51 Beryl Amedee

CANDIDATE’S REPORT
(to be filed by a candidate or his principal campaign committee)
1.Qualifying Name and Address of Candidate 2. Office Sought (Include title of office as OFFICE USE ONLY
well
BERYL ADAMS AMEDEE Report Number: 78528
State Rep
P.O. Box 1140
Gray Date Filed: 9/12/2019
Gray, LA 70359
51
Report Includes Schedules:
Schedule A-1
Schedule E-1
3. Date of Primary 10/12/2019
This report covers from 1/1/2019 through 9/2/2019
4. Type of Report:
180th day prior to primary 40th day after general
90th day prior to primary Annual (future election)

X
30th day prior to primary Supplemental (past election)
10th day prior to primary
10th day prior to general Amendment to prior report
5. FINAL REPORT if:
Withdrawn Filed after the election AND all loans and debts paid
Unopposed
6. Name and Address of Financial Institution 7. Full Name and Address of Treasurer
(You are required by law to use one or more
banks, savings and loan associations, or money
market mutual fund as the depository of all
SYNERGY BANK
P.O.Box 2166
Houma, LA 70361
9. Name of Person Preparing Report BERYL AMEDEE

Daytime Telephone --
10. WE HEREBY CERTIFY that the information contained in this report and the attached 8. FOR PRINCIPAL CAMPAIGN COMMITTEES ONLY
schedules is true and correct to the best of our knowledge, information and belief, and that no a. Name and address of principal campaign committee,
expenditures have been made nor contributions received that have not been reported herein, committee’s chairperson, and subsidiary committees, if
and that no information required to be reported by the Louisiana Campaign Finance Disclosure any (use additional sheets if necessary).
This 12th day of September , 2019 .
Beryl Adams Amedee 985.226.7085

Signature of Candidate/Chairperson Daytime Telephone
(To be signed by Chairperson only if report by
principal campaign committee)
Signature of Treasurer Daytime Telephone

Form 102, Rev. 1/98, Page Rev. 3/00
Report Number: 78528 Page 1 of 21 BERYL ADAMS AMEDEE

SUMMARY PAGE
RECEIPTS This Period
1. Contributions (Schedule A-1) $ 41,155.00
2. In-kind Contributions (Schedule A-2) $ 0.00
3. Campaign paraphernalia sales of $25 or less $ 0.00
4. TOTAL CONTRIBUTIONS (Lines 1 + 2 +3) $ 41,155.00
5. Other Receipts (Schedule A-3) $ 0.00
6. Loans Received (Schedule B) $ 0.00
7. Loan Repayments Received (Schedule D) $ 0.00
8. TOTAL RECEIPTS (Lines 4 + 5 + 6 + 7) $ 41,155.00
DISBURSEMENTS This Period
9. Expenditures (Schedule E-1) $ 8,092.62
10. Other Disbursements (Schedule E-2) $ 0.00
11. Loan Repayments Made (Schedule B) $ 0.00
12. Funds Loaned (Schedule D) $ 0.00
13. TOTAL DISBURSEMENTS (Lines 9 + 10 + 11 + 12) $ 8,092.62
FINANCIAL SUMMARY Amount
14. Funds on hand at beginning of reporting period $ 19,552.58

(Must equal funds on hand at close from last report or -0- if first report for this election)
15. Plus total receipts this period $ 41,155.00

(Line 8 above)
16. Less total disbursements this period $ 8,092.62

(Line 13 above)
17. Less in-kind contributions $ 0.00

(Line 2 above)
18. Funds on hand at close of reporting period $ 52,614.96


SUMMARY PAGE (continued)
INVESTMENTS Amount
19. Of funds on hand at beginning of reporting period (Line 14, above), amount held in
$ 0.00
investments (i.e., savings accounts, CD’s, money market funds, etc.)
20. Of funds on hand at close of reporting period (Line 18, above), amount held in
$ 0.00
investments
FINANCIAL SUMMARY Amount
21. Candidate’s personal funds

(Use of personal funds as either a contribution or loan to the campaign should be
$ 0.00
reported on Schedules A-1 or B.)
22. Contributions received from political committees

$ 16,100.00
(From Schedules A-1 and A-2)
23. All proceeds from the sale of tickets to fundraising events

(Receipts from the sale of tickets are contributions and must also be reported on
$ 0.00
Schedule A-1.)
24. Proceeds from the sale of campaign paraphernalia

(Receipts from the sale of campaign paraphernalia are contributions and must also
$ 0.00
be reported on Schedule A-1 or Line 3, above.)
25. Expenditures from petty cash fund

