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Reagan, Dawn CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates MENT For Single-Candidate Committees 1. DATE OF REPORT I 2.a. NAME OF CANDIDATE R COMMITTEE a I c 2.b. IF COMMITTEE, NAME OF CANDIDATEl C{ iV~ 3. ELECTION DATE 4.a. CAMPAIGN ADDRESS AND PHONE VC Street or Rural Route a City State - 14C 1~ e' ` Zip Code Phone 4.b. CANDIDATE'S HOME ADDRESS (if than 4.a.) C Street or Rural Route City State Zip Code Phone 5. OFFICE SOUGHT (include district number, if applicable) g NAME OF POLITICAL TREASURER (may be candidate) 7. CATEGOR O REPORT Check one) ❑ ❑ FIRST SEAND THIRD FOURTH PRE- ❑ _ ❑ ❑ QUARTER QUARTER QUARTER QUARTER PRIMARY PRE MID-YEAR YEAR-END 8.a. BEGINNING DATE OF REPORTING PERIOD GENERAL SUPPLEMENTAL SUPPLEMENTAL S.b. ENDINGIDA~TE OAF REPORTING PERIOD 9. (CheCK one) r ( 1/~ Y a. L~ 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 expen ed for the personal financial benefit of the candidate or for any other nonpolitical purpose as defined by th ede I internal reve od signature of candidat date Q si nature of political treasurer da 11. WITNESS SIGNATURE ziz~ o signature of witnes date signature of witness date 12. SUMMARY a. BALANCE ON HAND LAST REPORT $ b. TOTAL RECEIPTS THIS PERIOD I c. TOTALDISBURSEMENTSTHISPERIOQ d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) e. TOTAL LOANS OUTSTANDING RECEIVED f. TOTAL OBLIGATIONS OUTSTANDING Nt` BLOUNTCOUMCY' SS-1109 (Rev. 2106) ELEMON 1 of RDA 1159 Page 5 lb~~~ 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 r ~ - _-Ne'cGv ((fT/~l ~I 03 X37-T? 4.b. CANDIDATE'S HOME ADDRESS (if different than 4.a.) / Street or Rural Route City State Zip Code Phone C>' Y--- 5. OFFICE SOU, HT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate) i i 7. CATEGORY OR R PORT (Check one) ❑ ❑ ❑ ❑ ❑ ❑ ❑ FIRST SECOND THIRD FOURTH - 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 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 can ' ate or for any other nonpolitical purpose as defined byAhs~federal internal reve ode. signature of candidate date signature of political treasurer date 11. WITNESS SIGNATURE a ~ signature of witness date signature o witness date 12. SUMMARY a. BALANCE ON HAND LAST REPORT $ 9 b. TOTAL RECEIPTS THIS PERIOD $ ! c. TOTAL DISBURSEMENTS THIS PERIOD $ d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) $ C~U~ SCE e. TOTAL LOANS OUTSTANDING of 6 $ 77 f. TOTAL OBLIGATIONS OUTSTANDING G.!.Z...... ...j.................................................... ~-f SS-1109 (Rev. 2/06) Page 1 of RDA 1159 40 ; CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORT 2.a. NAME OF CANDIDATE OR MMITTEE 2.b. IF COMMITTEE, NAME OF CANDIDATE 3. MELCTION DATE 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route iicity State Zip Code Phone 7 3~~-' U b `Q C (c C>k l 1 ~f t r` W f V 1 I 7!• 17i11f 3 3-263 &S--4 4.b. CANDIDATE'S HOME ADDRESS (if different than .a.) Street or Rural Route City State Zip Code Phone 'JCS '-J~ 5. OFFICE SOUGH (include district number, if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate) cG~- C~0t 5 ~f C\ j 'C"" 7. CATEGO R 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 -Fk ;-c CA r 6- 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 campai ontributions hav en ex nded for the personal financial benefit of the candidate or for any other nonpolitical purpose as defined y the ederal nternal Lnue tie. y signature o andidate datq I signature of political treasurer date 11. WITNESS SIGNATURE I r r \ signature of wit ss date 11 l~ signature of witness d 12. SUMMARY a. BALANCE ON HAND LAST REPORT $ b. TOTAL RECEIPTS THIS PERIOD 1 c. TOTAL DISBURSEMENTS THIS PERIOD $ d. BALANCE ON HAND (12.a. plus 12.b. minus 12.0 $ .s~. 