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Crisp, Phyllis Lee CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORT P-411is NAME OF CANDIDATE OR COMMITTEE Lee Crisp 3. ELECTION DATE 2.b. IF COMMITTEE, NAME OF CANDIDATE 4.a. CAMPAIGN ADDRESS AND PHONE State Zip Code Phone Street or Rural Route City TN 37803 865-233-2140 519 Cypress Drive Maryville 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) Register of Deeds ❑ 7. CATEGORY OR REPORT (Check one) ❑ 11 DE MID-YEAR YEAR-END FIRST SECOND THIRD FOURTH PRE QUARTER QUARTER QUARTER QUARTER 8 bIMAERNDING DATE OF REPORTING PERIODENTAL SUPPLEMENTAL 8.a. BEGINNING DATE OF REPORTING PERIOD 6/30/18 4/22/18 9. (Check one) ess for this etreporting aileddi period (Compete contrib12d., 12e. utions (inclu and i1 -kij d) received total $1,000 or less AND expendi- a ❑ Thi s tote campaign is exempt tur ® 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 sol7ne affirm that the information contained in this campaig n financial disclosure report is true and that this report is an accurate acpaign contributions and expenditures required to be reported by the candidate committee by the Campaign cial DFinan dditionally, I/we swear or affirm that no campaign contributions have been expended for the personal financial benefit of tor any other nonpolitical purpose as defined by the federal internal revenue c de. nature of candidate date signature o ical treasurer date 11. TNESS SIGNATUR U~ 0 signature witness date signature of witness date 12. SUMMARY 27,731.45 a. BALANCE ON HAND LAST REPORT $ 0 b. TOTAL RECEIPTSTHIS PERIOD $ 1,740.44 $ c. TOTAL DISBURSEMENTS THIS PERIOD 1 25,991.01 Gc $ d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) 42 f ,5 a 0 ........FtL-.C.E.tV.CG $ e. TOTAL LOANS OUTSTANDING .ct' 0 f. TOTAL OBLIGATIONS OUTSTANDING ' 62018 $ ELECfIOH Page 1 of 3 RDA 1159 SS-1109 (Rev. 2106) SUMMARY PAGE - CANDIDATE 14. REPORT COVERING THE PERIOD 13. NAME OF CANDIDATE OR COMMITTEE (In Full) Phyllis Lee CrISp FR0M:4/22/18 TO: 6/30/18 RECEIPTS 1 15. CONTRIBUTIONS (other than loans and interest) a. Unitemized Contributions ($100 or less from each source this period) $ W~{ 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.) $ r19.EXPENDITURES RSEMENTS (other than loan payments) a. Expenditures ($100 or less each payee this period) (must be listed by category - e.g., printing, postage, gasoline) $ 312, $ q~i.a8 ~0.w► s "FE (ec-~; Q M !~e l a h r~~ ~o 0. i llEt+ $ _d J ~lL $ $ Total of Expenditures ($100 or less each payee) $ b. Itemized Expenditures (Over $100 each payee this period) c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $ 20. LOAN REPAYMENTS MADE THIS PERIOD 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.0 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.) $ Page ~ of SS-1133 (Rev. 4/02) ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 2 REPORT COVERING THE PERIOD 1 NAME OF CANDIDATE OR COMMITTEE Phyllis Lee Crisp FROM:4122118 T0: 6130118 mount 3 TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) 4 COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expend tures total ng more than $100 to any payee dur ng the per od) M ddle Name Purpose of Expenditure Table Sponsor for Women's Amount of Expenditure $500 F rst Name Build Last Name/Bus ness Name Blount Co. Habitat for Humanity Address 107 Hampshire Drive C ty Maryville State TN Z p Code 37801 M ddle Name Purpose of Expenditure Campaign Donation Amount of Expenditure $200 F rst Name Jerome Last NamelBus ness Name Moon City Maryville State TN =1e F rst Name M ddle Name Purpose of Expenditure Reader's Choice Ad Amount of Expenditure $265 Last NamelBus ness Name The Daily Times Address 307 E. Harper Avenue C ty Maryville state IN Z p Code M ddle Name Purpose of Expenditure Golf Tournament Sponsor Amount of Expenditure $400 F rst Name Last NamelBus ness Name Mane Support Address 2919 Davis Ford Road C ty Maryville State TN Z p Code 37804 M ddle Name Purpose of Expenditure Golf Hole Sponsor Amount of Expenditure $125 F rst Name Last Name/Bus ness Name Tom Hatcher Chanty Golf Tournament Address 926 East Lamar Alexander Parkway C ty Maryville State TN Z p Code 37804 F rs7Namel/Buss M ddle Name Purpose of Expenditure Amount of Expenditure Last s Name Address C ty State Z p Code $1,490.00 5 TOTAL ITEMIZED EXPENDITURES (Carry forward to tem 3 of next page f add t onal pages of th s form are used ) (If th s s the last page of expend lures, th s amount must be shown n tem 19b of summa Page3 of RDA 1159 SS-1129 (Rev 4102) CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORT 2.a. NAME OF CANDIDATE OR COMMITTEE 04/20/2018 Phyllis Lee Crisp 3. ELECTION DATE 2.b. IF COMMITTEE, NAME OF CANDIDATE May 1, 2018 4.a. CAMPAIGN ADDRESS AND PHONE State Zip Code Phone Street or Rural Route City TN 37803 865-233-2140 519 Cypress ~rrive ~th aryville 4.b. CANDIDATE'S HOME ADRESS (if differenan4.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) Register of Deeds J. Michael Garner 7. CATEGORY OR REPORT (Check one) ® ❑ ❑ ❑ ❑ ❑ ❑ ❑ PRE- MID YEAR YEAR-END FIRST SECOND THIRD FOURTH PRE- QUARTER QUARTER QUARTER QUARTER PRIMARY DATE ERREPORSUP PERIOD AL SUPPLEMENTAL 31: NG 8.a. BEGINNING DATE OF REPORTING PERIOD 8.1). LNIJIM~ Q4/28/2018 04/01 /2018 r7iE exempt from detailed disclosure because contributions (including in-kind) received total $1,000 or less AND $1,000 or less for this reporting period. (Complete items 12d., 12e. and 12f.) 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. r~ saccounting of camps gn contributions and expenditu es'requ red to be reported by the candidate Ucomm committee Iby the~Campa gn"~ di l eternhav al eevenue codeded for the personal financial the contributions accurate a 9 expen Financial Disclosure Act. Adlany, other/nonpofticalrpuaffirm rposehas campaign benefit of the candidate o or ^ 22 date Sig ature political treasurer date sig ure of candidate 11. WI SS SIGNATURE u 3 /e d3 W7~ 1~4n I I I e/! G date date 4gturt o witness lure of witness 12. SUMMARY S a. BALANCE ON HAND LAST REPORT $ b. TOTAL RECEIPTS THIS PERIOD 0 c. TOTAL DISBURSEMENTS THIS PERIOD $ K,95 d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c. EIV ~D e. TOTAL LOANS OUTSTANDING I. TOTAL OBLIGATIONS OUTSTANDING tkH.2 3.2.A B ELECTION page 1 of RDA 1159 SS-1109 (Rev. 2106) CAMPAIG lLe, N FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORiT 12.a. NAME F CANDIDATE OR COMMITTEE 2.b. IF COMMITTEE, NAME OF CANDIDATE t. Le 3. ELECTION DATE 4.a. CAMPAIGN ADDRESS AND PHONE- / /4 Street or Rural Route c City State {less Zip Code Phone ii~o 4.b. CANDID E S HOME ADDRESS (if different than 4..) r r r Street or Rural Route 6 City State Zip Code Phone 5. O FICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER (ma be candidate) 7. CATE RY OR REPORT (Check one) Q r FIRST SEC❑OND THIRD ❑ El ❑ QUARTER QUARTER FOURTH PRE- PRE- 8.a. BEGINNING DATE OF REPORTINGPEARTER QUARTER PRIMARY MID-YEAR YEAR-END GENERAL SUPPLEMENTAL SUPPLEMPPLEMENTAL 8-b. ENDING DATE OF REPORTING PERIOD C ZO 9. (Check one) I 2-019 a. ❑ This campaign is exempt from detailed disclosure because contributions (including in-kind) received total $1,000 or less AND expendi- tures total $1,000 or less for this reporting period. (Complete items 12d., 12e. and 12f.) b. ❑ This campaign is required to file a detailed financial disclosure because contributions (including in-kind) received total more than $1,000 and/or expenditures total more than $1,000 for this reporting period. 10. I/we do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this report is an accurate accounting of campaign contributions and expenditures required to be reported by the candidate committee by the Campaign Financial Disclosure Act. Additionally, I/we swear or affirm that no campaign contributions have been expended for the personal financial benefit of the candidate or for any other nonpolitical purpose as defined by the federal internal revenue code, Z s gnature of candidate date JQ si at re of litical treasurer dot 11 • WI SS SIGNATURE i ature of witness LIS date (--~--f-~ signature of witness date 12. SUMMARY a. BALANCE ON HAND LAST REPORT b. TOTAL RECEIPTS THIS PERIOD $ 3oo•ab c. TOTAL DISBURSEMENTS THIS PERIOD $p2 d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) L~ . 