CANDIDATE S REPORT (to be filed by a candidate or his principal campaign committee) 1.Qualifying Name and Address of Candidate 138 Griffin Rd. 3. Date of Primary 11/4/2014 2. Office Sought (Include title of office as well as parish, city, town and/or election district.) District Attorney Lincoln/Union/ 3rd Judicial Dist. OFFICE USE ONLY Date Filed: 10/6/2014 Report Includes Schedules: Schedule A-1 Schedule A-2 Schedule B Schedule E-1 This report covers from 1/1/2014 through 9/25/2014 4. Type of Report: X 180th day prior to primary 90th day prior to primary 30th day prior to primary 10th day prior to primary 10th day prior to general 40th day after general Annual (future election) Supplemental (past election) Amendment to prior 5. FINAL REPORT if: Withdrawn Filed after the election AND all loans and debts paid Unopposed 6. Name and Address of Financial Institution (You are required by law to use one or more banks, savings and loan associations, or money market mutual fund as the depository of all campaign funds.) 7. Full Name and Address of Treasurer FIRST NATIONAL BANK 2001 N. Trenton St 9. Name of Person Preparing Report ROBERT WILEY Daytime Telephone 318-513-1561 10. WE HEREBY CERTIFY that the information contained in this report and the attached schedules is true and correct to the best of our knowledge, information and belief, and that no expenditures have been made nor contributions received that have not been reported herein, and that no information required to be reported by the Louisiana Campaign Finance Disclosure Act has been deliberately omitted. 8. FOR PRINCIPAL CAMPAIGN COMMITTEES ONLY a. Name and address of principal campaign committee, committee s chairperson, and subsidiary committees, if any (use additional sheets if necessary). This day of,. John F. K. Belton 318-680-6904 Signature of Candidate/Chairperson Daytime Telephone (To be signed by Chairperson only if report by principal campaign committee) Signature of Treasurer Form 102, Rev. 1/98, Page Rev. 3/00 Daytime Telephone Page 1 of 51
SUMMARY PAGE RECEIPTS This Period 1. Contributions (Schedule A-1) 2. In-kind Contributions (Schedule A-2) 3. Campaign paraphernalia sales of $25 or less 4. TOTAL CONTRIBUTIONS (Lines 1 + 2 +3) 5. Other Receipts (Schedule A-3) 6. Loans Received (Schedule B) 7. Loan Repayments Received (Schedule D) 8. TOTAL RECEIPTS (Lines 4 + 5 + 6 + 7) $ 43,466.00 $ 2,400.00 $ 45,866.00 $ 94,252.45 $ 140,118.45 DISBURSEMENTS 9. Expenditures (Schedule E-1) 10. Other Disbursements (Schedule E-2) 11. Loan Repayments Made (Schedule B) 12. Funds Loaned (Schedule D) 13. TOTAL DISBURSEMENTS (Lines 9 + 10 + 11 + 12) This Period $ 133,026.88 $ 133,026.88 FINANCIAL SUMMARY 14. Funds on hand at beginning of reporting period (Must equal funds on hand at close from last report or -0- if first report for this election) 15. Plus total receipts this period (Line 8 above) 16. Less total disbursements this period (Line 13 above) 17. Less in-kind contributions (Line 2 above) 18. Funds on hand at close of reporting period Amount $ 140,118.45 $ 133,026.88 $ 2,400.00 $ 4,691.57 Page 2 of 51
SUMMARY PAGE (continued) INVESTMENTS Amount 19. Of funds on hand at beginning of reporting period (Line 14, above), amount held in investments (i.e., savings accounts, CD s, money market funds, etc.) 20. Of funds on hand at close of reporting period (Line 18, above), amount held in investments FINANCIAL SUMMARY Amount 21. Candidate s personal funds (Use of personal funds as either a contribution or loan to the campaign should be reported on Schedules A-1 or B.) 22. Contributions received from political committees (From Schedules A-1 and A-2) 23. All proceeds from the sale of tickets to fundraising events (Receipts from the sale of tickets are contributions and must also be reported on Schedule A-1.) 24. Proceeds from the sale of campaign paraphernalia (Receipts from the sale of campaign paraphernalia are contributions and must also be reported on Schedule A-1 or Line 3, above.) 25. Expenditures from petty cash fund (Must also be reported on Schedule E-1.) NOTICE The personal use of campaign funds is prohibited.* The use of campaign funds must be related to a political campaign or the holding of a public office or party position. However, campaign funds may be used to reimburse a candidate for expenses related to his campaign or office, to pay taxes on the interest earned on campaign funds or to replace articles lost, stolen, or damaged in connection with a campaign. Excess campaign funds may be returned to contributors on a pro rata basis, given as a charitable contribution as provided in 26 USC 170(c), given to a charitable organization as defined in 26 USC 501(c) (3), expended in support of or opposition to a proposition, political party, or candidacy of any person, or maintained in a segregated fund for use in future political campaigns or activity related to preparing for future candidacy to elective office. *The prohibition on the personal use of campaign funds does not apply to campaign funds received prior to July 15, 1988. Form 102, Rev. Rev. 3/98, Page Rev. 3/00 Page 3 of 51
SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions) The following information must be provided for all contributors to your campaign during this reporting period, except for in-kind contributions. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1, check if the contributor is a political committee or a party committee. Any personal funds a candidate contributes to his campaign must be reported on this schedule. Personal funds a candidate loans to his campaign should be reported on Schedule B. For anonymous contributions, see SCHEDULE F. Totals and subtotals are optional. Completion of totals and subtotals may assist in calculating totals that must be reported on the Summary Page. 1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Election a. Date(s) b. Amount(s) CALVIN AND WANDA ANDERSON 3712 Platt Drive Baton Rouge, LA 70814 06/30/2014 $300.00 $300.00 WILLIAM & RENEE' JOHNSON P O Box 604 4629 Old Basile Hwy Basile, LA 70501 07/03/2014 AMADO LEIJA MANAGEMENT, INC. 1203 Royal Ave., Monroe, LA 71201 06/27/2014 EDWARD & MILDRED SMITH 230 Frazer St Lake Charles, LA 70605 07/01/2014 MARY LOUISE BRYANT 2730 Laster Rd England, AR 72046 06/29/2014 $25.00 $25.00 ALLTEC PLUMBING LLC 418 Tarbutton Rd 06/30/2014 4. SUBTOTAL (this page) 5. TOTAL (complete only on last page of this schedule) 6. CONTRIBUTIONS FROM POLITICAL COMMITTEES: $ 1,125.00 SUBTOTAL (this page) TOTAL (complete only on last page of this schedule) Page 4 of 51
SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions) The following information must be provided for all contributors to your campaign during this reporting period, except for in-kind contributions. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1, check if the contributor is a political committee or a party committee. Any personal funds a candidate contributes to his campaign must be reported on this schedule. Personal funds a candidate loans to his campaign should be reported on Schedule B. For anonymous contributions, see SCHEDULE F. Totals and subtotals are optional. Completion of totals and subtotals may assist in calculating totals that must be reported on the Summary Page. 1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Election a. Date(s) b. Amount(s) RUSSELL OR LEOMIA LASSERE 1329 Meadow St Metairie, LA 70003 06/27/2014 $50.00 $50.00 C (C.A.L.) ARNOLD 703 Jackson St Winnsboro, LA 71295 06/30/2014 MARKUS SNOWDEN P. O. Box 360284 Pelham, AL 35124 06/23/2014 $300.00 $300.00 C. J. ALLEN P. O. Box 68 Lawtell, LA 70550 06/16/2014 ELITE LOYALTY SPORTS LLC TBD TBD, LA 00000 06/13/2014 KEITH L HOUSTON TBD TBD, LA 00000 06/13/2014 4. SUBTOTAL (this page) 5. TOTAL (complete only on last page of this schedule) 6. CONTRIBUTIONS FROM POLITICAL COMMITTEES: $ 1,550.00 SUBTOTAL (this page) TOTAL (complete only on last page of this schedule) Page 5 of 51
SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions) The following information must be provided for all contributors to your campaign during this reporting period, except for in-kind contributions. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1, check if the contributor is a political committee or a party committee. Any personal funds a candidate contributes to his campaign must be reported on this schedule. Personal funds a candidate loans to his campaign should be reported on Schedule B. For anonymous contributions, see SCHEDULE F. Totals and subtotals are optional. Completion of totals and subtotals may assist in calculating totals that must be reported on the Summary Page. 1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Election a. Date(s) b. Amount(s) DDS KEVIN L FINLEY 3801 Cypress St W Monroe, LA 71291 06/09/2014 $250.00 $250.00 L AND M TRAFFIC INC 400 N Kirkman St Lake Charles, LA 70601 06/12/2014 THE CLARK COMPANY, INC P O Box 6 Monroe, LA 71210 06/16/2014 RAGAN BUILDERS 225 Huey Lenard Loop W Monroe, LA 71291 06/17/2014 JOHNNY & J KAREN ARMSTRONG 212 Griffin Rd 05/15/2014 BETTY & VINSON CRAWFORD, SR 2202 Lakeway Dr Friendswood, TX 77546 06/07/2014 4. SUBTOTAL (this page) 5. TOTAL (complete only on last page of this schedule) 6. CONTRIBUTIONS FROM POLITICAL COMMITTEES: $ 1,000.00 SUBTOTAL (this page) TOTAL (complete only on last page of this schedule) Page 6 of 51
SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions) The following information must be provided for all contributors to your campaign during this reporting period, except for in-kind contributions. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1, check if the contributor is a political committee or a party committee. Any personal funds a candidate contributes to his campaign must be reported on this schedule. Personal funds a candidate loans to his campaign should be reported on Schedule B. For anonymous contributions, see SCHEDULE F. Totals and subtotals are optional. Completion of totals and subtotals may assist in calculating totals that must be reported on the Summary Page. 1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Election a. Date(s) b. Amount(s) DOLLAR LAW FIRM P O Box 14310 Monroe, LA 71207 05/16/2014 $2,500.00 $2,500.00 RANDY EWING 923 N Trenton St 06/04/2014 $1,000.00 $1,000.00 RON SMITH CREATIVE P O Box 52412 Shreveport, LA 71135 06/04/2014 $75.00 $75.00 JOHNATHAN WILLIAMS 7645 Parkwood Blvd Apt 10202 Plano, TX 00000 06/05/2014 TODD & SHEILA STERLING 2926 Saratoga Dr Baton Rouge, LA 70808 06/07/2014 DAVE NORRIS 2305 North 7th St W monroe, LA 71291 06/01/2014 4. SUBTOTAL (this page) 5. TOTAL (complete only on last page of this schedule) 6. CONTRIBUTIONS FROM POLITICAL COMMITTEES: $ 3,925.00 SUBTOTAL (this page) TOTAL (complete only on last page of this schedule) Page 7 of 51
SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions) The following information must be provided for all contributors to your campaign during this reporting period, except for in-kind contributions. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1, check if the contributor is a political committee or a party committee. Any personal funds a candidate contributes to his campaign must be reported on this schedule. Personal funds a candidate loans to his campaign should be reported on Schedule B. For anonymous contributions, see SCHEDULE F. Totals and subtotals are optional. Completion of totals and subtotals may assist in calculating totals that must be reported on the Summary Page. 1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Election a. Date(s) b. Amount(s) LEE O ESPRIT 320 Riviere Loop Basile, LA 70515 06/10/2014 ATTY AT LAW RUDY W GORRELL 1215 Prytania St Ste 223 New Orleans, LA 70101 06/09/2014 $250.00 $250.00 BLAKE WHEELIS INS AGENCY 713 Trenton St West Monroe, LA 71291 06/15/2014 $50.00 $50.00 AARON JAMES, JR 1207 Maple St 06/11/2014 CHERYL BELTON 202 Oaklawn Dr Monroe, LA 71203 07/06/2014 $25.00 $25.00 LIZ WHITE 2207 Cooktown Rd 07/03/2014 4. SUBTOTAL (this page) 5. TOTAL (complete only on last page of this schedule) 6. CONTRIBUTIONS FROM POLITICAL COMMITTEES: $ 725.00 SUBTOTAL (this page) TOTAL (complete only on last page of this schedule) Page 8 of 51
SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions) The following information must be provided for all contributors to your campaign during this reporting period, except for in-kind contributions. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1, check if the contributor is a political committee or a party committee. Any personal funds a candidate contributes to his campaign must be reported on this schedule. Personal funds a candidate loans to his campaign should be reported on Schedule B. For anonymous contributions, see SCHEDULE F. Totals and subtotals are optional. Completion of totals and subtotals may assist in calculating totals that must be reported on the Summary Page. 1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Election a. Date(s) b. Amount(s) TRUE VISIONS, INC 1102 E Georgia Suite B 07/09/2014 $250.00 $250.00 MTV LLC COMFORT INN 1951 N Service Rd East 07/10/2014 $750.00 $750.00 LEON SMITH P O Box 1106 Grambling, LA 71245 07/10/2014 MARY CRAWFORD 1727 Hidden Valley Houston, TX 77088 07/08/2014 KENNETH & LULA BRADFORD WESLEY 110 Hemphill Ln 07/09/2014 BURBANK SQUARE LLC 1701 Broadway Ave 07/14/2014 $400.00 $400.00 4. SUBTOTAL (this page) 5. TOTAL (complete only on last page of this schedule) 6. CONTRIBUTIONS FROM POLITICAL COMMITTEES: $ 2,200.00 SUBTOTAL (this page) TOTAL (complete only on last page of this schedule) Page 9 of 51
SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions) The following information must be provided for all contributors to your campaign during this reporting period, except for in-kind contributions. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1, check if the contributor is a political committee or a party committee. Any personal funds a candidate contributes to his campaign must be reported on this schedule. Personal funds a candidate loans to his campaign should be reported on Schedule B. For anonymous contributions, see SCHEDULE F. Totals and subtotals are optional. Completion of totals and subtotals may assist in calculating totals that must be reported on the Summary Page. 1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Election a. Date(s) b. Amount(s) JOHN & ANNETTE MAXWELL 1604 Forest Creek Dr 07/16/2014 $250.00 $250.00 RODNEY & MARY DRIGGERS 1440 Goodwin Rd 07/16/2014 LAURENCE RICHARDSON 16706 Cold Harbor Ln Houston, TX 77083 07/19/2014 OLIVER & OR L BELTON 5836 Wheatley Ave Port Arthur, TX 77640 07/19/2014 $25.00 $25.00 ROYAL RESTAURANTS LLC 138 Griffin Rd 07/24/2014 $2,500.00 $2,500.00 THE VESTED GROUP LLC 301 S Bonner St 07/24/2014 $2,500.00 $2,500.00 4. SUBTOTAL (this page) 5. TOTAL (complete only on last page of this schedule) 6. CONTRIBUTIONS FROM POLITICAL COMMITTEES: $ 5,875.00 SUBTOTAL (this page) TOTAL (complete only on last page of this schedule) Page 10 of 51
SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions) The following information must be provided for all contributors to your campaign during this reporting period, except for in-kind contributions. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1, check if the contributor is a political committee or a party committee. Any personal funds a candidate contributes to his campaign must be reported on this schedule. Personal funds a candidate loans to his campaign should be reported on Schedule B. For anonymous contributions, see SCHEDULE F. Totals and subtotals are optional. Completion of totals and subtotals may assist in calculating totals that must be reported on the Summary Page. 1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Election a. Date(s) b. Amount(s) CARL ROBERTS 222 Carver St Grambling, LA 71245 07/21/2014 BULLDAWG PETS LLC P O Box 1684 West Monroe, LA 71294 07/24/2014 LARRY & CYNTHIA RICHARD 8285 Anastasia Ave Beaumont, TX 77705 07/11/2014 $30.00 $30.00 TRAVIS & CLYDIA DEFREESE 410 Forest Circle 07/25/2014 B J & FRAN SIMON 5005 Somerset Dr Baytown, TX 77521 07/25/2014 $1,000.00 $1,000.00 MATRELL VIGERS 11514 Byronstone Dr Houston, TX 77066 07/26/2014 4. SUBTOTAL (this page) 5. TOTAL (complete only on last page of this schedule) 6. CONTRIBUTIONS FROM POLITICAL COMMITTEES: $ 1,530.00 SUBTOTAL (this page) TOTAL (complete only on last page of this schedule) Page 11 of 51
SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions) The following information must be provided for all contributors to your campaign during this reporting period, except for in-kind contributions. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1, check if the contributor is a political committee or a party committee. Any personal funds a candidate contributes to his campaign must be reported on this schedule. Personal funds a candidate loans to his campaign should be reported on Schedule B. For anonymous contributions, see SCHEDULE F. Totals and subtotals are optional. Completion of totals and subtotals may assist in calculating totals that must be reported on the Summary Page. 1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Election a. Date(s) b. Amount(s) ROBERT RENDINA D C DBA CHIRONETWORK 103 W Georgia Ave 07/30/2014 WILLIAM RUTLEDGE 143 Main St Grambling, LA 71245 08/01/2014 LEONARD ESPREE W Pinhook Rd Bldg 3 Suite 103 Lafayette, LA 00000 07/30/2014 DAMIEN & MICHELLE ESPIRIT 7172 Brickyard Cir Lake Worth, FL 33467 07/26/2014 MENTAL RESTORATION INSTITUTE LLC 608 S Trenton St 08/08/2014 CAMERON MURRAY & ASSOCIATES 401 Hudson Ln Monroe, LA 71201 08/08/2014 4. SUBTOTAL (this page) 5. TOTAL (complete only on last page of this schedule) 6. CONTRIBUTIONS FROM POLITICAL COMMITTEES: $ 1,700.00 SUBTOTAL (this page) TOTAL (complete only on last page of this schedule) Page 12 of 51
SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions) The following information must be provided for all contributors to your campaign during this reporting period, except for in-kind contributions. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1, check if the contributor is a political committee or a party committee. Any personal funds a candidate contributes to his campaign must be reported on this schedule. Personal funds a candidate loans to his campaign should be reported on Schedule B. For anonymous contributions, see SCHEDULE F. Totals and subtotals are optional. Completion of totals and subtotals may assist in calculating totals that must be reported on the Summary Page. 1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Election a. Date(s) b. Amount(s) LOUISIANA BANCSHARES INC 1890 N Railroad Ave Arcadia, LA 71001 08/11/2014 $2,500.00 $2,500.00 LAVALLE SALOMON P O Box 14596 Monroe, LA 71207 07/29/2014 $1,000.00 $1,000.00 TERRY R LEWIS 300 Mayfield Rd 08/18/2014 $250.00 $250.00 JAMES E MARYLAND P O Box 82 Grambling, LA 71245 08/16/2014 JOHN & LIZ HOOD P. O Box 192 08/13/2014 CARL FRANKLIN 910 Pierremont Rd Ste 221 Shreveport, LA 71106 08/15/2014 4. SUBTOTAL (this page) 5. TOTAL (complete only on last page of this schedule) 6. CONTRIBUTIONS FROM POLITICAL COMMITTEES: $ 4,500.00 SUBTOTAL (this page) TOTAL (complete only on last page of this schedule) Page 13 of 51
SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions) The following information must be provided for all contributors to your campaign during this reporting period, except for in-kind contributions. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1, check if the contributor is a political committee or a party committee. Any personal funds a candidate contributes to his campaign must be reported on this schedule. Personal funds a candidate loans to his campaign should be reported on Schedule B. For anonymous contributions, see SCHEDULE F. Totals and subtotals are optional. Completion of totals and subtotals may assist in calculating totals that must be reported on the Summary Page. 1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Election a. Date(s) b. Amount(s) BRENDA HONORE TBD TBD, LA 00000 08/06/2014 DEBRA A JOHNSON 4802 Boulder Trace Ln Katy, TX 77449 08/18/2014 $75.00 $75.00 HOUCK FOR SHERIFF 106 W Woodhaven TBD, LA 00000 08/19/2014 $600.00 $600.00 JAMES & D'ANDRA BRADFORD 709 Leon Dr Jonesboro, LA 71251 JERRY YARBOROUGH 375 Holliman Rd 08/15/2014 LARRY JONES TBD TBD, LA 00000 $60.00 $60.00 4. SUBTOTAL (this page) 5. TOTAL (complete only on last page of this schedule) 6. CONTRIBUTIONS FROM POLITICAL COMMITTEES: $ 1,135.00 SUBTOTAL (this page) TOTAL (complete only on last page of this schedule) Page 14 of 51
SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions) The following information must be provided for all contributors to your campaign during this reporting period, except for in-kind contributions. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1, check if the contributor is a political committee or a party committee. Any personal funds a candidate contributes to his campaign must be reported on this schedule. Personal funds a candidate loans to his campaign should be reported on Schedule B. For anonymous contributions, see SCHEDULE F. Totals and subtotals are optional. Completion of totals and subtotals may assist in calculating totals that must be reported on the Summary Page. 1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Election a. Date(s) b. Amount(s) DAVID BORDELON TBD TBD, LA 00000 WILBERT ELLIS 1005 2nd St Grambling, LA 71245 $175.00 $175.00 MONICA BRADLEY 270 Mockingbird Ln Grambling, LA 71245 LT COL R & MRS EWING COLLIER P O Box 343 Grambling, LA 71245 HEATHER WALKER 1502 St John Ave NANTHALIA MCJAMERSON P O Box 955 Grambling, LA 71245 4. SUBTOTAL (this page) 5. TOTAL (complete only on last page of this schedule) 6. CONTRIBUTIONS FROM POLITICAL COMMITTEES: $ 725.00 SUBTOTAL (this page) TOTAL (complete only on last page of this schedule) Page 15 of 51
SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions) The following information must be provided for all contributors to your campaign during this reporting period, except for in-kind contributions. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1, check if the contributor is a political committee or a party committee. Any personal funds a candidate contributes to his campaign must be reported on this schedule. Personal funds a candidate loans to his campaign should be reported on Schedule B. For anonymous contributions, see SCHEDULE F. Totals and subtotals are optional. Completion of totals and subtotals may assist in calculating totals that must be reported on the Summary Page. 1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Election a. Date(s) b. Amount(s) W D WALKER 611 McDonald Ave BARBARA & ERVIN MCINTYRE 203 Goodlife St Grambling, LA 71245 LARRY GIPSON 215 Madden Rd THERESA WYATT 273 Houston Rd HAZEL & FAITH HUNTER 218 Webster Ave Grambling, LA 71245 W & IANTHA REED P O Box 1779 4. SUBTOTAL (this page) 5. TOTAL (complete only on last page of this schedule) 6. CONTRIBUTIONS FROM POLITICAL COMMITTEES: $ 650.00 SUBTOTAL (this page) TOTAL (complete only on last page of this schedule) Page 16 of 51
SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions) The following information must be provided for all contributors to your campaign during this reporting period, except for in-kind contributions. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1, check if the contributor is a political committee or a party committee. Any personal funds a candidate contributes to his campaign must be reported on this schedule. Personal funds a candidate loans to his campaign should be reported on Schedule B. For anonymous contributions, see SCHEDULE F. Totals and subtotals are optional. Completion of totals and subtotals may assist in calculating totals that must be reported on the Summary Page. 1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Election a. Date(s) b. Amount(s) RANDALL MCDONALD 100 Avoyelles Circle West Monroe, LA 71291 MR & MRS W HUDSON WASHINGTON 121 Goodlife St Grambling, LA 71245 $125.00 $125.00 ROBERT & SUSAN WILEY 829 E Georgia #6 WENDELL WILSON 11718 Highway 4 Chatham, LA 71226 ROB & SHEILA BORDELON 222 Glover Rd ROBERT BORDELON 222 Glover Rd 4. SUBTOTAL (this page) 5. TOTAL (complete only on last page of this schedule) 6. CONTRIBUTIONS FROM POLITICAL COMMITTEES: $ 875.00 SUBTOTAL (this page) TOTAL (complete only on last page of this schedule) Page 17 of 51
SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions) The following information must be provided for all contributors to your campaign during this reporting period, except for in-kind contributions. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1, check if the contributor is a political committee or a party committee. Any personal funds a candidate contributes to his campaign must be reported on this schedule. Personal funds a candidate loans to his campaign should be reported on Schedule B. For anonymous contributions, see SCHEDULE F. Totals and subtotals are optional. Completion of totals and subtotals may assist in calculating totals that must be reported on the Summary Page. 1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Election a. Date(s) b. Amount(s) JIM BROYLES 1400 Davis Blvd SHELTON & KIA RICHARDSON 1262 Martin Luther King Jr Ave Grambling, LA 71245 RICHARD & PATRICIA JONES 210 Griffin Rd RICKY & ANGELA BONNETT 2109 Cooktown Rd KERRY BANKS 150 Shady Nook Choudrant, LA 71227 DORIS ROBINSON 234 Adams St Grambling, LA 71245 4. SUBTOTAL (this page) 5. TOTAL (complete only on last page of this schedule) 6. CONTRIBUTIONS FROM POLITICAL COMMITTEES: $ 850.00 SUBTOTAL (this page) TOTAL (complete only on last page of this schedule) Page 18 of 51
SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions) The following information must be provided for all contributors to your campaign during this reporting period, except for in-kind contributions. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1, check if the contributor is a political committee or a party committee. Any personal funds a candidate contributes to his campaign must be reported on this schedule. Personal funds a candidate loans to his campaign should be reported on Schedule B. For anonymous contributions, see SCHEDULE F. Totals and subtotals are optional. Completion of totals and subtotals may assist in calculating totals that must be reported on the Summary Page. 1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Election a. Date(s) b. Amount(s) MILLER FUNERAL HOME P O Box Monroe, LA 71210 BRUCE & MEDAIE SIEGMUND 3102 Bienville Ave BETTYE ANDERS 201 W Charlotte Ave OBADIAH & ROSE MARY SIMMONS P O Box 710 Grambling, LA 71245 JERRY & JULIET BALDWIN 1525 Bourdeaux Dr BAKARI GUICE 815 Ford St Monroe, LA 71202 4. SUBTOTAL (this page) 5. TOTAL (complete only on last page of this schedule) 6. CONTRIBUTIONS FROM POLITICAL COMMITTEES: $ 1,150.00 SUBTOTAL (this page) TOTAL (complete only on last page of this schedule) Page 19 of 51
SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions) The following information must be provided for all contributors to your campaign during this reporting period, except for in-kind contributions. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1, check if the contributor is a political committee or a party committee. Any personal funds a candidate contributes to his campaign must be reported on this schedule. Personal funds a candidate loans to his campaign should be reported on Schedule B. For anonymous contributions, see SCHEDULE F. Totals and subtotals are optional. Completion of totals and subtotals may assist in calculating totals that must be reported on the Summary Page. 1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Election a. Date(s) b. Amount(s) CHRIS & JEANNIE WITT 2925 Riser Rd $25.00 $25.00 JAMES LEE 920 N Pinetree Rd Simsboro, LA 71275 SUPER 8 MOTEL 1101 Cooktown Rd $501.00 $501.00 JOHN & ERIC JOHNSON 303 Green St Minden, LA 71058 ANGELA SMITH 1717 Benedict Ct, Rowlett, TX 75088 08/01/2014 J & B POULTRY 1834 McCullin Rd Dubach, LA 71235 4. SUBTOTAL (this page) 5. TOTAL (complete only on last page of this schedule) 6. CONTRIBUTIONS FROM POLITICAL COMMITTEES: $ 1,526.00 SUBTOTAL (this page) TOTAL (complete only on last page of this schedule) Page 20 of 51
SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions) The following information must be provided for all contributors to your campaign during this reporting period, except for in-kind contributions. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1, check if the contributor is a political committee or a party committee. Any personal funds a candidate contributes to his campaign must be reported on this schedule. Personal funds a candidate loans to his campaign should be reported on Schedule B. For anonymous contributions, see SCHEDULE F. Totals and subtotals are optional. Completion of totals and subtotals may assist in calculating totals that must be reported on the Summary Page. 1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Election a. Date(s) b. Amount(s) GO PUMP TV P O Box 7364 Shreveport, LA 71137 TERRY MATTHEWS TBD TBD, LA 00000 $25.00 $25.00 RICHARD GALLOTT P. O. Box 1117 GUERRIERO & GUERRIERO 2200 Forsythe Avenue Monroe, LA 71201 RELIABLE LIFE INSURANCE CO 2932 Renwick St Monroe, LA 71210 EUGENE WHITNEY 101 Grout Dr 4. SUBTOTAL (this page) 5. TOTAL (complete only on last page of this schedule) 6. CONTRIBUTIONS FROM POLITICAL COMMITTEES: $ 1,375.00 SUBTOTAL (this page) TOTAL (complete only on last page of this schedule) Page 21 of 51
SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions) The following information must be provided for all contributors to your campaign during this reporting period, except for in-kind contributions. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1, check if the contributor is a political committee or a party committee. Any personal funds a candidate contributes to his campaign must be reported on this schedule. Personal funds a candidate loans to his campaign should be reported on Schedule B. For anonymous contributions, see SCHEDULE F. Totals and subtotals are optional. Completion of totals and subtotals may assist in calculating totals that must be reported on the Summary Page. 1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Election a. Date(s) b. Amount(s) SHIRLEY BURNS P O Box 476 Grambling, LA 71245 EMMA C WILSON 1960 Martin Luther King Jr Ave Grambling, LA 71245 JOSEPH & LYNDA HENDERSON P O Box 1027 FREDRICK CARR 1110 E Mississippi Ave 07/26/2014 SOUTHTRUST AGENCIES LLC 7591 Fern Ave Ste 1903 Shreveport, LA 71105 HILL BROTHERS LOGGING LLC 3728 Highway 15 Spearsville, LA 71277 4. SUBTOTAL (this page) 5. TOTAL (complete only on last page of this schedule) 6. CONTRIBUTIONS FROM POLITICAL COMMITTEES: $ 1,200.00 SUBTOTAL (this page) TOTAL (complete only on last page of this schedule) Page 22 of 51
SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions) The following information must be provided for all contributors to your campaign during this reporting period, except for in-kind contributions. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1, check if the contributor is a political committee or a party committee. Any personal funds a candidate contributes to his campaign must be reported on this schedule. Personal funds a candidate loans to his campaign should be reported on Schedule B. For anonymous contributions, see SCHEDULE F. Totals and subtotals are optional. Completion of totals and subtotals may assist in calculating totals that must be reported on the Summary Page. 1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Election a. Date(s) b. Amount(s) ELAINE DEBERRY 1016 Hwy 150 ROBERT & COURTNEY DAMPF 4896 Pine Valley Way Lake Charles, LA 70605 08/13/2014 $250.00 $250.00 ROBERT & SHIRLEY BURTON 602 Webster St Apt A Kenner, LA 70062 08/18/2014 $300.00 $300.00 DARRELL & KIMBERLY ESPRIT 8321 Hwy 190 Elton, LA 70532 08/22/2014 BRUCE D CARTER P O Box 926 08/22/2014 BILL & RHONDA JONES 1907 Fairview St 08/18/2014 $250.00 $250.00 4. SUBTOTAL (this page) 5. TOTAL (complete only on last page of this schedule) 6. CONTRIBUTIONS FROM POLITICAL COMMITTEES: $ 1,900.00 SUBTOTAL (this page) TOTAL (complete only on last page of this schedule) Page 23 of 51
SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions) The following information must be provided for all contributors to your campaign during this reporting period, except for in-kind contributions. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1, check if the contributor is a political committee or a party committee. Any personal funds a candidate contributes to his campaign must be reported on this schedule. Personal funds a candidate loans to his campaign should be reported on Schedule B. For anonymous contributions, see SCHEDULE F. Totals and subtotals are optional. Completion of totals and subtotals may assist in calculating totals that must be reported on the Summary Page. 1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Election a. Date(s) b. Amount(s) JAMES & MARY SHEPHERD 2190 Mitcham Orchard Rd 08/19/2014 BRUCE & M HAYES CARTER 143 Baxter Rd 08/21/2014 MAHTOOK & LA FLEUR TITLE CO LLC 211 S Correll St Ville Platte,, LA 70586 08/25/2014 R P & ANGELA ALLEN 6394 Pawnee Trail Shreveport, LA 71107 08/28/2014 $300.00 $300.00 TIMOTHY EVERDING 418 Tarbutton Rd 08/29/2014 YUMEAKA WASHINGTON 227 Polk Ave Ste A Jonesboro, LA 71251 09/04/2014 $250.00 $250.00 4. SUBTOTAL (this page) 5. TOTAL (complete only on last page of this schedule) 6. CONTRIBUTIONS FROM POLITICAL COMMITTEES: $ 2,150.00 SUBTOTAL (this page) TOTAL (complete only on last page of this schedule) Page 24 of 51
SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions) The following information must be provided for all contributors to your campaign during this reporting period, except for in-kind contributions. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1, check if the contributor is a political committee or a party committee. Any personal funds a candidate contributes to his campaign must be reported on this schedule. Personal funds a candidate loans to his campaign should be reported on Schedule B. For anonymous contributions, see SCHEDULE F. Totals and subtotals are optional. Completion of totals and subtotals may assist in calculating totals that must be reported on the Summary Page. 1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Election a. Date(s) b. Amount(s) GERRI BELTON P O Box 1078 Opelousas, LA 70571 09/04/2014 AAMAGIN 1 LLC P O Box 40785 Baton Rouge, LA 70835 09/01/2014 $1,000.00 $1,000.00 M & M PRINTING CO INC 305 E Mississippi Ave 08/11/2014 LAW OFFICE OF SMITH & NWOKORIE 104 W Bayou Farmerville,, LA 71241 09/09/2014 BELTON & BELTON ATTORNEYS AT LAW 301 S Bonner St 09/15/2014 $2,300.00 $2,300.00 HELEN C SMITH P O Box 32 Gilliam, LA 71029 09/17/2014 $250.00 $250.00 4. SUBTOTAL (this page) 5. TOTAL (complete only on last page of this schedule) 6. CONTRIBUTIONS FROM POLITICAL COMMITTEES: $ 4,300.00 SUBTOTAL (this page) TOTAL (complete only on last page of this schedule) Page 25 of 51
SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions) The following information must be provided for all contributors to your campaign during this reporting period, except for in-kind contributions. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1, check if the contributor is a political committee or a party committee. Any personal funds a candidate contributes to his campaign must be reported on this schedule. Personal funds a candidate loans to his campaign should be reported on Schedule B. For anonymous contributions, see SCHEDULE F. Totals and subtotals are optional. Completion of totals and subtotals may assist in calculating totals that must be reported on the Summary Page. 1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Election a. Date(s) b. Amount(s) JASON PETERS TBD TBD, LA 00000 09/24/2014 $1,500.00 $1,500.00 4. SUBTOTAL (this page) 5. TOTAL (complete only on last page of this schedule) 6. CONTRIBUTIONS FROM POLITICAL COMMITTEES: $ 1,500.00 $ 43,466.00 SUBTOTAL (this page) TOTAL (complete only on last page of this schedule) Page 26 of 51
