Loading...
Mitchell, Marvin Ed Pm1evidyd, 4/35/194,"~ CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees _ y - 1. DATE F REPORT 12.a. NE OF CANDIDATEiMMITTEE 3 I*v'\, 2.b. IF OMMI EE, NAME OF CANDIDATE 3. ELECTION DATE 4.a. CAMPAIGN ADDRESS AND PHONE I Street or Rural Route City State Zip Code Phone .2400 W AWuod -P-ck MgnVffle, ?J M04 WV S-c4 I a_ 4.b. CANDIDATE'S HOME ADDRESS (if different than .a ) Street or Rural Route City State Zip Code Phone 5. OFFICE SOUGHT (include district number, if applicable) 6. NAME OF P(n1CAL TREASURER (may be candidate) k ov- " LQU~SdVI 7. CAT ORY OR REPORT (Check one) ❑ ❑ ❑ ❑ 93,11" ❑ ❑ FIRST SECOND THIRD FOURTH PRE- PRE- MID-YEAR YEAR❑-E ND QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD 4/1 1 k L+ ~o 9. (Check one) a. ❑ This campaign is exempt from detailed disclosure because contributions (including in-kind) received total $1,000 or less AND expendi- tures total $1,000 or less for this reporting period. (Complete items 12d., 12e. and 12f.) b. (This campaign is required to file a detailed financial disclosure because contributions (including in-kind) received total more than $1,000 and/or expenditures total more than $1,000 for this reporting period. 10. Uwe do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this report is an accurate accounting of campaign contributions and expenditures required to be reported by the candidate committee by the Campaign Financial Disclosure Act. Additionally, I/we swear or affirm that no campaign contributions have been expended for the personal financial benefit of a e or for any other nonpolitical purpose as defined by the federal internal revenue code. 3 11 ~ - L "~p - 4 Awl 40 - signature o candidate 'date si n g ature of politic easu dat 1\ 11. WITNES SIGNATURE 3iY ae1~ si ature of witness date si nature of witness date 12. SUMMARY r a. BALANCE ON HAND LAST REPORT v ~v Ai1~00 b. TOTAL RECEIPTS THIS PERIOD $ c. TOTAL DISBURSEMENTS THIS PERIOD $ d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ e. TOTAL LOANS OUTSTANDING ..............................°A S $ f. TOTAL OBLIGATIONS OUTSTANDING . $ CP EWUNT (%OU' ; v-11 SS-1109 (Rev. 2/06) ELECTION L Page 1 of RDA 1159 s~ ~Z ~Wd SUMMARY PAGE - CANDIDATE 13. _.E OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING T E PERIOD WE. W K, FROM: 00 T0: ao 19 RECEIPTS y 15. CONTRIBUTIONS (other than loans and interest) a. Unitemized Contributions ($100 or less from each source this period) $ p~ b. Itemized Contributions (over $100 from each source this period) $ 4,100 Ou c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ 16. LOANS RECEIVED THIS REPORTING PERIOD $ O 17. INTEREST RECEIVED THIS REPORTING PERIOD $ O 18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) $ DISBURSEMENTS 19. EXPENDITURES (other than loan payments) a. Expenditures ($100 or less each payee this period) (must be listed by category - e.g., printing, postage, gasoline) $ $ Total of Expenditures ($100 or less each payee) $ b. Itemized Expenditures (Over $100 each payee this period) $ 1-72• 571 c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $ 17 i'cl 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.) 45 SS-1133 (Rev. 4102) Page of ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NN&ME OF~IJDID TE OI PMMITTEE 2. REPORT COVERING THE P RIO l FROM: 44 ~ ~%5? TO: If a.p / ~i Amount 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 9 first itemized page) U 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expw&m bt ov more 9w $100 lo any payee during the period) Fist Name tAiddk Name Purpose of Expenditure Amount of Expenditure t NaTsAusiness NwK S'y\ ~(ec,'o~• yid 5i4ns t5-7 s~ First Narw \J L6d* Name Purpose of Expenditure Amount of Expenditure IoUnt v4-4 ub ►Car\ I7 ~I~t~1, L~d p AAl- u. 1)6( city stale ZjpCode First Name I xWk Name Purpose of Expenditure Amount of Experdidue last Nameojsk ass Name Address City Stale Zip Code First Name W* k Name Purpose a Expendtm Amount of Expendlure Lost Norma Business Name Address City State Zip Code First Name Middle Name Purpose of Expenditure Amount of F.xperidbtm Lost Name/Business Name Address City Stair T4 Code First Name k4me Name Purpose of Expenditure Amount of Experxiibrre test Name&ahess Nerve Address city State Zip Code 5. TOTAL ITEMIZED EXPENDITURES /l (Cant' forward to ilam 3. of next papa Itadditional papas of his Conn are used.) (If this Is the last We of expeadihres, dds amount must be shown in Nam 19b. of sanrnary) 1 SS-1129 (Rev. 4102) Page of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. E OF CAND DATE OR COMMITTEE 2. REPORT COVERING THE PERIO M kk l I FROM: 8 TO: 0\0 nt 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 d first itemized page) O 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION coMnbutioris totaling more than $100 from an contributor 4 Q~ hfddle Name C rtrbudon Received For. Amount of ContnTution LLDm Wn Name Primary Election ❑ Cameral Section (do.2- 'P&Izn V-V\ r ^ n ❑ Runoff (Local Elections Only) D Date of CoriMbuton Aggregate This 9Zion ftffA-lA VI `5~~ w f ~77J 3 EmpbW t ..1 Contribution Received For. Amount of Contrbutm Name 6N ry Election _ General Election I (Jv AIT o c ❑ Runoff (Local Elections Only) lJ U ELI Date of ContrbuFon Aggregate This Election V~ FT-AJ 137-7 3 ) 1"'? M I I I Contribution Received For. Amount of Contribution t ;nary Election I ] General Eledim asp f ❑ Runoff (Local Eiecfioris Only) l 1 ei o w nn er) 01 C G~ Dale of Contribution Aggregate This Election ow"borl, ~1, 6p 43'18 me tbdele Name 015ritbUbM Received For. Amouffl-t o to n Last Name C'U Primary Election E] General Election anS 5'pp, of i vP.r S ❑ Runoff (Local EWbn s Only) C~an qbutiop Aggregate This Electo W~~ I 1 v zip, Coae 71 Date of ~ b 5. TOTAL ITE IZED IBUTIONS (Garry forward to keen 3. of oe,d page k edcNorW pages of kmk form are useda t ~O (k ft Is 11w last page d oonhrbWorms. kris amok" must be shown in kem 15b. o(skianaq.) 0 SS-1131(Rev. 2/06) Page of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. r7F DA Ofj COMMITTEE 2. REPORT VERING THE P RIOD l1 FROM: Lt/ I 115? 1 TO: LA I P,p I 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 d first itemized page) n 0 d= 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contrbulions totaliN more than $100 from an contributor , Fist IWdfe ContrbAion Recehed For. Amount of Contribution l as111~ i me Primary Election ❑ General Election n L l I n ,a ❑ Runoff (Local Elections Only) ~ v O J V Date of Contnbulion ~'l 1 G Aggregate This Election r TK) poe,oarnn O~ 413 [ 0 C n n I C~ontr(&Wn Received For. Amount of Contribution !J mummery Election ❑ General Election dr, 3.5 ❑ Runoff (Local Elections Only) U 1 I l Date of COntrWjw Aggregate This Election (Na- hang Contdbufon Received For. Amount of Conbbubon [r Election ❑ General Election \ O O J` ~ S lJ U '1 ❑ Runoff (Local Elections Only) O wv1 Date of Contribution Aggregate This Election opoptioq , q~ I I g l S ~oae C;ontrbution Reooi%W For. Amount o tr, tit ' Ha LTd lp w O y Election ❑ Generaf Election J6 6'1U- 7 C ❑ Ruw f (Loaf Elactions Only) luS v , 1~/ Date of Contrbudion Aggregate This Election w►~l fiY" 1 5. TOTAL ITEMIZED CONTRIBUTIONS (Cagy bnvasd to kem 3. of next pays K sd&SD W pages of Kds ban am used.) I 00 (K V is is Ne Iast page of owftL m. bus anwav must be O*wn h ksm 15b. of summary.) v 0 SS-1131(Rev. 2106) Page of RDA 11159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NA~E OF CANDIDATE OR, OOM TTEE 2. REPORT VERING THE PERIOD, FROM:~Jjj g TO: L+1>0 lie Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $Oif first itemized page) oZ~ 0 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION carttnbutions totaling more than $100 from an contributor Marne W K1* Name Contribution Reoed For. Amount of Contnbution V I Last Name nmary t1d P Election [3 General Election e1 Ra- ( ❑ Runoff (Local Elections Only) ra lLce, ~v zp pacip Date of Con Aggregate Ttds Election city a~ end Ilk) I ter, . 473' ~ g °°~e>h rte_ol F*Nvm I v( j>„ AfiddeName Contribution Received For. Mount of Contrbubon Name V ry Election ❑ General Election ✓ " AdjdT 1.. [3 Runoff (Local Elections Only) ✓k\ lei Zp code Date of Cortirtbution Aggregate This Election Ht~lztaz CICY4~ 1 " Contribution Received For. Amount of Conbffiution Rame Y v a YJ Ef" Election ❑ General Election Q aoo~= O . O 1, ❑ Runoff (Local Elections 0* ~a ~I State Zip Code Date of Confnbub'on Aggregate This Election ~U Ce►~tr Contribution Received For-. Amount o ntn n last Name Primary Election ❑ General Election 160 40,0 r ❑ Runoff Meal Elections Only) SL tS O I, ✓t tom. ry0~ Date of Con Aggregate This Election 5. TOTAL ITEMIZED CONTRIBUTIONS (Carty bnvard b foam 3. of need page 4 ad&docW pages of ft brm are used.) 050 (K ft is ft bst pope of cWsbu this amount must be shown in item 15b. of surtnwy.) SS-113i(Rev. 210ti) Page of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1, CE OF CANPIDATE OR COMMITTEE 2. REPOT VERING THE P IOD M ( FROM: 41 I TO: I nt 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) D 50 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contrrbutions totaling more than $100 from a contributor Name Wme Name Conbbution Received For. Amount of Conbtxdion Ls Na Om Name "Pry Election ❑ General Election t7c~ CCo - Ad ;75-k I- Ly. drea [3 ~/Q P_Q Runoff (Local Elections Only) I M- L7* n- Date of Con T ution Aggregate This Election 1 1 r /III 1 a Name Contribution Received For. Amount of I v Primary Election ❑ General Election I a o~ 'r 0- r ❑ Runoff (Local Elections Only) b LkUO h Zip 7_7 late of Contrkition I Aggregate This Election JIV ,II4 mrej n1e or Name Contribution Received For. Amount of CootrbAw WORM n" (g/r'rma" Electron ❑ Gerie<aI Election abod t= .40~ 'm ❑ Runoff (Local Eleciions Only) hore -D(~ve-, py smre -1 r. fide Date of Contrbution Aggregate This Election Cy- 777a- 0=pation ~ l 3 I I U Mf? %kr\ l n* ltiddle Name Amount o Contribution fast Name ►IJ~ Primary Election ❑ General Election MM II II An~ A S ❑ Runoff (Local Elections Only) I / l~ (I I -7 Date of Conhbulion Aggregate This Election Ow"Wn 3 ra S2i 5. TO ITEMIZED CONTRIBUTIONS (Carty forward b Rem 3. or nerd page f sdd6wai pages of M form are wed.) 3 r 6 500b (if ft s fro last page of ox*bWom, ft anw t nest be shown In Item 15b. of swwnary.) SS-1131(Rev. 2/06) Page of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. "E F ~ANOJDAjE OR MMITTEE 2. REPORT COVE RING THE ERIO FROM: L4 4 TO: 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) nt 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contrtbuliorts totaling more than $100 from a contritwtor Fkst Name Name C nnWlKr6lion Received For. Amount of Contrbttion to ; tan Kamp _ e 01rimaryElection ❑ General Election U 6 ~ ~ p ❑ Runoff (Local Elections Only) F \ a Date of Contribution Aggregate This Election mot- ~J 419 Name~~ WKW Contribution Received For. Amount of Cor xttion U Primary Election ❑ General Election 0 r. as GhArf -e- s a-, ❑Runoff (Local Elections Only) V1, I le" ~ &v Date of Contrbubon Aggregate This Election 'i a~ qj I'D cw I 07re Contribution =For: Amount of ConlrbrAion ~hintary Election ❑ General Election SO Utz Address ❑ Rwaff (Loral Elections Only) VlJ I YGi (~iT Date of Con Aggregate This Electon 17M cam J 0 ~,a>,°n l ~ ~ 0 First hGddie Name eunt o uYen C Y 1 Q 1 ~i Name LJ Pmrary Election ❑ General Election X00 I a I ~h ❑ Runoff (Local Elections Only) V 1 I~/ tx~ Date of Contrbution Aggregate This Election Employ- 5. TOTAL ITEMIZED CONTRIBUTIONS (Cant' tonvand b kern 3. of nett page r addWwW pages of ft brm we used) SO Oq (Y Us is tie test page of conmbuWns. this amount must be drown in Yom 15b. o(&wwrQq.) L SS-1131 (Rev. 2106) Page of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. rjE OF CAN 14 DgTE Q~ R COMMITTEE 2. REPOR COVERING THE P RIOD l FROM: 1 TO: 3-0 11 k 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $O i(first itemized page) Anftnt d O2 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION oontrbutions totaling more than $100 from arnry contrit>ubor First Name VA* Name ConbbA*n Received For. Amount of Contribution S Primary Election [I General Election PAC, tip' 1 Q n K.~ l- ❑ Runoff (Local Elections Only) Date of Contribution Aggregate This Election N Q~1 \✓r I I fTtj Employer First Name VhddieNamrc Contribution Received For. Mount of Contrtution Last NamelOWaabm Name ❑ Primary Election ❑ General Election Aditw ❑ Runoff (Local Elections Only) 04, Sae Zp Code Date of Contribution Aggregate This Election O-Psbon FrstNum Name Contribution Received For. Amount of Contribution ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City Sae Zip Code Date of Contribution Aggregate This Election L"iw Fkst Name Wide Name Cownft~bjfion =77" Amount o to n last NamerorgaNrgtiom Name ❑ Primary Election ❑ General Election Ad*ess ❑ Runoff (Local Elections Only) Cky Stare Zp Code Date of Contribution Aggregate This Election Ooarpatfon EnVky- 5. TOTAL ITEMIZED CONTRIBUTIONS (Garry forward lo Loam 3. of next page 9 sddrtorot pages of tds form are used.) Z4 { V O (if ft is tie last page of Ow*brfian, Iris amount ewst be gown in Mm 15b. of cunwnwy.) ` v SS-1131(Rev. 2/06) Page r of RDA 1159 CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates Tor Single-Candidate Committees 1. DATE RE PQRT 12.a. E OF CANDIDATE ZOM'f`ITTEE 2.b. IF CO MI E, NAME OF CANDIDATE 3. ELECTION DATE 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Rout City ` State Zip Code Phone eo VUi1~wm-' C.- 3 s~o Sad , 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. NAIF OF POLITICAL TREASURER (may be candidate) W ) 7. LATE Y OR REPORT (Check one) ca 1:1 FIRST SECOND THIRD 11 1:1 1:1 ❑ FOURTH PRE PRE MID-YEAR YEAR-END QUARTER QUARTER TER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 8.a. BEGINNING DATE OF REPORTING PERIOD 81. ENDING DATE OF REPORTING PERIOD "anuand Ito, ?V1 9 3 acs 1 S, 9.