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Pope, Bethany Hodson CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORT 2.a. NAM CANDIDATE OR COMMITTEE o _ \5 hC~r 1L ~~~(1 (7 2.b. IF COMMITTEE. NAME OF CANDIDATE 3. ELECTION DATE 4.a. CAMPAIGN ADDRESS AND PHONE 1 LI - Street or Rural Route City State Zip Code Phone W r \VXV j 5i Mt'r \J' \S ~h -1(7g2 41. CANDIDATE'S HOME ADDRESS (if different than 4.a.) Street or Rural Route city state Zip Code Phone 5. OFFICE SOUGHT (include di tract number, if applicable) 6. E OF POLITIC REASURER (g,a-y be candidate) h A ► 6~ rL ~.I d r ed~ e U 7. CATEGORY ORREPORT (Check one) FIRST SECOND THUM 0 E2" El FOURTH P❑RE- PPRRE- MI YEAR YEAR-END Ol1AR OtAR MARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERM 9. (Chock 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 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 re accurate accounting of campaign contributions and a Pmt is an xpenditures required to be rted by the candidate committee by the Campaign Financial Disclosure Act. Additionally. Uwe swear or affirm that no campaign con 'butions been xpended f the benefit of the candidate or "n y non personal financial Y political purpose as defined by the f ral ante fTIA breve code. i- I-I 11A 0 signature of 'Idate date sag tune of 1 treasurer date e 11. ESS SIGNATURE g re of witness date signature of witness date 12. SUMMARY _z a. BALANCE ON HAND LAST REPORT $ b. TOTAL RECEIPTS THIS PERIOD %1, AM p:~.. T....................... $ ILI, ID " c. TOTAL DISBURSEMENTS THIS PERIOD d. BALANCE ON HAND (12.a. plus 12.b. minus 12 . .........,i,~ V S YL2 BLOUNT e. TOTAL LOANS OUTSTANDING ............................ALE CWNTY f. TOTAL OBLIGATIONS OUTSTANDING ............................`::r.......y~ S&1109 (Rev. 2/06) Page 1 of _ RDA 1159 r SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD FROM:) 6-L-) T0: - 5 1 RECEIPTS 15. CONTRIBUTIONS (other than bans and interest) a. Unitemized Contributions ($100 or less from each source this period) $ 1 CC). 0 0 b. Itemized Contributions (over $100 from each source this period) $ .v~1, 11 c. TOTAL CONTRIBUTIONS (other than bans and interest)(add 15.a. and 15.b.) $ LI ,S• 5-0 16. LOANS RECEIVED THIS REPORTING PERIOD $ 17. INTEREST RECEIVED THIS REPORTING PERIOD $ 18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) $ DISBURSEMENTS 19. EXPENDITURES (other than loan payments) a. Expenditures ($100 or less each payee this period) (must be listed by category - e.g., printing, postage, gasoline) $ $ $ $ $ $ Total of Expenditures ($100 or less each payee) $ b. Itemized Expenditures (Over $100 each payee this period) $ C. TOTAL EXPENDITURES (other than ban repayments)(add 19.a. and 19.b.) $ 20. LOAN REPAYMENTS MADE THIS PERIOD $ 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) $ 22.IN-KIND CONTRIBUTIONS a. Unitemized in-kind contributions ($100 or less from each source this period) $ b. Itemized in-kind contributions (over $100 from each source this period) $ c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.) $ 23.013LIGATIONS a. Unitemized Obligations Outstanding ($100 or less each) $ b. Itemized Obligations Outstanding (Over $100 each) $ c. TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown! item 12.f.) $ SS-1133 (Rev. 4102) p of ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF DIDATE OR COMMITTE 2. REPORT COVER NG I THE PERIOD CXYIL FROM: U1 I _ TO: 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) nt D 4. COMPLETE THE APPROPRIATE ITEMS FOR EACFI ITEMI,Z~ED CONTRIBUTION cmWjutions totaling more than $100 from an contributor 7--,, IMIRFor Amount f Contibuton me El Primary Election General Election t co JL ❑ Runoff (Local Elections Only) ~w v 3 Irm 7 l Date of Contnbutan l.. Aggregate This Election ocapaum cl-Ir i~ c Made Name Contribution Received FoLC-amrsf Anwunt of Cor4r~tion Last NamerO Wizabon Name ❑ Primary EElection / n V Vim- ~ `'t ~-'l..) • ~-'l-.