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Blount County Tax Revolt CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For Multicandidate Committees (PACs) 1. DATE OF REPORT 2. NAME OF COMMITTEE 2ol o'12 3 UNT CoUNr~ _tA KfvoL- 2.A. SHORT NAME OF COMMITTEE (IF APPLICABLE) 3. ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone 3 2-9 BUR 114A1'kWjbt6 (N 3 7P 4. TYPE OF CANDIDATES SUPPORTED STATE PUBLIC OFFICE LOCAL PUBLIC OFFICE BOTH 5.A. NAME OF POLITICAL TREASURER S.B. DATE APPOINTED SAm(l _ I) D c/6 6. CATEGORY OR REPORT (Check one 13 0 FIRST SECOND THIRD FOURTH PRE PRE- MID-YEAR YEAR-END QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 7.A.BEGINNING DATE OF REPORTING PERIOD 7.B.ENDING DATE OF REPORTING PERIOD 20 0116 201 v42~ 8. (Check one) A.1,7f This committee 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. I do solemly swear or affirm that the information contained in this statement is true and that the committee has complied with all applicable provisions of the Campaign Financial Disclosure Act. (Items 10d., 10e. and 1Of must also be completed.) B. This committee 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. I do solemly swear or affirm that the information contained in this statement is true and that the following page(s) are a complete and accurate accounting of all contributions and expenditures required to be reported by political campaign committees by the Campaign Financial Disclosure Act. b. N 201 No Y213 signature of political treasurer date 9. WITNESS SIGNATURE f;4 Ir"7-- - . !y- Z 3"l/ si ature of witness date 10. SUMMARY a. BALANCE ON HAND LAST REPORT $ q b. TOTAL RECEIPTS THIS PERIOD $ c. TOTAL DISBURSEMENTS THIS PERIOD $ O 11 `i d. BALANCE ON HAND (10.a. plus 10.b. minus 10.c.) $ O e. TOTAL LOANS OUTSTANDING ..............................:...:.............A $ V f. TOTAL OBLIGATIONS OUTSTANDING oEft'D $ _ Apo q 1018, N&AW SS-1122(Rev. 2/06)~~ RDA Pending SUMMARY PAGE - PAC 11. NAME OF COMMITTEE (In Full) 12. REPORT COVERING THE PERIOD FROM 201gOll TO: 2-0~YCI 42 RECEIPTS 13. CONTRIBUTIONS (other than loans and interest) a. Unitemized Contributions ($100 or less from each source this period) $ b. Itemized Contributions (over $100 from each source this period) $ c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 13.a. and 13.b.) $ 14. LOANS RECEIVED THIS REPORTING PERIOD $ 15. INTEREST RECEIVED THIS REPORTING PERIOD G 16. TOTAL RECEIPTS (add 13.c., 14., and 15.) (must be shown in item 10.b.) $ _ v DISBURSEMENTS 17. EXPENDITURES (other than loan payments) a. Unitemized 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) $ 7 b. Itemized Expenditures (Over $100 each payee this period) $ c. Independent Expenditures $ d. TOTAL EXPENDITURES (other than loan repayments)(add 17.a., 17.b. and 17.c.) $ 18. LOAN REPAYMENTS MADE THIS PERIOD $ 19. TOTAL DISBURSEMENTS (add 17.d. and 18.) (must be shown in item 10.c.) $ 20. 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 20.a. and 20.b.) $ 21. LOANS LOANS OUTSTANDING (must be shown in item 10.e.) 22. OBLIGATIONS a. Unitemized Obligations Outstanding ($100 or less each) $ b. Itemized Obligations Outstanding (Over $100 each) $ c. TOTAL OBLIGATIONS OUTSTANDING (add 22.a. and 22.b.) (must be shown i item 10.f.) $ SS-1136 (Rev. 11/04) Page of CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For Multicandidate Committees (PACs) 1. DATE OF REPORT 2. rc E O F COMMITTEE ?_P l~ 010 7 0C/ N7 CQV/V Y -kpj 7 2.A. SHORT NAME OF COMMITTEE (IF APPLICABLE) 3. ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone 320o /15w _ ~lZ MAa VJUt !r C/o 4. TYPE OF CANDIDATES SUPPORTED STATE PUBLIC OFFICE E:] LOCAL PUBLIC OFFICE BOTH 5.A. NAME OF POLITICAL TREASURER 5.B. DATE APPOINTED s,41q V6L J)Ut ~ 6. CATEGORY OR REPORT (Check oneh ❑ ❑ ED ID F>!r FIRST SECOND THIRD FOURTH PRE- PRE- MIDYEAR YEAR-END I. EMENTAL SUPPLEMENTAL QUARTER QUARTER QUARTER QUARTER PRIMARY ENDING DATE OF REPORTING PERIOD 7.A.BEGINNING DATE OF REPORTING PERIOD 2 1 C?0 26f d 8. (Check one) A. This committee 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. I do solemly swear or affirm that the information contained in this statement is true and that the committee has complied with all applicable provisions of the Campaign Financial Disclosure Act. (Items 10d., 10e. and 10f must also be completed.) B. M This committee 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. 1 do solemly swear or affirm that the information contained in this statement is true and that the following page(s) are a complete and accurate accounting of all contributions and expenditures required to be reported by political campaign committees by the Campaign Financial Disclosure Act. signature of political treasurer date 4 9. WITNESS 61GN)0'DURE"~ signature of witness date 10. SUMMARY G a. BALANCE ON HAND LAST REPORT $ o b. TOTAL RECEIPTSTHIS PERIOD 0 c. TOTAL DISBURSEMENTS THIS PERIOD $ d. BALANCE ON HAND (10.a. plus 10.b. minus 10.c.) $ e. TOTAL LOANS OUTSTANDING $ c f. TOTAL OBLIGATIONS OUTSTANDING $ C SS-1122(Rev. 2/06) RDA Pending 0016k CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For Multicandidate Committees (PACs) 1. DATE OF REPORT 2. NAME OF COMMITTEE 20 (G 07 Z t3c.ovN_T cOvA/f TRX RE ve t -T! SHORT NAME OF COMMITTEE (IF APPLICABLE) 3. ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone 3z 14 K`' VR:T VC M.}a~vlcCt TN 39 o X65 3ov7?_C 4. TYPE OF CANDIDATES SUPPORTED STATE PUBLIC OFFICE LOCAL PUBLIC OFFICE BOTH 5.A. NAME OF POLITICAL TREASURER 5.B. DATE APPOINTED 5,A ,A U, 6 p v 6. CATEGORY OR REPORT (Check one) ❑ ❑ FIRST SECOND TH❑IRD FOURTH PRE- PRE- MID-YEAR YEAR-END QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 7.A.BEGINNING DATE OF REPORTING PERIOD 7.B.ENDING DATE OF REPORTING PERIOD L o I L 0 tl ~-o I~ b- 3L 8. (Check one) A. This committee 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. I do solemly swear or affirm that the information contained in this statement is true and that the committee has complied with all applicable provisions of the Campaign Financial Disclosure Act. (Items 10d., 10e. and 10f must also be completed.) B. This committee 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. I do solemly swear or affirm that the information contained in this statement is true and that the following page(s) are a complete and accurate accounting of all contributions and expenditures required to be reported by political campaign committees by the Campaign Financial Disclosure Act. 8,,~ V ,4,2-o 16 Co (3, signature of political treasurer date 9. WITNESS SIGNATURE i~~ c- 9 - 1(,or?l signature of witness date 10. SUMMARY 315, a. BALANCE ON HAND LAST REPORT $ l ~~-•~f11~0 1 b. TOTAL RECEIPTS THIS PERIOD .........................u. a............. ~.L., $ r .fa.