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Kelvin Dale Atkinson State Assembly, District 17 17
Name (print) Office (if applicable) District (if applicable)
5631 Indian Springs St., North Las Vegas, NV, 89031 702-457-9995
Mailing Address (include city and zip code) Telephone No.
katkinson702@aol.com
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
May 28 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) 		$ 79,303.57   $ 79,303.57
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) 		$ 79,303.57   $79,303.57
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) 		$ 38,484.49   $38,484.49
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.

Kelvin D. Atkinson 05/28/2010
Signature Date
 

 CAMPAIGN CONTRIBUTIONS Report Period   # 1
Kelvin Dale Atkinson State Assembly, District 17 17
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
SOUTHWEST GAS
5241 SPRING MTN RD
LAS VEGAS, NV 89193
02/02/2010
04/20/2010
$500.00
$1,000.00
   
MCDONALD, CARANO, WILSON
2300 WEST SAHARA AVE.
SUITE 1000
LAS VEGAS, NV 89102		02/02/2010$1,000.00   
SOLAR MILLENNIUM LLC
1625 Shattuck Ave. Ste 270
Berkeley, CA 94709		02/02/2010$1,000.00   
LAS VEGAS FIRE FRIGHTERS, LOCAL 1285
5650 W. CHARLESTON BLVD. SUITE 2
LAS VEGAS, NV 89146		02/02/2010$250.00   
WIRTZ BEVERAGE NEVADA
1849 WEST CHEYENNE
LAS VEGAS, NV 89032		02/02/2010$1,000.00   
Nevada Health Care Association
4550 W. Oakey Blvd.
Site 99B
Las Vegas, NV 89102-1599		02/02/2010$750.00   
LAW OFFICES OF KEITH LEE
3400 KAUAI CT. 204
RENO, NV 89509		02/02/2010$500.00   
CAMEO, Inc.
505 E. Windmill
Suite 1B-196
Las Vegas, NV 89123		02/02/2010$2,000.00   
I.R. ASHLEMAN
300 S. 4TH STREET 1500
LAS VEGAS, NV 89101		02/02/2010$500.00   
AMBASSADOR LIMOUSINE
4676 WYNN ROAD
LAS VEGAS, NV 89103		02/02/2010$1,000.00   
DESERT CAB, INC.
4675 S. WYNN ROAD
Las Vegas, NV 89103		02/02/2010$1,000.00   
NV Energy
6226 W Sahara Ave
Las Vegas, NV 89146
02/02/2010
04/21/2010
$1,000.00
$1,000.00
   
Gordon Silver
3960 Howard Hughes Pkwy
9th Floor
Las Vegas, NV 89169		02/02/2010$500.00   
Farmers Employee Agent Pac
2039 E. Flamingo Road
Las Vegas, NV 89119		02/03/2010$2,000.00   
Barrick
126 E South Temple Ste 1300
Salt Lake City, Ut 84111		02/03/2010$1,500.00   
LABORERS' INTERNATIONAL UNION, LOCAL 169
570 REACTOR WAY
RENO, NV 89502		02/04/2010$1,500.00   
North Las Vegas Firefighters
Local 1607-PAC Fund
P.O. Box 364267
North Las Vegas, NV 89036		02/04/2010$1,000.00   
Henderson Taxi
2000 Industrail Road
Las Vegas, NV 89102
02/05/2010
04/21/2010
$1,000.00
$2,500.00
   
Whittlesea Blue Cab Company
1900 Industrial Road
Las Vegas, NV 89102
02/05/2010
04/21/2010
$1,000.00
$2,500.00
   
