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Richard Andrew Carrillo State Assembly, District 18 Assembly District 18
Name Office (if applicable) District (if applicable)
4819 Diza Court, Las Vegas, NV, 89122 702-273-8786
Mailing Address Telephone No.
richard@richardcarrillo.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
Jan 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)
$ 17,425.00   $ 17,425.00
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)
$ 100.00   $100.00
8. Total Amount of All Contributions (Add Lines 1 through 7)
    (See page 2 of instruction sheet)
$ 17,525.00   $17,525.00
 
9. Total Monetary Expenses Paid in Excess of $100
    (See page 2 of instruction sheet)
$ 23,532.49   $23,532.49
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)
$ 399.63   $399.63
12. Total Amount of All Expenses (Add Lines 9 through 11)
    (See page 3 of instruction sheet)
$ 23,932.12   $23,932.12
 
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



Richard Andrew Carrillo 01/17/2012
Signature Date
 

 MONETARY
 CONTRIBUTIONS
Report Period   # An.
Richard Andrew Carrillo State Assembly, District 18 Assembly District 18
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
Kaempfer Crowell Renshaw Gronauer & Fiorentino
8345 W. Sunset Road
Suite 250
Las Vegas, NV 89113
01/04/2011$500.00   
Wildamac Consulting LLC DBA Knight Government Affairs
1516 Castle Wall St.
Las Vegas, NV 89117
01/07/2011$500.00   
Altria
6601 W. Broad St.
Richmond, VA 23230
08/18/2011$500.00   
South Point Hotel and Casino
9777 Las Vegas Blvd S
Las Vegas, NV 89183
08/30/2011$2,000.00   
Green Valley Ranch/Casino
2300 PASEO VERDE PARKWAY
Henderson, NV 89052
09/15/2011$500.00   
ALLERGAN USA INC
2525 DUPONT DR
IRVINE, CA 92612
09/15/2011$500.00   
Kaempfer Crowell Renshaw Gronauer & Fiorentino
8345 W. Sunset Road
Ste #250
LAS VEGAS, NV 89133-2092
10/12/2011$250.00   
Medco Health Solutions, Inc
100 Parsons Pond Drive
Franklin Lakes, NJ 07417
10/25/2011$500.00   
Associa PAC
5401 N. Central Expwy.
Suite 300
Dallas, TX 75205
10/25/2011$1,000.00   
Las Vegas Limousines
5010 South Valley View Blvd.
LAS VEGAS, NV 89118
10/27/2011$125.00   
ACE Cab Company
5010 S. Valley View Blvd.
Las Vegas, NV 89118
10/27/2011$175.00   
ANLV Cab Company
5010 S. Valley view Blvd
Las Vegas, NV 89118
10/27/2011$175.00   
Virgin Valley Cab Company
5010 S. Valley View Blvd.
Las Vegas, NV 89118
10/27/2011$175.00   
Vegas-Western Cab
5010 S. Valley View Blvd
Las Vegas, NV 89118
10/27/2011$175.00   
Union Cab Co
5010 S. Valley View Blvd
Las Vegas, NV 89118
10/27/2011$175.00   
NV Energy
6226 W Sahara Ave
Las Vegas, NV 89146
11/03/2011$500.00   
Farmers Insurance PAC (FEAPAC)
2030 E. Flamingo Rd
Ste. 200
LAS VEGAS, NV 89119
11/07/2011$1,000.00   
R & S Investment Properties
979 Camelia Dr.
Henderson, NV 89015
11/07/2011$1,000.00   
NSEA
3511 E Harmon Ave
Las Vegas, NV 89121
11/08/2011$2,000.00   
Southern Nevada Conference of Police and Sheriffs
9330 W. Lake Mead Blvd
Las Vegas, NV 89134
11/09/2011$500.00   
Committee to Elect William Horne
2251 N Rampart Blvd. 357
LAS VEGAS, NV 89128-7640
12/05/2011$1,000.00   
Richard Carrillo
4819 Diza Court
Las Vegas, NV 89122
12/06/2011$175.00   
Citizens for Justice
406 N. Nevada Street
Carson City, NV 89703-4107
12/12/2011$1,000.00   
Committee to Elect Marilyn Kirkpatrick
4747 Showdown Drive
North Las Vegas, NV 89031
12/14/2011$1,000.00   
NHCA Quality First
4550 W Oakey Blvd 99B
LAS VEGAS, NV 89102
12/22/2011$500.00   
Newmont USA Limited
101 Constitution Ave. NW 800
WASHINGTON, DC 20001
12/29/2011$1,500.00   

 

 WRITTEN COMMITMENTS Report Period   # An.
Richard Andrew Carrillo State Assembly, District 18 Assembly District 18
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.
Richard Andrew Carrillo State Assembly, District 18 Assembly District 18
Name (print) Office (if applicable) District (if applicable)

