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Hill, Jacqueline CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORT 2.a. NAME OF CANDIDATE OR COMMITTEE /q - ~ [l - 1 ~ I J A I k 11: I- ` l 3. ELECTION DATE 2.b. IF COMMITTEE, NAME OF CANDIDATE t` DV ew b fr ( ao19 4.a. CAMPAIGN ADDRESS AND PHONE State Zip Code Phone Street or Rural Route City ~78 Q6 Sf 9g~~ ~~v6' 1ao r 5~~PO-45M 5-1' 4 1w I V 4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.) State Zip Code Phone Street or Rural Route City 5. OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate) Blout) ~o m10 //5 104 44f0 l JeCf) ll r Qn~soN 7. CATEGORY OR REPORT (Check one) El EI FIRST SECOND THIRD FOURTH PRE 0_ MID-YEAR YEAR-END QUARTER QUARTER QUARTER QUARTER 8.b. IAERNDING DATE OF REPORTING PER EDENTAL SUPPLEMENTAL 6.a. BEGINNING DATE OF REPORTING PERIOD / A uls a 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 X 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 5;1tthe candidate or for any other non itical purpose as defined by th ral internal r venue code.' '0!L Aa 4 a 41il da signature of political treasurer dat o f cand' to 11. WITNESS SIGNATURE date sign re of witness 7 -7 date signature witness 12. SUMMARY O Q r 0 O a. BALANCE ON HAND LAST REPORT $ $ -&9-Q . 00 b. TOTAL RECEIPTS THIS PERIOD l ()q. 1 c. TOTAL DISBURSEMENTS THIS PERIOD tlD d. BALANCE ON HAND (12.a. p lus 12.b. minus 12.c... 001 IJ . Fe. OTAL LOANS OUTSTANDING . . . APR 2 4 2018 $ OTAL OBLIGATIONSOUTSTAND Page 1 of ~ RDA 1159 SS-1109 (Rev. 2/06) '✓b W Z °`r SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD r~ U11.0 0 FROM: L~ T0: Lf 1'k4 RECEIPTS 15. CONTRIBUTIONS (other than loans and interest) a. Unitemized Contributions ($100 or less from each source this period) $ 0 b. Itemized Contributions (over $100 from each source this period) $ 1 50 c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ 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.) $ 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) $ - 0 II b. Itemized Expenditures (Over $100 each payee this period) $ 10 c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $ 20. LOAN REPAYMENTS MADE THIS PERIOD $ - O 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) $ •~6 22.IN-KIND CONTRIBUTIONS a. Unitemized in-kind contributions ($100 or less from each source this period) $ J D b. Itemized in-kind contributions (over $100 from each source this period) $ -Q__ 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. NAM OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD Aeg-ig 01 LL, FROM: if/ TO: o2f I 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 First Name Middle Name Contribution Received For: Amount of Contribution oe";5i,a, -4 Pon Last Name/Organization Name ❑ Primary Election IX General Election O L() ni, n z o Adds n(Y ❑ Runoff (Local Elections Only) 01,u ~e I ion PC City e5 ~~r Sta Zi Code f D Date of Contribution Aggregate This Election ^ OccupationTL/~ 'y r, r) P- cP 1 1 /5 / f o ' .5 (J Employer f 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 ddleName Contribution Received For: Amount of Contribution as ame rganiza ion 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 Amount o Contribution Last Name/OrganizationName ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) State Zip Code Date of Contribution Aggregate This Election City Occupation Employer 5. TOTAL ITEMIZED CONTRIBUTIONS Or (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. 