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 .