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Matt Polleh City Council, Reno, At Large  
Name Office (if applicable) District (if applicable)
1175 Coleman Dr, Reno, NV, 89503 775-745-3924
Mailing Address Telephone No.
mattpolley@sbcglobal.net
E-Mail Address

 Select Appropriate Box(es)		 CANDIDATE PAC POLITICAL PARTY INDEPENDENT EXPENDITURE
NONPROFIT CORP LEGAL DEFENSE FUND AMENDED
Annual Filing - Due January 15, 2012
Period: Jan 01, 2011 - Dec 31, 2011
Report #1 - Due May 22, 2012
Period: Jan 01, 2012 - May 18, 2012
Report #2 - Due June 08, 2012
Period: May 19, 2012 - Jun 07, 2012
Report #3 - Due October 16, 2012
Period: Jun 08, 2012 - Oct 12, 2012
Report #4 - Due November 02, 2012
Period: Oct 13, 2012 - Nov 01, 2012
Report #5 - Due January 15, 2013*
Period: Nov 02, 2012 - Dec 31, 2012
Annual Filing - Due January 15, 2013
Period: Jan 01, 2012 - Dec 31, 2012
FILED
May 22 2012
 
ROSS MILLER
SECRETARY OF STATE
FOR OFFICE USE ONLY
      * Report #5 suffices for the 2013 Annual Filing only if Report #'s 1, 2, 3 and 4 are previously filed
1. Total Monetary Contributions Received in Excess of $100
    (See page 1 of instruction sheet) 		$ 9,850.00   $ 9,850.00
2. Total Monetary Contributions in the Form of Loans Guaranteed by a 3rd-Party in Excess of $100
     (See page 1 of instruction sheet) 		$ 0.00   $0.00
3. Total Monetary Contributions in the Form of Loans that were Forgiven in Excess of $100
     (See page 2 of instruction sheet) 		$ 0.00   $0.00
4. Total Amount of Written Commitments for Contributions in Excess of $100
    (See page 2 of instruction sheet) 		$ 0.00   $0.00
5. Total Value of In Kind Contributions in Excess of $100
    (See page 2 of instruction sheet) 		$ 1,926.00   $1,926.00
6. Total Value of Written Commitments for In Kind Contributions in Excess of $100
     (See page 2 of instruction sheet) 		$ 0.00   $0.00
7. Total Amount of all Contributions of $100 or less
    (See page 2 of instruction sheet) 		$ 3,943.00   $3,943.00
8. Total Amount of All Contributions (Add Lines 1 through 7)
    (See page 2 of instruction sheet) 		$ 15,719.00   $15,719.00
 
9. Total Monetary Expenses Paid in Excess of $100
    (See page 2 of instruction sheet) 		$ 11,805.82   $11,805.82
10. Total Value In Kind Expenses in Excess of $100
    (See page 3 of instruction sheet) 		$ 0.00   $0.00
11. Total Amount of all Expenses of $100 or less
    (See page 3 of instruction sheet) 		$ 577.15   $577.15
12. Total Amount of All Expenses (Add Lines 9 through 11)
    (See page 3 of instruction sheet) 		$ 12,382.97   $12,382.97
 
MUST SELECT AT LEAST ONE:
 I Declare Under Penalty of Perjury That the Foregoing is True and Correct.
 I Declare Under an Oath to God that the Forgoing is True and Correct*
         * A declaration under an oath to God is subject to the same penalties as declaration under penalty of perjury



Matt Polley 05/22/2012
Signature Date
 

 MONETARY
 CONTRIBUTIONS 		Report Period   # 1
Matt Polleh City Council, Reno, At Large  
Name (print) Office (if applicable) District (if applicable)

