Morgan, Candy
hE
JAN 2 9 1p1~
r
CAMPAIGN FINANCIAL DISCLOSURE STATE
MENT
For State and Local Candidates
For Single-Candidate Committees
1. DATE OF REPORT 2.a. NAME OF CANDIDATE OR COMMITTEE
I /a /r3 J fa er
2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE
4.8. CAMPAIGN ADDRESS AND PHONE
Street or Rural Route city state Zip Code Phone
Lutzfci 1, r ar v)1 lrt T1v 316 a J - a 0-4
4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.)
Street or Rural Route City State Zip Code Phone
Ts OJT) t
5. OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate)
L lte G~ 3~_ ) C) a1A Oyt-n 11 on _
7. CATE RY OR REPORT Check one)
11 El 0 11 1:1 11
FIRST SECOND THIRD FOURTH PRE- PARE- MI YEAR YEAR❑-END
QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMEWAL SUPPLEMENTAL
8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD
I o (--)8 t 1
9. (Check one)
a. ❑ This campaign is exempt from detailed disclosure because contributions (including in4dnd) 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. Itwe 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 affirn that no campaign contributions have been expended for the personal financial
CTnefit of the candidate or for any other nonpolitical purpose as defined by the federal internal re ue code.
signature of candidate
date signet a of po I treasurer date
11., WITNESS SIG RE
J 1-~4
signature of witne date signs of witness date'
12. SUMMARY
a. BALANCE ON HAND LAST REPORT 6CJ
b. TOTAL RECEIPTS THIS PERIOD $ 1 ` j~~
c. TOTAL DISBURSEMENTS THIS PERIOD $ `v a G, 79
d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ U
e. TOTAL LOANS OUTSTANDING $
f. TOTAL OBLIGATIONS OUTSTANDING $
SS 1109 (Rev. 2/06) Page 1 of RDA 1159
SUMMARY PAGE - CANDIDATE
13 -.NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD
U FROM: N 1Z 1 TO: 11,5113
RECEIPTS
15. CONTRIBUTIONS (other than bans and interest)
a. Unitemized Contributions ($100 or less from each source this period) $ C) 0
b. Itemized Contributions (over $100 from each source this period) $ -jCj
c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ W L
16. LOANS RECEIVED THIS REPORTING PERIOD $ 0
17. INTEREST RECEIVED THIS REPORTING PERIOD
a
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) $ w
b. Itemized Expenditures (Over $100 each payee this period) $
c. TOTAL EXPENDITURES (other than ban repayments)(add 19.a. and 19.b.) $ q o~
20. LOAN REPAYMENTS MADE THIS PERIOD $
god
21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) $
22AWKIND 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) $
G TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 12.f.) $
SS-1133 (Rev. 4102) Page of
J
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE 050MMITTEE 2. REPORT COVERING THE PERIOD
M() r an FROM TO: 5
am- i0orl
U I n
3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $O H first itemized page)
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION canbbulions totaling more than $100 from a contributor
prsLNarm I dle Name Contrbution ReceNed For. Amount of Contr Lion
Last Name ❑ Primary Election to General Election
ttli
`i I I-I ear- I ~.t.1 I I [I Runoff (Local Elections Only) $DOQ _ 00
City /n „t It Stale Code, I Date of Contrbution Aggregate This Eledion 1AI $ Dbo- 00
LMP"W
Middle Name Contribution Received For. Amount of Contrbubon
l8$( n bn Name ❑ PrimaryElection psl Gem W Election
ao~ ~
Address oo _ 6~ `L VU I~ [I Runoff (Local Elections 0* oc)
lJl to
C+h y~ 1 Sr ` Codrq L Date of C ftution Aggregate This Election
133 Q-
OM"bwn
~ta~- iauc~l '
199*14 .
