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Hicks, Tammy Tilson CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Judicial Single - Candidate Committees 1. DATE OF REPORT 2.a. NAME OF CANDIDATE -7-10-144 1 rnu 41okS 2.b. NAME OF CANDIDATE'S COMMITTEE 3. ELECTION DATE 4.a. CAMPAIGN ADDRESS AND PHONE i _j Street or Rural Route City State Zip Code Phone .p. 'BoX 5031 marv vi0 'Tl'V 37-960 --74E-q&-7 4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.) Street or Rural Route City State Zip Code Phone 8C>q or c fir. 1'YkI r u v 1 " 3~? 98a-a13~- 5. JUDICIAL OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER ( t~s . PP 11. riAcrae Sons ~iucW r icy ri Ski 7. CATEGORY OR REPORT (Check one ❑ I& ❑ ❑ ❑ ❑ ❑ ❑ 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 y-a-1 -ly (~-_30-14 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. Imo. 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 CANDIDATE 11. SIGNATURE OF POLITICAL TREASURER 1 I do solemnly swear or affirm that the information contained in thiscampaign I financial disclosure report is true and accurate. Additionally, I swear or 1w affirm that no campaign contributions have been expended for the personal Signatu ndida Dat financial benefit of the candidate or for any other nonpolitical purpose as « defined by the federal internal revenue code. CA6z'~Q&42 -71 Sign of Witness Date Signat of Politi We ure Dat ? la Inc Si atue f Witness Date 12. SUMMARY p~ a. BALANCE ON HAND LAST REPORT $ 5 O b. TOTAL RECEIPTS THIS PERIOD $ 00 .O (0 c. TOTAL DISBURSEMENTS THIS PERIOD $ 365 a . S O d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ C' cci e. TOTAL LOANS OUTSTANDING $ r `may f. TOTAL OBLIGATIONS OUTSTANDING $ . CCU SS- 113 7 (Rev. 2/06) Page I of5 RDA 1159 SUMMARY PAGE - CANDIDATE 13. ME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD (n 1~' ~ ko I 1 ►~I!'n ~ icv_ FROM: TO: RECEIPTS 15. CONTRIBUTIONS (other than loans and interest) i a. Unitemized Contributions ($100 or less from each source this period) $ ' b. Itemized Contributions (over $100 from each source this period) $ 5oc - 00 C, TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ (Poo. co 16. LOANS RECEIVED THIS REPORTING PERIOD $ 6 . 60 17. INTEREST RECEIVED THIS REPORTING PERIOD ©.OO 18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) $ (goo. 00 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) Y1~L $ c1 CEO $ Total of Expenditures ($100 or less each payee) $ &q. b. Itemized Expenditures Over $100 each payee this period) $ 335 • D9 c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $ x359 • 0' 20. LOAN REPAYMENTS MADE THIS PERIOD Uq 3. Spgp 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) $ -3os o~ • O C~ 22.IN-KIND CONTRIBUTIONS a. Unitemized in-kind contributions ($100 or less from each source this period) $ 0 • cc) b. Itemized in-kind contributions (over $100 from each source this period) $ 6.00 c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.) $ C~ 23.013LIGATIONS a. Unitemized Obligations Outstanding ($100 or less each) $ (5.60 b. Itemized Obligations Outstanding (Over $100 each) $ Q . CIO . C. TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 12.f.) $ SS-1133 (Rev. 4/02) Page of ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. N WE OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD 1 C l ~'CL~ I ~ C FROM:/ og7_ta T0: -36 Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 If first itemized page) 6.60 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor First Nam Middle Name Contribution Received For Amount of Contribution Name--,- D. LastName/Orga izallonNanie Primary Election ❑ General Election 560 r .ao Address a"~ n ❑ Runoff (Local Elections Only) City , /m` Ile State Code Date of Contribution Aggregate This Election 'IN q&Q Occupation Sce. ©0 (~i~r 5-° I S - ~ y Employer First Name Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City State Zip Code Date of Contribution Aggregate This Election Occupation Employer FirstName iddleName Contribution Received For: Amount of Contribution Last Name/Organization ame ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City State Zip Code Date of Contribution Aggregate This Election Occupation Employer First Name Middle Name Contribution Received or: mount of Contribution last Name/Organization Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City State zip Code Date of Contribution Aggregate This Election Occupation Employer 5. TOTAL ITEMIZED CONTRIBUTIONS (Carry forward to item 3. of next page if additional pages of this form are used.) (If this is the last page of contributions, this amount must be shown in item 15b. of summary.) S AW,k SS-1131(Rev. 2/06) Page 3 of v RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. y*ME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD lomml &l C FROM: 07') TO: -w- mount 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures totaling more than $100 to any payee during the period) First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Us PIS Address I WQ 1 bear 11ad City State Zip Code N,YOv r 3-7Q5-0 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/B iness Name Address w C-C 1 Ve 1 Inc City State Zip Code Menlo Park gyoas First Name Middle Name Purpose of Expenditure Amount of Expenditure LastName/B iness Name Address 1 J~l i 1~. I ~5~ Vl J (11 i Qll1 ~C1I I City State Zip Code -TN lxv; Il e ~~Qal First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name r ( '^to/ m atian TUI)CIraiwIr- -~~ck~s Address qb-7 C, Larwr /,IL~/~umier 1 ktu ~ t . CJ~I City Stale Zip Code Marl v t I Ic -N 319-04 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name 5 5honeu r Address (D a, W. M r t c W1 &F City State Zip Code 7N 13--Ml 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.) s 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 S RDA 1159 ITEMIZED STATEMENT OF LOANS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: T0: ~O~nmi-~Aee C1ee+ ~M m~, ~cn i Ck y -DI la-3G-IU 3. COMPLETE THE APPROPRIATE ITEMS FOR EAIZE 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 