Loading...
Gallegos, Mike CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORT 2.a. NAME OF CANDIDATE OR COMMITTEE 1) X-LL4 ; 2_0 16 M f aeJ /A Gam-(.t S 2.b. IF COMMI EE, NAME OF CANDIDATE 3. ELECTION DATE ~m m; a C-C -b l2-e C¢ c-P kn! k-t G'ccGL S vS -7 Zo 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone I D cnrc.n- r U-c- Dr, a K v1'1Le rM 3-7 3 VoS • IZA4- 0("3 (a 4.b. CANDIDATE'S HOM ADDRESS (if different than 4.a.) k_j Street or Rural Route City State Zip Code Phone 5. OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate) S V Lt 64f S 7. CATEGORY OR REPORT (Check one) ❑ ❑ ❑ ❑ ❑ ❑ ETI_ ❑ 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 Ja, i v 0_ 1(p 20 1( v 3D 20 I 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. Ad 'tionally, Uvve swear or affirm that no campaign contributions have been expended for the personal financial bene t of t c ndidate fo any other nonpolitical purpose as defined by the federal internal revenue code. ~-l~- 7 IS I(o signature candidate date si n ture of li ical trea ur date 11. WITNESS SIGNATURE / at___ signature of witness date signature of witness date 12. SUMMARY 5 a. BALANCE ON HAND LAST REPORT $ 40 ''211 2.1 b. TOTAL RECEIPTSTHIS PERIOD $ V • a) c. TOTAL DISBURSEMENTS THIS PERIOD $ ?,o2.-7S d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ ~U e. TOTAL LOANS OUTSTANDING $ U ' oo RECEIVED 0.00 f. TOTAL OBLIGATIONS OUTSTANDING $ S116 SS-1109 (Rev. 2/06) 11 BLOUNT COUNTY Page 1 of RDA 1159 ELECTION • CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Judicial Single - Candidate Committees 1. DATE OF REPORT 2.a. NAME OF CANDIDATE Jk1 /o Zols Mile 6a1/f z 2.b. NAME CANDIDATE'S.COMMITTEE 3. ELECT ON DATE ►mmf +o Pe liect- ft Ice C-7alle os 14V L s+ -7) Zol+ 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone l I r .-e4d b'. a NV t r! 3-Z&73 ms Z -g 4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.) Street or Rural Route City State Zip Code Phone 5. JUDICIAL OFFICE SOUGHT (include district number, if applicable) 6. NAM OF POLITICAL TREASURER e ~ • CaU, C v5 to eraA Se C's Fm 5 vd ope- 7. CATEGORY OR REPORT (Check on ❑ e) ❑ ❑ ❑ ❑ ❑ 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 j0LV\U6_yV\ llo Zo iCD J"e-3c), u15 9. (Check one) a. This campaign is exempt from detailed disclosures because contributions (including in-kind) received total $1,000 or less AND expenditures 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. SIGNAT E OF CANDIDAT 11. SIGNATURE OF POLITICALTREASURER I do solemnly swear or affirm that the information contained in thiscampaign financial disclosure report is true and accurate. Additionally, I swear or ( affirm that no campaign contributions have been expended for the personal Signatue of Candidate Date financial benefit of the candidate or for any other nonpolitical purpose as defined by the0fedeeral internal revenue code. n C /I Prof n Sig a f do ss Date Signature of olitical Tr asurer Date ~l • ID• 1S fig t fitness Date 12. SUMMARY a. BALANCE ON HAND LAST REPORT $ L)02.-7s b. TOTAL RECEIPTS THIS PERIOD $ RGCEIVe1) ? dt7 . I'SO c. TOTAL DISBURSEMENTS THIS PERIOD . $ $ 3o?-.IS d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.).. AL..1.0.2015............ rp 00 O .ti......................................$ db e. TOTAL LOANS OUTSTANDING MON v .d f. TOTAL OBLIGATIONS OUTSTANDING $ y AQL SS-1137 (Rev. 2/06) Page 1 of RDA 1159 ,law i CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Judicial Single - Candidate Committees 1. DATE OF REPORT 12.a. NAME OF CANDIDATE ~a.,1 U.a, 2~, 20 ~ s I~/l ~ Ise C~a ~l ~ ~5 2.b. NAME OF CANDIDATE'S.COMMITTEE 3. ELECTION DATE ~ornm ~ tW bv Ree- ems- I' (kt C ue vs Av ust •7 tot 4 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone 1toK &re.ev eld br: Ma-n, vi Cl ih! 3-78U3 $ s q24-g3~~ 4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.) Street or Rural Route City State Zip Code Phone 5. JUDICIAL OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER Sss i 6v,,,5 vud e J ne. M. C-Ud s 7. ❑CATEGORY OR REPORT (Check on❑e) ~ ❑ ❑ ❑ ❑ 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 Q(-+ D 6.er 1 Zola c~a nu a 15, Zo15 9. (Check one) a. This campaign is exempt from detailed disclosures because contributions (including in-kind) received total $1,000 or less AND expenditures 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. SIGNATURE OF CANDIDATE 11. SIGNATURE OF POLITICALTREASURER ' I do solemnly swear or affirm that the information contained in thiscampaign financial disclosure report is true and accurate. Additionally, 1 swear or 111 affirm that no campaign contributions have been expended for the personal Signatue of Candidate Date financial benefit of the candidate or for any other nonpolitical purpose as defined by the federal internal revenue code. ~1 mA' i n u f i n s Date Signature of P litical T asurer Date I. 2 -IS ig a e rt ess Date 12. SUMMARY a. BALANCE ON HAND LAST REPORT $ l > 102 b. TOTAL RECEIPTS THIS PERIOD $ U UO c. TOTAL DISBURSEMENTS THIS PERIOD $ / DU ' Co d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ 6000-75 e. TOTAL LOANS OUTSTANDING $ d • 00 f. TOTAL OBLIGATIONS OUTSTANDING $ O 01) AWL SS-1137 (Rev. 2/06) Page 1 of IKWF RDA 1159 CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Judicial Single - Candidate Committees 1. DATE OF REPORT 2.a. NAMEOFCANDIDATE 2.b. NAME OF CANDIDATE'S.COMMITTEE 3. ELE ION DATE 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone 4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.) Street or Rural Route City State Zip Code Phone 5. JUDICIAL OFFICE SOUGHT (include district number, if applicable) 6. N ME OF POLITICAL TREASURER 61 e vur- tt ~ess -n s i dd e CC~c 7. ❑CATEGORY ORREPORT (Check one) ❑ J 1:1 ID ❑ ❑ FIRST SECOND THIRD RD FOURTH PRE- PRE- MID-YEAR YEAR-END QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD L 2 I Se ° e i,.er z? 7.