COMMITTEE’S REPORT (filed by committees that support or oppose one or more candidates and/or propositions and that are not candidate committees) 1. Full Name and Address of Political Committee OFFICE USE ONLY KLECKLEY PAC Report Number: 28540 P.O. Box 4085 Date Filed: 12/13/2011 Lake Charles, LA 70606-4085 Report Includes Schedules: Schedule A-1 2. Date of Primary 10/22/2011 Schedule E-3 This report covers from 10/3/2011 through 10/30/2011 3. Type of Report: 180th day prior to primary 40th day after general 90th day prior to primary Annual (future election) 30th day prior to primary Monthly 10th day prior to primary X X 10th day prior to general Amendment to prior report 4. All Committee Officers (including Chairperson, Treasurer, if any, and any other committee officers) a. Name b. Position c. Address Chairperson Treasurer 5. Candidates or Propositions the Committee is Supporting or Opposing (use additional sheets if necessary) a. Name & Address of Candidate/Description of Proposition b. Office Sought c. Political Party d. Support/Oppose On attached sheet 6. Is the Committee supporting the entire ticket of a political party? Yes No If “yes”, which party? 7. a. Name of Person Preparing Report KENNETH M. FARRAR CPA b. Daytime Telephone 337-855-1877 8. WE HEREBY CERTIFY that the information contained in this report and the attached schedules is true and correct to the best of our knowledge , information and belief, and that no expenditures have been made nor contributions received that have not been reported herein, and that no information required to be reported by the Louisiana Campaign Finance Disclosure Act has been deliberately omitted . This 13th day of December , 2011 . H. Aubrey White III 337-478-4889 Signature of Committee/Chairperson Daytime Telephone Signature of Committee Treasurer, if any Daytime Telephone Form 202, Rev. 3/98, Page Rev. 5/01 Report Number 28540 Page 1 of 8 KLECKLEY PAC 5. Candidates or Propositions the Committee is Supporting or Opposing (use additional sheets if necessary) a. Name & Address of Candidate/Description of Proposition b. Office Sought c. Political Party d. Support/Oppose JAY DARDENNE CAMPAIGN Lt. Governor Republican Support P.O. Box 44243 Louisiana Baton Rouge, LA 70804 CHRIS BROADWATER CAMPAIGN ACCOUNT State Representative Republican Support 906 W. Dakota Street Hammond Hammond, LA 70401 86 ANDY ANDERS CAMPAIGN State Representative Republican Support 200 Advocate Row Vidalia Ste D 21 Vidalia, LA 71373 RICK NOWLIN CAMPAIGN ACCOUNT State Representative Republican Support 740 Front Street Natchitoches Natchitoches, LA 71457 23 JOHN A. BERTHLOT CAMPAIGN FUND State Representatvie Republican Support 1939 South Tiffani Ave Gonzales Gonzales, LA 70737 88 NEIL ABRAMSON CMPAIGN ACCOUNT State Representative Democrat Support 906 Arabella New Orleans New Orleans, LA 70115 98 SIMONE B CHAMPAGNE CAMPAIGN State Representative Republican Support ACCOUNT Jeanerette 206 Virginia Street 49 Jeanerette, LA 70544 TIM BURNS CAMPAIGN ACCOUNT State Representative Republican Support P. O. Box 2531 Mandeville Mandeville, LA 70470 89 PATRICK C. WILLIAMS State Representative Democrat Support 1500 North Market Shreveport Shreveport, LA 71107 4 GREG CROMER CAMPAIGN ACCOUNT State Representative Republican Support 308 Margon Court Slidell Slidell, LA 70458 90 ROBERT E BILLIOT CAMPAIGN FUND State Representative