1.

DATE OF REPORT

OFFICE USE ONLY

Missouri Ethics Commission

COMMITTEE DISCLOSURE REPORT COVER PAGE
C081050 M.E.C. ID NO. ______________________________ 7/13/2011

INSTRUCTIONS ON REVERSE SIDE 2. FULL NAME OF COMMITTEE

MARY STILL FOR STATE REPRESENTATIVE

3. COMMITTEE MAILING ADDRESS

PO BOX 933

4. COMMITTEE TELEPHONE NUMBER

(573) 874-2402

CITY / STATE / ZIP

COLUMBIA MO 65205

5. TREASURER'S NAME
STEPHEN C SMITH

6. TREASURER'S MAILING ADDRESS

2005 W BROADWAY STE 100

7. TREASURER'S TELEPHONE NUMBER

HOME:

(573) 445-5853 (573) 442-6171

CITY / STATE / ZIP

COLUMBIA MO 65203

WORK:

8. DEPUTY TREASURER'S NAME

RUSSELL C STILL

CHECK IF NO DEPUTY TREASURER

9. DEPUTY TREASURER'S MAILING ADDRESS

PO BOX 933 COLUMBIA MO 65205

10. DEPUTY TREASURER'S TELEPHONE NUMBER

HOME:

(573) 875-4730 (573) 874-2402

CITY / STATE / ZIP 11. DATE OF ELECTION

8/7/2012

WORK:

12. TYPE OF ELECTION ( CHECK ONE ) PRIMARY GENERAL SPECIAL

13. TIME PERIOD COVERED BY THIS STATEMENT FROM

4/1/2011

THROUGH 6/30/2011 15. TYPE OF REPORT 15 DAYS AFTER CAUCUS NOMINATION COMMITTEE QUARTERLY REPORT Apr 15 Jan 15 8 DAYS BEFORE 30 DAYS AFTER ELECTION TERMINATION (ATTACH FORM CO-3)

14. CANDIDATE COMMITTEES ONLY: LIST CANDIDATE'S NAME, ADDRESS, PHONE, OFFICE SOUGHT, POLITICAL SUBDIVISION AND POLITICAL PARTY
MARY WYNNE STILL BOX 933 COLUMBIA MO 65205 (573) 808-6835 STATE REPRESENTATIVE

Jul 15

Oct 15

SEMIANNUAL DEBT REPORT Jan 15 Jul 15 ANNUAL SUPPLEMENTAL, JAN 15 15 DAYS AFTER PETITION DEADLINE

CHECK IF INCUMBENT

OTHER AMENDING PREVIOUS REPORT DATED

REPUBLICAN

DEMOCRAT

_________________________

____________

20

_____

16. COMMITTEE TREASURER'S SIGNATURE I CERTIFY THAT THIS REPORT, COMPRISED OF THIS COVER PAGE AND ALL ATTACHED FORMS, IS COMPLETE, TRUE AND ACCURATE.
ELECTRONICALLY FILED Jul 13 2011 9:31AM

17. CANDIDATE'S SIGNATURE ( CANDIDATE COMMITTEES ONLY ) I CERTIFY THAT THIS REPORT, COMPRISED OF THIS COVER PAGE AND ALL ATTACHED FORMS, IS COMPLETE, TRUE AND ACCURATE.
ELECTRONICALLY FILED Jul 13 2011 9:31AM

TREASURER'S SIGNATURE MO 300-1310 (10-06)

CANDIDATE'S SIGNATURE CD Cover Page

Missouri Ethics Commission

REPORT SUMMARY
Instructions on Reverse Side

Name of Committee

Date of Report

Office Use Only

MARY STILL FOR STATE REPRESENTATIVE

B. This Calendar Yr or Election Cycle

7/13/2011

Receipts
1. 2. 3. 4. 5. 6. 7. 8.

A. This Period

Total Receipts For This Election Previously Reported All Monetary Contributions Received This Period All Loans Received This Period Miscellaneous Receipts This Period Subtotal Monetary Receipts This Period (Sum 2A + 3A + 4A) In-kind Contributions Received This Period Total All Receipts This Period (Sum 5A + 6A) Total All Receipts This Election (Sum 1B + 7A)

$ $ + + $ + $

2,131.12

Statement of Beginning and Ending Financial Condition Money On Hand

24.

