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State of Oklahoma

CAMPAIGN CONTRIBUTIONS AND
EXPENDITURES REPORT

[74 Oklahoma Statutes, Ch 62 App., § 257:10-1-13 and 10-1-14] FAX (405) 521-4905
FORM
C1-R
Rev. 4/12
EC OFFICE USE ONLY
1. COMMITTEE NAME
Kalyn Free Exploratory Committee 2010
2. COMMITTEE ADDRESS (number and street)
2248 E 48th St
  CITY, STATE, and ZIP CODE
Tulsa, OK 74105
EC#
  110144
FEC#
  
3a. CANDIDATE COMMITTEES ONLY: Candidate's Name
Kalyn Cherie Free
Office Sought
Undecided
Year of General or Special General Election
2010
3b. BALLOT MEASURE COMMITTEES ONLY: Title or number of ballot measure supported or opposed
Year when ballot measure is on the ballot
4. TYPE(S) OF REPORT [   ] Pre-election [   ] Monthly [ ✓ ] Quarterly [   ] Annual [   ] Amended [ ✓ ] FINAL
    Period Covered by Report.  Beginning   Oct 01, 2009 Ending  Dec 31, 2009
5. CARRY FORWARD amount from line 25 of previous report or transferred from previous campaign.
If no previous report or transfer from a previous campaign, leave blank.
$.00  
     a. Total for this reporting period  b. Total campaign-to-date [candidate committees] or year-to-date [others]
6. CONTRIBUTIONS ACCEPTED FROM PERSONS OTHER THAN COMMITTEES [see attached schedule A] $5,000.00 $5,000.00
7. CONTRIBUTIONS ACCEPTED FROM COMMITTEES [see attached schedule A1] $.00 $.00
8. LOANS, promissory notes or security agreements received [see attached schedule B] $5,000.00 $5,000.00
9. OTHER RECEIPTS—refunds, rebates, interest, sale of assets, etc. [see attached schedule C] $.00 $.00
10. TOTAL MONETARY RECEIPTS [total line 6, 7, 8, and 9] $10,000.00 $10,000.00
11. IN-KIND CONTRIBUTIONS [see attached schedule D] $.00 $.00
12. FUNDS received from a corporation, labor organization or other person by its political action committee for establishment and solicitation costs [only applicable to non-candidate committees] $.00 $.00
12a. WRITTEN agreements, promises, or pledges to make contributions [see attached schedule D1] $.00 $.00
13. AGGREGATE TOTAL RECEIPTS [total lines 10, 11, 12 and 12a] $10,000.00 $10,000.00
     a. Total for this reporting period  b. Total campaign-to-date [candidate committees] or year-to-date [others]
14. EXPENDITURES MADE [see attached schedule E] $10,000.00 $10,000.00
15. INDEPENDENT EXPENDITURES AND ELECTIONEERING COMMUNICATIONS [see attached schedule F] $.00 $.00
16. MONETARY TRANSFERS (contributions) to other committees [see attached schedule G] $.00 $.00
17. AGGREGATE TOTAL MONETARY EXPENDITURES [add lines 14, 15, and 16] $10,000.00 $10,000.00
18. IN-KIND TRANSFERS [see attached schedule H] $.00 $.00
19. EXPENDITURES INCURRED owed but not yet paid [see attached schedule I] $.00  
20. BALANCE ON LOANS OWED BY committee [see attached schedule J] $5,000.00
CASH SUMMARY: $.00
21. FUNDS AVAILABLE [repeat amount from line 5]
22. MONETARY RECEIPTS [repeat line 10, column (a)] $10,000.00
23. TOTAL MONETARY RECEIPTS [add line 21 and line 22] $10,000.00
24. DISBURSEMENTS [repeat amount on line 17 column (a)] $10,000.00
25. FUNDS REMAINING [subtract line 24 form line 23] $.00
26. Certification: I hereby certify that, during this campaign-to-date for candidate committees or calendar year-to-date for other committees, the treasurer or deputy treasurer received contributor statements or is making good-faith requests to obtain contributor statements, as required by the Ethics Commission Rules. I further certify that this report is a true and correct record of this committee's contribution and expenditure transactions and that I have been appointed to file reports on behalf of this committee.
Treasurer's or Deputy Treasurer's Signature Date
X  Bim Stephen Bruner X  Jan 27, 2010
EC FORM C-1R [REV. 4/12]