3~ e. TOTAL LOANS OUTSTANDING f f. TOTAL OBLIGATIONS OUTSTANDING a h ~D gyp N . M $ N 8(QU SS-1109 (Rev. 2106) F~;, cot/p4;?), 0 b ti C1 Page 1 of RDA 1159 ~dZll~0~6~ CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORT 2.a. NAME OF CANDIDATE OR COMMITTEE Phyllis Lee Crisp 2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE 15/1/18 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone 519 Cypress Drive Maryville TN 37803 865-233-2140 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) Register of Deeds 7. CATEGORY OR REPORT (Check one) ❑ ❑ ❑ ❑ ❑ ❑ ❑ FIRST SECOND THIRD FOURTH PRE- PRE- MID-YEAR YEAREND QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD 7/1/17 1/15/18 9.(Check one) a. ❑ This campaign is exempt from detailed disclosure because contributions (including in-kind) received total $1,000 or less AND expendi- tures total $1,000 or less for this reporting period. (Complete items 12d., 12e. and 12f.) b. This campaign is required to file a detailed financial disclosure because contributions (including in-kind) received total more than $1,000 and/or expenditures total more than $1,000 for this reporting period. 10. I/we do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this report is an accurate accounting of campaign contributions and expenditures required to be reported by the candidate committee by the Campaign Financial Disclosure Act. Additionally, I/we swear or affirm that no campaign contributions have been expended for the personal financial benefit of the candidate or for any other nonpolitical purpose as defined by the federal internal revenue code. nature of candidate date signature ' cal treasurer date 11. WITNESS SIGNATURE 'signature of witness date signature of witness date 12. SUMMARY a. BALANCE ON HAND LAST REPORT $ 20, 331.10 AZ ~V~D 12,335.00 b. TOTAL RECEIPTS THIS PERIOD 41.....•?018 . . $ 4,060.65 c. TOTAL DISBURSEMENTS THIS PERIOD ~~Aly $ ~0 28,605.45 d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ e. TOTAL LOANS OUTSTANDING $ 0 f. TOTAL OBLIGATIONS OUTSTANDING $ 0 SS-1109 (Rev. 2/06) Page 1 of 9 RDA 1159 SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTEE (In Full) Phyllis Lee Crisp 14. REPORT COVERING THE PERIOD FROM 711117 TO 1/15/18 RECEIPTS 15. CONTRIBUTIONS (other than loans and interest) a. Unitemized Contributions ($100 or less from each source this period) $ 6,485.00 b. Itemized Contributions (over $100 from each source this period) $ 5,850.00 c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) .......................................$12,335.00 16. LOANS RECEIVED THIS REPORTING PERIOD 0 17. INTEREST RECEIVED THIS REPORTING PERIOD 0 18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) .................................................$12,335.00 DISBURSEMENTS 19. EXPENDITURES (other than loan payments) a. Expenditures ($100 or less each payee this period) (must be listed by category - e.g., printing, postage, gasoline) Kroger (Eclipse party chips) $32.31 Blount Co. Trustee (Flash Drive Elections) $60.00 Senior Citizens Home Assistance Service "Blount Award" $75.00 United Way of Blount County " Concert Tickets" $100.00 Great Smoky Mountains Heritage Center (Blue Ribbon Fair Sponsor) $100.00 The Daily Times "Charity Golf Hole Sponsor" $100.00 Heritage High School'Baseball Golf Tournament" $100.00 Target "Thank You Cards" $21.93 Habitat for Humanity Blount Co. (Table Sponsor") $80.00 The Blount County Historical Museum "Kids Campaign" $20.00 A Secret Safe Place for Newborns of TN "Student Awareness" $50.00 Boys & Girls Club of Blount County "Courthouse Wreath" $35.00 Blount Chamber Foundation "MLK Luncheon" $35.00 United States Post Office "Postage for Thank You Cards" $49.00 Amy Cowden "The Loan Survivor Tickets" $79.00 Blount Chamber Foundation "MILK Celebration Ad" $50.00 Ollies Bargain Barn "Reception Napkins" $10.95 Kroger "Kick Off Reception" $ 5.50 The Daily Times "Football Championship Congratulations AD" $62.50 Total of Expenditures ($100 or less each payee) $1,066.19 b. Itemized Expenditures (Over $100 each payee this period) $2,994.46 c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $4,060.15 20. LOAN REPAYMENTS MADE THIS PERIOD 0 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) 4,060.65 22. IN-KIND CONTRIBUTIONS a. Unitemized in-kind contributions ($100 or less from each source this period) $ 0 b. Itemized in-kind contributions (over $100 from each source this period) $ 0 c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.) 0 23. OBLIGATIONS a. Unitemized Obligations Outstanding ($100 or less each) $ 0 b. Itemized Obligations Outstanding (Over $100 each) $ 0 c. TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 12.f.) $ 0 SS-1133 (Rev 4102) Page 2 of 9 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NA E OF CANDIDATE OR COMMITTE 2. REPORT COVERING THE PERIOD Lee 15 FROM: . 0 T0: - 1S' 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 ~ e- pf e Last Nam,10 aniz ition Nam primary Election ❑ General Election 4V~ w1 v C I 5 oz) Address 4 Le i S ❑ Runoff (Local Elections Only) City M U 1 e State Ziple~~o / Date of Contribution Aggregate This Election Occupation Employer rj~ FirstNa a 7 Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name Lz'J Primary Election ❑ General Election Address ~L ❑ Runoff (Local Elections Only) ~ 2 eve City State Zip Code Date of Contribution Aggregate This Election q.V1 [lr I 7~ Occupation Employer First Name iddleName Contribution Received For: Amount of Contribution as ame rgan¢ation ame Wrimary Election E] General Election M C) C) 11 Address ❑ Runoff (Local Elections Only) (A Yl f '5 City ~iY Sta Zip Code Date of Contribution Aggregate This Election uV V 7 i Occupation Employer 12 / First Name Middle Name Contribution Received For: Amount o Contribution Last NamelOrgam ion Nam ❑ Primary Election ❑ General Election atS 0 ~J ~60 Address e I ❑ Runoff (Local Elections Only) City I Statue Zip Cod U Date of Contribution Aggregate This Election Occupation 2 ✓1 .fin a t / / Employer 5. TOTAL ITEMIZED CONTRIBUTIONS (Carry forward to item 3. of next page if additional pages of this form are used.) i (If this is the last page of contributions, this amount must be shown in item 15b. of summary.) SS-1131(Rev. 2/06) Page 1 of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD Le E &; S FROM: / - / 7 TO: Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) I to 150, OD 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 -S co Last Name/ rganization Name 02/Primary Election ❑ General Election Address E3 Runoff (Local Elections Only) 12 , v1 S o yl f e City /N / bx U J State ZipCode Date of Contribution Aggregate This Election `l`r t Occupation 12 Employer S ~ K C\ e ~n e~ s First Name Middle Name Contribution Received For: Amount of Contribution WII 14M Last Nno-ifec-r 9anizati Ne Primary Election ❑ General Election Address D r 04 1 OIL ( ❑ Runoff (Local Elections Only) City 4`1 State / Zip Code 1 Date of Contribution Aggregate This Election ~~\G \ C \ C /U 7 Occupation Employer ` M First Name iddle Name Contribution Received For: Amount of Contribution Last me rg nization ame rimary Election ❑ General Election )i Z50' 6-D ✓t O Address ❑ Runoff (Local Elections Only) e~r-f e. City Slate Zip Code Date of Contribution Aggregate This Election Occupation / Z - ~1 Employer Ua-A0k) Home First Name Middle Name Contribution Received or: Amount o Contribution t k~ e Last Name/Organization Na a 0 "Primary Election ❑ General Election U ' C~ G .r r Address ❑ Runoff (Local Elections Only) City State„ / Zip Code r 7 Date of Contribution Aggregate This Election YV Occupation Employer lb y i 5. TOTAL ITEMIZED CONTRIBUTIONS (Carry forward to item 3. of next page if additional pages of this form are used.) r (If this is the last page of contributions, this amount must be shown in item 15b, of summary.) 