State of Rhode Island and Providence Plantations
|
|
- Toby Hart
- 5 years ago
- Views:
Transcription
1 State of Rhode Island and Providence Plantations Board of Elections Campaign Finance Division 5 Branch Avenue, Providence, Rhode Island 294 Tel. (41) Fax (41) SUMMARY OF CAMPAIGN ACTIVITY Name of Candidate, Political Party, Political Action Committee SCOTT AVEDISIAN Key# ATLANTIC AVENUE City/Town, State and Zip Code WARWICK, RI 2888 Mailing Address (if different) City/Town, State and Zip Code P O BOX 7866 WARWICK, RI 2887 Telephone Number Daytime Telephone Number Fax Number (41) (41) chrisallen2@aol.com If Candidate Office Sought: Mayor/Administrator Party Affiliation if any: Republican Reporting Period (Dates): Period Beginning: 1/1/217 Period Ending: 12/31/217 SUMMARY OF ACTIVITY FOR PERIOD 1. Beginning Cash Balance $ 12, Cash Disbursements, continued 2. Cash Receipts f. Other Disbursements a. Contributions From: 1. Aggregate a. (Individuals) b. (Political Parties) 5. Ending Cash Balance $ 6,68.83 c. (Political Action Committees) 2. Individuals 3. Political Parties 4. Political Action Committees 5. Loan Proceeds 6. Payroll Check off 7. Interest Received.1 8. State Check Off 9. Refund/Rebate Party Building 11. Matching Public Funds 12. Other 13. Returned Contributions 14. Returned Checks b. Other: 3. Total Cash 12, Cash Disbursements a. Aggregate Expenses b. Campaign Expenses 6, c. Repayment of Loans d. Account Payable Repayments e. Other CAMPAIGN FUND STATUS 6. Report of In-Kind Contributions 7. Cash $ 6, Other Assets 9. Total Assets $ 6,68.83 LIABILITIES AND FUND BALANCE 1. Liabilities a. Accounts Payable b. Loans Payable c. Other Liabilites 11. Total Liabilities 12. Total Fund Balance $ 6, Total Liability / Fund Balance 6,68.83 $ CF-2 Rev. 3/2
2 Name of Person Filing Report I HEREBY CERTIFY THAT THIS REPORT OF CAMPAIGN CONTRIBUTIONS AND EXPENDITURES AND THE SUPPORTING DOCUMENTS ARE TRUE AND CORRECT. Title of Person Filing Report X Signature of Person Date Address of Person Filing This Report SUBSCRIBED AND SWORN TO BEFORE ME THIS Day of 2 X Notary Public
3 Key # 347 Full Name of Candidate or Committee SCOTT AVEDISIAN SCHEDULE OF CONTRIBUTIONS RECEIVED Reporting Period From: 1/1/217 To: 12/31/217 Item Transaction Type Contribution Type Receipt Date Deposit Date Contribution Amount Other Interest Received 1/31/217.1 In Kind/Other Receipts Description Last Name or PAC/Party Committee Name Coastway Community Bank Coastway Plaza Contributor Information City State Zip Cranston RI Employer Name Employer Data City State Zip Item Transaction Type Contribution Type Receipt Date Deposit Date Contribution Amount Other Refund/Rebate 12/4/ In Kind/Other Receipts Description Last Name or PAC/Party Committee Name Coastway Community Bank Coastway Plaza City State Zip Cranston RI CF-3 Contributor Information Employer Data Employer Name City State Zip Rev. 3/2
4 SCHEDULE OF EXPENDITURES Key # Full Name of Candidate or Committee Reporting Period 347 SCOTT AVEDISIAN From: 1/1/217 To: 12/31/ /11/217 Campaign Expenditure $1,5. Rent Oct/Nov/Dec 217 Airport Plaza Associatees 11 Plain Street Suite 1 Providence RI /29/217 Campaign Expenditure $1,5. Rent Airport Plaza Associatees 11 Plain Street Suite 1 Providence RI 293 Debit 1/1/217 Campaign Expenditure Travel & Lodging $25. Baggage fee American Airlines Debit 1/7/217 Campaign Expenditure Travel & Lodging $25. American Airlines - bag fee American Airlines Debit 1/9/217 Campaign Expenditure Travel & Lodging $25. American Airlines - Bag fee
5 American Airlines ACH 12/31/217 Campaign Expenditure Bank Fees $12. Monthly Fee Coastway Community Bank Coastway Plaza Cranston RI ACH 11/3/217 Campaign Expenditure Bank Fees $12. Coastway Community Bank Coastway Plaza Cranston RI /8/217 Campaign Expenditure $123. Internet & Phone Cox Communications PO Box 39 Newark NJ /2/217 Campaign Expenditure $ phone & internet Cox Communications PO Box 39 Newark NJ /17/217 Campaign Expenditure $ Internet & Phone Cox Communications PO Box 39 Newark NJ 711