Chris Commissioner giunchigliani
1717 S. 15th Street
Las Vegas, NV 89104		02/10/2010$250.00   
Sunrise Healthcare System
3186 S. Maryland Parkway
Las Vegas, NV 89109		02/11/2010$1,500.00   
Lewis & Roca
3993 Howard Hughes Prkwy # 600
Las Vegas, NV 89169		02/11/2010$500.00   
NEVADA MED PAC
3660 BAKER LANE
SUITE 101
RENO, NV 89509		02/12/2010$500.00   
Cash America
1600 W 7th St
Fort Worth, TX 76102-2599		03/25/2010$1,000.00   
Southwest Regional Council of Carpenters
501 N Lamb Blvd.
Las Vegas, NV 89110		03/27/2010$1,000.00   
ARDA ROC-PAC
1201 15th St. NW 400
Washington, DC 20005		03/29/2010$1,000.00   
International Union of Operating Engineers
150 E. Corson Street
Pasadena, CA 91103		03/31/2010$1,500.00   
NEVADA CREDIT UNION LEAGUE
2855 E. GUASTI ROAD
SUITE 200
ONTARIO, CA 91761		04/03/2010$500.00   
ALLERGAN USA, INC.
3108 NW LURAY TERRACE
PORTLAND, OR 97210		04/05/2010$500.00   
T MOBILE USA, INC.
12920 SE 38TH STREET
BELLEVUE, WA 98006		04/13/2010$1,000.00   
Finberg Grant Mayfield Kaneda & Litt LLP
1955 Village Center Circle
Las Vegas, NV 89134		04/15/2010$2,500.00   
Nevada Yellow Cab Corporation
5225 W. Post Rd.
Las Vegas, NV 89118		04/20/2010$1,500.00   
Lewis and Roca
3993 Howard Hughes Pkkwy 600
Las Vegas, NV 89169		04/20/2010$500.00   
Rose McKinney James
8912 Montego Bay Dr.
Las Vegas, NV 89117-2257		04/20/2010$200.00   
McKinney-James & Associates
8912 Montego Bay Drive
Las Vegas, NV 89117		04/20/2010$250.00   
Farmers
2030 E. Flamingo Road #200
Las Vegas, NV 89119		04/21/2010$3,000.00   
R&S Investment Properties
979 Camelia Dr.
Henderson, NV 89015		04/21/2010$2,500.00   
DAVID KALLAS
9330 W LAKE MEAD BLVD. STE 200
LAS VEGAS, NV 89134		04/21/2010$100.00   
The Ferraro Group
165 W. Liberty St. Suite 110
Reno, NV 89501		04/21/2010$250.00   
MGM Mirage
3260 Industrial Road
Las Vegas, NV 89109		04/28/2010$4,000.00   
International Game Technology
9295 Prototype Drive
Reno, NV 89521-7777		05/01/2010$1,500.00   
SMITH CHRISTENSEN ENTERPRISES LLC
PO BOX 15430
LAS VEGAS, NV 89114		05/03/2010$1,000.00   
Associated Builders and Contractors
740 Freeport Blvd
Suite 101
Sparks, NV 89431		05/03/2010$1,000.00   
SA RECYCLING
3200 E. FRONTERA STREET
ANAHEIM, CA 92806		05/05/2010$1,500.00   
ASTELLAS PHARMA US, INC.
THREE PARKWAY NORTH
DEERFIELD, IL 60015		05/05/2010$500.00   
Association of Gaming Equipment Manufacturers
PO Box 50049
Henderson, NV 89016		05/05/2010$1,000.00   
BANK OF AMERICA CORP PAC
121 SW MORRISON
PORTLAND, OR 97204		05/05/2010$1,000.00   
SNELL & WILNER L.L.P.
3883 HOWARD HUGHES PKWY
SUITE 1100
LAS VEGAS, NV 89169		05/05/2010$1,000.00   
Nevada Realtors PAC
