SEP 11 2018 Local Jurisdictions ‘ Campaign Finance Disclosure Repor This statement is filed with your local election official. Confirm with your local election official as to whether this is the form they want you to use. Contact them for additional information or if you need assistance with filling out this document. It is the Committee's responsibility to provide accurate information. Those local jurisdictions that are required to file campaign finance documents (12-27-39): ‘© County offices and ballot question committees in counties with population greater than ten thousand ‘* Ballot question committees in first class municipalities ‘¢ School board positions and ballot question committees in school districts with more than two thousand average daily memberships © Any municipal or school district election covered by this chapter shall conform to the contribution limits applicable to legislative offices. 24) (please print): If this is a Candidate Committee, ist the candidate name as it appears on the nominating petition and office the candidate is seeking, Candidate First and Last Name. Office Sought Full Name of Political Committee Vote Yes for Schools “Type of Political Committee Ballot Question Committee Mailing Address (PO Box or Sreen, PO Box 705, City SIOUXFalls state SD__ ip 57101 Committee Telephone Number 712-203-8260 Committee Email address (if applicable) ‘Treasurer Name Stephanie Gongopoulos ‘Treasurer Mailing Address (PO Bax or Sueet) PO Box 705 City Sioux Falls State SD ZipS7101 ‘Treasurer Email Address S'gongopoulos @ gmail.com Ifyou are a is'6) Taras Coyymtie’s indicate which measure the committee is involved with and whether you support or oppose the measure. Ballot Measure Name and Number or Letter (assigned): Sioux Falls School District Bond support 4 Oppose C1 Ajlig St apafanias Lrcypoalis Revised December 11,2017 1Choose the Type of Campaign Statement you are filing on page two. Type of Campaign Statement... ote COUNTY candidates select one of these reports: (i Pre-Primary: fifteen days prior to the primary election, for the reporting period commencing with the last, report submitted up through and including twenty days prior to the election date. Ui Pre-General: fiftcen days prior to the general election, for the reporting period commencing with the last report submitted up through and including twenty days prior to the election date. CO Year-End: by the last Friday in January each odd year, for the reporting period commencing with the last report submitted up through and including December thirty-first of the even year; 1 Termination of Committee: filed whenever you choose. The reporting period is from the last report filed to the date you are terminating. The balance has to end in zero and you must report all expenditures and receipts and pay off all outstanding loans, debt and obligations since your last filed report. You may also select one of the reports below in combination with a report above: ca Amendment (for most recent report filed) Termination of Committee COUNTY SPECIAL elections and LOCAL JURISDICTION elections select one of these reports: 1 Pre-Election report: fifteen days prior to the election, for the reporting period commencing with the last report submitted up through and including twenty days prior to the election date. CG Year-End report: by the last Friday in January each year, for the reporting period commencing with the last report submitted up through and including December thirty-first of each year. If you terminate prior to December 31, you do not need to file a Year-End. Ci Termination report: filed whenever you choose. ‘Ihe reporting period is from the last report filed to the date you are terminating. The balance has to end in zero and you must report all expenditures and receipts and pay off all outstanding loans, debt and obligations since your last filed report. ‘You may also select one of the reports below in combination with a report above: 1 Amendment (for most recent report filed) 2 Termination of Committee Revised December I, 2017 2DIRECT CONTRIBUTIONS FROM INDIVIDUALS This section reports all contributions from individuals, including family members. If a family member contribution is over the limit for an individual (there are no limits on family member contributions), please make sure to designate next to the Contributor name that they are a family member. (SDCL 12-27-7 & 1227-8) This is the sum of all contributions of $100.00 oF less from individuals. (SDCL 12-27-74 CL) TOTAL of all Unitemized Direct Contributions from Individuals: | $2,478.00 Ta zs = = Enteral itemized contributions of more than $100.00 in the aggregate from each individual