Robbins, Brian
CAMPAIGN FINANCIAL DISCLOSURE STATEMENT
For State and Local Candidates
For Single-Candidate Committees
1. DATEOFREPORT 2.a. NAME OF CANDIDATE OR COMMITTEE
04/24/2018 Brian Robbins
2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE
May 1, 2018
4.a. CAMPAIGN ADDRESS AND PHONE
Street or Rural Route City State Zip Code Phone
4241 Horace Taylor Blvd Maryville TN 37803 865 809 1668
4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.)
Street or Rural Route City State Zip Code Phone
Same
5. OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate)
County Commissioner District 4C Lucy Bowser
7. CATEGORY OR REPORT (Check one)O ❑ ❑ ❑ ❑
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
04/01/2018 04/24/2018
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. a This campaign Is required to (Ile 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
benefit of the candidate or for any other nonpolitical purpose as defined bA;z;;;zt~f 04/24/218 04/24/201signature of candiate date date
11. WITNESS SIGN E
0~' 04.04L21118 04/24/2018
si ett a of witness date nature of witness date
12. SUMMARY
a. BALANCE ON HAND LAST REPORT $ 1,919.57
b. TOTAL RECEIPTS THIS PERIOD. $ 1,645.00 (In Kind)
c. TOTAL DISBURSEMENTS THIS PERIOD ....$(2.217. 00)
PM 1 2 3 1,347.57
d. BALANCE ON HAND (12.a. plus 12.b. min . . $
ti
e. TOTAL LOANS OUTSTANDING w. > $ 0
Q ~
4PR27 ~ 0
f. TOTAL OBLIGATIONS OUTSTANDIN .Q?........ ~I8 $
FCTf~p, " vV
SS-1109 (Rev. 2106) Page 1 of -UL RDA 1159
SUMMARY PAGE - CANDIDATE
13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD
FROM: 1/31 / 18 T0: 4/ 24/ 18
RECEIPTS
15. CONTRIBUTIONS (other than loans and interest)
a. Unitemized Contributions ($100 or less from each source this period) $ 0
b. Itemized Contributions (over $100 from each source this period) $ 1 , 645.00
c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ 1 , 645.00
16. LOANS RECEIVED THIS REPORTING PERIOD $ 0
17. INTEREST RECEIVED THIS REPORTING PERIOD $ 0
18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) $ 1,645.00
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)
$ 2.00
2.00
Total of Expenditures ($100 or less each payee) $
b. Itemized Expenditures Over $100 each payee this period) $ 2,215.00
c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $2,217.00
20. LOAN REPAYMENTS MADE THIS PERIOD 0
21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) ............................................$2, 217.00
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) $ 1,645.00
c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.) $ 1,645.00
23. OBLIGATIONS
a. Unitemized Obligations Outstanding ($100 or less each) $ 0
b. Itemized Obligations Outstanding (Over $100 each) $ _n
c. TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 12.f.) $ 0
SS-1133 (Rev. 4/02) Page -0-L of [O
ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
Brian Robbins FROM: TO: 4/ 24/ 18
Amount
3. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 1645.00 in k i n
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 NarrA r i a n Middle Name In-Kind Contribution Received For: Value of In-Kind r.nntribution
t3 )[Z Primary Election ❑ General Election $1,000.00
Last Name/Organizalion Name
Rohhin-q ❑ Runoff (Local Elections Only)
Address 4241 Horace Taylor Road DatgpfJn~(jq~o~yigylion Aggregate this Election
City Maryville Sfaie ZipCede803 Descrip44goonoofIn-KKinIId22CSSonhibution
Occupation Employer I ~V 3 Stamps and materials for mailing
Construction Foothills Excavating
First Name Middle Name In-Kind Contribution Received For: Value of In-Kind Contribution
Ar i e 1 Primary Election ❑ General Election
Last Name/Organizatlon Name
Robbins ❑ Runoff (Local Elections Only) $645.00
tlecgom
4~y241 Horace Ta 1 or Road D04~0V201bullon 8 aggRV
G r v i11a Sf~t~ ZipGn{Jao 3 Description of IInn-Kind Contribution At II .iY8 Stamps and materials for mailing
Occupation Employer
Homemaker
First Nam. 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 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 Date of In-Kind Contribution Aggregate this Election
City State Zip Code Description of In-Kind Contribution
Occupation mpoyer
5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS
(Carry forward to item 3. of next page if additional pages of this form are used.) $1,645.00
(if this Is the last page of in-kind contributions, this amount must be shown in item 22b. of summary.)
