CAMPAIGN FINANCE REPORT STATE OF WISCONSIN
|
|
|
- Austen Kelley
- 5 years ago
- Views:
Transcription
1 CAMPAIGN FINANCE REPORT STATE OF WISCONSIN Is this report an Amendment? COMMITTEE IDENTIFICATION Name of Committee Gamer for County Board Address 5021 Prairie Rose Ct OFFICE USE ONLY City, State, ZIP Middleton, WI GAB # ID NAME OF REPORT Jan 20 Continuing Pre-Primary 20 Spring Fall Special July 20 Continuing Pre-election Spring Fall Special SUMMARY OF RECEIPTS AND DISBURSEMENTS Column A Column B Audited Totals 1. RECEIPTS This Period YTD Office Use Only A. Contributions including Loans from Individuals $ 3, $ 3, B. Contributions from Committees (Transfers-In) $ C. Other Income and Commercial Loans $ - TOTAL RECEIPTS (Add totals from 1A, 1B, and 1C) $ 4, $ 3, DISBURSEMENTS A. Gross Expenditures $ 1, B. Contributions to Committees (Transfers-Out) $ - TOTAL DISBURSEMENTS (Add totals from 2A and 2B) $ 1, $ - CASH SUMMARY Cash Balance at Beginning of Report $ Total Receipts $ 4, Subtotal $ 4, Total Disbursements $ 1, CASH BALANCE AT END OF REPORT $ 2, INCURRED OBLIGATIONS (at close of period) $ - LOANS (at close of period) $ - I certify that I have examined this report and to the best of my knowledge and belief it is true, correct and complete. Type or Print Name of Candidate or Treasurer Signature of Candidate or Treasurer Date Joshua Gamer Daytime Phone NOTE: The information on this form is required by ss , 11.20, Wis. Stats. Failure to provide this information may subject you to the penalties of ss.11.60, 11.62, Wisconsin Stats.
2 SCHEDULE 1-A Contributions Including Loans from Individuals IN-KIND Personal Loan CONDUIT_ID NUMBER DATE LAST NAME FIRST NAME ADDRESS CITY ST ZIP OCCUPATION TITLE 1/4/2010 Hackl Derek 26 Oak Bridge Ct Madison WI /4/2010 Richardson William 2040 Allen Blvd #5 Middleton WI Retired 1/12/2010 Nordeen Dale 4206 Yuma Dr Madison WI Retired 1/12/2010 Jenson Kyla 3081 Baskerville Ave Middleton WI /12/2010 Jenson Alex 3081 Baskerville Ave Middleton WI /29/2010 Simon Samuel 1210 Falcon Ct Middleton WI /24/2010 McDonald William 5614 Sandhill Dr Middleton WI /24/2010 Arendt Norman 6630 Clovernook Rd Middleton WI /24/2010 Anonymous 2/24/2010 Anonymous 2/24/2010 Anonymous 2/24/2010 Anonymous 2/24/2010 Anonymous 2/24/2010 Anonymous 2/25/2010 Brummel Edward 2118 Allen Blvd, Apt #4 Middleton WI /25/2010 Willison Brian 6762 Peaceful Ct Sun Prairie WI /25/2010 Paulmeno Charm 8300 Fairmont Dr, #MM101 Denver CO /1/2010 Ferguson Samuel 3814 Rolling Hill Dr Middleton WI /1/2010 Goedderz Phillip 1011 S Main St Edgerton WI /1/2010 DiPiazza Jon 1218 Boundary Rd Middleton WI /1/2010 Koranda Molly 2602 Arbor Dr, #117 Middleton WI /1/2010 Lombard Kirsten 210 N Paterson St, Apt 2 Madison WI /1/2010 Tierney Don 3564 Egre Rd DeForest WI President
3 IN-KIND Personal Loan CONDUIT_ID NUMBER DATE LAST NAME FIRST NAME ADDRESS CITY ST ZIP OCCUPATION TITLE /1/2010 Degnan Abe 117 Paradise Ct DeForest WI President 3/5/2010 Petri Rick 5134 Reynolds Ave Waunakee WI /5/2010 Jenson Kyla 3081 Baskerville Ave Middleton WI /5/2010 Jenson Alex 3081 Baskerville Ave Middleton WI /5/2010 Bliss Beverly 820 W Main St Sun Prairie WI /10/2010 Parisi Jeffrey 1410 W Skyline Dr Madison WI /11/2010 Ferrell Linda 7122 E Valley Ridge Dr Madison WI /11/2010 Ellibee Chris 6992 Friendship Lane Middleton WI /11/2010 Lawson David 2145 Middleton Beach Rd Middleton WI /12/2010 Simon Sam 1210 Falcon Ct Middleton WI Real Estate Broker 3/11/2010 Arendt Norman 6630 Clovernook Rd Middleton WI /11/2010 Peckham Ann 5975 Woodcreek Lane Middleton WI /12/2010 Czechanski Michael 1614 Dohse Ct Middleton WI /15/2010 Breunig Kenneth 6437 Collins Ridge Rd Dane WI /15/2010 Roehl Tim 7246 Valley View Verona WI /15/2010 Anonymous 3/15/2010 Anonymous 3/15/2010 Anonymous 3/15/2010 Anonymous 3/15/2010 Anonymous 3/15/2010 Nordling H.G Sunrise Ct Middleton WI /15/2010 Ragatz Fritz 2609 Middleton Beach Rd Middleton WI /15/2010 Kussart Gene 3955 Weatherwood Trail Verona WI /15/2010 Roehl Amy 8561 Ellington Way Middleton WI 53562
