State of Rhode Island and Providence Plantations

Size: px
Start display at page:

Download "State of Rhode Island and Providence Plantations"

Transcription

1 State of Rhode Island and Plantations Board of Elections Campaign Finance Division 5 Branch Avenue,, Rhode Island 294 Tel. (41) Fax (41) SUMMARY OF CAMPAIGN ACTIVITY Name of Candidate, Political Party, Political Action Committee DAWSON TUCKER HODGSON Key# INDIAN CORNER ROAD City/Town, State and Zip Code SLOCUM, 2877 Mailing Address (if different) City/Town, State and Zip Code P.O. BOX 7 SLOCUM, 2877 Telephone Number Daytime Telephone Number Fax Number (41) (41) If Candidate Office Sought:, State Senator, State Senator Party Affiliation if any: Reporting Period (Dates): Period Beginning: 7/1/213 Period Ending: 9/3/213 SUMMARY OF ACTIVITY FOR PEOD 1. Beginning Cash Balance $ 4, Cash Disbursements, continued 2. Cash Receipts f. Other Disbursements a. Contributions From: 1. Aggregate 1,71.5 a. (s) 1,71.5 b. (Political Parties) 5. Ending Cash Balance $ 7,347.5 c. (Political Action Committees) 2. s 4, Political Parties 4. Political Action Committees Loan Proceeds 6. Payroll off 7. Interest Received 8. State Off 9. Refund/Rebate 1. Party Building 11. Matching Public Funds 12. Other 13. Returned Contributions 14. Returned s b. Other: 3. Total Cash 1, Cash Disbursements a. Aggregate Expenses b. Campaign Expenses 2, c. Repayment of Loans d. Account Payable Repayments e. Other CAMPAIGN FUND STATUS 6. Report of In-Kind Contributions 7. Cash $ 7, Other Assets 9. Total Assets $ 7,347.5 LIABILITIES AND FUND BALANCE 1. Liabilities a. Accounts Payable b. Loans Payable c. Other Liabilites 11. Total Liabilities 12. Total Fund Balance $ 7, Total Liability / Fund Balance 7,347.5 $ CF-2 Rev. 3/2

2 Name of Person Filing Report I HEREBY CERTIFY THAT THIS REPORT OF CAMPAIGN CONTBUTIONS 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 SUBSCBED AND SWORN TO BEFORE ME THIS Day of 2 X Notary Public

3 SCHEDULE OF CONTBUTIONS RECEIVED Key # Full Name of Candidate or Committee Reporting Period 6,972 DAWSON TUCKER HODGSON From: 7/1/213 To: 9/3/213 Other Aggregate - 9/23/213 9/23/213 1,71.5 Q3 213 Aggregate Contributions 7/3/213 9/23/ Gayle 5 Patterson Ave Corrigan Warwick Housing Washington Street 7/3/213 9/23/ Anthony 35 Sunset Ave Deluca Saunderstown Retired 7/22/213 9/23/ Curtis 611 Pendar Road Givan Saunderstown 2874 Retired

4 7/19/213 9/23/ Christopher 32 Crestview Drive Gontarz Portsmouth 2871 Updecrove & Gontarz 314 Oliphant Ave. Middletown 7/3/213 9/23/ Daniel PO Box Harrop Physician 24 Taber Ave. 9/29/213 1/21/ Daniel PO Box Harrop Physician 24 Taber Ave. 7/23/213 9/23/ William 1381 Stony Lane Hogan North Kingstown 2852 Dave's Marketplace 1 Division Street East Greenwich /31/213 9/23/ David 166 Laurel Hill Road Holley East Greenwich 2818 Kroll 1 High Street Boston MA 219

5 7/23/213 9/23/ Richard 3852 Main Road Humphrey Tiverton Self Employed Attorney 3852 Main Road Tiverton 9/12/213 9/23/213 1,. Charles 1815 Burnt Hills Road Kellogg Bedminster NJ Kellogg Group, LLC 48 Wall Street New York NY 9/12/213 9/23/213 1,. Cynthia 17 Middle Road Kellogg Palm Beach FL Housewife 17 Middle Road Palm Beach FL 9/12/213 9/23/213 1,. Peter 39 Stewart Road Kellogg Short Hills NJ 778 Retired 39 Stewart Road Short HIlls NJ 778 7/18/213 9/23/ Bogdan 4 Cedar Rock Meadows Nowak East Greenwich 2818 Novelty, Inc. 5 Industrial Road Cumberland 2864

