RECEIvED

llAY
2 3 20t4
State ofSouth Dakota
Campaign Finance Disclosure Statement
Full Name of
Commlnee StreetAddre5s
lf Sellot Quenion Commlttee, Eallot Qt 6tion numbe. or lener.
VERIFICATION OF PERSON MAKING REPORT
(print
name legibly), certi{y that I have examined this
report and to the best of my knowledge and bellef lt
is true, correct and complete. I also understand that
fuilure to timely file any statement, amendment or
correction required sublects the treasurer respon-
sible forfiling to a civil penalty per day for each day
that the statement remains delinquent.
Supportng?
County, municipal and school candidates
file this statement with the person in
charge ofthe local election.
Statewide PACs, political party, ballot
guestion and other rommittees filethis
statement with the Secretaiy of state's
Office.
Secretaryof State, Elections Department
5oo Eait Capltol Ave., Ste 204
Pierre, 5D 57501
or f,axto 605-77 3-6580 or
e-mail to <arh@state.sd,us
Fax and e-mail images must contain the
signature(s) and the original must be filed
in our offce within one week following
the date the faxle-mail was received.
lyF ot C6n|p.l9n
w
Pre-Primary
SLllrreDc
tr
P.e- Convention
tr
Tefmination
!
Mid-Yeaf
tr
YeaFEnd
tr
Amendment
tr
Supplemeot
tr
Pre.General
Relised May lZ 2012
t-23
-
//
INCOME
Direct Contributlons frorn Individuals
Eath t/pe of canrributor ha5 their ovyo sdion for itmiadon. This schedule may be duplicated if you need morc space ot
you
may attach addibonal
iheets ofpaDer-
U n It e m lze d Co nt i6 utioft frem I nd M d u o I s
Entet tot l ofall uh,laer?rt:ed contributions
(5100
or le's eesh from iodividuals) heret
'
I te m ize d Co ntribuli o n s fro n I n dividu o k
Ente. all
jrern,zed
<ontributions
(t
I 0O or more a(h from Ind ivlduals) below:
ttemlaed
(ontibualons
- nter toral ofallitemrzed contrlbutions
(5100
or rnore each fiom individuals):
l,lne lrtm A2
Direct Contributions from Organlzations
An organiation is defind as any colporate emity,
pannership, association, club,labor union, or any group
organl2ed in a colporate form thar i5 not
ddned as: politlcal commlnee ot
political
lErty.
oNtY PAct and Eallot commlttee ouedlons may rChye direct contribstion5 fiom oroaniations.
Itemized Conffi btl,tioas frc m Orgo ni zottons
Name Residantial
[9teet)
Addrcss
Amount
$
$
$
$
$
$
$
$
$
$
c
$
c
c
$
$
e
c
$
{
$
$
$
$
D
D
$
$
$
$
D
c
$
$
q
lhmEd Con'Jtbuatons - Enter total of all it mized corfiibvtions trom orqanizationsi
Lineitem Bl
Dlrect Contrlbutions from Political Parties
Contributions from Pol iticol Porties
Nome Besidential
(Steet)
Address Amount
$
$
$
$
6nter tqral of all contribgtions frDm Political Parties he:
s
LIne ltem Cl
Direct Contributions from ln-State Politi(al Action Committees
Con''ibutioot fJofl,
'oul,l,
IM Pot ti(d Aclion Commia'.'
Nome Resldeatlol
(Steet)
Mdress Amoant
$
$
b
$
$
D
$
$
U
D
$
$
s
$
$
$
$
$
s
I
$
c
I
Enter total of all .ontributiong fiD/n Sourh Dakot PollticalAction Comminee! of South Dakota Candidate Committeej here:
b
Line item Dl
Direct Contributlons fiom Out-of-State Political Actlon Commiftees
Conl'ibt/lqtshan Fcdeml Poh'tkol Astkt r Commilt es
Nome Filing Web Address
Amount
$
I
$
$
$
$
s
$
$
Enta rotal ofall <ontdbutions f,om Federat Politll Adion comftitte6 or Out-of-Sbte Gndidare Commiflper her:
$
Une icrn 02
Direct Contributions from Candldate
(ommittees
Conf'lbgtriont lrcm Ccndidde Commiftcet
Name Rcir,idantia,l
(Svccl.)
