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AGCPAC
Name Office (if applicable) District (if applicable)
PO Box 10291, Reno, NV, 89510 7753296116
Mailing Address Telephone No.
melissad@nevadaagc.org
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)
$ 20,460.00   $ 20,460.00
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)
$ 480.00   $480.00
8. Total Amount of All Contributions (Add Lines 1 through 7)
    (See page 2 of instruction sheet)
$ 20,940.00   $20,940.00
 
9. Total Monetary Expenses Paid in Excess of $100
    (See page 2 of instruction sheet)
$ 7,738.85   $7,738.85
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)
$ 100.59   $100.59
12. Total Amount of All Expenses (Add Lines 9 through 11)
    (See page 3 of instruction sheet)
$ 7,839.44   $7,839.44
 
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



John D. Madole Jr. 05/22/2012
Signature Date
 

 MONETARY
 CONTRIBUTIONS
Report Period   # 1
AGCPAC
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
Nevada Chapter AGC
P.O. Box 7578
Reno, NV 89510
01/05/2012
04/12/2012
$16,390.00
$160.00
   
J & J MECHANICAL INC
633 OVERMYER RD
SPARKS, NV 89431-6486
04/06/2012$490.00   
Moody-Weiske Contractors
P. O. Box 3296
RENO, NV 89505
04/06/2012$410.00   
A & K Earthmovers
P.O. Box 1059
Fallon, NV 89407-1059
04/06/2012$820.00   
MOANA NURSERY
1100 W. MOANA LN
RENO, NV 89509
04/18/2012$160.00   
SIERRA NEVADA CONSTRUCTION, INC
PO BOX 50760
SPARKS, NV 89435-0760
04/18/2012$240.00   
Frank Lepori Construction
1475 Hymer Ave
Sparks, NV 89431
04/18/2012$400.00   
Elite Safety Companies
P.O. Box 20607
RENO, NV 89515
04/18/2012$160.00   
PAR Electrical Contractors
1465 W. 4th Street
Reno, NV 89503
04/18/2012$750.00   
UNITED CONSTRUCTION COMPANY
5500 EQUITY AVE
RENO, NV 89502
05/18/2012$160.00   
A-1 Steel
1523 S Stanford Way
Sparks, NV 89431
05/18/2012$320.00   

 

 WRITTEN COMMITMENTS Report Period   # 1
AGCPAC
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
AGCPAC
Name (print) Office (if applicable) District (if applicable)

IN KIND CONTRIBUTIONS






 

 WRITTEN COMMITMENTS FOR IN KIND
 CONTRIBUTIONS
Report Period   # 1
AGCPAC
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
AGCPAC
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
AGCPAC
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
Grand Sierra Resort
2500 E. Second St.
Reno, NV 89595
H01/10/2012$500.00
Committee to Elect Ron Smith
2655 Tuscan Way
Sparks, NV 89434
K01/20/2012$250.00
Wells Fargo
5340 Kietzke Lane
Reno, NV 89511
A02/09/2012$246.64
Committee to Elect Greg Brower
2030 Caughlin Creek Road
RENO, NV 89519
K02/09/2012$1,000.00
American Express
P.O. Box 360001
FORT LAUDERDALE, FL 33336-0001
A
H
03/20/2012
04/06/2012
$225.00
$307.95
Grand Sierra Resort & Casino
2500 East Second Street
Reno, NV 89595
H04/06/2012$500.00
Committee to Elect Kelly Kite
P O Box 2251
Minden, NV 89423
K04/06/2012$750.00
Committee to Elect Ellen Speigel
1953 Kachina Mountain Drive
Henderson, NV 89012
K04/06/2012$1,000.00
Committee to Elect Pat Hickey
1180 Forest Street
RENO, NV 89502
K04/06/2012$1,000.00
Washoe County Registar
1001 E. Ninth Street
Reno, NV 89520
L04/06/2012$309.26
Committee to Elect Allyson Wong
1243 Humboldt Street
RENO, NV 89509
K05/03/2012$250.00
Committee to Elect Neoma Jardin
7530 Briargate Court
RENO, NV 89523
K05/09/2012$250.00
Committee to Elect Dennis Romeo
P.O. Box 10732
RENO, NV 89510
K05/09/2012$250.00
Committee to Elect Kathleen Taylor
316 California Avenue #24
RENO, NV 89509
K05/09/2012$250.00
Committee to Elect Marsha Berkbigler
2090 Allen Street
RENO, NV 89509
K05/09/2012$250.00
Committee to Elect Jesse Gutierrez
2540 SINGLING HILLS DRIVE
SPARKS, NV 89436
K05/09/2012$250.00
Washoe County Department of Regional Parks & Open Spaces
2601 Plumas Street
Reno, Nv 89509
H05/15/2012$150.00
 
 


 IN KIND EXPENSES Report Period   # 1
AGCPAC
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