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Tom Collins Clark County Commissioner, District B  
Name Office (if applicable) District (if applicable)
PO Box 249, Logandale, NV, 89021 702-373-4284
Mailing Address Telephone No.
tomcollins2012@gmail.com
E-Mail Address
 Select Appropriate Box(es) CANDIDATE      LEGAL DEFENSE FUND What is this?       AMENDED
Report #1 - Due May 20, 2014
Period: Jan 01, 2014 - May 16, 2014
Report #2 - Due June 06, 2014
Period: May 17, 2014 - Jun 05, 2014
Report #3 - Due October 14, 2014
Period: Jun 06, 2014 - Oct 10, 2014
Report #4 - Due October 31, 2014
Period: Oct 11, 2014 - Oct 30, 2014
Report #5 - Due January 15, 2015
Period: Oct 31, 2014 - Dec 31, 2014
Annual Filing - Due January 15, 2015*
Period: Jan 01, 2014 - Dec 31, 2014
FILED
May 20 2014
 
ROSS MILLER
SECRETARY OF STATE
FOR OFFICE USE ONLY
      * Report #5 suffices for the 2015 Annual Filing only if Report #'s 1, 2, 3 and 4 are previously filed
1. Total Monetary Contributions Received in Excess of $100 $ 4,700.00   $ 4,700.00
2. Total Monetary Contributions in the Form of Loans Guaranteed by a 3rd-Party in Excess of $100 $ 0.00   $0.00
3. Total Monetary Contributions in the Form of Loans that were Forgiven in Excess of $100 $ 0.00   $0.00
4. Total Amount of Written Commitments for Contributions in Excess of $100 $ 0.00   $0.00
5. Total Value of In Kind Contributions in Excess of $100 $ 0.00   $0.00
6. Total Value of Written Commitments for In Kind Contributions in Excess of $100 $ 0.00   $0.00
7. Total Amount of all Contributions of $100 or less $ 0.00   $0.00
8. Total Amount of All Contributions (Add Lines 1 through 7) $ 4,700.00   $4,700.00
9. Total Monetary Expenses Paid in Excess of $100 $ 32,516.41   $32,516.41
10. Total Value In Kind Expenses in Excess of $100 $ 0.00   $0.00
11. Total Amount of all Expenses of $100 or less $ 394.00   $394.00
12. Total Amount of All Expenses (Add Lines 9 through 11) $ 32,910.41   $32,910.41
 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
AND
 I have agreed to the following terms and conditions:
I declare, under penalty of perjury or under an oath to God, that the information I submitted herein to the Secretary of State for the State of Nevada is true and correct, and is not submitted for any improper purpose, and that I am authorized to submit the information, and to the best of my knowledge complies with NRS Chapter 294A. I have reviewed the NRS 225.083 Notice. I understand it is unlawful to submit any illegal, unauthorized, fraudulent, forged, deceptive, defamatory, illicit, or improper information, as defined by state and federal law, to the Secretary of State, and agree to indemnify the Secretary of State, and any other parties entitled thereto, for any damages incurred for any unlawful, unauthorized, fraudulent, forged, deceptive, defamatory, illicit, or improper information, as defined by the federal and state law, submitted to the Secretary of State by my use of this electronic filing system. I further understand that I may be subject to criminal (NRS 239.330) and/or civil (NRS 225.084) penalties for submitting any unlawful unauthorized, fraudulent, forged, deceptive, defamatory, illicit, or improper information, as defined by federal and state law. I understand and agree that all information submitted is the property of the Secretary of State, and may be monitored for all lawful purposes. I further understand that during such monitoring, all information, including personal information placed on this system, may be examined, copied, and used for any authorized purpose. By submitting this report I intend to identify myself as the authorized person signing this document and with the present intent to authenticate my signature as such.
Tom Collins 05/20/2014
Signature Date
 

 MONETARY
 CONTRIBUTIONS
Report Period   # 1
Tom Collins Clark County Commissioner, District B  
Name (print) Office (if applicable) District (if applicable)

