Lawrence, Marte From:Marie Lawrence Fax:18656841109 To, Fax:(865)273-5927 Page:1 of 1 0412612022 8:33 AM
CAIVIPAIGN FINANCIALDISCLOSURE . E E
For state and Local Candidates
For Single-Candidate Committees
1. DATE OF REPORT 2.a. NAME OF CANDIDATE ORCOMMITTEE
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2.b. IF COMMITTEE,NAME OF CANDIDATE " 3..ELECTION DATE
':4.e.CAMPAIGN ADDRESS AND PHONE
":Street or Rural Route City State Zip Code. Phone
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4.b.CANDIDATE'S HOME ADDRESS(if.different than 4.a.)
Street or Rural Route " City State Zip Code Phone
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5. OFFICE SOUGHT(include district number,.ifapplicable) 6. NAME OF POLITICAL TREASURER(may be candidate)
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7. CATEGORY OR REPORT(Check one). -
FIRST SECOND THIRD FOURTH '-- PRE- MID-YEAR YEAR-END
QUARTER QUARTER QUARTER OUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL
8.a.BEGINNMNGDATEOF.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-
ures 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 ihi-kind)received total More than$1,000
and/or expenditures total more than$1,000 forthis reporting period.
10. Uwe do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this report is art
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
benefit of the candidate or for any other nonpolitical purpose as defined by the federal internal revenue code. '
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date. signature of litical treasurer •/:-:da
ignature candidate d 9 I�
11. WITNESS SIGNATURE
signature of witness date signature of witness date
12. : MEONNDSTREPORT
UMARY
��. 26272829�0 $ ( 'r) f
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b. TOTALRECE N ��
IPTSTHISPERIOD vac � .-'' > $ Dr
c. TOTALDISBURSEMENTSTHISPERIOD N R;% ZO22 $ :d'
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d. BALANCE ON HAND(12.a.plus 12.b.minus 12�`i,-...:, r,vc�-. C�%".. \�' $ '
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9 �. F ti
e. TOTAL LOANS OUTSTANDING �,S.Etitti zt.tv(�� $
f. TOTAL OBLIGATIONS OUTSTANDING $ -
u SS-1109(Rev.2106) Page 1 of RDA 1159
04/10/2014 08:44 8655460789 ONEIL PARKER WILLIAM PAGE 01/01
FINANCIAL DISCLOSURE STATEMENT EXEMPTION
Pursuant to TCA 5 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:
Candidate's Name:
Candidate's Position: N Ce ..U.l x[11 4J
Residential Address: ~ oa &A; ~wDYq~-
k &-I Loq At,
Stare: TN Zip:
City:
I hereby state that I meet the above qualifications for exempt; ind am
therefore exempt from filing financial disclosure statements.
'f ! n t
Candidate's Signature Date
~(o
tit
witness's Signature Date
If my plans change and I realize I will spend more than $1,000 on my campaign, I
will immediately make a financial disclosure report.
04/10/2014 THU 7149 [JOB NO. 5713) 10001
IMM~
Appointment of Political Treasurer
For State and Local Candidates and Single-Candidate Committees
INSTRUC'T'IONS
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 2-10-10 1, may be
exempt from completing this form, please check with county election commission for more information. A
candidate may appoint himself or herself as political treasurer. A new form must be filed if the treasurer is changed.
Candidates for state public office must file their original Appointment of Political Treasurer statement ONLY with
the Registry of Election Finance, 404 James Robertson Parkway, Suite 104, Nashville, TN 37243-1360.
Candidates for local public office must file their original Appointment of Political Treasurer statement ONLY with
their county election commission.
1. Date: 2. Name of Candidate or Committee: / 3. Candidate e-mail address:
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4. Cam ig Address and Phone: City State Zip Code Phone
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5. Home Address and Phone (if different than item 4 above): City State Zip Code Phone
6. Office Sought (include district number, if applicable) 7. Party Aftliation 8. Election Year
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9. Treasurer Name: 10. Treasurer e-mail address:
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11. Treasurer Address and Phone: City State Zip Code Phone
12. Candidate and Treasurer Signature (both signatures must be witnessed. Treasurer can not witness candidate's signature):
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Signature of Candidate Signature of Treasurer
U Signature of Witness Signature of Witness
Registry of Election Finanoe
SS-1120 (rev 10/2010)