Bennett, David
CAMPAIGN FINANCIAL DISCLOSURE STATEMENT
For State and Local Candidates
For Single4andldate Committees
1. DATE OF REPORT 12.a. NAME OF CANDIDATE OR COMMITTEE
oZ3 020! r P e
3 ELECTION DATE
2.b. IF COMMITTEE, NAME OF CANDIDATE
gA DDRESS AND PHONE State Zip Code Phone
l Route City Q~ 7 S-~U
i/h
e
'S HOME ADD SS (if different than 4.a.) State Zip Code Phone
al Route City / G SAO fJ
OLITI CAL TREASURER (may be candidate)
=6.
GHT (include district number, if applicable)
4 (pia r
TEGORY OR REPORT (Check one 0 ❑ E3 ❑
7. CA
MID-YEAR YEAR-END
FIRST SECOND THIRD FOURTH PRE
QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL
8.a. BEGINNING DATE OF REPORTING PERIOD S.b. ENDING DATE OF REPORTING PERIOD
y i 8
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 Di osure Act. Additionally, I/we swear or affirm that no campaign contributions have been expended for the personal financial
benefit of the didate or for any other nonpolitical purpose as defined by the federal internal revenue code.
000,
K 0 of
d to sign re of politic r ate
signature of candidate
11. /WITNESS SIGNATURE
---/~l:~J~ ~ a signatur f witness ` d to G
gnature of y ness date
12. SUMMARY
* 3A
a. BALANCE ON HAND LAST REPORT $
b. TOTAL RECEIPTS THIS PERIOD $ 6160
c. TOTAL DISBURSEMENTS THIS PERIOD
3a14.3~
d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) . . $
•+~'•~12 ~
e. TOTAL LOANSOUTSTANDING cb .........p~G.....................................
f. TOTAL OBLIGATIONS OUTSTANDING ............tW.....~....... . ,+r.l................................. $ l~ . !l CJ
CDU
C11 Page 1 of ( RDA 1159
SS -1109 (Rev. 2106) ~ Wb Wd Z`~,;i
CAMPAIGN FINANCIAL DISCLOSURE STATEMENT
For State and Local Candidates
For Single-Candidate Committees
1. DATE OF REPORT 2.a. NAME OF CANDIDATE OR COMMITTEE
0l gl fi^ S I;rn
2.b. IF C MMITTEE, NAME OF CANDIDATE 3. ELECTION DATE
6 ~ oy
4.a. CAMPAIGN ADDRESS AND PHONE
Street or Rural Route City State Zip Code Phone
D -2-75- 00
4.b. CANDIDATE'S HOME ADD SS (if different than 4A)
Street or Rural Route City State Zip Code Phone
AO,;~A Mr~G K~ -SCc rim ~N D 3 S- SF/9 S-00
5. OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate)
\ /G%
7. CATEGORY OR REPORT (Check one)
ND
FIRST SECOND THIRD FOURTH PRE- PRE- MID-YEAR YEAR❑-E
QUARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL
8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD
G3 3
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 sclosure Act. Additionally, I/we swear or affirm that no campaign contributions have been expended for the personal financial
benefit of tqe ndidate or for any other nonpolitical purpose as defined by the federal internal revenue code.