~) 9. (Check one) a. dThis campaign is exempt from detailed disclosures because contributions (including in-kind) received total $1,000 or less AND expenditures 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. SIGNATURE OF CANDIDAT 11. SIGNATURE OF POLITICALTREASURER I do solemnly swear or affirm that the information contained in thiscampaign ajj financial disclosure report is true and accurate. Additionally, I swear or affirm that no campaign contributions have been expended for the personal it L Signatue of Candidate Date financial benefit of the candidate or for any other nonpolitical purpose as defined by the federal internal revenue code. Signatu f fitness Date Signature f olitical reasurer 10 Date Signatue Witness Date 12. SUMMARY G a. BALANCE ON HAND LAST REPORT $ l J b. TOTAL RECEIPTS THIS PERIOD $ DD ~'l c. TOTAL DISBURSEMENTS THIS PERIOD $ 10 n d. BALANCE ON HAND 12.a. plus 12.b. minus 12.c. $ e. TOTAL LOANS OUTSTANDING $ O f. TOTAL OBLIGATIONS OUTSTANDING $ 0. bo SS-1137 (Rev. 2/06) Page I of RDA 1159 IMP IMNIF CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Judicial Single - Candidate Committees 1. DATE OF REPORT I 2.a. NAME OF CANDIDATE Jk 11 FQ vS 3D 201 `f 2.b. NAM OF CANDIDATE'S COMMITTEE 3. ELECTION DATE CDO mr E -0 PQ-eded- i'nikft C S uSf -7, 90),f 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone 110 6r-.e br, Wo-al ✓,'Uto T/J 37 3 & '92,4' K-►(o F5D E'S HOME ADDRESS (if different than 4.a.) ural Route City State Zip Code Phone OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER u,E ss fak s Ckd JOUA 't w a U e os 7. CATEGOR Y 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 j Lot," 1 201'f J 1) Z ~S 14 9. (Check one) a. This campaign is exempt from detailed disclosures because contributions (including in-kind) received total $1,000 or less AND expenditures 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. SIGNATUFVE OF CANDIDA 11. SIGNATURE OF POLITICALTREASURER I do solemnly swear or affirm that the information contained in thiscampaign financial disclosure report is true and accurate. Additionally, I swear or X11 affirm that no campaign contributions have been expended for the personal Signatue of Candidat Date financial benefit of the candidate or for any other nonpolitical purpose as defined by the federal internal revenue code. l30.1 #Signtuef the Date Signature of P litical Treasur Date 7 k~jflvjj 4 Sign ue of Witne s Date 12. SUMMARY p a. BALANCE ON HAND LAST REPORT $ Za 1 1 b. TOTAL RECEIPTS THIS PERIOD : $ 0. 00 -70. OD c. TOTAL DISBURSEMENTS THIS PERIOD $ 9 $ 07 , Q 1 -TS d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c. ........a.....• • •z••••••• .I i Qw v e. TOTAL LOANS OUTSTANDING U.......`..`..... ao~ta.......k $ O (~O J ! a 0,00 G f. TOTAL OBLIGATIONS OUTSTANDING $ 5 7 £ Z SS-113 7 (Rev. 2/06) Page I of RDA 1159 CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Judicial Single - Candidate Committees 1. DATE OF REPORT 2.a. NAME OF CANDIDATE 201 M ~ C-lau os 2.b. NAM OF CANDIDATE'S COMMITTEE 3. ELECTION DATE 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone 10 C rte j-d d Dr. M tl/ ke -rt J 3-7993 &4,12,q,931-7 4.b. CANDIDATE'S HOME DRESS (if different than 4.a.) Street or Rural Route City State Zip Code Phone 5. JUDICIAL OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER ~ sess~~-S cl c J hz v►'~ C~~[,l~ os 7. CATEGORY OR REPORT (Check one) ❑ 1z ❑ ❑ ❑ ❑ ❑ ❑ 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 April 27 Zol`! June 3D 204 9. (heck one) a. ❑ This campaign is exempt from detailed disclosures because contributions (including in-kind) received total $1,000 or less AND expenditures total $1,000 or less for this reporting period. (Complete items 12d., 12e. and 12f.) b. 1A 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. SIGNATUR OF CANDIDATE 11. SIGNATURE OF POLITICAL TREASURER I do solemnly swear or affirm that the information contained in thiscampaign financial disclosure report is true and accurate. Additionally, I swear or ( affirm that no campaign contributions have been expended for the personal Signatue of Candidate Date financial benefit of the candidate or for any other nonpolitical purpose as defined by the federal internal revenue code. I • I a~xm Signatue of Witness Date Signature f olitical T assurer Date OtL_~ 7// Signatue of Witness ate 12. SUMMARY 2 / a. BALANCE ON HAND LAST REPORT $ Z ?J~ b7 .77 b. TOTAL RECEIPTS THIS PERIOD $ 0.00 C. TOTAL DISBURSEMENTS THIS PERIOD $ Zd ► yl b . 0c) pp -7 d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ ~L • / 5 e. TOTAL LOANS OUTSTANDING $ 0.00 f. TOTAL OBLIGATIONS OUTSTANDING $ 0 • W SS- 113 7 (Rev. 2/06) Page I of 7 RDA 1159 SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD P YYI m i tCe -16 Re44c_G1" , C7 FROM: 411. 