4 IN-KIND Personal Loan CONDUIT_ID NUMBER DATE LAST NAME FIRST NAME ADDRESS CITY ST ZIP OCCUPATION TITLE 3/15/2010 Johnson Sara 6501 Whittlesey Rd Middleton WI /11/2010 Helm Robert 1603 Cypress Trail Middleton WI /14/2010 Kubek James 6327 Clovernook Rd Middleton WI /14/2010 Ferguson Samuel 3814 Rolling Hill Dr Middleton WI /15/2010 Faultersack Mark 6400 Century Ave Middleton WI /15/2010 Bruni Barbara 2925 Marina Dr Middleton WI /15/2010 Kyla Jenson 3081 Baskerville Ave Middleton WI /11/2010 Breunig Milo 7293 W Old Sauk Rd Middleton WI /16/2010 Ernst Paul 7205 Donna Dr Middleton WI Owner 3/15/2010 Tierney Joanne 2564 Egre Rd DeForest WI /15/2010 Merley Larry 6615 Century Ave Middleton WI /17/2010 Mukasa Kabura 5012 Mirandy Rose Ct Middleton WI /19/2010 Rasmussen Dave 1622 Gateway S Middleton WI /15/2010 Skillrud John 2815 Dewey Ct Middleton WI /16/2010 Bartlett Nancy 915 Tamarack Way Verona WI /17/2010 Abrams Bonnie 2110 Allen Blvd Middleton WI /16/2010 Maddrell Bev 1418 Frisch Rd Madison WI /17/2010 Harris Wayne 5006 Lake Mendota Dr Madison WI /17/2010 Korotev Sherry 1306 Reed Ct Waunakee WI X 3/15/2010 von Rutenberg William 5387 Mary Lake Rd Waunakee WI X 3/15/2010 von Rutenberg Jack 4944 Borchers Beach Rd Waunakee WI X 3/15/2010 von Rutenberg Robert 312 Grand Ave Madison WI 53705
5 IN-KIND Personal Loan CONDUIT_ID NUMBER DATE LAST NAME FIRST NAME ADDRESS CITY ST ZIP OCCUPATION TITLE
6 NAME ADDRESS CITY STATE ZIP CODE AMOUNT YTD COMMENTS PAYROLL DEDUCT START DATE PAYROLL DEDUCT END DATE Tierney Builders 3564 Egre Rd DeForest WI
7 NAME Degnan Design Builders ADDRESS CITY STATE ZIP CODE AMOUNT YTD COMMENTS 134 Ethun Place DeForest WI PAYROLL DEDUCT START DATE PAYROLL DEDUCT END DATE Sam Simon Realty University Ave Middleton WI
8 NAME ADDRESS CITY STATE ZIP CODE AMOUNT YTD COMMENTS PAYROLL DEDUCT START DATE PAYROLL DEDUCT END DATE Harbor Athletic Club Allen Blvd Middleton WI
9 NAME ADDRESS CITY STATE ZIP CODE AMOUNT YTD COMMENTS PAYROLL DEDUCT START DATE PAYROLL DEDUCT END DATE
10
11
12
13
14
15
16
17
18 SCHEDULE 1-B Contributions from Committees IN-KIND DATE COMMITTEE NAME GAB ID Number ADDRESS CITY ST ZIP AMOUNT YTD COMMENTS 1/28/2010 Bruskewitz for County Board 5134 Reynolds Ave Town of Westport WI /3/2010 Mistele for County Executive PO Box Middleton WI /1/2010 Bruskewitz for County Board 5134 Reynolds Ave Town of Westport WI /11/2010 Committee to Elect Bob Salov N3310 Asje Rd Cambridge WI /11/2010 Jensen for County Board 157 County MM Brooklyn WI /15/2010 Friends of Jerry Derr 1595 CTH V Columbus WI /15/2010 Friends of Kurt Schlicht 2011 Sylvia Pine Way Cross Plains WI /19/2010 Friends of Kurt Schlicht 2011 Sylvia Pine Way Cross Plains WI
19 DATE LAST NAME/BUSINESS NAME SCHEDULE 1-C Other Income and Commercial Loans FIRST NAME GAB ID ADDRESS CITY ST ZIP REASON FOR INCOME AMOUNT COMMENTS
