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it 774 to Z-,41 7 -"c I ;..-4._..., 4 Vo, 2015 OCT4.13 Fi Summa Sheet (CFA-4) e "1 C..) C

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REPORT OF RECEIPTS AND EXPENDITPM State Form 4606 (R13/11-05)!Walla Election Commission (IC ) 2015 OCT4.13 Fi INSTRUCTIONS: Please type or print legibly IN BLACK INK all informdiewp coy Vii
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REPORT OF RECEIPTS AND EXPENDITPM State Form 4606 (R13/11-05)!Walla Election Commission (IC ) 2015 OCT4.13 Fi INSTRUCTIONS: Please type or print legibly IN BLACK INK all informdiewp coy Vii assistance in completing this form, see instructions on the reverse sid dl SCARD IS THIS AN AMENDMENT? Yes eno (CFA-4) Summa Sheet TOTAL PAGES IN ENTIRE CFA-4 REPORT COMMITTEE INFORMATION 1. Full Name Committee (as on Statement Organization) M Check if this is a new name 2. Acronym or Abbreviated Name (if any) 3. Committee Telephone Number 4. Mailing Address (address where all campaign finance correspondence is received) f3yf2cef.sj :Li4 6,,t_ = 5. City, State, 2IP Z-,41 7 - c I ;..-4._..., 4 Vo, 7. Full Name Candidate (include any nickname) ( ) e 1 C..) C CANDIDATE INFORMATION (For Candidate's Committees Only) Check if this Is a new address 6. Party Affiliation (if applicable) 8. Party Affiliation or If Independent Candidate 9. Office Sought (Include district number, if any. Not required for exploratory committee.) 10. County Residence 11. Check one: TYPE OF REPORT Pre-Primary Pre-Election Annual U Nomination Other Final/Disbands Committee (lines 18, 19, and 20 must be IT) Ej Outgoing Treasurer (within 10 days amend Statement Organization) 12. Reporting Period: -' Throu h. From: Z/ il - /5 I.47; Cash on hand and investments at the beginning this reporting period. 14. Cash on hand and investments January 1, current year. CONTRIBUTIONS AND RECEIPTS (Note: these amounts include in-kind contributions and loans, as well as cash contributions.) CONVENTION Check one: This Period Pre-Convention Post-Convention illarlill. CANDIDATES ONLY: -,, COLUMN B e. Year to Date 15a. Itemized (use Schedule A) 3 V ? 7...5 b. Unitemized 15c. Add lines 15a and 15b in both columns SUBTOTAL 3S77 S 1 6. Add lines 13 and 15c in Column A and lines 14 and 15c in Column B TOTAL EXPENDITURES (Note: These amounts include in-kind expenditures and loan repayments.) -19- &_... MM. d G0 Y S.Z. 17a. Itemized (use Schedule 8) (Public Question: use Schedule C) -29 1/ -6.2 vei, 6,.? 17b. Unitemized 0 % 17c. Add lines 17a and 17b in both columns SUBTOTAL hr'e.t , 18. Cash on hand and investments at dose this reporting period (subtract 17c from 16 in both columns) TOTAL Debts OWED BY the committee (use Schedule 0) it 774 to 20. Debts OWED TO the committee (use Schedule E) ---O ' - I CERTIFY THAT I HAVE EXAMINED THIS STATEMENT. TO THE BEST OF MY KNOWLEDGE AND BELIEF IT IS TRUE CORRECT AND COMPLETE. Signature Treasurer Title Date OR OFFICE USE ONLY 1-{ ignat o Candidate (if applica Date 0-13 /,*-r W KING: Any m aeon contained in this report may not be copied for sale or used for any commercial purpose. (IC ) A person who knowingly fifes a fraudulent report commits a Class 0 felony. (IC ) A person who fails to file a complete or accurate report as required by the Indiana ramnainn Finanra i aw rammitg a ('lags R miedamaannt tr.: and may ha paohiarti to riuil nanaltia,e R1 ANL/ State Form 4G01; (R13/11 05) eidiana Etecieri CA:intact:firm (1::: ..1-ir.5-14) INSTRUCTIONS: LIST ONLY CONTRIBUTIONS BY INDIVIDUALS Olt THIS SCHEDULE. Please