~x f" Name Contribution Received For. Amount of Contrbubon
ao
r)p ❑ Primary Election RGenerel Election
Add
W8 O xfo r-( Hit ► 17 r ❑ Rtmotf (Local Elections Only) '500,00
n e ,gyp zip Code_ Date of Contribution Aggregate This Election
C"y mafi- It 3- Q3
Occupation I'~rvr cab
Crum- ~ -
Fa Wit ftne Contribution Received For. Amount of contriNftn
LssiNama~OryartQationName ❑ Primary Election v General Election
❑ Runoff (Local Elections Only)
ciy Date of Contmbulion Aggregate This Election
BPS H
5. TOTAL ITEMIZED CONTRIBUTIONS
(Carry froward to item 3. of next page M adffw* pages of MrB ban are used.) V 1050 - W
(M ft is Mb last page of coobb Aiom this amount must be shorn in Item 15b. of summary.)
r~
S SS-1131(Rev. 2/06) Page , of L~ RDA 1159
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
1. N ME OF CANDIDATE OR MITTf E ^ 2. REPORT COVERING THE PERIOD
mcua l7 r ~ 1 1ROM:j6 IZ. TO: i J5 I
Amount
3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) t 050. 0~
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor
FI ame Mlddiere Contribution Received For: Amount of Contribution
anC~u a r~ L
Qx~ j Last e/Organizatlon Narr ❑ Primary Election General Election
30 -
Addre a ❑ Runoff (Local Elections Only) v v
city 1 t Sto , Z; c Date of Contribution Aggregate This Election
OccuP@tory~1~~~ J~.l l o ~ ~(J~) (J~)
Employer ! J
iJA
Fi me Middle Name Contribution Received For: Amount of Contribution
a
r L IOrganizatlon Name El Primary Election V General Election
~ 513.5 O
Address ❑ Runoff (Local Elections Only)
Cary Z; Code O~ Date of Contribution Aggregate This Election
occupanonV \ BO
~VIU l~l~~i0 ~oZg/ l~ l ,
Employer
FirstN iddleName Contribution Received For: Amount of Contribution
_~.r~tl~do3e
t6cnW as a an name ❑ Primary Election General Election 1
6zo Add ❑ Runoff (Local Elections Only) 1T~►
` ` ' q
City rate Zi Codeg , Date of Contribution Aggregate This Election
Occupation
I J
Employer
First Name Middle Name Contribution Received or: Amount Contribution
Last Name/Organizanon Name ❑ Primary Election ❑ General Election
Address ❑ Runoff (Local Elections Only)
City State Z1pCode Date of Contribution Aggregate This Election
Occupation
Employer
5. TOTAL ITEMIZED CONTRIBUTIONS
(Carry forward to item 3. of ne)d page 9 additional pages of this form are used.) C~ C~ 1 "I
(If this is the last page of contributions, this amount must be shown in item 15b. of summary.) J
SS-1131(Rev. 2/06) Page -q- of 5 RDA 1159
3301.3- 9
ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMM 2. REPORT COVERING THE PERIOD
C (Y 10 ra a f) FROM:0 Z I L T0: 1115
n
3. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 132 -
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED IN-KIND CONTRIBUTION (rt-kind wilrbud" bWkV more than $100 kom any conhbudor du'k'e the peri4
First Name M ddle Name In-Kind Contribution Received For. Value of In-Kmd Contribution
Primary Election ❑ General Election
Lost NamelOryadratim Name ❑ Runoff (Local Elections Only)
Address tale o Kid Carirbut on Aggregate Ibis Election
Stale TV code Description of ki-KW Cordrb idM
D~~ Enpbyer
First Name Middle Name kWKW Contribution Received For. Value of kt4W Contribution
C] Primary Election ❑ General Election
LastNamelOrgwaltionNm ❑ Runoff (Local Elections Only)
Address Dale of h-" Conkbution Aggregate ttrs Bec
Cy Safe ZpCode Desaipliarakr-Kn w*biAon
O E>+
First Nm Middle Name "nd Contribution Received For: Value of In4W Contribution
Primary Election ❑ General Election
Last NarrreJOryanization Name
❑ Runoff (Local Elections Only)
Address Dab dh40nd ibufon Aggregate ft Section
cky Stale Zip code Desaiption of kernel Car WWn
Err~
First Name Middle Na ne In-Kind Conbtubon Received For. Value of In4W Contrllubion
Primary Election ❑ General Election
Last NsmelOrgengstan Name
❑ Runoff (Local Elections Only)
Address D* of k}KrbCw*Ix On AA9regslefirsElecbw
CAH Stale LpCode Dasa0mofboatCankbrAon
0cwpab- Engbyer
FWNm MiddaNm In-Kind Contribution Received For. Value of krKnd Contribution
Primary Election ❑ General Election
❑ Runoff (Local EMU= OnM
Address Dsle of h-OW ConkbrAOn Agwegate ft Bection
City stale Zip Cade Desaipbon of "M Co lrbution
ucmpnm "'p"
5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS
(Carry browd to item 3. of nett pegs tr additional pages of ors form are wed.)
