PUBLIC DISCLOSURE COMMISSION THIS SPACE FOR OFFICE USE
711 CAPITOL WAY RM 206 PO BOX 40908 CASH RECEIPTS 100853743 OLYMPIA WA 98504-0908 MONETARY (360) 753-1111 C3 TOLL FREE 1-877-601-2828 CONTRIBUTIONS (1/02) 08-20-2018
Candidate or Committee Name (Do not abbreviate. Use full name.)
Washington State Senate Democratic Caucus Mailing Address 4130 1st Ave S Suite D City Zip + 4 Office Sought (candidates) Election Date Seattle, WA 98134 2018 1. MONETARY CONTRIBUTIONS DEPOSITED IN ACCOUNT
Date Amount Total Received
a. Anonymous ......
b. Candidate’s personal funds deposited in the bank (include candidate loans in 1c)......
c. Loans, notes, security agreements. Attach Schedule L ......
d. Miscellaneous receipts (interest, refunds, auctions, other). Attach explanation ......
e. Small contributions $25.00 or less not itemized and number of persons giving (persons) 2. CONTRIBUTIONS OVER $25.00 P G Date Contributions of more than $100:* R E Amount Aggregate* Received Contributor’s Name, Address, City, State, Zip Employer’s Name, City and State I N Total
08/09/18 BIOPAC
1551 Eastlake Ave E, Ste 300 $1,000.00 $1,000.00
Seattle, WA 98102 ,
Occupation
08/08/18 Elect Sharon Nelson Surplus
7318 SW 258th Pl $62,000.00 $62,000.00
Vashon, WA 98070 ,
Occupation
08/09/18 Nick A Federici
2714 N Alder St $100.00 $100.00
Tacoma, WA 98407 ,
Occupation 08/09/18 Karen Fraser Not Employed
7806 Cooper Point Rd NW $250.00 $250.00
Olympia, WA 98502 Olympia, WA
OccupationRetired 08/08/18 Friends of Reuven Carlyle PO Box 9100 $50,000.00 $50,000.00 Seattle, WA 98109 ,
Occupation Sub-total $113,350.00 x Check here if additional Amount from $193,375.00 pages are attached attached pages *See reverse 3. TOTAL FUNDS RECEIVED AND DEPOSITED OR CREDITED TO ACCOUNT $306,725.00 for details. Sum of parts 1 and 2 above. Enter this amount in line 1, Schedule A to C4. 4. Date of Deposit I certify that this report is true and complete to the best of my knowledge Treasurer’s Signature Date 08/15/18 Jay Petterson 08-20-2018 Treasurer’s Daytime Telephone No.: (206)486-1009
RECEIPTS CONTINUATION SHEET (Attachment to C-3 Form) Page 2 Candidate or Committee Name (Do not abbreviate. Use full name.) Deposit Date Washington State Senate Democratic Caucus 08/15/18
2. CONTRIBUTIONS OVER $25.00 P G Contributions of more than $100:* R E Aggregate Date Received Contributor’s Name, Address, City, State, Zip Employer’s Name, City and State I N Amount Total*
08/09/18 Jim Justin Government Relations
1501 Capitol Way S, Ste 203 , $250.00 $250.00 Olympia, WA 98501 Occupation Office of the Insurance 08/09/18 Lonnie Johns-Brown
PO Box 6300 Tumwater, WA $100.00 $300.00 Olympia, WA 98507 Occupation Government Relations
08/08/18 Liias for Legislature Surplus PO Box 821 , $63,000.00 $63,000.00 Mukilteo, WA 98275 Occupation
08/09/18 Jennifer Minich 4034 Rock Maple Ln NW, Box F8 , $25.00 $74.00 Olympia, WA 98502 Occupation
08/08/18 People for Pedersen Surplus 815 1st Ave, # 111 , $105,000.00 $105,000.00 Seattle, WA 98104 Occupation
08/08/18 Rebecca Saldana Surplus Funds PO Box 12066 , $15,000.00 $24,000.00 Seattle, WA 98102 Occupation
08/08/18 Jon A Shirley Not Employed PO Box 685 Medina, WA $10,000.00 $10,000.00 Medina, WA 98039 Occupation Retired
Occupation
Occupation
Occupation
Occupation
Page Total$193,375.00