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Berrong, James Lee CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1 DATE OF REPORT 2.a. NAME OF CANDIDATE OR COMMITTEE 3. ELECTION DATE 2.b. IF CO l NAME OF CANDIDATE 4.a. CAMPAIGN ADDRESS AND PHONE Slate Zip Code Phone Street or Rural Route City _ 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) 7. CATEGORY OR REPORT (Check one) ❑ ❑ ❑ ❑ El E] E-1 MID-YEAR YEAR-END FIRST SECOND THIRD FOURTH PR PRE ENDING DATE OF REPORTING PE SUPPLEMENTAL SUPPLEMENTAL QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL 8.a. BEGINNING DATE OF REPORTING PERIOD L* 4 9 (Check one) ffrom or this detailed disclosure because (Complete (incl and in-ki) d) received total $1,000 or less AND expendi- a ❑ taThis res campaign is exempt total 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 be a ended for the personal financial benefit of the candidate or for any other nonpolitical purpose as defined by the feder ernal e e r de. a a s' at f oil al tr surer //-d ignature of can • da 1 11. WI NESS SIGNATURE Z _L5 L(--23-8 r ~ signature of witness date signature of witne s date 12. SUMMARY ~3 X50. a. BALANCE ON HAND LAST REPORT b. TOTAL RECEIPTS THIS PERIOD $ 9'~0. $ M.... . . . . c. TOTAL DISBURSEMENTS THIS PERIOD . .12 4. . . . 3 Z s d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) Q' N ~ e. TOTAL LOANS OUTSTANDING .................................r+ RECEIVEp.. . . . . tD $ APi! 2 5 2018 $ f. TOTAL OBLIGATIONS OUTSTANDING . BLOUNTCO LEC71ON ate. ~a Page 1 of RDA 1159 5S-1109 (Rev. 2106) S b ~ ` SUMMARY PAGE - CANDIDATE 14. REPORT COVERING THE PERIOD 13. NAME OF CANDIDATE OR COMMITTEE (In Full) FROM T0: C -I -Z a RECEIPTS- 15. CONTRIBUTIONS (other than loans and interest) V'Q a. Unitemized Contributions ($100 or less from each source this period) .O D b. Itemized Contributions (over $100 from each source this period) $ r , 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) >z 0V'j t' $ fog $ $ $ $ $ • Iss. ~g 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.& and 19.b.) $ 20. LOAN REPAYMENTS MADE THIS PERIOD 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) 22AWKIND 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.) $ 23.013LIGATIONS $ 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.) Page of SS-1133 (Rev. 4102) ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD L 1 S Ls'tr FROM. i T0: 04 Amour 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 $too from an contributor First Name Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name 7rimary Election ❑ General Election tiA O 112 - S lao rL. ! N 1.6- "1 • W Address ❑ Runoff (Local Elections Only) S~ S Ow) • Slwl~vv 4D City State Zip Code Dale of Contribution Aggregate This Election 31501 Occupation Employer First Name Middle Name Contribution Received For: Amount of Contribution • Last Name/Organization Name O~Fnmary Election ❑ General Election \T7 -1 1 ❑ Runoff (Local Elections Only) Address r3 P'_ -vim V C a city State Zip Code Date of Contribution Aggregate This Election Jq Dt 4 31 Occupation Employer First Name iddle Name Contribution Received For Amount of Contribution v° an zahon ame rimary Election ❑ General Election ast ame rg ~ VU Address ❑ Runoff (Local Elections Only) City State Zip Code Date of Contribution Aggregate This Election .3Za07- Occupation l l 3 mp oyer First Name Middle Name Contribution Received For Amount of Contribution Last Name/Organization Name 5 Primary Election El General Election 7P Ad dress Runoff (Local Elections Only) State Code Date of Contribution Ahis Election City wr+bb 11~ ~7 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 151b of summary) A„ Page of RDA 1159 SS-1131(Rev. 2106) ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1 NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD C1~w -i t a o FJ, cj J V.," i FROM: T0: y moun 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 % 3 S , so Address 0"1 5 , w (~Qt 'V~J City State Zip Code PwJ-J J ! J 0 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name 05P.5 f/~J f 2S~.v~ Address / y 7 T- ~ City State Zip Code r-~ Pti~ ~~.ll< ~ d First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name c)J-=1y Addres'.. Z 77RZlJ~. r~p3 s~ Sp City Slate Zip Code 37 go owe J tte. 7-,J First Name Middle Name Purpose of Expenditure Amount of Expenditure Last NamelBusiness Name S, I ' av ti'Zw Address 2 S l . OT'V City State Zip Code+ ~s IV-4 1-2-30-11 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address City Stale Zip Code 3'1`a`-»' First Name Middle Name Purpose of Expenditure Amount of Expenditure Last N Business Name Address'} 4411~~ Cit J 1~( ` State( Zip Code t~ r, v 00 ^I 5. TOTAL ITEMIZED EXPENDITURES I I w (Carry forward to item 3. of next page if additional pages of this form are used.) ` ` I7 (If this is the last page of expenditures, this amount must be shown in item 19b. of summary.) Page of RDA 1159 SS-1129 (Rev. 4102) ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1 NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD £~V-c 1 / _ FROM: TO: mount 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) 1 • Ob 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures totaling more than $100 to any payee during the period) Middle Name Purpose of Expenditure Amount of Expenditure First Name Last N iBusiness Name K)tzJ x~ s" 4 To. LXj-- Addres n ~k)b ~G S At✓~ ►M n V City hate Zip Code CLAA1~ w c Middle Name Purpose of Expenditure Amount of Expenditure First Name Last NameiBusiness Name Address City Stale Zip Code First Name Middle Narne Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address City State Z p Code Middle Name Purpose of Expenditure Amount of Expenditure First Name Last Name/Business Name Address City State Zip Code Middle Name Purpose of Expenditure Amount of Expenditure First Name Last Name/Business Name Address City State Zip Code Middle Name Purpose of Expenditure Amount of Expenditure First Name Last Name/Business Name 1 7 Address City State Zip Code 5. TOTAL ITEMIZED EXPENDITURES ~l f~ Q n ( •b~ (Carry forward to item 3. of next page if additional pages of this form are used) l u (If this is the last page of expenditures, this amount must be shown in item 19b. of summary.) Page of RDA 1159 SS-1129 (Rev. 4102) CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees, 1. DATE 6F DEPORT 2.a. NAME OF CANDIDATE OR COMMITTEE _ W01/1 - I - 2.b. IF COMMITTEE, NAB, OF.CMD ATE 3. ELECTION DATE 'Zp 4.a. CAMPAIGN ADD WS$ I PH E Street or Rur I Route City. q . State Zip Code Phone 4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.) Street or Ru aI Route City State, Zip Code Phone 5. ;PFFlgE,SpU4HT (include district number, if applicable) 6. NAME OF POLITICA4 TREASURER (may be candidate) 7. CATEGORY OR REPORT (Check one) 'E k ❑ 13 - ❑ ❑ ❑ E3 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 OFREPORTING PERIOD ,a, ~yA,. 9. (Check one) a. ❑ This campaign is exempt from dgtpiled dis lQsure because contributions (including in-kind) received total $1,Q99.0V;Rs4ANI~eXpendi- - tures total $1,000 or less for this rep6rtiFtg~eriod. (Complete items 12d., 12e. and 12f.) b. [W This campaign is required to file a' bteiled financial disclosure because contributions (including in-kir4 recelved rAf r ofe than'$1,000 and/or expenditures total more tharl $1,OQO~for this reporting period. 10. I/we do solemnly swear or affirm that the-lhfoWa(idn contained in this campaign financial disclosure report is true and•6t this retort 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/wQ !vy4af or affirm that no campaign contributions have been expended for the pbrsonel f1h9ndial benefit of the candidate or for any other nonpolitical purpose as defined by the federal internal re_ventrp code. " /Z7 _-0, Y I e t Al, signature of candidate date sig t of 'f ica treasurer dame 11. WITNESS SIGNATUR k4o M- . `stgna re of wi Hess date signature of witness date 12. SI~MIy1,4E2Y a. BALANCE ON HAND LAST REPORT $ ,S) b. TOTAL RECEIPTS THIS PERIOD $ cll~ c. TOTAL DISBURSEMENTS THIS PERIOD $ d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) a 7..... • O e. TOTAL LOANS OUTSTANDING 6 ' Ft I $ •s, ems, ~ f. TOTAL OBLIGATIONS OUTSTANDING C? ............:"7C.J. v.............: $ C' .f~•. .,il v ,TC ~ <LrC1 Gr i,l,! , ~ SS-1109 (Rev. 2/06) 14 Page 1 of RDA 1159 0 dZl LL01- SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD (~e.e gt.w tin, . FROM: b TO: RECEIP-TS 15. 'CONTRIBUTIONS'(Mher• Wr 6anq wid interest)" L • A ~p~•ao a. Unitemized Contributions ($100 or less from each source this period) $ s :f b. Itemized Contributions (over $100 from each source this period) $ ' J c. TOTAL CONTRIBUTIQNS.(other than Loans anq,intere~t)(add 15.a. and 1§.b.) $ 1 16. LOANS RECEIVED THIS REPORTING PERIOD $ j 11. 71' 1 17. INTEREST RECEIVED THIS REPORTING PERIOD ° ' 18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) $ / Baj -y~ 4 DISBURSEMENTS'-' 177 ,.m..~ 1 l 7- F 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) S~QP ts~s $ 3g • 41 q $ t1 a. so C.e. I! P R-Ode. $ T-X 6 O B C Ifs. ~ ycs $ p.l ,'7 5 P•fiati.K Total of Expenditures $100 or less each payee) y b. Itemized Expenditures (Over $100 each payee this period) $ 44 1 • c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $ 20. LOAN REPAYMENTS MADE THIS PERIOD $ q p 21. TOTAL DISBURSEMENZS.(add 19.c. and 20.) (must be shown in item 12.c.) $ 22.IN-KIND CONTRIBUTIONS r 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. -TQTALIN-K(ND 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 121.) $ SS-1133 (Rev. 4102) Page of ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: (o T0: 3 S 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 $100 from any contributor) First Name Middle Name Contribution Received For. Amount of Contribution K 14- Last Nam Org ization Name ,Primary Election _ El General Election t c,W,-( 01 p, Address l*t 3$ M A L1p ❑ Runoff (Local Elections Only) City h Slate Zip Cod Date of Contribution Aggregate This Election Occupation _ I 1 s oA aF SLG~~-~ J.J I Employer ~!M )4 1 First Name f Middle Name Contribution Received For: Amount of Contribution (ZC .)0 Last Name/Organization Name Nrimary Election ❑ General Election Address ❑ Runoff (Local Elections Only) 3~ 1'7 ~sJw V s S ~A w City C~KSS t~ star jD ate of Contribution Aggregate This Election O=paGon Z,, l V 1 s Employer First Name iddle Name Contribution Received. For: Amount of Contribution 1ZeQ~w~ , F. IM~ ast am rgan¢abon ame ® Primary Election ❑ General Election I~ ra al .5 ~N ~ oo .1a Address ❑ Runoff (Local Elections Only) a I / Q rt,-QP~~ Dw~G f~,,tJt. City state Zip Code Date of Contribution Aggregate This Election Occupation Employer First Name Middle Name Contribution Received For. Amount of Contribution Last Name/Organiza^Name Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) `C q City l 0 State ~ Zips de $ b Date of Contribution Aggregate This Election Occupation h ( `q I Employer •G 5. TOTAL ITEMIZED CONTRIBUTIONS A (Carty forward to item 3, of next page if additional pages of this form are used.) S L b (If this is the last page of contributions, this amount must be shown in item 15b. of summary.) SS-1131 (Rev. 2/06) Page J of -a- RDA 1159 ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2., REPORT COVERING THE PERIOD FROM: TO: ount 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 (n-ldnd contributions totaling more than $100 from any contributor during the period) First Name MiddleName In-Kind Contribution Received For. Value of In-fend Contribution ❑ Primary Election ❑ General Election Last NamelOrgadizalion Name ❑ Runoff (Local Elections Only) Address Date of ln4(ind Contribution ;a ~x• ; AggregateAeection city State Zip Code Desaiptior of!nAnd Contribution Occupation Employer First Name Middle Name In-Kind Contribution Received For. Value of.ln-fdhd Contribution ❑ Primary Election ❑ General Election Last Name/Organization Name ❑ Runoff (Local Elections Only) Address Date of In-Idnd Contribution Aggregate this Election City State Zip Code Description of in-IGnd Contribution occupation Employer FrstName MiddleName In-Kind Contribution Received For. Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last NamelOrganaation Name ❑ Runoff (Local Elections Only) Address Date of In4nd Contribution Aggregate this Election City State Lp Code Description of In-Knd Contribution Occupation Employer First Name Middle Name In-Ind Contribution Received For. Value of In-Wnd Contribution ❑ PrimaryElection General Election Last Name/Organization Name ❑ Runoff (Local Elections Only) Address Date of in4(ind Contribution Aggregate this aection City State Zup Code Description of In-10nd Contribution Occupation Employer 4 First Name Middle Name In-Kind Contribution Received For: Value of In4nd Contribution ❑ Primary Election ❑ General Election ' Last Name/Organization Name ❑.RI(goff (focal Elec(ons Only) Address Date oflnXindContribution Aggregate this Eedion City State ZpCode Description of ln4<ind Contribution Occupation 5. TOTAIATEMIZED 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-Idnd contributions, this amount must be shown in Rem 22b. of summary.) SS-1128 (Rev. 2106) Page_ of _r RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMIgEE 2. REPORT COVERING THE PERIOD .;)1aer1.._ S L a, v Ms+tvb FROM: 1$ TO: 1'SC ' 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 $100 from any contributor) First Nam Middle Name Contribution Received For. Amount of Contribution ~Aa c Last Name/Orgalhization Name Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City Slate Zip Code Date of Contribution Aggregate This Election a^~v~\ -f r~ 3 03 - T1 Occupation Employer First Name Middle Name Contribution Received For. Amount of Contribution o.w.. c, f Roil „3 Last Name/Organization Name PPhmary Election ❑ General Election W tote ! 00 . 1►a Address ❑ R Runoff (Local Elections Only) 2s ~ L~~ ~••,NB~.-f a City State Zip Code Date of Contribution Aggregate This Election ~l~w,,.l~`L. 3~) 4o3 Occupation ~~'--11 Y Employer ` v First Name iddle Name Contribution Received For: Amount of Contribution t'~wwSUw~l'C ast Name/Organization ame %Primary Election ❑ General Election ` o, . l l . Address 2 ❑ Runoff (Local Elections Only) 13 ? hi . M~~k:...S CoJti. Ro City 1 State Zip Code Date of Contribution Aggregate This Election W r 1 tW ~j Y ~'~•Q Occupation ~1•L111$ Employer First Name Middle Name Contribution Received For. Amount of Contribution Last Name/Organization Name 41Primary Election ❑ General Election I-7 CA/1 Soo.W Address :?6"v -dot P,, ❑ Runoff (Local Elections Only) City State Zip Code Date of Contribution Aggregate This Election w I h A.aa T'.J Occupation Employer 5. TOTAL ITEMIZED CONTRIBUTIONS (Carry forward to item 3. of next page if additional pages of this form are used.) r 1 1 , 1 (If this is the last page of contributions, this amount must be shown in item 15b. of summary.) rQ 3 SS-1131(Rev. 2/06) Page J of A- RDA 1159 ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD •FR M. • z TO: Amount 3. TOTAL'tTEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED IN-KIND CONTRIBUTION (fn•Idnd contributions totaling more than $100 from any contributor during the period) First Name Middle Name In-Kind Contribution Received For. Value of In-Kind Cori4be4on ❑ Primary Election ❑ General Election Last NamelOrganrzation Name f; ❑ Runoff (Local Elections Only) Address Date of In-KindCOrdriihutpn egafethis Qection city state Zip Code Description of In-Knd Contribution occupation Employer First Name Middle Name In-Kind Contribution Received For. Value of In-fond Contribution ❑ Primary Election ❑ General Election Last Name/Organization Name ❑ Runoff (Local Elections Only) Address Date of In-land Contribution Aggregate this Election City State Zip Code Description of ln-IQndContribution Occupation Employer First Name Middle Name - In-Kind Contribution Received For. Value of InAnd Contribution ❑ Primary Election ❑ General Election LastNamelOrganaation Name ❑ Runoff (Loral Elections Only) Address Date of In-Kind Contribution Aggregate this Section City State Zip Code Description of In-fond Contnbution Occupation Employer t First Name Middle Name In-Kind gontdbution Received For. Value of InAnd Contribution ff-'P'nmary Election ` ❑ General Election Last Name/organization Name ❑ Runoff (Local Elections Only) Address Date of In-Kind Caddbution Aggregate this Election City State Zp Code Description of In-Knd Contribution occupation Employer ~ ti First Name Middle Name In-Kind Contribution Received For: Vale of In-Kind Contribution E] Primary Election ❑"General`Elecfon Last NamerOrganization Name . [TRGnofF (Local EleaUons Only) 6, . t - Address Date oflr,&dContribution Aggregate this Section City State Zip Code Description ofln-KndContribution occupation Employer 5. TOTA4,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-Idnd contributions, this amount must be shown in item Ub. of summary.) SS-1128 (Rev. 2/06) Page fo of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD ~i ~.ne t-~ ire FROM: TO: 7 Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 4 , Tb 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 C /14R( Q Last Name/OrgaAizationName *nmary Election ❑ General Election , t10 ST. I t. 511D Address ❑ Runoff (Local Elections Only) City 1r~. State Zip Code Date of Contribution Aggregate This Election Occupation Employer First Name Middle Name Contribution Received For. Amount of Contribution 174.. t1~ o A Last Name/Organization Name Primary Election ❑ General Election 7- A -W Ta I p,o . Va Address 1 -931 tic ooo ❑Runoff (Local Elections Only) City 1 State Zip Code Date of Contribution Aggregate This Election Occupation Employer First Name iddle Name Contribution Received For: Amount of Contribution Last am rgamzation ame R primary Election E] General Election K~o w*-I1 vo Address 3o ❑Runoff (Local Elections Only) d1~ .1t to City State LpCode Date of Contribution Aggregate This Election y 71 Oki) Occupation ' Employer First Name Middle Name Contribution Received For. Amount of Contribution E AI o1.9 Last Name/Organiza'on Name 'Primary Election ❑ General Election Address ❑Runoff (Local Elections Only) p ' W City to 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.) 