Loading...
Talley, Michael FINANCIAL DISCLOSURE STATEMENT EXEMPTION Pursuant to TCA § 2-10-101(b) a candidate is exempt from filing financial disclosure statements due to the following: 1. The service for the office which I seek is part-time and the compensation is less than $1,000 per month, AND 2. 1 do not plan to'spend more than $1,000 on my campaign. *Candidates running for Chief Administrative Officer (i.e. Mayor) of the county or city are NEVER exempt from filing and should file the required campaign financial disclosure reports regardless of compensation or spending. CANDIDATE'S INFORMATION: Candidate's Name: Candidate's Position: l C vyfi~e_nw C.J , Cow C5 !5" P-2 Residential Address: City: ~0 Serf C State: TN Zip: I hereby state that I meet the above qualifications for exemption and am therefore exempt from filing financial disclosure statements. If any of the above change and I no longer qualify as an exemption, I will file the required campaign financial disclosure reports with my local election commission. Xi X"-,t ~ I a 035 Z~ X~i Candi ate's Signature 12 Date A, d - S42e-,, Ak. 4- Witness's Signature h RECEI w Date OR 212018 A M G1 N ELOUNT COUNTY o3 ELECTION I, ~b 6~ Wd ZL t~ FINANCIAL DISCLOSURE STATEMENT EXEMPTION Pursuant to TCA g 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: Candidates Position: Residential Address: State: TN Zip: City: w s I hereby state that I meet the above qualifications for exemption and am therefore exempt from filing financial disclosure statements. Candidate ignature Date Witne s'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. 6447 inn~l e~L~ w. mot.'-5 C-0 --A _,t, ~ ~v Appointment of Political Tr ea 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. 3. Candidate a-mail address: 1. Date: 2. Name of Candidate or Committee: -L6 ((e k o l • o , : l 1 4. Campaign Address and Phone: City State Zip Code Phone L~VBI~(E~~ J~pad-nom. 5. Home Address and one ('if different than item 4 above): City State Zip Code Phone 8. Election Year 6. Office Sought (include district number, if applicable) 7. Party Affliation Ss; n~ 9. Treasurer Name: 10. Treasurer e-mail address: 11. Treasurer Address and Phone: City State Zip Code Phone /L`o~.L 12. 7:; nature th signatures must be witnessed. Treasurer can not witness candidate's signature): d' Signature of Treasurer Signature of Witness Signature of Witness Registry of Election Finanoe SS-1120 (rev 1012010)