6 Debit 12/3/217 Campaign Expenditure Travel & Lodging $35. Travel plans Baggage fees Global Excellence 2 Veterans Memorial Drive Warwick RI 66 12/19/217 Campaign Expenditure $1, ,4 post cards 5X7 Full Color Harry Potter Movie, 5165 postage, 5, 1st Postcard run w/mistake, 15 Signs J B Foley Printing 1469 Broad Street Providence RI /2/217 Campaign Expenditure $ Gas /2/217 Campaign Expenditure $ Electric /4/217 Campaign Expenditure $ Gas /4/217 Campaign Expenditure $ Electric
7 646 1/5/217 Campaign Expenditure $ Electric 647 1/5/217 Campaign Expenditure $ Gas /8/217 Campaign Expenditure $ Electric /8/217 Campaign Expenditure $ Gas Debit 11/6/217 Campaign Expenditure $9.6 Office Supplies Ocean State Job Lot 129 Warwick Avenue Warwick RI
8 ACH 11/2/217 Campaign Expenditure Employee Services $49.8 PCS, Inc. 11 Reservoir Avenue Cranston RI ACH 1/6/217 Campaign Expenditure Employee Services $49.8 PCS, Inc. 11 Reservoir Avenue Cranston RI ACH 12/1/217 Campaign Expenditure Employee Services $49.8 PCS, Inc. 11 Reservoir Avenue Cranston RI 648 1/17/217 Campaign Expenditure Donations (All Others) $3. RI Kids Count 1 Union Station Providence RI Debit 1/27/217 Campaign Expenditure $25.62 stationary TJ MAXX Warwick RI Debit 11/3/217 Campaign Expenditure $49. Roll of Stamps US Postal Service Post Road Warwick RI 2886
9 Debit 1/27/217 Campaign Expenditure $49. Roll of Stamps US Postal Service Post Road Warwick RI 2886 CF-4 Rev.3/2
State of Rhode Island and Providence Plantations
State of Rhode Island and Providence Plantations Board of Elections Campaign Finance Division 5 Branch Avenue, Providence, Rhode Island 294 Tel. (41)222-2345 Fax (41)222-4424 www.elections.state.ri.us
More informationState of Rhode Island and Providence Plantations
State of Rhode Island and Providence Plantations Board of Elections Campaign Finance Division 5 Branch Avenue, Providence, Rhode Island 294 Tel. (41)222-2345 Fax (41)222-4424 www.elections.state.ri.us
More informationState of Rhode Island and Providence Plantations
State of Rhode Island and Providence Plantations Board of Elections Campaign Finance Division 5 Branch Avenue, Providence, Rhode Island 294 Tel. (41)222-2345 Fax (41)222-4424 www.elections.state.ri.us
More informationState of Rhode Island and Providence Plantations
State of Rhode Island and Providence Plantations Board of Elections Campaign Finance Division 5 Branch Avenue, Providence, Rhode Island 294 Tel. (41)222-2345 Fax (41)222-4424 www.elections.state.ri.us
More informationState of Rhode Island and Providence Plantations
State of Rhode Island and Providence Plantations Board of Elections Campaign Finance Division 5 Branch Avenue, Providence, Rhode Island 294 Tel. (41)222-2345 Fax (41)222-4424 www.elections.state.ri.us
More informationState of Rhode Island and Providence Plantations
State of Rhode Island and Providence Plantations Board of Elections Campaign Finance Division 5 Branch Avenue, Providence, Rhode Island 294 Tel. (41)222-2345 Fax (41)222-4424 www.elections.state.ri.us
More informationState of Rhode Island and Providence Plantations
State of Rhode Island and Providence Plantations Board of Elections Campaign Finance Division 5 Branch Avenue, Providence, Rhode Island 294 Tel. (41)222-2345 Fax (41)222-4424 www.elections.state.ri.us
More informationState of Rhode Island and Providence Plantations
State of Rhode Island and Providence Plantations Board of Elections Campaign Finance Division 5 Branch Avenue, Providence, Rhode Island 294 Tel. (41)222-2345 Fax (41)222-4424 www.elections.state.ri.us
More informationState of Rhode Island and Providence Plantations