310 4 A (If this is the last page o(contributions, this amount must be shown in item 15b. of summary.) dam, SS-1131 (Rev. 2/06) Page of RDA 1159 ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2.- REPORT COVERING THE PERIOD 1 s • A • "FROM: T0!- . . Amount 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-Idnd contributions totaling more than $100 from any contributor during the period) First Name Middle Name In-Kind Contribution Received For. Value of Jri-Krtd:Cont!'ibution ❑ Primary Election ❑ General Election Last NamefOrganlzadgn Name - ❑ Runoff (Local Elections Only) Address Date ofln-KndContribution,• • a s Aggtpgfilethis l3ecpw,, Gty State Zip Code Description ofktJ iOdConWbution t r . Occupation Employer First Name Middle Name In-Kind Contribution Received For. Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last Name/Organization Name ❑ Runoff (Logl`Plections Only) j ' ~ - Address Date of In-Knd Contribution Aggregate this Eleclion City State Zip Code Description of In-Kind Contribution Occupation Employer First Name Middle Name In-tend Contribution Received For. Value of In-tend Contributi on ❑ Primary Election ❑ General Election LastNamelOrganaation Name ❑ Runoff (Local Elections Only) Address Date ofln4<indContribution Aggregate this Bedon City State Zip Code Description of In-Knd Contribution occupation'- r e Employer First Name Middle Name In-Kind Conkibption Received For. Value of I4nd Contribution Q$nmary Election ''0 General Election ' Last NamelOrganizationName ` ❑ Runoff (Local Elections Only) Address Date of ln-Knd Contribution Aggregate this Election City State Zip Code Desaiptionofln-KmdContrbudon Occupation Employer . t 1 A First Name Middle Name In-Kind Contribution Received For: Value of In40nd Contribution U s ❑ Primary Election u General E1ec9on • ` Last NamefOrgan¢adon Name e0 Runoff (Local Elections Only) Address Date of ln4Qnd Contn'bution Aggregate this Election City State ZrpCode Description of In-l(ind Contribution Oixupation Lmployer 5. TOTAL'1T5MIZED 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 Idnd agntributions, this amount must be shown in item 22b. of summary.) SS-1128 (Rev. 2106) Page of RDA 1159 -m. ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD J• •v.Ql ~cw,w~o FROM: L TO: Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) Q7 9 ~''I o 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 :'_N-1 Last Name/OrgdAtzation Name [x primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) ~ 3 w K~ a Qe s ,q ✓ ~ City State Zip Code Date of Contribution Aggregate This Election Occupation Employer First Name cdu t- Middle Name Contribution Received For. Amount of Contribution 1~-r last Name/Organization Name .primary Election El General Election A 1 Address ❑ -7 o -Runoff (Local Elections Only) S'cHo ~ Spa City state Zip Code Date of Contribution Aggregate This Election VJ~ w.., JN 2-111korl Occupation Employer /l First Name Iddle Name Contribution Received For. Amount of Contribution g~~7 Last Name/Organization Name Primary Election ❑ General Election tAMt- ~ ~ 9 Address ❑ Runoff (Local Elections Only) 90, City state LpCode Date of Contribution Aggregate This Election Occupation / ll Employer First Name r Middle Name Contribution Received For. Amount of Contribution CNAIt(ie.t F -POwlwstA Last Name/Organization'Name Primary Election ❑ General Election Soo 1r~ F1\ea k.~►.v Dom, Address SUS El Runoff (Local Elections Only) City State Zp0ode Date of Contribution Aggregate This Election Occupation Employer 5. TOTAL ITEMIZED CONTRIBUTIONS ^ ~r (Carty forward to item 3. of next page if additional pages of this form are used.) Y 7 b • 16% (If this is the last page of contributions, this amount must be shown in item 15b. of summary.) SS-1131 (Rev. 2106) • Page 5 of RDA 1159 ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD, "ti - FROM.` TO: At oust 1-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-Idnd contributions totaling more than $100 from any contributor during the period) First Name Middle Name In-Kind Contribution Received For. Value ofIiii-i 0ontribution ❑ Primary Election ❑ General Election Last NamelOrgpn¢adon Name 4 ❑ Runoff (Local Elections Only) -O1" Address Date ofln-14ndCon*utn -i Aggregate tW Efq. m City State Zip Code Descriptioaofln&dConbiWtion Occupation Employer First Name Middle Name In-Kind Contribution Received For. Value of In-tend Contribution ❑ Primary Election ❑ General Election Last Name/Organization Name ❑ Runoff (Local Elections Only) Address ;s . Date of In-Kind Contribution Aggregate this Election City State Zip Code Description of In-Knd Contribution Occupation Employer First Name Middle Name In-Kind Contribution Received For. Value of In-rnd Contribution ❑ Primary Election ❑ General Election Last Name/Organization Name ❑ Runoff (Local Elections Only) Address Date of In-I4nd Contribution Aggregate this Election f... Y. ^ city State Zip Code Description of In-Knd Contribution Occupation Employer First Name Middle Name In-Wind Contribution Received For. Value of In-find Cogtribution ❑ Pdmary'Election d General Election 3' K's Last Name/Organization Name ❑ Runoff (Local Elections Only) Address Dale of In44nd Conbibution Aggregate this Election City State Zip Code Description of In44nd Contribution Occupation Employer .t First Name Middle Name In-Kind Contribution Received For: Value of In-fend Contribution ❑ Primary Eledtiori [I GeAerel EledL Last Name/Organization Name Rt6a1F (I,ocel Elections Only) k 1~ • % Address ` Date ofln--KnJContnbution Aggregate this Eection City State Zip Code Description of IM4nd Contribution Occupation p oyer 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 in4dnd ptributions, this amount must be shown in item 22b. of summary.) SS-1128 (Rev. 2106) Page b of RDA 1159 -m. ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2: REPORT COVERING THE PERIOD ~A+v.ti C•a FROM: 11[t,111 TO: S Sl Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) liS • v 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH -ITEMIZED CONTRIBUTION (contributions totaling more than $100 from any contributor) First Name 1 Middle Name Contribution Received For. Amount of Contribution Last Name/OrgdhizadonName Primary Election ry ❑ General Election 7 S V~j wc~ 0" Address ❑ Runoff (Local Elections Only) ) t Do LwD LwAZw~ Q~ up City State Pp Code Date of Contribution Aggregate This Election 1-3 Omupatlon 3 Employer First Name Middle Name Contribution Received For. Amount of Contribution SC.o 11 C ?a -j (A? Q. Last Name/Organization Name Primary Election AT ~ ~ s ry El General Election o.. vD Address ❑ Runoff (Local Elections Only) City CA to j Z 71 U Date of Contribution Aggregate This Election Occupation Employer First Name iddle Name Contribution Received For. Amount of Contribution •`rl P C V-stt2 Last am rganaa on ame (primary Election ❑ General Election ~.R+.•w~ ~O o . Y4 Address P E] Runoff (Local Elections Only) r11r l0 4o S ~ (oo ~ p• City state Zp Code Date of Contribution Aggregate This Election ~42Cw►SJ~~I.~ J-J 3771 Occupation X7/ 9 ~rj mp oyer First Name f Middle Name Contribution Received For. Amount of Contribution Last Name/Organization Name Primary Election ❑ General Election Address '~S 3 t 2 ❑ Runoff (Local Elections Only) City State Zip Code Date of Contribution Aggregate This Election 7-) 5 t occupation Employer 5. TOTAL ITEMIZED CONTRIBUTIONS It t~ 01M (Cant' 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 f l of l RDA 1159 ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2.4EPORT COVERING THE PERIOD T0:•. w ount 3. TOTAI!I?WIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED IN-KIND CONTRIBUTION On-ldnd contributions totaling more than 8100 from any contributor during the period) First Name Middle Name In-Kind Contribution Received For. Value of in-IGOd Contribution ❑ Primary Election ❑ General Election ~y t Last NamelOrgenizafionName , , ❑ Runoff (Local Elections Only) Address Dale ofln-KpWzo r4tion QggregatetlhisBedion City State Zip Code 4esaipp. of loxind Contdbutioq , . r Occupation Employer First Name Middle Name In-Kind Contribution Received For. Value of In-find 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-10nd Contribution Occupation Employer First Name Middle Name In-Kind Contribution Received For. Value of In-tend Contribution ❑ Primary Election ❑ General Election Last Name/Organization Name ❑ Runoff (Local Elections Only) Address Date of In-IGnd Contribution Aggregate this Election Gty state Zip Code Description of In-Knd Contribution Occupation Employer i ti- First Name Middle Name In-Kind C•pnjribution Received For. Value of lr d Contribution Primary Election ' General Election IastNamelOrganizationNome ❑ Runoff (Local Elections Only) Address Date of In-lend Contribution Aggregate this Election City State Zip Code Description ofln-IOndContrbution Occupation Employer ° First Name Middle Name In-Kind Contribution Received For: Value of In-IGnd.Cogtribution E] Primary Election - E? General tlectdton ' Last Name/OrganizatlanName ❑ Runoff (I bcal Elections Only) , Address ° Date ofln-CardContribution Aggregate this Eection City State Zip Code Description of In-I(ind Contribution occupation Lployer T _6 5. "TOTAL NE(NI?ED IN-KIND CONTRIBUTIONS (Carry forward to item 3. of next page if additional pages of this form are used.) Of this is the last page of in-Idnd cNbibutlons, this amount must be shown in item 22b. of summary.) SS-1128 (Rev. 2106) Page of RDA 1159 ANA .m. ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD ~pM ~a 3 L •4 s- ~o•.+}v FROM: ( TO: 3 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 any contributor) Oo , 10 First Name Middle Name Contribution Received For. Amount of Contribution A- 0, N G . Last Name/Organization Name - Primary Election El General Election Address I N El Runoff (Local Elections Only) S' w sib... Rn Ci 1 to ZZpC e 5 Date of Contribution Aggregate This Election E\~'Lc0 Plows wJ ! Occupation 9lVic Employer First Name Middle Name Contribution Received For. Amount of Contribution Last Name/Organization Name Primary Election ~loa~rt v~'p f?y ry ❑ General Election ~,S~oa • vo Address ❑ Runoff (Local Elections Only) 4 w ( 0>t., city Stat Zip Code Date of Contribution Aggregate This Election ~ 770 Occupation C ` Employer First Name Iddle Name Contribution Received For: Amount of Contribution 1Tt,Tc_rV Last am rgamzation amePrima Election ry [3 General Election ~ Oo . W -Tvw Address ❑ Runoff (Loral Elections Only) City state Zip Code ^ Date of Contribution Aggregate This Election aa Occupation ll ` Employer First Name , Middle Name Contribution Received For. Amount of Contribution LOA Last Name/Organization Name ,primary Election ❑ General Election 300 • W Address e. ❑ Runoff (Local Elections Only) City State Zip Code Date of Contribution Aggregate This Election Occupation Employer 5. TOTAL ITEMIZED CONTRIBUTIONS (Carryforward to item 3. of nextpage 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.) •r' SS-1131 (Rev. 2/06) Page of RDA 1159 ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD z' ,r•- `FROM:' TO: mount T.10TAI_ ITEMFZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 4. COMPLETE THE•APPROPRIATE ITEMS FOR EACH ITEMIZED IN-KIND CONTRIBUTION (n4dnd contributions totaling more than $100 from any contributor during the period) First Name Middle Name In-Kind Contribution Received For. Value q; ln7i! nd Contribution ❑ Primary Erection ❑ General Election Last Name/Organiz1tion Name ❑ Runoff (Local Elections Only) Address Date ofln4GndContribution lAgragatethis gothbrf City State Zip Code Descr iongf4n 1 `nd Contributi$n , ; : ; r 3 a 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 1- Date of ln4<ind Contribution Aggregate tbisBecti , on.. . City State Zip Code Description of In-Knd Contribution Occopation Employer First Name Middle Name In-KGnd Contribution Received For. Value of In-Kmd Contribution ❑ Primary Electon ❑ General Election Last Name/Organization Name ❑ Runoff (Loral Elections Only) Address Date of InAnd Contribution Aggregate this Election K City State Zip Code Description of ln4nd Contribution Occupation Employer First Name Middle Name In-KoV Contr)bution Received For. Value of In4nd Contribution ❑ Primary`Elecdon 'El r : i General Election Last Name/Organization Name ❑ Runoff (Local Elections Only) Address Date of In-lend Contribution Aggregate this Section City State Zip Code Description of In4(ind Contribution Occupation Employer - i First Name Middle Name In-Kind Contribution Received For: Value of In-IGnd Cq*buton ❑ Primary Election 10 9i nerA. Election Last Name/Organization Name RuGoft (L.•ocal Elections Only) Address Date of lnXind Contribution Aggregate this Bection City State Zip Code Description of In-Kind Contribution patron Employer 5. TO1f4L MIZED 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•Idnd oor*ibutions, this amount must be shown in item 22b. of summary.) SS-1128 (Rev. 2106) Page of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: TO: 3 7 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 any contributor) First Name Middle Name Contribution Received For. Amount of Contribution /eJt •tA Last Name/Orgdhiza 'on Name Primary Election ❑ General Election 0,0 0 V.1- Tr Address ❑ Runoff (Local Elections Only) 3YS•p /G.ow ~{wy city state Zip Code Date of Contribution Aggregate This Election ~Go V) P_ Occupation ft~ Employer First Name Middle Name Contribution Received For. Amount of Contribution Last Name/Organization Name Primary Election ❑ General Election 'z>0 - V0 Address ~y ❑ Runoff (Local Elections Only) /8 W~L1 11 L..w.r., nC 7.~1wA City * ti vJl~. State Zip 3; b, Date of Contribution Aggregate This Election Occupation Employer First Name iddle Name Contribution Received For. Amount of Contribution -4.1%.5, 1 Ls w" Last am rganizabon a Primary Election ❑ General Election NAn► s Address ❑ Runoff (Local Elections Only) k1t.l, &-1// Q9 City state Zip Code Date of Contribution Aggregate This Election M...,, ~.1 a ~»o Occupation m over 1 ll 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 (Carry forward to item 3. of next page if additional pages of this form are used.) I ~1 1~ : ~!D (If this is the last page of contributions, this amount must be shown in item 15b. of summary.) J D SS-1131(Rev. 2/06) w • Page of RDA 1159 ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REP RT COVERING THE PERIOD "FROM: ' TO:' r.