Bowers, Marilyn R.
FINANCIAL DISCLOSURE STATEMENT EXEMPTION
Pursuant to TCA § 2-10-101(b) a candidate is exempt from filing financial
disclosure statements:
"If a candidate is seeking an office for which service is part-time,
compensation is less than $1,000 a month, and the candidate does not spend more
than $1,000 to get elected to office, the candidate does not have to file Campaign
Financial Disclosure Reports."
CANDIDATE'S INFORMATION- j
Cand i dates Name: m oar l~n
Candidates Position: C-r-)rrnt..~c ss 1 a n
Residential Address:
City: 1-n ei-/il sv,Ilc State: TN zip: 777.
I hereby state that I meet the above qualifications for exemption and am
therefore exempt from filing financial disclosure statements.
Candidate's Signature Date
Witness's Signa ure Date
If my plans change and I realize I will spend more than $1,000 on my campaign, I
will immediately make a financial disclosure report.
4
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 dates
and
- ca the Campaign Financial Disclosure Act (T•C• dictate may not o expend funlds for an elecgon until a ate
political campaign committees. A state can Y o
political treasurer has been appointed for
checkwith county electron commission for more information. A be
exempt from completing this form, pleas
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
TN 37243-1360.
the Registry of Election Finance, 404 James Robertson Parkway, Suite 104, Nashville,
Candidates for local public office must file their original Appointment of Political Treasurer statement ONLY with
their county election commission.
1. 3. Candidate e-mail address:
Date: 2. Name of Candidate or Committee:
I '-.'?z9 W OL r-i I City State Zip Code Phone
4. Campaign Address and P one:
• lam- ~ti~ - ~z~-~s~7
~1~ P-0_ -c ~ - ,~no1sV,1 31~3~
State Zip Code Phone
S. Home Address and Phone (if different than item 4 above): City
8. Election Year
6. office Sought (include district number, if applicable) 7. Party Affliction
(VL ~ SS I ~ n 'ems 10.Treasurer a-mail address:
9.Treas rerName:
~Q a
~
. ~17~~5 by c,> eir~S -7 g 3 CO~ Phone
C't 1 State Zip
11. Treasurer Ad dress and Phone: City
Av 37 73? 2(,
12. Candidate and Treasurer Sign ture (both signatures must be witnessed. Treasurer cannot witness candidate's signature):
Signature of Treasurer
Signature of Candidate
Signature of Witness
Signature of Witness
Registry of Election Finance
SS-1120 (rev 10/2010)