Nebraska Accountability and Disclosure Commission


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Committee Financial Summary Schedule A Schedule B Schedule C Schedule D
SCHEDULE A - Contributions of $250 or more Received from the Candidate and Other Individuals *
List all individuals from whom contributions totaling $250 or more were received during the period covered by the report and all individuals who have contributed a cumulative total of $250 or more during the election period. (Include contributions of $250 or more received from the candidate.) 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 $250 or more 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 would have his or her contributions accumulated and would be reported on this schedule.)
Name, Street Address or Rural Route, City and State of Each Individual Who Contributed a Cumulative Total of $250 or more 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 --
             
  No Individual Contributions            
             
*REMINDER: All individuals who contributed a cumulative total of $250 or more during the election period must be listed, including those shown on previous Campaign Statements filed for this election period



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