• mount 3. TOTALITWIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED IN-KIND CONTRIBUTION (inddnd contributions totaling more than $100 from any contributor during the period) First Name Middle Name In-Kind Contribution Received For. i ,V41tp, of IR-Kni:14 hibutfon ❑ Primary Election ❑ General Election Last NamelQrganization Name 'a- ❑ Runoff (Local Elections Only) Address Date ofln4ndContnbution Aggregat&WsDid; City State ZpCode DescriptionoflrrlWCon UibuGpn e 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 InMnd Contribution Aggregate this Election city State Zip Code Description of Iu JGnd Contribution f Occupation Employer First Name MiddleNtime In-Kind Contribution Received For. Value of In4(ind Contribution ❑ Primary Election ❑ General Election IastNamelOrganization Name ❑ Runoff (Local Elections Only) Address Date of IndGnd Contribution Aggregate this Election City State Zip Code Description oflnXind Contribution Occupation Employer First Name Middle Name In-Kindiontribution Received For. Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last NamelOrganization Name , ❑ Runoff (Local Elections Only) Address Date of In-fond Contribution Aggregate this Section City State Zip Code Description of In4Qnd Conhrbution Occupation Employer First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last NamelOrgan'aation Name ❑ Runoff (Local Elections Only) Address Date of lnXind Contribution Aggregate this Election City State Zip Code Desaiptionofln-NndContribution Occupation Employer 5. TOTA1 ITEMISED IN-KIND CONTRIBUTIONS (Carty forward to item 3. of next page if additional pages of this form are used.) (If this is the last page of in-Idnd ,ontributions, this amount must be shown in item 22b. of summary.) SS-1128 (Rev. 2106) Page Of_ RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: (6 f TO: 3 3! mount 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 $100 to any payee during the period) First N Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name R:i7 PATtc s, ITs~~ ~ 300°. Address 3 ~ 6'0 R9(6-41-) jai Us Da City State Zip Code ♦ e First Name Middle Name . Purpose of Expenditure Amount of Expenditure Last Name/Business Name Ri4►&-r V'114 Address 3 C11, v RID l1-41Iti 14AI IS . Co►vS~, I &+.,4 O;D 'o . City M State Zi Cod QV Jv,-- f~ GSA 10', ~ l First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name _ Address 2 pp o . W Sw.,,, R,.llcal3c 0lo city State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last NameBusiness Name ~.,.SN ~J..( Address • Vp 14-/ 5--, Q:7e...,i R/or-, a.~1=tee Ao city State Zip Code First Nama Q p Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name R^sM c.a. a &r.,~.s M.,. ~ Address a5~$D Cue-e-14 sue. cm-, city State Zip Code M An~j J3 `k, r.l First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name n Address ~ a@ spec City State Zip Code n~Asl~,l,lk f-rA 37220 5. TOTAL ITEMIZED EXPENDITURES (Carry forward to item 3. of next page if additional pages of this form are used.) I ' (If this is the last page of expenditures, this amount must be shown in item 19b. of summary.) Afti, SS-1129 (Rev. 4102) Page of RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD Z7~1~wR~ Ltr~- 8~+~w~ov FROM: //,I, TO: ? mount 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) If ( l l S 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 Na / _ Address Q f ) City State Zip Code M, 0. First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Sst,~S P s A1,q&k>L-' -vb Aqc%lp Address 253 Co•rw~.e l.~t $IJ~ ZSa.Sb Ciy State Zip Code C?N C7Nr~l A ~z ON LtS2~! First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Nre/Business Name ks p>R, -cT-A p„ala•,,~ Ate 3 0 . ro Address o l 5+~~. Qs 1?e y 3C..,g g~Ut~ rJ~ S s7~. ~ City State Zip Code Q4A4. l cs ie... sc.. tie,kk First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name N-r ?ATE Cow 5~ r~~~ 4~~n10 1D , w Address City State Zip Code C~ ~1A 310 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name SIJG, Address~3 ~S ?JC.~Mew l Qty STc. f~po. v to .>ti .p~f+ 7~ 7~s'', ~ City Stale Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name . Address S 9S fp V 44 1 0B S . ~l t City State Zip Code 5. TOTAL ITEMIZED EXPENDITURES (Carry forward to item 3. of next page if additional pages of this form are used.) (if this is the last page of expenditures, this amount must be shown in item 19b. of summary.) SS-1129 (Rev. 4/02) Page of RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD 1_.-w- Rer"% J FROM: 6 TO: 3 I 1 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) mount ZT 1,p ~.ZU 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 KnW4acrz Address ; As ~ A~tof ~ O • ~ so tj . Fo -Ti-4:r 11-r P IA'bq City M N+s'j State Zip Code ?a 378 a 1 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name ~ SAP ~1.'L r Address r..2 y-j-g £IQS ! L,AP,AA SAS ~h1~~ ~~j City State Tip Code r-tk o' o -s 1lt •J 3'18, First Name Middle Name Purpose of Expenditure Amount of Expenditure Last NameBusinass Name o %Q.-~ ^ Address 3o W LCZj c.gNt. 1 . StltrR~S /~S. City State Zip Code PIG~A 7'i~ 3~1b1 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name sQ..-M a P-2 C a~ Q ,w ~k3 Address o~ 13) FasT AjjDADwwn M>e..13 City State Tip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure a~:s«~s~ e,.~.~s Last Name/Business Name e4c. l~ e. D,.kt-cf ue* o wrl~w Address 25' MAW., S% EvvejapIt's city State Tip Code ~-Ippt l First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name /9124 ce,.,;," r'Aa. W n. coop Address City State Zlp Code 5. TOTAL ITEMIZED EXPENDITURES (Carry forward to item 3. of next page if additional pages of this form are used.) (If this is the last page of expenditures, this amount must be shown in item 19b. of summary.) ( f ~V SS-1129 (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 2.b. IF OMMITTEE, NAME OF CANDIDATE 3. ELE TION DAT J j 6_^4_j L2"4-. e S l 8 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone 3`t~3 i~~.-~ ep.,~~► Rn ~1~h a~~~ wz) avao3 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) 7. CATEGORY OR REPO (Check one ❑ ❑ ❑ ❑ ❑ FIRST SECOND THIRD FOURTH PRE- PRE- MID-YEAR YEAR-END QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL - S A• 8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD 1 t5 L~ 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. RM 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/wd 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 t candid to committee by the Campaign Financial Disclosure Act. Additionally, Itwe swear or affirm that no campaign contri relions b e pended for the personal financial benefit of the candidate or for any other nonpolitical purpose as defined by the fe to I rev n e, signature of candidate date Sign o dill I t asurer d 11. WITNESS SIGNA33 'OF signature of w ness date signature of witness date 12. SUMMARY a. BALANCE ON HAND LAST REPORT $ ' 3 S S• b. TOTAL RECEIPTSTHIS PERIOD c. TOTAL DISBURSEMENTS THIS PERIOD d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ e. TOTAL LOANS OUTSTANDING ^.~.1..L.. $ n f. TOTAL OBLIGATIONS OUTSTANDING 7~, 0~1.. $ N -T I SS-1109 (Rev. 2106) k`a JM: ~ 1 11018 4 Page 1 of ~ RDA 1159 N FLOUNTCOUNTY ELECTION ~b Wd SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTEE (In Full) n' 14. REPORT COVERING THE PERIOD C•.....,, 7e .1<,~~.7 3r►~.LS ~....,t_ ~.7~,M a w. FROM:- 1'1 TO: g 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)...... $ 2 g d>n • tro c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) ~g 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.) ~1 •Z+S 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) prJ~lw~ $1, 61 7~~ER.• A ~•C Q,/~ $ Z O . rlo DRS FAT `S~ i1 f#J AC%? $ /lif. 0 $ Total of Expenditures ($100 or less each payee) $ b. Itemized Expenditures Over $100 each payee this period) . $ b CIS S-.1912 c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $ 20. LOAN REPAYMENTS MADE THIS PERIOD $ _ ~Q 117• 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) 22AWKIND CONTRIBUTIONS a. Unitemized i"nd 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.) _ 23.013LIGATIONS a. Unitemized Obligations Outstanding ($100 or less each) $ b. Itemized Obligations Outstanding (Over $100 each) $ a TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 121.) $ Ag"L SS-1133 (Rev. 4102) Page e< ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD j. rl ti c;ll J1w,•o. S Lam., ~e r` w FROM: T0.:3 IT, Ipb moon 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures tolaang more than $100 to any payee during the period) First Nam Middle Name Purpose of Expenditure Amount of Expenditure Last Nemel9uslness Name Address b ~(Z~w to •OQ Cit~ t>rr. Js Q R, 7~ L'lo1r # First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Nerrel0uainaas Name ;o %--I- 1k09 ! nc • .,A City Stale Zip Code ~dw~ I"# SAM T.4 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Nam03usinee" Name _ A I v yoa.~ Address City State Zip Code First Ngppo Gt. Middle Name Purpose of Expenditure Amount of Expenditure Last N Kamel&rsiness Name Address City ~A State Zip Code 'rj .7 To I First Name Middle Name Purpose of Expenditure Amount of Expenditure Last NamelBusiness Nam F- ~--c i e.T w.J a as toll .M..~ Sc o . w Address ~So 5~v► s H ws`N'1 S'r~.a+.a~7 city Slate hip Code ell 7 T1 2 03 First Nana Middle Name Purpose of Expenditure Amount of Expenditure Last NamAusiness Name ?^Pe-,L i7iale.~.-r)t :&.%S jfL T*.._ Address • C p L'S' City O State Zip Code tA-,.4,0 pQe 11S hN 49 IS o 5. TOTAL ITEMIZED EXPENDITURES (Cary forward to item 3. of next page if additional pages of this form are used.) J l (it this is the last page of expenditures, his amount must be shown in item 19b. of summary.) AMIL SS-1129 (Rev. 4102) Page 3 of a RDA 1159 i ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE _ 2, REPO T COVERING THE PERIOD C~-•..,.,t[~ ~s frl~-~1 ,~•w.s L•..e. ati.,~p..+~ FROM: TO: 1 S 18 Amount 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) S ) $ 3 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expe"lures IoleBng more than $100 to any payee dwim the period) i First WW Middle Name Purpose of Expenditure Amount of Expenditure `y►n,~a.s Last N ushms Nano Address3 y o 3 f t~r•~~ ~.ie-v •a.( C~.~.~,•C~ Q~~ 1 `!fie t w.Q..N~te..w~ city slate Zip Code 0A wetiv~ x\E+L i a y'f8d1 Forst Name Middle Name Purpose of Expenditure Amount of Expenditure Last ernef9usiness Name ~+LtrPRs c S (~'i I SAC. Addrese.s,15 C~,,,~1w.~e1 ~w•.lt gl•7p CRY State Zip Code Lo••+SO0YJ 31'1 Rost Name haddte Name Purpose of Expenditure Amount of Expenditure Last NamNBUSiness Name Address ~ •1 ~ 1ws s v'~ ll~.. ~.f, 3~3 0'6 city stare zip code 'ra t~1cn s► 3 71 o i First Name Middle Name Purpose of Expenditure Amount of Expenditure Leal N.Vs Name Address . ~,l.o \ C . 8ao,t p.r w~j A•l ~t, CRY Zip Code first Name Middlo Name Purpose of Expenditure Amount of ExpendiWre Last Name/Business Now Z r ~..7N Address 3y~o QoIl~,~., 41,,<<s nnxvc. Nv"PbAv, S%t1'Z o,alo. no city State Tode First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Narrbf9usiness Name ~ r t" ^9 F--O •th,~tG`t.. s-~x~~,f~ NL'~rs a `I`SC T $ • Addresau~ ~...1 L• ~ c~ ~i~ sty 17state P Code .4 n7 1')1%,N 5. TOTAL ITEMIZED EXPENDITURES Q (Carry forward to Item a of next page if addidonal pages of Ws form amused.) (1 $ (If this Is The last page of expendibxes, this amount must be shown In Item 19b. of summary.) SS-1129 (Rev. 4102) Page_ of $ RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD C o T. . 31M.r icy LL~ Q @,, FROM TO; 1 1.1 l3' mou 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) $ 3 V k 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures totaling more than $100 to any payee during the period) i First Name IuNddle Name Purpose of Expenditure Amount of Expenditure Last NemelBusiness Name P r &,r i ~i►.+ s fi t~A IYhd E ~~~ti~ L•-~at eMV /3.~ . Vo Address Cgy J L sl%.J I zip code 3 A b~ First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Nameleusiness Name u So fr* T INO. Pll,,4AN'G Q0-21,4, p~ w w is ~r•~~ Ob . 1~ Addrea '.O CRY-- Slate ZlpCode First Name Mddle Name Purpose of Expenditure Amount of Expenditure [astsinesaN o Sys Address ~,p o ~ as ~1<J L q~5? • 1 CRY stela zip coda r Cj606 j4 ^ 3QO41 i First Name WKWe Name Purpose of Expenditure Amount of Expenditure Last NemerBusiness Name Address City State Zip Code First Name Middlo Now Purpose of Expenditure Amount of Expenditure Last NamelBusinesa Now Address City stale Zip Code First Noma Middle Nam Purpose of Expenditure Amount of Expenditure Last NamelBuainess Name Address qty State ZIP Code 5. TOTAL ITEMIZED EXPENDITURES iy} Q c (Carry forward to hem 3. of next page if additional pages of this form are used.) 1 I i S5 J . ~~p (If this is the Iasi page of expenditures, We amounl must be sham In ilem 19b. of summary.) f W SS-1129 (Rev. 4102) Page s of $ RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS -CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD Ca T. £.l e,e7 FROM: T0: f is '8 Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION col bibutions totaling more than $100 from an contributor First Name Middle Name Contribution Received For. Amount of Contributon Us sa. 4, A.+ta LaslNahneapnizatbnName Primary Election ❑ General Election tZw Da vt.~. Oo . w Addresa7 ~y 1tF~~p tall! J7r,,j' ~r<. ❑Runoff (Local Elections Only) I f Stale c.& Dale of Contrbution Aggregate This Election s 103 p" ►1.:,y .s1A~ 7Nfzp Occupaton >s ~ n t'1 ~ c9 . ~o Employer Final Name MiddleNX Contribution Received For Amount of Contribution ,Z;fta.a Last NemelOrganlrelfonName Primary Election ❑ General Election ~i i{.a kt z ~ t~ . s!O Address 1 4 5 • 7 , ❑ Runoff (Local Elections Only) Cry ,N a.w.5 J-& rr. I 5~~ z 3~ b3 Date of Contribution Aggregate This Election owrpaton f ~1 ~ f'1 * a.Z,oo eye f 1 1 First Name Name Contribution Received For: Amount of Contribution -_'Vftkk.i 10.0 Last a a Name 17p-dmary Election ❑ General Election 0,0 . 11'7 tk#, % .V !j kA 7 Address j ❑ Runoff (Local Elections Only) LV+5 ^1 ivW City Slate ZIpCode Date of Contribution Aggregate This Election rl~ ~rw~ ~~v ►.N OauW_ \ ^ EM*W First Name Middle Name on Received or: moue of ContdWft t~...•.y ~ GNO~ l imary Election 11 General Election Last NameOrgenizallonName yAS s~ Y 1 Addreset tit .3,-w ❑ Runoff (Local Elections Only) e~ ` Date of Contribution Aggregate This Election 4Cod qty h#~ J b II f)eapatan ~ ~`s ^ ~L~O• ~•SO Employer 5. TOTAL ITEMIZED CONTRIBUTIONS c (Cary (award to kern 3. of nerd page 9 xkW net pages of this form are used.) t 0 70 (KWs is the last page of oxftudm% this anaml must be shown In Kom 15b. of summary.) SS-1131(Rev. 2106) Page of $ RDA 1159 ..eau L-..,dl.~ll::,.~ i ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD Cto.,,~ a„ +{r r 7o V4-0 FROM; TO: $ 9 Amou t 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) o -50 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 wtCk Last NomefOrgonizatfen Name Oprimary Election ❑ General Election Address ❑ Runoff (Local Elections Only) R D Slate zlpcode Date of Contribution Aggregate This Election i 00011palion I IIS'~~ L1', (~'o • Employer Fiml Name MiddeName Contribution Received For Amount of Contribution f% LastName0gshizationName t EamaryElection ❑ General Election 2 rue tD . 1.0 address ❑ Runoff (Local Elections Only) ?~Z~ B~is+/cA Din City Spa Zip Code Date of Contribution Aggregate This Election G..s J -3 r 2Oe~ w oecupation l 1 lS (t ll Employer r First Name le Name Contribution Received For: Amount of Contribution 1 r a rga.a name Primary Election ❑ General Election Lag Z brr.r Vl. ~ ZSo , fro Address o ❑ Runoff (Local Elections Only) , ply 6 state zip Code Date of Contribution Aggregate This Election ~'1'1Sv kN*- aii occupation f 1 S~ 25'v. w yar Find Name Middle Name Contiribution Received For. Amount of Contftlion 6%V B Lost Nome"anizationName Primary Election ❑ General Election ~y 0 [ Address ❑ Runoff (Local Elections Only) 2z ~ ~3.. P.•~ ql~~ sTt t%- Lgty stale Zip Code Date of Contribution Aggregate This Election ,-~A 3'1106 Occupation l1 S .,t~1 1 Iz Employer 5. TOTAL ITEMIZED CONTRIBUTIONS (Carty forward to item 3. of ne)d page It additional pages of this form are used.) r~~ d (If Ws Is the last page of con0judons, this smounl must be shown In item 15b. of summary.) SS-1131(Rev. 2106) Page of V RDA 1159 a - . as ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 2. REPORT COVERING THE PERIOD 1. NAME OF CANDIDATE OR COMMITTEE FROM: TO: ~j (1 G ( ww~3 e. a w,•,e.. 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 Amount of Contribution First Name Middle Name Contribution Received For. h fir. ` (NV► 5 3. ~ Primary Election El General Election LastNamelOrg nizatbnName S v ;r•.L Address ❑ Runoff (Local Elections Only) • b RD Aggregate This Election city Zip Code Date of Contribution Occupation t • W Employer First Name Middle Name Contribution Received For: Amount of Contribution ❑ General Election Primary Election 100. VO Last NamelOrganlzadon Name Address ❑ Runoff (Local Elections Only) (p W ~~pL~ C ° ~J Sta Zip3?