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Elizabeth Nicole Halseth State Senate, Clark District 9  
Name Office (if applicable) District (if applicable)
8022 S. Rainbow Suite #140, Las Vegas, NV, 89139  
Mailing Address Telephone No.
 
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)
$ 15,628.96   $ 15,628.96
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)
$ 15.00   $15.00
8. Total Amount of All Contributions (Add Lines 1 through 7)
    (See page 2 of instruction sheet)
$ 15,643.96   $15,643.96
 
9. Total Monetary Expenses Paid in Excess of $100
    (See page 2 of instruction sheet)
$ 38,437.74   $38,437.74
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)
$ 0.30   $0.30
12. Total Amount of All Expenses (Add Lines 9 through 11)
    (See page 3 of instruction sheet)
$ 38,438.04   $38,438.04
 
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



Elizabeth Halseth 01/17/2012
Signature Date
 

 MONETARY
 CONTRIBUTIONS
Report Period   # An.
Elizabeth Nicole Halseth State Senate, Clark District 9  
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
United Health Group Incorporated Political Action Fund Of Nevada
600 N. Dairy Ashford ML 3076
Houston, TX 77079
01/05/2011$1,000.00   
Caesars Entertainment Operating Company, Inc.
3570 Las Vegas Blvd. South
LAS VEGAS, NV 89109
01/05/2011$1,750.00   
Vidler Water Company
875 Prospect St.
Suite 301
La Jolla, CA 92037
01/05/2011$500.00   
NVOS BONEPAC
PO Box 2670
Reno, NV 89505-2670
01/05/2011$500.00   
International Game Technology
9295 Prototype Drive
Reno, NV 89521-7777
01/05/2011$1,500.00   
Republic Silver State Disposal Inc.
770 E Sahara Avenue
Las Vegas, NV 89104
01/06/2011$1,000.00   
Dollar Loan Center
6122 West Sahara
Las Vegas, NV 89146
01/06/2011$500.00   
Boyd Gaming Corp
6465 S Rainvow Blvd
Las Vegas, NV 89118
01/06/2011$2,000.00   
Select Management Resources, LLC
3440 Preston Ridge Road
Suite 500
Alpharetta, GA 30005
01/07/2011$500.00   
Elizabeth Halseth
8022 South Rainbow Blvd 140
Las Vegas, NV 89139
02/22/2011
02/28/2011
03/08/2011
03/15/2011
03/22/2011
03/30/2011
04/04/2011
04/18/2011
$341.40
$361.40
$361.40
$371.40
$753.76
$391.40
$200.40
$797.80
   
Southwest Gas Corporation
P.O. Box 98510
LAS VEGAS, NV 89193-8511
09/13/2011$1,000.00   
Nevada Anesthesia Patient Safety PAC
1612 Saint Gregory Dr.
Las Vegas, NV 89117
10/19/2011$500.00   
AZ PAC
1800 Concord Pike
P.O. Box15438
Wilmington, DE 19850
11/17/2011$500.00   
TERRA-GEN OPERATING CO.
9590 PROTOTYPE COURT
Suite 200
RENO, NV 89521
12/31/2011$800.00   

 

 WRITTEN COMMITMENTS Report Period   # An.
Elizabeth Nicole Halseth State Senate, Clark District 9  
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.
Elizabeth Nicole Halseth State Senate, Clark District 9  
Name (print) Office (if applicable) District (if applicable)

IN KIND CONTRIBUTIONS






 

 WRITTEN COMMITMENTS FOR IN KIND
 CONTRIBUTIONS
Report Period   # An.
Elizabeth Nicole Halseth State Senate, Clark District 9  
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.
Elizabeth Nicole Halseth State Senate, Clark District 9  
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.
Elizabeth Nicole Halseth State Senate, Clark District 9  
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
UPS Store
8020 S Rainbow Blvd #100
LAS VEGAS, NV 89139
A
A
A
01/03/2011
07/15/2011
12/30/2011
$108.00
$108.00
$60.00
Southwest Airlines
P.O. Box 36647
Dallas, TX 75235
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
01/11/2011
01/11/2011
02/14/2011
02/14/2011
02/16/2011
02/16/2011
02/16/2011
02/22/2011
02/22/2011
03/07/2011
03/14/2011
03/17/2011
03/22/2011
03/31/2011
04/25/2011
05/16/2011
06/27/2011
07/14/2011
09/28/2011
$337.40
$337.40
$20.00
$341.40
$361.40
$319.40
$40.00
$371.40
$42.00
$381.40
$367.36
$391.40
$406.40
$406.40
$5.00
$381.40
$50.00
$431.40
$411.40
Plaza Hotel
801 S Carson Street
Carson City, NV 89701
C
C
C
C
C
C
C
C
C
01/18/2011
01/24/2011
02/02/2011
03/02/2011
03/03/2011
03/10/2011
03/25/2011
04/11/2011
05/23/2011
$161.70
$53.90
$48.40
$48.40
$48.40
$48.40
$96.80
$53.90
$96.80
Budget Car Rental
2001 E Plumb Ln
RENO, NV 89502
C01/20/2011$154.60
Thrifty Car Rental
2001 E Plumb Ln
RENO, NV 89502
C01/25/2011$113.23
In Compliance Inc
PO Box 751271
LAS VEGAS, NV 89136
F
A
F
A
F
A
F
A
F
A
F
A
C
F
A
F
A
F
A
F
A
02/28/2011
02/28/2011
04/06/2011
04/06/2011
05/03/2011
05/03/2011
06/01/2011
06/01/2011
07/08/2011
07/08/2011
07/27/2011
07/27/2011
07/27/2011
08/30/2011
08/30/2011
09/28/2011
09/28/2011
11/01/2011
11/01/2011
12/01/2011
12/01/2011
$1,100.00
$329.05
$200.00
$301.50
$200.00
$2.50
$200.00
$2.50
$200.00
$302.50
$200.00
$1.50
$16.13
$200.00
$1.50
$200.00
$318.75
$200.00
$3.00
$200.00
$3.00
Legislative Counsel Bureau
401 S. Carson Street
Carson City, NV 89701
C
A
02/28/2011
03/20/2011
$200.00
$20.50
Ryan Erwin & Associates
9500 W. Flamingo Rd. #203
Las Vegas, NV 89147
F03/01/2011$23,500.00
Tara Christensen
3077 Lenoir Str
LAS VEGAS, NV 89135
F
F
F
03/20/2011
04/06/2011
05/26/2011
$1,000.00
$1,000.00
$1,000.00
Public Education Foundation
3360 W Sahara Ave #160
LAS VEGAS, NV 89102
L04/18/2011$500.00
Courtyard Carson City
3870 S Carson St
carson City, NV 89701
C06/06/2011$102.30
Victor Vitug
10300 W Charleston
LAS VEGAS, NV 89135
D, H07/25/2011$200.00
Red Lion Inn & Casino
2065 Idaho St.
Elko, Nv 89801
C10/14/2011$129.92
 
 


 IN KIND EXPENSES Report Period   # An.
Elizabeth Nicole Halseth State Senate, Clark District 9  
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