760 Margrave Drive #200
Reno, NV 89502		05/06/2010$1,000.00   
BALLY GAMING
6601 S. Bermuda Road
Las Vegas, NV 89119		05/13/2010$500.00   
Wynn Las Vegas
3131 Las Vegas Blvd So.
Las Vegas, NV 89109		05/17/2010$2,000.00   
BRANTON HAND PAGE & SULLIVAN, LLC
2810 W. CHARLESTON BLVD. STE 77
LAS VEGAS, NV 89102		05/18/2010$250.00   
ALFRED W CARTER
188 CAMROSE ST
HENDERSON, NV 89074		05/18/2010$100.00   
CAL J. POTTER, III, ESQ. CHTD
1125 SHADOW LANE
LAS VEGAS, NV 89102		05/18/2010$100.00   
NEIL J BELLER
2786 EVENING ROCK STREET
LAS VEGAS, NV 89135		05/18/2010$200.00   
SCOTT K. CANEPA, PAC
851 S. RAMPART BLVD. STE 160
LAS VEGAS, NV 89145		05/18/2010$1,000.00   
Pursiano Barry Lavelle LLP
851 S. Rampart Blvd. 260
Las Vegas, NV 89145		05/18/2010$1,000.00   
Citizens For Justice, Trust
406 N Nevada St.
Carson City, NV 89703		05/18/2010$1,000.00   
Benson, Bertoldo, Baker & Carter, Chtd.
7408 West Sahara Avenue
Las Vegas, NV 89117		05/18/2010$500.00   
LAW OFFICES OF BRIAN D NETTLES, INC
1389 GALLERIA DRIVE STE 110
HENDERSON, NV 89014		05/18/2010$200.00   
Feinberg Grant Mayfield Kaneda & Litt LLP
1955 Village Center Circle
Las Vegas, NV 89134		05/18/2010$1,000.00   
LEGAL DOCUMENT SOLUTIONS
710 S. 8TH STREET
LAS VEGAS, NV 89101		05/18/2010$100.00   
CAYON MEDICAL BILLING LLC.
7435 S. EASTERN AVE.
STE A5-273
LAS VEGAS, NV 89123		05/18/2010$200.00   
HENNESS & HAIGHT CHTD
8972 SPANISH RIDGE AVE.
LAS VEGAS, NV 89148		05/18/2010$250.00   
MADDOX, ISAACSON & CISNEROS, LLP
3811 W CHARLESTON BLVD. STE 110
LAS VEGAS, NV 89102		05/18/2010$250.00   
Home Building Industry PAC
3685 Pecos Mcleod
Las Vegas, NV 89121		05/18/2010$300.00   
GENE KRAMETBAUER
4450 PALISADES CANYON CIR
LAS VEGAS, NV 89129		05/18/2010$250.00   
Terracon
18001 W 106th St
Olathe, KS 66061		05/18/2010$250.00   
SMAXY PAC
3455 Cliff Shadows Pkwy Ste 2
Las Vegas, NV 89129		05/18/2010$1,000.00   
KLEINFELDER WEST, INC.
6380 S. POLARIS AVE.
LAS VEGAS, NV 89118		05/18/2010$300.00   
PBS&J
4030 W. BOY SCOUT BLVD.
SUITE 700
TAMPA, FL 33607		05/18/2010$500.00   
Poggemeyer Design Group
2601 N. Tenaya Way
Las Vegas, NV 89128		05/18/2010$500.00   
Robert Marshall
9744 Verlaine Ct
Las Vegas, NV 89145		05/18/2010$250.00   
IBEW Political Action 357
4322 Bonanza Road
Las Vegas, NV 89110		05/20/2010$503.57   
LABORER'S LOCAL 872
2345 RED ROCK STREET #330
LAS VEGAS, NV 89146		05/21/2010$2,500.00   
South Point Hotel and Casino
9777 Las Vegas Blvd So.
Las Vegas, NV 89183		05/24/2010$2,000.00   
ANDREW M CASH M.D.
9339 W SUNSET ROAD STE 100
LAS VEGAS, NV 89148		05/24/2010$250.00   
Nevada Justice Fund
5442 Holbrook Drive
Las Vegas, NV 89103		05/25/2010$2,500.00   

