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Thompson, Sean FINANCIAL DISCLOSURE STATEMENT EXEMPTION Pursuant to TCA § 2-10-101(b) a candidate is exempt from filing financial disclosure statements due to the following: 1. The service for the office which I seek is part-time and the compensation is less than $1,000 per month, AND 2. 1 do not plan to spend more than $1,000 on my campaign. *Candidates running for Chief Administrative Officer (i.e. Mayor) of the county or city are NEVER exempt from filing and should file the required campaign financial disclosure reports regardless of compensation or spending. CANDIDATE'S INFORMATION: Candidate's Name: Se-cL^_ ~1 cam Candidate's Position: C lt~ +d- i C~ Se- a t Residential Address: W i, q140-A ~oa (J~ City: u-10to- State: TN Zip: I hereby state that I meet the above qualifications for exemption and am 1 therefore exempt from filing financial disclosure statements. If any of t ove change and I no longer qualify as an exemption, I will file the required paEIVED~ r financial disclosure reports with my local election commission. FEB 15 2018 BLOUNTCOUNTY ,o ELECTION y ( O Ca ndi te' Signature Date Z-15-111 Witness's Sign e Date 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: 3. Candidate e-mail address: 4. Campaign Address and Phone: City State Zip Co Phoney lZe Tv/ 31-76ev 4LS a uz1,,i 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 Affiliation 8. Election Year C0- I-C 5e_tA4141/1'~o air 9. Treasurer Name: 10. Tr asurer e-mail address: sace-VA Se e `e ~c~ 5o u ree , 11. Treasurer Address and P ne: City State •p Code Phone 86- V/ 71--il _3) el -~5- 12. Candidate and Treasurer Signature (both signatures m st be witnessed. Treasurer can not witnes andidate's si ` RECEIVED A$. ~y CA) Signature of Can idate Signature Treasure FEB 15 2018 011 1q~ W B UNTCOLWy y~ OELE01MION h RECEIVED [ ,6 Signature of Witness Cl) %131018 N Sign atur of Witness N w r E'LOUNT COUP: , A Registry of Election Finance 7~1'k6 6 SS-1120 (rev 12/2013) G" l L L 0~ 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: r~ U yr1 D Candidate's Position: wvv ~ SS i ovt L*,e3 ~,o4 Residential Address: /l0 P60S City: < 1 L° State: TN Zip: e O I hereb state that I t the a ve qualifications for exemption and am theref a exempt fr ilin ancial disclosure statements. Candidate Signature at A LP ~ ness's Si a bate 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. Appointment of Political Treasurer For State and Local Candidates and Single-Candidate Committees INSTRUCTIONS The Appointment of Political Treasurer statement must be used to appoint a political treasurer as required by the Campaign Financial Disclosure Act (T.C.A. § 2-10-105) for state and local candidates and single- candidate political campaign committees. A state candidate may not receive or expend funds for an election until a political treasurer has been appointed for that election. A local candidate pursuant to T.C.A 2-10-101, maybe exempt from completing this form, please checkwith 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: om so,~ sea,, o n>'r - eb 1 S~__X I AC mp inAdress and Phone: City State Zip Code hon S07- /7j/ //0 2 o A y, y vAe '7,41 5 > So 5. Home Address and Phone (if different than item 4 abo e): City State Zip Code Phone 6. Office Sought (include district number, if applicable) 7. Party Affliation 8. Election Year cowt~ y co,rr,ff; ssroh "d 3 a ON at ; h V, 9. Treasurer Name: 10. Treasurer e-mail address: Seam om ~ SQw~ ~ 11. Treasurer Address and hone: City State Zip Code Phone SOL Vv, 12. Candidat nd Treasure Ignature :7 s must be witnessed. Tr urercan n w tness ndidate's signature): Signature of Can date Signature of Tre surer Ignature of Witness Signature of Witness Registry of Election Finance SSA 120 (rev 1012010) wd~o