67 SS•1131(Rev. 2/06) Page of _ RDA 1159 pis..... ~ ,i I .,.c. I ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD Lee ~ S FROM: TO: Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) ~Q7 , L`O 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 El"Plimary Election ❑ General Election ! /~Q , 0_ \k) so)I ati Addres a M r El Runoff (Local Elections Only) oc,~n City Qr I State _w ! Zip Code D Date of Contribution Aggregate This Election Occupation Employer Z First Name Middle Name Contribution Received For: Amount of Contribution Last Nam /Organization ame LJ Primary Election ❑ General Election C~O 6Zj a Le S 7 Address ell ❑ Runoff (Local Elections Only) vie City State Zip Code Date of Contribution Aggregate This Election Z2171 Occupation Employer 7 - 7 7 C' Y10 First Name fiddle Name Contribution Received For: Amount of Contribution as ame rgam anon Name t # n [imary Election ❑ General Election ~ U /-j \j 01C L(C Address ❑ Runoff (Local Elections Only) City State , Zip Code Date of Contribution Aggregate This Election 71) t 2 Occupati n Z ( f Employer First Name Middle Name ontribution Received or: Amount o Contribution Last Name/Organiz jti n Name ❑ Primary Election 13 General Election ~V 7r~1 5 e e 5 t.J Address ❑ Runoff (Local Elections Only) 5 Cap c s r~~~2 City State Zip Cod Date of Contribution Aggregate This Election Occupation Employer Chrorn rc~ 1, '(2 5. TOTAL ITEMIZED CONTRIBUTIONS n (Carry forward to item 3, of next page if additional pages of this form are used.) I 1 2 , nn(If this is the last page of contributions, this amount must be shown in item 15b. of summary.) ~~A q SS-1131(Rev. 2/06) Page of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTE~J,, 2. REPORT COVERING THE PERIOD 1 5 ce~ Vf I s FROM: 7 TO: -~s Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 50 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contrbu I totaling more than $100 from an contributor FkA WddleName Contribution Received For. Amount of Contribution Lost Namerorpa*&6on Name Primary Election ❑ General Election I I ) . Address Z ( ; r ❑ Runoff (Local Elections Only) CMY Q , 1 1 C~J` Tip 1codk U L Date of Contribution Aggregate THs Election V \ o 04Z Employer Frst Name Wide Name Contribution Received For. Amount of Cot ftdon last NanralorgaNzstim Name n LJ Primary Election 13 General Election Co e- 4. o ~ ec f ~o Pa*4.5N C Address Ot l ; , , J ❑ Runoff (Local Eterdions Or y) c*y Q (JU StaJ Zip Code O ,2 Date of Contrbudon Aggregate This Election fL Z/) `7 Frsl Name Contribution Received For. Amount of Contribution ey_ Mnmary Election ❑ General Election 4200, cz) WQbb Address O G W U ~ CL+'L~ 0 r ❑ Runoff (Local Elections Ony) CMy O State Lp Code Date of Contrbution Aggregate This Election al 0-"bt S unp"er fit /6-/2- , . FM Name La r ` e 14KMe Name Contribution Received or Amount o ntn n i Lars! Narm0garkabod Name ❑ ftnary Election ❑ General Election CLv e 5 $266 T El Runoff (Local Elections Only) Address q / t l _ l~ c+y t ~%V~ SU) e State Date of Contribution Aggregate This Election ow*abon Employer 5. TOTAL ITEMIZED. CONTRIBUTIONS of (Carry brward b tkm S. of next pays K additional pages of Ilk ban are used.) (M M Is fie last page of oonkbubons. I,k amount must be shown In Mom 15b. of wwary.) SS-1131(Rev. 2106) Page of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAP OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD LCo Lo t~ FROM: ~ T0: 42 Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) p , ts-0 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor First Na Middle Name Contribution Received For: Amount of Contribution a r Last Name/Organiz tion Name rimary Election El General Election ea /"'CC ~'6D Address r E l/~ ' J ❑ Runoff (Local Elections Only) 29 5 SeV' yr 61 City Mar 1 t J~~ Sti / ZipCod~~~d,~ Date of Contribution / Aggregate This Election Occupation f Y i (G Employer FirstNa Middle Name Contribution Received For: Amount of Contribution Last NaPrC,Z) a tio Name ® Primary Election El General Election , d ojD Address 5 /1 Q e f w/ /f v ❑ Runoff (Local Elections Only) City I ep St Zip Code Date of Contribution Aggregate This Election Occupation 12 17 Employer First Name iddle Name Contribution Received For: Amount of Contribution Last ame rgamz lion Name Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City State f Zip Code Date of Contribution Aggregate This Election Le- rr Occupation L~ Employer /Z]I 7 (!JI 7 / \ 0/ 0 U /1 First Name Middle Name Contribution Received or: mount o 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 _ (Carty forward to item 3. of next page if additional pages of this form are used,) O r 0-0 (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 _ RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NA OF CANDIDATE OR COMMITJEE 2. REPORT COVERING THE PERIOD FROM: _ TO. f/ j-/ f 1 S Q IQ mount 3. TOTAL ITE IZED 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 ~/1S0r G ' ~ 6,0 U 14 Cam, ~=i e 7' 1 1 n' Address'' O 1_ 0.s cam a f f~x KUV City State ZipI;4~e If, V First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name L~YYtpL 9 n rb n M Addres s;`l1 tIon A 1 © to t5 City State Zip dg First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name 6,c a- ne r Ic a Address City j" State / Zip Code Jam. 1 Icaa ~ First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name 6D Address le City State Zip Code a r r First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name A(? C e"D 1 p y~ PIP I e S 1 50 „V p S a&4 Address ~ C-L) rS / P ~ S / Cookf 6 a.~ ~ p f City State Zip Code no ~r/e 7W 1 3 z3 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last ame/Business Name A e c ~ 1 Q h 00 I'll I I u CD k Address e CUSS X71'/ e City Slate Zip Code 5. TOTAL TEMIZED 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. 4102) Page of RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTE 2. REPORT COVERING THE PERIOD Lee ~ ~1S FROM: .y. 40: 1-15-1~ moun 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) I ~ L ,3 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures totaling more than $100 to any payee during the period) First Name Middle Name Pur ose of Expenditure Amount of Expenditure pcli- 1' 3 P KI'ck - 3 5 3 19, Last Na /Business Namg ~0 f ' Address , D V Yl IC'(5 ~ `~D ~ f ~l L e,~; Gk a~~ 1 "~2 C,~~ ~ f L) i City State zip First Name Middle Name Purpose of Expenditure Amount of Expenditure E V^ r CLA - I . V 6 CD 0 La usiness Namem ^~'`~'1~ ' ' I lJ S t V 11 Q~1 ~ t~/~//!~_G14 0 l / Cc ~rJ! k r~ y P. o Address r eO (p / n~!_ n 19d p C) ",)So- city C V n 1. t State Zip Code (y 7 s U First Name Middle Name Purpose of Expenditure Amount of Expenditure Last NamkBusmess Name F~ Ibu ~r ( tl TC~~ e Addres _ T Vj a V` 1~~~~ I r V\5or City Sla( / 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 NamelBusiness Name Address City State Zip Code ) J 5. TOTAL ITEMIZED EXPENDITURES 4A (Carry forward to item 3. of next page if additional pages of this form are used.) pp~~ I `f (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 CAMPAIGN FINANCIAL DISCLOSURE STATEMENT , For State and Local Candidates For Single-Candidate Committees 2.a. tWME OF CANDIDATE OR COMMITTE' 1. DATE OF REPORT I 1 q , D 10 ~ ~ 2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE 4.a. CAMPAIGN ADDRESS AND PHONE Phone Cit State Zip Code Street or Rural Route y 51C~ C ~c'ss (Y1c~~~ !,~lle ~ 4.b. CANDIDATE'S H ME ADDRESS (if different than 4.a.) State Zip Code Phone Street or Rural Route City FIEG0 SOU GHT (include disttrict number, if a plicable) 6. NAME OF PPOOLITIC AL TREASURER (may be candidate) L' ~S~C4 (-T ~tCS I►I"C1tet_e I Cc ~ r1~.( ❑ R OR REPORT ( Check one)❑ El 1:1 El 21 FIRST SEND THIRD FOURTH PRE- PRE- MID-YEAR YEAR-END QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD 9. (Check one) a. ❑ This campaign is exempt from detailed disclosure because contributions (including in-kind) received total $1,000 or less AND expendi- tures total $1,000 or less for this reporting period. (Complete items 12d., 12e. and 12f.) b. ® This campaign is required to file a detailed financial disclosure because contributions (including in-kind) received total more than $1,000 and/or expenditures total more than $1,000 for this reporting period. 10. I/we do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this report is an accurate accounting of campaign contributions and expenditures required to be reported by the candidate committee by the Campaign Financial Disclosure Act. Additionally, I/we swear or affirm that no campaign contributions have been expended for the personal financial benefit of the candidate or for any other nonpolitical purpose as defined by the federal internal revenue code. signatu political treasurer date si ture of candidate date 11. WITNESS SIGNATURE 11 F WITNESS 4 signature of witness date witness date signature ,(5 12. SUMMARY 1545, a. BALANCE ON HAND LAST REPORT $ b. TOTAL RECEIPTS THIS PERIOD $ C. TOTAL DISBURSEMENTS THIS PERIOD $ . O $ O 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 MIX 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) I tN Tyr e'5 " S $ q Crz~ SrnoKy (110}►1~c n c,-~ac~~ ~~~~r~~~ $ $ $ $ $ Total of Expenditures ($100 or less each payee) $ X7.3 b. Itemized Expenditures (Over $100 each payee this period) $ 1 c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) ~.3 20. LOAN REPAYMENTS MADE THIS PERIOD 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) $ 22. IN-KIND CONTRIBUTIONS a. Unitemized in-kind contributions ($100 or less from each source this period) $ 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 121.) $ 0 SS-1133 (Rev. 4102) Page n of r ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. N E OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD Lill- 45 (,e e. ~'iP\ S FROM: 1- Ib•No TO: 4-30-14, Amount 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) '*,3",3'7 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[Busin s Name 1"1J 1' 11 e r-t Address ~ 3o9 ax e c- city cl-V lie State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address Ave Ciry State Zip Cade Mc , k i rJ g01 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Busiinnasss Na a ' I I1 C: n s c- 1 L~ V 1 CC) t LL'" /~0 11 v L_ j' Address 100 am k: re bf Cigar / State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name _ I' G I c 5 f~ rl S c F -41~ 5 i~ `Tc 1 0.C e, C 1cXT 4 Got ONi'>7 and I 1 r Address City State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure OT- no-mej -*400-6 TS Last Name/Business Name C t S L) 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.) / SS-1129 (Rev. 4102) Page 7 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 h > (:ter, 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 50 C 4.b. CANDIDATE'S HO ADDRE S (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 R REPORT (Check one) D 13 FIRST SECOND THIRD FOURTH PRE- PRE- MID-YEAR YEAR-END QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD 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. 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 efit of th candidate or for~ny other nonpolitical purpose as defined by the federal internal revenue code. si ture of candidate date signs of political treasurer date 11. WITNESS SIGNATURE "4~ « UDC ~ 7- 4 - /J ure of witness date signature of witness date 112. SUMMARY a. BALANCE ON HAND LAST REPORT $ ` 9 1 b. TOTAL RECEIPTS THIS PERIOD $ /O c. TOTAL DISBURSEMENTS THIS PERIOD $ d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $16A43,65 e. TOTAL LOANS OUTSTANDING .PM...... .......4. `SQ.. $ 0 RECEIVED (P f. TOTAL OBLIGATIONS OUTSTANDING $ T 0 SS-1109 (Rev. 2106) BLOUNTCOUNTY Page 1 of RDA 1159 ELECTION f SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTEE (in Full) 14. REPORT COVERING THE PERIOD FROM: I _I(,, . 1 TO: ~ - 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 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) /C9 103 s -2.5, L-Z) Ile e, Q v ~uo16'uGf Q' $ L , / - ~ $ '70 • S6 0~ 0 5 /dAd' c k J03-7 $ $ $ $ $ Total of Expenditures ($100 or less each payee) $ b. Itemized Expenditures (Over $100 each payee this period) $ O-M ,tTL c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $ I Iq a 20. LOAN REPAYMENTS MADE THIS PERIOD 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) $ JAD r 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.) $ --f~^ - 23. OBLIGATIONS a. Unitemized Obligations Outstanding ($100 or less each) $ ~!s b. Itemized Obligations Outstanding (Over $100 each) $ c. TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 12.f.) $ SS-1133 (Rev. 4/02) Page of t ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD I I'S Le FROM/- ' , . TO: 4-36- a moun 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) c►, 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 t Amount of Expenditure Las N1ameBusinessName nS` ca ELI aetci5 1 rp®V 'OTC e t` Address C P el-c , S coc V° L' City State Zip Code e, 7, e a 0 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name h C,G /r1 b,.4 I • l V-t~' cz> a r c Address City State / Zip Code ~Gx~" to Ac/ it 0 First Name Middle Name Purpose of Expenditure 1 Amount of Expenditure Last Name/Business Named gf~c~ ~C~ S T T- o t1 Mi *f l' L i Addres Ci ) V0, C3 City / State Zip Cade Cf ~ ' lc BLS c, 1 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name NO(e aPC1%Sc,k" TU L ctrrvtav ia r" &I Address (e - 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.) VA Us is ttrelasi page of expenditures, this amount must be shown in item 19b. of summary.) 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 12.a. NAME OF CANDIDATE OR COMMITTEE 01/21/15 Phyllis Lee Crisp 2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE 4.a. CAMPAIGN ADDRESS AND PHONE 08/07/14 Street or Rural Route City State Zip Code Phone 519 Cypress Drive Maryville TN 37803 4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.) 865-233-2140 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) Register of Deeds J. Michael Garner 7. CATEGORY OR REPORT (Check one) ❑ ❑ ❑ IR ❑ ❑ FIRST SECOND THIRD FOURTH PRE- PRE- ❑ QUARTER UARTER MID-YEAR YEAR❑EEND QUARTER UARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD 10/01/14 01/15/15 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 fit of th andidate or for any other nonpolitical purpose as defined by the federal internal revenue code. X~c 01/23/15 Q 01/23/15 si ture of candidate date ~j signature o political trreal suer date 11. W ESS SIGNATURE i __Q1/23/15 et ~,z1 01/23/15 4gnature of witness date ignature of witness date 12. SUMMARY a. BALANCE ON HAND LAST REPORT 27 809.67 b. TOTAL RECEIPTS THIS PERIOD 0 c. TOTAL DISBURSEMENTS THIS PERIOD 375.46 d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ 27,434.21 e. TOTAL LOANS OUTSTANDING 0 f. TOTAL OBLIGATIONS OUTSTANDING 0 15 SS-1109 (Rev. 2/06) 1 Page 1 of RDA 1159 -1 Ll CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORT 2.a. NAME OF CANDIDATE OR COMMITTEE 09-17-14 PHYLLIS LEE CRISP 2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE 08-07-14 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone 519 CYPRESS DRIVE MARYVILLE TN 37803 865-233-2140 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) REGISTER OF DEEDS J. MICHAEL GARNER 7. CATEGORY OR REPO1:1 Im RT (Check one) ❑ ❑ ❑ ❑ ❑ FIRST SECOND THIRD FOURTH PRE- PRE- MID-YEAR YEAR-END QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD 07-29-2014 09-30-2014 9. (Check one) a.] This campaign is exempt from detailed disclosure because contributions (including in-kind) received total $1,000 or less AND expendi- tures total $1,000 or less for this reporting period. (Complete items 12d., 12e. and 12f.) b. ❑ This campaign is required to file a detailed financial disclosure because contributions (including in-kind) received total more than $1,000 and/or expenditures total more than $1,000 for this reporting period. 10. I/we do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this report is an accurate accounting of campaign contributions and expenditures required to be reported by the candidate committee by the Campaign Financial Disclosure Act. Additionally, I/we swear or affirm that no campaign contributions have been expended for the personal financial benefit of the candidate or for any other nonpolitical purpose as defined by the federal internal revenue code. nature of candidate date signature of political treasurer date 11. WIT S SIGNATURE i re of witne s date ignature of witness date 12. SUMMARY a. BALANCE ON HAND LAST REPORT $ 28,359.67 0 b. TOTAL RECEIPTS THIS PERIOD $ c. TOTAL DISBURSEMENTS THIS PERIOD $ 550.00 d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ 27,809.67 0 e. TOTAL LOANS OUTSTANDING $ f. TOTAL OBLIGATIONS OUTSTANDING $ 0 SS-1109 (Rev. 2/06) Page 1 of 1 RDA 1159 CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORT I 2.a. NAME OF CANDIDATE OR COMMITTEE V z e, 1 S 2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE d I 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone -es s OX , lie 77/ 39YA3 A45-,233-261a 47b. IDATE'S ME ADDRESS (if different than 4.e.) Street or Rural Route City State Zip Code Phone 5. FICE SOUGHT (include distri number, if applicable) 6. NAME OF POLITICAL TREASURER (may.¢e candidate) 1 s-~zt~ ::s-. 7. CATE RY OR REPORT (Check one) El '19 FIRST SECOND THIRD FOURTH PRE- PRE- MI GEAR YEAR❑-END QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD 9. (Check one) a. ® This campaign is exempt from detailed disclosure because contributions (including in-kind) received total $1,000 or less AND expendi- tures total $1,000 or less for this reporting period. (Complete items 12d., 12e. and 12f.) b. ❑ This campaign is required to file a detailed financial disclosure because contributions (including in-kind) received total more than $1,000 and/or expenditures total more than $1,000 for this reporting period. 