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Evans, Lance
J . CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Judicial Single - Candidate Committees 1. DATE OF REPORT 2.a. NAME OF CANDIDATE .TG Po/ G ~i✓c FP%,'WS 2.b. NAME OF CANDIDATE'S COMMITTEE q 3. ELECTION DATE Cf]M I C° To f'C ANC C' ~I✓/i~~ M a®~ y 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone 4.b. CANDIDATE'S HOME ADDRES (if different than 4.a.) Street or Rural Route City State Zip Code Phone 5. JUDICIAL OFFICE SOUGHT (include district number, if applicable) 6. NAMEPF POLITICAL TREASURER 7. CATEGORY OR REPORT (Check one FIRST AD THIRD FOURTH PRE- PRE- MID-YEAR YEAR-END UARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD 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 Xand/or expenditures total more than $1,000 for this reporting period. r, 10. SIGNATURE OF CANDIDATE 11. SIGNATURE OF POLITICALTREASURER 1 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 p defined by the federal internal revenue code. Signatue of Witness Date Signatur Hof Political Treasur r Date 7° 7-r ignatue of Witness Date 12. SUMMARY a. BALANCE ON HAND LAST REPORT $ G 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..../..~✓..~.•~-t~h°Ei/v~'~/ .....~~'1 dl.Qll~............ $ f. TOTAL OBLIGATIONS OUTSTANDING $ SS-1137 (Rev. 2/06) Page 1 of RDA 1159 SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT OVERING THE PERIOD S FROM: TO: ~ RECEIPTS y 15. CONTRIBUTIONS (other than loans and interest) 1 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 $ Q0 17. INTEREST RECEIVED THIS REPORTING PERIOD $ ¢ 18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) $ ~(J e 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) $ _3 e_ c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $ O 20. LOAN REPAYMENTS MADE THIS PERIOD $ 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) $ s 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 i item 12.f.) $ 0 SS-1133 (Rev. 4102) Page of ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR C MMITTE ~s 2. REPO T COVERING THE PERIOD FROM: TO: Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor First Name M dale Name Contribution Received For: Amount of Contribution Last Name/Organization Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) city Slate Zip Code Date of Contribution Aggregate This Election Occupation Employer First Name 7 MddleName Contribution Received For: Amount of Contribution Last Name/OrganizatlonName ❑Primary Election General Election Address ❑ Runoff (Local actions Only) City State Zip code Date of Con ' ubon Aggregate This Election Occupation Employer First Name x1dleName Contribution Received For. Amount of Contribution s Name)OrganlzaW n ame ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) city state zip Code Date of Contribution Aggregate This Election Occupation Employer FlrslName Middle Name Contribution Received For. Amount of Contribution Last Name Organization Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) city, Seale ZlpCode 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.) (If this Is the last page of contributions, this amount must be shown in Item 15b. of summary.) of RDA 1159 SS-1131(Rev. 2/06) Page 3- --7- ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE kill, 1. NAME OF CANDIDATE OR COMMITTEE' 2. REPORT COVERING THE PERIOD >~MS FROM: T0: moun 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 contnbulions totaling more than $100 from any contributor during the period) First Name Lf Middle Name In-IGContribution Received For: Value of In-Kind Contribution Primary Election ❑ General Election r Last Name/Organization Name J ❑ Runoff (Local Elections Only) / D Address ,.-O3~ ,-a r Date of In-Kind Conti lout"an ~/3 Aggregalo this Election city~d a/ S we Zip Code G Description of In-"Conlnbution J - 79 Occupation Emplayor First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution Last Na /0 iza Primary Election El General Election V 'Name A - f~~ ❑ Runoff (Local Elections Only) me 7,27,9e; / Address OL/ Date of In-" Contribution / Aggregate this Election City Stale J zipcode Description of In-IWContribution / 1/ O ccupation Employer First Name Middle Name In-Kind Contribution Received For. Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last Name/Organizatkm Name ❑ Runoff Local Elections Only) Address Date of In-KI d Contribution Aggregate this Election city State ZLpCode Description of In-KInd Contribution an 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-KW Contribution Agoregale this Election CAy State L'pCode Kind Conirbution 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 Data of In-ford Contibution Aggregate this Election City state ZJp Code Description of In-Kind Contribution occupation -95P3yer r'~► 5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS (Carry forward to Item 3. of next page N additional pages of this form are used.)/ y (It this is the last page of in-kind contributions, 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 COMMITTEE HF REPO T COVERING THE PERIOD 04122/4-- 3, : 3p l moun 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 Leg D S I Lt PR , Addrrl`5_s 4 Y. State , L TAI 1 3 7code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Nusinm Bess Name J r 4~d S rS/ !J 2 7 Address All City State Zip a 31756;1--l First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name Busin ss Name Address City State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last NameMusipessName Di SC~j Vic C D IT TCC) , Address C~/ _SS 7 City Stale Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Karriefflusiniss Name t 4D Address 30 E g r,~ ~U /L city State - Zip Code J o First Name Middle Name Purpose of Expenditure Amount of Expenditure Les Name/Business me A 0i Address Gty State Zip Code 5. TOTAL ITEMIZED EXPENDITURES (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.) SS-1129 (Rev. 4B2) Page of RDA 1159 ITEMIZED STATEMENT OF LOANS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FR M: T0: .~l✓CC L V 71,Al S ~~7114 30 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 S (Beginning of Period) Recelved Payments (End of Period) Last Name/Organization Name Address Loan Receivveed For: D~~'ate of Loan T /lel 1?