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Sunrise Healthcare System Good Government PAC Fund
Name Office (if applicable) District (if applicable)
3186 S Maryland Parkway, Las Vegas, NV, 89109 7027318000
Mailing Address Telephone No.
Lana.Arad@hcahealthcare.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
Jun 7 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)
$ 0.00   $ 0.00
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)
$ 0.00   $0.00
 
9. Total Monetary Expenses Paid in Excess of $100
    (See page 2 of instruction sheet)
$ 30,750.00   $30,750.00
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)
$ 0.00   $0.00
12. Total Amount of All Expenses (Add Lines 9 through 11)
    (See page 3 of instruction sheet)
$ 30,750.00   $30,750.00
 
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



Lana Arad 06/07/2012
Signature Date
 

 MONETARY
 CONTRIBUTIONS
Report Period   # 1
Sunrise Healthcare System Good Government PAC Fund
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
      
      
      
      
      
      
      
      
      
      
      
      
      
      
      

 

 WRITTEN COMMITMENTS Report Period   # 1
Sunrise Healthcare System Good Government PAC Fund
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
Sunrise Healthcare System Good Government PAC Fund
Name (print) Office (if applicable) District (if applicable)

IN KIND CONTRIBUTIONS






 

 WRITTEN COMMITMENTS FOR IN KIND
 CONTRIBUTIONS
Report Period   # 1
Sunrise Healthcare System Good Government PAC Fund
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
Sunrise Healthcare System Good Government PAC Fund
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
Sunrise Healthcare System Good Government PAC Fund
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
Committee to Re-elect Paul Aizley
237 East Eldorado Lane
LAS VEGAS, NV 89123
L01/26/2012$750.00
Committee to Elect Steven Brooks
109 Delighted Avenue
NORTH LAS VEGAS, NV 89031
L01/26/2012$750.00
Senate Republican Leadership Conference
P.O. Box 97251
LAS VEGAS, NV 89193
L01/26/2012$1,000.00
Friends of Pat Hickey
1180 Forest Street
RENO, NV 89509
L02/10/2012$1,000.00
Committee to Elect Debbie Smith
3270 Wilma Drive
Sparks, NV 89431-1173
L02/10/2012$1,000.00
Committee to Elect April Mastroluca
265 Copper Glow Court
Henderson, NV 89074
L
L
02/10/2012
04/10/2012
$1,500.00
$1,500.00
Committee to Re-elect Cresent Hardy
P.O. Box 601
MESQUITE, NV 89024
L02/10/2012$1,000.00
Committee to Re-elect Missy Woodbury
9500 West Flamingo Road
Suite 203
LAS VEGAS, NV 89147
L02/10/2012$1,000.00
Committee to Elect Randy Kirner
18124 Wedge Parkway
RENO, NV 89511
L02/10/2012$1,000.00
Friends for Irene Bustamante Adams
3800 Reflection Way
Las Vegas, NV 89147
L02/27/2012$1,000.00
Eisen for Nevada Assembly
9850 S. Maryland Parkway
Ste. A5-162
LAS VEGAS, NV 89138
L02/27/2012$1,000.00
Committee to Elect Marcus Conklin
2251 N. Rampart Blvd.,
Suite 305
Las Vegas , NV 89128
L02/29/2012$1,000.00
Anthony for City Council
3275 South Jones Blvd., #105
LAS VEGAS, NV 89146
L03/19/2012$1,000.00
Committee to Elect John Hambrick
1930 Village Center Circle, #3-419
Las Vegas, NV 89134
L03/19/2012$1,000.00
Friends For David Bobzien
1605 Wesley Drive
Reno, NV 89503
L03/19/2012$1,000.00
Assembly Democratic Caucus
2251 North Rampart Blvd.
Suite #341
LAS VEGAS, NV 89128
L03/19/2012$1,500.00
Friends for Flores
420 N. Nellis Blvd.
Ste. A3-87
LAS VEGAS, NV 89110
L03/19/2012$500.00
Committee to Elect Marilyn Kirkpatrick
4747 Showdown Drive
North Las Vegas, NV 89031
L03/19/2012$1,000.00
Nevada Senate Democrats
1210 South Valley View Ste 114
Las Vegas , NV 89102
L
L
03/22/2012
03/22/2012
$4,000.00
$500.00
Committee to Elect Kelly Kite
P O Box 2251
Minden, NV 89423
L04/10/2012$1,000.00
Committee to elect Elliot Anderson
3135 S Mojave Road
Las Vegas, NV 89121
L04/10/2012$1,000.00
Committee to Elect Steven Brooks
6007 Turtle River Avenue
LAS VEGAS, NV 89156
L04/10/2012$250.00
Committee to Elect Olivia Diaz
PO Box 365072
NORTH LAS VEGAS, NV 89036
L04/10/2012$1,000.00
Committee to Elect Marcus Conklin
2251 North Rampart #305
Las Vegas , NV 89128
L04/10/2012$1,000.00
Committee to Elect Mark Manendo
4629 Butterfly Circle
Las Vegas, NV 89122
L04/10/2012$500.00
Ellen Spiegel Campaign
2764 N. Greenvalley Pkwy. #327 #327
HENDERSON, NV 89014
L05/17/2012$500.00
Committee to Elect John Lee
3216 Villa Pisani Court
North Las Vegas, NV 89031-7267
L05/17/2012$1,500.00
 
 


 IN KIND EXPENSES Report Period   # 1
Sunrise Healthcare System Good Government PAC Fund
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