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Headrick , Jeff CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORT 2.a. NAME OF CANDIDATE OR COMMITTEE C. /R -1 E SFr / j C1 2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE JF y S~ s'- / - zd 4.a. CAMPAIGN ADDRESS AND PHONE St eet or Rural Route Ci State Zip Code Phone 4.b. CANDIDATE'S 140ME ADDRESS (if different than 4.a.) Street or Ru aI Route City state Zip Code Phone 4 U,.L Q 1)6 t) -72 11 Clio 5. OFFICE SOUGHT (i dude district number, If applicable) 6. NAME OF POLITICAL TREASURER (may be candidate) 7. CATEGORY OR REPORT (Check one) ,tl~Q,/ 1:1 C-1 0 13 ❑ FIRST SECOND THIRD FOURTH Pfd PRE- MI YEAR YEAR-END QUARTER QUARTER QUARTER PRI Y SUPPLEMENTAL GENERAL SUPPLEWNIM 8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOUL 9. (Check one) a. ❑ This campaign is exempt from detailed disclosure because contributions (including in-kind) received total $1,000 or less AND expendi- tures total $1,000 or less for this reporting period. (Complete items 12d., 12e. and 12f.) b. This campaign is required to file a detailed financial disclosure because contributions (including in-kind) received total more than $1,000 1~and/or expenditures total more than $1,000 for this reporting period. 10. I/we do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this report is an accurate accounting of campaign contributions and expenditures required to be reported by the candidate committee by the Campaign Financial Disclosure Act. Additionally, Uwe swear or affirm that no campaign contributions have been expended for the personal financial bens f the candidate or for any other nonpolitical purpose as defined by the federal internal revenue code. eT n ture of candidate date Sig-na-MM of political treasurer date 11. WIT SS SIGN E signature of witness date signature of witness date 12. SUMMARY a. BALANCE ON HAND LAST REPORT . . .....~E $ b. TOTALRECEIPTS THIS PERIOD $ M W 7 .d c. TOTALDISBURSEMENTSTHIS 2...~....... • ov SLOURranumv 4 1oS" a d. BALANCE ON HAND (12.a. plus 1 nus e. TOTAL LOANS OUTSTANDING o S 7 4~. T3 f. TOTAL OBLIGATIONS OUTSTANDING $ SS-1109 (Rev. 2106) Page 1 of 7,- RDA 1159 SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD ~ - FROM T0: ~ Z(. RECEIPTS 15. CONTRIBUTIONS (other than loans and interest) a. Unitemized Contributions ($100 or less from each source this period) $ b. Itemized Contributions (over $100 from each source this period) $ c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ 16. LOANS RECEIVED THIS REPORTING PERIOD $ 17. INTEREST RECEIVED THIS REPORTING PERIOD 18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) $ DISBURSEMENTS 19. EXPENDITURES (other than loan payments) a. Expenditures ($100 or less each payee this period) (m st be listed by category - e.g., printing, postage, gasoline) $ Ov C r 'sue . Pud (r~~R~ / $ 406 $ $ $ $ $ $ $ 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.) $ 0 20. LOAN REPAYMENTS MADE THIS PERIOD $ 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) $ 22.IN-KIND CONTRIBUTIONS a. Unitemized in-kind contributions ($100 or less from each source this period) $ b. Itemized in-kind contributions (over $100 from each source this period) $ c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.) $ 23. OBLIGATIONS a. Unitemized Obligations Outstanding ($100 or less each) $ b. Itemized Obligations Outstanding (Over $100 each) $ c. TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 12.f.) $ SS-1133 (Rev. 4102) Page Z of CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORT 2.a. NAME OF CANDIDATE OR.CQ r ITTEE 2o lc~ t t )EiAC) 2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone 4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.) ^Stre t or Rural Route Cit State Zip Code Phone t Cif k~ " 5. OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate) lw U) ~G Sri LLl C(IA vii C1 ~ 7. CATEGORY ORREPORT (Che one) 1:1 1:1 1:1 El 1:1 0 FIRST SECOND THIRD FOURTH PRE- PRE- MID-YEAR YEAR-END QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD 9. (Check one) a. ❑ This campaign is exempt from detailed disclosure because contributions (including in-kind) received total $1,000 or less AND expendi- tures total $1,000 or less for this reporting period. (Complete items 12d., 12e. and 12f.) b. [t] This campaign is required to file a detailed financial disclosure because contributions (including in-kind) received total more than $1,000 and/or expenditures total more than $1,000 for this reporting period. 10. I/we do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this report is an accurate accounting of campaign contributions and expenditures required to be reported by the candidate committee by the Campaign Financial Disclosure t. Additionally, I/we swear or affirm that no campaign contributions have been expended for the personal financial i f the ca i to or for any other nonpolitical purpos as defined by the federal i ternal r nue code. at e o candidate dat signature of political treasurer date 11. WITNES SIGNAT R signature of witness dat signature of witness dat 12. SUMMARY a. BALANCE ON HAND LAST REPORT $ b. TOTAL RECEIPTS THIS PERIOD 4 C. TOTAL DISBURSEMENTS THIS PERIOD ~v d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c. $ ~24'`~, J y cErv' A e. TOTAL LOANS OUTSTANDING .........................................v A $ sS~G .C~C~ C f. TOTAL OBLIGATIONS OUTSTANDING k.CLOUNTCOV~i.t.........~A $ ..~L~c~ionr ~ SS-1109 (Rev. 2/06)d ZS G 0~ , Page 1 of RDA 1159 i SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD FROM:r r L . / T0: RECEIPTS 15. CONTRIBUTIONS (other than loans and interest) a. Unitemized Contributions ($100 or less from each source this period) 2 ~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.) $ T'U UL' 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.) $ 4?C') 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) 2: YZ 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.) $ 'qS 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) $ L lp 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. 4/02) Page 2_ of a ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMM U ` 2. REPORT COVERING THE PERIOD 75 C- FROM:/~~. / TO: 3 . l - 3, TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) Amount 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor First Name 7 Middle Name j!E> Contribution Received For: Amount of Contribution Last Name/Organization Name . ❑ Primary Election General Election C)O I ❑ Runoff (Local Elections Only) It- A,d,7 Az- City r~/1 +,v ✓ I S~o Z;plpde., Date of Contribution Aggregate This Election Occupation l 6 ~5 Employer C~ d First Name M ddle Name Contribution Received For: Amount of Contribution Last Name/Org ization Name El Primary Election 0 General Election Address ~ 7~ -1 /~G f~/~ ❑ Runoff (Local Elections Only) City L JState Code Date of Contribution ' j Aggregate This Election l J ~ -,l S ` Occupation J` Employer / FirstNa iddle Name Contribution Received For: Amount of Contribution Last ame rganization ame ❑ Primary Election [fJ General Election Address Runoff (Local Elections Only) City a ~l,' z; Date of Contribution ' l w Aggregate This Election ` a) Occupation f Z J\ U Employer First Name Middle Name Contribution eceive or: Amount o Contribution Last Name/Organization Name ❑ Primary Election 12 General Election 1~'Zd ` G r lac) nil rG~~ c ( Addr ❑ Runoff (Local Elections Only) city /1 ~l L SJate~ 7incode 76 Date of Contribution Aggregate This Election Occupation C / l~j ` Employer fV 5. TOTAL ITEMIZED CONTRIBUTIONS (Carry forward to item 3. of next page if additional pages of this form are used.) G (It this is the last page of contributions. this amount must be shown in item 15b. of summary.) 1_iFJ.~I r~ SS-1131(Rev. 2/06) Page of RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR C MIT 2. REPORT COVERING THE PERIOD FROM:; TO: S 3 mound 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/B S ss Nam Address City Sit to Zip oste First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address City State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address City State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last NamelBusiness Name Address City Slate 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 5. TOTAL ITEMIZED EXPENDITURES _ (Carry forward to item 3. of next page if additional pages of this form are used,) ` )-7L) (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 CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORT 2.a. NAME OF CANDIDATE OR COMMITTEE / I- sr- I- CAiJ alC l c- 2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE tr/-IL-A Z{/, I,e_ h;(' _t 1LIdUf (.X, 1- ~C1 4L,1(1 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route mAcity-C State Zip Code Phone v, Y1 2~3 4.b. CANDIDATE'S HOME ADDRESS (if different than 41a.) S Al C"Un treet or Rural Route City State Zip Code Phone 3 W3 ' ~.L 3 z.z3 5.0 FFICE SOUGH (include district number, if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate) ' ` 7. CATEGORY OR REPORT (Check orie) ❑ ❑ ❑ ❑ ❑ ❑ ❑ Cr FIRST SECOND THIRD FOURTH PRE- PRE- MID-YEAR YEAR-END QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD 9. (Check one) a. ❑ This campaign is exempt from detailed disclosure because contributions (including in-kind) received total $1,000 or less AND expendi- tures total $1,000 or less for this reporting period. (Complete items 12d., 12e. and 12f.) b. This campaign is required to file a detailed financial disclosure because contributions (including in-kind) received total more than $1,000 and/or expenditures total more than $1,000 for this reporting period. 10. I/we do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this report is an accurate accounting of campaign contributions and expenditures required to be reported by the candidate committee by the Campaign Financial Disclosure Act. Additionally, I/we swear or affirm that no campaign contributions have been expended for the personal financial benefi a candid a for any other nonpolitical purpose as defined by the federal i ernal revenue code. i re *zanMate dat sign a of political treasurer date 11. WITNESS SIGNATURE 1 I - lS_I~ I-IS-I signature of witness date signature of witness date 12. SUMMARY 7~ a. BALANCE ON HAND LAST REPORT $ ?~L/,3 b. TOTAL RECEIPTS THIS PERIOD C $ I J V . K / C. TOTAL DISBURSEMENTS THIS PERIOD O $ v CO, d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ e. TOTAL LOANS OUTSTANDING 6.5 trb OV f. TOTAL OBLIGATIONS OUTSTANDING $ V / SS-1109 (Rev. 2/06) Page 1 of 5,.i. RDA 1159 SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD J/ 1 A D 0 (~-11L FROM: TO: RECEIPTS 15. CONTRIBUTIONS (other than loans and interest) a. Unitemized Contributions ($100 or less from each source this period) $ b. Itemized Contributions (over $100 from each source this period) $ c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ 16. LOANS RECEIVED THIS REPORTING PERIOD Si~ tJ •O y 17. INTEREST RECEIVED THIS REPORTING PERIOD 18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) $ Ida Qd 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) $ yU ` emu L V ffv" $ 1.()q\ Ltl t H v~-r 2 s. Q U ID N c ,r ( ZZ $ $ $ $ $ Total of Expenditures ($100 or less each payee) $ b. Itemized Expenditures (Over $100 each payee this period) $ c. TOTAL EXPENDITURES (other than loan re a ments add 19.a. and 19.b. 2 20. LOAN REPAYMENTS MADE THIS PERIOD $ AL6 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) $ M~,2' Z 22AWKIND CONTRIBUTIONS a. Unitemized in-kind contributions ($100 or less from each source this period) $ b. Itemized in-kind contributions (over $100 from each source this period) $ c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.) $ 23.013LIGATIONS a. Unitemized Obligations Outstanding $100 or less each $ Z - 1~ b. Itemized Obligations Outstanding Over $100 each S 5 6 0, O0 r c. TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 12.f.) $ SS-1133 (Rev. 4102) Page 2 0 f Z ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD Y 1 Etn '\C L FROM: 7, 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 Middle Name Contribution Received For: Amount of Contribution First Name 1 C [At?- 0 z"i Last Name/Organiza' am ❑ Primary Election General Election Address ❑ Runoff (Local Elections Only) ZC`~ U (i 40( L Iw chi co k City State Z' Date of Contribution Aggregate This Election y 1A ti L-('ICJ "S,) ,Yc> 3 Occupation l z u Employer First Name Middle Name Contribution Received For: Amount of Contribution Last a/Organization Name ❑ Primary Election General Election i t(-NoS 6F 'DouG OUEZ, 7 z Address c2 &4 S 3 , (o ❑ Runoff (Local Elections Only) Z~ U City Stag Zip Code 0 Date of Contribution Aggregate This Election Y/l/1 /7 7i Occupation y/►`-~ ~i Employer ~ 2-(, First Name iddleName Contribution Received For: Amount of Contribution Last ame rganization ame ❑ Primary Election 2 General Election Address ❑ Runoff (Local Elections Only) Z~I City ;n A1 (Vl jj Sta v Zip ? Date of Contribution Aggregate This Election 1 L Occupation ( L Employer First Name) Middle Name Contribution Received For: Amount o Contribution Last Name/Organiza n N,ame n U C L ❑ Primary Election Q General Election Addres ❑ Runoff (Local Elections Only) City State Zip Code - Date of Contribution Aggregate This Election o« Occupation 2-u Employer 5. TOTAL ITEMIZED CONTRIBUTIONS 61C' (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 151b. of summary.) I_W ~P SS-1131(Rev. 2/06) Page of Z~ RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD ~IC--tAFROM:? (-I T0: Amoun Q 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 ^ n Middle Name Contribution Received For: Amount of Contribution Last Name/Or ization Name ❑ Primary Election -General Election U'AMPc6 L-LL Ord 6C! Address 0I0❑ Runoff (Local Elections Only) City State Zip Code Date of Contribution Aggregate This Election d~ Occupation Employer' First Name Middle Name Contribution Received For: Amount of Contribution Last Name/OrganizationXame, p ❑ Primary Election General Election 60 tP ~ t I) Address 'v ( 1 (3n,) A t-) U- ;A. ( ❑ Runoff (Local Elections Only) City State Zip~de1 r Date of Contribution Aggregate This Election 55 Occupation f O v Employer First Naq* iddle Name Contribution Received For: Amount of Contribution Last Name/Organization Name , ❑ Primary Election General Election 1 4 it P ~cJRt,~S ~ r~-~(~~) ~ Q c) Address ❑ Runoff (Local Elections Only) s ( 3 2. ~,t l (,A,411,41'? City Staff Zip Code Date of Contribution Aggregate This Election Occupation r / n 1-7 Employer First Name Middle Name Contribution- Received or: Amount o Contribution ;z v i LZ t_ Last Name/Organization N r % ❑ Primary Election General Election Address ❑ Runoff (Local Elections Only) City State zip Code Date of Contribution Aggregate This Election Occupation C Employer 5. TOTAL ITEMIZED CONTRIBUTIONS y~ (Carry forward to item 3. of next page if additional pages of this form are used.) / a C~v (If this is the last page of contributions, this amount must be shown in item 15b. of summary.) ` Page of _ RDA 1159 r.`.1 SS-1131(Rev. 2/06) ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMI T,EE k I 2. REPORT COVERING THE PERIOD J T `"IC l c fL FROM? - . 