6 7/3/213 9/23/ Marshall 32 Jastram Street Raucci Decof & Decof 1 Smith Hill 7/23/213 9/23/ Mr. Richard 65 Indian Corner Road Schartner Saunderstown 2874 Schartner Farms Route 2 Exeter 2822 PAC 7/3/ DEFENSE COUNSEL PAC C/O MICHAEL B ISAACS EAST GREENWICH 2818 PAC 7/3/ HA PAC (Hospital Association of ) 1 MIDWAY ROAD CRANSTON 292 PAC 7/1/213 1/21/ REALTORS PAC OF 1 BIGNALL STREET WARWICK 2888 CF-3 Rev. 3/2

7 SCHEDULE OF EXPENDITURES Key # Full Name of Candidate or Committee Reporting Period 6,972 DAWSON TUCKER HODGSON From: 7/1/213 To: 9/3/213 # Expenditure Date Payment Date Disbursement Type 9/3/213 Aggregate Expenditure Other $ Q3 213 Aggregate Expenditures Prefix First Name MI LastName or Vendor Name # Expenditure Date Payment Date Disbursement Type /12/213 Campaign Expenditure Consultant & Professional Services $2,. Prefix First Name MI LastName or Vendor Name B Fresh Consulting 816 Elm Street PMB 153 Manchester NH 311 # Expenditure Date Payment Date Disbursement Type /3/213 Campaign Expenditure Fundraising Expenses $1. Fundraiser - Deposit Prefix First Name MI LastName or Vendor Name Nautika Restaurant 28 Water Street East Greenwich # Expenditure Date Payment Date Disbursement Type /3/213 Campaign Expenditure Fundraising Expenses $ Prefix First Name MI LastName or Vendor Name Nautika Restaurant 28 Water Street East Greenwich # Expenditure Date Payment Date Disbursement Type 7/15/213 Campaign Expenditure Office Equipment & Supplies $16.23 Prefix First Name MI LastName or Vendor Name Staples 17 Ten Rod Road North Kingstown 2852

8 CF-4 Rev.3/2

State of Rhode Island and Providence Plantations

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 information

State of Rhode Island and Providence Plantations

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 information

State of Rhode Island and Providence Plantations

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 information

State of Rhode Island and Providence Plantations

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 information

State of Rhode Island and Providence Plantations

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 information

State of Rhode Island and Providence Plantations

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 information

State of Rhode Island and Providence Plantations

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 information

State of Rhode Island and Providence Plantations

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 information

State of Rhode Island and Providence Plantations

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 information

State of Rhode Island and Providence Plantations

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 information

State of Rhode Island and Providence Plantations

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 information

State of Rhode Island and Providence Plantations

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 information

State of Rhode Island and Providence Plantations

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 information

State of Rhode Island and Providence Plantations

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 information

State of Rhode Island and Providence Plantations

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 information

State of Rhode Island and Providence Plantations DEPARTMENT OF BUSINESS REGULATION Division of Insurance 233 Richmond Street Providence, RI 02903

State of Rhode Island and Providence Plantations DEPARTMENT OF BUSINESS REGULATION Division of Insurance 233 Richmond Street Providence, RI 02903 State of Rhode Island and Providence Plantations DEPARTMENT OF BUSINESS REGULATION Division of Insurance 233 Richmond Street Providence, RI 02903 INSURANCE REGULATION 62 PLAN OF AUTOMOBILE INSURANCE RATING

More information

RI QUARTERLY REPORT 2012 Q1 Q2 Q3 Q4

RI QUARTERLY REPORT 2012 Q1 Q2 Q3 Q4 Foreclosures in RI QUARTERLY REPORT 2 2 2 saw an.2 percent drop in the number of residential foreclosure deeds filed in Rhode Island compared to 2, and a 36 percent decline from 2, when data was first

More information

TITLE 230 DEPARTMENT OF BUSINESS rregulation

TITLE 230 DEPARTMENT OF BUSINESS rregulation 230 RICR 20 05 12 TITLE 230 DEPARTMENT OF BUSINESS rregulation CHAPTER 20 INSURANCE SUBCHAPTER 05 PERSONAL LINES AUTOMOBILE AND HOMEOWNERS INSURANCE PART 12 Municipal Liens on Fire Insurance Proceeds 12.1

More information

Tools to Help States Manage Their Debt

Tools to Help States Manage Their Debt Tools to Help States Manage Their Debt June 28, 2017 The webinar has not yet begun. Audio will be available through the call in information contained in your registration confirmation e mail. Tools to

More information

State 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 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 information

Bristol Department of Public Works & Waste Management Study. Rhode Island Public Expenditure Council February 20, 2013

