Lawhorn, Staci Crisp JT
CAMPAIGN FINANCIAL DISCLOSURE STATEMENT
For State and Local Candidates
For Single-Candidate Committees
1. DATE OF REPORT 2.a. NAME OF CANDIDATE OR COMMITTEE
-d3-18 SM
is
CA LAAWAJ
2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE
5-1-
4.a. CAMPAIGN ADDRESS AND PHONE
Street or Rural Route City State Zip Code Phone
N 3 71,
8V 5 - qqs -9
lot- Ced.av tsA- LK. s Z
4.b. CANDIDATE'S HOME ADDRESS (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)
u s' is S CiGtYol
7. CATE RY OR REPORT (Check one) 13
J~
FIRST SECOND THIRD FOURTH PRE- PR - MI -Y R YEAR❑-E
ND
QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL
8.a. BEGINNING DATE OFF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD
O
9. (Check one)
a. 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 any other nonpolitical purpose as defined by the federal internal revenue code.
signature of c ndidate date signature f political treasurer date
11. WITNESS SIGNATURE
s nature of witness date k-signature of witness date
12. SUMMARY
a. BALANCE ON HAND LAST REPORT $
b. TOTAL RECEIPTSTHIS PERIOD
c. TOTAL DISBURSEMENTS THIS PERIOD $
d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ 1-44.3201
e. TOTAL LOANS OUTSTANDING ~0..........J.................................... $ 3,W. BOO
. ..........p
RECEIVED w
f. TOTAL OBLIGATIONS OUTSTANDING A $
.
d' 0)
SS-1109 (Rev. 2/06) BLOUNT COUNTY V ELECTION cb page 1 of RDA 1159
O
~Yy Wd Z~
CAMPAIGN FINANCIAL DISCLOSURE STATEMENT
For State and Local Candidates
For Single-Candidate Committees
1. DATE OF REPORT 2.a. NAME OF CANDIDATE OR COMMITTEE
4-1c)- 8 I S +a6 is - AIIAJ .
2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE
SbG WV - I~ Irwar a ~
4.a. CAMPAIGN ADDRESS AN PHONE
Street or Rural Route 1 ~city state Zip Code Phone
ZI,4q e-eBLLW Cues r•l• ~ 1,3 64 ~6-Q
4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.)
Street or Rural Route City State Zip Code Phone
F5. OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate)
Cou COWWAis S, no V1 SJ . q S jr C'ar o o% Gri
7. CATEG RY OR REPORT (Check one)
19 IF RSr SECOND THIRD FOURTH PR - PR - 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
64-t A•If 3
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. Uwe 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.
N&O - onmemL- C 9
-Wj&t~ 2!2~ 14-1
signature of ndi te =--4date signature of litical treasurer date
11. WITNES SIGNA RE
4.IP-14 A
signature of witness date signature of witness date
12. SUMMARY '
a. BALANCE ON HAND LAST REPORT PI....................,............................. $ J.
P
b. TOTAL RECEIPTSTHIS PERIOD ....;~i":)..........................$
c. TOTAL DISBURSEMENTS THIS PERIOD $
d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.)
3cc.®a
e. TOTAL LOANS OUTSTANDING
f. TOTAL OBLIGATIONS OUTSTANDING $
SS-1109 (Rev. 2106) Page 1 of RDA 1159
1
SUMMARY PAGE - CANDIDATE
13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD
SHia Cr ' FROM: T0: 3
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) $ a b 0 .'0 p
c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ A'Soc..0O
16. LOANS RECEIVED THIS REPORTING PERIOD $ 3 cp. BOG
17. INTEREST RECEIVED THIS REPORTING PERIOD $
$OC3, CD
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)
$
$
$
$
$
$
$
e
Total of Expenditures ($100 or less each payee) $ 3 p
b. Itemized Expenditures (Over $100 each payee this period) $ a Jr A .
