FAIR CAMPAIGN PRACTICES ACT STATE OF ALABAMA

THIS AREA FOR OFFICIAL USE ONLY

A ppointment of Principal Campaign Committee
Please print in ink or type. E-mail address is required.
Full Name of Candidate E-mail Address of Candidate(required)

This document was filed electronicall on 10/29/2013 at 09:35AM with the Elections Division, Office of the Alabama Secretary of State.

MELINDA MCCLENDON
Office Sought (include distric or circuit number. if applicable)

MMAC1@GRACEBA.NET
Political Party / Ballot Affiliation

This form is due within five (5) calendar days of reaching the threshold amount, or within five (5) calendar days of qualifying with a political party, or within five (5) calendar days of filing a petition as an independent or third party candidate. Type of Committee (check one) I appoint myself as the sole member of my principal campaign committee.

STATE SENATOR, SENATE DISTRICT 29
Address of the Committee (street or post office box)

Republican

3204 FOXRIDGE ROAD
City State ZIP Code Telephone Number

K

DOTHAN

AL

36303

(334) 798-3383

I hereby appoint the individuals listed below to act as my principal campaign committee.

If you are appointing others to serve as your committee, you must select at least two members. You may appoint up to five members. One member should be designated as the chairperson of the committee. A second member should be designated as the treasurer. Please clearly print their names and addresses in the spaces below. Each appointee must sign his or her name.

Chairperson
Full Name Email Address(required) Full Name

Treasurer
Email Address(required)

Address (street or post office box)

Address (street or post office box)

City

State

ZIP Code

City

State

ZIP Code

Signature of Applicant

Signature of Applicant

Committee Member
Full Name

Committee Member
Full Name Email Address(required)

Email Address(required)

Address (street or post office box)

Address (street or post office box)

City

State

ZIP Code

City

State

ZIP Code

Signature of Applicant

Signature of Applicant

Committee Member
Full Name Email Address(required)

Filing Threshold Amounts for Public Offices under the Fair Campaign Practices Act
$1,000 $1,000

Address (street or post office box)

Statewide Office
State Senate Seat State House Seat

City

State

ZIP Code

$1,000 $1,000 $1,000

Circuit or district Office
County or municipal office

Signature of Applicant

Where to file this form...
State candidates file with the Office of the Secretary of State, located in the Alabama State Capitol, Room E-210. The mailing address is P.O. Box 5616, Montgomery, Alabama 36103-5616 County and municipal candidates file with their county's judge or

As required by the Alabama Fair Campaign Act, I hereby swear or affirm to the best of my knowledge and belief that the information contained herein is true and correct.

Signature of elected official or candidate

1

10/29/2013
Date

^^ probate.

FORM REVISED 11 22 2012

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FAIR CAMPAIGN PRACTICES ACT STATE OF ALABAMA

THIS AREA FOR OFFICIAL USE ONLY
This document was filed electronically on 10/31/2013 at 09:OOPM with the Elections Division, Office of the Alabama Secretary of State.

Candidate & Elected Official Campaign Finance Report SUMMARY FORM 1
Please Print in Ink or Type.
Political Party / Ballot Affiliation

Type of Report (check one)

Name of Candidate or Elected Official

X

Monthly Weekly

Amended Monthly Amended Weekly

MELINDA MCCLENDON STATE SENATOR, SENATE DISTRICT 29
Address Check box if reporting new address

REPUBLICAN

Office Sought or Held (include district or circuit number, if applicable)

For Monthly Reports

Month in which the report is filed.

10/2013

3204 FOXRIDGE ROAD
City State ZIP Code Telephone Number

For Weekly Reports AL 36303 (334) 798-3383
Date of Friday in the week in which the report is filed.

DOTHAN

Summary of activity from last filed report
1 Beginning balance (ending balance from previous filing) Cash Contributions
2a Itemized cash contributions (total from Form 2) 2b Non-itemized cash contributions 2d Total cash contributions (add lines 2a, 2b, and 2c) 2a 2b $0.00 $0.00 2c $ 0. 00 $0.00

In Kind Contributions
3a Itemized in-kind contributions (total from Form 3) 3b Non-itemized in-kind contributions 3c Total in-kind contributions (add lines 3a and 3b) 3a 3b 3c $2,530 00
$ 0.00

$2,500 00

Reciepts from Other Sources
4a Total itemized receipts from other sources (total from Form 4) 4b Total non-itemized receipts from other sources 4c Total receipts from other sources (add lines 4a and 4b) 4a 4b
$0. 00

$0.00 4c
$0 0 0

Expenditures
5a Itemized expenditures (total from Form 5) 5b Non-itemized expenditures 5c Total expenditures (add lines 5a and 5b) 5a 5b $0.00 $ 0. 00 5c 6
$0 00

6 Ending balance (add lines 1, 2c, & 4c, then subtract line 5c) Candidates for State Office: File this report with the Office of the Secretary of State.

$0.00

Candidates for County or Municipal Office: File this report with the Judge of Probate of the county in which the office is sought. As required by the Alabama Fair Campaign Practices Act, I hereby swear or affirm to the best of my knowledge and belief that the attached report(s) and the information contained herein are true and correct and that this information is a full and complete statement of all contributions, expenditures, and other required information during the applicable period of time. Sworn to and subscribed before me this of the year the day of

day of

. My commission expires of the year

Electronically signed by

MELINDA MCCLENDON, CANDIDATE

10/31/2013 Date

Signature of Notary Public

Signature of Candidate or Elected Official
FORM REVISED 12.19.2012

Print Notary's Name

ALABAMA FAIR CAMPAIGN PRACTICES ACT - CAMPAIGN FINANCE REPORT FOR CANDIDATE/ELECTED OFFICIAL

FORM 3: In-Kind Contributions
NAME OF CANDIDATE OR ELECTED OFFICAL:

received by candidate or elected official
MELINDA MCCLENDON

When total contributions form a single source exceed $100.00, the FCPA requires all contributions from that source to be itemized. DO NOT LIST cash or loans on this form. Use Forms 2 and 4 for those listings.

NATURE OF CONTRIBUTION (CHECK ONE) CONTRIBUTOR
(INCLUDE FULL

SOURCE (CHECK ONE) DATE
CONTRIBUTION

ADDRESS
(ADDRESS SHOULD INCLUDE

AMOUNT
OF

Busi ness! C or porat ion

T ran s port ati on

Ad mi ni st rativ e

Cons ul tants/ P olli n g

Ad verti si n g

Equi pm ent

NAME)

STREET OR P O. BOX, CITY, STATE, AND ZIP)

RECEIVED (ma/day/yr.)

CONTRIBUTION

Individ ual

Oth er

O th er

F ood

R ent

PAC

ALABAMA 2014 PAC
FORM REVISED 11.29 2012

POST OFFICE BOX 59502 BIRMINGHAM, AL 35259

X

X

10/18/2013

$2500.00 $2500.00

TOTAL IN-KIND CONTRIBUTIONS

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