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CRC PAC
Name
Office (if applicable)
District (if applicable)
1725 S Rainbow Street, Suite 16-53, Las Vegas, NV, 89146
7024760881
Mailing Address
Telephone No.
E-Mail Address
Select Appropriate
PAC
PAC (Advocating Passage or Defeat of a Question on the Ballot)
POLITICAL PARTY
Box(es)
INDEPENDENT EXPENDITURE
NONPROFIT CORP
AMENDED
Report #1 - Due May 20, 2014
Period: Jan 01, 2014 - May 16, 2014
Report #2 - Due June 06, 2014
Period: May 17, 2014 - Jun 05, 2014

FILED

Report #3 - Due October 14, 2014

Period: Jun 06, 2014 - Oct 10, 2014

Jan 14 2015

Report #4 - Due October 31, 2014

Period: Oct 11, 2014 - Oct 30, 2014

BARBARA K. CEGAVSKE
SECRETARY OF STATE

Report #5 - Due January 15, 2015*

Period: Oct 31, 2014 - Dec 31, 2014

FOR OFFICE USE ONLY

Annual Filing - Due January 15, 2015

Period: Jan 01, 2014 - Dec 31, 2014
* Report #5 suffices for the 2015 Annual Filing only if Report #'s 1, 2, 3 and 4 are previously filed
1. Total Monetary Contributions in Excess of $1000
(See page 2 of instruction sheet)
2. Total Monetary Contributions in the Form of Loans Guaranteed by a 3rd
party in Excess of $1000 (See page 2 of instruction sheet)
3. Total Monetary Contributions in the Form of Loans that were Forgiven in
Excess of $1000 (See page 2 of instruction sheet)
4. Total Value of In Kind Contributions in Excess of $1000
(See page 2 of instruction sheet)
5. Total Amount of All Contributions (Add Lines 1 through 4)
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$ 245,000.00 $ 245,000.00
$ 0.00 $0.00
$ 0.00 $0.00
$ 0.00 $0.00
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5. Total Amount of All Contributions (Add Lines 1 through 4)

(See page 2 of instruction sheet)
6. Total Monetary Expenses Paid in Excess of $1000
(See page 3 of instruction sheet)
7. Total Value of In Kind Expenses in Excess
of $1000 (See page 3 of instruction sheet)
8. Total Amount of All Expenses (Add Lines 6 and 7)
(See page 3 of instruction sheet)

$ 245,000.00 $245,000.00

$ 6,650.18 $6,650.18
$ 0.00 $0.00
$ 6,650.18

$ 6,650.18

I Declare Under Penalty of Perjury That the Foregoing is True and Correct.
AND
I have agreed to the following terms and conditions:
I dec lare, under penalty of perjury or under an oath to G od, that the information I s ubmitted herein to the Sec retary of State for the State of N evada is true and
c orrec t, and is not s ubmitted for any improper purpos e, and that I am authorized to s ubmit the information, and to the bes t of my knowledge c omplies with N RS
C hapter 2 9 4 A . I have reviewed the N RS 2 2 5 .0 8 3 N otic e. I unders tand it is unlawful to s ubmit any illegal, unauthorized, fraudulent, forged, dec eptive, defamatory,
illic it, or improper information, as defined by s tate and federal law, to the Sec retary of State, and agree to indemnify the Sec retary of State, and any other parties
entitled thereto, for any damages inc urred for any unlawful, unauthorized, fraudulent, forged, dec eptive, defamatory, illic it, or improper information, as defined by the
federal and s tate law, s ubmitted to the Sec retary of State by my us e of this elec tronic filing s ys tem. I further unders tand that I may be s ubjec t to c riminal (N RS
2 3 9 .3 3 0 ) and/or c ivil (N RS 2 2 5 .0 8 4 ) penalties for s ubmitting any unlawful unauthorized, fraudulent, forged, dec eptive, defamatory, illic it, or improper information,
as defined by federal and s tate law. I unders tand and agree that all information s ubmitted is the property of the Sec retary of State, and may be monitored for all
lawful purpos es . I further unders tand that during s uc h monitoring, all information, inc luding pers onal information plac ed on this s ys tem, may be examined, c opied,
and us ed for any authorized purpos e. By s ubmitting this report I intend to identify mys elf as the authorized pers on s igning this doc ument and with the pres ent
intent to authentic ate my s ignature as s uc h.

Tony Dane

01/14/2015

Signature

Date

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MONETARY
CONTRIBUTIONS

Report Period # An.