m M.A In (Beginning of Period) Received Payments (End of Period) Last NamelOrga 'zation Name 1~• dcco, W 0,00 Uq 3 , 511 Address \ Loan Received For: Date of Loan vi t V ©X-rep- 1) Primary Election ❑ General Election Gty h , State Zi Code G e(( 0. l'rl'~ICJ n `QV ; f (I ❑ Runoff (Local Elections Only) rd l Y List All Endorsers or Guarantors forAbove Loan (If more space is needed please attach a page) First Name Middle Name First Name Middle Name Last Name/Organization Name Last NamelOrganization Name Address Address Gty Slate 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 Stale Zip Code City Stale Zip Code Amount Guaranteed Outstanding Amount Guaranteed Outstanding First Name Middle Name First Name Middle Name Last Name/Organization Name Last Name/Organization Name Address Address city state Zip Code City State Zip Code Amount Guaranteed Outstanding Amount Guaranteed Outstanding First Name Middle Name First Name Middle Name Last Name/Organization Name Last Name/Organization Name Address Address City State Zip Code City Slate Zip Code Amount Guaranteed Outstanding Amount Guaranteed Outstanding 4. Totals for all Loans (complete on last page of itemized loans) Outstanding Loan Balance Loans Loan Outstanding Loan Balance (Total loans received should also be shown in item 16, on summary page.) Be innin of Period Received Payments End of Period (Total loan payments should also be shown in item 20. on summary page.) M 0 ' ,sue p q3~ 5q DO (Total outstanding loan balance should also be shown in item 12.e. on front page.) l~,Ll lJV V ~Y SS-1132 (Rev. 4/02) Page 5 of Jr RDA 1159 CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Judicial Single - Candidate Committees 1. DATE OF REPORT 2.a. NAME OF CANDIDATE V. lc:z u- - lU vn Ison 4i c" 2.b. NAME OF CANDIDATE'S COMMITTEE 3. ELECTION DATE Nwh mi+- -__e % Glee-~- Tarnm -Ti [:Son ~ i WS ft (s ao ~ y 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone .o . fox 503 Mar v il le TN -Ina --7Ug- 40 4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a. Street or Rural Route City State Zip Code Phone lgoq UAW r. Mar of Ile -7 03 aos-clsa- - 5. JUDICIAL OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER einera t Sessio-rs S d e b Jis1 on Chrt N- . Sat I es ~ PH 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 8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD 4_,_, y-aU-) y 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. SI NATURE OF CANDIDATE 11. SIGNATURE OF POLITICALTREASURER I do solemnly swear or affirm that the information contained in thiscampaign - 1 financial disclosure report is true and accurate. Additionally, I swear or affirm that no campaign contributions have been expended for the personal Si natu of ndi ate Date financial benefit of the candidate or for any other nonpolitical purpose as defined by the federal internal revenue code. Si tur of Witness Date Signature of Politic- rea rer Date I~ ~ y zg ~y 'I ~ -0 nat a of Witness Date 12. SUMMARY r ^ ' f a. BALANCE ON HAND LAST REPORT $ W-i (P • 3y 00 b. TOTAL RECEIPTS THIS PERIOD $ 5330q0- c. TOTAL DISBURSEMENTS THIS PERIOD $ d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ ay 501. (~O e. TOTAL LOANS OUTSTANDING $ 000, co f. TOTAL OBLIGATIONS OUTSTANDING $ 0 . (Do SS-1137 (Rev. 2/06) Page 1 of RDA 1159 SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTEE (in Full) 14. REPORT COVERING THE PERIOD pCg _ le +_V O(~ ~CICS FROM:q-,-Iq TO: 1.~_a(D-j`1 Of tyI i RECEIPTS 15. CONTRIBUTIONS (other than loans and interest) + a. Unitemized Contributions ($100 or less from each source this period) $ 1WMM b. Itemized Contributions (over $100 from each source this period) $ 000. c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ • 4O 16. LOANS RECEIVED THIS REPORTING PERIOD 3WO •OO 17. INTEREST RECEIVED THIS REPORTING PERIOD $ 0.06 18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) a3~• 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) eo)X - d eeora-tio rn s $ 11,03 bnv- ~ae_ $ Lo. Oo $ $ $ $ $ $ $ Total of Expenditures $100 or less each payee) $ 07) • 0g b. Itemized Expenditures (Over $100 each payee this period) $ 590x. 3$ c. TOTAL EXPENDITURES other than loan re a ments add 19.a. and 19.b. $ 59 W)a1_1 b 20. LOAN REPAYMENTS MADE THIS PERIOD $ OO 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) $ 5'1073 y Lo 22AWKIND CONTRIBUTIONS a. Unitemized in-kind contributions ($100 or less from each source this period) $ 6 •00 b. Itemized in-kind contributions (over $100 from each source this period) $ -ISO • W c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.) $ -7570• 00 23.013LIGATIONS a. Unitemized Obligations Outstanding $100 or less each $ 6 b. Itemized Obligations Outstanding (Over $100 each) $ C) . 0O b c. TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 12.f.) $ Aga& SS 1133 (Rev. 4102) Page of ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE f 21 REPORT COVERING THE PERIOD lC~ FROM: -1_1TO: U- Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 0 OQ 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totalin more than $100 from an contributor First Name iddle Name Contribution Received For: mount of Contribution Last Name/Or ang& Name CKPrimary Election ❑ General Election 0706 , 00 Address I n_~~ [t ~Q ~U 1 ~ I O 1 City ❑ Runoff (Local Elections Only) 1 erV 1 I e (T State Ziip Code Date of Contribution Aggregate This Election n y O~ I y aW Vv Occupation 034orneLA Employer First Name Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) city state Zip Code Date of Contribution Aggregate This Election Occupation Employer First Name ddleNane Contribution Received For: Amount of Contribution Last ame rganiza on ame ❑ Primary Election ❑General Election Address ❑ Runoff (Local Elections Only) City State Zip Code Date of Contribution Aggregate This Election occupation Employer First Name iddle Name Contribution Received or: mount 0 ontn utron Last Name/Organization Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City State ZpCode Date of Contribution Aggregate This Election Occupation Employer 5. TOTAL ITEMIZED CONTRIBUTIONS (Carry forward to item 3. of next page if additional pages of this form are used.) (If this is the last page of contributions, this amount must be shown in item 15b. of summary.) SS-1131(Rev. 2/06) Page of RDA 1159 ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 1150r) REPORT COVERING THE PERIOD r --le \ aVr►tM ~ l C FROM: _ I-IkA TO: L{ _ (D -II L ei- Amount 3. