POSTMARK NEBRASKA DATE ACCOUNTABILITY AND MICROFILM REPORT OF DISCLOSURE COMMISSION NUMBER th11 Floor, State Capitol POLITICAL OFFICE USE ONLY P.O. Box 95086 CONTRIBUTIONS OF A Lincoln, NE 68509 (402) 471-2522 CORPORATION, UNION OR OTHER ASSOCIATION BEFORE COMPLETING THIS
FORM READ THE NADC FORM B-7 INSTRUCTIONS ON PAGE 3
? Any corporation (including a non-profit or professional corporation), labor organization, or industry, trade, or professional
association, doing business in this state which makes a contribution or expenditure or provides personal services of more than
$250 as determined by fair market value for the purposes of influencing or attempting to influence the action of the voters for or
against the nomination or election of one or more candidates or the qualification, passage or defeat of one or more ballot
questions must file this form.
? File with the Nebraska Accountability and Disclosure Commission within 10 days after the end of the calendar month in which
any reportable contribution or expenditure is made or personal services provided.
? This report is filed on time if it is postmarked or received on or before the due date. Late filing fees are $25 per day, not to
ITEM 1 NAME, STREET ADDRESS AND NATURE OF CORPORATION, UNION OR OTHER ASSOCIATION
(Check Appropriate Box)
Corporation Labor Organization Industry or Trade Association Professional Association
Name Telephone No.
STREET ADDRESS OR RURAL ROUTECity STATE ZIP CODE
ITEM 2 DIRECT CONTRIBUTIONS TO CANDIDATES OR POLITICAL COMMITTEES (Complete for all cash
contributions and expenditures, pledges and loans of more than $250 made directly to candidates
or political committees.)
DATE AMOUNT RECIPIENT (Name of Candidate or Political Committee)
NADC Form B-7 2006
ITEM 3 INDIRECT CONTRIBUTIONS (In-Kind, Personal Services and Independent Expenditures) Complete
for all indirect contributions and expenditures except expenditures for the establishment or
administration of a separate segregated political fund which are more than $250 in value. DATE Value Nature Support Or Candidate, Ballot Question Or Political Committee
(Cost) (See Key) Oppose
Name of Payee
Description of Contribution or Expenditure
KEY: (See Definitions) A - In-Kind B - Personal Services C - Independent Expenditure ITEM 4 EXPENDITURES FOR ESTABLISHMENT OR ADMINISTRATION OF A SEPARATE SEGREGATE
POLITICAL FUND (See Definition - Separate Segregated Political Fund) A corporation, union or association may not make a contribution to its own fund except that it may make expenditures
and provide personal services for the establishment and administration of its fund.
Fund Name Acronym:
STREET ADDRESS OR RURAL ROUTE CITY STATE ZIP CODE DATE DESCRIPTION OF PERSONAL SERVICES PROVIDED OR OTHER EXPENSES
FOR ESTABLISHMENT OR ADMINISTRATION OF FUND
I, , state that I am duly authorized to file this report,
(Name of Individual Signing)
That I have used all reasonable diligence in its preparation and that to the best of my knowledge it is true and complete.
(DATE) (Signature and Title)
NADC Form B-7 2006
General Information - Filing Requirements
I. Who Should File: Any corporation (including a non-profit or professional corporation), labor organization, or industry, trade, or professional association, doing State Treasurer, Secretary of State, Attorney General, Auditor of Public business in this state which makes a contribution or expenditure or Accounts, the Public Service Commission, the Board of Regents of the provides personal services of more than $250 as determined by fair University of Nebraska, and the State Board of Education. It is the market value for the purposes of influencing or attempting to influence responsibility of the candidate to remain within the aggregate contribution limits. the action of the voters for or against the nomination or election of one However, entities required to file this form may wish to determine before making cause the candidate to exceed the applicable aggregate contribution limit. or more candidates or the qualification, passage or defeat of one or a contribution to a candidate for one of these offices if the contribution would more ballot questions must file this form. Report of Earmarked Contribution (NADC Form B-3): Any person, other than a committee, which acts as an intermediary or agent in transferring an earmarked contribution directly or indirectly from a contributor to the recipient II. When To File: candidate or political committee must report the contribution on NADC Form B-3, Report of Earmarked Contribution, within 10 days of that person's receipt of the Within 10 days after the end of the calendar month in which any earmarked contribution. The agent or intermediary shall provide a copy of the reportable contribution or expenditure is made or personal service Report of Earmarked Contribution to the recipient at the same time that the provided. Late filing fees are $25 per day, not to exceed $750. earmarked contribution is made. The earmarked contribution must be transferred to the recipient candidate or committee
within the same 10-day III. Where To File: period. thWith the Nebraska Accountability and Disclosure Commission, 11 NOTE: A corporation or business which is under contract with the Lottery Floor, State Capitol, P.O. Box 95086, Lincoln, Nebraska 68509. Division of the Nebraska Department of Revenue as a lottery contractor for a major procurement may not make a contribution to a candidate for state Aggregate Contribution Limits apply to candidates for the Legislature and elective office. may apply to candidates for the offices of Governor, Lieutenant Governor,