~`Frimary Election ❑ General Election Gly Stale Zip Code O [1 1 / Runoff (Local Elections Only) Lei 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 NamelOrganizalion Name Last NamelOrganizallon Name Address Address CAy State Zip Code CHy State Zip Code Amount Guaranteed Outstanding Arnount 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 Stale Zip Code city State Zip Code Amount Guaranteed Outstanding ount 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 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 bans 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 hem 20. on summary page.) 6- ~G (Total outstanding loan balance should also be shown In Item 12.e. on front page.) (j p 01 Pa' qklfflk SS-1132 (Rev. 4/02) ge of RDA 1159 i NT OF OBLIGATIONS 'CANDIDATE ITEMIZED STATEMENT 2. REPORT COVERING THE PERIOD FROM: T0: Outstanding Balance 1. NAME OF CANDIDATE OR COMMITTEE putstanding Balance Debt This Peri Incurred payments This Period nd of Period) od) od eginning of Peri (B any D 3. COMPLETE obi gat oROORaAng more than $100 owed to OBLIGATION (obligations personNendor at the end of the reporting period) Middle Name First Name Last NwIaGusiness Name Address State ZAP t ode city Description of pbligation Middle Name First Name ast a usmess Name Address State Zip Code city Desaiption or Obligation Middle Name First Name Last NameBusinessName Address State Zip City Description of ObligaW Middle ame First Name i Last Name iness Name Address State Zip Code city Description of obligation Middle Name Rrst Name Last Name.Business Name Address State zip code city Desaipbw of obligation 4. TOTALS (Total from Outstanding Balance - (End of period) column must also be shown , ♦ in item 23b. on summary page.) Page of RDA 1159 SS-1127 (Rev. 4102) CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Judicial Single - Candidate Committees 1. DATE OF REPORT J~ L 12.a. nN - e - A E 2.b. NAME OF CANDIDATE'S COMMITTEE ( L 3. ELECTION DATE Com M ' 1 '/0 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 (inciude district number, if applicable) 6. NAME 0f POLITICAL TREASURER ❑ ❑ ❑ ❑ ❑ 7. CATEGORY OR REPORT (Check on ❑ e) 11 FIRST SECOND THIRD FOURTH 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 REPORTINGPERIO ~l 0/ 'dvoe. 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. SIGNA11. SIGNATURE OF POLITICALTREASURER I do solemnly swear or affirm that the information contained in thiscampaign I l financial disclosure report is true and accurate. Additionally, I swear or affirm that no campaign contributions have been expended for the personal Sign ue of Candidate Dat financial benefit of the candidate or for any other nonpolitical purpose as defined by the federal internal revenue code. Signatue of Witness D e Signature of Political Treasurer Date ignatue of Witness Date 12. SUMMARY 3 a. BALANCE ON HAND LAST REPORT $ li DJ~1 b. TOTAL RECEIPTS THIS PERIOD $ 9 i c. TOTAL DISBURSEMENTS THIS PERIOD $ 719 d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ e. TOTAL LOANS OUTSTANDING 5 1) / V f. TOTAL OBLIGATIONS OUTSTANDING $ SS 1137 (Rev. 2/06) Page 1 oP~ RDA IIS SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTEE (In `Full) 14. REPO T COVERING THE PERIOD L /tilCC V ~/Y FROM: T0: RECEIPTS 15. CONTRIBUTIONS (other than loans and interest) `7 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 interestQ(add 15.a. and 15.b.) $ 16. LOANS RECEIVED THIS REPORTING PERIOD °3/ 3 2- 17. INTEREST RECEIVED THIS REPORTING PERIOD ry 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) sf a- 6oJi m~~~5ls~~l~~YS $ 31 ✓ r-&n $ $ $ $ a Total of Expenditures ($100 or less each payee) $ b. Itemized Expenditures Over $100 each payee this period) a !J I c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $ 7 9 20. LOAN REPAYMENTS MADE THIS PERIOD / 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) 1, tU1 7 e1[~ 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.) $ SS-1133 (Rev. 4102) Page 01. ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE P IOD L AI(-e 4, L-- /Y S FROM: TO: e7llg6Z& moun 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 /a~~/ Amount of Expenditure Last Name/Bus' ess Name C bT~G' r c/4~"`~ Y c~~CSoa Qrti Zt G1 f~~JA~ ~il~/c / Sv / rC~ Address Gry Stale Zip Code i L ,rJ First Name Middle Name Purpose of Expe diture Amount of Expenditure Last Name/Buslnes Name gel f'~d S~ vl CCU ~ / ! J Addres D City State Zip Code o vi ll~ iW 37~sO .de. 14 First Name Middle Name Purpose of Expenditure Amount of Expendihire Last Name/Business Name ~7 IL-14 P.PD s i b s U /D~ Address J35-5- ~ M 1~ / l `111 Gty State Zip Code mat tid1zf First Name Middle Name Purpose of Expendtture Amount of Expenditure S l6 A/ Last Name siness Name CICS" Address 3 ) 1 ,JO Jle Cily J Slate Zip Code dot' Off-/ 1 5r2V 3 First Name Middle Name Purpose of Expenditure ` ~rJ Amount of Expenditure Last N /Business Name I e-6r- Mad Address n~ 37 / 9'7 City Slate i- Zip Code First Name Middle Name Purpose of Ex d' ur Amount of Expenditure Last Name/Business Name Address Gry State Zip Code 5. TOTAL ITEMIZED EXPENDITURES (Carryforward to item 3. of next page if additional pages of this form are used.) I vv (If this is the last page of expenditures, this amount must be shown in item 19b. of summary.) SS-1129 (Rev. 4/02) Page of RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT C VERING THE PERIOD a6 L tIN~~ ~1/.~N~ FROM:ef. / - TO' 71 Amount G 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) 3 Q~O 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 Expe dilure Amount of Expenditure Last Name/Business Name / oa Address 144 ,,~_f ~ Gty 14r Slate / Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Buslness Nam 6 ,8 k~a o f~~~tv~~ rt7 Address City Stale Zip Code First Name Middle Name Purpose of Expenditure ~v T Amount of Expenditure Last Name/Business Name U-)"41 ~25iY Address City State Zip Code t.7 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last NameBusine Name 1N ,041 Address 3 ` v / r C Gty Slate Zip Code N1 ~`UI ~r nl 37~ First Name Middle Name Purpose of Expenditure Amount of Expenditure Last N 1Bess Name S f !/Y.,:7 Si4 / ~S n Address P)c ( City State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address Gty Stale 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.) VVV SS-1129 (Rev. 4/02) Page T of _ RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NA YE OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD ~jl FROM:z/ T0: Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contnbulions totaling more than $100 from an contributor First Name 7 middle Name Contribution Received For: Amount of Contribution Last am/Organization Name Primary Election ❑ General Election 1~~~T Address ❑ Runoff (Local Elections Only) S U ~ S Slate Zip Code Dale of Contribution Aggregate This Election c I Ll vr9 7/1~ 3 O Occupation Employer First Na S , o~ Middle Name Contribution Received For: Amount of Contribution ~1 ~ Last Name/Organization N/a]me rimaryElection ❑ General Election Yl I Address ' / (J STE ❑ Runoff (Local Elections Only) 3 City State Zip Code Date of Contribution Aggregate This Election o yr ~ Occupation MFPTff Sam/ ~ ~ First Nam kirldle Name Contribution Received For. Amount of Contribution s ame rgan name ~rimary Election ❑ General Election Address ❑ Runoff (Local Elections Only) State Zip Code Date of Contribution Aggregate