below (DCL 12-27-24 (12). Example: Joc geve $50.00 in a previous reporting period and gave $100.00 inthis reporting period so his contributions are now required to be Hemized since his total amount conibuted in the calendar yea is more than $100.00. His calendar year aggregale mount is now $150.00. Fortis example $100.00 would be disclosed Contributor First and Last Name | Mailing address (Sireet or PO Box, City, Stale, Zip Code) ‘Amount Toe Smith 1234 5 Ave, Pieire, SD 57501 $1000" | See Attached $s { s 8 8 | $ 8 8 8 8 8 8 8 ; $ — $ ‘TOTAL ofall temized Direct Contributions from Individuals: | $7,749.00 [ee Loan Contributor Name | Malling address (Steet or PO Box. City, Sat, Zip Code ‘Amount $ $ 5 8 ‘TOTAL of all Loans Made to this Committee: | $0) ‘Revised December I, 2017 3ALL political committees may receive direct contributions from entities (SDCL 12-27-7. 8.9. 10, and 18) ‘An entity is defined as any organized or unorganized association, business corporation, limited liability company, nonprofit Corporation, limited liability partnership, limited liability limited partnership, limited partnership, partnership, cooperative, trust except fora trast account representing or containing only a contributor’s personal funds, business trust, association, club, labor union, or collective bargaining organization; any local, state or national organization to which a labor organization pays membership or pet capita fees, based upon its affiliation and membership; any trade or professional association that receives its funds from membership dues or service fees, whether organized inside or outside the state; any other entity of any kind, except a natural person that is, has been, or could be recognized by law; or any group of persons acting in concert that isnot defined asa political committe inthis chapter except, an entity is not ¢ candidate, a public office holder, ora politcal committe. ‘If you are a ballot question committee, which received a contribution from an entity, you must include with this report the Ballot Question Contribution Statement you received from the entity. ag Address (Street ar PO Box) City, State and Zip Code See attached Entity Name 95,500 A political party is defined by SDCL 12 item listing the required information below. Political Party name Mailing Address (Street or PO Box) City, State and Zip Code “Amount (12). All contributions from Political Parties must be entered as a separate ‘TOTAL of all Itemized Direct Contributions from Political Parties: Revived December I, 2017 4A political action committee (PAC) is defined by SDCL 12-27-1 (17). All contributions from In-State Political Action ‘Committees must be entered as a separate item listing the required information below. In-State PAC name Mailing Address (Street or PO Box) Gity, State and Zip Code ‘Amount TOTAL of a All contributions must be Sven gies: Filing Office Name \g address and also the name and ‘website address of the filing office where the PAC regularly files their campaign finance report(s). = Federal Election Commission (FEC) and Filing Website Address = FEC.gov ‘Out-of-State or Federal PAC Name Mailing Address (Street or PO Box, City, State, Zip Code) Filing Office Name Filing Website Address | Amount TOTAL of all Itemized Direct Contributions from Out-of-State or Federal Political Action Committees: FROM BAL! A ballot question committee is defined by (SDCL 12-27-1 (2)). All contributions from Ballot Question Committees must be entered as a separate item listing the required information below. Ballot Question Commies Tinting address (Sector POBox) | iy Stateand ZipCode | Amount $ $ $ TOTAL of all Itemized Direct Contributions from Ballot Question Committees: | S evaed December Il, 2017a separate item listing the required information below. Candidate Committee Name Mailing Address (Street or PO Box) _ | City, State and Zip Code ‘Amount ‘TOTAL of all Itemized Direct Contributions from Candidate Committees: OTHER INCOME This section reports all income received from any refunds, rebates, interest eamed, sale of property, or other income which is not a direct contribution, during this reporting period. (SDCL 12-27-24 (14) ‘Source of Income Description “Amount ‘Example: Fundraiser Raffle or Silent Auction $100.00 $ $ $ TOTAL of all Other Income: | $ ‘A donated good or service is defined as a good or service provided at no charge or for less th market value. The term lude the value of services provided by a person as a volunteer for or on bebalf of any candidate or political committee, including the free or discounted use of the volunteer's residence or office. (SDCL 12-271 (12, Name and Mailing address (Steet or