Beruflich Dokumente
Kultur Dokumente
FORM A 2010
Candidate's Name Dalton, F. Charles
Date Submitted: 4/15/2010 1:56:34 PM Date Run: 4/20/2010 11:54:29 AM Date Due: 4/12/2010 12:00:00 AM
1. FILING DEADLINES (Check the box that indicates the report being filled) 2. Filing Officer
County Name
4. 5056907708
Mailing Address City, State, Zip Code Fax #
State Employee Credit Union. 813 St.Micheals Drive, santa fe, NM 87505
6. FINANCIAL SUMMARY
a. OPENING BALANCE for reporting period $3,610.65
("0" If first report, or CLOSING BALANCE FROM LAST REPORT)
b. Total Monetary Contribution this Reporting Period (Form B1 + Form B3) $21,738.00
c. Total Expenditures this Reporting Period (Form C + Form C1) $12,784.09
d. Closing Balance this Reporting Period (6a + 6b - 6c) $12,564.56
e. Total Loans To the Committee this Reporting Period (Forma A1) $0.00
f. Total unpaid Campaign Debt (Form A1) $0.00
g. Total In-Kind Contributions this Reporting Period (Form B 2) $5,185.00
7. Special Event Work sheet Attached Yes X No
Page 1 of 16
State of New Mexico Campaign Reporting Act
Date Submitted: 4/15/2010 1:56:34 PM Date Run: 4/20/2010 11:54:29 AM Date Due: 4/12/2010 12:00:00 AM
CERTIFICATION OF REPORT
I here by swear or affirm,under penalty of purjury, that all the information on this form and any attachments is
true correct and complete to the best of my knowledge; and I further swear or affirm that if this is a final report
the candidate named herein has been dissolved or no longer exists and that the committee bank account has
been closed.
(Signature of Treasurer)
(SEAL)
(Printed Name)
NOTARY INFORMATION
State of , County
Page 2 of 16
State of New Mexico Campaign Reporting Act
FORM B 1
MONETARY CONTRIBUTIONS
Date Submitted: 4/15/2010 1:56:34 PM Date Run: 4/20/2010 11:54:29 AM Date Due: 4/12/2010 12:00:00 AM
11/17/2009 Alan Martinez - 207 Calle San Simon, Santa Fe, $100.00
NM 87505
11/17/2009 Pete & Vikki Rael/Gurule - 1313 Camio Carlos $100.00
Rael, Santa Fe NM 87505
11/17/2009 Jerry Sweeney - P.O. Box 1334, Santa Fe NM $100.00
87502
11/17/2009 Sider Esquibel - 2043 Otowi, Santa Fe NM 87505 $100.00
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State of New Mexico Campaign Reporting Act
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State of New Mexico Campaign Reporting Act
11/17/2009 Vivian Herrera - 4900 Wood Hauer Dr. NE, Rio $100.00
Rancho NM 87124
11/17/2009 Ted Branch - P.O. Box 15644, Santa Fe NM 87502 $100.00
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State of New Mexico Campaign Reporting Act
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State of New Mexico Campaign Reporting Act
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State of New Mexico Campaign Reporting Act
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State of New Mexico Campaign Reporting Act
11/17/2009 Joe Salas - 838 Rio Vista St., Santa Fe NM 87505 $125.00
11/17/2009 Fred & Dolores Dalton - 338 Camino Cerrito, Santa $200.00
Fe NM 87501
11/17/2009 Adrian Dalton - 4218 Vegas de Suenos, Santa Fe $215.00
NM 87505
11/17/2009 Steve Shepherd - P.O. Box 210, Stanley NM 87056 $100.00
TOTAL $21,738.00
Page 9 of 16
State of New Mexico Campaign Reporting Act
FORM B 2
IN-KIND CONTRIBUTIONS
Date Submitted: 4/15/2010 1:56:34 PM Date Run: 4/20/2010 11:54:29 AM Date Due: 4/12/2010 12:00:00 AM
Page 10 of 16
State of New Mexico Campaign Reporting Act
FORM B 3
LOAN CONTRIBUTIONS
Date Submitted: 4/15/2010 1:56:34 PM Date Run: 4/20/2010 11:54:29 AM Date Due: 4/12/2010 12:00:00 AM
TOTAL
Page 11 of 16
State of New Mexico Campaign Reporting Act
FORM B 4
LOANS FORGIVEN
Date Submitted: 4/15/2010 1:56:34 PM Date Run: 4/20/2010 11:54:29 AM Date Due: 4/12/2010 12:00:00 AM
TOTAL
Page 12 of 16
State of New Mexico Campaign Reporting Act
FORM C
EXPENDITURES