SCHEDULE A-2: IN-KIND CONTRIBUTIONS The following information must be provided for all in-kind contributions to your campaign having a monetary value in excess of $25. In-kind contributions include the donation of tangible property, the use of tangible property, or the services of employees paid by a person other than the candidate or his business. In Column 1, check if the in-kind contributor is a political committee or a party committee. Any in-kind contributions a candidate makes to his own campaign must be reported here. Totals and subtotals are optional. Completion of totals and subtotals may assist in calculating totals that must be reported on the Summary Page. 1. Name and Address of In-Kind Contributor 2. In-Kind Contributions this Reporting Period 3. Total this Election a. Description(s) b. Date(s) c. Amount(s) DON MCGEHEE 205 Reynolds Drive Rent 08/01/2014 $1,200.00 $1,200.00 DON MCGEHEE 205 E. Reynolds Drive Rent 09/01/2014 $1,200.00 $1,200.00 4. SUBTOTAL (this page) 5. TOTAL (complete only on last page of this schedule) 6. IN-KIND CONTRIBUTIONS FROM POLITICAL COMMITTEES $ 2,400.00 $ 2,400.00 SUBTOTAL (this page) TOTAL (complete only on last page of this schedule) Page 27 of 51
SCHEDULE B: LOANS RECEIVED The following information must be provided for each loan or line of credit received this reporting period, even if it has been repaid. Also, complete this schedule for loans received in prior periods that are still outstanding. Separate loans must be reported separately, even if from the same source. Any personal funds a candidate loans to his campaign must be reported on this schedule. 1. Name and address of lender 2. a. Date* 4/11/2014 b. Interest rate 0.00 %(a.p.r.) JOHN AND ALANA BELTON 138 Griffin Road c. Amount borrowed*...................... $ 10,000.00 d. Balance due........................... $ 10,000.00 *For lines of credit, give the date the line of credit was first committed at Item 2a and list only the amount actually drawn at Item 2c. OPTIONAL: Total amount of credit available $ 3. Endorsers/Guarantors 4. Repayments this period Date Principal Interest (Enter the full name and address of each person or entity that has endorsed, guaranteed or otherwise secured the loan or line of credit. Also, state the amount of liability for each endorser or guarantor.) (List payments of principal and interest separately. If separate amounts are not known, list all payments under principal.) 1. Name and address of lender 2. a. Date* 6/13/2014 b. Interest rate 0.00 %(a.p.r.) JOHN AND ALANA BELTON 138 Griffin Road c. Amount borrowed*...................... $ 17,752.45 d. Balance due........................... $ 17,752.45 *For lines of credit, give the date the line of credit was first committed at Item 2a and list only the amount actually drawn at Item 2c. OPTIONAL: Total amount of credit available $ 3. Endorsers/Guarantors 4. Repayments this period Date Principal Interest (Enter the full name and address of each person or entity that has endorsed, guaranteed or otherwise secured the loan or line of credit. Also, state the amount of liability for each endorser or guarantor.) (List payments of principal and interest separately. If separate amounts are not known, list all payments under principal.) 1. Name and address of lender 2. a. Date* 7/1/2014 b. Interest rate 0.00 %(a.p.r.) JOHN AND ALANA BELTON 138 Griffin c. Amount borrowed*...................... $ 20,000.00 d. Balance due........................... $ 20,000.00 *For lines of credit, give the date the line of credit was first committed at Item 2a and list only the amount actually drawn at Item 2c. OPTIONAL: Total amount of credit available $ 3. Endorsers/Guarantors 4. Repayments this period Date Principal Interest (Enter the full name and address of each person or entity that has endorsed, guaranteed or otherwise secured the loan or line of credit. Also, state the amount of liability for each endorser or guarantor.) (List payments of principal and interest separately. If separate amounts are not known, list all payments under principal.) Page 28 of 51
SCHEDULE B: LOANS RECEIVED The following information must be provided for each loan or line of credit received this reporting period, even if it has been repaid. Also, complete this schedule for loans received in prior periods that are still outstanding. Separate loans must be reported separately, even if from the same source. Any personal funds a candidate loans to his campaign must be reported on this schedule. 1. Name and address of lender 2. a. Date* 8/4/2014 b. Interest rate 0.00 %(a.p.r.) JOHN AND ALANA BELTON 138 Griffin Road c. Amount borrowed*...................... $ 5,000.00 d. Balance due........................... $ 5,000.00 *For lines of credit, give the date the line of credit was first committed at Item 2a and list only the amount actually drawn at Item 2c. OPTIONAL: Total amount of credit available $ 3. Endorsers/Guarantors 4. Repayments this period Date Principal Interest (Enter the full name and address of each person or entity that has endorsed, guaranteed or otherwise secured the loan or line of credit. Also, state the amount of liability for each endorser or guarantor.) (List payments of principal and interest separately. If separate amounts are not known, list all payments under principal.) 1. Name and address of lender 2. a. Date* 9/16/2014 b. Interest rate 0.00 %(a.p.r.) JOHN AND ALANA BELTON 138 Griffin Road c. Amount borrowed*...................... $ 5,000.00 d. Balance due........................... $ 5,000.00 *For lines of credit, give the date the line of credit was first committed at Item 2a and list only the amount actually drawn at Item 2c. OPTIONAL: Total amount of credit available $ 3. Endorsers/Guarantors 4. Repayments this period Date Principal Interest (Enter the full name and address of each person or entity that has endorsed, guaranteed or otherwise secured the loan or line of credit. Also, state the amount of liability for each endorser or guarantor.) (List payments of principal and interest separately. If separate amounts are not known, list all payments under principal.) 1. Name and address of lender 2. a. Date* 9/18/2014 b. Interest rate 0.00 %(a.p.r.) JOHN AND ALANA BELTON 138 Griffin Road c. Amount borrowed*...................... $ 30,000.00 d. Balance due........................... $ 30,000.00 *For lines of credit, give the date the line of credit was first committed at Item 2a and list only the amount actually drawn at Item 2c. OPTIONAL: Total amount of credit available $ 3. Endorsers/Guarantors 4. Repayments this period Date Principal Interest (Enter the full name and address of each person or entity that has endorsed, guaranteed or otherwise secured the loan or line of credit. Also, state the amount of liability for each endorser or guarantor.) (List payments of principal and interest separately. If separate amounts are not known, list all payments under principal.) Page 29 of 51