$ 0.00
(Must also be reported on Schedule E-1.)
SPECIAL TRANSACTIONS - total for the election This Election
26. Total amount of contributions received from political committees for both the primary
$ 29,650.00
and general elections combined since the first report filed for this election.
NOTICE
The personal use of campaign funds is prohibited.* The use of campaign funds must be related to a
political campaign or the holding of a public office or party position . However, campaign funds may be used to
reimburse a candidate for expenses related to his campaign or office , to pay taxes on the interest earned on
campaign funds or to replace articles lost, stolen, or damaged in connection with a campaign.
Excess campaign funds may be returned to contributors on a pro rata basis, given as a charitable
contribution as provided in 26 USC 170(c), given to a charitable organization as defined in 26 USC 501(c)(3),
expended in support of or opposition to a proposition, political party, or candidacy of any person, or
maintained in a segregated fund for use in future political campaigns or activity related to preparing for future
candidacy to elective office.
*The prohibition on the personal use of campaign funds does not apply to campaign funds received prior to July 15,
Form 102, Rev. Rev. 3/98, Page Rev. 3/00

SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions)
The following information must be provided for all contributors to your campaign during this reporting period, except for in-kind
contributions. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1,
check if the contributor is a political committee or a party committee. Any personal funds a candidate contributes to his
campaign must be reported on this schedule. Personal funds a candidate loans to his campaign should be reported on
Schedule B. For anonymous contributions, see SCHEDULE F. Totals and subtotals are optional. Completion of totals and
subtotals may assist in calculating totals that must be reported on the Summary Page.
1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Election
a. Date(s) b. Amount(s)
LA ORTHOPAEDIC PAC 01/30/2019 $250.00 $500.00

P. O. Box 80053
Baton Rouge, LA 70898
POLITICAL COMMITTEE? X PARTY COMMITTEE?
ADAMS & REESE PAC 04/01/2019 $250.00 $750.00

450 Laurel St. Suite 1900
B A ADAMS 07/24/2019 $1,000.00 $2,000.00

P.O.Box 2447
Morgan City, LA 70381
POLITICAL COMMITTEE? PARTY COMMITTEE?
ALFORD & ACCOCIATES INSURANCE SERVICES 04/05/2019 $1,000.00 $1,000.00

LLC
1217 Museum Dr.
Houma, LA 70360
ASSOCIATED BRANCH PILOTS 08/27/2019 $2,500.00 $2,500.00

3813 N. Causeway Blvd. #100
Metairie, LA 70002
AT&T LOUISIANA PAC 04/01/2019 $250.00 $250.00

301 Main St. Ste 1018
4. SUBTOTAL (this page) $5,250.00 N/A
5. TOTAL (complete only on last page of this schedule) N/A
6. CONTRIBUTIONS FROM POLITICAL COMMITTEES:
SUBTOTAL (this page) $750.00 TOTAL (complete only on last page of this schedule)