20 IN- KIN D SCHEDULE 2-A PERSONAL LOAN PYMT DATE LAST NAME/BUSINESS NAME 01/12/10 p ( contributions to other committees) FIRST NAME GAB ID ADDRESS CITY ST ZIP EXPENSE PURPOSE CODE AMOUNT Government Accountability Board PO Box 7984 Madison WI ADMEX /13/10 Target 201 Junction Rd Madison WI OS /13/10 USPS 7613 Elmwood Ave Middleton WI POST /28/10 The Printing Place 8505 University Green Middleton WI PB /01/10 CPC 7507 Hubbard Ave #102 Middleton WI UID 02/02/10 Amazon Marketplace nd Ave Seattle WA OS /09/10 Deluxe Checks 8240 Mineral Point Rd Madison WI OS /16/10 Office Depot 676 S Whitney Way Madison WI OS /17/10 USPS 7613 Elmwood Ave Middleton WI POST /17/10 CVS 6210 Century Ave Middleton WI OS N Hayden Rd, Ste 02/18/10 GoDaddy.com 219 Scottsdale AZ UID /18/10 Walgreens 2010 Branch St Middleton WI OS /19/10 USPS 7613 Elmwood Ave Middleton WI POST /01/10 Scotts Pastry Shoppe 6637 University Ave Middleton WI RF /03/10 USPS 7613 Elmwood Ave Middleton WI POST /03/10 Office Max 7341 W Towne Way Madison WI OS /08/10 Office Max 7341 W Towne Way Madison WI OS /08/10 CPC 7507 Hubbard Ave #102 Middleton WI UID /09/10 USPS 7613 Elmwood Ave Middleton WI POST /09/10 USPS 7613 Elmwood Ave Middleton WI POST /09/10 The Printing Place 8505 University Green Middleton WI PB 42.14
21 03/10/10 USPS 7613 Elmwood Ave Middleton WI POST /12/10 The Printing Place 8505 University Green Middleton WI PB /15/10 Ace of Middleton Springs 2540 Allen Blvd Middleton WI MEDBB /15/10 Advertising Creations 2618 Industrial Dr Madison WI MEDBB /16/10 USPS 7613 Elmwood Ave Middleton WI POST /16/10 JCA, LLC PO Box Madison WI DCONV /17/10 Walmart 2151 Royal Ave Madison WI OS N Hayden Rd, Ste 03/18/10 GoDaddy.com 219 Scottsdale AZ UID 4.99
22 COMMENTS IND. EXP/RECOUNT toner checks
23
24 Expense_Purpose_Code Expense Description If an expense, does not match a code provided; please list that expense as ADMEX and enter additional detail in the comments section provided. ACT ADMEX BC BOOTH CC CD CGEN CMED CTC DCONV FA FE FF FFB FHR GIFT ICM ITX LFCA MEDBB MEDGD MEDIA MEDN MEDPH MEDR MEDTV MEET ML MPA MSERV OF OR OS PACT PB PCP ActBlue Fees Administrative Expenses Bank Charges Event or Fair Booth Contribution to Committee Charitable Donation Consulting Fees - General Consulting Fees - Media Contribution to Charity Data Conversion Fundraiser - Auction Item Fundraiser - Entertainment Filing Fee Fundraiser - Food & Beverage Fundraiser - Hall Rental Gifts Internal Communication with Members Income Tax (Interest Income) Legal Fees - Compliance/Administrative Media - Billboards / Outdoor Advertising Media - Graphic Design Media - Issue Ads Media - Newspaper Media - Phones / Robo calls Media - Radio Media - TV Meeting Expenses Mailing List Membership pins / awards Mailing Service Office Furniture Office Rent Office Supplies Professional - Accounting Printing - Brochures Printing - Copies
25 PEFC PEN PHB PM POST PYS RF SE SO ST STEB STG STIN STL STM STPK STRV SVP TE UID UTILE UTILG UTILI UTILP UTILW VM WCM WCS WET Parade Expenses - Fees, candy Party Exp - Election Night Phone Bank Printing Misc. (buttons, bumper stickers, t- shirts) Postage Printing - Yard Signs Reimbursement - Food Solicitation Expenses Forfeitures Sales Tax Staff - Employee Benefits Costs Staff - Gas Staff - Insurance Staff - Lodging Staff - Mileage Staff - Parking Staff - Travel Survey/Polls Tickets to Events Unitemized Utilities - Electrical Utilities - Gas Utilities - Internet Access Utilities - Phone / Cell Phone Media - Website Development Volunteer Meals Wages - Campaign Manager Wages - Campaign Staff Wages - Employment Taxes
26 These codes are current as of 11- You may want to New codes may be added print this list to have as needed. Please login to CFIS it easily accessible to view any additional codes that when you complete may have been added. the Schedule 2-A.