(Check one) a. This campaign is exempt from detailed disclosure because contributions (including "nd) received total $1,000 or less AND expendi- tures total $1,000 or less for this reporting period. (Complete items 12d., 12e. and 12t) b. f7iis 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 'ate or for any other nonpolitical purpose as defined by the federal internal revenue code. signature of candidat date .nature of politic easurer date 11. WITNE SIGNATURE 0 0) Mlt lure of witness ate nature of witness date 12. SUMMARY s. BALANCE ON HAND LAST REPORT $ I c7o j / I) o b. TOTAL RECEIPTS THIS PERIOD t. $ Aic 0 .1V G b~ c. TOTAL DISBURSEMENTS THIS PERIOD " l t~ Io d. BALANCE ON HAND (12.a. plus 12.b. minus f12.c.) $ 0 e. TOTAL LOANS OUTSTANDING $ I. TOTAL OBLIGATIONS OUTSTANDING $ O AOL MW SS-1109 (Rev. 2106) Pagel of I~ RDA 1159 SUMMARY PAGE - CANDIDATE 13. NAME 9,E CAN IDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD FROM: t ~flJ 10: 31-3 RECEIPTS 15. CONTRIBUTIONS (other than loans and interest) !ju a. Unitemized Contributions ($100 or less from each source this period) $ ,ou _ oa 111-7 b. Itemized Contributions (over $100 from each source this period) $ v o1 ~ c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ t 1 1 0Vt) 16. LOANS RECEIVED THIS REPORTING PERIOD $ O n 17. INTEREST RECEIVED THIS REPORTING PERIOD $ O IUI~► 18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) $ o ~I DISBURSEMENTS 19. EXPENDITURES (other than loan payments) a. Expenditures ($100 or less each payee this period) (must be listed by category - e.g., printing, postage, gasoline) Total of Expenditures ($100 or less each payee) $ b. Itemized Expenditures (Over $100 each payee this period) . $ L41 c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $ 1~ b • ~OS 20. LOAN REPAYMENTS MADE THIS PERIOD $ 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) $ (b, bs 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) $ y 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.) $ y 0 SS-1133 (Rev. 4102) Page of I ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME QF CRI0 4TE OR c"ITTEE 2. REPORT COVERING THE PERIO l 1 FROM: I TO: 31lig 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) n 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contibuliats totaling more than $100 from a contributor Name Contibution Recelved For. Amount of Contribution to me 96Election ❑ General Election ]7 p C 1/ ❑ Runoff (Local Elections Only) 1 A 1 ~/1 Zp Date of CabUition Aggregate This Election tiaa EapbW i ~1 hfiddle Name Contribution Received For. Amount of Corktution Las Name vl Primary Election ❑ General Election G ❑ Runoff (Local Elections Only) C~ ATr of ZP' o Date of Contr~ution Aggregate This Election t'aAC& rand j / '~'y l -77 F Contribution Received For. Amount of Contrbution ~e< 9<-mary Election ❑ General Election Address ❑ Runoff (local Elections Only) V ` Date of Conhbution Aggregate This Election TV Na I hfiddle ►qme or o n Name / YJ Pmrany Election ❑ General Election AM _U4 ('01 aaV, c" `D„- ❑ Runoff (Loral Elections Only) ~)1 I Date of Contlulion Aggregate Ttus Election 31 1 5. TOTAL ITEMIZED CONTRIBUTIONS r' O o (carry biward to Rem 3. of next page If odWwW pages of Mrs rim are used.) (M Mrs Is to leaf page of consbubons, Mrs amour must be dawn In km 15b. of sw ary.) z K 0 SS-1131(Rev. 2/06) Page ✓ of I✓ RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. AWf OF DI ATE 0 MMITTEE 2. REPORT COVERING THE.PER OD FROM: Amourit 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 i( first itemized page) Q , O t7 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION cattnbutions totaling more than $100 from an contributor W,*k N. Contribution Received For. Amount of Contribution La tan Name V Primary Election ❑ General Election t° CvY~- `Ja ❑ Runoff (Local Elections Only) 74ppndo Date of Contnbubon l Aggregate This Election City 71~ ~MQG ~I - ftb} wfiddle Contribution Received For. Amount of Contribution y-J) 19 Last 2=1 Name li 4-Mry Election ❑ General Election Ajr 1 W. L"~' ❑ Runoff (Local Elections Only) V 1 ` Zp wLl I Dale of Contribution Aggregate Psis Election C7I ~ 1 l 0 Empipw n Nwe Contribution Received For. Amount of Contrbu(an Narrie SUrrunary Election ❑ General Election SDL Address ❑ Runoff (Local E6c ions Only) City State zip Code Date of Conlnbubon Aggregate This Election Q-e-I - p Nam o n n A N' Ltd Primary Election 1:1 General Election 1, 4/ 1 t L4 & j 1~ C~ e t= v i Vr} ❑ Runoff (Local Elections Only) l C./ ` Date of Contrbution Aggregate This Election -1 fig 5. TOTAL ITEMIZED. CONTRIBUTIONS }y~ (Carry brsvud to item 3. of next page If ad0wal pages of ft form are used.) 2 ~(OvV (K ft Is the last page of contrbutiau, this amount must be Whom in Item 15b. of saxsvsary.) 3 U SS-113l(Rev. 2/06) Page of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. O [D~A~T~E 0 COMMITTEE 2. REPORT COVERING THE PERIOD ( v 1y ` FROM: I I TO: 'a~ Arnount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 H first itemized page) g Q , 0 0 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor ) Wd* Name Contribution Received For. Amount of Contribution V I cL- Las i Name EVP nm ry Election ❑ General Election r `Iy A73 (4 1 O r 1-Wit-App/41 ❑ Runoff (Local Elections Only) 00 11w, 1 ] , r Date of Contribution Aggregate This Election 11 o 7T f t,.- ' Contribution Received For. Amount of Contribution rl N8R18 ffli nmry Election ❑ General Election l~ ❑ Runoff (Local Elections Only) I LP fD3 Date of C &bution Aggregate This Election J~a LnVoYer j N &m Contribution Received For. Amount of Contribution LC 41 `~Y (~~nmary Bedw ❑ Gentuat Election / b s 1 I v `r) ~ ❑ Runoff (Local Elections Only) V mmohl, V ) SOON Date of Cmh$ution Aggregate Thos Election 14el -1 , I IU 1. I I g Ln"Yer .fne L6ddie Narrne Confttbon Received For. Amount Name ~tinnary Election ❑ GeroW Election / tic S ]V" 't Danid le. ❑ Runoff (Local Elections Only) U Date of Contrbution Aggregate This Election 0-*Sa«, A I u 5. TOTAL ITEMIZED CONTRIBUTIONS (Gerry toward b item 3. of nerd papa f sdff W pages of ft bm, are woo (f f is fie tut page o(cm*b Aons, M smoW must be Mown in Uem 15b. of swvnary.) I f SS-1131(Rev. 2/06) Page L -of I5 RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NA E OF D )DATE OR 90MMMEE 2. REPORT COVERING THE PERIOD FROM TO: 3t IS' AWunf CID 1 TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 B first eternized page) 0 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION (contributions totali more than 1100 from an contributor F !"e Mddte Name Contritiiftn Received For: Amount of Contribution t , s ~"1e LJ Primary Election ❑ General Election L AOM l ❑ Runoff (Local Elections Only) d „ 7p Date of Conbibulan Aggregate This Election 1,k' ty,jC. i iA, Empbyer RiwlNanx md(k roe Contribution Received For. Amount of Contribution j -)6 LagNamelownization Name L1 Primary Election ❑ General Election ,V\ ) e ❑ Runoff (Local Elections Only) Q Pc ALCib, (1 11~ I f{.Z Zpt~o¢~ . Date of Contribution Aggregate This Election d y ( / •L' lion FrVNanw Contribution Received For. Amount of Contribution (Primary Election ❑ General Election ` 7 r ' r r , Runoff (Local Elections Only) t ss stab_ T~p>~ode,`~ Date of Contribution Aggregate This Election ~ 1. 't Upover i ~ 4 f~ . art r< F Name IAd& Name Contribution Received For Amount of Gontribu6on n Name l" ~ Primary Election 1:1 General Election i) j r, 1: L )L~ j•l ❑ Runoff (Local Elections Only) L¢Coao t Date of Contribution Aggregate This Election ~ ~e 1~1 1 k Employer 5. TOTAL ITEMIZED CONTRIBUTIONS (Carry to ward to item 3. of next page K Mditronat pages of ft brm are used.) 5 (K r,is is a,e last page of contributions, th s amo iN rtwst be shown in %em 15b. of wmnary.) 1 SS-1131(Rev. 2106) Page of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS -CANDIDATE )~7E OF CANDIQATE COMMITTEE 2. REPO, COVERING THE PERIOD FROM: ! TO: ni 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 17 5' 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor Name ktxk ie Name Contribution Recehred For. Mount of Contribution l0 lest lion Name 1L'J Primary Election [I General Election ❑ Runoff (Local Elections Only) e S , Z~(lpdy`,~` Date of Confnbution Aggregate This Election tion v A9 O llcs,_ Name (k F I~ AfW&Name Contribution Received For. Amount of Contribution LastNa i Name [!IPrimary Election ❑ General Election C~ ❑ Runoff (Local Elections Only) h) I!M4 Date of Con(nbubon Aggregate This Election V + 1 N"w [0* N&R Contribution Received For. Amount of ConOrbubon dff~y Election ❑ General Election tt Nam AIZ~ I V~ ~ ❑ Runoff (Local Elections Only) W State ~l Date of Contrbution A ' Aggregate This Election ur"Wer Afdde Name EF'rin>ary Election ❑ General Election ff~, ❑ Runoff (local Elections Only) Date of ConWyAion Aggregate This Election ~ ~4] -7 5. TOTAL ITEMIZED. CONTRIBUTIONS (Carty lorward b ken 3. of next page k add6oml pages or thk tortn are used.) 5 I a (a this is the test page of cw*bubons. Ws arrant must be Mmn in Mm 15b. of summary.) r r0 SS-1131(Rev. 2106) Page -7 of I RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. PIAMV OF CANDIDATE 0 i (AMMITTEE 2. REPOT VERING THE PERIOD l FROM: TO: ~1qilpjg Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 d first ilernized page) a 5 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION corftrfbutions totaling more than $100 from a contributor r-,rn Itidd ame Contribution Received For. Amount of Contribution l/ / 1.15 / Nertre lrr{~~rMTlafy Election ❑ General EiCCt10f1 ~ 1L ❑ Runoff (Local Elections Only) 737 Date of Contribution Aggregate This Election x,0.1 A Mf 1 v a" FM ~fidae Name n Received For. Amount of ContrbXwn box (,;1 Nature Vrff _ Q Primary Election ❑ General Eiedon c (1Ol aG ❑ Runoff (Local Elections Only) V( 11~•~ Z~pCode Date of Contrbufon Aggregate This Election ` of "asst A-. a`~ ( Contribution Received For. Amount of Conlrbution = Nacre (~rrcnary Election ❑ General Election end 1~6-fyz o ❑ Runoff (Local Elections Only) I Cky q Zy Date of Contribution Aggregate TWm t7ection l ' ML Mme ° Ham Reosived For. t o n n y LW Marne Primary Election ❑ General Election j li G° 44G v ❑ Ruraff (Local Elections Only) 1 Tt-j~~ Date of Contribution Aggregate This Election (J~ J Employer T 5. TOTAL ITEMIZED CONTRIBUTIONS (Gamy forward to item 3. of ned page K addr6aat pages of 9* form are used.) 6137-5 (K fhis is Ise tut page of contrbutions, fbis amour t must be gown in item 15b. of surrrrrary.) t SS-1131 (Rev. 2106) Page of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF gDATf, OR CNN 2. REPORT COVERING THE PERIOD CN(( FROM: , b TO: ~In 15 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION corttrnbutions totaling more than $100 from a contributor Fist Name hfiddle Contrdxfion Received For. Amount of Contribution at bon ~T ®Prmiary Election ❑ General Election O~ (/l• ❑ Runoff (Local Elections Only) Ross S +r' LgCpdy v03 Date of Conftulion Aggregate Ttds Election '~~c1 EmooW M Contribution Received For. Amount of Contribution C Lest Primary Election ❑ General Election t~ kzip ❑ Runoff (Local Elections Only) Date of Contribution Aggregate This Election aj?it Evoyer, FkVNp- fat Namo Contribution Received For. Amount of Contribution Em pqwUprimition New r (Primary Election ❑ General Election S [3 Runoff (Local Erections Only) t n Date of Conftution Aggregate This Election LMP"W Name t o name 1►d Pr4nauy Election ❑ General Election 66, c C n1 COl ❑ Runoff (Local Elections only) t~wa t wrk) I+p~odq l Date of Contribution Aggregate This Elecbw Occupation t 5. TOTAL ITEMIZED CONTRIBUTIONS (Carty brwmd to Rem 3. o(nW pays R sdffwW pages of ft ban are used.) -75 (K ft is the last page of ow&bubons. Hs effox t must be atwwn in Ram i5b. of sunvnuy.) i SS-113l(Rev. 2106) Page 1 of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAM OF DIDA OR~~~MfTTEE 2. REPO T COVERING THE PERIO -r- M1 FROM: „ I TO: • i l n 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) -7 -7,5 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION cwrlnbu . totaling more than $100 from an contributor `n Name (•C VkkAe Nwm C *bjbon Rece(ved For. Amount of Contnbi Lion Last Nameogwasbw Name 04mary Election ❑ General Election e tx5-()c A~T O ❑ Runoff (Local Eleciions Only) 191 C l I Date of Contribution Aggregate Ttus Election empioyu 1Name tleddie Name - Cordrtbution Received For. Amount of Cor*bjbw lit C. hk. Last ~jj !~1 ~ lQi 04-Wry Election ❑ General Election C'& A l ~ v)" t .TH [3 Runoff (Local Elections Only) 7,:; S Dale of ca,trbutiori Aggregate This Election Fret Np- ContriM4ioo Received For. Amount of ConMbubon e dhimary Election ❑ General Election r ~ G)0 Address , ❑ Runoff (Local Elections Only) `Xr I ISIN-1 Lp CO& Date of Contribution Aggregate This Election Name , Co*WtA*n ReCervod For- Amount 0 n L Name p&Toq Election ❑ General Election - Runoff (Local Elections Only) V J G Li S ❑ 61C U l I Date of Contribution Aggregate This Election EnW&lw 5. TOTAL ITEMIZED. CONTRIBUTIONS (Carry brwwd b Kam & d mA page k sd&6orW pages OM Imam used.) (k Mrs Is the lest page o(cw*tub ru, Mrs anoA must be siowm in kem 15b. o(wrrnary.) 0 SS-1131(Rev. 2/06) Page V of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. E OF rGANDPATE OF~C~OMMITTEE 2. REPORT VERING THE PERIOD (1 FROM: % Jj- TO: ' 31 nt 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) o-75 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from a oDnhibuw I W* Nam Coontr/ibbution'Received For. A.,-,,,t of Con'MbX. to Ns ' Lion,Nsnw 6 Primary Election ❑ General Election ~rL 4 Le CcvL~ ❑ Runoff (Local Elections Only) 1' Q T Date of Contribution Aggregate TWs Election +9A-f i (aS (E~ U I FiziNaw trfi*kName Contribution Received For. Amount of Contribution KawfpwnW" frame d unary Election ❑ General Election t~~ ~t;/.rvr f ❑ Runoff (Local Elections Only) ry ` Date of Co *bution Aggregate This Election t~ Ov Met 2" - n ~2 t.., M'"10 Contribution Received For. Amount of Contribution me"ganmilpon Nam P~ Election ❑ Gametal Election Lr ry) 50,t-- ❑ Runoff (Local Elections Only) t 1 - $fare Lp Date of Contribution Aggregate This Election rc 7' f -ed For-. e Amount o n 77 Last Name CJ Primary Election ❑ Generat Election ❑ Runoff (Local Elections Only) ,h M5-3 Date of ConMbu5oon Aggregate This Elec tiw tion wenA, 5. TOTAL ITEM D. CONTRIBUTIONS (Carty br*wd to Rem 3. of nevi page M sd0wW pages or fns brm we used.) (M Mrs is fie Iasi page of oweWbom. his amount must be gown in Rem 15b. of swwrwy.) (5 SS-1131(Rev. 2/06) Page I of I~ RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CAN13111ATE I. NAME OF 14 D ATE1 4MMITfEE 2. REPORT COVERING THE PERIOD , FROM: 1 TO: / 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) nt^ / S 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION C Fish Conbibulions total more than $100 from an contributor wd* Name Contribution Received For. Amount -Of Contribution t lion Wme 01Primlry Election ❑ General Election Add,mpl SD Ft I IODG~C~J m ~h w ❑ Runoff (Local Elections Only) ZF Date of Contribution Aggregate Tlds Election WiiddieNarm Contribution Received For. Amount of Contribution Name 9Primary Election ❑ General Election ~JL ❑ Runoff (Local Elections only) J zip cmda- Date of Contribution A®gregate' This Election W { r& _r W"1B Contribution Received For. Amount of Can - 1,~(, Ilt7 ~rinnsry Election ❑ General Election 60 A-dd e P , ❑ Runoff (Local F Only) 1 1 Date of Conb>Zwtion Aggregate This Election eon `JdLo ~ LI Wme Conftil~db-w- Received For. Amount o ntn • Wme Primary Election ❑ General Election ~k hidIv~- ~j V ❑ Runoff (Local Elections Only) PULIM V, ) zt~j&j Date of Contribution Aggregate This Election So 5. TOTAL ITEMIZED CONTRIBUTIONS (Cloy forward b warn 3. of next page if sddiidI pages of this brm are used.) I h I ^ (k ft is N last page of oonhi Am. This errant ewst be shown in kern 15b. of surtvnary•) C V p( SS-1131(Rev. 2/06) Page I y of S RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. Ia1WOF M R CQMJ~AITTEE 2. REPORT CO RING THE PERIO FROM: TO: 1 If F nt 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) {0 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION ca<Itnbutions tot;A more than $100 from a contributor Name V A& Name Co,,n bjbon Received For. Amount of Contribution las Namelorgan¢a m Na N Primary Election ❑ General Election 100 ❑ Runoff (Local Elections Only) K n ~I 1 Date of Contribution Aggregate Ttds Election Dirk • / d~ ~0?'3 ~ ~ c~ Tpbisrl- Mcrae Name Contribution Received For. Amount of Contribution Lssl I~ Primary Election ❑ General Electron ~av P1 eYn' l~ RJ ❑Runoff (Local Elections Ony) r~ swe aMoq Date of Contr6ution Aggregate This Election =r4LA -111) Emplo~er Name Contribution Received For. Amount of Conabution - icy l.,eS ❑ Primary Election General Election erv Address ❑ Runoff (Local Elections Only) 50 Stale 4 Code Date of Contribution Aggregate This Election 31A)) (I U)6-Ar4riv- Widde Name Contribution Receww For. Amount of Gonlributicon L4 I tsst lJt.~ wni Name ❑ Pnnary Election L ('General Election i~ u- r& t S j c Dc.: Q ❑ Runoff (Local Elections Only) Date of Contribution Aggregate This Election 41 7U Er ptoyer 5. TOTAL ITEMIZED CONTRIBUTIONS (Carty forward b kern 3. of next page r sdd ftW psges of ft tom, are used.) 10 -7 ; 5 (a this is tw Iasi page or contributions, Ns amwv must be shown InItem 15b. of swv any.) 1 SS-1131(Rev. 2W) Page ~3 of ~5 RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NA !NDID TE.OR MITTEE 2. REPO T COVERING THE PERIOD U4 FROM: ' I TO: °j mou 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 If first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expert0&m at #V sate Own $100 to any payee during the period) Fist Name V A& Name Purpose or Expenditure Amount of Expenditure t inmNartre red-ecbIjAs t, turd s ILOb3. (o U of t T VA 1,` TNI M Fist Name L6ddte Name Purpose of Expendidxe Amount a( Expenditure a4t FvV Name Middte Name Purpose of Expendiame Amount of ExpeneWre thm =WWA.o~ 3 o t + CDun , Tr~s l G 3~ S Aue u ulJ Zip Code G ~~ey t rt O t,~+r►~1Fi It Dr-0-1 t ;Fe } ? 