ATMOS ENERGY CORP 04/01/2019 $250.00 $500.00

PO Box 650205
Dallas, TX 75265
RON BARTELS 07/29/2019 $250.00 $250.00

108 Isle of Cuba Rd.
Schriever, LA 70395
BELTON CONSULTING LLC 04/01/2019 $250.00 $500.00

10601 Hillbrook Ave.
RICHARD BOURGEOIS 08/10/2019 $200.00 $200.00

311 Lancaster Dr.
Houma, LA 70360
BP NORTH AMERICA EMPLOYEE PAC 07/24/2019 $350.00 $1,350.00

501 Westlake Park Blvd.
Houston, TX 77079
CENTENE MANAGEMENT CO. LLC 04/01/2019 $250.00 $250.00

One Penn's Way
New Castle, DE 19720

CENTURYTEL 02/23/2019 $350.00 $350.00

P.O. Box 4065
Monroe, LA 71211
CHEVRON 03/12/2019 $700.00 $2,500.00

PO Box 6042
San Ramon, CA 94583
COASTAL ENERGY SERVICES & SUPPLY INC. 08/19/2019 $2,500.00 $2,500.00

P.O. Box 3616
COX COMMUNICATIONS INC. 04/01/2019 $250.00 $250.00

7401 Florida Blvd.
CRPPA LOCAL PAC 02/11/2019 $500.00 $1,500.00

8712 Hwy 23
Belle Chasse, LA 70037
DENTAL ACCESS & PREVENTION PAC 04/01/2019 $500.00 $1,500.00

7833 Office Park Blvd.
SUBTOTAL (this page) $1,000.00 TOTAL (complete only on last page of this schedule)

MARTIN DUHE 08/19/2019 $500.00 $500.00

25 Paradise Woods
New Iberia, LA 70563
FAIE DUPLANTIS 08/14/2019 $100.00 $100.00

116 Ponderosa Ln.
Gray, LA 70359
EDUCATION PAC 06/28/2019 $1,500.00 $2,500.00

P.O. Box 52034
Lafayette, LA 70505
EDUCATION PAC 02/11/2019 $1,000.00 $1,000.00

P.O. Box 52034
Lafayette, LA 70505
ENERGY TRANSFER PAC 04/01/2019 $500.00 $1,000.00

400 W. 15th St. Suite 1900
Austin, TX 78701
ENPAC LOUISIANA 04/01/2019 $250.00 $1,250.00

446 North Boulevard

CAROL FRIEDLAND 08/27/2019 $100.00 $100.00

10635 N. Stanwick Pl.
CLAYTON P GAUTREAUX 08/27/2019 $300.00 $300.00

330 N. Holly Rd.
Labadieville, LA 70372
HAYNIE & ASSOCIATES 04/01/2019 $250.00 $639.90

1465 Ted Dunham
HORSEMANS ALLIANCE 04/05/2019 $500.00 $750.00

1535 Gentilly Blvd.
New Orleans, LA 70119
IIABL-PAC 08/28/2019 $1,000.00 $1,000.00

18153 E. Petroleum Dr.
INDEPENDENT RX 04/01/2019 $250.00 $750.00

543 Spanish Town Rd

ISC CONSTRUCTORS, LLC. 07/23/2019 $2,500.00 $2,500.00

P.O. Box 77858
F. RANDAL JOHNSON 04/01/2019 $250.00 $250.00

927 Cyril Ave.
JONES WALKER LLP 04/01/2019 $250.00 $750.00

8555 United Plaza Blvd.
KID'S DENTAL ZONE ALEXANDRIA, LLC 04/01/2019 $500.00 $500.00

616B MacArthur Drive
Alexandria, LA 71303
KOCH INDUSTRIES, INC. 02/11/2019 $500.00 $1,000.00

4111 East 37th St. North
Wichita, KS 67220
LA BANKERS ASSOCIATION STATE PAC 04/01/2019 $500.00 $1,000.00

5555 Bankers Ave.

LA REPUBLICAN LEGISLATIVE DELEGATION 08/14/2019 $2,500.00 $2,500.00

P.O. Box 44422
POLITICAL COMMITTEE? PARTY COMMITTEE? X
LA RESTAURANT ASSOCIATION HOSPITALITY PAC 04/01/2019 $500.00 $500.00