+ 0 c. TOTAL DISBURSEMENTS THIS PERIOD ~ i ~UC~x ON $ crr d. BALANCE ON HAND (10.a. plus 10.b. minus 10.c.)` Ii, $ e. TOTAL LOANS OUTSTANDING $ f. TOTAL OBLIGATIONS OUTSTANDING $ o t SS-1122(Rev. 2/06) RDA Pending CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For Multicandidate Committees (PACs) 1. DATE OF REPORT 2. NAME OF COMMITTEE 0 S 0 7 12, l Cl Uli/ i ~t' /l E✓ cal. 2.A. SHORT NAME OF COMMITTEE (IF APPLICABLE) 3. ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone TLS A~OWI~ OR c~~: rtN 3 -210 96 5 0 72~ 4. TYPE OF CANDIDATES SUPPORTED STATE PUBLIC OFFICE ❑ LOCAL PUBLIC OFFICE BOTH ❑ 5.A. NAME OF POLITICAL TREASURER 5.B. DATE APPOINTED S4m UEL-- D v6K 6. CATEGORY OR REPORT (Check one) ❑ ❑ ❑ ❑ ❑ ❑ E ❑ FIRST SECOND THIRD FOURTH PRE- PRE- MID-YEAR YEAR-END QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 7.A.BEGINNING DATE OF REPORTING PERIOD 7. B. ENDING DATE OF REPORTING PERIOD Zo(S 0) 2c~( OG 3D 8. (Check one) A. 0 This committee 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. I do solemly swear or affirm that the information contained in this statement is true and that the committee has complied with all applicable provisions of the Campaign Financial Disclosure Act. (Items 10d., 10e. and 1 Of must also be completed.) B. F-1 This committee 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. I do solemly swear or affirm that the information contained in this statement is true and that the following page(s) are a complete and accurate accounting of all contributions and expenditures required to be reported by political campaign committees by the Campaign Financial Disclosure Act. 0 a"I signature of political treasurer _ date 9. WITNESS SIGNATURE se of witness date 10. SUMMARY Q a. BALANCE ON HAND LAST REPORT f~..,-K... $ l b. TOTAL RECEIPTS THIS PERIOD $ ?S -30 c. TOTAL DISBURSEMENTS THIS PERIOD ' d. BALANCE ON HAND (10.a. plus 10.b. minus 10.c.) e. TOTAL LOANS OUTSTANDING $ O f. TOTAL OBLIGATIONS OUTSTANDING $ (7 4) SS-1122(Rev. 2/06) RDA Pending SUMMARY PAGE - PAC 11. NAME OF COMMITTEE (In Full) 12. REPORT COVERING THE PERIOD FR0M'20t5C)jj T0: 2-015oc5o RECEIPTS 13. CONTRIBUTIONS (other than loans and interest) a. Unitemized Contributions ($100 or less from each source this period) $ b. Itemized Contributions (over $100 from each source this period) $ c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 13.a. and 13.b.) $ 14. LOANS RECEIVED THIS REPORTING PERIOD $ 15. INTEREST RECEIVED THIS REPORTING PERIOD $ 16. TOTAL RECEIPTS (add 13.c., 14., and 15.) (must be shown in item 10.b.) $ DISBURSEMENTS 17. EXPENDITURES (other than loan payments) a. Unitemized 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) $ 9-5 b. Itemized Expenditures (Over $100 each payee this period) $ c. Independent Expenditures $ S d. TOTAL EXPENDITURES (other than loan repayments)(add 17.a., 17.b. and 17.c.) $ 18. LOAN REPAYMENTS MADE THIS PERIOD Q 0- 19. TOTAL DISBURSEMENTS (add 17.d. and 18.) (must be shown in item 10.c.) $ tJ 20.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 20.a. 3 4 . $ Cl 21. LOANS LOANS OUTSTANDING (must be shown in item 10.e.) .........~~.b 1~......,...~ $ 0 22. OBLIGATIONS o Good a. Unitemized Obligations Outstanding $100 or less each b. Itemized Obligations Outstanding (Over $100 each) `9 c. TOTAL OBLIGATIONS OUTSTANDING (add 22.a. and 22.b.) (must be shown item O.f. SS-1136 (Rev. 11/04) Page of CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For Multicandidate Committees (PACs) 1. DATE OF REPORT ::=E2~ NAME OF COMMITTEE 1-0~ 5 0(30 6COUnNI COUNT i (A)( AEv~►c., 2.A. SHORT NAME OF COMMITTEE (IF APPLICABLE) 3. ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone 3Z9 /JSgGR; ~Ri✓~ , y l~. 3160V 96r? OU 7 4. TYPE OF CANDIDATES SUPPORTED STATE PUBLIC OFFICE LOCAL PUBLIC OFFICE BOTH E] 5.A. NAA~ OF POLITICAL TREASURER 5.B. DATE APPOINTED S O F D,q VT 0 U c 6. CATE❑GORYORREPO❑RT(Checkone) FIRST SECOND THI❑RD FOURTH PRE- PRE- MIDYEAR YEAR-END UARTER UARTE R UARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 7.A.BEGINNING DATE OF REPORTING PERIOD 7.B.ENDING DATE OF REPORTING PERIOD 2V Iii I n o i Z-01 Sot (5 8. (Check one) A. El This committee 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. I do solemly swear or affirm that the information contained in this statement ue and that th is tre committee has complied with all applicable provisions of the Campaign Financial Disclosure Act. (Items 10d., 10e. and 1Of must also be completed.) B. This committee 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. I do solemly swear or affirm that the information contained in this statement is true and that the following page(s) are a complete and accurate accounting of all contributions and expenditures required to be reported by political campaign committees by the Campaign Financial Disclosure Act. tMitt~~( Z~DU L9,c l 20 (fO2_ 02- signature of political treasurer date 9. WITNESS SIGNATURE signature of witness dat 10. SUMMARY / q a. BALANCE ON HAND LAST REPORT $ 3 b 1 0 b. TOTAL RECEIPTS THIS PERIOD $ 4 1 c. TOTAL DISBURSEMENTS THIS PERIOD $ Z G 00 d. BALANCE ON HAND (10.a. plus 10.b. minus 10.c.) $ e. TOTAL LOANS OUTSTANDING $ O f. TOTAL OBLIGATIONS OUTSTANDING $ Alfikk SS-1122(Rev. 2/06) RDA Pending SUMMARY PAGE - PAC 11. NAME OF COMMITTEE (In Full) nn 12. REPORT COVERING THE PERIOD I L QU P1 LO X k C t/Q t FROM 940011 TO: 2015 01 5 RECEIPTS 13. CONTRIBUTIONS (other than loans and interest) a. Unitemized Contributions ($100 or less from each source this period) $ b. Itemized Contributions (over $100 from each source this period) $ c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 13.a. and 13.b.) $ 14. LOANS RECEIVED THIS REPORTING PERIOD $ 15. INTEREST RECEIVED THIS REPORTING PERIOD $ 16. TOTAL RECEIPTS (add 13.c., 14., and 15.) (must be shown in item 10.b.) $ DISBURSEMENTS 17. EXPENDITURES (other than loan payments) a. Unitemized Expenditures ($100 or less each payee this period) (must be listed by category - e.g., printing, postage, gasoline) 3~~1 $ ZO.00 $ $ $ $ $ Total of Expenditures ($100 or less each payee) $ b. Itemized Expenditures (Over $100 each payee this period) $ c. Independent Expenditures $ d. TOTAL EXPENDITURES other than loan re a ments add 17.a., 17.b. and 17.c. 10. GAO 18. LOAN REPAYMENTS MADE THIS PERIOD $ b 19. TOTAL DISBURSEMENTS (add 17.d. and 18.) (must be shown in item 10.c.) $ Ze• L 0 20.