4,400.00

0.00 0.00 4,400.00

25.

Money On Hand at the beginning of this reporting period (Including funds in depository, cash, savings accounts and all other investments) Monetary Receipts this Period (From Item 5 - this page)

24,907.83

300.00 4,700.00

4,400.00

26. Monetary Disbursements Made This

$
A. This Period

6,831.12
27.

Period (Sum 10 + 16A + 23 )

570.00 a) Disbursements By Check $__________ 9.88 b) Disbursements By Cash $__________

Expenditures
9.

B. This Calendar Yr or Election Cycle

579.88
28,727.95

Total Expenditures for this election previously reported this period

$ $ + +

2,675.89

10. Expenditures made by cash or check

Money On Hand at the close of this reporting period (SUM 24 + 25 - 26)

579.88
300.00
Indebtedness

11.

In-Kind Expenditures made this period p p

12. Expenditures incurred this period (not

including loans) including payments made by credit card (line 17 CD3) 13. Total All expenditures made this period (Sum 10A + 11A + 12A) Including payments made by Credit Card (line 17 CD3)
14. Total Expenditures This Election

0.00
28.

879.88
29.

Outstanding Indebtedness at the beginning of this period

10,000.00

(Sum 9B + 13A)

$
A. This Period

3,555.77

Contributions Made
15. Total Contributions Made For This

B. This Calendar Yr or Election Cycle

Loans Received This Period

0.00
0.00
0.00

30. A. New Expenditures Incurred This

Election Previously Reported

16.

$
A B

250.00
Cash/Check Credit Card
31.

All Contributions Made This Period (25A or 25B of CD3)

0.00 0.00
+ $

Period (include payments by Credit Card (Line 17 CD3) B. New Contributions Made by Credit Card (Line 25B CD3)

+ +

17. All In-Kind Contributions Made This

Period
18. Total Contributions Made This Period

0.00 0.00
32.

Payments Made on Loans This Period

0.00

(Sum 16A + 17A)

19. Total All Contributions Made This

Election (Sum 15B + 18A)

$
A. This Period

250.00
Debt Forgiven on Loans This Period

Other Disbursements
20. Funds Used For Paying Loans This

B. This Calendar Yr or Election Cycle

33.

0.00
0.00
10,000.00
CD Summary

Period Including Credit Card Payments

21. Payments This Period on Prev Reported Expend Incurred (Paid by Cash/Check Only) 22. Any Miscellaneous Disbursement Not

+ + + $

0.00 0.00
34.

Payments Made This Period on Expenditures Incurred in Previous Period (Paid by Cash/Check Only) (Line 21 this page) Total Indebtedness at the Close of This Reporting Period (Sum 28 + 29 + 30A + 30B - 31 - 32 - 33)

Reported Elsewhere
23. Total Other Disbursements This Period

0.00

(Sum 20A + 21A + 22A) MO 300-1311 (1-11)

0.00

MISSOURI ETHICS COMMISSION

CONTRIBUTIONS AND LOANS RECEIVED
INSTRUCTIONS ON REVERSE SIDE 1. NAME OF COMMITTEE 2. REPORT DATE

OFFICE USE ONLY

MARY STILL FOR STATE REPRESENTATIVE

A. ITEMIZED CONTRIBUTIONS RECEIVED FROM COMMITTEES REGARDLESS OF THE AMOUNT, OR FROM PERSONS GIVING MORE THAN $100 TO A COMMITTEE. 3. NAME, ADDRESS AND OCCUPATION (LIST COMMITTEES FIRST) NAME: ADDRESS: CITY / STATE: View Supplemental Form(s) EMPLOYER: COMMITTEE: NAME: ADDRESS: CITY / STATE: EMPLOYER: COMMITTEE: NAME: ADDRESS: CITY / STATE: EMPLOYER: COMMITTEE: NAME: ADDRESS: CITY / STATE: EMPLOYER: COMMITTEE: NAME: ADDRESS: CITY / STATE: EMPLOYER: COMMITTEE: 6. SUBTOTAL: ITEMIZED CONTRIBUTIONS THIS PAGE (SUM COLUMN 5) 7. SUBTOTAL: ITEMIZED CONTRIBUTIONS ANY ATTACHED PAGES 8. TOTAL: ITEMIZED CONTRIBUTIONS THIS PERIOD (SUM 6 + 7) 9. AMOUNT OF ITEM 8 THAT WAS RECEIVED AS MONETARY CONTRIBUTIONS 10. AMOUNT OF ITEM 8 THAT WAS RECEIVED AS IN-KIND CONTRIBUTIONS B. NON-ITEMIZED CONTRIBUTIONS RECEIVED (LIST BY CATEGORY, NOT BY INDIVIDUAL CONTRIBUTIONS)