2700 N. Arnoult Rd.
Metairie, LA 70002
LABI WEST PAC 06/28/2019 $250.00 $250.00

P.O.Box 14091
LABI WEST PAC 08/27/2019 $4,750.00 $5,000.00

P.O.Box 14091
LADA PAC 04/01/2019 $250.00 $500.00

7426 Picardy Ave.
LOGPAC 04/01/2019 $250.00 $500.00

PO Box 4069

LOUISIANA CPA PAC 04/01/2019 $250.00 $500.00

2400 Veterans Memorial Blvd. Suite 500
Kenner, LA 70062
LOUISIANA REALTORS PAC 04/01/2019 $1,000.00 $1,000.00

821 Main St.
MAJOR INVESTMENTS LLC 08/19/2019 $2,500.00 $2,500.00

P.O. Box 3616
MARATHON PETROLEUM 06/28/2019 $1,000.00 $1,000.00

539 S. Main St.
Findlay, OH 45840
MC-PAC 04/01/2019 $500.00 $500.00

730 North Blvd.
NAHEEM NASSAR, JR. 07/23/2019 $50.00 $50.00

P.O. Box 17
Convent, LA 70723

NFIB PAC 08/28/2019 $250.00 $250.00

1201 F Street NW Ste 200
Washington, DC 20004
JAMILAH OLIVIER 06/28/2019 $2,500.00 $2,500.00

340 Rue Colette
Thibodaux, LA 70301
OXYCHEM 03/22/2019 $250.00 $250.00

P.O. Box 2647
Houston, TX 77252
HARVEY PELTIER 02/23/2019 $250.00 $250.00

P.O. Box 1097
Thibodaux, LA 70302
PHRMA 06/28/2019 $500.00 $1,000.00

950 F Street NW Suite 300
Washington, DC 20004
REGINA SMITH 08/27/2019 $5.00 $5.00

3641 Noble St.
Zachary, LA 70791

TBI PAC 04/01/2019 $500.00 $500.00

P.O. Box 416
Mansura, LA 71350
THE GEO GROUP INC. 02/23/2019 $250.00 $250.00

621 MW 53rd St. Ste. 700, Office 7109
Boca Raton, FL 33487
TRANSPAC 06/28/2019 $250.00 $250.00

P.O. Box 80278
MICHAEL VINCENT 07/02/2019 $250.00 $250.00

8950 Simon Lebleu Rd.
Lake Charles, LA 70607
5. TOTAL (complete only on last page of this schedule) $ 41,155.00 N/A
SUBTOTAL (this page) $750.00 TOTAL (complete only on last page of this schedule) $ 16,100.00

SCHEDULE E-1: EXPENDITURES
Use this schedule to report information on all campaign expenditures for this reporting period. An “expenditure” is any
payment made for the purpose of supporting your election to public office and includes monies spent for the campaign’s
general operating expenses. Any payments made that are not “expenditures” should be reported on SCHEDULE E-2:
OTHER DISBURSEMENTS. Totals and subtotals at bottom of page are optional. Completion of totals and subtotals may
assist in calculating totals that must be reported on the Summary Page.
1. Name and Address of Recipient 2. Expenditures this Reporting Period
a. Date(s) b. Purpose(s) c. Amount(s)
PARKING PANDA 03/16/2019 Parking fee $ 32.00

1121 Marshall St
Baltimore, MD 21230
ACADIANA LEGISLATIVE DELEGATION 05/09/2019 Annual dues $ 75.00

P O Box 44500
ALL SOUTH SUPPLY 08/22/2019 Campaign sign materials $ 87.41

310 Venture Blvd
Houma, LA 70360
ALTERHOSTING 01/07/2019 Website hosting $ 74.87

341 Raven Circle
Wyoming, DE 19934
ANEDOT 06/14/2019 User fee $ 90.80

5555 Hilton Ave
Suite 106
ANEDOT 07/05/2019 User fee $ 10.05

5555 Hilton Ave
Suite 106
ANEDOT 08/14/2019 User fee $ 8.10

5555 Hilton Ave
Suite 106
ANEDOT 08/27/2019 User fee $ 4.70

5555 Hilton Ave
Suite 106
3. SUBTOTAL (optional) $382.93
4. TOTAL (optional - complete only on last page of this schedule)


ASSUMPTION COUNCIL ON AGING 01/02/2019 Senior citizen Christmas event $ 100.00

166 LA-1008
Napoleonville, LA 70390
BATON ROUGE AREA FOUNDATION 06/12/2019 Contribution $ 50.00

100 North St., Ste. 900
CENTRAL CATHOLIC HIGH SCHOOL ALUMNI 05/13/2019 Annual fundraiser $ 200.00

2100 Cedar St. #1
H.L. BOURGEOIS HIGH SCHOOL 05/14/2019 Senior ACT breakfast $ 200.00

1 Reservation Ct.
Gray, LA 70359
HOUMA TERREBONNE CHAMBER OF COMMERCE 06/26/2019 Luncheon $ 30.00

6133 LA-311
Houma, LA 70360
HOUMA TERREBONNE CHAMBER OF COMMERCE 02/27/2019 Luncheon $ 30.00

6133 LA-311
Houma, LA 70360
INSTITUTE FOR INDIAN DEVELOPMENT 03/27/2019 Contribution $ 100.00

8281 Goodwood Blvd
JOHN AMEDEE CAMPAIGN FUND 08/28/2019 Contribution $ 1,000.00

200 Rhett Place
Gray, LA 70359
3. SUBTOTAL (optional) $1,710.00


JOHN MERRIT PHOTOGRAPHY 08/28/2019 Campaign Photo Shoot $ 400.00

1304 Julia St.
Thibodaux, LA 70301
KENNER HILTON 01/22/2019 Parking fee $ 2.00

901 Airline Drive
Kenner, LA 70062
KQKI RADIO 08/20/2019 Radio advertising $ 520.00

Teche Broadcasting Corp
128 Pluto St
L & N FOOD STORE 03/24/2019 groceries for Labadieville $ 45.93