type tv print tetra** IN `BLACK INK as information on this sdmitile. For astartse in completing this schedule, see instrutins on the reverse side. This stedule is used ki document contributicra and reserms totaled u ITEM 15a hi the Summar ), Sheet. At cumulative contributions from individuals OVER $100 per c -ontioutor, within a calendar year MUST be iterrized on this schocuie (over S20. it sepia' party committee', AF cumteathre receipts, isuch ac loan proceeds and reoarmerts refunds rebates. returns at deposit, proceeds from sale:, interest or other insane) OVER $100 per contributor. within a calendar year, MUST be itemized on this schedule (over :203 it copular party committee). A =Added-Ws occupation is required it an individual makes at least $1,000 in contribuliorm define the calendar year. 011ienvise. this is notional (CFA-4 SCHEDULE A-1) CONTRIBUTIONS BY INDIVIDUALS Itemized Contributions and Other Receipts FILE WIIIIMEP. r. CONTRIBLOORT PULL NAME AND OCCUPATION FULL MAILINIC ADDITES3 (street, number, city, state ZIP ) TYPE OF CONTRIBUTION OR OTHER RECEIPT AmouvrTHIS COLUMN B YEAR:TO DATE DATE RECEIVED RECEIVED IN in- Kine (ver.crip(?) /07. _3 Z U Contributor's Occupation Circa:mart) 2. \- Interest Loan mist..v7.69 aributtons: in-kim; Idescrii.t) zt(,c,/ 3 4,/ A k %1- Octet Receipts: U interest Loan tubs Spe:City!,ontributrr's Occupation tirraptarc C..uttu buttons: U u.-kind Other Receipts interest Loan 0 Liicc. (Princirri untributo 's Occupation fe rerrixedl tabu:ions.. Duccl D Ii Kim! (rie;:critto Piet Receipt:. interest0 Lora, esc. f,speciiy) mobs/inns Otruliition lir teemed, 1filf ir.)1.111(.111:: i rrn, e;,!?!'. f..r:;,e, other kkieirns r-- Lt t., zr.tsraitch teuv,,,,r, :AISTOT AL 1 HIS PAGE OF SCHEDULE 1(5T:174, A ALL PAGES 6T SCHEDUCE. A ON'THE LAST PAGE OWL Y (Erne,- ipral on ITEM 1'4? (if ';itrnmar3 ;:it, er! REPORT OF RECEIPTS AND EXPENDITURES State Form 4606 (R13/11.05) Indiana Election Commission (IC ) INSTRUCTIONS: LIST ONLY CONTRIBUTIONS BY LABOR ORGANIZATIONS ON THIS SCHEDULE. Please type or print legibly IN BLACK INK all information on this schedule. For assistance in completing this schedule, see instructions on the reverse side. This schedule is used to document contributions and receipts totaled on ITEM 15a the Summary Sheet. All cumulative contributions from labor organizations OVER 5100 per contributor, within a calendar year MUST be itemized on this schedule (over S200. if reguky party committee). Al cumulative receipts. (such as loan proceeds and repayments, refunds, rebates, returns deposit. proceeds from sales, interest or othor income) OVER S100 per contributor, within a calendar year, MUST be itemized on this schedule (ovor 3200 if uvular party committee). (CFA-4 SCHEDULE A-3) CONTRIBUTIONS BY LABOR ORGANIZATIONS Itemized Contributions and Other Recei is CONTRIBUTOR'S FULL NAME AND FULL MAIL!NO ADDRESS (street, number, city. state, ZIP code) TYPE OF CONTRIBUTION OR OTHER RECEIPT AMOUNT THIS COLUMN B YEAR-TO-DATE DATE RECEIVED RECEIVED BY CX-J Lj Z- 0 C ea / (e 7 X 7 Poi. (. 1, t. 7-1 gantriputions: UV in-kind (describe) Misc, (specify),3 Do 0 _,A,,...e ,--- / j(ai 7-r- is) rc 1,.,..,--t-,.; A (p. 1 / 7 I-1 AcIt.i ) Stc.. t S l''- 0.1 c-eit't I) tii. I Ili f( V /6 CAS Cr ) LOC.,.4- I/ CS (0 G i olk. i g. i 1. 3 N._ (Z-C -4-j-- GA-Cy I 6 c1 6 7 in-kind (describe) Other Receipts; III Interest Loan misc. (specify) Contributions, [,, In-Kind (describe) Other Receipts. misc. (specify) t /0 U' 6 Z. ', 0.. u g -0 / -1.5-,,. 