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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
May 22 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)
$ 33,653.57   $ 33,653.57
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)
$ 1,500.00   $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)
$ 255.00   $255.00
8. Total Amount of All Contributions (Add Lines 1 through 7)
    (See page 2 of instruction sheet)
$ 35,408.57   $35,408.57
 
9. Total Monetary Expenses Paid in Excess of $100
    (See page 2 of instruction sheet)
$ 22,665.85   $22,665.85
10. Total Value In Kind Expenses in Excess of $100
    (See page 3 of instruction sheet)
$ 2,147.00   $2,147.00
11. Total Amount of all Expenses of $100 or less
    (See page 3 of instruction sheet)
$ 890.24   $890.24
12. Total Amount of All Expenses (Add Lines 9 through 11)
    (See page 3 of instruction sheet)
$ 25,703.09   $25,703.09
 
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 05/22/2012
Signature Date
 

 MONETARY
 CONTRIBUTIONS
Report Period   # 1
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
Professional Fire Fighters of Nevada PAC
P.O. Box 364269
NORTH LAS VEGAS, NV 89036
01/23/2012$500.00   
IUPAT
7234 Parkway Drive
Hanover, MD 21076
01/30/2012$1,000.00   
Wirtz Beveraga Nevada
1849 West Cheyenne
Las Vegas, NV 89032
02/11/2012$500.00   
Nevada Energy
6226 W. Sahara Avenue
LAS VEGAS, NV 89146
02/14/2012
04/25/2012
$500.00
$1,000.00
   
Committee to Elect James Ohrenschall
P.O. Box 97741
Las Vegas, NV 89193
02/14/2012$1,000.00   
R & S LEASING LLC
979 CAMELLIA DR
HENDERSON, NV 89015
02/21/2012$1,000.00   
Political Action Committee Local 525
760 North Lamb Blvd.
Las Vegas, NV 89110
02/28/2012$5,000.00   
LABOR INTERNATIONAL UNION
570 REACTOR WAY
RENO, NV 89501
03/06/2012$1,000.00   
Laborer's Political League
2345 Red Rock Street #330
Las Vegas , NV 89146
03/06/2012$1,500.00   
Steve Sendlein
456 Jefferson Blvd.
HENDERSON, NV 89011
03/06/2012$150.00   
Peace Officers Researach Assn. of Nevada
P. O. Box 40415
RENO, NV 89504
03/12/2012$250.00   
Victor Sendlein
P.O Box 933
LOGANDALE, NV 89021
03/12/2012$250.00   
Southern Nevada Central Labor Council
1701 Whitney Mesa Dr Ste 101
Las Vegas, NV 89014
04/02/2012$1,000.00   
Local Union 357 Political Action Committee
808 North Lamb Blvd.
Las Vegas, NV 89110
04/05/2012$2,503.57   
UFCW Local 711
1201 N Decatur Blvd. Ste 116
Las Vegas, NV 89108
04/05/2012$500.00   
Nevada Yellow Cab Corporation
5225 W. Post Rd.
Las Vegas, NV 89118
04/11/2012$1,000.00   
Nevada Dental Association
6125 Laredo
Las Vegas, NV 89146
04/18/2012$500.00   
AT&T
645 E. Plumb Lane, C142
RENO, NV 89502
04/25/2012$1,000.00   
Associated General Contractors - Build PAC
150 North Durango Drive
Suite 100
Las Vegas, NV 89145
04/27/2012$500.00   
Nevada Realtors PAC
760 Margrave Drive #200
Reno, NV 89502
05/02/2012$2,000.00   
Lewis and Roca
3993 Howard Hughes Pkkwy 600
Las Vegas, NV 89169
05/09/2012$500.00   
Barrick
136 E South Temple
Ste 1800
Salt Lake City, UT 84111
05/11/2012$1,000.00   
UnitedHealth Group Incorporated - Political Action Fund of Nevada
2724 N. Tenaya Way
Ste. 212
Las Vegas, NV 89128
05/12/2012$500.00   
Snell & Wilmer
3883 Howard Hughes Pkwy 1100
Las Vegas, NV 89169
05/15/2012$750.00   
Whittlesea Blue Cab Co.
2000 Industrial Road
Las Vegas, NV 89102
05/15/2012$500.00   
Henderson Taxi
2000 Industrial Road
Las Vegas, NV 89102-4610
05/15/2012$500.00   
United Road Towing, Inc.
9550 Bormet Drive
Suite 301
Mckena, IL 60448
05/15/2012$1,000.00   
Nevada Credit Union League
2855 E. Guasti Road
Suite 600
Ontaria, CA 91761
05/16/2012$1,000.00   
MGM Resorts International
P.O. box 77123
Las Vegas, NV 89177
05/16/2012$2,500.00   
Las Vegas Fire Fighters Local 1285
5650 W. Charleston #2
Las Vegas, NV 89146
05/17/2012$250.00   
CCEA
4230 McLeod
LAS VEGAS, NV 89121
05/17/2012$2,000.00   
Cash America
1600 W 7th St
Fort Worth, TX 76102-2599
05/18/2012$500.00   

