1.

DATE OF REPORT

OFFICE USE ONLY

Missouri Ethics Commission

COMMITTEE DISCLOSURE REPORT COVER PAGE
C091140 M.E.C. ID NO. ______________________________ 9/5/2012

INSTRUCTIONS ON REVERSE SIDE 2. FULL NAME OF COMMITTEE

CITIZENS FOR MCCAHERTY

3. COMMITTEE MAILING ADDRESS

4202 WILDERNESS LANE

4. COMMITTEE TELEPHONE NUMBER

(314) 809-5123

CITY / STATE / ZIP

HIGH RIDGE MO 63049

5. TREASURER'S NAME
EDGAR RAY BROCKMAN

6. TREASURER'S MAILING ADDRESS

29 SALINE LANE

7. TREASURER'S TELEPHONE NUMBER

HOME:

(636) 343-8552 (314) 537-5341

CITY / STATE / ZIP

FENTON MO 63026

WORK:

8. DEPUTY TREASURER'S NAME

CHECK IF NO DEPUTY TREASURER

9. DEPUTY TREASURER'S MAILING ADDRESS

10. DEPUTY TREASURER'S TELEPHONE NUMBER

HOME:

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

7/27/2012

THROUGH 9/1/2012 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
JOHN C MCCAHERTY 4202 WILDERNESS LANE HIGH RIDGE MO (636) 326-1820 STATE REPRESENTATIVE 63049

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 Sep 5 2012 3:43PM

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 Sep 5 2012 3:43PM

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

CITIZENS FOR MCCAHERTY

9/5/2012
B. This Calendar Yr or Election Cycle

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)

$ $ + + $ +

14,212.61

Statement of Beginning and Ending Financial Condition Money On Hand

24.

8,983.00

0.00 0.00 8,983.00

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)

9,020.76 8,983.00

3,671.17

$ 12,654.17
26. Monetary Disbursements Made This

$
A. This Period

26,866.78
27.

Period (Sum 10 + 16A + 23 )

6,011.30 a) Disbursements By Check $__________ 0.00 b) Disbursements By Cash $__________

Expenditures
9.

B. This Calendar Yr or Election Cycle

- 6,011.30
11,992.46

Total Expenditures for this election previously reported this period

$ $ + +

14,505.76

10. Expenditures made by cash or check

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

5,861.30
204.66
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.

6,065.96
29.

Outstanding Indebtedness at the beginning of this period

0.00
0.00
0.00
0.00

(Sum 9B + 13A)

$
A. This Period

20,571.72

Contributions Made
15. Total Contributions Made For This

B. This Calendar Yr or Election Cycle

Loans Received This Period

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

204.66 204.66
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

454.66
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
150.00
-150.00
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

+ + + $

0.00 150.00
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)

150.00

MISSOURI ETHICS COMMISSION

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

OFFICE USE ONLY

CITIZENS FOR MCCAHERTY

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)

9/5/2012
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 10,216.17 10,216.17 6,545.00 3,671.17

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

2,438.00 0.00 0.00 0.00

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

$ $ $ $ $ $ $ $

0.00 0.00 0.00 3,671.17 8,983.00 6,545.00

FORM CD1

OFFICE USE ONLY

MISSOURI ETHICS COMMISSION

CONTRIBUTIONS RECEIVED - SUPPLEMENTAL
NAME OF COMMITTEE DATE

CITIZENS FOR MCCAHERTY

9/5/2012

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: Par Auto Repair CITY / STATE: 2835 High Ridge Blvd. EMPLOYER: High Ridge MO 63049 COMMITTEE: NAME: ADDRESS: Becky Ray 216 E Clinton CITY / STATE: Kikwood MO 63122 EMPLOYER: Medical Office COMMITTEE: NAME: ADDRESS: Gary Miers 6233 Old Antonia CITY / STATE: Imperial MO 63052 EMPLOYER: MasterCard COMMITTEE: NAME: ADDRESS: Danny Estes 18569 250 th St. CITY / STATE: Skidmore MO 64487 EMPLOYER: Sales COMMITTEE: NAME: ADDRESS: Citizens for Gary Cross CITY / STATE: P O Box 1737 EMPLOYER: Lees Summit MO 64063 COMMITTEE: NAME: ADDRESS: Friends of Wanda Brown CITY / STATE: P O Box 127 Cole Camp MO 65325 EMPLOYER: COMMITTEE: NAME: ADDRESS: Friends of Diehl CITY / STATE: 201 West Capitol EMPLOYER: Jefferson City MO 65101 COMMITTEE: NAME: Ralph Ratliff ADDRESS: 425 Parkview Pl CITY / STATE: Ellisville MO 63021 Chemical Process 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)