PO Bon, City, Stat, Zip Code) | Deseription Estimated Value Example: Joe Smith, 125 State Street, Pierre, SD Plywood for campaign signs $200.00 See Attached | __|s $ $12,111.58 iption and estimated value of funds or donations by an entity to its own political committee for establishing and administering the political committee and for any solicitation costs of the political committee. SDCL 12-27-24 (17) Entity Name Categorical Deseription ‘Amount ‘ABC Company pays for the administration of their ABC PAC (ex office pace rent, uiity cos equipment rental, salary for Treasurer) | 5%000.00 $s s Example: ABC Company Revised December 11,2017 6‘This section reports expenses that the committee has incurred. Categories have been provided for reporting common expenses. All operational expenses shall be listed. Categorical Description ( {iscllan **Do not list Independent Communication Expenditures on this page (see page 7).** Advertising $33,450.20 | Bank Fees $2 ‘Consulting $21,454.86 | Credit Card Fees $84.70 Event Expenses $ Loan Repayment s ‘Nonprofit Charitable Organization $ Office Supplies OO $699.35 Phone s Postage $1,550 Printing 3605.99 Rent s [sataries s ‘Travel s Usiliies s List additional expense categories below (ie. gifs, meals, et.) s Survey $7,250 Voter File and Lists $4,150 $ $ 3 3 3 $ s ‘TOTAL of all Operational Expenditures: | $66,247.10 Revised December 11, 2017‘This section reports all contributions that this committee has made to another candidate and/or committee. ‘Name of Candidate or Committee [Amount TOTAL of all Contributions to Other Candidates and/or Committees: | $ Lists the NAME of the candidate, public office holder, or ballot question related to the independent ‘communication expenditure, the AMOUNT SPENT on each independent communication and a DESCRIPTION of the independent communication expenditure. (SDC 7.24.21) SSCL 17-27-i (12) is the definition of Independent Communication Expenditure: an expenditure, including the payment of money or exchange of other valuable consideration or promise, made by a person, entity, or political committee for a communication concerning a candidate or a ballot question which is not made to, controlled By, coordinated with, requested by, or made upon consultation with that candidate, political committee or agent of a candidate or political commitiee. Name Candidate, Public Office Holder or Description of Communication ‘Amount Spent Ballot Question Committee 8 $ s \s s ‘TOTAL of all Expenditures for Communications: ee ‘A donated good or service is defined as a good or service provided at no charge or for less than its fair market value. The term does not include the value of services provided by a person as a volunteer for or on behalf of any candidate o political committe, including the free or discounted use of the volunteer’s residence or office. (SDCL_12-27-1 (12)) Name and Mailing address (Street or PO Box, City, State, Zip Code) | Description Estimated Value Example: Joe Smith, 125 State Street, Pierre, SD Plywood for campaign signs $200.00 s S TOTAL of all Donated Goods or Services to Candidates or Committees: | $ Revised December 11,2017 8List any additional comments or explanations, below, regarding entries within this report: balance from the last report filed. ‘The beginning balance is $0.00 for new committees. For existing committees, this beginning balance is the ending i Unitemized Contributions (tl rom page 3) $2,478 Itemized Contributions (ioial from page 3) $7,749 Loans Made to this Committee (total from page 3) is Contributions from Entities (total from page 4) | $95,500 Contributions from Political Parties (ital from page 4) $ Contributions from In-State Political Action Committees (ital jrom page 5) Contributions from Ballot Question Committees (total jrom page 5) (total from page 5) Contributions from Candidate Committees (otal from page 6) S$ s Contributions from Out-of-State or Federal Political Action Committees | ¢ 8 8 ‘Other Income (toal from page 6) HIIN 000075 sores as a 4eWOL OTL 222g epury 00°66T$ LOTLS as 45 WB MOOTS JOH ‘nas 00°00SS sors as Id wedumol SbTEb quis uuy oo'oszs sors as uy sayeys 3s $ ST Sz Jouan SHIN 00'0SzS SOTLS as SIYBIOH MELUAALY SZ Aquat ued 00°000'TS seors wl LTS xog quis ‘nays 00°0S2$ zOLes as sdyiyd S STE Auua 4213 ue Oo'OsZs eorzs as ‘2/2219 saLeYD Les 1823 TOT uospnuy, pineq op'osz$ sores as any pur S€2ST osined uyor 00'00z$ gots as UT SeLeUD 3s STOSZ WeYeID UOs|a%OIW pur 00'00z$ B0TLS as any uosuyeg SZTZS ‘AeJOOIN uer o0'0sz$ sores as 10 yBre}eanads TOO ysieW »pet 00'007$ 90125 as ‘any As@noasid § TOPE uosined RW 00'000'TS BOLLS as 3/2419 NH 2210s 00€8 yemon ||oueg ate 00'0S7$ sores as 419 