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Health PAC
Name (print) Office (if applicable) District (if applicable)
5250 Neil Road, Ste.302, Reno, NV, 89502 7758270184
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
Jan 4 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) 		$ 41,084.00   $ 41,084.00
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) 		$ 41,084.00   $41,084.00
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) 		$ 7,803.51   $7,803.51
 
7. Total Monetary Expenses Paid in Excess of $100
    (See page 2 of instruction sheet) 		$ 19,362.57   $19,362.57
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.

Bill M. Welch 01/04/2010
Signature Date
 

 CAMPAIGN CONTRIBUTIONS Report Period   # An.
Health PAC
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
Rick Kilburn\William Bee Ririe Hospital
1500 Ave. H
Ely, nv 89301		04/03/2009$500.00   
Hudson Healthcare
851 Napa Valley Corporate Way
Napa, CA 94558		04/23/2009$1,000.00   
Jason Bleak\Grover C. Dils Medical Center
700 N. Spring St.
Caliente, nv 89008		05/08/2009$500.00   
Gary Michaelree\Renown Regional Medical Center
1155 Mill St.
Reno, NV 89502		05/08/2009$150.00   
Carole Fisher\Nathan Adelson Hospice
4141 S. Swenson St.
Las Vegas, NV 89119		05/11/2009$260.00   
Dawn Ahner\Renown Regional Medical Center
1155 Mill St.
Reno, nv 89502		05/11/2009$500.00   
Kim Tulman\Renown Regional Medical Center
1155 Mill St.
Reno, NV 89502		05/12/2009$125.00   
David Line\Renown Regional Medical Center
1155 Mill St.
Reno, NV 89502		05/12/2009$125.00   
R. Randall\HealthSouth Rehabilitation Hospital of Henderson
10301 Jeffreys St.
Henderson, NV 89052		05/18/2009$125.00   
Debra Balido\Boulder City Hospital
901 Adams Blvd.
Boulder City, NV 89005		05/18/2009$125.00   
Patricia Evans\Renown Regional Medical Center
1155 Mill St.
Reno, NV 89502		05/18/2009$100.00   
Robert Farrar\Renown Regional Medical Center
1155 Mill St.
Reno, NV 89502		05/22/2009$150.00   
Roy Robbins\Renown South Meadows Medical Center
10101 Double R Blvd.
Reno, nv 89521		06/05/2009$125.00   
Roberta Roth\Renown Regional Medical Center
1155 Mill St.
reno, nv 8902		06/09/2009$125.00   
Michelle Sanchez-Bickley\Renown Regional Medical Center
1155 Mill St.
Reno, NV 89502		06/09/2009$125.00   
Renee Jaenicke\Renown Regional Medical Center
1155 Mill St.
Reno, NV 89502		06/09/2009$125.00   
Renato Baciarelli\St. Rose Dominican Hospital - Rose de Lima
102 E. Lake Mead Dr.
Henderson, nv 89015		06/09/2009$500.00   
John Cassani\Renown Regional Medical Center
1155 Mill St.
Reno, nv 89502		06/09/2009$350.00   
Allan Hanssen\Renown Regional Medical Center
1155 Mill St.
Reno, nv 89502		06/09/2009$500.00   
James Miller\Renown Regional Medical Center
1155 Mill St.
Reno, NV 89502		06/09/2009$500.00   
Vicky VanMeetren\St. Rose Dominican Hospital - San Martin
8280 W. Warm Springs Rd.
Las Vegas, nv 89113		06/15/2009$500.00   
Kristen Machtemes\HealthSouth Rehabilitation Hospital of Henderson
10301 Jeffreys St.
Henderson, NV 89052		06/15/2009$100.00   
Robert Bollard\HealthSouth Rehabilitation Hospital of Henderson
10301 Jeffreys St.
Henderson, NV 89052		06/15/2009$125.00   
Bill Newberg\Renown Regional Medical Center
1155 Mill St.
Reno, NV 89502		06/15/2009$250.00   
Gail Green\Renown South Meadows Medical Center
10101 Double R Blvd.
Reno, NV 89521		06/16/2009$250.00   
Leo Seevers\Renown Regional Medical Center
1155 Mill St.
Reno, nv 89502		06/16/2009$125.00   
Max Jackson\Renown Regional Medical Center
1155 Mill St.
Reno, nv 89502		06/16/2009$200.00   
Kelly Testolin\Renown Regional Medical Center
1155 Mill St.
Reno, nv 89502		06/16/2009$500.00   
Ron Laxton\Renown Regional Medical Center
1155 Mill St.
Reno, nv 89502		06/16/2009$500.00   