7) TO: r - r f -l P 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 Middle Name Contribution Received For:: ~ Amount of Contribution Last Name/Organization Name El Primary Election Ld/General Election C Address A~ ❑ Runoff (Local Elections Only) /Y City State Zip Code Date of Contribution Aggregate This Election Occupation / /&&) Employer X First Name Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name ❑ Primary Election General Election oc~ Address ❑ Runoff (Local Elections Only) City Srale Zip Code Date of Contribution Aggregate This Election Lr~tl Occupation r- u 0 IkeD Employer First Name iddleNarne Contribution Received For: Amount of Contribution LL(~ Last Name /Organization Name ❑ Primary Election Peeneral Election G O Address ❑ Runoff (Local Elections Only) City State Zip Code Date of Contribution Aggregate This Election eAi(4 Occupation -~7 0 0 2-Co "b& mp oyer First Name Middle Name Contribution Received For. -Amount o Contribution s-~l U Last Name/Organization Name 1 ❑ Primary Election Iq General Election Address ❑ Runoff (Local Elections Only) city State Zip Code Date of Contribution Aggregate This Election z Occupation r f 06 Employer ~J 5. TOTAL ITEMIZED CONTRIBUTIONS 00 (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.) K.::tA RDA SS-1131(Rev. 2/06) Page S of 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDA E OR COMMITTEE II __nn 2. REPORT COVERING THE PERIOD FROM: '7-/ - 17 TO: - (6 c F 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 -U G Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name ` r S J ❑ Primary Election E~ge'neral Election Address ) , ❑ Runoff (Local Elections Only) v City sLe- Zip Code Date of Contribution Aggregate This Election j c: G A l;v ~'I Occupation Employer //f ~~6 I ~ ljL/ / J J First Name Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name - ❑ Primary Election ~0 General Election r~ 0 c~ (t ~00 Addres&.~,s~(o c, n L" \ ❑Runoff (Local Elections Only) Date of Contribution Aggregate This Election City tJ Staff ~~-7ny M L, 6j-. << L Zi Cod ~ .tOccupation c}c Employer 2, First Name iddteName Contribution Received For: Amount of Contribution Last Name /Organization Name ❑ Primary Election General Election 0C' C L-C-- A S 2 Address ❑ Runoff (Local Elections Only) City State~ jzjpc Date of Contribution Aggregate This Election I /V Occupation Q mpoyer I10 First Name / Middle Name Contribution Received or: mount o ontnbution C Tr Last Name/Orga ation N me ❑ Primary Election El--General Election (7 Address3 3~~~ ~s r oj~J~~ ❑ Runoff (Local Elections Only) City J u i Jj S w ZipQod~~ Date of Contribution Aggregate This Election ~ `t Occupation Employer 5. TOTAL ITEMIZED CONTRIBUTIONS d(J (Carry forward to item 3. of next page if additional pages of this form are used.) ~~C1L (It this is the last page of contributions, this amount must be shown in item 15b. of summary.) RDA 1159 SS-1131(Rev. 2106) Page of 7 7 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COM I E ~ 2. REPORT COVERING THE PERIOD FROM: 7 -1, t TO: j - -l un 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 Middle Name Contribution Received For: Amount of Contribution Last NamelOrganiza'tij~n f ame ❑ Primary Election q,66,eral Election t) City I El Runoff (Local Elections Only) Address I M ~~~pCA Stage Zip Code Date of Contribution Aggregate This Election 1 .3 G i - -7.v Occupation C/ F-7 Employer ^ z CC) First Name Middle Name Contribution Received For: Amount of Contribution Last Name/Organization NameLL n ~ ~ ❑ Primary Election 0,teneral Election U Addre ~ ❑ Runoff (Local Elections Only) J v 10 Mte,, ~ City Stagy ZiU e z,3 Date of Contribution Aggregate This Election IIti Occupation 9 - "7 1 L~ l' Employer 3 First Name iddle Name Contribution Received For: Amount of Contribution o i s Name /Organization Name ❑ Primary Election = general Election 6C ` NJ ' Address A ❑ Runoff (Local Elections Only) City State Zip Code Date of Contribution Aggregate This Election Occupation Employer First Name Middle Name Contribution eceived or: mount o ontri ution bl fiL~ Last Nam/Organization Name ❑ Primary Election L9 General Election mac,;>m I,-, Address ~~,Z ✓ ❑ Runoff (Local Elections Only) City Sta Zip Cod Date of Contribution Aggregate This Election ALA N 0 z 3 1 C, Occupation Employer I V 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.) A ~7e SS-1131(Rev. 2106) Page of 4~ RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD L FjF Y-(L- Att rLtcAt. FROM:/-r -j TO: 1 i %1r Amount Q 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 3 7c7v 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 -57 Last Name/Organization Name ❑ Primary Election [DIveneral Election oc~ Address ❑ Runoff (Local Elections Only) City State a Date of Contribution Aggregate This Election Occupation Empoyer 10, -S First Name Middle Name Contribution Received For: Amount of Contribution 5f~"14 1✓ Last Name/Organization Name I ❑ Primary Election U-General Election V~~-ooti c~ Address k, El Runoff (Local Elections Only) q) t J4 City d (0.7t l / Stag Zi!C di 3 Date of Contribution Aggregate This Election Occupation ~ V Employer J First Name r0eName Contribution Received For: Amount of Contribution Last ame ganizatio Iammee /V1 ❑ Primary Election PI(leneral Election 1 h ❑ Runoff (Local Elections Only) )Lr AddreZ_ City State Zip Code_ Date of Contribution Aggregate This Election r Occupation Employer First Name Middle Name Contribution Received or: mount o Contribution Last Name/Organization Name /11 ❑ Primary Election eneral Election n~~l C_JI Addrp~s C3 Runoff (Local Elections Only) /JCity State Zip Code Date of Contribution Aggregate This Election T 3'~ 5 Occupation r~ NW 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.) 4- k SS-1131(Rev. 2106) Page of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD oIz /C 16, FROM: T 7j TO: 1 - lc~ 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 "'j' Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name ❑ Primary Election 0-rae feral Election n CSC (L L ~C CJ Address ❑ Runoff (Local Elections Only) City state Zip Code Date of Contribution Aggregate This Election U 1 Occupation / f -7 Employer First Name M ddle Name Contribution Received For: Amount of Contribution Last Name/Organization Name f~ N ❑Primary Election 11,216eral Election Address ,7r C, 3 ,'t" nl d r 4 E] Runoff (Local Elections Only) City Zip jt7-7-/-_1 Date of Contribution Aggregate This Election Occupation r 1 / r~ Employer ob l V First Name iddle Name Contribution Received For: Amount of Contribution 73 t a rganrzahon ame ❑ Primary Election [General Election (a U Address 1 ❑ Runoff (Local Elections Only) J C) U City State Zip Cade Date of Contribution Aggregate This Election 06 r Occupation Employer First Name Middle Name Contribution Receive For: Amount o Contribution G& Last Name/Organizar Name ❑ Primary Election (a General Election 106 Address j ❑ Runoff (Local Elections Only) 2 0 City State Zip Code L Date of Contribution Aggregate This Election V vUIP .1'~~L- i-~ Occupation / C) r Employer C r~ 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.) ~'>w tR SS-1131(Rev. 2106) Page of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITT. _ 2. REPORT COVERING THE PERIOD FROM: TO: 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) Amoun 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totalin more than $100 from an contributor First Name Middle Name Contribution Received For:: Amount of Contribution Last Name/Organization Nam ❑ Primary Election ltd General Election Address' ❑ Runoff (Local Elections Only) l t City State Zip Code Date of Contribution Aggregate This Election v A;z J 7,L- Occupation Employer lS / First Name Middle Name Contribution Received Forte:r g Amount of Contribution Last Namelorganization Name ' A f 11L ❑ Primary Election r,,,.eneral Election C(j Address 1~, 3 ❑ Runoff (Local Elections Only) City Stay Zi Code Date of Contribution Aggregate This Election >r Occupation & G~ Employer 6 First Name fiddle Name Contribution Received For: Amount of Contribution s Name /Organization Name ( r ❑ Primary Election [}'General Election u-) L 21 Address ❑ Runoff (Local Elections Only) Z2 ) I 's I City , /)q State Code Date of Contribution Aggregate This Election V V 1~ l~ ll 7-r•: ~ Zv' ? Occupation mp oyer First Name Middle Name Contribution eceived or: Amount o Contribution Last Name/Organization Na ❑ Primary Election P/Oeneral Election ` Ua Address. ❑ Runoff (Local Elections Only) city State Zi Code Date of Contribution Aggregate This Election Occupation l / ~ / j 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) 5b_ of summary.) l/ SS-1131(Rev. 2106) Page __10 of 22, RDA 1159 r_, _ ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMI 2. REPORT COVERING THE PERIOD Ca7 _/1621LQL FROM:q -1 17 TO: ( -s / Q, Amount 0c) 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) I (b 7 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/Organ Na ❑ Primary Election M-11~eneral Election Address ❑ Runoff (Local Elections Only) City State Zie e Date of Contribution Aggregate This Election v ~ Jv cSG. Occupation J Employer / • - First Name Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name ❑ Primary Election dCeneral Election Address ❑ Runoff (Local Elections Only) City St)1 Zi Co~e,~~ j Date of Contribution Aggregate This Election Occupation -/7~~ UU Employer fiddle Name Contribution Received For: Amount of Contribution First Name ` 3Z lu r Last a rganization ame ❑ Primary Election 2 eneral Election (fir/' Address ~ , , i FI S ~ ❑ Runoff (Local Elections Only) /00 City 1 ~l State Zip Code _ Date of Contribution Aggregate This Election 0, , (1 ✓ (fit t lA ) Occupation r Employer First Name Middle Name Contribution Received or: mount o Contribution Last Name/Organization Na e E] Primary Election general Election r C 1Lv-~~S~~./ Address ❑ Runoff (Local Elections Only) City q Slam FCge-tyc, Date of Contribution Aggregate This Election Occupation -7 Employer / z 5. TOTAL ITEMIZED CONTRIBUTIONS (Carry forward to item 3. of next page if additional pages of this form are used.) 7 Z, ~v (It this is the last page of contributions. this amount must be shown in item 15b. of summary.) t~~ SS-1131(Rev. 2106) Page / of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE / I 2. REPORT COVERING THE PERIOD 1 ~t~U~(Zlc lC FROM-1-~ 1-7 TO: / ArpTLZ 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 Middle Name Contribution Received For: Amount of Contribution Last Name/Organi ion Name ❑ Primary Election [11,-C`eneral Election Si } ❑ Runoff (Local Elections Only) Address~~ wCJ L City Staff zipC~e~ 1 Date of Contribution Aggregate This Election 4 - J lQ Occupation t / I ~7 Employer 7S 1,.-, First Name + V Middle Name Contribution Received Forte. Amount of Contribution Last Name/Organization Nam ❑ Primary Election L~ General Election t✓I) 1 \ Address; ZJ,,! ❑Runoff (Local Elections Only) City OLI~~ , Its ip Code Date of Contribution Aggregate This Election Occupation ~J Employer First Name iddleName Contribution Received For: Amount of Contribution A -J Last ame amzation ame ❑ Primary Election ❑ General Election 11 C Jc~` Addres I , b ` a J ❑ Runoff (Local Elections Only) rc~~ City l State Zip Code Date of Contribution Aggregate This Election Occupation co Employer First Name Middle Name Contribution Received or: mount o Contribution Last Name/Organization Name r ❑ Primary Election [1`6eneral Election O c ~J C ODE t r J/// Address ❑ Runoff (Local Elections Only) city State _ Zip Code Date of Contribution Aggregate This Election Occupation 7C Employer 5. TOTAL ITEMIZED CONTRIBUTIONS (Carry forward to item 3. of next page if additional pages of this form are used.) cfio (If this is the last page of contributions, this amount must be shown in item 15b. of summary.) K YA Page `of RDA 1159 SS-1131(Rev. 2/06) -7 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD -r} V ~%~~72~.C t t FROM-?-t r l TO: lyy jug/g (O Z(~ O U A 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 Middle Name Contribution Received For: Amount of Contribution J tam Last Name/Organization Name ❑ Primary Election M-deneral Election ~rr/, 6 ~L Address ❑ Runoff (Local Elections Only) City tai ZripCode Date of Contribution Aggregate This Election ~L J 1~~7 Occupation ! C' -7-T L.1 Employer First Name Middle Name Contribution Received For: Amount of Contribution Last NamelOrganizat Na ❑ Primary Election General Election Addn, /~jI ❑ Runoff (Local Elections Only) At, State Zip Code , I Date of Contribution Aggregate This Election City c 1 1✓ -7L Occupation ~-7 U Employer First Name 1 v L iddleName Contribution Received For: Amount of Contribution Last Name /Organization lame C] Primary Election Qfodneral Election Address - ❑ Runoff (Local Elections Only) staff zip Code Date of Contribution Aggregate This Election City 0& Occupation C.~ -Employer First Name Middle Name Contribution Received or: mount o ontribution ~y le. Last Name/Organization Name El Primary Election -4eneral Election Lf-- ❑ Runoff (Local Elections Only) 4-7 city I i Stag, Zip Date of Contribution Aggregate This Election Occupation 1 Employer 5. TOTAL ITEMIZED CONTRIBUTIONS; CO (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.) c' t:3 SS-1131(Rev. 2106) Page J's of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COM II n'~ 2. REPORT COVERING THE PERIOD FROM: 7 -t 17 T0: Amoun , 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 Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name ❑ Primary Election eneral Election Address ❑ Runoff (Local Elections Only) City Zip Code Date of Contribution Aggregate This Election Occupation Employer First Name Middle Name Contribution Received For: Amount of Contribution e2l-Q~ r-,/ Last NamelOrganizat~pn N ,e • ' ❑ Primary Election IZ General Election ~ ~ (~J Runoff (Local Elections Only) Z,](!