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 6.00 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED IN-KIND CONTRIBUTION (ia kind contributions totaling more than $100 from any contributor during the period) First Name v iddle Name In-Kind Contribution Received For: alue of In-Kind Contribution rn I Le C& Primary Election ❑ General Election Last Name/Organization Name 050.00 ❑ Runoff (Local Elections Only) Address . Date ofIn-KndContribution ' H6--i(4 Aggregate this 6. X (5030 y City I oo i I e Statf.f,~ f Zip ode 9~ Description of In-Kind Contribution Occupation V Employer I'`1 early Uc;+,v~ Vid(6q i owner Se I-4 First Name iddle Name In-Kind Contribution Received For: Value of In-Kind Contribution Q M E [ Primary Election ❑ General Election Last Name/Organization Name-Fot [ J~^ n w ❑ Runoff (Local Elections Only) Address Date of In-Kind Contribution Aggr ale this Election '10(p UUalrw+- SjrQeI- Soi ~e boc) q-o-M-1114 60 • 100 Zi Code 1901 Description of In-Kind Contribution city l1Yb ~u ~e State F_M1 1, Occupation Employer S L) I ~S lJ rC t` 1 t 1 u I "1 at+orh2 52 First Name iddle 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 Slate Zip Code Description of In-Kind Contribution Occupation mp oyer First Name iddle 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 Employer 5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS (Carry forward to item 3. of next page if additional pages of this form are used.) (If this is the last page of in-kind contributions, this amount must be shown in item 22b. of summary.) SS-1128 (Rev. 2/06) Page of RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE ` 2. REPORT COVERING THE PERIOD FROM: -~-1N T. aW ' Amount 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) o , o 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 US a033.ako Address Wt %ber I.J Gty 1 O e State r Zip Code First Name C' Middle Name "l Purpose of Expenditure Amount of Expenditure Last Name/Business Name vv.I1J1\1~ ~ ~ % ~-ff11 1/'p/~ ~c1 ,esn 00 Address -i E. RotrCvVAC. er ~S k r~ City State Zip Code IMq r ;Ile -TN 3130 D First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name n bw Address C a~uVit ~~5~ I(001 T45os Uri ll~u~ TZd • ~ City state Zip Code MAW to T41-v- quotes First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address a~s-oo TZo -t4oo Tzd • ►a~a. alp City State Zip Code Colurnbia First Nam Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name r-4C i 11 C aC t (x) Address \ce posE s r' I g3, 0 0 ~O V1fgl~ S `~~5 City X7"1 l VIG `j Le `i ZipCoCode YY\a f T1V 3'1 ~1 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name ICG `'Y10\1 11 SU"jPI1P5 IDS. OS- Address 19-7 F►M„~~^ bV1`r/~ .J City ft%ooa u State Zip Code 5. TOTAL ITEMIZED EXPENDITURES 5 / (]rp. SS (Carry forward to item 3. of next page if additional pages of this form are used.) ~y `I O (If this is the last page of expenditures, this amount must be shown in item 19b. of summary.) Aft SS-1129 (Rev. 402) Page of RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NA OF CANDIDATE OR COMMITTEE - 2. REPORT COVERING THE PERIOD Nnmi+ke.e +o C lee- TOLM 1 1 ~SCn V kk FROM: LA-I-Il\ T0: Lk-550-1 q moun 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) 5109 S' Ss 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures totaling more than $100 to any payee during the period) Middle Name Purpose of Expenditure Amount of Expenditure First Name Last Name/Business Name r ~Oc d ~W (~ac~ees Vt aKlV~j a03~ 83 Address a oS E. 8`ocaddw Age Y~O.gevnevri- City State Zip Code Mox v i l 1e -rN 31goy 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 NameBusiness 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 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 5 q oa. 3U (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.) Ask -7 SS-1129 (Rev. 4102) Page of RDA 1159 ITEMIZED STATEMENT OF LOANS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: T0: (~omrn~r~ e -b Oee+ Tim 7Icon Dicks Lu-a(0-1114 3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZE LOAN (loans totaling more than $100 from any source during the period) Complete the Following for the Source of the Loan First Nam Middle Name Outstanding Loan Balance Loans Loan Outstanding Loan Balance ~A m , 1 (!JV, 1 (Beginning of Period) Received Payments (End of Period) (o~tionNam O 100 ~,co 6.040 0006-00 LastNamelOrgRims Address Loan Received For: Date of Loan &C1 Ox xd br CA Primary Election ❑ General Election City State Zip Code y - a y ~/~nf ; Ile -r'N ~ O3 ❑ Runoff (Local Elections Only) ft f List All Endorsers or Guarantors for Above Loan (If more space is needed please attach a page) mm~ First Name Middle Name First Name Middle Name Last NamelOrganization 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. 