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SECRETARY OF STATE
Dianna J. Duran
Report of Expenditures and Contributions
Political Committee
FORM A Political Committee's Name Date Submitted:
Oct, 2010
RGA New Mexico 2010 PAC 10/28/2010 11:19:21 AM Date Due: 10/28/2010 5:00:00 PM
1. FILING DEADLINES (Check the box that indicates the report being filled)
4/12/2010 Before 5PM 5/10/2010 Before 5PM 5/27/2010 Before 5PM 7/1/2010 Before 5PM 9/13/2010 Before 5PM 10/12/2010 Before 5PM X 10/28/2010 Before 5PM 12/2/2010 Before 5PM
Washington, DC 20006
Fax #
(202) 662-4162
Name of President/Chairperson, if any, or Contact Person Phone # Fax #
4.
Mailing Address City, State, Zip Code Fax #
Phone #
5. Adams, Michael
Mailing Address
(202) 662-4162
City, State, Zip Code Fax #
Washington, DC 20006
Name & Street Address of Financial Institution Where bank account is mantained (Bank Account Located in New Mexico)
Grants State Bank. 824 W. Santa Fe , Grants , NM 87020 6. a. FINANCIAL SUMMARY OPENING BALANCE for reporting period
("0" If first report, or CLOSING BALANCE FROM LAST REPORT)
$10,229.02
b. c. d. e. f. g. 7.
Total Monetary Contribution this Reporting Period (Form B1 + Form B3) Total Expenditures this Reporting Period (Form C + Form C1) Closing Balance this Reporting Period (6a + 6b - 6c) Total Loans To the Committee this Reporting Period (Forma A1) Total unpaid Campaign Debt (Form A1) Total In-Kind Contributions this Reporting Period (Form B 2) Special Event Work sheet Attached Yes X No
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State of New Mexico Ethics Administration Political Committee's Name Date Submitted:
Campaign Reporting Act Report of Expenditures and Contributions RGA New Mexico 2010 PAC 10/28/2010 11:19:21 AM Date Due: 10/28/2010 5:00:00 PM
Oct, 2010
1. TOTAL DEBT CARRIED FORWARD 2. TOTAL LOAN CONTRIBUTIONS 3. TOTAL DEBT PAID 4. TOTAL LOANS FORGIVEN 5. TOTAL UNPAID DEBT
CERTIFICATION OF REPORT
I here by swear or affirm,under penalty of purjury, that all the information on this form and any attachments is true correct and complete to the best of my knowledge; and I further swear or affirm that if this is a final report the political committee named herein has been dissolved or no longer exists and that the committee bank account has been closed.
Attested this
day of
(Signature of Treasurer)
(SEAL)
(Printed Name)
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Oct, 2010
DATE
OCCUPATION (of any contributor who makes a contribution of $250 or more in an election) NA
AMOUNT
10/21/2010 Republican Governors Association - 1747 Pennsylvania Ave, NW Suite 250, Washington DC 20006 10/14/2010 Republican Governors Association - 1747 Pennsylvania Ave, NW Suite 250, Washington DC 20006 10/5/2010 Republican Governors Association - 1747 Pennsylvania Ave, NW Suite 250, Washington DC 20006
$15,000.00
NA
$160,000.00
NA
$50,000.00
TOTAL
$225,000.00
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Oct, 2010
DATE
OCCUPATION (of any contributor who makes a contribution of $250 or more in an election) NA
VALUE
10/18/2010 Republican Governors Association - 1747 Pennsylvania Ave, NW Suite 250, Washington DC 20006
$23,724.36
TOTAL
$23,724.36
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Oct, 2010
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Oct, 2010
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Oct, 2010
FORM C EXPENDITURES
Political Committee's Name Date Submitted: RGA New Mexico 2010 PAC 10/28/2010 11:19:21 AM Date Due: 10/28/2010 5:00:00 PM
DATE
PURPOSE
PRC Exp
AMOUNT
10/21/2010 Republican Party of New Mexico - 5150A San Fransisco Street, NE, Albuquerque NM 87109 10/14/2010 Republican Party of New Mexico - 5150A San Fransisco Street, NE, Albuquerque NM 87109
contribution contribution
10/7/2010 Susana Martinez for Governor - PO Box 14025, Las contribution Cruces NM 88013
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Oct, 2010
NAME of CREDITOR
Page 8 of 9
Oct, 2010
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