Free Ongoingcandr&e09.indd - Wyoming


File Size: 89.9 kB
Pages: 8
Date: March 27, 2009
File Format: PDF
State: Wyoming
Category: Secretary of State
Author: ksmari
Word Count: 848 Words, 5,778 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://soswy.state.wy.us/Forms/Elections/OngoingComm/OngoingCanCom.pdf

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ON-GOING CANDIDATE'S CAMPAIGN COMMITTEE
STATEMENT OF RECEIPTS AND EXPENDITURES W.S. 22-25-106(b) "A committee formed after an election to defray campaign expenses incurred during a previous election and any political action or candidate's campaign committee which has previously filed a statement of receipts and expenditures and has not filed a statement of termination shall file an itemized statement of receipts and expenditures on December 31 of each odd-numbered year;" All candidates and committees shall continue to make the reports required under this subsection until the committee terminates and the candidate or committee files a statement of termination with the appropriate filing officer. A statement of termination may be filed upon retirement of all debts;" An on-going committee should keep track of all campaign contributions no matter how small. The law requires you to itemize and report on this form contributions (receipts) totaling $25.00 or more. However, please keep in mind that if you receive $10.00 from a contributor who then later gives you $20.00, you must report the total $30.00 contribution on this form. A violation of the campaign reporting provisions of the Wyoming Election Code may constitute a misdemeanor and be punishable by a fine. This report must be filed by December 31st. As provided in W.S. 22-25-109, the secretary of state shall report the names of all candidates in violation of the Election Code of the state of Wyoming to the attorney general or to the district attorney for appropriate action.

Filing Deadline Non-Election Year: *Receipts and Expenditures due - December 31, 2009 Filing Offices County Clerk Candidates for district attorney, county and municipal offices, magistrates, school and community college district trustees. Mail to local County Clerk's Office. Contact information can be accessed on our website under Elections at http://soswy.state.wy.us

Secretary of State - Candidates for state legislature, statewide office, circuit court, district court or supreme court. Mail to: Secretary of State, 200 W. 24th St., Cheyenne, WY 82002

This form can be accessed on the Secretary of State's WEBSITE at: http://soswy.state.wy.us/Forms/Forms.aspx

3/2009 Ongoingcandr&e09

For Office Use Only

Statement covers period: From: To: Type of Report: (Check One)
Receipts and Expenditures Report - December 31, 2009 Amendment

Check here if you are terminating the committee with this report NOTE: A committee must have retired all debts before terminating. W.S. 22-25-106 (b)(iii) Name of Candidate or Committee Office Sought Residence & Mailing Address City Summary for this filing period: Beginning Balance A. Receipts 1. 2. 3. 4. 5. 6. 7. 8. 9. Personal Contributions by Candidate (page 2) (Including candidate's immediate family) Contributions from Individuals (page 3) Contributions from PACs (page 4) Contributions from Political Parties (page 4) Contributions from corporations, organizations, associations, etc. (page 5) Anonymous Contributions (page 5) In-Kind Contributions (page 6) Loans/Obligations (page 6) Unitemized receipts (page 6) (Unitemized receipts are defined as contributions less than $25) $ $ $ $ $ $ $ $ $ $ $ $

State

Zip

Phone

If you have no receipts or expenditures to report for this filing period check here and sign below

$

B. C.

Total Receipts for this Filing Period (Sum of A1-A9) Total Expenditures for this Filing Period (page 7) Balance Forward*
*(Balance Forward = (Beginning Balance + Total Receipts) Total Expenditures)

I certify that I have examined this statement, and to the best of my knowledge and belief, it is true, correct and complete. Signature of Chairman (Required) Chairman - Email Address Signature of Candidate
1

Signature of Treasurer (Required) Treasurer - E-mail Address Date

Itemization of Receipts
(Use Additional Sheets as Necessary)

RECEIPTS
Personal Contributions by Candidate
(Including candidate's immediate family)

Name

Address
(City, State & Zip)

Date

Amount

2

Contributions from Individuals
(Contributions from corporations, unions, partnerships and associations are prohibited. Contributions from sole proprietorships are legal, but must be identified as such.)

Name

Address
(City, State & Zip)

Date

Amount

3

Contributions from Political Action Committees
Name (Identify by full name) Address
(City, State & Zip)

Date

Amount

Contributions from Political Party Central Committees
Name Address
(City, State & Zip)

Date

Amount

4

Contributions from Corporations, Organizations, Associations, etc.
These groups are prohibited from making contributions to candidates and political parties. However, these groups may make contributions to support or oppose a ballot proposition or an initiative or referendum petition drive. Name Address
(City, State & Zip)

Date

Description of Contribution

Value or Amount

Anonymous Contributions
Anonymous contributions are those contributions whose origins cannot be determined, i.e., "pass the hat" contributions. An anonymous contribution does not mean a contributor may donate to the candidate or PAC with the understanding the contributor's name will not be reported. Event Date Amount

I do not know, nor can I ascertain, the origin of the above anonymous contributions.

Candidate, Chairman or Treasurer 5

In-Kind Contributions
Name Address
(City, State & Zip)

Date

Description of Contribution

Value or Amount

Loans/Obligations

Date

Amount

Unitemized Receipts
(Receipts under $25.00. For example, you have a chili dinner. Tickets are $10.00 each and you sell 500 tickets. You may report these in aggregate here by reporting $5,000.00.) Event (if applicable) Date Amount

6

Expenditures
Name Address
(City, State & Zip)

Purpose

Date

Amount

Total Expenditures $ 7