Bristol Department of Public Works & Waste Management Study. Rhode Island Public Expenditure Council February 20, 2013 Bristol Department of Public Works & Waste Management Study Rhode Island Public Expenditure Council February 20, 2013 1 What is RIPEC? The Rhode Island Public Expenditure Council (RIPEC) is an independent,

More information

Office of the Auditor General

Office of the Auditor General EMPLOYEES' RETIREMENT SYSTEM OF THE STATE OF RHODE ISLAND Employees Retirement System Cost-Sharing Plan Schedules of Employer Allocations Schedules of Pension Amounts by Employer (for Fiscal 2018 Employer

More information

CANDIDATE S REPORT (to be filed by a candidate or his principal campaign committee)

CANDIDATE S REPORT (to be filed by a candidate or his principal campaign committee) 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 as parish, city, town and/or

More information

EMPLOYEES' RETIREMENT SYSTEM OF THE STATE OF RHODE ISLAND

EMPLOYEES' RETIREMENT SYSTEM OF THE STATE OF RHODE ISLAND EMPLOYEES' RETIREMENT SYSTEM OF THE STATE OF RHODE ISLAND Employees Retirement System Cost-Sharing Plan Schedules of Employer Allocations Schedules of Pension Amounts by Employer June 30, 2016 Measurement

More information

SPECIAL PARK MOBILE FOOD DISPENSING PERMIT City of Hollywood Special Events and / or Parks $75 /6 month permit $125 / 1 year permit

SPECIAL PARK MOBILE FOOD DISPENSING PERMIT City of Hollywood Special Events and / or Parks $75 /6 month permit $125 / 1 year permit Today s Date SECTION 1 Application for (Please check one) SPECIAL PARK MOBILE FOOD DISPENSING PERMIT City of Hollywood Special Events and / or Parks $75 /6 month permit $125 / 1 year permit MOBILE FOOD

More information

EMPLOYEES' RETIREMENT SYSTEM OF THE STATE OF RHODE ISLAND

EMPLOYEES' RETIREMENT SYSTEM OF THE STATE OF RHODE ISLAND EMPLOYEES' RETIREMENT SYSTEM OF THE STATE OF RHODE ISLAND Employees Retirement System Cost-Sharing Plan Schedules of Employer Allocations Schedules of Pension Amounts by Employer June 30, 2015 Measurement

More information

Page 2. November 17, Retirement Board 50 Service Avenue, 2nd Floor Warwick, RI Dear Members of the Board:

Page 2. November 17, Retirement Board 50 Service Avenue, 2nd Floor Warwick, RI Dear Members of the Board: Page 2 November 17, 2016 Retirement Board 50 Service Avenue, 2nd Floor Warwick, RI 02886-1021 Dear Members of the Board: Subject: GASB 67 and 68 Reporting - Actuarial Information Dear Members of the Board:

More information

Page 2. August 31, Retirement Board 50 Service Avenue, 2nd Floor Warwick, RI Dear Members of the Board:

Page 2. August 31, Retirement Board 50 Service Avenue, 2nd Floor Warwick, RI Dear Members of the Board: Page 2 August 31, 2017 Retirement Board 50 Service Avenue, 2nd Floor Warwick, RI 02886-1021 Dear Members of the Board: Subject: GASB 67 and 68 Reporting - Actuarial Information Dear Members of the Board:

More information

CAMPAIGN FINANCE REPORT STATE OF WISCONSIN CF-2

CAMPAIGN FINANCE REPORT STATE OF WISCONSIN CF-2 COMMITTEE IDENTIFICATION Filing Period Name: Name of Committee/Corporation: Street Address: July Continuing 2018 604 West Stout Street City, State and Zip: CAMPAIGN FINANCE REPORT STATE OF WISCONSIN CF-2

More information

S 0238 SUBSTITUTE A ======== LC000149/SUB A ======== S T A T E O F R H O D E I S L A N D

S 0238 SUBSTITUTE A ======== LC000149/SUB A ======== S T A T E O F R H O D E I S L A N D 01 -- S 0 SUBSTITUTE A LC0001/SUB A S T A T E O F R H O D E I S L A N D IN GENERAL ASSEMBLY JANUARY SESSION, A.D. 01 A N A C T RELATING TO TAXATION -- LEVY AND ASSESSMENT OF LOCAL TAXES Introduced By:

More information

Actuarial Analysis of the Proposed Settlement Agreement

Actuarial Analysis of the Proposed Settlement Agreement February 10, 2014 Gina. M. Raimondo General Treasurer State House, Room 202 Providence, RI 02903 Richard A. Licht Director of Administration One Capitol Hill Providence, R.I. 02908 Re: Actuarial Analysis