State of Rhode Island and Providence Plantations Board of Elections Campaign Finance Division 5 Branch Avenue, Providence, Rhode Island 294 Tel. (41)222-2345 Fax (41)222-4424 www.elections.state.ri.us
More informationState of Rhode Island and Providence Plantations
State of Rhode Island and Providence Plantations Board of Elections Campaign Finance Division 5 Branch Avenue, Providence, Rhode Island 294 Tel. (41)222-2345 Fax (41)222-4424 www.elections.state.ri.us
More informationState of Rhode Island and Providence Plantations
State of Rhode Island and Plantations Board of Elections Campaign Finance Division 5 Branch Avenue,, Rhode Island 294 Tel. (41)222-2345 Fax (41)222-4424 www.elections.state.ri.us SUMMARY OF CAMPAIGN ACTIVITY
More informationState of Rhode Island and Providence Plantations
State of Rhode Island and Providence Plantations Board of Elections Campaign Finance Division 5 Branch Avenue, Providence, Rhode Island 294 Tel. (41)222-2345 Fax (41)222-4424 www.elections.state.ri.us
More informationState of Rhode Island and Providence Plantations
State of Rhode Island and Providence Plantations Board of Elections Campaign Finance Division 5 Branch Avenue, Providence, Rhode Island 294 Tel. (41)222-2345 Fax (41)222-4424 www.elections.state.ri.us
More informationCAMPAIGN CONTRIBUTION AND EXPENDITURE REPORT For County, Municipal and School Board Candidates
CAMPAIGN CONTRIBUTION AND EXPENDITURE REPORT For County, Municipal and School Board Candidates Check if this report is an amendment This report should be filed with the County Clerk of the county in which
More informationCAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) City and Zip. City and Zip
CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) C-2 Rev. 10/07 Section I Name Candidate or Political Committee and Chairperson Offi ce Sought (if candidate) Seat (if any) Mailing
More informationFINAL CAMPAIGN CONTRIBUTION AND EXPENDITURE REPORT For State and District Candidates Only For assistance in completing
FINAL CAMPAIGN CONTRIBUTION AND EXPENDITURE REPORT For State and District Candidates Only To be filed with: Mark Martin, Secretary of State For assistance in completing this form contact: Arkansas Ethics
More informationState of Rhode Island and Providence Plantations
State of Rhode Island and Providence Plantations Board of Elections Campaign Finance Division 5 Branch Avenue, Providence, Rhode Island 294 Tel. (41)222-2345 Fax (41)222-4424 www.elections.state.ri.us
More informationOfficeholder/Candidate Information 1. Name of Officeholder/Candidate
CAMPAIGN CONTRIBUTION AND EXPENDITURE REPORT FOR DEBT RETIREMENT Year of Election: (Note: This is the year of the election for which you are seeking to retire campaign debt) NOTE: The campaign contribution
More informationState of Rhode Island and Providence Plantations
State of Rhode Island and Providence Plantations Board of Elections Campaign Finance Division 5 Branch Avenue, Providence, Rhode Island 294 Tel. (41)222-2345 Fax (41)222-4424 www.elections.state.ri.us
More informationTexas Ethics Commission P.O. Box Austin, Texas (512) (TDD )
MONTHLY FILING COUNTY EXECUTIVE COMMITTEE CAMPAIGN FINANCE REPORT FORM MCEC COVER SHEET PG 1 The MCEC Instruction Guide explains how to complete this form. 1 ACCOUNT # (Ethics Commission Filers) 2 Total
More informationSTATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES
C-2 CAMPAIGN FINANCIAL DISCLOSURE REPORT Rev. 11/17 SUMMARY PAGE (Please Print or Type) Section I Name of candidate or Political Committee and Chairperson Office Sought (if candidate) District (if any)
More informationTRANSMITTAL INFORMATION For All Business Filings
JAY DARDENNE SECRETARY OF STATE STATE OF LOUISIANA SECRETARY OF STATE Commercial (225) 925-4704 (225) 922-0435 Fax Administrative Services (225) 925-4704 (225) 925-4726 Fax Uniform Commercial Code (225)
More informationNew Account SWITCH KIT (rev Dec 2014) SWITCHING MADE EASY. Welcome To Progressive Ozark!
