Sullins, Josh CAMPAIGN FINANCIAL DISCLOSURE STATEMENT
For State and Local Candidates
For Single-Candidate Committees
1. DATE OF REPORT 2.a. NAME OF CANDIDATE OR COMMITTEE
4/25/22 Josh Sullins
2.b. IF COMMITTEE,NAME OF CANDIDATE 3.ELECTION DATE
Josh Sullins 5/3/2022
4.a.CAMPAIGN ADDRESS AND PHONE
Street or Rural Route City State Zip Code Phone
720 Hunter Crest Rd Maryville TN 37803 (865) 300-6138
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,if applicable) 6. NAME OF POLITICAL TREASURER(may be candidate)
County Commissioner District 4 Seat C Josh Sullins
7. CATEGORY OR REPORT(Check one)
0 0 0 0 0 0 0 0
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
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$1,000 or less AND expendi-
tures total$1,000 or less for this reporting period. (Complete items 12d., 12e.and 12f.)
b. 0 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 candi to or for an ther nonpolitical purpose as defined by the federal internal revenue code.
4/25/2022l�,_ 4/25/2022
sign candi ate date sign trl treasurer date
11. WITNESS SIGNATURE
Act
° ��� � 4/25/2022 4/25/2022
signature of witness date signature of witness date
12. SUMMARY
a. BALANCE ON HAND LAST REPORT `j72829a�0` $ 473.60
�' •
b. TOTAL RECEIPTSTHIS PERIOD r�j'v , �� $
0 0.00
c. TOTAL DISBURSEMENTSTHISPERIOD 0 rLQv`.....:w...}.. . $
,,,,,,,,,,v, _, .,
d. BALANCE ON HAND(12.a.plus 12.b.minus 12.c.) v $ 473.60
e. TOTAL LOANS OUTSTANDING a�Q $ 0'00
$ 0.00
f. TOTAL OBLIGATIONS OUTSTANDING
r
SS-1109(Rev. 2/06) Page 1 of 7 RDA 1159
SUMMARY PAGE - CANDIDATE
13. NAME OF CANDIDATE OR COMMITTEE (In Full)Josh
REPORT COVERING THE PERIOD
Josh Sullins FROM:4/1/2022 TO:4/23/2022
RECEIPTS
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.) $
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) $
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
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.) $
rtisx
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
Josh Sullins FROM: TO:
4/112022
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 any contributor)
First Name Middle Name Contribution Received For. Amount of Contribution
Last Name/Organization Name ❑Primary Election El 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 For: Amount of 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
First Name IMiddleName Contribution Received For: Amount of 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
First Name Middle Name Contribution Received For. Amount of Contribution
Last Name/Organization Name ❑Primary Election El 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,ibis amount must be shown in item 15b.of summary.)
';n: SS-1131(Rev.2/06) Page of RDA 1159
ITEMIZED STATEMENT OF IN-KIND CONTRIBUTIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE Josh Sullins 2. REPORT COVERING THE PERIOD
FROM: TO:
9112022
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 El 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
El 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 I 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 I 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 El General Election
Last Name/Organization Name
El 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 El General Election
Last Name/Organization Name
El Runoff(Local Elections Only)
Address Date of In-Kind Contribution Aggregate this Election
City State Zip Code Description of In-Kind Contribution
Occupation Lmployer
5. TOTAL ITEMIZED IN-KIND CONTRIBUTIONS
(Carry forward to item 3.of next page if additional pages of this form are used.)
(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 4 of 7 RDA 1159
ITEMIZED STATEMENT OF EXPENDITURES - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
Josh Sullins FROM: TO:
4112022
Amount
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 I 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 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 Zip Code
5. TOTAL ITEMIZED EXPENDITURES
(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 19b.of summary.)
5 7
ei SS-1129(Rev. 4/02) Page of RDA 1159
ITEMIZED STATEMENT OF LOANS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE 2. REPORT COVERING THE PERIOD
Josh Sullins FROM:2022 I TO:
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 I 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 I Middle Name
Last Name/Organization Name Last Name/Organization Name
Address Address
City I State I Zip Code City State Zip Code
Amount Guaranteed Outstanding Amount Guaranteed Outstanding
First Name I 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 I 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 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.)
(Total outstanding loan balance should also be shown in item 12.e.on front page.)
SS-1132(Rev.4/02) Page (o of 7 RDA 1159
ITEMIZED STATEMENT OF OBLIGATIONS - CANDIDATE
1. NAME OF CANDIDATE OR COMMITTEE Josh Sullins 2. REPORT COVERING THE PERIOD
FROM: 4/1/2022 TO:
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 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
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
in item 23b.on summary page.)
y' ^' 7 7
SS-1127 (Rev.4/02) Page of RDA 1159