10. I/we do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this report is an accurate accounting of campaign contributions and expenditures required to be reported by the candidate committee by the Campaign Financial Disclosure Act. Additionally, I/we swear or affirm that no campaign contributions have been expended for the personal financial benefit of the candidate or fpr any other nonpolitical purpose as defined by the federal internal revenue code. ature of candidate date si e o political treasurer date 11. WITNESS SIGNATURE . V Y'-/Y if s- - ".ya / ature of witness date signature o witness date 12. SUMMARY 6 g 10 11 2 1 q a. BALANCE ON HAND LAST REPORT $ RFc z1 ~ b. TOTAL RECEIPTS THIS PERIOD FR....................... $ - - A00. M c. TOTAL DISBURSEMENTS THIS PERIOD 7 d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) ....r9..........~b........ ..of . $ 11 Ot b e. TOTAL LOANS OUTSTANDING $ f. TOTAL OBLIGATIONS OUTSTANDING $ Page 1 of t RDA 1159 SS-1109 (Rev. 2106) i CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORT 12.a. NAME OF CANDIDATE OR COMMITTEE` 4 2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE ~f, -Q -f 4.a. CAMPAIGN ADDRESS AND PHONE State Zip Code Phone Street or Rural Route City ress of i 03 0 4.b. CANDIDATE'S OME ADDRES (if different than 4.a.) State Zip Code Phone Street or Rural Route City 5. OFFICE SOUGHT (includ district number, if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate) t Sher O of 7. CATEG RY OR REP19 El ORT (Check one ❑ ❑ El ❑ MIDD❑YEAR YEAR-END FIRST SECOND THIRD FOURTH PRE- PRE' EM~ SUPPLEMENTAL QUARTER QUARTER QUARTER QUARTER BRIIMAERNDING DATE OF REPORTING PERIOD B.a. BEGINNING DATE OF REPORTING PERIOD 04- - 1 U6- 30 - 9. (Check one) a. :K 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. [/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 Pv\efit of the candidate or for any other nonpolitical purpose as defined by the federal internal revenue code. date signature o olitical treasurer date nature of candidate 11. WITNESS SIGNATURE j' Lei _&)'-'v? -l ature of witness date signature of witness date 12. SUMMARY a. BALANCE ON HAND LAST REPORT b. TOTAL RECEIPTSTHIS PERIOD $ c. TOTAL DISBURSEMENTS THIS PERIOD lJv' U t d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ 55 • e. TOTAL LOANS OUTSTANDING $ O 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 04/16/14 12 a. NAME OF CANDIDATE OR COMMITTEE Phyllis Lee Crisp 2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE 05/06/14 4 a CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone 519 Cypress Drive Maryville TN 37803 865-233-2140 4.1b. 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) Register of Deeds J Michael Garner 7. CATEGORY OR REPORT (Check one) ❑ ❑ ❑ ❑ © ❑ FIRST SECOND THIRD FOURTH PRE- PRE- MID-YEAR YEAR-END QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD 04/01/14 04/26/14 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,/we swear or affirm that no campaign contributions have been expended for the personal financial benefit of the candidate or for any other nonpolitical purpose as defined by the federal internal revenue code. nature of candidate date signature of political treasurer date 11. WIT SS SIGNATURE i ature of witness d date gnature of witness date 12. SUMMARY a. BALANCE ON HAND LAST REPORT 29 010.37 b. TOTAL RECEIPTS THIS PERIOD 0 c. TOTAL DISBURSEMENTS THIS PERIOD ....,..4 $ 240.70 d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) 28,769.67 e. TOTAL LOANS OUTSTANDING 0 f. TOTAL OBLIGATIONS OUTSTANDING 0 A-, (Rev 2/06) Page 1 of 1 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 COMMITT 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 ~5i Cq re Ar y/,/a/~ ,3 X0 3 Y6S- ) 3 - o 4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.) Street or Rural Route City State Zip Code Phone 5. OFFICE SOUGHT (include distri number, if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate) 7. CA GORY OR REPORT (Check one) Q~ FIRST SECOND THIRD FOURTH PRE- E3 PRE- MID-YEAR F YEAR YEAR-END QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 8.a. BEGINNING DATE OF REPORTING PERIOD 8.1). ENDING DATE OF REPORTING PERIOD 9. (Check one) a. ❑ This campaign is exempt from detailed disclosure because contributions (including in-kind) received total $1,000 or less AND expendi- tures total $1,000 or less for this reporting period. (Complete items 12d., 12e. and 12f.) b. This campaign is required to file a detailed financial disclosure because contributions (including in-kind) received total more than $1,000 and/or expenditures total more than $1,000 for this reporting period. 10. I/we do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this report is an accurate accounting of campaign contributions and expenditures required to be reported by the candidate committee by the Campaign Financial Disclosure Act. Additionally, I/we swear or affirm that no campaign contributions have been expended for the personal financial benefit 4of the candidate or for any o her nonpolitical purpose as defined by the federal internal revenue code. Vnature z 0-1 of candidate date siasurer d ate it. WI SIGNATURE i a ure of witness date nature of witness date F UMMARY BALANCE ON HAND LAST REPORT $ b. TOTAL RECEIPTS THIS PERIOD $ V c. TOTAL DISBURSEMENTS THIS PERIOD $ 2.5 d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) e. TOTAL LOANS OUTSTANDING $ -lam 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 Lee J ~ S FROM:- I T03 j • / RECEI S 15. CONTRIBUTIONS (other than loans and interest) rv a. Unitemized Contributions ($100 or less from each source this period) $ U i b. Itemized Contributions (over $100 from each source this period) $ c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ /bo 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.) 1T~ 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) j $ $ $ $ $ Total of Expenditures ($100 or less each payee) $ b. Itemized Expenditures (Over $100 each payee this period) $ d0 c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $ % 20. LOAN REPAYMENTS MADE THIS PERIOD $ 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) $ 22.IN-KIND CONTRIBUTIONS a. Unitemized in-kind contributions ($100 or less from each source this period) $ 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) $ -Z " c. TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 12.f.) $ 00 SS-1133 (Rev. 4/02) Page -4~- of ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: 1-/0 _ 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 $too to any payee during the period) First Name Middle Name Purpose of Expenditure Amount of Expenditure , ~A P° n so cv c Last ame/Busin s Name 41000 Address City State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expendture Last Name/Business Name Alnurc+ Address city State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last NameBusiness Name Address City State Zip Code Frost 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.) Awk SS-1129 (Rev. 4/02) Page of „3_ 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 1 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 SIC C. (r55 ,l!- ii/ 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) e_Isf6r of eec6 C'Ito e (3Q/,*7 C',K 7. CATEGORY OR REPORT (Check one) ❑ ❑ ❑ ❑ ❑ ❑ ❑ ER FIRST SECOND THIRD FOURTH PRE- PRE- MID-YEAR YEAR-END QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD 9. (Check one) a. ❑ This campaign is exempt from detailed disclosure because contributions (including in-kind) received total $1,000 or less AND expendi- tures total $1,000 or less for this reporting period. (Complete items 12d., 12e. and 12f.) b. 0 This campaign is required to file a detailed financial disclosure because contributions (including in-kind) received total more than $1,000 and/or expenditures total more than $1,000 for this reporting period. 10. I/we do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this report is an accurate accounting of campaign contributions and expenditures required to be reported by the candidate committee by the Campaign Financial Disclosure Act. Additionally, I/we swear or affirm that no campaign contributions have been expended for the personal financial benefit of the can idate or for any other nonpolitical purpose as defined by the federal internal revenue code. 2IL'Ai Z'~ 0 ignature of candida a date Cl signature o itical treasurer date 11. WITNESS SIGNATURE ~ ~ GYM -'signature of witness date gnature of wiz ess date 12. SUMMARY a. BALANCE ON HAND LAST REPORT $ Z b. TOTAL RECEIPTS THIS PERIOD 8 295 c. TOTAL DISBURSEMENTS THIS PERIOD $ d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ 91? 3 e. TOTAL LOANS OUTSTANDING $ f. TOTAL OBLIGATIONS OUTSTANDING $ SS-1109 (Rev. 2/06) Page 1 of 48~ RDA 1159 SUMMARY PAGE - CANDIDATE 13. NAME O CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD i 5 Le 1 5 FROM: .7- /3 TO: RECEIPTS 15. CONTRIBUTIONS (other than loans and interest) a. Unitemized Contributions ($100 or less from each source this period) $ ?