Print Help?
Ed Goedhart State Assembly, District 36  
Name (print) Office (if applicable) District (if applicable)
PO Box 4664, Pahrump, NV, 89041 (702) 682-3339
Mailing Address (include city and zip code) Telephone No.
 
E-Mail Address

 Select Appropriate Box(es)		 CANDIDATE PAC POL PRTY IND EXP NONPROFIT CORP
LEGAL DEFENSE FUND AMENDED LOCAL BAG
Annual Filing - Due January 15, 2010
Period: Jan 01, 2009 - Dec 31, 2009
Report #1 - Due June 01, 2010*
Period: Jan 01, 2010 - May 27, 2010
Report #2 - Due October 26, 2010*
Period: May 28, 2010 - Oct 21, 2010
Report #3 - Due January 15, 2011*/**
Period: Oct 22, 2010 - Dec 31, 2010
Annual Filing - Due January 15, 2011
Period: Jan 01, 2010 - Dec 31, 2010
FILE
Jan 16 2010
 
ROSS MILLER
SECRETARY OF STATE
FOR OFFICE USE ONLY
      * These Reports are filed by incumbents/candidates in the 2010 election cycle
      ** Third Report suffices for 2011 Annual Filing if candidate also filed Report Nos. 1 and 2
1. Total Monetary Contributions Received in Excess of $100
    (See page 1 of instruction sheet) 		$ 10,500.00   $ 10,500.00
2. Total Monetary Contributions in the form of loans guaranteed by a third
    party.  (See page 1 of instruction sheet) 		$ 0.00   $0.00
3. Total Monetary Contributions in the form of loans that were forgiven
    (See page 2 of instruction sheet) 		$ 0.00   $0.00
4. Total Amount of Monetary Contributions Received
    (Add Lines 1 through 3)  (See page 2 of instruction sheet) 		$ 10,500.00   $10,500.00
5. Total Amount of Written Commitments for Contributions
    (When commitment is funded, report as contribution (monetary or in kind))
    (See page 2 of instruction sheet)
$ 2,500.00   $2,500.00
6. Total Value of In Kind Contributions Received in
    Excess of $100   (See page 2 of instruction sheet) 		$ 0.00   $0.00
 
7. Total Monetary Expenses Paid in Excess of $100
    (See page 2 of instruction sheet) 		$ 121.03   $121.03
8. Total Value of In Kind Expenses in Excess
    of $100  (See page 3 of instruction sheet) 		$ 0.00   $0.00
 
I Declare Under Penalty of Perjury That the Foregoing is True and Correct.

Ed Goedhart 01/16/2010
Signature Date
 

 CAMPAIGN CONTRIBUTIONS Report Period   # An.
Ed Goedhart State Assembly, District 36  
Name (print) Office (if applicable) District (if applicable)

Contributions in Excess of $100 or, When Added Together from One Contributor Exceeds $100
Transfer Total Amount of All Campaign Contributions to Line 1 of Contributions Summary
 CONTRIBUTOR'S NAME AND
ADDRESS		 DATE OF EACH
CONTRIBUTION		 AMOUNT OF EACH
CONTRIBUTION		 CHECK
HERE
IF LOAN		 NAME AND
ADDRESS OF
3rd PARTY IF
LOAN
GUARANTEED
BY 3rd PARTY		 NAME AND ADDRESS
OF PERSON WHO
FORGAVE THE LOAN,
IF DIFFERENT THAN
CONTRIBUTOR
Walgreens
200 Wilmot RD
Deerfield, IL 60015		07/29/2009$1,000.00   
Berrick Gold Star Mines
136 E South Temple Ste 1800
Salt Lake City, NV 84111		08/26/2009$2,500.00   
AT & T
5440 W. Sahara Ave.
Room 103
Las Vegas, NV 89146		11/06/2009$1,000.00   
Retail Association of Nevada
1007 N Nevada St
Carson City, NV 89701		11/13/2009$1,000.00   
Corrections Corp of America
10 Burton Hills Boulevard
Nashville, TN 37215		12/04/2009$1,000.00   
Nevada Bankers Association
Po Box 27558
Las Vegas, NV 89126		12/16/2009$500.00   
R & R Partners, Inc.
900 S Pavilion Center Dr.
Las Vegas, NV 89144		12/17/2009$1,000.00   
Wal Mart
7154 W State St Ste 242
Boise, ID 83714		12/18/2009$1,000.00   
Newmont
1700 Lincoln Street
Ste 3600
Denver, CO 80203		12/21/2009$1,000.00   
Nevada Medical Political Action Committee
3660 Baker Lane Suite 101
Reno, NV 89509		12/22/2009$500.00   

This page may be copied or duplicated if additional space is needed.

 

 WRITTEN COMMITMENTS Report Period   # An.
Ed Goedhart State Assembly, District 36  
Name (print) Office (if applicable) District (if applicable)

Written Commitments in Excess of $100 or, When Added Together from One Entity Exceeds $100
Transfer Total Amount of All Written Commitments to Line 5 of Contributions Summary
 NAME AND ADDRESS OF PERSON WHO
MADE THE COMMITMENT		 DATE OF EACH
COMMITMENT		 AMOUNT OF EACH
COMMITMENT
Solar Millenium
8311 W Sunset Road
Las Vegas, NV 89113		12/31/2009$2,500.00

This page may be copied or duplicated if additional space is needed.