622 Lafourche Dr Spring Fest
Thibodaux, LA 70301
L & N FOOD STORE 03/30/2019 groceries for Labadieville $ 21.12

622 Lafourche Dr Spring Fest
Thibodaux, LA 70301
LA CAPITOL FOUNDATION 01/15/2019 Visitor Gifts $ 212.00

P.O. Box 94062
LA LA'S FOOD STORE 03/04/2019 groceries for Labadieville $ 67.17

2719 LA-1 Spring Fest
LA LEGISLATIVE WOMEN'S CAUCUS 04/29/2019 Annual dues $ 50.00

P O Box 44188


LA LEGISLATIVE WOMEN'S CAUCUS 04/29/2019 Woman of Excellence Event $ 150.00

P O Box 44188
LA REPUBLICAN LEGISLATIVE DELEGATION 04/18/2019 Annual Dues $ 300.00

P.O. Box 44422
LA RIGHT TO LIFE FEDERATION 05/06/2019 Donation $ 75.00

P O Box 24106
LABADIEVILLE SPRING FESTIVAL, INC 04/02/2019 Aution item $ 90.00

109 Teal St
LABI SERVICE CORPORATION 01/16/2019 Annual Meeting $ 165.00

451 Florida St.
LEADERSHIP INSTITUTE 02/04/2019 event ticket $ 25.00

1101 N. Highland St.
Arlington, VA 22201
LEGISLATOR'S CHARITY FUND 06/10/2019 Donation, HOOPLA Fundraiser $ 100.00

131 Airline Dr
Metairie, LA 70001
LEONARD J CHABERT MEDICAL CENTER 03/21/2019 Auction items $ 100.00

FOUNDATION
1978 Industrial Blvd
Houma, LA 70363


LEONARD J CHABERT MEDICAL CENTER 03/18/2019 Fundraiser $ 110.00

FOUNDATION
1978 Industrial Blvd
Houma, LA 70363
LOUISIANA FEDERATION OF REPUBLICAN WOMEN 02/26/2019 Annual meeting $ 104.00

P.O. Box 12728
New Iberia, LA 70562
LOUISIANA HOUSE OF REPRESENTATIVES 02/21/2019 meal with constituent $ 25.92

900 North 3rd Street
LOWE'S 08/12/2019 Campaign sign supplies $ 20.32

1592 Martin Luther King Blvd
Houma, LA 70360
LOWE'S 07/22/2019 Campaign sign supplies $ 35.69

1592 Martin Luther King Blvd
Houma, LA 70360
PETERSEN'S STUDIOS 08/16/2019 Campaign photo shoot $ 35.00

301 Bayou Gardens Blvd
Houma, LA 70364
POLITICEAUX CONSULTING 08/21/2019 Design and print push cards $ 1,500.00

P.O. Box 1028
POSTMASTER 05/14/2019 Post Office Box fee $ 56.00

4442 W Main St
Gray, LA 70359


PREMIUM PARKING 03/15/2019 Parking fee $ 20.25

1010 Common St., Ste. 2950
REPUBLICAN PARTY OF LOUISIANA 08/08/2019 Dues $ 250.00

530 Lakeland Dr
Ste 215
RURAL CAUCUS 06/04/2019 Annual dues $ 50.00

P O Box 44420
ST. MARY CHAMBER OF COMMERCE 07/08/2019 Fundraiser auction items $ 360.00