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 Pa mants End of Period 0Ix • 60 (Total loan payments should also be shown in item 20. on summary page.) •W 0-00 1 l J (Total outstanding loan balance should also be shown in item 12.e. on front page.) • ~J SS-1132 (Rev. 4102) Page -L- of I RDA 1159 CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Judicial Single - Candidate Committees 1. DATE OF REPORT 2.a. NAM//E~~OF CANDIDATE 4--q-14 -T0. m T Isar) Ri ct's 2.b. NAME OF CANDIDATE'S COMMITTEE 11 3. ELECTION DATE 0bffimiAAee Ao E e T0.mm - IScr gicx v aol y 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone T.O. Sm 5031 her Ville IN 32163 W57-11(49-401(o_ 4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.) Street or Rural Route City State Zip Code Phone Oct Q)YAlfi~k br► e manAgille _C'N 3196 3 S7- WC9 a13 5. JUDICIAL OFFICE SOUGHT (include district number, Y applicable) 6. NAME OF POLITICAL TREASURER rol t on a ~►v isi on Ir Lhrr's+~ • S (es A ben- Ses5i ,s 7. CATEGORY OR REPORT (Check o❑e) ❑ ❑ ❑ ❑ ❑ FIRST SECOND THIRD FOURTH PRE- PRE- MID-YEAR YEAR-END QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD I- IlO- I 3- 1-1 y 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. XThis 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 CANDIDATE 11. SIGNATURE OF POLITICALTREASURER I do solemnly swear or affirm that the information contained in thiscampaign 'Min financial disclosure report is true and accurate. Additionally, I swear or 4- I affirm that no campaign contributions have been expended for the personal BIM Signat didate Date financial benefit of the candidate or for any other nonpolitical purpose as defined by the federal internal revenue code. G_60.q _ Vq i S? t e of Witness Date Signature of Politics Treas r ate eja,~~) r Y 4 Si tur of Witness Date 12. SUMMARY a. BALANCE ON HAND LAST REPORT $ 8 5q6. 0 b. TOTAL RECEIPTS THIS PERIOD $ I y aes. co g3q.35 c. TOTAL DISBURSEMENTS THIS PERIOD $ d. BALANCE ON HAND 12.a. plus 12.b. minus 12.c. $ V b- 3q e. TOTAL LOANS OUTSTANDING $ Q . o f. TOTAL OBLIGATIONS OUTSTANDING $ 0-.00 Page] of SS-1137 (Rev. 2/06) RDA 1159 SUMMARY PAGE - CANDIDATE 13. N ME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD om 1 Ao am TI knon ~~aCS FROM:I - lb 14 T0: 3-3k-IU 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) $ W0. 00 $ 1140-6. oB c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) 16. LOANS RECEIVED THIS REPORTING PERIOD • 00 17. INTEREST RECEIVED THIS REPORTING PERIOD • 00 18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) 110 R5. 00 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) S~!►itS~S 'ode $ -7,57-06 VO r I4Sfi CD $ (AO.clo e X00 So -)V es $ _100 -.8, 1 Lod a~ ~i-ickets $ g0.06 $ $ $ $ $ Total of Expenditures ($100 or less each payee) $ 3(a 5. O' b. Itemized Expenditures Over $100 each payee this period) $ 135"13' 5q c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $ I3 3't • 3Jr 20. LOAN REPAYMENTS MADE THIS PERIOD $ 0. 00 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) $ 139 39.3 5 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.) $ _s10• 0 23.013LIGATIONS a. lnitemized Obligations Outstanding ($100 or less each) $ d . Co b. Itemized Obligations Outstanding (Over $100 each) $ 0-00 c. TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 12.f.) $ Alfth SS-1133 (Rev. 4102) Page -a- of ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. ME OF CA"InIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD X11 11 !Son I S FROM: ~I~-I4 T0: 31") y Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 0.06 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 3^ Last Name/Organization Name Primary Election ❑ General Election Dam 6 . Address 11* I hor goo ❑ Runoff (Local Elections Only) City Ille Stagy' Zi~Co Date of Contribution Aggregate This Election occupation ~rr1 , , v I " I ~ " I y Employer ILL. -F 7 IT- First Name LQs+e- f Middle Name Contribution Received For: Amount of Contribution Last Name/0 anization Name 1 Primary Election ❑ General Election WI ^f . o75 Address 91's m- ❑ Runoff (Local Elections Only) city y~/~,~ r `1,\~ State Zi Code~2 Date of Contribution Aggregate This Election 11 V Occupation 1 ~1 V p~+V I _ ~ _ I ~y~ Sales aso, oa Employer Whirl I ~Ir First Name iddleName Contribution Received For: Amount of Contribution M as ame rganiza ion am Primary Election ❑ General Election 0` 00 J Address Garrefi- ~~,J ~tt . ❑ Runoff (Local Elections Only) V% . - tom City State Zip Code Date of Contribution Aggregate This Election r v lle 3-18 3 Occupation alorr I- 30-► 560. 00 Employer self First Name Middle Name Contribution Received For mount o ontn ution Last Name/Org naa o me Primary Election ❑ General Election rres 5,00-00 rQ Sur 11A~ ❑ Runoff (Local Elections Only) Address q., S. C City Stat~J Zi Code `VQ Date of Contribution Aggregate This Election Occupation ~y u~ r, 1~ V I Cain ' 00W Employer Se1~ 5. TOTAL ITEMIZED CONTRIBUTIONS I GMI M (Carry forward to item 3. of next page if additional pages of this form are used.) Jw l.~/ (If this is the last page of contributions, this amount must be shown in item 15b. of summary.) SS-1131(Rev. 2106) Page-3--of 1 O~ RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD mil 1 I !1 1~ I C.L 'S FROM:I-ll6-1y TO: 3-31-1 Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) r 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor First Name Middle Name Contribution Received For: Amount of Contribution Last Name/Orga ti on Name I Primary Election ❑ General Election M~~^~ ~W Address ❑ Runoff (Local Elections Only) ~ Sure 1SI~ City V ~Q Sta(. ~Cod4~ Date of Contribution Aggregate This Election Occupation 560 Up (w~ 1}•}I V~1 1 _ y Employer se t-~ First Name Middle Name Contribution Received For: Amount of Contribution Lasthiame/Org ation ame *rimary Election ❑ General Election ►a 0:5-0-00 Address R)b S. w ^ ` ❑ Runoff (Local Elections Only) City 1 /M v i 1 State Zip,Qodeq a Date of Contribution Aggregate This Election Occupation J` , , V Employer se r, First Name ~Q iddle Name Contribution Received For: Amount of Contribution as ame rga name Primary Election ❑ General Election a e . 60 Address ~ a ~ Oh ~ City v ❑ Runoff (Local Elections Only) J` State Zip Code Date of Contribution Aggregate This Election kM V- Q q Occupation I I _ ' O)W . co m oyer ~A ~..71C. First Name L Middle Name Contribution Received or: mount o Contribution Last Name/0 tion Name &rimary Election ❑ General Election i ~ 2r 304 . dp Address t~~S MOIDNA r PJ, ❑ Runoff (Local Elections Only) city V Ile State 1 Zgode Date of Contribution Aggregate This Election Occupation Y Qr I use r~ss owner' y 30~. b0 Employer 1 1 G U ; 1c U-C. 