-195 b. Itemized Contributions (over $100 from each source this period) $ 1 n c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a, and 15.b.) $ 16. LOANS RECEIVED THIS REPORTING PERIOD $ - ~5)` 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 b category - e.g., printing, postage, gasoline) (Z; v,~. A li S rs. _Elco_~fer CJ h ~-:rNr~+^ ;n IC G12~~St~ ~ NGt ~ ~czor (r~„~rr ~1~ ~ Q' 1x,~ $ / Do. so oe'' tsfom t er-G,- -77.7T h r Tti mks Fb.__ 7ec zn I~ - /CL Ec (h ~I~QE~ (-SG h)) ~E'it1~0..1 ~ ~a,1o~e 1",1L~hs~ $ 1 ~ . ~.~7 T n z( C. ~ c~-rvi 5 E CGG K-. '~S $ 19 ; ~-Jt ' f- C_ e 1310,,:,- Co Q ~util:rw0m&0 $ _ xv,00 fno .,1:=. ..._,X1,1-./ CL f C.~ j'1 Jl. ~n'M.' g lo, Cwa„.b~r Fvuticl -t;cr mL K rid 5c ov Total of Expenditures ($100 or less each payee) $ 7y b. Itemized Expenditures (Over $100 each payee this period) $ !;f' 4 c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $ a 20. LOAN REPAYMENTS MADE THIS PERIOD 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) $ 7 `I 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.) ...........:k 23. OBLIGATIONS a. Unitemized Obligations Outstanding ($100 or less each) $ ~l b. Itemized Obligations Outstanding (Over $100 each) $ c. TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 12.f.) e' SS-1133 (Rev. 4/02) Page Z of i ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE E I 2. REPORT COVERING THE PERIOD ;:ROM.--: l _ / 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) Amount 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 NamelOrganaatbn Name Primary Election El General Election erSo /oZ',~ Address N, ❑Runoff (Local Elections Only) City Ili- s 7ir >ZiP 5~~~ . Date of Contribution Aggregate This Election Occupation C / US.~r>' SS GwrLCV~ l~ Employer First Na 9 J. Middle Name ~r LastN Organization Name Contribution Received For: preate~This Contribution v SS f' Primary Election ❑ General ElectioY cTG Address ❑Runoff (Local Elections Only) ~ City state zip Date of Contribution 71V e. Election Occupation Employer Y 500 Pig e ~a--lj 1' rC?c~or^S Firsl Name iddb Name Contribution Received For: Amount of Contribution as gamza in a t f &Primary Election [3 General Election Address p D a n 7 ✓w~L' ❑Runoff (Local Elections Only) City State Zip Code v Date of Contribution I , A O e) Aggregate This Election Occupation A mr c mp 1'" f L ~U(c Cci,ui ~ ~v7 r First Na Middle Name J on ubon Received or: mount o Contribution Last NartrJ~ganization Name Primary Election ❑ General Election 42 e- r z G Address ~ 11 s - ~ ❑Runoff (Local Elections Only) City l state Zi Code O y~ d ~1~ p Date of Contribution Aggregate This Election Occupation Employer yq~ f Q / 5. TOTAL ITEMIZED CONTRIBUTIONS (Carty forward to item 3. of next page if additional pages of this form are used.) (If this is the last page of conhibutlons, this amount must be shown in item 15b. of summary.) ~aa~ SS-1131(Rev. 2/06) Page ~ of ~ RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 2. REPORT COVERING THE PERIOD [COMPLETE NAME OF CANDIDATE OR COMMITT S Le 5 FROM: - TO: TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE enter $0 ff first itemized mount page )Zc~Up 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 5 1 C Last Na e/Organization ame ~ Primary Election ❑ General Election ~ Address D , ' C~l ❑ Runoff (Local Elections Onty) city state zip © Date of Contribution Aggregate This Election Occupation ~1 p Jp/ ~~/LC.~ ~Lf ,(4j~ Employer / ~ ► It BAST 31J,',r f4"- First Name Middle Name Contribution Received For: Amount of Contribution Last ame/Organizabon Name QPdmary Election ❑ General Election h Addres J o / z z 1 ❑ Runoff (Local Elections Only) City state Zip Code Z Date of Contribution ~tJ OX , i` Aggregate This Election Occupation Empbyer 13 J-iru Firs arm fiddle Name f Contribution Received For: Amount of Contribution C !cr C its -IC as gan name Primary Election E] General Election Address I G d~ E] Runoff (Local Elections Only) State Zi Code D city ate of Contribution u r P Aggregate This Election Occupation 14 5 {r~ ,Bro ~r~{ First Name Middle Name onon Received For: mount o onto u on ,0 A/ Lasl Narr,e/Organ¢ation Name Primary Election ❑ General Election Address El Cy Runoff (Local Elections Onty) O Q Cdy Srat9 Zip Code Date of Contribution Aggregate This Election f t 'I Occupation n 0 p Employe, "lDn 6 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 RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF N (DATE OR COMMITTEE 2. REPORT COVERING THE PERIOD I e - S 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 contributions totaling more than $100 from an contributor First Namef J ae-1 i Middle Name I L Contribution Received For: I Amount of Contribution Last Name/Organization Name ,51 laG Primary Election ❑ General Election Of Z oz) Address , w LJ ❑ Runoff (Local Elections Only) Z C e-s City Qr fib., / Zip Code ~C~ Date of Contribution ~V Aggregate This Election Occupation L D(Jft !.j, a L Employer er First Name Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name LJ ~ C n Primary Election ❑ General Election Address OX ❑Runoff (Local Elections Only) City C QGL SfaJ / Zi Code Date of Contribution D Aggregate This Election Occupation fie. ~e yes r~ ?113 Employer First Name y~ ddle Name Contribution Received For: Amount of Contribution as ame rgamza on ame U o r rimary Election ❑ General Election C Address *2f U ❑ Runoff (Local Elections Only) City State Zip Code Date of Contribution Aggregate This Election Occupation acs«!------ ~o,• mP yet ~1~~ First Name Middle Name onto Ution eceme or: C'_C mount o Contribution Last Name/Organization Name Primary Election ❑ General Election Address 0 l1 T eCc S fCr 11 Runoff (Local Elections Only) City (L r ` State / Zip Code Date of Contribution /v 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 CONTRIBUTIONS - CANDIDATE 10 NDIDATE OR COMMITTEE REPORT COVERING THE PERIOD FROM: • 3 TO: TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) mount MPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totalin more than $100 from an contributor First Name Middle Name V Contribution Received For: Amount of Contribution Last Name/Organization Name S Primary Election 11 General Election Address ` S ❑ Runoff (Local Elections Only) ~-I o r r city f Stare Zip Code Date of Contribution + a3 Aggregate This Election Occupation Employer First a Middle Name Contribution Received For: Amount of Contribution Last Name/Organiza n Name liJ_/ Primary Election ❑ General Election r U Address y l cf Q,"~ c~i ~~-+'~e ❑ Runoff (Local Elections Only) City Stag Zip Code ( Date of Contribution 77Aggregate This Election Occupation Employer First Nam fiddle Name Yi Contribution Received For: Amount of Contribution as a g mza o a}~ 'f 0 l.j Qd'Primary Election ❑ General Election Address /a o r ❑ Runoff (Local Elections Only) city State Zip Code Date of Contribution Aggregate This Election 10 1 ill . `I Occupation Nei?.er G^ / mp yer First Name ~ Middle Name ontrl ution ecero or: Y" mount o onto upon Last Na Orga iz b Nam a LJd Prima Election ry ❑ General Election 6L 0,( Address e ~/p C c l /Irl ❑ Runoff (Local Elections Only) City State Zip Code Date of Contribution Aggregate This Election e Occupation ~Pt Employer /l a /Ock 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.) 1 `-`7 SS-1131(Rev. 2/06) Page ~ of ~ RDA 1159 I ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD n Le-e- I FROM: '7- j - J3 T0: Amount 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures totaling more than $100 to any payee during the period) First Name Middle Name Purpose of Expenditure Amount of Expenditure p~ f•~ i Ol': /?<<qtc n ~C' I /U!~' Last Name/Business Name t cc. e nw ` r r v c - B.,r ~/~/son /l1e{rto r; r• l G-'~/ f . Address per 6r City 5 State Zip Code First Name Middle Name Purpose of Expenditure I Amount of Expenditure Last Namel usiness,N,a`me Po b I. c S c c- c v a1 Chr'~ y1 3 r> O r ed W UU P&, A 2 e 5 Addres City State Zip Code j j&r : Ile rtA) 7fd First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name SJ C r; x 122 u Serve y.~. Address Al 1/,3 City State Zip Code s v, / fJ '2 2 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last NamelBusiness Name G v\ Address ~ P rr. ~ V ~ City state Zip Code I (Cc Y V First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Le/Business Name C _ c f;ten l v °Cl Address O Yvrrfe ( S Cvss ' o ~f City /1 State Zip Code 1 C') cc o First Name Middle Name Purpose of Expenditure Amount of Expenditure c A; N Last Name/Business Name PJ ; L" 5 C' A (;C~•i• c~ e `T Oaf o /3 rJ 2 5 &,c Address 0~ City ~I State Zip Code 5. TOTAL ITEMIZED EXPENDITURES (Carry forward to item 3. of next page if additional pages of this form are used.) ~7 F (If this is the last page of expenditures, this amount must be shown in item 19b. of summary.) 