1 Wde Name Purpose of Expar,dta,te Amount of Expenaa,re ;V jI ,rd-0 (,k) yLa;wv, Ave., city i i 3 v co' 78o I Fiat Name Liddte Name Purpose of Expenditure Amount of ExperxWm uiaress Name l r , " SWC~ M FW Name WMe Name Purpose of Expenditure Amount of ExMnftre Ne.zf u U ' 1 c e~. ~'~c Ile S 5. TOTAL' ITEMIZED EXPENDITURES (Carry brward a item 3. a next page r addWoorW pages of nris ram am used.) 3 ] . (If ft Is the ast page ofexpenariass. nits amount mutt be shmn In ram t9b. of aarneary.) SS 1129 (Rev. 4102) Pape I of I RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. OF N ID TE OrrMMITTEE 2. REPORT COVERING THE PERIOD V ID { I of ! TO: j moun 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) I 'I f . 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures Wi% more Man $100 io any payee during the period) First Name 7 wade Nine Purpose of Experditure Amount of Expencrue Now OW W 'MU v a- First Name wdde Nam Purpose of Expenditure Amount of Expendlbxe a.~ YY~,s°~' cut-(oas so City D , State Tip Cade I V1 I rge) First Name Middle Name Purpose d Expenditure Amount of Expenditure Last NanelBesiness Name Address CRY State Zip Code First Name wade Name Purpose d Expendtune Amount of Expenditure Last NamelBu kits Name Address CRY Stale Zip Code First Name wade Name Purpose of Expenditure Amount of Expenditure Last NamaBusiness Name Address City State Zip Cade First Name wdde Name Purpose of Expenditure Amount of Fxperidtre Last NervWBusiness Nerve Address City State Tip Code 5. TOTAL ITEMIZED EXPENDITURES / r (Carty forward to item 3. of next page s additions! papas of Mis loan arc used.) f r CJs (If ft is ttie last page of experdtirass, MIs amocnt must be shown In Item 19b. of a Awwy.) ` ~ RDA 1159 SS-1129 (Rev. 4102) Pape I of f CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE (F REPORT 12.a. N E OF CANDIDATE OR COMMITTEE 3. ELECTION DATE 2.b. IF OMMI EE, NAME OF CANDIDATE I 4.a. CAMPAIGN ADDRESS AND PHONE State Zip Code Phone Street or Rural Route City 0 W 4 q(, L/ S.~ ~WUOd 4.b. CANDIDATE'S HOME ADDRESS (if different than .a) ✓I / T T C?T State Zip Code Phone Street or Rural Route City 5. OFFICE SOUGHT (include district number, if applicable) 6. NAME PQLITICAL TREASURER (may be candidate) a. C ILIn~ S 7. CAT ORY OR REPORT (Check one)❑ ❑ FIRST SEC DE- MID-YEAR YEAR-END SECOND THIRD FOURTH PRE QUARTER QUARTER UARTER QUARTER 8 bIMARDING DATE NERRAELPORTINS PER EMENTAL SUPPLEMENTAL 8.a. BEGINNING DATE OF REPORTING PERIOD 9. (Check one) fofrom r this etailedidi period (Complete citems 12d., 12e. ontributions (inclu and in-kind) received total $1,000 or less AND expendi- 000 eor less xempt a ❑ tunes ctotal ampaign 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 a or for any other nonpolitical purpose as defined by the federal internal revenue code. LI Z3 I~ date" ignature of politic F4reasu dat signature o candidate 11. WITNES SIGNATURE 01 si nature of witness date date si ature of witness 12. SUMMARY X10 a. BALANCE ON HAND LAST REPORT $ V ' DO b. TOTAL RECEIPTS THIS PERIOD Q O,~ Q c. TOTAL DISBURSEMENTS THIS PERIOD U $ d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c. e. TOTAL LOANS OUTSTANDING r to J f. TOTALOBLIGATIONSOUTSTANDING $ 0" LLC-CTiON Page 1 of RDA 1159 CP SS-1109 (Rev. 2106) Sb~Zt SUMMARY PAGE - CANDIDATE 13. lE OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING T E PERIOD r A k Ke FROM: 00 T0: ao 18 RECEIPTS 15. CONTRIBUTIONS (other than loans and interest) a. Unitemized Contributions ($100 or less from each source this period) $ p b. Itemized Contributions (over $100 from each source this period) $ 4,100 Q ~ ( c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ "f `f0 Oa 16. LOANS RECEIVED THIS REPORTING PERIOD O 17. INTEREST RECEIVED THIS REPORTING PERIOD $ O 18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) $ DISBURSEMENTS 19. EXPENDITURES (other than loan payments) a. Expenditures ($100 or less each payee this period) (must be listed by category - e.g., printing, postage, gasoline) $ $ Total of Expenditures ($100 or less each payee) $ b. Itemized Expenditures (Over $100 each payee this period) $ " I -7is • S~ G 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.) $ 5-1 22. IN-KIND CONTRIBUTIONS a. Unitemized in-kind contributions ($100 or less from each source this period) $ b. Itemized in-kind contributions (over $100 from each source this period) $ c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.) $ 23. 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 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. N,&ME OF t`JDID TE OR MMITTEE 2. REPORT COVERING THE P RIO t:A 1 FROM: 141-S~ TO: L f ap mourn 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 9 first itemized page) U 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expendiiures Wing mom than $100 to any payee during the period) Frst Narne Middle Name Purpose d Expenditure Amount of Expenditure tttartiei9usiness *ddress v s~>n ~I~c~h'o~n y and sljns OOU S~~ S~ PRY St* First Name VAddle Name Purpose of Expendan Amount d Expenditure our r~-r (r Egy: o u L'Lb ► Ca,r~~l ~d u, b F l Name Middla Name Purpose d Exper4ttine Amount of Expenftn Last NarneGusiness Name Address Cdy State Zip Code First Name Mime Name Purpose d Expenditure Amount of Expenditure Last NsmdBusiness Name Address av Stove Lp Code Flat Name htiddla Name Purpose d Expend'dure Amount of Expenditure Last "v"usness Name Address City State Zip Code Pig Name 1fioddie Name Purpose of ExpenSure Amount of Expenditure Last Nan Business Nerve Address civ State Lp Code 5. TOTAL ITEMIZED EXPENDITURES (Carry foward b ilem 3. a red page Madditional pages of tlws torm are used.) R v . S-I pt this is the last page a szperdtburos. this amount mutt be shown in Merv 19b. a sunvnacy.) SSA129 (Rev. 4102) Page d RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CAHDIDATE 1. E OF CAND DATE OR COMMITTEE 2. REPORT COVERING THE PERIOD M ` 1 FROM: 411119 TO: a.p t 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $O if first itemized page) O 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION coMnbulions totaling more than 5100 from a contritwt0 Mid* Name C tuition Received For. Amount of Contribution Q~ 147-eMtkm fue M Prmrary Election [I General Election ~b I oo . - -GFVZ ❑ Runoff (Local Elections Ono tN~ Date of Contribution Aggregate Ttds Election v!ti r EffV14 r )Ci) ~lJ') A6ddieN&-m Contribution Received For. Amount of Contributor Ls Na Name 0 ~ftrttaf~' ry Election _ General Elerfion I Ck V,\ V ❑ Runoft (Local Elections ow O S la* , WCJ_7 2~_, Date o(Contribulion, Aggregate This Election M sw0w F I Contribution Received For. Amount of Contribution d 1 I l t Tl dpi Election I General Election ❑ Runoff (Local BJecdons Only) 7 d ~a Date of Contrbution Aggregate This Election n en o1 ~ 3 I I FS 'rte - N\, i Muddle Nart,e o me Last Name C 1 Prinary Election ❑ General Election op 1 ~ i v • S ~ ~ ❑ Runoff (Local Elections Only) VfJ(,~SV 1 11~/ -f~ Date of ~tFbubo(t Aggregate ThLs Election Ocu+Pa~n / I I 2S (n1 GL 5. TOTAL ITE VED IBUTIONS ~O (Carty to wrard to Rem 3. of next Page R odd6onst pages of #6 tam ue used.) (R this is t e test Page of ow*bubons. Ns smount must be shown in Rom 15b. o(sorwroy.) SS-113l (Rev. 2W) Page of RIM 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. OF p~DATE Ofj COMMITTEE 2. REPORT VERING THE P RIOD '~'t/YlQ L 1 FROM: TO: ~Aj,)-b 1113 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 6 first itemized page) t7 ~ ~ 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION conbnbulions totaling mom than 51110 from a contributor Fist Jh(ddle ( Contribution Received For. Amount of Conhmulion lsstlla me 011p"ry Election ❑ General Election tL~ i L~0`= t V'~ Y v a J3 Runoff (Local Election Only) Date of Contribution Aggregate This Election t~ee~rw 41-3 3 Contribution ReceMed For Amount of C4r&bjbon Primary Election ❑ General Electm eb ass _ 3 5 V 1C.V (J ~ 1U ❑ Runoff (Local Elections OM') 1'&r-x3 TT7i q i -T Date of contnbtaon Aggregate This Election u ~/i I~~ 413 I I~ SC-( se1~- toe Name Name Contribution Received For. Amount of Contribution ~~rirtary Election ❑ General Election O O rl o ~s S U a ~ [3 Runoff (Local Elections OnIY) Fir., (ate of Conlrbution Aggregate This Election owv1S e-n C ~ Frst me t~dde last Name M Pm q Election ❑ General Election 466 (1U C [I Runoff (Lail Elections Only) to gT < ~ Date of ContrbuGon Aggregate Trrfs Election o~ V I N I-~, l 3 I l~ Q1 w ✓1 ~ i C44 V1 5. TOTAL ITEMIZED CONTRIBUTIONS ~U (carry tawa,+d b Rem 3. or ne d page k sd6donal pages of afkr bfm are used.) I (k ft is he rest page of cw*bubons, this amount n at be shown In kem M. of summary.) 1159 of RDA SS-l13l(Rev. 2106) Pag. ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE THE P RIOD 1. TOF IDA ~g 0 COM1IFROM: TTEE 2. REP OR VERING TO: I v~- l 1 t/Y U~ nt 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemasd page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION con ' ' totaling more than $100 from an contributor Contribution Received For. Amount of ConWwtion N~ WNW Name Last 11on New II~VV•ly~ EJIP~ry Election ❑ General Election O~ ❑ Runoff (Local Elections Only) Date of Con ' Aggregate This Eledion oTMi Faployu Naw M A& Name Contribution Received For. Amount of Contribution N~ av tame (,.~p~ary Election ❑ General Election - a ICJ C i-tJ ❑ Runoff (Local Elections Only) ZpCode Date of Contrbubon Aggregate This Elecrw Name Co*bufon Rec*ed For. Amount of Contrbution Deblr~; ErimarY Election ❑ t;ene[aI Election Wa ❑ Runoff (Local Elections Only) ryt„ at ~L~.A Stare LpCode ~ Dale of Cmtrbulion Aggregate This Election ="b- ~~Venf enief- n*fbnw o n y►'.~ t~iddfp tfarne Last NameLf~-rf/~ lJ Prinnary Election ❑ General Election I oO 4 AI I S- b o ' ❑ Runoff (Local Elections Only) ~l. ke., O Dale ofCo Aggregate This Election 3II cJin u.l-~.nt 5. TOTAL ITEIVIVED.CONTRIBUTIONS (Carty brward to Mm 3. of nerd page K sdff*nN pages of Kds form are used.) (K ft is tt» last page of oonvb Aons, this smarm must be shown in Worm 15b. or swmvuy.) SS-1131(Rev. 2106) Page of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. E CANQIDATE ID OR COMMITTEE 2. REPOT VERING THE P IOD FROM: ) TO: 41DoJIV ~ nt ~ Sd 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 d first itemized page) Amou t)utor 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION con tril:K lions totaling more than $100 from a contri Name 1r, µ ,11e Received For. Amount of Conbrbtdion LDW-s is tan Wme "Pry Election 1:1 General Election ~.L. J )711 f y~ Jc' CC O [:I Runort (Local Elections Only) Aad~ 1 ~ V -PQ Date of Aggregate This Election le, o~ 3 i 8 F"" M1d&wft Contribution Received For. Amount of Contrbubon Primary Election ❑ General Election T70 O-M-A-C~ Dr ❑ Rurart (Local Elections Only) Date of Aggregate This Election to ~c~ov~ ~7 IBS ]WIrej Nwm Name Contribution Received For. Amount of Contrbubon L Dr Ar\ci , ~m ~I'miary Election ❑ General Election aO~e' Nam ~,j nle raw X, ❑ Runoff (Local Elections Only) arms 1-77a- Date of Contribution Aggregate This Election tpabon r 3I I FIW LGddk Name o n Contribubon Received For-. Amowt lest aw 0 Prinary Election ❑ General Election Q` ❑ Runoff (Local Elections OnM 4ITEMIZEDD. LADale of Contrbution Aggregate This Election 5. TONTRIBUTIONS 3 6 So (Carty forward b item 3. of need"K aft6onN pegs of Kds form are used.) (K tins is ft lur page of cw*bubOns, his amount must be warm In Kam 15b. of summary.) SS-1131(Rev. 2106) Page of I RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CAHD[DATE 2. REPORT VERING THE ERIO 1. tL F ~ANDR MMITTEE FROM: T-1-8, I C1 TO: ~0 II~~ Amount" bb 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 H first itemized page) U 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than 5100 from a contribuW WKkk Nam Corybution Received For. Amount of ContrUi6bon First dame tan Na LEI Prnnary Election ❑ General E{edion is"~2e e ~ a60 ~nj I'n ❑ Runoff (Local Elections OnM 1ATr U ~l Date of CaiMbufion Aggregate This Election \ a ~-'f`~ c~ 13 I ~ g mot- EmOW toddle Contribution = For Amount of Conbtudon Narn,,~prin/ asb L~J +ary Election C1 General Election ~'e-S 'Em ❑Runoff (Local Elections Only) Dale of Contrbtlbon Aggregate This Election v ~ ~ei I'D " re ~ F fontribution Received For. Amount of Contbution tcJ `~`~1n ` [b~prcnary Election [I General Election SO 00 Nam*&Xp Nam jAW [3 Rust'( (Local Elections Only) " - ~ a''r Date of Con Aggregate This Election -6~~p wn U q/ tof Cwbibution FW~ ern ~ an~c2 Primary Election ❑ General Election ❑ Runoff (Local Elections Only) a I o~ Date of calbbulion Aggregate This Election v► I~ q 5. TOTAL ITEMIZED CONTRIBUTIONS 650 (Cary forward io item 3. of need page K sd*tiwW pages of M ks form are useda (M ft k ft Iasi page o(ca *Uftm. Mies arourt mw be Down In Mm 15b. o(axmrary.) Page of RDA 1159 SS-1131(Rev. 2106) ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 2. REPOR VERING THE P RIOD CAN 1. E OF I I COMMITTEE FROM: ) TO: i l nt 5 b o0 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION corftu ions totaling mom than 5100 from a contributor First Name Wd* WD,W eceived For FA90gregate btxr6on w Election ❑ General Election (Local Elections Ony) Election L§O bution `Klashr: I I~ ~I ►g Ooapat- EmOoW WidseName Contribut ion Received For. Amount of Corttritk" Fiat Name Lsd w~ Nanre ❑ Primary Section [3 General Election ❑ Runoff (Local Elections Ortly) Add~ss Date of Contribution Aggregate This Election ~y Staie LP Code Ocape6on ws" Contribution Received For. Amount of Cor&bj ton Firsl Name ❑ ftnary Election ❑ General Election Address Runoff (Local Elections Ony) t~ Lp Code Date of triiuYen Aggregate T* Section 00u potion 0 Fast W me ~fd0ie Na7Et, Lest Nmv*Kkqaraabon Name ❑ Primary Election ❑ General Election Runoff (Local Elections Only) Mdress yw of Contributon Aggregate This Election city Occupation Eff0o/w 5. TOTAL ITEMIZED CONTRIBUTIONS I l V Q (Carry tonvsrd b Nom 3. of nerd page 9 sdd6nat pages of Mrs brm are used) (M Mrs Is Me iW page of cWdbAons. Mrs amaxr awst be gown in Mom 15b. o(swaory.) Page of RDA 1159 SS-1131(Rev. 2106) CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates Tor Single-Candidate Committees 1. DATE RE TT 2.a. E OF CANDIDATE 9R COM ITME q ) 9 N't vu, l ~ 2.b. IF CO MI E, NAME OF CANDIDATE 3. ELECTION DATE 4.a. CAMPAIGN ADDRESS AND PHONE I I S qL) C) treet or Rural Rout City State Zip Code Phone 4.b. CANDIDATE'S 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. NAM be candidate) OF POLITICAL TREASURER (may C - m' 7. CATS YORREPORT(Chedcone) Iff 0 El 1:1 FIRST SECOND T~ 1:1 1:1 QUARTER QUARTER QUARTER QUARTER PRIMARY GENE RAL SUPPLEMENTAL SUPPLEMENTAL FOURTH PRE- P~ M(D-YEAR YEAR-END 8.8 . BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD u I b ?018 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. 1;?