/J/ Addre ❑ } City S1at4 t) Zip Code a ~.7 Date of Contribution Aggregate This Election Occupation ^V Employer / ECO First Name iddle Name Contribution Received For: Amount of Contribution t Name /Organization amet ❑ Primary Election [General Election Las Q-) Address ❑ Runoff (Local Elections Only) City State L Code , Date of Contribution Aggregate This Election L~ 7j- Occupation Employer First Name Middle Name Contribution Received or: mount o Contribution -f Last NamelOrganization Name / ❑ Primary Election eneral Election i V l r~ p/-L c~~C Add --7~ A~, A/1GUT ❑ Runoff (Local Elections Only) City state Zip b L 3 Date of Contribution Aggregate This Election Occupation , cj V Employer 5. TOTAL ITEMIZED CONTRIBUTIONS V/ 1 (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.) rq c SS-1131(Rev. 2106) Page/--[- of ~i(C RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD 'I c ` 4--I L-A CZ FROM:-, 77 TO: t I Al~otr~~~ ,2 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) c~CC ~t~ 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totalin more than $100 from an contributor First Name Middle Name Contribution Received For: Amount of Contribution Last NamelOrganizafion Name ❑ Primary Election General Election 2 ❑ Runoff (Local Elections Only) City `(J S Zip Code Date of Contribution Aggregate This Election Occupation IJ Employer FirslName Middle Name Contribution Received For. Amount of Contribution Last Name/Organization Na _ ❑ Primary Election .General Election GC L~LC~L Address --G73 S tj cot ❑ Runoff (Local Elections Only) City ~M/~ Zip Code / Date of Contribution Aggregate This Election V ,q U Alp. Occupation Employer First Name iddle Name Contribution Received For: Amount of Contribution Last ame amzation T(ARfl o,] ❑ Primary Election Pleneral Election Address 12 16 Runoff (Local Elections Only) , n 3 1( City V State_ Zip Code ) Y Date of Contribution Aggregate This Election rM J Ik° 3 )d. Occupation mp oyer / First Name M ddle Name Contribution Received or: mount o Contribution Last Na./Organization Name ❑ Primary Election LJYGeneral Election P ~ LGt-l J Address ❑ Runoff (Local Elections Only) Ciry State Code Date of Contribution Aggregate This Election Occupation Employer 5. TOTAL ITEMIZED CONTRIBUTIONS o (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.) Page L_ - of RDA 1159 ;.1 SS-1131(Rev. 2106) ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE _ 2. REPORT COVERING THE PERIOD L F i191'-Q( L FROM:-2- ' 77 TO: /-I'S AM? a~ CIO 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totalin more than $100 from an contributor First Name M ddle Name Contribution Received For: Amount of Contribution Last Name/Organization Name ❑ Primary Election L7 General Election - Address ❑ Runoff (Local Elections Only) t' • Ci tL) City Yti'1~1 State 7,ip-Coc(e~ v Date of Contribution Aggregate This Election T, j 1 /y Occupation C) Employer First Name Middle Name Contribution Received For: Amount of Contribution Last Name/Organizalio Vy@r,` ❑ Primary Election OGeneral Election L- Address r~ 4 J Cr r'4 c/ ❑ Runoff (Local Elections Only) o/- Iq 4- City State, Zi Code z) Date of Contribution Aggregate This Election Occupation C~cJ Employer /65 First Name ddleName Contribution Received For: Amount of Contribution Last am rganization Name ❑ Primary Election d'General Election Dc 3 2 Address ❑ Runoff (Local Elections Only) 'Aac) 1-T Cit State z e >I Date of Contribution Aggregate This Election y tJ % Occupation ; ~ ~ • ~ ~ ~ ~ Dyer l`~6~1 d First Name Middle Name Contribution Received or: Amount o ontributlon S , L lr Last Name/Organization Name _ ❑ Primary Election General Election 7-; Z t = 2SAddress) 00'~ l4( G(-( ❑ Runoff (Local Elections Only) City JjL4 ~ Sta~~ ZipFe,~ , Date of Contribution Aggregate This Election Occupation r V V 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.) SS 1131(Rev. 2106) Page of 22:f- RDA 1159 ~x~~+ - ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COM REPORT COVERING THE PERIOD FROM:7-t7) TO: , 1S -i'd Amount, b 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) qZ ~S 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor First Name L n Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Na e s 1 ❑ Primary Election .General Election Address 2~Cn E~~ ❑ Runoff (Local Elections Only) City 1J~,G ~ti~ Vie. , z~~odgw Date of Contribution Aggregate This Election h/ 7 r C' Occupation I~ Employer First Name Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name ❑ Primary Election 116Zneral Election ❑ Address Runoff (Local Elections Only) ~ vUV ,t ~ r~ c~ City JW jt /JG~ $4 f i zp6~ede~/ Date of Contribution Aggregate This Election Occupation l ( v 6 , Employer First Name IMiddle Name Contribution Received For: Amount of Contribution st ame amzation Name r- ❑ Primary Election QGeneral Election ~GJ Runoff (Local Elections Only) Addres mil, 2 2,- (C-V) _ evti l c) a-17~v-, city 2 st ZipGpde-~ ~ Date of Contribution Aggregate This Election L s Occupation Employer First Name Middle Name Contribution Received or:: Amount o Contribution Last Name/Organization Name ❑ Primary Election IDIIG"eneral Election 6 G' ❑ Runoff (Local Elections Only) AddressrL1- M6D 0144 C(''- City Ste Zip Code, Date of Contribution Aggregate This Election J Lit- Occupation U j / l C' ` 1 J Employer 73 / 5. TOTAL ITEMIZED CONTRIBUTIONS (Carry forward to item 3. of next page if additional pages of this form are used.) l tlt this is the last page of contributions, this amount must be shown in item 15b. of summary.) Page of SS-1131(Rev. 2106) -22, RDA 1159 c 3 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMM1IT-Er- Z. REPORT COVERING THE PERIOD /y' FROM. 7 h TO: Z _1 Amount/ `S 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 6 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totalin more than $100 from an contdbutor First Name Mlddle Name Contribution Received For: Amount of Contribution Last NamelOrga ation Name ❑ Primary Election L1d'General Election 2-;c-) Addres ❑ Runoff (Local Elections Only) City State Z" Date of Contribution Aggregate This Election V ( L Occupation } g Employer ( G k,/C, First Name 2 Middle Name Contribution Received For. Amount of Contribution Last Name/Organization Name ❑ Primary Election General Election / Address . ❑ Runoff (Local Elections Only) v 'J b T'4Ci~L v ft City Star,,- Zj Date of Contribution Aggregate This Election (l V 1NL (U' Occupation 1`n. ~,r Si`fC~ Employer First Name ddleName Contribution Received For: Amount of Contribution as Name /Organization Name ❑ Primary Election Aral Election Address - ❑ Runoff (Local Elections Only) -6NA -Ac- City Stale Zip Code Date of Contribution Aggregate This Election Occupation Employer First Name _ Middle Name Contribution Received or: mount o Contribution Last Name/Organization Na e ❑ Primary Election 10,0tneral Election C c, Address - r ❑ Runoff (Local Elections Only) City State Z e G Date of Contribution Aggregate This Election =S1d~~ r_ Occupation tTOTAL ZED CONTRIBUTIONS o2 tem 3. of next page if additional pages of thi s form are used.) age of contributions, this amount must be shown in item 15b. of summary.) Page A of RDA 1159 SS-1131(Rev. 2106) ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMM E PF . REPORT COVERING THE PERIOD C~F R OM: l -(7 T0: l Am 't / Cy, 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 14-cx 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totalin more than $100 from an contributor First Name Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name ❑ Primary Election Leral Election i Address ❑ Runoff (Local Elections Only) City Y~ I 1 ` Staff Zi~ode~ ~C Date of Contribution Aggregate This Election Occupation Employer First Name \ Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name ❑ Primary Election eral Election Addres ❑ Runoff (Local Elections Only) City State Zig~Cod Date of Contribution Aggregate This Election Occupation Employer First Name ddleName Contribution Received For: Amount of Contribution Lj Primary Electioneneral Election Last Name/Organization Name Address Runoff (Local Elections Only) J City 7~ / ! ✓ state Zip Code Date of Contribution Aggregate This Election Occupation 1 , Employer First Name Middle Name Contribution Received or:. Amount o ontribution Last Name/Organization Name ❑ Primary Election [2--General Election Address ❑ Runoff (Local Elections Only) City State- J~t -7 Date of Contribution Aggregate This Election _ Occupation S Empbyer 5. TOTAL ITEMIZED CONTRIBUTIONS L~ (Carry forward to item 3. of next page if additional pages of this form are used.) CJ~~ (If this is the last page of contributions, this amount must be shown in item 15b. of summary.) K.:.Yn r ~ Page ~ of ~ RDA 1159 t';vf SS-1131(Rev. 2106) ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD ~Q(_ FROM: 7-l TO: I J" -0~ 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) AnnR`~7~*.&1 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor First Name l l_ Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name ❑ Primary Election [2-15-eneral Election Oki, El Runoff (Local Elections Only) Addressi '4-7 7p City - State- Zi Code Date of Contribution Aggregate This Election Occupation ZK Employer First Name C Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name ❑ Primary Election ~eneral Election Address2-~~ It "A,) ❑ Runoff (Local Elections Only) Gry b' ( r c § !ate- Code Date of Contribution Aggregate This Election 14 lL I~ t Li L.. 3 ~c 7 Occupation Employer First Name iddle Name Contribution Received For: Amount of Contribution Last Name /Organization ame ❑ Primary Election [DGeneral Election Address -73 -2- ❑ Runoff (Local Elections Only) 5Q^ L.~ ~1 a21 ~ City Sta zpCode Date of Contribution Aggregate This Election Occupation Employer & First Name Middle Name Contribution Received or: Amount o Contribution ~A Last Name/Organ"tion Name ❑ Primary Election 0-General Election Address ❑ Runoff (Local Elections Only) City Sta% Zip Code v Date of Contribution Aggregate This Election Lk L/ z, Occupation /L)o~ Employer 5. TOTAL ITEMIZED CONTRIBUTIONS ~i !i (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.) V lJ i F W SS-1131(Rev. 2/06) of RDA 1159 Page ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMIT 7~t L p 2. REPORT COVERING THE PERIOD 1Li / FROM: -r ! 7 T0: If I v Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) f C~l✓~ j~ 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totalin more than $100 from an contributor Middle Name Contribution Received For: Amount of Contribution First Name Last Name/Organization N me ❑ Primary Election q Qe,6eral Election Z~_ Address /4 ❑ Runoff (Local Elections Only) City Cole(~(~lj , Date of Contribution Aggregate This Election SIB- LU-A./Ul7 ) Occupation /v r l 2- -17 Employer Middle Name Contribution Received For: Amount of Contribution [First Name Primary Election [3 General Election CG st NamelO an¢alion ❑ Runoff (Local Elections Only) Address F-Npl-ye, (y.J Code Date of Contribution Aggregate This Election First Name ddleName Contribution Received For: Amount of Contribution Last ame rgan anon ame ❑ Primary Election neral Election Address r /t-3 ❑ Runoff (Local Elections Only) ~ lection State zip Code Date of Contribution F Ciry o 64 6~ Occupation mp yer e ontribution Received For: Amount o ontribution Middle Nam Last First Name NamelOrgani0A lzation t:~ ~ Name ^ ~ Z 1 f ` ❑ Primary Election ~>~eneral Election 2(~ • / ~ Address El Runoff (Local Elections Only) ( r .,V J 1 c~ This Election Date of Contribution rggregate city II~An_ t(t sTw x'10 > / t) Occupation ( 131q SrL! - oyer Empl 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.) 7 'l- Page of RDA 1159 .1 SS 1131(Rev. 2106) ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE--- r I \ 2. REPORT COVERING THE PERIOD t- r~ l ~A FROM: 7-1 -17 TO: Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) j u 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totalin more than $100 from an contributor First Name Middle Name Contribution Received For: Amount of Contribution Last Nam 10 ganization Name ❑ Primary Election General Election C-~ Address G,4ry~ L ❑ Runoff (Local Elections Only) Date of Contribution Aggregate This Election State Z;oCode7 L, Dat city JJ Occupation / 1-7 Employer First Name Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) State Zip Code Date of Contribution Aggregate This Election City Occupation Employer ddleName Contribution Received For: Amount of Contribution First Name s ame amza ion Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) State Zip Code Date of Contribution Aggregate This Election City Occupation mp yer Middle Name Contribution Received For: Amount o Contribution First Name Last Name/organization Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) gty~ Zip Code Date of Contribution Aggregate This Election City Occupation Employer 5. TOTAL ITEMIZED CONTRIBUTIONS C~j (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.) ms,;,» Page of RDA 1159 t~;.~ SS-1131(Rev. 2106) CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORT 2.a. NAME OF CANDIDATE OR COMMITTEE -7 - -fib t L-- jq z 2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE 4.a. CAMPAIGN ADDRESS AND PHONE S eet or Rural Route City State Zip Code Phone 4.b. CANDIDATE'S HOME ADDRESS (if different an 4.a.) Street or Rural Route City State Zip Code Phone 5. OFFICE SOUGH (include district nu er, if applicable) 6. NAME OF POLITICAL T~2EASURER (may be candidate) L17 ti"' l~~Gt is 5~, er; ,v ~L n 4_ L6L 6JJf-` //Yl 7. CATEGORY O REPORT (Check one)❑ ❑ ❑ ❑ ❑ FIRST SECOND THIRD FOURTH PRE- PRE- MID-YEAR YEAR-END QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD 9. (Check one) a. ❑ This campaign is exempt from detailed disclosure because contributions (including in-kind) received total $1,000 or less AND expendi- tures total $1,000 or less for this reporting period. (Complete items 12d., 12e. and 12f.) b. [ff This campaign is required to file a detailed financial disclosure because contributions (including in-kind) received total more than $1,000 and/or expenditures total more than $1,000 for this reporting period. 10. I/we do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this report is an accurate accounting of campaign contributions and expenditures required to be reported by the candidate committee by the Campaign Financial Disclosure Act. Additionally, I/we swear or affirm that no campaign contributions have b expended for the personal financial be of the candidate or for any other nonpolitical purpose as defined by the federal int at r enue,~ode. sin ure of candidate dat signature of political treasurer d $e 11. WITNESS SIGNATURE ~~►.~C~I~ f /G 7 L signature of witness date signature of witness d& 12. SUMMARY a. BALANCE ON HAND LAST REPORT $ 1449,11 l ZS0.,00 b. TOTALRECEIPTSTHIS PERIOD I c. TOTALDISBURSEMENTS THIS PERIOD $ D ` d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ " e. TOTAL LOANS OUTSTANDING a $ $ C 4 f. TOTAL OBLIGATIONS OUTSTANDING ......................................R.E(~F9~fF-.L SS-1109 (Rev. 2/06) BLOUNT COUNT Page 1 of A-- RDA 1159 ELECTION SUMMARY PAGE - CANDIDATE 14. REPORT COVERING THE PERIOD 13. NAME OF CANDIDATE OR COMMITTE ((In Full) ~CC C_ FROM: TO: (Qq RECEIPTS 15. CONTRIBUTIONS (other than loans and interest) SS a. Unitemized Contributions ($100 or less from each source this period) $ V j 0 b. Itemized Contributions (over $100 from each source this period) $ c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ ` $ 16. LOANS RECEIVED THIS REPORTING PERIOD 17. INTEREST RECEIVED THIS REPORTING PERIOD $ 1 B. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) ra. SBURSEMENTS . EXPENDITURES (other than loan payments) Expenditures ($100 or less each payee this period) (must be listed by category - e.g., printing, postage, gasoline) L $ $ I U`Z 0~ 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. 044, 20. LOAN REPAYMENTS MADE THIS PERIOD $ 4 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) TIONS rU22.11NAKIND CONTRIBU nitemized in-kind contributions s ($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.) Page ~ of ~ SS1133 (Rev. 4102) ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEEI 2. REPORT COVERING THE PERIOD I~1 FROM:/. ~.