2106) Page of A- RDA 1169 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR CpMMITTEE 2. REPORT COVERING THE PERIOD FROM: tf TO: Amount 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) - n 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures totaling more than $100 to any payee during the period) First Name P044 Middle Name Purpose of Expenditure Amount of Expenditure 1 i~hburSeme~~ Last NamelBu~ne Name ~0( 0 U r )Q l ne-65 cards 1c4-/(c Address 1 0 C J 6(c) I d T)r*1 v3 } 3 Go'ca S city n ~ ` I ( State Z ip ode el First Name W 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 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 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.) O I (If this is the last page of expenditures, this amount must be shown in item 19b. of summary.) Ankh SS-1129 (Rev. 4/02) Page of RDA 1159 l CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF EPORT 2.a. NAME OF CANDIDATE OR COMMITTEE /a 18 Jr e c~ H,LL 2.b. IF C MITTE , NAME OF CANDIDATE 3. ELECTION DATE 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone 4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.) Street or 5,u 7-Al ral Route City State Zip Code Phone Tc #0W,16 Z)J Ac exA o 9.64= 99Z- X641 5. OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate) i5l oo r eacjN r y ~0MM csval! -7, 1 2~ et 7. CATEGORY OR REPORT (Check one) 21 ❑ ❑ ❑ ❑ ❑ ❑ ❑ 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 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. 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 ny other nonpolitical purpose as defined by the al internal revenue code. A/1 signature of candidate d/ ate signature of treasurer political dot 11. W TNESS SIGNATURE signar re of witness date signature of witness date 12. SUMMARY c0 a. BALANCE ON HAND LAST REPORT $ b. TOTAL RECEIPTSTHIS PERIOD ~G 1 C ~OV• OO .,......G JTrt( $ _ c. TOTAL DISBURSEMENTS THIS PERIOD $ d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ av e. TOTAL LOANS OUTSTANDING $ f. TOTAL OBLIGATIONS OUTSTANDING $ SS-1109 (Rev. 2/06) Page 1 of RDA 1159 SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERT D a K ~1 I L FROM: TO: 3 ~7j } ~I RECEIPTS 15. CONTRIBUTIONS (other than loans and interest) a. Unitemized Contributions $100 or less from each source this period) " I 00 b. Itemized Contributions (over $100 from each source this period) $ c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ - I Do; 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.) $ C) 0. C)o 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) $ - b. Itemized Expenditures (Over $100 each payee this period) $ " c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $ d 20. LOAN REPAYMENTS MADE THIS PERIOD 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) 22.IN-KIND CONTRIBUTIONS a. Unitemized in-kind contributions ($100 or less from each source this period) $ D b. Itemized in-kind contributions (over $100 from each source this period) $ I D do - oo !!