IN OA is be fast page of b *k d cx*butions, 4ris amount must be shown in item 22b. of summary.)
SS-1128 (Rev. 2106) Page_ of RDA 1159
ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE
1. NAME QF 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 Wing more than $100 b any payee during the period)
Rmt Nana Mxldle Name Purpose of Expenditure Amount of Expenditure
last mess Name 15 n3 J q cv
i or or ~I~nS 1I~ TO Addu~~ oo uo th 5~. J
aty Stata zip code
eT)ave,o o oar aeo
First Nana Middle Name Purpose of Expenditure Amount of Expenditure
LagNwel3us Nam
`horn V) or ~1ac~n~~ 50
Aga a O~~'
City stow Zip Code
~~~f+ z5Dbo D
Rrst Name Middle Name Purpose of Expenditure
I I Amount of Expenditure
last Harefflusiress Name v tR c. 1' iteu W l~ r~
Qlain X ffbi
~V~ adIe ~Flr~
City stabs zip Code
Louiavi i 1 Q
Fast Nana Middle Name Purpose of Expenditure Amount of Expenditure
last Nwl)a~ Nam ram C4tz U (~j~
1000 -0~
cay stale zip code
1" 1 ~ e) vL
La le
First Name Riddle Name Purpose of Expenditure Amount of Expenditure
last J~ ~t5
0Uq-I~fus 30~.c
,tddreaa o - ~ 5 ~-le.~~ou~ ~ In •
City vi1 l Staie ~
o 3 a
Fkst Name Middle Name Purpose of Expenditure Amount of Expenditure
last Na fflusiness Nave
Address
City State Zp code
5. TOTAL ITEMIZED EXPENDITURES
(Caryforward b ibm 1 d reed papa d additional pages of this ram are used.)
(K this Is the last page otexperdikm, this anaxx must t o shown in ibem lW of summary.)
SS-1129 (Rev. 4102) Pape- of C 7~6 A 1 %
ITEMIZED STATEMENT OF LOANS - CANDIDATE
2. REPORT COVERING THE PERIOD
1. NAME OF CANDIDATE OR COMMITTEE FRONT: T0:
3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED LOAN (bans lotafag more lhao 5100 from any source during the period)
Complete the Following for the Sauce of the Loan Loans LOW Outstanding Loan Balance
Outstanding lean Balance Payments (End o (period)
FYst Name OAddb Name (Beginning of Period) Fred
Last Nanne/Organasbon Name
Date dln
Address Loan Pwoeived For
E3 Primary Elacbon ❑ General Election
CAy Staff LP Code ❑ Rome (Local Eleebons Ody)
List 111 Endorsers or Guarantors for Above Loan (I( more space is needed Diem attach a page)
Middle
Md* Name Fust Name
Kane
First Karne
Last NamelOnpanaatwa Name
last NamelOrgariiatia+ Name
revs
Address
State ZP Code
Gb State Zip Code Cfly
Guaranteed Outstand'a+p
/urqurdGua XMW Outslarrdng
Middle Name
Middle Name Fast Name
Fast Name
Last NamerOrganizdiar Name
Lad NamelOrganrzation Name
Address
Address
city 7p code city State Zip Code
Guaranteed Outstanding
Amourd Guaranteed Wlstardbq
Middle Name
WKW18 Name Frst Name
First Name
Last WamdOrgxkAdw Name
Last H>mmOrgaNta~n Nerve
WA
Address
pte
late LP Code
nawrlGuaranteed Outstanding
Amount Guaranteed Outstanding
Middle Name
MirWle Name First Name
Fad Name
t NamalOr9anvation Name
Last NamdOrganizatim Name
Address
Address Stale
City zip Cade
State Tip Code city Y
Guaranteed putstand'aq
Amount Guaranteed OutsbMi g
. Tofa nor all Loans (completeon last page of Rerohted loans) Oulstandi g Loan Balance a P LOW Oufsla (End .lv of loan Balance
inn~~{d Period)
4
(total bans received should also be shown in item 16. an summary page.)