Date Submitted: 4/15/2010 1:56:34 PM Date Run: 4/20/2010 11:54:29 AM Date Due: 4/12/2010 12:00:00 AM
4/2/2010 Car Quest of Santa Fe - 1209 Siler Road, Santa Fe Paint $100.87
NM 87505
3/22/2010 Santa Fe County Clerk's Ofc. - 102 Grant Avenue, Voter Registry $94.00
Santa Fe NM 87505
3/15/2010 Ortiz Printing - 1519 Third Street, Santa Fe NM Printing $78.53
87501
2/24/2010 Ortiz Printing - 1519 Third Street, Santa Fe NM Printing $337.70
87501
2/24/2010 Ortiz Printing - 1519 Third Street, Santa Fe NM Printing $37.82
87501
2/12/2010 Tap Media - P.O. Box 264, Santa Fe NM 87501 Advertising $500.00
2/2/2010 Robert Yardman - 6360 Casas de Milago, Santa Fe Web site $648.38
NM 87502
1/21/2010 Ortiz Printing - 1519 Third Street, Santa Fe NM Printing $54.03
87507
1/10/2010 Ortiz Printing - 1519 Third Street, Santa Fe NM Printing $254.60
87505
12/21/2009 USPS - Federal Place, Santa Fe NM 87111 Postage $132.00
12/21/2009 Allegre Print & Imaging - 5220 Second Street, NW, Buttons $320.63
Albuquerque NM 87501
11/23/2009 Cheryl L. Menefee - 2716 Bosque del Sol, Catering $283.35
Albuquerque NM 87501
11/18/2009 SF Democratic Party - 720 St. Michael's Drive, Marti Gras $300.00
Santa Fe NM 87501
11/17/2009 Danielle Roybal - 444 St. Michaels Dr, Santa Fe Fundraiser $200.00
NM 87507
11/17/2009 Julian Romero - 3 Escuelita Lane, Santa Fe NM Fundraiser $200.00
87505
11/17/2009 Tony Lopez - 2116 Avenida de las Alturas, Santa Fundraiser $200.00
Fe NM 87124
11/17/2009 Chris and Diane Maes - 1341 Wilks Way, SE, Santa Fundraiser $200.00
Fe NM 87505
11/17/2009 Eduardo Lucero - 216 Lugar de Monte Vista, Santa Fundraiser $1,250.00
Fe NM 87506
11/17/2009 Matty Perez - 11 W. Gutierrez, #3255, Santa Fe NM Fundraiser $1,250.00
87506
11/17/2009 Leroy Trujillo - P.O. Box 269, Stanley NM 87501 Fundraiser $1,250.00
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State of New Mexico Campaign Reporting Act
11/12/2009 Ortiz Printing - 1519 3rd St, Santa Fe NM 87504 Printing $270.16
TOTAL $12,784.09
Page 14 of 16
State of New Mexico Campaign Reporting Act
FORM C 1
LOAN REPAYMENTS
Date Submitted: 4/15/2010 1:56:34 PM Date Run: 4/20/2010 11:54:29 AM Date Due: 4/12/2010 12:00:00 AM
TOTAL
Page 15 of 16
State of New Mexico Campaign Reporting Act
Page 16 of 16
State of New Mexico
Office of the Secretary of State SECRETARY OF STATE
Ethics Administration
325 Don Gaspar Suite 300 Mary Herrera
Santa Fe, New Mexico 87503
(800) 477-3632/(505) 827-3600
FORM A 2010
Candidate's Name Doerfer, Rex
Date Submitted: 4/5/2010 10:56:38 AM Date Run: 4/5/2010 10:56:38 AM Date Due: 4/12/2010 12:00:00 AM
1. FILING DEADLINES (Check the box that indicates the report being filled) 2. Filing Officer
County Name
4. 505-2527088
Mailing Address City, State, Zip Code Fax #
6. FINANCIAL SUMMARY
a. OPENING BALANCE for reporting period $1,000.00
("0" If first report, or CLOSING BALANCE FROM LAST REPORT)
b. Total Monetary Contribution this Reporting Period (Form B1 + Form B3) $2,400.00
c. Total Expenditures this Reporting Period (Form C + Form C1) $1,889.73
d. Closing Balance this Reporting Period (6a + 6b - 6c) $1,510.27
e. Total Loans To the Committee this Reporting Period (Forma A1) $0.00
f. Total unpaid Campaign Debt (Form A1) $0.00
g. Total In-Kind Contributions this Reporting Period (Form B 2) $0.00
7. Special Event Work sheet Attached Yes X No
Page 1 of 9
State of New Mexico Campaign Reporting Act
Date Submitted: 4/5/2010 10:56:38 AM Date Run: 4/5/2010 10:56:38 AM Date Due: 4/12/2010 12:00:00 AM
CERTIFICATION OF REPORT
I here by swear or affirm,under penalty of purjury, that all the information on this form and any attachments is
true correct and complete to the best of my knowledge; and I further swear or affirm that if this is a final report
the candidate named herein has been dissolved or no longer exists and that the committee bank account has
been closed.