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) $ 0 c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 20.a. and 20.b.) $ 21. LOANS LOANS OUTSTANDING (must be shown in item 10.e.) U 22.013LIGATIONS a. Unitemized Obligations Outstanding ($100 or less each) $ b. Itemized Obligations Outstanding (Over $100 each) $ f7 c. TOTAL OBLIGATIONS OUTSTANDING (add 22.a. and 22.b.) (must be shown i item 10.f.) $ 4) SS-1136 (Rev. 11/04) Page of ITEMIZED STATEMENT OF CONTRIBUTIONS - PAC 1. NAME OF COMMITTEE 2. REPORT 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 $100 from an contributor during the period) First e M.I LastN e/OrganizationName AmountofccirtbAw NMVC_ n UGI Address City State Zip Code Date of Contribution .M~9 Tjv 3 7 o'f Occupation Employer First Name M.I. Last Name/Organization Name Amounto(Contribution Address City State Zip Code Date of Contribution Occupation Employer First Name M.I. Last Name/OrganizationName ArrquntofConbibiAon Address city state Zip Code Date of Contribution Occupation Employer First Name M.I. Last Name/Organization Name ArnwrgdCoriftbon Address city State Zip Code Date of Contrbution Occupation Employer First Name M.I. Last Name/Organization Name AwnwntafCcinlrbution Address city state Zip Code Date of Contribution Occupation Employer First Name M.I. Last NamelOrganization Name MpuntofConbbrtion Address City State Zip Code Date of Contribution Oxupation Employer 530TAL ITEMIZED CONTRIBUTIONS (Cary forward to item 3. of next page if additional pages of this form are used.) (If this is the last page of contributions, this amount must be shown in item 13b. of summary.) SS-1119-C (Rev. 2/06) Page of RDA 1159 i CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For Multicandidate Committees (PACs) 1. DATE OF REPORT 2. NAME OF COMMITTEE D 9 L ov A/T T ~ Z,q- E vot, 20 3 2.A. SHORT NAME OF COMMITTEE (IF APPLICABLE) 3. ADDRESS AND PHONE State Zip Code Phone Street or Rural Route City ~ n Z~ 2$ S vR 0 Y vE A V E N 3 7 J 4. TYPE OF CANDIDATES SUPPORTED BOTH STATE PUBLIC OFFICE LOCAL PUBLIC OFFICE 5.8. DATE APPOINTED S.A. NAME OF POLITICAL TREASURER 6. CATEQGORY OR REPOQRT (Check one ❑ Q MID YEAR-END FIRST SECOND THIRD FOURTH PRE- PRE GENERAL SUP LEMENTAL SUPPLEMENTAL 7 UARTER QUARTER QUARTER UARTER P BENDING DATE OF REPORTING PERIOD .A.BEGINNING DATE OF REPORTING PERIOD 2D1l 072 ZOtl+01a3O ~ 8. (Check one) nclu A. th this statement ng period. I do solemly swear ordaffirm t latthe inforrmat on conOtaiined less in El This comtee is exmpt ex itures total $1,000 o~ less disclosures because contributions is t applicable provisions of the Campaign Financial Disclosure Act. (Items 10d., 10e. is true and that the committee has complied with all and 10f must also be completed.) committee total more utions led fin this reporting period. I do olem~ly swear or affirmr that the information contained is req than g, Zg $1000 and /or expendituresi tal moett1han $1,000 forisclosure $1, in this statement is true and that the following page(s) are a complete and accurate accounting of all contributions and expenditures required to be reported by political campaign committees by the Campaign Financial Disclosure Act. 2d (It to o date signature of political treasurer g, WITNESS SIGNATURE 99~~ date signature of witness 10. SUMMARY a. BALANCE ON HAND LAST REPORT $ . 570.00 b. TOTAL RECEIPTSTHIS PERIOD $ c. TOTAL DISBURSEMENTS THIS PERIOD 7G -l v $ d. BALANCE ON HAND (10.a. plus 10.b. minus 10.c.) Q .Oa $ e. TOTAL LOANS OUTSTANDING $ ~ . 00 f. TOTAL OBLIGATIONS OUTSTANDING RDA Pending SS-1122(Rev. 2/06) ITEMIZED STATEMENT OF CONTRIBUTIONS - PAC 1. NAME OF COMMITTEE p 2. REPORT COVERING THE PERIOD `J LOVAIT dV 1, P11C F r)KA-2 w TO:Ip1y0'I 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 Burin the eriod First Name ~ M.I. Last Name/0rgan¢ationName AmountofContnbu0on Soo-C)'g Address City State Zip Code Date of Contribution Occupation Employer First Name M.I. Last Name/Organization Name AmountofContriMon Address Z 49. Q v city State Zip Code Date of Contribution Occupation Employer First Name M.I. Last NamelOrganizationName AmaxddConhibfion 00K 50 o0 Addres's City State Zip Code Date of Contribution Occupation Employer First Name M.I. Last NamefiDManization Name Amamtofcortwon Add Tess city State Zip Code Date of Contribution Occupation Employer First Name M.I. Last Name/Organization Name AmadofCcinirbubon Address City State Zip Code Date of Contribution Occupation Employer First Name M.I. Last NamelOrganizationName Anqu dcorrbbution Address City State Zip Code Date of Contribution Occupation Employer 5.TOTAL ITEMIZED CONTRIBUTIONS q (Carry forward to item 3. of next page if additional pages of this form are used.) l 7 O ,d o (If this is the last page of contributions, this amount must be shown in item 13b. of summary.) SS-1119-C (Rev. 2106) Page of RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - PAC 1. NAME OF COMMITTEE 2. REPORT COVERING THE PERIOD ~ Lvv&T C,6VA1T1Y (_A CVo P/< FROM: 2,0 1 0 O: Amount 3. TOTAL ITEMIZED 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). If the ex- penditure is an in-kind contribution to a candidate, please rememberto include the purpose of the expenditure (e.g. postage, printing) along with the candidate's name in the purpose of expenditure section. First Name Middle Name urpose of Expenditure ount of Expenditure Last ameBusiness Name 1 S o o Ias E Address Date of Expenditure City State Zip Code First Name Middle Name Purpose of Expenditure oouu}nt of Expenditure Last Name/Business Name J `i y C 600 ate of Expenditure Address s City State Zip Code First Name Middle Name Purpose of Expenditure ount of Expenditure Last Name/Business Name L2 3. I TO W Date of Expenditure( Address City State Zip Code FirstName Middle Name Purpose of Expenditure ount of Expenditure Last NameBusiness Name Address ate of Expenditure City State Zip Code FirstName Middle Name Purpose of Expenditure