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Newberry, Jonathan FINANCIAL DISCLOSURE STATEMENT EXEMPTION Pursuant to TCA § 2-10-101(b) a candidate is exempt from filing financial disclosure statements due to the following: 1. The service for the office which I seek is part-time and the compensation is less than $1,000 per month, AND 2. 1 do not plan to spend more than $1,000 on my campaign. *Candidates running for Chief Administrative Officer (i.e. Mayor) of the county or city are NEVER exempt from filing and should file the required campaign financial disclosure reports regardless of compensation or spending. CANDIDATE'S INFORMATION: Candidate's Name: Jbn1P,1-MJ Candidate's Position: l ~i~Ncs~~`~c ~T7 eorn'4 fSS~aN651._ Residential Address: -AWOL) City: f✓-Gi~ ~c.»s cJ~ State: TN Zip: 37731 1 hereby state that I meet the above qualifications for exemption and am therefore exempt from filing financial disclosure statements. If any of the above change and I no longer qualify as an exemption, I will file the required campaign financial disclosure reports with my local election commission. moo/ g, andidate's Signature Date Witness's Sign u re y Date RECEIVED M FEB 92018 w CLOUNT Cour y ELcCTiG; ~ = l l l 'fly 6 FINANCIAL DISCLOSURE STATEMENT EXEMPTION Pursuant to TCA 5 2-10-101(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 $1,000 a month, and the candidate does not spend more than $1,000 to get elected to office, the candidate does not have to file Campaign Financial Disclosure Reports." CANDIDATE'S INFORMATION: Candidate's Name: w4ilar Candidate's Position: ~,€NOsV~ Residential Address: `121 Sr- City: ~R,~s✓ic ce State: TN Zip: '377;Z I hereby state that I meet the above qualifications for exemption and am therefore exempt from filing financial disclosure statements. -7/i /t te's Signature= Date ASS ' ~ ~ 20 Witness's Signa~&e Date If my plans change and I realize I will spend more than $1,000 on my campaign, I will immediately make a financial disclosure report. ~ 01 6 9 L~~ \ 71 1 ,AAA -I -j Jd ~I 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 2-10-10 1, 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: 411t /14 J~ ATH*VI d &wGC-rt N 4DA&--IdW FL I JD -91-16 0"f - Co"'! 4. Campaign Address and Phone: City State Zip Code Phone x/29 S. r,~~tnlUrn 5-, rRiFNDS✓ca reJ 37-737 Gas-sys-3~5~ 5. 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 Fl2feNo5vlt.c Criy Comr+riS~e ~ 112CpvirsI.IC4tJ 2,014 9. Treasurer Name: 10. Treasurer e-mail address: I+*tj Cam 11. Treasurer Address and Phone: City State Zip Code Phone x/21 ~jaaN rR~c. Qs✓rctE, 37737 G►S-Sy5-34- 12. Candidat d Tr surer Signature (both signatures must be witnessed. Treasur t witness candidate's signature): Signature of Candidate Signature o reasurer Z 1 C Signature of Witness Signature of Witness Registry of Election Finance SS-1120 (rev 10/2010)