~ Date of Contribution Aggregate This Election city ~ Occupation I1Qb Employer iddleName Contribution Received For: Amount of Contribution First Name rimary Election ❑ General Election w as a za ion ame T N f-A C'i ❑ Runoff (Local Elections Only) Addresv. O ~ ~ S City ~p Code Date of Contribution Aggregate This Election Occupation rill o • 9b \ \ Employer Middle Name Contribution eceed For. mount o Contribution First Name ❑ Primary Election ❑ General Election Last NamelOrgenkation Name ❑ Runoff (Local Elections Only) Address city state bp Code Date of Contribution Aggregate This Election Occupation Employer 5. TOTAL ITEMIZED CONTRIBUTIONS fi~ C1 O • (Carry forward to item 3. of nerd 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.) art Page of Q RDA 1159 ` SS-1131(Rev. 2106) CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees -Mno N E OF CANDIDATE OR COMMITTEE % jr1. DATE OF REPORT 2.a. NAM SLI 3. ELECTION DE ra,~ 2.b. IF COMMI EE, NAME OF CANDIDATE 4.a. CAMPAIGN ADDRESS AND PHONE City State Zip Code Phone Street or Rural Route 3 ^ ~b 3 ~ 3 Lee Lrz, j to p..3a `e 1,) 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 POLITIC L TREASURER (may be candidate) t j t NjA_ u1-V auk 7. CATEGORY OR REPORT (Check one) 1:1 1:1 El [ 1:1 FIRST SECOND THIRD FOURTH PRE- PRE- MID&R YEAR-END QUARTER QUARTER QUARTER QUARTER PRIMARY GENEAL DING DATE OF REPORTING PER SUPPLEMENTAL SUPPLEMENTAL 8.a. BEGINNING 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 h expended for the personal financial benefit of the candidate or for any other nonpolitical purpose as defined by the feder 'nte all en code. d to signature of candidate da e g u litical treasurer 11. WITNESS SIGNATURE date signature of witness date IV signature of wi es 12. SUMMARY a. BALANCE ON HAND LAST REPORT $ b. TOTAL RECEIPTS THIS PERIOD $ c. TOTAL DISBURSEMENTS THIS PERIOD $ (3a ~ 53 . d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ $ e. TOTAL LOANS OUTSTANDING f. TOTAL OBLIGATIONS OUTSTANDING $ 10 SS-1109 (Rev. 2106) Page 1 of RDA 1159 CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REP RT 2.a. NAME OF CANDIDATE OR COMMITTEE 2.b. IF COMMI E, NAME OF CANDIDATE 3. ELECTION DATE 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route ' Q city ^ State Zip Code Phone 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) 'S I 7. CATEGORY OR REPORT (Check one) 1:1 1:1 FIRST SEND THIRD FOURTH PRE- PRE- MI YEAR❑-END QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD PV-P:) ~.~c~ P., ~tS 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 r e code. s s~ 2/1 signature of candidate d e 44olitical treasurer d 11. WITNESS SIGNATUR signature of witneify date signature of witne dat 12. SUMMARY a. BALANCE ON HAND LAST REPORT $ /.35 b. TOTAL RECEIPTSTHIS PERIOD $ c. TOTAL DISBURSEMENTS THIS PERIOD $41%a0.6% d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ OV VS3 . ..l.. 1 8 1rr? _jL e. TOTAL LOANS OUTSTANDING $ f. TOTAL OBLIGATIONS OUTSTANDING . r.................. $ JUL N SS-1109 (Rev. 2106) BLOUNT COUNTY co page 1 of RDA 1159 ELECTION CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORT 2.a. NAME OF CANDIDATE OR COMMITTEE 2.b. IF COMMI EE, ItIAME OF CANDIDATE 3. ELECTION DATE 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City M State Zip Code Phone 3*-~ 0 j wY LA-J e., t~,AV 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) 7. CATEGORY OR REPORT (Check one) ❑ ❑ ❑ ❑ ❑ ❑ ❑ FIRST SECOND THIRD FOTH 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, Uwe 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 interna ev nue code. Lct, ~ ~ <J u s signature of candidate d to si r "f political treasurer dfite 11. WITNESS SIGNATURE 26 _ signature of witness date signature of witness date p,M P 12. SUMMARY c~ IVED l a. BALANCE ON HAND LAST REPORT R E C E (P $ 1 ~Lt ' IO Z' JAN 3 0 f b. TOTAL RECEIPTS THIS PERIOD . w $ BLOUNT COUNTY w o c. TOTAL DISBURSEMENTS THIS PERIOD ...............1 S" ELECTION 9- / wb wa j9 ~'S~, Q d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ e. TOTAL LOANS OUTSTANDING $ f. TOTAL OBLIGATIONS OUTSTANDING $ 0 SS-1109 (Rev. 2/06) Page 1 of 7 RDA 1159 SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD FROM: TO: 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) $ 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) '014w'A- iOv~s $ `00. tv Total of Expenditures ($100 or less each payee) $ J 1 5 S b. Itemized Expenditures (Over $100 each payee this period) $ 1, 19 3 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.) $ J 3 O 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.) $ AML SS-1133 (Rev. 4102) Page of~ ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: TO: 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 Last Name/OrganizationName ❑ 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 ❑ Runoff (Local Elections Only) City State Zip Code Date of Contribution Aggregate This Election Occupation Employer First Name iddleName 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: mount of Contribution Last Name/Organization Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City state Zip Coda 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. 2106) Page of RDA 1159 ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: TO: mount 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 during the period) First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution Last NamelOrganizationNome ❑ Primary Election ❑ General Election ❑ Runoff (Local Elections Only) Address Dale of In-Kind Contribution Aggregate this Election City Stale Zip Code Description of In-Kind Contribution Occupation Emp oyer First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last NamelOrganization Name ❑ Runoff (Local Elections Only) Address Date of InAnd 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 [3 General Election Last Name/Organization Name ❑ Runoff (Local Elections Only) Address Date of In-Kind Contribution Aggregate this Eledion City State Zip Code Description of In-Kind Contribution Occupation mp oyer 5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS (Carry forward to item 3. of nerd 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 22b. of summary.) SS-1128 (Rev. 2106) Page _ of RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD •e,~ n. w o. FROM:,,/, TO: I I S f mou n 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 Name/Business Name Address ~q J, u1T• ~a r. s 13 Y. $i-. City State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Dc~„~til Last Name/Business Name Address C. tLt 1~ .~7" T 3 o . v .p ~ City State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name I Address ~~1wf I~~ ! 5 2 5D City State Zip Code l• First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address " • / D / O~ . O City State Zip Code / J 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.) (If this is the last page of expenditures, this amount must be shown in item 19b. of summary.) f l SS-1129 (Rev. 4102) Page _ of RDA 1159 ITEMIZED STATEMENT OF LOANS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: TO: 3. COMPLETE THE APPROPRIATE 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/Organization Name Address Loan Received For: Date of Loan ❑ Primary Election ❑ 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 Middle Name Last Name/Organization Name Last Name/Organization Name Address Address City State Zip Code Gty State Zip Code Amount Guaranteed Outstanding Amount Guaranteed Outstanding First Name Middle Name First Name Middle Name Last Name/Organization Name Last Name/Organizatton 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 Code City State Tip 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 agents End of Period (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 _ _ ofl-- RDA 1159 . ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: 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 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 NamelBusiness Name Address city State Zip Code Description of Obligation First Name Middle Name Last Name/Business Name Address City Stale 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 -1 SS-1127 (Rev. 4/02) Page - of RDA 1159 r CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORT 12.a. NAME OF CANDIDATE OR COMMITTEE n 3 ' J a+h ds "-I* tt 3. ELECTION DATE 2.b. IF C MMITTEE, NAME OF CANDIDATE 4.a. CAMPAIGN ADDRESS AND PHONE State Zip Code Phone Street or Rural Route Qy h t-;-) c-k city hlsru~~z~~ ►1 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) S ~r 7. CATEGORY OR REPORT (Check on ❑ E] ❑ ❑ ❑ ❑ ❑ FIRST SECOND IRID FOURTH PRE- PRE- MID-YEAR SUPPLEMENTAL YEAR-END SUPPLEMENTAL T' D QUARTER QUARTER QUARTER QUARTER B bINIAEFI2JDING DATE OF ER PORTING PERIOD 8.a. BEGINNING DATE OF REPORTINyG PERIOD D 1 9. (Check one n is OOeorless for h sereportng period. (Complete temst (12d. '12eudaing nd 112fi) d) received total $1,000 or less AND expendi a. This campaigO tures total $1, . ❑ 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 b $1,000 for this reporting period. the information rep disc campaign and 10. I/we do solemnly ccounting of campaign conttributions and expenditue sI equ red to be eport nc' by thelcandida eocomm'ittee by the Cthis re ampaign is an accurate accounting isclosure Act. Additionally, I/we swear or affirm that no campaign contri on have been expended for the personal financial Financial Disclosure g benefit of the candidate or for any other nonpolitical purpose as defined by the fed I inte venue code. Lsignature cand to g t r f political treasurer 11. WITNESS SIGNATURE Q = [ 1~-~'y. L~- j signature of witness date signature of witnes date 12. SUMMARY C llo 17-7 a. BALANCE ON HAND LAST REPORT $ b. TOTAL RECEIPTSTHISPERIOD c. TOTAL DISBURSEMENTS THIS PERIOD $ ' ' I v $ d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) e. TOTAL LOANS OUTSTANDING $ f. TOTAL OBLIGATIONS OUTSTANDING Page 1 of RDA 1159 SS-1109 (Rev. 2106) CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORT 12.a. NAME OF CANDIDATE OR COMMITTEE 1:! 2.b. IF CO ITTEE, NAM OF CANDIDATE 3. E ECTION 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.) 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) 'Sp 4ja~rj~& g flQ f V.-e- Li >A T n 7. CATEGORY OR REPOR-i (Check one) El 1:1 FIRST SECOND THIRD FOURTH PRE- MI EAR YEAR-END QUARTER QUARTER QUARTER QUARTER PRIMARY NDING DATE OF REPORTING PE SUPPLEMENTAL SUPPLEMENTAL 8.a. BEGINNING 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 he en expended for the personal financial d=~4 benefit of the candidate or for any other nonpolitical purpose as defined by the federal int v ue code. L~ signature of candidate a of political treasurer date /W/~ - dat t ` 11. ,~WITNESS ~~SIGNATURE ~1/', _5 signature of witness date J signatur witness date 12. SUMMARY II n a. BALANCE ON HAND LAST REPORT $ b. TOTAL RECEIPTS THIS PERIOD.. . $ c. TOTAL D I SB U RSEMENTS TH I S PERIOD $ A- d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ e. TOTAL LOANS OUTSTANDING $ f. TOTAL OBLIGATIONS OUTSTANDING $ SS-1109 (Rev. 2106) Page 1 of RDA 1159 CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF EP RT 2.a. NA E OF CANDIDATE OR COMMITTEE !n& ELECTION DATE 2.b. IF C MI E , NAME OF CANDIDATE 4.a. CAMPAIGN ADDRESS AND PHONE eet Cit State Zip Code Phone Str or Rural Route 4.b. CANDIDATE'S HOME ADDRESS (if different C in 4.a.) State Zip Code Phone Street or Rural Route y 5. OFFICE SOUGHT (include district number, if applicable) 6. NAME F POLITICAL TREAS RER (may be cand~~ 7. CATEGORY OR REA T (Check one) ❑ MID -YEAR YEAR-END El 0 FIRST S D THIRD FOURTH PRE- PERIOMENTAL SUPPLEMENTAL UARTER QUARTER QUARTER QUARTER PRIIMARDING DATE GENEAL OF RE SUPPLE 8.a. BEGINNING 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 hav een expended for the personal financial benefit of the candidate or for any other nonpolitical purpose as defined by the fe I inter re enue code. ` ~ ~ ~ si a o political treasurer t signature of candidate dat 11. WITNESS SIGNATURE /o- D- signature of wit e s date signature of witness date 12. SUMMARY q q O a. BALANCE ON HAND LAST REPORT $ b. TOTAL RECEIPTS THIS PERIOD $ c. TOTAL DISBURSEMENTS THIS PERIOD d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ $ e. :TOTAL LOANS OUTSTANDING $ f. TOTAL OBLIGATIONS OUTSTANDING Page 1 of RDA 1159 SS-1109 (Rev. 2106) SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD FROM: TO: 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) $ 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) $ a$0 • V"O b. Itemized Expenditures (Over $100 each payee this period) $ I.10 . c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $'I 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 t. 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.) $ SS-1133 (Rev. 4102) Page of ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR -rh OM04f VERING THE ERIOD FROM: TO: a 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) mou 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 Tess NEE Address City State Zip Code i 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 CRY 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.) (If this is the last page of expenditures, this amount must be shown in item 19b. of summary.) let' SS-1129 (Rev. 4/02) Page of RDA 1159 1 CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REP RT 12.a. NAME OF CANDIDATE OR COMMITTEE 2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE ^ ^ ~ LYE 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone LCA 4* V%,4 444- 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 TR ASURER (may be candidate) A1 ~ 7. CATEGORY OR REPORT (Check one) Ka FIRST SEND THIRD FOURTH PRE- El 13 PRE- MID-YEAR YEAR-END QUARTER QUARTER UARTER 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 nefit of the candidate or for any other nonpolitical purpose as defined by the federal internal revenue code. L-e4'- R__~ A kc~' 114A signature of candidate *da [Toturu f political treasurer d to 11. WITNESS SIGNATURE signature of witne date signature of wit ess date 12. SUMMARY a. BALANCE ON HAND LAST REPORT `y b. TOTAL RECEIPTS THIS PERIOD $ c. TOTAL DISBURSEMENTS THIS PERIOD $ d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ e. TOTAL LOANS OUTSTANDING $ f. TOTAL OBLIGATIONS OUTSTANDING $ AML IMI IQW SS-1109 (Rev. 2/06) Page 1 of RDA 1159 CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORT 12.a. NAME OF CANDIDATE OR COMMITTEE =ELECTION ATE 2.b. IF COMMITTEE, NAME OF CANDIDATE 4.a. CAMPAIGN ADDRESS AND PHONE City State Zip Code Phone Street or Rural Route 1~~ _ 3 , L1W.,~ Ro 4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.) State Zip Code Phone Street or Rural Route city PTCATEG0 ICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate) ~,f•E- Irv -.,RY OR REPORT (Check one) ❑ ❑ FIRST SECOND THIRD FOURTH PRE- PRE- MI YEAR YEAR-END QUARTER QUARTER QUARTER UARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL S.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. Itwe 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 intemal rev code. , f olitical treasurer `ate signature of candidate to 11. TNESS SIGNATURE date signature of tness dat signature of witn s 12. SUMMARY b a. BALANCE ON HAND LAST REPORT $ 1 $ b. TOTALRECEIPTSTHIS PERIOD $ c. TOTAL DISBURSEMENTS THIS PERIOD 'O d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ 1 J Z. e. TOTAL LOANS OUTSTANDING $ f. TOTAL OBLIGATIONS OUTSTANDING Page 1 of RDA 1159 SS-1109 (Rev. 2106) t iL 1t 12 A" aA R_CEO , . FEB Z 1 ~~=~r 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. Name of Candidate or Committee: =Caannddidate address: / ! k S J 41 M a i LZ a ~-G.,t A o,,,,(~ Qb ~ olio o. Cows-. 4. Campaign Address and Phone: City State Zip Code Phone all) 3tio3 ~:..~c~ t-cv¢I c Ro Uc. Trv o3 ~Sl,~ Vag 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 Affliation 8. Election Year e. 9-t. IF 9. Treasurer Name: 10. Treasurer e-mail address: _I SV- f-~~--Jv\ fA4x- wu-jY lve k Z~ . UA Q_ I its-,o .Cam, 11. Treasurer Address an Phone: City State Zip Code Phone l S3- / !'afi,w 2p r-10 -1.,31 q- - 31 c60 -k b\.5 - 3$0 - 57 11.