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Teresa Francisca Benitez-Thompson State Assembly, District 27 AD 27
Name (print) Office (if applicable) District (if applicable)
1201 JOSHUA DR, Reno, NV, 89509 775-247-7665
Mailing Address (include city and zip code) Telephone No.
ElectTeresa@gmail.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
Jan 15 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)
$ 12,520.00   $ 12,520.00
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)
$ 12,520.00   $12,520.00
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)
$ 955.20   $955.20
 
7. Total Monetary Expenses Paid in Excess of $100
    (See page 2 of instruction sheet)
$ 1,523.00   $1,523.00
8. Total Value of In Kind Expenses in Excess
    of $100  (See page 2 of instruction sheet)
$ 955.20   $955.20
 
I Declare Under Penalty of Perjury That the Foregoing is True and Correct.

Teresa Benitez-Thompson 01/15/2010
Signature Date
 

 CAMPAIGN CONTRIBUTIONS Report Period   # An.
Teresa Francisca Benitez-Thompson State Assembly, District 27 AD 27
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
Frank and Sandy Thompson
106 Panther Trial
Searcy, AK 72143
07/30/2009$200.00   
Jeffery Paul Thompson
1201 JOSHUA DR
Reno, NV 89509
07/30/2009$200.00   
Sheila Leslie
825 Humboldt Street
Reno, NV 89509
08/10/2009$1,000.00   
Eilene Drenske
372 Smithridge Dr
Reno, NV 89502
08/13/2009$150.00   
Sofia Kane
1025 First Street
Elko, NV 89801
09/03/2009
10/01/2009
$100.00
$20.00
   
Mike and Patricia Capello
6548 Golden Dawn
Sparks, NV 89436
09/18/2009$500.00   
Charles and Mary Lee Fulkerson
4321 Bridle Way
Reno, NV 89509
10/30/2009$500.00   
Debbie and Greg Smith
3270 Wilma Dr
Sparks, NV 89431
10/30/2009$100.00   
Debbie Smith/ Debbie Smith Campaign
3270 Wilma Drive
Sparks, NV 89431
12/16/2009$1,000.00   
Marcus Conklin/ Committee to Elect Marcus Conklin
1600 Palmae
Las Vegas, NV 89128
12/16/2009$1,500.00   
John Oceguera/ Campaign Account
7655 Chaumont St
Las Vegas, NV 89123
12/16/2009$2,500.00   
David Bobzien/ Friends for David Bobzien
1605 Wesley Dr
Reno, NV 89503
12/16/2009$1,000.00   
William Horne/ Committee to Elect William Horne
1436 Bell Glen
Las Vegas, NV 89128
12/16/2009$1,000.00   
Kelvin Atkinson/ Kelvin Atkinson Election Campaign Fund
5361 Indian Springs street
North Las Vegas, NV 89031
12/16/2009$1,000.00   
Marilyn Kirkpatrick/ DBA Friends of Marilyn Kirkpatrick
4747 Showdown Dr.
North Las Vegas, NV 89193
12/16/2009$1,000.00   
James Ohrenschall/ Committee to Elect James Ohrenschall
P.O. Box 97741
Las Vegas, NV 89031
12/16/2009$250.00   
Peggy Pierce
5304 Gipsy Ave
Las Vegas, NV 89107
12/16/2009$500.00   

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

 

 WRITTEN COMMITMENTS Report Period   # An.
Teresa Francisca Benitez-Thompson State Assembly, District 27 AD 27
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.
Teresa Francisca Benitez-Thompson State Assembly, District 27 AD 27
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.
Teresa Francisca Benitez-Thompson State Assembly, District 27 AD 27
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
Andrew Grismshaw/ Grimshaw Producation
6443 Lokai Ave
Las Vegas, NV 89130
A
A
08/13/2009
09/01/2009
$250.00
$250.00
Washoe County Democratic Party
1465 Terminal Way Suite 1
Reno, NV 89502
H
H
08/17/2009
08/24/2009
$180.00
$120.00
Natalie Choi/ ReThink Photography
2475 Robb Dr 427
Reno, NV 89523
A08/24/2009$140.00
Whittemore Peterson Institute
6600 N Wingfield Parkway
Sparks, NV 89436
H09/16/2009$250.00
Graphics Factory
2051 Red Hill Parkway
Saint George, UT 84770
A09/28/2009$133.00
City of Reno, Parks and Recreation
925 Riverside Dr.
Reno, NV 89503
H10/23/2009$200.00
 
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.
Teresa Francisca Benitez-Thompson State Assembly, District 27 AD 27
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
Matt Polly/ Java Vino
246 West 1st Street
Reno, NV 89501
09/29/2009Facility Space, Food, Beverage$500.00   
Debbie Smith
3270 Wilma Drive
Sparks, NV 89431
11/23/2009PLane Ticket$155.20   
Bob Fulkerson
831 Daniel Dr
Reno, NV 89509
11/23/2009Food and Beverage$300.00   





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

 

 IN KIND
WRITTEN COMMITMENTS
Report Period   # An.
Teresa Francisca Benitez-Thompson State Assembly, District 27 AD 27
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.
Teresa Francisca Benitez-Thompson State Assembly, District 27 AD 27
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


 NAME AND ADDRESS OF
 PERSON, GROUP OR
 ORGANIZATION WHO RECEIVED
 THE IN KIND GOOD(S) OR
 SERVICE(S)
DESCRIPTION
OF EACH
IN KIND
EXPENSE
DATE OF
EACH
IN KIND
EXPENSE
VALUE OR COST
OF EACH
IN KIND
EXPENSE
Matt Polly/ Java Vino
246 West 1st Street
Reno, NV 89501
Facility Space, Food, Beverage09/29/2009$500.00
Bob Fulkerson
831 Daniel Dr
Reno, NV 89509
10/30/0909/29/2009$300.00
Debbie Smith
3270 Wilma Drive
Sparks, NV 89431
PLane Ticket11/23/2009$155.20

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