10/21/16, 11:32 AM
Mailing Address
E-Mail Address
Select Appropriate Box(es)
Telephone No.
PAC
INDEPENDENT EXPENDITURE
NONPROFIT CORP
POLITICAL PARTY
AMENDED
FILED
$ 0.00
$ 0.00
$ 0.00
$0.00
$ 0.00
$0.00
$ 0.00
$0.00
$ 0.00
$0.00
$ 0.00
$0.00
$ 0.00
$0.00
$ 0.00
$ 0.00
I Declare Under Penalty of Perjury That the Foregoing is True and Correct.
AND
I have agreed to the following terms and conditions:
I declare, under penalty of perjury or under an oath to God, that the information I submitted herein to the Secretary of State for the State of Nevada is true and correct,
and is not submitted for any improper purpose, and that I am authorized to submit the information, and to the best of my knowledge complies with NRS Chapter 294A.
I have reviewed the NRS 225.083 Notice. I understand it is unlawful to submit any illegal, unauthorized, fraudulent, forged, deceptive, defamatory, illicit, or improper
information, as defined by state and federal law, to the Secretary of State, and agree to indemnify the Secretary of State, and any other parties entitled thereto, for
any damages incurred for any unlawful, unauthorized, fraudulent, forged, deceptive, defamatory, illicit, or improper information, as defined by the federal and state
law, submitted to the Secretary of State by my use of this electronic filing system. I further understand that I may be subject to criminal (NRS 239.330) and/or civil
(NRS 225.084) penalties for submitting any unlawful unauthorized, fraudulent, forged, deceptive, defamatory, illicit, or improper information, as defined by federal and
state law. I understand and agree that all information submitted is the property of the Secretary of State, and may be monitored for all lawful purposes. I further
understand that during such monitoring, all information, including personal information placed on this system, may be examined, copied, and used for any authorized
purpose. By submitting this report I intend to identify myself as the authorized person signing this document and with the present intent to authenticate my signature
as such.
Daniel Martinez
05/24/2016
Signature
Date
https://nvsos.gov/SOSCandidateServices/AnonymousAccess/ViewCCEReport.aspx?syn=Y2LhJgRcaE1cloZQdeorKg%253d%253d&p=t