prayiaea s sos yuea eueag 00'0s7$ 801s as 41D POOMALLAYD M TTZZ UOsUOW 8nog 00'0S7$ SOLLS as any sduitid S OZ2T umoua uous O'oszs ‘apop diz ayers SSeapPY ‘SWeN I5e7 SweN sig JUnOWY sjenpiaipuy wo suonngunuoy 19331000°008'S65 Tors as VET XO Od “AY BIOSOWUIIN § TOS onesodio9 jeuolreN pawun 00'000'Sz$ atts as ‘9BTS XOG Od ‘OAV Scud SOOT sile4 xnols u! yueq [eUO!ZeN Ys414 YL OO'00S'ZS e012s as BOE 83S IRE “3 TOW uone!D0ssy Uo!Zeonp3 SjIe4 XNOIS 00'000'Z$ Tors as SzvT x09 Od ‘OL 9UIUUOD Jo saqUIEYD Bary SIIB XNOIS 0O'00S'Z$ aus as 9905 X08 Od uueaH Psojues 00'000'S7$ 80TLs as Jd3s210UA1§ y069 auld xnoIg ayp Jo UONeMDOSSY Siaplina aWOH 00'000'SS vores as ‘aay BIOSOULIN N OTT ysn4j pue xueg 35214 00'00S'7S ToELs as 9071 X08 Od ues asna1409 00°000'S$ B0TLS as Aq e12AW MA 006E Yes eseny 00'000'SZ$ TOTS as any IEW S STP uj aang22yy2zy 00°000'TS ‘epop diz aes SSe4PPY Aynug qunowy sonnuaasttr'er e104, oost SOTLS 0S sles xNOIS ‘any SAIIyd S OZeE “UMOIG UOUIEA, ‘asuadyg wang 8t07/82/8 00's ZZOLS OS ‘spidey [198d ‘AAV WEL OZS¥Z ‘UCD PAIN asuadxg queAg BT0Z/82/8 agoev't S075 05 sI1e4 xno ‘any P1ewDI0 5 60Lz ‘KOUSeUDW, UOrOUL ausuonpy Bt07/¥2/8 o0r00s't POLLS as ‘Sled xNOIS "15 HOT M006? ‘SUOREDIUMUIED NOS uatsag aydes5 stoc/oc/e 00°00s LTTZS OS ‘SII@4 XNOIS ‘9905 Od “YNEIH Prozues ugisag 21ydes9 gt02z/ZT/8 ovro0s' 2015 ‘9905 Od “HIESH proves Aanans 8102/S2/L 00'000'T OTTZS Gs ‘s1!€4 XNOIs ‘U7 auld ABO TOTT “HUES eUeX ud}saq ayders BL0z/Sz/L 00'S sotes as XNOIS “Aq aNYeUOG M BOE ‘SojNodoBuog aiueydays $994 Buyliy PUE IYO 180d BLOZ/PT/L TUnowy RAveWITGG _ sseUpPY s3isqa/ BUTETU| Pue BUEN JO SS0IppY SOUAPHEY PUE BUEN __SVORNGURUOD WEEI-UON Jo uOREUISEG — NEG ‘saD|\ag 10 spoog payeuogBallot Question Contribution Statement A baliot question committee may only accept contributions from a person, entity, or political committee. A violation of this section is a Class 2 misdemeanor and a subsequent offense within a calendar year is a Class 1 misdemeanor. >This form is not required if un entity cantributes donated goods or services.*# (SOCL.12-27-18.1 and SDCL 1227-19). Entities must complete this statement and submit it to the ballot question committee before EACH contribution. (SDCL 12-27-19). File this statement with the Vote Yes for Schools Ballot Question committee. Amount of contribution: $1,000.00 Date of contribution: 8/17/18 . cai Full name of entity or fictitious name (if any): Architecture Incorporated Complete mailing address (PO Box or street address, city, state, zip) of entity's office: PO Box 2140, Sioux Falls, SD 57101-2140 Mailing address (PO Box or street address, city, state, zip) of person authorizing the contribution: PO Box 2140, Sioux Falls, SD_§7101-2140 +* Below you must provide the names and mailing addresses of any owners or directors and officers of the entity. ** Name of Entity’s Owners or Directors & Officers Mailing Address (List what is applicable) (PO Box or Street Address, City, State, Zip) Steve Jastram, President 828 Columbia Circle, Sioux Falls, SD 57103 Andrew Eitreim, Vice President PO Box 2140, Sioux Falls, SD 57101 Patti Monson, Secretary 2024 Main Ave, Sioux Falls, SD 57105 Lisa VandeVoort, Treasurer "| 2905 N Oak Rd, Brandon, SD 57005 No petson may execute this report knowing itis false in any material respect. Any violation may be subject to a civil and/or criminal penalty. Any person who, with intent to defraud, falsely makes, completes, or alters a written instrument of any kind, or passes any forged instrument of any kind is guilty of forgery. Forgery is a Class 5 felony (SPCL 22-39-36). Additional civil penalties not to exceed $250.00 could be assessed per SDCL 12-27-29.4. Thereby declare and affirm under penalty of perjury that no part of the contribution was raised or collected by the entity for the purpose of influencing the ballot question. Print name of person authorizing the contribution: Steve Jagtram Signature of the person authorizing the contribution: Date: 8/20/18 Last updated July 1, 2018Ballot Question Contribution Statement A ballot question committee may only accep contributions from a person, entity, or political committee. 