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: Charlie Daniels, 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 Agents Political Action Committee April 15 Quarterly covers January 1 through March 31 ADDRESS July 15 Quarterly 5000 Northshore 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? North LIttle Rock, AR 72118 YES NO

SUMMARY FOR REPORTING CUMULATIVE PERIOD TOTALS 4. BALANCE OF FUNDS AT BEGINNING OF REPORTING PERIOD $61,397.25 5. INTEREST EARNED ON COMMITTEE FUNDS (IF ANY) $0.00 $0.00 6. TOTAL MONETARY CONTRIBUTIONS RECEIVED $1,775.00 $0.00 7. TOTAL CONTRIBUTIONS MADE TO CANDIDATES/COMMITTEES $23,350.00 $0.00 8. ADMINISTRATIVE EXPENSES $0.00 $0.00 9. BALANCE OF FUNDS AT CLOSE OF REPORTING PERIOD $39,822.25 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 $1,775.00 RECEIVED DURING REPORTING PERIOD 14. TOTAL MONETARY CONTRIBUTIONS RECEIVED $1,775.00 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 04/04/2010 Mike Beebe 301 S. Victory Street Govenor $2,000.00 Little Rock, AR 72201

04/13/2010 Barry Hyde 2008 North Beech House - Primary $1,000.00 North Little Rock, Ar 72114

04/13/2010 Clark Hall 302 Elm House - Primary $250.00 Marvell, AR 72366

04/13/2010 Jack Crumbly 1823 SFC 414 Senate - Primary $250.00 Widener, AR 72394

04/13/2010 Reginald Murdock P O Box 1071 House - Primary $250.00 Mariana, AR 72360

04/13/2010 Monty Davenport 644 MC 4003 Land Commissioner - Primary $250.00 Yellville, AR 72687

04/26/2010 Barry Harrison P.O. Box 1184 Senate - Primary $250.00 Blytheville, AR 72316

05/05/2010 Shane Broadway P.O. Box 7756 Lt. Governor - Primary $250.00 Little Rock, AR 72217

05/05/2010 Attorney General Dustin 323 Center Street Attorney General - Primary $250.00 McDaniel Suite 200 Little Rock, AR 72201

05/05/2010 David Rainey Campaign 205 West Bowles Senate - Primary $250.00 Fund Dumas, AR 71639

05/05/2010 Curren Everett 9600 Highway 9 South Sentate - Primary $500.00 Salem, AR 72576

05/05/2010 Frank Glidewell Campaign 10409 Castleton Senate - Primary $500.00 Fund Fort Smith, AR 72908

05/05/2010 Paul Bookout 2104 Catharine Senate - Primary $250.00 Jonesboro, AR 72404

05/05/2010 Johnny Hoyt Campaign 15 Country Lane Senate - Primary $500.00 Fund Morrilton, AR 72110

05/05/2010 Gene Shelby 137 Circle Drive Senate - Primary $250.00 Hot Springs, AR 71901

05/05/2010 Bill Sample 2340 North Highway 7 Senate - Primary $250.00 Hot Springs, AR 71909

05/05/2010 Steve Harrelson 300 N. State Line Avenue Senate - Primary $250.00 Texarkana, AR 71854

05/05/2010 Ken Cowling P.O. Box 295 Senate - Primary $250.00 Ashdown, AR 71822

05/05/2010 Sandra Prater campaign 9202 Sayles Road Senate - Primary $250.00 Committee Jacksonville, AR 72076

05/05/2010 JONATHAN DISMANG 106 CONNER COVE Senate - Primary $250.00 BEEBE, AR 72012

05/05/2010 BILL PRITCHARD 19998 MOHAWK DRIVE Senate - Primary $250.00 ELKINS, AR 72727

05/05/2010 Mary P. "Prissy" Hickerson 2805 Forest Avenue House - Primary $150.00 2010 Campaign Fund Texarkana, AR 71854

05/05/2010 Larry Cowling PO Box 427 House - Primary $150.00 Foreman, AR 71836

05/05/2010 Garry Smith 600 Quachita 31 House - Primary $150.00 Camden, AR 71707

05/05/2010 Eddie Cheatham Campaign 2814 Ashley 239 House - Primary $150.00 Fund Crossett, AR, AR 71635

