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Political Action Committee (Pac) Quarterly Reporting Form

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Political Action Committee (Pac) Quarterly Reporting Form POLITICAL ACTION COMMITTEE (PAC) QUARTERLY REPORTING FORM For assistance in completing To be filed with: this form contact: Mark Martin, Secretary of State Arkansas Ethics Commission State Capitol, Room 026 Post Office Box 1917 Little Rock, AR 72201 Little Rock, AR 72203 Phone (501) 682-5070 Phone (501) 324-9600 Fax (501) 682-3408 Toll Free (800) 422-7773 1. NAME OF COMMITTEE (IN FULL) 2. TYPE OF REPORT Arkansas Bankers Association Group 2 PAC April 15 Quarterly covers January 1 through March 31 ADDRESS July 15 Quarterly 1220 West Third Street covers April 1 through June 30 October 15 Quarterly covers July 1 through September 30 January 15 Quarterly covers October 1 through December 31 CITY, STATE AND ZIP CODE 3. IS THIS REPORT AN AMENDMENT? Little Rock, AR 72201 YES NO SUMMARY FOR REPORTING CUMULATIVE PERIOD TOTALS 4. BALANCE OF FUNDS AT BEGINNING OF REPORTING PERIOD $57,437.00 5. INTEREST EARNED ON COMMITTEE FUNDS (IF ANY) $0.00 $0.00 6. TOTAL MONETARY CONTRIBUTIONS RECEIVED $0.00 $99,562.00 7. TOTAL CONTRIBUTIONS MADE TO CANDIDATES/COMMITTEES $12,500.00 $51,280.00 8. ADMINISTRATIVE EXPENSES $0.00 $450.00 9. BALANCE OF FUNDS AT CLOSE OF REPORTING PERIOD $44,937.00 10. NO ACTIVITY(check if you have not received or made any contributions during this reporting period) I certify under oath that I have examined this report and to the best of my knowledge and belief the information so disclosed is a complete, true, and accurate financial statement. on file Signature of PAC Officer State of Arkansas }ss County of Subscribed and sworn before me this day of , 20 . on file Signature of Notary Public (Legible Notary Seal) My Commission Expires: Note: If faxed, notary seal must be legible (i.e., either stamped or raised and inked) and the original must follow within ten (10) days. The law provides for a maximum penalty of $2,000 per violation and/or imprisonment for not more than one year for any person who knowingly or willfully fails to comply with the provisions of Ark. Code Ann. § 7-6-201 through § 7-6-227. This report constitutes a public record. This form has been approved by the Arkansas Ethics Commission. REVISED 08/09 11. ITEMIZED MONETARY CONTRIBUTIONS RECEIVED BY COMMITTEES OVER $500 Please Type or Print Use Additional Copies of this Page if Necessary Date Name Address of Employer/ Amount Of Cumulative of Contributor Contributor Place Of Business Contribution Total for Year N/A 12. TOTAL ITEMIZED MONETARY CONTRIBUTIONS $0.00 RECEIVED DURING REPORTING PERIOD 13. TOTAL UNITEMIZED MONETARY CONTRIBUTIONS $0.00 RECEIVED DURING REPORTING PERIOD 14. TOTAL MONETARY CONTRIBUTIONS RECEIVED $0.00 DURING REPORTING PERIOD (to be entered on line #6) The law provides for a maximum penalty of $2,000 per violation and/or imprisonment for not more than one year for any person who knowingly or willfully fails to comply with the provisions of Ark. Code Ann. § 7-6-201 through § 7-6-227. This report constitutes a public record. This form has been approved by the Arkansas Ethics Commission. REVISED 08/09 15. ITEMIZED NONMONEY CONTRIBUTIONS RECEIVED BY COMMITTEES OVER $500 Please Type or Print Use Additional Copies of this Page if Necessary Date Full Name and Address of Contributor Description of Value of Cumulative of Nonmoney Item Nonmoney Item Total From Receipt This Contributor N/A 16. TOTAL ITEMIZED NONMONEY CONTRIBUTIONS $0.00 RECEIVED DURING REPORTING PERIOD 17. TOTAL NONITEMIZED NONMONEY CONTRIBUTIONS $0.00 RECEIVED DURING REPORTING PERIOD 18. TOTAL NONMONEY CONTRIBUTIONS $0.00 RECEIVED DURING REPORTING PERIOD IMPORTANT In addition to monetary contributions, political action committees are required to report the receipt of any nonmoney ('in-kind') contributions. A political action committee receives an in-kind contribution whenever a person provides it with an item or service without charge or for a charge that is less than the fair market value of the item or service in question. The value of an in-kind contribution is the difference between the fair market value and the amount charged. The law provides for a maximum penalty of $2,000 per violation and/or imprisonment for not more than one year for any person who knowingly or willfully fails to comply with the provisions of Ark. Code Ann. § 7-6-201 through § 7-6-227. This report constitutes a public record. This form has been approved by the Arkansas Ethics Commission. REVISED 08/09 19. ITEMIZED MONETARY CONTRIBUTIONS MADE TO CANDIDATES AND COMMITTEES OVER $50 Please Type or Print Use Additional Copies of this Page if Necessary Date Name of Address Election for Which Amount Of Candidate/Committee of Candidate/Committee Contribution was Made Contribution To Whom Contribution Made 07/18/2012 Bruce Maloch for State 650 Columbia Road 258 E 2012 General $1,000.00 Senate Magnolia, AR 71753 07/18/2012 Jeremy Hutchinson for 3 Chenal Woods #331 2012 General $500.00 Senate Little Rock, AR 72223 07/18/2012 Johnny Key for Senate PO Box 350 2012 General $500.00 Mountain Home, AR 72654 07/18/2012 Senator Joyce Elliot Re- PO Box 4248 2012 General $500.00 Election Comm Little Rock, AR 72214 07/18/2012 Reginald Murdock P.O. Box 1071 2012 General $500.00 Campaign Marianna, AR 72360 07/18/2012 Stephanie Flowers for 104 Main ST 2012 General $500.00 Senate Ste C Pine Bluff, AR 71601 07/18/2012 David Johnson Senate 2511 Valley Park Drive 2012 General $500.00 Campaign Little Rock, AR 72212 07/18/2012 David Wyatt for Senate 159 Wyatt Lane 2012 General $500.00 Campaign Batesville, AR 72501 07/18/2012 Keith Ingram for State P. O. Box 369 2012 General $500.00 Senate West Memphis, AR 72303 07/18/2012 Allen Kerr for State Rep 126 Courts Lane 2012 General $500.00 Little Rock, AR 72223 07/18/2012 Mark Perry for State Rep P.O. Box 97 2012 General $250.00 Jacksonville, AR 72078 The law provides for a maximum penalty of $2,000 per violation and/or imprisonment for not more than one year for any person who knowingly or willfully fails to comply with the provisions of Ark. Code Ann. § 7-6-201 through § 7-6-227. This report constitutes a public record. This form has been approved by the Arkansas Ethics Commission. REVISED 08/09 07/18/2012 Jonathan Dismang for State 809 Country Club 2012 General $500.00 Senate Searcy, AR 72143 07/18/2012 Les Carnine for State Rep PO Box 615 2012 General $500.00 Rogers, AR 72757 07/18/2012 Jonathan Barnett Campaign 1980 Highway 412 West 2012 General $500.00 Fund Siloam Springs, AR 72761 07/18/2102 John Vines for State Rep P.O. Box 245 2012 General $250.00 Hot Springs, AR 71902 07/18/2012 David Burnett for State 900 Hale 2012 General $500.00 Senate Osceola, AR 72370 07/18/2012 Eddie Joe Williams Re- P. O. Box 1015 2012 General $500.00 election Campaign Cabot, AR 72023 07/18/2012 Tommy Wren for State Rep 325 Allen 2012 General $250.00 Melbourne, AR 72556 07/18/2012 Missy Thomas Irvin Senate P.O. Box 106 2012 General $500.00 Campaign Mountain View, AR 72560 07/18/2012 Jeff Wardlaw for State 801 E Church 2012 General $250.00 House Campaign Warren, AR 71671 07/18/2012 Eddie Armstrong Campaign 510 Orange Stree 2012 General $250.00 North Little Rock, AR 72223 07/18/2012 Deborah Ferguson for State 200 S Rhodes, Suite B 2012 General $500.00 Rep West Memphis, AR 72301 07/18/2012 Mark Lowery for State Rep 229 Summit Valley Circle 2012 General $250.00 Maumelle, AR 72113 09/28/2012 Linda Tyler for State Senate 40 Richland Hills Drive 2012 General $250.00 Conway, AR 72034 The law provides for a maximum penalty of $2,000 per violation and/or imprisonment for not more than one year for any person who knowingly or willfully fails to comply with the provisions of Ark. Code Ann. § 7-6-201 through § 7-6-227. This report constitutes a public record. This form has been approved by the Arkansas Ethics Commission. REVISED 08/09 09/28/2012 Darrin Williams Campaign 2100 Center Street 2012 General $250.00 Fund Little Rock, AR 72206 09/28/2012 Davy Carter Campaign P.O. Box 628 2012 General $250.00 Fund Cabot , AR 72023 09/28/2012 Jason Rapert for Senate PO Box 295 2012 General $250.00 Bigelow, AR 72016 09/28/2012 John Catlett Campaign 11732 W. SH# 2012 General $250.00 Rover , AR 72834 09/28/2012 Bart Hester for State Senate 2024 Shores Ave 2012 General $250.00 Cave Springs,, AR 72718 09/28/2012 Andy Davis for State Rep 7006 Lucea Road 2012 General $250.00 Little Rock, AR 72211 09/28/2012 Mark Biviano for State Rep 118 Emerald Lake Drive 2012 General $250.00 Searcy, AR 72145 20. TOTAL ITEMIZED MONETARY CONTRIBUTIONS MADE TO $12,500.00 CANDIDATES AND COMMITTEES DURING REPORTING PERIOD 21. TOTAL UNITEMIZED MONETARY CONTRIBUTIONS MADE TO $0.00 CANDIDATES AND COMMITTEES DURING REPORTING PERIOD 22. TOTAL MONETARY CONTRIBUTIONS MADE TO $12,500.00 CANDIDATES AND COMMITTEES DURING REPORTING PERIOD (to be entered on line #7) The law provides for a maximum penalty of $2,000 per violation and/or imprisonment for not more than one year for any person who knowingly or willfully fails to comply with the provisions of Ark. Code Ann. § 7-6-201 through § 7-6-227. This report constitutes a public record. This form has been approved by the Arkansas Ethics Commission.
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