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.) l SS-1131 (Rev. 2106) Page ~1 of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NA OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD ;t'~ele -to ~t~t-Tatum 1 1 TT\ '~5 FROM: _16-1 -31-1 Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) c)-150-00 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor First Name ill Middle Name Contribution Received For: Amount of Contribution go*-- Last Name/Organization Name Prima Election ry ❑ General Election W ass ill ~ Address I~ n w f ❑ Runoff (Local Elections Only) City Std ( zip nO Date of Contribution Aggregate This Election Occupation 1 1 V I 1 l 3-~ ~O - f L'I ~•y~ WJ • Employer cn First Name Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name ` (P-rimary Election ❑ General Election Shan SQp. 00 Address -7' I tQ r l ❑ Runoff (Local Elections Only) city c Stater Zip de Date of Contribution Aggregate This Election t ~~V Occupation C~#or 3_q - ~y 5a0. o0 Emp Dyer r First Name iddleName Contribution Received For: Amount of Contribution as Name /Organization Name 10Primary Election ❑ General Election h~e0al Aso. 60 E] Runoff (Local Elections Only) Address 7-d 31yS V i lie city e State Zip Code Date of Contribution Aggregate This Election Mo-r Vtl~ -rt~1 13-20q Occupation First Name l Middle Name Contribution Received or: mount o Contribution Last Name/0 anization Name Primary Election ❑ General Election V3 a Address 3-76c A _ _ W; K br ❑ Runoff (Local Elections Only) city v3; Ike statq..N'V r Z q as Date of Contribution Aggregate This Election Occupation Q~` ` 3-1-1- 1y oo Employer s4 ^ 5. TOTAL ITEMIZED CONTRIBUTIONS (Carry forward to item 3. of next paged additional pages of this form are used.) 0 (If this is the last page of contributions, this amount must be shown in item 151b. of summary.) SS-1131 (Rev. 2/06) Page 5 of G RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAM OF CANDIDATE OR COMMITTEE I 1 2. REPORT COVERING THE PERIOD fY)I e ~t015QC-k'7QYhYY1 1~~OI'1 tt%WS FROM:1_111-14 TO: Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 3 , 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totalin more than $100 from an contributor First Name^ n Middle Name Contribution Received For. Amount of Contribution Last Name/Organization Name Krimary Election ❑ General Election I WO- 60 Address -1' ~ Sup ~ IW M ❑Runoff (Local Elections Only) City 1 /4 ,1 i 11e Stay Zi Code Date of Contribution Aggregate This Election - 196@ Occupation ( f^' 'V M ' „1 Employer ~ SeW First Name Middle Name Contribution Received For: Amount of Contribution Last Name/Organizatio me Election ❑ General Election. m5aaes Address LX X00 S. S~ 131ILMe 3 _ ❑Runoff (Local Elections Only) City 1 le State_ Zi' 3190D Date of Contribution Aggregate This Election occupationlap, a o- iy '500. 60 ~ Dyer Se l-~' First Name j iddleName Contribution Received For: Amount of Contribution as Name rgan~zation Name mler Xrimary Election ❑ General Election Address S ❑Runoff (Local Elections Only) ~W' w J31 eSAAew E+- City ftr J``t- State Zip Code Date of Contribution Aggregate This Election a~ Occupation 1 1 r 01- 30 cZ m over ems First Name Middle Name Contribution eceive or: mount o ontn ubon Ni Ice Last Name/OrgaW4ponName 4n'mary Election ❑ General Election I ~y 1 rcc Address oq w --Q4n A ❑ Runoff (Local Elections Only) City OM V ,$(,r) Statj~'~Zj ode Date of Contribution Aggregate This Election Occupation •41 1 l- I L I W• oo Employer sew 5. TOTAL ITEMIZED CONTRIBUTIONS n, (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.) VVV!!! V ~,`J SS-1131 (Rev. 2106) Page (9 of & RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAMJ, OF CANDIDATE OR CgqMMITTEE 2. REPORT COVERING THE PERIOD 1m~'Mee -ia ~12Ct TQMfy) ~l 500 H-tCks FROM:I, 4l TO:3-31-14 Amount,sz5o 60 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) lY0 Jv. 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 Namelo anization Name Primary Election ❑ General Election ~lJh~ 0o, co Address ~ l~e,~,h~-i- ±Q^ ~ ❑ Runoff (Local Elections Only) City 1 `I I~ States Zi Code Date of Contribution Aggregate This Election E O~r` i J I ~ soo- OO Occupation Employe 1 Employer se1-F First Name Tn bchcL Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name primary Election ❑ General Election 560-0o Address atog ❑ Runoff (Local Elections Only) oo~J b. rte City t xvi t I~ Stat~ Z Code Date of Contribution Aggregate This Election !U/l~ p3 7917 Occupation 3- 3d- I mp oyer C~a~c C~ ~,VIrILSse~ FirstName iddle Name Contribution Received For: Amount of Contribution as Name /Organization Name Wrimary Election ❑ General Election IS-0.00 Address O 1 ❑ Runoff (Local Elections Only) Ciry State Zip Code Date of Contribution Aggregate This Election rY1ar ~ ills ~~v Occupation IZcaI+-Of- I-3o-l~ 156,o6 mp oyer Z2a.1+ ICC Zr~e First Name %(01 Middle Name Contribution Received or: mount o Contribution Last Name/Organization Name V-Primary Election ❑ General Election )OOO,op Address L4O -T •C`_1- ~ ~u` 1 ❑ Runoff (Local Elections Only) City ~ n .1S' t i 11e 1e Statq-~ IC~e,_, Date of Contribution Aggregate This Election Occupation ,r&, 1 y~ S J "'Wr 1C.1 a 933 Employer l2 f \ V 5. TOTAL ITEMIZED CONTRIBUTIONS (Carry forward to item 3. of next page if additional pages of this form are used.) 1 V V (if this is the last page of contributions, this amount must be shown in item 15b. of summary.) SS-1131 (Rev. 2106) Page of ~p~ RDA 1159 ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE 1. NA E OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD mi*-1ee Ao Meet ~aym 7I lSW 4kC FROM: _114-It1 T0: 3 L731-114 3. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) o.6G 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 M Middle Name In-Ki d Contribution Received For: Value of In-Kind Contribution LXLPrimary Election ❑ General Election LastNamelOrgani Name SO4- Q0 ❑ Runoff (Local Elections Only) Address jy& _0CkCLjjeeQhgf i Date of Irr-Kind Contri on Aggregate t is Election - SO-14 City cu1 `Ile State Description of In-Kind Contribution Occupation j~ Employer ,NQY~- OQV-r u S2- 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 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 NamelOrganization Name ❑ Runoff (Local Elections Only) Address Date of IrAnd Contribution Aggregate this Election Ciry 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 Ciry 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 NamalOrganization Name ❑ Runoff (Local Elections Only) Address Date of In-Kind Contribution Aggregate this Election City State Zip Code Description of In-Kind Contribution racculpation -Employer 5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS (Carty forward to item 3. of next page if additional pages of this form are used.) 5w . (If this is the last page of in-kind contributions, this amount must be shown in item 22b. of summary.) fa- . SS-1128 (Rev. 2106) Page of _pa RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD tY1~i-;ee -ko E TOUmm ~I1 ~C,K`J FROM:-110-1y T0: 3-31-1 moun 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) 0.00 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 Nam S1 ro Address Qa6c I~EIQir-1'ruu TO S ~ T5 3-383.03 fty V M Q State ZiP ago I First Name C Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name UiS~A ri Pri n +`nM1ces X63, q q Address . nvn 4 City `1 l~ m State V G•Zip Code Luv\ rl rn Pr 0 aq @I First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name ad1JQ.f ~sl ~j(''C~~~J Address 1b0j 1 lloVlJ r . ` T2d . I . City State Zip Code Men to Rf L e►~ Cl oas- First Name ; e Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address Crnpa~ 9n C~cr~soi~-i 3 °a City State Zip Code Vl~a ~i11e First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name G-F5 I Q` Address dal k~ n IlV-e City State Zip Code Ville IN I 3 -Nas First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name ^ ^ Sq • S Address on Wo ~h ~ 1 1 ` State Zip Code G" Cok\w6a sWio o Oa 5. TOTAL ITEMIZED EXPENDITURES (Carry forward to item 3. of next page if additional pages of this form are used.) v 1 (if this is the last page of expenditures, this amount must be shown in item 19b. of summary.) a 1 SS-1129 (Rev. 4102) Page 1 of RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NA ; OF CANDIDATE OR COMMITTEE , 2. REPORT COVERING THE PERIOD I a 5~ FROM: 1_110-14 TO: 3^$1_1 Amount cQ'O q I 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) 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 Name/Business Name; 4- x--11 ey Cent Address 1q N -1 )Qk Wdz "jam City y V{ 1 ~v~;((~ State Rive Zi Code First Name KQ I I Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name B Address ci 15 Ta&ror- 1Cr1 S2VC4 o7C)O, 00 City ftT Vl;1 le State Zip Code TN 131 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Na mil kA rom'tSe %%Lfainp-r 4uefs lao, oo Address City V JV State Zip Code 1eoa -TN 3-1-701 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name o, rnniee-S. c0 Address o?o? r 1 C bri ve Jar ©p 'rS q I~' oq Ciry State Zip Code E MTbor io ynh► N Ua&a First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name r rner yy Address O-,O yoeg inept i~cr, d~ora++ons lo~ . I-) rA City ~ cso o State rn4 d^' -TW First Name l Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name i UA I ~eee~}ion 0708' . S 3 Address 101 N r~ &nko-m 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.) !1 SS-1129 (Rev. 4/02) Page 1 of y RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD '"j~' ~~n„ l , tsw N~ CK 5 FROM.1„lip_14 TO: T moun 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) ' 7Uq:y. 07 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 NamelBusiness N me p Address @ 3 -7 r • L f~ Pd G o?04 3 . a city k l; l le 1 Stalr V Z' Code 796V First Name Middle Name Purpose of Expenditure Amount of Expenditure LastNa iness Name VouYl+ (b. C' hi idto's coca AAddress 01-D ~ • &Miion a w City State Zip Code l~b► Ili L -rN 8-7R) First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Bu w/~ 15ao . 00 Address 445 ~ ew .2 d S a ~uo~ re city State Zip Cade row ` l l e ` -TN 3First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name J^VLM's Club ~ Address tb W`v Sy 3s ~ City State Zip Code V o N it -N I a3 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Na ~rx1 ~al~er ~-i ck~4s Igo - 00 rTcrT Address ^ _ 3 _k~ e la City r ♦ ~~v,jl~ State 'G Z§ je I First Name Middle NNrame Purpose of Expenditure Amount of Expenditure Last Name/Business Name Kr/row-f- lag y Address ,30 City + mw `'l- State Zip C~~ 5. TOTAL ITEMIZED EXPENDITURES ^IT,I (Carry forward to item 3. of next page if additional pages of this form are used.) lab .45 (If this is the last page of expenditures, this amount must be shown in item 19b. of summary.) SS-1129 (Rev. 4102) Page l of c- RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. N E OF CANDIDATE OR COMMjTT 2. REPORT COVERING THE PERIOD T0: TV 6 `I CT~C.~ FROM: ~1 _14 moun 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) 1 q. q 5 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 Nam 0 d q Address a@8 P-we 'Vd . (~1mPa,`o, ~hcr aphy City V m" State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name r J;kle C' you ~candra%,%W ~iCtets a5 ° 00 Address City State Zip Code Rw' i to -M 3-71S05 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name r 00 11W mere Ou r -~~C o~(YJ.06 Address City State Zip Code Man # i lle -N I cal First Name Middle Name Purpose of Expenditure Amount of Expenditure Last NametinessName ^ CI Address IlrhU 4Vam\ C~1 Nk~o•1 O'vV City State Zip Code rY1p r ~1i11e qN 31w4 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last NamelBusine Name WOUryli- 0b Address Ov kwob ~ar~+~ion 5oa Qo qty State Zip Code 1 V ~~oa First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address City State Zip Code 5. TOTAL ITEMIZED EXPENDITURES I~ 5~3 5y (Carry forward to item 3. of next page if additional pages of this form are used.) 1 v 1 (If this is the last page of expenditures, this amount must be shown in item 19b. of summary.) ink SS-1129 (Rev. 4102) Page a of J; RDA 1159 i CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Judicial Single - Candidate Committees 1. DATE OF REPORT 2.a. NAMEOFCANDIDATE --javnm TI ~Sdn l~T iCIGs 0►- 31- aoi4 2.b. NAME OF CANDIDATE'S COMMITTEE 3. ELECTION DATE Comm i}}eye ~o 51te-+ To mm -Ti Icon 4icts Yna ~ as iy 