mount of Expenditure Lost Name/Business Name Address Date of Expenditure City State Zip Code FirstName Middle Name urpose of Expenditure ount of Expenditure Lest NameBusiness Name Address ate of Expenditure City State Zip Code 5. TOTAL ITEMIZED EXPENDITURES (Carry forward to item 3. of next page if additional pages of this form are used.) 230 , 3 If this is the last page of campaign expenditures, this amount must be shown in item 17b. of summary.) SS-1119-E (Rev. 1 100) Page of RDA 1159 i CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For Multicandidate Committees (PACs) 1. DATE OF REPORT 2. NAME OF COMMITTEE VUC 7 Z~ 3 'k3Lt7 U Al T Al -1 T A 1fl 2.A. SHORT NAME OF COMMITTEE (IF APPLICABLE) 3. ADDRESS AND PHONE State Zip Code Phone Street or Rural Route City 00 3N A56VA'' VIE MA t4 .I( ❑ 4. TYPE OF CANDIDATES SUPPORTED STATE PUBLIC OFFICE ❑ LOCAL PUBLIC OFFICE BOTH 5.6. DATE APPOINTED 5.A. NAME OF POLITICAL TREASURER uLL IJU(~ << 6. CATEGORY OR REPORT (Check one) ❑ 0 MID-YEAR AR YEAR-END FIRST SECOND THIRD FOURTH PRE- PRE TE SUPPLEMENTAL SUPPLEMENTAL UARR QUARTER UARTER QUARTER PRIME NDING DATE OF REPORTING PERIOD 7.A.BEGINNING DATE OF REPORTING PERIOD Ot 4 2o(407v1 L 6. (Check one) contained report reporting period. I do solemly sw ear lordaffirm that the reeived total expenditures taiined in this statement A ❑ l rtotal $1e000t ofrom r less for this disclosures is true and that the committee has complied with all applicable provisions of the Campaign Financial Disclosure Act. (Items 10d., 10e. and 1Of must also be completed.) contained B $11000 and/or expenditures total more than $1,000 fort this reporting period. I do olemlly swear or affirrmrthat the nform more in this statement is true and that the following page(s) are a complete and accurate accounting of all contributions and expenditures required to be reported by political campaign committees by the Campaign Financial Disclosure Act. signature of political treasurer date g. WITNESS SIGNATURE signature of witness date 10. SUMMARY 15q; 3 .Yf $ a. BALANCE ON HAND LAST REPORT U, fit- c.1 ~ .......,..~.~L.F, $ b. TOTAL RECEIPTSTHISPERIOD ^Y. b)/ [...i,............rte.......... o, TOTAL DISBURSEMENTSTHISPERlOD $ I ~t d. BALANCE ON HAND (10.a. plus 10.b. min s c.) $ ~ b $ ~~....o~...~. . e. TOTAL LOANS OUTSTANDING f. TOTAL OBLIGATIONS OUTSTANDING RDA Pending SS-1122(Rev. 2106) 0 SUMMARY PAGE - PAC 11. NAME OF COMMITTEE (In Full) 12. REPORT COVERING THE PERIOD bMAI I QtllvT ~ _1AX AEV UL7 P4(_ FROM IC)(gtptl TO: 2,I~I a7 RECEIPTS 13. CONTRIBUTIONS (other than loans and interest) a. Unitemized Contributions ($100 or less from each source this period) $ b. Itemized Contributions (over $100 from each source this period) $ c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 13.a. and 13.b.) $ 14. LOANS RECEIVED THIS REPORTING PERIOD $ 15. INTEREST RECEIVED THIS REPORTING PERIOD d 16. TOTAL RECEIPTS (add 13.c., 14., and 15.) (must be shown in item 10.b.) $ DISBURSEMENTS 17. EXPENDITURES (other than loan payments) a. Unitemized 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) $ 0 b. Itemized Expenditures Over $100 each payee this period) $ c. Independent Expenditures d. TOTAL EXPENDITURES (other than loan repayments)(add 17.a., 17.b. and 17.c.) $ f 24,41 18. LOAN REPAYMENTS MADE THIS PERIOD 19. TOTAL DISBURSEMENTS (add 17.d. and 18.) (must be shown in item 10.c.) $ 20.IN-KIND CONTRIBUTIONS a. Unitemized in-kind contributions ($100 or less from each source this period) $ C b. Itemized in-kind contributions (over $100 from each source this period) $ e c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 20.a. and 20.b.) $ 21. LOANS LOANS OUTSTANDING (must be shown in item 10.e.) 22. OBLIGATIONS a. Unitemized Obligations Outstanding ($100 or less each) $ 0 b. Itemized Obligations Outstanding (Over $100 each) $ 0 c. TOTAL OBLIGATIONS OUTSTANDING (add 22.a. and 22.b.) (must be shown i item 10.1'.) $ SS-1136 (Rev. 11/04) Page of ITEMIZED STATEMENT OF EXPENDITURES PAC 1. NAME OF COMMITTEE 2. REPORT COVERING THE PERIOD 13 LUUNl (-OUN1 V -f 1.V 1q VQ L FROM: 2m/el TO:2of YC )Z Amount 1 3. TOTAL ITEMIZED EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) 12 0 1 "1 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures totaling more than $100 to any payee during the period). If the ex- penditure is an in-kind contribution to a candidate, please remember to include the purpose of the expenditure (e.g. postage, printing) along with the candidate's name in the u ose of expenditure section. First Name Middle Name urpose of Expenditure mount of Expenditure Last NameBusiness Name C/ fsR5 TE/VNE SEE Address Date of Expenditure city State Zip Code 064H C' ?V) First Name Middle Name Purpose of Expenditure ount of Expenditure Last NameBusinessName ( 23 "NA ,'"1o,~r OC Address ate of Expenditure city Slate Zip Code 2 " N ~ C 7 06 First Name Middle Name Purpose of Expenditure mount of Expenditure Last Name/Business Name Address Pate of Expenditure City State Zip Code FirstName Middle Name Purpose of Expenditure ount of Expenditure Lest NameBusiness Name Address ate of Expenditure City State Zip Code First Name Middle Name Purpose of Expenditure ount of Expenditure Last Name/Business Name Address Date of Expenditure City State Zip Code First Name Middle Name urpose of Expenditure ount of Expenditure Last NameBusiness Name ate of Expenditure Address city State Zip Code 5. TOTAL ITEMIZED EXPENDITURES (Carry forward to item 3. of next page if additional pages of this form are used.) 1 Z(6 If this is the last page of campaign expenditures, this amount must be shown in item 17b. of summary.) SS-1119-E (Rev. 1100) Page of RDA 1159 CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For Multicandidate Committees (PACs) 1. DATE OF REPORT 2. NAME OF COMMITTEE 2.A. SHORT NAME OF COMMITTEE (IF APPLICABLE) 3. ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone 5 R l)(~ Z L, 'I. 1,4,1- L,,7 l l E TA' S? o ~C C 1'2 ( 4. TYPE OF CANDIDATES SUPPORTED STATE PUBLIC OFFICE LOCAL PUBLIC OFFICE BOTH 5.A. NAME OF POLITICAL TREASURER 5.6. DATE APPOINTED 6. CATEGORY OR REPORT (Check one ❑ ❑ ~ ~ a FIRST SECOND THIRD FOURTH PRE- PRE- MID-YEAR YEAR-END QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 7.A.BEGINNING DATE OF REPORTING PERIOD 7.B.ENDING DATE OF REPORTING PERIOD c,(( C, `1c 2C i ~ C'( -;c, 8. (Check one) A. This committee 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. I do solemly swear or affirm that the information contained in this statement is true and that the committee has complied with all applicable provisions of the Campaign Financial Disclosure Act. (Items 10d., 10e. and 1Of must also be completed.) B. This committee 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. I do solemly swear or affirm that the information contained in this statement is true and that the following page(s) are a complete and accurate accounting of all contributions and expenditures required to be reported by political campaign committees by the Campaign Financial Disclosure Act. ~ Pokj 644,4, 20 4(O signature of political treasurer date 9. WITNESS SIGNATURE 1 IL L signature of witness dat 10. SUMMARY a. BALANCE ON HAND LAST REPORT $ b. TOTAL RECEIPTS THIS PERIOD $ c. TOTAL DISBURSEMENTS THIS PERIOD $ 7 , l c L' ~ d. BALANCE ON HAND (10.a. plus 10.b. minus 10.c.) $ I) e. TOTAL LOANS OUTSTANDING $ f. TOTAL OBLIGATIONS OUTSTANDING SS-1122(Rev. 2/06) RDA Pending SUMMARY PAGE - PAC 11. NAME OF COMMITTEE (In Full) 12. REPORT COVERING THE PERIOD L I~` C0, L /v~ ( 'D L Pf} L FROM 7L'r` V l% T0: 2oI y (16 ? RECEIPTS 13. CONTRIBUTIONS (other than loans and interest) a. Unitemized Contributions ($100 or less from each source this period) $ ' J y b. Itemized Contributions (over $100 from each source this period) ~ 1 c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 13.a. and 13.b.) $ 14. LOANS RECEIVED THIS REPORTING PERIOD $ $ 15. INTEREST RECEIVED THIS REPORTING PERIOD 16. TOTAL RECEIPTS (add 13.c., 14., and 15.) (must be shown in item 10.b.) $ DISBURSEMENTS 17. EXPENDITURES (other than loan payments) a. Unitemized 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) $ u. c b. Itemized Expenditures (Over $100 each payee this period) c. Independent Expenditures $ d. TOTAL EXPENDITURES (other than loan repayments)(add 17.a., 17.b. and 17.c.) $ 0 . C1 18. LOAN REPAYMENTS MADE THIS PERIOD j7 4( LI 19. TOTAL DISBURSEMENTS (add 17.d. and 18.) (must be shown in item 10.c.) $ 20.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 20.a. and 20.b.) $ 21. LOANS C.0(; LOANS OUTSTANDING (must be shown in item 10.e.) ra. OBLIGATIONS Unite mized Obligations Outstanding ($100 or less each) $ Itemized Obligations Outstanding (Over $100 each) $ F, c. TOTAL OBLIGATIONS OUTSTANDING (add 22.a. and 22.b.) (must be shown i item 10.f.) $ 67SS-1136 (Rev. 11/04) Page of ITEMIZED STATEMENT OF CONTRIBUTIONS - PAC 1. NAME OF COMMITTEE 2. REPORT COVERING THE PERIOD ~C1LN~ Cb(~n I FV~~'0~ I P4 FROM:zC/VCVC/ T0: ze/y~Ef Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) E' j 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor during the period) First Name M.I. Last Name/Organization Name AmountofConhibution Address city State Zip Code Date of Contribution Occupation Employer First Name M.I. Last Name/Organization Name Amourd 7ti bution Address City State Zip Code Date otContribution Occupation Employer First Name M.I. Last Name/Organization Name AmourdofConfibution Address city State Zip Code Dale of Contribution Occupation Employer First Name M.I. Last Name/Organization Name Amounto(Coribibudion Address city State Zip Code Date of Contribution Occupation Employer First Name M.I. LastName/OrganizationName AmountofContrbutim Address city state Zip Code Date of Contribution Occupation Employer First Name 77777 .I. Last Name/OrganizationName AmountofContrbution Address City State Zip Code Date of Contribution 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 13b. of summary.) SS-1119-C (Rev. 2/06) Page J of RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - PAC 2. REPORT COVERING THE PERIOD 1. NAME OF COMMITTEE ~ FROM: T0: i 1~ ( ~,1 N' 1 (0 L A 3. TOT I 1 A fz f✓ C' L 1 Amount AL ITEMIZED 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). If the ex- penditure is an in-kind contribution to a candidate, please remember to include the purpose of the expenditure (e.g. postage, printing) along with the candidate's name in ountotExpenditure the u oseofex endituresection. Middle Name urpose of Expenditure FirsiName C- Las NameBusinessName t E rv /V t S Date of Expenditure Address 1 / I City State Zip Code mount of Expenditure Middle Name Purpose of Expenditure First Name Last Name/BuslneSS Name ate of Expenditure Address State Zip Code , 1 City ount of Expenditure Middle Name Purpose of Expenditure FirstName Middle Name Purpose of Expenditure Last Name/Business Name Ad 14 n/~E S ate of Expenditure Address City State Lp Code punt of Expenditure Middle Name Purpose of Expenditure FirsiName (~L Last Name/Business Name ate of Expenditure Address 5/r" city State Zip Code Purpose of Expenditure ount of Expenditure First Name Middle Name 1 LastNamelBusinessName F 1 S ti (S ` Date of Expenditure Address / 1 City State Zip Code Middle Name urpose of Expenditure mount of Expenditure FirsiName Lest NarneBusiness Name ate of Expenditure Address city State Zip Code 2 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 cam ai n expenditures this amount must be shown in item 17b. of summari, Page of RDA 1159 SS 1119E (Rev. 1100) ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - PAC 1. NAME OF COMMITTEE 2. REPORT COVERING PERIOD FROM: T0: Amount 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 $too from any contributor during the period) First Name Middle Name Description of In-Kind Contribution Value of In-Kind Contribution Last NamelOrganaation Name Address Date of In-Kind Contribution City State Zip Code Occupation Employer First Name Middle Name Description of In-Kind Contribution Value of In-Kind Contribution a ame anization ame Address Date of In-Kind Contribution City State Zip Code Oixupabon Employer First Name Middle Name Description of In-Kind Contribution Value of In-Kind Contribution LastName0ganization Name Address Date of In-Kind Contribution City State Zip Code Occupation Employer First Name Middle Name Description of In-Kind Contribution Value of In-Kind Contribution Last NarnWrganization Name Address Dale of In-Kind Contribution City State Zip Code Occupation tmployer 5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS (Carry forward to item 3 of next page if additional pges of this form are used.) (If this is the last page of in-kind contributions, this amount