~L 12. Candidate and Treasurer Signature (both signatures must a witnessed. Treasurer can not witness candidate's signature): cz L Signature of Candidate Signature of Treasurer 1 _ Signature of Witness Signature of Witness Registry of Election Finance SS-1120 (rev 10/2010) r CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORT 2.a. NAME OF CANDIDATE OR COMMITTEE 1 ? / / J L11- e. 2.b. IF CO MI E, NAME OF CANDIDATE 3. ELECTION DATE 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone 3~0 3 e71-0 4--14L( cl-.OS, 4 Ra 4.b. CANDIDATE'S HOME ADDRESS (d different than 4.a.) Street or Rural Route city state Zip Code Phone 5. OFFICE SOUGHT Onclude district number, K applicable) 6. NAME O//F'' POLITICAL TREASURER (may be candidate) 7. CATEGORY OR REPORT (Check one) FIRST F SEGO JD T ~ FOU13 RTH PRE- ~ MI YEAR D QUARTER QUARTER QUARTER 0WTER MARY GENERAL. SUPPLEMENITAL. AL A~ 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. Itwe 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 Addibonaly, 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 Inte I revenue code. '/.tu~ ignatu ofcandidate to ig e f political treasurer to 11. WITNESS SIGNATURE 7. l signature of witness date signature of witness date i 12. SUMMARY ^ a. BALANCE ON HAND LAST REPORT $ b. TOTAL RECEIPTS THIS PERIOD c TOTAL DISBURSEMENTS THIS PERIOD $ a 30 . 03 d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) e. TOTAL LOANS OUTSTANDING $ f. TOTAL OBLIGATIONS OUTSTANDING $ W SS-1109 (Rev. 2106) Page 1 of RDA 1159 r SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD FROM: y TO: / 3l RECEIPTS 15. CONTRIBUTIONS (other than bans and interest) a. Unitemized Contributions ($100 or less from each source this period) $ S Z~ . w b. Itemized Contributions (over $100 from each source this period) $ c. TOTAL CONTRIBUTIONS (other than bans 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.) $ sl:sr," 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) S~PP1x~, p $ 441 • ~~b`.1.~s, . M ~ \ • ~ T Airs $ 730 , .Ao $ To . vo S $ $ $ Total of Expenditures ($100 or less each payee) 4 b. Itemized Expenditures (Over $100 each payee this period) $ l1 c. TOTAL EXPENDITURES (other than ban repayments)(add 19.a. and 19.b.) $ IA 30. U3 20. LOAN REPAYMENTS MADE THIS PERIOD $ y 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) O. 0 I 22AWKIND 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.) $ 23.013LIGATIONS a. Unitemized Obligations Outstanding ($100 or less each) $ b. Itemized Obligations Outstanding (Over $100 each) $ o TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 12J.) $ AlMk SS-1133 (Rev. 4102) Pape of } 1 ITEMIZED STATEMENT OF EXPENDITURES - 1. NAME OF CANDIDATE OR COMMITTEE CANDIDATE lip. «.+-s L •a+ g yy„r 2. REPORT CO~/ERING THE PERIOD FROM: y It TO: ` 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) noun 4.. COMPLETE THE APPROPRIATE fiEMS FOR EACH ITEMIZED EXPENDITURE (experddures First Name ' brat'hV more Um $100 to any Mfr during the period) Diddle Name Last NamelBUSiness Name Purpose of ExPendture Amount of ame ExperxlAure r3loa,,, 11Cw ~~a..l 7 ~ Redress Ce S !fo ~ Q..`~ state zrpcede ~►v"~- ►►1 First Name Riddle Name Purpose of Evendture Last NamelBusirass Name Amount of Expenditure pnw • Address City St3te P Cede First Name LW& Name Purpose of Expenditure l esl NanrJBusS>ess Marne Amount of ExperKrMm Nt, ~ 1 As l S a c,~ Address CR,, s>a~ 4rollla moo First Name V4* Name Purpose Last Name of ExpendiWre Amount of Expenditure Address State Zip Coda 1 . ~A,1 owl First Name fiddle Name Purpose of Expendiure Last NamtdJ&>siness Name Amount of Expe6ftre Address city Stafe LP Code First Name Diddle Name Purpose of ExPendihrre Les! Nameleuskms Name Amount of Expenditure Address CRY L smote Ezocade 5. TOTAL ITEMIZED EXPENDITURES (C4r brtvard b ilea, 3. craw page irWftorW papas antis forts are used.) (Nthis is the bst gape aaxperditures, tlts +anountmust be dawn h Nam 1pb. a anvnary.) SS-1129 (Rev. 4102) Page of RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: TO: 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter SO if first itemized page) rnoun 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures btalinp more than $100 b any payee during the period) First None Middle Name Purpose of Expenditure Amount of Expenditure Last Nane/Business Name Address City State zip code First Name Middle Nave Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address CRY I stale Zip Code First Name Middle Nana Purpose of Expenditure Amount of Expenditure Last Na ro'Business Name Address Cltv Stale Zip Code Fat Now vidde None Purpose of Expenditure Amount of Expenditure Last Name8usiness Name Address 04' Stale 21p Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Naval Baines Name Address City Stale zp Code Fkst None fiddle None Purpose of Expenditure Amount of Expenditure Last NamelBusbbss None Address Qt Slate Zip Code 5. TOTAL ITEMIZED EXPENDITURES (Cary Conrad b lbm 3. of nett pane n adamonat paves of nos form am used.) (if ws k the mat pace a.xpenalturec, this a oA must to shown in lWn 19a. or ox,xnay.) ® SS-1129 (Rev. 4ro2) Page of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: TO: n Amou 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 d first Itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION cortUbuliom totaling more than $100 from a contributor First Name W&U Name ConMb Mn Received For. Amount of Conbyxidon Lost NarnelOryaniration Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) Iqty Stale TV Code Date of Contribution Aggregate This Election 00C pation Empbyer FrstName WiiddleName Contribution Received For. Amount of Conbtubon L29 Name+Or wk2tion Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Ord qty State Zip-Code Date of C &W4on Aggregate This Election lkaVd- FrriNwm Name ContriNfion Received For. Amount of Contribution ❑ Primary Election ❑ General Election Address ❑ Runoff (local Elections Only) City Stare Zip code Date of Contnbulion Aggregate This Election 00a" ion LRV"w B* Nome VA& Name Cw*b-t*n WNW or Arriount 0 Last NamelOrgw&tim Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City Shia Zip code Date of ContrbtAion Aggregate This Election Occupation Enpbyer 5. TOTALITEMIZED.CONTRIBUTIONS (Cony b-*wd b Nem 3. a mA pays M odditiaoW papas off* tom, are used.) (M ft k M>e last pope of cx*bubom. Mamount must be in ilsm t5b. of vxmoq.) SS-l13l(Rev. 2106) Page of RDA 1159 CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATEOFREPORT 2.a. NAME OF CANDIDATE OR COMMITTEE 2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route city state Zip Code Phone 3403 p „o.~ [r.,.l ~z~~~ S18o 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) S N'sftcF 7. CATEGORY OR REPORT (Check one) RE- PRE- MID-TEAR YEAR-END FIIRRST SECOND T~ FOURTH P ❑ ❑ QUAR QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 8.e. 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 fie 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. Vwe 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, Uwe swear or affirm that no campaign contributions have been expended for the personal financial be fi t of the candidate or for any other nor7litical purpose as defined by the federal Internal venue code. signature of candidate da a si r f pol' cal treasurer date 1(.. WITNESS SIGNATURE_. 3 &Aj signature of wTtness ' date signature of witness date 12. SWIJARY a. BALANCE ON HAND LAST REPORT ' $ Sg b. TOTAL RECEIPrs Tins PERIOD : G E 1`! E $ w IJ + c. TOTAL DISBURSEMENTS THIS PERIOD . $ yy 3 3 d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ ` 1 e. TOTAL LOANS OUTSTANDING ..............................................~...i4; . = $ f. TOTAL OBLIGATIONS OUTSTANDING $ SS-1109 (Rev. 2106) Page 1 of RDA 1159 SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD FROM: T0: RECEIPTS 15. CONTRIBUTIONS (other than bans and interest), , P , a. Unhemized Contributions ($100 or less from each source this period) $ Z30- ?V b. Itemized Contributions (over $100 from each source this period) $ _3. 3Sa 7 c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) (09 ' s + 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) La a-n%r- $ /M-&-W S t% PP k cf $ -1- $ $ Total of Expenditures ($100 or less each payee) $ 30Y.-14 b. Itemized Expenditures (Over $100 each payee this period) $ #27,2.0 c. TOTAL EXPENDITURES (other than loam cepayments)(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.) -Sj 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 121) $ Agnh SS-1133 (Rev. 4102) Page of ~2ZL •63 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD L _ a~lll'o FROM: TO: „y ~ 1 te~i n oun 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures Wing more Cwn $10010 any payee Gunny Cme period) First Name M& Name Purpose of ExperdAure Amount of Expenditure Last NamelBustrim Name N SO • W Address 1 AS `M 19 City Slate Zip Code First Name Middle Name Purpose of Egend'dure Amount of Expenditure Last NawAusiness Name 144-w GQ►PF*, ?wa 311..y (.-)5. o0 r. YmW/ Stale Zip Code II . Z First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Nmwffi kms Name *\+T1rea t, v e,T ^111^j h 4 Code kd. 77 First Name Ididdte Name Purpose of Expenditure Amount of Expenditure Last NamehkWness Name R.w6*. AQ.s~til'•S? Addres~r Rs~sp%Y~...- s.,r►P11~1 5'~`f•`I~I d r °e . rv~ lir ~ Z~4L k"i / 1A -9 First Name waddle Name Purpose of Expenditure Amount of Expenditure De. u~utc. Last Nam ffi" u Name A ~ ,wares= Ste- R~.~p h /Z S . 00 Stale Tip code First Name Diddle Name Purpose o(Expenditure Amount of Expenditure T .ri+ Last NamelBmb*u Name t4vflwl,f-r, 3. }!L AGare:: ?st~c-p'?re~. w.nK~sh, s-, uo -1 orn Gb state U 7 al 5. TOT ITEMIZED EXPENDITURES l7 xL' (Carry forward loitem l o(r" pope C additional payee of Cris form are used.) 7 D (If M Is 9* last pope of expeodibxes. M amount must be shovm in hem 19b. d wmnary.) ® SS-1129 (Rev. 4ro2) Pape of RDA 1159 t ITEMIZED STATEMENT OF LOANS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM,:. TO: 3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED LOAN (bans btararp more than $too from any source during the period) Complete the Fo5o**V for the Source of the Loan First Name piddle Name Outstanding Low Balance Loans Loan Outstanding Loan Balance maginI ing or Periodl Received Payments (End of Period) L29 Name/Orgackstion Name . 4 Address Loan Received For. Dale orloan E3 ftM Election [3 General Eiec4on CRY Shale Zip Code ❑ lLaatf (Local Ebctions Only) UstAl Endorsers or Guarantors for Above Loan Of more space is needed please attach it page) First Name bfddle Name Fhst Name Middle Name Last NamelOryaNzatiorn Name Last NwWOrgwhation Name Address Address City State Lp Cock City Stale tp Cade Amount Guarantied Or mmi ng MXKW Guaranteed Out WAV Firs( Name VAddle Now First Name Middle Name r. Last Narney0ryxi¢ation N. Last Name0ganizatiar Name Address Address C* State Zip Code Cdy State F 2Z Amount Guaranteed Outstandrp Guaranteed Oulsiandap First Name Biddle Name First Name Middle Name Lad Name0gadz6on Marne Last Narr0ftankation Name Address Address 0tv tale Zip Cade Ott State Zip Code Amount Guaranteed Oulrlanding , "'o t Guaranteed Oulstmely Fiat Now. Middb Name Flrat Name WKkHe Name Last NamWOrgantzation Name Last NamolOrgardulion Name Address Address City r Y Stale, zip Code aw Stale Zip Coda Amount Guaranteed Outstwing Guaranteed Outstandrg 4. Touts for all Loads (complete on bit page of Msmtzed Bata) outstanding Loan Balance loans loan Outstanding Loan Balance (W bans received should also be shown in ilem 1& on summary page.) 1 Of Period) Received Psyments (End d (Total ban payments should also be shown in item 20. on summary pogo.) (Total "tandirg ban balance should also be shown in Nairn 12.e. on konl page) ® SS-1132 (Rev. 4102) Page of RDA 1159 JI ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: TO: 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 If first itemized page) mown N4 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenEiti ms lemtirp more than $100 to any Payee during the period) Wddle Name Purpose of Expenditure Amount of Expenditure Last Nameftsiness Name uer aws Address N W►tCdr.~~~+ LE P b 1... Gty State Zip Code First Name Riddle Name Purpose of Expenditure h LK Amount of Expenditure Last Name/8ustness Name h0~ ~ Address w~.it~ f R2 ~ tz s . w city state Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last NamelBusiness Name Nv1s,.• Address .y. wV-4W.-L-1 Accvvit0, RILt,tt„0 CRY State Zip Code Fast Name M d* Name Purpose of Expenditure Amount of Expenditure Last Name/Bus ness Name ?r,~ PA~I tJM„ ~~s gS~ . So Address 7 E. /~ptlc~i, 14~ Cillf stare Tv Code 1,40 V, First Name !Addle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name / owe % SNtr~T /~Ol,. Address t R~~~P7x+.~ U LiSw Got o FlrstName tP Biddle Name Purpose of Expenditure Amount of Expenditure rived( Last Name/Business Name Address City State zip Code 5. TOTAL ITEMIZED EXPENDITURES (Carry forward to item 3. of next page ifadditional pages of this form are used.) (9 this is the last page of expenditures, this amount must be shovm In item 19b. of summary.) J AMh SS-1129 (Rev. 4102) Page of RDA 1159 A i 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 io any payee during the period) c First Name Middle Name Purpose of Expenditure Amount of Expenditure LastNam*IBus' Name Address C' ou s►~ By i'~0.► Sow • Coy State zi 0 rU 1, le- 77H 1 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name r i Address i City State Zip Code First Name riddle Name Purpose of Expenditure Amount of Expenditure Last NamelBrainess Name ti Address I City State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expeodture Last Name/Business Name Address City Stale Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last NamrJBuiurets Name Address City State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Nama/Business Name Address City State ZD Code 5. TOTAL ITEMIZED EXPENDITURES (Carry forward io ham 3. of next papa Kadditional pages of this form are used.) 5 (H this Is the last page of expenditures, this amount must be shown to ilam 19b. d summary.) AMtk SS-1129 (Rev. 4/02) Page of RDA 1159 `~3LI 3,s.e . •o ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: TO: 3. TOTAL ITEMIZED CAMPAIGN. CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 itfirst itemized nt 4. COMPLETE THE APPROPRIATE .ITEMS . FOR EACH ITEMIZED CONTRIBUTION Pace) Ftst Name oonlnbulions totaling more than $100 from an contributor Wdse N. pD-c-n C«itrdxdwn Received For Artiount of Contribution k f, last Nart~etOcganrratpn Name L p I QR 14 Pmnary Election ❑ General Election Address Ol O+ S , • `1 S r, TJ /L o. ❑ Runoff (Local Elections Only) ~SO • W S ZPCode Dale of Contnbution 3 n It -A Aggregate TNs Election oo p pion FrsiNarsie WKIle Nam C' ylq~~CS Contribution Received For. Amount of Contrbuton Las1141 M1-nqanLz"MN*" -SM ~7l-r Primary Ern ❑ General Election ~~So. vo Address 3 A Zq C,JQ-ss O C Yr. ❑ Runoff (Local Elections Only) Lo vg ll~G IStMe Tip Code Date of Contrbulion ) 1 Aggregate This Election Wwpnm r Frsltlame. N&ma L'N4q./C.1 /i p A Contribution Received For. Amount of Contrrbrrtion C1&0-%MCA3 PIIn1aryEfedion ❑GeneralElection Address 20~i•e. K •ye p o ~ti °t / ❑ Runoff (Local Electrons Only) City St* Zip Code Date of Con )n M a w~ ~z~l~- 7•~ 9190 Aggregate Tars Election Ocapation first Name 666aeName S° e or t o n n LagNDan¢aSonName, Po~~ Primary Election ❑ General Election Address ~o } 3 3 ❑ Runoff (Local Elections Only) City, p~►s~,.► e f ll4L T~J X3113 Date otContnbu6on Aggregate This Election ocapat;as Enptoyec 5. TOTAL ITEMIZED. CONTRIBUTIONS (Ceq brwatd to lrem 3. of mA page K*Mwal loges of Ws tom, are used.) (lr th><s is N last page of wntrbutions, INS eftmrA must be shown in item 15b. of swe ary.) AUK SS-1131(Rev. 2/06) Page of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS _ C 1. NAME OF CANDIDATE OR COMMITTEE AN I DATE 2. REPORT COVERING THE PERIOD 3. TOTAL ITEMIZED CAMPAIGN. CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 N first Itemized FROM. TO. 4. COMPLETE THE APPROPRU{TE.fTEMS FOR EA(:H REMIZED CONTRIBl1TI0N Page) nlc() Fist Name oonlnbulions totalimore than $100 from an contributor 7 j~ ISddkName Conlnbotlon Receted For. LastNa gon Name Amount of Contribution 0A 1°0-- Primary Election ❑ General Election Address ° g 2`11 `-Y ❑ Runoff (Local Elections Only) o O • .to 'O t Dale of Contnbutioon O=jpation 7"t 3 3 Aggregate This Election Empbrer Fist F A JO 0 WKWName Contribution Received For. LastNamofprgy*?" Name Amount of Co~ ti wv-b attl Primary Election ❑ General Election Address O 2~O csw~s.