Worthington, Sandra
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:
C_
Candidates Position: ~vy2
Residential Address:
City: State~~ - ~v
zip:
f a
I hereby state that I meet the above qualifications for exemption and am 5%At
therefore exempt from filing financial disclosure statements.
VYo,~1Q1
Candidate's Sign ure Date
Witness's Signature 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.