7/29/2012

250.00
MONETARY IN-KIND

250.00

7/29/2012

50.00
MONETARY IN-KIND

50.00

7/29/2012

50.00
MONETARY IN-KIND

50.00

7/28/2012

50.00
MONETARY IN-KIND

50.00

8/1/2012

100.00
MONETARY IN-KIND

725.00

8/5/2012

100.00
MONETARY IN-KIND

100.00

7/30/2012

500.00
MONETARY IN-KIND

500.00

8/8/2012

25.00
MONETARY IN-KIND

25.00

--

FORM CD-1 SUPPLEMENTAL

OFFICE USE ONLY

MISSOURI ETHICS COMMISSION

CONTRIBUTIONS RECEIVED - SUPPLEMENTAL
NAME OF COMMITTEE DATE

CITIZENS FOR MCCAHERTY

9/5/2012

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: Jodie Rayborn 2668 Carolyn Circle CITY / STATE: High Ridge MO 63049 EMPLOYER: K Mart Stores COMMITTEE: NAME: ADDRESS: Mark Rottler 3325 Dusty Trail CITY / STATE: Troy MO 63379 EMPLOYER: Feed & Grain COMMITTEE: NAME: ADDRESS: Sandy Settle 1032 Meadow Lake Dr. CITY / STATE: Maryville IL 62062 EMPLOYER: Housewife COMMITTEE: NAME: ADDRESS: Friends to Elect Bill Lant CITY / STATE: 9911 Hwy 43 EMPLOYER: Seneca MO 64865 COMMITTEE: NAME: Ruth McCaherty ADDRESS: 4202 Wilderness Lane CITY / STATE: High Ridge MO 63049 Housewife/Student EMPLOYER: COMMITTEE: NAME: ADDRESS: The Redemptions CITY / STATE: 445 Woodbine Ct. Arnold MO 63010 EMPLOYER: COMMITTEE: NAME: ADDRESS: Committee to Elect Dr. Frederick CITY / STATE: 716 Oak Knoll Rd. EMPLOYER: Rolla MO 65401 COMMITTEE: NAME: ADDRESS: Elect Funderburk CITY / STATE: 4 Post Oak Dr. St Peters MO 63376 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)

8/8/2012

50.00
MONETARY IN-KIND

50.00

8/9/2012

50.00
MONETARY IN-KIND

50.00

8/9/2012

50.00
MONETARY IN-KIND

50.00

8/9/2012

200.00
MONETARY IN-KIND

200.00

8/9/2012

100.00
MONETARY IN-KIND

100.00

8/9/2012

75.00
MONETARY IN-KIND

75.00

8/9/2012

50.00
MONETARY IN-KIND

50.00

8/10/2012

250.00
MONETARY IN-KIND

250.00

--

FORM CD-1 SUPPLEMENTAL

OFFICE USE ONLY

MISSOURI ETHICS COMMISSION

CONTRIBUTIONS RECEIVED - SUPPLEMENTAL
NAME OF COMMITTEE DATE

CITIZENS FOR MCCAHERTY

9/5/2012

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: Tom Jokerst 15912 Eagle Chase CITY / STATE: Chesterfield MO 63017 EMPLOYER: Computer Tech COMMITTEE: NAME: ADDRESS: William White 2122 E 74th St. CITY / STATE: Joplin MO 64804 EMPLOYER: Self Employed COMMITTEE: NAME: ADDRESS: Citizens for Gary Cross CITY / STATE: 2601 NW Lookout Ridge EMPLOYER: Lees Summit MO 64081 COMMITTEE: NAME: ADDRESS: Wieland Now CITY / STATE: 1015 Castleman Dr. EMPLOYER: Imperial MO 63052 COMMITTEE: NAME: Luke Miers ADDRESS: 851 Memory Lane CITY / STATE: Fenton MO 63026 Student EMPLOYER: COMMITTEE: NAME: ADDRESS: Friends of Michael Bernskoetter CITY / STATE: 429 West Miller Jefferson City MO 65101 EMPLOYER: COMMITTEE: NAME: ADDRESS: Citizens for Hinson CITY / STATE: P O Box 67 EMPLOYER: St Clair MO 63077 COMMITTEE: NAME: ADDRESS: Committee to Elect Mike Leara CITY / STATE: 10805 Sunset Office Dr. St Louis MO 63127 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)

