Nebraska Accountability and Disclosure Commission


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Individual Sources of Income / Business Associations Property Creditors / Gifts
NEBRASKA
ACCOUNTABILITY AND
DISCLOSURE COMMISSION
11th Floor, State Capitol
P.O. Box 95086
Lincoln, NE 68509
(402) 471-2522
STATEMENT
OF
FINANCIAL
INTERESTS

NADC FORM C-1

 
  • Individuals listed uner Sections I - A & B of the General Information - Filing Requirements on page 5 must file this form.
  • Dollar values need not be reported for any item, except for item 11.
  • File with the Nebraska Accountability and Disclosure Commission and with the election commissioner or clerk of the county of your residence.
  • 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 YOUR NAME, ADDRESS AND PHONE NUMBER
Name BENJAMEN U BACKUS Telephone No.
Address 440 O STREET     GERING     NE     69341
ITEM 2 OCCASION FOR FILING
X   A candidate for elective office X   Left office or position
    Annual officeholder's or state employee's report     Newly appointed to office or position
ITEM 3 OFFICE HELD & TERM OF OFFICE (for incumbent elected or appointed officials and state employees)
List the office or position you currently hold which requires this filing. If you have left office, list the office you held.
Office or Position: Term: N/A
Name of City, County, District, or State Office:  
ITEM 4 OFFICE SOUGHT (for candidates only)
List the office sought which requires this filing.
 
Office: SECRETARY OF STATE
 
Name of City, County, District, or State Office: SECRETARY OF STATE
ITEM 5 PERIOD COVERED BY THIS STATEMENT
This statement must cover all financial interests for the entire "preceding calendar year" and not just as of year-end. If you have left office, this statement must cover all financial interests from the end of the calendare year for which you previously filed up to and including the date you left office.
 
   This statement covers the preceding calendar year January 1 through December 31,
 
X   Left office, this statement covers the period January 1, 2013, to
 



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