State of Oklahoma
STATEMENT OF ORGANIZATION
For Candidate Committees
74 O.S.Supp.2009, Ch.62, App., § 257:10-1-8 and 10-1-12(a) |
FORM
|
EC OFFICE USE ONLY |
1. NAME OF CANDIDATE (last, first, middle):
Clinkenbeard, Bradford Neal |
AMENDED
[ ] Yes [ X ] No |
2. NAME OF CANDIDATE'S COMMITTEE (Include year of general or special general election):
Friends Of Brad Clinkenbeard 2010 |
3. PARTY AFFILIATION, IF ANY, OF CANDIDATE:
Democrat |
Number Assigned by Ethics Commission
110127 |
| 4. CANDIDATE COMMITTEE AND CANDIDATE MAILING ADDRESS, ELECTRONIC MAILING ADDRESS, AND DAYTIME TELEPHONE NUMBER: |
Committee Mailing Address
Po Box 821 |
Daytime Telephone Number
(918) 781-9424 |
Candidate Residence Address
110 Pecan Ridge Cir |
Daytime Telephone Number
(918) 781-9424 |
City
Ft Gibson |
State
OK |
Zip
74434 |
|
City
Ft Gibson |
State
OK |
Zip
74434 |
|
Electronic Mailing Address
brad.clinkenbeard@yahoo.com |
Electronic Mailing Address
brad.clinkenbeard@yahoo.com |
5. DATE COMMITTEE WAS ORGANIZED:
09/17/2009 |
6. OFFICE BEING SOUGHT:
House of Representatives |
DISTRICT:
District 14 |
7. IS THIS A SPECIAL ELECTION [ ] Yes [ X ] No
|
8. YEAR OF THE GENERAL ELECTION OR SPECIAL GENERAL ELECTION TO FILL OFFICE: 2010 |
|
| 9. OFFICERS: Give the full name, mailing address, electronic mailing address, daytime telephone number and principal place of business of officers. |
| Office |
Name [Last, First, Middle Initial] |
Mailing Address [Street Address, City, State, Zip Code] and Electronic Mailing Address |
Daytime Telephone Number |
Principal Place of Business |
| Chair |
Clinkenbeard, Brad N |
Street:
110 Pcean Ridge Cir |
(918) 781-9424 |
Muskogee Co RWD, Ft Gibson, OK 74434, 101 N Leo Lane |
City, St., Zip:
Ft Gibson, OK 74434 |
E-mail:
brad.clinkenbeard@yahoo.com |
| Treasurer |
Everett, Amy D |
Street:
2348 S Columbia Pl |
(918) 991-8264 |
Volunteer, 2348 S Columbia Pl, Tulsa, OK 74114 |
City, St., Zip:
Tulsa, OK 74114 |
E-mail:
amydeverett@yahoo.com |
Deputy
Treasurer
(if appointed) |
|
Street:
|
|
|
City, St., Zip:
|
E-mail:
|
10. NOTICE OF REPORTS AND LATE FILINGS: Check title of person who is to receive notices of required filings and late filing violations:
| Check only one: |
[ X ] Treasurer |
[ ] Deputy Treasurer |
[ ] Chair |
[ ] Candidate |
|
| 11. DEPOSITORIES: Please List the full name and address of each depository in which the committee will maintain a campaign account: |
| Ft Gibson State Bank PO Box 130 -- 200 S Lee St, Ft Gibson, OK 74434 |
| |
|
12. USE OF SURPLUS FUNDS: We hereby declare the committee's intent to use surplus funds from this campaign as follows. No surplus funds collected by this committee will be used for any purpose other than those specified in this item prior to amending this statement.
NOTE: Check one or any combination of the applicable boxes. |
|
[ X ] Contribute to charitable organization |
[ X ] Retain for candidate's future election campaign |
|
| |
[ X ] Use for legal defense |
[ X ] Use for community activities |
| |
[ X ] Transfer to a political party |
[ X ] Use for political activity |
| |
[ X ] Return to contributors |
[ X ] Deposit to a state general fund |
| 13. CERTIFICATION: I certify that the above named officers have accepted their appointments and that the information reported on this form is true, complete, and correct. |
| CANDIDATE'S Signature [or electronic signature in lieu thereof] |
Date |
x Bradford Neal Clinkenbeard |
x 09/24/2009 |
|
| EC FORM SO-1 |