~G, T0: le ~ ,31.7 ` Ko Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) D 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor First Name Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name ❑ Primary Election LIB General Election Address 2 -ZZ- L CT El Runoff (Local Elections Only) City t,M A ~J dtLL st~w~ zilyC~e Date of Contribution Aggregate This Election r Vt Occupation Employer 3 2 Q First Name 7 1 6 Middle Name C Contribution Received For,: Amount of Contribution Last Name/Organization Na e- ~M 1 El Primary Election D,/General Election Address I L t~l21L ! A []Runoff (Local Elections Only) Q~ City ( ~ n I U'I ,-1 state Code Date of Contr bution Aggregate This Election Occupation' 1 Employer M 0 First Name IM fiddle Name Contribution Received For: Amount of Contribution .J a Last ame rganization Name ❑ Primary Election (General Election A C-12- Address 1 I I 5 ❑ Runoff (Local Elections Only) 00 City State Zip Code Date of Contribution Aggregate This Election 1~ 1 Q, i 3-7 i) OiP Occupation Employer S5 Qa eo5~ E,2 • ~ ' i ~l;Z.l~ ~,J First Name Middle Name Contribution Received For:: Amount o Contribution Last Name/Organization Name ❑ Primary Election Z General Election l~(t~ Address C ~n ❑ Runoff (Local Elections Only) City C~r r~^, Sta> ZipC~dez ~f3 Date of Contribution Aggregate This Election Oxupation (/11~ ,•S r 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.) X49 SS-1131(Rev. 2/06) Page of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE, L 2. REPORT COVERING THE PERIOD ~.1 ~ }C (C I LV FROM: - (G 10: (a.. 3~ ~(7 Amou t 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) ~~750 • (9o 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 NamelO; anization Name l ❑ Primary EP/General Election Address ❑ Runoff (Local Elections Only) City State Zip Code Date of Contribution Aggregate This Election Occupation 00 Employer First Name ^ n Middle Name Contribution Received For_/ Amount of Contribution Last Name/Organization Name ❑ Primary Election V General Election Address ❑ Runoff (Local Elections Only) City State Zip Code Date of Contribution Aggregate This Election Occupation Employer First Name iddle Name Contribution Received For: Amount of Contribution Last ame rganiza ion ame ❑ Primary Election eneral Election Add ess r E] Runoff (Local Elections Only) R T~ L t,k FL X20 ~-iV Date of Contribution Aggregate This Election Cityr a I t State z i A Date I~ lJ s U ~(rL~ T& J Occupation Employer JJ 3200, First We Middle Name Contribution Received For: Amount o Contribution Last Name/Organization Name L~ > ❑ Primary Election 2 /General Election ~J ) Address'-} ff'' --11 nn W~ C/ LVA ❑ Runoff (Local Elections Only) City State I A) Zit Op O Date of Contribution Aggregate This Election Occupation !T Employer 5. TOTAL ITEMIZED CONTRIBUTIONS (Carry forward to item 3. of next page it additional pages of this form are used.) (If this is the last page of contributions, this amount must be shown in item 15b. of summary,) SS-1131(Rev. 2106) Page of 160 RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMIT 2. REPORT COVERING THE PERIOD L QZ G FROM q- AmQuny ~ . 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions tolalin more than $100 from an contributor First Name Middle Name Contribution Received For. Amount of Contribution Last Name/Organization Name _ ❑ Primary Election P-15eneral Election TV aN J::1L l~fO(kS- CA A C- 15 cl P zS* , Address ❑ Runoff (Local Elections Only) Z~ ~ ~p~~111:L7 J4 City A State zipC a~ f Date of Contribution Aggregate This Election f P. Occupation Employer First Name Middle Name Contribution Received For: / Amount of Contribution Last Namelorg~a~ationr/N~~ " CL ~~Q ~R ❑ Primary Election Id General Election 61, Address I` ❑ Runoff (Local Elections Only) /00 City Staff / zit/ 03 Date of Contribution Aggregate This Election tM~, Jc~~~r ~ N Occupation Employer First Name L t fiddle IN Contribution Received For: Amount of Contribution Last ame rgar tion me ❑ Primary Election eneral Election Address (2- ❑ Runoff (Local Elections Only) City 'J State Zip Code Date of Contribution Aggregate This Election Occupation 441 mp oyer First Name nn 11 Middle Name Contribution Received For: Amount o Contribution 1~Z~ L Last Name/Organization Name ❑ Primary Election General Election D U Address ❑ Runoff (Local Elections Only) City State Zip Code Date of Contribution Aggregate This Election Occupation Employer S ~`J\J 5. TOTAL ITEMIZED CONTRIBUTIONS (Carry forward to item 3. of next page if additional pages of this form are used (If this is the last page of contributions, this amount must be shown in item 15b. of summary.) r;o*,'. ro SS-1131(Rev. 2/06) Page of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE Q$.60~r1~1I~E I 2. REPORT COVERING THE PERIOD (_r 1{- l~ FROM-t A. T0: y. Amounts/Z 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 Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Nam ❑ Primary Election General Election kA - rL 0z Address Z-5 ME ter A t4 El Runoff (Local Elections Only) Ciry n,~ Occupation Y \ ~J l- Std zip_te / Date of Contribution Aggregate This Election 1 JV O 16"o A:~Cb n, Employer First Name Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name ❑ Primary Election General Election l Ti l.Z~' i ~'aMl~t2~rytlly 1✓r/ ~W LJ Address ❑ Runoff (Local Elections Only) p. 19S City S ~ zitcle ( Date of Contribution Aggregate This Election Occupation Employer ~O O First Name fiddle Name Contribution Received For Amount of Contribution ast ame rganJ~n Name L~"AK C ❑ Primary Election eneral Election Address ❑ Runoff (Local Elections Only) q 40 City State zip Code?0~ Date of Contribution Aggregate This Election Jj Tip J-T J"1 Occupation Employer First Name Middle Name Contribution Received For: Amount of Contribution Last Name/Organization me IJ L ❑ Primary Election O -General Election ` 0 Addres 3-Zoo _ ❑ Runoff (Local Elections Only) ® Ciry sta~ zCQde~ Date of Contribution Aggregate This Election Occupation 7 - 20- 00 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 151h. of summary.) M'> SS-1131(Rev. 2106) Page of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE r 2. REPORT COVERING THE PERIOD `4ILkLy ~ FROM: f~ T0: ~,a lSp Amount 06 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totalin more than $100 from an contributor First Name Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Nam ❑ Primary Election JO/General Election Address c7 l (4u 1i 2) stn „1~(rj , ❑ Runoff (Local Elections Only) City `I~J Sytatt~.~CJ ZipCood Date of Contribution Aggregate This Election ~ ~V &v I rti d Occupation Employer 1107~~ `Cf Fir~(NamTe ! MiddieName Contribution Received For: Amount of Contribution Last Nam^'^M--` Name - ❑ Primary Election General Election AdGcaa J S o A,r~~ ❑ Runoff (Local Elections Only) City S•tZip dew Date of Contribution Aggregate This Election 7 . / ll•` I `/I fC Occupation 3 q5c,)` b() Employer First Name IM iddle Name Contribution Received For: Amount of Contribution -East ame rganization ame ❑ Primary Election General Election} Address ❑ Runoff (Local Elections Only) City ~t3te~ ZCole~ Date of Contribution Aggregate This Election Occupation -Employer First Name Middle Name Contribution Received For: Amount o Contribution Last Name/Organizatio Name - `L ❑ Primary Election General Election Add ss I ❑ Runoff (Local Elections Only) &OP Icy City St_artee Zip Date of Contribution Aggregate This Election Occupation ( ~ W 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.) 1. 3 SS-1131(Rev. 2/06) Page of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 2. REPORT COVERING THE PERIOD r 1. NAME OF CANDIDATE OR COMMITTEE 4 1 FROM~_/ TO: 6 11'` Amount 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 1 CONTRIBUTION contributions totalin more than $100 from an contributor Amount of Contribution 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED momm~ 7Address Middle Name Contribution Received For: 25 rganization Na ❑ Primary Election General Election ~ ( L ~ U ❑ Runoff (Local Elec tions Only) q l ^ Sia~ ZipCo Date of Contribution Aggregate This Election city Occupation Employer J G Amount of Contribution Mddletme 1 „ t Contribution Received For: First Nam 1 ll/ Last Name/Organization Name ❑ Primary Election General Election Addre ❑ Runoff (Local Elections Only) State Zi ode Date of Contribution Aggregate This Election City 7V 3 Occupation / It V Employer ddle Name Contribution Received For: Amount of Contribution M Suss ~ast iN on ame ❑ Primary Election U--eneral Election v L LS (v`I//1 Address ❑ Runoff (Local Elections Only) 3~~ r RNi GLL42~ Date of Contribution Aggregate This Election M y Sjj:;de City 1 1 ~CyC ~Q.22 W Occupat ion /q7 J Employer Middle Name Contribution Received For: mount o Contribution First Name 0,A-fa Last Name/Organization Name ❑ Primary Election r;KGeneral Election QU pZq ❑ Runoff (Local Elections Only) %Y'1) Zi Code Date of Contribution Aggregate This Election City 'so Occupation (J1••'f Employer 5. TOTAL ITEMIZED CONTRIBUTIONS (Carry forward to item 3. of next page if additional pages of this form are used.) (If this is the last page of contributions, this amount must be shown in item 15b. of summary.) A 1159 / RD E P4of c , - SS-1131(Rev. 2/06) ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE - 7 2. REPORT COVERING THE PERIOD FROM:4-$-( TO: 6 U /.b Amount C/ 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) ~s-~-° 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 P4 ❑ Primary Election CJ General Election I Address NCAN il z ❑ Runoff (Local Elections Only) City Stet zi di Date of Contribution Aggregate This Election (1J~ Occupation Employer First Name Middle Name Contribution Received For: Amount of Contribution Last NamelOrganization Name ❑ Primary Election eneral Election 2 SV CG none t b t3z~g ar f ~Lih✓J2 L Address ❑ Runoff (Local Elections Only) City J State zip Code Date of Contribution Aggregate This Election Alkilk 0b, Occupation ? QV Employer First Name iddle Name Contribution Received For: Amount of Contribution ~ i~3~ealJ Last Name/Organization-Name ❑ Primary Election OKeneral Election Uj k-( Address ❑ Runoff (Local Elections Only) C 3 5 CZLbfoG. (ZU city / i1 St zip Code Date of Contribution Aggregate This Election Occupation foo -Employer v l 6,60 First Name Middle Name Contribution Received For: Amount o Contribution l 1~7~ J J cu: Last Name/Organization Name ~2G G C ❑ Primary Election ED/General Election Address (~G TJ ❑ Runoff (Local Elections Only) -a a 5?) City Ste z' Date of Contribution Aggregate This Election 1 J6" " i ro Occupation Employer (O (V ' 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.) Page of RDA 1159 SS-1131(Rev. 2106) ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR CO MI 2. REPORT COVERING THE PERIOD TO: FROM .l Am unt Oa 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 00 • 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor Middle Name Contribution Received For: Amount of Contribution First Name Last Name/Organization Name ❑ Primary Election eneral Election Cam -c~tb~ C-&- 67,jr~c-T Z-p - rr~ uc. ❑ Runoff (Local Elections Only) Address d ~ v f~ w gF-- Zip~ode~~ Date of Contribution Aggregate This Election City Occupation Employer / Middle Name Contribution Received For: Amount of Contribution First Na _ Zvi Last Name/Organization Name n' ❑ Primary Election General Election Addresg n City ! " ` ❑Runoff (Local Elections Only) /I~^ CS•tat_ tt Zip Date of Contribution Aggregate This Election ` I r Occupation Employer First Name fiddle Name Contribution Received For: Amount of Contribution A/V ~11N sv5 Last Name/ rgamzahon ame IQQ / ^ E] Primary Election neral Election ~1 G ~N~'J Ste' V Address ~ ❑Runoff (Local Elections Only) City Ulv~ State Zip Code Date of Contribution Aggregate This Election ©J L S ~ Ir~G -P 'Yl Occupation ~J 1 vo Employer 70 First Name Middle Name Contribution Received For: Amount o Contribution S A Last Name/Org iza n Name ❑ Primary Election ❑ General Election LI IJ d~.ln1 JCL ~ Addr (~I ❑ Runoff (Local Elections Only) City f~ State, Zip de Date of Contribution Aggregate This Election Occupation Employer ( ..CC~7////UU 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.) Page of RDA 1159 yn~ SS-1131(Rev. 2/06) ,ft "N c ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD : 0 ((i FRON4 -~tAomoup"730," 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 Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name ❑ Primary Election P (General Election Address ❑ Runoff (Local Elections Only) City L St3(e _ Zip Cod2 ( Date of Contribution Aggregate This Election IIV c Occupation 31- Employer First Name Middle Name Contribution Received For: Amount of Contribution Last Name/Organization) e ❑ Primary Election Election / Q p Addres ❑ Runoff (Local Elections Only) City State Zip Code Date of Contribution Aggregate This Election Occupation Employer 7L/SD First Name iddle Name Contribution Received For: Amount of Contribution Uj c4144A Last ame rg zaton ame\ . n ❑ Primary Election neral Election VZ, NS O Address f ^ 4 l / _ ~ % 1 ❑ Runoff (Local Elections Only) City .Pel to 20 L- Ziple Date of Contribution Aggregate This Election I Occupation 45r, Employer '*6_1 Middle Name Contribution Received For: Amount o Contribution uM~3~z Last NamelOrganizatio Name ❑ Primary Election ❑ General Election v ID fIL Aj Addres U-© .2 ❑ Runoff (Local Elections Only) k City Stave, ZipqDdc, Date of Contribution Aggregate This Election Occupation 10 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.) f SS-1131(Rev. 2/06) Page _ of RDA 1159 77 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEF~.~ 2. REPORT COVERING THE PERIOD _v1 ~G FROM:4- h 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 contributions totaling more than $100 from an contributor First Name CC-IV L-:q AJ Middle Name Contribution Received For Amount of Contribution Last Name/Organization Name ❑ Primary Election General Election V lL Addres~.Z ❑ Runoff (Local Elections Only) City Stftee Zip Code r~ 3 Date of Contribution Aggregate This Election Occupation Employer First Name Middle Name Contribution Received For: Amount of Contribution (j l Last Name/Organization Name 07 ❑ Primary Election eneral Election 00 Address G ll ❑ Runoff (Local Elections Only) 10 City I State Coders Date of Contribution Aggregate This Election J C vli ' (i1 -1 o Occupation 61; _ G, Employer First Name iddle Name Contribution Received For Amount of Contribution Lp tS e Last ame rganizat n Name ❑ Primary Election 43/General Election Address ❑Runoff (Local Elections Only) /U L-7 0 0~ City State Zip Code Date of Contribution Aggregate This Election rAA J If4- ~ v '3-1 fu 3 Occupation / r Employer First Name Middle Name Contribution Received For: Amount o Contribution Last Name/Organization Name ❑ Primary Election M General Election / 0d -60L,L~iFA0- S r- PC 6& Address ❑ Runoff (Local Elections Only) I i NttAOV614- 0/2 City ode ( 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 151b of summary.) V RDA 1159 Fri SS-1131 Rev. 2/06 Page of r ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMIT:EE~' n 2. REPORT COVERING THE PERIOD ✓ r-` / /Z( FROM: _ . 6 TO: i C-l Amo t 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) ICJ 2 00 ta-, 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from an contributor First Name -b Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name ❑ Primary Election General Election s I~ y ❑ Runoff (Local Elections Only) Address 4v S d J Jl/ ( c City W 6 I 1 State Z" -n Date of Contribution Aggregate This Election Occupation ~ C n i,~~ ✓ Employer First Name Middle Name Contribution Received For: Amount of Contribution Last Name/Organ 'on le ❑ Primary Election Veneral Election - Address t 11`~ J\ -J l~ ~~s ❑ Runoff (Local Elections Only) ~l1 C l Stale . 