Charles Scully\Renown Regional Medical Center
1155 Mill St.
Reno, nv 89502		06/16/2009$350.00   
Christine Bosse\Renown Regional Medical Center
1155 Mill St.
Reno, NV 89502		06/16/2009$500.00   
Deborah Day\St. Mary's Regional Medical Ctr
235 W. Sixth St.
Reno, NV 89503		06/18/2009$350.00   
Nevada State Medical Association
3660 Baker Lane #101
Reno, NV 89509		06/18/2009$1,000.00   
Teressa Conley\St. Rose Dominican Hospitals - Siena
3001 St. Rose Pkwy.
Henderson, NV 89052		06/22/2009$125.00   
Fred Boyd\Renown Regional Medical Center
1155 Mill St.
Reno, NV 89502		06/22/2009$100.00   
Linda Doughty\St. Rose Dominican Hospital - Rose de Lima
102 E. Lake Mead Dr.
Henderson, NV 89015		06/22/2009$150.00   
Jo St. Peter\Renown Regional Medical Center
1155 Mill St.
Reno, NV 89502		06/26/2009$125.00   
Susan Loving\HealthSouth Rehabilitation Hospital of Henderson
10301 Jeffreys St.
Henderson, NV 89052		06/26/2009$100.00   
Craig Bailey\Boulder City Hospital
901 Adams Blvd.
Boulder City, NV 89005		07/01/2009$150.00   
Murad Jussa\HealthSouth Rehabilitation Hospital of Henderson
10301 Jeffreys St.
Henderson, NV 89052		07/01/2009$125.00   
Stephen Lapping\HealthSouth Rehab Hospital of Henderson
10301 Jeffreys St.
Henderson, nv 89052		07/01/2009$125.00   
Robert Orgill\Valley Hospital Medical Center
620 Shadow Lane
Las Vegas, nv 89106		07/08/2009$125.00   
Teresa Duke\St. Rose Dominican Hospital - Siena
3001 St. Rose Pkwy.
Henderson, NV 89052		07/08/2009$125.00   
Wendy Yontz\St. Rose Dominican Hospital - Siena
3001 St. Rose Pkwy.
Henderson, nv 89052		07/08/2009$125.00   
Deborah Stout\Valley Hospital Medical Center
620 Shadow Lane
Las Vegas, NV 89106		07/08/2009$120.00   
Michael Alonso\Renown Regional Medical Center
1155 Mill St.
Reno, NV 89502		07/13/2009$250.00   
Cathleen Trachok\St. Mary's Regional Medical Center
235 W. Sixth St.
Reno, NV 89503		07/17/2009$125.00   
Stephen Frank\St. Mary's Regional Medical Center
235 W. Sixth St.
Reno, NV 89503		07/17/2009$250.00   
Ourida Diktakis\St. Rose Dominican Hospital - Siena
3001 St. Rose Pkwy.
Henderson, NV 89052		07/17/2009$125.00   
Don Kowitz\St. Mary's Regional Medical Center
235 W. Sixth St.
Reno, NV 89503		07/17/2009$150.00   
Kit Landis\St. Mary's Regional Medical Center
235 W. Sixth St.
Reno, NV 89503		07/17/2009$125.00   
D.M. Noland\St. Mary's Regional Medical Center
235 W. Sixth St.
Reno, NV 89503		07/17/2009$200.00   
Michael Johnson\St. Mary's Regional Medical Center
235 W. Sixth St.
Reno, NV 89503		07/17/2009$125.00   
Daniel Ferguson\St. Mary's Regional Medical Center
235 W. Sixth St.
Reno, NV 89503		07/17/2009$200.00   
Mike Uboldi\Saint Mary's Regional Medical Center
235 W. Sixth St.
Reno, NV 89503		07/17/2009$500.00   
Cretan Meadows\St. Mary's Regional Medical Center
235 W. Sixth St.
Reno, NV 89503		07/17/2009$500.00   
Magda Martinez\St. Mary's Regional Medical Center
235 W. Sixth St.
Reno, NV 89503		07/21/2009$125.00   
Reed Howe\St. Rose Dominican Hospital - San Martin
8280 W. Warm Springs Rd.
Las Vegas, nv 89113		07/21/2009$130.00   
Dorothy Shepherd\St. Rose Dominican Hospital - Rose de Lima
102 E. Lake Mead Dr.
Henderson, nv 89015		07/21/2009$150.00   
Phyllis Freyer\Renown Regional Medical Center
1155 Mill St.
Reno, nv 89502		07/27/2009$250.00   
William Schoonmaker\HealthSouth Rehabilitation Hospital of Henderson
10301 Jeffreys St.
Henderson, NV 89052		07/27/2009$200.00   
Kris Gaw\Renown Regional Medical Center
1155 Mill St.
Reno, nv 89502		07/27/2009$500.00   
Sue Conley\Mesa View Regional Hospital
1299 Bertha Howe Ave.
Mesquite, nv 89027		07/27/2009$500.00   
Rod Davis\St. Rose Dominican Hospital
3001 St. Rose Pkwy.
Las Vegas, nv 89052		07/27/2009$500.00   
Douglas Geinzer\Recruiting Nevada
2360 Corporate Circle