MONETARY CONTRIBUTIONS IN EXCESS OF $100 OR,
WHEN ADDED TOGETHER FROM ONE CONTRIBUTOR, THAT EXCEED $100

(Transfer Total Amount of All Monetary Contributions to Lines 1, 2, or 3, As Applicable, of Contributions Summary)


 

 WRITTEN COMMITMENTS Report Period   # 1
Tom Collins Clark County Commissioner, District B  
Name (print) Office (if applicable) District (if applicable)

WRITTEN COMMITMENTS FOR CONTRIBUTIONS IN EXCESS OF $100 OR,
WHEN ADDED TOGETHER FROM ONE ENTITY, THAT EXCEED $100

(Transfer Total Amount of All Written Commitments to Line 4 of Contributions Summary)

NAME AND ADDRESS OF PERSON, GROUP OR ORGANIZATION WHO MADE THE COMMITMENTDATE OF
COMMITMENT
AMOUNT OF
COMMITMENT
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   

 

 IN KIND CONTRIBUTIONS Report Period   # 1
Tom Collins Clark County Commissioner, District B  
Name (print) Office (if applicable) District (if applicable)

IN KIND CONTRIBUTIONS IN EXCESS OF $100 OR,
WHEN ADDED TOGETHER FROM ONE CONTRIBUTOR, THAT EXCEED $100

(Transfer Total Value of All In Kind Contributions to Line 5 of Contributions Summary)






 

 WRITTEN COMMITMENTS FOR IN KIND
 CONTRIBUTIONS
Report Period   # 1
Tom Collins Clark County Commissioner, District B  
Name (print) Office (if applicable) District (if applicable)

WRITTEN COMMITMENTS FOR IN KIND CONTRIBUTIONS IN EXCESS OF $100 OR,
WHEN ADDED TOGETHER FROM ONE ENTITY, THAT EXCEED $100

(Transfer Total Value of All In Kind Written Commitments to Line 6 of Contributions Summary)

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
Tom Collins Clark County Commissioner, District B  
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
 Fees for filing declarations of candidacy or acceptances of candidacy L
 Repayments or forgiveness of loans M
 Disposal of unspent contributions pursuant to NRS 294A.160 N
 Other miscellaneous expenses O


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

 MONETARY EXPENSES Report Period   # 1
Tom Collins Clark County Commissioner, District B  
Name (print) Office (if applicable) District (if applicable)

MONETARY EXPENSES IN EXCESS OF $100
(Transfer Total Amount of All Campaign Expenses to Line 9 of Expenses Summary)