05/05/2010 Rogert Moore 111 Moore Lane House - Primary $500.00 Arkansas City, AR 71630

05/05/2010 Tiffany Rogers Campaign 92 Northcutt Ln. House - Primary $150.00 Fund Stuttgart, AR 72160

05/05/2010 Walls McCrary Campaign 319 West Academy St. House - Primary $150.00 Fund Lonoke, AR 72086

05/05/2010 James Word Campaign 6503 Little Dove Dr. House - Primary $150.00 Fund Pine Bluff, AR 71603

05/05/2010 Henry "Hank" Wilkins 717 W. 2nd Avenue House - Primary $250.00 Campaign Fund Pine Bluff, AR 71601

05/05/2010 Toni Bradford 8410 Wildcat Drive House - Primary $150.00 Pine Bluff, AR 71603

05/05/2010 Bobby Joe Pierce 587 Grant 758 House - Primary $150.00 Campaign Fund Sheridan, AR 72150

05/05/2010 Johnnie J. Roebuck P.O. Box 533 House - Primary $150.00 Campaign Fund Arkadelphia, AR 71923

05/05/2010 Randy Stewart P.O. Box 23 House - Primary $150.00 Kirby, AR 71950

05/05/2010 Barbara Nix 1903 Utopia House - Primary $150.00 Benton, AR 72015

05/05/2010 ALLEN KERR 1429 MERRILL DRIVE House - Primary $250.00 LITTLE ROCK, AR 72211

05/05/2010 Fred Allen 19 Dover Drive House - Primary $250.00 Little Rock, AR 72204

05/05/2010 Darrin Williams 11311 Arcade Drive House - Primary $150.00 Suite 200 Little Rock, AR 72212

05/05/2010 Kathy Webb PO Box 251018 House - Primary $250.00 Little Rock, AR 72225

05/05/2010 John Edwards 40 Sherrill Road House - Primary $150.00 Little Rock, AR 72202

05/05/2010 Sen. Tracy Steele PO Box 9267 House - Primary $250.00 N. Little Rock, AR 72119

05/05/2010 ED GARNER 4 PINEHURST WAY House - Primary $150.00 MAUMELLE, AR 72113

05/05/2010 Jane English 35 Forest Glade Circle House - Primary $150.00 Jacksonville, AR 72120

05/05/2010 Mark Perry P.O. Box 97 House - Primary $250.00 Jacksonville, AR 72078

05/05/2010 Linda Tyler 40 Richland Hills Drive House - Primary $150.00 Conway, AR 72034

05/05/2010 Steve Magie P.O. Box 1506 House - Primary $500.00 Conway, AR 72033

05/05/2010 Eddie Hawkins 15 Sharon Road House - Primary $1,000.00 Vilonia, AR 72173

05/05/2010 Jesse Boyce 245 Byars Rd. House - Primary $200.00 Beebe, AR 72012

05/05/2010 Monty Betts 191 Deere Trail House - Primary $250.00 Searcy, AR 72143

05/05/2010 Keith Ingram P.O. Box 1028 House - Primary $250.00 West Memphis, AR 72303

05/05/2010 Tommy Baker P.O. Box 361 House - Primary $150.00 Osceola, AR 72730

05/05/2010 Buddy Lovell 201 West Riverside House - Primary $500.00 Marked Tree, AR 72365

05/05/2010 Jerry Brown 1001 Oakwood Drive House - Primary $150.00 Wynne, AR 72396

05/05/2010 Jody Dickinson Campaign 711 Hodges Street House - Primary $150.00 Fund Newport, AR 72112

05/05/2010 Tommy Thompson 15 Ashley Drive House - Primary $200.00 Morrilton, AR 72110

05/05/2010 Terry Rice Campaign Fund P.O. Box 2195 House - Primary $150.00 Waldron, AR 72958

05/05/2010 Stephanie Malone 2105 South O Street House - Primary $200.00 Fort Smith, AR 72901

05/05/2010 Tracy Pennartz PO Box 10441 House - Primary $150.00 Fort Smith, AR 72917

05/05/2010 Steve Breedlove P. O. Box 893 House - Primary $250.00 Greenwood, AR 72936

05/05/2010 Robert Dale Campaign 90 Claud Hattinger Rd. House - Primary $150.00 Fund Dover, AR 72837

05/05/2010 James McLean 20 Mill Run Trail House - Primary $150.00 Batesville, AR 72501