must be shown in item 20.b. of summary.) SS-1125 (Rev. 2/06) Page of RDA 1159 l v ITEMIZED STATEMENT OF INDEPENDENT EXPENDITURES - PAC 1. NAME OF COMMITTEE 2. REPORT COVERING THE PERIOD FROM: TO: Amount 3. TOTAL ITEMIZED INDEPENDENT EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED INDEPENDENT EXPENDITURE (expenditures totaling more than $100 to any payee during the period). Please remember to include the purpose of the expenditure (e.g. postage, printing) and the name of the candidate supported or opposed. Middle Name urpose of Expenditure Amount of Expenditure First Name Last NameBusiness Name Candidate Supported or Opposed & Office Sought Date of Expenditure Address Opposed ❑ City State Zip Code Supported ❑ Middle Name urpose of Expenditure Amount of Expenditure First Name Last NameBusiness Name Address Candidate Supported or Opposed & Office Sought Opposed Date of Expenditure ❑ City State Zip Code Supported ❑ Middle Name urpose of Expenditure Amount of Expenditure First Name Last Name/Business Name Candidate Supported or Opposed & Office Sought Opposed ❑ Date of Expenditure Address State Zip Code Supported ❑ Ciry First 7Name/Busineersms Middle Name urpose of Expenditure Amount of Expenditure Last Name Address Candidate Supported or Opposed & Office Sought Opposed ❑ Date of Expenditure City State Zip Code Supported ❑ Middle Name Purpose of Expenditure Amount of Expenditure First Name Last Name/Business Name Address Candidate Supported or Opposed & Office Sought Opposed 11 Date of Expenditure State Zip Code Supported ❑ Ciry Middle Name Purpose of Expenditure Amount of Expenditure First Name Last Name/Business Name Date of Expenditure Address Candidate Supported or Opposed & Office Sought Opposed 13 City State Zip L Code Supported ❑ 5 (a) Itemized Independent Expenditures $ (b) Unitemized Independent Expenditures $ c Total Inde endent Ex enditures If this is the last age of ind. expenditures, this amount must be showin in item 117ce of summary page.) $ RDA 1159 Afflk SS-1139 Rev. 1100 ITEMIZED STATEMENT OF LOANS - PAC 1. NAME OF COMMITTEE 2. REPORT COVERING THE PERIOD FROM: TO: 3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED Outstanding Balance Loans Loan Payments Outstanding Balance LOAN (loans totaling more than $100 owed to any person/business at the end of (Beginning Received This (End the reporting period) of Period) This Period Period of Period) First Name Middle Name Last Name/Business Name Address City State Zip Code Date of Loan First Name Middle Name Last Name/Business Name Address City State Zip Code Date of Loan First Name Middle Name Last Name/Business Name Address City state Zip Code Date of Loan First Name Middle Name Last Name/Business Name Address City rate p Code Date of Loan First Name Middle Name Last Name/Business Name Address City State Zip Code Date of Loan 4. TOTALS (Total from 'Outstanding Balance - (End of Period)" column must also be shown in item 21 on summary page.) Aft SS-1135 (Rev. 1/00) Page of RDA 1159 ITEMIZED STATEMENT OF OBLIGATIONS - PAC REPORTCOVERINGTHEPERIOD FROM: T0: 1. NAME OF COMMITTEE Payments Outstanding Balance Outstanding Balance Debt Period of Period) 3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED at (Beginning Incurred This (End of Period) This Period OBLIGATION (obligations t tng more than $100 owed to any p the end of the reporting period) Middle Name First Name Last Name/Business Name Address State Zip Code City Desciption of Obligation Meddle Name First Name Last Name/Business Name Address State Zip Code City Description of Obligation Middle Name First Name Last Name/Business Name Address State Zip Code City Description of Obligation Middle Name First Name Last NameBusiness Name Address State Zip Code Ciry Descripgon of Obligation Middle Name First Name Last NameBusiness Name Address city state Zip Code Description of Obligation 4. TOTALS (Total from "Outstanding Balance - (End of Period)" column must also be shown RDA 1159 in item 22.b on summa a e. Page of SS-1126 (Rev. 1100) r CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For Multicandidate Committees (PACs) 1. DATE OF REPORT 2. NAME OF COMMITTEE II C;~ II 13L0 nJ'f (~,~~Nr~ TAX LI 2.A. SHORT NAME OF COMMITTEE (IF APPLICABLE) 3. ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone >Zcs A 16,tZk 0&1 L4 1 V1(t6 7n/ V? Cy 86 S 3vo ~L67 4. TYPE OF CANDIDATES SUPPORTED STATE PUBLIC OFFICE LOCAL PUBLIC OFFICE BOTH 5.A. NAME OF POLITICAL TREASURER 5.6. DATE APPOINTED >()fl I/(L avcr 6. CATEGORY OR REPORT (Check one) ❑ ❑ 1::1 EJ a FIRST SECOND THIRD FOURTH PRE- PRE- MID-YEAR YEAR-END QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 7.A.BEGINNING DATE OF REPORTING PERIOD 7.B.ENDING DATE OF REPORTING PERIOD 7-ci4G(I 10;140 31 8. (Check one) A. This committee 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. I do solemly swear or affirm that the information contained in this statement is true and that the committee has complied with all applicable provisions of the Campaign Financial Disclosure Act. (Items 1 Jd., 10e. and 1Of n, ist also be completed.) B. This committee 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. I do so;•smly swear or affirm that the information contained in this statement is true and that the following page(s) are a complete and accurate accounting of all contributions and expenditures required to be reported by political campaign committees by the Campaign Financial Disclosure Act. 9 a, VIL 944_rl~ 20 4 04 (I signature of political treasurer date 9. WITNESS SIGNATURE signature of witness date 10. SUMMARY O a. BALANCE ON HAND LAST REPORT $ b. TOTAL RECEIPTSTHIS PERIOD $ 1410 7 6 1 c. TOTAL DISBURSEMENTS THIS PERIOD $ d. BALANCE ON HAND (10.a. plus 10.b. minus 10.c.) $ d e. TOTAL LOANS OUTSTANDING $ nn f. TOTAL OBLIGATIONS OUTSTANDING $ 0 SS-1122(Rev. 2/06) RDA Pending 11. NAME OF COMMITTEE (In Full) SUMMARY PAGE. PAC RECEIpT x REv~ C ~ 12. REPORT COVE THE 13. CONTRI PA B C RING UTIONS (other than PERIOD an loans a FROMz a• Unite and interest) ~'~YGi I ~ m1zed Contributions 10:1c (t 03 j b• Itemized Contributions from each source this (over $100 fro Period) Q C, TOTAL CO from each source NTRIBUTIONS this period (other than loans and interest ) $ 14. LOANS ~ ' $ , )(add 13.a. and RECEIVED THIS REPORTING PERIOD 15. INTEREST RECEIVED THIS . 