4 r SS-1129 (Rev. 4/02) Page of sr" RDA 1159 s 4 ITEMIZED STATEMENT OF EXPENDITURES CANDIDATE I. NAME OF NDIDATE OR COMMITTEE 5 2. REPORT COVERING THE PERIOD TO: 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first i temized page) FROM: 74 /3 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH MOO First ITEMIZED EXPENDITURE (expenditures totaling more than Name .4 0 Middle Name $100 to any Payee during the Period) Last Name/Business Name Purpose o(Expenditure 0 1, Amount of Expenditure Address mac- r IBC 6 1 /1 V r J~, ~l it ~C3 E f 2 5c,. crt,- City r 1 t I State Zip Code V ~pL C) ~L First Name Middle Name Purpose of Expenditure Last Name/Business Name Amount of Expenditure Address City Stale 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 NamelBusiness Name Address State Zip Code City 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 State Zip Code El- - L L5,TOTAL ITEMIZED EXPENDITURES rward to item 3. of next page if additional pages of this form are used.) the last page of expenditures, this amount must be shown in item 19b, of summary.) Ci s Aah Page of RDA 1159 SS-1129 (Rev. 4102) O 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 orexpend 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: 3. Candidate e-mail address: 4. Campaign Address and Phone: City State Zip Coe Phone C' J-33 5. hone (if ierent than item 4 ~bov~I~~r e : City State Zip Code Phone .ce ought (include district number, if applicable) 7. Party Affliation 8. Election Year 5 r e C'c C wn 9. Treasurer Name: 10. Trea urer a-mail address: I M gttrYL`I' ~ ~t n cr Go n r1 s f . ~pw~ 11. Treasurer Address and Phone: City State Zip Code Phone Z SD ~'h /1~t,4 v<H Tiv . 3 ?~o - 8GS- 7~ / f~6o 12. Candidate and Treasurer Signature (both signatures must be witnessed. Treasurercan not witness candidate's signature): ignature of Candidate Signature of Treasurer .109 1011 h j'-" J1 Signature of Witness Signature of Witne RFCF4 9 FY AFC 0 F~ 3 Registry of Election Finance a 3F C SS-1120 (rev 10/2010) <y ~F~Tjp°~Niy ~~016aL CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates Tor Single-Candidate Committees 1. DATE OF REPORT 2.a. NAME CANDIDATEORCOMt'ITTEE 2.b. IF COMMITTEE, NAME OF CANDIDATE I 3. ELECTION GATE 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City ! State Zip Code Phone r s Mar LA U 771/ 4.b. CANDIDATE ME ADDRESS ('d different than 4.a.) Street or Rural Route city state Zip Code Phone 5. OFFICE SOUGHT (include dis numbor, ff applicable) 6. NAME OF POLITICAL TREASURER (may be candidate) &J S ~ L S ~ ~_I1 7. CA GORY OR REPORT (Check one) 13 1:1 13 1:1 1:1 0 1:1 FIRST SECOND THIRD FOURTH =8.b- PRE- G PRE- MI YEAR YEAR--END QUART172 QUARTER %051-m L SUPPLEMEN S- 8.a. BEGINNING DATE OF REPORTING PERIOD RE T'a UPPLEMENTAL ING DATE OF REPORTING PERIOD 9.(Chedkone) exempt from a. 0 This campaign or less for tryi detailed disclosure because contributions (including in4dnd) received total $1.000 or less AND expendi- tures ►eporting period. (Complete items 12d., 12e. and 120) b. ❑ This campaign is required to file a detailed financial disclosure bemuse 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 accounting of campaign contributions and expenditures required to be reported by the candidate committee is an Financial Disclosure Act Additionally, VWe swear or affirm that no campaign contributions have been a by the Campaign xpended ode. for the personal financial benefit of the candidate or for any other nonpolitical purpose as defined by the federal internal revenue c 1 , 71.7 nature o candidate date signature local treasurer date 11. WITNESS SIGNATURE _/_5 7~ ~_'O"~ C-1/ nature of witness date s. nature of witness date 12. SUMMARY a. BALANCE ON HAND LAST REPORT b. TOTAL RECEIPTS THIS PERIOD ~r - - RECEIVED \ C. TOTAL DISBURSEMENTS THIS PERIOD „~...........................F.... . S ?013 d. BALANCE ON HAND (12.a. Plus 12.b. minus 12.c.) S e. TOTAL LOANS OUTSTANDING - TOTAL OBLIGATIONS OUTSTANDING ~y--- SS-1109 (Rev. 2/06) page 1 of A_ 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 r ~l ` 5 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 ICA Q,' Te 55 br mr-W ' v= l1 1 7N L~ S :?1fry 4.b. CANDIDAT OME ADDRESS (if different than 4151 Street or Rural Route City State Zip Code Phone 5. OFFICE SOUGHT (induct district number, if applicable) 6. NAME OF POLITICAL TREASURER ay be candidate) e %ste } e-ec s a_ L i 7. CATEGORY OR REPORT (Check one) 1:1 0 1:1 FIRST SECOND THIRD FOURTH PRE- P❑RE 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. 10 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 oft candidate or for any other nonpolitical purpose as defined by the federal intemal revenue ,--11 s Vh ture of candidate date signature of p ' ' I treasurer date 11. WITNE S SIGNATURE , . s' n e of witness date signature of witness date 12. SUMMARY a. BALANCE ON HAND LAST REPORT $ b. TOTAL RECEIPTSTHIS PERIOD -_t4~ c. TOTAL DISBURSEMENTS THIS PERIOD $ a ' d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ 113 e. TOTAL LOANS OUTSTANDING $ f. TOTAL OBLIGATIONS OUTSTANDING $ AML SS-1109 (Rev. 2/06) Page 1 of RDA 1159 SUMMARY PAGE - CANDIDATE 13. NF CANDIDATE ORCg COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD !&ji., Lee, Crl FROM:,7./. /,j 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.) $ ~J 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) CIA 00- tL110. C $ QL ` r1 c e $ V T~ GP. Wl~mbct ou Cm "Ina A.o„M $ J50,~ \C s}w 5 r $ 901 6 $ $ Total of Expenditures ($100 or less each payee) $3)53L- b. Itemized Expenditures (Over $100 each payee this period) $ c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $ 3 • D 20. LOAN REPAYMENTS MADE THIS PERIOD $ 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c. 22.IN-KIND CONTRIBUTIONS a. Unitemized in-kind contributions ($100 or less from each source this period) $ b. Itemized in-kind contributions (over $100 from each source this period) $ -~J c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.) $ 23. OBLIGATIONS a. Unitemized Obligations Outstanding ($100 or less each) 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. 4/02) Page ~ -of CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORT 2.a. NAME OF CANDIDATE OR COMMITTEE -5 - Z )OL111,5 tee_ '.s 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 5 q 0-!~ 12 r s s r Mar v1 Ile ti 357803 S Z33- o 4.b. CANDIDATLOS HOME ADDRESS ('d 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) Fe ;s/'er of J_ r~dzl@l G'~rn cr 7. CA Q RY OR REPORT (Check one)❑ ❑ ❑ ❑ ❑ FIRST SECOND THIRD FOURTH PRE- PRE- MID-YEAR YEAR-END QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL- SUPPLEMENTAL-. 8.a. BEGINNING DATE OF REPORTING PERIOD '8.b. ENDING DATE OF REPORTING PERIOD /_//O-i2 -30-Zo 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. 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, Vwe swear or affirm that no campaign contributions have been expended for the personal financial benefit of the candidate or for any other nonpolitical purpose as defined by the federal internal revenue code. 2~k 44 1,0 7- 5-/Z 1.±44'g' w- S- 1 z s' ture of candidate date signature of p ical treasurer date 11. MGNATURE sig of witness date ture of witness date 12. SUMMARY 8~ 8.88 a. BALANCE ON HAND LAST REPORT .....~.........r . $ y b. TOTALRECEIPTSTHISPER.IOD ........................1Lr,.j.........v..............................i...:.r............... 5 `N t 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 $ SS-1109 (Rev. 2/06) Page 1 d I RDA 1159 SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD e- C./' FROM: T0: - O - 2 RECEIP S 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 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 hem 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) 'Ca~i~ a SAn nsor~~ Qcj, r.~o, Brpo~K~asf $ $ $ s $ s $ Total of Expenditures ($100 or less each payee) b. Itemized Expenditures (Over $100 each payee this period) .......................................