SCHEDULE B: LOANS RECEIVED The following information must be provided for each loan or line of credit received this reporting period, even if it has been repaid. Also, complete this schedule for loans received in prior periods that are still outstanding. Separate loans must be reported separately, even if from the same source. Any personal funds a candidate loans to his campaign must be reported on this schedule. 1. Name and address of lender 2. a. Date* 6/2/2014 b. Interest rate 0.00 %(a.p.r.) JOHN AND ALANA BELTON 138 Griffin Road c. Amount borrowed*...................... $ 2,000.00 d. Balance due........................... $ 2,000.00 *For lines of credit, give the date the line of credit was first committed at Item 2a and list only the amount actually drawn at Item 2c. OPTIONAL: Total amount of credit available $ 3. Endorsers/Guarantors 4. Repayments this period Date Principal Interest (Enter the full name and address of each person or entity that has endorsed, guaranteed or otherwise secured the loan or line of credit. Also, state the amount of liability for each endorser or guarantor.) (List payments of principal and interest separately. If separate amounts are not known, list all payments under principal.) 1. Name and address of lender 2. a. Date* 6/5/2014 b. Interest rate 0.00 %(a.p.r.) JOHN AND ALANA BELTON 138 Griffin Road c. Amount borrowed*...................... $ 1,000.00 d. Balance due........................... $ 1,000.00 *For lines of credit, give the date the line of credit was first committed at Item 2a and list only the amount actually drawn at Item 2c. OPTIONAL: Total amount of credit available $ 3. Endorsers/Guarantors 4. Repayments this period Date Principal Interest (Enter the full name and address of each person or entity that has endorsed, guaranteed or otherwise secured the loan or line of credit. Also, state the amount of liability for each endorser or guarantor.) (List payments of principal and interest separately. If separate amounts are not known, list all payments under principal.) 1. Name and address of lender 2. a. Date* 6/13/2014 b. Interest rate 0.00 %(a.p.r.) JOHN AND ALANA BELTON 138 Griffin Road c. Amount borrowed*...................... $ 3,500.00 d. Balance due........................... $ 3,500.00 *For lines of credit, give the date the line of credit was first committed at Item 2a and list only the amount actually drawn at Item 2c. OPTIONAL: Total amount of credit available $ 3. Endorsers/Guarantors 4. Repayments this period Date Principal Interest (Enter the full name and address of each person or entity that has endorsed, guaranteed or otherwise secured the loan or line of credit. Also, state the amount of liability for each endorser or guarantor.) (List payments of principal and interest separately. If separate amounts are not known, list all payments under principal.) Page 30 of 51
SCHEDULE E-1: EXPENDITURES Use this schedule to report information on all campaign expenditures for this reporting period. An expenditure is any payment made for the purpose of supporting your election to public office and includes monies spent for the campaign s general operating expenses. Any payments made that are not expenditures should be reported on SCHEDULE E-2: OTHER DISBURSEMENTS. Totals and subtotals at bottom of page are optional. Completion of totals and subtotals may assist in calculating totals that must be reported on the Summary Page. 1. Name and Address of Recipient 2. Expenditures this Reporting Period a. Date(s) b. Purpose(s) c. Amount(s) LOWES Store #2418 07/02/2014 Stakes/Misc $ 25.39 SUPER SAVE #4 Farmerville, LA 00000 07/07/2014 Misc $ 5.51 LOWES Store #2418 07/09/2014 Stakes/Misc $ 33.56 EXXONMOBIL #2832 Farmerville, LA 00000 07/09/2014 Misc $ 2.65 STARBUCKS #09538 Terrel, TX 00000 07/10/2014 Coffee $ 5.36 CHIPOTLE #0343 Arlington, TX 00000 07/10/2014 Meal $ 23.99 CHEVRON #4266 Tyler, TX 00000 07/10/2014 Gas $ 88.79 STARBUCKS #09538 Terrel, TX 00000 07/10/2014 Coffee $ 6.12 3. SUBTOTAL (optional) $ 191.37 4. TOTAL (optional - complete only on last page of this schedule) Page 31 of 51
SCHEDULE E-1: EXPENDITURES Use this schedule to report information on all campaign expenditures for this reporting period. An expenditure is any payment made for the purpose of supporting your election to public office and includes monies spent for the campaign s general operating expenses. Any payments made that are not expenditures should be reported on SCHEDULE E-2: OTHER DISBURSEMENTS. Totals and subtotals at bottom of page are optional. Completion of totals and subtotals may assist in calculating totals that must be reported on the Summary Page. 1. Name and Address of Recipient 2. Expenditures this Reporting Period a. Date(s) b. Purpose(s) c. Amount(s) CHEVRON #6326 07/10/2014 Gas $ 88.45 FAST TRAC #106 Bossier City, LA 00000 07/11/2014 Gas $ 75.00 U PAK IT Tech Drive 07/11/2014 Misc $ 20.00 HARDEMART #245 07/14/2014 Misc $ 17.14 FIREHOUSE SOUL FOOD 07/23/2014 Meal $ 18.00 DOLLAR GENERAL 07/23/2014 Tape/Misc $ 11.53 BURGER KING #07467 07/25/2014 Meal $ 9.55 CITY OF RUSTON Invoice 1208012 06/30/2014 Utilities $ 173.72 3. SUBTOTAL (optional) $ 413.39 4. TOTAL (optional - complete only on last page of this schedule) Page 32 of 51