Print Help?
Richard "Tick" Segerblom State Assembly, District 9 9
Name (print) Office (if applicable) District (if applicable)
700 S. Third St., Las Vegas, NV, 89101 702-388-9600
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
Jun 1 2010
 
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) 		$ 45,328.57   $ 45,328.57
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) 		$ 45,328.57   $45,328.57
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) 		$ 45,191.47   $45,191.47
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.

Richard Segerblom 06/01/2010
Signature Date
 

 CAMPAIGN CONTRIBUTIONS Report Period   # 1
Richard "Tick" Segerblom State Assembly, District 9 9
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
Nevada Power Company
6226 W. Sahara Ave.
Las Vegas, NV 89146
01/19/2010
04/07/2010
$1,000.00
$1,000.00
   
Las Vegas Firefighters Local 1285
5650 W. Charleston Blvd #2
Las Vegas, NV 89146		01/19/2010$250.00   
Law Office of Daniel S. Simon
810 S. Casino Center Blvd.
Las Vegas, NV 89101		01/20/2010$300.00   
Las Vegas Chamber of Commerce
3720 Howard Hughes Parkway
Las Vegas, NV 89109		01/21/2010$1,000.00   
Eckley M. Keach, Chtd.
520 S. Fourth St.
Las Vegas, NV 89101		01/27/2010$1,000.00   
Virginia L. Hunt
1945 East Warm Springs Rd.
Las Vegas, NV 89119		01/28/2010$200.00   
CenturyLink
P.O. Box 4065
Monroe, LA 71211		01/29/2010$500.00   
Citizens for Justice Trust
406 N Nevada Street
Carson City, NV 89703-4107		02/01/2010$1,500.00   
Richard W. Myers
984 Pinehurst Dr.
Las Vegas, NV 89169		02/01/2010$500.00   
Cal J. Potter, III Esq. Chtd.
1125 Shadow Lane
Las Vegas, NV 89102		02/01/2010$200.00   
Thomas & Springberg
844 E. Sahara Ave.
Las Vegas, NV 89104		02/01/2010$250.00   
Gerald M. Welt Chartered
703 S. 8th St.
Las Vegas, NV 89101		02/02/2010$125.00   
Ganz & Hauf
701 Bridger Ave. 120
Las Vegas, NV 89101		02/02/2010$1,000.00   
Feinberg Grant Mayfield Kaneda & Litt LLP
1955 Village Center Circle
Las Vegas, NV 89134		02/03/2010$1,000.00   
Pursiano, Barry, Lavelle LLP
851 S. Rampart Blvd Ste 260
Las Vegas, NV 89145		02/03/2010$500.00   
W.R. Kilip, P.C.
9500 W. Flamingo Rd. Ste. 108
Las Vegas, NV 89147		02/03/2010$500.00   
Lynch, Hopper & Salzano LLP
231 S. Third St., Suite 130
Las Vegas, NV 89101		02/03/2010$300.00   
Cliff W. Marcek
700 S. 3rd St.
Las Vegas, NV 89101		02/03/2010$300.00   
Angius & Terry
1120 N. Town Center 260
Las Vegas, NV 89144		02/03/2010$500.00   
Robert C. Maddox
4045 Lamay Ln.
Reno, NV 89511		02/03/2010$1,000.00   
Law Office of Patrick C. Clary
7201 W. Lake Mead Blvd.
Suite 410