New Account SWITCH KIT (rev Dec 2014) SWITCHING MADE EASY Welcome To Progressive Ozark! Thank you for choosing Progressive Ozark! Our financial professionals are ready to serve you with the exceptional
More informationInstructions for Raffle Applications
Instructions for Raffle Applications Please Read Carefully Raffle License Application 1) Submit the LGCCC (Legalized Games of Chance Control Commission) application in quadruplicate with original signatures
More informationFiler ID (Filer ID that begins with the letter C ) Organization or Person Other than Candidate s Campaign Committee Committee Name:
Page 1 of 10 1. Report Type (Select One) Original Amendment Amendment # Georgia Government Transparency and Campaign Finance Commission 200 Piedmont Avenue S.E. Suite 1402 West Tower Atlanta, GA 30334
More informationAPPLICATION FOR DEALERS LICENSE
INSTRUCTIONS FOR APPLICANTS IN MAKING FIRST APPLICATION FOR DEALERS LICENSE APPLICATION MUST BE ACCOMPANIED BY ALL OF THE FOLLOWING DOCUMENTS: 1. *THE PROPOSED DEALERSHIP NAME MUST BE APPROVED BY THIS
More informationPOLITICAL PARTY QUARTERLY REPORTING FORM
To be filed with: POLITICAL PARTY QUARTERLY REPORTING FORM For assistance in completing this form contact: Mark Martin, Secretary of State Calendar Year Arkansas Ethics Commission State Capitol, Room 026
More informationOFFICE OF DIANE TRAUTMAN
OFFICE OF DIANE TRAUTMAN COUNTY CLERK, HARRIS COUNTY, TEXAS PROBATE COURTS DEPARTMENT IN MATTERS OF PROBATE DOCKET NO. PROBATE COURT NO. STYLE OF DOCKET: HARRIS COUNTY, TEXAS DECEASED/INCAPACITATED/MINOR
More informationCOUNTY EXECUTIVE COMMITTEE CAMPAIGN FINANCE REPORT
COUNTY EXECUTIVE COMMITTEE CAMPAIGN FINANCE REPORT FORM CEC COVER SHEET PG 1 The CEC Instruction Guide explains how to complete this form. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: 3 COMMITTEE
More informationAPPENDIX A BLANK DISCLOSURE REPORTS
APPENDIX A BLANK DISCLOSURE REPORTS C-1 Appointment and Certification of Political Treasurer C-2 Campaign Disclosure Forms Detailed Summary Page C-4 Independent Expenditures C-5 48 Hour Notice of Contributions/Loans
More informationSTATE / COUNTY CHAIR SPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT
STATE / COUNTY CHAIR SPECIFIC- COMMITTEE CAMPAIGN FINANCE REPORT FORM SC SPAC COVER SHEET PG 1 The SC SPAC Instruction Guide explains how to complete this form. 1 Filer ID (Ethics Commission Filers) 2
More informationTexas Ethics Commission P.O.Box Austin, Texas (512)
SPECIFIC-PURPOSE COMMITTEE FORM SPAC CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The SPAC Instruction Guide explains how to complete this form. 3 COMMITTEE NAME 1 ACCOUNT # (Ethics Commission filers) 2 Total
More informationGRAND SAVINGS BANK S SWITCH KIT
GRAND SAVINGS BANK S SWITCH KIT WORKSHEET: THIS WORKSHEET IS FOR YOUR RECORDS ONLY. THIS WORKSHEET WILL HELP YOU COLLECT AND KEEP INFORMATION NEEDED FOR SWITCHING YOUR ACCOUNT Account(s) To Close: This
More informationPERSONAL FINANCIAL STATEMENT
PERSONAL FINANCIAL STATEMENT Filed in accordance with chapter 57 of the Government Code. For filings required in 07, covering calendar year ending December, 06. Use FORM PFS--INSTRUCTION GUIDE when completing
More information2. Filing is being made on behalf of (Select One): Candidate or Public Official Atlanta City Council Member District 4
Page 1 of 8 CFC-CCDR 1/14 Georgia Government Transparency and Campaign Finance Commission 200 Piedmont Avenue S.E. Suite 1402 West Tower Atlanta, GA 30334 404-463-1980 www.ethics.ga.gov 1. Report Type
More informationBANKING REGULATION 8 CHECK CASHERS. This regulation is promulgated pursuant to the authority granted in R.I. Gen. Laws
Table of Contents State of Rhode Island and Providence Plantations DEPARTMENT OF BUSINESS REGULATION Division of Banking 1511 Pontiac Avenue, Bldg. 69-2 Cranston, RI 02920 BANKING REGULATION 8 CHECK CASHERS
More informationPERSONAL FINANCIAL STATEMENT
PERSONAL FINANCIAL STATEMENT Filed in accordance with chapter 57 of the Government Code. For filings required in 05, covering calendar year ending December, 04. Use FORM PFS--INSTRUCTION GUIDE when completing
More informationPLUMBERS & PIPEFITTERS LOCAL 9 PENSION FUND PO Box 1028 Trenton, NJ Application For Benefits (Please Print or Type)
PLUMBERS & PIPEFITTERS LOCAL 9 PENSION FUND PO Box 1028 Trenton, NJ 08628-0230 INSTRUCTIONS: Application For Benefits (Please Print or Type) a. Read and complete all sections of this application. b. Both
More informationA Letter to Our Stockholders
2015 Annual Report A Letter to Our Stockholders Coastway s Board of Directors believes that the key to maintaining our independence is rooted in our ability to grow and remain relevant to our customers,
More informationPERSONAL FINANCIAL STATEMENT
PERSONAL FINANCIAL STATEMENT Filed in accordance with chapter 572 of the Government Code. For filings required in 206, covering calendar year ending December 3, 205. Use FORM PFS--INSTRUCTION GUIDE when
More informationFOR CANDIDATES AND COMMITTEES (Please Print or Type)