(Signature of Treasurer)
(SEAL)
(Printed Name)
NOTARY INFORMATION
State of , County
Page 2 of 9
State of New Mexico Campaign Reporting Act
FORM B 1
MONETARY CONTRIBUTIONS
Date Submitted: 4/5/2010 10:56:38 AM Date Run: 4/5/2010 10:56:38 AM Date Due: 4/12/2010 12:00:00 AM
TOTAL $2,400.00
Page 3 of 9
State of New Mexico Campaign Reporting Act
FORM B 2
IN-KIND CONTRIBUTIONS
Date Submitted: 4/5/2010 10:56:38 AM Date Run: 4/5/2010 10:56:38 AM Date Due: 4/12/2010 12:00:00 AM
Page 4 of 9
State of New Mexico Campaign Reporting Act
FORM B 3
LOAN CONTRIBUTIONS
Date Submitted: 4/5/2010 10:56:38 AM Date Run: 4/5/2010 10:56:38 AM Date Due: 4/12/2010 12:00:00 AM
TOTAL
Page 5 of 9
State of New Mexico Campaign Reporting Act
FORM B 4
LOANS FORGIVEN
Date Submitted: 4/5/2010 10:56:38 AM Date Run: 4/5/2010 10:56:38 AM Date Due: 4/12/2010 12:00:00 AM
TOTAL
Page 6 of 9
State of New Mexico Campaign Reporting Act
FORM C
EXPENDITURES
Date Submitted: 4/5/2010 10:56:38 AM Date Run: 4/5/2010 10:56:38 AM Date Due: 4/12/2010 12:00:00 AM
3/17/2010 Mail & copy - #2 Marietta court Ste. A, Edgewood sign $24.78
NM 87015
2/26/2010 The print shop - 5401 Lomas N.E., Albuquerque signs $109.55
NM 87110
2/23/2010 Mail & copy - #2 Marietta court Ste. A, Edgewood Tee shirts $232.74
NM 87015
2/23/2010 The print shop - 5401 Lomas N.E., Albuquerque signs $230.66
NM 87110
2/16/2010 Santa Fe County Clerk - 102 Grant Ave, Santa Fe Filing fee $50.00
NM 87501
2/12/2010 The print shop - 5401 Lomas N.E., Albuquerque business card $250.00
NM 87110
1/30/2010 Office Depot - 350 Eubank Blvd NE, #B, Supply $26.65
Albuquerque NM 87123
1/25/2010 The print shop - 5401 Lomas N.E., Albuquerque cards $341.20
NM 87110
1/18/2010 The print shop - 5401 Lomas N.E., Albuquerque posters $324.15
NM 87110
1/6/2010 The print shop - 5401 Lomas N.E., Albuquerque signs $300.00
NM 87110
TOTAL $1,889.73
Page 7 of 9
State of New Mexico Campaign Reporting Act
FORM C 1
LOAN REPAYMENTS
Date Submitted: 4/5/2010 10:56:38 AM Date Run: 4/5/2010 10:56:38 AM Date Due: 4/12/2010 12:00:00 AM
TOTAL
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State of New Mexico Campaign Reporting Act
Page 9 of 9
State of New Mexico
Office of the Secretary of State SECRETARY OF STATE
Ethics Administration
325 Don Gaspar Suite 300 Mary Herrera
Santa Fe, New Mexico 87503
(800) 477-3632/(505) 827-3600
FORM A 2010
Candidate's Name Garcia, Robert
Date Submitted: 4/12/2010 3:43:26 PM Date Run: 4/12/2010 4:15:57 PM Date Due: 4/12/2010 12:00:00 AM
1. FILING DEADLINES (Check the box that indicates the report being filled) 2. Filing Officer
County Name
5059862455
Full name of Campaign Committee Phone #
First National Bank of Santa Fe. Post Office Box 609, Santa Fe, NM 87504
6. FINANCIAL SUMMARY
a. OPENING BALANCE for reporting period $9,603.38
("0" If first report, or CLOSING BALANCE FROM LAST REPORT)
b. Total Monetary Contribution this Reporting Period (Form B1 + Form B3) $28,558.02
c. Total Expenditures this Reporting Period (Form C + Form C1) $19,111.77
d. Closing Balance this Reporting Period (6a + 6b - 6c) $19,049.63