7 e. TOTAL LOANS OUTSTANDING .gS ........G>,..... $ $ f. TOTAL OBLIGATIONS OUTSTANDING ........................t~.... a ; w f SS-1109 (Rev. 2106) Page 1 of RDA 1159 6gL9 ~V SUMMARY PAGE - CANDIDATE 14. REPORT COVERING THE PERIOD 13. NAME OF CANDIDATE OB COMMITTEE (In Full) FROM: -'o _)_C. ?TO: RECEIPTS l~ 15. CONTRIBUTIONS (other than loans and interest) a. Unitemized Contributions ($100 or less from each source this period) $ b. Itemized Contributions (over $100 from each source this period) $ c. TOTAL CONTRIBUTIONS (other than loans and interest)(add 15.a. and 15.b.) $ 16. LOANS RECEIVED THIS REPORTING PERIOD 17. INTEREST RECEIVED THIS REPORTING PERIOD 18. TOTAL RECEIPTS (add 15.c., 16., and 17.) (must be shown in item 12.b.) $ TURES (other than loan payments) rExpenditures EMENTS ($100 or less each payee this period) (must be listed by category - e.g., printing, postage, gasoline) Cara $ $ $ $ Total of Expenditures ($100 or less each payee) b. Itemized Expenditures (Over $100 each payee this period) $ 3'' c. TOTAL EXPENDITURES (other than loan repayments)(add 19.a. and 19.b.) 20. LOAN REPAYMENTS MADE THIS PERIOD $ 21. TOTAL DISBURSEMENTS (add 19.c. and 20.) (must be shown in item 12.c.) 22.IN-KIND CONTRIBUTIONS (l) 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) $ c. TOTAL IN-KIND CONTRIBUTIONS RECEIVED THIS PERIOD (add 22.a. and 22.b.) 23. OBLIGATIONS a. Unitemized 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.) $ Page of y SS-1133 (Rev. 4102) ~ c ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 2. REPORT COVERING THE PERIOD 1. N A~IE OF CANDIDATE COMMITTEE FROM: n9 TO Gi rc ii-, 36t 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 totaling more than $100 from an contributor Amount of Contribution Middle Name Contribution Received For: First Name Last Primary Election El General Election Name/Organization Name Address ❑ Runoff (Local Elections Only) Ildlc &,t ^se r;u~ State Zip Code _ Date of Contribution Aggregate This Election city c'~' Occupation err ~C Employer Middle Name Contribution Received For: Amount of Contribution all) f First Nama/~ JJ Primary Election ❑ General Election LaslNamelOrganizationNeme - ~ f x ❑Runoff (Local Elections Only) U Address 1 'S- Date of Contribution Aggregate This Election City 4(I V) ( f~ ^ StateZipCode3 T26-5 Occupation \(7 0(U Employer QQ { 1 l 1' V 1 A lI I Amount of Contribution Middle A a Contribution Received For: First Name ' C~l YS~~'L Last Name /Organization ame Primary Election ❑ General Election Address p ❑ Runoff (Local Elections Only) Aggregate This Election 3 I C t Date of Contribution City / / 1 ~ ~ State j ~ Zip Cod ~126 Occupation I r mpoyer r6, Middle ame Contribution Received For: Amount of Contribution First Name Primary Election El General Election yy,, Last NamelOr nN me V ~Q ^ Address El Runoff (Local Elections Only) t. Scat ZipC e Date of Contribution Aggregate This Election city Occupation h/ eh +ployer C' Em X1.2 r bar c ~ 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.) Page -L of RDA 1159 SS-1131(Rev.2106) ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE 1. N E OF CANDIDATE 0 COMMITTEE 2. REPORT COVERING THE PERIOD FROM: t T0: t u 2 o~ U I Amount.-, 3. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) j 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 Na Middle Name In-Kind Contribution Received For: Value of In-Kind Co bution IN Primary Election ❑ General Election Last Name/Organization Name 1/ `I tC,( Runoff (Local Elections Only) rl.. Address a ll 3 / t 1 _ tor L f f f Dale of In-Kind Contribution Aggregate this Election City L) i I V Yp1(- 7 I State T1 Zip Code 3 ~ Description of In-Kind Contribution Occupation . 