More information

CANDIDATE 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) 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

CANDIDATE S REPORT. (to be filed by a candidate or his principal campaign committee) Judge 3rd Judicial District Court Division B

CANDIDATE S REPORT. (to be filed by a candidate or his principal campaign committee) Judge 3rd Judicial District Court Division B 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 Judge 3rd Judicial District

More information

Section VI. Special Reports

Section VI. Special Reports Section VI Special Reports State Aid to Local Governments Introduction The Governor recommends state aid to cities and towns totaling $78.8 million in FY 2016 and $73.7 million in FY 2017. Funding for

More information

September 24, Retirement Board 50 Service Avenue, 2nd Floor Warwick, RI Dear Members of the Board:

September 24, Retirement Board 50 Service Avenue, 2nd Floor Warwick, RI Dear Members of the Board: September 24, 2018 Retirement Board 50 Service Avenue, 2nd Floor Warwick, RI 02886-1021 Dear Members of the Board: Subject: GASB 67 and 68 Reporting - Actuarial Information Dear Members of the Board: This

More information

Section VI. Special Reports

Section VI. Special Reports Section VI Special Reports State Aid to Local Governments Introduction The Assembly provided state aid to cities and towns totaling $77.7 million for FY 2015 and $78.8 million for FY 2016. Funding for

More information

Staff Presentation to the House Finance Committee February 7, 2013

Staff Presentation to the House Finance Committee February 7, 2013 Staff Presentation to the House Finance Committee February 7, 2013 New 3-year program to encourage: Sustainable funding of retirement plans Reduce unfunded liabilities Budget includes $10 million for first

More information

Section VI. Special Reports

Section VI. Special Reports Section VI Special Reports State Aid to Local Governments Introduction The Assembly provided state aid to cities and towns totaling $72.1 million in FY 2014 and $77.3 million in FY 2015. Funding for general

More information

Affordability Criteria. for the. Rhode Island. Clean Water State Revolving Fund Program

Affordability Criteria. for the. Rhode Island. Clean Water State Revolving Fund Program Affordability Criteria for the Rhode Island Clean Water State Revolving Fund Program Affordability Criteria Rating APPLICANT: I. INCOME AND UNEMPLOYMENT PROJECT: Point Actual Item Values Rating # A-1 Median

More information

State of Rhode Island and Providence Plantations

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 information

Case: JMD Doc #: 409 Filed: 07/03/12 Desc: Main Document Page 1 of 2 UNITED STATES BANKRUPTCY COURT DISTRICT OF NEW HAMPSHIRE

Case: JMD Doc #: 409 Filed: 07/03/12 Desc: Main Document Page 1 of 2 UNITED STATES BANKRUPTCY COURT DISTRICT OF NEW HAMPSHIRE Case: 11-13671-JMD Doc #: 409 Filed: 07/03/12 Desc: Main Document Page 1 of 2 In re: UNITED STATES BANKRUPTCY COURT DISTRICT OF NEW HAMPSHIRE Kingsbury Corporation Donson Group, Ltd. Ventura Industries,

More information

Section VI. Special Reports

Section VI. Special Reports Section VI Special Reports State Aid to Local Governments Introduction The Assembly provided state aid to cities and towns totaling $78.6 million in FY 2016 and $76.6 million in FY 2017. Funding for general

More information

Case 1:12-bk Doc 305 Filed 09/06/13 Entered 09/06/13 16:27:58 Desc Main Document Page 1 of 7

Case 1:12-bk Doc 305 Filed 09/06/13 Entered 09/06/13 16:27:58 Desc Main Document Page 1 of 7 Case 1:12-bk-10602 Doc 305 Filed 09/06/13 Entered 09/06/13 16:27:58 Desc Main Document Page 1 of 7 IN THE UNITED STATES BANKRUPTCY COURT FOR THE DISTRICT OF RHODE ISLAND IN RE: PAWTUCKET ASPHALT CORPORATION,

More information

TRANSMITTAL INFORMATION For All Business Filings

TRANSMITTAL 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 information

April 13, Dear Mr. Attorney General:

April 13, Dear Mr. Attorney General: April 13, 2015 Honorable Eric H. Holder, Jr. Attorney General of the United States U.S. Department of Justice 950 Pennsylvania Avenue, NW Washington, DC 20530-0001 Dear Mr. Attorney General: As detailed

More information

CANDIDATE 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) 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 information

Texas Ethics Commission P.O. Box Austin, Texas (512) (TDD ) Kevin. Felder.