~~/l 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. 4/02) Page 'A of 10 ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD drA e- L 14, LL FROM: ~f TO: 3-3E-f mount 3. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 16W .5 0 Q 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 el ACM (r7 ❑ Primary Election General Election ' D~ 144 Last Name/OrgaFi~tic~ll~~gqnn Q 1 © ~C G(~ L) I- ❑ Runoff (Local Elections Only) Address I I f ~0,q O A 1' Date of In-Kind Contribution uv l H V ' 1()` Aggregate thi Ele 'on DO City pa Stdt1" ZijjegD I De`scripttionofln-KinddCConbibution r I Q Occup n V {►l• Employerr (1( V .lam Webs ~4 1 • Cl'= ° CT FirstN me Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution 5 L_I I ❑ Primary Election General Election Last Name/ rganizationName C~ 5©, [v K Q 1,)04`J` ❑ Runoff (Local Elections Only) Address b/o 1e ~j ~ r Date ofln-IGnd ntibugop, _ Aggr to '~ec6E0 f 6C / !J City -0 , I `/J St Zi CpdQ^ Description of In-Kind Contribution L cup tion Ili Employer First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution ❑ Primary Election Received xeneral Election Last Name/Or aniz ti9n Name 15 ` I ❑ Runoff (Local Elections Only) Address D ` Dateofln-KindCor 'button a-1 Q r I Aggregate this Election ~/l d Jr. CZ) City n^ t Zip C e J_7Z' Description of In-Knd Contribution Occupa!ion Employer W t _ S' J I{//)~- re l=~/1(1,Y First Name ~GMiddle Name In-Kind Contribution Received For: Value of In-Kind Contribution ❑ Primary Election General Election Last Name/Or a 'zati n ame O, ❑ Runoff (Local Elections Only) Address Date ofln-Kind Contribution Aggregate 's ction J 64CAO h L4- L7 City Zip Co Description of In-Kind Contribution Occupa' n 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 mp oyer 5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS (Carryforward to item 3. of next page if additional pages of this farm are used.) 1045. l/11 (If this is the last page of in-kind contributions, this amount must be shown in item 22b. of summary.) I n`"--' SS-1128 Rev. 2/06 ~~,o~ ( ) Page 3 of 3 RDA 1159 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. 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. 3. Candidate e-mail address: 1. Date: 2. Candidate First and Last Name: jQCllPU,6_.Z1A4C h'11.5/20 "W59) u 2 2 ~ 4. Campaign ddress and Phone: City State Zip Code Phone J S) za p -S?&r.PHFA194" ST 4Z &A -7r/-t/ 37 9pA.