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone R o - -Box 5031 YM a r v i l le TN 3-796a fts- -708= yo7 6 4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.) Street or Rural Route City State Zip Code Phone 1809 Pofd breve MOr v i Ile "TAN 3-708 Rps- &(9-a135 5. JUDICIAL OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER GQneral ions zod Ivis%on ChriS+► 4. Sa les e Pl+ 7. CATEGORY OR REPORT (Check o m) El 1:1 FIRST SEC1:1 1:1 OND 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 la 01 0013 01 1s aoly 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 CANDIDATE 11. SIGNATURE OF POLITICAL TREASURER 4 _ 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 re Candidate Pe financial benefit of the candidate or for any other nonpolitical purpose as I ( defined by the federal internal revenue code. `Y jf / y 3 gn re of Witness Date Signature of Political asurer Dale a ~ 1 ~X 1 ~ attire of Witness Date 12. SUMMARY a. BALANCE ON HAND LAST REPORT $ b . w `amo•00 b. TOTAL RECEIPTS THIS PERIOD $ c. TOTAL DISBURSEMENTS THIS PERIOD $ '84 54 . 3I d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) ..~...70jr........................................................ $ rJ 11). e. TOTAL LOANS OUTSTANDING $ 0.90 f. TOTAL OBLIGATIONS OUTSTANDING $ 0.00 0 SS-1137 (Rev. 2/06) Page 1 of RDA 1159 SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTEE (in Full) 14. REPORT COVERING THE PERIOD Oorgm I t#ee -0 I n R I C K s FROM4a 1113 T0.01 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) $ 1115-0.00 c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ IaO56 . 00 16. LOANS RECEIVED THIS REPORTING PERIOD 0.00 17. INTEREST RECEIVED THIS REPORTING PERIOD C)• 00 18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) $ 109050.00 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) Cher k Order $ IY. 90 1~1 1 T%A 1 Fees $ 44.10 rude 5=1 ies / -&eoraA-ion s $ 101. (04 $ $ $ $ $ $ Total of Expenditures ($100 or less each payee) $ 1 IQa. l9y b. Itemized Expenditures (Over $100 each payee this period) $ 361 48. LO' C. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $ 3469. 31 20. LOAN REPAYMENTS MADE THIS PERIOD $ 6.00 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) $ 5Q . 3 22.IN-KIND CONTRIBUTIONS a. Unitemized in-kind contributions ($100 or less from each source this period) $ 6,00 b. Itemized in-kind contributions (over $100 from each source this period) $ 0 • co c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.) $ 0-00 23.013LIGATIONS a. Unitemized Obligations Outstanding ($100 or less each) $ D -CO b. Itemized Obligations Outstanding (Over $100 each) $ 0.00 c. TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 12.f.) $ 046 SS-1133 (Rev. 4/02) Page qp of ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NA E OF CANDIDATE OR COMMITTEE REPORT COVERING THE PERIOD rn -))IV Aee _to e ~11~JQIl I~~.~cS FROM: TO: 0) 1 1 -114 I Amount 1.11 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totalin more than $100 from an contributor First Name ri iddle Name Contribution Received For mount of Contribution Last Name/Organization Name [)(Primary Election ❑ General Election Sq, (e5 Dw - co Address ; B f) ❑ Runoff (Local Elections Only) City f ; le 6 ttateC Zi Code Date of Contribution Aggregate This Election o-'. I 7W3 Liv Occupation 00 Employer ~o1,rD~ 113Q , ~~F ~remerr►- ~rUices First Name Middle Name Contribution Received For: Amount of Contribution 16m Last Name/0 anizafion Naimme Primary Election 11 General Election ~ndma 00 Address 560 Lb. MOLL V) Cu it 7W ~ ❑Runoff (Local Elections Only) City /nO~vij 1~ state Zip Code Date of Contribution Aggregate This Election rC l IN[ 37900) Occupation A+vornN is ~ IS~ 13 15oa, 00 payer self' First Name e iddie Name Contribution Received For: Amount of Contribution nd as ame rganiza on a Primary Election ❑Generad Election a 1sm06 Address S-1 G vie ❑Runoff (Local Elections Only) ey State Code Date of Contribution Aggregate This Election Y9aa bui Ider 1506 , 00 SeJ First Name Mar iddle Name Contribution Received or: mount o Contribution Mar Last Name/Organization Na Primary Election ❑ General Election Ti 1 1500. oa Address 4 V~S 15 ❑ Runoff (Local Elections Only) City 1' µr ;11 State Zip Code Date of Contribution Aggregate This Election Occupation µ refire d 5c o, 00 Employer 5. TOTAL ITEMIZED CONTRIBUTIONS 1 50 (Carry forward to item 3. of next page if additional pages of this form are used.) (tf this is the last page of contributions, this amount must be shown in item 15b. of summary.) 0 SS-1131(Rev. 2/06) Page-3- of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE _ 1 , REPORT COVERING THE PERIOD FROM: TO: 1 1 }ate 'b Elele 4m, T ~ t' l CYz 1,T114 Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) q750,00 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor First Name iddle Name Contribution Received For: mount of Contribution Last Name/Organization Name Primary Election ❑ General Election T%bon 15W.00 Address LA 63 ~Xk*or) , 11s b"we ❑ Runoff (Local Elections Only) City ( State Zip Code 8014 Date of Contribution Aggregate This Election TN 3-7 n re+►red 1114114 1500 . oo Employer First Name ry r~~ Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name 51Primary Election ❑ General Election Garza I 5co • °O Address 550 w r , , , Main ~e+ Sok. 0 ❑ Runoff (Local Elections Only) City Knox `1e 111 Stage zip GCode Vg 3 ti~ Date of Contribution Aggregate This Election Occupation morn 1 141 14 1500.00 ~er sel-~ First Name I<QmJr' a iddle Name Contribution Received For: Amount of Contribution s Name/Organization Name %Primary Election ❑General Election 15b6. ao Garza Address '164 'Sau=d ❑ Runoff (Local Elections Only) Cdy n~ ~~~e Ste zip code Date of Contribution Aggregate This Election „N 3_7q 19 Occupation homemaker 11141 y 1500.00 m Dyer 58 `,Q First Name Saves fiddle Name ontn ubon ecelve or: mount o ontrl ubon Last Name/Organization Name 60M rg Primary Election ❑ General Election 3000 Address (coq over ❑ Runoff (Local Elections Only) l~ ~r ►ve City I l lr U ` 11 e re zip ' Date of Contribution Aggregate This Election 7N 'y Occupation A-brn 1 1q) 14 300. oo Employer enm Nu!m -PO I L ~(1xle 5. TOTAL ITEMIZED CONTRIBUTIONS (Carry forward to Hem 3. of next page if additional pages of this form are used.) l~ Jv s (If this is the last page of contributions, this amount must be shown in item 15b. of summary.) SS-1131(Rev. 2/06) Page 4 of -7 RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE REPORT COVERING THE PERIOD e \ M 1GCS FROM:Ia 01 3 TO: 0 S Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) q550. 