Henderson, NV 89074		07/27/2009$125.00   
Vernon Burk\Boulder City Hospital
901 Adams Blvd.
Boulder City, NV 89005		08/04/2009$200.00   
Kelly Pingree\Boulder City Hospital
901 Adams Blvd.
Boulder City, NV 89005		08/04/2009$100.00   
Mira Santos\St. Rose Dominican Hospital - Siena
3001 St. Rose Pkwy.
Henderson, NV 89052		08/13/2009$100.00   
Patricia Vasquez\St. Rose Dominican Hospital - Siena
3001 St. Rose Pkwy.
Henderson, NV 89052		08/13/2009$100.00   
Terri Janison\Valley Hospital Medical Center
620 Shadow Lane
Las Vegas, NV 89106		08/13/2009$100.00   
Marjorie Knight\St. Rose Dominican Hospital - Rose de Lima Campus
102 E. Lake Mead Dr.
Henderson, nv 89015		08/13/2009$525.00   
Michael Gaughan\Valley Hospital Medical Center
620 Shadow Lane
Las Vegas, nv 89102		08/13/2009$500.00   
Susan Davila\Desert View Regional Hospital
360 S. Lola
Pahrump, nv 89048		08/13/2009$500.00   
Andrew Pearl\Renown Regional Medical Center
1155 Mill St.
Reno, nv 89502		08/13/2009$250.00   
Barbara Reynolds\Saint Marys Regional Medical Center
235 W. Sixth St.
Reno, nv 89503		08/13/2009$125.00   
Michelle VanHorn\Nevada Hospital Association
5250 NEIL RD. STE. 302
Reno, NV 89502		08/13/2009$125.00   
Nancy Willets\St. Rose Dominican Hospital - Siena
3001 St. Rose Pkwy.
Henderson, NV 89052		08/13/2009$125.00   
Marc Bennett\HealthInsight
348 East 4500 South, Suite 300
Salt Lake City, UT 84107		08/14/2009$250.00   
Kathy Calhoun\Boulder City Hospital
901 Adams Blvd.
Boulder City, NV 89005		08/14/2009$250.00   
Joel Muller\Renown Regional Medical Center
1155 Mill St.
Reno, nv 89502		08/14/2009$250.00   
Robert Irish\St. Rose Dominican Hospital - San Martin
8280 W. Warm Springs Rd.
Las Vegas, NV 89113		08/14/2009$125.00   
Charles Hicks\South Lyon Medical Center
213 So. Whitacre
Yerington, nv 89447		08/14/2009$125.00   
Philip Landis\Renown Regional Medical Center
1155 Mill St.
Reno, nv 89502		08/14/2009$125.00   
Kevin Kilcourse\Renown Regional Medical Center
1155 Mill St.
Reno, nv 89502		08/14/2009$125.00   
Tom Choi\United Blood Services
1125 Terminal Way
Reno, NV 89502		08/14/2009$500.00   
Larry Trilops\Renown Regional Medical Center
1155 Mill St.
Reno, nv 89502		08/14/2009$500.00   
Kirk Lambert\Boulder City Hospital
901 Adams Blvd.
Boulder City, NV 89005		08/14/2009$100.00   
Kathy Kahler\Boulder City Hospital
901 Adams Blvd.
Boulder City, NV 89005		08/14/2009$100.00   
Susan Adamek\St. Rose Dominican Hospitals - Siena
3001 St. Rose Pkwy.
Henderson, NV 89052		08/14/2009$125.00   
Tom & Jan Brady\Renown Regional Medical Center
1155 Mill St.
Reno, NV 89502		08/14/2009$100.00   
Chris Devoss\Boulder City Hospital
901 Adams Blvd.
Boulder City, NV 89005		08/14/2009$100.00   
Linda Ferris\Renown Regional Medical Center
1155 Mill St.
Reno, nv 89502		08/14/2009$125.00   
Carolyn Ford-Trudo\St. Rose Dominican Hospital - San Martin
8280 W. Warm Springs Rd.
Las Vegas, NV 89145		08/14/2009$125.00   
Mary Walker\Carson Tahoe Regional Medical Center
1600 Medical Pkwy.
Carson City, NV 89706		08/16/2009$350.00   
Kirk Gillis\Renown Regional Medical Center
1155 Mill St.
RENO, nv 89502		08/17/2009$350.00   
Blain Claypool\Renown Rehabilitation Hospital
555 Gould St.
Reno, NV 89502		08/17/2009$480.00   
George Glendenning\Harris & Associates
2310 Paseo Del Prado
Ste. A104
Las Vegas, nv 89102		08/17/2009$125.00   
Kim Sloat\Harris & Associates
2310 Paseo Del Prado
Ste. A104
Las Vegas, nv 89102		08/17/2009$125.00   
Alan Herak\Renown Regional Medical Center
1155 Mill St.
Reno, nv 89502		08/17/2009$100.00   
Andy North\St. Rose Dominican Hospital
3001 St. Rose Pkwy.
Henderson, nv 89052		08/17/2009$125.00   
Stephen Bajo\Renown Regional Medical Center
1155 Mill St.
Reno, NV 89502		08/17/2009$250.00   
Thomas Maher\Boulder City Hospital