14 T0: ~O' 30 ' I RECEIPTS 15. CONTRIBUTIONS (other than loans and interest) a. Unitemized Contributions ($100 or less from each source this period) $ 6-bb b. Itemized Contributions (over $100 from each source this period) $ o'00 c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ 61 60 16. LOANS RECEIVED THIS REPORTING PERIOD $ 0 ' to 17. INTEREST RECEIVED THIS REPORTING PERIOD t7 Oa 18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) $ O. 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) 1 1~b1'f Yl \011'~1151t_ $ COVE> Total of Expenditures ($100 or less each payee) $ a~nn b. Itemized Expenditures (Over $100 each payee this period) $ ~1 y c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 191.) $ 20. LOAN REPAYMENTS MADE THIS PERIOD to78•00 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) ............................................$20, fo'78•0 22.IN-KIND CONTRIBUTIONS a. Unitemized in-kind contributions ($100 or less from each source this period) $ b. Itemized in-kind contributions (over $100 from each source this period) $ c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.) $ 0.0c) 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.) $ C) . O 0 SS-1133 (Rev. 4102) Page of ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE ,I,, 2. REPORT COVERING THE PERIOD ~r)1 ~e a ci( y~I K-~ ~1 a O., FROM:t{.Z7./y T0: Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 0 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor Middle Name Contribution Received For: Amount of Contribution First Name Last Name/Organization Name ❑ Primary Election ❑ General Election ❑ Runoff (Local Elections Only) Address City Date of Contribution Aggregate This Election State =C-d. Occupation Employer Middle Name Contribution Received For: Amount of Contribution First Name Last Name/Organization Name ❑ Primary Election ❑ General Election El Runoff (Local Elections Only) Address State Zip Code Date of Contribution Aggregate This Election city Occupation Employer ddle Name Contribution Received For: Amount of Contribution First Name s Name rgan¢a ron ame ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) State Zip Code Date of Contribution Aggregate This Election City Occupation -Employer Middle Name onto ution Received or: mount o Contribution First Name Last Name/Organization Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) State Zip Code Date of Contribution Aggregate This Election City Occupation Employer 5. TOTAL ITEMIZED CONTRIBUTIONS h KD (Carry forward to item 3. of next page if additional pages of this form are used.) (J • U (If this is the last page of contributions, this amount must be shown in item 15b. of summary.) Page 3 of -7 RDA 1159 SS-1131(Rev. 2106) i ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE 2. REPORT COVERING THE PERIOD 1. NAME OF CANDIDATE OR COMMITTEE FROM: 1}• TO (p, $p 1 moun 3. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) a 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) Date of In-Kind Contribution Aggregate this Election Address State Zip Code Description of In-Kind Contribution City Occupation Employer Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution First Name E] Primary Election General Election Last Name/Organization Name ❑ Runoff (Local Elections Only) Date of In-Kind Contribution Aggregate this Election Address City State Zip Code Description of In-Kind Conhibution 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) Date of In-Kind Contribution Aggregate this Election Address city State Zip Code Description ofln-KindContrlhution Occupation m yer First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution ❑ Primary Election El General Election Last Name/Organization Name El Runoff (Local Elections Only) Date of In-Kind Contribution Aggregate this Election Address City State Zip Code Description ofln-KindContdbution Occupation Employer First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last NamelOrgan¢ationName ❑ Runoff (Local Elections Only) Date of In-Kind Contribution Aggregate this Election Address City State ZipCode 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.) O (If this is the last page of in-kind contributions, this amount must be shown in item 22b. of summary.) Page of RDA 1159 SS-1128 (Rev. 2106) ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 2, RERING TH E PERIOD 1. NAME OF CANDIDATE OR COMMITTEE S FR1f TO: 6 3a mount 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) Middle Name Purpose of Expenditure Amount of Expenditure First Name Last Name/Business Name -7(A co .Address City Sl~ Zip Code FirstName Purpose of Expenditure Amount of Expenditure Middle Name Last Name/Business Name Address City State TZip Code Middle Name Purpose of Expenditure Amount of Expenditure First Name Last Name/Business Name Address City State Zip Code Middle Name Purpose of Expenditure Amount of Expenditure First Name Last Name/Business Name Address City Stale Zip Code Middle Name Purpose of Expenditure Amount of Expenditure First Name Last Name/Business Name Address City State Zip Code Middle Name Purpose of Expenditure Amount of Expenditure First Name