4 violation of this section is a Class 2 misdemeanor and a subsequent offense within a calendar year is a Class } misdemeanor. ‘n eulity sontibutes donated guods or services.” AL and SL 9), eat $e the ballol question ene This tin is mat eeu File this statement with the Vote Yes for Schools Amount of contribution: $25,000 Date of contribution: 8/29/2018 Full name of entity or fictitious name (if any) Avera Health ‘Complete mailing address (PO Box or street address, city, state, zip) of entity's office: 3900 W Avera Drive Mailing address (PO Box or street address, city, state, zip) of person authorizing the contribution: Sioux Falls, SD_57108 ** Below you must provide the names and mailing addresses of any owners or directors and officers of the entity. ** Name of Entity’s Owners or Directors & Officers ‘Mailing Address ____ Gist what is applicable) (PO Box or Street Address, City, Stale, Zip) Bob Sutton, President & CEO 3900 W Avera Drive, Sioux Falls, SD 57108 Jim Breckenridge, CFO 3900 W Avera Drive, Sioux Falls, SD 57108 Thereby declare and affirm under penaly of perjury that no part ofthe contsbution was raised ar collected by the entity or the purpose of irsfluencing the ballot question, James Breckenridge > — Print name of person authorizing the contribution: Signature of the person authorizing, the contribution: % Date, 8/29/2018 \ ae Last vpdatd Bly 12018© The information below must be provided by the entity Leiore soutvibwitng voor to the ballot question committee. (STC1.1 2:77:18) ** Before contributing more than fen thousand dollars in the aggregate to a ballot question committee pursuant to ‘SDL. 17-27-18, an entity shall provide to the ballot question committee a sworn written statement made by the president and treasurer of the entity declaring and affirming, under the penalty of perjury, the following: (J) The name and street address of every person who owns ten percent or more of the entity, has provided ten percent or mote of the entity's gross receipts, including capital contributions, in the current or preceding year, or has provided ten percent or more of the funds being contributed to the ballot question committee Name of Shareholder or Member Complete Street Address ( ess, city, state, (yer SOC 127220, T hereby declare and affirm under penalty of perjury that no part of the contribution was raised or collected by the entity for the purpose of influencing the ballot questions. Date: 8/28/2018 Entity Troasuter Printed Name: ames Ereckerine - Entity Treasurer Signature pate; 8292018 snsty President Printed Name: Bob Sutton Entiiy President Signature: _~ State law requires you to sbmit this information to the treasurer of the ballot question committee you are making the contribution to. ‘Last updated Jay 1, 2018Ballot Question Contribution Statement A ballot question committee may only accept contributions from a person, entity, or political committee. A violation of this ‘section is a Class 2 misdemeanor and a subsequent offense within a calendar year is a Class 1 misdemeanor. *** This form ts not required if an entity contributes donated goods or services ** (SDCL 12-27-18.1 and SDCL 12-27-19). Entities must complete this statement and submit it to the ballot question committee before EACH contribution, (SDCL 12-27-19). File this statement with the Ballot Question committee. $$ Amount of contribution 000 Date of contribution: 32,2018 Full name of entity or fictitious name (if any): Coe Trat Re WA ‘Complete mailing address (PO Box or street address, city, state, zip) of entity’s office: 00 Churape. Place Sure. pStont Valls 5D 51103 “Mailing address (PO Box or street address, city, state, zip) of person authorizing the contribution: Serf — +* Below you must provide the names and mailing addresses of any owners or directors and officers of the entity, ** ‘Name of Entity’s Owners or Directors & Officers Mailing Address (List what is applicable) (PO Box or Street Address, City, State, Zip) See Atfached Wit ‘No person may execute this report knowing it is false in any material respect. Any violation may be subject to a civil and/or criminal penalty. Any person who, with intent to defraud, falsely makes, completes, ot alters a written instrument of any kind, or passes any forged instrument of any kind is guilty of forgery. Forgery is Class 5 felony (SDCL. 22-39-36). Additional civil penalties not to exceed $250.00 could be assessed per SDCL 12-27-29.4. Thereby declare and affirm under penalty of perjury that no part of the contribution was raised or collected by the entity for ‘the purpose of influencing the ballot question. Print name of person authorizing the contribution: Signature of the person authorizing the contribution: pa 3/7/18 ‘Last updated July 1,2018TOES as TOELS as TOES as TOELS as. 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BSSSSEKCLIIISS wined sexes 4 Aajpeag ‘youuu ‘2 Apue nn ‘JOU Aueag ‘Ayons ues) ‘1yseND 3 wy ‘spiempa -wesneuhy ‘uorke1o rewierey spay >y Ubug "USIEWaUUM © oulOPy ‘soKewo}Og, vetpnelg ‘uoyBuiin vy Awy ‘uosuyor NAep 'sex15 vifieus ‘$207 © pleuony ‘pIOWsH V uiney ‘uouosnig @ s216n0G '12N.0 Vv soujeeH ‘vars ‘Opleuog ‘wews 3 ued ‘epuey fF ajwuoD “eIsnyy ave aYyeH y Avequip) ueuuig,Ballet Question Contribution Statement ‘A ballot question committee may only accept contributions from a person, entity, or political committee. A violation ofthis section ira Class 2 misdemeanor and a subsequent offense within a calendar year ia Class J misdemeanor ‘**This form is not required if an entity contributes donated goods or services.