901 Adams Blvd.
Boulder City, NV 89005		08/26/2009$250.00   
Harvey Fennell\Renown South Meadows Medical Center
10101 Double R Blvd.
Reno, nv 89521		08/27/2009$250.00   
Susan Smieszkal\St. Rose Dominican Hospital - Siena
3001 St. Rose Pkwy.
Henderson, NV 89052		08/27/2009$125.00   
Dwight Hansen\Nevada Hospital Association
5250 NEIL RD. STE. 302
Reno, NV 89502		08/27/2009$125.00   
Steve Boline\Nevada Rural Hospital Partners
4600 Kietzke Ln.
Reno, nv 89502		08/27/2009$125.00   
James Wadhams\Jones Vargas
3773 Howard Hughes Pkwy.
Las Vegas, nv 89109		08/28/2009$350.00   
Laura Pinto\St. Mary's Regional Medical Center
235 W. Sixth St.
Reno, NV 89503		08/28/2009$125.00   
Connie Clemmons-Brown\St. Rose Dominican Hospital - San Martin
8280 W. Warm Springs Rd.
Las Vegas, nv 89113		08/28/2009$250.00   
Bill Welch\Nevada Hospital Association
5250 NEIL RD. STE. 302
Reno, nv 89502		08/31/2009$500.00   
Healthcare System Good Government Fund PAC
3186 South Maryland Parkway
Las Vegas, NV 89109		08/31/2009$8,000.00   
Eva LaBarge\Nevada Hospital Association
5250 NEIL RD. STE. 302
Reno, nv 89502		09/01/2009$500.00   
Don Butterfield\Renown Regional Medical Center
1155 Mill St.
Reno, NV 89502		09/01/2009$100.00   
Debra Casci\Renown Regional Medical Center
1155 Mill St.
Reno, nv 89502		09/01/2009$125.00   
Janette Townsend\Renown Regional Medical Center
1155 Mill St.
Reno, NV 89502		09/01/2009$125.00   
Jimmy Breslin\Renown Regional Medical Center
1155 Mill St.
Reno, NV 89502		09/01/2009$250.00   
Kevin Walters\St. Rose Domincan Hospital
3001 St. Rose Pkwy.
Henderson, nv 89052		09/01/2009$125.00   
Jeanne Pomi\Renown Regional Medical Center
1155 Mill St.
Reno, NV 89502		09/01/2009$125.00   
David Schweer\Renown Regional Medical Center
1155 Mill St.
Reno, nv 89502		09/01/2009$125.00   
Bertha Mullins\Renown Regional Medical Center
1155 Mill St.
Reno, NV 89502		09/01/2009$125.00   
Stacy Kendall\Renown Regional Medical Center
1155 Mill St.
Reno, nv 89502		09/01/2009$125.00   
Mark Johnson\Renown Regional Medical Center
1155 Mill St.
Reno, nv 89502		09/01/2009$125.00   
Elijah Mutua\St. Mary's Regional Medical Center
235 W. Sixth St.
Reno, NV 89503		09/02/2009$125.00   
Rayne Niehaus\St. Mary's Regional Medical Center
235 W. Sixth St.
REno, NV 89503		09/02/2009$125.00   
Gail Mitchell\St. Mary's Regional Medical Center
235 W. Sixth St.
Reno, NV 89503		09/02/2009$125.00   
Vincenzo Variale\North Vista Hospital
1409 E. Lake Mead
North Las Vegas, NV 89030		09/02/2009$150.00   
Mary Grimm\St. Mary's Regional Medical Center
235 W. Sixth St.
Reno, NV 89503		09/02/2009$147.00   
Julie Clyde\St. Mary's Regional Medical Center
235 W. Sixth St.
Reno, NV 89503		09/02/2009$100.00   
Mark Stoddard\Desert View Hospital
360 S. Lola
Pahrump, NV 89048		09/02/2009$500.00   
Greg Boyer\Valley Hospital Medical Center
620 Shadow Lane
Las Vegas, nv 89106		09/04/2009$1,005.00   
Kelly DeMaria\St. Mary's Regional Medical Center
235 W. Sixth St.
Reno, NV 89503		09/04/2009$125.00   
Julie Tracy\Valley Hospital Medical Center
620 Shadow Lane
Las Vegas, NV 89106		09/04/2009$162.00   
Wade Sturgeon\Carson Valley Medical Center
1107 Highway 395
Gardnerville, NV 89410		09/11/2009$250.00   
Jeffrey Klein\ACHE
P.O. Box 530531
Henderson, NV 89053		09/11/2009$150.00   
Norman Deputy\Sierra Meadows Insurance
P.O. Box 11335
Reno, NV 89510		09/11/2009$125.00   
Monica Callen\Emdeon
3055 Lebanon Pike
Nashville, TN 37214		09/11/2009$125.00   
Linda Faiss\Bouldner City Hospital
901 Adams Blvd.
Boulder City, NV 89005		09/15/2009$100.00   
Joan Hall\South Lyon Medical Center
213 So. Whitacre
Yerington, nv 89447		09/15/2009$355.00   
Robin Keith\Nevada Rural Hospital Partners
4600 Kietzke Ln. I-209
Reno, nv 89502		09/15/2009$500.00   

