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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
so-1 Statement of Organization

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
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 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:
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:  [  ] Treasurer  [  ] Deputy Treasurer  [  ] Chair  [ X ] Candidate  
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
 
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

Kalyn Cherie Free

11/12/2009
EC FORM SO-1