8/9/2012

75.00
MONETARY IN-KIND

75.00

8/10/2012

50.00
MONETARY IN-KIND

50.00

8/11/2012

50.00
MONETARY IN-KIND

775.00

8/11/2012

100.00
MONETARY IN-KIND

100.00

8/11/2012

50.00
MONETARY IN-KIND

50.00

8/11/2012

100.00
MONETARY IN-KIND

100.00

8/11/2012

125.00
MONETARY IN-KIND

125.00

8/11/2012

100.00
MONETARY IN-KIND

100.00

--

FORM CD-1 SUPPLEMENTAL

OFFICE USE ONLY

MISSOURI ETHICS COMMISSION

CONTRIBUTIONS RECEIVED - SUPPLEMENTAL
NAME OF COMMITTEE DATE

CITIZENS FOR MCCAHERTY

9/5/2012

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: Lisa Bell 4879 Willdella CITY / STATE: House Springs MO 63051 EMPLOYER: First Baptist Church of Murphy COMMITTEE: NAME: ADDRESS: Connie Vance P O Box 8658 CITY / STATE: St Louis MO 63126 EMPLOYER: Law Office COMMITTEE: NAME: ADDRESS: Danny Smith 4352 Rock Island Rd CITY / STATE: Arnold MO 63010 EMPLOYER: Fox C 6 School District COMMITTEE: NAME: ADDRESS: Jerome Cox 4728 Tishomingo Rd. CITY / STATE: Hillsboro MO 63050 EMPLOYER: Self Employed COMMITTEE: NAME: Joseph Rolnicki ADDRESS: 1306 Tapawingo Pl. CITY / STATE: St Louis MO 63127 Medical Supplier EMPLOYER: COMMITTEE: NAME: ADDRESS: Amanda Brockman 29 Saline Lane CITY / STATE: Fenton MO 63026 EMPLOYER: Real Estate Sales COMMITTEE: NAME: Joseph Bigdanovich ADDRESS: 13003 King Arther Spur CITY / STATE: St Louis MO 63146 Human Resources EMPLOYER: COMMITTEE: NAME: Marcia Malloy ADDRESS: 108 Sir Moss CITY / STATE: Fenton MO 63026 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)

8/12/2012

50.00
MONETARY IN-KIND

50.00

8/12/2012

200.00
MONETARY IN-KIND

400.00

8/14/2012

100.00
MONETARY IN-KIND

300.00

8/14/2012

25.00
MONETARY IN-KIND

25.00

8/17/2012

25.00
MONETARY IN-KIND

25.00

8/21/2012

100.00
MONETARY IN-KIND

100.00

8/21/2012

75.00
MONETARY IN-KIND

75.00

8/22/2012

50.00
MONETARY IN-KIND

50.00

--

FORM CD-1 SUPPLEMENTAL

OFFICE USE ONLY

MISSOURI ETHICS COMMISSION

CONTRIBUTIONS RECEIVED - SUPPLEMENTAL
NAME OF COMMITTEE DATE

CITIZENS FOR MCCAHERTY

9/5/2012

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: Terje Boelf 1119 Edward Terrace CITY / STATE: St Louis MO 63117 EMPLOYER: Carpenter COMMITTEE: NAME: ADDRESS: Carol Biggerstaff 6 Mary Lnn Dr. CITY / STATE: Fenton MO 63026 EMPLOYER: Factory COMMITTEE: NAME: ADDRESS: James Berberich 2840 E Springview CITY / STATE: Imperial MO 63052 EMPLOYER: A 1 Automotive -- Manager COMMITTEE: NAME: ADDRESS: Sharon Groeteke 7302 Hidden Bluffs CITY / STATE: Barnhart MO 63012 EMPLOYER: Housewife COMMITTEE: NAME: Joyce Brooks ADDRESS: 1736 Cardinal Dr. CITY / STATE: High Ridge MO 63049 Home Health Care EMPLOYER: COMMITTEE: NAME: ADDRESS: Lisa Bell 1879 Willdella CITY / STATE: House Springs MO 63051 EMPLOYER: First Baptist Church of Murphy COMMITTEE: NAME: Deb Alles ADDRESS: 2401 Medford Dr. CITY / STATE: High Ridge MO 63049 Medical Office EMPLOYER: COMMITTEE: NAME: Chris Hampton ADDRESS: 1766 Orchard CITY / STATE: Arnold MO 63010 Guffy School -- Kitchen 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)