-~3~b ~ Home Address and Phone (if different than item 4 above): City State Zip Code Phone 6.0 ffice Sought (include district number, if applicable) 7. Party Affiliation 8. Election Year ss jocc 10INV71 9. Treasurer Name: 10. Treasurer e-mail address: .J~cG I l Soh rb~ ri j G 6ka c4eq- . re+ 11. Treasurer Address and Phone: City State Zip Code Phone P)Qv TN 31~~5 5 -7loq br i l Cycle S~ 12. Candidate and Treasurer Signature (both signatures must be witnessed. Treasurer can not witness candidate's signature): r ignature of Candidate Signature of Treasurer AA 12 Aly~"L-- 7 Signature of Witness Signature of Witness co RECEIVED a h w Cn BLOUNT COUNTY vi Registry of Election Finance ELECTION V SS-1120 (rev 12/2013) ~d, row Wd Z L CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORT 2.a. NAME OF CAN TE OR kHill 2.b. IF CCfMMItTEE. NAME OF CANDIDATE 3. ON DATE us} 4 01 e 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route hon~ a E 5+e e,n5an I Coe state 3701 - ~ 4.b. CANDIDATE'S HOME AWRESS (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 TREASURER (may be candidate) Bound C©csn WUL Jean VVliliQ4-1-1 , 7. CATEGORYOR (Chedcone) FIf THFID FOURTH PRE-13 PRE- MID-YEAR YEARE3-END QUARTE QUARTER GENERAL SUPPLEMENTAL $UeELEk~ 8.a. BEGINNINGDATEOFREPORIINGPEMOD 8b. ENDMGDT OF PERIOD 01(0 I o 1 (p p 9.(Check one) a. ❑ This campaign is exempt from detailed disclosure because contributions (including k,#-Lind) received total $1,000 or less AND expend- 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 inadnd) received total more than $1.000 770 and/or expenditures tdai more than $1.000 for this reporting period. 10. Uwe do solenv>ly 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, Uwe swear or affirm that no campaign contributions have been expended for the personal financial benefit of the candidate or for any other I purpose as defined by the fe~eral Internal revenue L7 of cand to data i signature of political treasurer dale 11. WITNESS SIGNATURE 1-0 signature of iftiress signature of witness date 12. SUMMARY f a. BALANCE ON HAND LAST REPORT ` 1 , `1 b. TOTALRECEIPTSTHISPERIOD ~r $ c. TOTAL THIS PERIOD »»..»..s` . $ ✓ 'T n I ».t., y.nOI t d. BALANCE ON NANO (12.a. okra 12.6. minus 12.c.),,::. . . . 3 ~ (OC~~~O e. TOTAL LOANS OUTSTANDING S L TOTALOBLIGATIONSOUTSTANDING $ -O~ SS-1109 (Rev. 2106) C, Pape 1 of _L RDA 1159 SUMMARY PAGE - CANDIDATE 13. NAME OF CAN (DATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD ckt e., 11 ( l I FROM: TO: ~ o . RECEIPTS 15. CONTRIBUTIONS (other than loans and interest) a. Unhemized Contributions ($100 or less from each source this period) b. Itemized Contributions over $100 from each source this c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ o - I l ' -I 16. LOANS RECEIVED THIS REPORTING PERIOD $ L_D tom. 00 17. INTEREST RECEIVED THIS REPORTING PERIOD 18. TOTAL RECEIPTS (add 15.a, 16., and 17.) (must be shown in item 12.b.) $ DISBURSEMENTS 19. EXPENDITURES (other than ban payments) a. Expenditures ($100 or less each payee this period) (must be fisted by category - e.g., printing, postage. gasoline) M i * $ 0.0 din $ Clr cxrc s s s $ $ Total of Expenditures ($100 or less each payee) $ b. Itemized Expenditures (Over $100 each payee this period) . $ 3 C J! c. TOTAL EXPENDITURES (other than ban repayments)(add 19.a. and 19.b.) $ 1 !cJ 20. LOAN REPAYMENTS MADE THIS PERIOD $ D 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) $13 7503 