Texas 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 information

CANDIDATE S REPORT (to be filed by a candidate or his principal campaign committee)

CANDIDATE S REPORT (to be filed by a candidate or his principal campaign committee) CANDIDATE S REPORT (to be filed by a candidate or his principal campaign committee) 1.Qualifying Name and Address of Candidate 1124 Wedgewood Drive 2. Office Sought (Include title of office as well as

More information

CAMPAIGN TREASURER'S REPORT SUMMARY

CAMPAIGN TREASURER'S REPORT SUMMARY (1) (2) Name FLORDA DEPARTMENT OF STATE Post Office Box 8212 Address (number and street) DVSON OF ELECTONS CAMPAGN TREASURER'S REPORT SUMMARY CHECK F ADDRESS HAS CHANGED (3) D : OFFCE USE ONLY (4) Check

More information

Teachers Survivors Benefits. A Guide to Understanding and Collecting Your Benefits

Teachers Survivors Benefits. A Guide to Understanding and Collecting Your Benefits Teachers Survivors Benefits A Guide to Understanding and Collecting Your Benefits What is the Teachers Survivors Benefits Plan? The Teachers Survivors Benefits Plan (TSB) was created in response to teacher

More information

CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT

CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 2 Total pages filed: 9 3 CANDIDATE / MS / MRS / MR FIRST MI

More information

Send all required documents (including this checklist) to:

Send 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 information

Teachers Survivors Benefit Cost-Sharing Plan

Teachers Survivors Benefit Cost-Sharing Plan EMPLOYEES' RETIREMENT SYSTEM OF THE STATE OF RHODE ISLAND Teachers Survivors Benefit Cost-Sharing Plan Schedule of Employer Allocations Schedule of Pension Amounts by Employer Dennis E. Hoyle, CPA Auditor

More information

Sub Plan number. area code

Sub Plan number. area code 617 Request for Unforeseeable Emergency Withdrawal MTA 457 Plan Instructions Please print using blue or black ink. Send completed form to the following address or fax it to 1-866-439-8602. If faxing, please

More information

Texas Ethics Commission P.O.Box Austin, Texas (512)

Texas 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

Office of the Auditor General

Office of the Auditor General EMPLOYEES' RETIREMENT SYSTEM OF THE STATE OF RHODE ISLAND Municipal Employees Retirement System Multiple-Employer Defined Benefit Agent Plan GASB STATEMENT No. 68 REPORTS FISCAL YEAR ENDED JUNE 30, 2017

More information

CANDIDATE S REPORT (to be filed by a candidate or his principal campaign committee)

CANDIDATE S REPORT (to be filed by a candidate or his principal campaign committee) CANDIDATE S REPORT (to be filed by a candidate or his principal campaign committee) 1.Qualifying Name and Address of Candidate 4000 Dumaine St. New Orleans, LA 70119 2. Office Sought (Include title of

More information

CANDIDATE S REPORT (to be filed by a candidate or his principal campaign committee)

CANDIDATE S REPORT (to be filed by a candidate or his principal campaign committee) CANDIDATE S REPORT (to be filed by a candidate or his principal campaign committee) 1.Qualifying Name and Address of Candidate 4701 St. Roch Avenue New Orleans LA 70122 2. Office Sought (Include title

More information

Campaign Contribution Disclosure Report

Campaign Contribution Disclosure Report SEC FORM CCDR REV 01/2014 1. Report Type (Select One) * Original Report Amended Report Amendment # 2. Filing is being made on behalf of (Select One): * Candidate or Public Official Office Sought or Held:

More information

FORM G-37. Name of Regulated Entity: Citigroup Global Markets Inc. Report Period: First Quarter of 2018

FORM G-37. Name of Regulated Entity: Citigroup Global Markets Inc. Report Period: First Quarter of 2018 Name of Regulated Entity: Citigroup Global Markets Inc. Report Period: First Quarter of 2018 I. CONTRIBUTIONS made to officials of a municipal entity (list by state) Complete name, title (including any

More information

CAMPAIGN FINANCE REPORT LOCAL COMMITTEES OF WISCONSIN

CAMPAIGN 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 information

Donor Advised Funds. Forms Booklet

Donor Advised Funds. Forms Booklet Donor Advised Funds Forms Booklet The U.S. Charitable Gift Trust c/o Renaissance Administration LLC, 8910 Purdue Road, Suite 500, Indianapolis, IN 46268 Charitable Giving Made Easy The U.S. Charitable

More information

o Check here if address has changed (3) 10 Number:

o Check here if address has changed (3) 10 Number: (1) Lorry Woods Campaign Name (2) PO Box 347921 Address (number and street) Miami, FL 33234 CAMPAGN TREASURER'S REPORT SUMMARY City, State, Zip Code o Check here if address has changed (3) 10 Number: (4)