05/05/2010 Butch Wilkins 2639 County Road 333 House - Primary $150.00 Bono, Ar 72416

05/05/2010 Joan Cash 1301 Thrush Drive House - Primary $250.00 Jonesboro, AR 72401

05/05/2010 Charlotte Wagner PO box 909 House - Primary $200.00 Manila, AR 72442

05/05/2010 Billy Gaskill 606 N. 8th Street House - Primary $200.00 Paragould, AR 72450

05/05/2010 Mike Patterson P.O. Box 283 House - Primary $150.00 Piggott, AR 72454

05/05/2010 Karen Hopper P. O. Box 864 House - Primary $150.00 Mountain Home, AR 72654

05/05/2010 Karrol Fowlkes P.O. Box 427 House - Primary $150.00 Salem, AR 72576

05/05/2010 JOHN BURRIS 923 W PROSPECT House - Primary $150.00 AVENUE HARRISON, AR 72601

05/05/2010 Uvalde Lindsey Campaign 2257 E. Gentle Oaks Lane House - Primary $150.00 Fund Fayetteville, AR 72703

05/05/2010 Jim House 6285 E. Huntsville House - Primary $200.00 Fayetteville, AR 72701

05/05/2010 Bill Ramsey 1618 N. Forest Heights House - Primary $200.00 Fayetteville, AR 72703

05/05/2010 JON WOODS P O BOX 8082 House - Primary $250.00 SPRINGDALE, AR 72766

05/05/2010 Les Carnine P.O. Box 615 House - Primary $150.00 Rogers, AR 72757

05/05/2010 Duncan Baird Campaign P. O. Box 185 House - Primary $150.00 Fund Lowell, AR 72745

05/05/2010 Debra Hobbs 3901 Arnold Avenue House - Primary $150.00 Rogers, AR 72758

05/05/2010 Jonathan Barnett Campaign 1980 Highway 412 West House - Primary $150.00 Fund Siloam Springs, AR 72761

05/05/2010 Donna Hutchinson 24 Rillington Dr. House - Primary $150.00 Campaign Fund Belle Vista, AR 72714

05/05/2010 Tim Summers Campaign 1805 Kimberly Pl. House - Primary $150.00 Fund Bentonville, AR 72712

05/05/2010 Mary Slinkard Campaign 10422 Virden Ln. House - Primary $150.00 Fund Gravette, AR 72736

05/11/2010 Krystal Thrailkill 200 Craig St House - Primary $250.00 Mena, AR 71953

05/11/2010 Lenville Evans 13 Ponderosa House - Primary $500.00 Lonoke, AR 72086

05/11/2010 Robert Moore 111 Moore Lane House - Primary $500.00 Arkansas City, AR 71360

05/17/2010 Steve Choate 1221 Palisade Circle House - Primary $200.00 Heber Springs, AR 72543

20. TOTAL ITEMIZED MONETARY CONTRIBUTIONS MADE TO $23,350.00 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 $23,350.00 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. REVISED 08/09 23. ITEMIZED NONMONEY CONTRIBUTIONS MADE TO CANDIDATES AND COMMITTEES OVER $50 Please Type or Print Date Name and Address Election Description of Nonmoney Item Value Of of Candidate/Committee (if applicable) for which Nonmoney Item To Whom Contribution Made Contribution was Made N/A

24. TOTAL ITEMIZED NONMONEY CONTRIBUTIONS MADE TO $0.00 CANDIDATES AND COMMITTEES DURING REPORTING PERIOD 25. TOTAL UNITEMIZED NONMONEY CONTRIBUTIONS MADE TO $0.00 CANDIDATES AND COMMITTEES DURING REPORTING PERIOD 26. TOTAL NONMONEY CONTRIBUTIONS MADE TO CANDIDATES $0.00 AND COMMITTEES DURING REPORTING PERIOD

28. TOTAL ITEMIZED ADMINISTRATIVE EXPENSES INCURRED $0.00 DURING REPORTING PERIOD 29. TOTAL NONITEMIZED ADMINISTRATIVE EXPENSES INCURRED $0.00 DURING REPORTING PERIOD 30. TOTAL ADMINISTRATIVE EXPENSES INCURRED DURING $0.00 REPORTING PERIOD (to be entered on line #8)