This Election City o vi/l 1741 37 a~ Occupation m r First Names Noddle Name Contribution Received or: Amount o on bubon Last NamelOrganizalbnName ❑ 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 r (Carry forward to Rem 3. of next page R additional pages of this form are used.) Of this Is the last page of contdbutlons, this amount must be shown in Item 15b. of summary.) SS-1131(Rev. 2/06) Page of RDA 1159 ITEMIZED STATEMENT OF LOANS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD TO: FROM/ 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/Organ zation Name -3i'391 Addr Lo Received For: Dale of Loan { Pa Primary Election ❑ General Election / ^ n~ go City /l C StV/ `F J T / a ('J Cf El 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 Slate 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 Gly 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 Gty Stale 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 Gty State Zip Code Gty 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 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.)' "k. (Total outstanding loan balance should also be shown in item 11.e. on front page.) 3 f~s SS-1132 (Rev. 4/02) Page ~ of ~ RDA 1159 ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE 1. NA E OF CANDIDATE OR COMMITTEE 2. REPOT OVERING THE P RIO ~l FRO T0: mo n 3. TOT ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 it firs( itemized page) 4. COMPL E 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 NamelOrganization e ❑ Runoff (Local Elections Only) Address Dale of In-fCM ContrdxAion Aggregate this Election city Stale 7_ipcode Description of In-KIM! Contribution Occupation Employer First Name Middle Name In-Kind Contribution Received For. Value of In-Kind Contribution ❑ Primary Election ❑ Genera( Election Last Name/Organization Name ❑ Runoff (Local Elections Only) Address Dale of In-Kind Contribullon Aggregate this Election City Slate ZipCode Description of In-K in l 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-lord Contbft a Aggregate this Election City Stale Zip Code Desaiption of In-Kind Contribution Occupation Employer First Name Middle Name In-Kind I ntdbu6on Received For: Value of In-Kind Contribution El Pri ry Election ❑ General Election Last Name/Organization Name ❑ Runo Local Elections Only) Address Date of In-KIM C Ion Aggregate this Election city State Ztpcode DescipGonotln-I4M trtbul'an Occupation Employer FKrstName Middle Name In-Kind Contribution Receiv For: Value of In-Kind Contribution ❑ Primary Election ❑ eneral Election Last Name/Organization Name ❑ Runoff (Local Elections 0 ) Address Data of In-KIM Contribution Aggregate this Election City Stale 27pCode Descriplbnofin-KWContributbn O=tpalion yer 5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS (Carry forward to item 3. of next page If additional pages of this form are used) (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 IT- of RDA 1159 ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE 1. NAME 10 /CWDIDATE OR CO ITTEE 2. REPORT COVERING THE PERT D h~ /✓L C Lam(/. ~~Y FROM: TO: 3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED Outstanding Balance Debt Incurr d Payments Outstandin Balance OBLIGATION (obligations totaling more than $100 owed to any (Beginning of Period) This Period This Period (End of Period) personlvendor at the end of the reporting period) First Name Middle Name Last Name/Business Name Address city State Zip Code Description of Obligation 01 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 NanrAusiness Name Address City State Zip Code Description of Obligation First Name Middle Name Last Nw Busin Name Address Gty State Tip Code Description of Obligation `mow 4. TOTALS (Total from Outstanding Balance - (End of Period) column must also be shown in item 23b. on summary page.) RDA 1159 SS-1127 (Rev. 4102) Page of CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Judicial Single - Candidate Committees 1. DATE OF REPORT 2.a. NAME OF CANDIDATE C,5- p o/ Cy _5 2.b. NAME OF CANDIDATE'S COMMITTEE 3. ELECTION DATE Cony ~c Z'~' _l/et' 110,-e s o ao~ 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone 4.b. CANDIDATE'S HOME A RESS (if different than 4. 6.) Street or Rural Route City State ' Zip Code Phone 5. JUDICIAL OFFICE SOUGHT (include district number, if applicable) 6. ME OF POLITICAL TREASURER Crhr~ S~ssi ohs Jv~ c 7Jivo61,p7 7. CATEGORY OR REPORT (Check on❑e) ❑ ❑ ❑ ❑ AT 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 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./9 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 CANDD 11. SIGNATURE OF POLITICAL TREASURER L;7 I do solemnly swear or affirm that the information contained in thiscampaign L~ / 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 of Political Treasurer Date g w-e of Witness Date 12. SUMMARY p _ a. BALANCE ON HAND LAST REPORT $ b. TOTAL RECEIPTS THIS PERIOD C. 3 c. TOTAL DISBURSEMENTS THIS PERIOD $ d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ 3 e. TOTAL LOANS OUTSTANDING $ f. TOTAL OBLIGATIONS OUTSTANDING SS- 113 7 (Rev. 2/06) Page I of-Lo- RDA 1159 SUMMARY PAGE - CANDIDATE 13. NAM OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD 1_19A ICE ~/I /✓S FROM:/ VI / T0: 3 3/ / RECEIPTS 15. CONTRIBUTIONS (other than loans and interest) a. Unitemized Contributions ($100 or less from each source this period) 9_C' b. Itemized Contributions (over $100 from each source this period) $ L c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ 11 ;2 'T 16. LOANS RECEIVED THIS REPORTING PERIOD $ ll 17. INTEREST RECEIVED THIS REPORTING PERIOD 18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) 7 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) 14!n~ Ex=Pen s~s $ .357 13,9A- $ '30 Pos rAsl_ e $ .S 11q N ,dos TS $ / en $ d2 SO $ $ $ $ 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.) $ Gf/ a~ 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) $ i 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 i item 12.f.) 0 SS-1133 (Rev. 4102) Page . of /0 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIO C W-s FRO • T0:3 3 m3. 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 Sl~i~ y 11337 .:;t MPAin7' ba6?Dp ✓ Address ajl~ zz City QlQI hG 7i✓ Z' e First Name Middle Name rPurpose of Expenditure Amount of Expenditure Last Name/Business Name f ' 147 - b, ~~a sin yr~~~- Address 415- 67, city State Zip Code ha~~ ' z Ss~o~y /~th'rPS/ A First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name 41p, F N h/ llav' o AddressG V / ljQ ► l~,/ r~ ~1'~~~~ Sao City State Zip Code lV1119 vll,--- T,,/ 3 7,5 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last NamerBusiness Name 5p~`' Oe Address/ ,J /r✓i~ City State Zip Code ~/1 a~ ail/G 3 7$01 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last N usin ss Name A/ Address a City ^CC ~o~ /Ia state Z3 78-0'/ First Name Middle Name Purpose of Expenditure Amount of Expenditure Last N sines Nae Address 3 0 Wt1 ~v %/e star X37 5. TOTAL ITEMIZED EXPENDITURES s (Carry forward to item 3. of next page if additional pages of this form are used.) ~V (If this is the last page of expenditures, this amount must be shown in item 19b. of summary.) 