27
28 SCHEDULE 2-B Contributions to Committees IN-KIND DATE GAB ID NAME OF COMMITTEE ADDRESS CITY ST ZIP AMOUNT
29 YTD COMMENTS
30 SCHEDULE 3-A Incurred Obligations Excluding Loans DATE NAME ADDRESS CITY ST ZIP PURPOSE Outstanding Balance Beg of Period New Obligations This Period Payment This Period
31
32 Outstanding Bal Close of Period
33
34 SCHEDULE 3-B Loans: Individual, Committee or Commercial DATE NAME ADDRESS CITY ST ZIP Outstanding Balance Beg of Period New Loans This Period Cumulative Payments This Period Outstanding Balance End of Period
35
36 Guarantor (if any) Name and Address
37
38 SCHEDULE 4 TERMINATION REQUEST 0 A committee may terminate its registration and reporting requirements if the committee will no longer receive contributions, make disbursements or incur obligations, and the obligations and cash balance have been reduced to zero. Candidates may not terminate prior to the election in which they are participating. Non-candidate committees registered with the state must pay the $100 filing fee if they have over $2,500 in total disbursements for the calendar year. Please read carefully and, if necessary, indicate how residual committee funds have been disposed of or if outstanding loans or obligations have been forgiven. Sign and date the termination request at the bottom of this page. Make sure the termination box on the cover page of this report is checked. Please note: An audit must be completed and all obligations with the Board, including settlement offers, fulfilled before termination can be granted. All records must be maintained until termination is granted. DISPOSAL OF RESIDUAL FUNDS THIS INFORMATION SHOULD ALSO BE INCLUDED ON SCHEDULE 2-A AND/OR 2-B. DATE RECIPIENT AMOUNT LOAN OR DEBT FORGIVENESS I hereby forgive all personal loans or have assumed responsibility for any and all debts of my campaign committee. DATE Endorser, Guarantor, or Creditor AMOUNT TERMINATION REQUEST. I hereby request that the committee registration be terminated. I declare that the committee has not incurred any obligations and does not anticipate incurring any. The committee does not anticipate receiving any further contributions or making any disbursements. I further state that the cash balance has been reduced to zero and that all remaining funds have been disposed of in the manner prescribed by law. Signature of Candidate or Treasurer Date
CAMPAIGN FINANCE REPORT STATE OF WISCONSIN
CAMPAIGN FINANCE REPORT STATE OF WISCONSIN Is this report an Amendment? No COMMITTEE IDENTIFICATION Name of Committee Address 5410 North Pass OFFICE USE ONLY City, State, ZIP McFarland, WI 53558 GAB #
CAMPAIGN FINANCE REPORT WISCONSIN LOCAL COMMITTEE
CAMPAIGN FINANCE REPORT WISCONSIN LOCAL COMMITTEE Is this report an Amendment? YES NO NO COMMITTEE IDENTIFICATION Name of Committee Amos Roe for School Board Address PO Box City, State, ZIP Madison WI
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
CAMPAIGN FINANCE REPORT WISCONSIN LOCAL COMMITTEE
CAMPAIGN FINANCE REPORT WISCONSIN LOCAL COMMITTEE Is this report an Amendment? NO COMMITTEE IDENTIFICATION Name of Committee Tobias 4 Dane County 18 Address 814 Havey Road City, State, ZIP Madison,WI 53704
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,
Finance Checklist and GAB - Campaign Finance Overview Local Candidates
TOWN OF VERNON WAUKESHA COUNTY WISCONSIN 2018 Finance Checklist and GAB - Campaign Finance Overview Local Candidates (For additional resources and information please visit the Wisconsin Elections and Ethics
CAMPAIGN FINANCE REPORT WISCONSIN LOCAL COMMITTEE
COMMITTEE IDENTIFICATION Name of Committee CAMPAIGN FINANCE REPORT WISCONSIN LOCAL COMMITTEE Is this report an Amendment? n Yes Anna for Dane Address P.O. Box 6094 City, State, ZIP Monona, WI, 53716 OFFICE
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
CAMPAIGN 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
Summary Page. TYPE OF REPORT Original = 30 Day Post - Primary Report. 30 Day Post -General Report. No=
C- 2 Campaign Financial Disclosure Report Rev. 1/ 18 Summary Page Please print or type SECTION I Name of Candidate or Political Committee & Chairperson Office Sought ( if candidate) District ( if any)
CAMPAIGN FINANCE OVERVIEW LOCAL CANDIDATES. March 2016
CAMPAIGN FINANCE OVERVIEW LOCAL CANDIDATES March 2016 Government Accountability Board 212 E Washington Ave, 3 rd Floor Madison, WI 53703 Phone: 608 261 2028 Fax: 608 264 9319 E mail: gabcfis@wi.gov Website:
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
STATEMENT 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)
CAMPAIGN 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
Use the Form 460 to file any of the following:
Recipient Committee Campaign Statement FORM 460 The Form 460 is for use by ALL recipient committees, including: Candidates, Officeholders and Their Controlled Committees A candidate or ficeholder who has
ELECTION FINANCING REPORT 465 (16/08)
ELECTION FINANCING REPORT completion guide FOR candidates 465 (16/08) Table of Contents General............ 1 Privacy............ 1 Introduction........... 2 Audits............ 2 Submitting the report.........