~ Address ❑ Runoff (Local Elections Only) V 1 Date of C * button Aggregate This Election OcaPabon EII I I I t ` }`6 l~l . lam/ FroNamw } Hams Contribution = or fl~~ Amount of Contrbution ❑ Pftm Election M Election „dd" ► L ~a~re~ e ❑ Runoff (Local Elections OMy) rs-w C ` ► MY U f I n zP ~7~ Odle of Contrbuton Aggregate Thb Election Occ "Wn 6 lX First Name Name duo o an Last NamdOryaNmSon Name ❑ Prknary Section ❑ General Election Address ❑ Runoff (Local Elections Only) Cky Stele Zip Code Date of Contribution Aggregate This Election Oaupatan - E^pbyer 5. TOTAL ITEMIZED CONTRIBUTIONS (Carry forward b Nam 3. of next pays Kadd6wW pages of ft ban are used.) (K ft k tw last pope of ow&bdwt% ft enxxrd must be Ovm in Mom 15b. of summary.) SS-1131(Rev.2106) Page of RDA 1159 ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE 2. REPORTCOVERING THE PERIOD E4COMPLETE E OF CANDIDATE OR COMMITTEE FROM: TO: L ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first Itemized page) THE APPROPRIATE ITEMS FOR EACH ITEMIZED INaOND CONTRIBUTION (vHirW cantrbuticns more tiwn $100 from any contrbuior dwkV 9* Dam IN Name Middk Name In Xind Contribution Received For. Value of IMGnd Contribution Last Name/OyaNuson Name ❑ Primary Election ❑ General Election Address El Runoff (Local Elections Only) Date ofWW Conabrtion LAY Aggregate M Election Stale r4 Code DexriptionofhrjndCoohbjkn Cmpafim Eapkryer First Name Middle Name )mind Contribution Received For. Value of lo-Kind Condibution Last NartrerOrganzatonName ❑ Primary Election ❑ Generat Election 1 Address Runoff (Local Elections Only) t~1e a t,x.,d c«w,b„tq„ qA, Aggregate M Election State ZPCode DesaripGonoftrlG+dCowwuon Ocapation Ert b Fast Name Midde Name h4W Contribution Received For Lag NamaVp y~ti~ Name ❑ Primary Eiecbon [I General Election Value of in IGntt Corthibution ❑ Runoff (Local Elections Only) Date0fh4WC *bAon Aggregate tics Election State ZpCode De:aiptionofhKndCaitpi~pt First Name Midde Name In4W Corkbution Received W. Value of In,4W Contnlwtion LastNarneproa tionNanw ❑ Pftary Election ❑ General Election ❑ Runoff (Local Elections Only) Address Date of h Krd CantrbuGOn Aggregate tins t]ection C State ZPCade et htGnd Contnbrrtiort Ocapation Enpbybr FkstName In-Kind Contribution Received For: Value of In-10nd Contribution Lag►umeC•ganbz"Name Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) Date of hrca,d Conytbution City _ AA9r'egate this Election State zip code Deser"mofhtOndContibAon I -Tmrvq-- 5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS (Carty bvo d b hem 3. of ft d page I O tional pages of this ben are used.) (If Oft Is Me last page orh W ooWYutiorx. INs amorrtv must be **m in item 22b. of summary.) SS-1128 (Rev. 2/06) Page of RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDI TE OR COMMITTEE -~"~r p 2. REPORT COVERING THE PERIOD C FROM: I I TO. 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 If first itemized page) moon 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures wing rtwe than $100 to Fist Name IAdd{a Nacre any Payee during the per;odl Purpose of Expenditure Last Nur~ _ Amount of Expenddure Address Lf 4 ce 3o S~ Il +~n StcLf7On Q) q o -cs V1 It( r /N First Name Middle Name Purpose of ExpenditureAmount of Expenditure Last N 4BTine, Name citl/ . aadress ~ FFF.. 1 11 C-W St =Q- ac~Name AGddte Name Purpose of Expenditure Amount of ExperKlibae Last mess flame Address Ll L13 CD S le. slaw ZiptodeAaA r First Name fid* Name Purpose of Expenditure Last NamalBusiness Name Amount of Experxfittrre Address Ox4 Stale Lip Cede . First Name Riddle Name Purpose ExpterWihrre Amount of Expendr4rre Last Narr>alBusineu Name Address ELY State $ Code Final Name Biddle Name Purpose of Expenditure Amount of Expenditure Last NamelBusirkas Name Addreu Gb State zip Code 5. TOTAL ITEMIZED EXPENDITURES (Carty forward b item 3. oft" pope 9 giddibony papas duos term are used.) (If ft Is tfb last Pape of axpendkm. this amount must be shown in item 19b. of umrnary.) SS-1128 (Rev. 4102) Page of RDA 1159 >r ITEMIZED STATEMENT OF LOANS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: T0: .1 3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED LOAN (bans eta i g more than $100 from am source during eo period) Contplele the Folbwitg for the Souroe of the Loan Fist Name fiddle Name Outstanding Loan Balance Loans Loan Outstanding Lean Balance (ftimig of Period) Received Payments (End of