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Wells, David CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates For Single-Candidate Committees 1. DATE OF REPORT 2.a. NAME OF CANDIDATE OR COMMITTEE 4/25/2022 David Wells 2.b. IF COMMITTEE,NAME OF CANDIDATE 3.ELECTION DATE 5/3/2022 4.a.CAMPAIGN ADDRESS AND PHONE Street or Rural Route City State Zip Code Phone 1026 Clover Dove Cir Friendsville TN 37737 865-221-7603 4.b.CANDIDATE'S HOME ADDRESS(it different than 4.a.) Phone Street or Rural Route City State Zip Code 5. OFFICE SOUGHT(include district number,if applicable) 6. NAME OF POLITICAL TREASURER(may be candidate) County Commission District 10 Seat B Joann Wells 7. CATEGORY OR REPORT(Check one) 0 FIRST SECOND THIRD FOURTH PRE- 0 PRE- MID-❑YEAR YEAR-END QUARTER QUARTER QUARTER QUARTER PRIMARY GENE DATENEREPORTINS SUPPLEMENTAL SUPPLEMENTAL 8.a.BEGINNING DATE OF REPORTING PERIOD 4/1/2022 4/23/2022 9.(Check one) a. 0 This campaign is exempt from detailed disclosure because contributions(including in-kind)received total S1,000 or less AND expendi- tures total S1,000 or less for this reporting period. (Complete items 12d., 12e.and 12f.) b. [s This campaign is required to file a detailed financial disclosure because contributions(including in-kind)received total more than S1.000 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 ene�t of the candidate or for any other nonpolitical purpose as defined by the federal internal revenue code. b,,,_:::____(:7ifie_A___ signature of candidate date signature cif political treasurer date 1t. WITNESS SIGNATURE / �� In #1_ Y5klit ) -4././: signature of witness � d e � JJJ signature of witness r/ 12. SUMMARY 89.2126 a. BALANCE ON HAND LAST REPORT $ G 89 $ 695.00 b. TOTAL RECEIPTS THISPERIOD 500.00 c. TOTAL DISBURSEMENTS THIS PERIOD S $ 2321 .89 d. BALANCE ON HAND(12.a.plus 12.b.minus 12.c.) e. TOTAL LOANS OUTSTANDING $ f. TOTAL OBLIGATIONS OUTSTANDING S Page 1 of RDA 1159 =5 SS-1109(Rev.21061