Nebraska Accountability and Disclosure Commission

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 --

SUE ARMENT 15418 GERTRUDE ST OMAHA NE 68138		250.00				250.00

CRAIG BOLZ 1091 N. 6TH RD LINCOLN NE 68518		1000.00				1000.00

DONNA BOLZ 6519 FRANCIS ST LINCOLN NE 68505		33.00				33.00

DONNA BOLZ 6519 FRANCIS ST LINCOLN NE 68505		50.00				50.00

KATE BOLZ 2816 JAMESON N #1 LINCOLN NE 68516		150.00				150.00

PAM EISENHAUER 60737 733 RD STERLING NE 68443		400.00				400.00

BARBARA FEY 594 G RD PALMYRA NE 68418		20.00				20.00

KELLY MYERS 420 HARRISON CIRCLE PO BOX 322 BENNET NE 68317		50.00				50.00

BRENDON POLT 1300 G ST #106W LINCOLN NE 68508		196.18				196.18

KORI REED 1012 S. 197TH CIRCLE ELKHORN NE 68022		100.00				100.00

KORI REED 1012 S. 197TH CIRCLE ELKHORN NE 68022		100.00				100.00

KORI REED 1012 S. 197TH CIRCLE ELKHORN NE 68022		100.00				100.00

^*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