7 Date of Contribution Aggregate This Election city Auk d 7 Occupation Employer First Name iddle Name Contribution Received For: Amount of Contri bution Last ame rganaa ion Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City State Zip Code Date of Contribution Aggregate This Election Occupation Employer First Name Middle Name Contribution Received or: mount o Contribution Last Name/Organization Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City State Zip Code Date of Contribution Aggregate This Election Occupation Employer 5. TOTAL ITEMIZED CONTRIBUTIONS qV6 (Carty 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.) SS-1131(Rev. 2/06) Page J3 of / RDA 1159 ITEMIZED STATEMENT CONTRIBUTIONS - CANDIDATE 2. REPORT COVERING THE PERIOD [3. NAME OF CANDIDATE OR COMMITTE~ n FROM: . 6 - / T0: • 3 J ( f 1 moun TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 44 COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED IN-KIND CONTRIBUTION (in-kind contributions totaling more than $100 from any contributor during the period) is fac First Name Middle Name In-Kind Contribution Received_F~ Value of In-Kind Contribution ❑ Primary Election General Election S l L- ~YY Last Name/Organization Name j ❑ Runoff (Local Elections Only) CCCpJJJ\ Address Date of In-Kind Contribution 420 Aggregate -2 o k Description oflo-KindContribution 1 cdy Occupation Employer In-Kind Contributi on Received F Flrsl Name 7Middle Name Value of In-Kind Contribution sx: [J Primary Elt;i:tion General Election , Last NamelOrganizadonNaw(~ k r/ / t ❑ Runoff (Local Elections Only) `J Address Ali Date of lo-land Contrdwtr '5-3 LP , Aggregam s Elec~Qn City Description of In-Kind Contribution p f/ti~ Occupation " Employer 0 )(:SA' In-Kind Contribution Received For: Value of In-Kind Contribution First Name ~ Middle Name j o E] Primary Election ❑ General Election LaslNamelOrganizationName ❑ Runoff (Local Elections Only) Date of Ir>-Ktnd Contribution c~ Aggregate thisElection Address 16 ~ 11,E l 000-16 z+ 22t~ J ) Zip Code Description of In-Ki Condxftn City y L V upatan rer U In-Kind Contribution Received For: Value of In-Kind Contribution First Name Middle Name ❑ Primary Election ❑ General Election last NamelOrganization Name ❑ Runoff (Local Elections Only) Date of In-Kind Contribution Aggregate this Election City Address State Zip Code Description of In-Kind Contribution Occupation Employer In-Kind Contrib7Elecfion ed For. Value of In-Kind Co ntribution First Name Middle Name Primary ❑ General Election Last NarrrelOrganizationName ❑ Runoff (ns Only) Date of IniGnd Contribution Aggregate the Election Address City stale Zip Code Description of In-Kind Contribution upa n m Yer 5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS e (Carry forward to item 3. of next page if additional pages of this form are used.) lJ (If this is the last page of in-kind contributions. this amount must be shown in item 22b. of summary.) RDA 1159 Page of SS-1128 (Rev. 2106) ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD Tt-- FROM: TO: • 3,') mount 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures totaling more than $100 to any payee during the period) First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address City SN zi Ja2 evl First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name - s.~s Address (LL 4. City Slate Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Busi Name 4ri Sz. Address I C / ~/~/z/✓ j-Q City ` C -State- I ZipCoodde First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Businese / l ~2(s fG~ Siva i CA Address /p3~ f n uo~ • ~-y~ City /-'w State Zip Code ~N~,, • 7 Opi 3 Z ~3 1 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name /1/ ^ ,5 Address n ~yC / ~f C l ' r City State Zip Code Lr n, rb 1, 7 -1Z First Name Middle Name Purpose of Expenditure Amount of Expenditure Last NamelBusiness Name"- / Address S 6 (U / C l / ~4) 5, ' G Z City JState + I Zi Code LLB / k ( 4~ Z C✓1 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.) r AM~A SS-1129 (Rev. 4/02) Page ` of RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE, 2. REPORT COVERING THE PERIOD FROM:cy, l 1~ TO: 6 S,) (6, mount 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 L cAA.P- ~ -t ovay Address C'-7 City state ZECode First Name Middle Name 1 Purpose of Expenditure Amount of Expenditure Last Name/Business Address City L _I State Zip Code T ~??0 First Name Middle Name Purpose of Expenditure Amount of Expenditure e Last Name/Business Address 7 f f t CS/ G j T 1 ~(,l'~ V City G l State Zip Code r~ f 1-70 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address City State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address City State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address City State Zip Code 5. TOTAL ITEMIZED EXPENDITURES (Carry forward to item 3. of next page if additional pages of this form are used.) LIZ / (If this is the last page of expenditures, this amount must be shown in item 19b. of summary.) [ l SS-1129 (Rev. 4/02) Page A0 of 4-9 RDA 1159 CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORT 12.a. NAME OF CANDT OR OMMITTEE 2.b. IF COMMITTEE, NAME OF CANDIDATE 3. EL CTIO DATE I (J 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone L 8~- 4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.) Street or Rural Route City StatQ Zip Code Phone i -1 V1 A,,,,,) I Ilia 5. OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate) J S 5 N ►5 t `T~ S 7. CATEGORY OR REPOR (Check one) ❑ ❑ ❑ ❑ ❑ Ej E911' FIRST SECOND THIRD FOURTH PRE- PRE- MID-YEAR YEAR❑-E ND QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 8.a. BEGINNING DATE OF REPORTING PER~PD 8.b. ENDING DATE OF REPORTING PERIOD 9. (Check one) a. Lid This campaign is exempt from detailed disclosure because contributions (including in-kind) received total $1,000 or less AND expendi- tures total $1,000 or less for this reporting period. (Complete items 12d., 12e. and 12f.) b. ❑ This campaign is required to file a detailed financial disclosure because contributions (including in-kind) received total more than $1,000 and/or expenditures total more than $1,000 for this reporting period. 10. I/we do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this report is an accurate accounting of campaign contributions and expenditures required to be reported by the candidate committee by the Campaign ancial Disclosure Act. Additionally, I/we swear or affirm that no campaign contributions have been expended for the per nal financial nefit of the candida 0 for any other onpolitical purpose as defined by the federal inte I revenu od CJ sig ature of candidate dat na f political treasurer at 11. WITNES*owitneess ~ fS sigdate signature of witness date 12. SUMMARY a. BALANCE ON HAND LAST REPORT t pp b. TOTALRECEIPTS THIS PERIOD $ c. TOTAL DISBURSEMENTS THIS PERIOD $ y` d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) e. TOTAL LOANS OUTSTANDING .1o...x..rz $ f. TOTAL OBLIGATIONS OUTSTANDING $ SS-1109 (Rev. 2106) , 5 X15 N r outiv co Page 1 of RDA 1159 CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORT 2.a. NAME OF CANDIDATE OR CO MITTEE < -is - I "'jZZ - 2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE /A u(~ -7 z 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone 4nz djec-w t2C-LT J)~ IfAkgdi eL VV 1eb3 2.2 e(a 4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.) Street or Rural Route City State Zip Code Phone z+U4 140L~Rc~x);_,---) U& JVAE~Jdl " - Tw _3 -I q) 6 '3 7 40 - 53 YS 5. OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate) 7. CATEGORY OR REPORT (Check one) Cc, i L7t 1 ~ ❑ 1:1 1:1 El ► Vt~ti l l 5 ~ 1:1 E031*' FIRST SECOND THIRD FOURTH PRE- PRE- MID-YEAR YEAR-END QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD Gj c T c zeta 31 zJ L 9. (Check one) a. a 4'his campaign is exempt from detailed disclosure because contributions (including in-kind) received total $1,000 or less AND expendi- tures total $1,000 or less for this reporting period. (Complete items 12d., 12e. and 12f.) b. ❑ This campaign is required to file a detailed financial disclosure because contributions (including in-kind) received total more than $1,000 and/or expenditures total more than $1,000 for this reporting period. 10. ]/we do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this report is an accurate accounting of campaign contributions and expenditures required to be reported by the candidate committee by the Campaign Financial Disclosure Act. Additionally, I/we swear or affirm that no campaign contributions have been expended for t~e personal financial fit of the candidate or for any other nonpolitical purpose as defined by the federal internal 7j de. J (/7 1 /14 ' ~ /o' I~A i at re of candidate dale signature of political treasurer dat 11. WITNESS SURE sin tune of witness t d ti g a signature of witness to 12. SUMMARY a. BALANCE ON HAND LAST REPORT $ 5 C~ b. TOTAL RECEIPTS THIS PERIOD c. TOTAL DISBURSEMENTS THIS PERIOD J (oo . d d $ 1449-11 d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) Tf-. e. TOTAL LOANS OUTSTANDING $ f. TOTAL OBLIGATIONS OUTSTANDING $ amv,:r. SS-1109 (Rev. 2%) Page l d FOA 11,99 SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD JE Fr 14 CFA 11A FROM: cl, 30. /y TO:/ t2- d/• RECEIPTS 15. CONTRIBUTIONS (other than loans and interest) a. Unitemized Contributions ($100 or less from each source this period) $ b. Itemized Contributions (over $100 from each source this period) $ c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ 16. LOANS RECEIVED THIS REPORTING PERIOD 17. INTEREST RECEIVED THIS REPORTING PERIOD $ 18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) $ DISBURSEMENTS 19. EXPENDITURES (other than loan payments) a. Expenditures ($100 or less each payee this period) (must be listed by category - e.g., printing, postage, gasoline) Cam Plkl&A) iFO r ZL~~N ~>n+r~ N $ . ate. $ $ $ $ Total of Expenditures ($100 or less each payee) $ too DU b. Itemized Expenditures (Over $100 each payee this period) $ c. TOTAL EXPENDITURES other than loan re ments 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.) $ 22AWKIND CONTRIBUTIONS a. Unitemized in-kind contributions ($100 or less from each source this period) $ b. Itemized in-kind contributions (over $100 from each source this period) $ c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.) $ 23. OBLIGATIONS a. Unitemized Obligations Outstanding ($100 or less each) $ b. Itemized Obligations Outstanding (Over $100 each) $ c. TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 121) $ Agmb~L SS-1133 (Rev. 4102) Page Z of Z' CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORT 2.a. NAME OF CANDIDATE OR COMMITTEE -A M i' t C1L -SE-2 -3 L4 , 2.b. IF COMMITTEE, NAME OF ANDIDATE 3. ELECTION Q ATE 4.a. CAMPAIGN ADDRESS AND PHONE Street or ral Route City State Zip Code Ph ne "ILA, V - / -/-ff 712>4 ~ U T ul- lz~ BE fypz~- INPY 4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.) Street or Rural Route t jjatf Zip Code Phone _JP ' //L U) ?d ' ®y 3 d'S 04 u , C~ ff6 d 3 ~ 5. OFFICE SOUG T (include distri t nu bei applicable) 6. NAME OF POLITICAL TREASURER (may be candidate) 1v A S 7. CATIFE~GORY OR REPORT (Check one) ❑ ❑ ❑ Lei ❑ 13 FIRST SECOND THIRD FOURTH PRE- PRE- MID-YEAR YEAR-END QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD Z') 3t-) 2-0 l~ 9. (Check one) a. Ejllhis campaign is exempt from detailed disclosure because contributions (including in-kind) received total $1,000 or less AND expendi- tures total $1,000 or less for this reporting period. (Complete items 12d., 12e. and 12f.) b. ❑ This campaign is required to file a detailed financial disclosure because contributions (including in-kind) received total more than $1,000 and/or expenditures total more than $1,000 for this reporting period. 10. I/we do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this report is an accurate accounting of campaign contributions and expenditures required to be reported by the candi a committee by the Campaign Financial Disclosure Act. Additionally, Uvve swear or affirm that no campaign c tri ions have b n ex nded for the personal financial b eft of the candidate or for any other nonpolitical purpose as defined by the al intemal re enue c e. 9 `f ~ Z ~~Ps n ture of candi dat i n of political tre surer ate 11. WITNE GNATURE sIgbature of witnes dat si nature of witness da e 12. SUMMARY a. BALANCE ON HAND LAST REPORT $ J• b. TOTAL RECEIPTS THIS PERIOD UE) c. TOTAL DISBURSEMENTS THIS PERIOD $ I d. BALANCE ON HAND (12.a. Plus 12.b. minus 12.c.) $ e. TOTAL LOANS OUTSTANDING $ f. TOTAL OBLIGATIONS OUTSTANDING $ SS-1109 (Rev. 2/06) Page 1 of RDA 1159 SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COM ITTEE (In Full) 14. REPORT COVERING THE PERIOD L FROM: TO: RECEIPTS 15. CONTRIBUTIONS (other than loans and interest) a. Unitemized Contributions ($100 or less from each source this period) $ b. Itemized Contributions (over $100 from each source this period) $ c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ 16. LOANS RECEIVED THIS REPORTING PERIOD 17. INTEREST RECEIVED THIS REPORTING PERIOD $ 18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) $ DISBURSEMENTS 19. EXPENDITURES (other than loan payments) a. Expenditures ($100 or less each payee this period) (must be listed by category - e.g., printing, postage, gasoline) TOWN 6F LOJl1!>U,u'b $ SLID I F_1&14-.)V6 L,~de)IJM " 7 $ $ $ $ $ $ $ $ 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.) $ 5 V . 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.) $ CD SS-1133 (Rev. 4102) Page Z of VOLUNTEER PAGE 01/01 07/31/2014 13:25 8659832287 CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Singie-Candidate committees 1. DATE OF REP T 2.a. NAME OF CANDIDATEORCOMMITTEE -71 3_ ELECTION DATE 2.b. IF CO MITT NAME= OF CANDIDATE -6 ILL 4.a_ CAMPAIGN ADDRESS AND PHONE State Zip Code Phone Streettf~r Rural Route City Z~/ 4.b. CANDIDATE'S HOME ADDRESS if different than 4.a.) State Zip Code Phone Street or Rural Route C 7 `1 3 4-0 -(kO 1. k~ ~J ~4 t1 l 1~ Jt 5. OFFICE SOUG T-Qnclude district number, if appllcab1 6_ NAMEr OF POLITICAL TREASURER (may be candidate) 1h. aA) ❑ 7, CATEGORY OR REPORT (Check one) ❑ 13 Mi ❑YEAft YEAR-END El AO THIRD FOURTH PRE P SUP FIRST SE .1 TER p~ GENERAL SUPPLE R U R 8-b. ENDING DATE OFREI'ORTINGPERIOD O l 8.a BEGINNING DATE OFREPORTINGPERIOD FU L-1 jj~_~ ~~L l ZOI.