Caskey, Grady E.
CAMPAIGN FINANCIAL DISCLOSURE STATEMENT
For State and Local Candidates
For Single-Candidate Committees
1. DATE OF ORT 12.a. NAME OF CANDIDA E OR COMNVTTE
iz Z-3 A2 (1"C_?e
3. ELEC N DATE
2.b. IF COMMITTEE, NAME OF CANDIDATE
e C ~ s
4.a. CAMPAIGN ADD 11 S AND PHONE State Zip Code Phone
Street or Rural Route City
4.b. CANDIDATE'S 1-1611,11E, ADDRESS (if different than 4.a.) State Zip Code Phone
Street or Rural Route City
P7. OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate)
43
CATEGORY OR REPORT (Check one) El ❑
FIRST SECOND THIRD FOURTH PRE- PRE- MIDD❑YEAR YEAR-END
QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL
8.a. BEGINNING DATE F R PORTING PERIOD 8.b. ENDING DATE OF PO ING PERIOD
.4 z/
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. t[~ This campaign is required to file a detailed financial disclosure because contributions (including in-kind) received total more than $1,000
and/or expenditures total more than $1,000 for this reporting period.
10. I/we do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this report is an
accurate accounting of campaign contributions and expenditures required to be reported by the candidate committee by the Campaign
Financial Disclosure Act. Additionally, I/we swear or affirm that no campaign contributions have been expended for the personal financial
benefit of the candidate or for any other nonpolitical purpose as defined by the federal internal revenue code.
V
s' a of candid date sign of politica urer date
it. ITNESS SIGNATURE
e a
_M OA_~
21MA~
date signature of witness da
signature of witness
12. SUMMARY
a. BALANCE ON HAND LAST REPORT $ '
b. TOTAL RECEIPTS THIS PERIOD $
7.0
c. TOTAL DISBURSEMENTS THIS PERIOD $
d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.)
. $
.RRGERIVED..................................
e. TOTAL LOANS OUTSTANDING
2 3 2018 $
f. TOTAL OBLIGATIONS OUTSTANDING
ELECTION
Page 1 of RDA 1159
SS-1109 (Rev. 2106)
ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE
1. NAME CANDI ATE OR COMMITTEE 2. REPOR C VERING THE PER D
FROM: ~ T0: r(
mount
3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING 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
Last Name1pusiness Name
~i5 w5 ~f
Address 70
City State Zip Code
--7 70
Middle Name Purpose of Expenditure Amount of Expenditure
First Name
Last Name/Business Name
e~
Address
City State Zip Code
Middle Na: 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
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.) ( l9~
/
(If this is the last page of expenditures, this amount must be shown in item 19b. of summary.) .
Page of RDA 1159
Aft
SS-1129 (Rev. 4102)
CAMPAIGN FINANCIAL DISCLOSURE STATEMENT
For State and Local Candidates
For Single-Candidate Committees
1. DATE F EP RT 2.a. NAME OF CANDIDATE OR COMMI EE
2.b. IF C MM TEE, NAME OF CANDIDATE 3. ELECTI ATE
4.a. CAMPAIGN ADDR S AND PHONE
Street or Rural Ro to State Zip Code Phone
co(q Cit
t ~ 6 7 A& 0%i b e 43crv
4.b. CANDIDATE'S HO E DRESS (if different than 4.a.)
Street or Rural Route City State Zip Code Phone
5. OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASUR R (may be candidate)
JJ / _
7. CAT RY OR REPORT (Check one) 0 El E:1
FIRST SECOND THIRD FOURTH PRE- PR - MI EAR YEAR-END
QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL
8.a. BEGINNING DATE OF REP RTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD
z r3 ,3/ Zle
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. 1/we do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this report is an
accurate accounting of campaign contributions and expenditures required to be reported by the candidate committee by the Campaign
Financial Disclosure Act. Additionally, [/we swear or affirm that no campaign contributions have been expended for the personal financial
benefit of the candidate or for any other nonpolitical purpose as defined by the federal internal revenue code.