7/13/2011
4. DATE RECEIVED AGGREGATE TO DATE 5. AMOUNT RECEIVED
(CHECK IF MONETARY OR IN-KIND)

$ $ $ $ $ $ $ $ $ $ $ +$ $ $ $ $ $ $ $
MONETARY IN-KIND MONETARY IN-KIND MONETARY IN-KIND MONETARY IN-KIND MONETARY IN-KIND

0.00 4,700.00 4,700.00 4,400.00 300.00

AMOUNT RECEIVED

11. TOTAL CONTRIBUTIONS RECEIVED AT FUND-RAISERS AS REPORTED INLINE 8 ON FORM CD1A 12. TOTAL ANONYMOUS CONTRIBUTIONS RECEIVED FROM PERSON GIVING $25 OR LESS 13. TOTAL MONETARY CONTRIBUTIONS RECEIVED FROM PERSONS GIVING $100 OR LESS 14. TOTAL IN-KIND CONTRIBUTIONS RECEIVED FROM PERSONS (NOT COMMITTEES) GIVING $100 OR LESS C. LOANS RECEIVED 15. NAME AND ADDRESS OF LENDER NAME: ADDRESS: CITY / STATE: NAME: ADDRESS: CITY / STATE: 18. SUBTOTAL: LOANS THIS PAGE (SUM COLUMN 17) 19. SUBTOTAL: LOANS FROM ANY ATTACHED PAGES 20. TOTAL: LOANS THIS PERIOD (SUM 18 + 19) 21. TOTAL: ALL IN-KIND CONTRIBUTIONS (SUM 10 + 14) 22. TOTAL: ALL MONETARY CONTRIBUTIONS (SUM 9, 11, 12 & 13) 23. MONETARY CONTRIBUTIONS & LOANS RECEIVED REQUIRING A RECORD OF NAME & ADDRESS (SUM 9, 13 & 20) 16. DATE RECEIVED