More information

DISABILITY PENSION APPLICATION PACKAGE TABLE OF CONTENTS NUMBER TITLE OF DOCUMENTS NUMBER(S) Application for Disability Retirement

DISABILITY PENSION APPLICATION PACKAGE TABLE OF CONTENTS NUMBER TITLE OF DOCUMENTS NUMBER(S) Application for Disability Retirement DISABILITY PENSION APPLICATION PACKAGE TABLE OF CONTENTS TAB PAGE** NUMBER TITLE OF DOCUMENTS NUMBER(S) 1. 2. 3. 4. 5. 6. Application for Disability Retirement Copy of Initial Accident / Injury Report(s)

More information

MOST Missouri s 529 Savings Plan Trustee Certification

MOST Missouri s 529 Savings Plan Trustee Certification MOSTTCF MOST Missouri s 529 Savings Plan Trustee Certification Use this form to identify trustees when a trust account is established with MOST Missouri s 529 Savings Plan, when the identity and/or number

More information

FINAL 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 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 information

CHURCH TYPE/SALARY GRADE

CHURCH TYPE/SALARY GRADE Clergy Salary and Benefits Minimum Requirements - 2019 Total Clergy Compensation minimums for full-time priests-in-charge in the Diocese of Rhode Island in 2019 are as follows: CHURCH TYPE/SALARY GRADE

More information

Office of the Auditor General

Office of the Auditor General EMPLOYEES' RETIREMENT SYSTEM OF THE STATE OF RHODE ISLAND Teachers Survivors Benefit Cost-Sharing Plan Schedule of Employer Allocations Schedule of Pension Amounts by Employer June 30, 2017 Measurement

More information

FRS INVESTMENT PLAN INVESTMENT PLAN EXIT CHECKLIST

FRS INVESTMENT PLAN INVESTMENT PLAN EXIT CHECKLIST FRS INVESTMENT PLAN INVESTMENT PLAN EXIT CHECKLIST Name: Date: EMPLID: Position: School/Dept: PLEASE NOTE: SUBMISSION OF THIS FORM DOES NOT ENROLL YOU IN THE FRS INVESTMENT PLAN. For information on enrolling

More information

Texas Ethics Commission P.O.Box Austin, Texas (512)

Texas Ethics Commission P.O.Box Austin, Texas (512) CANDIDATE / FORM C/OH CAMPAIGN FINANCE REPORT Cover Sheet pg 1 The C/OH Instrution Guide explains how to omplete this form. 3. CANDIDATE / 1. ACCOUNT # (Ethis Commission filers) MS / MRS / MR FIRST MI

More information

SPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT

SPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT SPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT FORM SPAC COVER SHEET PG 1 The SPAC Instruction Guide explains how to complete this form. 3 COMMITTEE NAME 1 Filer ID 2 Total pages filed: 8 FICE USE

More information

CANDIDATE S REPORT. (to be filed by a candidate or his principal campaign committee) State Representative Multiple Dist th day after general

CANDIDATE S REPORT. (to be filed by a candidate or his principal campaign committee) State Representative Multiple Dist th day after general CANDIDATE S REPORT (to be filed by a candidate or his principal campaign committee) 1.Qualifying Name and Address of Candidate 296 Belle Pointe Dr. Ruston, LA 71270 3. Date of Primary 2/23/2019 2. Office

More information

TREASURER' S REPORT. Council, 5) Report Identifiers. 7) Expenditures. Monetary Expenditures. Transfers to. Office Account.

TREASURER' S REPORT. Council, 5) Report Identifiers. 7) Expenditures. Monetary Expenditures. Transfers to. Office Account. CAMPAIGN TREASURER' S REPORT SUMMARY ) Hoyt HamiltonEEKE Name 2) 8 N Belcher Rd., STE - 2 Address ( number and street) NOV 0 8 207 OFFICIAL RECORDS ` LEGISLATIVE SRVCS ;:-., :. Y Check here if address

More information

A Letter to Our Stockholders

A 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 information

Who s Above the Social Security Payroll Tax Cap? BY NICOLE WOO, JANELLE JONES, AND JOHN SCHMITT*

Who s Above the Social Security Payroll Tax Cap? BY NICOLE WOO, JANELLE JONES, AND JOHN SCHMITT* Issue Brief September 2011 Center for Economic and Policy Research 1611 Connecticut Ave, NW Suite 400 Washington, DC 20009 tel: 202-293-5380 fax: 202-588-1356 www.cepr.net Who s Above the Social Security

More information

Computershare. P.O. Box Providence, RI Sincerely, Computershare. Enclosures. Computershare