C-1 APPOINTMENT AND CERTIFICATION OF POLITICAL TREASURER Rev. 11/17 FOR CANDIDATES AND COMMITTEES (Please Print or Type) Pursuant to Section 67-6603(c1), Idaho Code. No contribution shall be received or
More informationI.B.E.W. LOCAL 269 PENSION FUND C/O I.E. SHAFFER & CO. P.O. BOX 1028 TRENTON, NJ PHONE (800) FAX (609)
I.B.E.W. LOCAL 269 PENSION FUND C/O I.E. SHAFFER & CO. P.O. BOX 1028 TRENTON, NJ 08628-0230 PHONE (800) 792-3666 FAX (609) 883-7580 INSTRUCTIONS: Application For Benefits (Please Print or Type) a. Read
More informationThe Missouri Small Business Loan Program. Guidelines and Application. June 2016
The Missouri Small Business Loan Program Guidelines and Application June 2016 Sponsored by: The Missouri Department of Economic Development (DED) and the Missouri Development Finance Board (MDFB) https://ded.mo.gov/programs/business/small-business-loan-program
More informationState of New Jersey Department of Banking & Insurance. Annual Report Worksheet for Insurance Premium Finance Companies. Year Ending December 31, 2017
State of New Jersey Department of Banking & Insurance for Insurance Premium Finance Companies New Jersey Department of Banking & Insurance Division of Banking Attn: Sharon Davis -- 5 th floor 20 West State
More information> By-law No. 10/2010 Form 4 - Audited
THE CITY OF WINNIPEG FORM 4 AUDITED FINANCIAL STATEMENT REFERENCE: SECTION 21(1) CAMPAIGN EXPENSES AND CONTRIBUTIONS BY-LAW NO. 1012010 1 of 14 Campaign Period Surplus (Deficit) ((A) - (B)) $ -530.77 Total
More informationDNB First Checking Savings
Direct Deposit Enrollment New Request Change Request Use this form to notify your employer (or any other non-governmental organization that regularly sends a payment to you) that you want the proceeds
More informationIRA Application. o Roth IRA (complete pages 1 & 3) o Education Savings Account (complete pages 1 & 4)
IRA Application To begin the application process, please complete the appropriate application and mail it with your deposit. Once we receive your application and deposit, we will call you to complete the
More informationIBEW LOCAL 269 ANNUITY FUND PO BOX 1028 TRENTON NJ Application for Benefits (Please Print or Type)
IBEW LOCAL 269 ANNUITY FUND PO BOX 1028 TRENTON NJ 08628-0230 INSTRUCTIONS: Application for Benefits (Please Print or Type) a. Read and complete all sections of this application. b. Both you and your spouse
More informationCOMMITTEE OR FUND INFORMATION REPORT OPTIONS
Minnesota Campaign Finance and Public Disclosure Board Suite 190. Centennial Office Building. 658 Cedar Street. St. Paul MN 55155-1603. www.cfboard.state.mn.us Email at: cfb.reports@state.mn.us. Report
More informationState of New Jersey Department of Banking & Insurance. Annual Report Worksheet for Foreign Money Transmitters. Year Ending December 31, 2017
State of New Jersey Department of Banking & Insurance for Foreign Money Transmitters New Jersey Department of Banking & Insurance Division of Banking Attn: Sharon Davis 5 th floor 20 West State Street
More informationNOTICE OF HEARING TO PROPERTY OWNERS CASE NO.
Form PN-1 Zoning Board (Page 1 of 4) To Whom It May Concern: NOTICE OF HEARING TO PROPERTY OWNERS CASE NO. In compliance with Section 34-30 of the Land Use Ordinance of the Town of Phillipsburg, New Jersey,
More informationREQUEST FOR WITHDRAWAL FROM A DEFERRED ACCOUNT
Pentegra Retirement Services Colorado East Bank & Trust REQUEST FOR WITHDRAWAL FROM A DEFERRED ACCOUNT NON- STOCK Balance IMPORTANT NOTICE: Please carefully review the Special Tax Notice Regarding Plan
More informationOFFICE OF THE STATE AUDITOR STACEY E. PICKERING AUDITOR MEMORANDUM
To: From: OFFICE OF THE STATE AUDITOR STACEY E. PICKERING AUDITOR MEMORANDUM All Constables W. Edward Smith, CPA Director, Division of Technical Assistance Date: February 1, 2011 Subject: Constable s Annual
More informationCAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type)
CAMPAGN FNANCAL DSCLOSURE REPORT SUMMARY PAGE (Please Print or Type) C-2 Rev. 12114 Section Name of Candidate or Political Committee and Chairperson Office Sought (if candidate) District (if any) reasurer
More informationState of West Virginia Campaign Financial Statement (Long Form) in Relation to the 2012 Election Year
State of West Virginia Campaign Financial Statement (Long Form) in Relation to the 2012 Election Year Candidate or Committee Name Candidate or Committee's Treasurer Political Party (for candidates) Treasurer's
More informationCovering Calendar Year: Mailing Address: Street or P.O. Box City County State Zip code. ( )
CFC PFD Rev. 1/14 STATE OF GEORGIA PERSONAL FINANCIAL DISCLOSURE STATEMENT 200 Piedmont Avenue S.E. Suite 1402 West Tower Atlanta, GA 30334 404-463-1980 www.ethics.ga.gov Local Location Code: Original
More informationPERSONAL FINANCIAL STATEMENT
1 PERSONAL FINANCIAL STATEMENT Filed in accordance with chapter 57 of the Government Code. For filings required in 016, covering calendar year ending December 31, 015. Use FORM PFS--INSTRUCTION GUIDE when
More informationA list of all Rhode Island licensed salespersons and brokers of the corporation. A completed Corporate Power of Attorney Form (Non-residents only).