13'b')•• . REPORTING PE 16. TOTAL RECEIPTS (add 13.c. 14• RIOD $ DQURSEMENTS and 15.) (must be shown in item 10.b.) $ 17. EXPENDITURES (other than loan pa $ f yments) a. Unitemized Expenditures ($100 or less each payee this period gasoline) (must be listed by category _ e.g., printing, postage, Total of Expenditures ($100 or less each payee) $ b. Itemized Expenditures Over $100 each payee this period) 176 c. Independent Expenditures $ C d. TOTAL EXPENDITURES (other than loan repayments)(add 17.a., 17.b. and 17.c.) $ 0176 18. LOAN REPAYMENTS MADE THIS PERIOD ~ 7 D 1g. TOTAL DISBURSEMENTS (add 17A and 18.) (must be shown in item 10.c.) 20.IN-KIND CONTRIBUTIONS a. Unitemized in-kind contributions ($100 or less from each source this period) $ C b. Itemized in-kind contributions (over $100 from each source this period) $ C c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 20.a. and 20.b.) i 21. LOANS $ LOANS OUTSTANDING (must be shown in item 10.e.... 01 $ 22. OBLIGATIONS a. Unitemized Obligations Outstanding ($100 or less each) . b. Itemized Obligations Outstanding (Over $100 each) c. TOTAL OBLIGATIONS OUTSTANDING (add 22.a. and 22.b.) (must be shown! item 10.f.) Page 2 of 0 SS-1136 (Rev. 11104) w ITEMIZED STATEMENT OF CONTRIBUTIONS - PAC 1. NAME OF COMMITTEE 2. REPORT COVERING THE PERIOD 6//1/7 (ot,4/ -fy W X L ve, i. 7 Rq L FROM:2VLycy , TO: Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 14gp . 0 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor during the period) First Namg M.I. Last Name/Organization Name Amountofcontiibfion f~- c AT H -)h -IN Address joc), cc city State Zip Code Date of Contribution Occupa ion ^ L Employer, LL+I C I 1 lJ ~ IV C n vV FirstNa a M.I. Last Name/Organization Name AmountofContibubon R(~CF CRAwFoRD Address 0 l S J' J I L Q(Z .-I V City State Zip Code Date of Contribution C EL- (V 53A C1", ~N -2 -7 7 4 1 Occupation Employer 2R ) First Name M.I. Last ame/Organization Name Amounto(Contribution GLENN I1ALL Wess Zo, s`c ' J S l w w ~RTV~ City state Zip Code Date oiContribution Cr, C- ';,I T.N 3~ 7 201 Occupation Employer /~Y M.I. Last Name/OrganizationName Amotinto(Contribllon FirstNV;Ve Ni (Zo C(-rV 55u2 E vER t~E~N -,A ,M trgnr~ I , City State Zip U ode Date of Contribution E (IV A C K 1/ 7 U .Z Occupation Employer ZC~ 1 t L~ MfCI-(AtvT- /Q) -T1rnF0 First Name M.1. Last Name/OrganizationName AmoWofConfibution Address I C C 1 Z CC, '7 14AVVK LIEN Orq-S VL City state Zip Code Date of Cantrbuton -To Y" ,t /v S 6 Ai) 11A/ 3 7 ~ u~ 7 Occupation 'y J Employer C, 2-C 1 0 r First Name M.I. LasjName/Organization Name Amounlo(Contrbution ACt &b A TC,G) OLD LVNJ-rf'S L AC/9 D [ ©0e , o(l City state Zip Code M~ ~ V 1 C C! T N 3 7 D ~ Date of Contribution Occupation 1\ C Employer 11 T 5.TOTAL ITEMIZED CONTRIBUTIONS I l C~ l (Carry forward to item 3. of next page if additional pages of this form are used.) 0 ~1(J (If this is the last page of contributions, this amount must be shown in item 13b. of summary.) (J SS-1119-C (Rev. 2106) Page 3 of 1 RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - PAC 1. NAME OF COMMITTEE 2. REPORT COVERING THE PERIOD CL-N7 "Cr r,1_1 Y 261A Qt, cut i PO"C FROM:2ej1fa1f6 TO: ;C1144 M Amount 3. TOTAL ITEMIZED EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) C19/ Ci 0 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures totaling more than $100 to any payee during the period). If the ex- penditure is an in-kind contribution to a candidate, please remember to include the purpose of the expenditure (e.g. postage, printing) along with the candidate's name in the u ose of expenditure section. First Name Middle Name urpose of Expenditure Amount of Expenditure LastNamelBusiness Name 11gACAV1) CLAP. Address Date of Expenditure Ctty State Zip Code 2 0 1 Y012 First Name Middle Name Purpose of Expenditure ount of Expenditure / Last NametBusiness Name Address Date of Expenditure City State Zip Code '20f Yo 2 o 3 First Name Middle Name Purpose of Expenditure mount of Expenditure Last NametBusiness; Name CS ( 7 E N Al 1 C r I ti r t ate of Expenditure Address 2.() t` 033) City State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure 'T .2c' ~ Z, Z S, c' e Last NameBusiness Name Address Date of Expenditure City State Zip Code 2 c ( Y U 31 First Name Middle Name Purpose of Expenditure Amount of Expenditure G cry S 00(j Last NameBuslnessName Z Z <7~) R 0V lo (v Address Date of Expenditure z (V City State Zip Code 13 FirstName Middle Name urpose of Expenditure Amount of Expenditure KAR N s Cam. <^v Last Name/Business Name Address Date of Expenditure City State Zip Code 5. TOTAL ITEMIZED EXPENDITURES / (Carry forward to item 3. of next page if additional pages of this form are used.) 't 1 6 . L If this is the last page of campaign expenditures, this amount must be shown in item 17b. of summary.) SS-1119-E (Rev. 1100) Pagel _ of RDA 1159 CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For Multicandidate Committees (PACs) 1. DATE OF REPORT 2. NAME OF COMMITTEE 2.A. SHORT NAME OF COMMITTEE (IF APPLICABLE) 3. ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone 32 A 6UP- D~ vE Mf}RY~~IC~,~ ~A/ T? 065 3C)c '?2G 4. TYPE OF CANDIDATES SUPPORTED STATE PUBLIC OFFICE ~ LOCAL PUBLIC OFFICE 2~ BOTH 5.A. NAME OF POLITICAL TREASURER 5.B. DATE APPOINTED nnV~L AV1t) DU C_ K 6. CATEGORY OR REPORT (Check one) n ❑ ED El FIRST SECOND TH❑IRD FOURTI-1 PRE- PRE- MID-YEAR YEAR-END QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 7.A. BEGINNING DATE OF REPORTING PERIOD 7. B. ENDING DATE OF REPORTING PERIOD - IS-2d1 8. (Check one) A. This committee 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. I do solemly swear or affirm that the information contained in this statement is true and that the committee has complied with all applicable provisions of the Campaign Financial Disclosure Act. (Items 10d., 10e. and 10f must also be completed.) B. This committee 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. I do solemly swear or affirm that the information contained in this statement is true and that the following page(s) are a complete and accurate accounting of all contributions and expenditures required to be reported by political campaign committees by the Campaign Financial Disclosure Act. 2014 0 2- If signature of political treasurer date 9. WITNESS SIGNATURE zw ) y signature of witness date' 10. SUMMARY a. BALANCE ON HAND LAST