4ft SS-1129 (Rev. 4102) Page 3-of /0 RDA 1159 ITEMIZED STATEMENT OF LOANS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: T0: 3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITE ED LOAN (loans totaling more than $100 from any source during the period) Complete the Following for the Source of the Loan First Name Middle N Outstanding Loan Balance Loans Loan Outstanding Loan Balance De Ax& 1A A (Beginning of Period) i Payments (End of Period) Last Name/Organization Na`lne / ~'3 Address Loan Received For: Dale of Loan Primary Election ❑ General Election GlY/ `N~yV ~0~ z ❑ Runoff (Local Elections Only) List All Endorsers or Guarantors for Above Loan (If mote space is needed please attach a page) First Middle Name First Name Middle Name Last Name/Organization Name Last Name/Organization Name Address Address GtY State Zip Code Gry 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 Gty 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 Nano Middle Name First Name Middle Name Last Name/Organization Nance Last Name/Organization Name Address Address Gty state Tip Code city State 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 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 1 Ze. on front page.) 0 SS-1132 (Rev. 4102) Page of RDA 1159 w. ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAVE OF CANDIDATE OR COMMITTEE 2. REPO T COVERING THE PERT D /l 5 FROM: A6 T0: 3 3/ I mqunt 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 Gty State / Zip Code 4:~:'/ First Name ` Middle Name Purpose of Expenditure Amount of Expenditure Last NamerBusiness Name is~~Y- M~ s l~ooz)~s Address swTrPtirT S /C 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 NamelBusiness Name Address City State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last NameMusiness Name Address City State Zip Code 5. TOTAL ITEMIZED EXPENDITURES [~-1 (Carry forward to item 3. of next page if additional pages of this form are used.) (i / S (If this is the last page of expenditures, this amount must be shown in item 19b. of summary.) SS-1129 (Rev. 4/02) Page of v RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NA4E OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIO F FROM:,//g/Zf TO: 3 Awl 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) p~ 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures totaling more than WO to any payee during the period) First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Nam J / 1 z f Address Pw ©STS Gty Slate Zi Code ,4- w 7801 ll~ First Name Middle Name Purpose of Expenditure Amount of Expenditure last Name/Business Name a~P~T e Address cv~ 1l 1030 ~lvgfr, 5 Gty State Zip Code 1 , -v,,4 1377c59 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name L OUT -51 / / 0 5/ 47 Address /i/1 / ~ 01 S" Gty Slate Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name-5/Business Nar;( C_ / TAO -5 Address 3 /o go vv, 3/ City Slate Zip code 7-Al 3 77a/ First Nave Middle Name Purpose of Expenditure Amount of Expenditure Last NamelBusiness Name 07 Address ~A City M~~ Stale ' Zip Code 1 ,tF/ First Name Middle Name Purpose of Expenditure / Amount of Expenditure Last Name/Business Nartle n, Address 3 Gty !State Zip Code 5. TOTAL ITEMIZED EXPENDITURES (Carry forward to item 3. of next page if additional pages of this form are used.) ICl j %D (If this is the last page of expenditures, this amount must be shown in item 19b. of summary.) ! 6 SS-1129 (Rev. 4/02) Page of 1__ RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD hc' ~U~i✓S FROM: -?114 1 T0:3 J / Amount 3. IFOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 4. COMPLETE THr*APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor First Name Middle Name Contribution fil'ceived For. Amount of Contribution Last Name/Organization Name Pririq`arylec~ ❑ General Election v1^/•r~ S le.'L/41 ~ / ✓C/ Address ❑ Runoff (L Elections Only) City State 7jpCode Date of Contribution Aggregate This Election Occupation Employer / S EM,A~o r°cJ First Name Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name ~Zfprimary Election ❑ General Election i A o .v 1 3C2~ Address,/ ❑ Runoff (Local Elections Only) 6 orn~i - • / City 5` A,-?OtJ!'~ State ~Zip Code 3 7 ds Date of Contribution Aggregate This Election Occupation - / 3)11 Employer S P/~ ~M no rc~ First Name iddle Name Contribution Received Foy: Amount of Contribution Last aName/Organization Nam ~ Primary Election E] General Election Jd04T co0'nm7' f lac, W Utz,5jo Address 000 L O 1-xf ;2o o ❑ Runoff (Local Elections Only) City !7) State Zip Code / Date of Contribution Aggregate This Election 570 Occupation l FM"W -Am First Name Middle Name Contribution Received or cunt o to ution PoA-P rl Last NamelOrganizatybn Name Primary Election ❑ General Election Address s2 G~ ❑ Runoff (Local Elections Only) City State Zip code Date of Contribution Aggregate This Election Occupation 3)o-211141 Employer Ci S /-F em,4yew_ -1 5. TOTAL ITEMIZED CONTRIBUTIONS (Carry forward to item 3. of next page if additional pages of this form are used.) (If this is the last page of contributions, this amount must be shown in item t 5b. of summary.) AW% SS-1131(Rev. 2/06) Page of ! RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE r 2. REPORT COVERING THE PERIO 1. NAME OF CANDIDATE OR COMMITTEE FROM T0: 3/ ` f / f E V /1~s Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor Amount of Contribution AA ddle Name Contribution Received For. First Name . 