/ Y-'. t f c~ ( 9 ao/s'
signature of candidate date signature of politi dat
11. WITNESS SIGNATURE
Vdtnature of fitness I'll signature Of7witness date
12. SUMMARY
a. BALANCE ON HAND LAST REPORT $ 3a'q"3o;2_
b. TOTAL RECEIPTSTHIS PERIOD 0t G0
c. TOTAL DISBURSEMENTS THIS PERIOD $ 0 , OlJ
d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ ay3~
e. TOTAL LOANS OUTSTANDING D G/J
f. TOTAL OBLIGATIONS OUTSTANDING $ D.h 0
$5~~ ~ f
SS-1109 (Rev. 2/06) fY~,Z Page 1 of t! RDA 1159
CAMPAIGN FINANCIAL DISCLOSURE STATEMENT
For State and Local Candidates
For Single-Candidate Committees
1. DATE OF REPORT 12.a E)NAME?FCANDATR COMMITT
f o U~d-t
3. ELECT=/4;i 2.b. IF MMITTEE, NAME OF CANDIDATE 1 4~c 4.a. CAMP
AIGN ADDRESS AND PHONE State Zip Code Phone
Street or Rural Route City /
Id al ✓,~k 7-Al 3 ~Po 8tf 3P5-15ay
4.b. CANDIDATE'S HOME ADDRESS (if different than .a.) State Zip Code / Phone
Street or Rural Route dy 39 & ( G6 f 3 9 5-1-s-b p
5. OFFICE SOUGHT (include district number, if applicable) =,NAME OLITICAL TREASURER (may be candidate)
7. CATEG Y OR REPORT (Check one)❑ El 0 _ MID-YEAR Y ND
FIRST SECOND THIRD FOURTH PRE-
UARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL
S.b. ENDING DATE OF REPORTING PERIOD
S.a. BEGINNING DATE OF REPORTING PERIOD
~-I-17
9. (Check on because
12d. '12eU alnd 112f.i) d) received total $1,000 or less AND expendi-
cont a tunes totap$9000 orlm pt from fofro
r this ereportng period. (Complete termst (
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 Disclo ure Act. Additionally, I/we swear or affirm that no campaign contributions have been expended for the personal financial
benefit of the c didate or for any other nonpolitical purpose as defined by the federal internal revenue code.
- ~ / d to
signature of candidate date sig ture of politics easar
11. WITNESS SIGNATURE
4gnature of wi ss date
ALl
si ature of witne dat~
12. SUMMARY. ~/l
$ .C
a. BALANCE ON HAND LAST REPORT • ~D
b. TOTAL RECEIPTS THIS PERIOD
,aN 20 a, Q
c. TOTAL DISBURSEMENTS THIS PERIOD ................~~w $
$ Say . 3a
I BALANCE ON HAND (12.a. plus 12.b. minus 12.c.)
$
e. TOTAL LOANS OUTSTANDING
$
f. TOTAL OBLIGATIONS OUTSTANDING
Page 1 of RDA 1159
SS-1109 (Rev. 2106)
I
e
's
7
CAMPAIGN FINANCIAL DISCLOSURE STATEMENT
For State and Local Candidates
For Single-Candidate Committees
1. DATEOFREPORT 2.a. NAME OF CANDIDATE OR COMMITTEE
At 3
2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTI DATE f
y ~y
4.a. CAMPAIGN ADDRESS AND PHONE
Street or Rural Route Clty Stale Zip Code Phone
iU 8D &S- 3W, /Saa
4.b. CANDIDATE'S HOME AD SS (if different than 4.e.)
Street or Rural Route City State Zip Code Phone
as ~ ~ - ~5 - sow
S. OFFICE SOUGHT pnclude district number, if appifcs6e) 6. NAME OF POLITICAL TREASURER (maybe candidate)
r~ !i/✓l
Or
7. CATEGORY OR REPORT (Check one)
FIRST SE THIRD FOURTH ~ P11RE- MIC3 0
D-YEAR YEAR-END
PRIMARY AL U Uwe-rrk
8.a. BEGINNING DATE OFREPORTING PERIOD 8.b. ENDING DATE OFREPORTINGPERM
d
Q <
9.(Che one)
t
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 11e s detailed financial disclosure because contributions (including In-kind) received total more than S1,00D
and/or expenditures total more than 51,000 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 Bl sure Act. Additionally, 11we swear or affrm that no campaign contrbulions have been expended for the personal financial
benefit of the id or for any other nonpolitical purpose as defined by the federal Internal revenue code.
signature of candidate date signature of pollUCa1 esurer data
11. WITNESS SIGNATURE
2
signs ofwilhess.....~~. date
slgneltrre jiflominess; data
12. SUMMARY
a. BALANCE ON HAND LASTREPORT .............................................«..»,...»........................»S ~.L
b. TOTAL RECElP1"SIMPER10D........... .UG
c. TOYALDISSURSEMENTSTHISPERIOD «.,.,......,,.,..,..,...,..........................5
d. BALANCE ON HAND (12.e. plus 121. mtrws 12.c.
e. TOTAL. LOANS OUTSTANDING.