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) $ "I O~ • J _ c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.) $ 23.OBLIGATIONS . a. Unitemized Obligations Outstanding ($100 or less each) $ J b. Itemized Obligafkm Outstanding (Over $100 each) ` 0 a TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 121.) $ f 0 SS-1133 PRev. 4W) Paga oI 10 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF c R 2 REPORT'S THE PSOM a i r2 ill "W", TO- & TOTAL. MMM CAlU%M CMURf3UnM MW PWMM PAGE 0ft$0 ff *d fatted PON - p - a. COML M IM APPROPRIATE trees FOR EACH MOM CONTRESUMMON more fssn 1100 km t Lkt M~ Q 1 Qi t3d rda: C falu6onRecO ed For: Amount of Cmdon Last- 10 patim ❑Pemeiymcfes 1 'emdo"s 1 I 5oa 60 =A,~ t O f S-I:e cnson Pow mcfts 0n"` A Icon rN ~'L'"°'3??~l oeleotoonrr~fon AeregftTMs 0°°44- R241 reed s fisl►Yn~e ,rfesNuhem oo on ReoeMd Sm Alnomd of coombukm Last JbW ❑P*eeyBocrm Uf( Bodm . -are-ea I5o. ao AOM 5 :54. T gyres I vd . ❑Rmmf(&=d 0" cw ~11cAa 77o i ApgVeg Le 7W ae1fim11 x ~ ~ gyred ~ i 5~. o~ } l 4' FkdNm a el i Ms poor, n Recea d Fimr E Amount of , Law eon boa. o~ 333 a~-e,rs ❑MMAomdBeLLlons001 Becibn c" Mar vi I le LLe,~' I~ 1*71,63 Dahd AQp~epale 7w RrslWame a& + Al tCr, Lwae"wm t n Last ❑ mmy Becfoa ❑ emma secton k oU5 0 pp. 00 ~ ❑ Pvmg (Lard Becfons Only S o~ Cie stn u+ Ri l l I Cw* o G T~ 2 y OdedOommufon /tee mft Becton 5~~~~~b [ 5~0. ao 5. T ALMIRMcoffut18lJnm tomyl be m&clmd p.ff.de WpjnsLfeee=smumo, 13 5 0.7C)0 pflkslsbdt,eO.ofao~baeoae.lts.asoualoepLediee..MM1Eb.d.deea~~, t Sr,..,13lPm 2, p I~ ial IM ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CAN~DATE OR OOMWTTff 2 REPORT COVERING THE PERIOD Jack i~e l 1 FRO TO: 6 #Vlnom 3. TOTAL ITBrlfZED CAMPAIGN CONTR MOMS FROM PRECEDING PAGE (erdw $0 5 *9 iiem aed Page) Q t~ 4. COMPLETE THEAPPROPRIATE ITEMS FOR EACH ITEMM CONTRMUTION cantrbuliore more than S100 from MdaeNn Can69b "'Reodved W. Amount of Cordrbufon r) e- Gon Loo NWA ❑ Fly 6edw 92 Genw ar '^e ~60.00 73 5hi wa+ Fr. oftoff gaw 0* JQ v ' P,L zp A S DaM of c ebuft Aggmg a Ibis E1ecGon 0-pow Pe-+t red I 513 f I oo. 00 FkdNrae en MeesNw O Corddkd n Rec" For. Ammd of Car*bAon " e- cu I 1 u h Binary Bd. e'Ganerw l3.cfon o o . 0 0 Ad* 5(~ Cou ❑Runar(Loeai eery ony) 1* I/V a l 1 Q n d ;mb of oNt(tbt lm AggMgale M& EWcfott pe~lr , 1114, /1 (o X0.00 1 RRfIfaN loft thus Co biatidn Received Far. Am" of C"*b m ❑ mmw mcfoa )COWWW Ebdon 64 Mal 1011 0-ku!'6 oZ a~.0'a oodl~a ❑Rua,locEbdions OnNAder 461 ~ AAar dt 1 -1 e 1!'° E-7 f» d caniibufon Aggrogate THs f3ardion o to. oo FrslN~me a,rs tfdaeNaoe ladNsms. o Primary eodm t~Qaiasi Elxfon Law mnce Aoo. oo " % 'Gre,n ada 13 Raaff (Local 9eciions Only) as . r Ci 91-1 ap data of Cw*b Nm AW"de This ENction OW*Aon 5~3i~Ily ~Yo• DO 5. TOTAL ITEMIZED. CONTRIBUTIONS ~j xx PKII rrdblbem&ofasstp pgodOowtpoWattlisfma =o4 a 150. V~ (Kft ftbdpspofaonbbif7oes ftw=AKMbesln.otnr mULafwmoW L~ SS-1131(Rsk 2165) Page T of FtDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CA MM'I`E OR COMMMEE J Q C t o i I I 2OM COVERT G THE t Ifo TO: 4 30 3 TOTAL ITEMIZED CAMPAIGN CON RMUTIONS FROM