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

 

 WRITTEN COMMITMENTS Report Period   # An.
Health PAC
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   # An.
Health PAC
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   # An.
Health PAC
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
Glen Eagles Restaurant
3700 N. Carson St.
Carson City, NV 89706
J
J
04/14/2009
04/23/2009
$2,002.95
$292.05
NV Newsmakers Outreach
P.O. Box 10853
Reno, NV 89510		J05/06/2009$250.00
Sierra Discount Printing
848 Tanager St. #C
Incline Village, NV 89451		A06/11/2009$197.57
Committee to Elect Barbara Cegavske
6465 Laredo St.
Las Vegas, NV 89146		J09/18/2009$1,500.00
Committee to Elect Debbie Smith
3270 Wilma Drive
Sparks, NV 89431-1173		J09/18/2009$1,500.00
Committee to elect Joe Hardy
833 Nevada Way
Boulder City, NV 89015		J09/18/2009$2,000.00
Friends of Heidi Gansert
316 California Avenue 302
Reno, NV 89509		J09/18/2009$2,500.00
Committee to Elect John Oceguera
7655 Chaumont Street
Las Vegas, NV 89123		J09/18/2009$2,500.00
Committee to elect Steven Horsford
1306 W Craig rd e-310
Las Vegas, NV 89032		J09/18/2009$2,500.00
Eva LaBarge/Nevada Hospital Association
5250 NEIL RD. STE. 302
Reno, NV 89502		E09/18/2009$120.00
Committee to Elect Joyce Woodhouse
246 Garfield Drive
Henderson, NV 89074		J09/18/2009$1,000.00
Assembly Democratic Caucus
2251 N Rampart 341
Las Vegas, NV 89129		J10/05/2009$1,250.00
Assembly Republican Caucus
8625 W Sahara
Las Vegas, NV 89117		J10/05/2009$1,250.00
Committee to Elect Marcus Conklin
1600 Palmae Way
Las Vegas , NV 89128		J11/02/2009$500.00
 
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   # An.
Health PAC
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
Hyatt Regency Lake Tahoe
111 Country Club Drive,
Incline Village, NV 89451		09/10/2009Banquet Catering$6,758.06   
Hyatt Regency Lake Tahoe
111 Country Club Drive,
Incline Village, NV 89451		09/10/2009Banquet Catering$430.42   
Hyatt Regency Lake Tahoe
111 Country Club Drive,
Incline Village, NV 89451		09/10/2009Equipment and Sales$615.03   





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 IN KIND
WRITTEN COMMITMENTS 		Report Period   # An.
Health PAC
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   # An.
Health PAC
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

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