Professional Documents
Culture Documents
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Supplement
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p:605-773-3537 f:605-773.6580
e-mail to kea.warne@state.sd.us
Fax and e-mail images must contain the
signature(s).
Signature of Trea
nevised Jtnuary 2015
INCOME
Direct Contributions from Individuals
Each type
ofcontributor
rheets ofoaoer,
ha5
their own
'ction
for itemization,This schedule may be doplicated ifyou ned more space or you may atta(h additional
lndividuals
Enter all itemlzed contributions (S100.01 or more each from individuals) below:
laemlzed Contfibutions - Enter total of all llemr'zd contributions (5100.01 or more each from
$ I 4G,-to
SD NDN PAC ].
Amount
Name
Address
5100.01
Glenn Funamura
Aiea Hl 96701
5100.03
Donald Arbitblit
Berkley CA 94708
s11s.00
Michael
ChicaBo
5121.00
Robert Charnas
Westlake CA 91362
s12s.00
s12s.00
Deborah
s130.00
Rothman
Radcliffe
lL 60614
Brooklyn NY 11201
Fa
NealStender
5133.33
Barbara Forster
Minneapolis MN 55415
s1s0.00
Jason Bijur
123
s1s0.00
shelley Dahlgren
s1s0.00
Thomas Firpo
s1s0.oo
William Fleming
5150.00
Barbara Hall
15 Aleutian Road
s1s0.00
Glenda Hollis
GartieH, AR 72732
s1s0.00
Ofer Inbar
Cambridge, MA 02139
5150.00
Rob Knight
Northfield, lL 60093
Slso.oo
Mark Obrinsky
Bethesda, MD 20814
s150.00
Carolvn
63 Ferndale Dr.
Hastings-on-Hudson, NY 10706
sr66.67
Ann Lipton
40 W. Brentmoor Park
5167.00
Winston-sale,
s199.00
John Moore
Washington, DC 20009
S2oo.oo
Robert Cherny
s200.00
Lewis Cohen
Oakland, CA 94605
s200.00
Christopher
Camarillo, CA 93012
s200.00
Tessa Flores
Ithaca, NY 14850
s200.00
Sylvia Ford
Columbia, 5C 29209
s200.00
Carol Freeman
Mlnneapolis, MN 55408
Summers
Ehret
7rh
Ave. #216
rgo ND 58102
Brooklyn NY 11215
E.
lssaquah WA 98029
NC
27103
5D NDN PAC 2
Amount
Address
s200.00
Nancy Friedman
Oakland, CA 94610
s200,00
Connle Hershey
Concord, MA 01742
9200.00
Gordon Miller
s200.00
Michael Morgan
s200.00
William Noble
Novato, CA 94949
s200.00
Therene Powell
Sunnyvale, CA 94086
s200.00
William M Rintz
Hillsboro,
s200.00
Dan Seligson
5200.00
Rosemarie Smallcomb
Mariposa, CA 95338
s200.00
Terry Sullivan
McLean, VA 22101
s2s0.00
Elizabeth colton
S25o.oo
Elizabeth A. Culligan
Pittsboro, NC 27312
5250.00
Iionel Dripps
washinSton, Dc 20009
5250.00
Mark Duvall
5250.00
Kathy Grossman
Hollis, NH 03049
52s0.00
Lesli Gulick
29 Chester Ct.
Brooklyn, NY 11225
s2s0.00
Neele Johnston
25 Froude Circle
Cabin John,
s2s0.00
Larry Lewis
Portland, OR 97221
5250.00
Carolyn Summers
63 Ferndale Dr.
Hastings-on-Hudson, NY 10705
s250.00
Susan Wllliams
19 Bruns St.
Madison,
s250.00
John Yates
Boston, MA 02116
s300.00
Shelley Allen
Anchorage, AK 99504
s300.00
Tessa Flores
Boston, MA 02L16
5300.00
Neeta Lind
Belmont, CA 94002-!223
s300.00
Markos Moulitsas
Berkeley, CA 94703
s300.00
Stuart Oskamp
Claremont, CA 91711
5300.00
Joy Sabl
7008 Willard
Pittsburgh, PA 15208
Michael Williams
Portland, OR 97212
5W
Walnut Creek,
Seattle,
CA
94597
wA 98t36-L227
lt
NJ
62049-1719
MD 20818
07940
SD NDN PAC 3
s33s.0o
James Bruenn
PO Box 309
W. Stockbrldge, MA 01256
5400.00
Mark Schallert
Ssoo.oo
Fredric Andes
S700.00
Stanley Zanarotti
Cambridge, MA 02141
s1000.00
Jay Bear
90l ShaharAve.