e. Total Loans To the Committee this Reporting Period (Forma A1) $934.02
f. Total unpaid Campaign Debt (Form A1) $934.02
g. Total In-Kind Contributions this Reporting Period (Form B 2) $3,017.47
7. Special Event Work sheet Attached X Yes No
Page 1 of 25
State of New Mexico Campaign Reporting Act
Date Submitted: 4/12/2010 3:43:26 PM Date Run: 4/12/2010 4:15:57 PM Date Due: 4/12/2010 12:00:00 AM
CERTIFICATION OF REPORT
I here by swear or affirm,under penalty of purjury, that all the information on this form and any attachments is
true correct and complete to the best of my knowledge; and I further swear or affirm that if this is a final report
the candidate named herein has been dissolved or no longer exists and that the committee bank account has
been closed.
(Signature of Treasurer)
(SEAL)
(Printed Name)
NOTARY INFORMATION
State of , County
Page 2 of 25
State of New Mexico Campaign Reporting Act
FORM B 1
MONETARY CONTRIBUTIONS
Date Submitted: 4/12/2010 3:43:26 PM Date Run: 4/12/2010 4:15:57 PM Date Due: 4/12/2010 12:00:00 AM
Page 3 of 25
State of New Mexico Campaign Reporting Act
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State of New Mexico Campaign Reporting Act
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State of New Mexico Campaign Reporting Act
3/5/2010 Karate Academy - 2538 Camino Entrada, Santa Fe Karate Academy - Karate Instruction $100.00
NM 87507
3/5/2010 Steven Gomez - 25A Paseo de Ulibarri, Santa Fe Retired $190.00
NM 87507
3/5/2010 Sean Pearson - 7517 Snow Blossom Road, Santa Deputy Chief Information Officer $15.00
Fe NM 87507
3/5/2010 Pawan Dhindsa - 39 W Chili, Santa Fe NM 87508 restaurant owner $1,000.00
3/4/2010 Dodie Haworth - 4219 Holleys Hill St., Las Vegas $100.00
NV 89129
3/4/2010 Ken Johnson - 5509 Gladstone Drive NE, RIo $100.00
Rancho NM 87144
3/4/2010 Fred Kolb - 1100 Calle Conejo, Santa Fe NM 87501 $100.00
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State of New Mexico Campaign Reporting Act
3/3/2010 Mike Griego - 23 Vista Alondra, Santa Fe NM 87508 Optical Shop Owner $200.00
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State of New Mexico Campaign Reporting Act
2/17/2010 Max and Alberta Jimenez - 424 Bernice Drive, Las $100.00
Vegas NM 87701
2/12/2010 Joan Sanchez - 3509 Olivia Road, Las Vegas NM $200.00
87001
1/28/2010 Amy Dabbs - 1227 St. Francis Dr. Ste.A, Santa Fe $100.00
NM 87505
1/14/2010 Bennie Vialpando - PO Box 16615, Santa Fe NM $100.00
87592
1/14/2010 Karen Valdez - PO Box 16615, Santa Fe NM 87592 $100.00
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State of New Mexico Campaign Reporting Act
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State of New Mexico Campaign Reporting Act
10/23/2009 Grego Solano for Lt. Governor - 1068 Willow Way, $130.00
Santa Fe NM 87507
10/23/2009 Amanda Brown - 1060 Green Way, Santa Fe NM $10.00
87507
10/23/2009 Richard Padilla - 1605 Caminito Monica, Santa Fe $10.00
NM 87501
10/23/2009 Tammy Campos - 1008 Calle La Resolana, Santa $10.00
Fe NM 87505
10/23/2009 Henry Catanacs - 02 Sende de Faego, Santa Fe $10.00
NM 87506