Democrat Support 341 Ave C Westego Westwego, LA 70094 83 STEVEN E. PYLANT CAMPAIGN FUND State Representative Republican Support 292 Southern Road Delhi Delhi, LA 71232 20 FRANKLIN FOIL CAMPAIGN ACCOUNT State Representative Republican Support 426 W Woodgate Court Baton Rouge Baton Rouge, LA 70808 70 AB FRANKLIN CAMPAIGN ACCOUNT State Representative Democrat Support 2808 E. Broad Street Lake Charles Lake Charles, LA 70601 34 Report Number 28540 Page 2 of 8 KLECKLEY PAC 5. Candidates or Propositions the Committee is Supporting or Opposing (use additional sheets if necessary) a. Name & Address of Candidate/Description of Proposition b. Office Sought c. Political Party d. Support/Oppose JOE HARRISON CAMPAIGN ACCOUNT State Representative Republican Support 3239 Hwy 308 Napoleonville Napoleonville, LA 70390 51 CHRIS HAZEL CAMPAIGN ACCOUNT State Representative Republican Support 5930 Adrean Drive Basile Basile, LA 71405 27 VALARIE HODGES CAMPAGIN FUND State Representative Republican Support 3385 Cypress Bluff Denham Springs Denham Springs, LA 70706 64 WALT LEGER III CAMPAIGN ACCOUNT State Representative Democrat Support 2320 Laurel Street New Orleans New Orleans, LA 70130 91 SAM LITTLE CAMPAIGN ACCOUNT State Representative Republican Support 117 South Franklin Bastrop Bastrop, LA 71220 14 DON MENARD CAMPAIGN FUND State Representative Republican Support 372 Credeur Road Sunset Sunset, LA 70584 39 ALAN SEABAUGH CAMPAIGN ACCOUNT State Representative Republican Support 9727 Norris Ferry Road Shreveport Shreveport, LA 71106 5 KAREN ST GERMAIN CAMPAIGN ACCOUNT State Representative Democrat Support 3413 Hwy 70 Pierre Part Pierre Part, LA 70337 60 DOROTHY SUE HILL State Representative Democrat Support 529 Tramel Road Dry Creek Dry Creek, LA 70637 32 JEFF THOMPSON CAMPAIGN FUND State Representative Republican Support 1708 Wales Lane Bossier City Bossier City, LA 71111 8 SHERMAN Q MACK CAMPAIGN FUND State Representative Republican Support P.O. Box 95 Albany Albany, LA 70711 95 JASON BULLOCK CAMPAIGN FUND State Representative Republican Support P.O. Box 13263 Ruston Ruston, LA 71273 12 STEPHEN LEONARD CAMPAIGN ACCOUNT State Representative Republican Support 1916 Carol Sue Ave Terrytown Terrytown, LA 70056 85 WESLEY T BISHOP CAMPAIGN ACCOUNT State Representative Democrat Support 7001 Cover Dr New Orleans New Orleans, LA 70126 99 Report Number 28540 Page 3 of 8 KLECKLEY PAC 5. Candidates or Propositions the Committee is Supporting or Opposing (use additional sheets if necessary) a. Name & Address of Candidate/Description of Proposition b. Office Sought c. Political Party d. Support/Oppose PATRICK O. JEFFERSON CAMPAIGN State Representative Democrat Support ACCOUNT Arcadia 3056 Johnston St 11 Arcadia, LA 71001 HOLLY BOFFEY CAMPAIGN ACCOUNT Board of Secondary Elementary Republican Support P.O.Box 236 Education Youngsville, LA 70592 Youngsville 7 ROBERT E. BILLIOT CAMPAIGN ACCOUNT State Representative Democrat Support 341 Ave C Westwego Westwego, LA 70094 83 RICK NOWLIN CAMPAIGN ACCOUNT State Representative Republican Support 1005 Williams Ave Natchitoches Natchitoches, LA 71458 23 CHRIS BROADWATER CAMPAIGN ACCOUNT State Representative Republican Support 906 W Dakota Hammond Hammond, LA 70401 81 DON MENARD CAMPAIGN FUND State Representative Republican Support 372 Credeur Road Cankton Sunset, LA 70584 39 JASON BULLOCK CAMPAIGN FUND State