s1000.00
Lynn Buhler
Baltlmore, MD 21201
51000.00
Megan Hull
Washington, DC 21201
51000.00
Daniel Weise
Ki*land, WA 98fi13
PAC'S
club labor union, orany group organlzed in a corporate form that is not
and Ballot Committee Ouestions mav recieve direct contributions from o,ganizations.
Amount
{
o
$
iT
(
(
{
c
D
D
o
$
t
c
J
Itemlzed Contrlbutlons - Enter total of all /temized contributions from oroanlzations:
$
Linelrcm 81
Amount
$
$
q
Line item
Cl
Amount
Name
l
$
o
.t
t
ent",,oot of
"ll
.on,ributio
nJ
from 50uth Dakot Polltic.lAction commifteel or south Dakord c6ndldate commlttee5 hete:
Line rtem
Name
Amount
$
$
$
$
q
$
Enter total of all contributions from Federal polltlcal Action Committees or Out-of.State Candldate Committees here:
J
Line item D2
Name
Amount
$
$
$
$
$
$
$
o
iD
J
$
$
Line item El
ln-Kind Contribution!
Non-cash cont butions of good and services and the estimated
fa
market value.
Estimated value
Description
J
$
$
$
)
$
Enter total of all estlmated in-kind contributions here:
Llne itern Fl
Other lncome
n"tun*, r.Uotn,
!!fio!:i!:ettr:f
6rgoni^tt*ot
EXPENDITURES
Operational Expenditul res
Categories have been provided for reporting common expenses. You may list other expense items atyour discretion
Campaign Expenses
Amount
S 5azL
Advrtlsing
.gl
ConsultinE
Interest
Postage
$
$
Prlnting
-<i o
3,2
-7So . bc
$ rl3,q18 .23
Rent
Salaris
Telephone
4zt
T.avel
Utllltles
lozzl .1t
3A6 .rt
$ bt3'l .qz
$ Ll to8 .n
q
it
q
$
Enter total expenditures here:
t9L,659.11
Line item
Xl
incur;
but unpaid at the end ofthe reportlhg period- lfa servicehas been contracted butnotbilled, estimate the
*fhl, *orld
include loans that have been made to this committee (i.e' personal loan to committee)'
ffi|committeeorpo|iticalpafty.TheamoUntofea<h|oanmadedurin9therpoltin9periodandthe
ofthe reporting
luiun."
of
committeeatt! end
"".tt
Name of recipient olloan, including address.
Enter
Balance of loan
ottheend ofthe
Balance of cash and cash equivalents on hand, if any, at the beginning of the reporting period:
lncome
Expenses
s tlLT to
lncome:
(B
tc,. r,r
.*t
.
ot
l)
Gl)
Expenditures
operational Expenditures
(X1 )
fi2)
Loan Activity
Monetary loan made to thls Committee durlng reporting pefiod (Yl)
Monetary loan repald to this Committee during reporting period (Y2)
$ Il,alu
negative balance.
County, municipal and school candidates file with the person in charge of the local election.
'tt/
Unitemized Contributions
(A1 )
PACS (D1)
PAC5 (D2)
(El)
Contributions from Candidate Committees
Other Income {G1)
ffiditures
(Hl
frorn an external sou.ce to establish a committee
(X2)
Contributions to Candidate5 and Committees
(X3)
Debts and Obllgations Owed by the Commitliee
*Note: You cannot end the reporting period with a negative balance'
County,municipalands<hooIcandidatesfilewiththepersoninchargeofthelo<aIelection.