Hammontree, James [Jim} CAMPAIGN FINANCIAL DISCLOSURE STATEMENT
For State and Local Candidates
For Single-Candidate Committees
1. DATE OF REPORT 2.a. NAME OF CANDIDATE OR COMMITTEE
n P/Z.,'(,--- 2__‘ )Z —0 2 2 -07514/1 e_G Lcipt v A/ .4)-m/vi 04 7---- ec--
2.b. IF COMMITTEE,NAME GiF CANDIDATE 3.ELECTION DATE
A/ —3 ) Z 0
4.a.CAMPAIGN ADDRESS AND PHONE AA 2-2---
Street or Rural Route City State Zip Code Phone
86 l-tuAJTR(1-4-1 4Lcav- -II/ 3170) <ais) ' 18-1754
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)
om R -UA] T CO VA) .9/- /1 4 dlZ � res 47440V /.-//tom6n) rza (�
7. CATEGORY OR REPORT(Check one)
❑ ❑ 0 0 ie 0 0 0
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 candi ate or or any other nonpolitical purpose as defined by the federal internal revenue de.
- . 4: 2 2-2__ .
signature of candidate dat signature of political treasurer d to
11. WITNESS SIGNATURE
p 41 211122. 1-6Ct 0`412(PI 2&
signature of witness date signature of witness date
12. SUMMARY
a. BALANCE ON HAND LAST REPORT $
_,L______
b. TOTAL RECEIPTS THIS PERIOD $ `/ h) 6 v 0 I JCL'
c. TOTAL DISBURSEMENTS THIS PERIOD ,� !�l2 29;��. $ SP tv /
�i/ ' • ,?? J may^//�
d. BALANCE ON HAND(12.a.plus 12.b.minus 12.c.) ' • �. $ 7/ �� `1-
R3
tz
e. TOTAL LOANS OUTSTANDING ot ' . $ A
f. TOTAL OBLIGATIONS OUTSTANDING $
SS-1109(Rev.2/06) Page 1 of 17 RDA 1159
•
SUMMARY PAGE - CANDIDATE
13. NAME O :NDIDATE OR COMMITTEE(In II) ` , 14. REPO T+COVERING T E P RIOD
44 d, -A4 m o"v ���� — FROM:/2 Z TO:��Z,? Z.?—
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) $ i) L c
c.TOTAL CONTRIBUTIONS(other than loans and interest)(add 15.a. and 15.b.) $ ` /(6W `
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.) $ VO r
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)
$ z6,35
C— $ 2_(6 -�
Li i $ 3 �f� 5
3l e e) f6�TS ri/ 5 ),(y n cp $ 1',5. `� 1
} ciA) n-r—, s ,Az..3 $ 5o , 06-6
$
$
$
$
Total of Expenditures ($100 or less each payee) $ RAs , d 4-
b. Itemized Expenditures (Over$100 each payee this period) $
c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $88 3 . 6
20. LOAN REPAYMENTS MADE THIS PERIOD $
21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) $ le;b
4---
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) $
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.) $
J= = z 7
`�y' SS-1133(Rev.4/02) Page of
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
1.�N OF CANDIDATE OR COMMITTEE / 2. REPORT C VERING THE PERIO
'/4i0N 14-M M 04 �Z -P FROM:L /f Zy TO: 0_3�� ' Amo
3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE(enter$0 if first itemized page) )21
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION(contributions totaling more than$100 from any contributor`
First Name Middle Name Contribution Received For: Amount of Contribution
Last a/Organization Name Pt Primary Election CIGeneral Election l� 6
6-N/<zAls2t v) (�(jl
Address 350
(Ai ii�L re- 2e ST El Runoff(Local Elections Only)
► G
City/V/R-7(// P.-- _arrij Code V i Date of Contribution Aggregate This Election
O.
Occupation d Ak_k e r- Cd TAr J c-Tlit 1 ` V V
Employer J
E--Ailoa Lan)
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 Aid&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 Middle Name Contribution Received For. Amount of Contribution
Last Name/Organization Name ❑Primary Election ❑ General Election
Address El Runoff(Local Elections Only)
City State Zip Code Date of Contribution Aggregate This Election
Occupation
Employer
5. TOTAL ITEMIZED CONTRIBUTIONS
(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. 2/06) Page-3 of 7 RDA 1159
ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE
1. N CANDIDATE OR COMMITTEE Al2. REPORT C ERING THE PERIO
fM e /iX Q V AA a.AV `� FROM:I/j/Z TO:Vz3 Z�-
111Amo
3. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE(enter$0 if first itemized page)
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED IN-KIND CONTRIBUTION(in-kind contributions totaling more than$100 from any contributor ring 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 I 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-fend Contribution Aggregate this Election
City State Zip Code Description of In-Kind Contribution
Occupation Employer
First Name I 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 I 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 I Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution
❑Primary Election El General Election
Last Name/Organization Name
❑Runoff(Local Elections Only)
Address Date of In-I0nd 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 paged additional pages of this form are used.)