sign ure of c didat date si a of politics asurer date
11. WITNESS SIGNATURE
signature f witness date signature f witness date
12. SUMMARY
a. BALANCE ON HAND LAST REPORT $
b. TOTAL RECEIPTS THIS PERIOD $7~ • co
c. TOTAL DISBURSEMENTS THIS PERIOD $ /06 7r1 167
d. BALANCE ON HAND 12.a. plus 12.b. minus 12.c. $
e. TOTAL LOANS OUTSTANDING .1{}.1...y.~... $
f. TOTAL OBLIGATIONS OUTSTANDING Q) !O $
cn OR N
SS-1109 (Rev. 2/06) I ►1 w Page 1 of RDA 1159
E'taUnrTc 8 A
~c~cTia ~NTY C,
6 N Cb
~°~el110V6~
SUMMARY PAGE - CANDIDATE
13. NAME OF CA DIDAT OR CO MITTEE Full) 14. REPO T COVERING THE PERIOD
aMML -P, FROM: A TO: 3 ~ 1
RECEIPTS
15. CONTRIBUTIONS (other than loans and interest)
a. Unitemized Contributions ($100 or less from each source this period) $ 60,0 'gwo
b. Itemized Contributions (over $100 from each source this period) $ 20 "e;n
c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ !'O ,10 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.) ~fa0
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) $ -g'
b. Itemized Expenditures (Over $100 each payee this period) $ /Q(y~, ftP7
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.) $ L5-.10 7
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 12.f.) $
SS-1133 (Rev. 4102) Page of
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
1, NAME OF CAN IDATE NOMMITTEEa 2. REPORT COVERING THE PERIOD
juLr1CC~~ ~ nC'7 f FROM: r x ip TO: 3 jt 1
Amount
3. TOTAL ITEMIZED CAMPAIGN CONTR BUTTONS FROM PRECEDING PAGE (enter $0 if Irst itemized page) Pro
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION (contributions totaling more than $100 from any contributor)
First Name Middle Name Contribution Received For: Amount of Contribution
Last Name/Orga ization Name V primary Election ❑ General Election
Address ❑ Runoff (Local Elections Only) 1:5-o
Stat Zip Code Date of Contribution Aggregate This Election
City
Ne0a
Occupation ale
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 iddle Name Contribution Received For: Amount of Contribution
as ame rganiza ion Name ❑ Primary Election ❑ General Election
Address ❑ Runoff (Local Elections Only)
City State Zip Code Date of Contribution Aggregate This Election
Occupation
Employer
First Name Middle Name Contribution Recetved or: mount o oninbutlon
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
(Carryforward to item 3. of next page if additional pages of this form are used.) -7 , UO
(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 r 2. REPORT COVERING THE PERIOD
Al, I/jjj TO:
mount
3. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAG 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 Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution
❑ Primary Election ❑ General Election
Last Name/Organization Name
❑ Runoff (Local Elections Only)
Ad ss Date of In-Kind Contribution Aggregate this Election
City Stafe 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-IGnd Contribution Aggregate this Election
city Slate 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 In-Kind Contribution Aggregate this Election
City State Zip Code Description of In-Kind Contribution
Occupation mployer
First Name Middle Name In-Kind Co\uton eived For: Value of I n-Kind Contribution
Prim❑ General Election
Last Name/Organization Name
Runctions 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. 2106) Page of RDA 1159
ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE
1. NAME F CANDIDATE OR COMMITTEE 2. REPORT CO ERING THE PERIOD
FROM: y TO: I
Amount
3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDI 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 Name "
L C7 o
Address
City Sta Zip Code v
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/B sines ame
r
i r
Address
City State Zip Code
77o 3
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
i V
Address "Y/
-Vcf e-1 /00
~ / City State Zip Code
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last NamelB4ss Narye 1
Address A ~C W ~o t L
! P a
City State Zip Code
MA Odle '1~) 37~l
t Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/ ss Name
Address
City to 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.) /
(If this is the last page of expenditures, this amount must be shown in item 19b. of summary.) / `00
SS-1129 (Rev. 4/02) Page of RDA 1159
i
ITEMIZED STATEMENT OF LOANS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
FROM: T0: '
/yl~1c L zZ~%f[ a
3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED LOAN (loans taling 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/Oro ization Name
Address Loan Received For: Date of Loan
City State Zip ❑ Primary Election ❑ General Election
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 NamelOrganization Name Last Name/Organization Name
Address Address
city Slate Zip Code City State Zip Code
Amount Guaranteed Outstanding Amount Guaranteed Outstanding
First Name Middle N e 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 mo t Guaranteed Outstanding
First Name Middle Name irst Name Middle Name
Last Name/Organization Name st Name/Organizatio ame
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 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 I 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.)