 

 WRITTEN COMMITMENTS Report Period   # 1
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   # 1
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   # 1
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   # 1
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   # 1
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
Michaels
537 N. Stephanie
HENDERSON, NV 89014
A01/03/2012$246.68
Charlene Gumber
1616 Lorna
HENDERSON, NV 89011
A, E01/03/2012$2,200.00
Oscar Ramos
3317 Thomas Ave.
NORTH LAS VEGAS, NV 89030
A, D, E01/06/2012$3,000.00
Richard Carrillo
4819 Diza Court
Las Vegas, NV 89122
A, C
A, C
A, C
A, C
01/10/2012
03/26/2012
04/10/2012
05/10/2012
$356.87
$340.22
$370.74
$356.87
Assembly Democratic Caucus
2251 North Rampart Blvd. # 341
LAS VEGAS, NV 89128
F01/11/2012$1,500.00
AT&T
PO BOX 68058
ANAHEIM, CA 92817
A
A
A
A
A
01/12/2012
02/13/2012
03/12/2012
04/12/2012
05/12/2012
$182.19
$182.85
$182.85
$182.85
$182.71
Seniors United
1155 E. Twain Ave #108-177
Las Vegas, NV 89169
H01/13/2012$200.00
PDQ
3820 S Valley View Blvd
LAS VEGAS, NV 89130
D01/17/2012$167.18
Apple Store
6671 Las Vegas Blvd
Suite A125
Las Vegas, NV 89109
A01/17/2012$485.26
Time Printing
1224 Western Ave
Las Vegas, NV 89102
D01/30/2012$109.64
Lindo Michoacan
2655 East Desert Inn Rd.
LAS VEGAS, NV 89121
H02/13/2012$147.00
84 LUMBER
4330 SOUTH DECATUR BLVD.
LAS VEGAS, NV 89103
D02/14/2012$138.87
Charlene Frost
1616 Lorna
HENDERSON, NV 89011
A, E
A, E
E
A, E, G, L
02/15/2012
03/09/2012
04/06/2012
05/01/2012
$750.00
$500.00
$725.00
$1,450.00
Advocacy Data
1001 Connecticut Ave NW #1015
WASHINGTON, DC 20036
D02/27/2012$215.46
McFadden-Dale
5580 S. Decatur 114
LAS VEGAS, NV 89118
D
D
03/01/2012
04/02/2012
$108.36
$140.56
PDQ
S Valley View Blvd
Las Vegas, NV 89103
D
D
D
03/06/2012
03/21/2012
04/16/2012
$224.25
$648.60
$1,081.01
Committee to Elect Kristine Kuzemka
328 Summer Palace Way
Las Vegas, NV 89144
K03/06/2012$500.00
Fry's
6845 S. Las Vegas Blvd.
Las Vegas, Nv 89119
A
A
A
03/15/2012
03/19/2012
03/26/2012
$506.98
$281.44
$128.66
Clark County Safe Kids
3186 S. Maryland Pkwy.
LAS VEGAS, NV 89109
K03/20/2012$250.00
Haband
110 Bauer Drive
OAKLAND, NJ 07436
L03/26/2012$103.25
Henderson Democratic Club
1701 Whitney Mesa
Henderson, NV 89052
K04/02/2012$500.00
Eisen for Nevada Assembly
9850 S. Maryland Parkway
Ste. A5-162
LAS VEGAS, NV 89138
K04/02/2012$1,000.00
Paradise Democratic Club
7744 Rockfield Dr
Las Vegas, NV 89128
D04/18/2012$200.00
Committee to Elect Marilyn Kirkpatrick
4747 Showdown Drive
North Las Vegas, NV 89031
K05/01/2012$500.00
Bridge Communications
50 Progress circle Unit #7
Newington, CT 06111
F05/02/2012$612.50
Hirsch and Associates, Inc.
18 Saint Rose Street, 1
JAMAICA PLAIN, MA 02130
D05/04/2012$1,060.00
KIRSH MEDIA GROUP, INC.
701 SOUTH EIGHTH STREET
LAS VEGAS, NV 89101
D05/09/2012$647.00
 
 


 IN KIND EXPENSES Report Period   # 1
Richard Andrew Carrillo State Assembly, District 18 Assembly District 18
Name (print) Office (if applicable) District (if applicable)

IN KIND EXPENSES

NAME AND ADDRESS OF PERSON, GROUP OR ORGANIZATION WHO RECEIVED THE IN KIND GOOD OR SERVICEDESCRIPTION
OF IN KIND
EXPENSE
DATE OF IN KIND
EXPENSE
VALUE OR COST
OF IN KIND
EXPENSE
Eisen for Nevada Assembly
9850 S. MARYLAND PKWY.
STE. A5-162
LAS VEGAS, NV 89138
Advertising05/09/2012$647.00
Assembly Democratic Caucus
2251 North Rampart Blvd. # 341
LAS VEGAS, NV 89128
Voter Communication Services05/17/2012$1,500.00

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