~-f 9. (CheclcA) d) received total $1,000 or less AND expendi- a. This campaign is exempt from detailed disclosure because e items u C 12d. 12e. and 112f.) tures total $1,000 or less for this reporting period. (Complete 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 p Ftbee emnly swear or affirrn that the information contained In this campaign financial disclosure report is true and that this report is an ccounting of campaign contributions and expenditures required to be reported by the candidate committee by the Campaign isclosure Act. Additionally, Uwe swear or affirm that no campaign contributions have been expended for the personal financial he candi or for any other nonpolit ical purpose as defined by the federa al rev ue code- of candidate da Signature of political treasurer da 11. TNESS St NATURE O d! ~ 3 signature witness clate signaturyawtr, essda 12. SUMMARY a- BALANCE ON HAND LAST REPORT $ TOTAL REMF"T'STHIS PERIOD c_ TOTAL DISBURSEMENTS THIS PERIOD.. $ d. BALANCE ON HAND (12.a. plus 12_b- minus 12.c. e- TOTAL LOANS OUTSTANDING . f. TOTAL OBLIGATIONS OUTSTANDING Page 1 ct RDA 11~ SS•1109 (Rev 21067 07/31/2014 THU 12:32 [JOB NO. 58251 2001 CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORT 2.a. NAME OF CAND DATE OR COMMITTEE 2v/ I 3. ELECTION D TE 2.b. IF COMM TEE, E OF CANDIDATE 14 city Stake Zip Code 7~ 4.a. CAMPAIGN ADDRESS AND PHONE Phone Street or Rura Route ~ ✓ / I~ cJ ~ a 4.b. CANDIDATE'S HOME ADDRESS (if different tan 4.aJ 1 73' Street of State Zip Code Ph ne Rural Route C 6. NAME OF POLITICAL TREASURER (may be candidate) 5. OFFICE SO JdT (include district tuber, if a icab e) 1DV !5~.c J 5~n- * M~ 7. CATEGORY OR REPORT (Check one)❑ MID-YEAR yEp,~ ND THIRD ❑ PRE- PRE- FIR❑ST SE RTER QUARTER FOURTH UARTER GENERAL SUPPLEMENTAL SUPPLEMENTAL TER UATE PRIMARY DING DATE OF REP OR T PERIOD 6.a. BEGINNING DATEOF REPORTING PERIOD 60 3 3 9. (Check one) a. n This campaign is exempt (o detailed di sclosure period. because eco t ms 12d.,(incuding in-k)nd) received total $1,000 or less AND expendi- tures total $1,000 or less reporting i 12e. 12f b. dThis campaign is required to file a detailed for this l disclosure bec use contributions (including in-kind) received total more than $1,000 and/or expenditures total more than $1,000 reporting period. cam and rep disclosure financial aign the information contained and expenditures' equ red opbe reported by the candida eocommr tt a by hetCampaign is an tha 10. Itwe do solemnly swear or affirm that accurate accounting of campaign contributions as clef ed by the federu~ions have benU e~aeded for the personal financial Financial Disclosure Act. Additionall/ ftical rpuaffirm rposthat nefit of the candidate or f r any other onPo 4d! nature of political treasurer ate ig re of ca di e 11. WITNESS GNATURE 4te ~ 3 ate signature of witness signature of witness 12. SUMMARY 2, 2, 7 9. 2,1 a. BALANCE ON HAND LAST REPORT $ b. TOTAL RECEIPTS THIS PERIOD Q O O c. TOTALDISBURSEMENTSTHIS PERIOD d. BALANCE ON HAND (12.a. plus . minus 12.c.) ~ e. TOTAL LOANS OUTSTANDING f. TOTAL OBLIGATIONS OUTSTANDING Page 1 of RDA 1159 Awk SS-1109 (Rev. 2106) SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD FROM: TO: ..r/ RECEIPTS 15. CONTRIBUTIONS (other than loans and interest) a. Unitemized Contributions ($100 or less from each source this period) $ b. Itemized Contributions (over $100 from each source this period) $ c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ 16. LOANS RECEIVED THIS REPORTING PERIOD $ 17. INTEREST RECEIVED THIS REPORTING PERIOD 18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 121.) $ DISBURSEMENT'S 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) LJ -6 $ $ $ $ $ $ $ Total of Expenditures ($100 or less each payee) $ b. Itemized Expenditures (Over $100 each payee this period) $ Ic~ ~?O c. TOTAL EXPENDITURES other than loan re ( payments)(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. /0t~~) f 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.) $ Afflh SS-1133 (Rev. 4102) Page of CAMPAIGN FINANCIAL DISCLOSURE STIT For State and Local Candidates EM ENT For Single-Candidate Committees 1. DATE OF REPORT 2.a. NAME OF CANDIDATE O COMMITTEE 71 2.6. IF TEE, NA OF CANDIDATE 3. ELECTION DA / 4.a. CAMPAIGN ADDRESS AND PHONE rl"/ Street or Rural Route City ~ /y~ State Zip Code Phone ~or~~CL i - 6 lto U 7 s3 4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.) Street or Rural Route / City 'l.t, ~1 l/ 44 ~ ,L State Zip Code Phone p V 1/~ , I), L-C E.- -TN 5. OFFICE SOUGHT (include district umber, ' a livable ~ pp ) 6. NAME OF POLITICAL TREASURER (may be candidate) (7~ r 5 Sem ~u~ c~nrvii~ssl 7. CATEGORY OR REPORT (Check one) FIRST 13 SECOND THIS F 1 d 1:1 1:1 EARNER EARNER EARNER PRE PRE MID-YEA R YEAR-END B.a. BEGINNING DATE OF REPORTING PERIOD EARNER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL S.b. ENDING DATE OF REPOR ING PERIOD 9. (Check one) a. ❑ This campaign is exempt from detailed disclosure because contributions (including in-kind) received total $1,000 or less AND expendi- tures total $1,000 or less for this reporting period. (Complete items 12d., 12e. and 12f.) b. L"1 This campaign is required to file a detailed financial disclosure because contributions (including in-kind) received total more t and/or expenditures total more than $1,000 for this reporting period. han $1,000 10. I/we do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this report is an accurate accounting of campaign contributions and expenditures required to be reported by the candidate committee by the Campaign Financial Disclosure Act. Additionally, I/we swear or affirm that no campaign contributions have been expended for the person I financial bene of the candidate or for any other nonpoliticalpurposis as defined by the feder ' terna nu de. si atur candidate dat L~ s e of political treasu d e 11. WITNESS SIGNATURE signature of witness date ~ ~ signature of witness d to 12. SUMMARY a. BALANCE ON HAND LAST REPORT C $ f~ . ~71 n b. TOTAL RECEIPTS THIS PERIOD d C. TOTAL DISBURSEMENTS THIS PERIOD 3 l 7 d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) 7 I e. TOTAL LOANS OUTSTANDING f. TOTAL OBLIGATIONS OUTSTANDING SS-1109 (Rev. 206) Pbge 1 of Fi]A1159 ,t ~I n. SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PE IOD RECEIPTS FROM: c 10: 141 5. 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) pd C) c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15 $ ~v a O 16. LOANS RECEIVED THIS REPORTING PERIOD 17. INTEREST RECEIVED THIS REPORTING PERIOD $ $ 8. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) Z~c DISBURSEMENTS $ 19. EXPENDITURES (other than loan payments) a. Expenditures ($100 or less each A IS, payee this period) (must be listed by category - e.g., printing, Postage, gasoline $_7~f M $ 14 $ l . S $ 43-s. & Total of Expenditures ($100 or less each payee) $ (~S ~S 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. 22AWKIND CONTRIBUTIONS a. Unitemized in-kind contributions ($100 or less from each source this period) $ b. Itemized in-kind contributions (over $100 from each source this period) $ 0,0 c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.) S C7 FUn BLIGATIONS itemize d 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 f ITEMIZED STATEMENT OF CONTRIBUTIONS - canaot~~°R°~„MrrE~ CANDIDATE 1. nwnECr ~f= fly 2 ~RTCO~/E~n1G„E OD 3. TOTAL LfBVIZS) GAWA1GN OptVTRIwna4S FROM PPE<MNG PAGE ( ~ ertter $0 if first " Arnotnt 4. CCMR= T~ Af~PRppFifATF ITIIu>5 FCR EACH fTB1112)~ ~n $'10o page) Frst t~rre CCNTPoBIlT1CN contributions totali mxe than $100 from acrttributor ~ I MdieN we Carttribution Received For: Nwm Amxrx of Caritribution t l 13"Pnm3y Beck n ❑ Gamral Election Adci~s 2l( 20 ~,C L l S l ❑ 11"off (Local Beaion, ary) j C UY Stab Y I 3 ~ fete of Cariribution ~P~on AE agate This Becdon IU .2ND J ~L~ jai FrstNarre G f ~,4 I C~ MdieNlane Carxribution Received For: Last "Ogarization Amxit of Contribution -A W-7-7- ❑ R;marY Becb0n ❑ dal Bection Aftess 0`7 S /-A ❑ Ruoff (Local Elections Oyy) 260 M COD-- zPCbde We of Contribution oax~on ?7~v,~3 Aggregate This Election ba K) L- z1115// ~ UU RrstfVarne ~ L~ 2 ( Nim Contribution Received For: Annul of Contribution .5 ~ O'~hnlary Election ❑ Gayrai Election l ❑ Ruoff (Local Bec ions (fly) City She t / tote of Contribution Aggregate This Section too(). f7rst Mane MdieNi3rre uormmAon ul o rat on ` Last N "%VW i bon Nkme i ❑ R;mery Election ❑ Oral Election Addess ❑ Ruoff (Local Bed ply) atY Sate zpt o~ Date of Contribution Amite This Section 0=Pw- Rmb,~ 5 TCTfA-fTEM2B:)0CNTF4BunCNS (Carryforwadtoitemaof realpageifaddtio dpagesofftfarmareused) (ft the isthe last pege of ooriribifiom ttis arrant ma be s'om in item 15b. of sumery.) n S&1131(Fiev.2(06) page ? ot J FiQq 1159 ITEMIZED STATEMENT OF IN-KIND CONTRIBUTI NAWE OF C,AI~DIDATE OR 0gy~q O N S- CANDIDATE ~ C 2 F0~CRTCOVERlNG T1 E pBpjOD FF(r a TOTAL nEm2 D ffV_IaND OOIVTRIB no% TQ FROMCEuNG PACE (enter $0 ff first itemized Page) 4. OUETI-EAPPRCMATEMEWFCRE4CHFrE EDIUM DMVRBUnCNin-kndoxtibLihomb ali FrstfVare anYmMibutordri perior~ ~1 ~ v `,D McHe f~rre In-lend Qx1Ui ~ rrae Mgn $l0o from ng the button Ramped For: Last h4m0Wizab0,Nwm ETRinery Bection 11 General Section Value of In lGrd Contribution ~-r N L ~ Address ❑ Rxio f (Local Sections Chy) / 2 S Dai9dh GndCm"xAmcn Ofty _ 3 sBectian aaa~emor, `vc(„ 3 Dasaomofln-NrldCLntritx ER7 I,Ua ~ - ~ ~ 1 UU Frst Nacre ►'t ~/\1 ~1 MdieN a Irl f Contribution Rgmved For: Last Nvm J Rirrery Bection ❑ General Bection Value of In Knd Contribution L ❑ l Z %vf(Local Elections Orly) Cba{aatiort r~~ J s~ a mod? A99e etHsl3ectim ZjptiondhrlGrd cs s First Narm MddeNarre t~ L~ C~~-a ►rFNnd Cattribution Heoe;~d Far: Last ~r►eDgartzation I)rrte Value of In lend Coriribution r A 1 L9'~~►v Section ❑ General 9ectio, Addre~ ~.C/ ❑ Runoff (Local Bections Ordy) 3b DateaflaNndOXNxibon City t (fin m ~C(C~ Z3 cLsdetfiseectia, L U v ~ e Coda oeso pbon0f hNnd CoftW on l L) P A) McdeNlarm IrAnd Cattribution R=oeiwd For: Value of In-IGnd (brtributipt Last ► a"Qgartzation Nam C] A inery Bedicn ❑ General Election ❑ Runoff (Local Sections Qtly) IDale d I MGrd C?rtribu5ar CRY A99egatethist3ec~m Sra<e 21pCoda CksviptiondlnlGrcJtltrtri4bon t m4xbm BrOCW FirstNxm MddleNrre Last In IGnd CatLribution Received Far: Value of IrAnd Contribution t r~~atrfarre ❑ Nmary Bection ❑ General Bedion ❑ Runoff (Local Sections Qtly) AdrJress L1ahad IrnAr d Cbnhitxfpn Agg<egatettisElection CWY She 11p0od, Cksaiptionol: nNndatr~ t 5. TOTAL ITEWED 1WQND 00NTRIBun0NS (Carry fa vadto item3 d reed page if additional pmesd fhisfonnaeised.) j1 (It this isthe last page d iMdrd oaVb bars, this a Ta ft mst be aliDw in item22b. d simrery.) l/ sS-1128 (Rev. 2106) paw d FDA 1159 MMOMMMU-numom ITEMIZED STATEMENT OF EXPENDITURE 1. NAME OF CANDIDATE OR .COP, TEE S CANDIDATE 2. REPORT COVERING THE P RIOD z [ FROM-'3 TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) T0: 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expenditures totaling more than $ 00 to an m0 f 1 First Name any payee during the period) Middle Name Last Name/Business Name Purpose of Expenditure Amount of Expenditure Address 1, .0Of,' ~.V s city / G b o(.1 Ce L'4' < cJ / 6 /V S G Y7 v 6 v J t l J t'I~r- Starter l Zip ox First Name V ` Middle Name Purpose of Expenditure Last Name/Business Name ~ Amount of Expenditure Address city L State Z Code r ~j / CJ l TA) 5 -)-2 I First Name Middle Name Purpose of Expenditure Last Name/Business Name Amount of Expenditure Address State Zip Code First Name Middle Name Purpose of Expenditure Last Name/Business Name Amount of Expenditure Address 7 r 7 City State Zip Code l1 - 3 70 c First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address City State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name i Address City :::IState Zip Code 5. TOTAL ITEMIZED EXPENDITURES (Carry forward to item 3. of next page if additional pages of this form are used.) 1317 (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 LOANS - CANDIDATE I. NAME OF CANDIDATE OR COMMITTEE TE 2. REPORT COVERING THE PERIOD 3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED LOAN (loans tot ing more than $100 from an FROM: TO. Complete the Following for the Source of the Loan any source during the period) First Name Middle Name Outstanding Loan Balance Loans Last Name/Organization Name (Beginning of Period) Received Loan Outstanding Loan Balance Payments (End of Period) Address Loan Received For: City Date of Loan State Zip Code ❑ Primary Election ❑ General Election ❑ Runoff (Local Elections Only) First Name List All Endorsers or Guarantors forAbove Loan (If more space is needed please attach a Middle Name First Name Page) Last Name/Organization Name Middle Name Last Name/Organization Name Address Address City State Zip Code City Amount Guaranteed Outstanding State Zip Code mount Guaranteed Outstanding First Name Middle Name First Name Middle Name Last Name/Organization Name Address Last Name/Organization Name Address City State Zip Code City Amount Guaranteed Outstanding State Zip Code mount Guaranteed Outstanding First Name Last Name/Organization Name Middle Name First Name Middle Name Last Name/Organization Name Address Address city State Zip Code city State Zip Code Amount Guaranteed Outstanding mount 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 mount Guaranteed Outstanding 4. Totals for all Loans (complete on last page of itemized loans) (Total loans received should also be shown in item 16. on summary page.) (Beginning of Loan PBalance Loans Loan Outstanding Loan Balance (Total loan payments should also be shown in item 20. on summary page.) eriod Received Pa ments ry Pa9) End of Period (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 FCOMPLETE NDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FOCH ITEMIZED FROM: T0: obligations totaling more than $100 owed to an Outstanding Balance Debt Incurred Paymeng Balance at the end of the reporting any (Beginning of Period) This Period This Period period) (End of Period) First Name Middle Name Last Name/Business Name Address city State Zip code cription o igation First Name Middle Name Last Name/Business Name Address city State Zip Code Description of Obligation First Name Middle Name Last Name/Business Name Address city State Zip Code Description of Obligation First Name Middle Name Last Name/Business Name Address city State Zip Code Description of Obligation First Name Middle Name Last Name/Business Name Address City State Zip Code l Descr pti in of obligation 4. TOTALS (Total from Outstanding Balance - (End of Period) column must also be shown in item 23b, on summary page.) SS-1127 (Rev. 4102) Page of RDA 1159 CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE O703RT 12.a. NAME OF CANDIDATE R OMMITTEE z), o- j -c-- 4 lCr- 2.b. IF COMMI EE, IIIAME OF CANDIDATE 3. ELECTION ATE s("'z(',\ I4 4.a. CAMPAIGN ADDRESS AND PHONE Street or RV Route City State _ Zip Code Phone J 4C 4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.) „ Street or Rural ,Ro a City State Zip Code Phone 64 J4 7(-oO ~'3 .~s~ 5. OFFICE SOUGHT (include district numbe , if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate) III S T 5'~ A ftjW-jq Q)IIASSf~~ 7. CATEG Y OR REPORT (Check one ❑ ❑ ❑ ❑ ❑ ❑ ❑ ST SECOND THIRD FOURTH PRE- PRE- MID YEAR YEAR-END DARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 8.a. BEGINNING DA OF REPORTING PERIOD 8.b. ENDING DA OF PORTING PERIOD 9. (Check one) a. ❑ This campaign is exempt from detailed disclosure because contributions (including in-kind) received total $1,000 or less AND expendi- tu total $1,000 or less for this reporting period. (Complete items 12d., 12e. and 12f.) b. This campaign is required to file a detailed financial disclosure because contributions (including in-kind) received total more than $1,000 and/or expenditures total more than $1,000 for this reporting period. 