(If this is the last page of in-kind contributions,this amount must be shown in item 22b.of summary.)
: A SS-1128(Rev.2/06) Page of 7 RDA 1159
ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
FROM: 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$100 to any payee during the period)
First Name I Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
c- 2-; Ale__ z4 3 '
Address,2 0 Z$ _3- ! TIQ
CiVW 1-1-/&Y vI�L e-__, i 7CS "
/1/ rr r
First Name / Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
Address 2 V tom/ rn V, .
Jl,�✓, � ,/1)Q.. # J l l��
V `'T
City State Zip Cod@
� �z�t) « L � �A) 37 6
First Name Middle Name Purpose of Expenditure Amount of Expenditure
11
Last Name/Business Name ',z
Address C-------4 ! "V it?, t v
City StateThAi?-72 i Z--.(...- Q- --r� I3 Cod TgoL)
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name()U A.0 , 1 f Z7(` ��
./y3
Address '! A
, /l C,Cl- Q Ai A v�� •�G
V `
City State Zi Code
�)--3r7 61 v
First Naam Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name L✓/
Tr., e.. P-756 1 ca
Address36 7 E.-...(4___, ^ feil.._
GiMill2-1/VI /*I_c—e.__ State 1 419..o.dl +
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.) #g 3
(If this is the last page of expenditures,this amount must be shown in item 19b.of summary.) V a/—
te SS-1129(Rev.4/02) Page of 7 RDA 1159
ITEMIZED STATEMENT OF LOANS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
FRO TO:
y C z� 2-3 �
3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED LOAN (loans totaling more than$100 from any source dun 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/Organization Name
Address Loan Received For: Date of Loan
❑ Primary Election 0 General Election
City State Zip Code
❑ Runoff(Local Elections Only)
List All Endorsers or Guarantors for Above Loan(If more space is needed please attach a page)
First Name Middle Name First Name I 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 f
State I Zip Code City State Zip Code
Amount Guaranteed Outstanding Amount Guaranteed Outstanding
First Name I 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 I 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
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 Payments (End of P 'od)
(Total loan payments should also be shown in item 20.on summary page.)
(Total outstanding loan balance should also be shown in item 12.e.on front page.)
SS-1132(Rev.4/02) Page of 7 RDA 1159
ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT OV�RING THE PERI D •
FROM: - ( /�Z TO: " 2
3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED Outstanding Balance Debt Inc rred Payments Outstbnding 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 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
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.)
141.
WV SS-1127(Rev.4/02) Page of 7 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.
1. Da e: 2. Candidate First and Last Name: 3. Candidate e-mail address:
6A) 7,
4. ampai n Address and Phone: City State Zip Code Phone
E,11, 7- ~6t ce)~ 7A/ -37,7ot6g~CqV-7,56t
5. Home Address and Phone (if different than item 4 above): City State Zip Code hone
6. Office Sought (include district number, if applicable) 7. Party Affiliation 8. Election Year
D i sTX>c T Z -~en4 7- kP-TLA~ L ?c AA/ Z o 1 8
9. Treasurer Name: 10. Treasurer e-mail address:
11. Treasurer Address and Phone: City State Zip Code Phone
12. Candidate and Treasurer Signature (both signatures must be witnessed. Treasurer can not witness candidate's signature):
Signature of Candidate Signature of Treasurer
Signature of Witness A Signature of Witness
r7
y
x Registry of Election Finance
r0~
SS-1120 (rev 12/2013) ~Yd Zl LL 0~
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: AAM aCandidate's Position: T) l S~IZJcrt 2 J9~~
Residential Address: S /I Lt. VT- o
CitY: aL G O State: TN Zip: 3_7 -70 L:2_313
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.
ndidate's Signature Da e
v
Witness's Si ature iECEIVED Date
N
*R 2 31018 A
N ELOUNT COUNTY Or
ELECT101v
6
Wd Z < « 0~