Nebraska Accountability and Disclosure Commission


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

NADC FORM A-1

 
  • A candidate for any elective office in Nebraska (state, county or local) must organize a candidate committee and file this Statement of Organization of a Political Committee within 10 days after raising, receiving, or spending more than $5,000 in a calendar year (including personal funds) in support of his/her candidacy for office; or, within 2 days after raising, receiving, or spending more than $5,000 in a calendar year (including personal funds) during the 30 days prior to the election for which the committee exists.
  • All other political committees which raise or spend over $5,000 in a calendar year must also file this Statement of Organization of a Political Committee according to the schedules in the preceding paragraph.
  • Penalty for filing this statement after the date it is due is $25 per day for each day the statement remains not filed in violation of law, not to exceed $750.
  • Persons who fail to file this statement or otherwise do not comply with the reporting provisions of the law are subject to other penalties.
ITEM 1 NATURE OF FILING  
  This is and initial filing
ITEM 2 COMMITTEE NAME, MAILING ADDRESS & TELEPHONE NUMBER
THIS ADDRESS WILL BE USED BY THE COMMISSION FOR CORRESPONDING WITH THE COMMITTEE.
Committee Name WHITEHEAD FOR CITY COUNCIL (DISSOLVED) Telephone No. (402) 488-8578
Address 810 S. 26TH STREET, STE A; LINCOLN NE 68510
ITEM 3 NATURE OF COMMITTEE
  Candidate Committee
ITEM 4 CANDIDATES THE COMMITTEE SUPPORTS OR OPPOSES
Name Support Oppose Specific Office
WHITEHEAD, MARK A X CITY COUNCIL AT LARGE
ITEM 5 BALLOT QUESTIONS THE COMMITTEE SUPPORTS OR OPPOSES
Summary of Substance of Each Ballot Question Support Oppose Type
(See Key)
KEY:     A - Initiative             B - Recall             C - Referendum             D - Constitutional Amendment             E - Other
ITEM 6 DATE OF THE NEXT ELECTION FOR WHICH COMMITTEE IS SUPPORTING OR OPPOSING
CANDIDATES OR BALLOT QUESTIONS 04/09/2013
ITEM 7 DATE THIS COMMITTEE RAISED, RECEIVED OR EXPENDED MORE THAN $5,000 IN A CALENDAR YEAR
02/20/2013
ITEM 8 NAME, ADDRESS & TELEPHONE NUMBER OF THE OFFICERS AND MEMBERS OF THE COMMITTEE
Position Name Address (Street or Rural Route & City) Telephone No.
Treasurer JAKE MUHLEISEN 3035 O'REILLY DRIVE, LINCOLN, NE 68502 (402)730-7237
ITEM 9 NAME AND ADDRESS OF ALL FINANCIAL INSTITUTIONS WHERE COMMITTEE FUNDS ARE KEPT
A SEPARATE ACCOUNT MUST BE ESTABLISHED, AND ALL FUNDS RECEIVED AND
ALL EXPENDITURES MADE MUST GO THROUGH THIS ACCOUNT.
Full Name Address (Street or Rural Route)
UNION BANK & TRUST COMPANY 4243 PIONEER WOODS DRIVE, LINCOLN, NE 68501
ITEM 10 COMMITTEE ACRONYM (If Applicable)
ITEM 11 NAME AND ADDRESS OF CORPORATION, LABOR ORGANIZATION OR INDUSTRY, TRADE OR PROFESSIONAL ASSOCIATION EXTABLISHING & ADMINISTERING SEPARATE SEGREGATED POLITICAL FUND.
Name
Address
ITEM 12 NAME AND ADDRESS OF CONTROLLING INDIVIDUALS
Identify the full name and address of the individuals who will determine which candidates or ballot questions the committee or fund
will support or oppose, or a description of the manner in which such determinations are made.
Note:   Ballot Question committees may not make expenditures which are in support of or opposition to candidates.
Full Name Address (Street or Rural Route)
ITEM 13 NAME AND ADDRESS OF INDIVIDUALS WHO ORGANIZED COMMITTEE OR CAUSED SOLICITATION OF CONTRIBUTIONS TO BE MADE TO THE COMMITTEE AND IF SUCH ORGANIZATION OR SOLICITATION WAS ON BEHALF OF ANY OTHER PERSON, ALSO INCLUDE THE NAME AND ADDRESS OF THAT PERSON.
Full Name Address (Street or Rural Route)



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