10/23/2009 Mike Chavez - 3300 Calle Maria Luisa, Santa Fe $10.00
NM 87507
10/23/2009 Georgiana Dofflemeyer - 2098 Calle Contento, $10.00
Santa Fe NM 87507
10/23/2009 Tony Dofflemeyer - 721 Columbia, Santa Fe NM $20.00
87505
10/23/2009 Lisa Dofflemyer - 4761 Camino Unido, Santa Fe $10.00
NM 87507
10/23/2009 Eric Dominguez - 6357 Casas de Milagro, Santa Fe $10.00
NM 87507
10/23/2009 Margaret Dubois - 521 Airport Road, Santa Fe NM $10.00
87507
10/23/2009 Andrea Duran - 831 West San Mateo, Santa Fe NM $30.00
87505
10/23/2009 Dorothy Encinias - HC 74 Box 604, Pecos NM $10.00
87552
10/23/2009 Mark Esparsen - PO Box 2981, Edgewood NM $10.00
87016
10/23/2009 Ashley Flores - 2201 Collins Dr. Apt. 502, Las $80.00
Vegas NM 87701
10/23/2009 Rachel Flores - 6357 Casas de Milagro, Santa Fe $10.00
NM 87507
10/23/2009 Steve and Patricia Flores - 6357 Casas de Milagro, $100.00
Santa Fe NM 87507
10/23/2009 John Gaillour - Box 150, El Prado NM 87529 $10.00
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State of New Mexico Campaign Reporting Act
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State of New Mexico Campaign Reporting Act
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State of New Mexico Campaign Reporting Act
FORM B 2
IN-KIND CONTRIBUTIONS
Date Submitted: 4/12/2010 3:43:26 PM Date Run: 4/12/2010 4:15:57 PM Date Due: 4/12/2010 12:00:00 AM
10/23/2009 Mike Griego - 23 Vista Alondra, Santa Fe NM 87508 Optical Shop Owner $200.00
Page 17 of 25
State of New Mexico Campaign Reporting Act
FORM B 3
LOAN CONTRIBUTIONS
Date Submitted: 4/12/2010 3:43:26 PM Date Run: 4/12/2010 4:15:57 PM Date Due: 4/12/2010 12:00:00 AM
TOTAL $934.02
Page 18 of 25
State of New Mexico Campaign Reporting Act
FORM B 4
LOANS FORGIVEN
Date Submitted: 4/12/2010 3:43:26 PM Date Run: 4/12/2010 4:15:57 PM Date Due: 4/12/2010 12:00:00 AM
TOTAL
Page 19 of 25
State of New Mexico Campaign Reporting Act
FORM C
EXPENDITURES
Date Submitted: 4/12/2010 3:43:26 PM Date Run: 4/12/2010 4:15:57 PM Date Due: 4/12/2010 12:00:00 AM
3/31/2010 Santa Fe New Mexican - 202 East Marcy Ave, Advertising $999.58
Santa Fe NM 87501
3/31/2010 Team Montoya - 169 Camino de Rincon, Santa Fe Entry fee $50.00
NM 87507
3/25/2010 Airport Shell - 7510 Airport Road, Santa Fe NM Purchase gas for $29.19
87507 delivering yard signs
3/22/2010 Jim Prangley - 204 Camino de Las Huertas, Proceeds from $2,250.00
Placitas NM 87043 winning raffle ticket
3/22/2010 Richard Fernandez - 21 Vista Alondra, Santa Fe Proceeds from $250.00
NM 87508 winning raffle ticket
3/22/2010 First National Bank - PO Box 609, Santa Fe NM Returned check and $204.00
87504 fee
3/19/2010 Empire Builders - 1802 Cerrillos Road, Santa Fe Posts for signs $68.18
NM 87505
3/17/2010 Pawan Dhindsa - 39 W Chili, Santa Fe NM 87508 Proceeds from $1,250.00
winning raffle ticket
3/16/2010 Santa Fe County Clerk - 102 Grant Avenue, Santa Filing fee $50.00
Fe NM 87501
3/13/2010 Hilton Hotel - 20 Buffalo Thunder Trail, Santa Fe Lodging for $307.71
NM 87506 Democratic
Convention
3/10/2010 Verizon Wireless - PO Box 1100, Albany NY 12250 Cell phone service $17.78
for campaign cell
phone.