Last Name/Business Name Address City State Zip Code 5. TOTAL ITEMIZED EXPENDITURES (Carry forward to item 3. of next page if additional pages of this form are used.) (If this is the last page of expenditures, this amount must be shown in item 19b. of summary.) ~ SS-1129 (Rev. 4102) Page of -7 RDA 1159 4) j y , ITEMIZED STATEMENT OF LOANS - CANDIDATE 'L G 2. REPORT COVERING THE PERIOD 1. NAME OF CANDIDATE OR COMMITTEE WYY ynj'+tt4t ~ I`e r-/ _N0411 Gl~ S FROM Z7'/,, ITO:(0 -;3o 3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED LOAN (loans totaling more than 8100 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/OrganizationName 2 , WD. ~ 6' Ood✓ Address Loan Received For: Date of Loan ^~dj ✓ r Primary Election ❑ General Election I ' ~ ~ I City S fgg , Zip Code "171-v1 ? - ❑ Runoff (Local Elections Only) List All Endorsers or Guarantors for Above Loan (If more space is needed please attach a page) Middle Name First Name Middle Name First Name Last Name/Organization Name Last Name/Organization Name Address Address State Zip Code City State Zip Code City Amount Guaranteed Outstanding mount Guaranteed Outstanding Middle Name First Name Middle Name First Name Last Name/Organization Name Last Name/Organization Name Address Address Slate Zip Code City State Zip Code C ty Amount Guaranteed Outstanding mount Guaranteed Outstanding Middle Name First Name Middle Name First 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 Middle Name First Name Middle Name First Name Last Name/Organization Name Last Name/Organization Name Address Address State Zip Code City State Zip Code City Amount Guaranteed Outstanding Amount Guaranteed Outstanding 4. Totals for all Loans (complete on last page of itemized loans) ainnin Balance Loans Loan Outstanding Loan Balance Pa ments En d of Period (Total loans received should also be shown in item 16. on summary page.) eriod LRReceived (Total loan payments should also be shown in item 20. on summary page.) (JJ (Total outstanding loan balance should also be shown in item 12.e. on front page.) 00 ' ud n 132 (Rev. 4/02) Page (0 of 7 RDA 1159 4) SS-1 ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 1rv► II / 2. REPORT COVERING THE PERIOD commit 4VRee(e I►f1ktC5"~? 05 FROM: 4•Z?•ILt T0: !0 3b 1 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 NamelBusiness Name Address city State Zip Code Description of Obligation First Name Middle Name Last Name/Business Name Address city State Zip Code Description of Obligation 4. TOTALS r (Total from Outstanding Balance -(End of Period) column must also be shown O~ ~O v. bo in item 23b. on summary page.) ~J 4) SS-1127 (Rev. 4102) Page 1 of + RDA 1159 CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Judicial Single - Candidate Committees 1. DATE OF REPORT 2.a. NAME OF CANDIDATE A- riL Z-1 M4 Mi~G2 C u oS 2.b. NAME OF CANDIDATE'S COMMITTEE 3. EL CTION DATE Cumm ► e Rgele oS vd t0 ?'014 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone I l p (~reevi ^e1d Dr►UC, IJ vi"u-e 3-M 3 $1aS IN, 9-3Jb 4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.) Street or Rural Route City State Zip Code Phone 5. JUDICIAL OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER L'l2h era, Se s s 1-6VL S d dd 2 V N N~ W al u e a05 7. ❑CATEGORY OR REPORT (Check on❑e) ❑ ❑ ❑ ❑ FIRST SECOND THIRD FOURTH PRE- PRE- MID-YEAR YEAR-END QUARTER QUARTER QUARTER UARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD j l 1 ~ Zo 1'~ ~k- r i L Z(a Zp 1 9. (Check one) a. [(This campaign is exempt from detailed disclosures because contributions (including in-kind) received total $1,000 or less AND expenditures 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. SIGNATURE OF CANDIDATE 11. SIGNATURE OF POLITICAL TREASURER I do solemnly swear or affirm that the information contained in thiscampaign financial disclosure report is true and accurate. Additionally, I swear or affirm that no campaign contributions have been expended for the personal Signatue of Candidate Date financial benefit of the candidate or for any other nonpolitical purpose as defined by the federal internal revenue code. Signatue of Witness Date Signature Politics reasurer Date Signatue of Witness Date 12. SUMMARY a. BALANCE ON HAND LAST REPORT $ Z3, 587. 75 b. TOTAL RECEIPTS THIS PERIOD $ 0-00 c. TOTAL DISBURSEMENTS THIS PERIOD $ 470. 6D 5 d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ 23)' (PT 1 e. TOTAL LOANS OUTSTANDING $ ZOO 000. 00 f. TOTAL OBLIGATIONS OUTSTANDING $ O. OO SS-1137 (Rev. 2/06) Page 1 of ICU RDA 1159 SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTEE (in Full) 14. REPORT COVERING THE PERIOD FROM: T0: RECEIPTS 15. CONTRIBUTIONS (other than loans and interest) a. Unitemized Contributions ($100 or less from each source this period) $ b. Itemized Contributions (over $100 from each source this period) $ c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ 16. LOANS RECEIVED THIS REPORTING PERIOD $ 17. INTEREST RECEIVED THIS REPORTING PERIOD 18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) $ DISBURSEMENTS 19. EXPENDITURES (other than loan payments) a. Expenditures ($100 or less each payee this period) (must be listed by category - e.g., printing, postage, gasoline) 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.) $ 