State of Rhode Island and Providence Plantations Division of Commercial Licensing REAL ESTATE CORPORATION, PARTNERSHIP, AND LLC REQUIREMENTS For those seeking to change the status of your individual Broker
More informationA Letter to Our Stockholders
Annual Report A Letter to Our Stockholders As we close the books on an eventful, I wish to highlight some of the many positives accomplished during the year. Last year began with the completion of our
More information2. Filing is being made on behalf of (Select One): Candidate or Public Official Chairman of Cobb County Commission
Page 1 of 8 CFC-CCDR 1/14 Georgia Government Transparency and Campaign Finance Commission 200 Piedmont Avenue S.E. Suite 1402 West Tower Atlanta, 30334 404-463-1980 www.ethics.ga.gov 1. Report Type 2.
More informationJUDICIAL CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) JUDICIAL CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM JC/OH COVER SHEET PG 1 The JC/OH Instruction
More informationBOROUGH OF HAWTHORNE Passaic County, New Jersey 445 Lafayette Avenue, Suite 102 Hawthorne, NJ
Lori DiBella, RMC Borough Clerk BOROUGH OF HAWTHORNE Passaic County, New Jersey 445 Lafayette Avenue, Suite 102 Hawthorne, NJ 07506 973.427.1167 www.hawthornenj.org ~ Raffle License Instructions for Applicant
More informationCANDIDATE S REPORT. (to be filed by a candidate or his principal campaign committee) 40th day after general. Annual (future election)
CANDIDATE S REPORT (to be filed by a candidate or his principal campaign committee) 1.Qualifying Name and Address of Candidate 2. Office Sought (Include title of office as well LA House Union/Lincoln 12
More informationCOMMITTEE S REPORT. 40th day after general. Annual (future election) Amendment to prior report. 333 Texas Street Suite Shreveport, LA 71101
COMMITTEE S REPORT (filed by committees that support or oppose one or more candidates and/or propositions and that are not candidate committees) 1. Full Name and Address of Political Committee 400 Edwards
More informationStreet Address City State Zip Code
This form may be used to adopt any of the options indicated below for existing accounts only. Complete all options that apply to you. Please refer to the First Eagle Funds Prospectuses for additional information
More informationCANDIDATE S REPORT. (to be filed by a candidate or his principal campaign committee) 40th day after general. Annual (future election)
CANDIDATE S REPORT (to be filed by a candidate or his principal campaign committee) 1.Qualifying Name and Address of Candidate 481 John Edwards Rd. 2. Office Sought (Include title of office as well LA
More informationTOWNSHIP OF MILLBURN QUICK CHECK LIST FOR RAFFLE LICENSES
TOWNSHIP OF MILLBURN QUICK CHECK LIST FOR RAFFLE LICENSES DO DON'T 1. The original current I.D. certificate issued by the State of New Jersey shall be brought in when submitting an application for a raffle.
More informationInvestment Account Application
Investment Account Application Motley Fool Declare Your Independence You ll need the following to complete this form: Your Social Security number or Taxpayer Identification Number (required by the Patriot
More informationPERSONAL FINANCIAL STATEMENT
PERSONAL FINANCIAL STATEMENT Filed in accordance with chapter 572 of the Government Code. For filings required in 208, covering calendar year ending December 3, 207. Use FORM PFS--INSTRUCTION GUIDE when
More informationTexas Ethics Commission P.O. Box Austin, Texas (512) (TDD ) Kevin. Felder.
