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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
Nov 6 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)
$ 23,200.00   $ 60,053.57
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   $1,500.00
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   $255.00
8. Total Amount of All Contributions (Add Lines 1 through 7)
    (See page 2 of instruction sheet)
$ 23,200.00   $61,808.57
 
9. Total Monetary Expenses Paid in Excess of $100
    (See page 2 of instruction sheet)
$ 13,017.87   $37,946.36
10. Total Value In Kind Expenses in Excess of $100
    (See page 3 of instruction sheet)
$ 0.00   $2,147.00
11. Total Amount of all Expenses of $100 or less
    (See page 3 of instruction sheet)
$ 0.00   $1,431.92
12. Total Amount of All Expenses (Add Lines 9 through 11)
    (See page 3 of instruction sheet)
$ 13,017.87   $41,525.28
 
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 A. Carrillo 11/06/2012
Signature Date
 

 MONETARY
 CONTRIBUTIONS
Report Period   # 3
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
Nevada State AFL-CIO
602 East John St
Carson City, NV 89706
06/08/2012$500.00   
UAW Region 5 Western States Political Action Committee
6500 South Rosemead Blvd
Pico Rivera, CA 90660
06/08/2012$1,000.00   
Ewing Brothers Inc. dba Ewing Bros. auto
1200 A St.
LAS VEGAS, NV 89106
06/13/2012$500.00   
NADEAC NV Auto Dealers Election Action Committee
P.O. Box 7320
RENO, NV 89510-7320
06/14/2012$1,000.00   
Sunrise Healthcare System Good Government Fund PAC
3186 South Maryland Parkway
Las Vegas, NV 89109
07/06/2012$1,000.00   
Professional Fire Fighters of Nevada PAC
P.O. Box 364269
NORTH LAS VEGAS, NV 89036
07/06/2012$500.00   
Nevada Beer Wholesale AS PAC
50 West Liberty Street
Suite 410
Reno, NV 89501
07/13/2012$500.00   
Nevada Soft Drink Association PAC
5355 Kietzke Lane
Suite 200
Reno, NV 89511
07/13/2012$500.00   
LEWIS & ROCA, LLP
3993 HOWARD HUGHES PARKWAY, SUITE # 600
LAS VEGAS, NV 89169
07/13/2012$500.00   
South Point Hotel & Casino
9777 Las Vegas Blvd South
LAS VEGAS, NV 89123
07/16/2012$2,500.00   
Nevada Bankers Assoc.
9081 W. Sahara Av #230
LAS VEGAS, NV 89117
07/30/2012$250.00   
Association of Gaming Equipment Manufacturers
PO Box 50049
Henderson, NV 89016
08/03/2012$1,000.00   
SHEET METAL WORKERS LOCAL UNION NO. 88
2560 MARCO STREET
LAS VEGAS, NV 89115
08/03/2012$200.00   
Republic Silver State Disposal Inc
770 East Sahara Avenue
Las Vegas, NV 89104
08/03/2012$500.00   
Nevada Mining Association Inc, PAC
201 W Liberty Street #300
RENO, NV 89501
08/10/2012$500.00   
Construction Industry Committee
PO Box 7578
Reno, NV 89501
08/13/2012$500.00   
NSEA
3511 E Harmon Ave
Las Vegas, NV 89121
08/18/2012$1,000.00   
CCEA
4230 McLeod
LAS VEGAS, NV 89121
08/23/2012$500.00   
Southwest Gas Corporation
P.O. Box 98510
Las Vegas , NV 89193
08/25/2012$500.00   
Cantor Fitzgerald Securities
110 E 59th Street
New York, NY 10022
08/27/2012$1,000.00   
Century Link
PO Box 4065
Monroe, LA 71211
08/29/2012$1,000.00   
Las Vegas Chamber of Commerce
6671 Las Vegas Blvd S Ste 300
Las Vegas, NV 89119
09/15/2012$1,000.00   
Boyd Gaming Corporation
6465 So. Rainbow Blvd.
Las Vegas, NV 89118
09/27/2012$1,500.00   
Phyllis and Eric Freyer
12705 Fieldcreek Lane
Reno, NV 89511
09/28/2012$250.00   
Joan Lapham
3722 Paradise View
CARSON CITY, NV 89703
09/28/2012$250.00   
Nevada Health PAC
5250 Neil Rd.
Suite 302
Reno, NV 89505
09/28/2012$500.00   
Nevada Subcontractors Association PAC
P.O. Box 98231
Las Vegas, NV 89193-8231
09/28/2012$1,000.00   
Nevada State Education Association
3511 East Harmon Avenue
Las Vegas, NV 89121
09/28/2012$1,000.00   
DISTRICT COUNCIL OF IRON WORKERS
1660 SAN PABLO AVE #C
PINOLE, CA 94564
10/03/2012$1,000.00   
Bank of America
1100 North King Street
Wilmington, DE 19884
10/05/2012$500.00   
Clark County Fire Fighters PAC Fund
6200 W. Charleston
Las Vegas, NV 89146
10/10/2012$250.00   
Lewis & Roca
3993 Howard Hughes Pkwy # 600
Las Vegas, NV 89169
10/12/2012$500.00   