22.IN-KIND CONTRIBUTIONS a. Unitemized in-kind contributions ($100 or less from each source this period) $ b. Itemized in-kind contributions (over $100 from each source this period) $ c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.) $ 23. OBLIGATIONS a. Unitemized Obligations Outstanding ($100 or less each) $ b. Itemized Obligations Outstanding (Over $100 each) $ c. TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 121) $ AWL SS-1133 (Rev. 4/02) Page of ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: TO: Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0'tf first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor First Name Middle Name Contribution Received For. Amount of Contribution Last Name/Organization Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City State Zip Code Date of Contribution Aggregate This Election Occupation Employer First Name Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City Stale Zip Code Date of Contribution Aggregate This Election Occupation Employer First Name iddleName Contribution Received For Amount of Contribution Last rn lWi ame ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City State Zip Code Date of Contribution Aggregate This Election Occupation Fmpbyer First Name Middle Narne Contribution Received For Amount of Contribution last Name/Organizabon Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City Stage Zip Code Date of Contribution Aggregate This Election Occupation Employer 5. TOTAL ITEMIZED CONTRIBUTIONS (Carry forward to item 3. of next page it additional pages of this form are used.) (if this is the last page of contributions, this amount must be shown in item 15b. of summary.) lw~ SS-1131(Rev. 2106) Page of RDA 1159 i J1 ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: TO: mount 3. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED IN-KIND CONTRIBUTION (in-kind contributions totaling more than $100 from any contributor during the period) First Name Middle Name In-Kind Contribution Received For. Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last Name/Organization Name ❑ Runoff (Local Elections Only) Address Date of InAnd Contribution Aggregate this Election City State Zip Code Desaiption 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-lend ContnWbon Aggregate this Election City State Zip Code Description of In-Kind Contribution Occupation T Employer First Name Middle Name In-Kind Contribution Received For. Value of In-Kind Contribution Last Name/ ❑ Primary Election E] General Election L Organization Name ❑ Runoff (Local Elections Only) Address Date of InAnd Contribution Aggregate this Election City State Zip Code DesaVbon of In-Kind Contribution occupailion Ernployer Fast Name Middle Name In-Kind Contribution Received For. Value of In-Kind Contribution Name E] Primary Election 11 General Election Last ❑ Runoff (Local Elections Only) Address Date of In-land Corrhtbution Aggregate this Election City State Zip Code Description of In-Kind Contribution Occupation Employer First Name Middle Name In-Kind Contribution Received For. Value of In-Kind Contribution Last tJamelOrgarxQationName ❑ Primary Election El General Election ❑ Runoff (Local Elections Only) Address Dale of In-Kind Contribution Aggregate this Election City State Zip Code Desaiption of In-Kind Contribution uccupation byiployer L 1 5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS (Carry forward to item 3. of next page if additional pages of this form are used.) (it this is the last page of in-Iimd ambibutions, this amount must be shown in item 22b. of summary.) SS-1128 (Rev. 2106) Page of RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: TO: Amount 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures totaling more than $100 to any payee during the period) First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address city State Zip Code First Name Middle Name Purpose of E penditure 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 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address Crty State Z p Cade 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 d additional pages of this form are used.) (If this is the last page of expenditures, this amount must be shown in item 19b. of summary.) SS-1129 (Rev. 4102) Page of RDA 1159 z if ITEMIZED STATEMENT OF LOANS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: TO: 3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED LOAN (loans totaling more than $1 DO 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 Gty State ZpCode ❑ 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 Gly State Zip Code city Stale 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 Gty State Zip Code city Stale 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 Stale Zip Code city State Zip Cade Amount Guaranteed Outstanding Amount Guaranteed Outstanding 4. Totals for all Loans (cornplete on last page of iternized loans) Outstanding Loan Balance Loans Loan Outstanding Loan Balance (Total bans received should also be shown in item 16. on summary page.) (Beginning of Period Received Payments End of Period (Total ban payments should also be shown in item 20. on summary page.) (Total outstanding loan balance should also be shown in