer
5.TOTAL ITEMIZED CONTRIBUTIONS
(Carry forward to item 3. of next page if additional pages of this form are used.) pp,
(If this is the last page of contributions, this amount must be shown in item 13b. of summary.)
SSAW (Rev. 2106) Page 4% of fP RDA 1159
ITEMIZED STATEMENT OF CONTRIBUTIONS - SMC
1. NM ECF COWATTEE 2 F 8XWC kRMThEPEFlC D
CtTt~CNS oR M~•tZV+l~t~ Scabo~.~ F(~;7j0.7.2-13 TO. tt-3o-tS
Amoul
a Tom- I Emm CAMPAIGN COIVfnBUf ms mcm PR cmw PACE (erter $o d first itamad page) * gsDo. oo
4 OONP=TFEAMU:I IAMf B&FME"fR3v1 M=ffPo8 nCN oor*itx.Wmtotali maethan$100irom oorti ftbordui the
Fast Nara I I Mi. Last Nana Artnrt d Cb~ton
SNc.
ndkkess
3(0oo LDAPEP~MLt_t_ ~D 14000.00
MY sr~e a~pcbde
Krao x v I L-LE -1'IS 3-I yo
O=VWM
&OW
FrstNarre Mi. Last ' NMTM
Mrotnt d (brtblian
Z N T-mu CG"[ olJ I Pl G .
Acttess
IOLA50S ~tJTGft?Ow~► `~D itl0oo,pp
CRY 9a1a apoxxb
tsox.► IL is N 3- I 9-S 2
oar~aem
FrstNwe mi. I taste (ICbot~ LL C. MurtdC3*btim
addem
boo 6A-f 51. I E 1(000 lZiDoo.00
oY seta app
Uox Vl~-~ TN 3'igoZ
~nQetian
Brow
FdNm Mi. Lffitzma=Narre /MxrtdCottbtion
Aklow
CRY sue apo xie
O=Ptim
FrstNarte MI. Last NortoUgaizalimNama hrartdO3*b m
Aditm
ckY ate apcocla
0=4xlim
Rrow
STQTAL M MM CONTRIBUTIONS
(Carry b ward to item 3, of red pop if additiad pages of this form are used.) ~ ~ ~~800-00
(H ft is to last page d oorwiW ions, Ctrs amxnt must be dvm in item M of stem ary.)
ASK
SS-1141 (Rev. 2A)M Pace of RDA 1159
ITEMIZED STATEMENT OF EXPENDITURES - SMC
1. NAME OF COMMITTEE 2. REPORT COVERING THE PERIOD
G rt ►-2 hti s --Po 2 'M OaLi q i W.V-7 S c er~oo <-g FROM: 10.Z243 TO: tt • 3o- t 3
Fnt
mou3. TOTAL ITEMIZED EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (any a ilures totaing more than $100 tDasigie payee during the period,
must be itemized.)
First Name Middle Name Purpose of Expenditure Amount of Expenditure
"-T+CvoA
Lad NaneBusiness Name
AA t~Zv ADv ERTts1N ~ mss ~t 1500.00
Address
351cP Koch L.u
City State zip code
KNaxvlu-E -TM 3't931
First Name Middle Name Purpose of Expenditure Amount or Expenditure
Last Na wBusiness Name
T~.02C~ICTg D ' &N 0.or«[rl A>,.r ~t st R asrt , T~~s "t"l to . 35
Address
to3oo ~~IY ~t>t_Lpw
City Stars Zip Code
Kpox )I W--e: TN 3-1931
Amount of Expenditure
First Name Middle Nana Propose of Expenditure
Last NarroBusiness Nana
Address
City State Zip Code
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Nara us now Name
Address
City State Zip Code
ane Middle Name Purpose o re Last NameffiLuess Name Amount of Expenditure
Address
City State Zip Code
First Name Middle Name Purpose of Expenditure Amount of bpenditure
Last NanelBusiness Name
Address
City Stars Zip Code
5. TOTAL ITEMIZED EXPENDITURES
(Carry forward to item 3. of next page if additional pages of this form are used.) 9 Z lo. 3 5
K this is the bast a of campaign expenditures, this amount must be shown in item 17b. of summary.)
C;, SS-1142 (Rev. 4102) Page of (o RDA 1159
10/10/2015 10:42 FAX 1001/001
APPOINTMENT OF POLITICAL TREASURER
For Single-Measure Committees
INSTRUCTIONS
This form must be used to appoint a political treasurer as required by the Campaign Flnandal Disclosure Act (f.C.A. §2-10-105)
for single-measure committees, No funds may be received or expended for a future election until a political treasurer ties been
appointed. A new form must be filed if the treasurer is changed.
Single-Measure Committees supporting or opposing statewide referendums must file An original of this form with the Registry of
Election Finance, 404 James Robertson Parkway, Suite 1694, Nashville, TN 37245-1380. Single-Measure Commifteess support-
ing or opposing local referendums must file an original of this form with the local county election commission in the county where
the election Is to be held,
1. bate 2, Name of Committee
q ~ 1 ''a ~ r'T {'t.~N 5 ~ea~L ~1,qC~ w V I t_l,-~ S c.wcx~ rr' u
3. Address and Phone Street or Rural Routs city state Zip Code Phone
'LOS _D%>r4CAw4 --b RAiZ411" _t8 _'Y1 Sol ('V#5 q84-1c)b>
4. Measure Supported or Opposed S. Election Date
up,p0M r NCRrxp se it-4 LOCAL- vPTto11 Skf..Ee 5 'T.47t 11.- 10-13
5. Treasurer Name
7. Treasurer Address and Phone Street or Rural Route city state Zip Cade Phone
8. Appointing Authority and Treasurer Signature (Both signatures must be witnessed. Treasurer can not witness signature.)
Wture of poI Authority Signature-9V Treasurer
Signature of Witness - Signature of Wines&
Registry of Election Finance
SS-1107 (Rev, 6104) RDA Pending