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Carrie Buck State Senate, Clark District 5  
Name Office (if applicable) District (if applicable)
230 W Highland Dr, Henderson, NV, 89015  
Mailing Address Telephone No.
 
E-Mail Address
 Select Appropriate Box(es) CANDIDATE      LEGAL DEFENSE FUND What is this?       AMENDED
Report #1 - Due May 24, 2016
Period: Jan 01, 2016 - May 20, 2016
Report #2 - Due June 10, 2016
Period: May 21, 2016 - Jun 09, 2016
Report #3 - Due October 18, 2016
Period: Jun 10, 2016 - Oct 14, 2016
Report #4 - Due November 04, 2016
Period: Oct 15, 2016 - Nov 03, 2016
Report #5 - Due January 15, 2017
Period: Nov 04, 2016 - Dec 31, 2016
Annual Filing - Due January 15, 2017
Period: Jan 01, 2016 - Dec 31, 2016
FILED
Nov 4 2016
 
BARBARA K. CEGAVSKE
SECRETARY OF STATE
FOR OFFICE USE ONLY
      * Report #5 suffices for the 2017 Annual Filing only if Report #s 1, 2, 3 and 4 are previously filed.
1. Total Monetary Contributions Received in Excess of $100 $ 16,500.00   $ 135,800.00
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   $3,250.00
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 $ 100.00   $1,675.00
8. Total Amount of All Contributions (Add Lines 1 through 7) $ 16,600.00   $140,725.00
9. Total Monetary Expenses Paid in Excess of $100 $ 59,623.15   $187,583.32
10. Total Value In Kind Expenses in Excess of $100 $ 0.00   $0.00
11. Total Amount of all Expenses of $100 or less $ 91.07   $736.39
12. Total Amount of All Expenses (Add Lines 9 through 11) $ 59,714.22   $188,319.71
 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
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.
Charles Gallagher 11/04/2016
Signature Date
 

 MONETARY
 CONTRIBUTIONS
Report Period   # 4
Carrie Buck State Senate, Clark District 5  
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)

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
Farley for Nevada
1930 Village Center Circle #3-619
Las Vegas, NV 89134
10/19/2016$5,000.00   
Nevada Federation for Children
228 S. Washington St.
Suite 115
Alexandria, VA 22314
10/20/2016$7,500.00   
Friends of Scott Hammond
8408 Gracious Pine Ave.
LAS VEGAS, NV 89143
10/24/2016$2,500.00   
Newmont Ventures Limited
6363 S. Fiddler's Green Cir.
Greenwood Village, CO 80111
11/02/2016$1,500.00   

 

 WRITTEN COMMITMENTS Report Period   # 4
Carrie Buck State Senate, Clark District 5  
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   # 4
Carrie Buck State Senate, Clark District 5  
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   # 4
Carrie Buck State Senate, Clark District 5  
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   # 4
Carrie Buck State Senate, Clark District 5  
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   # 4
Carrie Buck State Senate, Clark District 5  
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
TEN 31
2052 Turquoise Ridge St #105
Las Vegas, NV 89117
F
F
10/17/2016
10/31/2016
$4,000.00
$3,000.00
Firefall Creative Media
245 Megan Lane
Columbus, MS 39705
F10/17/2016$1,000.00
Signs of Nevada, LLC - c/o PFSN
PO Box 50790
HENDERSON, NV 89016
D10/17/2016$1,800.00
Facebook
1601 Willow Rd
Menlo Park, CA 94025-1452
D10/18/2016$463.13
Revenue Media Group
7735 Commercial Way
Henderson, NV 89011
D10/21/2016$2,000.00
CallFire
1410 2nd St. Suite 200
Santa Monica, CA 90401
D10/24/2016$125.00
A and B Printing
2900 South Highland, Bldg 18 Ste. B
Las Vegas, NV 89109
D
D
D
10/24/2016
10/31/2016
11/02/2016
$5,996.01
$8,693.32
$11,259.85
Abbott's Custom Printing
411 Mark Leany Drive
Henderson, NV 89011
D
D
10/26/2016
10/28/2016
$9,813.91
$11,471.93
 
 


 IN KIND EXPENSES Report Period   # 4
Carrie Buck State Senate, Clark District 5  
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