0 Primary Election El General Election Last Na Organization Name Address ❑ Runoff (Local Elections Only) Stale Zip Code Date of Contribution Aggregate This Election City s~ vr~vil~~ Occupation eAl e - Employer em ~„/t~ J1 ~i/ Contribution Received For: Amount of Contribution First Name Mx1dN Name El Primary Election El General Election Last Name/Organization Name ❑Runoff (Local Elections Only) Address Date of Contribution Aggregate This Election city Stale Zip code Occupation Employer ddleName Contribution Received For: Amount of Contribution First Name E] Primary Election E] General Election as a nizatron arm Rurloff (Local Elections Only) Address Date of Contribution Aggregate This Election City State Zip Code Occupation Contribution Received or Amount Contribution First Name Middle Name ❑ Primary Election El General Election Last Name/Organization Name El Runoff (Local Elections Only) Address Date of Contribution Aggregate This Election City Stale Zip Code Occupation Employer 5. TOTAL ITEMIZED CONTRIBUTIONS 1l 1 (Carry forward to item 3. of next page t additional pages of this form are used.) IN this is the last page d oontrbbutions, this amount must be shown in Kern 15b. of summary.) Page of ~O RDA 1159 SS-1131(Rev. 2106) ITEMIZED STATEMENT OF LOANS -CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE "R RT COVERING THE PERIOD / T0: ~ 3 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 Outslaading Loan Balance Loans Loan Outstanding Loan Balance (Beginning of Period) Received Payments (End of Period) ' Last Name lOrganizalton Name Loan Received For: Date of Loan Addres~sO~ / e n JJ / q /C G7 Primary Election ❑ General Election 3 City State Zip Code Ville 7/ 376, ❑ 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 Sta Cr Gly Stale Zip Code Gty Amount Guaranteed Outstanding Amount Guaranteed Outstanding Middle Name First Name Middle Name First Name Last Name/Organization Name Last Name/Organization Name A. Address Address State Zip Code Gly State Zip Code Gty 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 Gty , Amount Guaranteed Outstanding Amount Guaranteed Outstanding Middle Name First Name Middle Name First Name Last NamelOrganization Name Last Name/Organization Name Address Address Stale city State Zip Code City Zip Code Amount Guaranteed Outstanding Amount Guaranteed Outstanding 4. Totals forall Loans (complete on last page of itemized bans) Outstanding Loan Balance Loans Loan Outstanding Loan Balance B innin of Pori Received P menis End o1 Period (Total bans received should also be shown in item 16. on summary page.) (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.) ✓ E~ SSA132 (Rev. 4102) Page of-01 RDA 1159 ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM TO: -731 / noun 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 On-kind contributions totaling more than $100 from any contributordudng the period) First Name A~ /~~1~ Middle Name In-Kin Contribution Received For. Value of In-Kind Contribution /J)1 Primary Election ❑ General Election Last Name] an¢ation N me Q l b14pi\ ❑ Runoff (Local Elections Only) Address 7Or7 r Date ofIMGndCmitrib" Aggregate this Election ) onn oL v City Dm*fionofln; ndContdbuti Occupation f Employer i~r,~ 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-Nand Contribution Aggregate Us Election city sue Zip Code Description ofin-KndConbibubon 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-lard Contritxrtion Aggregate this Election City State Zip Code Description of I"nd Contritwtion Palau Yer 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 Inland Contribution Aggregate this Election City State Zip Code Description of In-land Contribution Occupation Employer First Name Middle Name In-Kind Contribution Received For. Value of In-Kind Conbitwtion ❑ Primary Election ❑ General Election Last NameArganization Name ❑ Runoff (Local Elections Only) Address Date of In-Kand Contribution Aggregate this Election CRY Zip Code Description of In-Kind Contribution Occupation HTOOM 5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS n (Carty forward to item 3. of next page If additional pages of this form are used.) Of this is the Iasi page of in-kind contributions, this amount must be shown in item 22b. of summary.) t Q~ SS-1128 (Rev. 2/06) Page of RDA 1159 ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE [3.* NAME OF CANDIDATE OR COMMITTEE 2. REPO T COVERING THE PERIOD COMPLETE THEAPPROPRIATE ITEMS FOR EACH ITEMIZED FROM:/ TO: 3 3 OBLIGATION (obligations totaling more than $100 owed to an Outstanding Balance Debt Incurred Payments Outstanding Balance person/vendor at the end of the reporting Period) First Name Middle Name Last Name/Business Name Address Gty State Zip Code Description of 0 igation First Name Middle Name t usmess Name Address Qty State Zip Code Description of obligation Flrst Name Middle Name Last NanwAusiness Name Address Ck State Zip Code De&Apdon of oblgation First Name Middle Name Last NaroelBusiness Name Address ~ State Zip Code Desaiption dObligation First Name Middle Name Last NarnAusiness Name Address city State Zip Code Description of obigation 4. TOTALS (Total from Outstanding Balance - (End of Period) column must also be shown in item 23b. on summary page.) Aft SS 1127 (Rev. 4102) Page L= of -LQ RDA 1159 .J ~ i CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Judicial Single - Candidate Committees 1. DATE OF REPORT 2.a. NAME OF CANDIDAT E 6 v/' 1 ~20I L'4/Vc c= e~- v/9^//S 2.b. NAME OF CANDIDATE'S COMMITTEE 3. ELECTION DATE / co / c * r-ci LQ ye- c 1~5 s!h/S m 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone le 7* 3 7 4.b. CANDIDATE'S HOME ADD SS (if different than 4.a.) Street or Rural Route City Stale Zip Code Phone 5. JUDICIAL OFFICE SOUGHT (include district number, if applicable) 6. NW E pF POLITICAL THE7~URER C Al a / Suess v, ~v v ' c, If7 /essof~ 7. CATEGORY OR REPORT (Check one) ❑ ❑ ❑ ❑ ❑ ❑ ❑ FIRST SECOND THIRD FOURTH PRE- PRE- MID-YEAR YE7~R-END QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD of 3 /_5; .201LI 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 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 ig tue 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 of Political Treasurer Dale / v ignalue of Witness Date 12. SUMMARY a. BALANCE ON HAND LAST REPORT $ O O b. TOTAL RECEIPTS THIS PERIOD $ S' c. TOTAL DISBURSEMENTS THIS PERIOD : . $ ~ d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ ~ e. TOTAL LOANS OUTSTANDING $ DSO ~ f. TOTAL OBLIGATIONS OUTSTANDING $ SS- 1137 (Rev. 2/06) Page 1 of RDA 1159 T SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTEE (in Full) 14. REPORT COVERING THE PERIOD A/CF S FROM: TO: /S- RECEIPTS 15. CONTRIBUTIONS (other than loans and interest) a. Unitemized Contributions ($100 or less from each source this period) $ C~ b. Itemized Contributions (over $100 from each source this period) $ ~s c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ A, 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 ($1x00 or less each payee this period) (must be listed by category - e.g., printing, postage, gasoline) ~4h $ $ $ $ Total of Expenditures ($100 or less each payee) $ b. Itemized Expenditures (Over $100 each payee this period) $.5 c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $ 20. LOAN REPAYMENTS MADE THIS PERIOD $ gso 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 i item 12.f.) $ SS-1133 (Rev. 4102) Page of i ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 2. REPORT COVERING THE PERIOD 1. N,rAME OF CANDIDATE OR COMMITTEE FROM: - ~ TO: / V.