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Sunrise Healthcare Good Government Fund
Name Office (if applicable) District (if applicable)
3186 S Maryland Pkwy, Las Vegas, NV, 89109 7027318706
Mailing Address Telephone No.
Lana.Arad@HCAHealthcare.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
Jan 12 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)
$ 0.00   $ 0.00
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)
$ 0.00   $0.00
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)
$ 0.00   $0.00
8. Total Amount of All Contributions (Add Lines 1 through 7)
    (See page 2 of instruction sheet)
$ 0.00   $0.00
 
9. Total Monetary Expenses Paid in Excess of $100
    (See page 2 of instruction sheet)
$ 45,500.00   $45,500.00
10. Total Value In Kind Expenses in Excess of $100
    (See page 3 of instruction sheet)
$ 0.00   $0.00
11. Total Amount of all Expenses of $100 or less
    (See page 3 of instruction sheet)
$ 0.00   $0.00
12. Total Amount of All Expenses (Add Lines 9 through 11)
    (See page 3 of instruction sheet)
$ 45,500.00   $45,500.00
 
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



Lana Arad 01/12/2012
Signature Date
 

 MONETARY
 CONTRIBUTIONS
Report Period   # An.
Sunrise Healthcare Good Government Fund
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
      
      
      
      
      
      
      
      
      
      
      
      
      
      
      

 

 WRITTEN COMMITMENTS Report Period   # An.
Sunrise Healthcare Good Government Fund
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   # An.
Sunrise Healthcare Good Government Fund
Name (print) Office (if applicable) District (if applicable)

IN KIND CONTRIBUTIONS






 

 WRITTEN COMMITMENTS FOR IN KIND
 CONTRIBUTIONS
Report Period   # An.
Sunrise Healthcare Good Government Fund
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   # An.
Sunrise Healthcare Good Government Fund
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   # An.
Sunrise Healthcare Good Government Fund
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
Marcus Conklin
2251 North Rampart, #305
LAS VEGAS, NV 89128
L
L
01/04/2011
12/12/2011
$250.00
$1,500.00
Harvey Munford
809 Sunny Place
Las Vegas, NV 89106
L01/04/2011$250.00
Washoe Co. Republican Party
PO Box 1886
Reno, NV 89505
L07/19/2011$1,000.00
Brian Sandoval
PO Box 370297
Las Vegas, NV 89137
L
L
08/05/2011
09/21/2011
$5,000.00
$5,000.00
Mo Denis
3204 Osage Ave
Las Vegas, NV 89101
L08/05/2011$1,000.00
Senate Republican Leadership Conference
770 Wildes Road
FALLON, NV 89406
L08/31/2011$2,500.00
SAGEBRUSH LEADERSHIP FUND
6465 LAREDO STREET
LAS VEGAS, NV 89146
L08/31/2011$1,000.00
Senate Majority PAC
P.O. Box 401324
LAS VEGAS, NV 89140
L08/31/2011$1,000.00
Lawrence Weekly/Lawrence Weekly for County Commissioner
6100 Elton Avenue, Ste 1000
LAS VEGAS, NV 89107
L09/26/2011$1,000.00
Majority 2012
1210 S. Valley View
Suite 114
LAS VEGAS, NV 89102
L10/19/2011$1,000.00
Steve Sisolak
29 Burning Tree Court
Las Vegas, NV 89113
L11/02/2011$3,000.00
tom collins
po box 249
LOGANDALE, NV 89021
L11/02/2011$2,500.00
Scott Hammond
8408 Gracious Pines Avenue
Las Vegas, NV 89143
L12/12/2011$1,000.00
April Mastroluca
265 Copper Glow Court
Henderson, NV 89074
L12/12/2011$1,000.00
Jason Frierson
P.O. Box 31623
LAS VEGAS, NV 89173
L12/12/2011$1,000.00
Greg Brower
4790 Caughlin Pkwy. #170
RENO, NV 89519
L12/12/2011$1,500.00
Ross Miller
10120 S. Eastern Ave, Ste 200
Henderson, NV 89052
L12/13/2011$500.00
David Parks
PO Box 71887
Las Vegas, NV 89170
L12/13/2011$1,500.00
John Lee
3216 Villa Pisani Court
North Las Vegas, NV 89031
L12/13/2011$1,500.00
Richard Segerblom
700 S. Third St.
Las Vegas, NV 89101
L12/13/2011$500.00
Kelvin Atkinson
5631 Indian Springs
NORTH LAS VEGAS, NV 89031
L12/13/2011$1,000.00
Pete Goicoechea
P.O. Box 97
Eureka, NV 89316
L12/13/2011$1,000.00
Mark Manendo
4629 Butterfly Circle
Las Vegas, NV 89122
L12/13/2011$500.00
Marilyn Kirkpatrick
4747 Showdown Drive
North Las Vegas, NV 89031
L12/13/2011$1,000.00
Debbi Smith
3270 Wilma Drive
Sparks, NV 89431
L12/13/2011$1,000.00
Assembly Democratic Caucus
2251 North Rampart Blvd.
Suite 341
Las Vegas, NV 89128
L12/13/2011$2,000.00
Assembly Republican Caucus
P O Box 401508
Las Vegas, NV 89410
L12/13/2011$1,500.00
Nevada Senate Democrats
1210 S. Valley View Road
Suite 114
LAS VEGAS, NV 89102
L12/13/2011$1,000.00
Peter Livermore
4 Raglan Circle
Carson City, NV 89701
L12/13/2011$1,000.00
William Horne
2251 N. Rampart Blvd #357
Las Vegas, NV 89128
L12/13/2011$1,000.00
 
 


 IN KIND EXPENSES Report Period   # An.
Sunrise Healthcare Good Government Fund
Name (print) Office (if applicable) District (if applicable)

IN KIND EXPENSES


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