Nebraska Accountability and Disclosure Commission


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 --
             
BRANDON    THEOPHILUS
2007 KOENIGSTEIN AVE
NORFOLK NE 68701  
10/14/2005     500.00   0.00   0.00   500.00  
             
GARY    VOLKMER
145 N. 56 RD
NEBRASKA CITY NE 68410  
12/11/2005     1000.00   0.00   0.00   1000.00  
             
NORTON    WARNER, SR.
32224 W. LAKE PARK DR.
SOUTH BEND NE 68058  
10/20/2005     1000.00   0.00   0.00   1000.00  
             
GARY    WEST
9746 ASCOT DRIVE
OMAHA NE 68114  
10/31/2005     1000.00   0.00   0.00   1000.00  
             
TOM    WHITE
2801 VAN DORN
LINCOLN NE 68502  
10/13/2005     2500.00   0.00   0.00   2500.00  
             
ANDREW    WINSTROM
2515 S 95th Circle
OMAHA NE 68124  
10/10/2005     1000.00   0.00   0.00   1000.00  
             
HANK    WOODS
3175 SHERIDAN BLVD
LINCOLN NE 68502  
10/20/2005     500.00   0.00   0.00   500.00  
             
             
*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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