** (SBCL12.27-18,1 and SDCL 1227-19), Entities must complete this statement and submit it to the ballot question committee Full name of entity o Fictitious name (ifany): Ficst Bon & Tush . — ‘Complete mailing address (PO Box or strect address, city, state, zip) of entity's office: 0h. thionescka. Avenue, Sour Falls, St SOY. Mailing address (PO Box or street address, city, state, zip) of person authorizing the contribution; Hod, Monesat. Aveawt, Siase Fatls, SS S7OY *® Below you must provide the names and mailing addresses of any owners or directors and officers of the entity. ** ‘Name of Entity’s Owners or Directors & Officers Mailing Address (List what is applicable) (PO Box or Street Address, City, State, Zip) (see attaclcd.) F ‘No person may execute this report knowing s false in any material respect, Any violation may be subject to a civii andor nt to defraud, falsely makes, completes, of clters a written instrument of any kind is guilty of forgery. Forgery is a Class 5 felony (SCL 22-39-36). Additional civil penalties not to exceed $250.00 could be assessed per SDCL 12-27-29.4. Thereby declare and affirm under penalty of perjury that no part of the contribution was raised or collected by the entity for the purpose of influencing the ballot question. Print name of person authorizing the contribution; Jo.can Beccbolett _ ‘Signature of the person ne ets pena _ Date:_Sa/e =F _ ‘Last updated uly 1, 2018BRIAN THOMPSON H: 4106 Best Point Dr, Madison SD_67042 DAVID TIMPE 1.26519 Lakeview Place, Hartford, SD 57033, DAVID WALIGOSKE H: 878 Regency Ct, Brookings SD_57006 JEFF BLOOM H: 23967 45tet Av Madison SD 57042 KEITH EIGHACKER H: 618 S Outlook Dr, Sioux Falls SD_57106 LAURIE KNUTSON H3731 S Josse James Ct, Sioux Falls, SD 57103 ROB OLIVER H: 2420 Carriage Ct, Sioux Falls SD 57108 ‘STEVE STATZ, RPh MBA H: 4828 S Caraway Dr, Sioux Falls SD 7108 Jason Herrboldt 2617 €. Regency Ct., SF, SD 57103.Ballot Question Contribution Statement A ballot question committee may only accept contributions from a person, entity, or political committee. A violation of this section is a Class 2 misdemeanor and a subsequent offense within a calendar year is a Class 1 misdemeanor. ‘This form is not required if an entity contributes donated goods or services.** (SDCL 12-27-18,1 and SDCL 12-27-19). Entities must complete this statement and submit it to the ballot question committee before EACH contribution. (SDCL 12-27-19). File this statement with the Votes Yes for Schools Ballot Question committee. Amount of contribution: $5,000.00 Date of contribution: 8/22/2018 Pull nme of entity o fictitious name (if any): Home Builders Association of the Sioux Empire Complete mailing address (PO Box or street address, city, state, zip) of entity's office: 6904 South Lyncrest Place, Sioux Falls, SD 57108 Mailing address (PO Box or street address, city, state, zip) of person authorizing the contribution: 6904 South Lyncrest Place, Sioux Falls, SD 57108 ** Below you must provide the names and mailing addresses of any owners or directors and officers of the entity. ** ‘Name of Entity’s Owners or Directors & Officers Mailing Address (List what is applicable) (PO Box or Street Address, City, State, Zip) See attachment See attachment ‘No person may execute this report imowing itis false in any material respect. Any violation may be subject to a civil and/or criminal penalty. Any person who, with intent to defraud, falsely makes, completes, or alters a written instrument of any kind, or passes any forged instrument of any kind is guilty of forgery. Forgery is « Class 5 felony (SDCL 22-39-36). Additional civil penalties not to exceed $250.00 could be assessed per SDCL 12-7 Thereby declare and affirm under penalty of perjury that no pat ofthe contibution was raised or collected by the entity for the purpose of influencing the ballot question. oT —— Print name of person authorizing the contribution: «J lie. Signature of the person authorizing the contribution: Date: €- 22-1 ‘Last updated July 1, 2018HBASE Board of Directors First Name LastName Address 1. city Stati Postal Code Alan ‘Amdahl 712 $ Marion Rd Sioux Falls SD 57106 Justin Anderson «2211 WSOth St Sioux Falls SD 57105 Jon Beatch 2400 E River Bluff Circle Sioux Falls SD 57110 Duane —_Bickett 2125 W 20th St SiouxFalls SD 57105 Cissy Buhler 114 W Bist St Sioux Falls