Jordan, Jenny CAMPAIGN FINANCIAL DISCLOSURE STATEMENT
For State and Local Candidates
For Single-Candidate Committees
1. DATE OF REPORT 2.a. NAME OF CANDIDATE OR COMMITTEE
July 28, 2022 Jenny Jordan
2.b. IF COMMITTEE,NAME OF CANDIDATE 3.ELECTION DATE
August 4, 2022
4.a.CAMPAIGN ADDRESS AND PHONE
Street or Rural Route City State Zip Code Phone
1702 Westcliff Dr. Maryville, TN 37803 865-219-3666
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 Commission - District 5 Seat B Jenny Jordan
7. CATEGORY OR REPORT(Check one)
❑ ❑ ❑ ❑ ❑ 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
July 1 , 2022 July 25, 2022
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 revenu code. /
22
s' n e candidate date signs r litical treasurer date
11. WITNESS SIGNATURE
7/2-e/zZ
signature of witness date gnat re of witness date
12. SUMMARY �Z5Z62728��
O
a. BALANCE ON HAND LAST REPORT ' $ 9.56
CV AZ.C6vEo > 20.00
b. TOTAL RECEIPTS THIS PERIOD 41171 N $
N < ,2 p
c. TOTAL DISBURSEMENTS THIS PERIOD CD t-. Er U„} . r,i Ui $ 5.26
24.30
d. BALANCE ON HAND(12.a.plus 12.b.minus 12.c. <� 6�di: Fil-Ec-1-7,jJAITY
`'9IN eiziANP- 0.00
e. TOTAL LOANS OUTSTANDING $
0.00
f. TOTAL OBLIGATIONS OUTSTANDING1
$
•
fi, SS-1109(Rev. 2/06) Page 1 of RDA 1159
Print Form
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,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.Name of Candidate or Committee: 3.Candidate e-mail address:
'3 f°5-/2o2 Deck- Jehrl‘l jo -clar, ate ci)etmkdcrdah@ gmati.c.Lrfr
4.Campaign Address and Phone: City State Zip Code Phone
1702 WeSfielicc Pr. kAartjv;llt 1 N .Y1803 86-21tj- 3b(,t.
5.Home Address and Phone(if different than item 4 above): City State Zip Code Phone
6.Office Sought(include district number,if applicable) 7.Party Affliation 8.Election Year
Biot;nr
Coup -j CoY1fr sSr0het- • biS-(iCt S Nil,UC'v-t,.t 2022
9.Treasurer Name: 10.Treasurer e-mail address:
1 DAz-r�iv 2 . 2-0C.0A4 -Li aka irwi iC kSA .carp^
11.Treasurer Address and Phone: City State Zip Code Phone
1109- t )ESSCLti=G DR MK UT/tllk_ Ii•J 313ti- (gcOLSt—c LC. -Z
12.Candidate and Treasurer Signature(both signatures must be witnessed. Treasurer can not witness candidate's signature):
I certify under the penalty of perjury that the information given on this form is tr ie and accurate.In addition,I understand that
the Registry of Election Finance/County Election Commission must be notified f any change• this information.
, ,j
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Si at y of Candidate a9101112�Q Signat fTreasurer
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MAR 2022
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=.K” Registry of Election Finance SS-1120 �
1,` (rev 10/2021) �2ZCVZSZV-