<is 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 the ate or for any other nonpolitical purpose as defined by the federal internal revenue code. Ile signature of candtdat date ' nature of pof ' treasurer date 11. WITNE SIGNATURE (lilt L-do ig lure of witness ate nature of witness date 12. SUMMARY C~ a. BALANCE ON HAND LAST REPORT $ b. TOTALRECEtPTSTHIS PERIOD I oa5"° c. TOTAL DISBURSEMENTS THIS PERIOD . ' " l r ~o • b J d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ 0 3S e. TOTAL LOANS OUTSTANDING $ f. TOTAL OBLIGATIONS OUTSTANDING $ SS-1109 (Rev. 2/06) Page 1 of 15 RDA 1159 SUMMARY PAGE - CANDIDATE 13. NAME g CAN IDATTE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD GJ I J L L FROM: 1 I~ I TO: 3 RECEIPTS 15. CONTRIBUTIONS (other than loans and interest) a. Unitemized Contributions ($100 or less from each source this period) $ ,UQ oa b. Itemized Contributions (over $100 from each source this period) $ 1) -7 a c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ 111 0 A ~ 16. LOANS RECEIVED THIS REPORTING PERIOD $ D 17. INTEREST RECEIVED THIS REPORTING PERIOD $ O 18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) $ I f) 02 s v~ DISBURSEMENTS 19. EXPENDITURES (other than loan payments) a. Expenditures ($100 or less each payee this period) (must be listed by category - e.g., printing, postage, gasoline) Total of Expenditures ($100 or less each payee) $ b. Itemized Expenditures Over $100 each payee this period) 14, c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $ '7 t I b • 20. LOAN REPAYMENTS MADE THIS PERIOD $ 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) b, bS 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.) $ y W SS-1133 (Rev. 4/02) Page of ' ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NA IF CQNpIi I~TE ~COM1rAITTEE 2. REPORT COVERING THE P' Op ~t `iit I FROM: TO: 18 l n/, 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 i( first itemized page) v 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION coctxibutions totals more fhan $100 from an contributor First Name Cortritution Received For. Amount of Contribution La rM L~Pnmary Election ❑ General Election ~,yv 1 A#dress -5d-[y ❑ Runoff (Local Elections Only) x v Zrti Date of Contribution Aggregate This Election 110j1 ~ 3 -_3 Employer v-~ 1 i' F ~t ~l Aed~eName Contribution Received For. Amount of Contribution Las An Name l/ vl Primary Election ❑ General Election Add ❑ Runoff (Local Elections only) e:r Coy vl, Zp o 7 7 Date of Contrb.&n Aggregate This Election O 31 LI itrt~►t:.e~ "nand. l Contribution Received For. Amount of Contrbution enmary Election ❑ General Election Nam - 560 Address ❑ Runoff (Loral Elections Only) 1 Date of Contribution Aggregate This Election /r o 1 6~ Lsw- n Na tdidd{e Marne Contribution Remyed / W. t o f Mm Name 0 Pnmary Election ❑ General Election AddTp T~~ ❑ Runoff (Local Elections Only) yl Sad Date of Contribution Aggregate This Election (JV kation TWr%ir n + ucntl_ 5. TOTAL ITEMIZED. CONTRIBUTIONS (Carry f award to Gem 3. of next page if additiwW pages of this form am used.) t ~0 r (G ft is the last page of camububom this amount must be shown in Gem 15b. of swomy.) 2 K SS-1131(Rev. 2106) Page ✓ or I✓ RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. OF DI ATE 0 MMITTEE 2. REPORT COVERING THE PER OD FROM, (4) TO: 31-, 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first eternized page) p , 0 t~ 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION corttitbulions totaling more than $100 from an contributor F -5 trGddle Name Cotr~bution Received For. Amount of Contnbution Ls t a Ton Name tPrmiary Election ❑ General Election Add 117 3 e ❑ Runoff (Local Elections Only) Gh' / • zip codo O Date of Contribution Aggregate This Election I (7 tan - Mdse Contribution Received For. Amount of Contrrbution t G C C~~ G'~ ry Election [I General Election Lx ck l ❑ Runoff (Local Elections only) v ' 1.2. l Jlw l Date of Confnbution Aggregate This Election ~L•I _I t, 1,V Nazne Contribution Received For. Amount of Contrdxrtion Name ~t'titnary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City State Zip Code Date of Cont button Aggregate This Election Occupation 3 LffvloYer fie( - D f1e Wid&Name Amount o ontntxrhon Ll7 Ptvnary Election ❑ General Election Kanwo~ i'x i t VU (o of L Aw C. „ , ry ❑ Runoff (Local Elections Only) (y Date of Contribution Aggregate This Election EftVloyer c~ IS 11 5. TOTAL ITEMIZED. CONTRIBUTIONS (Carry forward to item 3. of nett page K ad&Sona(pages of ft forth are used.) (K tlrs is file fast page of contrdwtions, this amount must be sMwn in hem 15b. of axwnary.) ` ~D O 3 3 SS-1131 (Rev. 2/06) P.J. of J RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. 0 DID~A~T~E 0 COMMITTEE 2. REPORT COVERING THE PERIOD v iS= ` FROM, I I~) TO: 3? l Anmnt 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 fI first itemized page) g Q , 0 D 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEM [ZED CONTRIBUTION corttrbulions totaling more than $100 from an contributor ij~ Ifadle Nam Contr~ufion-Received For. Amount of Contribution Las a ' 1'ti~w~ ryame Primary Election ❑ General Election .G ~ CTL j r ❑ Runoff (Local Elections Only) . I - iro 1h, Date of Contribution Aggregate This Election 0-a-4on 1 1rC/ (Q 7r~bm-lk,s Llj~Lj~ 1M WI k Nara ~ Contribution Received For. Amount of Corttrbubon Name Mcwry Election ❑ General Election I CJ 15~ I~ R ❑ Runoff (Local Elections Only) Stagy Zq rD3 Date of contribution Aggregate This Election Enipioyer Lrkwle Name Contribution Received For. Amount of Contribution l~7 ~ T Election ❑ General Election j Li L `~Y f t E] Runoff (Local Elections Only) - , t L Sati 1 1 Date of Contrbution Aggregate This Election ' ! , il me LC"e Name Contribution Received For mount o nth uhon _C Nametimary Election ❑ Genera! Election 711`x' ❑ Runoff (Local Elections Only) M'c.l,3 Date of Contribution Aggregate This Election Ocaryation CA Empbyer 5. TOTAL ITEMIZED CONTRIBUTIONS (Carry brward to item 3. of nett page if adOwW pages of t ds forth are used.) (H ft is ft last page of contributions, W s emounr awst be stows in Rem 15b. of wrosq.) SS-1131 (Rev. 2/06) Page of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CAFt13II3ATE 1. E OF CAN DATE OR MMITTEE 2. REPORT COVERING THE PERIOD Wt. ' FROM: ~s ly T0: 3) ) 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first iternized page) ni 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor Name " W* Name Contribution Received For. Amount of Contrbution Us S Name lJ Primary Election ❑ General Election m i-e " t ❑ Runoff (Local Elections Only) ~.1 t Zp Date of Contribution Aggregate This Election r t EM~ (Ilykr FWN- frfi" Contribution Received For. Amount of Contribution LagNwW0rganWtfiw Name 01n ry Election ❑ General Election fh~ ( V% 56) ) f I ❑ Runoff (Local Elections Only) } Date of Contribution Aggregate This Election C~ 1riI f Y I'D bToom Contribution Received For. Amount of Contribution L bPtima y Election ❑ General Election Gr(i k_ c ' ❑ Runoff (Local Elections Only) ' Date of Contrbution Aggregate This Election i' 1 c - Ewpoter .7 Rig-Al'Al Na"1e ►fiiddie Name Coribbution Received For- t o tri=m ~n Name G Primary Election ❑ General Election MCI' L ❑ Runoff (Local Elections Ordy) f j l , J SQq► Date of Contribution Aggregate This Election T ll. ,.'L Gt(~ del d i Employer 5. TOTAL ITEMIZED. CONTRIBUTIONS (Carrybrward to item 3. of mad page f ad0orW pages of Ns form are used.) 5 7 (K ft is ft last page of cxtftu ions, this amain( mist be 0%own in hem 15b. of cunxnary.) ) SS-1131(Rev. 2/06) Page of ' RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1._NAME OF CANDIDATE Q COMMITTEE 2. REPORT COVERING THE PERIQD ,1 l FROM: E 14( TO: 13 i.1 I Arriount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 i( first itemized page} 41-7 5' 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contrbulions totaling more than $100 from an contributor 1e 9 uGddfeName Contr~"Received For. Amount of Contribution .k4Na o- LastNa tionName Lti'! ~Primary Election ❑ General Election t~7 C~ r ❑ Runoff (Local Electrons Only) t Dale of Contribution Aggregate This Election owpoon Anwa Ftrsl ► e WodeName Contribution Received For. Amount of Contribution Last Na Name 1J / Primary Election ❑ General Election L ' heniff ❑ Runoff (Local Elections Only) lJ~ G Date of Contrbution Aggregate This Election r Nasw h Contribution Received For. Amount of Contribution Nam Wpdrry Election ❑ General Election rr11 G ❑ Runoff (Local Elacbm Only) S i T Date of Contribution Aggregate This Election LMP"W me W94e Name Amount Contribution Received For. o tribution ICJ Primary Election ❑ General Election j, ❑ Runoff (Local Elections Only) (1 ~ Ltp ; Date of Contribution Aggregate This Election Emooyer 5. TOTAL ITEMIZED. CONTRIBUTIONS (Gerry forward to item 3. of nerd page it eddrtiorW pages of M brrn are used.) 5t G a 5- (tf ft is t* last page of contnbx b=. this amount must be sown in item 15b. of sww ary.) SS-1131(Rev. 2106) Page of 157 RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIOATE 1. PLILMF OF CANDIDATE i [OMMITTEE 2. REPOT VERING THE PERIOD FROM: TO: i 31 Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 H first itemized page) a 5 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION cwttrtbutions totals more than $100 from an contributor Fir st n ~,rn dd ame Contrbutiort'Received For. Amount of Contribution V I /I I Nit Z Las Name (rirnaryElection ❑ General Etedion ❑ Runoff (Local Elections Only) tL~ i zo M31 Date of Contrbution Aggregate This Election - -7C~ r Evt hyf Fr 1 ! M,dde Name CZdwy n Recetved For. Amount of Contribution Last t~1 Name Election ❑ General Election tlr~ urn . li(G t / „ j vp~ ❑ Runoff (Local Elections Onty) RWVA V( 1 =Uc Dateof ConVixition Aggregate This Election i j i as , W : ! N7 Contribution Received For. Amount of Contribution Primary Election p General Election tTrJ Arr 0 Runoff (Local Elections Only) ~LJ stye zp ll Data of Contribution Aggregate This Election rAy Taw ilit'vYN Name r w6ddie Name Con Received Fon t o ntntwhon Last i Primary Election ❑ General Election l (t{; C' r ❑ Runoff (Local Elections Only) U r ' i t Date of Contribution Aggregate This Election iz.14,t Employer 5. TOTAL ITEMIZED CONTRIBUTIONS (Carry brwaW to item 3. or nezt page L aftbonat pages of Lus Corm are used.) 7 (If Lds is ft last page of contrbutions, V s amount nst be shown in kern 15b. of summary.) SS-1131(Rev. 2106) Page of _.L RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE W OR 1. WE OF q(DA`T~' OR MMMITTEE 2. REPORT COVERING THE PERIOD 4 b TO: 'a •3 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 H first itemized page) iq -3 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an conbibuWr F7rst Name wddie Conb~bution'Received For: Amount of ContnTxition .A i 1 List N V~ojn Name "Pry Election ❑ General Election (~t U SS 5 r ❑ Runoff (Local Elections Only) ~tYA l ~ ~ ~ Sd, , z~.g07&3 Dale of Contribution Aggregate TNs Election E'7^'`ye . 1 M Contribution Received For. Amount of Contribution Lest Prxriary Election ❑ General Election A4dpp r ❑ Runoff (Local Elections Only) j 1 LpGo~aq Date of Cont button Aggregate This Election Employer Nam Contribution Received For. Amount of Contribution I-tv Primary Election [j General Election -r .5► Add n S ❑ Runoff (Local Electrons Only) Q Al ' u, Nl ~t.~ Date of Contrbution Aggregate This Election f" I Fit~tName Name Amount Contribution Received For-. o ht,,Mn 1 Lef!JtG~ Name ( Primary Election ❑ General Election C n sn C~ n f~ ❑ Runoff (Local Elections Only) T & i 1 ~~103 Date of Contribution Aggregate This Election Employer 5. TOTAL ITEMIZED.CONTRIBUTIONS (Carry brxard to Kern 3. of next page if ed*6onat pages of this form are used.) (K ft is the Iasi page of w*bubons. this aroud must be sf'ovm in item 15b. of curxmary.) / i SS-1131 (Rev. 2/06) Page 9 of RDA 1159 ITEMIZED STATEMENT F CONTRIBUTIONS - CANDIDATE 1. MOF CANDIDATI< OR MITTEE 2. REPO T COVERING THE PERIO f FROM: 1 ^ Ig TO: i 1 ni Amou' 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 7 5 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contrbutions totals more than $100 from an contributor FJX1 Name s vAddleNarne Coritritx o 'Received For. Amount of Contrbution 1 1 ( Ct Last Name/Organ¢ation Name 04 ry Election ❑ General Election Cep Cie,~ Aggress ❑ Runoff (Local Elections Only) Date of Contnbution Aggregate This Election Employer i. 'Qu First Name , WK&Name Contribution Received For. Amount of Con~ C Chi 7Eleclion ❑GeneralElection S6CV ❑ Runoff (Local Elections Orlty) ` 71c Y1 6W c I-H zffcndft C( s- Date of Contbution Aggregate This Election ~ffyy~t~ Cie" Envlo~w gad- to L~U Fiat Nname Contribution Received For. Amount of Contrbution l ` ~~rirtwry Election ❑ General Election f 1 f." ~ f n c7C: C1`' .1 Addressl G e r X ❑ Runoff (Lodi Elections Only) ` r State zip code Date of Contribution Aggregate This Election Son J~ ~ ~ Name ± Arddk~ Amount Contribution Received W. o Contribution Vic Name EJ Primary Election ❑ General Election J y ~ Jv\ ❑ Runoff (Local Elections Only) J ,NI N v (Il~~~~ J~ I q Date of Contribution Aggregate This Election Occupation. &j 1 5. TOTAL ITEMIZEDCONTRIBUTIONS (Carry forward to item 3. or nett page if v"ISorW pages of ft form are used.) Qn o-75 (K hs is ft last page of owdrbutiau, INS amount must be sr om in item 15b. of swatary.) ' SS-1131(Rev. 2106) Page (d or RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. ,NAME OF D(DA1T= 0 COMMITTEE 2. REPORT VERING THE PERIOD ` FROM: 'Ilikdlk TO: ? l 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized pge) n I. o-7 rj 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor I Wddf "0 Contrribution'Received For. Amount of Contribution Los'l Na tim Name t~l Primary Election ❑ General Election r, t l. cc~ e- D ❑ Runoff (Local Elections Only) / 1 e ( $fale Z~pCyda~r , t _ Date of Contribution Aggregate This Election Ewe; ~ kcl \L_ Fvg tJame G~ Afi"eName Contribution Received For. Amount of tAr*bA= Name 0Pr' ry Eledon ❑ General Election •i7 Ito ❑ Runoff (Local Elections 0*) Ar~pGe~ss aVLf y Date of ContnbAon Aggregate This EleWon tla<ne ^ Contribution Received For. Amount of Contribution Primary Election ❑ General Election 5tve, I ❑ Runoff (Local Elect o Only) t L~ =-Vn Date of Confibution Aggregate This Election ~ c k~ 7' l ~i Name W4& N; ne onft Amount o Contribution .71 U Last Name J Lr` l Primary Election ❑ General Election ❑ Runoff (Local Elections On r M Date of Contribution Aggregate This Election 5. TOTAL ITEM D. CONTRIBUTIONS (Carty brirard b item l of ne# page k adds wW pages of /vs form are used.) (k ft is fie lash page of conkbuWm, this enoW must be shown in kern 15b. of axicoy.) ? SS-1131(Rev. 2106) Page I ` of I~ RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NISME OF QANDIPATE OR 2. REPORT COVERING THE PERIOD, J~A FROM, TO: = 7 Amount r~ 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) C / S 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION cottnbutions totaling more than $100 from an contributor Fast I.Fddie Name ConMIKIGOn Received For. Amount of Contribution t Na lion Name NJ Primary Election ❑ General Election nsp F ! L { J ! j wt a! - ❑ Runoff (Local Elections Only) l• Tip I~ Dale of Contribution Aggregate TNs Election ZL' IAiddeName Contribution Received For. Amount of Contribution Lost melOrWkabm Name Primary Election ❑ General Election Gam, Apd9e~s, L ❑ Runoff (Local Elections Only) ~J _ I I Ste, , Z,p~de , J Date of Contnbution Aggregate This EleWon 3/0 I I ?S Envi9yer Name Contribution Received For. Amount of Contribution IYJ r~ Election ❑ General Election 1. ~l J (C,.. Add ii(lq ❑ Runoff (Local F ns Only) e., IZ Stale TM Date of Contrbution Aggregate This Election ~I 3 Wde Name Contribution Amount ot Contribution Name ILI Primary Election ❑ General Election , 611; AynwheaA vG ❑ Runoff (Local Elections Only) U 1 ' ( Zg~ccy i Date of Contributon Aggregate This Election Oc,,p,ti,n , - ~ J 1 f,/Jcl So d 5. TOTAL ITEMIZED. CONTRIBUTIONS C (Carty bnverd to Kern 3. of nerd page if aftbotut pages of tds form are used.) V J (H fftis is tie Iasi page of ombbuboru, this amount mist be gown in item 15b. of swwnary.) I SS-1131(Rev. 2106) Page I of I RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CAHWGATE 1. NAM OF IDA R 11 ITTEE 2. REPORT CO ERING THE PERIO ,f' FROM: E7 I ~5 TO: , 3 i Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 tf first itemized page) Q 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION coritrbulions totals more than $100 from an contributor Name Middle Name C"&bution Received For. Amount of Conlrbutiori Kn/1 JA Lost Namerorganiza~ ~ 9 Primary Ejection ❑ General Election ❑ Runoff (Local Elections Only) u Date of Contribution Aggregate TNs Ejection Dire ~',o~ `5 cS Employer J Midge Name Contribution Received For. Amount of Contribution loaf Name~ ®Prin+ary Election El General Election 0V &Tbm I (J ern' 'Y RJ ❑ Runoff (Local Ekdions Only) City Q i Stai Date of Contrbution Aggregate This Election =U FkVName [M* Nam Contribution Received For. Amount of Contribution LastName"pnaabonwnie ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City Stale Lp Coda Date of Contrbution Aggregate This Election Occvpation Frst Name WK40 Name Contbution Received For t o ntn n Last NwWOrgar>imtion Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) Gb St* Zip Code Date of Contrbulion Aggregate This Election Omupation Enpbyer 5. TOTAL ITEMIZED CONTRIBUTIONS (Cary forward to item 3. of nett page if sd&6orW pages of 6vs form are used.) I a 5 pr ft is 6» fast page of cuftubons, this amorxrt must be sh wn in item 15b. of summary.) 