IN KIND CONTRIBUTIONS






 

 WRITTEN COMMITMENTS FOR IN KIND
 CONTRIBUTIONS
Report Period   # An.
Richard Andrew Carrillo State Assembly, District 18 Assembly District 18
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.
Richard Andrew Carrillo State Assembly, District 18 Assembly District 18
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.
Richard Andrew Carrillo State Assembly, District 18 Assembly District 18
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
Assembly Democratic Caucus
2251 N Rampart 341
Las Vegas, NV 89128
L01/04/2011$1,500.00
Clinics In Schools
501(C)(3)
Las Vegas, NV 89101
K01/07/2011$250.00
Richard Carrillo
4819 Diza Court
Las Vegas, NV 89122
L01/12/2011$2,644.00
Nevada Federal Credit Union
P.O. Box 15400
Las Vegas, NV 89114
A
A
A, C
01/12/2011
01/12/2011
12/08/2011
$270.25
$108.11
$1,491.15
Mechanical Contractors Association
2640 S. Jones Blvd. Ste. 1
Las Vegas, NV 89146
L01/15/2011$500.00
Mechanical Building Services LLC
1850 Whitney Mesa Dr. 140
HENDERSON, NV 89014
L01/15/2011$1,000.00
The Men's Warehouse
2797 S. Maryland Pkwy.
LAS VEGAS, NV 89109
L
L
01/24/2011
11/10/2011
$133.90
$227.01
Costco
PO Box 12291
Las Vegas, NV 89112
A01/25/2011$214.94
Bed, Bath, and Beyond
621 Marks Street
HENDERSON, NV 89014
L01/25/2011$1,238.64
Apple Inc
1 Infinite Loop
MS 303-3DM
Cupertino, CA 95014
A02/07/2011$1,296.12
COSTCO
700 OLD CLEAR CREEK RD
CARSON CITY, NV 89701
A02/09/2011$150.45
ADVOCACY DATA
1001 G ST NW 460A
WASHINGTON, DC 20001
F03/18/2011$793.88
AT&T
609 N. Stephanie Street
HENDERSON, NV 89014
A
A
04/25/2011
04/25/2011
$431.46
$645.09
Casual Male XL
5595 S. Virginia St.
RENO, NV 89502
L05/23/2011$176.67
AT&T
P.O. Box 60017
LOS ANGELES, CA 90060
A
A
05/23/2011
06/13/2011
$207.04
$158.63
CSG-West
1107 9th Street 730
LOS ANGELES, CA 90060
C07/08/2011$625.00
AT&T
PO Box 60017
LOS ANGELES, CA 90060-0017
A
A
A
A
A
A
07/12/2011
08/12/2011
08/29/2011
10/12/2011
11/14/2011
12/12/2011
$158.63
$158.52
$156.52
$156.52
$134.19
$182.19
Sheraton Hotel
2255 Kalakaua
HONOLULU, HI 96815
C, L08/05/2011$1,819.81
Friends of Kate Marshall
P.O. BOX 40944
RENO, NV 89504
K08/29/2011$500.00
Committee to Elect Ruben Kihuen
P.O. Box 427
Las Vegas, NV 89125-0427
K09/07/2011$1,000.00
Office Max
549 N. Stephanie Street
Henderson, NV 89014
A09/12/2011$122.11
PDQ Printing
3820 S Valley View Blvd
Las Vegas, NV 89103
A, D09/20/2011$175.77
FNOM Recordings LLC
452 Center Green Dr.
LAS VEGAS, NV 89148
F
F
09/28/2011
11/01/2011
$750.00
$750.00
Charlene Gumber
1616 Lorna
HENDERSON, NV 89011
B
B
10/12/2011
11/08/2011
$300.00
$200.00
Oscar Ramos
3317 Thomas Ave.
NORTH LAS VEGAS, NV 89030
B10/28/2011$150.00
Albertsons
5500 Boulder Highway
LAS VEGAS, NV 89122
H11/10/2011$250.00
Hirsch and Associates, Inc.
18 Saint Rose Street, 1
JAMAICA PLAIN, MA 02130
F11/17/2011$778.89
Whitney Elementary School
5005 Keenan Ave.
Las Vegas, NV 89122
L11/22/2011$250.00
Office Depot
520 Marks Street
Henderson, NV 89014
D12/03/2011$352.00
C P Steak Inc.
4518 W. Hacienda Ave.
LAS VEGAS, NV 89118
H12/15/2011$1,125.00
 
 


 IN KIND EXPENSES Report Period   # An.
Richard Andrew Carrillo State Assembly, District 18 Assembly District 18
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