MONETARY CONTRIBUTIONS
NAME AND ADDRESS OF PERSON, GROUP OR ORGANIZATION WHO MADE CONTRIBUTIONDATE OF
CONTRIBUTION 		AMOUNT OF
CONTRIBUTION		CHECK HERE IF LOANNAME AND ADDRESS OF 3rd PARTY IF LOAN GUARANTEED BY 3rd PARTYNAME AND ADDRESS OF PERSON, GROUP OR ORGANIZATION WHO FORGAVE THE LOAN, IF DIFFERENT THAN CONTRIBUTOR
dillion insurance services
80 continental dr ste 103
RENO, NV 89509		02/07/2012$500.00   
mark mausert
930 evans ave
RENO, NV 89512		02/11/2012$200.00   
patricia capello
6548 golden dawn ct
SPARKS, NV 89436		03/14/2012$100.00   
critter control of reno llc
po box 33146
RENO, NV 89533		03/14/2012$250.00   
Mark Hutchison
2115 brooksboro
RENO, NV 89509		03/17/2012$250.00   
Grant D Anderson
2255 Pennswood way
RENO, NV 89509		03/27/2012$500.00   
James Galloway
P.O. Box 21198
Reno, NV 89515		04/03/2012$1,000.00   
Jean Simas
525 court st
RENO, NV 89509		04/04/2012$100.00   
Karen Ramsey
6982 poco bueno
SPARKS, NV 89436		04/14/2012$200.00   
Susan Berry
2655 frieskn ct
RENO, NV 89509		04/14/2012$250.00   
Ann Marlow
10842 oat haven
RENO, NV 89521		04/14/2012$100.00   
Label consignment boutique
601 w 1st st
RENO, NV 89503		04/14/2012$100.00   
Catherine L Polley
154 e Michigan st
SPEARFISH, SD 57783		04/16/2012$200.00   
Mary J Hutchison
280 booth st apt d
RENO, NV 89509		04/21/2012$100.00   
Carl Harris
6155 plumas
RENO, NV 89519		04/27/2012$100.00   
Jim Durand
350 south center
RENO, NV 89503		04/27/2012$100.00   
Jacqueline Carpenter
2181 maxfli dr
RENO, NV 89523		04/28/2012$200.00   
Matt Polley
1175 Coleman
RENO, NV 89503
05/02/2012
05/04/2012
05/08/2012
$1,000.00
$3,000.00
$1,000.00
X  
Seven seas restaurant group inc
6015 s Virginia st ate j
RENO, NV 89502		05/10/2012$500.00   
Ability counseling
705 s. wells ave
RENO, NV 89502		05/17/2012$100.00   

 

 WRITTEN COMMITMENTS Report Period   # 1
Matt Polleh City Council, Reno, At Large  
Name (print) Office (if applicable) District (if applicable)

WRITTEN COMMITMENTS
NAME AND ADDRESS OF PERSON, GROUP OR ORGANIZATION WHO MADE THE COMMITMENTDATE OF
COMMITMENT 		AMOUNT OF
COMMITMENT
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   

 

 IN KIND CONTRIBUTIONS Report Period   # 1
Matt Polleh City Council, Reno, At Large  
Name (print) Office (if applicable) District (if applicable)

IN KIND CONTRIBUTIONS
NAME AND ADDRESS OF PERSON, GROUP OR ORGANIZATION WHO MADE IN KIND CONTRIBUTIONDATE OF
IN KIND
CONTRIBUTION 		DESCRIPTION
OF IN KIND
CONTRIBUTION		VALUE OR COST
OF IN KIND
CONTRIBUTION		CHECK
HERE IF
LOAN		NAME AND ADDRESS OF 3rd PARTY IF LOAN GUARANTEED BY 3rd PARTYNAME AND ADDRESS OF PERSON, GROUP OR ORGANIZATION WHO FORGAVE THE LOAN, IF DIFFERENT THAN CONTRIBUTOR
Jeff Jones
2084 vale
RENO, NV 89509		03/14/2012wine$100.00   
Craig Hunsberger
1200 Columbia Hill Rd
RENO, NV 89508		03/14/2012wine$100.00   
Craig Hunsberger
1200 Columbia Hill Rd
RENO, NV 89508		04/04/2012Wine$140.00   
Java Jungle LLC
248 W 1st Street
Suite 104
Reno, NV 89501		04/14/2012Wine$250.00   
Java Jungle LLC
248 W 1st Street
Suite 104
Reno, NV 89501		05/18/2012Food and beverage$1,336.00   