1 ,Oak i SS-1131(Rev. 2/06) Page 13 of `5 RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAI 114~04TE,OR MITTEE 2. REPO T COVERING THE PERIOD, ~ JI FROM:.` EJ I TO: 5 I m>ou 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 H first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures Wing more than $100 lo any payee during the period) First Narne Diddle Name Purpose of f Expenditure Amount of Expendrhxe s 1 "Tess Name ~C~'-C•1 L n 41 S T u' C) of ` 611(f L.( ~y'ns m 1 4& t j' Fast Name Middle Name Purpose of Expenddure Amount of Expenditure us Name r r C~G~ N1, 111 11 ~1711 I Sta~lej ~ ZipCode~ / Fast Kvwm Middle Name Purpose d E.xpendit re Amount of Expenftre b 5 La G 0,11 F ) 1 ( . Midge Name Purpose of Expenditure Amount of Expenditure r ~ch var F e City "Sww 378 I Fast Name piddle Name Purpose of Expenditure Amount of Expendture Name n Lsgpameffimiress 1 l.y- ( v First Name Middle Name Purpose of Expenditure Amount of Expenditure MOO ` r J 4~l-v-lj "L P fun r ' I l 5. TOTAL- ITEMIZED EXPENDITURES q (Carry ixward b item 3. of text page K additional pages of His form are used.) 3 L (If Ws Is V* Last page of expendbm. this ana mt must be shown in item 19b. of unary.) 0 SS-1129 (Rev. 4102) Pape Tq- of I RDA 1159 f!~ ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAMq OF NDIDATE 0 MMITTEE 2. REPORT COVERING THE PERIOD t n FROM: ( f ( TO: :2) -,31 Its 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 'rf first itemized page) mount I . 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures Wing more than $100 to any payee during the period) First Kane lAddle Name Purpose of Expenditure Amount of Expenddure tai t l1 rV►wlr ~ ; ~ c in N" J cv aakl4l First Name vAddle Kane Purpose of Expenditre Amount of Expenditure Ur lh'c adtl~~ldern.ec~'(oaS AT 7- c2ty SW Zip Code v; ~ Fast Name Widdie Name Purpose d Expenditure Amount of ExpendRure Last NameBusiness Name Address CKV State Zip Code Fast Name 6fiddie Name Purpose of Expenftre Amount of Expenddure Last NameBrttiness Name Address City State Zip Code Fast Name Middle Name Purpose of Expenditure Amount of Expenditure Last NwWBusiness Name Address City State Tip Code First Narne Diddle Name Purpose of Expenditure Amount of Expenditure Last NamelBusiness Name Address City State Zip Code 5. TOTAL ITEMIZED EXPENDITURES / r (Carry forward to ibm 3. of nerd papa 9addhiorW pages of this form am rased.) ~ f r CJ r V~ (If this Is the Iasi page of ezpervr* s, this amount must be shown In Nam 19b. of surxnary.) SS-1129 (Rev. 4/02) Page I of 15 RDA 1159 CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF EPORT 2.a. NAME OF CANDIDATE OR COMMITTEE 1 1~-C4 i 2.b. I COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone Wild wood LA WAV V1 16t, 7~) 3,7 go q 4.b. CANDIDATE'S HOME ADDRESS (if different than 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) MGiL " A W) St) n 7. CATEG Y OR REPORT (Check one) ❑ ❑ ❑ ❑ ❑ ❑ FIRST SECOND THIRD FOURTH PRE- PRE- MIDD❑YEAR YEA ND QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 8.a. BEGINNING DAT OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD I II I ~ I IS 1 9. (Check one) a. ~y 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 th r any other nonpolitical purpose as defined by the federal internal revenu+treasr r signature of candidate date signature of politicda e 11. WITNE S SIGNATURE ^ si ature of witness date gnature of witness d e 12. SUMMARY a. BALANCE ON HAND LAST REPORT $ 0 b. TOTAL RECEIPTS THIS PERIOD U' c. TOTAL DISBURSEMENTS THIS PERIOD $ O 01~ d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ e. TOTAL LOANS OUTSTANDING ..1~..~ $ v f. TOTAL OBLIGATIONS OUTSTANDING C u7 ,A c. x1 SS-1109 (Rev. 2/06) en Page 1 of I RDA 1159 c') M l ~b ~y Wd ZL CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORT 2.a. NAME OF CANDIDATE OR COMMITTEE 01/15/2015 Ed Mitchell 2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE 08/07/2014 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone 2400 Wildwood RD Maryville TN 37804 865-984-3136 4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.) Street or Rural Route City State Zip Code Phone SAME 5. OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate) MAYOR OF BLOUNT COUNTY Scott Headrick 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 10/01/2015 01/15/2015 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 ndidate or for any other nonpolitical purpose as defined by the fe ral internal revenu code signs re of candidate date signature of political treasurer da e 11. WITNESS SIGNATURE signature o witness date signature of witness date 12. SUMMARY a. BALANCE ON HAND LAST REPORT $ 1508.00 Q~, AM 7 2~ b. TOTAL RECEIPTS THIS PERIOD.. ..........................r... $ 0.00 1508.00 $ C. TOTAL DISBURSEMENTS THI IOQ,t..... 0 00 d. BALANCE ON HAND (12.a. p 2.b. minus 1 t .h e. TOTAL LOANS OUTSTANDING... ~ d $ 0.00 f. TOTAL OBLIGATIONS OUTSTANDING $ 0.00 SS-1109 (Rev. 2/06) Page 1 of 1 RDA 1159 SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD Ed Mitchell FROM: 10/01/14 TO: 01/15/15 RECEIPTS 15. CONTRIBUTIONS (other than loans and interest) a. Unitemized Contributions ($100 or less from each source this period) $ 0.00 b. Itemized Contributions (over $100 from each source this period) $ 0.00 c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ 0.00 _ 16. LOANS RECEIVED THIS REPORTING PERIOD $ 0.00 17. INTEREST RECEIVED THIS REPORTING PERIOD $ 0.00 18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) $ 0.00 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) Donation $ 100.00 Total Expenditures of 100 or less each payee) $ 100.00 b. Itemized Expenditures Over $100 each payee this period) $ 1408.00 c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $ 1508.00 20. LOAN REPAYMENTS MADE THIS PERIOD 0.00 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) 0.00 22.IN-KIND CONTRIBUTIONS a. Unitemized in-kind contributions ($100 or less from each source this period) $ 0.00 b. Itemized in-kind contributions (over $100 from each source this period) $ 0.00 c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.) $ 0.00 23. OBLIGATIONS a. Unitemized Obligations Outstanding ($100 or less each) $ 0.00 b. Itemized Obligations Outstanding (Over $100 each) $ 0.00 c. TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 12.f.) $ 0.00 0 SS-1133 (Rev. 4/02) Page 2 of 7 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE Ed Mitchell 2. REPORT COVERING THE PERIOD FROM: 10/01/14 TO: 01/15/15 3, TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) Amount 0.00 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totalin more than $100 from an contributor) First Name Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City State ZipCode Date of Contribution Aggregate This Election Occupation Employer First Name Middle Name Contribution Received Far: Amount of Contribution Last Name/Organizadon Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City State ZipCode Date of Contribution Aggregate This Election Occupation Employer First Name iddle Name Contribution Received For: Amount of Contribution Last Name /Organization Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City State Zip Code Date of Contribution Aggregate This Election Occupation Employer First Name Middle Name Contribution eceive or. mount of Contribution Last Name/OrganizationName ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City State Zip Code Date of Contribution Aggregate This Election Occupation Employer 5. TOTAL ITEMIZED CONTRIBUTIONS (Carry forward to item 3. of next page if additional pages of this form are used.) 0.00 (If this is the last page of contributions, this amount must be shown in item 15b. of summary.) SS•1131(Rev. 2/06) Page 3 of 7 RDA 1159 ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD Ed Mitchell FROM:10/01/14 TO: 01/15/15 3. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) mount 0.00 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED IN-KIND CONTRIBUTION (in-kind contributions totaling more than $100 from any contributor during the period) First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last Name/Organization Name ❑ Runoff (Local Elections Only) Address Date of In-Kind Contribution Aggregate this Election city State Zip Code Description of In-Kind Contribution Occupation Employer First Name Middle Narne In-Kind Contribution Received For: Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last Name/Organization Name ❑ Runoff (Local Elections Only) Address Date of In-Kind Contribution Aggregate this Election City State Zip Code Description of In Kind Contribution Occupation Employer First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last Name/Organization Name ❑ Runoff (Local Elections Only) Address Date of In-Kind Contribution Aggregate this Election City State Zip Code Description of In-Kind Contribution Occupation Employer First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last Name/Organization Name ❑ Runoff (Local Elections Only) Address Date of In-Kind Contribution Aggregate this Election City State Zip Code Description of In-Kind Contribution Occupation Employer First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last Name/Organization Name ❑ Runoff (Local Elections Only) Address Date of In-Kind Contribution Aggregate this Election City State Zip Code Description of In-Kind Contribution Occupation mp oyer 5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS (Carry forward to item 3. of next page if additional pages of this form are used.) 0.00 (If this is the last page of in-kind contributions, this amount must be shown in item 22b. of summary.) SS-1128 (Rev. 2106) Page 4 of 7 RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD Ed Mitchell FROM: 10/01/14 TO:01/15/15 Amount 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) 0.00 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 The Boys & Girls Club of Blount Co. Donation Address $ 165.00 520 South Washington Street City State Zip Cod Ma e rye'ille TN 37804 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Pinkstaff Simpson, Hall & Headrick Address 8858 Cedar Springs Ln Accounting Fees 195.00 City State Zip Code Knoxville TN 37923 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Martin Luther Kin Jr. Celebration Address Donation 201 South Washington Street 110.00 City State Zip Code Maryville TN 37804 First Name Ed Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Mitchell Address 2400 Wildwood Rd Reimbursement of 938.00 Expenses City State Zip Code Maryville TN 37804 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.) $ 14.08.00 (If this is the last page of expenditures, this amount must be shown in item 19b. of summary.) Adh SS-1129 (Rev. 4/02) Page 5 of 7 RDA 1159 ITEMIZED STATEMENT OF LOANS - CANDIDATE 1, NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD Ed Mitchell FROM: TO: 10/01/14 101/15/15 3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED LOAN (loans totaling more than $100 from any source during the period) Complete the Following for the Source of the Loan First Name Middle Name Outstanding Loan Balance Loans Loan Outstanding Loan Balance (Beginning of Period) Received Payments (End of Period) Last NamelOrganization Name Address Loan Received For: Date of Loan ❑ Primary Election ❑ General Election City State Zip Code ❑ Runoff (Local Elections Only) List All Endorsers or Guarantors for Above Loan (If more space is needed please attach a page) First Name Middle Name First Name Middle Name Last Name/Organization Name Last Name/Organization Name Address Address City Stale Zip Code City State Zip Code Amount Guaranteed Outstanding Amount Guaranteed Outstanding First Name Middle Name First Name Middle Name Last Name/Organization Name Last Name/Organization Name Address Address City State Zip Code City State Zip Code Amount Guaranteed Outstanding Amount Guaranteed Outstanding First Name Middle Name First Name Middle Name Last Name/Organization Name Last Name/Organization Name Address Address City State Zip Code City State Zip Code Amount Guaranteed Outstanding Amount Guaranteed Outstanding First Name Middle Name First Name Middle Name Last Name/Organization Name Last Name/Organization Name Address Address City Slate Zip Code City State Zip Code Amount Guaranteed Outstanding Amount Guaranteed Outstanding 4. Totals forall Loans (complete on last page of itemized loans) Outstanding Loan Balance Loans Loan Outstanding Loan Balance (Total loans received should also be shown in item 16, on summary page.) (Beginning of Period Received Payments End of Period (Total loan payments should also be shown in item 20. on summary page.) 00 0 00 (Total outstanding loan balance should also be shown in item 12.e. on front page.) 0.00 0.00 0.00 4) SS-1132 (Rev. 4/02 Page 6 of 7 RDA 1159 ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE Ed Mitchell 2. REPORT COVERING THE PERIOD FROM:10/01/14 TO: 01/15/15 3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED Outstanding Balance Debt Incurred Payments Outstanding Balance OBLIGATION (obligations totaling more than $100 owed to any (Beginning of Period) This Period This Period (End of Period) person/vendor at the end of the reporting period) First Name Middle Name Last Name/Business Name Address City Stale Zip Code Description of Obligation First Name Middle Name Last Name/Business Name Address City State Zip Code Description of Obligation First Name Middle Name Last Name/Business Name Address City State Zip Code Description of Obligation First Name Middle Name Last Name/Business Name Address City State Zip Code Description of Obligation First Name Middle Name Last Name/Business Name Address City Slate Zip Code Description of Obligation 4, TOTALS (Total from Outstanding Balance - (End of Period) column must also be shown 0.00 0.00 0.00 0.00 in item 23b. on summary page.) 0 SS-1127 (Rev. 4102) Page 7 of 7 RDA 1159 CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATEOFREPORT I2.a. NAME OF CANDIDATE OR COMMITTEE 09/30/2014 Ed Mitchell 2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE 08/07/2014 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone 2400 Wildwood RD Maryville TN 37804 865-984-3136 4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.) Street or Rural Route City State Zip Code Phone SAME 5. OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate) MAYOR OF BLOUNT COUNTY Scott Headrick 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 T 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 bIfede ted by the candidate committee b he Campaign Financial Disclosure Act. Additionally, I/we swear or affirm that no campaign tions have been expended f e ersonal financial benefit of je candidate or for any other nonpolitical p~urrppo_se7asde ned by thI internal revenu e de. signature of candidate date ' signature of political treasurer d Ate 11. WITNESS SIGNATURE.