f. TOTAL OBLIGATIONS OUTSTANDING-_
CUN7-CCL, ~.r
SSA ID9 (Rev, 2106) CTfpN j } Page i of 5" RDA 1159
r
1
a
P
f
SUMMARY PAGE - CANDIDATE
13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14, REPORT COVERING THE PERIOD
FROM: T0:
RECEIPTS
15. CONTRIBUTIONS (other than loans and interest) E
a. Unitemized Contributions ($100 or less from each source this period) $
b. Itemized Contributions (over $100 from each source this period) $ r~. ~dSUIOG
c. TOTAL CONTRIBUTIONS (other than loans and interest add 15.a. and 15,b,
16. LOANS RECEIVED THIS REPORTING PERIOD $
Q: pL
17. INTEREST RECEIVED THIS REPORTING PERIOD D
18, TOTAL RECEIPTS (add 15.c„ 16 and 17.) (must be shown In Item 12.b.) 71 4
DISBURSEMENTS
3
19. EXPENDITURES (other than loan payments) j
a. Expenditures ($100 or less each payee this period) (must be listed by category - e.g., printing, postage, gasoline) }
i
$
$
$
$
$
$
$
$
Total of Expenditures ($100 or less each payee) $ _ d, OU z
b, itemized Expenditures (Over $100 each payee this period) , q
c. TOTAL EXPENDITURES (other than loan repaymenls)(add 19.a. and 19.b.) $
20. LOAN REPAYMENTS MADE THIS PERIOD $ ~e GO
e
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) $ pG
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.) $ Q, ~t1
23. OBLIGATIONS
a. Unitemized Obligations Outstanding ($100 or less each) ~U
b. Itemized Obligations Outstanding (Over $100 each $ G, Q(J i
m TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown I item 121) $ b
SS-11133 (Rev. 4102) Papa ~ el
i
t
3
1
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ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
4
1. NAME OF CANDIDATE OR COMMITTEE Z REPORT COVERING THE PERIOD
FRQ / D! TO: ao
i
3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 If first ttemlzed page) 0. UV
4. COMPLETE THE APPROPRUITE ITEMS FOR EACH ITEMIM CONTRIBUTION canldbutions Whim more than 100 from conbibuta►
Fkd rm MWdeName CantdbutlonReceJvedFor
Amount of Contdbudon
Key
104r C1Q
►ut en .n,e ❑ P►imory Election F. General Election lip
~j Q ~t 1 _ ❑ Runoff (Local Eledlons Only)
dty 1 Date of Contdbudon
Aggrogete This Eledlon
IK ~s M ~ ~/ryr''G/~ v~~G#7rCd
~NS~MSS
i
e
a f Marne Conbibudon Recelved For
Amount of Conlrrbutlan 3
Lad anNeme ❑Primery Eledlon 126eneral Election '~'s~' CXJ
rn r
R-
AMna ❑Runof (Local Elections only)
w SDate of ConWbutian
Aggregate This Rectlon
°`""dan 6//d4elo Sao, oa
rr~
lowd
FPWNeme"N Contribution Revived For.
Amami of ConWbution
C4 In,
WIN
Q Primary Etedlan ❑ Genaal Election
Address
❑Runoti (Local Electlons Only)
CBy staill 4Cods Date of conlnb= Aggregate This Election
Oaaupstbn
beddle
Name CONWW or. -
AMMI
Last NamalOrpsnbaeon Name
❑ Primary Redion ❑ General Eleellon
Address ❑ Runoff (Local Eleedans Only)
tl7 - itil, ZOCode Data of ConWbedon
Aggregate Thle Election
OMipallan
Fns
s
5. TOTAL ITEMIZED CONTRIBUTIONS
(Ca+7 b~ward Oo lam s. Dined peg. Yeddtttonei pepw of acts farm an wed,}
(l iWsb 1be hW page of w* budmu. tide woad mud be Wn" In Rem 15b. atsummaryc)
&3.1131(Rev, 2106)
Page1- of 4 RDA 1159
3
3
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ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
4
4
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
r FROM: T0: s
Quit a
3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page)
4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributJons tots more Iban S100 from an coniributor
5
ftrd Name WOoName Contribution Received For Amaunl of Conbih on
Ja"/j OGtJ. A0
LagNamelOrganbWn Name ❑ PrimaryElection 14 General Eledlon
t
i
Addre:a 34 1 ❑ Runoff (Loral Elections Orgy)
sue
Cuy
210f4de Dole of Conidbullon
Aggregate This Election
O=rPatir,
i
6
i