PRECEDING PAGE (enter $0 5 fast hemmed page) I!MI5-c). b o 4. COMPLETE THE APPROPRIATE QEts FOR EACH f TEiim) CONTR®unw catttrbu6otN aloe gm $100 *cm fiat Nsaa ` C I , I+Wde tt.as Cw* bjbm Reod"d Fdc. Aaaunt of C fdfflbWoa last Nrar 13 wy 03 G a wtat E cft RQ4 Adha O 5~ v s T31ud. ❑Runoff (Lord Etecsons onm goo-60 Ck ^ Q Lptbde~ ~O / Date dConbb" AGpep le This Badon om"lon e tr~~l f to f c~ aoo . o0 Ewslaw FkAH a an WNONW Coa bubn Recdad For. Amwd of Conbb" tAtWmalOepatim9oe I ❑PdmayRadon ClCw"Eiec6on MI - 1600. DO ❑ ow (Locd Ehat = oaty) Ad*= 12 D E ar Alcoa l , v ✓??01 Doh d Conaik" Ag Wepate This Bedon Re+t rt~,d Q;7/ 140 0 60.00 RatNNW J b Nnae Conhtbu W Recaieed For Amount of Conl&A n 0IM1001y 6edoo Ej/e BK6on 15 On . civ 5 re oRu~~Ekk= ~ 5pp. 60 A°° !DO rc ot -7 Oats of Ca~ AA9npele TAis t9ectlon 1~ Q, l 6 (Pi red 5/144 50o. 00 Hat Name keakName ~ Pamety ElaoSon ~ Gottaal Electiof► ~ Noma. ~ ~fi 500.06 Ad*= o Q~ q 5 las ❑ Found (Lard Only) Cbj l l (Z a II Dale d Oonbi6uion A®prepeh This Eiectlon 5. TOW ITEMIZED CONTRE UTIONS (Canyl, btm&efa App9*dATw,lMacfetlban..vse, 350:00 pfftisftbdppeofomewtat ftom utmestbodombbmgkofsomaww SS-1131(Rev. 2118) Page 5 d 10 RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR OOS XnIM 11 2 REPORT COVERING THE PERIOD Jacki2 Hill FROM: rb TO: L 2so 3 TOTAL U M® CAMPAM CONTRIBUTIONS FROM PRECEDING PAGE YMW $0 ff fesf Uetrt W page, l2i,5n. E0 4. COMPL.EIE 7HE APPROPMATE fTB4 FOR EACH MNOM CONTMUTION more than $100 from Frsrwam. r b serf t tw.. Ccrftubon Recd For Amount of Cw*bsbon Ud O ❑ mmy Baebon cj/clw tit 9edon i a5. o0 59 5ha~rfs lou r ❑Rwdl (Corm Eteebana 0* MY IC) Dab of Conkhdon A 1W Bin 2 red f3ll~ 1e~Jr.00 r 04, FWN*w U6eaeNese Contrmrrbon Recdvad For Anwt d Cormlhubon tsat4meq ,rnrrw.me ❑PdmmyBecbon ❑GMWWBeebon Addem ORunaf tmW ono cb/ 11W BPtbae Dab d Conb buBcn Apgtogate TMs Beebon OM*don r F&dN m Una Oaitrbui0a Received For Amomd of Contfiubon loft p Now BKOM ❑ Qerrerad Bocbon Addma 0 PAMA go* Becbau OnW «h Itidy 2*0we Date of OorWit.ukn AgWepste THs Bodion oo~ brow w>swme tAeadtl~e N""°b'P" ❑ Primary anon ❑ Genera! Becft A&&= ❑ mma (Local Becbow onw aY' Swe Zpfbee DoOfCerwbr" ApfrregabeThis Bonbon ooa~ ' r~ 5. TOTAL REMRm.CONTRfBUTI w lCranrtonwnfaaems anWap.O.rwdiaaul~rpesatlhkbm►.eaea~ 4q75. SS-1131(Rov. 2" Pape ~ d RpA 1159 ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: J4~1 11 (o TO: 3. TOTAL ITEMIZED "NO CONTRIBUTIONS FROM PRECEDING PAGE (enter $O if fast bmmed page) t Q r 4. COMPLETE THE APPROPRIATE REM FOR EACH ITEMIZED IN-IM CONTRIBUTION @W" cv&boemra roWV mm ton 5100 tom &W eorwianor dwN to pwiod) Iip Name I PC ck1 a MkIft Name In4QW Contribution Received For: Value of In46nd C bibub m ~J [I Prim" Election O',enerd Election ❑ Rma (Local Ebctiom Only) 3 0 • S E SFe h mson o*atnlWCmtaion t 1~ Aor*Mt* 1 MY A zoco& 37701 Desa%"Gfkwwc or&b" 6ip1o'°r 13anner5 2 ~t rP~ F+pNmr perm MidAeName M,aGndCerrhlntlGonReoeivW valuealn40rtd LalNiamelOrpsNaeatNanN ❑PrinaryElectiort Gen"EW*n ❑ Runoff (Load Becket Only) 18 l • ru Addroa 1 0 s arar►xmdanrltA,tort 5 1q l~ Ck