Addrc ss
Amount
l
$
$
$
J
$
iD
$
$
$
J
J
$
$
t
$
$
Enter total of all <o nt.ibrrtions hom Candidate Comminees he.e:
$
Llne ltm El
In-Klnd
Contrlbutions
Non-ash cott budons of god
ond r;lz icet arfrahc estimatedfelr
ma*et Jolue
Enter tot l
gf
all efiimated in-hiod contrlbutlons hete:
Llne iiem Fl
Relund, nbotet lt ter t cam.d, ete of
property,
ot oftet lncoicihlch i, ,*t o itrc<tififfi.
D*crip?ion of lncome
E rter total of other income here:
Other Income
Llne iternGr
Establishing
and AdmlnBtering
committee/solicitation
costs
List a categotjcnl desc,iption and the eJtimated valtre offunds or donatlons
by any organization to its political
committee for esrablishing
and
adminlr{ering the polirical committee
or soli(iladon costs of the polrtlcal (omm|Iree.
Organrmtional Nsme ond Categortcol Description lor Direct Funii-
Amount
D
D
D
Enter tqtal h ere:
$
-1-*-
une item Hl
EXPENDITURES
Operational Expenditures
Cetegotles h.ve been provided br reportlng common expen5es.
you
may li$ odier xpense itenrs fi
,/our
dllc.ttioo
CampatgnExpenfts
Amount
Advertlrlog
s
llz<q
.>L
Consulting
htar.st
$
Potage
$
Prlnting
t
2/7-{ 4q
R.nt
s
Salarics
$
Tclcahone
c
Ilav!l
D
t tilirirt
D
Lln other cxpense it m: belov'
$
/inraln rlar a,A*n Lr!;A
-
$
(y'3{.a
[h.^la-.','. mlRu) $
?u '4)
2aa.'kun"
'
( (^nrl,^
12 1,.f. km
$
/3t".'
I
Ltt ln=ik $
/ ?zszJ
.-
D
s
$
J
$
s
$
$
I
$
$
$
c
(
$
Entr total exoend;tures here:
$
)2.LA?.zz
Line hemXl
Contributions Made to Candidates and Committees
None of Condidote or Commiftee
An|p,unt
?Lqaq^
/h,*..
dlu--K" ., r".
,
$
lcD
G"*. {lo^ n"-- f-- }
T
D
t
$
$
$
$
!
$
D
D
I 2<)
tine itemX2
Debts and
Obligations Owed by Commit{ee
*:llTffi:i|:.j'ffwhi(hareincurredbutunpaidattheendofIherponinqperiod.tf"s"rulcet'asn"en@
Ente( total dEbt owed bry commlttee heE:
LIne itenrX3
Loans Owed toCommittee
Bepolt the amount of eadt loan owed to the political commine or polhlcalparty.
rhe amounr of each loan mad-u dwing tDe regoning period and rhe
balance ofeach loan or.ied ro the committe at the end of rhe reponlnq petiod
mun be hemized.
Name of recipienc
of toon, lndudrng oddress. Amount of loon made
during the reporting
parlod
Amoantof loan rcpald
durlng the reporting
perlod
Balance ol loon
at ahe and of che
reportlnq
oerlod
$
s
I
$
e
$ $ o
Enter btal amouot of loans o\ d to ommittee hre:
$ $
$
Linc itrm Yl
line hmY2
Ltne itern Yj
5UMMARY
OF INCI)ME
AND EXPENDITURES
Ealance ofcash and cash equivalents on hand, ifany, atthe beginnang ofthe reporting period; s
77// v3
Credit
Debit
CandidateS Personal
Contribution toOwn Campaign
s
zaoo-*
lncome:
Unilemized Conuibutlon5
s
)'QM
"-
Itemized Contributions
s
I l<aK-.-
Con$ibutions from Candidate Committees
(
Contributions from Organizations
5
Contributlons from Political Parties
ontributions from ln-State PAC5
Contfibrnions from Out-of-Stae or Federal PA,Cs
ln Kind Contdbutions
$ q?o
Otherlncome
Expenditures fiom an externalsource to establish a committee
s
Expenditures
operational
Expendnures
s
t2ai8?.za
Contributions to Candidates and Committees
s
a<).-
DgbR and Obligations Orared by the Committee
s' 29(l/-
tDan Activlty
Monetaryloan madeto Candidate orComminee during repo.ting per
od
Monetaryloan madetoCandidateorcomminee.epalddu.ing,epon
rg pedod
Monetary loan rnade by Commtnee dudng reporting period
$
Monetary loan rcpaid to Camminee during the repo^ing period
29 689.13 21a. 377 2z
Amount on hand
at the end of the reporting period:
$
22/z
'9
*Note:
You cannot end the reporting period wl$r a negative balance.
county, municipal and s(hool
(andidates
file with the pers{n
in <harge ofthe local election.