item 12.e. on front page.) SS-1132 (Rev. 4102) Page of RDA 1159 ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: TO: 3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED Outstanding Balance Debt Incurred Payments Outstanding Balance OBLIGATION (obligations totaling more than $100 owed to any (Beginning of Period) This Period This Period (End of Period) person/vendor at the end of the reporting period) First Name Middle Name Last NwwAusiness Name Address City State Zap Code Description of Obligation First Name Middle Name Last NameAbsiness Name Address city State Zip Code Description of Obligation First Name Middle Name Last NarneJBusiness Name Address City 7e- I Zip Code Description of obligation First Name Middle Name Last NawAusiness Name Address City Stare Zip Code Description of Obligation First Name Middle Name Last Name/Business Name Address city state Zip Code Description of Obligation 4.TOTALS (Total from Outstanding Balance - (End of Period) column must also be shown in Kern 23b. on summary page.) Ashk SS-1127 (Rev. 4102) Page of RDA 1159 j CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Judicial Single - Candidate Committees 1. DATE OF REPORT 2.a. NAMEOFCANDIDATE ApriL q ZO► Mike C-jVJ1 s 2.b. NAME OF CANDIDATE'S COMMITTEE 3. ELECTION DATE m►ttte b) veep Ktc d I lQ 2vi`V 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone BIAS R2~ ► to oi& bre ern i eAb Ori~J e N` v; U-(- 14 3-160-3 I I 4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.) Street or Rural Route City State Zip Code Phone 5. JUDICIAL OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER 6-.Wma rv4 ass S cad n e 1- C a l i+e 7. CATEGORY OR REPORT (Check one) G? ❑ ❑ ❑ ❑ ❑ FIRST SECOND THIRD FOURTH PRE- PRE- MID-YEAR YEAR-END QUARTER UARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD JanL•an, to 2oi~ Marun 31701q 9. (Check one) a. E~ This campaign is exempt from detailed disclosures because contributions (including in-kind) received total $1,000 or less AND expenditures 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 $1,000 for this reporting period. 10. SIGNATURE OF CANDIDATE 11. SIGNATURE OF POLITICALTREASURER I do solemnly swear or affirm that the information contained in thiscampaign 4 _ financial disclosure report is true and accurate. Additionally, I swear or ` affirm that no campaign contributions have been expended for the personal Signatue of Candidate Date financial benefit of the candidate or for any other nonpolitical purpose as defined by the federal internal revenue code. Signatue of Witness Date Signature o(jolitical surer Date Signatue of Witness Date 12. SUMMARY a. BALANCE ON HAND LAST REPORT . 238L$~~. DD b. TOTAL RECEIPTS THIS PERIOD $ $ 'I U 7u0, 60 c. TOTAL DISBURSEMENTS THIS PERIOD $ 15 d. BALANCE ON HAND 12.a. plus 12.b. minus 12.c. $ 2113,15 e. TOTAL LOANS OUTSTANDING $ ZO t cwo. (7O f. TOTAL OBLIGATIONS OUTSTANDING $ D • D D SS-1137 (Rev. 2/06) Page 1 of RDA 1159 IMWF r CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Judicial Single - Candidate Committees 1. DATE OF REPORT 2.a. NAMEOFCANDIDATE 0"Ua 2,+,-2014 I M i lee CjcdL os 2.b. NAME OF CANDI TE'S COMMITTEE 3. ELECTION DATE Committee i-v Ree e-a M, i LL C- a-Q oS ud M (o 201 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone l w ~ 6ru4i l t'e ok, brfve Ill vi 11 'mil 31803 $loS 92~{- $31~ 4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.) Street or Rural Route City State Zip Code Phone 5. JUDICIAL OFFICE SOUGHT (include district number, if appliceble) 6. NAME OF POLITICAL TREASURER -Ievia~ Scssioyts crud Q, Div►sfon I cktwie- M. C- l-U.e os 7. CATEGORY OR REPORT (Check one) ❑ ❑ C] El ❑ C~ F QUARTER IRST SECOND THIRD FOURTH PRE- PRE- MID-YEAR YEAR-END R UAR R QUARTER PRIMARY GENERAL S 8.a. BEGINNING DATE OF REPORTING PERIOD 8. b. ENDING DATE OF REPORTING PERIOD ju, 1, 7,013 cJt2,4-1 u.4- 15, Zvlq- 8. (Check one) a. ❑ This campaign is exempt from detailed disclosures because contributions (including in-kind) received total $1,000 or less AND expenditures total $1,000 or less for this reporting period. (Complete items 12d., 12e. and 12f.) b. G 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. SIGNA E OF CAND T)J 11. SIGNATURE OF POLITICAL TREASURER I do solemnly swear or affirm that the information contained in thiscampaign Zr financial disclosure report is true and accurate. Additionally, 1 swear or affirm that no campaign contributions have been expended for the personal Signatue of Candidate Date financial benefit of the candidate or for any other nonpolitical purpose as defined by the federal internal revenue code. Signs of Witness Date S gnatu f Politica Trea Date Slgnatue of Witness ate 12. SUMMARY a. BALANCE ON HAND LAST REPORT $ 1 01 DQD b. TOTAL RECEIPTS THIS PERIOD ZT 3 "1 n~ c. TOTAL DISBURSEMENTS THIS PERIOD $ J Q 2 - 2,5 d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) . $ 23, $g~ • 1S e. TOTAL LOANS OUTSTANDING $ , CO 000 f. TOTAL OBLIGATIONS OUTSTANDING $ D. DD SS-1137 (Rev. 2J06) Page I of 7 RDA 1159 SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD C-OM Yy11 1.tc~,_ )(o ~eeie c, M i 4 :-Id os JVd FROM: '7 1 . i 3 TO: . RECEIPTS 1 1S• 15. CONTRIBUTIONS (other than loans and interest) j Y~ a. UnitemUed Contributions ($100 or less from each source this period) $ '"ff Q. CC b. Itemized Contributions (over $100 from each source this period) $ _ 31 95 0, Ca c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ rt') 3 qo• L 16. LOANS RECEIVED THIS REPORTING PERIOD $ UJ OW- co 17. INTEREST RECEIVED THIS REPORTING PERIOD 0- bD 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) Ta. & - MOL; Uvt labels $ '6•29 91 oyn#- coo Ylim onam lle.r &n C1 0,hl-6' - $ 100.0p 41 ovvsorsh; p M~.K - R► c ha W X11 i wNis LcAd~vsln, $ $ $ $ $ $ $ Total of Expenditures ($100 or less each payee) $ IOW-2-9 b. Itemized Expenditures (Over $100 each payee this period) $ 3013. 