(Q Q . c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $ . C70 20. LOAN REPAYMENTS MADE THIS PERIOD $ 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) $ 22.IN-KIND CONTRIBUTIONS a. Unitemized in-kind contributions ($100 or less from each source this period) $ 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 or ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD e L°, 5 FROM: -/2 TO: 4, 30 -/Z noun 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 Expeenndi~t1ure Amount of Expenditure Last NamelBusiness Name I AL K ' ` *50 3I I I b . a~ alould v o j FD u n ogl • m M L K W AC.L► r"I lAs 9! Address oS ~ i M d h s4• e- Il SM Zip Code I-' I Mqr d~ First Name Middle Name Purpose of Expenditure ~Q rr Amount of Expenditure Last NamelBusiness Name I C I r, i i t✓Iw • 5 t 2 so o-c Address -o. o City State Zip Code First Name Mfddte Name Purpose of Expenditure Amount of Expenditure Last Name/Business Now Address City State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last NameBusiness Name Address City State Zip Code Fast Name 16ddle Nana 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 NaneBusiness Name Address City State Zip Code 5. TOTAL ITEMIZED EXPENDITURES (Carty forward to item 3. of next page t additional pages of this forth are used.) (K this is the last page of expaMiWres, this amourd must be shown in item 19b. of summary.) SS-1129 (Rev. 4/02) Page -3- of a) RDA 1159 u' CAMPAIGN FINANCIAL DISCLOSURE STATEMENT CT) 2012 For State and Local Candidates % 4 For Single-Candidate Committees 1. DATE OF REPORT I 2.a. NAME OF CANDIDATE OR COMMIT EE i~( 3 ' olk, f I' 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 51 5 r u-(, 1 Ile- 17V :3?Q" j.--1~3 l 4.b. CANDIDATt'S HOME ADDRESS (if different than 4.6f Street or Rural Route City State Zip Code Phone 5. OFF ICE SOUGHT (include di trict number, if applicable) 6. NAME OF POLITICAL TREASU ER (may be candidate) 1 -5 49 ~ ed-s rA f- 7. CATEGORY OR REPORT (Check one) ❑ ❑ ❑ ❑ ❑ ❑ ❑ ra- FIRST SECOND THIRD FOURTH PRE- PRE- MID-YEAR YEAR-END QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD 9. (Check one) a. This campaign is exempt from detailed disclosure because contributions (including in-kind) received total $1,000 or less AND expendi- tures total $1,000 or less for this reporting period. (Complete items 12d., 12e. and 12f.) b. ❑ This campaign is required to file a detailed financial disclosure because contributions (including in-kind) received total more than $1,000 and/or expenditures total more than $1,000 for this reporting period. 10. I/we do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this report is an accurate accounting of campaign contributions and expenditures required to be reported by the candidate committee by the Campaign Financial Disclosure Act. Additionally, I/we swear or affirm that no campaign contributions have been expended for the personal financial ben efit of the candidate or for any other nonpolitical purpose as defined by the federal internal revenue code. P/A g.-OLL AAA.,O .4il ature of candidate date signature of political treasurer date 11. W ESS SIGNATURE i i 41sqnature of witness date nature of witness date 12. SUMMARY a. BALANCE ON HAND LAST REPORT $ 9 b. TOTAL RECEIPTSTHIS PERIOD c. TOTAL DISBURSEMENTS THIS PERIOD ...................................................................................$C5010' log d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) e. TOTAL LOANS OUTSTANDING f. TOTAL OBLIGATIONS OUTSTANDING $ 0 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 S FROM: 7. y RECEIPT 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) ~►a~~~ RIPAA LIALA $ ~ ry%L Q0044w A _r -M. MarL4. .hr,'slm~As $ 6b Ta"A $ $ $ $ $ Total of Expenditures ($100 or less each payee) $ b. Itemized Expenditures (Over $100 each payee this period) $ 60.0 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.) ............................................$500,6E 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.) $ SS-1133 (Rev. 4102) Page of,_ ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING TT PERIOD I J. tS Lee- O-G FROM: it TO: j - /y / . moun 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) ~f 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 r1 Amount of Expenditure Last Name/Business Name R~r f S L L • • ' S Address ' ve Gty O 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 NamelBusiness Name Address City State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address City State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address City State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address City State Zip Code 5. TOTAL ITEMIZED EXPENDITURES (Carry forward to item 3. of next page if additional pages of this form are used.) (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 CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORT 2.a. NAME OF CANDIDATE OR COMMITTEE Lee art s 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 M "90 br. 4.b. CANDIDATE' E 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 (maybe candidate) I 7. CATEGORY OR REPORT (Che one) FIRST SEC❑OND THIRD FOURTH PRE= PRE- MID-YEAR YEAR-END QUARTER QUARTER TER QUARTER PRIMARY GENERAL SUppLEMENTAL 8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD ®i-/6y10// 9.(Check one) a. ® This campaign is exempt from detailed disclosure because contributions (including in-kind) received total $1,000 or less AND expendi- tures total $1,000 or less for this reporting period. (Complete items 12d., 12e. and 12f.) b. ❑ This campaign is required to file a detailed financial disclosure because contributions (including in-kind) received total more than $1,000 and/or expenditures total more than $1,000 for this reporting period. 10. Uwe do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this report is an accurate accounting of campaign contributions and expenditures required to be reported by the candidate committee by the Campaign Financial Disclosure Act. Additionally, Uwe swear or affirm that no campaign contributions have been expended for the personal financial benefit of thp candidate or for any other nonpolitical purpose as defined by the federal internal revenue code. --9W /i )';'/A OUL, ze 121"-All sig ure of candidate date signature ca treasurer date 11. WITN SIGNATURE re of Wtnesi date nature of witness date 12. SUMMARY I a. BALANCE ON HAND LAST REPORT $ M......~..3 4 b. TOTALRECEIPTSTHISPERIOD P~. P O ....._S6• j..............$ Q C. TOTALDISBURSEMENTSTHIS PERIOD 0, ~ j d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) ~ $ 9 ti N, CP e. TOTAL LOANS OUTSTANDING may,. .......::.....a...............................................$ ' f. TOTALOBLIGATIONS OUTSTANDING $ AWL SS-1109 (Rev. 2106) Page 1 of -at- RDA 1159 SUMMARY PAGE - CANDIDATE 13. NA E OF CANDIDATE OR COMMITTEE (in Full) 14. REPORT COVERING THE PERIOD 11) - Lee FROM:d 1_1,6_11 T0: ,0. RECEIPT 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) X310,}ED Q i,$1► ©13 I bit rt~1 $S:W t l~- U c $ $ $ Total of Expenditures ($100 or less each payee) $ 10 s 13il b. Itemized Expenditures (Over $100 each payee this period) $ -0- c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) '~0O~.3t!o 20. LOAN REPAYMENTS MADE THIS PERIOD 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) $ o20d 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 Obligafions 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.) $ AVOL W SS-1133 (Rev. 4/02) Page ,s~ of iZ SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD 11"e' I S FROM:': RECEIPT- 15. CONTRIBUTIONS (other than loans and interest) a. Unitemized Contributions ($100 or less from each source this period) $ 'L 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) $ a w .s $ t~ e $ ~ 5 •C~ 1 $ $ $ $ $ Total of Expenditures ($100 or less each payee) $ O•D b. Itemized Expenditures (Over $100 each payee this period) c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a, and 19.b.) $ 20. LOAN REPAYMENTS MADE THIS PERIOD $ 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) $ 22.IN-KIND CONTRIBUTIONS a. Unitemized in-kind contributions ($100 or less from each source this period) 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. 4/02) Page 0111. of ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE n 2. REPORT COVERING THE PERIOD tS `S. FROM: _~_~r T0:-/y. J. 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) Amount 4. C OMPLETE E THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures totaling more than $100 to any payee during the period) First Name I A Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name flfl ~1~ E'S tee(lLlef% L-~ICt ce- Address . HoLir e Ve City State Zip Code e 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 TSiate 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.) Afflk SS-1129 (Rev. 4/02) Page ~ of ~ RDA 1159