Computershare. P.O. Box Providence, RI Sincerely, Computershare. Enclosures. Computershare PO Box 43078 Providence Rhode Island 02940-3078 www.computershare.com/investor The IRS requires that we report the cost basis of certain shares acquired after January 1, 2011 and then sold. Shares transferred

More information

RE: Docket National Grid s Proposed FY 2016 Electric Infrastructure, Safety, and Reliability Plan Responses to Record Requests

RE: Docket National Grid s Proposed FY 2016 Electric Infrastructure, Safety, and Reliability Plan Responses to Record Requests Raquel J. Webster Senior Counsel March 25, 2015 BY HAND DELIVERY AND ELECTRONIC MAIL Luly E. Massaro, Commission Clerk Rhode Island Public Utilities Commission 89 Jefferson Boulevard Warwick, RI 02888

More information

CAMPAIGN FINANCE REPORT WISCONSIN LOCAL COMMITTEE

CAMPAIGN FINANCE REPORT WISCONSIN LOCAL COMMITTEE CAMPAIGN FINANCE REPORT WISCONSIN LOCAL COMMITTEE Is this report an Amendment? YES NO COMMITTEE IDENTIFICATION Name of Committee Friends of Kelly Danner Address 3553 Heather Crest City, State, ZIP Madison,

More information

CANDIDATE 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) 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 information

Texas Ethics Commission P.O.Box Austin, Texas (512) Steve. Salazar. Rosario. Rodriguez

Texas Ethics Commission P.O.Box Austin, Texas (512) Steve. Salazar. Rosario. Rodriguez CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT Cover Sheet pg 1 The C/OH Instruction Guide explains how to complete this form. 3. CANDIDATE / OFFICEHOLDER NAME 1. ACCOUNT # (Ethics Commission

More information

PROVIDENCE WATER SUPPLY BOARD

PROVIDENCE 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 information

STATE OF RHODE ISLAND

STATE OF RHODE ISLAND LC0 00 -- H STATE OF RHODE ISLAND IN GENERAL ASSEMBLY JANUARY SESSION, A.D. 00 J O I N T R E S O L U T I O N MAKING AN APPROPRIATION TO PAY CERTAIN CLAIMS Introduced By: Representatives Naughton, and Kilmartin

More information

M U N I C I P A L E M P L O Y E E S R E T I R E M E N T S Y S T E M S T A T E O F R H O D E I S L A N D A C T U A R I A L V A L U A T I O N R E P O R

M U N I C I P A L E M P L O Y E E S R E T I R E M E N T S Y S T E M S T A T E O F R H O D E I S L A N D A C T U A R I A L V A L U A T I O N R E P O R M U N I C I P A L E M P L O Y E E S R E T I R E M E N T S Y S T E M S T A T E O F R H O D E I S L A N D A C T U A R I A L V A L U A T I O N R E P O R T A S O F J U N E 3 0, 2 0 0 8 September 2, 2009 Retirement

More information

Re: Docket No R.I. Office of Energy Resources Response to the Commission s Set of Data Requests Dated June 30, 2016

Re: Docket No R.I. Office of Energy Resources Response to the Commission s Set of Data Requests Dated June 30, 2016 STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS Department of Administration DIVISION OF LEGAL SERVICES Tel: (401) 222-8880 One Capitol Hill, 4 th Floor Fax: (401) 222-8244 Providence, RI 02908-5890 July

More information

CAMPAIGN TREASURER'S REPORT SUMMARY. (3) ID Number: D Check here if PTY has disbanded. (5) Report Identifiers

CAMPAIGN TREASURER'S REPORT SUMMARY. (3) ID Number: D Check here if PTY has disbanded. (5) Report Identifiers (1) Georgette E. Dumont Name () 507 16th Avenue South (4) Address (number and street) CAMPAIGN TREASURER'S REPORT SUMMARY City, State, Zip Code D Check here if address has changed Check appropriate box(es):

More information

COMMITTEE OR FUND INFORMATION REPORT OPTIONS

COMMITTEE 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 information

TAX CREDIT AND INCENTIVE REPORT FISCAL YEAR 2012

TAX CREDIT AND INCENTIVE REPORT FISCAL YEAR 2012 TAX CREDIT AND INCENTIVE REPORT FISCAL YEAR 2012 Rhode Island General Laws (RIGL) require the Division of Taxation to annually report a recipient s name, address and amount of tax incentives received during

More information

2019 Extension District Election

2019 Extension District Election Linn County Election Office David Lamb, County Clerk/Election Officer 315 Main Street / P.O. Box 350 Mound City, KS 66056 Phone: (913) 795-2668 Fax: (913) 795-2419 2019 Extension District Election The

More information

UNITED STATES BANKRUPTCY COURT DISTRICT OF NEW HAMPSHIRE

UNITED STATES BANKRUPTCY COURT DISTRICT OF NEW HAMPSHIRE Case: 11-13671-JMD Doc #: 454 Filed: 09/13/12 Desc: Main Document Page 1 of 2 UNITED STATES BANKRUPTCY COURT DISTRICT OF NEW HAMPSHIRE In re: Kingsbury Corporation Bk. NO. 11-13671-JMD Donson Group, Ltd.

