Professional Documents
Culture Documents
30
FE0t"t-
RECEIVED
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Fulf Nane of
Go
ge* J)
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Commltta< Chrit treajurer,
Cand'd{e
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CornmifteePorialAddress
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Supporting?
tr
Pre-tuimary
tr
Pre.Convendon
tr
Pre-Genefal
tr
Mid-Year
Dg^rrur Fr**,
(print name legibly), certiff that I have examined this
report and to the best of my knowledge and belief it
is true, correct and complete. I also understand that
failure to timely file any statemen( amendment, or
correction required subjects the treasurer responsible for filing to a civil penalty per day for each day
that the statement remains delinquent.
/0-2s- ttt
Date
WQ^,*
)rgnature ot lreasurer
Revlscd
Mry
| 7, 20r 2
tr
Amendmenr
Year-End
tr
SDFplement
tr
Terminatio^
orfaxto605-773{580 0r
e-mall to <ash@state,sd,u3
Fax and e-mail images must contain the
slgnature(s) and the ofginal rnust bo filed
in our ofi<e within one week following
the date the faVe-mail was received.
L6-23-'14 15:31
FE0I1-
INCOME
Direct Contributlons from Individuals
Ea(h rype ofcontributor has their own 5eclion fur itemizatio^. This schedule may be duplicated if you need more 5pace or you may attach
additional
sheett of 9aDer,
ofall
onrtenrrzEd
contributions
(SIOO
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3 e. *
cj,a^ls*s<.
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0
iierz
Amount
1g-23-'14 15:31
T-073
FFO|{-
PEg'.t/0r3 F-811
entit, partnerihip,
definedasapo|itiCa|commimeorpo||ti(a,pany.
hom
Residenli al ( Street) Addrcts
t te mized
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It
16-23-'14 15;31
FBOM-
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"
.nn ^o - ,r^_,
Amoun?
zao "
q6e
$ rn'
$ SaD'
$ 3oo$ Ll{ooo*
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Cl
Entertota|ofa||co^tdbuIion5from5o'.]thDako.oPo|ni.u|a..io@
Line item
Dl
Is-23-'14 15:31
FROll-
T-Arc
PEg9/813 F-811
Nome
FilingWeb Address
Amount
$
$
$
$
s
$
$
$
Entet total of all (ontributions from Fedetal Polirical Acrion commineet or out-of-State
Candidate Comminees
herei-
'
Line irem D2
Enre( total
FB0t4-
In-Kind Contributions
llon-cath <ontlbutions of good and sellccs and the estlnraaadlo
mo*.t wtue
Name ond residentiat addrest
Des,cription
Estimated Yolae
$
$
$
$
$
$
$
$
Z\
(-/
Line it.D
F1
Other lncome
nefuad* rcbates' iaterest eane4 sor. ol prop:.ry, or other iatome which
Desoiption of lncome
de5(iption and dle ettimated v"lue offunds or donations by any organization ro irs political (omminee for
establishing and
administe.ing rhe political committ ot solicitation cost5 otthe political comminee.
Amount
$
$
$
Enter
ioElhere;
$
Line
iteh Hl
10-23-'14 15:31
T-073
FBOM-
P61,1,/@I3 F-811
EXPENDITURES
Operational Expenditures
Categories have been provided fol reporting common expenses- You may liit othe/ expenre items at you. disc/elion
Campoign Expenses
Amount
$ 3zra$
Advcrtlslng
(onrultlng
lntrcrt
s ft1n
Post ge
Pdntihg
Rg|rt
'ltrc76r
$
Salaricg
$
Ielephono
D
s 4bs
Travel &r
t
twlftilltlos
wo
Vou,J<_
$
$
73n
lo^
$
$
$
s
$
$
$
$
$
$
$
$
$
$
s
Emer total expenditqres here;
$ 6g+rq
l-i^e irem Xl
t0-23-'14 15:31
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T-073 P6WA\3
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$
$
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lunolre
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iql ileullso
lunotlle lelolleruf,
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eqtto Pu" at$D
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awDN
10-23-' 14 15:32
FROl'l-
$o
Debit
Credit
Candidate's Personal Contribution to Own Carnpaign
$ aubq
Unitemized Conributions
lncome:
Itemized Contributions
7202b73-)
$ Llboo"
PACS
$
PAC5
In Kind Contributions
Other lncome
Expenditurei from an enernal source to eJtablish a commine
Mu
I Nurlc
82+l
Expenditures
rg45 fi
Operational Expenditures
Contribulions to Candidates and Committees
!
$
Loan Activity
Monetary loan made to Candidare or Committee during reponing pe(iod
Monetary loan made to Candidateor Committee repaid duling reponing priod
Monerary loan made by Committeduring reportifig period
Monetary loan repaid to Comminee durang th reponing priod
131(0"'
neg.tave balance.
County, municlpal and school <andidates file wath the person in chargc ofthe local election.