10. I/we do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this report is an accurate accounting of campaign contributions and expenditures required to be reported by the candidate committee by the Campaign Financial Disclosure Act. Additionally, [/we swear or affirm that no campaign contributions have expended for the personal financial benefit of the candid/ate or for any other nonpolitical purpose as defined by the federal i venue code. lure of candidate to signs ure of political treasurer date 11. K4E'SSSIGNATjAT- r X ignature witness da signature of witness to 12. SUMMARY a. BALANCE ON HAND LAST REPORT $ b. TOTAL RECEIPTS THIS PERIOD $ (c o ° ~l ) c. TOTAL DISBURSEMENTS THIS PERIOD 1.} ?O ~3. 2 d. BALANCE ON HAND 12.a. plus 12.b. minus 12.c. $ e. TOTAL LOANS OUTSTANDING $ f. TOTAL OBLIGATIONS OUTSTANDING $ d -7~ Aft IMI SS-1109 (Rev. 2106) Page 1 of~ RDA 1159 SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD FROM: TO:Sl3~Z4V RECEIPTS 15. CONTRIBUTIONS (other than loans and interest) a. Unitemized Contributions ($100 or less from each source this period) $ b. Itemized Contributions (over $100 from each source this period) $ c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) 16. LOANS RECEIVED THIS REPORTING PERIOD $ 17. INTEREST RECEIVED THIS REPORTING PERIOD $ _ 18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) DISBURSEMENTS 19. EXPENDITURES (other than loan payments) a. Expenditures ($100 or less each payee this period) (must be listed by category - e.g., printing, postage, gasoline) $ Total of Expenditures $100 or less each payee) (~1!~ QC-) b. Itemized Expenditures (Over $100 each payee this period) $ 22 9 3. 21 c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $ Z 20. LOAN REPAYMENTS MADE THIS PERIOD 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) $ Z~l3 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) $ 7 a TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 12.f.) $ Ag"L SS-1133 (Rev. 4102) Page of E: 'Y ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE R CO MITTEEI / C 2. REPORT COVERING THE PERIOD 't a-- FROM: i /mar TO: 3 S'l / 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 totalin more than $100 from an contributor First Name / Middle Name Contribution Received For: Amount of Contribution Last Name/Or tzation Name "H 3 O Primary Election ❑ General Election N S ~ ❑ Runoff (Local Elections Only) Address 2A~ L~j 7320 City Staff Date of Contribution Aggregate This Election MA J O L~ ,1 Occupation l R(~ 2I - to(J Employer r/ ( J J FirstName Ib Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name SC) ffPrimary Election ❑ General Election - 1 J Address I ❑ Runoff (Local Elections Only) v l ~1 - C (7. 7-t Cc City State Zi Code Date of Contribution Aggregate This Election Occupation L) Employer First Name iddieName Contribution Received For: Amount of Contribution -Last a an ton Name Primary Election ❑ General Election Z) 2(~ Address/ Runoff (Local Elections Only) r 1 ❑ { L\'t ) L r IZC_ CRY We Zip Code Date of Contribution Aggregate This Election IV I R o2 Occupation -tt ~L~ / -EFpEFer First Name Middle Name Contribution Received or. Amount o Contribution Last Name/Orga ' tan Name Primary Election ❑ General Election ,l LL- i- ❑ Runoff (Local Elections Only) Z~ cpS l C- P(,. City f Stale Zi` -7 7 Date of Contribution Aggregate This Election L " wJt (u Occupation ) (2 -7 Z J/~ C- CG .U Y ~ C Employ 5. TOTAL ITEMIZED CONTRIBUTIONS \J 1,C) (Carry forward to item 3. of next page K 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.) L of RDA 1 SS-1131(Rev. 2106) Page 159 A ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDID TE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM:/ i / fV TO: 3i / 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 contributorduring the period) First Name Middle Name In-Kind Contribution Received For. Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last Name/Organization Name ❑ Runoff (Local Elections Only) Address Date of In-Kind Contribution Aggregate this Election city State Zip Code Description of In-Kind Contribution Occupation Employer First Name Middle Name In-Kind Contribution Received For. Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last Name/Organization Name ❑ Runoff (Local Elections Only) Address Data of In-Kind Contribution Aggregate this Election City State Zip Code Description of In-rind 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 Dale of In-KOnd Contribution Aggregate this Election Cbty State Zip Code Description of In-Kind Contribution -Occupation employer First Name 7"midd7Name In-Kind Contribution Received For. Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last Name/Organization Name ❑ Runoff (Lrxal Elections Only) Address Date of In-Kind Contribution Aggregate this Election City State Zip Code Description of In-Kind Contribution Occupation 5rrployer First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution E] Primary Election El General Election Last NamelOnganization Name ❑ Runoff (Local Elections Only) Address Date of In-Kind Confrtbution Aggregate this Election City Stale Zip Code Description of In-Kind Contribution n 5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS (Carry forward to Item 3. of nerd page I 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. 2108) Page of RDA 1159 ITEMIZED STATEMENT OF CONTRIBU 1. NAME OF CANDIDATE OR`COM ITTEE TIONS -CANDIDATE 2. REPORT COVERING TH rc T0: 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) FROM E PERIOD 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION Amount Frst Name Ll/ contributions totalin more than $100 from an ` % Middle Name contributor Last Name/Or a Contribution Received For. 9 lion Name Amount of Contribution 6 1~ ~~~G Address ' R✓. E3 Primary Election ❑ General Election ~,z 3CZ % , City /~r,~/ ~ ❑ Runoff (Local Elections Only) 2 ZipcOO- Occupation S~fG Date of Contribution Aggregate This Election Employer First Name < C S ( (1 - Middle Name Last Name/ Contribution Received For: Organizatlon Name Amount of Contribution s ❑ Address Primary Election El General Election City t k C ❑Runoff (Local Elections only) N Occupation ZIP Code Z ( Date of contribution I A99regale This Election pbyer First Na 2-Z iddle Name 101) :i ti Contribution Received For: an¢a ame Amount of Contribution Address Qt'rimary Election ❑ General Election ~)c City 03 ❑ Runoff (Local Elections only) J lJ -WW- LP Code Date of Contribution OccuPabon 3 -)b Aggregate This Election z-2 yet 1 First Name Middle Name onto ubon eceroe or. Last Name/O,ganiza6onName noun ~ onto u on ❑ Primary Election Address ❑ General Election ❑ Runoff (Local Elections Only) City StaDe rPCode Date of Contribution Occupallm Aggregate This Election Employer 5. TOTAL ITEMIZED CONTRIBUTIONS (Carry forward to item 3. Of next page it additional Pages of this form are used.) (If this is the last Page of contributions, this amount must be shown in item 15b. of summary) ~J VL~ SS-1131(Rev. 2106) l Page of RDA 1159 y ~ ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE [4. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: TO: Amount TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) OMPLETE 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 Last NamelOrgan¢ation Name ❑ Primary Election ❑ General Election ❑ Runoff (Local Elections Only) Address Date of In-Kind Contribution Aggregate this Election City State Zip Code Description of In-Kind Conhibubon Occupation Employer Mo~ First Name Middle Name In-Kind Contribution Received For. Value of In-Kind Contribution ❑ Primary Election ❑ General Election Last Name/Organizatiar Name ❑ Runoff (Local Elections Only) Address Date of In-Kind Contribution Aggregate this Election City state rip Code Description of In-IGnd Contribution Occupation ~„ploy~ First Name 7 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 ofln-Kind Contribution Aggregate this Election City State Zip Code Description of In-Kind Contribution Occupation 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-Kind Contribution Aggregate this Election City State Zip Code Description of In-Kind Contibution Occupation Employer First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution Iast~meforganizationNarne ❑ Primary Election ❑ General Election ❑ Runoff (Local Elections Only) Address Date of In4Qnd Contribution Aggregate this Election City State Zip Cade Description of In-IGnd Contitwtion J_Effi~ U~Upduufl 5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS (Carry forward to item 3. of next page rradditlonal 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 of RDA 1159 ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: TO: 3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED Outstanding Balance Debt Incurred Payments Outstanding Balance OBLIGATION (obligations totaling more than $100 owed to any (Beginning of Period) This Period This Period (End of Period) person/vendor at the end of the reporting period) First Name Middle Name Last NamelBus Na e C i Address .V Z t ( Gi bA) city L~• / State _ f Zi Gode~ Description of Obligation First Name Middle Name Last Name/Business Name Address city State Zip Code Description of Obligation First Name Middle Name Last Name/Business Name Address City State Zip Code Description of Obligation First Name Middle Name Last Name/Business Name Address City State Zip Code Description of Obligation Flrst Name Middle Name Last Name/Business Name Address city State Zip Code Description of Obfigation 4. TOTALS (Total from Outstanding Balance - (End of Period) column must also be shown in item 23b. on summary page.) SS-1127 (Rev. 4102) Page of RDA 1159 ' ( 1 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 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 Namelorganization Name Address Loan Received For: Date of Loan ❑ Primary Election 13 General Election City State Zip Code ❑ Runoff (Local Elections Only) List All Endorsers or Guarantors for Above Loan (If more space is needed please attach a page) First Name Middle Name First Name Middle Name Last Name/Organization Name Last Name/Organization Name Address Address City State Zip Code City State Zip Code Amount Guaranteed Outstanding mount Guaranteed Outstanding First Name Middle Name First Name Middle Name Last Name/Organization Name Last Name/Organization Name Address Address State Zip Code City Stale Zip Code City Amount Guaranteed Outstanding Amount Guaranteed Outstanding First Name Middle Name First Name Middle Name Last Name/Organization Name Last Name/Organization Name Address Address State Zip Code City State Zip Code City Amount Guaranteed Outstanding mount Guaranteed Outstanding First Name Middle Name First Name Middle Name Last NamelOrganization Name Last Name/Organization Name Address Address City State Zip Code City State 7p 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 12.e. on front page.) SS-1132 (Rev. 4102) Page of RDA 1159 ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM:/ j ~ T0: 3 j 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 Amount of Expenditure Last N /Business Name I A D Inc' %5/.'✓C~ S /./S Address / J J G City State Zip Code r LC C 1`, -37 First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Lj N RiLboIV C PL'-?tit ( dcv Address - 1.) • a r3~ O - l L16, 41',) 4/~/ City State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Naffp Addres -7 C (1 L i i V L~ City State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address City State Zip Code First Name Middle name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address City State F;ZZ First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address City State Zip Code 5. TOTAL ITEMIZED EXPENDITURES Zyc~~ ^C. (Carry forward to item 3. of next page if additional pages of this form are used.) C (If this is the last page of expenditures, this amount must be shown in item 19b. of summary.) AIK SS-1129 (Rev. 4/02) Page of RDA 1159 CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORT 12.a. NAME OF CANDIDATE OMMITTEE 2.b. IF COMMI EE, IIIAME OF CANDIDATE 3. ELECTION A/TE 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rur Route City / ~I Zip Code Phone 41~'°` - State 4.b. CANDIDATES HOME ADDRESS (if different than 4.a.) ~ „ Stmt or Rural Ro e City State Zip i Code Phone / f L~ L OU V (~U i~ T 1_3 7~c? C:? 5. OFFICE SOUGHT (include district numbe , if applicable) 3 6. NAME OF POLITICAL TREASURER (may be candidate) 7. CATEG Y OR REPORT (Check one F ST SECOND THIRD FOURTH PPRRE_ PRE- MID-YEAR YEAR-END UARTER UARTER UARTER UARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL 8.a. BEGINNING DA OFREPORTING PERIOD 8.b. ENDING O-F 'PO/R/TINGPERIOD 9. (Check one) a. E] This campaign is exempt from detailed disclosure because contributions (including in-kind) received total $1,000 or less AND expendi- tu 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 con ' and/or expenditures total more than $1,000 for this reporting contributions (including in kind) received total more than $1,000 period. 10. I/we do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this, report is an accurate accounting of campaign contributions and expenditures required to be reported by the candidate committee by the Capaign Financial Disclosure Act. Additionally, I/we swear or affirm that no campaign contributions have n expended for the personal financial benefit of the candidate or for any other nonpolitical purpose as defined by the federal i venue code. lure of candidate to signa ure of political treasurer date 11. ESS SIGNAT 4= u ignature witness 10-XY da <;4s witness to ' 12. SUMMARY a. BALANCE ON HAND LAST REPORT ~--t b. TOTAL RECEIPTS THIS PERIOD LE_IV c. TOTAL DISBURSEMENTS THIS PERIOD 2') d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) 7c(o' 2L e. TOTAL LOANS OUTSTANDING f. TOTAL OBLIGATIONS OUTSTANDING - Agmh SS-1109 (Rev. 2106) Page 1 of ~ RDA 1159 SUMMARY PAGE - CANDIDATE 13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD I' 1 kb--? k c (Gt FROM: T0: RECEIPTS 31 15. CONTRIBUTIONS (other than loans and interest) a. Unitemized Contributions ($100 or less from each source this period) $ b. Itemized Contributions (over $100 from each source this period) g O CA) c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $c2~ 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.) C~~ a DISBURSEMENT'S 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) $ ~C7 b. Itemized Expenditures (Over $100 each payee this period) c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) . 20. LOAN REPAYMENTS MADE THIS PERIOD 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) 22.IN-KIND CONTRIBUTIONS a. Unitemized in-kind contributions ($100 or less from each source this period) $ b. Itemized in-kind contributions (over $100 from each source this period) $ c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.) 