More information

Uniform Consent to Service of Process

Uniform Consent to Service of Process Applicant Company Name: NAIC No. FEIN: Uniform Consent to Service of Process Original Designation Amended Designation (must be submitted directly to states) Applicant Company Name: Previous Name (if applicable):

More information

MUNICIPAL EMPLOYEES R E T I R E M E N T S Y S T E M STATE OF R H O D E I S L A N D ACTUARIAL VALUATION R E P O R T AS OF JUNE 30, 201 4

MUNICIPAL EMPLOYEES R E T I R E M E N T S Y S T E M STATE OF R H O D E I S L A N D ACTUARIAL VALUATION R E P O R T AS OF JUNE 30, 201 4 MUNICIPAL EMPLOYEES R E T I R E M E N T S Y S T E M STATE OF R H O D E I S L A N D ACTUARIAL VALUATION R E P O R T AS OF JUNE 30, 201 4 December 17, 2014 Retirement Board 40 Fountain Street, First Floor

More information

REINSTATEMENT DIRECTIONS DOMESTIC CORPORATIONS NONPROFIT CORPORATIONS LIMITED LIABILITY COMPANIES

REINSTATEMENT DIRECTIONS DOMESTIC CORPORATIONS NONPROFIT CORPORATIONS LIMITED LIABILITY COMPANIES REINSTATEMENT DIRECTIONS DOMESTIC CORPORATIONS NONPROFIT CORPORATIONS LIMITED LIABILITY COMPANIES The following steps must be taken to reinstate your corporation or limited liability company when it has

More information

COMMITTEE S REPORT. 40th day after general. Annual (future election) Amendment to prior report. 333 Texas Street Suite Shreveport, LA 71101

COMMITTEE 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 information

Myriam Fejzulai, et al. v. Sam s West Inc., et al.

Myriam Fejzulai, et al. v. Sam s West Inc., et al. UNITED STATES DISTRICT COURT FOR THE DISTRICT OF SOUTH CAROLINA, GREENVILLE DIVISION TO: All those persons who were members of Sam s Club during the Settlement Class Period and purchased from Sam s Club

More information

Texas Ethics Commission P.O. Box Austin, Texas (512) (TDD )

Texas 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 information

1 Name of organization: SIERRA CLUB VOTER ED FD Employer identification number:

1 Name of organization: SIERRA CLUB VOTER ED FD Employer identification number: A For the period beginning: 04/01/ 2004 and ending: 04/30/2004 B Check applicable box: Initial report Change of address Amended report Final report 1 Name of organization: SIERRA CLUB VOTER ED FD Employer

More information

CAMPAIGN TREASURER'S REPORT SUMMARY. JUL Address (number and street) Jacksonville Beach, FL City, State, Zip Code

CAMPAIGN TREASURER'S REPORT SUMMARY. JUL Address (number and street) Jacksonville Beach, FL City, State, Zip Code (1) Christine Hoffman Name CAMPAIGN TREASURERS REPORT SUMMARY REG (2) 1026 13th St. N. JUL 2 9 2016 Address (number and street) 32250 City, State, Zip Code City Clerk D Check here if address has changed

More information

CANDIDATE S REPORT (to be filed by a candidate or his principal campaign committee)

CANDIDATE S REPORT (to be filed by a candidate or his principal campaign committee) CANDIDATE S REPORT (to be filed by a candidate or his principal campaign committee) 1.Qualifying Name and Address of Candidate 4939 Saint Roch 3. Date of Election 2. Office Sought (Include title of office

More information

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. Leonard

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. Leonard etad CANDIDATE/OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: The C/OH Instruction Guide explains how to complete this form.

More information

Send one check in the total amount payable to the Florida Department of State.

Send one check in the total amount payable to the Florida Department of State. FLORIDA DEPARTMENT OF STATE DIVISION OF CORPORATIONS Attached is a form to convert an Other Business Entity into a Florida Limited Liability Company pursuant to section 605.1045, Florida Statutes. These

More information