0.00 0.00 0.00 0.00

17. AMOUNT OF LOAN
(IF MORE THAN $100 ATTACH CD-1B)

$ $ $ $ $ $ $ $

0.00 0.00 0.00 300.00 4,400.00 4,400.00

FORM CD1

OFFICE USE ONLY

MISSOURI ETHICS COMMISSION

CONTRIBUTIONS RECEIVED - SUPPLEMENTAL
NAME OF COMMITTEE DATE

MARY STILL FOR STATE REPRESENTATIVE

7/13/2011

INSTRUCTIONS
PURPOSE: The purpose of the Contributions Received supplement is to provide a printed outline for attaching additional pages to Form CD1 (Contributions Received). This form should be used as additional space for reporting persons contributing more than $100 and for committee contributions. This form may be reproduced as needed. Total all itemized contributions at the bottom of the page and carry to item 7 (Subtotal: Itemized Contributions From Any Attached Pages) on Form CD-1. If further information is needed concerning reporting itemized expenditures, see Form CD-1 Instructions. A. ITEMIZED CONTRIBUTIONS RECEIVED FROM COMMITTEES REGARDLESS OF THE AMOUNT, OR FROM PERSONS GIVING MORE THAN $100 TO A COMMITTEE. 3. NAME, ADDRESS AND OCCUPATION (LIST COMMITTEES FIRST) NAME: ADDRESS: Joyce Mitchell 502 W Lathrop Rd CITY / STATE: Columbia MO 65203 EMPLOYER: retired COMMITTEE: NAME: ADDRESS: Rotts & Gobbs LLC CITY / STATE: 1001 E Walnut EMPLOYER: Columbia MO 65201 COMMITTEE: NAME: ADDRESS: John Lewis 35 Stonehenge Dr CITY / STATE: Bentonville AR 72712 EMPLOYER: Mitchell Williams COMMITTEE: NAME: ADDRESS: Rachel Brekhus 703 Hilltop Dr CITY / STATE: Columbia MO 65201 EMPLOYER: University of Missouri COMMITTEE: NAME: Joseph Gorman ADDRESS: 1214 Danforth Drive CITY / STATE: Columbia MO 65201 attorney EMPLOYER: COMMITTEE: NAME: ADDRESS: Margaret Miller 102-6 E Green Meadows Rd CITY / STATE: Columbia MO 65203 EMPLOYER: retired COMMITTEE: NAME: Wally Bley ADDRESS: 1012 Lake Point Lane CITY / STATE: Columbia MO 65203 attorney EMPLOYER: COMMITTEE: NAME: Robert Saltzstein ADDRESS: 550 NW Lejuene Rd CITY / STATE: Miami FL 33126 American Welding Society EMPLOYER: COMMITTEE: TOTAL: ITEMIZED CONTRIBUTIONS (CARRY TO ITEM 7 "SUBTOTAL: ITEMIZED CONTRIBUTIONS FROM ANY ATTACHED PAGES" ON FORM CD-1) 4. DATE RECEIVED AGGREGATE TO DATE 5. AMOUNT RECEIVED
(CHECK IF MONETARY OR IN-KIND)

4/18/2011

100.00
MONETARY IN-KIND

100.00

4/18/2011

100.00
MONETARY IN-KIND

100.00

4/18/2011

250.00
MONETARY IN-KIND

250.00

4/18/2011

50.00
MONETARY IN-KIND

50.00

4/18/2011

100.00
MONETARY IN-KIND

100.00

4/18/2011

150.00
MONETARY IN-KIND

150.00

4/18/2011

325.00
MONETARY IN-KIND

325.00

4/18/2011

600.00
MONETARY IN-KIND

600.00

--

FORM CD-1 SUPPLEMENTAL

OFFICE USE ONLY

MISSOURI ETHICS COMMISSION

CONTRIBUTIONS RECEIVED - SUPPLEMENTAL
NAME OF COMMITTEE DATE

MARY STILL FOR STATE REPRESENTATIVE

7/13/2011

INSTRUCTIONS
PURPOSE: The purpose of the Contributions Received supplement is to provide a printed outline for attaching additional pages to Form CD1 (Contributions Received). This form should be used as additional space for reporting persons contributing more than $100 and for committee contributions. This form may be reproduced as needed. Total all itemized contributions at the bottom of the page and carry to item 7 (Subtotal: Itemized Contributions From Any Attached Pages) on Form CD-1. If further information is needed concerning reporting itemized expenditures, see Form CD-1 Instructions. A. ITEMIZED CONTRIBUTIONS RECEIVED FROM COMMITTEES REGARDLESS OF THE AMOUNT, OR FROM PERSONS GIVING MORE THAN $100 TO A COMMITTEE. 3. NAME, ADDRESS AND OCCUPATION (LIST COMMITTEES FIRST) NAME: ADDRESS: Sally Schilling 904 Edgewood CITY / STATE: Columbia MO 65203 EMPLOYER: retired COMMITTEE: NAME: ADDRESS: Linda Swearengen 700 Edgewood Ave CITY / STATE: Columbia MO 65203 EMPLOYER: not employed COMMITTEE: NAME: ADDRESS: Laura Hager 5300 S Highway 163 CITY / STATE: Columbia MO 65203 EMPLOYER: retired COMMITTEE: NAME: ADDRESS: Rosemary Smithson 1321 Cibola Circle CITY / STATE: Santa Fe NM 87501 EMPLOYER: Missouri Women's Leadership Coalition COMMITTEE: NAME: Sue Sperry ADDRESS: 6729 Kenwood Ave CITY / STATE: Kansas City MO 64131 Assurant Employee Benefits EMPLOYER: COMMITTEE: NAME: ADDRESS: Mary Paulsell 721 Columbine Ct CITY / STATE: Columbia MO 65203 EMPLOYER: University of Missouri COMMITTEE: NAME: ADDRESS: Harlan Harlan & Still CITY / STATE: P.O. Box 933 EMPLOYER: Columbia MO 65205 COMMITTEE: NAME: Mike Nichols ADDRESS: 3910 Foxcreek Way CITY / STATE: Columbia MO 65203 optometrist EMPLOYER: COMMITTEE: TOTAL: ITEMIZED CONTRIBUTIONS (CARRY TO ITEM 7 "SUBTOTAL: ITEMIZED CONTRIBUTIONS FROM ANY ATTACHED PAGES" ON FORM CD-1) 4. DATE RECEIVED AGGREGATE TO DATE 5. AMOUNT RECEIVED
(CHECK IF MONETARY OR IN-KIND)