SS-1132 (Rev. 4/02) Page of RDA 1159
ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE
2. REPORT COVERING THE PERIOD
1. NAM OF CA' IDATE Of~COMMITT E
(0(0 1 s FROM: / Tdaymen
APPROPRIATE ITEMS FOR EACH ITEMIZED Outstanding Balance Debt Incuts Outstanding Balance
TO: 3. COMPLETE THE
OBLIGATION (obligations totaling more than $100 owed to any (Beginning of Period) This PePeriod (End of Period)
personlvendor at the end of the reporting period)
First Name Middle Name
Last Name/Business Name
Address
State Zip Code
city
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
ti
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
(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)
yr
Appointment of Political Treasurer
For State and Local Candidates and Single-Candidate Committees
INSTRUCTIONS
The Appointment of Political Treasurer statement must be used to appoint a political treasurer as required by
the Campaign Financial Disclosure Act (T.C.A. § 2-10-105) for state and local candidates and single-candidate
political campaign committees. A state candidate may not receive or expend funds for an election until a
political treasurer has been appointed for that election. A local candidate pursuant to T.C.A 2-10-101, 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. Anew 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 orC mmittee: 3. Candidate e-mail address:
r
e44
ccwo
4. Campaign Ad ress and P ne: i~dCfty State Zip Code Phone
S. Home Address and Phone (if different than item 4 above): City State Zip Code Phone
6. Office Sought (include district number, if applicable) 7. Party Affliation 8. Election Year
bcs owe
9. Treasurer Name: 10. Treasurer e-mail address:
64 z Q , cws /!5 e
11. Treasurer Address and M fie: CI State Zip Code Phone
12. Candidate and Treasurer Signature (both signatures must be witnessed. Treasurercan not witness candidate's signature):
31: N.
Sl ature da HECE
NED ,k S nat ~Treasu r
MAR192019
94
MOUNTOOE*
MM
Signat of Witness Signat a itness
Registry of Election Finance
SS-1120 (rev 10/2010)
t 12
n y~i
a
FINANCIAL DISCLOSURE STATEMENT EXEMPTION
Pursuant To TCA § 2-10-201(b) a candidate is exempt from filing financial disclosure
statements:
"If a candidate is seeking an office for which service is part-time, compensation is
less than $50o a month and the candidates does not spend more than $1,ooo to get
elected to office, the candidate does not have to file Campaign Financial Disclosure
Reports."
CANDIDATE'S INFORMATION:
Candidate Name: eo<kgy
Last First Middle
IC~
Candidate Position: eamu sf yn;
Residence Address: ct it ~ Aw"
City: m9 (14 16
State: TN Zip: d 0~
I hereby state that I meet the above qualifications for exemption and am therefore
exempt from filing financial disclosure statements.
P ill
ignature Date
YJ Y~
Witness Signature at
If my plans change and I realize I will spend more than $1,ooo on my campaign, I will
immediately make a financial disclosure report.
CO 9 16 11 ~2 q
M
RECEIVED A
DEC 1 1 :'1.~
Appointment of Politi rea' r
For State and Local Candidates and Single-Can ittees
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.
1. Date: 2. Name of Candidate or Committee: 3. Candidate e-mail address:
12 /3 e~ ~.cSK~ e 1. m~
14. Campaign Address and Phone: City State Zip Code Phone
P I-,-~ 36P• 4,fo
S. Home Address and Phone (if different than item 4 above): City State Zip Code one
d 9~7 ~~t~Q~ecliee 4e
IGlau yv~ 7N. 3?d'~ 3 P6I- Yk 4' 1/V 0
6. Office Sought (include district number, if applicable) 7. Party Affliation 8. Election Year
C~ ~uuss,.
9. Treasurer Name: 10. Treasurer e-mail address:
60~ - I(&
11. Treasurer Address and Phone: City State Zip Code Phone
L ~te /f/14•~j~c~'~ r 32rV 3 P6~-36~• r~~o
Tcr~lee~ e
12. Candidate and Treasurer Signature (both signatures must be witnessed. Treasurercan not witness candidate s
' signature):
natur an to Sig of Treas r
Signature of Witness Signature of Witness
Registry of Election Finance
SS-1120 (rev 10!2010)