2018 Campaign Disclosure Manual For County Candidates And Political Committees
2018 Campaign Disclosure Manual For County Candidates And Political Committees PREPARED BY Idaho Association of Counties 3100 S. Vista Ave. Ste. 200 Boise, ID 83705 PHONE: (208) 345-9126 FAX: (208) 345-0379
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
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 P.O. Box 2827 Harvey, LA 70059 2. Office Sought (Include title of office as
APPENDIX 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
FOR 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
2010 Campaign Disclosure Manual
2010 Campaign Disclosure Manual for County Candidates and Political Committees PREPARED BY Idaho Association of Counties P.O. BOX 1623 700 WEST WASHINGTON BOISE, IDAHO 83701 PHONE: (208) 345-9126 FAX:
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
Form R-3 Instructions
Form R-3 Instructions 1. The Form R-3 consists of 11 pages; file all pages whether or not a particular page applies to your committee. 2. File an original. 3. The filing dates are the 15th of April, July,
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 P. O. Box 595 3. Date of Primary 11/4/2014 2. Office Sought (Include title
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
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 P. O. Box 1173 Denham Springs LA 70727 3. Date of Primary 10/22/2011 2. Office
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
A For the 2011 calendar year, or tax year beginning, 2011, and ending, 20 B Check if applicable:
Form 990-EZ Department of the Treasury Internal Revenue Service Short Form Return of Organization Exempt From Income Tax Under section 501, 527, or 4947(1) of the Internal Revenue Code (except black lung
CANDIDATE S REPORT. (to be filed by a candidate or his principal campaign committee) Louisiana State Treasurer. 40th day after general
CANDIDATE S REPORT (to be filed by a candidate or his principal campaign committee) 1.Qualifying Name and Address of Candidate P.O. Box 2827 Harvey, LA 70059 2. Office Sought (Include title of office as
Use the Form 460 to file any of the following:
Recipient Committee Campaign Statement FORM 460 The Form 460 is for use by ALL recipient committees, including: Candidates, Officeholders and Their Controlled Committees A candidate or ficeholder who has
, 20 B Check if applicable: D Employer identification number RIVER COUNTRY RESOURCE CONSERVATION AND DEVELOPMENT COUN
Form 99-EZ Short Form Return of Organization Exempt From Income Tax Under section 51(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation) Sponsoring
Use the Form 460 to file any of the following:
Recipient Committee 460 Campaign Statement FORM The Form 460 is for use by ALL recipient committees, including: Candidates, Officeholders and Their Controlled Committees A candidate or ficeholder who has
Instructions - Form R-1
Instructions - Form R-1 Do not complete the front cover of the Form R-1 until all schedules are completed. Submit every schedule of the Form R-1 when filing the report. If there is no activity to report,
Short Form Return of Organization Exempt From Income Tax
Form 99-EZ Department of the Treasury Internal Revenue Service Short Form Return of Organization Exempt From Income Tax Under section 51(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private
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
Short Form Return of Organization Exempt From Income Tax
Form 99-EZ Department of the Treasury Internal Revenue Service Short Form Return of Organization Exempt From Income Tax Under section 51(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private
Recipient 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
Reporting Period Covered: 02/25/2017 Through. Please complete applicable schedules prior to completing the information in the following table.