4/18/2011

125.00
MONETARY IN-KIND

125.00

4/18/2011

150.00
MONETARY IN-KIND

150.00

4/18/2011

100.00
MONETARY IN-KIND

100.00

4/20/2011

250.00
MONETARY IN-KIND

250.00

4/25/2011

100.00
MONETARY IN-KIND

100.00

4/25/2011

150.00
MONETARY IN-KIND

150.00

4/30/2011

100.00
MONETARY IN-KIND

700.00

5/18/2011

100.00
MONETARY IN-KIND

100.00

--

FORM CD-1 SUPPLEMENTAL

OFFICE USE ONLY

MISSOURI ETHICS COMMISSION

CONTRIBUTIONS RECEIVED - SUPPLEMENTAL
NAME OF COMMITTEE DATE

MARY STILL FOR STATE REPRESENTATIVE

7/13/2011

INSTRUCTIONS
PURPOSE: The purpose of the Contributions Received supplement is to provide a printed outline for attaching additional pages to Form CD1 (Contributions Received). This form should be used as additional space for reporting persons contributing more than $100 and for committee contributions. This form may be reproduced as needed. Total all itemized contributions at the bottom of the page and carry to item 7 (Subtotal: Itemized Contributions From Any Attached Pages) on Form CD-1. If further information is needed concerning reporting itemized expenditures, see Form CD-1 Instructions. A. ITEMIZED CONTRIBUTIONS RECEIVED FROM COMMITTEES REGARDLESS OF THE AMOUNT, OR FROM PERSONS GIVING MORE THAN $100 TO A COMMITTEE. 3. NAME, ADDRESS AND OCCUPATION (LIST COMMITTEES FIRST) NAME: ADDRESS: William Fisch 4130 Town Square Dr CITY / STATE: Columbia MO 65203 EMPLOYER: University of Missouri COMMITTEE: NAME: ADDRESS: Hubbard & Kurtz LLP CITY / STATE: 1718 Walnut EMPLOYER: Kansas City MO 34108 COMMITTEE: NAME: ADDRESS: Mary Westerfield 101 S Glenwood CITY / STATE: Columbia MO 65203 EMPLOYER: University of Missouri COMMITTEE: NAME: ADDRESS: Nancy Bedan 2001 Chapel Wood Rd CITY / STATE: Columbia MO 65203 EMPLOYER: not employed COMMITTEE: NAME: ADDRESS: Harlan Harlan & Still CITY / STATE: P.O. Box 933 EMPLOYER: Columbia MO 65205 COMMITTEE: NAME: ADDRESS: Laura Deneke 2019 Hazelwood Dr CITY / STATE: Columbia MO 65201 EMPLOYER: Columbia Fire Dept. COMMITTEE: NAME: Carla Waal Johns ADDRESS: 2200 Yuma Dr CITY / STATE: Columbia MO 65203 not employed EMPLOYER: COMMITTEE: NAME: Karen Smith ADDRESS: 1305 Westview Terrace CITY / STATE: Columbia MO 65203 not employed EMPLOYER: COMMITTEE: TOTAL: ITEMIZED CONTRIBUTIONS (CARRY TO ITEM 7 "SUBTOTAL: ITEMIZED CONTRIBUTIONS FROM ANY ATTACHED PAGES" ON FORM CD-1) 4. DATE RECEIVED AGGREGATE TO DATE 5. AMOUNT RECEIVED
(CHECK IF MONETARY OR IN-KIND)