8/23/2012

50.00
MONETARY IN-KIND

50.00

8/25/2012

40.00
MONETARY IN-KIND

140.00

8/25/2012

200.00
MONETARY IN-KIND

200.00

8/25/2012

25.00
MONETARY IN-KIND

25.00

8/26/2012

25.00
MONETARY IN-KIND

25.00

8/27/2012

20.00
MONETARY IN-KIND

70.00

8/27/2012

20.00
MONETARY IN-KIND

20.00

8/27/2012

20.00
MONETARY IN-KIND

120.00

--

FORM CD-1 SUPPLEMENTAL

OFFICE USE ONLY

MISSOURI ETHICS COMMISSION

CONTRIBUTIONS RECEIVED - SUPPLEMENTAL
NAME OF COMMITTEE DATE

CITIZENS FOR MCCAHERTY

9/5/2012

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: Citizens for Gary Cross CITY / STATE: 2601 NW Lookout Rdg EMPLOYER: Lees Summit MO 64081 COMMITTEE: NAME: ADDRESS: Leah Hudson 3012 E Rainbow CITY / STATE: High Ridge MO 63049 EMPLOYER: Telephone Sales COMMITTEE: NAME: ADDRESS: Jenny Miers 6233 Old Antonia Rd. CITY / STATE: Imperial MO 63052 EMPLOYER: Self Employed -- Miers Insurance COMMITTEE: NAME: ADDRESS: Marc Perez 1655 Garden Valley Ct. CITY / STATE: Glencoe MO 63038 EMPLOYER: Construction COMMITTEE: NAME: Bart Korman ADDRESS: P O Box 33 CITY / STATE: High Hill MO 63350 Missouri -EMPLOYER: COMMITTEE: NAME: ADDRESS: Leady Construction CITY / STATE: 1279 Green Tree Arnold MO 63010 EMPLOYER: COMMITTEE: NAME: Eric Walker ADDRESS: 78 Sherirose CITY / STATE: Arnold MO 63010 The Redemptions -- Singer EMPLOYER: COMMITTEE: NAME: Leah Hudson ADDRESS: 3012 E Rainbow CITY / STATE: High Ridge MO 63049 Telephone Sales 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)

8/27/2012

50.00
MONETARY IN-KIND

825.00

8/27/2012

50.00
MONETARY IN-KIND

450.00

8/27/2012

200.00
MONETARY IN-KIND

200.00

8/27/2012

100.00
MONETARY IN-KIND

100.00

8/27/2012

25.00
MONETARY IN-KIND

25.00

8/27/2012

25.00
MONETARY IN-KIND

25.00

8/27/2012

300.00
MONETARY IN-KIND

300.00

8/27/2012

110.00
MONETARY IN-KIND

560.00

--

FORM CD-1 SUPPLEMENTAL

OFFICE USE ONLY

MISSOURI ETHICS COMMISSION

CONTRIBUTIONS RECEIVED - SUPPLEMENTAL
NAME OF COMMITTEE DATE

CITIZENS FOR MCCAHERTY

9/5/2012

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: Carol Biggerstaff 6 Mary Lynn Dr. CITY / STATE: Fenton MO 63026 EMPLOYER: Factory Worker COMMITTEE: NAME: ADDRESS: Bob Harris 54 Winter Valley Dr. CITY / STATE: Fenton MO 63026 EMPLOYER: Retired Auto Worker COMMITTEE: NAME: ADDRESS: Wieland NOW CITY / STATE: 1015 Castleman Dr. EMPLOYER: Imperial MO 63052 COMMITTEE: NAME: ADDRESS: Erica Ferrell 2787 Baccara CITY / STATE: Arnold MO 63010 EMPLOYER: Remodeling Construction COMMITTEE: NAME: Cecil Magness ADDRESS: 3228 West Osage CITY / STATE: Pacific MO 63069 First Baptist Church of Murphy EMPLOYER: COMMITTEE: NAME: ADDRESS: Lisa Bell 4879 Willdella CITY / STATE: House Springs MO 63051 EMPLOYER: First Baptist Church of Murphy COMMITTEE: NAME: Bonnie Eudy ADDRESS: P O Box 734 CITY / STATE: F enton MO 63026 Law Office EMPLOYER: COMMITTEE: NAME: Connie Vance ADDRESS: P O Box 8658 CITY / STATE: St Louis MO 63126 Law Office 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)