REPORT $ 0 b. TOTAL RECEIPTSTHIS PERIOD 1 c. TOTAL DISBURSEMENTS THIS PERIOD t d. BALANCE ON HAND 10.a. plus 10.b. minus 10.c. $ L1 e. TOTAL LOANS OUTSTANDING $ 10, 00 f. TOTAL OBLIGATIONS OUTSTANDING $ 0.00 `~l ~T 3- SS-1122(Rev. 2/06) r RDA Pending SUMMARY PAGE - PAC 11. NAME OF COMMITTEE (In Full) -T 12. REPORT COVERING THE PERIOD (7~-oG Vf (_C UNT 1 lAA va u PAL FROM 2(h 13Q7t, T0: 2,-140115 RECEIPTS 13. CONTRIBUTIONS (other than loans and interest) '7 a. Unitemized Contributions ($100 or less from each source this period) $ / v e) b. Itemized Contributions (over $100 from each source this period) $ c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 13.a. and 13.b.) $ 71, c7o 14. LOANS RECEIVED THIS REPORTING PERIOD !!O, yo 15. INTEREST RECEIVED THIS REPORTING PERIOD V , C)O 16. TOTAL RECEIPTS (add 13.c., 14., and 15.) (must be shown in item 10.b.) $ 7 i C L DISBURSEMENTS 17. EXPENDITURES (other than loan payments) a. Unitemized Expenditures ($100 or less each payee this period) (must be listed by category - e.g., printing, postage, gasoline) PO 5-T OFF 1 G E gob $ Z, o $ $ $ $ $ Total of Expenditures ($100 or less each payee) $ - d o b. Itemized Expenditures (Over $100 each payee this period) $ 0'(_')0 r l c. Independent Expenditures $ Q,Cv d. TOTAL EXPENDITURES (other than loan repayments)(add 17.a., 17.b. and 17.c.) $ ? )'//~~C t 18. LOAN REPAYMENTS MADE THIS PERIOD $ C1 l O 19. TOTAL DISBURSEMENTS (add 17.d. and 18.) (must be shown in item 10.c.) $ 20.IN-KIND CONTRIBUTIONS a. Unitemized in-kind contributions ($100 or less from each source this period) C') t ) b. Itemized in-kind contributions (over $100 from each source this period) $ G C)ci c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 20.a. and 20.b.) $ 0 c) n 21. LOANS LOANS OUTSTANDING (must be shown in item 10.e.) n 22. OBLIGATIONS a. Unitemized Obligations Outstanding $100 or less each b. Itemized Obligations Outstanding (Over $100 each) $ C _o0 c. TOTAL OBLIGATIONS OUTSTANDING (add 22.a. and 22.b.) (must be shown i item 10.f.) $ sN SS-1136 (Rev. 11/04) Page of ITEMIZED STATEMENT OF CONTRIBUTIONS - PAC 1. NAME OF COMMITTEE 2. REPORT COVERING THE PERIOD t3t-vvjv7 CoCiNT TAty( (-"6voLl PAC FROM:Ui30~a TO:zol4Oi 5 Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 7y, cc, 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor during the period) First Name M.I. LastNamelOrg nizationName AmountofContnbvt n ,-JAM L C- L Address 7US 716 AS tJr~ Zvc City State Zip Code Date ofContilxution 4AAQ-~VJL L C 1T.A/ 1-7 00 7-v(`IOIIe pabon OF✓~~' , Employer TO t l v/ A C- C r` First Name M.I. Last Name/Organization Name AmountofContalxficr Address City State Zip Code Date of Contribution Occupation Employer First Name M.I. Last Name/Organization Name AmountofContribution Address city State Zip Code Date of Contribution Occupation Employer First Name M.I. Last NamelOrganization Name AmountofContribution Address City State Zip Code Date of Contribution Occupation Employer First Name M.I. Last Name/Organization Name AmountofConhibution Address city State Zip Code Date of Contribution Occupation Employer OOO" First Name M.I. Last Name/Organization Name AmountofConlriloution Address City State Zip Code Date of Contribution Occupation Employer 5.TOTAL ITEMIZED CONTRIBUTIONS cq~ (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 13b. of summary.) l- SS-1119-C (Rev. 2106) Page 1~ of RDA 1159 APPOINTMENT OF POLITICAL TREASURER For Multi-Candidate Committees (PACs) INSTRUCTIONS This een aform must be used to appoint a political treasurer as required by the Campaign Financial Disclosure Act (T.C.A. §2-10-105) for multi-candidate committees (PACs). No funds may be received or expended for a future election until a political treasurer has bppointed. A new form must be filed if the treasurer is changed. Committees that make contributions only to candidates for state public office must file this form and a $100 annual fee with the Registry of Election Finance, 404 James Robertson Parkway, Suite 104, Nashville, TN 37243-1360. Committees that make contributions only to candidates for local public office must file with the local county election commission in the county where the contributions are made. Committees giving to both state and local candidates should file the original with the Registry and a copy with the county election commission in any county the committee is making contributions. 1. Date 12. Committee 1~'' w T Ceti [4. Address and Phone Street or Rural Route City State Zip Code Phone )2- ~4 S (3 UR DK Mm Y UZ ALE I Tv 3 0 Y 300 ?26-2 Committee Name as it Appears on Checks 5. Type of Candidate Supported (Check One or Both) CC7t,IL7 C0 (,NT TAX R Evo`T PAC ❑ State Candidate ER/Local Candidate 6. Treasurer Name SIgmo 'om U r) OU~K 7. Treasurer Address and Phone Street or Rural Route City State Zip Code Phone 3 2 r`~ S 3GR t U In, MAR (/1CC.F TN 3 $c~ $6, Svc 26 8. Is your committee controlled by a political party on the national, state of local level or by a caucus of a political party established by the embers of either ❑ r house of the general assembly? Yes ErNo Name of Party (Democrat or Republican) 9. Is your committee affiliated with any other multi-candidate committee? If yes, please list name and address of committee(s) below. ❑ Yes tRf No 10. Committee Officers (Name, Position and Address) (Attach additional page if necessary) SAM(" 6 t 0A 1/S D O ~i C K: EAR 21 A S c. 11. Appointing Authority and Tre er Signature (Both signatures must be witnessed. Treasurer can not witness signature.) J ~ ~ ~-C/~ rY-1 Signature of Appointing Authority Signature o reasurer Signature of Wamss Signature of Witness ELECTRONIC FILING If you are interested in filing your campaign financial disclosure statements with the Registry electronically then you will need an ID and password. You may go to www.tennesseeanytirne.org/tncamp/ to see a demonstration of the electronic filing system. If you check the box below and sign, the Registry will send you an ID and password along with instructions on how to get started on the electronic filing system. If you have any questions, please feel free to contact the Registry office at (615) 741-7959. ❑ 1 would like to receive and ID and Password to file campaign financial disclosure statements electronically. Registry of Election Finance SS-1112 (Rev. 8/08) RDA Pending