- . signat of w ness date signature of witness date 12. SUMMARY a. BALANCE ON HAND LAST REPORT $ 4317.00 b. TOTAL RECEIPTS THIS PERIOD 0.00 c. TOTAL DISBURSEMENTS THIS PERIOD $ 2809.00 d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ 1508.00 e. TOTAL LOANS OUTSTANDING 0.00 f. TOTAL OBLIGATIONS OUTSTANDING $ 0.00 SS-1109 (Rev. 2106) Page 1 of 1 RDA 1159 SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD Ed Mitchell FROM: 07/29/14 TO.09/30/14 RECEIPTS 15. CONTRIBUTIONS (other than loans and interest) a. Unitemized Contributions ($100 or less from each source this period) $ 0.00 b. Itemized Contributions (over $100 from each source this period) $ 0.00 c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ 0.00 16. LOANS RECEIVED THIS REPORTING PERIOD $ 0.00 17. INTEREST RECEIVED THIS REPORTING PERIOD $ 0.00 18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) $ 0.00 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) Donation $ 100.00 Donation $ 100.00 Donation $ 100.00 Donation $ 100.00 $ $ $ ToEal of ExpendiEures ($100 or less each payee) $ 400.00 b. Itemized Expenditures (Over $100 each payee this period) $ 2409.00 c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $ 2809.00 20. LOAN REPAYMENTS MADE THIS PERIOD $ 0.00 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) $ 2809.00 22.IN-KIND CONTRIBUTIONS a. Unitemized in-kind contributions ($100 or less from each source this period) $ 0.00 b. Itemized in-kind contributions (over $100 from each source this period) $ 0.00 c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.) $ 0.00 23. OBLIGATIONS a. Unitemized Obligations Outstanding $100 or less each 0.00 b. Itemized Obligations Outstanding (Over $100 each) $ 0.00 c. TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 12.f.) $ 0.00 0 SS-1133 (Rev. 4/02) Page 2 of 7 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE Ed Mitchell 2. REPORT COVERING THE PERIOD FROM: 07/29/14 TO 09/30/14 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) Amount 0.00 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor First Name Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City State Zip Code Date of Contribution Aggregate This Election Occupation Employer First Name Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City State Zip Code Date of Contribution Aggregate This Election Occupation Employer First Name iddleNamP. Contribution Received For Amount of Contribution as ame rganiza ion ame ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City State Zip Code Date of Contribution Aggregate This Election Occupation Employer First Name Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City State Zip Code Date of Contribution Aggregate This Election Occupation Employer 5. TOTAL ITEMIZED CONTRIBUTIONS (Carry forward to item 3. of next page if additional pages of this form are used.) 00 (If this is the last page of contributions, this amount must be shown in item 151b , of summary.) SS-1131(Rev. 2/06) Page 3 of 7 RDA 1159 ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD Ed Mitchell FROM:07/29/14 TO: 09/30/14 3. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) mount 000 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED IN-KIND CONTRIBUTION (in-kind contributions totaling more than $100 from any contributor during the period) First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last Name/Organization Name ❑ Runoff (Local Elections Only) Address Date of In-Kind Contribution Aggregate this Election City State Zip Code Description of In-Kind Contribution Occupation Employer First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last Name/Organization Name ❑ Runoff (Local Elections Only) Address Date of In-Kind Contribution Aggregate this Election City State Zip Code Description of In- Kind Contribution Occupation Employer First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last Name/Organization Name ❑ Runoff (Local Elections Only) Address Date of In-Kind Contribution Aggregate this Election City State Zip Code Description of In-Kind Contribution Occupation Employer First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last Name/Organization Name ❑ Runoff (Local Elections Only) Address Dateof In-Kind Contribution Aggregate this Election City State Zip Code Description of In-Kind Contribution Occupation Employer First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last Name/Organization Name ❑ Runoff (Local Elections Only) Address Date of In-Kind Contribution Aggregate this Election City State Zip Code Description of In-Kind Contribution Occupation Employer 5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS (Carry forward to item 3. of next page if additional pages of this form are used.) 0.00 (If this is the last page of in-kind contributions, this amount must be shown in item 22b. of summary.) F SS-1128 (Rev. 2/06) Page 4 of 7 RDA 1159 ~~~r~ ~ ` -~-,s1d~t~ - ~ ~ti1.~.~~~ ..~;:~as~ru;wr~u•~r.v..~ o5r~.~GL,r;L~.11 •='..y~~''.['r:e~~ ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD Ed Mitchell FROM:07/29/14 TO:09/30/14 Amount 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) 0.00 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 The Dail Times Advertising Address $ 526.50 307 East Harper Ave city State Zip Code Maryville TN 37801-2305 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Pinkstaff Simpson, Hall & Headrick Address 8858 Cedar Springs Ln Accounting Fees 1682.50 City State Zip Code Knoxville TN 37923 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Bo Scouts of America Address Donation 1333 Old Weis arber 200.00 City State Zip Code Knoxville TN 37909 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.) $ 2409.00 (If this is the last page of expenditures, this amount must be shown in item 19b, of summary.) SS-1129 (Rev. 4/02) Page 5 of 7 RDA 1159 ITEMIZED STATEMENT OF LOANS - CANDIDATE 1, NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD Ed Mitchell FROM: TO: 07/29/14 09/30/14 3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED LOAN (loans totaling more than $100 from any source during the period) Complete the Following for the Source of the Loan First Name Middle Name Outstanding Loan Balance Loans Loan Outstanding Loan Balance (Beginning of Period) Received Payments (End of Period) Last Name/Organization Name Address Loan Received For: Date of Loan ❑ Primary Election ❑ General Election City State Zip Code ❑ Runoff (Local Elections Only) List All Endorsers or Guarantors forAbove Loan (If more space is needed please attach a page) First Name Middle Name First Name Middle Name Last Name/Organization Name Last Name/Organization Name Address Address City State Zip Code City State Zip Code Amount Guaranteed Outstanding Amount Guaranteed Outstanding First Name 7 Middle Name First Name Middle Name Last Name/Organization Name Last Name/Organization Name Address Address City State Zip Code City 7State Zip Code Amount Guaranteed Outstanding mount Guaranteed Outstanding First Name Middle Name First Name Middle Name Last Name/Organization Name Last Name/Organization Name Address Address City State Zip Code City State Zip Code Amount Guaranteed Outstanding Amount Guaranteed Outstanding First Name Middle Name First Name Middle Name Last Name/Organization Name Last Name/Organization Name Address Address City State Zip Code City Stale Zip Code Amount Guaranteed Outstanding Amount Guaranteed Outstanding 4. Totals for all Loans (complete on last page of itemized loans) Outstanding Loan Balance Loans Loan Outstanding Loan Balance (Total loans received should also be shown in item 16. on summary page.) (Beginning of Period Received Pa menu End of Period (Total loan payments should also be shown in item 20. on summary page.) (Total outstanding loan balance should also be shown in item 12.e. on front page.) 0.00 0.00 0.00 0.00 SS-1132 (Rev. 4102 Page 6 of 7 RDA 1159 ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE Ed Mitchell 2. REPORT COVERING THE PERIOD FROM: 07/29/14 TO:09/30/14 3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED Outstanding Balance Debt Incurred Payments Outstanding Balance OBLIGATION (obligations totaling more than $100 owed to any (Beginning of Period) This Period This Period (End of Period) person/vendor at the end of the reporting period) Flrst Name Middle Name Last Name/Business Name Address City State Zip Code Descnption of bligation First Name Middle Name Last Name/Business Name Address City State Zip Code Description of Obligation First Name Middle Name Last Name/Business Name Address City State Zip Code Description of Obligation Flrst Name Middle Name Last Name/Business Name Address City State Zip Code Description of Obligation First Name Middle Name Last Name/Business Name Address City State Zip Code Description of Obligation 4. TOTALS (Total from Outstanding Balance - (End of Period) column must also be shown 0.00 0.00 0.00 0.00 in item 23b. on summary page.) SS-1127 (Rev. 4/02) Page 7 of 7 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 07/28/2014 ED MITCHELL 2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE 08/07/2014 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone 2400 WILDWOOD RD MARYVILLE TN 37804 865-984-3136 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) MAYOR OF BLOUNT COUNTY SCOTT HEADRICK 7. CATEGORY OR REPORT (Check one) ❑ ❑ ❑ ❑ ❑ fm ❑ ❑ 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 07/01/2014 07/28/2014 9. (Check one) a. M 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 expende for t rsonal financial benefit of the c 'date or for any other no political purpose as defined by the fed al internal revenue cc e. Oate signature of candidate signature of oli ical treasurer d e 11. WITNESS SIGNATURE signature of witness _date signature of witness date 12. SUMMARY a. BALANCE ON HAND LAST REPO ...RCE1V ~U $ 4317.00 aUU 0.00 b. TOTAL RECEIPTS THIS PERIOD... -.3 . c. TOTAL DISBURSEMENTS THIS PER( .Ed:..G........... 0'00 d. BALANCE ON HAND (12.a. plus 12.b. min ll $ 4317.00 e. TOTAL LOANS OUTSTANDING $ 0.00 f. TOTAL OBLIGATIONS OUTSTANDING $ 0.00 SS-1109 (Rev. 2/06) Page 1 of RDA 1159 CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATEOFREPORT 2.a. NAME OF CANDIDATE ORCOMMITTEE 06/30/2014 Ed Mitchell 2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE 08/07/2014 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone 2400 Wildwood RD Maryville TN 37804 865-984-3136 4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.) Street or Rural Route City State Zip Code Phone SAME 5. OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate) MAYOR OF BLOUNT COUNTY Scott Headrick 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 04/27/2014 06/30/2014 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 y the Campaign Financial Disclosure Act. Additionally, I/we swear or affirm that no campaign contributions have been expende fo a personal financial benefit of the can idate or for any other nonpolitical purpose as defined by the fed al internal revenu code W-# signature of candidate date signature of political treasurer date 11. WITN SS SI NATURE NN 12AA MM p - 1 signature of witness d e~ D c, signature of witness date 4, CEO n R r 12. SUMMARY TON cn U~ a. BALANCE ON HAND LAST REPORT Ep~Nrt ...v $ 4758.00 Cb b. TOTAL RECEIPTS THIS PERIOD .~~(ID 0.00 d z~ $ 44100 c. TOTAL DISBURSEMENTS THIS PERIOD V4 4317.00 d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ e. TOTAL LOANS OUTSTANDING $ 0.00 f. TOTAL OBLIGATIONS OUTSTANDING $ 0.00 M11 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. DATEOFREPORT I2.a. NAME OF CANDIDATE OR COMMITTEE 04/26/14 Ed Mitchell 2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE 05/06/2014 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone 2400 Wildwood Maryville TN 37804 865-984-3136 4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.) Street or Rural Route City State Zip Code Phone Same 5. OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate) MAYOR OF BLOUNT COUNTY Scott Headrick 7. CATEGORY OR REPORT (Check one) ❑ ❑ ❑ ❑ 133 ❑ ❑ ❑ 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 04/01/2014 04/26/2014 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 th rsonal financial benefit of the candidate or for any other nonpolitical purpose as d ined by the fed I internal revenue c e. ';:v~ _ rl)q signatur of cand ate date signature of political treasurer ate 11. WI-F[JESS SIG AT signature of witness date signature of witness date 12. SUMMARY a. BALANCE ON HAND LAST REPORT 4758.00 b. TOTAL RECEIPTS THIS PERIOD 0'00 0.00 c. TOTAL DISBURSEMENTS THIS PERIOD $ d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ 4758.00 e. TOTAL LOANS OUTSTANDING $ 0.00 0.00 f. TOTAL OBLIGATIONS OUTSTANDING $ 0 SS-1109 (Rev. 2/06) Page 1 of 7 RDA 1159 SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD Ed Mitchell FROM: 4/01/14 TO: 4/26/14 RECEIPTS 15. CONTRIBUTIONS (other than loans and interest) a. Unitemized Contributions ($100 or less from each source this period) $ 0.00 b. Itemized Contributions (over $100 from each source this period) $ 0.00 c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ 0.00 16. LOANS RECEIVED THIS REPORTING PERIOD $ 0.00 17. INTEREST RECEIVED THIS REPORTING PERIOD $ 0.00 18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) $ 0.00 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) 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.c.) $ 0.00 22.IN-KIND CONTRIBUTIONS a. Unitemized in-kind contributions ($100 or less from each source this period) $ 0.00 b. Itemized in-kind contributions (over $100 from each source this period) $ 0.00 c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.) $ 0.00 23. OBLIGATIONS a. Unitemized Obligations Outstanding ($100 or less each) $ 0.00 b. Itemized Obligations Outstanding (Over $100 each) $ 0.00 c. TOTAL OBLIGATIONS OUTSTANDING add 23.a. and 23.b. must be shown i item 12.f.) $ 0.00 0 SS-1133 (Rev. 4/02) Page 2 of 7 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD Ed Mitchell FROM: 4/01/14 TO: 04/26/14 Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 0.00 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor First Name Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City State Zip Code Date of Contribution Aggregate This Election Occupation Employer First Name Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City State Zip Code Date of Contribution Aggregate This Election Occupation Employer First Name iddleName Contribution Received For: Amount of Contribution as Name/Organization Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City State zip Code Date of Contribution Aggregate This Election Occupation Employer First Name Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City State Zip Code Date of Contribution Aggregate This Election Occupation Employer 5. TOTAL ITEMIZED CONTRIBUTIONS (Carry forward to item 3. of next page if additional pages of this form are used.) 0.00 (If this is the last page of contributions, this amount must be shown in item 15b. of summary) °t~o SS-1131(Rev. 2/06) Page 3 of 7 RDA 1159 ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE Ed Mitchell 2. REPORT COVERING THE PERIOD FROM: 4/01/14 TO: 4/26/14 Amount 3, TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 0.00 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED IN-KIND CONTRIBUTION (in-kind contributions totaling more than $100 from any contributor during the period) First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last Name/Organization Name ❑ Runoff (Local Elections Only) Address Date of In-Kind Contribution Aggregate this Election City State Zip Code Description of In-Kind Contribution Occupation Employer First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last Name/Organization Name ❑ Runoff (Local Elections Only) Address Date of In-Kind Contribution Aggregate this Election City State Zip Code Description of In-Kind Contribution Occupation Employer First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last Name/Organization Name ❑ Runoff (Local Elections Only) Address Date of In-Kind Contribution Aggregate this Election City State Zip Code Description of In-Kind Contribution Occupation mp oyer First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last Name/Organization Name ❑ Runoff (Local Elections Only) Address Date of In-Kind Contribution Aggregate this Election city ::=at Zip Code Description of In-Kind Contribution Occupation Employer First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last Name/Organization Name ❑ Runoff (Local Elections Only) Address Date of In-Kind Contribution Aggregate this Election City State Zip Code Description of In-Kind Contribution Occupation mp oyer 5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS (Carry forward to item 3. of next page if additional pages of this form are used.) 0.00 (If this is the last page of in-kind contributions, this amount must be shown in item 22b. of summary.) 