Loading...
Bright,James "Nick" CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORT 2.a. NAME OF CANDIDATE OR COMMITTEE 2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone a)3 7 IZI-) 5ar< Y4 ;f r 4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.) Street or Rural Route City State Zip Code Phone 5. OFFICE SOUGHT (include district number, it applicable) 6. NAME OF POLITICAL TREASURER (may be candidate) 11 C Al 'sr fi 7. CATEGORY OR REPORT (Check one) FIRST SECOND THIRD FOURTH - PRE- MIDD❑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 Z,7ZII 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 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. signature of candidate date signature of political treasurer date 11. WITNESS SIGNATURE 4/2 'k lure of itness date sign ure of witne s date 12. SUMMARY J~ a. BALANCE ON HAND LAST REPORT $ ~J b. TOTAL RECEIPTS THIS PERIOD $ S~ C. TOTAL DISBURSEMENTS THIS PERIOD $ O d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ e. TOTAL LOANS OUTSTANDING $ f. TOTAL OBLIGATIONS OUTSTANDING 4PR.2.3.................................................................................. $ uwuwco Affill, SS-1109 (Rev. 2/06)~ Page 1 of RDA 1159 CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORT 12.a. NAME OF CANDIDATE OR COMMITTEE L 2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone 4.b. CANDIDATE'S HOM ADDRESS (if different than 4.a.) Street or Rural Route City State Zip Code Phone 5. OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate) 7. CA,TEE ORY OR REPORT (Check one) 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 '143 i9 3A 9. (Check one) a. M 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. _LX signature of candidate date signature of political treasurer date WITNESS SIGNATURE " signature of witne date signature of witness date 12. SUMMARY a. BALANCE ON HAND LAST REPORT $ b. TOTAL RECEIPTS THIS PERIOD 'gy c. TOTAL DISBURSEMENTS THIS PERIOD $ &9 Po d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ e. TOTAL LOANS OUTSTANDING ...........rC11111..........177 'Y $ f. TOTAL OBLIGATIONS OUTSTANDING C Cr> cn. r.. 9~ 20t ~ ~ s T GoUNT { SS-1109 (Rev. 2106) EL EGT►ON Page 1 of RDA 1159 ~b wd z~ o i 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 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: ?i A, r- ,A,, r7 70- ct 19 r'4 / c ,-?3 ~ 4. Campaign Address and Phone: City State Zip Code Phone l-,n /10 00r, llr 9 k f6o s- ?sy o~ 3~ 5. Home Address and hone (if different than item 4 above): City State Zip Code Phone 6. Office Sought (include district number, if applicable) 7. Party Affiliation S. Election Year 0""', r,h,ss,'dn I'S 4f, #e Pat o l6 9. Treasurer Name: 10. Treasurer e-mail address: , e- r.' 4~ o2j Q Grp 11. Treasurer Addres and Phone: City State Zip Code Phone 12. Candidate a Treasurer Signature (both signatures must be witnessed. Treasurer can not witness candidate's signature): RECE.,PV1_ _y Signature of Candidate FEB - 5 2018 Signature of Treasurer BLOUNT r, t-lt "1171' Signature of Witness Signature of Witness Registry of Election Finance SS-1120 (rev 12/2013) 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: Candidate's Position: Lov:/ ~,z Residential Address: 23 P") U t- 4-, A'0 City: State: TN Zip: I hereby state that I meet the above qualifications for exemption and am therefore exempt from filing financial disclosure statements. If any of the above change and I no longer qualify as an exemption, I will file the required campaign financial disclosure reports with my local election commission. Candidate's Signature Date bu 112 A!!!1 p c-~C, ~~l b Witness's Signature'` 1® ate CO GE~~ED ppFl 9 p,~ o ~o