CRC PAC
Name (print)

Office (if applicable)

District (if applicable)

MONETARY CONTRIBUTIONS IN EXCESS OF $1000 OR,

WHEN ADDED TOGETHER FROM ONE CONTRIBUTOR, THAT EXCEED $1000
(Transfer Total Amount of All Monetary Contributions to Lines 1, 2, or 3, As Applicable, of Contributions Summary)

NAME AND ADDRESS OF

PERSON, GROUP OR
ORGANIZATION WHO MADE
CONTRIBUTION
Tony Dane
624 S 10th St
Las Vegas, NV 89101
Dane & Associates
PO Box 1058
Front Royal, VA 22630

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NAME AND ADDRESS

CHECK
DATE OF
AMOUNT OF
OF 3rd PARTY IF
HERE IF
CONTRIBUTION CONTRIBUTION
LOAN GUARANTEED
LOAN
BY 3rd PARTY

06/16/2014

$5,000.00

12/18/2014

$25,000.00

12/28/2014

$15,000.00

12/30/2014

$200,000.00

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NAME AND ADDRESS OF

PERSON, GROUP OR
ORGANIZATION WHO
FORGAVE THE LOAN, IF
DIFFERENT THAN
CONTRIBUTOR

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IN KIND CONTRIBUTIONS
CRC PAC
Name (print)

Report Period # An.

Office (if applicable)

District (if applicable)

IN KIND CONTRIBUTIONS IN EXCESS OF $1000 OR,

WHEN ADDED TOGETHER FROM ONE CONTRIBUTOR, THAT EXCEED $1000
(Transfer Total Value of All In Kind Contributions to Line 4 of Contributions Summary)
NAME AND ADDRESS OF
PERSON, GROUP OR
ORGANIZATION WHO
MADE IN KIND
CONTRIBUTION

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NAME AND
VALUE
OR
CHECK
DATE OF
DESCRIPTION
ADDRESS OF 3rd
COST
HERE
IN KIND
OF IN KIND
PARTY IF LOAN
OF
IN
KIND
IF
CONTRIBUTION CONTRIBUTION
GUARANTEED BY
CONTRIBUTION LOAN
3rd PARTY

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NAME AND ADDRESS

OF PERSON, GROUP
OR ORGANIZATION
WHO FORGAVE THE
LOAN, IF DIFFERENT
THAN CONTRIBUTOR

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EXPENSE CATEGORIES
CRC PAC
Name (print)

Report Period # An.

Office (if applicable)

District (if applicable)

EXPENSE CATEGORIES (NRS 294A.365)

CATEGORIES

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CODE

Office expenses

Expenses related to volunteers

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Expenses related to travel

Expenses related to advertising

Expenses related to paid staff

Expenses related to consultants

Expenses related to polling

Expenses related to special events

Expenses related to legal defense fund

Goods and services provided in kind for which money would

otherwise have been paid

Contributions made to: (i) another candidate; (ii) a

nonprofit corporation that is registered or required to be
registered pursuant to NRS 294A.225; (iii) a PAC that is
registered or required to be registered pursuant to NRS
294A.230; or (iv) a Recall Committee that is registered or
required to be registered pursuant to NRS 294A.250

Fees for filing declarations of candidacy or acceptances of

candidacy

Repayments or forgiveness of loans

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M
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Disposal of unspent contributions pursuant to NRS

294A.160

Other miscellaneous expenses

NRS 294A.362 requires In Kind contributions and expenses to be reported on a separate form, which is
attached hereto.
MONETARY EXPENSES
CRC PAC
Name (print)

Report Period # An.

Office (if applicable)

District (if applicable)

MONETARY EXPENSES IN EXCESS OF $1000

(Transfer Total Amount of All Campaign Expenses to Line 6 of Expenses Summary)
NAME AND ADDRESS OF PERSON, GROUP OR
CATEGORY
DATE OF
ORGANIZATION WHO RECEIVED THE PAYMENT FOR
(NRS 294A.365) EXPENSE
THE EXPENSE
RC Communications
1725 S Rainbow Bl #16
D
06/16/2014
LAS VEGAS, NV 89146
Dane & Associates
1151 Happy Ridge Dr
O
07/23/2014
Front Royal, VA 22630
Frontier Airlines, Inc.
7001 Tower Rd.
C
12/15/2014
DENVER, CO 80249-7312
automatedcalling.com (Dane & Associates
O
12/22/2014
PO Box 1058
G
12/28/2014

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AMOUNT OF
EXPENSE
$3,415.18

$500.00

$683.00
$1,235.00
$2,000.00

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Front Royal, VA 22630

IN KIND EXPENSES

12/28/2014

$2,000.00

Report Period # An.

CRC PAC
Name (print)

Office (if applicable)

District (if applicable)

IN KIND EXPENSES IN EXCESS OF $1000

(Transfer Total Value of All In-Kind Expenses to Line 7 of Expenses Summary)
NAME AND ADDRESS OF PERSON, GROUP OR
ORGANIZATION WHO RECEIVED THE IN KIND
GOOD OR SERVICE
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DESCRIPTION
OF IN KIND
EXPENSE

DATE OF IN KIND
EXPENSE

VALUE OR COST
OF IN KIND
EXPENSE
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EL 202
Revised: 8-13-13
NRS 294A.140; 294A.150;
294A.210; 294A.220; 294A.373

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