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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 Realtors Political Action Committee April 15 Quarterly covers January 1 through March 31 ADDRESS July 15 Quarterly 11224 Executive Center Drive 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 72211 YES NO SUMMARY FOR REPORTING CUMULATIVE PERIOD TOTALS 4. BALANCE OF FUNDS AT BEGINNING OF REPORTING PERIOD $166,152.53 5. INTEREST EARNED ON COMMITTEE FUNDS (IF ANY) $249.83 $253.20 6. TOTAL MONETARY CONTRIBUTIONS RECEIVED $36,199.00 $237,274.51 7. TOTAL CONTRIBUTIONS MADE TO CANDIDATES/COMMITTEES $93,855.50 $93,855.50 8. ADMINISTRATIVE EXPENSES $31,920.30 $129,666.25 9. BALANCE OF FUNDS AT CLOSE OF REPORTING PERIOD $76,825.56 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 05/10/2012 Tom Cannava 8118 Rome Way Bradford & Udouj $2,500.00 $2,525.00 REALTORS® Fort Smith, AR 72916-8704 05/10/2012 Ernest R. Coleman 3001 Edgewater Cove Rausch $1,025.00 $1,025.00 Coleman Realty Fort Smith, AR 72903-5842 06/15/2012 Glee Cosner P.O. Box 2126 Coldwell Banker $272.50 $567.50 Fleming Lau Fort Smith, AR 72902 04/19/2012 Karen Crowson 1900 MILITARY RD SUITE 4 Crye-Leike $275.00 $675.00 REALTORS® Benton, AR 72015 05/21/2012 Gwendalyn 302 White Wing Way Coldwell Banker RPM $315.00 $840.00 Cunningham Jacksonville, AR 72076 04/19/2012 Charles Fawcett 4720 Rogers Avenue Chuck Fawcett Realty $600.00 $825.00 Fort Smith, AR 72903 06/06/2012 Brooksie Felty 1803 Rogers Road Image Realty $1,000.00 $1,025.00 Hartness Paragould, AR 72450-7487 04/19/2012 LESIA FORD 704 N MISSOURI Coldwell Banker $300.00 $775.00 Heritage Homes WEST MEMPHIS, AR 72301 04/19/2012 MICHAEL FORD 704 N MISSOURI Coldwell Banker $300.00 $775.00 Heritage Homes WEST MEMPHIS, AR 72301 06/25/2012 Fort Smith Board of 1715 N. B. Street Fort Smith Board $975.00 $975.00 REALTORS® of REALTORS® Fort Smith, AR 72901 04/18/2012 CAROLYN FOSTER 704 N MISSOURI Coldwell Banker $975.00 $975.00 Heritage Homes WEST MEMPHIS, AR 72301 05/03/2012 Cliff Goodin 800 E Main Street River Valley Realty $950.00 $975.00 Russellville, AR 72811 04/19/2012 DANA GREEN 704 N MISSOURI Coldwell Banker $250.00 $750.00 Heritage Homes WEST MEMPHIS, AR 72301 04/19/2012 Dwayne Hatt 2221 S Caraway Burch & Co. $300.00 $575.00 Real Estate Suite C Jonesboro, AR 72401 04/19/2012 SHARLA LAU 2910 ROGERS AVENUE Coldwell Banker $300.00 $675.00 Fleming Lau FORT SMITH, AR 72901 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 05/30/2012 Keith Lau 5112 Park Weichert Realty $1,000.00 $1,025.00 Fort Smith, AR 72903-1419 04/18/2012 NICK MCDANIEL 3026 E WOODSON McDaniel & Co. $500.00 $525.00 HENSLEY, AR 72065 06/21/2012 RALPH MCDANIEL 10101 MABELVALE PLZ McDaniel & Co. $950.00 $975.00 STE 9 LITTLE ROCK, AR 72209 04/19/2012 PENNE MCKINNIE 3400 JFK BLVD Crye-Leike $250.00 $600.00 REALTORS® NORTH LITTLE ROCK, AR 72116 05/31/2012 Larry Meyers 3399 Central Avenue Meyers Realty $975.00 $975.00 Hot Springs, AR 71913 04/19/2012 Jonathan Moore 3801 W Walnut Lindsey & Associates $1,000.00 $1,065.00 Fayetteville, AR 72756 04/18/2012 BILL OLSON 949 BATESVILLE BLVD The Property Shoppe $500.00 $535.00 BATESVILLE, AR 72501 04/19/2012 Edward Penick Jr. 10 Longfellow Place Hathaway Group $300.00 $575.00 Little Rock, AR 72207-3748 04/19/2012 CHRIS 4039 CENTRAL ERA Rushing $500.00 $725.00 POLYCHRON McAdams Polychron HOT SPRINGS, AR 71913 04/19/2012 DANA POWELL 12814 Cantrell Road Keller Williams Realty $700.00 $975.00 LITTLE ROCK, AR 72223 06/25/2012 Stephen Raffaelli #3 Meanderin Lane ERA Raffaelli $620.00 $875.00 REALTORS® Texarkansa, TX 75503 06/20/2012 DEBBIE RAWLS 1402 W COURT Coldwell Banker $400.00 $575.00 Real Estate Group PARAGOULD, AR 72450 04/19/2012 Paulette Richie 20 Wickford Lane Coldwell Banker RPM $300.00 $575.00 Little Rock, AR 72212 06/15/2012 Laurie Rushing 4262 Central Avenue Trademark $442.50 $667.50 Real Estate Hot Springs, AR 71913 04/18/2012 Alan Whisenhunt 4301 Kenyon Drive Janet Jones Co. $1,000.00 $1,025.00 Little Rock, AR 72205 04/18/2012 Linda Williams 405 Victoria Lane REMAX Real $1,000.00 $1,025.00 Estate Today Marion, AR 72364-2623 04/19/2012 DOYLE YATES 3589 N COLLEGE Coldwell Banker $300.00 $605.00 Harris, McHaney FAYETTEVILLE, AR 72703 & Faucette 12. TOTAL ITEMIZED MONETARY CONTRIBUTIONS $21,075.00 RECEIVED DURING REPORTING PERIOD 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 13. TOTAL UNITEMIZED MONETARY CONTRIBUTIONS $15,124.00 RECEIVED DURING REPORTING PERIOD 14. TOTAL MONETARY CONTRIBUTIONS RECEIVED $36,199.00 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 04/06/2012 Bryan King 871 County Road 814 Primary, 2012 $1,000.00 Green Forest, AR 72638 04/06/2012 Bill Pritchard 19998 MOHAWK DRIVE Primary, 2012 $1,000.00 Elkins, AR 72727 04/06/2012 Steve Harrelson 300 N. State Line Avenue Primary, 2012 $1,000.00 Texarkana, AR 71854 04/06/2012 Missy Thomas Irvin PO Box 1414 Primary, 2012 $1,000.00 Mountain View, AR 72560 04/06/2012 David Wyatt 159 Wyatt Lane Primary, 2012 $1,000.00 Batesville, AR 72501 04/06/2012 Robert Thompson 129 Cypress Pointe Drive Primary, 2012 $1,000.00 Paragould, AR 72450 04/06/2012 Stephanie Flowers 104 Main Street Primary, 2012 $1,000.00 Ste C Pine Bluff, AR 71601 04/06/2012 Bobby Pierce 587 Grant 758 Primary, 2012 $1,000.00 Sheridan, AR 72150 04/06/2012 Jonathan Dismang PO Box 475 Primary, 2012 $1,000.00 Beebe, AR 72012 04/06/2012 David Johnson P.O.
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