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) FORM COR-C/OH CORRECTION/AMENDMENT AFFIDAVIT FOR CANDIDATE/ 1. ACCOUNT # 2. Total pages filed: 3 OFFICE
More informationAUTO BODY REPAIR SHOPS APPLICATION AND INSTRUCTIONS DECEMBER 31, DECEMBER 31, 2012 INSTRUCTIONS
STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS Department of Business Regulation Division of Commercial Licensing and Racing and Athletics Telephone (401) 462-9506 John O. Pastore Center FAX (401) 462-9645
More informationRecipient Committee Campaign Statement (Government Code Sections )
Recipient Committee Campaign Statement (Government Code Sections 84200-84216.5) Date Stamp COVER PAGE 2001/02 FORM 460 Date of election if applicable: (Month, Day, Year) Page 1 of 15 For Official Use Only
More information(Last) (First) (Middle) (Street or P.O. Box Number) (City) (State) (Zip Code)
STATEMENT OF FINANCIAL INTEREST For assistance in completing State/District officials file with: Calendar year covered this form contact: Mark Martin, Secretary of State (Note: Filing covers the previous
More informationState of New Jersey Department of Banking & Insurance. Annual Report Worksheet for Check Cashers. Year Ending December 31, 2017
State of New Jersey Department of Banking & Insurance for Check Cashers New Jersey Department of Banking & Insurance Division of Banking Attn: Sharon Davis -- 5 th floor 20 West State Street Trenton, NJ
More informationREV. JOSEPH T. THORNTON MOST EXCELLENT PRINCE HALL GRAND CHAPTER HOLY ROYAL ARCH MASONS
REV. JOSEPH T. THORNTON MOST EXCELLENT PRINCE HALL GRAND CHAPTER HOLY ROYAL ARCH MASONS RECORDS ADMINISTRATION Re-write 27 May 1998 1. PURPOSE: To prescribe a uniform financial records maintenance and
More informationCANDIDATE S REPORT. (to be filed by a candidate or his principal campaign committee) 40th day after general. Annual (future election)
CANDIDATE S REPORT (to be filed by a candidate or his principal campaign committee) 1.Qualifying Name and Address of Candidate 4011 Laurel St. New Orleans, LA 70118 2. Office Sought (Include title of office
More information: : : Appellant : : BACK PAY AWARD v. : AFFIDAVIT OF MITIGATION : : OAL Dkt No. CSV State of New Jersey, : Department of Corrections : :
Appellant BACK PAY AWARD v. AFFIDAVIT OF MITIGATION OAL Dkt No. CSV _ State of New Jersey, Department of Corrections TO Please take notice that before the Department of Corrections can process your Back
More informationDIVISION OF BANKING 1511 Pontiac Avenue, Building 68-1 Cranston, Rhode Island Telephone (401) Facsimile (401)
DIVISION OF BANKING 1511 Pontiac Avenue, Building 68-1 Cranston, Rhode Island 02920 TO: RE: Telephone (401) 462-9503 - Facsimile (401) 462-9532 LENDER, SMALL LOAN LENDER, LOAN BROKER AND THIRD PARTY LOAN
More informationPROVIDENCE WATER SUPPLY BOARD
ENTITLEMENT SECTION MAIN EXTENSION APPLICATION PROCEDURES (January 1993 Rev. November 1994) 1. The Applicant shall personally apply for a water main extension at the offices of the Providence Water Supply
More informationPERSONAL FINANCIAL STATEMENT
PERSONAL FINANCIAL STATEMENT Filed in accordance with chapter 572 of the Government Code. For filings required in 208, covering calendar year ending December 3, 207. Use FORM PFS--INSTRUCTION GUIDE when
More informationI hereby apply for (check one) to become effective 1st, 20. Disability Benefit Nature of Disability. Date Total Disability Started
REFRIGERATION, AIR CONDITIONING & SERVICE DIVISION (U.A. - N.J.) ANNUITY FUND C/O I.E. SHAFFER & CO. 830 BEAR TAVERN RD 2 ND FLOOR PO BOX 1028 TRENTON NJ 08628 PHONE (800)792-3666 FAX (609) 883-7580 Application
More informationColorado Judicial Department Financial Services & Facilities Division. Travel Fiscal Rules
Financial Services & Facilities Division Mary J. Mullarkey, Chief Justice Gerald A. Marroney, State Court Administrator Mary Flanigan, Chief Financial Officer Myra Dukes, Controller Chief Justice Directive
More informationPOLITICAL PARTY REPORT REGARDING FUNDS FROM CORPORATIONS AND LABOR ORGANIZATIONS
POLITICAL PARTY REPORT REGARDING FUNDS FROM CORPORATIONS AND LABOR ORGANIZATIONS FORM PTY-CORP COVER SHEET PG 1 Form PTY-CORP Instruction Guide explains how to complete this form. 1 Filer ID (Ethics 2
More informationTexas Ethics Commission P.O.Box Austin, Texas (512)
Texas Ethics Commission P.O.Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506 SPECIFIC- COMMITTEE FORM SPAC CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The SPAC Instruction Guide explains how
More information][Form 11 ][C401K FDSTHD ][09/05/14 ][Page 1 of 7 ][A01: ][PCAT][/
Hardship Withdrawal Request 401(k) Plan Southern Orthopedic Associates 401(k) Profit Sharing Plan Participant Information Last Name First Name MI Social Security Number Account Extension E-Mail Address