23. OBLIGATIONS a. Unitemized Obligations Outstanding ($100 or less each) $ b. Itemized Obligations Outstanding (Over $100 each) 7 c. TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 12.f.) 7 7~ SS-1133 (Rev. 4102) L Page ~ of J ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIIDAT R COMMITTEE L 2. REPORT COVERING THE PERIOD FROM: TO: 3 sue/ 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) Amount 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totalin more than $100 from an contributor First Name Middle Name Contribution Received For. Amount of Contribution Last Nameior ization Name ErPrimary Election ❑ General Election H -~l 3(r S Address Z3 ~2A~~~ (1~~ ❑ Runoff (Local Elections Only) City State z1orlode Date of Contribution Aggregate ~ ~ This Election Occupation Employer First Name Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name Primary Election ❑ General Election A K) ER Address SL~ tj ❑ Runoff (Local Elections Only) city State Fi Code n,j A fz . I I Le Date of Contribution Aggregate This Election Occupation Employer L y 1(r c (mil, First Name I ' n ^ I iddle Name Contribution Received For: Amount of Contribution SUs T1r' V Last a me n(~ Primary Election ❑ General Election V' Address i t ~L I- E ❑Runoff (Local Elections Only) (J Ll l~ 4Y City Sbte Zip Code Date of Contribution Aggregate This Election (V 7V Occupation yer / First Name f yy //Middle Name ntrr ution eceive or. moun n ution Last Name/Orga - tan Name 12/Primary Election 1:1 General Election w +r f WJ~ L ❑ Runoff (Local Elections Only) City 1`l T-1 Date of Contribution X 11 -7 7 Aggregate This Election Occupation Employer l " ,ltd Z(t c I A, 5. TOTAL ITEMIZED CONTRIBUTIONS r LJ (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.) SS-1131(Rev. 2/06) Page of ~ RDA 1159 ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDID TE OR COMMITTEE ~ 2. REPORT COVERING THE PERIOD FROM / TO: 3. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) moun 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED IN-KIND CONTRIBUTION (in-kind contributions totaling more than $100 from any contributor during the period) First Name Middle Name In-Kind Contribution Received For. Value of In-Kind Contribution last NamelOrganization Name ❑ Primary Election 11 General Election ~ Runoff (Local Elections Only) Address Date of In-Kind Contribution Aggregate this Ek~ction City Slate Zip Code p Description of In-Kind d Contritxrtion Occupation Empbya First Name Middle Name In-Kind Contribution Received For Value of In-Kind Contribution Last Name/Organization Name ❑ Primary Election ❑ General Election ❑ Runoff (Local Elections Only) 7Address Date of In-Kind Contribution Aggregate this Election City State Zip Code Description ofln-rood Contribution Occupaton Errrpbyer First Name Middle; Name In-Kind Contribution Received For. Value of In-Kind Contribution Last Name/Organization Name ❑ Primary Election [I General Election ❑ Runoff (Local Elections Only) Address Date oflnAnd Contribution Aggregate this Election City State Zip Code Description ofln-Kind Contri bution Occu patron First Name Middle: Name In-Kind Contribution Received For. Value of In-Kind Contribution Last Name/Organization Name Primary Election ❑ General Election ❑ Runoff (Local Elections Only) Address . Date of In-Kind Contribution Aggregate this Election City State Tip Cade Description of In-Kind Contribution Occupalon Employer First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution Last NameOrganizati Name Primary Election E] General Election Address ❑ Runoff (Local Elections Only) Date of InAnd Cordribution Aggregate this E.0. city State Zip Cade Description of In-Kind Contribution Uccupatio n 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 of RDA 1159 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMJVIITTEE 2. REPORT COVERING THE PERIOD FROM✓ T0: 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0tf first itemized page) Amount 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totalin more than $100 from an contributor First Name Middle Name MEMNON Contribution Received For. C.ItLA Amount of Contribution Last Name/Organi2ation Name ❑ Primary Election L~ ` ~ ry El General Election tip Address/6 Z 0 /1- 4i4r2 i v [3 Runoff (Local Elections Only) 11 Crry I Zip Code Date of Contribution ggregate This Election Occupation V. ✓ N ~3d T22 Employer 77 7 First Name Middle Name ' Contribution Received For: " j ~ Amount of Contribution Last Name/Organization Name Prmary Election ❑ General Election Address ❑ ~Z y ILr t k C- Runoff (Local Elections Only) City 1~(V I State- Zip Code Date of Contribution b ( Aggregate This Election Occupation / ployer -q/ 2 FirstN'"~ iddleName Contribution Received For 172tA ~ C rV Amount of Contribution MEMNON as a an¢a ame [ y~ / / 7d ~ /t) rte/ ~C rimary Election ❑ General Election u~ Address l C '6 Z~ tJ 3 , City / v S ❑ Runoff (Local Elections Only) / lWa 7jp Code Date of Contribution Aggregate This Election Occupation 1 Employer r Z First Name Middle Name Contribution swerve or. moun onto u on Last Name/Organization Name ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) City stale Zip Code Date of Contribution Aggregate This Election Occupation Employer 5. TOTAL ITEMIZED CONTRIBUTIONS (Carty forward to item 3. of next page if additional pages of this form are used.) (K this is the last page of contributions, this amount must be shown in item 15b. of summary.) `J (J` SS-1131(Rev. 2/06) Page of RDA 1159 ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE 2. REPORT COVERING THE PERIOD FROM: TO: F'LETTEETHEAPPROPRIATE DIDATE OR COMMITTEE ED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) moun 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 Last Name/Organization Name ❑ Primary Election 11 General Election ❑ Runoff (Local Elections Only) Address Date of In-Kind ConbiWu Aggregate this Election City Sfate zip code Description of In-tend Contribution Occupation Employer First Name Middle Name In-fend Contribution Received For. Value of In-Kind Contribution Last Name/Organization Name ❑ Primary Election 11 General Election ❑ Runoff (Local Elections Only) Address Date of In-Kind Contribution Aggregate this Election Cry State Tip Code Description of In-Kind Contribution Occupation Employer First Name Middle Name In-Kind Contribution Received For. Value of In-Kind Contribution Last NamelOrganization Name E] Primary Election ❑ General Election ❑ Runoff (Local Elections Only) Address Date ofin-tend Contribution Aggregate his Election City State Zip Code Desciption of In-Kind Contribution upa n First Name Middle Name In-IOnd Contribution Received For. Value of In-Kind Contribution Last NamelOrganization Name Primary Election ❑ General Election ❑ Runoff (Local Elections Only) Address Date of In-Kind Contdbutlon Aggregate this Election City S1abe Zip Code Description of In-!Grid Conbibulion Occupation T First Name Middle Name In-Kind Contribution Received For., Value of In-Kind Contribution Last NarnelOrganizationName ❑ Primary Election [I General Election ❑ Runoff (Local Elections Only) Address Date of In-Kind Contribution Aggregate this Election City Staff Zip Code Description of hi lend Contribution n 5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS (Carry forward to item 3. of next paged 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.) 'FAA SS-1128 (Rev. 2106) Page ~ . of RDA 1159 ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: TO: 3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED Outstanding Balance Debt Incurred Payments Outstanding Balance OBLIGATION (obligations totaling more than $100 owed to any (Beginning of Period) This Period This Period (End of Period) person/vendor at the end of the reporting period) First Name Middle Name Last Name/B!us!in~ N e 1 Address Gty State Zi Code L _ lNl AP Ul u SLate Descnption of 0 igauon First Name Middle Name Last a usiness Name Address Qty State Zip Code Description of Obligation First Name Middle Name Last Name/Business Name Address city State -tip-Coe Description of Obligation First Name Middle Name Last Name/Business Name Address city State Lp Code Description of Obligation First Name Middle Name Last Name/Business Name Address City State Zip Code Description of Obligation 4. TOTALS ~~77 (Total from Outstanding Balance - (End of Period) column must also be shown in item 23b. on summary page.) Aft SS-1127 (Rev. 4102) Page of RDA 1159 ITEMIZED STATEMENT OF LOANS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM: TO: 3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED LOAN (loans totaling more than $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/OrganizalionName Address Loan Received For: Date of Loan City ❑ Primary Election ❑ General Election State Zip Code ❑ Runoff (Local Elections Only) List All Endorsers or Guarantors for Above Loan (If more space is needed please attach a page) First Name Middle Name First Name Middle Name Last Name/Organization Name Last Name/Organization Name Address Address City State Tip 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 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 Lip Coda City State Zip Code Amount Guaranteed Outstanding mount 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 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.) inning of Period Received P nts End of Period (Total loan payments should also he shown In item 20. on summary page.) (Total outstanding loan balance should also be shown in item 12.e. on front page.) Allift SS-1132 (Rev. 4/02) Page of RDA 1159 r ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD FROM:/ 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) moun 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 N !Business Name Address City Al / State / Zip Code lLL~ 1,V 7 O First Name Middle Name Purpose of Expenditure Amount of Expenditure Last NamelBusine=Name 3CLU3u L(t Ldct~ fat jl ~Lc~vN U tt1~ Address S-- city /I^ State Zip Code T,-v kc, L First Name L Middle Name Purpose of Expenditure S Amount of Expenditure Last Name/Business Name R dres A) " city AC q - State Zip Code <OCJ v G ~ i U 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 Name/Business Name Address city State Zip Code First Name Middle Name Purpose of Expenditure Amount of Expenditure Last Name/Business Name Address City State Zip Code 5. TOTAL ITEMIZED EXPENDITURES h (Carry forward to item 3. of next page if additional pages of this form are used.) ZYC/9 (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 Print Form Appointment of Political Treasurer For State and Local Candidates and Single-Candidate Committees INSTRUCTIONS The Appointment of Political Treasurer statement must be used to appoint a political treasurer as required by the Campaign Financial Disclosure Act (T.C.A. § 2-10-105) for state and local candidates and single- candidate political campaign committees. A state candidate may not receive or expend funds for an election until a political treasurer has been appointed for that election. A local candidate pursuant to T.C.A 2-10-101, may be exempt from completing this form, please check with county election commission for more information. A candidate may appoint himself or herself as political treasurer. A new form must be filed if the treasurer is changed. Candidates for state public office must file their original Appointment of Political Treasurer statement ONLY with the Registry of Election Finance, 404 James Robertson Parkway, Suite 104, Nashville, TN 37243-1360. Candidates for local public office must file their original Appointment of Political Treasurer statement ONLY with their county election commission. 1. Date: 2. Candidate First and Last Name: r3.Candidate a-mail address: 02/05/2014 Jeff Headrick ex@bellsouth.net 4. Campaign Address and Phone: City State Zip Code Phone 402 Greenbelt Dr Maryville TN 37804 865/983-2286 5. Home Address and Phone (if different than item 4 above): City State Zip Code Phone 404 Holyrood Way Maryville TN 37803 865/982-3233 6.Office Sought (include district number, if applicable) 7. Party Affiliation 8. Election Year County Comm Dist 5, Seat A Republican 2014 9. Treasurer Name: TO. Treasurer e--mail address: Lee Chambers LChambers@grandviewcemetery.com 11. Treasurer Address and Phone: City State Zip Code Phone L2326 Graves Rd Maryville TN 37803 865/379-9459 d to and Treasurer Signature (both signatures must be witnessed. Treasure an not witness candidate's signature): ignatu of Candidate Signature of Treasurer Signature of Witness Signatu re of Witness v Registry of Election Finance A SS-1120 (rev 12/2013) SUMMARY PAGE - CANDIDATE 1CANDIDATE OR COMMITTE (In Full) 14. REPORT COVERING THE PERIOD ~G FROM: IPTS . NTRIBUTIONS (other than loans and interest) Sy D ~ a. Unitemized Contributions ($100 or less from each source this period) $ [OZ L, b. Itemized Contributions (over $100 from each source this period) $ c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ 16. LOANS RECEIVED THIS REPORTING PERIOD $ 17. INTEREST RECEIVED THIS REPORTING PERIOD $ 18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) $ DISBURSEMENTS 19. EXPENDITURES (other than loan payments) a. Expenditures ($100 or less each payee this period) (must be listed by category - e.g., printing, postage, gasoline) os C~ $ d t - 6~ l S I l C ~f $ ZOO c~~ S $ D S i G ~j c 556) ' 4c p 50 nj 5 $ 10-70,60 t StC~ $ I O~Z t 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.) $ -d' 20. LOAN REPAYMENTS MADE THIS PERIOD $ 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) 22.IN-KIND CONTRIBUTIONS a. Unitemized in-kind contributions ($100 or less from each source this period) $ b. Itemized in-kind contributions (over $100 from each source this period) $ c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.) $ 23. OBLIGATIONS a. Unitemized Obligations Outstanding ($100 or less each) - b. Itemized Obligations Outstanding (Over $100 each) $ c TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 121) $ SS-1133 (Rev. 4102) Page f` of ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD •Tt f ` I~ EA -,rz 1 G FROM:Ij. -~C.• TO: is , 3t) , Ko 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 totalin more than $100 from an contributor First Name Middle Name Contribution Received For: Amount of Contribution Last Name/Organization Name?, 1 ❑ Primary Election 2 "General Election Address ~y z• I L L ❑ Runoff (Local Elections Only) City y^ ~G(o~ / r 1 l >C~e J Date of Contribution Aggregate This Election Occupation t \F U Employer 2q First Name Cj'-1 I I I AAA Middle Name C Contribution Received For_i Amount of Contribution Last Name/Organization Na eAV1 1 11 Primary Election lJ General Election Address I -3 A 721 IG fir AV `a L ❑ Runoff (Local Elections Only) U'/ Y II l C~o~deDate of Contribution Aggregate This Election City Bt Occupation Q) - fu Employer SD• ® V First Name IM iddle Name Contribution Received For: Amount of Contribution J Last Name /Organization Name ❑ Primary Election [,General Election tot Address 3 5 1416 q i ❑ Runoff (Local Elections Only) 00 City State Zip Code Date of Contribution Aggregate This Election i ut ;u ~7 lell o~ Occupation -N . ~c~ • ~ ~ 1 S5 0 mpoyer a 4~ First Name Middle Name Contribution Received For: Amount o Contribution Last Name/Organization Name` l~ ❑ Primary Election General Election El Runoff (Local Elections Only) 5~?P~ Address a 2 City G~w^, St ZipG9del 8r~ Date of Contribution Aggregate This Election Occupation (Jj ..33 _ v 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 151b. of summary.) 3 SS 1131(Rev. 2106) Page of RDA 1159 -