9 (D c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $ 0 •2~ _ 20. LOAN REPAYMENTS MADE THIS PERIOD $ • 00 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) $ 502, • 2- 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 121.) $ -0, D~ SS-1133 (Rev. 4102) Page of ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD Cn YY1yn r tbe.e to Re ley* M t k k aJU ob Jude FROM: -7/j 13 TO: 1 f S 1'4 Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) D . DD 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contnbutions total' more than $100 from contributor Fast Name W &m "le Name 1 L ~ Contribution Received For. Amount of Contribution LastNamel0wrhatlonNam ~"T gPdmaryElection 0 General Election Mu~tler 314)00.00 Address of 12 Jame sewn VjaAA ❑ Runoff (Local Elections Only) City state zip code Date of Contribution Aggregate This Election M ~ill~ Tr-4 3803 omupallorl re red 11 • I 1 • 2,0t3 31 ooo . 00 Ayer N` A Frsl Name Middle Name ~ Contribution Received For: Amount of Contribution Lost NameA3rgaolzaTtionName Primary Election ❑ General Election nn~ a.n~~l 50000 Addrrss 3~ S , w I t w W boc~ P-Ca 1 ❑ Runoff (Local Elections Only) CRY M Qr V ► LIi-e lsit , zpcode 31 Date of Contribution Aggregate This Election CC>>'Li'r aCADY- I ► • 2 5 • 2013 6 oz) . DD 51e1 - I d !,a vn6n ' McL~ h cJ~ Fast Name Name Contribution Received For. Amount of Contribution Ra,~1.d a.U [Primary Election ❑ General Election La-m 6rt 2,15o. C0 Address D fv ❑ Runoff (Local Elections Only) %'1A S ~ City State IzipCode Date of Contribulion Aggregate This Election M a vi Ll Tti1 3 Sb O=P" 12 • 5. 2,013 2,460 • co TiiiiE~ -~4 C- A&MCK- wVzanta Fast Now Middle Name ont ution or. cunt o n on Last NamelOryardzalbnName ~Prfmary Election ❑ General Election Ar~ cSW ~Uw~ CoYnmi 200 . DC7 Address 'P. O V 0 5~ ❑ Runoff (Local Elections Only) CRY V o Sfax Z;pCodE+' Date of Contribution Aggregate This Election owipation Z - l Lo' 2013 200. ba Employer 5. TOTAL ITEMIZED CONTRIBUTIONS q 5 c). OO (Carry (award toitem 3. of nett page H additional pages of rids form are used.) Qf ft is ft lestpage of contnbubons, ibis amount must be stwrm in item 15b. of summary.) . SS•1131(Rev. 2/06) Page 3 1 -7 RDA 1159 ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD i t'f 1 R -t° m 1 Q JL) d FROM: TO: 1. I S• I Amount 3. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 0 4, COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED IN-KIND CONTRIBUTION pn*JW contributions totaling more than $100 imm any contributor during the period) First Name Middle Name in-K6nd Contribution Received For. Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last NwWOrganaation Name ❑ Runoff (Local Elections Only) Address Date of In-Kind Contribution Aggregate this Election CtiY State zip code Description ob In-KM Contribution Occupatlon Employer First Name Middle Name In-Kind Contribution Received For. Value of In-Kind Conlnbulion ❑ Primary Election ❑ General Election Last Name/Organization Name ❑ Runoff (Local Elections Only) Address Date of In-Kind Cont bib on Aggregate this Election City Stab Znp Code Des pion of In-bM CDnlrlorrGon Occapatlon Employer First Name Midde Name In-Kind Contribution Received For. Value of In-Kind Conbibution ❑ Primary Election ❑ General Election Last Name/Organlzatbn Name ❑ Runoff (Local Elections Only) Address Date of In-ful Conhibution Aggregate ft &e" t.',it/ State ZipCode DaccrlpGottotkFiOrtdCortrdtution Moon Ernployer First Name Wddle Name In.rnd Contribution Received For, Value of In-Kind Coninb Alon ❑ Primary Election ❑ General Election last Name/Organization Name ❑ Runoff (Local Elections Only) Address Debofin4 ndContribAon Aggregate this Election CRY State Zip Code Description ofln4QdContriodion Occupation Ertnpbpar RrstName WidmeName In-Kind Contribution Received For. Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last NamalDmarkatim Name ❑ Runoff (Local Elections Only) Address Data of In-KkA Conbffiution Aggmgateft Election CUy State ZOCode Descr0onofIn4WCon"X0Dn ooot"Uon 5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS n (Carry forward b Nem 3, of next page If addidmai pages of this form are used.) t✓ • I D0 pt Ns is the W page of In-ldnd conlibul3ons, It wnou nt must be shown in Item 22b. of stanmwy.) SS-1128 (Rev. 2/06) Page H of -7 RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE l 2. REPORT COVERING THE PERIOD mi Q Reel ~l k.E Ljd Q FROM: ? 