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):
Free, Kalyn Cherie |
AMENDED
[ X ] Yes [ ] No |
2. NAME OF CANDIDATE'S COMMITTEE (Include year of general or special general election):
Kalyn Free Exploratory Committee 2010 |
3. PARTY AFFILIATION, IF ANY, OF CANDIDATE:
Democrat |
Number Assigned by Ethics Commission
110144 |
4. CANDIDATE COMMITTEE AND CANDIDATE MAILING ADDRESS, ELECTRONIC MAILING ADDRESS, AND DAYTIME TELEPHONE NUMBER: |
Committee Mailing Address
2248 E 48th St |
Daytime Telephone Number
(918) 916-0716 |
Candidate Residence Address
2248 E 48th St |
Daytime Telephone Number
(918) 916-0716 |
City
Tulsa |
State
OK |
Zip
74105 |
|
City
Tulsa |
State
OK |
Zip
74105 |
|
Electronic Mailing Address
kfree@cwis.net |
Electronic Mailing Address
kfree@cwis.net |
5. DATE COMMITTEE WAS ORGANIZED:
10/12/2009 |
6. OFFICE BEING SOUGHT:
Undecided |
DISTRICT:
Unknown |
7. IS THIS A SPECIAL ELECTION [ ] Yes [ X ] No
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8. YEAR OF THE GENERAL ELECTION OR SPECIAL GENERAL ELECTION TO FILL OFFICE: 2010 |
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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 |
Bruner, Bim Stephen |
Street:
2248 E 48th St |
(918) 671-1109 |
5894 S Elm Place, Broken Arrow 74011 |
City, St., Zip:
Tulsa, OK 74105 |
E-mail:
sbruner@windstream.net |
Treasurer |
Bruner, Bim Stephen |
Street:
2248 E 48th St |
(918) 671-1109 |
5894 S Elm Pl, Broken Arrow OK 74011 |
City, St., Zip:
Tulsa, OK 74105 |
E-mail:
sbruner@windstream.net |
Deputy
Treasurer
(if appointed) |
|
Street:
|
|
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City, St., Zip:
|
E-mail:
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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: |
[ ] Treasurer |
[ ] Deputy Treasurer |
[ ] Chair |
[ X ] Candidate |
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11. DEPOSITORIES: Please List the full name and address of each depository in which the committee will maintain a campaign account: |
Not Given Not Given, Not Given, OK 00000 |
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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. |
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[ X ] Contribute to charitable organization |
[ X ] Retain for candidate's future election campaign |
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[ X ] Use for legal defense |
[ X ] Use for community activities |
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[ X ] Transfer to a political party |
[ X ] Use for political activity |
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[ 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 Kalyn Cherie Free |
x 11/12/2009 |
|
EC FORM SO-1 |