~~S Amount R 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 K first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor Amount of Contribution First Name Middle Name Contribution Received For. ALLh-1j Last Name/Organization Name Primary Election ❑ General Election f El Runoff (Local Elections Only) Address S 7 S state Zip Code Dale of Contribution Aggregate This Election City ity occupation 1 / ~1'A1rV Employer / Middle Name Contribution Received For: Amount of Contribution First Name T. vSS~ Last NamelorganizatlonName Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) SN ! zipc de Date of Contribution Aggregate This Election CRY N Occupation ~o~~a cA f s~ First Name 7 riddleName Contribution Received For. Amount of Contribution s J E Last anus ^(~7(Primary Election ❑ General Election r rpan an am me j` ; c) -5-3~ D Address ❑ Runoff (Local Elections Only) 3 v I-O This Election State Zip code Date of Contribution Aggregate ~ Ti~ 37 7 Occupation / )~~d / 13 Q~~~ m r First Name Middle Name -Contribution Received or Amount o Contribution Primary Election ❑ General Election Last NamePDrganlzagonNams ;260 Address ❑ Runoff (Local Elections Only) State Zip Code Date of Contribution Aggregate This Election CRY Occupation ir! / A,- 113 r ~~J r• Employer s P~~ E~'~ ~o r i 5. TOTAL ITEMIZED CONTRIBUTIONS (Carry forward to item 3. of next page If additional pages of this form are used.) (it this Is the last page of contributions, this amount must be shown In Item 15b. of summary.) r-- SS-1131(Rev. 2/06) Page 3 _ of _ RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT C VERING THE P RIOD TO: 1 /S L cam- /1 I/ FROM: 211 713 Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 N first itemized page) 11 1 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 Xprimary Election ❑ General Election Addres ~ ~DlJ yC~ ❑ Runoff (Local Elections Only) City Slate Zip Code Date of Contribution Aggregate This Election 1&e,& ~aa° 7 3 -3 Occupation Employer (yam First Name Middle Name Contribution Received For. Amount of Contribution Last NamelOrganizabnName *dmary Election ❑ General Election sC'C~ Address ❑ Runoff (Local Elections Only) At~O f City State Zip Code } Date of Contribution Aggregate This Election V 3 7 / / Occupation n ~rT©RAI j 7/ y W FlrstName riddle Name Contribution Received For. Amount of Contribution s ame rgan namePrimary Election ❑ General Election Gl Address ~ ~ 37-7 C'q 1 y ❑Runoff (Local Elections Only) t3L10~ City sue Zip Code Or.~ Date of Contribution Aggregate This Election s S iP Occupation -Employer 0-s ev First Name Middle Name Contribution Received or Amount o Contribution e Last Nam /Organization Name l)Q Primary Election ❑ General Election S/-/ Address 163 El Runoff (Local Elections Only) city ~I State ZIg~{ie~ Date of Contribution Aggregate This Election 412,4,f 1 Occupation 0/3 6/~,~ 7~s T;~ArC Employer 6 5. TOTAL ITEMIZED CONTRIBUTIONS (Carry forward to Rem 3. of next page If additional pages of this form are used.) Of this Is the last page of contributions, this amount must be shown in Item 15b. of summary.) J„ SS-1131(Rev. 2/06) Page _ v RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS CANDIDATE 1. NA E OF CANDIDATE OR COMMITTEE / 2. REPOT OVERING THE P RIOD FROM:) / TO: j 15-114 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 First Namef Middle Name Contribution Received For: Amount of Contribution 1~Ir dt/1`' ~ Last Name/OrganlzationName Primary Election ❑ General Election L Address po q,),5;2 El Runoff (Local Elections Only) r3o ~ ~ 37 City t Alf S e Zip Code Date of Contribution Aggregate This Election Occupation Employer First Name 7d*Nam Contribution Received For: Amount of Contribution Las[ NametOrgganntzzaation Name 129 Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) Y v Ale-S City F A9 S~ / Zip Coe Date of Contribution Aggregate This Election Occupation ~ 13 Employer First Name rild'a Name Contribution Received For. Amount of Contribution s ame rear an Nam ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City State ZIP Code Date of Contribution Aggregate This Election Occupation Employer Fist Name Middle Name Contribution Received or: Amount 0 Contribution Last NamelOrganization Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City State ApCode Date of Contribution Aggregate This Election Occupation Employer 5. TOTAL ITEMIZED CONTRIBUTIONS (Carry forward to item 3. of next page K additional pages of this form are used.) (If this Is the last page of conlributlons, this amount must be shown In Item 15b. of summary.) SS-1131(Rev. 2/06) Page '5~01` RDA 11159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERT D C/✓~ FROM:? / 11 TO: I moun 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) Middle Name Purpose of Expenditure Amount of Expenditure First Name lv~6s~~c ~ a LaslN meBusinpssName z 23~ Address ~ ~ ~ ~ C Q ~ d , L to 11 Gly Slate Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name W Address City State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last NamelBusiness Name 5~~~✓~ Address ^ ~ 3 S~d~C Dp~Li 7 city S 1/ ,l State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/ Dal BusinessOame / /L ,0~ 17~ Address 3 Q ~ AiPQ t/~' U C City State_ ` Zip Code /,V) GAF' tl (f IT~Y First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address City (7 State Ie ' Zip Code a i r 1 37-74 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address City State Zip Code 5. TOTAL ITEMIZED EXPENDITURES ~GI 3 (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.) SS-1129 (Rev. 4102) Page k of RDA 1159 ITEMIZED STATEMENT OF LOANS - CANDIDATE 1. NAME OF CANDIDATE OR /COMMITTEE 2. REPORT COVERING THE PERIOD OM: l F FR7/~ 0 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 e ; s r- I (Beginning of Period) Received J Payments (End of Period) Last Namelorganizalion Name _5 5 0 3G2~ S~ # C 4,A1 Address Loan Received For: Dale of Loan 6,14,f V ^ ~ Primary Election El General Election i / /I/, Sl/i7 Z37e ❑ 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 Stale Zip Code Dty 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 Oty 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 ount 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 forall Loans (complete on last page of ftemtzed 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 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.) SS-1132 (Rev. 4/02) Page of RDA 1159 ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE 2. REPORT COVERING THE PERIOD 1. NAME OF CANDIDATE OR COMMITTEE FROM: TO: D Outstanding Balance Debt Incurred Payments Outstanding Balance 3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZE 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 NamAZipCodde: Last NameBusiness Name Address City Stale Description of Obligation First Name Middle Name Last amelBusiness Name Address Slate Zp Code (Ay Description of Obligation Flrsl Name jiiliddlellaam Last NameBusiness Name Address City State Zip Code Description of Obligation First Name Middle Name ~-j Last