1 Zp1-5TO: /S Zo1+ Amount 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) b,60i 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures totaling more than $100 to any payee during the period) First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name of I„Ce S ~ b~a~ f pfat 5I J 1~3, q(o Address 121 Brenda. Dri vc 1 City State Zip Code rJ 3'1"101 First Name Middle Name Purpose of Expenditure Amount of Expenditure D) h Last Name/Business Name Wv v h LOI n Da~ tala►~I~Ar '?,p . 6o Address P-0. gbu lob t5 -latole SPA sor Qty State Zip Code 1Mar>✓ v►11e r~l 3~eoz. First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address City State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address City State Zip Code 111111111111111110 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address city State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address City State Zip Code 5. TOTAL ITEMIZED EXPENDITURES 3~ 3 to (Carry forward to item 3. of next page if additional pages of this form are used.) Of this Is the last page of expenditures, this amount must be shown in item 19b. of summary.) Alh SS-1129 (Rev. 4102) Page 5 of -7 RDA 1159 ITEMIZED STATEMENT OF LOANS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD W M m f-L tee 'v Ree & - M l k-e C 411,e j?/Gf -e FR7I ?o i 3 TO: I 1. 1$ • Z0 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 n Middle Name Outstanding Loan Balance Loans Loan Outstanding Loan Balance ' w l i la-e Q (Beginning of Period) Received Payments (End of Period) Last Name/Organization Name ~1 060. Lza l 1 o s 0 ~d 20, C).00 210 / 000.60 Address Loan Received For: Date of Loan 1 1 6 r'e~ ~ • ~ r✓' m Primary Election ❑ General Election r City Stale Zip Code ~u -W 3-19U3 [1 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 Gty State Zip Coda 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 Qty 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 777- Last Name/Organization Name Last Namelorganization Name Address Address City State Zip Code City Slate Zip Code Amount Guaranteed Outstanding Amount Guaranteed Outstanding 4. Totals for all Loans (complete on last page of itemized loans) Outstanding Loan Balance Loans Loan Outstanding Loan Balance (Total loans received should also be shown in item 16. on summary page.) (Beginning of Period Received Payments End of Period (Total loan payments should also be shown in item 20. on summary page.) 6L7 (Total outstanding loan balance should also be shown in item 12.e. on front page.) 20 COO.00 I ZDt coo SS-1132 (Rev. 4/02) Page (D of RDA 1159 ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD C,pmfn,tb<,c Vv Ree1•ecA-Wl i ire al) ),egos ovd e FROM: 7. 1. 13 TO: ~ • 1:5- I4 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) personNendor at the end of the reporting period) First Name 7 Uddie Name Last NameBusiness Name Address City State Zip Code Dm*bn of Obligation First Name Mfddie Name Last N Name Address City State Zip Code Description of Obligation First Name MddleName Last Name/Busirress Name Address M State Zip Code DesaWw d Obligation First Name Middle Name Last Nam /Bushiess Name Address City State Zip Code DescrOM of obligation First Name Aeddle Name Last Name/Busirms Name Address M State Zip Code Description of Obligation 4. TOTALS (Total from Outstanding Balance - (End of Period) column must also be shown in item 23b. on summary page.) CJ OD Agm -7 SS-1127 (Rev. 4/02) Page of RDA 1159 Print Form Appointment of Political Treasurer For State and Local Candidates and Single-Candidate Committees INSTRUCTIONS The Appointment of Political Treasurer statement must be used to appoint a political treasurer as required by the Campaign Financial Disclosure Act (T.C.A. § 2-10-105) for state and local candidates and single- candidate political campaign committees. A state candidate may not receive or expend funds for an election until a political treasurer has been appointed for that election. A local candidate pursuant to T.C.A 2-10-101, maybe exempt from completing this form, please check with county election commission for more information. A candidate may appoint himself or herself as political treasurer. A new form must be filed if the treasurer is changed. Candidates for state public office must file their original Appointment of Political Treasurer statement ONLY with the Registry of Election Finance, 404 James Robertson Parkway, Suite 104, Nashville, TN 37243-1360. Candidates for local public office must file their original Appointment of Political Treasurer statement ONLY with their county election commission. 1. Date: 2. Name of Candidate or Committee: 3. Candidate e-mail address: 11/04/13 Committee to Reelect Mike Gallegos, Judge mikeag6@yahoo.com 4. Campaign Address and Phone: City State Zip Code Phone 1108 Greenfield Drive Maryville TN 37803 865-924-8316 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 General Sessions Judge, Division I Republican 2014 9. Treasurer Name: 10. Treasurer e-mail address: Jayne M. Gallegos gal legosjayne@gmail.com 11. Treasurer Address and Phone: City State Zip Code Phone 1108 Greenfield Drive Maryville TN 37803 865-924-8317 12. Candidate and Treasurer ignature (both signatures must be witnessed. Treasurer can not witness candidate's signature): Signature of Can ' ate U Signature of Treasurer ~g91017 h ti ~yl. Signature of Witness age 1, 0 p Signature of Witness 4 ti a 03~~3 J ~ CSy Registry of Election Finance bt! 01 6 8 SS-1120 (rev 10/2010)