REPORT OF CONTRIBUTIONS AND EXPENDITURES Full Name of Committee/Person: As Shown on Registration Address of Committee/Person 3578 Hartsel Dr, E340 City, State & Zip Code: Colorado Springs, CO, 80920 Committee
INCOME DEDUCTIONS/CREDITS OTHER IMPORTANT ITEMS. W-2s 1099s:
INCOME W-2s 1099s: 1099-R (Retirement Distributions) 1099-INT (Interest Income) 1099-DIV (Dividend and Capital Gain Income) 1099-B (Stock Proceeds) - Please check to see if all sales have corresponding
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 1827 Gentilly Blvd 2. Office Sought (Include title of office as well as parish,
2017 Campaign Finance Reporting Workshop. Betsie Kimbrough, State Election Director, Idaho Secretary of State s Office Justin Ruen, AIC
2017 Campaign Finance Reporting Workshop Betsie Kimbrough, State Election Director, Idaho Secretary of State s Office Justin Ruen, AIC This Presentation Will Cover Campaign Finance Reporting Basics Reporting
Short Form Return of Organization Exempt From Income Tax
Form 99-EZ Department of the Treasury Internal Revenue Service Short Form Return of Organization Exempt From Income Tax Website: www.ceraweb.org Organization type (check only one) 51(c) ( 3 ) (insert no.)
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
Recipient Committee Campaign Statement Cover Page (Government Code Sections )
Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Date of election if applicable: (Month, Day, Year) 06/07/2016 Date Stamp E-Filed 02/17/2016 16:46:26 Filing ID:
CAMPAIGN 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
Short Form OMB No Return of Organization Exempt From Income Tax
Form 990-EZ Short Form OMB No. 1545-1150 Return of Organization Exempt From Income Tax Department of the Treasury Internal Revenue Service Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue
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
CAMPAIGN 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
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 6305 Elysian Fields Avenue #404B 2. Office Sought (Include title of office
Other (specify) H Check if the organization is not I Website: GlobalOutreachTanzania.org
Form 99-EZ Short Form Return of Organization Exempt From Income Tax Under section 51(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation) Sponsoring
CAMPAIGN FINANCE DISCLOSURE FORM CERTIFICATION OF CANDIDATES FOR STATE OFFICE, GENERAL ASSEMBLY, COUNTY OFFICE AND LOCAL OFFICE
CAMPAIGN FINANCE DISCLOSURE FORM Page 1 of 2 CERTIFICATION OF CANDIDATES FOR STATE OFFICE, GENERAL ASSEMBLY, COUNTY OFFICE AND LOCAL OFFICE CANDIDATE NAME: Robert Frenier ADDRESS: 85 Town Farm Road TOWN:
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 Burgessville rd 2. Office Sought (Include title of office as well Assessor
Recipient 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 20 For Official Use Only
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
Hickman & Hickman, PLLC 1248 Freiheit Rd, #200, New Braunfels, TX 78130
Hickman & Hickman, PLLC 1248 Freiheit Rd, #200, New Braunfels, TX 78130 This organizer is designed to help clients identify items needed to thoroughly prepare individual income tax returns. Please check
Campaign Finance Report
PAGE 1 Commonwealth of Pennsylvania Campaign Finance Report (NOTE: This report must be clear and legible. It may be typed or printed in blue or black ink.) Filer Identification Number : 20120063 Report
8,765 3 Membership dues and assessments ,120 4 Investment income... 4
Form 99-EZ Short Form Return of Organization Exempt From Income Tax Under section 51(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation) Sponsoring
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
Short Form. Return of Organization Exempt From Income Tax
Short Form OMB No. 1545-1150 Return of Organization Exempt From Income Tax Form 990-EZ Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code 2012 (except black lung benefit trust or private
3 address of organization: 4 Date organization was formed: 03/27/2000. San Francisco, CA 94105
A For the period beginning 05/01/2004 and ending 05/31/2004 B Check applicable box: Initial report Change of address Amended report Final report 1 Name of organization Employer identification number SIERRA
WAUNAKEE COMMUNITY SCHOOL DISTRICT 2015 ANNUAL MEETING & BUDGET HEARING
WAUNAKEE COMMUNITY SCHOOL DISTRICT 2015 ANNUAL MEETING & BUDGET HEARING Date: Monday, October 19, 2015 Time: 7:00 p.m. Location: District Administration & Maintenance Center Board of Education Room 905
State of Georgia Campaign Contribution Disclosure Report