More informationJUDICIAL CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT
JUDICIAL CANDIDATE / FICEHOLDER CAMPAIGN FINANCE REPORT FORM JC/OH COVER SHEET PG 1 The JC/OH Instruction Guide explains how to complete this form. CANDIDATE / FICEHOLDER NAME MS / MRS / MR Ms. NICKNAME
More informationFirst Name: MI Last Name: Address: City, State & Zip Code: Telephone Number: Date of Birth:
Plan No. 003514 WD 20 IBEW LOCAL 400 ANNUITY FUND C/O I.E. SHAFFER & CO. 830 BEAR TAVERN RD 2 ND FLOOR PO BOX 1028 TRENTON NJ 08628-0230 WITHDRAWAL REQUEST Participant Data (Please Print) Social Security
More informationName of Applicant Soc Sec # _ / / Marital Status (Circle One): Single Married Divorced Widow(er) Name of Spouse Date of Birth / / Soc Sec # _ / /
PLAN NUMBER 766570 20 IBEW LOCAL 102 SURETY FUND C/O I.E. SHAFFER & CO. 830 BEAR TAVERN RD 2 ND FLOOR PO BOX 1028 TRENTON NJ 08628-0230 PHONE (800)792-3666 FAX (609) 883-7560 Application for Benefits (Please
More informationCAMPAIGN FINANCE REPORT LOCAL COMMITTEES OF WISCONSIN
CAMPAIGN FINANCE REPORT LOCAL COMMITTEES OF WISCONSIN Is This Report an Amendment: Yes No Instructions for completing schedules are on the back of each schedule. COMMITTEE IDENTIFICATION Name of Committee
More informationProvide Vanguard Charitable account information and identify all registered owners of the assets being donated. Account name
Make a contribution Use this form to contribute to your philanthropic account. Contributions are irrevocable upon acceptance by Vanguard Charitable. If you require extra space, include additional sheets.
More informationCITY OF ATLANTA. TREE CONSERVATION COMMISSION APPEAL FORM Revised 5/10/16 NOTICE OF APPEAL OF DECISION OF ADMINSTRATIVE OFFICIAL REGARDING TREES
CITY OF ATLANTA OFFICE OF BUILDINGS ARBORIST DIVISION 55 TRINITY AVENUE, S.W., SUITE 3800 ATLANTA, GEORGIA 30303-0309 Tel: 404.330.6874 Fax: 404.546.8758 Email: kaevans@atlantaga.gov TREE CONSERVATION
More informationCAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE. Please Print or Type) STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES
CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE Please Print or Type) C-2 Rev. 12/ 14 Name of Candidate or Political Committee and Chairperson Office Sought (d candidate) District (d any) Brian C. Raybon
More informationState of New Jersey Department of Banking & Insurance. Annual Report Worksheet for High Cost Home Loan Credit Counselors
State of New Jersey Department of Banking & Insurance Annual Report Worksheet for New Jersey Department of Banking & Insurance Division of Banking Attn: Kristen Graham -- 5 th floor 20 West State Street
More informationSend all required documents (including this checklist) to:
hsainsurance.com Fallon Community Health Plan Fallon Senior Plan Companion Care To ensure that your applications are processed as quickly as possible, just follow this checklist 1 Employer completes and
More informationFORM CIOH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID 2 Total pages filed: NICKNAME LAST SUFFIX 1.\ MAILING Receipt# Amount ADDRESS
CANDIDATE / FICEHOLDER FORM CIOH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/ OH Instruction Guide explains how to complete this form. 1 Filer ID 2 Total pages filed: 6 3 CANDIDATE/ MS/ MRS/ MR FIRST
More informationAPPLICATION FOR HOUSING Affordable Communities
APPLICATION FOR HOUSING Affordable Communities This is an application for housing at: Community: Received: Time Received: Phone: Applications are placed in order of date and time received. An applicant
More informationSPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT COVER SHEET PG 1
SPECIFIC-PURPOSE COMMITTEE FORM SPAC CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The SPAC Instruction Guide explains how to complete this form 1 ACCOUNT # 2 Total pages filed: (Ethics Commission filers) 3
More informationPREFERRED LOAN REQUIREMENT
PREFERRED LOAN REQUIREMENT LOAN AMOUNT: MAXIMUM $ 35,000 LOAN TERM: MAXIMUM 72 MONTHS INTEREST RATE: AS PER RATE & FEE SCHEDULE PROCESSING FEE: AS PER RATE & FEE SCHEDULE APPLICATION FEE: AS PER RATE &
More informationState of Rhode Island and Providence Plantations DEPARTMENT OF BUSINESS REGULATION 1511 Pontiac Avenue, Bldg Cranston, Rhode Island 02920
State of Rhode Island and Providence Plantations Division of Commercial Licensing REQUIREMENTS/APPLICATION FOR REAL ESTATE BROKERS The following Requirements apply to Rhode Island Residents and Non-residents.
More informationAnnual Event Financial Accounting Report For Events More Than $5,000
Annual Event Financial Accounting Report For Events More Than $5,000 Tre Hargett Secretary of State Division of Charitable Solicitations, Fantasy Sports, and Gaming Department of State State of Tennessee
More information