SD 57108 Sunshine Cady 3240 S Bluegrass Ct Sioux Falls SD 57103 Jerry Cook 623 S Lyons, Ste 300 SlouxFalls SD 57106 Justin Driscoll 27009 Rolling Thunder Ln Sioux Falls SD 57108 Colleen Eleack 110N Minnesota Ave, Ste 100 SiouxFalls SD 57104 Tim Forsch 1200s Blauvelt Ave Sioux Falls SD 57105 Dale 600 E 48th stN Sioux Falls SD 57104 Kim 48022 Timber Ridge Pl Harrisburg SD 57032 Tom 4101 S Minnesota Ave SlouxFalls SD 57105 cory Hiellming -—--27081 Mueller PI SiouxFalls SD 57108 Ryan Jansa 6109S Old Village PI SiouxFalls SD 57108 Tom Jarding, PO Box 167 Humboldt SD 57035 Corey Johnson 27153 SD Hwy 115, Ste 101 Harrisburg SD. 57032 tydell Larson 3521 S Prairie Gardens Pl SiouxFalls SD 57110 Brad Mair AILE ist St SiouxFalls SD 57105 Candice Menke 1901 W 4st st Sioux Falls SD 57105 Preston Mettler 5104 S Barrington Dr Sioux Falls SD 57108 u Myott 47001 Mona St, Ste #5 Tea sO 57064 Chane Patten 2310E 10th st Sioux Falls SD 57103 Russ Pies 27077 STallgrass Ave Sioux Falls SD 57108 Dusty Rall 3801 S Kiwanis Ave, Ste 3 Sioux Falls SD 57105 Michele Rislov 2300 W S7th St Sioux Falls SD 57108 Julie Terrell 6904S Lyncrest Place Sioux Falls SD 57108Ballot Question Contribution Statement A ballot question committee may only accept contributions from a person, entity, or political committee. A violation of this section i @ Class 2 misdemeanor ond a subsequent offense within a calendar year is a Class misdemeanor, ‘This form is not required if an entity contributes donated goods or services.** (SDCL 12-27-18.) and SDCL 12-27-19), Mailing address (PO Box or street address, city, state, zip) of person authorizing the contributior Paceene, AEA - RIE RSS, Bio Bl GORD, Sore Rasne Sh 313 SHB addresses of any owners or directors and officers of the enfty, ** ty’ Malling Addzroas _ List what is applicable) __.(PQ Box or Street Address, City, State, Zip) Heiss Sasisceo en ons | -aritsa instrument of any . Forgery is 4 Clies $r2lany (SOC 22.39.36), {hereby dectare and affirm under penalty of perjury that no part of the contribution was raised or collected by the entity for the purpose of influencing the ballot question. Print name of peison authorizing the contribution: AOE BY Nga Signature ofthe person atorzing the contbuton: 72 eae ‘ f we f f i+ The information below must he provided by the entity Ra iors 20 to the ballot question committee. (SDCL. 12-27-19) ‘Before contcibutine more thaa ten thousree! dollars in the aggregate w» a ballut question committee pursuant to ‘SCT_12-27-18, en entity shall provide to the ballot question committee a sworn written statement made by the resident and treasurer ofthe entity declaring and affirming, under the penalty uf perjury. the following: (1) The name and street address of every person who owns ten percent or more ofthe entity, has provided ten percent or more of the entity's gross receipts, including capital contributions, in the current or preceding year, cor bas provided ton percent or moze of the funds being contributed to the ballot question committee plete Street Address (adres city, state zip) | inject to # civil andior ‘ree inerawent of any kind, oF ph Additional evil eases any fora penalties cot w@ sxcced $250 could bea I hereby declare and affirm under penalty of perjury that no part of the contribution was raised or collected by the entity for the purpase of influencing the ballot questions. Date. f7 8 Enty Treasure Printed Nae: Bul hmacte+bew Entity Treasurer Signature: _ Bau Mesh pate: F278 Bony tissbasaetrinted Name: Doo Bavthet fi Entity atest Signature: ce ) a %, S State law zequires yor to saismit tnis L:lormation ¢e ihe treasurer of the bailot question committee yell five nnaliaiy the contribution to, [Last updated July 1, 2018Ballot Question Contribution Statement A ballot question committee may only accept contributions from a person, entity, oF political committee A violation ofthis section is a Class 2 misdemeanor and a subsequent offense within a calendar year is a Class misdemeanor. ‘**This form is not required if an entity contributes donated zoods or serviees.