Nebraska Accountability and Disclosure Commission


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Committee Financial Summary Schedule A Schedule B Schedule C Schedule D
SCHEDULE A - Contributions Over $250 Received from the Candidate and Other Individuals *
List all individuals from whom contributions totaling more than $250 were received during the period covered by the report and all individuals who have contributed a cumulative total of more than $250 during the election period. (Include all contributions from the candidate if they aggregate more than $250.) All contributions from the same donor must be listed under the same name. In the first column list the name and address of each individual who has contributed a cumulative total of more than $250 during the election period. In the next column list the date(s) of the contributions, except those which have been previously reported. In Column A, list the total amount of the contributions received to date during the election period as of the beginning of the reporting period from each of the individuals listed. If you are filing your first Campaign Statement for the Primary Election or an annual statement, the column will show zero. If you are filing your second election Campaign Statement or any subsequent election statement, this column must include amounts listed on previous election Campaign Statements. In Columns B, C, and D, list the contributions received during this period. In Column E, list the total contributions received from each of the individuals listed for the election period to date. (E.g., An individual who gave $150 during the Primary Election and $125 during the General Election must be listed since their total contributions during the election period exceed $250.)
Name, Street Address or Rural Route, City and State of Each Individual Who Contributed a Cumulative Total of More Than $250 During the Election Period Date of Each
Contribution Not
Previously Listed
Total Contributions
Previously Reported
During the
Election Period
Cash
Contributions
This Period
In-Kind
Contributions
This Period
Unpaid
Pledges
This Period
Total Contributions
Election
Period to Date
    A             +           B           +         C           +           D         =           E            
NOTE: DESCRIBE IN-KIND CONTRIBUTIONS IN THE FIRST COLUMN
-- REFERENCE CANDIDATE COMMITTEE TREASURER'S GUIDE FOR EXAMPLES --
             
CARITA    BAKER
1747 F STREET, APT A
LINCOLN NE 68508  
  500.00         500.00  
             
WARREN (3555)    BUFFETT
3555 FARNAM STREET
OMAHA NE 68131  
  50000.00         50000.00  
             
MIKE    DUNLAP
6651 Eastshore Drive
LINCOLN NE 68516  
  1000.00         1000.00  
             
RICHARD  D  HOLLAND
1501 S. 80TH ST.
OMAHA NE 68124  
  50000.00         50000.00  
             
JUSTIN    KEMERLING
1200 SOUTH 20TH STREET #3
LINCOLN NE 68502  
  1000.00         1000.00  
             
DIANNE  S  LOZIER
3611 HAWK WOODS CIRCLE
OMAHA NE 68112  
  50000.00         50000.00  
             
MARK    MUNGER
PO BOX 30243
LINCOLN NE 68503  
  1000.00         1000.00  
             
JAMES    NEWLAND
13309 NICHOLAS ST.
OMAHA NE 68154  
  1000.00         1000.00  
             
TONN    OSTERGARD
7001 STEVENS RIDGE RD.
LINCOLN NE 68516  
  1000.00         1000.00  
             
HARVEY    PERLMAN
9101 PIONEERS COURT
LINCOLN NE 68520  
  1000.00         1000.00  
             
CHRISTINE    SHAW
5803 JONES STREET
OMAHA NE 68106  
  1000.00         1000.00  
             
WALLACE    WEITZ
1610 S. 91 AVE
OMAHA NE 68124  
  50000.00         50000.00  
             
             
*REMINDER: All individuals who contributed a cumulative total of more than $250 during the election period must be listed, including those shown on previous Campaign Statements filed for this election period



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