1. Report Type 2. Filing is being made on behalf of: Candidate or Public Official Filing Office Use Only E-Filed on Original Report 4/3/12 8:20 pm C2011005736 - Duane K. Piper Sheriff 3. Identifying and
INCOME EXPENSE REPORT SEPTEMBER 2013
INCOME EXPENSE REPORT SEPTEMBER 2013 INCOME CATEGORY MONTH 2013 YTD 2013 Budget Projected 2012 YTD CDRP Funds 31,445.59 41,927.45 41,927.45 35,274.72 Agency Funds A. Charlevoix County 7,500.00 25,500.00
EFFICIENCY COUNTS INC N ELM AVE HASTINGS, NE
EFFICIENCY COUNTS INC. 1401 N ELM AVE HASTINGS, NE 68901 308-340-7584 November 2, 2018 Dogtown Dance Theatre 109 West 15th Street Richmond, VA 23224 Dear Dear Dogtown Dance Theatre Board: Enclosed is your
Short Form Return of Organization Exempt From Income Tax
JI ^ savings, and investments Short Form Return of Organization Exempt From Income Tax OMB No. 1545-1150 Form 990^EZ. Under section 501 (c), 527, or 4947(a)(1) of the Internal Revenue Code (except black
Short Form. Return of Organization Exempt From Income Tax
Form 990-EZ Department of the Treasury Internal Revenue Service Short Form OMB. 1545-1150 Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue
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
CITIZEN SUPPORT ORGANIZATION 2014 REPORT IMPLEMENTATION OF COMMITTEE SUBSTITUTE SENATE BILL 1194
Florida Department of Environmental Protection CITIZEN SUPPORT ORGANIZATION 2014 REPORT IMPLEMENTATION OF COMMITTEE SUBSTITUTE SENATE BILL 1194 Citizen Support Organization (CSO) Name: Hontoon Island Foundation
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
Short Form Return of Organization Exempt From Income Tax
Form 99-EZ Department of the Treasury Internal Revenue Service Short Form Return of Organization Exempt From Income Tax Under section 51(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private
Maryland State Board of Elections. Campaign Finance Report Summary Sheet
Report Due : Campaign Finance Report Summary Sheet Part 1 Transaction Period This Report covers transactions beginning Final Report (Check if you intend to close the account. This cannot be a final report
Short Form Return of Organization Exempt From Income Tax
Form 99-EZ Department of the Treasury Internal Revenue Service Short Form Return of Organization Exempt From Income Tax Under section 51(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private
LOCH, ELSENBAUMER, NEWTON & CO. A PROFESSIONAL CORPORATION
LOCH, ELSENBAUMER, NEWTON & CO. A PROFESSIONAL CORPORATION ACCOUNTANTS AND CONSULTANTS INDIVIDUAL INCOME TAX ORGANIZER 2014 Taxpayer Name: Spouse's Name: Day Time Phone Number: Cell Phone Number: Email
SOMN.ORG SOMN.ORG. Special Olympics Minnesota Finance Guide
Special Olympics Minnesota Finance Guide 1 TABLE OF CONTENTS SOMN Finance Staff...3 SOMN Finance Overview...4 Finance Chair Responsibilities...5 Centralized Accounting Log In Procedures...6 Centralized
Short Form OMB No Return of Organization Exempt From Income Tax
Form 990-EZ Short Form OMB No. 1545-1150 Return of Organization Exempt From Income Tax Department of the Treasury Internal Revenue Service Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue
City of Grand Island Tuesday, July 25, 2017 Council Session
City of Grand Island Tuesday, July 25, 2017 Council Session Item I-4 #2017-208 - Consideration of Approving FY 2017-2018 Annual Budget for Downtown Business Improvement District 2013 and setting Date for
F Group Exemption Number G Accounting Method: Cash Accrual Other (specify) H Check if the organization is not I Website:
Form 99-EZ Short Form Return of Organization Exempt From Income Tax Under section 51(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation) Sponsoring
COUNCIL ON AMERICAN-ISLAMIC RELATIONS CAIR SEATTLE CHAPTER
Form 99-EZ Short Form Return of Organization Exempt From Income Tax Under section 51(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation) Sponsoring
be subject to contribution limits imposed by local ordinance. Questions concerning local limits purpose of making contributions to candidates
Recipient Committee Campaign Statement The Form 460 is for use by ALL recipient committees, including: Candidates, Officeholders and Their Controlled Committees A candidate or offi ceholder who has a controlled
Recipient Committee Campaign Statement Cover Page (Government Code Sections ) Statement covers period
Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Date of election if applicable: (Month, Day, Year) Date Stamp E-Filed 07/25/2017 11:18:04 Filing ID: 165485987
Form CR-1: CANDIDATE CAMPAIGN PERIOD FINANCIAL STATEMENTS
Election Finances Forms July 2011 Form CR-1: CANDIDATE CAMPAIGN PERIOD FINANCIAL STATEMENTS Completion Guide COMPLETING THE FINANCIAL STATEMENTS The campaign period financial statements have been designed
