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Operating Engineers Local 3 District 11
Name (print) Office (if applicable) District (if applicable)
1620 South Loop Road, Alameda, CA, 94502 5107487400
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 8 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) 		$ 15,443.24   $ 15,443.24
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) 		$ 15,443.24   $15,443.24
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) 		$ 16,400.00   $16,400.00
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.

Russ Burns 01/08/2010
Signature Date
 

 CAMPAIGN CONTRIBUTIONS Report Period   # An.
Operating Engineers Local 3 District 11
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
Member Donations (received of $100 or less)
1620 South Loop Road
Alameda, CA 94502
01/30/2009
02/20/2009
03/20/2009
04/17/2009
05/15/2009
06/17/2009
07/29/2009
08/14/2009
09/24/2009
10/30/2009
11/20/2009
12/28/2009
$1,269.32
$1,271.92
$1,248.52
$1,257.88
$1,261.00
$1,229.80
$1,245.40
$1,258.40
$1,215.76
$1,232.92
$1,237.08
$1,215.24
   
Lyon County Democratic Central Committee (2008 Voided check )
15 S. Main St.
Fernley, NV 89408		02/10/2009$500.00   

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

 

 WRITTEN COMMITMENTS Report Period   # An.
Operating Engineers Local 3 District 11
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.
Operating Engineers Local 3 District 11
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.
Operating Engineers Local 3 District 11
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
Truckee Meadows Democratic Alliance
1465 Terminal way Suite 1
Reno, NV 89502		J01/30/2009$400.00
Lyon County Democratic Central Committee (Re-issue of 2008 contribution)
15 S. Main St.
Fernley, NV 89408		J02/10/2009$500.00
Washoe County Democratic Party
1465 Terminal Way Suite 1
Reno, NV 89502
J
J
06/12/2009
08/24/2009
$500.00
$5,000.00
Assembly Democratic Caucus
2251 N Rampart 341
Las Vegas, NV 89129		J08/31/2009$5,000.00
Nevada Senate Democratic Caucus
1210 South Valley View Road 114
Las Vegas, NV 89102		J09/11/2009$5,000.00
 
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   # An.
Operating Engineers Local 3 District 11
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   # An.
Operating Engineers Local 3 District 11
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.
Operating Engineers Local 3 District 11
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