Recepb, ~s n - food ~t FrstNsme O.V. I Q 5 "~d1eNi1A8 ' C&*W= Rewind For Bec6on G,t al Becia► . Vale of a,. W Canbbhon Lep `mac. O ~,krr ri ire ❑ Ruooff (L.od BecWm 0ntly) p(50 00 "d*m T 17 JQ Ih~ C-i0. L-n . n.rar►andt~ontatwrt oZ 16 . D `4 Knox%ji I 9AI D.rr,Iptatar►w,dcarra,ton o~a i~r Se l-~ Pho+o o ~ p~ f . M Knd Contribution FW Nsete A Midas Nrae b-DW Cottht"m Reoeivd Ventre of Prit.6ection Gataal Btsction t o RwoN (Local Becllom Orly) 188. ~ I Agp~ A&%n o 0 ~Q• Y l h ~ ftbaIb*WC"* ttort atr ION I zn ?D~ vn*wnar+xmdtxrrse + Pr►r,•h ng Du PP) , ~_s P,*N. 13 rlidrte m -ow CftftUoct ftmtm vane of dnddrtd aUko~W ❑ Pnirttsry Bectiort General Bec6m LmdMwA Drp nWmNsme 13 L Runall (tAal Becdiona only, Aed ) G A (c Uf `tr.. c+ lam' Y P\ cl a,~anxma Aoa •~o ah' ar ,l I e; "180 3 Ixeaiptonar,aa~ta e-h' d `rshtir+5 5. TOTAL ITEMIZED RMND CONTR0unONS ginybwWdbMeet&amddpapsrsddti' pgaarktrrnerewall elm Is Mt ppspearr.ioftd aorMrb ftw ft=*W m Mbe roan Ina mmalmm m4 SS-1128 (Rev. 20) Pale of RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2 REPORT COVERING THE PERIOD FROM: TO: noun 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $O K *9 itemized page) 4. COAPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (opwA'1m bump mole dmn $100 n &V pyee during fie period) Fkat Name fiddle Name Purpose of Expenditure Artwrmt of Expenftne Let NameAs Name ~Q I C.. 5 Y a ra y t~rns ~.~,.61~'4 ' , 3D Add.eu logo un+eer7 C'rowoq I- h Ctnk yc~ U)-+d<, leba 'l-no i rw Name Biddle Name Pupose of Fpendi m AmW t d E)rpa mkn Lml NamelBudneft. S•~-a I g 13u l k l'` r~ l 11 n~ 8 3 a. o~ Address 100 w4c6 witn Ico T1 j 3 ?D Mum Irrddle Name Pupm of Evwxkm Amount o(Expendhee Lso'wn Nem -rh e D i I `Time Ads LA) 384 . oa O A, 3 ~l E ar r Ve 31 ~6. M Vi I ~e 7V 1 .3790q Fist N& m Uddie Name PiMW of EXpE ftn Amotmt d Egwdkne LaslNar mlBrs:,eaName Pnr4i n Z112 pti n+z pocw 2rs S 3. o q l ova a rYNO h W _ Nlair►d ou•F a ► 4 . a 3 rn.rr s 37865 FM Name Do r 1 1') " * Name Pupm of E:pm%m Amount d Epenftno u tNam ms:Name Prln+tnq 5UPPI1 s 138. 3 nCC~.1 Aftm 3aq E. Edi5ov~ Sf c*l A l (!d a T►J "P-701 lbv RV Name mox (e VA& Name Pupose d Expfxom Amount of E*&-,*n t,atNameleusirosaNme (J~Sp~~ 3oarrds ~ ~ 5. S+ew "d*m 317 E. d I ' e77 " coa z*17-70) 5. TOTAL ITEMIZED EXPENDITURES tcwybrrardnaem3.afnedpaperaadifo dpw"of lane OW4 J~ I~•(JJ~ (IM Is toleslppee(erpeWkm.NcavowtouetbeAmin ItemlWofmmwyj ® SS-1129 (Row. 4102) Pape d 0 RDA 1159 ITEMIZED STATEMENT OF LOANS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE . 2. REPORT /COVERING THE PERIOD V otc L e ~ t 6 I F I ~ 1P ':c3& Ile 3. COMPLETE THEAPPROPRIATEITEMS FOREACHITEMIZED LOAN (wane roatnpm mfmSlooeomsroswwdwwftwwdl Complete th Folaft for the Solace of the Loan Fist Name tdiddlaNane~ Qddnaifloa Lam Lm OutsianftWwBdwm C c l' (Be W" of ftioa) taeO" Par-+t T-W of periA lea YI~r Aftm l l Lan lteceired for: Ogle of loan ~ P,.Ebcftn o VGanx EW06an X7) `ill I W J I Or-N` 77t~~ o Rm*"Cdee~monm UdAJ Endmm or Gu m*#s forAbove loan (Smote apace is needed please attach s page) FW Nare MWdle Na~ Fist Name W"e Naw r CSC