1 Employer 1 SLt t? L) ~~Kr 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 Stale 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 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 Stale 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.) I (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 ITEMIZED STATEMENT OF CONTRIBUTIONS - CANDIDATE 1. N E OF CANDIDATEQR COMMITTEE 2. REPORT COVERING THE PERIOD ~Z FROM: Fib TAOmX a.ez 3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION contributions totaling more than $100 from any contributor) First Nam 7'r Middle Name Contribution Received For: Amount of Contribution Last Name/organization [Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) V J (eD`~ PIC 'A State / Zip Code Date of Contribution Aggregate This Election Ciry Mali 1 Occupation Employer First Name Middle Name Contribution Received For: Amount of Contribution ~P e Last Name/Organizatin Named Primary Election ❑ General Election *dd,ess ❑ Runoff (Local Elections Only) (J/ ; D '0 Stag u f Zip 3 r?~ Date of Co ntribution Aggregate This Election 1 /V r-ee ireC -6r G 47 --x-, kez!! Employer 4-14 First Name ddieName Contribution Received For: Amount of Contribution Last Name /Organization ame ❑ Primary Election ❑ General Election Address ❑ Runoff (Local Elections Only) Ciry State Zip Code Date of Contribution Aggregate This Election Occupation Employer First Name Middle Name Contribution Received For: Amount o Contribution Last Name/Organization Name ❑ 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.) Q . Page 12, of RDA 1159 SS-1131(Rev.2106) ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE 1. NAM OF CANDIDATE OR MITTEE 2, REPORT COVERING THE PERIOD LAt FROM TO: cL r~ noun 3. TOTAL ITEMIZED CAMPAIGN EXPENDITURES FROM PRECEDING PAGE (enter $0 H first itemized page) 4. COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED EXPENDITURE (expendkm btaliN more than $100 b any payee during the period) Fret Name piddle Name Purpose of Expenditure Amount of ExperKrdm Last NameSus'mess Name ti Address City First Nwn LNL C C Purpose of Expenditure Amount of Expenditure Last Address ®r Y `J ~7 City Stale Zip Code ~ First Kerrie Nirdt~N~me Purpose of Expenditure Amount of Expenditure Last NarreAMiness Name Address , P64ay VV a L4 o, -e Keller ~w/~v C Stale LP Code Jl,~ 3 1 X) Fast Name tAAdle Name Purpose of Experiftfe Amount of Expenditure Last NarraGusiriess Name Address Ck Stale Zip Code First Name Middle Name Purpose of Expenditure Amount of Expendibire Last Nary eSminess Name Address City Slate Tip Code First Name Diddle Name Purpose of Expenditure Amount of Expendbre Last NameiBusiness Neme Address City Sole LD Code 5. TOTAL ITEMIZED EXPENDITURES (carry brward b tram 3. d next page it additional papas or #k bml are used.) (if Mris Is V e last page of experdlMrres, this amount must be shorn In Nam 19b. of sarrnary.) Pape _ of RDA 1159 SS-1129 (Rev. 4102) I„ '.I Appointment of Political Treasurer For State and Local Candidates and Single-Candidate Committees INSTRUCTIONS FjheAppointment 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: r CC ty State Zip Code Phone C ~ S~ a ► ~ P T ~ 3 ~~3 L43 T 19(0 5. Home Address and Phone (if different than ' m 4 above): State Zip Code Phone 6. Office Sought (include district number, if applicable) F77.Party Affiliation 8. Election Year r icy Sa 9. Treasurer Name: easurer e-mail address: <~o2c~~N l2l TJ C N0 U)2 Drc~,n. riAevl©~re blol-1n~kI2-orn 11. Treasurer Address and Phone: City State Zip Code Phone ID '2-G V-tkSCcilo D rives Mckyjv►~lc T~ sim -s(-, ss`1' 12. Candidate and Treasurer Signature (both signatures must be witnesse easurer can not witness candidate's signature): 4 EECEIVE~ Signature of Can date Signature of Treasurer FEB 1 4 2018 tM COutlyy Signature of Witness 1 9 S V Signature of Witness Registry of Election Finance SS-1120 (rev 12/2013)