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Anderson, Jared CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1 DATE OF REPORT 2.a. NAME OF CANDIDATE OR COMMITTEE 4/24/2018 Jared Anderson for Blount County Commission 2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE Jared Anderson 105/01/2018 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone 1021 Windridge Drive Maryville TN 37803 865-272-9455 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) Blount County Commissioner, District 5, Seat A J. Scott Stuart 7. CATEGORY OR REPORT (Check one) ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 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 04/01/2018 104/21/2018 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. 4J-2,q- 2-P is op, signature of candidate date signature of political treasurer date 11. ITNESS SIGNATURE signature of wi Hess date signat ss 1Z p 12. SUMMARY 458.3r",`17 a. BALANCE ON HAND LAST REPORT $ 2 4 07 810.00 a „Nrc co b. TOTAL RECEIPTS THIS PERIOD $ r•1}C1~ GC 1000.(}0 c. TOTAL DISBURSEMENTS THIS PERIOD $ d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ e. TOTAL LOANS OUTSTANDING $ 0 0 f. TOTAL OBLIGATIONS OUTSTANDING $ SS-1109 (Rev. 2106) Page 1 of 1 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 4/9/2018 Jared Anderson for Blount County Commission 2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE Jared Anderson 105/01/2018 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone 1021 Windridge Drive Maryville TN 37803 865-272-9455 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) Blount County Commissioner, District 5, Seat A J. Scott Stuart 7. CATEGORY OR REPORT (Check one) ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 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 01/16/2018 03/31/2018 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. 0 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 $1,000 for this reporting period. 10. I/we do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this report is an accurate accounting of campaign contributions and expenditures required to be reported by the candidate committee by the Campaign Financial Disclosure Act. Additionally, I/we swear or affirm that no campaign contributions have been expended for the personal financial b nefit of the candidate or for any other nonpolitical purpose as defined by the federal internal revenue code. Y-clr7io l$• signature of candidate date nature of po, ,ca treasurer date 11. WIT SIGNATURE signature of witness date signature of witness date 12. SUMMARY 0 a. BALANCE ON HAND LAST REPORT $ b. TOTAL RECEIPTSTHIS PERIOD .2,020.00 c. TOTAL DISBURSEMENTS THIS PERIOD $ 13561.69 458.31 d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) -2.N................................................... $ C t• 0 e. TOTAL LOANS OUTSTANDING :...........::..i,.............................................. $ 10 0 f. TOTAL OBLIGATIONS OUTSTANDING A....... $ \ SS-1109 (Rev. 2106) \ d 6~ Page 1 of 5 RDA 1159 SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD Jared Anderson FROM: 01/16/2018 TO: 03/31/2018 RECEIPTS 15. CONTRIBUTIONS (other than loans and interest) a. Unitemized Contributions $100 or less from each source this period) 570.00 b. Itemized Contributions (over $100 from each source this period) $ 1,450.00 c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ 2,020.00 16. LOANS RECEIVED THIS REPORTING PERIOD $ 0 17. INTEREST RECEIVED THIS REPORTING PERIOD 0 18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) $ 2,020.00 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) Printing $ 84.38 Voter List $ 50.00 Advertising $ 20.00 Food $ 73.79 $ $ $ $ Total of Expenditures $100 or less each payee) 228.17 b. Itemized Expenditures Over $100 each payee this period) 1,333.52 c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $ 1,561.69 20. LOAN REPAYMENTS MADE THIS PERIOD $ 0 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) $ 1,561.69 22.IN-KIND CONTRIBUTIONS a. Unitemized in-kind contributions ($100 or less from each source this period) $ 30 b. Itemized in-kind contributions (over $100 from each source this period) $ 0 c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.) $ 30 23. OBLIGATIONS a. Unitemized Obligations Outstanding ($100 or less each) $ 0 b. Itemized Obligations Outstanding (Over $100 each) $ 0 c. TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 12.f.) $ 0 SS-1133 (Rev. 4/02) Page 2 of 5 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD Jared Anderson FROM: 1/16/2018 TO: 3/31/2018 Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) $0 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor First Name Middle Name Contribution Received For: Amount of Contribution Billy Trent $350.00 Last Name/Organization Name ❑Q Primary Election ❑ General Election Anderson Address ❑ Runoff (Local Elections Only) PO Box 7011 City State Zip Code Date of Contribution Aggregate This Election Maryville ITN 137802 03/10/2018 $650.00 Occupation Retired Employer n/a First Name Middle Name Contribution Received For: Amount of Contribution John Joseph Last Name/Organization Name Primary Election ❑ General Election $100.00 Williams Address 504 Bramblewood Drive El Runoff (Local Elections Only) City State Zip Code Date of Contribution Aggregate This Election Nashville TN 37220 Occupation $1 00'00 Attorney 03/10/2018 Employer The Peacefield Group First Name iddle Name