Page 1 of 7
10/21/16, 11:32 AM
MONETARY
CONTRIBUTIONS
Report Period # 1
AMOUNT OF
CONTRIBUTION
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Page 2 of 7
10/21/16, 11:32 AM
IN KIND CONTRIBUTIONS
Report Period # 1
DATE OF
NAME AND ADDRESS OF
IN KIND
PERSON, GROUP OR
ORGANIZATION WHO MADE CONTRIBUTION
IN KIND CONTRIBUTION
DESCRIPTION
OF IN KIND
CONTRIBUTION
VALUE OR COST
OF IN KIND
CONTRIBUTION
NAME AND
ADDRESS OF
NAME AND
PERSON, GROUP
CHECK ADDRESS OF 3rd
OR ORGANIZATION
HERE IF PARTY IF LOAN
WHO FORGAVE THE
LOAN GUARANTEED BY
LOAN, IF
3rd PARTY
DIFFERENT THAN
CONTRIBUTOR
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Page 3 of 7
10/21/16, 11:32 AM
EXPENSE CATEGORIES
Report Period # 1
CATEGORIES
CODE
Office expenses
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Page 4 of 7
10/21/16, 11:32 AM
Goods and services provided in kind for which money would otherwise
have been paid
1 NRS 294A.362 requires In Kind contributions and expenses to be reported on a separate form, which is attached hereto.
MONETARY EXPENSES
Report Period # 1
CATEGORY
(NRS 294A.365)
DATE OF
EXPENSE
AMOUNT OF
EXPENSE
https://nvsos.gov/SOSCandidateServices/AnonymousAccess/ViewCCEReport.aspx?syn=Y2LhJgRcaE1cloZQdeorKg%253d%253d&p=t
Page 5 of 7
10/21/16, 11:32 AM
IN KIND EXPENSES
Report Period # 1
DESCRIPTION
OF IN KIND
EXPENSE
DATE OF IN KIND
EXPENSE
VALUE OR COST
OF IN KIND
EXPENSE
https://nvsos.gov/SOSCandidateServices/AnonymousAccess/ViewCCEReport.aspx?syn=Y2LhJgRcaE1cloZQdeorKg%253d%253d&p=t
Page 6 of 7
10/21/16, 11:32 AM
EL 202
Revised: 8-13-13
NRS 294A.140; 294A.150;
294A.210; 294A.220; 294A.373
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Page 7 of 7
10/21/16, 11:31 AM
Mailing Address
E-Mail Address
Select Appropriate Box(es)
Telephone No.
PAC
INDEPENDENT EXPENDITURE
NONPROFIT CORP
POLITICAL PARTY
AMENDED
FILED
$ 35,500.00
$ 35,500.00
$ 0.00
$0.00
$ 0.00
$0.00
$ 0.00
$0.00
$ 35,500.00
$35,500.00
$ 23,027.00
$23,027.00
$ 0.00
$0.00
$ 23,027.00
$ 23,027.00
I Declare Under Penalty of Perjury That the Foregoing is True and Correct.
AND
I have agreed to the following terms and conditions:
I declare, under penalty of perjury or under an oath to God, that the information I submitted herein to the Secretary of State for the State of Nevada is true and correct,
and is not submitted for any improper purpose, and that I am authorized to submit the information, and to the best of my knowledge complies with NRS Chapter 294A.
I have reviewed the NRS 225.083 Notice. I understand it is unlawful to submit any illegal, unauthorized, fraudulent, forged, deceptive, defamatory, illicit, or improper
information, as defined by state and federal law, to the Secretary of State, and agree to indemnify the Secretary of State, and any other parties entitled thereto, for
any damages incurred for any unlawful, unauthorized, fraudulent, forged, deceptive, defamatory, illicit, or improper information, as defined by the federal and state
law, submitted to the Secretary of State by my use of this electronic filing system. I further understand that I may be subject to criminal (NRS 239.330) and/or civil
(NRS 225.084) penalties for submitting any unlawful unauthorized, fraudulent, forged, deceptive, defamatory, illicit, or improper information, as defined by federal and
state law. I understand and agree that all information submitted is the property of the Secretary of State, and may be monitored for all lawful purposes. I further
understand that during such monitoring, all information, including personal information placed on this system, may be examined, copied, and used for any authorized
purpose. By submitting this report I intend to identify myself as the authorized person signing this document and with the present intent to authenticate my signature
as such.
Daniel Martinez
06/10/2016
Signature
Date
https://nvsos.gov/SOSCandidateServices/AnonymousAccess/ViewCCEReport.aspx?syn=wPErom6CvsL8HdGqbck8ow%253d%253d&p=t
Page 1 of 6
10/21/16, 11:31 AM
MONETARY
CONTRIBUTIONS
Report Period # 2
AMOUNT OF
CONTRIBUTION
05/23/2016
$23,000.00
05/23/2016
$6,000.00
05/31/2016
$6,500.00
IN KIND CONTRIBUTIONS
Report Period # 2
DATE OF
NAME AND ADDRESS OF
IN KIND
PERSON, GROUP OR
ORGANIZATION WHO MADE CONTRIBUTION
IN KIND CONTRIBUTION
DESCRIPTION
OF IN KIND
CONTRIBUTION
VALUE OR COST
OF IN KIND
CONTRIBUTION
NAME AND
ADDRESS OF
NAME AND
PERSON, GROUP
CHECK ADDRESS OF 3rd
OR ORGANIZATION
HERE IF PARTY IF LOAN
WHO FORGAVE THE
LOAN GUARANTEED BY
LOAN, IF
3rd PARTY
DIFFERENT THAN
CONTRIBUTOR
https://nvsos.gov/SOSCandidateServices/AnonymousAccess/ViewCCEReport.aspx?syn=wPErom6CvsL8HdGqbck8ow%253d%253d&p=t
Page 2 of 6
10/21/16, 11:31 AM
EXPENSE CATEGORIES
Report Period # 2
https://nvsos.gov/SOSCandidateServices/AnonymousAccess/ViewCCEReport.aspx?syn=wPErom6CvsL8HdGqbck8ow%253d%253d&p=t