 

 CAMPAIGN EXPENSES Report Period   # An.
Ed Goedhart State Assembly, District 36  
Name (print) Office (if applicable) District (if applicable)

Expense Categories

 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
 ** Goods and services provided in kind for which money would otherwise
   have been paid 		I
 Other miscellaneous expenses J










** NRS 294A.362 requires “In Kind” contributions and expenses to be reported on a separate form, which is attached.
 

 CAMPAIGN EXPENSES Report Period   # An.
Ed Goedhart State Assembly, District 36  
Name (print) Office (if applicable) District (if applicable)

Expenses in Excess of $100
Transfer Total Amount of All Campaign Expenses to Line 7 of Expenses Summary
 NAME AND ADDRESS OF
 PERSON, GROUP OR
 ORGANIZATION WHO RECEIVED
 THE PAYMENT FOR THE
 EXPENSE(S)		CATEGORY
(See Previous Page)

NRS 294A.365		DATE OF EACH
EXPENSE		AMOUNT OF
EACH EXPENSE
Mineral County Independant News
PO Box 1270
Hawthorn, NV 89415		D09/02/2009$121.03
 
This page may be copied or duplicated if additional space is needed.

 


 IN KIND CONTRIBUTIONS AND EXPENSES REPORT




IN KIND CONTRIBUTION IS DEFINED AS THE VALUE OF SERVICES PROVIDED IN KIND FOR WHICH MONEY WOULD HAVE OTHERWISE BEEN PAID.
In kind contributions and expenses include: paid polling and resulting data, paid direct mail, paid solicitation by telephone, any paid paraphernalia that was printed or otherwise produced to promote a campaign and the use of paid personnel to assist in a campaign. An in kind contribution may also include, but is not limited to: goods and services such as billboards, office space, printing, food and beverage and yard signs.

The donor of in kind contributions shall furnish to the recipient (candidate or other person), a written statement setting forth the actual cost of those services or the fair market value within 30 days after the time he furnishes those services. (NAC 294A.043)

Examples of in kind contributions: (1) A person contributes billboard space and does not charge the candidate. The candidate would report the fair market value or actual cost of the billboard space as an in kind contribution; (2) A person pays for the printing cost of political signs for a candidate. The candidate would report the actual cost or fair market value of printing the signs as an in kind contribution.

Example of in kind expenses: (1) A person contributes the use of a large room to a candidate as an in kind contribution. Once the candidate utilizes the room it becomes an in kind expense to be reported.
 

 IN KIND CAMPAIGN
CONTRIBUTIONS 		Report Period   # An.
Ed Goedhart State Assembly, District 36  
Name (print) Office (if applicable) District (if applicable)

IN KIND
Contributions in Excess of $100 or, When Added Together from One Contributor Exceeds $100
Transfer Total Value of All In-Kind Campaign Contributions to Line 6 of Contributions Summary
 CONTRIBUTOR'S
NAME AND
ADDRESS		 DATE OF
EACH
IN KIND
CONTRI-
BUTION		 DESCRIPTION OF
EACH
IN KIND
CONTRIBUTION		 VALUE OR COST
OF EACH
IN KIND
CONTRIBUTION/
COMMITMENT		 CHECK
HERE
IF
LOAN		 NAME AND
ADDRESS OF 3rd
PARTY IF LOAN
GUARANTEED
BY 3rd PARTY		 NAME AND
ADDRESS OF
PERSON WHO
FORGAVE THE
LOAN
       
       
       
       
       
       
       
       
       
       
       
       
       





This page may be copied or duplicated if additional space is needed.

 

 IN KIND
WRITTEN COMMITMENTS 		Report Period   # An.
Ed Goedhart State Assembly, District 36  
Name (print) Office (if applicable) District (if applicable)

In Kind Written Commitments in Excess of $100 or, When Added Together from One Entity Exceeds $100
Transfer Total Amount of All Written Commitments to Line 5 of Contributions Summary
 NAME AND ADDRESS OF PERSON WHO
MADE THE IN KIND COMMITMENT		 DATE OF EACH
IN KIND
COMMITMENT		 AMOUNT OF EACH
IN KIND
COMMITMENT
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   

This page may be copied or duplicated if additional space is needed.

 

 IN KIND CAMPAIGN
EXPENSES 		Report Period   # An.
Ed Goedhart State Assembly, District 36  
Name (print) Office (if applicable) District (if applicable)

IN KIND
Expenses in Excess of $100
Transfer Total Value of All In-Kind Campaign Expenses to Line 8 of Expenses Summary
 NAME AND ADDRESS OF
 PERSON, GROUP OR
 ORGANIZATION WHO RECEIVED
 THE IN KIND GOOD(S) OR
 SERVICE(S)		DESCRIPTION
OF EACH
IN KIND
EXPENSE		DATE OF
EACH
IN KIND
EXPENSE		VALUE OR COST
OF EACH
IN KIND
EXPENSE
    
    
    
    
    
    
    
    
    
    
    
    

This page may be copied or duplicated if additional space is needed.

Prescribed by Secretary of State
NRS 294A.120, 294A.125,
294A.140, 294A.150, 294A.160
294A.200, 294A.210, 294A.220, 294A.362