Contribution Received For: Amount of Contribution Jared Trent ❑ $200.00 ast Name /Organization Name Primary Election F-1 General Election Anderson Address ❑ Runoff (Local Elections Only) 1021 Windridge Drive City State Zip Code Date of Contribution Aggregate This Election Maryville TN 37803 03/09/2018 $200.00 Occupation Attorney Employer Anderson & Small, PLLC First Name Middle Name Contribution Received For Amount o Contribution David Reed Last Name/Organization Name ❑X Primary Election ❑ General Election $250.00 Duggan Address ❑ Runoff (Local Elections Only) 1796 Nobel Street City State Zip Code Date of Contribution Aggregate This Election Alcoa TN 37701 Occupation 03/16/2018 Circuit Court Judge $250.00 Employer State of Tennessee 5. TOTAL ITEMIZED CONTRIBUTIONS $900.00 (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.) m,• SS-1131(Rev. 2/06) Page 3 of 5 RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD Jared Anderson FROM: 1/16/2018 TO: 3/31/2018 Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) $900.00 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor First Name Middle Name Contribution Received For: Amount of Contribution Billy Trent $300 00 Last Name/Organization Name ❑X Primary Election ❑ General Election Anderson Address ❑ Runoff (Local Elections Only) P.O. Box 7011 City State Zip Code Date of Contribution Aggregate This Election Maryville TN 137802 03/15/2018 $650.00 Occupation Retired Employer n/a First Name Middle Name Contribution Received For: Amount of Contribution Marqaret K. Last Name/Organization Name ❑X Primary Election ❑ General Election $200.00 Lambert Address 1320 Dunbarton Lane ❑Runoff (Local Elections Only) City State Zip Code Date of Contribution Aggregate This Election Maryville ITN 137803 Occupation $200.00 Retired 03/19/2018 Employer n/a First Name iddleName Contribution Received For: Amount of Contribution Jared Trent $50.00 Last Name /organization Name Q Primary Election ❑ General Election Anderson Address ❑ Runoff (Local Elections Only) 1021 Windridge Drive City State Zip Code Date of Contribution Aggregate This Election Maryville TN 37803 02/27/2018 $250.00 Occupation Attorney Employer Anderson & Small, PLLC 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 5. TOTAL ITEMIZED CONTRIBUTIONS $1,450.00 (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 151b. of summary.) 4 5 3 v: SS-1131(Rev. 2/06) Page of RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD Jared Anderson FROM: 1/16/2018 TO: 3/31/2018 mount 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) $0 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/Business Name Yard Signs $386.75 Pro-edge Printing Address 4920 Fort Sumter Rd. City State Zip Code Knoxville TN 137938 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Room Reservation $105.00 LBlountCounty Public Library th Cusick Street State Zip Code TN 137804 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Printing Campaign Materials $155.82 Vista Print Address 275 Wyman Street City State Zip Code Waltham MA 102451 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Printing Campaign Materials $386.95 Vista Print Address 275 Wyman Street City State Zip Code Waltham MA 02451 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Campaign Advertisement $299.00 The Daily Times Address 307 E. Harper Avenue City State Zip Code Maryville TN 37804 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last NameBusiness 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.) $1,333.52 (If this is the last page of expenditures, this amount must be shown in item 191b. of summary.) SS-1129 (Rev. 4/02) Page 5 of 5 RDA 1159 Print Form 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. 1. Date: 2. Candidate First and Last Name: 3. Candidate e-mail address: 3/8/2018 Jared Anderson janderson@andersonsmall.com 4. Campaign Address and Phone: City State Zip Code Phone 1021 Windridge Drive Maryville TN 37803 865-272-9455 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 Blount County Commissioner, District 5, Seat A Republican 2018 9. Treasurer Name: 10. Treasurer e-mail address: John Scott Stuart j.s.stuart@outlook.com 11. Treasurer Address and Phone: City State Zip Code Phone 2224 Carpenters Grade Rd Maryville TN 37803 865-660-7093 12. Candidate and Treasurer Signature (both signatures must be witnessed. Treasurer can not witness candidate's signature): oooo Gr 4 Signature of Candidate ALICE",) _ Signature of Treasurer r MAR - 9 2019 aeae00 Signature of Witness Signature of Witness Registry of Election Finance :w.K SS-1120 (rev 12/2013) 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. 1. Date: 2. Candidate First and Last Name: 3. Candidate e-mail address: 2 - 27-2,o/ff JA,re d /4w d~.a•~ Jared fa..Vo(o"o,•... 4P u..,- 4. Campaign Address and Phone: City State Zip Code Phone )vZl Li ,l,"A'1,12.. 37k03 9'(. 5-272-9vs5 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 Gow~ w~/~ 2 0 / 8 9. Treasurer Name: 10. Treasurer e-mail address: J0.rGd Ahders~.. 11. Treasurer Address and Phone: City State Zip Code Phone loll tJ4,C,9r rj0,r-- pnv~ /YLa I~ 7'N 3 ?8o 3 $GS- 2 72 _ SY 12. Candidate and Treasurer Signature (both signjmf Pe.witnessed. Treasurer can not witness candidate's signature): 11 fteonjeo J~ . Signature-of Candidate FEB 21 2018 y Signature of Treasurer SLO ( ELECiiOIV if f 1, j ~.gnature of Witness Signature of Witness Registry of Election Finance SS-1120 (rev 12/2013)