3..a SS-1128 (Rev. 2/06) Page 4 of 7 RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1, NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD Ed Mitchell FROM: 4/01/14 TO: 4/26/14 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) mount0.00 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures totaling more than $100 to any payee during the period) First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address 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 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 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.) 0.00 (if this is the last page of expenditures, this amount must be shown in item 19b. of summary.) SS-1129 (Rev. 4/02) Page 5 of 7 RDA 1159 ITEMIZED STATEMENT OF LOANS - CANDIDATE 1. NAME OLCANDIDATEE OR COMMITTEE 2. REPORT COVEING THE PERIOD Ed Mitchell FROM: TO: 4/01/14 4/26/14 3. COMPLPROPRIATE ITEMS FOR EACH ITEMIZED LOAN (loans totaling more than $100 from any source during the period) Complete the Following for the Source of the Loan First Name Middle Name Outstanding Loan Balance Loans Loan Outstanding Loan Balance (Beginning of Period) Received Payments (End of Period) Last -Narne/organizatjon Name Address Loan Received For: Date of Loan Cil ❑ Primary Election ❑ General Election City State Zip Code ❑ Runoff (Local Elections Only) List All Endorsers or Guarantors for Above Loan (If more space is needed please attach a page) First Name Middle Name First Name Middle Name Last Name/Organization Name Last Name/Organization Name Address Address City State Zip Code City State Zip Code Amount Guaranteed Outstanding Amount Guaranteed Outstanding First Name Middle Name First Name Middle Name Last Name/Organization Name Last Name/Organization Name Address Address City State Zip Code City State Zip Code Amount Guaranteed Outstanding Amount Guaranteed Outstanding First Name Middle Name First Name Middle Name Last Name/Organization Name Last Name/Organization Name Address Address City State Zip Code City State Zip Code Amount Guaranteed Outstanding mount Guaranteed Outstanding First Name Middle Name First Name Middle Name Last Name/Organization Name Last Name/Organization Name Address Address City L Zip Code City State Zip Cade Amount Guaranteed Outstanding mount Guaranteed Outstanding 4. Totals for all Loans (complete on last page of itemized loans (Total loans received should also be shown in item 16. on ) Outstanding Loan Balance Loans Loan Outstanding Loan Balance summary page.) (Beginning of Period) Received Pa ments End of Period (Total loan payments should also be shown in item 20. on summary page.) (Total outstanding loan balance should also be shown in item 12.e. on front page.) 0.00 0.00 0.00 0.00 SS-1132 (Rev. 4/02 Page 6 of RDA 1159 ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD Ed Mitchell OR M; 4/01/ 14 4/26/14 3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED Outstanding Balance Debt Incurred Payments Outstanding Balance OBLIGATION (obligations totaling more than $100 owed to any (Beginning of Period) This Period This Period (End of Period) person/vendor at the end of the reporting period) First Name Middle Name Last Name/Business Name Address City State Zip Code Description of Obligation First Name Middle Name Last Name/Business Name Address City State Zip Code Description of Obligation First Name Middle Narne Last Name/Business Name Address City State Zip Code Description of Obligation First Name Middle Name Last Name/Business Name Address City State Zip Code Description of Obligation First Name Middle Name Last Name/Business Name Address City State Zip Code Description of Obligation 4. TOTALS (Total from Outstanding Balance - (End of Period) column must also be shown 0.00 in item 231b. on summary page.) SS-1127 (Rev. 4/02) Page 7 of 7 RDA 1159 CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATEOFREPORT 2.a. NAME OF CANDIDATE OR COMMITTEE 4/09/2014 Ed Mitchell 2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE 5/6/2014 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone 2400 Wildwood RD Maryville TN 37804 865-984-3136 4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.) Street or Rural Route City State Zip Code Phone Same 5. OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate) MAYOR OF BLOUNT COUNTY Scott Headrick 50 GORY OR REPORT (Check one)❑ ❑ ❑ ❑ ❑ ❑ 7. CATE 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 1/16/2014 3/31/2014 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 contribuf s have been expended fo t personal financial benefit of the didate or fora y other nonpolitical purpose as defined by the feder I i ternal reve e. signatLW6 of candidate date signature of political treasurer ate 11. WITNESS SIGNATURE , s' nature of witness date signature of witness date 12. SUMMARY a. BALANCE ON HAND LAST REPORT $ 5980.00 600.00 b. TOTAL RECEIPTSTHIS PERIOD 1822.00 c. TOTAL DISBURSEMENTS THIS PERIOD $ d. BALANCE ON HAND (12.a. plus 12.1b. minus 12.c.) $ 4758.00 e. TOTAL LOANS OUTSTANDING $ 0.00 $ 0.00 f. TOTAL OBLIGATIONS OUTSTANDING 0 SS-1109 (Rev. 2/06) Page 1 of 7 RDA 1159 SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD Ed Mitchell FROM: 1/15/14 TO: 3/31/14 RECEIPTS 15. CONTRIBUTIONS (other than loans and interest) a. Unitemized Contributions ($100 or less from each source this period) $ 100.00 b. Itemized Contributions (over $100 from each source this period) $ 500.00 c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ 600.00 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.) $ 600.00 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) Daily Times - Advertising $ 57.00 Daily Times - Advertising $ 90.00 $ $ $ $ $ $ Total of Expenditures ($100 or less each payee) $ 147.00 b. Itemized Expenditures (Over $100 each payee this period) $ 1675.00 c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $ 1822.00 20. LOAN REPAYMENTS MADE THIS PERIOD 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) $ 1822.00 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.) $ 0.00 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.) $ 0.00 0 SS-1133 (Rev. 4102) Page 2 of 7 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD Ed Mitchell FROM: 1/15/14 TO: 3/31/14 Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 0.00 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor First Name Middle Name Contribution Received For: Amount of Contribution Jay H Last Name/Organization Name ❑ Primary Election ❑ General Election Crippen 500.00 Address 11209 River Birch CT ❑ Runoff (Local Elections Only) City state Zip Code Date of Contribution Aggregate This Election Knoxville TN 37923 Occupation 2-25-14 500.00 Employer First Name Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City State Zip Code Date of Contribution Aggregate This Election Occupation Employer First Name iddle Name Contribution Received For: Amount of Contribution as Name/Organization Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City State Zip Code Date of Contribution Aggregate This Election Occupation Employer First Name Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City State Zip Code Date of Contribution Aggregate This Election Occupation Employer 5. TOTAL ITEMIZED CONTRIBUTIONS (Carry forward to item 3. of next page if additional pages of this form are used.) $ 500 00 (If this is the last page of contributions, this amount must be shown in item 15b. of summary.) A~ SS-1131 Rev. 2/06 Page 3 of 7 RDA 1159 ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE ED Michell 2. REPORT COVERING THE PERIOD FROM: 1/15/14 T0.3/31/14 Amount 3. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 0.00 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED IN-KIND CONTRIBUTION (in-kind contributions totaling more than $100 from any contributor during the period) First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last Name/Organization Name ❑ Runoff (Local Elections Only) Address Date of In-Kind Contribution Aggregate this Election city state Zip Code Description of In-Kind Contribution Occupation Employer First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last Name/Organization Name ❑ Runoff (Local Elections Only) Address Date of In-Kind Contribution Aggregate this Election city state Zip Code Description of In-Kind Contribution Occupation Employer First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last Name/Organization Name ❑ Runoff (Local Elections Only) Address Date of In-Kind Contribution Aggregate this Election City State Zip Code Description of In-Kind Contribution Occupation First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last Name/Organization Name ❑ Runoff (Local Elections Only) Address Dateof In-Kind Contribution Aggregate this Election City State Zip Code Description of In-Kind Contribution Occupation Employer First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last Name/Organization Name ❑ Runoff (Local Elections Only) Address Date of In-Kind Contribution Aggregate this Election City State Zip Code Description of In-Kind Contribution Occupation Employer 5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS (Carry forward to item 3. of next page if additional pages of this form are used.) 0.00 (If this is the last page of in-kind contributions, this amount must be shown in item 22b. of summary.) 4 SS-1128 (Rev. 2106) Page of RDA 1159 'j ``n°,Y ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1, NAME OF CANDIDATE OR COMMITTEE Ed Mitchell 2. REPORT COVERING THE PERIOD FROM: 1/15/14 TO:3/31/14 Amount 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) 0.00 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 Blount Chamber Foundation Address 341 Court St. Charitable Contribution $105.00 MLK Celebration City Maryville State Zip Code TN 37804 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name The Daily Times Address PO Box 9740 Advertising $570.00 City State Zip Code Maryville TN 37802 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Blount Co Bo and Girls Club Address Charitable Contribution 220 Carrick Street, Suite 318 $1,000.00 City Slate Zip Code Knoxville TN 137921 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 5. TOTAL ITEMIZED EXPENDITURES (Carry, forward to item 3. of next page if additional pages of this form are used.) $1675.00 (If this is the last page of expenditures, this amount must be shown in item 19b. of summary.) 15 SS-1129 (Rev. 4102) Page 5 of 7 RDA 1159 ITEMIZED STATEMENT OF LOANS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD Ed Mitchell FROM: TO: 1/15/14 3/31/14 3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED LOAN (loans totaling more than $100 from any source during the period) Complete the Following for the Source of the Loan First Name Middle Name Outstanding Loan Balance Loans Loan Outstanding Loan Balance (Beginning of Period) Received Payments (End of Period) Last Name/Organization Name Address Loan Received For: Date of Loan ❑ Primary Election ❑ General Election City State Zip Code ❑ Runoff (Local Elections Only) List All Endorsers or Guarantors for Above Loan (If more space is needed please attach a page) First Name Middle Name First Name Middle Name Last Name/Organization Name Last Name/Organization Name Address Address City State Zip Code City State Zip Code Amount Guaranteed Outstanding Amount Guaranteed Outstanding First Name Middle Name First Name Middle Name Last Name/Organization Name Last Name/Organization Name Address Address City State Zip Code City State Zip Code Amount Guaranteed Outstanding Amount Guaranteed Outstanding First Name Middle Name First Name Middle Name Last Name/Organization Name Last Name/Organization Name Address Address City State Zip Code City Slate Zip Code Amount Guaranteed Outstanding Amount Guaranteed Outstanding First Name Middle Name First Name Middle Name Last Name/Organization Name Last Name/Organization Name Address Address City State Zip Code City State Zip Code Amount Guaranteed Outstanding Amount Guaranteed Outstanding 4. Totals forall Loans (complete on last page of itemized loans) Outstanding Loan Balance Loans Loan Outstanding Loan Balance (Total loans received should also be shown in item 16. on summary page.) (Beginning of Period Received Pa menu End of Period (Total loan payments should also be shown in item 20, on summary page.) (Total outstanding loan balance should also be shown in item 12.e. on front page.) 0.00 0.00 0.00 0.00 0 SS-1132 (Rev. 4102 Page 6 of 7 RDA 1159 ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE Ed Mitchell 2. REPORT COVERING THE PERIOD FROM; 1/15/14 TITO:3/ 1/14 3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED Outstanding Balance Debt Incurred Payments Outstanding Balance OBLIGATION (obligations totaling more than $100 owed to any (Beginning of Period) This Period This Period (End of Period) person/vendor at the end of the reporting period) First Name Middle Name Last Name/Business Name Address City State Zip Code Description of Obligation First Name Middle Name Last Name/Business Name Address city State Zip Code Description of Obligation First Name Middle Name Last Name/Business Name Address city State Zip Code Description of Obligation First Name Middle Name Last Name/Business Name Address City State Zip Code Description of Obligation First Name Middle Name Last Name/Business Name Address City State Zip Code Description of Obligation 4. TOTALS (Total from Outstanding Balance - (End of Period) column must also be shown 0.00 in item 23b. on summary page.) 0 SS-1127 (Rev. 4/02) Page 7 of 7 RDA 1159 CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1 DATEOFREPORT 2.a. NAME OFCANDIDATEORCOMMITTEE 1/22/14 ED MITCHELL 2 b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE 5/6/2014 4 a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State lip Code Phone 2400 WILDWOOD RD MARYVILLE TN 37804 865-984-3136 4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.) Street or Rural Route City State Zip Code Phone SAME 5 OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate) MAYOR OF BLOUNT COUNTY SCOTT HEADRICK 7. CATEGORY OR REPORT (Check one) ❑ ❑ ❑ ❑ © ❑ 12 FIRST SECOND THIRD FOURTH PRE- PRE- MIDYEAR YEAR-END ART QUARItR QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 8a BEGINNING DATE OF REPORTING PERIOD 8b ENDING DATE OF REPORTING PERIOD 7/1/13 1/15/14 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 andfor expenditures Total more than $1,000 for this reporting period. 