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Michael Roberson State Senate, Clark District 5  
Name Office (if applicable) District (if applicable)
P.O. 97251, Las Vegas, NV, 89193 702-612-6929
Mailing Address Telephone No.
Michael.Roberson@sen.state.nv.us
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
Jan 14 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)
$ 30,500.00   $ 30,500.00
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)
$ 0.00   $0.00
8. Total Amount of All Contributions (Add Lines 1 through 7)
    (See page 2 of instruction sheet)
$ 30,500.00   $30,500.00
 
9. Total Monetary Expenses Paid in Excess of $100
    (See page 2 of instruction sheet)
$ 20,259.51   $20,259.51
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)
$ 5,265.07   $5,265.07
12. Total Amount of All Expenses (Add Lines 9 through 11)
    (See page 3 of instruction sheet)
$ 25,524.58   $25,524.58
 
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



Michael Roberson 01/14/2012
Signature Date
 

 MONETARY
 CONTRIBUTIONS
Report Period   # An.
Michael Roberson State Senate, Clark District 5  
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
IGT
P.O. Box 10580
Reno, NV 89510-0580
01/03/2011$1,500.00   
Medco Health Solutions, Inc
100 Parsons Pond Drive
Franklin Lakes, NJ 07417
01/04/2011$1,000.00   
Republic Silver State Disposal Inc
770 East Sahara Ave
Las Vegas, NV 89104
01/04/2011$1,000.00   
Unitedhealth Group Incorporated Political Action Fund of Nevada
600 N. Dairy Ashford ML 3076
Houston, TX 77079
01/04/2011$1,000.00   
Holland & Hart LLP Professional Acct.
9555 Hillwood Dr.
Ste. 200
LAS VEGAS, NV 89134
01/04/2011$500.00   
Select Management Resources, LLC
3440 Preston Ridge Road
Suite 500
Alpharetta, GA 30005
01/05/2011$500.00   
Jay & Sharyn Brown
520 S. 4th Street
LAS VEGAS, NV 89101
01/07/2011$1,000.00   
Centurytel, Inc.
P.O. Box 4065
Monroe, LA 71211
07/08/2011$5,000.00   
Wells Fargo & Co. Employee PAC
Sixth & Marquette
Minneapolis, MN 55479
09/14/2011$1,000.00   
Nevada Realtors PAC
760 Margrave Drive #200
Reno, NV 89502
09/28/2011$2,000.00   
Pfizer Inc.
235 East 42nd Street
New York, NY 10017
10/06/2011$1,000.00   
PhRMA
950 F Street NW
Suite 300
WASHINGTON, DC 20004
10/12/2011$1,500.00   
AZ PAC
1800 Concord Pike
Wilmington, DE 19850
10/28/2011$1,000.00   
Bayer
Mellon Trust if New Englane
EVERETT, MA 02149
11/09/2011$1,500.00   
R & R Partners, Inc.
900 S Pavilion Center Dr.
Las Vegas, NV 89144
11/15/2011$2,000.00   
RAI Services Company
PO Box 464
WINSTON SALEM, NC 27102
12/15/2011$1,000.00   
Dollar Loan Center
901 W 10th St
SIOUX FALLS, SD 57104
12/16/2011$2,000.00   
Nevada Corporate Headquarters, Inc
101 Convention Center Dr Ste 700
Las Vegas, NV 89109
12/20/2011$1,000.00   
Title Max
15 Bull Street
Suite 200
Savannah, GA 31401
12/23/2011$5,000.00   

 

 WRITTEN COMMITMENTS Report Period   # An.
Michael Roberson State Senate, Clark District 5  
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.
Michael Roberson State Senate, Clark District 5  
Name (print) Office (if applicable) District (if applicable)

IN KIND CONTRIBUTIONS






 

 WRITTEN COMMITMENTS FOR IN KIND
 CONTRIBUTIONS
Report Period   # An.
Michael Roberson State Senate, Clark District 5  
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.
Michael Roberson State Senate, Clark District 5  
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.
Michael Roberson State Senate, Clark District 5  
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
FBM, Inc.
9500 W. Flamingo Rd. #203
Las Vegas, NV 89147
A, F02/04/2011$200.00
Torey Hodges
6255 W. Tropicana # 146
Las Vegas, NV 89103
A, F02/14/2011$1,500.00
US Postal Service
Sunset Road
RENO, NV 89509
A03/05/2011$140.00
Clark County Republican Party
574 S. Decatur Blvd.
Las Vegas, NV 89107
H03/07/2011$500.00
Patrick Gibbons
951 Las Palmas Entrada
Apt. 322
Henderson, NV 89012
F04/10/2011$200.00
City Center Motel
800 North Carson Street
Carson City, NV 89701
C06/08/2011$463.70
Southwest Airlines
PO Box 36647
Dallas, TX 75235
C
C
C
C
C
C
C
C
C
06/15/2011
07/22/2011
08/14/2011
09/21/2011
09/21/2011
10/20/2011
11/13/2011
12/05/2011
12/26/2011
$401.40
$431.40
$427.40
$411.40
$295.40
$417.40
$417.40
$417.40
$417.40
John Acuaga's Nugget
1100 Nugget Avenue
Sparks, NV 89431
C
C
06/17/2011
06/19/2011
$135.05
$156.40
Thrifty Car Rental
7135 Gilespie St
Las Vegas, NV 89119
C
C
C
C
06/20/2011
07/29/2011
10/28/2011
11/20/2011
$118.63
$238.03
$129.93
$142.11
J3 STRATEGIES
PO BOX 19762
RENO, NV 89511
F, G06/27/2011$6,700.00
Committee to Elect Jodi Stephens
P.O. Box 51315
Sparks, NV 89435
K
K
07/26/2011
12/30/2011
$500.00
$500.00
Grand Sierra
2500 E. Second Street
Reno, NV 89595
C07/28/2011$248.60
Hyatt Place
1790 E. Plumb Lane
Reno, NV 89502
C
C
C
C
C
C
09/24/2011
10/26/2011
11/18/2011
11/19/2011
12/09/2011
12/29/2011
$157.07
$235.04
$123.17
$123.17
$138.99
$233.70
Western Republican Leadership Conference
P.O. Box 401477
LAS VEGAS, NV 89140
H11/08/2011$1,000.00
Panevino Ristorante
246 Via Antonio Ave.
Las Vegas, NV 89119
H
H
12/05/2011
12/16/2011
$444.00
$1,395.32
Henderson Chamber of Commerce
590 S. Boulder Hwy
Henderson, NV 89015
H12/08/2011$800.00
Latin Chamber of Commerce
300 North 13th Street
Las Vegas, Nv 89101
H12/12/2011$100.00
 
 


 IN KIND EXPENSES Report Period   # An.
Michael Roberson State Senate, Clark District 5  
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