8/27/2012

90.00
MONETARY IN-KIND

230.00

8/27/2012

110.00
MONETARY IN-KIND

110.00

8/27/2012

215.00
MONETARY IN-KIND

315.00

8/27/2012

55.00
MONETARY IN-KIND

55.00

8/27/2012

10.00
MONETARY IN-KIND

10.00

8/27/2012

40.00
MONETARY IN-KIND

110.00

8/27/2012

200.00
MONETARY IN-KIND

200.00

8/27/2012

100.00
MONETARY IN-KIND

500.00

--

FORM CD-1 SUPPLEMENTAL

OFFICE USE ONLY

MISSOURI ETHICS COMMISSION

CONTRIBUTIONS RECEIVED - SUPPLEMENTAL
NAME OF COMMITTEE DATE

CITIZENS FOR MCCAHERTY

9/5/2012

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: Cecil Magness 3228 Wesyt Osage CITY / STATE: Pacific MO 63069 EMPLOYER: First Baptist Church of Murphy COMMITTEE: NAME: ADDRESS: S L Segil 199 Rusty Dr. CITY / STATE: Fenton MO 63026 EMPLOYER: Em Bev COMMITTEE: NAME: ADDRESS: Edgar Brockman 29 Saline Lane CITY / STATE: Fenton MO 63026 EMPLOYER: Realtor COMMITTEE: NAME: ADDRESS: Citizens for Gary Cross CITY / STATE: 2601 NW Lookout Rdg EMPLOYER: Lees Summit MO 64081 COMMITTEE: NAME: Lisa Bell ADDRESS: 4879 Willdella CITY / STATE: House Springs MO 63051 First Baptist Church of Murphy EMPLOYER: COMMITTEE: NAME: ADDRESS: The Redemptions CITY / STATE: 445 Woodbine Ct. Arnold MO 63010 EMPLOYER: COMMITTEE: NAME: ADDRESS: Citizens for Hinson CITY / STATE: P O Box 67 EMPLOYER: St Clair MO 63077 COMMITTEE: NAME: Gwen Johnston ADDRESS: 2416 Cozy Lane CITY / STATE: High Ridge MO 63049 Barnes Jewish Hospital 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)

8/27/2012

60.00
MONETARY IN-KIND

70.00

8/27/2012

20.00
MONETARY IN-KIND

20.00

8/27/2012

145.00
MONETARY IN-KIND

180.00

8/27/2012

170.00
MONETARY IN-KIND

995.00

8/27/2012

25.00
MONETARY IN-KIND

135.00

8/27/2012

65.00
MONETARY IN-KIND

140.00

8/27/2012

150.00
MONETARY IN-KIND

275.00

8/27/2012

90.00
MONETARY IN-KIND

200.00

--

FORM CD-1 SUPPLEMENTAL

OFFICE USE ONLY

MISSOURI ETHICS COMMISSION

CONTRIBUTIONS RECEIVED - SUPPLEMENTAL
NAME OF COMMITTEE DATE

CITIZENS FOR MCCAHERTY

9/5/2012

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: Chris Hampton 1766 Orchard Dr. CITY / STATE: Arnold MO 63010 EMPLOYER: Guffy School COMMITTEE: NAME: ADDRESS: Gladys Blair P O Box 58 CITY / STATE: High Ridge MO 63049 EMPLOYER: Retired COMMITTEE: NAME: ADDRESS: Danny Smith 4352 Rock Island Rd. CITY / STATE: Arnold MO 63010 EMPLOYER: Fox C 6 School District COMMITTEE: NAME: ADDRESS: Ann Miller 4145 Great Oak Valley CITY / STATE: Arnold MO 63010 EMPLOYER: Farm COMMITTEE: NAME: ADDRESS: Leady Construction CITY / STATE: 1279 Green Tree EMPLOYER: Arnold MO 63010 COMMITTEE: NAME: ADDRESS: Ruth McCaherty 4202 Wilderness Lane CITY / STATE: High Ridge MO 63049 EMPLOYER: Housewife/Student COMMITTEE: NAME: ADDRESS: Citizens for Gary Cross CITY / STATE: P O Box 1737 EMPLOYER: Lees Summit MO 64063 COMMITTEE: NAME: ADDRESS: Express Lube CITY / STATE: 1 Sugar Creek Center Fenton MO 63026 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)