 

 WRITTEN COMMITMENTS FOR IN KIND
 CONTRIBUTIONS 		Report Period   # 1
Matt Polleh City Council, Reno, At Large  
Name (print) Office (if applicable) District (if applicable)

WRITTEN COMMITMENTS FOR IN KIND CONTRIBUTIONS
NAME AND ADDRESS OF PERSON, GROUP OR ORGANIZATION WHO MADE THE IN KIND WRITTEN COMMITMENTDATE OF IN KIND
WRITTEN COMMITMENT 		VALUE OF IN KIND
WRITTEN COMMITMENT
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   

 

 EXPENSE CATEGORIES Report Period   # 1
Matt Polleh City Council, Reno, At Large  
Name (print) Office (if applicable) District (if applicable)


Expense Categories (NRS 294A.365)

 CATEGORIES  CODE
 Office expenses A
 Expenses related to volunteers B
 Expenses related to travel C
 Expenses related to advertising D
 Expenses related to paid staff E
 Expenses related to consultants F
 Expenses related to polling G
 Expenses related to special events H
 Expenses related to legal defense fund I
Goods and services provided in kind for which money would  otherwise have been paid
 J
Contributions made to: (i) another candidate; (ii) a nonprofit corporation that is registered or required to be registered pursuant to NRS 294A.225; (iii) a PAC that is registered or required to be registered pursuant to NRS 294A.230; or (iv) a Recall Committee that is registered or required to be registered pursuant to NRS 294A.250
K
 Other miscellaneous expenses L










NRS 294A.362 requires “In Kind” contributions and expenses to be reported separately.
 

 MONETARY EXPENSES Report Period   # 1
Matt Polleh City Council, Reno, At Large  
Name (print) Office (if applicable) District (if applicable)

MONETARY EXPENSES
NAME AND ADDRESS OF PERSON, GROUP OR ORGANIZATION WHO RECEIVED THE PAYMENT FOR THE EXPENSECATEGORY
(NRS 294A.365)		DATE OF
EXPENSE 		AMOUNT OF
EXPENSE
The Postal Depot
316 California Avenue
Reno, NV 89509		A, L03/12/2012$135.00
Jessamyn Parker
770 walker
RENO, NV 89509
E
E
E
E
03/16/2012
03/19/2012
04/17/2012
04/30/2012
$120.00
$135.00
$300.00
$150.00
Best Buy store 128
5575 South Virginia St
Reno, NV 89502		A, L03/19/2012$786.37
mark curtis
1512 Lander st
Reno, NV 89509
D, F
D, F
04/06/2012
04/20/2012
$1,000.00
$1,000.00
Jeff M Dow
8543 White Fir St
Suite D-3
Reno, NV 89523		D04/06/2012$800.00
SpeedySignsUSA.com
162 South West Spencer Court Suite 106
Lake City, FL 32024		D04/10/2012$405.04
Reno Print Store
280 Greg Street
Reno, NV 89502
D
D
04/30/2012
05/07/2012
$587.64
$399.18
Mark Cutis
1512 Lander st
RENO, NV 89509		D, F05/02/2012$2,000.00
Jennifer Baker
P.O. Box 50924
Sparks, NV 89435		E, L05/02/2012$192.91
Ted Levatter
420 Reno
RENO, NV 89509		F05/04/2012$1,000.00
RB Technology
5665 Riggins Ct
RENO, NV 89502		D05/07/2012$1,494.68
Design on the Edge
designonedge.com
RENO, NV 89509		D, F05/08/2012$1,000.00
The Plush Life
325 Harbor Cove
SPARKS, NV 89434		D05/09/2012$300.00
 
 


 IN KIND EXPENSES Report Period   # 1
Matt Polleh City Council, Reno, At Large  
Name (print) Office (if applicable) District (if applicable)

IN KIND EXPENSES

Prescribed by Secretary of State
NRS 294A.120, 294A.125,
294A.140, 294A.150, 294A.160
294A.200, 294A.210, 294A.220, 294A.362