5/18/2011

200.00
MONETARY IN-KIND

200.00

5/18/2011

100.00
MONETARY IN-KIND

100.00

5/25/2011

25.00
MONETARY IN-KIND

25.00

5/25/2011

200.00
MONETARY IN-KIND

200.00

5/30/2011

100.00
MONETARY IN-KIND

600.00

6/10/2011

100.00
MONETARY IN-KIND

100.00

6/21/2011

25.00
MONETARY IN-KIND

25.00

6/21/2011

200.00
MONETARY IN-KIND

200.00

--

FORM CD-1 SUPPLEMENTAL

OFFICE USE ONLY

MISSOURI ETHICS COMMISSION

CONTRIBUTIONS RECEIVED - SUPPLEMENTAL
NAME OF COMMITTEE DATE

MARY STILL FOR STATE REPRESENTATIVE

7/13/2011

INSTRUCTIONS
PURPOSE: The purpose of the Contributions Received supplement is to provide a printed outline for attaching additional pages to Form CD1 (Contributions Received). This form should be used as additional space for reporting persons contributing more than $100 and for committee contributions. This form may be reproduced as needed. Total all itemized contributions at the bottom of the page and carry to item 7 (Subtotal: Itemized Contributions From Any Attached Pages) on Form CD-1. If further information is needed concerning reporting itemized expenditures, see Form CD-1 Instructions. A. ITEMIZED CONTRIBUTIONS RECEIVED FROM COMMITTEES REGARDLESS OF THE AMOUNT, OR FROM PERSONS GIVING MORE THAN $100 TO A COMMITTEE. 3. NAME, ADDRESS AND OCCUPATION (LIST COMMITTEES FIRST) NAME: ADDRESS: Lynn Birkby 906 W Stewart Rd CITY / STATE: Columbia MO 65203 EMPLOYER: not employed COMMITTEE: NAME: ADDRESS: Mary Williamson 1112 S Glenwood Ave CITY / STATE: Columbia MO 65203 EMPLOYER: psychologist COMMITTEE: NAME: ADDRESS: Hawks Dental Office 3015 S Providence Rd CITY / STATE: Columbia MO 65203 EMPLOYER: Dental office COMMITTEE: NAME: ADDRESS: Susan Fales 1711 Cliff Dr CITY / STATE: Columbia MO 65201 EMPLOYER: not employed COMMITTEE: NAME: Carol Mertensmeyer ADDRESS: 801 Bucks Run CITY / STATE: Columbia MO 65201 retired EMPLOYER: COMMITTEE: NAME: ADDRESS: Kay Callison 600 Crestland Ave CITY / STATE: Columbia MO 6520 EMPLOYER: retired COMMITTEE: NAME: Douglas Anthony ADDRESS: 2804 Ashwood Dr CITY / STATE: Columbia MO 65203 University of Missouri - Columbia EMPLOYER: COMMITTEE: NAME: Bertrice Bartlett ADDRESS: 1627 Wilson Ave CITY / STATE: Columbia MO 65201 retired EMPLOYER: COMMITTEE: TOTAL: ITEMIZED CONTRIBUTIONS (CARRY TO ITEM 7 "SUBTOTAL: ITEMIZED CONTRIBUTIONS FROM ANY ATTACHED PAGES" ON FORM CD-1) 4. DATE RECEIVED AGGREGATE TO DATE 5. AMOUNT RECEIVED
(CHECK IF MONETARY OR IN-KIND)