Page 3 of 6
CATEGORIES
10/21/16, 11:31 AM
CODE
Office expenses
Goods and services provided in kind for which money would otherwise
have been paid
1 NRS 294A.362 requires In Kind contributions and expenses to be reported on a separate form, which is attached hereto.
MONETARY EXPENSES
Report Period # 2
https://nvsos.gov/SOSCandidateServices/AnonymousAccess/ViewCCEReport.aspx?syn=wPErom6CvsL8HdGqbck8ow%253d%253d&p=t
Page 4 of 6
Name (print)
10/21/16, 11:31 AM
CATEGORY
(NRS 294A.365)
DATE OF
EXPENSE
AMOUNT OF
EXPENSE
D, F
05/25/2016
$5,756.75
D, F
06/02/2016
$5,756.75
D, F
06/03/2016
$5,756.75
D, F
06/03/2016
$5,756.75
IN KIND EXPENSES
Report Period # 2
DESCRIPTION
OF IN KIND
EXPENSE
DATE OF IN KIND
EXPENSE
VALUE OR COST
OF IN KIND
EXPENSE
https://nvsos.gov/SOSCandidateServices/AnonymousAccess/ViewCCEReport.aspx?syn=wPErom6CvsL8HdGqbck8ow%253d%253d&p=t
Page 5 of 6
10/21/16, 11:31 AM
EL 202
Revised: 8-13-13
NRS 294A.140; 294A.150;
294A.210; 294A.220; 294A.373
https://nvsos.gov/SOSCandidateServices/AnonymousAccess/ViewCCEReport.aspx?syn=wPErom6CvsL8HdGqbck8ow%253d%253d&p=t
Page 6 of 6
10/21/16, 11:32 AM
Mailing Address
E-Mail Address
Select Appropriate Box(es)
Telephone No.
PAC
INDEPENDENT EXPENDITURE
NONPROFIT CORP
POLITICAL PARTY
AMENDED
FILED
$ 0.00
$ 35,500.00
$ 0.00
$0.00
$ 0.00
$0.00
$ 0.00
$0.00
$ 0.00
$35,500.00
$ 10,000.00
$33,027.00
$ 0.00
$0.00
$ 10,000.00
$ 33,027.00
I Declare Under Penalty of Perjury That the Foregoing is True and Correct.
AND
I have agreed to the following terms and conditions:
I declare, under penalty of perjury or under an oath to God, that the information I submitted herein to the Secretary of State for the State of Nevada is true and correct,
and is not submitted for any improper purpose, and that I am authorized to submit the information, and to the best of my knowledge complies with NRS Chapter 294A.
I have reviewed the NRS 225.083 Notice. I understand it is unlawful to submit any illegal, unauthorized, fraudulent, forged, deceptive, defamatory, illicit, or improper
information, as defined by state and federal law, to the Secretary of State, and agree to indemnify the Secretary of State, and any other parties entitled thereto, for
any damages incurred for any unlawful, unauthorized, fraudulent, forged, deceptive, defamatory, illicit, or improper information, as defined by the federal and state
law, submitted to the Secretary of State by my use of this electronic filing system. I further understand that I may be subject to criminal (NRS 239.330) and/or civil
(NRS 225.084) penalties for submitting any unlawful unauthorized, fraudulent, forged, deceptive, defamatory, illicit, or improper information, as defined by federal and
state law. I understand and agree that all information submitted is the property of the Secretary of State, and may be monitored for all lawful purposes. I further
understand that during such monitoring, all information, including personal information placed on this system, may be examined, copied, and used for any authorized
purpose. By submitting this report I intend to identify myself as the authorized person signing this document and with the present intent to authenticate my signature
as such.