3/9/2010 Ken Johnson - 5509 Gladstone Drive NE, RIo Proceeds from $250.00
Rancho NM 87144 winning raffle ticket
3/9/2010 Terri "Maria" Nieto - 1021 Calle Resolana, Santa Fe Proceeds from $2,250.00
NM 87505 winning raffle ticket
3/9/2010 Tom Wilson - 1201 Siler Road, Santa Fe NM 87507 Proceeds from $250.00
winning raffle ticket
3/9/2010 Ivan Pato - 12 Enmedio Place, Santa Fe NM 87508 Proceeds from $2,250.00
winning raffle ticket
3/9/2010 Aric Wheeler - Po Box 2930, Santa Fe NM 87504 Proceeds from $250.00
winning raffle ticket
3/5/2010 Office Depot - 2016 Cerrillos Road, Santa Fe NM Campaign materials $53.23
87505 and supplies
3/5/2010 Fraternal Order of Police - 3300 Calle Maria Luisa, Committee meeting $21.00
Santa Fe NM 87507
3/5/2010 Fraternal Order of Police - 3300 Calle Maria Luisa, Hall rental fee for $330.00
Santa Fe NM 87507 March fundraiser
3/5/2010 The Entertainers and Ed - 550 Jewel Court SE, Rio Music for March $200.00
Rancho NM 87124 fundraiser
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State of New Mexico Campaign Reporting Act
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State of New Mexico Campaign Reporting Act
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State of New Mexico Campaign Reporting Act
FORM C 1
LOAN REPAYMENTS
Date Submitted: 4/12/2010 3:43:26 PM Date Run: 4/12/2010 4:15:57 PM Date Due: 4/12/2010 12:00:00 AM
TOTAL
Page 23 of 25
State of New Mexico Campaign Reporting Act
Complete a separate worksheet for each special event held during the reporting period. Please copy the form as neccesary
Fundraiser to raise money to support the campaign to elect Robert A. Garcia Sheriff of Santa Fe County.
Page 24 of 25
State of New Mexico Campaign Reporting Act
Complete a separate worksheet for each special event held during the reporting period. Please copy the form as neccesary
Fundraiser on October 23, 2009 to raise money to support the campaign to elect Robert A. Garcia Sheriff of
Santa Fe County.
Page 25 of 25
State of New Mexico
Office of the Secretary of State SECRETARY OF STATE
Ethics Administration
325 Don Gaspar Suite 300 Mary Herrera
Santa Fe, New Mexico 87503
(800) 477-3632/(505) 827-3600
FORM A 2010
Candidate's Name Tafoya, Rubel
Date Submitted: 4/12/2010 2:06:03 PM Date Run: 4/12/2010 2:06:03 PM Date Due: 4/12/2010 12:00:00 AM
1. FILING DEADLINES (Check the box that indicates the report being filled) 2. Filing Officer
County Name
4. 5053311394
Mailing Address City, State, Zip Code Fax #
6. FINANCIAL SUMMARY
a. OPENING BALANCE for reporting period $150.00
("0" If first report, or CLOSING BALANCE FROM LAST REPORT)
b. Total Monetary Contribution this Reporting Period (Form B1 + Form B3) $7,424.00
c. Total Expenditures this Reporting Period (Form C + Form C1) $7,974.43
d. Closing Balance this Reporting Period (6a + 6b - 6c) ($400.43)
e. Total Loans To the Committee this Reporting Period (Forma A1) $0.00
f. Total unpaid Campaign Debt (Form A1) $0.00
g. Total In-Kind Contributions this Reporting Period (Form B 2) $0.00
7. Special Event Work sheet Attached X Yes No
Page 1 of 12
State of New Mexico Campaign Reporting Act
Date Submitted: 4/12/2010 2:06:03 PM Date Run: 4/12/2010 2:06:03 PM Date Due: 4/12/2010 12:00:00 AM
CERTIFICATION OF REPORT
I here by swear or affirm,under penalty of purjury, that all the information on this form and any attachments is
true correct and complete to the best of my knowledge; and I further swear or affirm that if this is a final report
the candidate named herein has been dissolved or no longer exists and that the committee bank account has
been closed.