6/21/2011

100.00
MONETARY IN-KIND

100.00

6/21/2011

100.00
MONETARY IN-KIND

100.00

6/21/2011

100.00
MONETARY IN-KIND

100.00

6/21/2011

50.00
MONETARY IN-KIND

50.00

6/21/2011

50.00
MONETARY IN-KIND

50.00

6/21/2011

25.00
MONETARY IN-KIND

25.00

6/21/2011

100.00
MONETARY IN-KIND

100.00

6/21/2011

50.00
MONETARY IN-KIND

50.00

--

FORM CD-1 SUPPLEMENTAL

OFFICE USE ONLY

MISSOURI ETHICS COMMISSION

CONTRIBUTIONS RECEIVED - SUPPLEMENTAL
NAME OF COMMITTEE DATE

MARY STILL FOR STATE REPRESENTATIVE

7/13/2011

INSTRUCTIONS
PURPOSE: The purpose of the Contributions Received supplement is to provide a printed outline for attaching additional pages to Form CD1 (Contributions Received). This form should be used as additional space for reporting persons contributing more than $100 and for committee contributions. This form may be reproduced as needed. Total all itemized contributions at the bottom of the page and carry to item 7 (Subtotal: Itemized Contributions From Any Attached Pages) on Form CD-1. If further information is needed concerning reporting itemized expenditures, see Form CD-1 Instructions. A. ITEMIZED CONTRIBUTIONS RECEIVED FROM COMMITTEES REGARDLESS OF THE AMOUNT, OR FROM PERSONS GIVING MORE THAN $100 TO A COMMITTEE. 3. NAME, ADDRESS AND OCCUPATION (LIST COMMITTEES FIRST) NAME: ADDRESS: Kathy Steinhoff 301 Fredora Ave CITY / STATE: Columbia MO 65203 EMPLOYER: Columbia Public Schools COMMITTEE: NAME: ADDRESS: Janis Mees 2746 Willobark Ct. CITY / STATE: Columbia MO 65203 EMPLOYER: retired COMMITTEE: NAME: ADDRESS: Nancy Langworthy 7301 N Boothe Lane CITY / STATE: Rocheport MO 65279 EMPLOYER: retired COMMITTEE: NAME: ADDRESS: Bosslet & O'Leary LTD CITY / STATE: P.O. Box 519 EMPLOYER: Granite City IL 62040 COMMITTEE: NAME: John Galliher ADDRESS: 112 E Parkway Dr CITY / STATE: Columbia MO 65203 University of Missouri - Columbia EMPLOYER: COMMITTEE: NAME: ADDRESS: Harlan Harlan & Still CITY / STATE: P.O. Box 933 Columbia MO 65205 EMPLOYER: COMMITTEE: NAME: ADDRESS: CITY / STATE: EMPLOYER: COMMITTEE: NAME: ADDRESS: CITY / STATE: EMPLOYER: COMMITTEE: TOTAL: ITEMIZED CONTRIBUTIONS (CARRY TO ITEM 7 "SUBTOTAL: ITEMIZED CONTRIBUTIONS FROM ANY ATTACHED PAGES" ON FORM CD-1) 4. DATE RECEIVED AGGREGATE TO DATE 5. AMOUNT RECEIVED
(CHECK IF MONETARY OR IN-KIND)

6/21/2011

50.00
MONETARY IN-KIND

50.00

6/21/2011

50.00
MONETARY IN-KIND

50.00

6/27/2011

100.00
MONETARY IN-KIND

100.00

6/27/2011

100.00
MONETARY IN-KIND

100.00

6/27/2011

25.00
MONETARY IN-KIND

25.00

6/30/2011

100.00
MONETARY IN-KIND

800.00

$ $ $ $
MONETARY IN-KIND MONETARY IN-KIND

--

FORM CD-1 SUPPLEMENTAL

MISSOURI ETHICS COMMISSION

EXPENDITURES AND CONTRIBUTIONS MADE
Instructions on Reverse Side

Office Use Only

1. Name of Committee

2. Report Date

MARY STILL FOR STATE REPRESENTATIVE

7/13/2011
4. Amount Paid or Incurred This Period

A.

Expenditures of $100 or Less by Category

(List Payments to Campaign Workers in Section B Below)

3. Category of Expenditure

contributions processing service charge Database host fee

5. Subtotal: Non-Itemized Expenditures This Page (Sum Column 4) 6. Subtotal: Non-Itemized Expenditures Any Attached Pages 7. Total: Non-Itemized Expenditures This Period (Sum 5 + 6)

9.88 100.00

$ + $
10. Purpose - (If 9. Date
Payment was to a Campaign Worker, Show Aggregate Paid)

109.88 0.00 109.88

B.