~ QD ❑ Runoff (Local Elections Only) So ° • w k.Nm } ",ekLe• Date of Contrbwtion +pation A99tegate This Election r FrOName. ~L Name Contribution Receiftd For. Amount of Contribution ~•~'~qo,+D MPftry Election General Election kJdress ~IIYJ'O. by l •1 U $ `7 ❑ 41 (S Runoff (Local Elections Only) c4ty Stale =Cod. Dale of Contribution octupatiari Aggregate This Electbn RrslName Con Wde Name -J . c or. ~6onName oun o n ubon o Primary Election ❑ General Election AftM 4 1 2 0 P.. -T K ..'s ❑ Runoff (Loc t Sedorts Only) O . %AY Le w LS 4 Code Dale of Confnburon Ocwpation A99regate This Eloclion Errp{oyet PWAMOMMUNWAMM 5. TOTAL ITEMIZED. CONTRIBUTIONS (Carry to item 3. of next page irlydditiorgt (1f ttr: is tie W Page of cuftulioru, this anaunt paq~ must bed krtn are used.) stawnhAemiSb.ofaunxrrary.) t~ 0) SS-1131(R,,. 2M6) Page of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: TO: Arnou 3. TOTAL ITEMIZED CAMPAIGN-CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 K first itemized nl 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMI70 CONTRiIBUJION Pace) contdbtrliorts totaling more than $100 from an contributor Fksl Name I.Gddle Name J ¢nw > Ccatribution'Recefved For Last NarnelOrgaNu6enName Amount of Contribution Prkwry Election ❑ General Election Address ~ ~ oQ • Op 216L 57. M ws (N SW o per . ❑ Runoff (Local Elections Only) St* Zip Code Date of Cogtnbution Aggregate TNs Election Employer First Name A6"eNam L Contribution Received For. Amount of Contribution Lbgliamelorgan'¢a6~ Name Primary Section ❑ General Election Address ❑ Runoff rti~ To a . t I Is.. Il a (local Elections 0 -k A Gh srak zpcoae Date of Contribution Aggregate This Election L ~1~ cc 1 7"J occupation . r FrstName l~artie ' Contribution Received For. Amount of Contribution a-I6A- Primary Election General Election g y J e , o, B ❑Runof (Local Elections Only) Qty l le 4Code Date of Contribution, +oY- T•v 3 1 1'Z. Aggregate This Elecion oceupauon Rrsr Name tilt t WMeName or Amount o n n L1NamaUqwftR6on Name. tepr,, Primary Election ❑ General Election So O • W Address ❑ Runoff (Local Elections Only) Fr' 1. ~ ~ JT (r'j c rib CT .atl+~ City w ti gD Dale o'ConbbuGon Aggregate This Election owvakn 5. TOTAL ITEMIZED. CONTRIBUTIONS (Carry forward b item 3. ofnext papa if additions( pages of thh form ere used.) ~.3oe V ft this is ft last page Of oanWftns, this amount must be shown in Item 15b. of swauuy.) ~-i SS-1131(Rev. 2106) Page of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: TO: 3. TOTAL ITEMIZED CAMPAIGN. CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 H first itemized page) iount ~>7D 4. COMPLETE THE APPROPRIATE.ITEMS FOR EACH ITEMIZED CONTRIBUTION contrbulions totaling more than $100 from an contributor Ffst Name Wddk Name Contrbution•Received For 9 q4 •1wn A Amount of Contribution LastName**a*aKWn me Primary Election ❑ General Election S clle.tt_ - Address ❑ Runoff (Local Eecttions Only) T 1 CtawQel~j I~l~ Apt QO CRY stale TV code Date of Contnbuton Nlt~ 7~1~- Y~ J p Aggregate This Election ow*auon Bow ~7 Fast Name WkKeName Contribution Recetved For. Amount of Conlrbufion k t'~ ti01i1la"1e 71 __a'afyElection ❑ General Election Q C- roo 5 . Lou Address ❑ k r> (Local Elections Only) ~ N-•~ ~ Q 1 c CRY • ` R ,13,1aia~ zk de 3 Date of Contrrbution Aggregate This Election Occupation • r FrdName Nam Contribution Recrtived For. Amount of Contrbution [ tPrimaty Election ❑ General Election L O N Z<<l ~~M~ ❑ Runoff (Local Ekxtions Only) City state zpcodo Date of Con*ution ~•'~7 V t y'..~ 0~ A99ragale This Election 0=wtion RrslRame Last Hansal0~ N.M. Primary Election ❑ General Election R w T-"p SAL. Sb~ ..r. Address o 1 y O ❑ Runoff (Local Elections Only) I ~ , P.sw T Pte. Ck N o st* C Dale of Conlrbulron Aggregate This Election d% 1% Occupation Empfoyer 5. TOTAL ITEMIZED.CONTRIBUTIONS (Carty Wwa(d to item 3. of next page if #d0val pages of ft form are used.) l (K ft is ft tall page of Cw%U5=, INS eff*j It must be Shown in item 15b. of sumvnary.I 1 SS-1131(Rev. 2106) Page of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: TO: 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) nt I ~n, 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling Hare than $100 from an contributor l ,V Ftx Name Afddk Name Contribution-Recelved For. Ammnt of Conbbution '9. Ray Last Name/Organlza6on Nana '8~ri ^ ; x Primary Election ❑ General Election ~To . as• Address ❑ Runoff (Local Elections On 311 lJJ y Iy CPaah Res ly) CKY We LpCode Dale of Contribution As W~ ~y 11) Aggregate TNs Election Ocagation EmpbW Fas(Name r WKMe Name Contribution Received For. W"A-v W C Lvw.v.- Amount of Contrbution last Na Name *Primary Election ❑ General Election V,."e 11s .$a SO. Vz) Add ❑ Runoff (Local Elections Only) S10 Cpl o.+ e l Ott- Cky Zip Code Date of Contrdwtion Aggregate TNs Election 0-pat+ Emooj- r Fast Nam Nara Contribution Received For. Amount of Contrbution h < STS ' Primary Election ❑ General Election Addres.. v `F 11. ❑ Runoff (Local Elections Only) City Stale ZV Code Date of Con*ulion ~~.lr 1 7 ;J 19 ci Aggregate This Election Occupation tMOOM Post Norne lwae Name a; AMOunt a n n last Namd0ganbz6on Name. Primary Election ❑ General Election t.S w'0 . M ~ Address ❑ Runoff (Local Elections Only) City, %0 S7 e-4 Zip Code $ b Dale of Conbbution Aggregate This Election ocwpatlon 3 Employer 5. TOTALITEMIZFD.CONTRIBUTIONS (Cary forward lo item 3. of next page Vadditional pages of tds form are used.) (1j~ f D. (H ets istb last page of oontrbu6W4. this -moat arttl be Lho m in kem 15b. cf summary.) SS-113l(Rev. 2106) Page of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: TO: 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 If first Itemized page) nj 4. COMPLETE THE APPROPRIATE.ITEMS FOR EACH ITEMIZED CONTRIBUTION Fist Name oontrbulioru 1otaF more than $100 from an contributor Wd* Name Coritrbution~Reoetved For All Lest Name/organb,6o„Narne Amount of Contritwtion [A S ww+.ll Primary t~ction El General Election j Address t J 0 O. W 36 S-y, yvAd.G.N UHF G~ ❑ Runoff (Local Elections Only) OKY N1 State ZIP Code Date of Contribution T 01 Aggregate This Election oaupation Engbyer First Name w Will Name Contribution Received For. Amount of Contribution Last Nam Name Primary Election ❑ General Election Address 'fi S ?O..a Qp ❑Runoff (Local Elections Only) Cky Zip-Code N w,n a~~ e . y r 3 g o Date of Contribution Aggregate This Election Oc~gatian Fall Name m • tiA Name Contribution Received For. Amount of Contribution -A I t-~~ re A S *rinwry Election ❑ General Election Address n SO VV S~ o ~Q ~t"is S~.r r C ❑ Runoff (Local Elections Only) e Stagy 4 Code Dale of ContrrbuGon ~M~ ru>snG 1'~ Aggregate This Election Occupation FM Name t+r1.► A66dle Name or o ~ ~ Name n ❑ General Election a 1 e- p w Q re L- Election Address o~ ~a').S T ~t>Dy tw ❑ Runoff (Local Elections Only) .C~ L-Q J C Staie Zip Code C7 Dale Of Contribution Aggregate This F6e %w 5. TOTAL ITEMIZED. CONTRIBUTIONS (Carry tonvard lo item 3. of neA Page k addi6onar pages of M form are used.) (If tlis is he lw page of con*utiom. Psis snaunt must be O*wn in kem 156. of umwrory.) 1 SS-1131(Rev. 2106) Page of RDA 11159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: TO: 3. TOTAL ITEMIZED CAMPAIGN.CONTRIBLITIONS FROM PRECEDING PAGE (enter $0 ff first itemized page) nj 1 Sb 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION conlnbutions totaling more than $100 from an contributor Fksl Name Cbntrbu6on•Received For Py L Fv is ~ Amount of Contnbutan Last Na;95O OonName `f°~* N A N ~ •+v `fv drnarY Elecbon ❑ General Election Addma y~ El Runoff (Local Elections Only) Sfale Zip Code Dale of Contnbution 1r v -6 t- 7'J e p Aggregate This Election 0=paw Empbyer FrstName r WKKeName Contribution Received For: Amount of Contrbution I.aSI tlLlrle/5pn . YajPrirtrary Election ❑ General Election o.w Address - ~ ~ r0 • Irv ❑ Runoff (Local Elections only) • ' ~'v10.P1~ 'aM1 Ro Sta1e ZpCode Dale of Contrbution Aggregate Pis Election • r Fast Name Mama Contribution Received For. Amount of Conbbu6on Last NawPorganzaDon Kam Primary Election ❑ General Election 'P10 4"--% ~orJ , w Address ❑ Runoff (Local Elections Only) City stare codo Date of ContnbuCwn Aggregate Election 1g.3 This M. +e. J lc, t~ Ocapation l Fist Name Af+ddleName or. Amount o ntn n l eslNamidOryankationName, f "Pdmary Election ❑ General Election s~ w r►'9 ~ o . o0 Address A N ❑ Runoff (Local Elections Only) -2 p 10 Zp code Dale of ContnbuWn Aggregate This Election Ooaipation Fmpltryar 5. TOTAL ITEMIZED. CONTRIBUTIONS (Carry forward b item 3. of nerd pays if additional pages of thh form are used.) / Ysp pf m is M last pago oroontrbutions, This annul must be diowm in k=15b. of aarwmary.) tp-i SS-1131(Rev. 2106) Page of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE =~R ORT COVERING THE PERIOD TO 3. TOTAL ITEMIZED CAMPAIGN. CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) nttYsb 4. COMPLETE THE APPROPRIATEHEMS. FOR EACH ITEMIZED CONTRIBUTION utions totaling more than $100 from an contributor Fist Name VA& Name C&*b Aon'ReceW For Amount of -r140 As Contrrbtrtion Last Name0gaNra6on Name C#A *Prmtary Election ❑ General Election .12 Address 1 ° 2-A 40-0 v S e v ( Qp ❑ Runoff (Local Elections only) Mr St* 21p31 Date of Contnbution I 7.~ Aggregate This Eledion O=jpatfon Employer FrslName WoMeName Contribution Received For. RI° Amount of Contrffiution Last Hame/Orgarazay~Name ~rdmary Election ❑ General Election NI Address 4 T w,`y a-rr•..+~ ❑ Runoff (Local Elections Only) ~P,Code CkY Date of Contritxrtion ~J~A , ✓"11 ~ Aggregate This Election r FrstName Nam Contribution Received For. Amount of Contrrbuljw Primary Election [:1 General Elector Non-.•~ , o o . w Address P . C B o sft Ss ❑ Runoff (Local Elections; Ony) Cky ZP Code Date of Contrbution ate This Beaton oowpasm t 10~ Amount I~oBT- ~+a.~w or o ntn n Las1Na_ rne'lName. ~j Aw b O i E a kPdmary Election ❑ General Election U. Address 3 ❑ Runoff (Local Elections Only) . Date of Contnbution Aggr ° L ate -This FJeaion CMPI%W 5. TOTAL ITEMIZED.CONTRIBUTIONS (Carry Wmard b item 3. of nerd page k W(ftW pages of Ihrs form are used.) t )t, 0 , tlb (k M is ft fast page of oontnU ns, this amount must be shown in kern 15b. of summary,) SS-1131(Rev. 2106) Page of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS _ 1. NAME OF C CANDIDATE OR COMMITTEE AM D I DATE 2. REPORT COVERING THE PERIOD 3. TOTAL ITEMIZED FRS' TO: 4 CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter a0 if first itemized . COMPLETE THE APPROPRIATE.fTEMS FOR EACH ITEMIZED Page) n1 tss 3a~1 F Flartre fTt18U770N contnbWons fotaiirtmote than $100 from an SIG ~ Gw ~ contributor fne ~fnbuUon Received For. Lastuartre/p~gy gonNaAmount of ConuuxXon Adder 4 T e-: V ,Primary Elec6en ❑ General EW;on Fla .,ro ~ SOo. v~ City t_ y d. ❑ Runoff (Local Elections Only) 4~' WS l~ ~ Slab 8 C Date of ConfnbuUon 1ion Aggregate This Election r ,~0 6 Ifiiddellame Contribution Received For. lase Nan Pnizabin Amount of Cw&kx lion (L A dd my Election El General Election 4- ress QQ e , ✓e s~` ~'l°~eww'a ❑Runoff (Locat Elections only) of Contnbu66n Aggregate This Election r FrstName. Contribution Received For. r~r Amount of C VdU6on . S••J ` Q Prunary Election ❑ General Election Address `O S't.~1 N w. oo ❑ Runoff (Local Elections Only) CKY 4-rj, A C0d0 Date of Contnbu6on occupation 1) l I 1 Aggregale This Electan t FirslName nenName oam o ntn upon a k Primary EkCU n ❑ General Election Address I Vol H wa p ~iL ❑ Runoff (Local Elections Only) rvo . M. Cky, o C st Code Dale Of Contnbtrtion Occapatan Aggregate ThIs Election E"pioyer 5. TOTAL ITEMIZED. CONTRIBUTIONS terry tenvaN b item 3. of next (if "s 1s N last page of coebbA0n - visa am ount G°O pages of thh ban are used must be aft wn to ken,l5b. cf s+xnrnary.) 3'6~. W SS•1131(Rev. 2106) Page _ of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: TO: nt3d~ 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter SO if first itemized page) 4. COMPLETE THE APPROPRIATE.REMS FOR EACH ITEMIZED CONTRIBUTION contnbutons totaling more than $100 from an contributor nstName WW"'. Name Cbntrbfion'Recelml For. Amount of Contribution C,11+ua/L E DO.a., A Last Name0gariza5mNarm *PdmaryElecUon ❑ General Election A /c a."bvr - A 15,0. r Addmss 7 j'1 A1<tL~rt t~Is IQ~ ❑ Runoff (Local Elections Only) City M~ ~j o Z~p~Qea o Dale of Contribution Aggregate fits Election oom~~'~ C •-mpb)~" FrslName Contribution Received For. Amount of Contribution Le-4- laslNarnelorgari¢ationName R.Pn=fy Election ❑ General Election 2S0 . t„o Cu~byy..,j Address f • 1, % c.K w~¢. a ~s ~C []Runoff (Local Elections Only) Cky Stale Code Date of CwMbu66n aM• 7 .t J ~I G 7'•J p AA9tegate This Election Occupation EmA- r FW Nmw donne Contribution Received For. Amount of Contibuton Via) V %Printary Election ❑ General Election Address Runoff (Local Elections Only) Cky _._.jZ0Code St* M ►+6-1, J C) It ? Bale of Contribution Aggregate This EJectbn occupation tNa Contribution Recaryed For Amount of Contribution WtlamdOry~Name. Primary Election ❑ General Election Address ❑ Runoff (Local Elections 0*) N JT Cky f 4,code Dale of Contribution Aggregate This Eleclion Oom"tion Emooy- 5. TOTAL ITEMIZED. CONTRIBUTIONS (Csny forward b Rem 3. of next page U additional pages of Ws forth are used.) (lf Ws is he last pogo of contrbutions. This arrant must be shown inkem 15b. of aarmary.) i SS-1131(Rev. 2106) Page of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: TO: 3. TOTAL ITEMIZED CAMPAIGN. CONTRIBUTIONS FROM PRECEDING PAGE (enter $0If first itemized page) 4. COMPLETE THE APPROPRIATE.ITEM$ FOR EACH ITEMIZED CONTR18ln10N nl y Fks! Nan,c conkbutions totafi more tlian $100 from an contributor 1?o idddkName ContrbutiodReceived For. Amount of Contrrbcrtion last Ha ;on Nam A-r p p Primary Election ❑ General Election Address ~~0 a • us 3- A 4&-4- sv-j Cyr, ,Q g ~b...re ~ Q ❑ Runoff (Local Elections Only) I ~ 4~r3 ~frllt 4p 3 code o Date of Contribution 9 Aggregate TNs Election FrstName "t +Y WiddleName Contribution Received For. Amount of Contribution lass ..Hams en l ` ry Election 1:3 General Election Address 21r TG 11, s t ❑Runofr (Local Elewm Onw J. L Staff LpCode Date of Contrbubon Ta 2115 Q31 Aggregate This Election . r FsstName N&ma WH5 A Q o p Contribution Received For. Amount of Contrbuyo" LUp on~Qftnary Election ❑ General Election ? l s . ~l s i l4 rC PR ❑ Runoff (Local Elections Only) C(y State 4Code Date of ContrbuGon 314. ] A99tegate This Election Occupation l RrsiHame Arddk Name Co"'ke-4t So ~1a or ~~lionName ° " " Nth Primary Election ❑ General Election Address- ..1.5'0• P..1. R- `Zt, ❑ Runoff (Local Elections Only) CRY ..e y 9 O Dale Of Contnbution Aggregate This Election Occupation Fmplo}er 5. TOTAL ITEMIZED. CONTRIBUTIONS (Corry bwald b item 3. of next page V*d&6ww payer or Ns form amused.) IN ft is N fast pays or-ftub'ons, this enwrA must be shown in Nam 15b. of summary.) SS-1131(Rev. 2/06) Page of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: TO: 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first KeMized page) nt s S~ 4. WMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMRED CONTRIBUTION contributions totaling mme than $100 from an contributor N in- FirstNarm µa,ra Cbittrbution'RemWWFor. Amount of ConbtKedon C11~+~n test W040ryan 350 Name Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) 211 Qo.sc.asTC (Zp Dale of Contrbuton Aggregate This Election M ~ ,y (11G r~ :17~°~ O=paL;w Empbyer C~idd<e Name Contribution Received For. Amount of Conbbution t~ 1~AJ e_ Log Name10cga bztion Name tpZewwry Election ❑ General Election bo. W Address a .l rr ❑ Runoff (Local Elections only) ~,qe~ J t , Nwg yl is Stale ZpCode Date of Conftution Aggregate This Election 1AfJ~, like- r FrONarm Name Contribution Received For. Mount of Conbbution 57G~ c Primary Election ❑ General Election J o l1•'sda Address Runoff (Local Elections Only) 19 yt~.ll~o~ ll~. City scales ZpCode Date of ConVb.u6on Aggregate This Election ocapation RrriName -Amount lfidAe Name Contribution Received or o n Primary Election ❑ General Election A SO . loslNarnelOrgarraationName W Address ❑ Runoff (Local Elections Only) $ 3 Lwva-.<-~ ~'w l~ S City, Sft Zip Code Date of Contribution Aggregate This Election 000"bon EmA r 5. TOTAL ITEMIZED. CONTRIBUTIONS 1 y00 (Carty (onward to item 3. o(ned pays it additional pages of this tom, are used.) (M ft is fie W pap of oombb Aons, this .mood must be drown h item 15b. c( mmaq,) J SSAW(Rev. 2106) Page of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: TO: Amount DO 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 'l, 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMl2ED CONTRIBUTION conlnbutions totaling more than i100 from an contributor Fkst Name frf Me Name Conbbution'Received For. Amount of Contrbution WA O-t'lL Lost Name0ganizatim Name E'rimary Election ❑ General Election S~ • .