Ballot question means any question which is submitted or which is intended to be submitted to a popular vote at an election, including initiative, referendum, An Independent expenditure means a payment, donation, loan, pledge, or recall, judicial retention, or bond issue whether or not it qualifies for the ballot. promise of payment of money or anything of ascertainable monetary value for goods, materials, services, or facilities in assistance of, or in opposition to, the Contribution means a payment, gift, subscription, assessment, expenditure, nomination or election of a candidate, or the qualification, passage or defeat of contract, payment for services, dues, advance, forbearance, loan, donation, a ballot question, which is not made at the direction of, under the control of, or pledge, or promise of money or anything of ascertainable monetary value to a with the cooperation of another person and which is not a direct contribution to person, made for the purpose of influencing the nomination or election of a a committee or candidate. candidate, or for the qualification, passage or defeat of a ballot question. A contribution includes the purchase of tickets or payment of an attendance fee Any expenditure which is made as a result of a request or explicit suggestion for events such as dinners, luncheons, rallies, testimonials, and similar fund of the candidate, the committee treasurer, or anyone acting on behalf of either,raising events. It also includes the granting of discounts or rebates by broadcast media and newspapers not extended on an equal basis to all shall be considered an in-kind contribution and not an independent expenditure. candidates for the same office. Person means a business, individual, proprietorship, firm, partnership, limited An In-kind contribution means a contribution as defined above, other than liability company, joint venture, syndicate, business trust, labor organization, money; i.e., goods, materials, services or other things of value furnished by company, corporation, association, committee, or any other organization or your corporation, union or association to a candidate or other political group of persons acting jointly. committees. Personal Services means personnel provided to or for the benefit of a A pledge is an oral or written promise of a future payment of money or candidate or ballot question or political party committee when the person anything of ascertainable monetary value. rendering such services is paid his or her regular salary or is otherwise Earmarked means a designation, instruction, or encumbrance, including those compensated by such corporation, union or association. which are direct or indirect, express or implied, or oral or written, which results in any part of a contribution or expenditure, including any in-kind expenditure Separate Segregated Political Fund is an independent committee made in exchange for a contribution, being made to or expended on behalf of a established and administered by a corporation,candidate or a committee. labor organization, or industry, trade or professional association. Election means a primary, general, special, or other election held in this state or a convention or caucus of a political party held in this state to nominate a Note: A corporation, labor organization or industry, trade or professional candidate. Election includes a vote on a ballot question. association may not receive contributions unless it establishes a separate segregated political fund. The corporation, union or association may not make Expenditure means a payment, donation, loan, pledge, or promise of payment a contribution to its own fund except that it may make expenditures and of money or anything of ascertainable monetary value for goods, materials, provide personal services for the establishment and administration of its fund. services or facilities in assistance of, or in opposition to, the nomination or election of a candidate, or the qualification, passage or defeat of a ballot The fund may only solicit and receive contributions from the employees, question. Expenditure includes a contribution or transfer of anything of officers, directors, stockholders or members of its administering corporation, ascertainable monetary value for purposes of influencing the nomination or union or other association election of any candidate or the qualification, passage, or defeat of a ballot . question. The fund may only expend funds for the purpose of 1) making expenditures to Nebraska state and local candidates and committees and independent An expenditure does not include expenditures for nonpartisan voter registration expenditures in support of or in opposition to Nebraska candidates and activities; communications which do not support or oppose candidates or ballot committees; and 2) paying for the administrative expenses of the fund. questions; or communications by a person strictly with the person's paid members or shareholders. Distribution of the campaign materials of a An exception is made to permit a fund to receive and disburse funds for the candidate, a candidate committee, or a ballot question committee to one's paid purpose of supporting or opposing candidates for federal office and candidates members or shareholders is a reportable expenditure. (See also Title 4, and committees in states other than Nebraska. This exception is permitted Chapter 10, Rules and Regulations Governing Campaign Practices Under the only if such receipts and disbursements are made in compliance with Nebraska Political Accountability and Disclosure Act and the Campaign Nebraska law and the laws of the jurisdiction in which such receipts and Finance Limitation Act.) disbursements are made. Statutory Authority: ?49-1469 to ?49-1469.08, Revised Statutes of Nebraska