Daniel Martinez
10/18/2016
Signature
Date
https://nvsos.gov/SOSCandidateServices/AnonymousAccess/ViewCCEReport.aspx?syn=zrHAm9X9hyonjxbXnAXcLw%253d%253d&p=t
Page 1 of 7
10/21/16, 11:32 AM
MONETARY
CONTRIBUTIONS
Report Period # 3
AMOUNT OF
CONTRIBUTION
https://nvsos.gov/SOSCandidateServices/AnonymousAccess/ViewCCEReport.aspx?syn=zrHAm9X9hyonjxbXnAXcLw%253d%253d&p=t
Page 2 of 7
10/21/16, 11:32 AM
IN KIND CONTRIBUTIONS
Report Period # 3
DATE OF
NAME AND ADDRESS OF
IN KIND
PERSON, GROUP OR
ORGANIZATION WHO MADE CONTRIBUTION
IN KIND CONTRIBUTION
DESCRIPTION
OF IN KIND
CONTRIBUTION
VALUE OR COST
OF IN KIND
CONTRIBUTION
NAME AND
ADDRESS OF
NAME AND
PERSON, GROUP
CHECK ADDRESS OF 3rd
OR ORGANIZATION
HERE IF PARTY IF LOAN
WHO FORGAVE THE
LOAN GUARANTEED BY
LOAN, IF
3rd PARTY
DIFFERENT THAN
CONTRIBUTOR
https://nvsos.gov/SOSCandidateServices/AnonymousAccess/ViewCCEReport.aspx?syn=zrHAm9X9hyonjxbXnAXcLw%253d%253d&p=t
Page 3 of 7
10/21/16, 11:32 AM
EXPENSE CATEGORIES
Report Period # 3
CATEGORIES
CODE
Office expenses
https://nvsos.gov/SOSCandidateServices/AnonymousAccess/ViewCCEReport.aspx?syn=zrHAm9X9hyonjxbXnAXcLw%253d%253d&p=t
Page 4 of 7
10/21/16, 11:32 AM
Goods and services provided in kind for which money would otherwise
have been paid
1 NRS 294A.362 requires In Kind contributions and expenses to be reported on a separate form, which is attached hereto.
MONETARY EXPENSES
Report Period # 3
CATEGORY
(NRS 294A.365)
DATE OF
EXPENSE
09/09/2016
AMOUNT OF
EXPENSE
$10,000.00
https://nvsos.gov/SOSCandidateServices/AnonymousAccess/ViewCCEReport.aspx?syn=zrHAm9X9hyonjxbXnAXcLw%253d%253d&p=t
Page 5 of 7
10/21/16, 11:32 AM
IN KIND EXPENSES
Report Period # 3
DESCRIPTION
OF IN KIND
EXPENSE
DATE OF IN KIND
EXPENSE
VALUE OR COST
OF IN KIND
EXPENSE
EL 202
Revised: 8-13-13
NRS 294A.140; 294A.150;
294A.210; 294A.220; 294A.373
https://nvsos.gov/SOSCandidateServices/AnonymousAccess/ViewCCEReport.aspx?syn=zrHAm9X9hyonjxbXnAXcLw%253d%253d&p=t
Page 6 of 7
https://nvsos.gov/SOSCandidateServices/AnonymousAccess/ViewCCEReport.aspx?syn=zrHAm9X9hyonjxbXnAXcLw%253d%253d&p=t
10/21/16, 11:32 AM
Page 7 of 7