>a N C. 'A p a Address. O . g 430 ❑ Runoff (Local Elections Only) st* L 'l" ~~++s v sc. TO ~ $07~ Date of Contribution Aggregate This Election patios IE First Name WKMName Contribution Received For. Amount of Conbbjdon 'A-%k-t ~~xAAn Las(NamelrW&AonName L.~ednwry Election ❑ GeneralElection L-w-.v ss I ~5'D . W address l L,1--) 5 f . TS S l-j 4p ❑ Runoff (Local Elections Only) CNy State ZoCode Dale of Contrbution Aggregate This Election 7 of ? 77A Envlos- r FWName Name Contrilwtion Received For. Amount of Conbbution :3,.4 •.r~5 ° a w %.o LasiNameADipricabonName Pnmaty Election ❑ General Election Address Runoff (Local Elections Only) ~e0 ~a►~1.-~ S ~ . Gh ~I ~o A 3Code Date of CoaWkilion Aggregate This Election - 0ou"tion First Name Ididdk Name ConWWfion Received For Amount of Contribution ~7 LastNamdO~ Name. PpriknaryElection ❑ General Election A-oO e~ ❑ Ispo , w Adarese Ruraft (Local Elections Only) city, S Zip Co D, Dale of Conbtution Aggregate This Election -7 54 Occupation Empbyer 5. TOTAL ITEMIZED. CONTRIBUTIONS (Gerry tanvard to Kern 3. of next pays Y additional pages of Yetis form amused.) 21 (Y Yetis Is t» last page of omMkons, this emarml must be d* m in Mm 15b. of summary.) SS-1131(Rev. 2/06) Page of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: TO: 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 If first itemized page) Amount 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION conbbulions totaling more than $100 from an contributor FWName LoddbName C 0tution•RecelvedFor. Amount of Contribution Last NamelOrgant a5m Name Primary Election ❑ General Election 1000 01b 3 1.0 A v C- 413 PJ2, ❑ Runoff( (Local Elections Only) CRy TV code Date of Contribution K+~ e ~ L1 Aggregate This Election O=pation Envlo)- First Name Wd&Name Contribution Received For. Amount of Conbbution q.NG- tas(NamerOrg nWejm Rum Primary Election ❑ General Election t JNtb '1~ ~1~D ~ ~ Address 7 J)k V ❑ Runoff (Local Elections Only) I d w w wn.r' ^ aW. r44C 1 Date of Cotttrbutan Aggregate This Election Occupation • r Fast Name lbnra Contribution Received For. p.~~~~11 Amount of Contrdxrtion ~\pftkvy Election ❑ General Election jrQ Address 31to w 4L ❑ Runoff (Local Elecdions Only) ) b~ . ~.?mo •r L.~ Cky state zp code Date of Con* uf*n Aggregate This Election T,r.) 9 -LID Occupation Frst Name htiaae Name C-ontriNition Kocerved For Amount o n test NamdOrgaration Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) Cly State P;code Dale of Contribution Aggregate This Election OcaP36M Emooy- 5. TOTAL ITEMIZED. CONTRIBUTIONS ll~~ (Carry forward b Bern 3. of next papa R oddi al pages of fits form are used.) 1110• ~V (R ibis is M Iasi page of co *U6ons. this enwt must be shown in Rem 15b. of summary.) 1 SS-1131 (Rev. 2/06) Page of RDA 1159 0ooz/oos 101/28/2013 MON 16:03 FAX 8652735927 Blount Cc Election CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates Tor Single-Candidate Committees 1. TEOFREPORT 2.a. NAME OF CANDIDATE OR COMMITTEE is 13 LQ.e, 3e,ens~►v 2.b. I COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE 4.a. CAMPAIGN ADDRESS AND PHONE Street or Ru I Route City State Zip Code Phone ~y03 W,1~►~I O-Wll.eN 6 Tri 3?d°3 T95- 030c> 41. CANDIDATE'S HOME ADDRESS (d different than 4.a.) Street or Rural Route city state Zip Code Phone 5. OFFICE SOUGHT (include district number, 9 applicable) 6. NAME OF POLITICAL REASURER (may be candidate) 5116ezr-f:: ~tY e.I. rrrl~• FaeAJa14 7. CATEGORY OR REPORT (Check one) FIRST SECOND THM 13 FOURTH PARE- ~ MID-YEAR YEAR-END QUARTER QUARTER QUARTER PRIMARY GENERAL grogAEKTAL SUPPLEMENT B.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD 1\ l~l`1- 9. (Check one) a. ❑ This campaign is exempt from detailed disclosure because contributions (including in-kind) received total $1,000 or less AND experxli- 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, Uwe swear or affirm that no campaign contributions have been expanded for the personal financial benefit of the candidate or for any other nonpolitical purpose as defined by the federal internal revenue code. L-Aisnign, of candidate le f political treasurer date 11. WITNESSSIGNATURE ~4h 12-311 *it 1 signature of w s date signature of witness date 12. SUMMARY a. BALANCE ON HAND LAST REPORT el' -JA IV......9 2 b. TOTALRECEIPTS THIS PERIOD Z01 $ 3S. tc o c. TOTAI.DISBURSEMENTSTHIS PERIOD $ 1,1181-10 d. BALANCE ON HAND (12.a. plus 12.b, minus 12.c.) $ • ► `9T . d e. TOTAL LOANS OUTSTANDING $ f. TOTAL OBLIGATIONS OUTSTANDING $ M1109 (Rev. 2106) Pape I or ~ RDA 1159 %01/28/2013 MON 16:03 FAX 8652735927 Blount Cc Election 2003/008 SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD 1 I~Sb'l~'~` „►..N. ~S L4✓~ FROM: ~ It 1Z T0: 11 RECEIPTS 15. CONTRIBUTIONS (other than bans and interest) a. Unitemized Contributions ($100 or less from each source this period) $ _ b. Itemized Contributions (over $100 from each source this period) $ 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 32 3•~0~ J3 18. TOTAL RECEIPTS (add 15.c., 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 listed by category - e.g.. printing, postage, gasoline) $ $ $ s $ $ Total of Expenditures ($100 or less each payee) $ `-tq - b. Itemized Expenditures (Over $100 each payee this period) $ 115 31 (1. c. TOTAL EXPENDITURES (other than ban repayments)(add 19.a. and 19.b.) $ 20. LOAN REPAYMENTS MADE THIS PERIOD $ g9 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) $ (1117. 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.) $ fich SS-1133 (Rev. 4102) Page of 2004/008 %01/28/2013 MON 16:04 FAX 8652735927 Blount Cc Election ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD TO: III.- Amount! 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 9 fast itemized Page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CMMIBUTION conbibOW to more than $100 from an contnUAor) FtslNarm MddleName Contribution Received For. Amount of ConttK ion LeslName{Orpani:etiorn Name ❑ Primary Election ❑ Gomel Election Address Runoff (Local Elections Only) CRY Staff zip Code Date of Contr9 ution Aggregate Tlds Election Oaft4ation E~Yw Contrihution Received For. Amount of Contnlwtion Last Name0gKkA5wHme [a Primary Eloction ❑GeneralElection Address ❑Runoff (Local Elections Only) City sw z4code Date of ContrbAon Aggregate This Election occupation FirstName Nunn Contrbudon Received For. Amount of Cor&bAicn Q Primary Election ❑ General Election Address Runoff (Local ElecOw Only) City Sao Date of Confrb+ufim Aggregate This Election Oowpation Irdd KWN or Amount o n FltEt W me last NamelOQ&*aban None ❑ Primary Election ❑ General Election Aggress [7 Runoff (Local Elections Only) ~ -'11* 40D* Date of Conlnbution Aggregate This ElecWn om"tion Effooyer 5. TOTAL ITEMIZED CONTRIBUTIONS (CarrybvmWtohern3.o(aedpatetedd wo!p"aoftictom,areused.) (M this is tie tact papa of oanabubom, this amount must be shown imam 15b. of summary.) SS-113i(Rov, 2106) Page 3 of RDA 1159 - ~n,ddavL 20o5/ooa `01/28/2013 MON 16:04 FAX 8652735927 Blount Co Election ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: it TO:I ~q 3. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 d first itemized page) d. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED INAND COPffRl UTION ("nd oaitbu0om btar4V more ton $100 Mom any oontnb"during me period) Fvsl Name M dde Nam h Kidd ConirrWdw Received For. value of In~CirM Contribution Primary Election El General Election Ladd ougarVza mName ❑ Runoff (Local Elections Only) Addreu Data of kA W Cm *bAon Aggepab dis Ekcfm qty bete zlpcuda DesalpeonahJWC&*WJm ooarpe0on FWNWO Wide Nan* h4GO Cordrlbutlon Received For. Value of Mf-KBW Contribution PrMnary Election ❑ General Election Last Nan+ar0ryariratiomName ❑ Runoff (Local Elections Only) Addreu Dale ah&dCw*bkfm Apg"are tlis Nd5m otY State Tip Code Desaip6on f W WCmkb*n 0001* rr Eapkger Fins Name Madde Name "nd Cd"udon Received For. Value of I"r d Contribution Primary Election ❑ General Election lest NamelOrysriration Name ❑ Runoff (Local Elections Only1 Address Daleo(h4 WC *bAun AWepatedisE1eebon ptr, Smk ZpCode Dss«iptionat►Kndra>trbrbon J Faro Name A6odla flame hKMd Corkbidon Reonived For. Value of M 4GW Conbnbution 0 Primary Election ❑ General Election LastName(Orparbabm Nsma ❑ Runoff (Local Elections ONy) Adders Daloo(hKndCaWAxA n Aoega*MFJectm c;y State zpcmde Desaip6a+dhrKndCarYbukn O0wPa_ Employer FkUName WddeName Indclnd Contribuion Received For: Value of In-IOnd Contrilutiort Primary Election ❑ General Election LastNameprquNraaionName 0Runoff (local Electim Orly) Address Data ahKnd Conabr6on Apgrepace dis Election stale TpCodo Dvxdp6onorb4 WC**bAon I city 5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS (Cary brwerd b Nom 3, of nett page N ad*WW popes of Nis corm are used.) (Hthls k the last pope a YFkind umtbuSan, tlis amour must be stows In Nam 22b. of p wAq.) SS-1126 (Rev. 2106) Pape of RDA 1159 2oo6/oos 101/28/2013 MON 16:05 FAX 8652735927 Blount Co Election ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD rGF ~p~ CGS FROM: t (ti TO: 112j Amount 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 If first Itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (e, paditures at kV more am $100 to dry payee dwtng the period) Flrs1 tle ITddle Name Purpose of Expenditure Amount of Expendfdxe K Aa.I-I (y ~c lest NamelBusmess Nara f Yv vJ S 7 cl eJi v Address ~n~~ • $3 city Slate Zip Codo Fast Nana Mddle Nana, Purpose of Ex~peenddAure Amount of Expenditwe Last NaralBushwss Now M Al i-j ,,b~ ,~-f-~+s . 53 iP `3 M Q I - l S c R rC C p n•o,U "-/-gas Address City Slate Z"Code First Name Middle Name Purpose of Expenditure Amount of ExpendWre Lost NanaBuSinew Name Address city IN* ZIP Code First Name Wide Name Purpose of ExWKibre Amount of Expenditure Last N&T611"aess Name Address C~ Staa ~ Cade First Name V4da Name Purpm of Expenditure Amount of Exper dtu m last NmndBusinass Name Address City St* hp code Ro Name VA* Name Purpose o(Expenftm Amount of Expenditure Last Nameftsiness Now Address City T Sate zip code 5. TOTAL ITEMIZED EXPENDITURES (Carry award a pain 3, died page b adftW pages dthm arm are used.) (If" Is Me tall page otw" siares, this «mum must be clown In tam 19b. of sunraay.) ® SS-1129 (Rev. 4102) Page of RDA 11159 MON 16:06 FAX 8652735927 Blount Co Election `01/28/2013 6 ITEMIZED STATEMENT OF LOANS - CANDIDATE THE PERIOD 2. REPORT COVERING TO FROM: f. NAME OFCANDIDATEORCOMMITTEE 1\ (1^ ~5 l3 the btaGnp n+ore Aran 5100 hom anY duri 3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED LOAN (woos t roan (Eno d Penodl Balance p~nreots Cornpk le the Folk." the Win d the Loan Udstardiog Ingo Roo" L%"Q Name lpagh-ki of WWI Flrsl Name Last Na,rel0ryan~ao00 Name pate d Loan Loan Peteked For. Address E3 P&WYElection 0 General Eke State Code 0 {bra(L0WEbcti0ffiw CAY is needed Please a0ach a page) last Ar Endorsers or GuaraMas for Above loan (U rtgte ePaoe 6GddVe Hama ~ FkslName fYslMemo L3$tNamelONa" 'Nam LastNan4~i0^ Name Address Slate zip Code Address State 4 Code C4 ~ Guaanleed OutciaLdkN Annunt( UXXAeed0utslardm0 "to Name N Ftist NW* Fkst Name Lost Kw*0vmftK- N" last Nmwom-3600 Name Address Ad"" Stale zips Skka zip code CdY (AY Guarsraeed0utst*g Anpuntt,uartnlead rwlstatdaq Wddle Nana WddleName FYStName First Nerve Lest NarelOrOe~°^ ~OSa Last NamefOrOaru~On t1am0 . AAdress Address tote ZP Zip CkY ~ Gutranbed OutsWnd'a6 ArrnuntGua anlaed Oulsbndkg Wddle Name Wddlettsme Fk%At me First Name Nam JOrYOnName LaNNa,r>slOryawzationNome Address state zip code She zip code Guaenteed OtRstardkq grro MGuaranbed0ulslandkg loan outsta+dkgLOWBalance Lum 0(kIBIIfIZPdlOaf Urlstandin0loanBaiarce P d wn' d P ' Pe00Meed 4. Togs (ordlAatts l- olltastPa9e (total low received SW also be 001n h h m 20 on summ ➢ 0 1 s~~ps h,,k%jam12A.onhompapa.f RDA 1f59 Pape of ® SS-1132 (Rev. A102) 01/28/2013 MON 16:06 FAX 8652735927 Blount Co Election 0008/008 ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD 3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED FROM: TO: Utstarxiing OBLIGATION (obligations totalirg more than =100 owed to any (Beginning of Period) I ~ mooed Payments Outstanding Balance Person/vendor at the end of the reporting period) This Period This Pori od (End of Period) FlrsI Name ~iddfe Nartra last Name NinessName Address Stale Tpcode ~ ~e Middle Name t s Addmss Stab zipcade Des«Ip6on a oDliyetion Flnl Nana Afddle Name tut Nacnalgusrness Namre Addmss C4 State ZpCode Of Nm W* Name last Na~aslness Name Addreu State Lp Coda onaaotpatgm FIV Name t`Mdae Nana last Name/e~~ Name Address SYete 20 oda Descripf I O4. TOTALS 00181 from OuWa"wq Balance - (End Of Period) ooiumm must also be shown In ilem 23b, on summary Pape) ® SS-1127 (Rev. 4102 Pape ~ or ~ 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 L 3 r . 1-, Q, 0- kA...a--j 2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELE TION 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 Rural Route City State Zip Code Phone 5. OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate) 3NA,C. "4-p hs Y,~ ..IN's 'btrk ~tL~~..C11`k 7. CATEGORY OR REPORT (Check one) FIRST SECOND THIRD F U TH ~ 1:1 1:1 QUARTER QUARTER QUARTER QUARTER PRIMARY GENPRE- MID-YEAR YEND ERAL SUPPLEMENTAL S PPLEMENTAL 8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD Sv~ \ 1a 1\ a R 15 o~Z 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 Inefit of the candidate or for any other nonpolitical purpose as defined by the federal intern I rev nue code. L-, I G.'e, if =z th I In,- 4 //y,/, signature of candidate dal g u f politi treasurer d e 11. WITNESS SIGNATURE signature of wi n ess date signature of witness date 12. SUMMARY `s b38.3 f a. BALANCE ON HAND LAST REPORT $ ~ b. TOTAL RECEIPTS THIS PERIOD $ 4 b ' 3 ~O c. TOTAL DISBURSEMENTS THIS PERIOD $ d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ 3 1 b 4 .3a( 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 PERIOD FROM: T0: 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) $ 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) ,;t $ too , w $ 3a ov Total of Expenditures ($100 or less each payee) $ b. Itemized Expenditures (Over $100 each payee this period) $ I TO 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.) $ 31- . 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.) 6 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) $ `6 SS-1133 (Rev. 4102) Page ~ of ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: TO: 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) mount 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 Last Name/Organization -N...----LM ame ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) city Stale Zip Code Date of Contribution Aggregate This Election Occupation Employer First Name MddleName Contribution Received For Amount of Contribution Last Name/Organizat on Name ❑ Primary Election ry 1:1 General Election Address ❑ Runoff (Local Elections Only) City State Zip Code Date of Contribution Aggregate This Election Occupation Employer First Name IeName Contribution Received For: Amount of Contribution s m rgan¢a in ame ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City Stale Zip Code Date of Contribution Aggregate This Election Occupation mp oyer First Name Middle Name Contribution Received Or Amount o ntn u ion Last Name/Organizabon Name ❑ Primary Election rY ❑ General Election Address ❑ Runoff (Local Elections Only) city staaa op 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 of 1 RDA 1159 ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE Or,ziz R COMMITTEE 2. REPORT COVERING THE PERIOD FROM: TO: 3. