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David Bobzien State Assembly, District 24 AD 24
Name Office (if applicable) District (if applicable)
1605 Wesley Dr., Reno, NV, 89503 (775) 393-9709
Mailing Address Telephone No.
david@davidbozien.com
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
Feb 17 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)
$ 21,350.00   $ 21,350.00
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)
$ 0.00   $0.00
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)
$ 225.00   $225.00
8. Total Amount of All Contributions (Add Lines 1 through 7)
    (See page 2 of instruction sheet)
$ 21,575.00   $21,575.00
 
9. Total Monetary Expenses Paid in Excess of $100
    (See page 2 of instruction sheet)
$ 20,996.71   $20,996.71
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)
$ 677.36   $677.36
12. Total Amount of All Expenses (Add Lines 9 through 11)
    (See page 3 of instruction sheet)
$ 21,674.07   $21,674.07
 
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



David P Bobzien Jr. 02/17/2012
Signature Date
 

 MONETARY
 CONTRIBUTIONS
Report Period   # An.
David Bobzien State Assembly, District 24 AD 24
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
Wynn
3131 LasVegas Blvd. S
Las Vegas, NV 89109
10/03/2011$1,000.00   
David Bobzien
1605 Wesley Dr.
RENO, NV 89503
10/26/2011$300.00X  
The Ferraro Group
165 W. Liberty St. Suite 110
Reno, NV 89501
11/14/2011$300.00   
Station Casinos
1505 S. Pavilion Center Dr.
Las Vegas, NV 89135
11/14/2011$500.00   
Lewis & Roca
3993 Howard Hughes Prkwy # 600
Las Vegas, NV 89169
11/14/2011$500.00   
Ormat Nevada Inc.
6225 Neil Road
Reno, NV 89511
11/14/2011$1,000.00   
Hamilton Solar
748 S Meadows Pkwy. A9
RENO, NV 89521
11/14/2011$1,000.00   
Holland & Hart LLP
5441 Kietzke Lane
second floor
Reno, NV 89511
11/14/2011$1,000.00   
EMPLOYERS
10375 PROFESSIONAL CIRCLE
RENO, NV 89521
11/14/2011$1,000.00   
LAW OFFICES OF KEITH L LEE
3400 KAUAI CT #204
RENO, NV 89509
11/14/2011$500.00   
NV Energy
6226 W Sahara Ave
Las Vegas, NV 89146
11/16/2011$2,500.00   
Kathleen Laxalt
10883 Rushing Flume Dr.
Reno, NV 89521
11/18/2011$250.00   
NMTA Activities, Inc
8745 Technology Way Ste #E
Reno, NV 89521
11/18/2011$1,000.00   
John Pappageorge
3445 Westwind Rd.
Las Vegas, NV 89146-6754
11/22/2011$500.00   
Pfizer Inc.
235 East 42nd Street
New York, NY 10017
11/23/2011$500.00   
Kaemer Crowell Renshaw Gronauer & Fiorentino
8345 West Sunset Road
Suite 250
Las Vegas, NV 89113
12/02/2011$250.00   
AT&T
645 E. Plumb Lane, C142
RENO, NV 89502
12/12/2011$2,500.00   
Sprint Nextel
P.O. Box 63670
Phoenix, AZ 85082
12/15/2011$500.00   
Nevada Anesthesia Patient Safety PAC
1612 Saint Gregory Dr.
Las Vegas, NV 89117
12/17/2011$500.00   
Amerigroup Corporation
4425 Corporation Lane
Virginia Beach, VA 23462
12/19/2011$500.00   
Citizen for Justice, Trust
406 N. Nevada Street
CARSON CITY, NV 89703
12/20/2011$2,000.00   
Galloway & Jensen A Professional Corporation
222 California Ave.
RENO, NV 89509
12/20/2011$500.00   
Law Office of Stephen H. Osborne, LTD.
232 Court Street
Reno, NV 89501
12/20/2011$750.00   
Barrick
136 E South Temple
Ste 1800
Salt Lake City, UT 84111
12/22/2011$1,000.00   
Nevada Realtors PAC
760 Margrave Drive #200
Reno, NV 89502
12/23/2011$1,000.00   

 

 WRITTEN COMMITMENTS Report Period   # An.
David Bobzien State Assembly, District 24 AD 24
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   # An.
David Bobzien State Assembly, District 24 AD 24
Name (print) Office (if applicable) District (if applicable)

IN KIND CONTRIBUTIONS






 