NameBusiness Name Address City Stale Zip Code Description of Obligation Flrsl Name Middle Name Last NameBusiness Name Address Cm, State Zip Code Description of Obligation 4. TOTALS (Total from Outstanding Balance - (End of Period) column must also be shown In hem 23b. on summary page.) Page of RDA 1159 SS-1127 (Rev. 4102) ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE 2. REPORT COVERING THE PERIOD 1. NAME OF CANDIDATE OR COMMITTEE FROM: TO: moun 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) In-Kind Contribution Received For: Value of In-Kind Contribution First Name Middle Name ❑ Primary Election ❑ General Election Last Name/OrganizationName ❑ Runoff (Local Elections Only) Date of In-Kind Contribution Aggregate this Election Address S e. Zip Code Description ofIn-rindContri tiion City Occupation Employer In-IGnd Contribution Received For: Value of In-Kind Contribution First Name Middle Name ❑ Primary Election ❑ General Election Last NamerorganizatbnName ❑ Runoff (Local Elections Only) Date of In-Kind Contribution Aggregate this Election Address State Zip Code \ Description ot In-Kind Contribution City Occupation Employer Middle Name In-Kind CetItribution Received For. Value of In-Kind Contribution First Name ❑ Prima ledion General Election Last Name/Organization Name ❑ Runoff (Loca'I- lections Only) Date of In-IW Contribution Aggregate this Election Address CRY Slate Zip Code Description of In-Kind Contribution pa an Employer Middle Name In-Kind Contribution Received For. Value of In-Kind Contribution First Name ❑ Primary Election General Election Last Nam/Organization Name ❑ Runoff (Local Elections Only) Date of In-Kind Contribution Aggregate this Election Address City State Zip Code Description of In-K Ind Contribution Occupation Employer In Kind Contribution Received For: Value of In Kind Contribution First Name Middle Name ❑ Primary Election ❑ General Election LaslNamelprganizationName ❑ Runoff (Local Elections Only) Data of In-Kind Contribution JA ggregate this Election Address city state ZpCode Descriptionofin-KlndContribution pa ion Yer 5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS (Carry forward to item 3. of next page i1 additional pages of this form are used.) (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) „l SWORN AFFIDAVIT STATE OF TENNESSEE ) COUNTY OF BLOUNT ) Robert Wesson, Political Treasurer for the Committee to elect Lance A. Evans, being first duly sworn, with his signature below, with proper proof of identification, makes oath on information and belief, in due form of law, that the two campaign contributions made by Benjamin Barnett and Dianne Lashmit made on June 19, 2013 and June 20, 2013, respectively, were returned to the two contributors by U.S. Mail by checks dated no later than July 24, 2013. Robert Wesson fA Sworn and subscribed before me, by Robert Wesson on this the 13 day of December, 2013. A QgJ~' y AGOG ?0' 'P C, Nota Public My Commission Expires: PM 1 2 3 S P~ 6> Q ~ CP ti 4i -Z z CD U c, LLJ Q mVW SCANNED q, CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Judicial Single - Candidate committees DATE OF REPORT ~2 2.a. NAME OF CANDIDATE ;o13 ELECTION DATE 2.b. NAME OF CANDIDATE'S COMMITTEE - ~s 4.a. CAMPAIGN ADDRESS AND PHONE State Zip Code Phone Street or Rural Route city 37,5-:'0-41 P 44 4.b. CANDIDATE'S HOME ADD ESS (if different than 4.a.) State Zip Code Phone Street or Rural Route City D'CIAL OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER SCsslohs ~v. Robr Css o { R / Check on ❑ CATEGORY OR REPORT e) El ED 0 ED PRE- MI YEAR YEAR END FIRST SECOND THIRD FOURTH PRE- ORTINGPERIOEMENTAL SUPPLEMENTAL QUARTR QUARTER QUARTER QUARTER 8 bRIMARI GDATEOGENERAL S a. BEGINNING DATE OF REPORTING PERIOD 'lope :30 9.(Checkone) in- received total $1,000 or less AND kind) a. ❑ This campaig{otal exempt 000 or less for this reportingsperiod. becaue (Completel~em s2d.! 12e and 12f.) expenditure b' This campaign is required to file a detailed financial disclosure because contributions (including in-kind) received total more than $'[,C and/or expenditures total more than $1,000 for this reporting period. 11. SIGNATURE OF POLITlCALTREASURER 10 SIGNATURE OF CAND I do solemnly swear or affirm that the information contained in thiscampaian. financial disclosure report is true and accurate. Additionally, ! swear or V~iOJ 7 / affirm that no campaign contributions have been expended for the personal Date financial benefit of the candidate or for any other nonpolitical purpose as atue of Candidate defined by the federal internal revenue code. Date Signatue o 'ness Date Signature of Political Treasurer Date AignateofVtnss 12. SUMMARY $ i a. BALANCE ON HAND LAST REPORT r r . b. TOTAL RECEIPTS THIS PERIOD . .........F .QCE7 7V $ n c. TOTAL DISBURSEMENTS THIS PERIOD .............t._., j. ~-•~~J,t $ 30 d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) ~ 5 e TOTAL LOANS OUTSTANDING UTSTANDING f. TOTAL OBLIGATIONS OUTSTANDING... Page : of SS-1137 (Rev. 2/06) RDA 1 of _ SUMMARY PAGE - CANDIDATE 14. REPORT COVERING THE PERIOD 13. NAME OF CANDIDATE OR COMMITTEE (In Full) FROM: T0:6 30 ~3 RECEIPTS 15. CONTRIBUTIONS (other than loans and interest) I a. Unitemized Contributions ($100 or less from each source this period) $ I b. Itemized Contributions (over $100 from each source this period)............ c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ ~D 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.) $ 1 Sl, i DISBURSEMENTS 19. EXPENDITURES (other than loan payments) i a. Expenditures ($100 or less each payee this period) (must be listed by category - e,rrinting, postage, gasoline) ' y .lCfa~ KT ~r~ $ $ i $ I i $ $ I Total of Expenditures ($100 or less each payee) itemized Expenditures (Over $100 each payee this period) n~ ` c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) 20. LOAN REPAYMENTS MADE THIS PERIOD - , f 21. TOTAL DISBURSEMENTS (add 19.c. and 20J (must be shown in item 12.c.) $ 22.IN-KIND CONTRIBUTIONS a. Unitemized in-kind contributions ($100 or less from each source this period) $ i t ~ F b. itemized in-kind contributions (over $100 from each source this period) $ + $ j c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.) f 23. OBLIGATIONS I a. Unitemized Obligations Outstanding ($100 or less each) $ b. Itemized Obligations Outstanding (Over $100 each) r I TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 12.f.) 4 Page of cc „~o ~o,.,, ~ imp IL ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME QF CANDIDATE OR COMMITTEE 2. REPORT OVERING THE PERIOD i /✓C Cv FROM:y/ /6 T0: 41-3 p l3 Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 14. 