 

 WRITTEN COMMITMENTS Report Period   # 3
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   # 3
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   # 3
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   # 3
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   # 3
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
AT&T
P.O. 60017
LOS ANGELES, CA 90060
A06/12/2012$182.71
Microsoft Corporation
1 Microsoft Way
Redmond, WA 98052
A06/12/2012$129.71
Advocacy Data
1001 Connecticut Ave NW #1015
WASHINGTON, DC 20036
F, G06/28/2012$325.88
Charlene Frost
1616 Lorna
HENDERSON, NV 89011
E, F
A, E, F
E, F
E, F
07/03/2012
07/27/2012
08/29/2012
09/24/2012
$1,200.00
$1,450.00
$1,200.00
$1,675.00
AT&T
P.O. Box 60017
LOS ANGELES, CA 90060-0017
A07/12/2012$185.00
CSG-West
1107 9th Street
Suite 730
SACRAMENTO, CA 95814
C07/23/2012$350.00
The Westin
10135 100 Street Northwest
Edmonton, AB T5J 0N7
C, L07/26/2012$714.06
Pizza Hut
4440 E Wahington
LAS VEGAS, NV 89110
B08/13/2012$122.17
AT&T
PO BOX 60017
Los Angeles, CA 90060
A
A
A
08/13/2012
09/12/2012
10/12/2012
$187.23
$182.42
$182.42
One Nevada Credit Union
2645 South Mojave Road
LAS VEGAS, NV 89121
C08/13/2012$893.98
OPERATING ENGINEERS LOCAL 501 IUOE
2405 W. THIRD ST
LOS ANGELES, CA 90057
L08/13/2012$200.00
COMMITTEE TO ELECT JAMES HEALEY
7800 S. RAINBOW BLVD #2015
LAS VEGAS, NV 89139
K08/30/2012$500.00
Committee to Elect Mike Sprinkle
P.O. Box 51202
SPARKS, NV 89435
K09/25/2012$500.00
Committee to Elect Ken Evans
431 S. 6th Street
LAS VEGAS, NV 89101
K09/25/2012$500.00
Committee to Elect Ellen Speigel
1953 Kachina Mountain Drive
Henderson, NV 89012
K09/25/2012$500.00
Committee to Elect Andy Eisen
9850 S. Maryland Parkway
Suite A-5-162
LAS VEGAS, NV 89183
K09/25/2012$1,500.00
United States Post office
5070 Vegas Valley Drive
LAS VEGAS, NV 89142
A10/02/2012$137.29
Henderson Spartans
1009 Roaring River
HENDERSON, NV 89002
L10/02/2012$200.00
 
 


 IN KIND EXPENSES Report Period   # 3
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