Nebraska Accountability and Disclosure Commission

---

Individual

Schedule A

Schedule B

Schedule C

NEBRASKA ACCOUNTABILITY AND DISCLOSURE COMMISSION 11th Floor, State Capitol P.O. Box 95086 Lincoln, NE 68509 (402) 471-2522

Application for Public Funds NADC Form CFLA-8 (Legislature)

Application for Public Funds may only be filed by a candidate who filed a Candidate's Affidavit to Abide by Spending Limits. Contributions received prior to the date the candidate filed his or her Candidate's Affidavit to Abide by Spending Limits should not be listed on this report.

Item 1     Name and Address of Candidate

Office Sought:               District:     Candidate:           Telephone No.     Home Address:     ,

Item 2     Name of Candidate Committee and Treasurer

Committee Name:             Telephone No.     Committee Address:     ,     Treasurer:

Item 3     Election for Which Application is Submitted

Date of Election for which application is submitted:

---