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.) $
22.IN-KIND CONTRIBUTIONS
a. Unitemized in-kind contributions ($100 or less from each source this period) $ 0 P
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.) $Jr~ CP
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 121) $
SS-1133 (Rev. 4102) Page of
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
Ll \ S FROM: S TO: Z A, I- (A
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 totaling more than $100 from an contributor
First Ngme Middle Name Contribution Received For: Amount of Contribution
V-0l V- j. $ moo. CC)
Last Na a/Organizat Name Primary Election ❑ General Election
~k
Addres MA &V\ ❑ Runoff (Local Elections Only)
o e 8 -~j QA.
City State-- 11 Zi Code Date of Contribution Aggregate This Election
S i I rV P~ ~ O
Occupation
R.e "reel
Employer
First ame Middle Name Contribution Received For: Amount of Contribution
Last Name/Organization Name IQ Primary Election ❑ General Election
e
Addre ❑ Runoff (Local Elections Only)
City r' Y I State Zip Code Date of Contribution Aggregate This Election
W -t
Occupal -4
Employer
S 1 LX.
FirstNa a iddleName Contribution Received For: Amount of Contribution
L L ick L4 I'I
Last Name/Organization Name Primary Election ❑ General Election 5 C o . 00
GY etAn
Address ❑ Runoff (Local Elections Only)
City State ZipCode Date of Contribution Aggregate This Election
Occupation 3--a 12
Employer
First ame Middle Name Contribution Received or: Amount of Contribution
Last Name ganization Name Primary Election ❑ General Election I co . OD
WL~kw
Address
City , ❑ Runoff (Local Elections Only)
k 'A 1~~ State Zi Code Date of Contribution Aggregate This Election
Occupation ^ J'
Employer
5. TOTAL ITEMIZED CONTRIBUTIONS n ^
(Carry forward to item 3. of next page if additional pages of this form are used.) to N
(If this is the last page of contributions, this amount must be shown in item 15b. of summary.)
SS-1131(Rev. 2106) Page of RDA 1159
ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE Oft COMMITTEE 2. REPORT COVERING THE PERIOD
FROM: • T0:
moun
3. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) liar,
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)
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
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
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
First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution
E] Primary Election El 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 221b. of summary.)
f SS-1128 (Rev. 2106) Page of RDA 1159
CANDIDATE
NT OF CONTRIBUTIONS ITEMIZED STATEME 2. REPORT COVERING THE PERIOD
To: 3 b
FROM: Amount
00.00
1. NAME OF CANDIDATE OR COMMITTE
\h enter $0 if first itemized page)
Amount of Contribution
. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE CONTRIBUTION (contributions totalin more than $100 from an contributor
3 Contribution Received For:
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED Middle Name ❑ General Election UO 61.0
[,primary Election
First Name
Laste/organization V\-It' 1V; Name Runoff (Local Elections Only)
l~l This Thls Election
Address '1 1 Date of Contribution
S.ta(le~ ZiQ de
City ` Ir
Occupation
Employer Amount of Contribution
~p~t(ft Contribution Received For:
Middle Name
First Name ❑ primary Election ❑ General Election
Last NamelOrganizationName C3 Runoff Local Elections Only)
Address Aggregate This Election
state Zip Code Date of Contribution
city
occupation
Employer
Amount of Contribution
IddleName Contribution Received For:
First Name
❑ Primary Election ❑ General Election
as ame rganiza on ame
❑ Runoff (Local Elections Only)
Address
Date of Contribution Aggregate This Election
State Zip Code
City
r
Occupation
mp oyer
Contribution eceived or: Amount o Contribution
Middle Name
First Name
❑ Primary Election ❑ General Election
Last Name/Organization Name
❑ Runoff (Local Elections Only)
Address
State Zip Code Date of Contribution Aggregate This Election
City
occupation
F
Employer
5. TOTAL ITEMIZED CONTRIBUTIONS
(Carty 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 151b. of summary.)
l
SS-1131(Rev. 2106) _
l~'Ifl
ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
Sta Lt CV ► Sp a FROM: _ _ g TO:
Amount
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 NamelBusiness Name . N ZW S ? a~)Qy '9 4 1 O ,1Iq q . CP
YVlf1S 1
Addr s
o . WiV ev
City State I Zip Code
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/ t siness Name ~ ~ 1 Q VIS
Addr s J t J
City Stale Zip Code
TO
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 p
(Carry forward to item 3. of next page if additional pages of this form are used.) S d O
(It this is the last page of expenditures, this amount must be shown in item 19b. of summary.)