8/27/2012

20.00
MONETARY IN-KIND

140.00

8/27/2012

25.00
MONETARY IN-KIND

25.00

8/28/2012

120.00
MONETARY IN-KIND

420.00

8/27/2012

350.00
MONETARY IN-KIND

350.00

8/27/2012

50.00
MONETARY IN-KIND

75.00

8/27/2012

390.22
MONETARY IN-KIND

490.22

8/27/2012

115.00
MONETARY IN-KIND

$ 1,110.00
8/27/2012

32.95
MONETARY IN-KIND

32.95

--

FORM CD-1 SUPPLEMENTAL

OFFICE USE ONLY

MISSOURI ETHICS COMMISSION

CONTRIBUTIONS RECEIVED - SUPPLEMENTAL
NAME OF COMMITTEE DATE

CITIZENS FOR MCCAHERTY

9/5/2012

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: Bob Harris 54 Winter Valley Dr. CITY / STATE: Fenton MO 63026 EMPLOYER: Retired Auto COMMITTEE: NAME: ADDRESS: Carla Callan 4 Meramec Lane CITY / STATE: Eureka MO 63125 EMPLOYER: Student COMMITTEE: NAME: ADDRESS: Roylene Winter 25 Saline Lane CITY / STATE: Fenton MO 63026 EMPLOYER: Retired COMMITTEE: NAME: ADDRESS: Joan Lauterbach Lauterbach P O Box 1476 CITY / STATE: Fenton MO 63026 EMPLOYER: Retired Storage Manager COMMITTEE: NAME: Jen Leadly ADDRESS: 2627 Scot Robert CITY / STATE: Arnold MO 63010 Office Worker EMPLOYER: COMMITTEE: NAME: ADDRESS: Josh McCaherty 4202 Wilderness Lane CITY / STATE: High Ridge MO 63049 EMPLOYER: Sales /Applences COMMITTEE: NAME: Marcia Malloy ADDRESS: 108 Sir Moss CITY / STATE: Fenton MO 63026 Retired EMPLOYER: COMMITTEE: NAME: Marc Perez ADDRESS: 1655 Garden Valley Ct. CITY / STATE: Glencoe MO 63038 Construction 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)

8/27/2012

80.00
MONETARY IN-KIND

190.00

8/27/2012

50.00
MONETARY IN-KIND

50.00

8/27/2012

265.00
MONETARY IN-KIND

265.00

8/27/2012

580.00
MONETARY IN-KIND

580.00

8/27/2012

140.00
MONETARY IN-KIND

140.00

8/27/2012

273.00
MONETARY IN-KIND

273.00

8/27/2012

95.00
MONETARY IN-KIND

145.00

8/27/2012

100.00
MONETARY IN-KIND

200.00

--

FORM CD-1 SUPPLEMENTAL

OFFICE USE ONLY

MISSOURI ETHICS COMMISSION

CONTRIBUTIONS RECEIVED - SUPPLEMENTAL
NAME OF COMMITTEE DATE

CITIZENS FOR MCCAHERTY

9/5/2012

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: C M M G Arms Mfg. CITY / STATE: P O Box 369 EMPLOYER: Fayette MO 65248 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: NAME: ADDRESS: CITY / STATE: 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)

