Nebraska Accountability and Disclosure Commission


Committee Financial Summary Schedule A Schedule B sec 1 Schedule B sec 2 & 3 Schedule C
SCHEDULE A - Contributions of Over $250 Received During a Calendar Year *
List all persons from whom contributions totaling more than $250 were received during the period covered by the report and all persons who have contributed a cumulative total of more than $250 during the calendar year. All contributions from the same donor must be listed under the same name. In the first column list the name and address of each person who has contributed a cumulative total of more than $250 during the calendar year. In the next column, list the date(s) of the contributions except those which have been previously listed. In Column A, list the total amount of the contributions received to date during the calendar year for each of the persons listed. If you are filing your first Campaign Statement for the Primary Election or an annual statement, this column will be blank or show zero. If you are filing your second Campaign Statement for the Primary Election or any subsequent election statement, this column must include amounts listed on the 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 person listed for the calendar year to date. (E.g. A person who gave $150 during the Primary Election and $125 during the General Election would be listed as the cumulative amount contributed during the calendar year is more than $250.)
Name, Street Address or Rural Route, City and State
of Each Contributor Giving a Cumulative Total of
more than $250 During the Calendar Year
Date of Each
Contribution Not
Previously Listed
Total Contributions
Previously Reported
During the
Calendar Year
Cash
Contributions
This Period
In-Kind
Contributions
This Period
Unpaid
Pledges
This Period
Total Contributions
Calendar
Year to Date
    A             +           B         +         C           +           D       =           E          
NOTE: DESCRIBE IN-KIND CONTRIBUTIONS IN THE FIRST COLUMN
             
             
*REMINDER: All individuals who contributed a cumulative total of more than $250 during the calendar year must be listed, including those shown on previous Campaign Statements filed for this election period



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