SS-1129 (Rev. 4102) Page of RDA 1159
Jg...
* r
d
ITEMIZED STATEMENT OF LOANS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
FROM: TO:
3. COMPLETE THE APPRO RIATE ITEMS FOR EACH ITEMIZED 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
(Beginning of Period) Received Payments ¢ (End of Period)
Last Name/ rganizationName I Socl QC) ..8' A? Y 3~0' ~G
Address Loan Received For: Date of Loan
3 ' / C S T 5 Primary Election ❑ General Election
City State Zip Code
S J 1 1 [I Runoff (Local Elections Only)
V 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 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 i
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 Cade 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 menu End of Period
(Total loan payments should also be shown in item 20. on summary page.) a ~y
(Total outstanding loan balance should also be shown in item 12.e. on front page.) -r O TI 3 C,0- 0-1
SS-1132 (Rev. 4/02) Page of RDA 1159
. _ J.
. _ ...1~ , _ ors - - - ~-s~r~rti~iritl~r
ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE I,2. REPORT COVERING THE PERIOD
U b- 1 W- Y `QY lr~ FROM: - 8 TO:
3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED Outstanding Balance Debt Incurred Payments Outstanding Balance
OBLIGATION (obligations totaling more than $100 owed to any (Beginning of Period) This Period This Period (End of Period)
person/vendor at the end of the reporting period)
First Name Middle Name
Last NamelBusiness Name
Address
City State Zip Code
Description of Obligation
First Name Middle Name
Last Name/Business Name
Address I
City State Zip Code
Description of Obligation
Flrst 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
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.)
Alk SS-1127 (Rev. 4/02) Page of RDA 1159
CAMPAIGN FINANCIAL DISCLOSURE STATEMENT
For State and Local Candidates
For Single-Candidate Committees
1. DATE OF REPORT 2.a. NAME OF CANDIDATE OR COMMITTEE COUNTY
- a Jr- 1 g I w ~LG 6 ELEC i ON
2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE
~-t- 8
4.a. CAMPAIGN ADDRESS AND PHONE
Street or Rural Route City State Zip Code Phone
3VA W SV1t S- -IQ-1 q45
4.b. CANDIDATE'S HOME ADDRESS (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)
uvx-I- CaL ioln~ 1 1(0 ( 1
7. CATEGORY OR RE RT (Check one) , /
❑ ❑ ❑ ❑ ❑ ❑ ❑ OO
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 any other nonpolitical purpose as defined by the federal internal revenue code.
A-~
signature of can idate date signature political treasurer date
11. WITNESS SIGNATURE
-&& I -ZS- I2 _ l - 2~-
signature of witness date signature of witness date
12. SUMMARY
a. BALANCE ON HAND LAST REPORT $
b. TOTAL RECEIPTSTHIS PERIOD $
c. TOTAL DISBURSEMENTS THIS PERIOD $
d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ _ _ XJ
e. TOTAL LOANS OUTSTANDING $ 'pI
f. TOTAL OBLIGATIONS OUTSTANDING $
SS-1109 (Rev. 2/06) Page 1 of 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, maybe
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. Candidate First and Last Name: 3. Candidate e-mail address:
WL4, cu*
4. Campaign Address and Phone: City State Zip CQck Phone
t Lh • i s I e 'r'll~ ~G 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
MM~ SS 10 ~ ►S c.a' ~Q a0 ~ $
VA I ci V'-
9. Treasur Name: 10. Tr asurer e-mail address:
OLEO 1
11. Treasure ddress and Pho e: City State Zip o e Phone
12. Candidate and Treasurer Signature (both signatures must be witnessed. Treasurer can not witness candidate's signature):
~C~ EO
Signature of C ndid to JAN 2 gnature of T easurer
2 ?018
kOIJAIrCo
~oAuf'
Signature of Witness Signature of Witness
Registry of Election Finance
SS-1120 (rev 12/2013)