This document was filed electronicall on 10/29/2013 at 09:35AM with the Elections Division, Office of the Alabama Secretary of State.
MELINDA MCCLENDON
Office Sought (include distric or circuit number. if applicable)
MMAC1@GRACEBA.NET
Political Party / Ballot Affiliation
This form is due within five (5) calendar days of reaching the threshold amount, or within five (5) calendar days of qualifying with a political party, or within five (5) calendar days of filing a petition as an independent or third party candidate. Type of Committee (check one) I appoint myself as the sole member of my principal campaign committee.
Republican
DOTHAN
AL
36303
(334) 798-3383
I hereby appoint the individuals listed below to act as my principal campaign committee.
If you are appointing others to serve as your committee, you must select at least two members. You may appoint up to five members. One member should be designated as the chairperson of the committee. A second member should be designated as the treasurer. Please clearly print their names and addresses in the spaces below. Each appointee must sign his or her name.
Chairperson
Full Name Email Address(required) Full Name
Treasurer
Email Address(required)
City
State
ZIP Code
City
State
ZIP Code
Signature of Applicant
Signature of Applicant
Committee Member
Full Name
Committee Member
Full Name Email Address(required)
Email Address(required)
City
State
ZIP Code
City
State
ZIP Code
Signature of Applicant
Signature of Applicant
Committee Member
Full Name Email Address(required)
Filing Threshold Amounts for Public Offices under the Fair Campaign Practices Act
$1,000 $1,000
Statewide Office
State Senate Seat State House Seat
City
State
ZIP Code
Signature of Applicant
As required by the Alabama Fair Campaign Act, I hereby swear or affirm to the best of my knowledge and belief that the information contained herein is true and correct.
10/29/2013
Date
^^ probate.
munzanwaumgm
Monthly Weekly
REPUBLICAN
10/2013
DOTHAN
In Kind Contributions
3a Itemized in-kind contributions (total from Form 3) 3b Non-itemized in-kind contributions 3c Total in-kind contributions (add lines 3a and 3b) 3a 3b 3c $2,530 00
$ 0.00
$2,500 00
$0.00 4c
$0 0 0
Expenditures
5a Itemized expenditures (total from Form 5) 5b Non-itemized expenditures 5c Total expenditures (add lines 5a and 5b) 5a 5b $0.00 $ 0. 00 5c 6
$0 00
6 Ending balance (add lines 1, 2c, & 4c, then subtract line 5c) Candidates for State Office: File this report with the Office of the Secretary of State.
$0.00
Candidates for County or Municipal Office: File this report with the Judge of Probate of the county in which the office is sought. As required by the Alabama Fair Campaign Practices Act, I hereby swear or affirm to the best of my knowledge and belief that the attached report(s) and the information contained herein are true and correct and that this information is a full and complete statement of all contributions, expenditures, and other required information during the applicable period of time. Sworn to and subscribed before me this of the year the day of
day of
Electronically signed by
10/31/2013 Date
ALABAMA FAIR CAMPAIGN PRACTICES ACT - CAMPAIGN FINANCE REPORT FOR CANDIDATE/ELECTED OFFICIAL
When total contributions form a single source exceed $100.00, the FCPA requires all contributions from that source to be itemized. DO NOT LIST cash or loans on this form. Use Forms 2 and 4 for those listings.
ADDRESS
(ADDRESS SHOULD INCLUDE
AMOUNT
OF
Ad mi ni st rativ e
Ad verti si n g
Equi pm ent
NAME)
RECEIVED (ma/day/yr.)
CONTRIBUTION
Individ ual
Oth er
O th er
F ood
R ent
PAC
10/18/2013
$2500.00 $2500.00