SCJ fU
(kcal ban payments shaAd also be shown in item 20. on s inary tape.)
(ToW outstanding ban balance shodd also be shown in item, 2.e. on front W-) Page of RDA 1159
j SS-1132 (Rev. 4102)
ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE
1. NAME OF NDIDATE R COMMI E 2. REPORT COVERING THE PERIOD
G FROM: I 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)
FW Name hA&%Name
Last Nwafflusiness Name
Address
cr state np code
De-Ow Of Uob;;*-
nmt Name lidde Name
t
Address
C* 460-*
Dmvoon of0*aran
FW Name r~cedte Name
Last NwalBusiness Name
Address
C4 slate Zp code
oesor0- of 0brgation
Find Name Fiddle Now
Last NamelBusimn Now
Addmu
CAr Stale Zip code
Desa0m orobfgaBon
Flrst Name Mdde Name
Last Nameftak e s Name
Address
City SWA Zip Code
DBSOrip m of Obkafim
4. TOTALS
(Total from OubwndkV Balance - (End of Period) column must also be shown J-0
in Rem 23b. on summary page.) ® SS-1127 (Rev. 4/02) Page ~ or RDA 1159
FINANCIAL DISCLOSURE STATEMENT EXEMPTION
Pursuant to TCA 5 2-10-201(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 $500 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: CQ
l ,
Candidate's Position: Scilal OS o r-cG
Residential Address: ~ -7 ~ V,'j PAST- r~~ l ' v ei
City:
r~ I State: TN Zip: 3~ C
I hereby state that I meet the above qualifications for exemption and am
therefore exempt from filing financial disclosure statements.
12
Ca di to Signature Date
fitness' 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.
Qk ~r
v
1\9
9 ~a
sy~z ~ Wa
~ ~ Print For
ppointment of Political Treasurer
or State and Local Candidates and Single-Candidate Committees
A z4
p INSTRUCTIONS
C9 a
The dirttM6 f 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, may be
exempt from completing this form, please check with county election commission for more information. A
candidate may appoint himself or herself as political treasurer. A new form must be filed if the treasurer is changed.
Candidates for state public office must file their original Appointment of Political Treasurer statement ONLY with
the Registry of Election Finance, 404 James Robertson Parkway, Suite 104, Nashville, TN 37243-1360.
Candidates for local public office must file their original Appointment of Political Treasurer statement ONLY with
their county election commission.
1. Date: 2. Name Candidate or Committee: 3. Candidate e-mail address:
GT I Z L y I'Y1 Can ~1~or caw rra i t
0rccuj
4. Campaign Address and Phone: City State Zip Code Phon
11'_n 'bri ve, Ma( V; Ili TN 3-1 03
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. Parry Affliation 8. Election Year
IrY1~~~ViIle- Lit AID( 36::~V_C~ ~v 1
9. Treasurer Name: 10. Treasurer e-mail address:
c,r Huf'TrnanTonn C _j c p o-"i U ooh ~6 . Cam'
11. Treasurer Address and Phone: City State Zip Code Phone
12. Candidate and Treasurer Signature (both signatures must be witnessed. Treasurer can not witne s ca didate's signature):
Signature of Candidate Signature of Treasurer
s
Signature of Witness Signature of Witness
Registry of Election Finance