Itemized Expenditures All Over $100

And All Payments To Campaign Workers

11. Amount This Period

8. Name and Address of Recipient Name: Address: City / State: Name: Address: City / State: Name: Address: City / State: 12. Subtotal: This Page ( Sum Column 11) 13. Subtotal: Any Attached Pages 14. Total: Itemized Expenditures This Period (Sum 12 + 13) 15. Total: Monetary Expenditures This Period (Sum 7 + 14) 16. Amount of Line 15 Above which was Paid Out This Period

$
Paid Incurred

$
View Supplemental Form(s)
Paid Incurred

$
Paid Incurred

17. Amount of Line 15 Which Were Expenditures Incurred This Period Including Payments Made by Credit Cards 18. If Committee Made Any In-Kind Expenditures This Period, List Amount 19. Funds Used For Paying Loans/Credit Cards This Period (Attach Form CD1B - amount goes to Line 5 / Part II)

$ + $ $ $ $ $ $ $
Monetary In-Kind

470.00 0.00 470.00 579.88 579.88 0.00 300.00 0.00

22. Amount

C.

Contributions Made (Regardless of Amount)

20. Name and Address of Candidate or Committee Name: Address: City / State: Name: Address: City / State: Name: Address: City / State: 23. Subtotal: This Page (Sum Column 22) 24. Subtotal: Any Attached Pages 25. Total: Monetary Contributions Made This Period 26. If Committee Made Any Loans This Period, List Amount 27. Total: All Monetary Contributions and Loans Made This Period (Sum 25 + 26) 28. Total: In-Kind Contributions Made This Period, List Amount ,
MO 300-1315 (1-10)

21. Date

$
Monetary In-Kind

$
Monetary In-Kind

A. By Cash / Check B. By Credit Card

$ $ $ $ $ $ $

0.00 0.00 0.00 0.00 0.00 0.00

Form CD3

OFFICE USE ONLY

MISSOURI ETHICS COMMISSION

ITEMIZED EXPENDITURES OVER $100 SUPPLEMENTAL FORM
NAME OF COMMITTEE REPORT DATE

MARY STILL FOR STATE REPRESENTATIVE

7/13/2011
DATE
PURPOSE - (IF PAYMENT WAS TO A CAMPAIGN WORKER, SHOW AGGREGATE PAID)

ITEMIZED EXPENDITURES ALL OVER $100

AND ALL PAYMENTS TO CAMPAIGN WORKERS NAME AND ADDRESS OF RECIPIENT NAME:

AMOUNT THIS PERIOD

1327 W. Old Plank Rd CITY / STATE: Columbia MO 65203

ADDRESS: NAME:

campaign work $
4/15/2011

PAID INCURRED PAID

100.00

$
6/1/2011

200.00

3200 Greenridge Road CITY / STATE: Columbia MO 65202

ADDRESS: NAME:

campaign work $
$
520.00
INCURRED PAID INCURRED PAID

250.00

3200 Greenridge Road CITY / STATE: Columbia MO 65202

ADDRESS: NAME:

6/23/2011

campaign work $
$
570.00

50.00

120 Amador Ave Apt 7 CITY / STATE: Jefferson City MO 65109

ADDRESS: NAME: ADDRESS: CITY / STATE: NAME: ADDRESS: CITY / STATE: NAME: ADDRESS: CITY / STATE: NAME: ADDRESS: CITY / STATE: NAME: ADDRESS: CITY / STATE: NAME: ADDRESS: CITY / STATE: NAME: ADDRESS: CITY / STATE: NAME: ADDRESS: CITY / STATE: NAME: ADDRESS: CITY / STATE: NAME: ADDRESS: CITY / STATE: NAME: ADDRESS: CITY / STATE:

campaign work $
6/23/2011

70.00

70.00

INCURRED

$
PAID

$ $

INCURRED PAID

$ $

INCURRED PAID

$ $

INCURRED PAID

$ $

INCURRED PAID

$ $

INCURRED PAID

$ $

INCURRED PAID

$ $

INCURRED PAID

$ $

INCURRED PAID

$ $

INCURRED PAID

$ $

INCURRED PAID

$ $

INCURRED

TOTAL: ITEMIZED EXPENDITURES ALL OVER $100 AND ALL PAYMENTS TO CAMPAIGN WORKERS (CARRY TO ITEM 13. "SUBTOTAL: ANY ATTACHED PAGES" ON FORM CD-3)

-FORM CD3 SUP B