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
REPORT OF
EARMARKED
CONTRIBUTION

NADC FORM B-3

 
  • Any person who acts as an intermediary or agent for an earmarked contribution must file this Report of Earmarked Contribution.
  • A Report of Earmarked Contribution is filed on time if it is postmarked or personally delivered on or before the due date. Late filing fees are $25 per day, not to exceed $750
  • File with the Nebraska Accountability and Disclosure Commisstion and the election commissioner or clerk of: (1) the county of residence of the candidaet, or, (2) the county of the headquarters of the ballot question, political party, or independent committee which is the end recipient of the contribution. A copy of the report must also be given to the end recipient of the contribution at the time the contribution is delivered
  • Persons who fail to file this report or otherwise do not comply with the reporting provisions of the law are subject to penalties.
ITEM 1 NAME AND ADDRESS OF INTERMEDIARY OR AGENT
Name Dale Hallock Telephone No.
Address 15110 S 84th Street   Omaha   NE   68124
ITEM 2 NAME AND ADDRESS OF ACTUAL SOURCE OF CONTRIBUTION
Name DLR Group Telephone No. (402) 393-4100
Address 6457 Frances Street, Suite 200   Omaha     68106
ITEM 3 RECIPIENT OF CONTRIBUTION (or intended Recipient, if contribution has not yet been transferred)
Name     WHITEHEAD FOR CITY COUNCIL (DISSOLVED)
ITEM 4 DESCRIPTION OF CONTRIBUTION
As Received by Intermediary As Transferred to Recipient
   
Date   03/04/2013       Amount   500.00
Nature:     X Money       In-kind       Loan       Pledge
Description of in-kind:
Date   03/15/2013       Amount   500.00
Nature:     X Money       In-kind       Loan       Pledge
Description of in-kind:



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