SS-1128 (Rev. 2/06) Page of RDA 1159
r
ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
Brian Robbins FROM: T0:
.
mount 0
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
Pro Sign Shop
Address
2355 Six Mile Road
City State Zip Code
Maryville TN 37803 Cam ai n Signs $570.00
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
U. S. Post Office Postage for Mailers
Address
City State Zip Code
Maryville TN 37802 $980.00
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last NamelBusiness Name
Office Depot
Address
City State Zip Code
Alcoa TN 37701 Materials for Mailers $665.00
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
CBBC Bank
Address
P 0 Box 9730
City State Zip Code
Maryville N 7802 Counter Checks $2.00
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
Address
City Stale 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 $2,217.00
(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 191b. of summary.)
SS-1129 (Rev. 4/02) Page _It~' of RDA 1159
CAMPAIGN FINANCIAL DISCLOSURE STATEMENT
For Stag and Local Candidates.
For Single-Candidate Committees
1. DATEOFREPORT 12.a. NAME OF CANDIDATE OR COMMITTEE
04/10/2018 Brian Robbins
2,b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION Y DATE
4,a. CAMPAIGN ADDRESS AND PHONE Slate Zip Code Phone
Street or Rural Route City
4241 Horace Taylor Road Maryville TN 37803 865 809 1668
4.b. CANDIDATE'S HOME ADDRESS (If different than 4.a.) Phone
Street or Rural Route city state Zip code
Same
5. OFFICE SOUGHT (include district number, if applicable) ti. NAME OF POLITICAL. TREASURER (may be candidate)
County Coinlnissi over District 4 C Lucy Bowser
7. CATEGORY OR REPORT (Check one)
N-1 prpl ®pR YEAR-END El 1:1 0
FIRST SEC ND THIRD FOURTH PRE_ PRE- 5
QUARTER QUARTER QUARTER llAL2T B.bmENDINGDATEOFREPORTiNGPER}OD TAL
8_a. BEGINNING DAT50FREPORTING PERIOD
January 16, 2018 March 31, 2018
0. (ClWck one)
a. This campaign is exempt from detailed disclosure because contributions (including -Wrid) received toted 51,000 or less AND expendi-
tures total $1,000 or less for this reporting period. (Complete items 12d., 12e. and 12f.)
b, 6j] 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.
i0. I/we do solemnly swear or affirm that the information contained in this campaign finarwid 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 thait no campaign contributions have been expended for the personal financial
benefit of the candidate or for any other nonpolitical purpose as defined by t:9; nal revs us code.
04 12/ 18 04/ 12118
signature of candidate date a political treasurer date
11. WIT SS SIGNATURE
(_'z
signature of witness date egnature of wtlnssss date
12. Sj A4MARY 9 00.00
a. BALANCE ON HAND LAST REPORT `k................................................... $
5= $2,150.00
b. TOTA_RECEIPTSTHISPERIOD
-1 130.43
c. TOTAL DiSBURSEi~ENTSTHIS PERIOD $ e~ _
,919.57
d. BALAidOE ON HAND (12.a, plus 12.b. minus 12.o.~.....La~) 1 S .