8/27/2012

1,500.00
MONETARY IN-KIND

$ 1,500.00 $ $ $ $ $ $ $ $ $ $ $ $ $ $

MONETARY IN-KIND

MONETARY IN-KIND

MONETARY IN-KIND

MONETARY IN-KIND

MONETARY IN-KIND

MONETARY IN-KIND

MONETARY IN-KIND

--

FORM CD-1 SUPPLEMENTAL

MISSOURI ETHICS COMMISSION

FUND-RAISING STATEMENT
INSTRUCTIONS ON REVERSE SIDE

REPORT DATE

C091140

9/5/2012

STATEMENT OF FUND-RAISING ACTIVITY OR EVENT

1. NAME AND ADDRESS OF CANDIDATE OR COMMITTEE FOR WHOM FUNDS WERE RAISED

CITIZENS FOR MCCAHERTY 4202 WILDERNESS LANE HIGH RIDGE MO 63049

2. LOCATION OF ACTIVITY OR EVENT: NAME AND ADDRESS

Andre`s West 4254 Telegraph Rd. St Louis MO 63129

3. DESCRIPTION OF ACTIVITY OR EVENT AND FUND-RAISING METHODS USED:

50/50 Drawing , Raffle Tickets, Auction

4. DATE OF ACTIVITY OR EVENT

6. NAME AND ADDRESS OF PERSON CONDUCTING ACTIVITY OR EVENT

8/27/2012
5. NUMBER OF PARTICIPANTS

John McCaherty 4202 Wilderness Lane High Ridge MO 63049

96
RECEIPTS FROM ACTIVITY OR EVENT 8. TOTAL CONTRIBUTIONS ($100 OR LESS PER PERSON) FROM PERSONS WHOSE NAMES AND ADDRESSES COULD NOT BE OBTAINED 9. TOTAL CONTRIBUTIONS FROM PERSONS WHOSE NAME AND ADDRESSES ARE CONTAINED IN COMMITTEE RECORDS 10. GROSS RECEIPTS FROM ACTIVITY OR EVENT (SUM 8 AND 9) 7. AMOUNT

$ $ $

2,125.00 1,453.00 3,578.00

11. EXPLAIN WHY NAMES AND ADDRESSES OF PERSONS CONTRIBUTING $25 OR LESS COULD NOT BE OBTAINED

Raffle tic`s with only Phone # , 50/50/ Drawings, Buy Now Items silent auction, donation`s into Jare

12. INDIVIDUAL EXPENDITURES MADE FOR ACTIVITY OR EVENT

13. AMOUNT

Payment for Hall & Dinner

$ $ $ $

2,141.79

14. TOTAL EXPENDITURES MADE FOR ACTIVITY OR EVENT

2,141.79
FORM CD1A

MISSOURI ETHICS COMMISSION

FUND-RAISING STATEMENT
INSTRUCTIONS ON REVERSE SIDE

REPORT DATE

C091140

9/5/2012

STATEMENT OF FUND-RAISING ACTIVITY OR EVENT

1. NAME AND ADDRESS OF CANDIDATE OR COMMITTEE FOR WHOM FUNDS WERE RAISED

CITIZENS FOR MCCAHERTY 4202 WILDERNESS LANE HIGH RIDGE MO 63049

2. LOCATION OF ACTIVITY OR EVENT: NAME AND ADDRESS

Ferd B. Lang Park 1820 Old Lemay Ferry Rd. Arnold MO 63010

3. DESCRIPTION OF ACTIVITY OR EVENT AND FUND-RAISING METHODS USED:

Raffle`s , 50 / 50 Drawings and Donation Jars.

4. DATE OF ACTIVITY OR EVENT

6. NAME AND ADDRESS OF PERSON CONDUCTING ACTIVITY OR EVENT

8/25/2012
5. NUMBER OF PARTICIPANTS

John McCaherty 4202 Wilderness Lane High Ridge MO 63049

80
RECEIPTS FROM ACTIVITY OR EVENT 8. TOTAL CONTRIBUTIONS ($100 OR LESS PER PERSON) FROM PERSONS WHOSE NAMES AND ADDRESSES COULD NOT BE OBTAINED 9. TOTAL CONTRIBUTIONS FROM PERSONS WHOSE NAME AND ADDRESSES ARE CONTAINED IN COMMITTEE RECORDS 10. GROSS RECEIPTS FROM ACTIVITY OR EVENT (SUM 8 AND 9) 7. AMOUNT

$ $ $

313.00 225.00 538.00

11. EXPLAIN WHY NAMES AND ADDRESSES OF PERSONS CONTRIBUTING $25 OR LESS COULD NOT BE OBTAINED

Raffle Tickets with no names and 50/50 Drawings with no information

12. INDIVIDUAL EXPENDITURES MADE FOR ACTIVITY OR EVENT

13. AMOUNT

Meet & Greet B B Q with John McCaherty District 90 Rep and Dan E. Smith Cand B B Q Bash Invitations from Survey Saint Louis