00 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor First Name ~Q r' iddle Name Contribution Received For: mount of Contribution Last Name/OrganizationName Primary Election ❑ General Election Whatft ~;bo . Op Address 130-7 -or • ❑ Runoff (Local Elections Only) City ft m vi 11e SAL ZipCode Date of Contribution Aggregate This Election Occupation l IV ~6~si mess 6~,ner- ~ ~ ~y ~ iy aeb . o0 Employer n ~xa Aswcl ales First Name c~ Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name 5.Primary Election ❑ General Election SaQ. o0 Obermn Address 15C 0 1) ~ 1 e 1 ❑ Runoff (Local Elections Only) Cdy NJ`+v ,'W` ~~e Se. Zip Code w Q~ Date of Contribution Aggregate This Election Occupation Clt#orne l l 14 ~ l ~ JrOC~ . a0 m 0yer l~ First Name iddleName Contribution Received For: Amount of Contribution Tema n e e 50&f- Last Name/Organization Name [I Primary Election ❑General Election Address O e-s E] Runoff (Local Elections Only) I too. //W as elle k L/e city State Zip Code Date of Contribution Aggregate This Election keno w ► l le IN j 31 qa Occupation oftiorne-11 Psi 14 If ox. oo p Dyer First Name AA iddle Name ontn ution Received or: Amount 0 Contribution Last Name/Organization a Primary Election ❑ General Election 5w . oo ❑ Runoff (Local Elections Only) Address 1,S 116b st CYIa►r v lle Sto F QQde Date of Contribution Aggregate This Election ! IN 3-7 Occupation r n VCJ Employer 5. TOTAL ITEMIZED CONTRIBUTIONS (Carry forward to item 3. of next page if additional pages of this form are used.) l -7 50. I (If this is the last page of contributions, this amount must be shown in item 15b. of summary.) SS-1131(Rev. 2/06) Page 3 of -7 RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAM b~NrnitWe F CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD ~o C~~+ M 1 A 1+' ~ FROMVIIIISt TO: Q L moun 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) A . 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures totaling more than $100 to any payee during the period) First Name Middle Name Purpose of Expenditure Amount of Expenditure Last NamelB 'nessName C~re~ - Chris~i-rn4s 1 tad 1953. ?s Address ID-ILAS Vinz~or\ -Pike f eS C ty~ I State Zi Cod M 603 V First Name i Middle Name Purpose of Expenditure Amount of Expenditure J-- 0) l ck"I Last Name/Business Name k Cb►m~ aio~1 (W1561+►n5 6)n,0,, Address ma w%fct tr► v e state Zip Code city IYw Mlle -VN 37Sn3 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/B 'ness Name eebook s e . boas ng ~~s I Do . 60 Address W1 l 1 . City Il 1 State Zip Code men to 'Is V - First Quoas First Name Middle Name Purpose of Expenditure Amount of Expenditure Last NaunelBusin s ame S~-nessb4lls -~oa. ~9 Address U 14 i2; d4e VA city . kri State Zip Code N .1 NS o3 I First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name , reee ion nv i}a~icr~ Address t4-70-33 City C State Zip Code VC -TN -7--70 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business t e W 1) ^,,,Qp~ I ^ cles5 / I OO L yn oroo.. ion Address ISO I I/ City State Zip Code \l J~ l~~ (Gill 1 Ford a~ 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.) ADk SS-1129 (Rev. 4/02) Page L9 of RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAM OF CANDIDATE OR COtM,,MITTTEEE 2. REPORT COVERING THE PERIOD -I-o EA 1 (~~11 S FROM: ( a T0: 0 moun l 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) Middle Name Purpose of Expenditure Amount of Expenditure First Name LastName(Business aLined n h D an,, me.r1 Its'.00 Address O. 8er,~ 14015 -rt cke s State Zip Code Middle Name Purpose of Expenditure Amount of Expenditure First Name Last Name ess Nam a l~1 V` e ~e JJ o Address Soy. State Zip Code City 1 1~►,~` ` Pt-~eooL ~rlv A'1-701 Middle Name Purpose of Expenditure Amount of Expenditure First Name ess Name Last Name/BNs ; n ~V ~omtiom( -Aexns 3-7a. yq Addres 45 en venue City State Zip Code L..e~l ion mr~ oaua I 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 Middle Name Purpose of Expenditure Amount of Expenditure First Name Last Name/Business Name Address Gty State Zip Code 5. TOTAL ITEMIZED EXPENDITURES( Qr, lW~J ~ (Carry forward to item 3. of next page if additional pages of this form are used.) 'l OO (If this is the last page of expenditures, this amount must be shown in item 19b. of summary.) AMh SS-1129 (Rev. 4102) Page of RDA 1159 L Print Form Appointment of Political Treasurer For State and Local Candidates and Single-Candidate Committees INSTRUC'T'IONS 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. 1. Date: 2. Name of Candidate or Committee: 3. Candidate e-mail address: 11-22-2013 Committee to Elect Tammy Tilson Hicks tammytilsonhicks@yahoo.com 4. Campaign Address and Phone: City State Zip Code Phone P.O. Box 5031 Maryville TN 37802 865-748-4076 5. Home Address and Phone (if different than item 4 above): City State Zip Code Phone 1809 Oxford Drive Maryville TN 37803 865-982-2135 6. Office Sought (include district number, if applicable) 7. Party Affliation 8. Election Year General Sessions Judge Division II Republican 2014 9. Treasurer Name: 10. Treasurer e-mail address: Christi H. Sayles csayles@pshhcpa.com 11. Treasurer Address and Phone: City State Zip Code Phone 920 Knight Bridge Road Maryville TN 37803 865-379-2255 12. Candida and Treasurer Signature (both signatures must be witnessed. Treasurer can not witness candidate's signature): n re of Candidate Signature of Tre surer o 5- Signature of Witness m X45 Signature of Witness Jry co J\ C~ Registry of Election Finance _3 SS-1120 (rev 10/2010) 2 l~ ~ we Wa