e. TOTAL LOANS OU-1 STANDING S 0.0Q
f. TOTAL OBLIGATIONS OUTSTANDING
SS-1109 (Rev. 2100) Pagel of RDA 1158
~ia~ =
SUMMARY PAGE - CANDIDATE
13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD
Brian Robbins FRO 15 18 T0:3 31 18
RECEIPTS
15. CONTRIBUTIONS (other than loans and Interest)
a. Unitemized Contributions $100 or less from each source this period) $ 250.00
b. Itemized Contributions (over $100 from each source this period) $ 1900.00--
c, TOTAL CONTRIBUTIONS (other than loans and Interest)(add 15.a. and 15,b.) $ a •150.00')
16. LOANS RECEIVED THIS REPORTING PERIOD 0.00
17. INTEREST RECEIVED THIS REPORTING PERIOD 0- 00
18. TOTAL RECEIPTS (add 15.c„ 16,, and 17.) (must be shown in Item 12,b.) 8,150.00
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) $
b. Itemized Expenditures (Over $100 each payee this period) $ 1,130.43
1,130.43
c.' TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $
20. LOAN REPAYMENTS MADE THIS PERIOD 0.00
21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in Item 12.c.) $ _1 Ja0__43
22.IN-KIND CONTRIBUTIONS
a. Unitemlzed in-kind contributions ($100 or less from each source this period) $
b. Itemized In-kind contributions (over $100 from each source this period) $
00
c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.) $ 0.
23.013LIGATIONS
a. Unitemlzed 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.) $ , 0.00
Page 2 of 6
$8.1133 (Rev, 4102)
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
Brian Robbins FROM:01/16/1 0:3/31/18
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
Kelly _ L nn
Last Name/OrganizatlonNan,a Primary Election ❑ General Election $1,500.00
Robbins
Ad 1/ e s44 Six Mile Cemetary Road El Runoff (Local Elections Only)
Cary State Zip Code Date of Contribution Aggregate This Election
Mar ville TN 37803 March 23, 2018
Occupation
Homemaker
Employer
N/A
First Name Middle Name Contribution Received For: Amount of Contribution
Last NamelOrganizatlon Name ❑ Primary Election ❑ General Election
Address ❑ Runoff (Local Elections Only)
City State Zip Code Date of Contribution Aggregate This Election
Occupation
Employer
First Name IvI Iddle Name Contribution Received For: Amount of Contribution
as ame rganiza 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 Thls Election
Occupation
Employer
5. TOTAL ITEMIZED CONTRIBUTIONS 1 500.00
(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.)
SS-1131(Rev. 2106) Page 3 of 6 RDA 1159
ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
Brian Robbins FROM) /16/1 0: 3/31/18
Amount
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 contributor during 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 NamelOrganlzatlon 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 NamelOrganizatlon 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
Rat 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 Date of In-Kind Contribution Aggregate this Election
City State Zip Code Description of In-Kind Contribution
ccupa ion Employer
5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS
(Carry forward to item 3. of next page if additional pages of this form are used.) $0.00
(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 4 of 6 RDA 1159
ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
Brian Robbins FROM.1715/18 TO: 3/31/18
moun
3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) 0.00
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
Pro Sion Shop
Address
2355 Six Mile Road
cMaryville SIN "pilt03 Campaign Signs $669.48
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
Pro Sign Shop
Address
2355 Six Mile Road
cit6ryviIle, Stale„ ZipV803 Campaign Signs $460.95
First Name Mid~d~lVe Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
Address
City Stale 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
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
Address
City State ZlpCode
5. TOTAL ITEMIZED EXPENDITURES
(Carry forward to Item 3. of next page if additional pages of this form are used.) $1 , 130.43
(If this is the last page of expenditures, this amount must be shown in item 19b. of summary.)
SS-1129 (Rev. 4102) Page S_ of 6 RDA 1159
li
ITEMIZED STATEMENT OF LOANS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
Brian Robbins FROM:/15/18 To:3/31/18
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/Organization Name
Address Loan Received For: Date of Loan
❑ Primary Election ❑ 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 Stale Zip Code
Amount Guaranteed Outstanding Amount Guaranteed Outstanding
First Name Middle Name First Name Middle Name
Last NamelOrganization Name Last Name/Organization Name
Address Address
City Slate Zip Code City State Zip Code
Amount Guaranteed Outstanding Amount Guaranteed Outstanding
ffin~
First Name Middle Name First Name Middle Name
Last Name/Organization Name Last Name/Organization Name
Address Address
City Slate Zip Code City Slate Zip Code
Amount Guaranteed Outstanding Amount Guaranteed Outstanding
First Name Middle Name First Name Middle Name
Last Name/Organlzatlon Name Last Name/Organization Name
Address Address
City 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 loans received should also be shown in Item 16. on summary page.) (Beginning of Period Received Payments End of Period
(Total loan payments should also be shown in item 20. on summary page.) $0.00
(Total outstanding loan balance should also be shown in item 12.e. on front page.)