r LadNm~DryaNta6on Lest~onNxro /'o '-w I 'n q $fsie ZP °°da A 1 Wo as AmoadGtaxdesdouhWi&g t annbeaouatandi+p ,cyLv FM Name Wdit Name Fiat Nang Middle Name tWNxnelotpata"Nana last*m%opa lz"Nana A"m Aftm as State Ilplbde av mm rvoode MOW cla WOW OtdMW" cax«+aw o Rnd Nara Muddle Neer Rrd Nana MiddleNara Wmwnerotaxdnion Nana LastNxtwlOtpxtamionNcra Addfwss Aft= LP Amoud(#sarattbedOdsfa~datp Fid Kane Middle Nara Rrd Name Midfa Hm m Last" . Nans Nandotpadrdion Nam AOM Address cr SWe 4coda 0~1 ShAe apcw% AmaatQaaanNedQAdarrwp GwrxMeedQ~bl,nBnp 4.ToWsforall LamOompkieonWpopeotl0 nhadbam) QarananaLowBdum Loan Loan OuwmnftLONBdanoe (ion) bans roaelwd dm W dso Oe down h Yem 16 on sunnxy pope.) of Woo geO" a m /44 r (Wloanpwmebd"doobsdgwahaem2o.ontwwroypapn) LJe-'`~ (Ta amun hploanl>rlanoedatdddsoeedmolmbm12.s.oaaaNML) - ® SS-1132 (Rev. 4102) Page of RDA 1159 ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE J 2. REPORT COVERING THE PERT a I t I FROM: W 11 TO: - p td 3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED Outstanding Balance Debt Urcumed Payments DAstanding Balance OBLIGATION (obligalions totaling more than $100 owed to any Begin*g0f Pe" This Period This Period (End of period) Personhwidor of the end of the reporting period) D and Name diddle Name Log Nanblausim" Name Address MY 9* ZIP We nro Name fiddle Name Addmu cky Steb Zgtaode 0ea0m0f0bft9 n Flat Name !Eddie Name Last N+dbffiw mess Name Addmu CK Sfate IIPQode Oacripfon of obi9atan Flat Name Middle Name LaiNandBainaeNeme A hu Smle Zip Cade Deeaip Mcfob4sim flat Name NUe Now Lat NamelBuciron Name Ad*= C%/ Stele zocode DeecrWw of Obpp~ 4. TOTALS in Mein lib. on summary . Of Pefbd, aoMm, must also be shorn, v _ / 1 f _ D D ® SS-1127 (Rev. 4/02) Pale(/ AD or l R1 3A 1159 L Print Form 00 11, ppointment of Political Treasurer co e r State and Local Candidates and Single-Candidate Committees CP O INSTRUCTIONS O et oint olitical Treasurer statement must be used to appoint a political treasurer as required by the ` ancial 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 U 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 ONLY with Appointment the Registry of Election Finance, 404 James Robertson Parkway, Suite 104, Nashville, Treasurer 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. Candidate First and Last Name: 3. Candidate e-mail address: 7~ cJn -cu.~GivE X.'!! / 4. Cam aign Address and Phone: 'SlZo e~ls0l>~h~ f1 City State Zip Code Phone / Q TE1o1iG--•cIS oAI Sr /l ea,4 -~"~cl ~ 'I g6 S- 48 -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 Affiliation 8. Election Year ,C- DL(~tlT}~ L'~Eie ~~`yoc.ex► T zO ; to 9. Treasurer Name: 10. Treasurer a-mail address: s ro b ern C,kQ.r , rW4 11. Treasurer Address and Phone: City State Zip Code Phone 70 Why oort)*11 k. 3z, L C 1Q! 12. Candidate an Treasurer Signature (both signatures m t be witnessed. Treasurer can not witness candidate's signature): _ r • c 1 •/1w\ ry ig ture of C ndidate Signature of Treasurer Signature of Witness Signature of Witness Registry of Election Finance . SS-1120 (rev 12/2013)