Las Vegas, NV 89128		02/03/2010$300.00   
A Better Nevada, P.A.C.
3450 W. Cheyenne
Suite 100
North Las Vegas, NV 89032		02/03/2010$1,000.00   
Scott K. Canepa, APC
851 S. Rampart Blvd Ste 160
Las Vegas, NV 89145		02/03/2010$500.00   
Boyd Gaming Corporation
6465 South Rainbow Blvd.
Las Vegas, NV 89118		02/04/2010$1,500.00   
Crockett & Myers
700 S. Third St.
Las Vegas, NV 89101		02/04/2010$350.00   
Wolf, Rifkin, Shapiro, Schulman & Rabkin
3556 E. Russell Road
Las Vegas, NV 89120		02/04/2010$1,000.00   
Committee to Elect Chris Giunchigliani
1717 S. 15th Street
Las Vegas, NV 89104		02/04/2010$1,000.00   
NEV MED Political Action
3660 Baker Lane Ste 101
Reno, NV 89509		02/09/2010$500.00   
Office and Professional Employees International Union
265 W 14th Street
6th Floor
New York, NY 10011		03/19/2010$1,000.00   
Kaempfer Crowell Renshaw Gronauer & Fiorentino
8345 W. Sunset Road #250
Las Vegas, NV 89113		03/23/2010$1,000.00   
Southwest Regional Council of Carpenters
501 N Lamb Blvd.
Las Vegas, NV 89110		03/25/2010$1,000.00   
Association of gaming equipment manufacturers
PO Box 30049
Henderson, NV 89016		04/01/2010$1,000.00   
Nevada Realtors PAC
760 Margrave Drive #200
Reno, NV 89502		04/02/2010$1,500.00   
Lewis and Roca
3993 Howard Hughes Pkkwy 600
Las Vegas, NV 89169		04/05/2010$750.00   
CAMEO, Inc.
505 E. Windmill
Suite 1B-196
Las Vegas, NV 89123		04/08/2010$1,000.00   
LIONEL, SAWYER & COLLINS
300 S. Fourth Street
Las Vegas, NV 89101		04/09/2010$500.00   
R&S Investment Properties
979 Camelia Dr.
Henderson, NV 89015		04/09/2010$1,500.00   
Shlincoln PAC
3455 Cliff Shadows Pkwy
Las Vegas, NV 89129		04/14/2010$500.00   
Bank of America Corporation
1100 North King St.
Wilmington, DE 19884		04/23/2010$750.00   
Bally Gaming
6601 S. Bermuda
Las Vegas, NV 89119		04/26/2010$500.00   
John C. Lambrose
217 Rosemary Lane
Las Vegas, NV 89107		04/28/2010$1,500.00   
NADEAC
P.O. Box 7320
Reno, NV 89510		04/29/2010$500.00   
Political Action 357
4322 Bonanza Road
Las Vegas, NV 89110		05/03/2010$503.57   
Snell & Wilmer
One Arizona Center
Phoenix, AZ 85004		05/03/2010$750.00   
MGM Mirage
3260 Industrial Road
Las Vegas, NV 89109		05/04/2010$3,000.00   
RMI Management LLC
630 Trade Center Dr. Ste 100
Las Vegas, NV 89119		05/11/2010$500.00   
Nevada State Education Association
3511 East Harmon Ave.
Las Vegas, NV 89121		05/12/2010$2,500.00   
Clark County Education Association
4230 McLeod Drive
Las Vegas, NV 89121		05/19/2010$4,000.00   
Education Support Employees Association
3505 E. Flamingo Rd. #2
Las Vegas, NV 89121		05/27/2010$2,000.00   