NAME AND ADDRESS OF PERSON, GROUP OR ORGANIZATION WHO RECEIVED THE PAYMENT FOR THE EXPENSECATEGORY
(NRS 294A.365)
DATE OF
EXPENSE
AMOUNT OF
EXPENSE
UNLV Rodeo Team
7775 W Craig Road
LAS VEGAS, NV 89129
K01/02/2014$1,250.00
Verizon Wireless
7000 Central Ave SW
ALBUQUERQUE, NM 87121-2096
A
A
A
A
01/05/2014
02/10/2014
03/16/2014
04/11/2014
$442.18
$347.19
$167.76
$167.78
tom collins
po box 249
LOGANDALE, NV 89021
H01/05/2014$715.51
Rebel Oil Co
2200 South Highland Drive
LAS VEGAS, NV 89102
C
C
C
C
C
C
C
C
C
01/10/2014
01/19/2014
02/10/2014
02/24/2014
03/12/2014
03/28/2014
04/11/2014
04/27/2014
05/09/2014
$387.65
$419.25
$369.16
$155.70
$257.91
$196.00
$257.05
$163.00
$303.26
DiBella's Flowers
2021 W Charleston Blvd
LAS VEGAS, NV 89102
H
K
H
01/10/2014
03/07/2014
04/06/2014
$96.08
$97.08
$192.16
Friends of Norm Frey
3975 Reno Hwy
Fallon, NV 89406
K01/22/2014$350.00
SCE
6475 W. Sahara Ave
LAS VEGAS, NV 89146
A
A
A
A
01/24/2014
02/19/2014
03/16/2014
04/18/2014
$1,000.00
$1,000.00
$1,000.00
$1,000.00
Heidi Sterner
3402 Cinnamon Creek Ave
N Las Vegas, NV 89031
C, E02/09/2014$396.00
Chase Card Services
P.O. Box 94014
Palantine, IL 60094
H02/10/2014$436.04
HughesNet
PO Box 3475
TOLEDO, OH 43607-0475
A
A
02/10/2014
04/06/2014
$76.54
$76.54
Clark County Democratic Party
1210 S. Valley View Blvd. 114
LAS VEGAS, NV 89102
K
K
02/15/2014
04/28/2014
$500.00
$500.00
Nevada State Democratic Party
1210 S. Valley View
Suite 114
Las Vegas, NV 89120
K02/16/2014$500.00
American Express
PO Box 981540
El Paso, TX 79998
H
H
H
02/17/2014
03/29/2014
04/27/2014
$62.50
$87.50
$87.00
Committee to Elect John G Watkins
804 S Sixth St
Las Vegas, NV 89101
K02/19/2014$300.00
Emerge Nevada
8345 W. Sunset Rd Ste 250
Las Vegas, NV 89113
K02/19/2014$250.00
Committee to Elect Michael Hancock
PO Box 46271
Denver, CO 80201
K02/22/2014$250.00
Chase Card Services
PO Box 94014
PALATINE, IL 60094-4014
H
H
H
02/24/2014
04/06/2014
04/27/2014
$249.40
$25.00
$335.17
Committee to Elect Sanje Sedera
1413 Strike Jumper Court
Las Vegas, NV 89108
K03/01/2014$250.00
Committee to Elect Richard Carrillo
4819 Diza Ct
Las Vegas, NV 89122-7574
K03/15/2014$250.00
Bobby G for Sheriff
500 South Rancho Dr Ste 17
Las Vegas, NV 89106
K03/16/2014$5,000.00
Fraternity of the Desert Bighorn
PO Box 27494
LAS VEGAS, NV 89126-1494
K03/28/2014$750.00
Boy Scouts of America LV Area Council
7220 S. Paradise Road
Las Vegas, NV 8919
K03/28/2014$250.00
Committee to Elect John Bonaventura
2988 E Reno Ave
Las Vegas, NV 89120
K03/28/2014$250.00
Friends of Kim Wallin
PO Box 4103
Carson City, NV 89702
K04/11/2014$1,000.00
Rugg for Judge
438 E Sahara Ave
Las Vegas, NV 89104
K04/11/2014$1,000.00
John J. Cahill For Public Administratior
642 Saint Andrews
Henderson, NV 89015
K04/16/2014$500.00
RMEF Las Vegas Chapter
1160 Light Sky Ave
Henderson, NV 89074
K04/27/2014$1,500.00
Stavan Corbett for Trustee District D
3801 Sequioa Ave
LAS VEGAS, NV 89110
K04/28/2014$600.00
America Votes
1155 Connecticut Ave Ste 600
Washington, DC 20036
K04/28/2014$5,000.00
Committee to Elect Ross Miller
10120 S Eastern Ave.
Suite 200
Henderson, NV 89052
K05/03/2014$500.00
SCE
6475 W Sahara Ave
LAS VEGAS, NV 89146
A05/13/2014$1,000.00
Seniors United
1155 E Twain Ave
#108-177
LAS VEGAS, NV 89169
K05/14/2014$200.00
 
 


 IN KIND EXPENSES Report Period   # 1
Tom Collins Clark County Commissioner, District B  
Name (print) Office (if applicable) District (if applicable)

IN KIND EXPENSES IN EXCESS OF $100
(Transfer Total Value of All In-Kind Expenses to Line 10 of Expenses Summary)


EL201
Revised: 8-13-13
NRS 294A.120; 294A.125;
294A.160; 294A.200;
294A.362; 294A.373