1 jp 1 ri --, c..4 a c '. avet /4.) C' Q' 'rent In-Kind (describe) 0 IVIisc. (specify) $ ( 1 00*(SO (4 0 -/ 5. II In-Kind (describe) Interest Loan Misc. (specify) SUBTOTAL THIS PAGE OF SCHEDULE A $ 0.00 TOTAL OF ALL PAGES. OF SCHEDULE A ON THE LAST PAGE ONLY (Enter total on ITEM 15a the Summary Sheet) S if 0 S cl 0-0 i '. REPORT OF RECEIPTS AND EXPENDITURES State Form 4606 (R ) Indiana Election Commission (IC (CFA-4 SCHEDULE B) ITEMIZED EXPENDITURES INSTRUCTIONS: Please type or print legibly IN BLACK INK all information on this schedule. For assistance in completing this schedule, see instructions on the reverse side. This schedule is used to document expenditures totaled on ITEM 17a the Summary Sheet. Al cumulative expenses paid to individuals, businesses, labor organizations and other entities OVER S100 per recipient, within a calendar year MUST be itemized on this schedule (over $200, if regular party committee). All cumulative expenses, including in-kind, regardless amount paid to political committees, (such as transfers-out from candidate. legislative caucus. political action or regular party committees) MUST be itemized on this schedule. FILE NUMBER pf- ( JFIFN[!:, NAME AND MAILING,,-,i)Dpi!,c, f fir(1,.',0171t,:r. ( ily, 51,1;,, /IP :.6,,,',-..! RE `.1PIENT OCCUPATION OFFICE SOUGHT (if applicable) Vr`PL Of LXPENDSI U OC and riippose (ipi,p,i, ) AMOUNT THIS 001 MIN U YEAR-I 0 DATE Art_ ot E XPE NEM LIRE 51 6 k) telftt Pr!r4 In-Kind 0 Returned Contribution t% Lii., 11 Other... 0 /..). ilb oii &i't.,,,,2 s- ty,,,,...,,,,. Aid 4 6-aphics c.,,,,,14_,4 I ^44.,. In-Kind Retumed Contribute:in an 615 pother Pupose 1 li In-Kind Cod i $ Alit Returned Contributon f .0,-ni41,) if) oe- Other -541-t V- a '. ' S'''' In-Kind _9...lel bt, Si 67 h( Returned Contribution 00ther,.. i, -Ad 'V ,, A * } 44 if-e- Pa Idi-Ars. C C11G rt. Acj 51', 1.\ Wt. Di t 0 in-kind fid3 to? ill Returned i 10iri /5 --- 14/4 6 - Y/Ze// f i. --. Li he)/ /5-- rpose...s., c. Ift,...t. ect 0 In-Kind Payment Debt I.P5. Returned Contribution 1:17p Othe4i r Lid Cod 0 In-Kind 1 III Payment Debt Returned Contribution 00ther _,.. _..., Fe SUBTOTAL THIS PAGE OF SCHEDULE B $ 0.00 TOTAL OF ALL PAGES OF SCHEDULE B ON THE LAST PAGE ONLY, (Enter total on ITEM 17a the Summary Sheet) ' o2 4/ Co,2 I 1)i- RECEIPTS AND EXPENDITURES State Form 4 .'..J:i; (Pt r;14;51 indtanti Decebr Corm:it...1:1de (CFA-4 SCHEDULE D) DEBTS OWED BY THIS COMMITTEE.STRUC71011S: Pe:!: iys t! fjr print ielittiy IN BLACK INK all information cm this sctieduit. Fs itedttie, see mstrustinns on die reverse side. t- List a assistance in cyrndletin g this wing reoottine ty, debt and inatt, tedardies am Eanount. OWED BY the committee mod. induee ail amount owed lo7 os to send anvjunts, etc. Lk..! cia,7`j1 vendoi individuan, teat purthases. paid by credit :Tad issued in L.:manatee mdit the name ol the committee in the ENDORSER'S column. A ider t; e - - baeon t required if an individual mites loam at least $1,0(4 eiu nq th;.! -,aieneer year. Otherwise, this is nal. CEO ITDR'S DR LENDER'S NAZI.' E. NAILING tuir:zas (street, numb2r, rily, alto, ;VP =do) ENDORSER'S OR VENDOR'S NAME & MAILING ADDREss (iiony) (r.trrnf, nurnbcr, city, state, ATP cork) CO VT NATURE OF DEBT DATE DEBT 1 CULlULATIVE INCURRED I PAID YEAR TO,DATE OUTSTANDING DALANCETHIS PERIDD a A e s 1\-4. L. i /5'6, 3.Z c) h r. k±,, c. . UCLAWA7101t. r1) I c I ;V /5 / /- 4 -F. fr% r..,.; ;:twotrj! IMM.;;UPAIt')t, ::UBT (11A1 1 MS PAGE OF '''`oheimle L S. TOTAL OF ALL. PAGE G SZHEULF t Ofl THE L. PAGE OiiLy remer total (ar) /TEM 15!Of.).Suro S.
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