SS-1132 (Rev. 4/02) Page 6 of 6 RDA 1159
Brian Robbins for Commission
Date Contributions Distributions
1/15/2018 Lucy Bowser 500.00
1/15/2018 Deborah Moon 400.00
Totals 900.00
1/22/2018 Joann Garner 400.00
2/13/2018 Pro Sign Shop 460.95
3/22/2018 Pro Sign Shop 669.48
3/23/2018 Kelly Lynn Robbins $1,500.00
3/30/2018 Roy Latham $50.00
3/15/2018 Unitemized $200.00
Totals $2,150.00 1,130.43
$1,919.57
Total 1 & 2 $3,050.00 1,130.43 $1,919.57
April
4/3/2018 Counter Checks 2.00
4/3/2018 Pro Sign Shop 570.00
4/5/2018 Brian Robbins (In Kind) 1,000.00
4/5/2018 Ariel Robbins (In Kind) $645.00
'-rn~r .jai. nr..-- ..~..,,._.~.~_a,._. „.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
January 31, 2018 Robbins for Commissioner
2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE
Brian Robbins May 1, 2018
4.a. CAMPAIGN ADDRESS AND PHONE
Street or Rural Route City State Zip Code Phone
4241 Horace Taylor Rd Maryville TN 37803 865 809 1668
4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.)
Street or Rural Route City State Zip Code Phone
Same
5. OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate)
County Commissioner District 4C Luc Bowser
7. CATLEEGORY OR REPORT (Check one)
E] El 1:1 El Q 0
FIRST SECOND THIRD FOURTH PRE- PRE- MID-YEAR YEA -E D
DARTER QUARTER QUARTER QUARTER PRIMARY GENERAL SUPPLEMENTAL SUPPLEMENTAL
8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD
January 15, 2018' January 15, 2018
9. (Check one)
a. E3 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
benefit of the candidate or for any other nonpolitical purpose as defined by the federal internal revenue code.
01/31/18 01/31/18
signature of candidate date sign f political treasurer date
11. WITN NAT RE
01/31/18 01/31/18
signs ure of witness date gn ture of witness date
12. SUMMARY
a. BALANCE ON HAND LAST REPORT $ 0.00
b. TOTAL RECEIPTSTHIS PERIOD 900.00
c. TOTAL DISBURSEMENTS THIS PERIOD $ 0.00
d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ 900.00
e. TOTAL LOANS OUTSTANDING $ 0.00
~ IVED
f. TOTAL OBLIGATIONS OUTSTANDING $
a~ . O.OO
BLOUNT CD A
SS-1109 (Rev. 2/06) E~CTfON Page 1 of 7 RDA 1159
~dZt tt
J ~
SUMMARY PAGE - CANDIDATE
13. NAME OF CANDIDATE OR COMMITTEE (In Full) 14. REPORT COVERING THE PERIOD
Brian Lee Robbins FROM: T0:01/15/18
RECEIPTS
15. CONTRIBUTIONS (other than loans and interest)
a. Unitemized Contributions $100 or less from each source this period) $ 0.00
b. Itemized Contributions (over $100 from each source this period) $ 900.00
c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ 900.00
16. LOANS RECEIVED THIS REPORTING PERIOD $ 0.00
17. INTEREST RECEIVED THIS REPORTING PERIOD 0.00
18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) $ 900.00
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)
$ 0.00
$
$
$
$
$
$
$
Total of Expenditures $100 or less each payee) $ 0.00
b. Itemized Expenditures (Over $100 each payee this period) $
c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) $ 0.00
20. LOAN REPAYMENTS MADE THIS PERIOD $ 0.00
21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) $ 0.00
22.IN-KIND CONTRIBUTIONS
a. Unitemized in-kind contributions ($100 or less from each source this period) $ 0.00
b. Itemized in-kind contributions over $100 from each source this period) $ 0.00
c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.) $ 0.00
23. OBLIGATIONS
a. Unitemized Obligations Outstanding $100 or less each $ 0.00
b. Itemized Obligations Outstanding (Over $100 each) $ 0.00
c. TOTAL OBLIGATIONS OUTSTANDING (add 23.a. and 23.b.) (must be shown i item 12.f.) 0.00
2 7
SS-1133 (Rev. 4/02) Page of
ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
Brian Robbins FROM:I /15/18 TO:1 /15/18
Amount
3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) $900.00
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
Deborah L•
Last Name/OrganizationName Primary Election ❑ General Election $400.00
Moon
Address ❑ Runoff (Local Elections Only)
1804 Murphy Myers Road
C't Stag ZipCode37803 Date of Cogtrj tiflq 8 Aggregate This Election
Garyville IIV 111111// II II
Occupation
Employer
First Name Middle Name Contribution Received For: Amount of Contribution
Lucy Walker