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

 

 WRITTEN COMMITMENTS Report Period   # 1
Kelvin Dale Atkinson State Assembly, District 17 17
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
Kelvin Dale Atkinson State Assembly, District 17 17
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
Kelvin Dale Atkinson State Assembly, District 17 17
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
Cox Communications, INC
PO BOX 79175
PHOENIX, AZ 85062-9175
A
A
A
A
A
01/03/2010
02/06/2010
03/06/2010
04/03/2010
05/04/2010
$101.56
$101.56
$101.56
$106.75
$106.75
Assembly Democratic Caucus
2251 N Rampart 341
Las Vegas, NV 89129
J
E
E
E
01/04/2010
01/10/2010
01/10/2010
04/07/2010
$1,500.00
$1,750.00
$5,274.00
$5,274.00
THE COUNCIL OF STATE GOVERNMENT
PO BOX 11910
LEXINGTON, KY 40578		H01/04/2010$200.00
ADVOCACY INC
101 G STREET NW
460-A WEST
WASHINGTON, DC 20001		D01/04/2010$42.25
Robin L. Williamson
3752 Meadow Wood Road
Carson City, NV 89703		J01/16/2010$1,000.00
THE EGG AND I
4533 W. SAHARA AVE.
LAS VEGAS, NV 89101		H01/22/2010$97.67
AT&T
PO BOX 68058
ANAHEIM HILLS, CA 92817
A
A
A
A
A
01/26/2010
02/24/2010
03/23/2010
04/21/2010
05/21/2010
$202.76
$202.76
$202.76
$221.04
$221.04
USPS
4904 Camino Al Norte
North Las Vegas, NV 89031-2374
A
D
02/04/2010
03/31/2010
$2.20
$132.00
LANDMARK STRATEGIES
6225 Brandon Ave
Suite 305
Springfield, VA 22150		D02/11/2010$572.04
Clark County Eelections Department
500 South Grand Central Pkwy
Las Vegas, NV 89155		J03/05/2010$100.00
Southwest Airlines
PO Box 36647
Dallas, TX 75235
C
C
C
03/08/2010
03/18/2010
05/11/2010
$237.40
$554.40
$203.40
CLARK COUNTY DEMOCRATIC PARTY
1325 E VEGAS VALLEY DRIVE #C
LAS VEGAS, NV 89109		D03/10/2010$250.00
NANCY HARA-ISA DESIGNS
1803 DALTON DRIVE
HENDERSON, NV 89014
D
D
03/11/2010
03/26/2010
$78.04
$60.81
Monica Leija Bean
981 Beagle Point Avenue
Henderson, NV 89015
J
J
03/12/2010
03/22/2010
$100.00
$1,500.00
AT&T
2015 W CRAIG ROAD
NORTH LAS VEGAS, NV 89032		A03/15/2010$176.79
Bridge Communications, Inc.
50 Progress Circle Unit 7A
Newington, CT 06111
D
D
03/16/2010
05/18/2010
$5,051.73
$4,702.25
Nines Hotel
525 SW Morrison Street
Portland, OR 97204		C03/21/2010$222.76
NEVADA STATE AFL-CIO COPE
1891 WHITNEY MESA DRIVE
HENDERSON, NV 89014		D03/23/2010$250.00
SENIORS UNITED
1155 E. Twain Ave #108-177
Las Vegas, NV 89109
J
J
03/30/2010
04/19/2010
$150.00
$100.00
Time Printing, Inc.
1224 Western Ave
Las Vegas, NV 89102		D03/31/2010$346.97
COMMITTEE TO ELECT KATE MARSHALL
PO BOX 40944
RENO, NV 89504		J03/31/2010$1,000.00
COMMITTEE TO ELECT AARON FORD
PO BOX 96003
LAS VEGAS, NV 89193		J04/07/2010$250.00
UNLV/KUNV
4505 South Maryland Pkwy
Las Vegas, NV 89109		H04/09/2010$250.00
Friends of Kim Wallin
6375 South Arville #7
Las Vegas, NV 89118		J04/12/2010$250.00
Committee to Eelect Steven Brooks
6007 TURTLE RIVER AVENUE
Las Vegas, NV 89156		J04/13/2010$600.00
ADVOCACY INC
1001 G STREET, NW
SUITE 460-A WEST
WASHINGTON, DC 20001		D04/13/2010$276.57
Gray and Associates
PO Box 7397
Las Vegas, NV 89125		D04/18/2010$250.00
TINCO'S KITCHEN
18 FREMONT STREET
LAS VEGAS, NV 89101		H04/21/2010$180.00
COMMITTEE TO RE-ELECT KAREN BENNETT-HARON
501 PARKWAY EAST
LAS VEGAS, NV 89125		H04/27/2010$100.00
Ralston Flash
PO Box 15248
North Hollywood, CA 91615-5248		J05/01/2010$299.00
COMMITTE TO ELECT CAROLYN ESSEX
5575 SIMMONS STEET
PO BOX 1-143
NORTH LAS VEGAS, NV 89031		J05/05/2010$250.00
CAMPAIGN FOR DINA NEAL
340 N. WALNUT ROAD
LAS VEGAS, NV 89115		J05/05/2010$250.00
Apple Store
3200 Las Vegas Blvd.
Las Vegas, NV 89108		A05/07/2010$1,876.62
PATRICIA CUNNINGHAM
330 W. WASHINGTON AVE.
LAS VEGAS, NV 89106		H05/07/2010$200.00
AT&T
2015 W CRAIG ROAD
N. LAS VEGAS, NV 89032		A05/09/2010$161.07
Sun Valley Resort
1 Sun Valley Road Sun Valley
Sun Valley, ID 83353		C05/11/2010$144.30
COMMITTEE TO RE-ELECT DEBBIE CONWAY
PO BOX 33567
LAS VEGAS, NV 89133		J05/13/2010$500.00
CHEESECAKE FACTORY
3500 S. LAS VEGAS BLVD.
LAS VEGAS, NV 89109		J05/14/2010$113.21
OFFICE DEPOT
1435 W. CRAIG ROAD UNIT B
N. Las Vegas, NV 89032
A
A
05/17/2010
05/20/2010
$5.67
$30.80
 
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
Kelvin Dale Atkinson State Assembly, District 17 17
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
Kelvin Dale Atkinson State Assembly, District 17 17
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
Kelvin Dale Atkinson State Assembly, District 17 17
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