21, Il+ddeName Contritw0on Recelved For Amount of Contribution Last NamelOrgsntmPon Name ❑Pdma Election
ry 0~-General Election
Add f J ❑ Runoff (Local Elections Only)
Cq Y'r Iwo LP Code Date of Conbibulion
Aggregate This Election
a , 51a~I;ZC f~a sr~r c>a
P)o
First ACC
~eaNeme N Contribution Received For Amount of Contribution
.S sce,av
a+ezaon ama ❑Primary Election GeneralElectioon
r t ❑ Runoff (Local Elections Only)
-
4 4 4
ft= 3
CRY c 18* ZIPCOds Date of Contdbullon Amragale This Eledion
0mupation
Fed Name Middle Name on n Recellyed For- o twton
IsslNaar7JOrgeniaeNmNamer
~ ❑ Primary FJeWan MGeneral Efedhrn
Runoff (Coca[ Elections Only)
Cft. r TV code S Data of ConbibWw
/ Aggregate This Election
5. TOTAL ITEMIZED CONTRIBUTIONS
(Cony bwW to Item 3. of nand page BadAk rut
pegeao(IhL+form anusad) r
(VMS4 ft Iasi Pageofewftloru.INSanumin4lbeshow inhe 16b. of summaq)
+9r s r
SS-1131(Rov. 2106) Page of RDA 1158
t
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e
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3
a
3
ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE
1, NAME OF CANDIDATE OR COMMITTEE 2. REPORT OVER(NG THE PERIOD
F1912 4,619 FROM r T0: 1
maa
3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 it first itemized page) G
1, COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (weriddurcs toting more than f1DD b any payee dudng the period)
FrclName MiddioName ~P~ufrpose of Expendihxe Ammowl of Expenditure
N ualneseNarna l-Q~r4n sI~{~js yrJGo?~ir?'/
a.
Z. -Sax
Sias Zp Code g
isVt e / j -7
7
First Name M>dme Nara Purpose of Expenditure Amount of Evendltue
LastN sinessName
s ✓
is;
(DIY / Stale Z1pCcde
First Nana MUe Name Purpose of Expenditure Amount of Experidibure
NamBlBuslness N ~ Cli(/~~I C/ r1 / (.G(/LS~ ~ v V ! ~ l p`+
V ~
CKy Stae Zip Code
Tjl~
FuslNama ADddleNam Purpose of Expenditure Amount of ExpencRure
tell nessN Cu,►~P~ts>,. /na, per's ej
_ I
Address ~ 1
Gfy stow Zip code
Fart Neme M ddle Name Purpose of Expendture Amount of Expenditure
last NanalB uslne3a Name
3
Address
GH Stott Zip Code
i
- I:
Firsl Name WddleNxme Purpose of Expenftre Amount or Expenditure k
t
Last NamelBuslaw Narm t
i
Address
city State Zip Code
t
5, TOTAL ITEMIZED EXPENDITURES
(Carry larxard to Item 3 or next pope nadditlanal pope: of Mrs brm en used )
pl this Is the list page or expa dthees, this emounl nisi be shorn in Item iw el summary.)
9
® M1129 (Rev. 4102) Page of J RDA 1159
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Appointment of Political Treasurer
Ott -,L For State and Local Candidates and Single-Candidate Committees
. , g g 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.
I
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. t
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:
5-25-16 David Bennett dbennett@cherokee-millwright.com a
I
4. Campaign Address and Phone: City State Zip Code Phone
t
2022 Ponderosa Lane Maryville TN 37803 (865) 228-0667 4
5. Home Address and Phone (if different than item 4 above): City State Zip Code Phone
Same as above 3
6. Office Sought (include district number, If applicable) 7. Party Affiliation 8. Election Year
e
County Commission District 5 Republican 2016
9. Treasurer Name: 10. Treasurer e-mail address:
Russ Bradberry brai82@hotmail.com
11. Treasurer Address and Phone: City State Zip Code Phone
1021 N. Heritage Dr. Maryville TN 37803 (865) 216-0781 t
12. Candidate and Treasurer Signature (both signatures must be witnessed. Treasurer can not witness candidate's slgnature):
J~--~
_ I
i
Signature of Candidate Signature of Treasurer
'
i
~t
loo,
a
5 gnature of Witness Signature of Witness
y
1
Registry of Election Finance
SS-1 120 (rev 1212013)
4
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