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Concerned Homeowner Association Members PAC
Name (print) Office (if applicable) District (if applicable)
8350 W. Sahara Ste. 150, Las Vegas, NV, 89117 7023288719
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 13 2011
 
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)
$ 27,604.00   $ 82,604.00
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)
$ 27,604.00   $82,604.00
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)

$ 0.00   $0.00
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)
$ 32,180.99   $38,430.99
8. Total Value of In Kind Expenses in Excess
    of $100  (See page 2 of instruction sheet)
$ 0.00   $0.00
 
I Declare Under Penalty of Perjury That the Foregoing is True and Correct.

RUTT PREMSRIRUT 01/13/2011
Signature Date
 

 CAMPAIGN CONTRIBUTIONS Report Period   # 3
Concerned Homeowner Association Members PAC
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
JSW REAL ESTATE INVESTMENTS, LLC
5594 SOUTH FORT APACHE SUITE 100
LAS VEGAS, NV 89148
10/22/2010$10,000.00   
EQUISOURCE, LLC
2863 ST ROSE PARKWAY
HENDERSON, NV 89052
10/22/2010$10,000.00   
CCLF LAS VEGAS
999 18TH ST SUITE 220
DENVER, CO 80202
10/22/2010$7,604.00   

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

 

 WRITTEN COMMITMENTS Report Period   # 3
Concerned Homeowner Association Members PAC
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
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   

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

 

 CAMPAIGN EXPENSES Report Period   # 3
Concerned Homeowner Association Members PAC
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   # 3
Concerned Homeowner Association Members PAC
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
FRIENDS FRO HARVEY MUNFORD
809 SUNNY PLACE
LAS VEGAS, NV 89106
G10/22/2010$500.00
FRIENDS FOR WILLIAM HORNE
2251 N RAMPART #357
LAS VEGAS, NV 89128
G10/22/2010$750.00
FERRARI PUBLIC AFFAIRS
4747 CAUGHLIN PARKWAY SUITE 7
RENO, NV 89519
F
F
F
10/22/2010
11/19/2010
12/13/2010
$6,387.22
$7,685.00
$6,573.77
Assembly Democratic Caucus
2251 N Rampart 341
Las Vegas, NV 89129
G10/22/2010$1,000.00
FRIENDS FOR PHIL DABNEY
3800 HOWARD HUGHES CENTER
10TH FLOOR
LAS VEGAS, NV 89169
G10/22/2010$100.00
FRIENDS FOR KIM WALLIN
6375 S ARVILLE #7
LAS VEGAS, NV 89118
G10/22/2010$500.00
Nevada Senate Democrats
1306 W. Craig Rd, Ste E310
North Las Vegas, NV 89032
G10/22/2010$1,000.00
FRIENDS FOR SUSAN SCANN
720 SOUTH FOURTH ST
SUITE 300
LAS VEGAS, NV 89101
G10/22/2010$100.00
Harvey Munford
809 Sunny Place
Las Vegas, NV 89106
G10/26/2010$100.00
COMMITTEE TO ELECT JAMES ORENSHALL
2251 N RAMPART #341
LAS VEGAS, NV 89128
G10/29/2010$500.00
JONES VARGAS
3773 HOWARD HUGHES PARKWAY
THIRD FLOOR SOUTH
LAS VEGAS, NV 89169
F11/01/2010$1,485.00
Committee to Elect William Horne
2251 N Rampart Blvd. #357
Las Vegas, NV 89128-7640
F12/15/2010$500.00
ELIZABETH HALSETH FOR SENATE
8022 S RAINBOW SUITE 140
LAS VEGAS, NV 89139
G12/15/2010$500.00
FRIENDS FOR STEVEN BROOKS
400 STEWART AVE
LAS VEGAS, NV 89101
G12/15/2010$500.00
FRIENDS FOR DINA NEAL
1330 VIRGINIA CITY
LAS VEGAS, NV 89106
G12/15/2010$500.00
Committee to Elect John Oceguera
7655 Chaumont Street
Las Vegas, NV 89123
G12/15/2010$1,000.00
COMMITTEE TO ELECT TICK SEGERBLOM
2251 N RAMPART #341
Las Vegas, NV 89128
G12/15/2010$500.00
COMMITTEE TO REELECT KELVIN ATKINSON
5631 INDIAN SPRINGS ST
LAS VEGAS, NV 89031
G12/15/2010$750.00
COMMITTEE TO ELECT MARCUS CONKLIN
401 S CARSON ST
CARSON CITY, NV 89701
G12/15/2010$750.00
FRIENDS FOR MICHAEL ROBERSON
PO BOX 97251
LAS VEGAS, NV 89193
G12/15/2010$500.00
 
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   # 3
Concerned Homeowner Association Members PAC
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   # 3
Concerned Homeowner Association Members PAC
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   # 3
Concerned Homeowner Association Members PAC
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



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