Nebraska Accountability and Disclosure Commission


Committee Financial Summary Schedule A Schedule B Schedule C Schedule D
SCHEDULE A - Contributions Over $250 Received from the Candidate and Other Individuals *
List all individuals from whom contributions totaling more than $250 were received during the period covered by the report and all individuals who have contributed a cumulative total of more than $250 during the election period. (Include all contributions from the candidate if they aggregate more than $250.) All contributions from the same donor must be listed under the same name. In the first column list the name and address of each individual who has contributed a cumulative total of more than $250 during the election period. In the next column list the date(s) of the contributions, except those which have been previously reported. In Column A, list the total amount of the contributions received to date during the election period as of the beginning of the reporting period from each of the individuals listed. If you are filing your first Campaign Statement for the Primary Election or an annual statement, the column will show zero. If you are filing your second election Campaign Statement or any subsequent election statement, this column must include amounts listed on previous election Campaign Statements. In Columns B, C, and D, list the contributions received during this period. In Column E, list the total contributions received from each of the individuals listed for the election period to date. (E.g., An individual who gave $150 during the Primary Election and $125 during the General Election must be listed since their total contributions during the election period exceed $250.)
Name, Street Address or Rural Route, City and State of Each Individual Who Contributed a Cumulative Total of More Than $250 During the Election Period Date of Each
Contribution Not
Previously Listed
Total Contributions
Previously Reported
During the
Election Period
Cash
Contributions
This Period
In-Kind
Contributions
This Period
Unpaid
Pledges
This Period
Total Contributions
Election
Period to Date
    A             +           B           +         C           +           D         =           E            
NOTE: DESCRIBE IN-KIND CONTRIBUTIONS IN THE FIRST COLUMN
-- REFERENCE CANDIDATE COMMITTEE TREASURER'S GUIDE FOR EXAMPLES --
             
BRENDA    BENJAMIN
223 W. 28TH STREET
KEARNEY NE 68845  
05/16/2016     500.00   0.00   0.00   500.00  
             
TERRY    BENNETT
2855 E. 102ND STREET
KEARNEY NE 68847  
  500.00         500.00  
             
WILLIAM  R  BERRYMAN
9 SKYLINE DRIVE
KEARNEY NE 68847  
05/05/2016     500.00   0.00   0.00   500.00  
             
GINA     GARDEN
2112 W 49TH ST
KEARNEY NE 68845  
  750.00         750.00  
             
THOMAS    HILSABECK
4803 LINDEN DRIVE PLACE
KEARNEY NE 68847  
  300.00         300.00  
             
KIME    LOWE
31 WILDERNESS WAY
KEARNEY NE 68847  
  50.00         50.00  
             
JOHN    LOWE, III
2001 CENTRAL AVE
KEARNEY NE 68847  
05/10/2016     0.00   474.75   0.00   474.75  
             
J. PETER    RICKETTS
6450 PRAIRIE AVE
OMAHA NE 68132  
  5000.00         5000.00  
             
             
*REMINDER: All individuals who contributed a cumulative total of more than $250 during the election period must be listed, including those shown on previous Campaign Statements filed for this election period



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