Last Name/Organization Name ® Primary Election ❑ General Election $500.00
Bowser
AN9 Floyd Porter Road ❑Runoff (Local Elections Only)
City State Zip Code Date of Contribution Aggregate This Election
.Maryville, In 37803 01/15/18
Occupation
Office Manager
Employer
Blount Excavatin Inc.
First Name fiddle Name Contribution Received For: Amount of Contribution
as Name /Organization 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 Receive For: Amount o Contribution
Last Name/OrganizationName ❑ 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
(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 3 of 7 _ RDA 1159
ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
R bins FROMOI/15/1 TO-O1/15/18
- Brian mount
3. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 0.00
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
❑ 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 ofIn-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 Date of In-Kind Contribution Aggregate this Election
City State Zip Code Description ofln-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 Dateof In-Kind Contribution Aggregatelhis 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 NamelOrganization Name
❑ Runoff (Local Elections Only)
Address Date of In-Kind Contribution Aggregate this Election
City State Zip Code Description ofIn-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 Date of In-Kind Contribution Aggregate this Election
City State Zip Code Description of In-Kind Contribution
Occupation Employer
5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS
(Carry forward to item 3. of next page if additional pages of this form are used.) 0 00
(If this is the last page of in-kind contributions, this amount must be shown in item 22b. of summary.)
y+ SS-1128 (Rev. 2/06) Page of RDA 1159
ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
Brian Robbins FROM:01/15/190: 01/15/18
mount
3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 if first itemized page) ~0 00
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 State Zip Code
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
Address
City State Zip Cade
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 Stale Zip Code
First Name Middle Name Purpose of Expenditure Amount of Expenditure
Last Name/Business Name
Address
City Stale 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.) $0.00
(If this is the last page of expenditures, this amount must be shown in item 19b. of summary.)
SS-1129 (Rev. 4/02) Page 5 of 7 RDA 1159
ITEMIZED STATEMENT OF LOANS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
Brian Robbins FROM: /15/18 T8
3. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED LOAN (loans totaling more than $100from 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/Organization Name
Address Loan Received For: Date of Loan
❑ Primary Election ❑ 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 T 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 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 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 Zip Code City State Zip Code
Amount Guaranteed Outstanding Amount Guaranteed Outstanding
4. Totals forall Loans (complete on last page of itemized loans) Outstanding Loan Balance Loans can Outstanding Loan Balance
(Total loans received should also be shown in item 16. on summary page.) (Beginning of Period Received Payments End of Period)
(Total loan payments should also be shown in item 20. on summary page.) $0.00 $0.00 $0.00 0.00
(Total outstanding loan balance should also be shown in item 12.e. on front page.)
SS-1132 (Rev. 4102) Page 6 of 7 RDA 1159
ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
Brian Robbins FROM: 1/15/18 TO: 1/15/18
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/Business Name
Address
City State Zip Code
Description of Obligation
First Name Middle Name
Last Name/Business Name
Address
City Slate 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
Description of Obligation
4. TOTALS
(Total from Outstanding Balance - (End of Period) column must also be shown $0.00 $0.00 $0.00 $0.00
in item 23b. on summary page.)
SS-1127 (Rev. 4/02) Page 7 of 7 RDA 1159