$ $ $ $

409.33 637.80

14. TOTAL EXPENDITURES MADE FOR ACTIVITY OR EVENT

1,047.13
FORM CD1A

MISSOURI ETHICS COMMISSION

EXPENDITURES AND CONTRIBUTIONS MADE
Instructions on Reverse Side

Office Use Only

1. Name of Committee

2. Report Date

CITIZENS FOR MCCAHERTY

9/5/2012
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

Northwest Jefferson County Chamber of Commerece Hole Sponser Golf Fund Raiser
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)

100.00

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

100.00 0.00 100.00

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)

$ + $ $ $ $ $ $ $

0.00 5,761.30 5,761.30 5,861.30 5,861.30 0.00 204.66 0.00

22. Amount

C.

Contributions Made (Regardless of Amount)

20. Name and Address of Candidate or Committee Name: Citizens for Dan E Smith 4352 Rock Island Rd. Address: Arnold MO 63010 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

204.66
Monetary In-Kind

8/25/2012

$
Monetary In-Kind

$
Monetary In-Kind

A. By Cash / Check B. By Credit Card

$ $ $ $ $ $ $

204.66 0.00 0.00 0.00 0.00 204.66

Form CD3

OFFICE USE ONLY

MISSOURI ETHICS COMMISSION

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

CITIZENS FOR MCCAHERTY

9/5/2012
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

Odd Ball Ink 800 S. Hiway Dr. Suite 5 CITY / STATE: Fenton MO 63026
ADDRESS: NAME:

Campaign Tee Shirts

$
PAID INCURRED

219.08

8/9/2012

$
Pay Late Fee Fine

Missouri Ethics Commision P O Box 1370 CITY / STATE: Jefferson City MO 65102
ADDRESS: NAME:

$
PAID INCURRED

8/11/2012

300.00

$
50 3X6 Campaign Signs

Victory Enterprize 5200 S W 30th St. CITY / STATE: Davenport IA 52802

ADDRESS: NAME:

$
PAID

8/15/2012

1,452.63

INCURRED

First Baptist Church of Murphy 203 Old Sugar Creek Rd. CITY / STATE: Fenton MO 63026
ADDRESS: NAME:

Use f Hall
8/15/2012

$
PAID INCURRED

150.00

$
8/18/2012
Final Payment Tee Shirts

Odd Ball Ink 800 S Hwy Dr. CITY / STATE: Fenton MO 63026
ADDRESS: NAME:

$
PAID INCURRED

248.86

$
8/23/2012
Sign on John`s Truck Window

Pfitzingers Graphics 681 Larkin Williams CITY / STATE: Fenton MO 63026

ADDRESS: NAME:

$
PAID INCURRED

171.88

$
Ethics Report Covers

Office Max 153 Gravios Bluff CITY / STATE: Fenton MO 63026

ADDRESS: NAME:

$
PAID INCURRED PAID

8/23/2012

29.93

$
Campaign Worker $
8/26/2012

Sams Club Big Bend Blvd CITY / STATE: St Louis MO 63123

ADDRESS: NAME:

384.11

$
8/25/2012

384.11

INCURRED PAID

Gas Mart 2046 Key West CITY / STATE: Arnold MO 63010

ADDRESS: NAME:

Campaign Worker $

25.22

$
8/28/2012

409.33

INCURRED

Andre`s West 4254 Telegraph Rd. CITY / STATE: St Louis MO 63129

ADDRESS: NAME:

Hall & Dinner / Auction/ Raffle

$
PAID

2,141.79

INCURRED

Survey Saint Louis P O Box 432 CITY / STATE: Saint Charles MO 63302
ADDRESS: NAME: ADDRESS: CITY / STATE: NAME: ADDRESS: CITY / STATE: NAME: ADDRESS: CITY / STATE: NAME: ADDRESS: CITY / STATE:

Advertizing
8/18/2012

$
PAID INCURRED

637.80

$ $

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

Missouri Ethics Commission

ADDENDUM STATEMENT

C091140 M.E.C. ID NO. ______________________________

INSTRUCTIONS ON REVERSE SIDE PURPOSE: Form Addendum should be used for explanation of any additional information needed to complete an accurate filing of this report.

Debt Payment: Paid in Full 150.00 incurred for July with First Baptist Church of Murphy. Amount: 150.00

MO 300-1325 (10-06)

ADDENDUM STMT