Welcome to the IECDB Web Reporting System's Help Site. Statement of Organization (DR-1) Disclosure Summary Report (DR-2)
Welcome to the IECDB Web Reporting System's Help Site There are three basic areas: Statement of Organization (DR-1) Disclosure Summary Report (DR-2) Statement of Dissolution (DR-3) When using the IECDB
A For the 2011 calendar year, or tax year beginning 07/01 B Check if applicable:
Form 99-EZ Department of the Treasury Internal Revenue Service Short Form Return of Organization Exempt From Income Tax Under section 51(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black
2018 TAX ORGANIZER - INDIVIDUAL (1040EZ, 1040A & 1040)
2018 TAX ORGANIZER - INDIVIDUAL (1040EZ, 1040A & 1040) Print this form out and take the necessary time to fill it out. Send this form with copies of your tax documents. This will save you time and money,
F Group Exemption Number G Accounting Method: Cash Accrual Other (specify) H Check if the organization is not I Website:
Form 99-EZ Short Form Return of Organization Exempt From Income Tax Under section 51(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation) Sponsoring
A For the 2009 calendar year, or tax year beginning, 2009, and ending, B Check if applicable: C E Telephone number (562)
Form 990-EZ Department of the Treasury Internal Revenue Service Short Form Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black
Short Form OMB No Return of Organization Exempt From Income Tax
lefile GRAPHIC print - DO NOT PROCESS I As Filed Data - I DLN: 93492302007096 Form 990-EZ Department of the Treasury Internal Revenue Service Short Form OMB No 1545-1150 Return of Organization Exempt From
i: T r ~ 1 (~. ~ l~ () r\ ~ :~-~ ~ ;
Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) from 02/20/2011 through 0 3 / 0 2/2 0 11 1. Type of Recipient Committee: GZl Officeholder, Candidate Controlled
CAMPAIGN TREASURER'S REPORT SUMMARY
CAMPAGN TREASURER'S REPORT SUMMARY (1) Paul John Rolli office use only Name () 016 NE 6th Ter Address (number and street) Wilton Manors, FL 33305 City, State, Zip Code 0 Check here if address has changed
2018 TAX PREPARATION AGREEMENT
2018 TAX PREPARATION PACKAGE Michael Turner, CPA/CF PO. Box 1807, Wimberley, TX 78676 Mike@miketurnercpa.com PHONE 512-757-4500 MikeTurnerCPA.com 2018 TAX PREPARATION AGREEMENT Date Taxpayer Name Spouse's
Short Form Return of Organization Exempt From Income Tax
Form 99-EZ Department of the Treasury Internal Revenue Service Short Form Return of Organization Exempt From Income Tax Under section 5(c), 527, or 4947(a)() of the Internal Revenue Code (except private
Date of Election if applicable: (Month, Day, Year) 12/31/2011. Treasurer(s) NAME OF TREASURER Mary Ellen Padilla MAILING ADDRESS MAILING ADDRESS
..., Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) from 07/01/2011 through 12/31/2011 1. Type of Recipient Committee: li2f Officeholder, Candidate Controlled
6. TREASURER'S MAILING ADDRESS 7. TREASURER'S TELEPHONE NUMBER 8100 W FLORISSANT AVE
Missouri Ethics Commission COMMITTEE DISCLOSURE REPORT COVER PAGE C000586 M.E.C. ID NO. INSTRUCTIONS ON REVERSE SIDE 2. FULL NAME OF COMMITTEE 1. OF REPORT OFFICE USE ONLY 3. COMMITTEE MAILING ADDRESS
Montgomery County Unit Committee (PP )
Schedule A: Direct Contributions Over $100 Full Name of Contributor Mailing Address of Contributor Donor Information 1. Employer or Business (If Corporate/Company Donor: N/A) 2. Type of Business(If Corporate
CAPR Special Event/Meeting Planner
CAPR Special Event/Meeting Planner CAPR special events and meetings can be conducted under the auspices of any of the three CAPR corporations. The accounting and reporting requirements are different for
Short Form Return of Organization Exempt From Income Tax
99-EZ Short Form Return of Organization Exempt From Income Tax OMB No. 1545-115 Form Under section 51, 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)
at the end of the year may use this form. The organization may have to use a copy of this return to satisfy state reporting requirements.
Form 990-EZ Short Form Return of Organization Exempt From Income Tax Under section 501(c) 527 or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation) Sponsoring
Short Form Return of Organization Exempt From Income Tax
Form 99-EZ Department of the Treasury Internal Revenue Service Short Form Return of Organization Exempt From Income Tax Under section 51(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private
7. Cost-burdened renter households.
7. Cost-burdened renter households. When families pay more than 30 percent of their income for housing, this means that other important household expenditures such as for food, health care, education,