 WRITTEN COMMITMENTS FOR IN KIND
 CONTRIBUTIONS
Report Period   # An.
David Bobzien State Assembly, District 24 AD 24
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   # An.
David Bobzien State Assembly, District 24 AD 24
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   # An.
David Bobzien State Assembly, District 24 AD 24
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
Southwest Airlines
P.O. Box 36611 1CR
Dallas, TX 75235
C01/05/2011$249.40
AT&T Wireless
P.O. Box 60017
Los Angeles, CA 90060-0017
A
A
A
A
A
A
A
A
A
A
A
A
A
A
L
A
A
01/07/2011
02/14/2011
04/01/2011
04/04/2011
04/18/2011
05/02/2011
06/01/2011
06/06/2011
07/01/2011
07/11/2011
08/01/2011
08/23/2011
08/30/2011
09/29/2011
10/31/2011
11/29/2011
12/28/2011
$119.80
$257.08
$161.74
$25.00
$130.74
$25.00
$25.00
$125.24
$25.00
$252.23
$25.00
$125.14
$25.00
$25.00
$25.00
$25.00
$25.00
Sagebrush Chapter, Trout Unlimited
230 Rhodes Road
RENO, NV 89521
H01/11/2011$280.00
Ashley Massey
1402 Alvin Ct.
SPARKS, NV 89434
F01/18/2011$103.00
37Signals
30 North Racine Avenue #200
CHICAGO, IL 60607
A
A
A
A
A
A
A
L
A
01/18/2011
02/16/2011
03/16/2011
04/18/2011
06/16/2011
07/18/2011
09/26/2011
11/07/2011
12/05/2011
$24.00
$24.00
$24.00
$24.00
$24.00
$24.00
$24.00
$24.00
$24.00
Thrifty Car Rental
7135 Gilespie St
Las Vegas, NV 89119
C
C
C
01/18/2011
12/05/2011
12/19/2011
$20.84
$54.45
$54.45
USPS
1490 STARDUST ST
RENO, NV 89503
A01/19/2011$6.48
Legislative Operations & Elections Committee
401 South Carson St
CARSON CITY, NV 89701
L
L
01/21/2011
05/16/2011
$250.00
$50.00
Legislative Counsel Bureau
401 South Carson St
CARSON CITY, NV 89701
A
L
A
01/21/2011
02/14/2011
05/25/2011
$300.00
$28.00
$31.80
ASUN Bookstore
87 West Stadium Way
RENO, NV 89557
H02/09/2011$234.00
Gene Empey
512 S. Curry St.
CARSON CITY, NV 89703
L
L
03/09/2011
05/07/2011
$1,900.00
$950.00
Washoe County Democratic Party
1465 Terminal Way, Suite 1
Reno, NV 89501
K03/28/2011$1,500.00
Apple Store
13925 So Virginia
Suite 200
Reno, NV 89509
A04/01/2011$967.37
Reel PAC
701 N. Green Valley Parkway
Suite 401
Henderson, NV 89074
L
L
05/02/2011
12/31/2011
$250.00
$3,750.00
Mo & Sluggo's Bar & Grill
110 West Telegraph St
CARSON CITY, NV 89703
L05/02/2011$118.37
Zazzle.com
1900 Seaport Blvd
REDWOOD CITY, CA 94063
L05/12/2011$345.16
Legislative Counsel Bureau
401 S. Carson Street
Carson City, NV 89701
L05/16/2011$40.00
Southwest Airlines
P.O. Box 36611
DALLAS, TX 75235
C
C
05/16/2011
05/23/2011
$297.40
$42.00
High Sierra Brewing Company
302 N. Carson St.
CARSON CITY, NV 89701
H05/26/2011$582.28
Legislative Counsel Bureau
401 S. Carson St.
Carson City, NV 89701
A06/10/2011$76.35
Southwest Airlines
PO Box 36647
Dallas, TX 75235
C
C
C
C
C
C
06/20/2011
10/05/2011
11/14/2011
12/14/2011
12/19/2011
12/22/2011
$309.40
$381.40
$38.00
$101.70
$202.90
$139.40
Nevada State Bank
1 West Liberty St, Reno, NV 89501
RENO, NV 89501
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
06/21/2011
07/21/2011
08/22/2011
09/21/2011
10/03/2011
10/03/2011
10/04/2011
10/05/2011
10/06/2011
10/06/2011
10/07/2011
10/11/2011
10/12/2011
10/13/2011
10/14/2011
10/17/2011
10/18/2011
10/19/2011
10/20/2011
10/21/2011
10/21/2011
10/24/2011
10/25/2011
11/21/2011
12/21/2011
$10.00
$10.00
$10.00
$10.00
$5.00
$32.00
$5.00
$5.00
$32.00
$5.00
$20.00
$5.00
$5.00
$5.00
$15.00
$5.00
$5.00
$5.00
$5.00
$15.00
$10.00
$5.00
$5.00
$10.00
$10.00
All American Mini Storage
1901 W 4th St
RENO, NV 89503
L
L
L
L
L
L
L
06/23/2011
07/25/2011
08/23/2011
09/23/2011
10/25/2011
11/22/2011
12/22/2011
$50.00
$50.00
$50.00
$50.00
$50.00
$50.00
$50.00
United Airlines
P.O. Box 66282
Chicago, IL 60666
C08/21/2011$569.00
Thrifty Car Rental
780 McDonnell Rd.
SAN FRANCISCO, CA 94128
C08/25/2011$145.97
Süp
719 South Virginia Street
RENO, NV 89501
L
H
09/16/2011
11/15/2011
$31.86
$223.91
Ralston Report
2290 Corporate Circle Ste 250
Henderson, NV 89074
L09/21/2011$349.00
Washoe County Democratic Party
1465 Terminal Way #1
Reno, NV 89502
L09/27/2011$1,500.00
Reno Public House
33 St. Lawrence Ave
RENO, NV 89501
H11/15/2011$287.00
Nichole Bailey
215 Moore Lane
RENO, NV 89509
F11/22/2011$500.00
Horsford for Congress
P.O. Box 572094
Las Vegas, NV 89157
K12/01/2011$250.00
Skip Daly Campaign
2180 4th St.
Sparks, NV 89431
K12/21/2011$500.00
Hotcards.com
1600 East 23rd Street
Cleveland, OH 44114
D12/22/2011$217.97
USPS
2000 VASSAR
RENO, NV 89502
D12/30/2011$530.88
 
 


 IN KIND EXPENSES Report Period   # An.
David Bobzien State Assembly, District 24 AD 24
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