Representative Republican Support P. O. Box 13263 Ruston Ruston, LA 71273 12 SAM LITTLE CAMPAIGN ACCOUNT State Representative Republican Support 117 South Franklin Bastrop Bastrop, LA 71220 14 BILLY CHANDLER CAMPAIGN ACCOUNT State Representative Republican Support P. O. Box 100 Dry Prong Dry Prong, LA 71423 22 JERRY RAY DE PINGRE' CAMPAIGN FUND State Representative Republican Support 118 Pearl Street Minden Minden, LA 70155 10 GREG MILLER CAMPAIGN FUND State Representative Republican Support P. O. Box 190 Norco Norco, LA 70077 56 CLAY SCHEXNAYDER CAMPAIGN ACCOUNT State Representative Republican Support P. O. Box 593 Sorrento Sorrento, LA 70778 81 KENNY HAVARD CAMPAIGN ACCOUNT State Representative Republican Support P. O. Box 1232 St. Francisville St. Francisville, LA 70775 62 Report Number 28540 Page 4 of 8 KLECKLEY PAC SUMMARY PAGE RECEIPTS This Period 1. Contributions (Schedule A-1) $ 7,300.00 2. In-kind Contributions (Schedule A-2) $ 0.00 3. Campaign paraphernalia sales of $25 or less $ 0.00 4. TOTAL CONTRIBUTIONS (Lines 1 + 2 +3) $ 7,300.00 5. Other Receipts (Schedule A-3) $ 0.00 6. Loans Received (Schedule B) $ 0.00 7. Loan Repayments Received (Schedule D) $ 0.00 8. TOTAL RECEIPTS (Lines 4 + 5 + 6 + 7) $ 7,300.00 DISBURSEMENTS This Period 9. General Expenditures (Schedule E-1) $ 0.00 10. In-Kind Expenditures (Schedule E-2) $ 0.00 11. Contributions made to Candidates (Schedule E-3) $ 4,750.00 12. TOTAL EXPENDITURES (Lines 9 + 10 + 11) $ 4,750.00 13. Other Disbursements (Schedule E-4) $ 0.00 14. Loan Repayments Made (Schedule B) $ 0.00 15. Funds Loaned (Schedule D) $ 0.00 16. TOTAL DISBURSEMENTS (Lines 12 + 13 + 14 + 15) $ 4,750.00 FINANCIAL SUMMARY Amount 17. Funds on hand at beginning of reporting period $ 26,150.00 (Must equal funds on hand at close from last report or -0- if first report for this committee) 18. Plus total receipts this period (less in-kind contributions received) $ 7,300.00 (Line 8 above minus line 2 above) 19. Less total disbursements this period (less in-kind expenditures) $ 4,750.00 (Line 16 above minus line 10 above) 20. Funds on hand at close of reporting period $ 28,700.00 Form 202, Rev. 3/98, Page Rev. 3/98 Report Number 28540 Page 5 of 8 KLECKLEY PAC SUMMARY PAGE (continued) INVESTMENTS Amount 21. Of funds on hand at beginning of reporting period (Line 17, above), amount held in $ 0.00 investments (i.e., savings accounts, CD’s, money market funds, etc.) 22. Of funds on hand at close of reporting period (Line 20, above), amount held in $ 0.00 investments SPECIAL TRANSACTIONS This Period 23. Contributions received from political committees $ 1,500.00 (From Schedules A-1 and A-2) 24. All proceeds from the sale of tickets to fundraising events (Receipts from the sale of tickets are contributions and must also be reported on $ 0.00 Schedule A-1) 25. Proceeds from the sale of campaign paraphernalia (Receipts from the sale of campaign paraphernalia are contributions and must also $ 0.00 be reported on Schedule A-1 or Line 3 above) 26. Expenditures from petty cash fund (Must also be reported on Schedule E-1) $ 0.00 NOTICE A political committee must register in each calendar year in which it will have over $500 of financial activity. The registration is accomplished by filing a Statement of Organization form and paying the $100 filing fee. Statements of Organization are filed annually by January 31.