period) Las( Name/Organizaton Name Address Loan Received For. Date or Loan ❑ Primary Election ❑ General Bection G4' IState ZP Cbde ❑ Ruoff (Local Elections Only) List Al Endorsers or Guarantors forAbove Loan (it more space Is needed please attach a page) Fist Name Wdle Name First Name Middle Name Last Nsme/Organization Name Last NamalOrganizalion Name Address Address CitY Stale Zip Code Cily State Tip Code AmountGmaelaedOuf wav kmaW GuaranteedOulstandig Fist Name Middle Now Fist Name Middle Name Last Nom 0ganin lion Now Last NamefOcgonization Name Address Address M' &W Tip Code at/ Gbft Tip Code AmountGuaranteed Oulsbndpg GuararAaed Onds v&V First Name Middle Name First Name Middle Name Last Narnm rpanizatiar Name Last Namer`Oryanizatiom Name Address Address City tale Code l]ly tale Znp Amount Guaranteed Outstanding Adnount Guaranlead outstanding F7M Nam Lift Nave Fist Nave Middle Name Last NamelOrgantzation Name L.al N&WOrgWkstion Name Address Address Qh State Tip Code Ott State 21p owe Amount Guaranleed OuMWig 4mouniGuaranleed0uhtindiing 4. Totals ford Loans (ootnplebe on fast pap of Me(1ltaed loins) Outstanding Loan Balance Learn Loan Outstanding Loan Balance (Total loans received should also be shown in item 16. on summary page.) Inning of • Received PaYments (End a (Total ban payments should also be shown in tern 20. on summary page.) (Total outstandig ban balance should also be shown in Nam Us. on front page.) ACA SS-1132 (Rev. 4/02) Page of RDA 1159 \I Appointment of Political Treasurer rcommittees For State and Local Candidates and Single-Candidate INSTRUMONS The Appointment of Political Treasurer statement 0 must be 105) for state and ~ cal and dates and single a anididate to appoint a political treasurer as the Campaign Financial Disclosure Act R political campaign committees. A state ocandidate thadeledion. A local candidate pursuant to T.C.A12-10-101ntmay be political treasurer has been appointed f commission for more on. exempt from completing this form, please check of t cal t easure rIA new form must be filed if the treasuirer is changed. political candidate may appoint himself or herself as ieeTN 3724311360nt ONLY with Candidates for state public office must file their son Parkway, Suitetl 4P Political the Registry of Election Finance, 404 James Robertson Candidates for local public office must file their original Appointment of Political Treasurer statement ONLY with their county election commission. addres ~e`«~ 1. Tate: 2. Name of Candidate or Committee: 3. Candidate e-mail l u ho,nL 00 (DO be f i ai- pyd i i ' I~~ r 1 T)e~ city State Zip Code Phone Fpa dress and Phone: C►- v1 3. w:3-~7'7-19 la!r~- SI' Ito ~ ss-and Phone Of different than item 4 above): City Zip Phone 6.Office Sought (include district number, if plkable) 7. Party Affliation 8. Election Year l A 30W ~v ,ll~ SC ~IOQ 10. Treasurer a-mail address: 9.Trea irerName: rC'e-d%ve,&1&1c)uJoocoAn 1 l ~ V 1 ee State Zip Code Phone City 11.TreasurerAddress and Phone: ~V(~ 9,qr vi lt2 7rV 3-7801 ~s -7 VQ" 7 ~ vola- 121andidate and Treas rer Signatu both signatures must be itnessed. Tr surer can not witness candidates signature): G~J\~ ignature of Treasurer Signa re f Candida e Signature of Witness Signature of Witness Registry of Election Finance SS-1120 (rev 1012010) FINANCIAL DISCLOSURE STATEMENT EXEMPTION Pursuant to TCA 5 2-10-101(b) a candidate is exempt from filing financial disclosure statements: "If a candidate is seeking an office for which service is part-time, compensation is less than $1,000 a month, and the candidate does not spend more than $1,000 to get elected to office, the candidate does not have to file Campaign Financial Disclosure Reports." CANDIDATE'S INFORMATION: Candidates Name: ` -e Y 1 mil- Candidate s Position: LAarq I Of h '&r Residential Address: Lo City: ~A~.U\j~M State: TN Zip: , I hereby state that I meet the above qualifications for exemption and am therefore exempt from filing financial disclosure statements. q- C06id'ate!s ignature Date 2_~ O'Ciaz _Zja~_L Witness's Signature Date If my plans change and I realize I will spend more than $1,000 on my campaign, I will immediately make a financial disclosure report.