(Signature of Treasurer)
(SEAL)
(Printed Name)
NOTARY INFORMATION
State of , County
Page 2 of 12
State of New Mexico Campaign Reporting Act
FORM B 1
MONETARY CONTRIBUTIONS
Date Submitted: 4/12/2010 2:06:03 PM Date Run: 4/12/2010 2:06:03 PM Date Due: 4/12/2010 12:00:00 AM
Page 3 of 12
State of New Mexico Campaign Reporting Act
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State of New Mexico Campaign Reporting Act
FORM B 2
IN-KIND CONTRIBUTIONS
Date Submitted: 4/12/2010 2:06:03 PM Date Run: 4/12/2010 2:06:03 PM Date Due: 4/12/2010 12:00:00 AM
Page 5 of 12
State of New Mexico Campaign Reporting Act
FORM B 3
LOAN CONTRIBUTIONS
Date Submitted: 4/12/2010 2:06:03 PM Date Run: 4/12/2010 2:06:03 PM Date Due: 4/12/2010 12:00:00 AM
TOTAL
Page 6 of 12
State of New Mexico Campaign Reporting Act
FORM B 4
LOANS FORGIVEN
Date Submitted: 4/12/2010 2:06:03 PM Date Run: 4/12/2010 2:06:03 PM Date Due: 4/12/2010 12:00:00 AM
TOTAL
Page 7 of 12
State of New Mexico Campaign Reporting Act
FORM C
EXPENDITURES
Date Submitted: 4/12/2010 2:06:03 PM Date Run: 4/12/2010 2:06:03 PM Date Due: 4/12/2010 12:00:00 AM
4/5/2010 HOME DEPOT - 7700 US 550 NE, RIO RANCHO SIGN HARDWARE $68.19
NM 87124
4/5/2010 DESERT TEES & SPORTS - 851 W SAN MATEO, T SHIRTS $400.00
SANTA FE NM 87505
4/5/2010 CORDY MEDINA - SANTA FE, SANTA FE NM CONSULTANT $500.00
87505
3/30/2010 CAMPAIGN PROS - A, SANTA FE NM 87505 SIGNS $999.63
3/30/2010 HARTLAND CLARKE CHECK ACCT - SANTA FE, ORDER CHECKS $35.05
SANTA FE NM 87505 FOR ACCT
3/24/2010 HOME DEPOT - 952 RICHARDS AVE, SANTA FE SIGN HARDWARE $105.20
NM 87505
3/24/2010 HOBBY LOBBY - SANTA FE, SANTA FE NM PINS $16.18
87505
3/23/2010 MITCH HANNA - SANTA FE, SANTA FE NM 87505 BUSINESS CARD $120.00
3/22/2010 HOME DEPOT - 952 RICHARDS AVE, SANTA FE POSTS FOR SIGNS $197.58
NM 87505
3/20/2010 HOME DEPOT - 952 RICHARDS AVE, SANTA FE SIGN HARDWARE $186.63
NM 87505
3/20/2010 APPLE BEES - SANTA FE , SANTA FE NM 87505 COMMITTEE $117.71
MEETING
3/18/2010 WAL MART - RIO RANCHO, RIO RANCHO NM SIGN HARDWARE $14.15
87124
3/18/2010 ROUND THE ROUNDHOUSE - SANTA FE, SANTA AD IN THE ROUND $199.92
FE NM 87501 THE ROUNDHOUSE
3/13/2010 WAL MART - RIO RANCHO, RIO RANCHO NM SIGN HARDWARE $47.21
87124
3/11/2010 HOME DEPOT - 7700 US 550 NE, RIO RANCHO SIGNS HARWARE $21.39
NM 87124
3/10/2010 WAL MART - SANTA FE, SANTA FE NM 87505 SIGN HARDWARE $23.83
Page 8 of 12
State of New Mexico Campaign Reporting Act
Page 9 of 12
State of New Mexico Campaign Reporting Act
FORM C 1
LOAN REPAYMENTS
Date Submitted: 4/12/2010 2:06:03 PM Date Run: 4/12/2010 2:06:03 PM Date Due: 4/12/2010 12:00:00 AM
TOTAL
Page 10 of 12
State of New Mexico Campaign Reporting Act
Complete a separate worksheet for each special event held during the reporting period. Please copy the form as neccesary
FUNDRAISER
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State of New Mexico Campaign Reporting Act
Complete a separate worksheet for each special event held during the reporting period. Please copy the form as neccesary
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