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) moun 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 Last Name/Organization Name ❑ Primary Election ❑ General Election ❑ 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 Last Name/Organkation Name ❑ Primary Election El General Election ❑ Runoff (Local Elections Only) Address Date of In Kind Contribution Aggregate this Election City Stab Zip Code Description of IMCad Contribution Occupation Empbyer First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution Last Namelorgan¢ation Name [3 Primary Election F-] General Election ❑ Runoff (Loral Elections Only) Address Date of In-Kind Contribution Aggregate this Election city State iCode Desuip fion ofln-Kind Contribution Occupation T ;Zp First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution Last Name/ ❑ Primary Election [3 Genera) Election Organization Name ❑ Runoff (Local Elections Only) Address Date of In-Kind Contribution Aggregate this Election City State ZP Code Description of In-Kind Contribution Occupation Empoyer First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution LastName/OrganaationName ❑Primary Election [3 General Election ❑ Runoff (Local Elections Only) Address Date of In-Kind Contribution Aggregate this Election city state Zip Code Description of In-Kind Contribution on uccupab 5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS (Carty forward to item 3. of nerd page If additional pages of this form are used.) (K this is the last page of in-kind contributions, this amount must be shown in item 22b. of summary.) SS-1128 (Rev. 2/06) Page of RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE -75 2. REPORT COVERING THE PERIOD 1.r+.t, k." P4eA*p--4 44N FROM: ••1 / TO: / OF t mou A ht 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 q.w+-. Amount of Expenditure Last NamelBusiness Name Add AA-2=j i a I a se...o City State Z' Jt I First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name V N2T'E.O CMS Add L!o Ci State Zip Code r First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name M C I A.41i At ~ J ~ (K~ z tw Address b 01;j 71 ILYN 2/4 City State Zip Code + L First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name %,.)o *Z c.,,,r w L~ Addr 2 s~ . vo D o..►y ~s. +v City i State Zip Code 376702- First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Ob St zi e z~ First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address Qty State Zip Code 7((,vot ITEMIZED EXPENDITURES ward to ibm 3. of next page if additional pages of this form are used.) / c he last page of exp enditures, this amount must be shown in item 19b. of summary.) ( J Q 7. SS-1129 (Rev. 4/02) Page of RDA 1159 ITEMIZED STATEMENT OF LOANS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: TO: 3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED LOAN (bans totaling more than 1100 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 N Address amelOnganization Name Loan Received For. Date of Loan Gty Sta<e Zip Code E3 Primary Election ❑ General Election ❑ 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 Middle Name Last Name/Organization Name Last Name/Organization Name Address Address City State Zip Cade Gty 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 Lp 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 Nart a First Name Middle Name Last Name/Organization Name Last Name/Organization Name Address Address Qty State Zip Code City State Zlp Code Amount Guaranteed Outstanding Amount Guaranteed Outstanding 4. Totals forall Loans (complete on last page of Itemized bans) Outstanding Loan Balance Loans (Total loans received should also be shown in item 16. an summa Loan Outstanding Loan Balance Total ban summary page.) jBeginning of Period Received Pa menu End of Period ( payments should also be shown in item 20. on summary page.) (Total outstanding ban balance should also be shown in item 12.e. on front page.) SS-1132 (Rev. 4/02) Page of RDA 1159 r ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: 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 Name/Business Name Address City n Zip Code Description o Obligation First Name Middle Name ast ame usiness ame Address city state Zip Code Description of Obligation First Name Middle Name 7t -N - Mu NName Address Qty 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.) 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 Sv V'. 13 2 o 11 JP nn ~1) L~ 1 24-0 - 2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone _3L{ v-2 Pi N e-n L e.-,JQA QN-a e_R kb r10~.~ IIQ 3'113 03, -3s ~ S q "L~ 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) S 9e.(,--Ir-F 7. C GORY OR REPORT (Check one) FIRST SECON0 13 D THIRD FOURTH PRE PRE MIDYEAR YEAR-END DARTER 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.V 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 mmlttee by the Campaign Financial Disclosure Act. Additionally, I/we swear or affirm that no campaign contributions hav been a nd for the personal financial benefit of the candidate or for any other nonpolitical purpose as defined by t7;T ' ue de. 10 signature of candidate d e s ref !tical treasu do ,11. WITNESS SIGNATURE signature of witnes date sig ature of witness date 12. SUMMARY Pik PM 1 ? ~t a. BALANCE ON HAND LAST REPORT ,5........................... $ CON b. TOTALRECEIPTS THIS PERIOD ~ ~~..........cn.......................$ `11,`l 5 S oc c. TOTALDISBURSEMENTSTHIS PERIOD r $ d. BALANCE ON HAND (12.a. plus 12.b. minus 1 $ 3n. ~INV e. TOTAL LOANS OUTSTANDING $ f. TOTALOBLIGATIONS OUTSTANDING $ SS-1109 (Rev. 2106) Page 1 of RDA 1159 SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD Junes CcL ~~ysa, , FROM: 1 tl- T0: 30 / 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) $ 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 $ 1 L . ~S 18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown In item 12.b. 1 2 -1. S 5 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) $ 33. 41 pJA.MCC P, f4 t( S IC $ /DO. LV Total of Expenditures ($100 or less each payee) b. Itemized Expenditures (Over $100 each payee this period) $ 2 c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) i 1 L ' I 20. LOAN REPAYMENTS MADE THIS PERIOD 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) $ l 1 ' 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.) $ 23.013LIGATIONS 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.) $ SS4133 (Rev. 4/02) Page of ITEMIZED STATEMENT OF LOANS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: TO: 3-. e S L G e, 9e.22o U j, 1 1/1 F 4 39 3. COMPLETE THE APPROPRIATE 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/Organizalion Name Address Loan Received For: Date of Loan ❑ Primary Election ❑ 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 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 NamelOrganization 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/Organizatton 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 Period (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 frontpage.) Awk SS-1132 (Rev. 4/02) Page of RDA 1159 ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: 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 Lest NamAusiness Name Address City State Zip Code Description of Obligation First Name Middle Name Last NametBusiness Name Address City Stale 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.) Aft SS-1127 (Rev. 4102) Page 4- of RDA 1159 y ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: TO: 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 Name Middle Name Contribution Received For. Amount of Contribution Last Name/Organizatbn Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City State Zip Code Date of Contribution Aggregate This Election Occupation Employer FlrstName Middle Name Contribution Received For Amount of Contribution Last Name/Organization Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City Spate ZlpCode Date of Contribution Aggregate This Election Occupation Employer FlrstName le Name Contribution Received For., Amount of Contribution as a rganiz name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) Ciry State Zip Code Date of Contribution Aggregate This Election Occupation er First Name Middle Name Contribution Received ~-or Amount of Contribution Last Namerorganization 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 (Carry forward to item 3. of next page If additional pages of this form are used.) Of this is the last page of contributions, this amount must be shown In Item 15b. of summary.) IhW SS-1131(Rev. 2106) Page_ of RDA 1159 ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: TO: oun 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 oontributorduring the period) First Name Middle Name In-Kind Contribution Received For. Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last Name/OrganizationNcrme 11 Runoff (Local Elections Only) Address Daleofln-IdndContnbulton Aggregate this Election CRY 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 Daleof In-land Contribution Aggregate this Election City state zip code Description of In-Kind Contribution Occupation Employer First Name Middle Nance In-Kind Contribution Received For., Value of In-Kind Contribution Last NamelOrgantzationName r] Primary Election ❑ General Election ❑ Runoff (Local Elections Only) Address Data of In-Kind CDntdMlon Aggregate this Election City State Zip Code Description of In-Kind ContribuUon Occupation -Employer First Name Middle Name In-Kind Contribution Received For. Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last NamelCxganizafion Name ❑ Runoff (Local Elections Only) Address Dale ofIn-Kind Conhibution Aggregate this Election City State Zip Code DesoriptionofIn-Kind Contribution Occupation Employer First Name MtddleName In-Kind Contribution Received For: Value of In-Kind Contribution Last NamelOrganhatton Name ❑ Primary Election [I General Election ❑ Runoff (Local Elections Only) Address Data crIn-Kind ContriWilon Aggregate this Election City Slate Zip Code Description of In-Kid Contribution Occupation 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.) SS-1128 (Rev. 2106) Page of RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD J ra ss t--PL - &Y v c)-J FROM: / /4 ! i T0: Amount 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) 2 .7 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 j31~ 2,~ 1 w Y~ n ✓"1 /mar r~ Address ~nr~ j z c, Qty State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name v A"Jb Address LIw a (vy ~q~ Nn~~2 2su . P n O llo `f- 3 oS ~ Qty State Zip Code 37So3 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address Qty Stale Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last NamelBusiness Name Address City State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address Qty State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address City State Tip Code 5. TOTAL ITEMIZED EXPENDITURES (Carry forward to item 3. of next page N additional pages of this form are used.) 9 (if 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 CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORT 2.a. NAME OF CANDIDATE OR COMMITTEE I 3 2.0 ~w•~.s 5 L,a-e- 2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELE TION DATE 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone P'D T1 Pm .3 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) 7. CATEGORY OR REPORT (Check one) ❑ ❑ ❑ ❑ ❑ FIRST SECOND THIRD FOURTH 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 Sv` 1°1\ a A 15 olZ 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 Inefit of the candidate or for any other nonpolitical purpose as defined by the federal intern I rev nue code. U signature of candidate dat g u f politi treasurer dale 11. WITNESS SIGNATURE signature of wi Hess date signature of witness date 12. SUMMARY s, e a. BALANCE ON HAND LAST REPORT $ , 03 C • 3 7 b. TOTAL RECEIPTS THIS PERIOD r,.............................................. $ SI 4 b ' 3 ~O 3ti c. TOTAL DISBURSEMENTS THIS PERIOD $ d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ 013 1 folk .3a( 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 PERIOD FROM: TO: 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) $ 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 V . 3 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) v••+Pt:p.a $ loo w $ 3 .so 5NgPat~ $ $ $ $ $ $ Total of Expenditures ($100 or less each payee) $ b. Itemized Expenditures (Over $100 each payee this period) $ I TO L ,CIQ 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.) 'L 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 121) $ SS-1133 (Rev. 4102) Page of ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: TO: 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 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 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 iddle Name Contribution Received For: Amount of Contribution s a rganiza n ame Primary Election ry ❑ General Election Address ❑ Runoff (Local Elections Only) CM State Zip code Date of Contribution Aggregate This Election Occupation Employer First Name Middle Name Contribution Received or: moue of Contribution Last Name/Organization Name ❑ Primary Election ry ❑ General Election Address ❑ 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. 2106) Page of 1 RDA 1159 ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: T0: moun 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 during the period) First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution Last Name/Organization Name ❑ Primary Election ❑ General Election ❑ Runoff (Local Elections Only) Address Date of In-Kind Contribution Aggregate this Election City State Zip Code Description of "rid Contnbution Occupation Tploer 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 IrrKind Contribution Aggregate this Election City State Zip Code Description of "M Contribution Occupation L Employer First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution Primary Election [I General Election Last Name/Organization Name ❑ Runoff (Local Elections Only) Address Date of In-Kind Contribution Aggregate this Election city State Zip Code Description ofIn-Kind Contribufbn (Xcupation m y~ 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 [3 Primary Election [j 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 pa on -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 22b. of summary.) SS-1128 (Rev. 2/06) Page of RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD A«.C% l~ gItAWO rl►l, FROM:-- / 1S t 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) Amount 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 A22M 1 a Add o . A S1o +O City State Z' afuv L First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name U tv-&A" 4 M1vM~ Add ~r✓M ('3 +v~J 4 T1/7 ~6 VO rt)fj CcilK '-j State Zip Code .r First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name y Address A 'b City State Zip Code '-A/I 3-7-7771 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name^ %3 It M C rr,trf % w y~ Ad ~owl•~~OrV i~ . W 1..)o l,5 city State Zip Code 1 37802-- First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Nana/Business Name 1 a Ito 5 Jondme-ti YJ t4grodr) St zi ' e z0 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address Gty State Zip Code 5. TOTAL ITEMIZED EXPENDITURES (Carry forward to item 3. of next page it additional pages of this form are used.) / C 03, e e (If this is the last page of expenditures, this amount must be shown in item 19b. of summary.) l J R O SS-1129 (Rev. 4102) Page of RDA 1159 ITEMIZED STATEMENT OF LOANS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: TO: 3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED LOAN (bans 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/Organization Name Address Loan Received For: Date of Loan ❑ Primary Election ❑ 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 Middle Name Last Name/Organization Name Last Name/Organization Name Address Address City State Zip Code City 7[!t; te 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/Organaalion Name Address Address City State Zip Code City State Zip Code Amount Guaranteed Outstanding mount Guaranteed Outstanding First Name Middle Name First Name Middle Name Last Name/Organization Name Last Name/Organization Name Address Address city state Zip Code Gty State Zip Code Amount Guaranteed Outstanding Amount Guaranteed Outstanding 4. Totals for all Loans (complete on last page of Itemized bans) Outstanding Loan Balance Loans Loan Outstanding Loan Balance (Total loans received should also be shown in item 16. on summary page.) inning of Period Received Payments End of Period (Total loan payments should also be shown in item 20. on summary page.) (Total outstanding ban balance should also be shown in item 12.e. on front page.) 0 SS-1132 (Rev. 4/02) Page of RDA 1159 . J ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: 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 NametBusiness Name Address city state Zip Code Description o Obligation M7 First Name Middle Name Last ame usiness Name Address city State Zip Code Description of Obligation First Name Middle Name Last Name/Business Name Address Gty 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.) SS-1127 (Rev. 4/02) Page -of RDA 1159