10 Ifwe 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 conk ibutious and expenditures required to be reported by the candidate curnroitte y the Campaign Financial Disclosure Act. Additionally, Itwe swear or affirm that no campaign contributions have been expen t personal financial benefit of the candidate or for any other nonpolitical purpose as defined by the f decal internal re ue co signature of candidate date signature of political treasurer de e 11. WITNESS SIGNATURE 04 h ~ - -1 v ature of witness date signatu of witness d~ate 12. SUMMARY a. BALANCE ON HAND LAST REPORT . $ 0.00 ' ✓ 5,980.00 b. TOTAL RECEIPTS THIS PERIOD ..........................h....._~~...........:,........................ 0.00 c TOTAL DISBURSEMENTS THIS PERIOD ,Q~......................._........_ d. BALANCE ON HAND (12.a plus 12.b. minus 12.c.) $ 5.980.00 e. TOIAL LOANS OU I STANDING... $ 0'00 f. TOTAL OBLIGATIONS OUTSTANDING „ 0.00 SS-1109 (Rev 2108) Pagel of 9 RDA 1159 SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD ED MITCHELL FROM: 7/1/13 TO: 1/15/14 RECEIPTS 15. CONTRIBUTIONS (other than loans and interest) a. Unitemized Contributions ($100 or less from each source this period) $ 2055.00 b. Itemized Contributions (over $100 from each source this period) $ 3925.00 c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ 5980.00 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.) $ 5980.00 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) 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.c.) $ 0.00 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.) $ 0.00 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.) $ 0.00 L,a SS-1133 (Rev. 4/02) Page 2 of 9 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD ED MITCHELL FROM: 7/1/13 TO: 1/15/14 Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 If first Itemized page) 0.00 4 COMPLETE THE APPROPRIATE H[ NIS FOR EACH ITEMIZE=D CONI RIHI111UN contrtbubons totaling more than $100 tmm an contributor First Name JIMMY Middle Name Contribution Received Ior. Amount of Contribution Last NamelOrganizalwn Name ® Primary Election ❑ General Election 200.00 MATLOCK Address 190 MATLOCK RD ❑ Runoff (Local Elections Only) CRY state Zia Cade Dale of Contribution Aggregate This Election LENOIR CITY TN 37771 Occupation OWNER OF MATLOCK TIRE 11/20/13 200.00 Employer SELF EMPLOYED IFastName W Middle Name Contribution Received For: Amount of Contribution JOSEPH Last Name&ganizalionName Primary Election ❑GeneralElection ANDERSON 1000.00 Address 1116 N HERITAGE DRIVE []Runoff (Local Elections Only) CRY MARYVILL state Z code Date of Contribution Aggregate This Election TN 57803 Occupation STORE OWNER 11/20/13 1000.00 Employer SELF EMPLOYED 1`1113 Name SANDRA iddle Name Contribution Received For Amount of Contribution B a ame rgan a on Name ®Primaty Election ❑ General Election HEADRICK 200.00 Address P.O. BOX 242 []Runoff (Local Elections Only) city TOWNSEND Stale Zip Code Date of Contribution Aggregate This Election TN 37882 Occupation OWNER OF MOTEL 11/20/13 200.00 Employer SELF EMPLOYED First Name MiddieName Contribution Received For, Arno Last NamefOrganization Name ® Primary Election ❑ General Election COMMITTEE TO ELECT JAMES L BERRONG 250.00 Address 3403 PINEY LEVEL CHURH RD. ❑ Runoff (Local Elections Only) city Slate Zip coo Date of CurrliibutfoN Aggiogete This Election MARYVILLE TN 37803-7949 occupation 11/20/13 250.00 Employer 5. TOTAL ITEMIZED CONTRIBUTIONS (Carry forward to (ter 9. or next page if additional pages of this Tom are used.) $1,650.00 (It this Is the last page of contributions, this amount must be shm" in Item 15b, of summary.) 1'.. SS-1131(Flev. 2106) Page of 9 RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 1 REPORT COVERING THE PERIOD ED MITCHELL FROM 7/1/13 TO: 1/15/14 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 If first Itemized page) un$1,650.00 4 COMPLETE IHE APPROPHIAI E I IENIS FOR EACH ITEMIZED CON IRIBU [ION (contributions totaling more than $1110 from any contributor) 1`1191 Name JAMES Middfz Name Contribution Received For, Amount of Contribution H tart NamelOrganlzatlonName [ Primary Election ❑ General Eleclion SNYDER 125.00 Address 345 SOUTH HALL RD ❑ Runoff (Local Elections Only) City ALCOA stale Zip Code Dote of Contribution Aggregate This Election TN 37701 Occupation ATTORNEY 11/20/13 125.00 Employer SELF EMPLOYED first Name WILLIAM MitlOleName Contribution Received For Amount of Contribution R last Name0ganlzalion Name ® Primary Election ❑ General Election SHEPARD 500.00 Address ❑ 612 EASTWOOD DRIVE Runoff (Local Elections Only) City MARYVILLE Stale z'pcode Date of Contribution Aggregate This Election TN 37803 Occupation BANKER 11/20/13 500.00 Employer RENAISSANCE BANK Flrstname IddteName Contribution Received For: Amount of Contribution FRED R Last ame rgan a on Name Primary Election LAWSON ry ❑ General Election 300.00 address 2101 COCHRAN ROAD E] Runoff (Local Elections Only) City MARYVILLE State Zip Code Date of Contribution Aggregate This Election IN 37803 Occupation BANK PRESIDENT 11/14/13 poyer 300.00 BANK EAST FltsiName M(ddreNaie dnn upon Received For Amount of Contribution Last NamerOrganizallonName ® Primary Election ❑ General Election ART SWANN COMMITTEE 200.00 Address 1507 S. COURT STREET e ❑ Runoff (Local Elections Only) Edly MARYVILLE STN Zle 804 Date of Coribibutton Aggregate This Elediun Occupation i Ernplvyer 10/29/13 200.00 5. TOTAL ITEMIZED CONTRIBUTIONS (Carry forward 10 Rem 3, or next page h additional pages of this form are used.) $2,775.00 Ilf This Is the last page of contributions. this amount must be shown in rlern 15b. of summary.) Ss-1131(Rev, V06) Page 4 of 9 RDA 1160 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD ED MITCHELL FROM: 7/1/13 TO: 1/15/14 Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 If first Itemized page) $2,775.00 4 COMPI 1 fE 1HE APPROPRIATE- II EMS FOR EACH ITEMIZED CON1RIt3UTION conttibutrons totaling more than $160 from an contributor first Name Middle Name Contnbution Received for: Amount of Contribution CARL J Last NaWOrganizalion Name ® Primary Election ❑ General Election KIRBY 250.00 Address 525 RODDY BRANCH RD ❑ Runoff (Local Elections Only) cfry state zgrCOde Date of Contribution Aggregate This Elechon ROCKFORD TN 37853 Occupation RETIRED Employer 9/9/13 250.00 FWSINdme STANLEY MrddleName Contribution Received For: Amount of Contribution Last NamelOrganizabonName ®Primary Election ❑ General Electron BEST 200.00 Address 603 CALDERWOOD HWY ❑Runoff (Local Elections Only) cay MARYVILLE state zip Code Data of Contribution Aggregate This Election TN 37801 Occupation OWNER 11/25/13 200.00 Employer STANLEY BEST HEATING & AIR INC Flist Name CHARLES mdreName Contribution Received For: Amount of Contribution W Last ame rgan a on Name Primary Election ry ❑ General Election CARRUTHERS 500.00 Address 301 TACKWOOD TRAIL ❑ Runoff (Local Elections Only) City state zip code Date of Contribution MARYVILLE TN 37803 Aggregate This Election Occupation OWNER m oyer 12/4/13 500.00 DOWNEY OIL COMPANY First Name PATRICIA feddreName ontri ution Received For, Amount of Coritritbution Last NamelOrganizationName ® Primary Election ❑ General Election SMALDONE 200.00 Address P.O BOX 5688 ❑ Runoff (Local Elections Only) Cth MARYVILLE TN zg3C02 Date otCurrtribation Aggregate This Election Occupation RETIRED Employer 12/6/13 200.00 5. TOTAL ITEMIZED CONTRIBUTIONS (Carry forward to Item 3, or next page If addluonar pages of this farm are used.) $3,925.00 (If this is the last page of contributions, MIs amount must be shown in item 15b, of summary.i SS-113t(Rev. 2106) Page 5 of 9 RDA 1159 ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE 1, NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD ED MITCHELL FROM: 7/1/13 TO: 1/15/14 nwun 3. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 If first itemized page) $0 4 COMPLETE THE APPROPRIATE ITEIAS FUR LACH ITEMIZED IN-KING) CONTRIBU 110N (in-kind contributions totaling more than $100 from any contributor during the period) First Name Middle Name InKind Coniribulion Received For Value of In Kind Contribution ❑ Primary Election ❑ General Election Last NamefOrganization Name ❑ Runoff (Local Elections Only) Address Dale of in-Kind Contribution Aggregate this Election City Slade ZlpGode Description of "ind Contribution Occupation IEMP"e( First Name MrtldicName In-Kind Contribution Received For. Value of In-Kind Cont6bution ❑ Primary Election ❑ General Election Last NamelOrganization Name ❑ Runoff (Local Elections Onty) Address Date ofln-KRW Contribution Aggregate this Etecion CRY Slate Zip Code Description of In-Kind Contribution Occupation Empkryer First Name Middle Name In-Kind Contribution Received For Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last NamelUrganizaion N ame ❑ Runoff (Local Elections Only) Address Date of In-Kind Contribution Aggregate this Election Ciry Slate Zp Code Description of In-Kind Contribution Occupation Employer Fist Name Middle Name In-Kind Contribution Received For Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last NamelOrganlzalion Name ❑ Runoff (Local Elections Only) Address Date of In-KaW Contribution Aggregate this Eleclion City State Zlp(we DescripaonaflnKindCrariribugbn Occupation Employer Fist Name Middle Name In-Kind Contribution Received For, Value of In-Kind Contribution Primary Election [:1 General Election last NamelOrganizabon Name ❑ Runoff (Local Elections Only) Address pate ofln-KindConhibuhon Aggregate this Flechon Ctiy We ZVOCode Miciiptiouarln-Kind Contribution Occupation mp yer 5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS (Cauy turward to Ikm 3 ut next page d adttlioua) pages of this faun ale used) O QO (Inbls is the last page or in-kind contributions, this amount must be shown In Item 220 or summary) SS-1128 (Rev. 2106) Page 6 of 9 RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD ED MITCHELL FROM: 7/1/13 TO: 1/15/14 mount $0 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0'rf first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE taxpardhur"s Whig rrxue Ihm $1a0 to any Icy" during te. Period) HrM Name Middle Name Purpose of ExpenditWre Amount of Expenditure Lest Name/Busirnss Name Address City State Zip Code First Nam Middle Nam Purpose of Expenditure Amountof Expenditure Last NaTsW9 Mrwss Nam Address City State ZipCode FirslName Middle Una Purpose of Expenditure Amount of Expenditure Last Nara Business Name Address City State zips Fist Nam Mddle Name Purpose of Expenditure Amountof Expenditure Last NaneBusinew Name Address city State ZrpCode First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Nw BuslromName Address city State LlpCode Frsl Nave Middle Name Purpose of Expenditure Amount of Expenditure Last NarnaBusiness Name Address City S4Mo ZjpCoda 5. TOTAL ITEMIZED EXPENDITURES (Carry forward to item 3. of next page it additional pages of this torso are used.) (It this is the fast Peve of exper4bres, ttas amowrl must be stwrm in item 19b, of summary,) 0.00 0 SS-1129 (Rev. 4102) Page 7 at 9 RDA 1159 ITEMIZED STATEMENT OF LOANS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM. TO. ED MITCHELL 7/1/13 1/15/14 3 COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED LOAN (loans lowing more the, $100 from any source daring see period) Complete the Folk wing for the Source of the Loan FrslName MiddleNanre OutstandngLoan Mance Loans Loan outstardigLow Mance (B 68of Period) Received Payments (End of Period) Lest NarnafOrtimzatim Name Address Loon Received Far: Dale of Loan ❑ ffimary 9ertim ❑ Generai Election pty stab 1 blicoda ❑ RwO (Loral Elections Only) LstAll Endorsers or Guarantors for Above Loan (If more space is needed please attadl a page) First Name Middle Name First Nemo Middle Name Last NarnerOrgwation Name Last NamerOrganization Mine Address Address city State Zip Cade City State Zip ('.ode Amaxd Guaranteed Outstanding Amount Guarenised Oulslan irV First Name Viddle Name First Name Noma Let NamelUgaNzetion Name L261 Nemel g8F11Z ion Name Address Address CAy State IP Coda coy StMo Zp Cow Amount Guaranteed Outstanding Amount Guaranteed Outstanding First Name Middle Name Fist Name Middle Name Last Narrnelorgardzatbn Name Last NarrWOrganization Name Address Address City State rnpGode Cty State zipcode Amount Guaranteed Outstanding Arnounl Guaranteed Outstanding First Name Middle Name Pint Name Middle Name Last Nama0ganizabon Name Last NameKkgarrzation Name Address Address City slate ryrCode city stale Zip C.4- Amount Guaranteed Outstanding Amount Guaranteed 0u1swrid" 4. Totals for al Loads (corttplete w last page of itemized teens) = Q Loan Balance Loans LOW Outstanding Loan Balance (Total lows received should also be shown it item 16. an summary page-) (Beginning of Period Received P menu End of Period (TOW loan payments should also be shown in item 20. an summary pego.) 0.00 0 00 (Total o lstuft ban glance should also be goo in item 12.o. on front patgo.) 4) SS-1132 (Rev. 4102) Page 8 of _9 RDA 1169 ITEMIZED STATEMENT OF OBLIGATIONS -CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE ED MITCHELL 2. REPORT COVERING THE PERIOD FROM 7/1/13 TO 1/15/14 3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED Outstanding Balance Debt Incurred Payments Outstanding Balance OBLIGATION (obligations totaling more than $100 awed to any (Beginning of Period) This Period This Period (End of Period) personivendor at the end of the reporting period) First Nacre Middle Name Last NanvMusness Name Address GN 1110 Lip Code Iwn gaAon First Name Middo Name Lad sinm ame Address 011r Stale Zip Code Desa0m cf0bligalon First Nerve Middle Name Last Narnela isirms Name Address city State ZLp cod` Descriplion of odigation First Name Middle Name Last Nem Musbess Name Address qty State hpcode Descxipbon of 0thgation First Nave Middle Name Last NarnBusiness Name Address (14 ",'a lip r-" Description of Wow 4.TOTALS (Total from Ouletandmg Balance - (End of Perod) eokimn must also be shown 0.00 0.00 in darn 23b. on summary page.) 4) SS-1127 (Rev. 4102) Page 9 of _ 9 RDA 1159 i A e,• 12 AM \ 10 ointment of Political Tr asur& App For State and Local Candidates and Sing le-Ca ndidate~ot~imittees INSTRUCTIONS The Appointment of Political Treasurer statement must be used to appoint a political treasure s required by the Campaign Financial Disclosure Act (T.C.A. § 2-10-105) for state and local candidates and single- candidate political campaign committees. A state candidate may not receive or expend funds for an election until a political treasurer has been appointed for that election. A local candidate pursuant to T.C.A 2-10-101, may be exempt from completing this form, please checkwith 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: 112. 3(~ ~3 W ze, e 4. Campaign Address and Phone: City State Zip Code Phone 40 CJ 4yea f 2J v 37 `x' S Z ~Z 5. Home Address and Phone (if different than item 4 above): City State Zip Code Phone 6.Office Sought (include district number, if applicable) 7. Party Affliation 8. Election Year 9. Treasurer Name: 10. Treasure re-mall address: 11. Treasurer Address and Phone: City State Zlp de Phone RA, ao 12. Candidate and Treasurer Signature (both signatures must b witnessed. Tre urercan not witness candid s s n ture): Signature of Candidate Signature of Treasurer ` w Signature of Witness Signature of Witness Registry of Election Finance SS-1120 (rev 1012010)