727 Myrtle St.
ST. MARY CHAMBER OF COMMERCE 08/21/2019 Luncheon $ 50.00

727 Myrtle St.
ST. MARY CHAMBER OF COMMERCE 01/04/2019 Invoices 20010/20267 $ 60.00

727 Myrtle St.
ST. MARY CHAMBER OF COMMERCE 01/04/2019 Annual Dues $ 100.00

727 Myrtle St.
ST. MARY CHAMBER OF COMMERCE 01/04/2019 Banquet $ 120.00

727 Myrtle St.


SYNERGY BANK 01/01/2019 Bank service charge $ 3.00

P.O.Box 2166
Houma, LA 70361

P.O.Box 2166
Houma, LA 70361

P.O.Box 2166
Houma, LA 70361

P.O.Box 2166
Houma, LA 70361

P.O.Box 2166
Houma, LA 70361

P.O.Box 2166
Houma, LA 70361

P.O.Box 2166
Houma, LA 70361

P.O.Box 2166
Houma, LA 70361


TERREBONNE PARISH CLERK OF COURT 08/06/2019 Election qualifying $ 450.00

7856 Main St
# 100
Houma, LA 70360
THE HOME DEPOT 07/30/2019 Campaign sign nails $ 17.55

1717 Martin L King Blvd
Houma, LA 70360
UNITED HOUMA NATION 01/03/2019 Christmas celebration $ 150.00

991 Grand Calliou Rd.
Houma, LA 70363
VISTAPRINT 06/03/2019 Ink stamp "for deposit only" $ 17.74

8877 Inkster Road
Taylor, MI 48180
DESTRY WEBER 07/29/2019 Campaign sign labor $ 120.00

407 Marietta Dr.
Gray, LA 70359
4. TOTAL (optional - complete only on last page of this schedule) $ 8,092.62


51 Beryl Amedee

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51 Beryl Amedee

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CANDIDATE’S REPORT

(to be filed by a candidate or his principal campaign committee)

3. Date of Primary 10/12/2019

This report covers from 1/1/2019 through 9/2/2019

180th day prior to primary 40th day after general

90th day prior to primary Annual (future election)

10th day prior to primary

10th day prior to general Amendment to prior report

5. FINAL REPORT if:

9. Name of Person Preparing Report BERYL AMEDEE

This 12th day of September , 2019 .

Beryl Adams Amedee 985.226.7085

Signature of Treasurer Daytime Telephone

Report Number: 78528 Page 1 of 21 BERYL ADAMS AMEDEE

RECEIPTS This Period

1. Contributions (Schedule A-1) $ 41,155.00

2. In-kind Contributions (Schedule A-2) $ 0.00

3. Campaign paraphernalia sales of $25 or less $ 0.00

4. TOTAL CONTRIBUTIONS (Lines 1 + 2 +3) $ 41,155.00

5. Other Receipts (Schedule A-3) $ 0.00

6. Loans Received (Schedule B) $ 0.00

7. Loan Repayments Received (Schedule D) $ 0.00

8. TOTAL RECEIPTS (Lines 4 + 5 + 6 + 7) $ 41,155.00

DISBURSEMENTS This Period

9. Expenditures (Schedule E-1) $ 8,092.62

10. Other Disbursements (Schedule E-2) $ 0.00

11. Loan Repayments Made (Schedule B) $ 0.00

12. Funds Loaned (Schedule D) $ 0.00

13. TOTAL DISBURSEMENTS (Lines 9 + 10 + 11 + 12) $ 8,092.62

FINANCIAL SUMMARY Amount

14. Funds on hand at beginning of reporting period $ 19,552.58

15. Plus total receipts this period $ 41,155.00

16. Less total disbursements this period $ 8,092.62

17. Less in-kind contributions $ 0.00

18. Funds on hand at close of reporting period $ 52,614.96

Report Number: 78528 Page 2 of 21 BERYL ADAMS AMEDEE

FINANCIAL SUMMARY Amount

21. Candidate’s personal funds

22. Contributions received from political committees

23. All proceeds from the sale of tickets to fundraising events

24. Proceeds from the sale of campaign paraphernalia

25. Expenditures from petty cash fund

SPECIAL TRANSACTIONS - total for the election This Election

Form 102, Rev. Rev. 3/98, Page Rev. 3/00

Report Number: 78528 Page 3 of 21 BERYL ADAMS AMEDEE

LA ORTHOPAEDIC PAC 01/30/2019 $250.00 $500.00

POLITICAL COMMITTEE? X PARTY COMMITTEE?

ADAMS & REESE PAC 04/01/2019 $250.00 $750.00

POLITICAL COMMITTEE? X PARTY COMMITTEE?

B A ADAMS 07/24/2019 $1,000.00 $2,000.00

POLITICAL COMMITTEE? PARTY COMMITTEE?

ALFORD & ACCOCIATES INSURANCE SERVICES 04/05/2019 $1,000.00 $1,000.00

ASSOCIATED BRANCH PILOTS 08/27/2019 $2,500.00 $2,500.00

POLITICAL COMMITTEE? PARTY COMMITTEE?

AT&T LOUISIANA PAC 04/01/2019 $250.00 $250.00

POLITICAL COMMITTEE? X PARTY COMMITTEE?

4. SUBTOTAL (this page) $5,250.00 N/A

5. TOTAL (complete only on last page of this schedule) N/A

6. CONTRIBUTIONS FROM POLITICAL COMMITTEES:

Report Number: 78528 Page 4 of 21 BERYL ADAMS AMEDEE

ATMOS ENERGY CORP 04/01/2019 $250.00 $500.00

POLITICAL COMMITTEE? PARTY COMMITTEE?

RON BARTELS 07/29/2019 $250.00 $250.00