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

 

 WRITTEN COMMITMENTS Report Period   # 1
Richard "Tick" Segerblom State Assembly, District 9 9
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   # 1
Richard "Tick" Segerblom State Assembly, District 9 9
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   # 1
Richard "Tick" Segerblom State Assembly, District 9 9
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
Richard Segerblom
700 S. Third St.
Las Vegas, NV 89101
J
J
J
J
J
01/01/2010
01/29/2010
02/03/2010
02/05/2010
02/11/2010
$1,000.00
$3,000.00
$1,000.00
$2,000.00
$5,000.00
U.S. Postmaster
Huntridge Station
Las Vegas, NV 89104		A01/04/2010$176.00
C&M Property Partnership
700 S. Third St.
Las Vegas, NV 89101		A01/04/2010$1,774.97
Southwest Airlines
PO Box 36647
Dallas, TX 75235
C
C
C
01/25/2010
01/30/2010
03/10/2010
$243.40
$243.80
$186.70
Kleven for Assembly
3793 Mojado Cr.
Las Vegas, NV 89014
J
J
J
01/29/2010
04/16/2010
04/28/2010
$500.00
$2,500.00
$2,000.00
Considine for Assembly
5029 Lancaster Dr.
Las Vegas, NV 89120
J
J
J
02/10/2010
05/12/2010
05/25/2010
$500.00
$500.00
$1,000.00
Assembly Democratic Caucus
2251 N Rampart 341
Las Vegas, NV 89129		J02/10/2010$1,500.00
RalstonFlash.com
P.O. Box 15248
North Hollywood, CA 91615-5248		A02/16/2010$279.00
Ralston Report
2290 Corporate Circle Ste 250
Henderson, NV 89074		A02/17/2010$299.00
GoDaddy.com
14455 N Hayden Rd
Suite 219
Scottsdale, AZ 85260		D03/04/2010$127.50
Palmer House Hilton
17 East Monroe St.
Chicago, IL 60603		C03/10/2010$203.10
NCCUSL
111 N. Wabash Ave.
Ste 1010
Chicago, IL 60602		H03/10/2010$775.00
Warren Dang
6584 Holly River St.
Las Vegas, NV 89148
E
E
03/12/2010
05/06/2010
$1,500.00
$1,500.00
Springs Preserve
333 South Valley View Blvd.
Las Vegas, NV 89107		J03/18/2010$1,000.00
The NNIC Global Gala
821 N. Center St.
Reno, NV 89501		J03/22/2010$120.00
Clark County Democrats
2700 Horseshoe Dr.
Las Vegas, NV 89120		J03/22/2010$300.00
Sheraton Austin Hotel
701 East 11th St.
Austin, TX 78701		J03/22/2010$603.75
Flores for Assembly
2601 Vana Ave.
North Las Vegas, NV 89030
J
J
03/24/2010
05/12/2010
$500.00
$500.00
National Conference of State Legislators
770 East First Place
Denver, CO 80230		H03/25/2010$495.00
Moonshine Patio Bar & Grill
303 Red River St.
Las Vegas, NV 78701-4130		J03/29/2010$153.89
Four Seasons
98 San Jacinto Blvd.
Austin, TX 78701		J03/29/2010$114.98
Culinary Training Academy
710 W. Lake Mead Blvd.
North Las Vegas, NV 89030		H04/08/2010$815.12
Lenor Tellez / Culinary Training Academy
710 W. Lake Mead Blvd.
Las Vegas, NV 89030		H04/08/2010$160.00
Nozomi
2002 West Charleston Blvd.
Las Vegas, NV 89102-2229		J04/19/2010$217.34
Labor AFL-CIO 2010
1891 Whitney Mesa Dr.
Henderson, NV 89014		J04/23/2010$1,500.00
U.S. Postmaster
Downtown STA
Las Vegas, NV 89101-5731		A05/10/2010$176.00
Costco Wholesale
791 Marks St
Henderson, NV 89014		H05/12/2010$226.92
Frierson for Assembly
P.O. Box 31623
Las Vegas, NV 89173		J05/12/2010$1,000.00
Erika Greisen
4004 Ridgewood Ave.
Las Vegas, NV 89120		E05/17/2010$500.00
Marshall for Treasurer
P.O. Box 40944
Reno, NV 89504		J05/24/2010$1,000.00
Parks for Commission
P.O. Box 71887
Las Vegas, NV 89170		J05/25/2010$5,000.00
Woodhouse for Senate
246 Garfield Dr.
Henderson, NV 89074		J05/25/2010$1,000.00
Benitez-Thompson for Assembly
120 Joshua Dr.
Reno, NV 89509		J05/25/2010$1,000.00
Howard for District Judge
801 S. 7th St.
Las Vegas, NV 89101		J05/26/2010$1,000.00
 
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   # 1
Richard "Tick" Segerblom State Assembly, District 9 9
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   # 1
Richard "Tick" Segerblom State Assembly, District 9 9
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   # 1
Richard "Tick" Segerblom State Assembly, District 9 9
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