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 l 7dmI A/ Last Name/Organization Name nmary Election ❑ General Election Adder D i address ST ❑ Runoff (Local Elections Only) C7 Slate / Zip Code 90 Date of Contribution Aggregate This Election 1.3 7 ~ru abon. ~ V i Employer First Name Middle Name Contribution Received For: Amount of Contribution Last Name/Organizat on Name rimary Election ❑ General Election ✓ s ~ SOD i Address M30 G , ~ N~ n p ❑ Runoff (Local Elections Only) Ciy /(C~ State~f~lZip de 03 Date of Contribution Aggregate This Election 3 5- I Occupation 119 722:V . All, o Employer - First Name iddle Name Contribution Received For: Amount of Contribution Last ame anlzaton Name ❑ Primary Election ❑ General Election i Mdn-,s ❑ Runoff (Local Elections Only) i City Stale Zip Code Date of Contribution Aggregate This Election I Occupation m yer First Name Middle Name Contribution Received or. mount o Contribution Last Name/Organization Name ❑ Primary Election ❑ General Election f Mdress ❑ Runoff (Local Elections Only) City state zip cod, Date of Contribution Aggregate This Election t Occupation Employer 5. TOTAL ITEMIZED CONTRIBUTIONS ~DD (Carry forward to item 3. of next page if additional pages of this form are used.) { (If this is the last page of contributions, this amount must be shown in Aem 15b. of summary.) Page of RDA 1159 '_-7- a ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE j 1. NAME OF CANDIDATE OR COMMITTEE 2. REPO COVERING THE P RIO C 5 FROMy //3 TO: 6 ~O l3 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 j Address i j Gty State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure I `Last Name/Business Name I I Address Gty Stale Zip Code i i First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name I Address I Gty State Zip Code i First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address i City Slate Zip Code ! I ~ s~r•' .arm First Name Middle Name Purpose of Expenditure Amount of Experdture i `Last Name/Business Name i Address i Gty State Zip Code i j i =NOW First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name i Address i j City State Zip Code i 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. 4/02 (Rev. 4/02) Page ~ of ~ RDA 1159 1 ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERT D ~wCC E /✓S FROM: G 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) Flrst Name Middle Name Last Name/Business Name Address State Zip Code I I I i (-Description of Obligation I First Name Middle Name Last Name/Business Name (.Address City State Zip Code Descrip ion of Obligation I First Name 7 Middle Name Last Name/Business Name i ! Address t I city State Zip Code i Description of Obligation i First Name Middle Name I Last Name/Business Name !i Address i City State Zip Code Description of Obligation i ! First Name 7 Middle Name i Last Name/Business Name i Address I City Stale Zip Code i Description of Obligation 14.TOTALS j (total from Outstanding Balance - (End of Period) column must also be shown in item 23b. on summary page.) SS-1127 (Rev. 4102) Page of -7 RDA 1159 t ITEMIZED STATEMENT OF LOANS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD ~~l~c~ C= U,~1i✓.S //6 ~i3 O /.3 3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED LOAN (loans totaling more than $100 from any source dudng the period) Complete the Following for the Source of the Loan First Name Middle Name Outstanding Loan Balance Loans Loan Outstanding Loan Balance 0 ( (Beginning of Period) Received Payments (End of Period) Last Name/Organizations Name F Ws 5--''o oS0 ly as(/ Address J Loan Received For; Dale of Loan 1I i PrQ ,G' e leall, , Primary Election ❑ General Election /n M Gry Sae ZpCode J'Vk?ei /V a~i3 'A/'"g O ❑ RunoP (Local ciecGor s 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 I Gly 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 I Address Address i i Gly State Zip Code Gty Stale Zip Code I 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 f Last Name/Organization Name Last Name/Organization Name Address Address City State Zip Code City State Zip Code Amount Guaranteed Outstanding Amount Guaranteed Outstanding I 4. Totals forall Loans (complete on last page of itemized loans) Outstanding Loan Balance Loans Loan Outstanding Loan Balance (Total bans received should also be shown in item 15. 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.) ' So S o 3 SS-1132 (Rev. 4/02) Page of RDA 1159 w ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPOR COVERING THE ERIOD ~vS FROM: TO:G 3p djA C mount ! i l 3. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0'ff first itemized page) j } 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED IN-KIND CONTRIBUTION (in-kind contributions totaling more than $100 from any contributor during file 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) I Address Date of In-Kind Contribution Aggregate this Election , I city State Zip Code Desriprion of In-Knd Contribution I Glxupation Employer i 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-Knd Contribution Aggregate this Election City State Zip Code Description of In-Knd Contribution Occupation Employer I -7 First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Conbibuton ❑ Primary Election ❑ General Election Last Name/Organization Name ❑ Runoff (Loral Elections Only) Address Date of In-Kind Contribution Aggregate this Election i l City State Zip Code Description of In-bind Contribution i Occupation ployer 1 i i First Name Middle Name In-Kind ConMbution Received For. Value of In-Kind Contribution 1 i ' ❑ Primary Election ❑ General Election I Last Name/Organization Name ❑ Runoff (Local Elections Only) 1 Address Date of In-Kind Contnbubon Aggregate this Election I City state Zip Code Description of In-Kind Contribution I Occupation Employer 1 1 RrstName Middle Name In-Kind Contribulion Received For: Value of In-Kind Contribution 1 ❑ Primary Efection ❑ General Election Last Name/Organization Name ❑ Runoff (Local Elections Only) t Address Date of In-Kind Contribution Aggregate this Election f City State Zip Code Description of In-Kind Contribution patan pioyer i 5 TOTAL ITEMIZED IN-KIND CONTRIBUTIONS I (Carry forward to item 3. of next page if additional pages of this form are used.) i ' (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 of ' RDA 1159 APR 4 3 `t0?~ 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: ::T3. ndidate a-mail addressT~ L a~,~ e M,41 '1. ~Q 4. Campaign Address and Phone: City State Zip Code Phone W~ j~ S. 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 ~r~~r.1 yL S<'SS1c~S T("V " p~~,c l 9. Treasurer Name: 10. Treasurer e-mail -address: 5 q j z~ - 11. Treasurer Address and Phone: City State Zip Code Phone 12. Candidate and Treasurer Signature (both signatures must be witnessed. Treasurer can not witness candidate's signature): Signature of Candidate Signature of Treasurer Signature of Witness Signature of Witness Registry of Election Finance SS-1120 (rev 10/2010)