** (DCL 12-27-18.1 and SDCL 12-27-19). Entities must complete this statement and submit it to the ballot question committee {ACH contribution. (DCL 12-27-19). File this statement with the Amount of contribution: _<), 500 Date of contribution: tgys-name (if any): C. Ronn Complete Se a tices te, zp)of entity's office: oBOO_W. Diaries SE, SD ae Mailing address (PO ic or street in city, state, zip) of person authorizing the contribution: ‘** Below you must provide the names and mailing addresses of any owners or directors and officers of the entity. ** ‘Name of Entity’s Owners or Directors & Officers Mailing Address (List what is applicable) (PO Box or Street Address, City, State, Zip) Ballot Question committee. ull name of entity or fc No person may execute this report knowing itis false in any material respect. Any violation may be subject to a civil and/or criminal penal. Any person who, with intent to dea lel makes complete, or aes a waiten instrument of eny kind, or passes any forged instrument of any kind is guilty of forgery. Forgery is a Class 5 felony (SDCL 22-39-36). Additional civil penalties not to exceed $250.00 could be assessed per SDCL 12-27-29.4. Thereby declare and affirm under penalty of perjury that no part ofthe contribution was raised or collected by the entity for the purpose of influencing the ballot question. Print name of person authorizing the contribution: ‘Signature of the person authorizing the contribution: ow 8/ al /2nk Last updated Jy 1, 2018Sioux Falls Area Chamber Board of Directors, Ex-Officio & Staff [contact address? city state [zip |Alejandro Ramirez 2408 E. Marson Dr. Sioux Falls |SD. 57103, [Bob Mundt PO Box 907 ‘Sioux Falls |SD__ 57101-0907 Bobbi Thury Ze [Sioux Falls |SD [57108 [Carl Wynja 141 N. Main Ave. [Sioux Falls |SD_ 157104 [Christy Nicolaisen [515 N. Main Ave. [Sioux Falls |SD__|67104-5901 [Cindy Heit jer 125499 467th Ave. Hartford ISD 157033 Claire Santos [4913 S. Jasmine Tri. Sioux Falls |SD_ 57108 [Craig Dewey [415 N. Dakota Ave. Sioux Falls |SD [57104 [Curt Zaske 3705 S. Bertina Cirde Sioux Falls |SD__ [57103 Daniel Doyle [Box 1400 [Sioux Falls [SD__|57101-1400 Dave Kapaska Po Box 90849 [Sioux Falls [SD |57109 [Deb Mclsaac IPO Box 1425, |Sioux Falls |SD 57101-1425 [Debra Owen PO Box 1425 Sioux Falls |SD 57101-1425 Dr. Brian Maher 201 E. 38th St [Sioux Falls |SD__ 57105 [Holly Rader PO Box 1425, [Sioux Falls |SD__ {57101-1425 Jason Ball IPO Box 1425, [Sioux Falls |SD 157101-1425 Jennie Doyen IPO Box 1425, [Sioux Falls |SD [57101-1425 Jim Schmidt 200 N. Phillips Ave. #200 [Sioux Falls |SD 157104 [Joan M, Bartling 5009 W. 38th St Sioux Falls |[SD__ [57106-1123 Karla Santi 231 S. Phillips Ave. Suite 200_|Sioux Falls |SD__[57104 Kent Alberty [201 E. 38th St. [Sioux Falis |SD 57105 [Kyle Groos [3100 W. 41st St. [Sioux Falls |SD 57105 [Laurie Knutson 300 W. 11th Street [Sioux Falls |SD__[57104 Mark Mickelson 101 N. Main Ave. #321 |Sioux Falls |SD 57104 Mayor Paul TenHaken [PO Box 7402 [Sioux Falls |SD__ [57117-7402 [Michael A. Hauck IPO Box 1422 [Sioux Falls |SD 57101 [Mike Lynch PO Box 907 [Sioux Falls |SD__ [57107 [Paul Hanson PO Box 5039 [Sioux Falls |SD__ [57117-5039 Randy Knecht IPO Box 2728 Sioux Falls [SD__ [57101-2728 [Sharon Haselhoff [1415 Grand Falls Blvd lLarchwood |IA [51241 [Steve Van Buskirk [2571 S. Westlake Dr. #100 {Sioux Falls [SD__|57106 [Teresa Schreier IPO Box 1425 ‘Sioux Falls |SD [57101-1425 Teri J. Schmidt 200 N. Phillips Ave, #102 [Sioux Falls |SD__|57104 ‘Tim Sturdevant PO Box 91210 [Sioux Falls |SD__[57109-1270 ‘Tom Biegler [3211 W. Sencore Dr. ‘Sioux Falls |SD__|57107 [Wendy Bergan 1800. 57th St. N. ‘Sioux Falls |SD__|57104-7715Ballot Question Contribution Statement A ballot question committe: may only accept contributions from: a person, entity, or political corsmittee, A violation of this section isa Class 2 misdemeanor and a subsequent offense within e calendar year is a Class 1 misdemeanor, ‘**Thie forma ia not mequi- if an eatity contributes donsted goods or services.** (SDCL 12.27-18,1 and SDCL 12-27-19). is nitit to the ballot question comuitec on. (SDCL 12-27-19). File this statement with the Vote Yes for Schoo’ Ballot Question committee. Amouet of conteibatioa:_ $2,000 Date of conizibution: 8/1/2018 Full name of entity or fictitious name (if any): ‘Sioux Falls Education Association Complete mailing address (PO Box or sire’ address, city, state, zip) of entity's office: 401 E. 8th St, #808, Sioux Falls, SD, 57103 Mailing address (PO Box or street avidross, city, state, zip} of person authorizing the contribution: 46220 W. Shore PI., Hartford, SD, $7033 + Below you must provide the names and mailing addresses of aay owners or directors and officers of the entity. ** ‘Name of Bntity’s Own Directors & Officers Mailing Address (List what is applicable) (PO Box or Sireet Address, City, State, Zip) Tony Martinet 46220 W. Shore Pi., Hartford, SD, 57033 Panny Brunken 404 E. 8th St. #308 Sioux Falls, SD 57103 | | No perscx may exvoat. -Aulditional civil penalties noi to exceeé 5259 hereby declare and affirm under penalty of perjury that no part of the contibution was raised or collected by the entity for the purpose of influencing the ballot question Print name of person authorizing the contribution: TORY Martinet Signature ofthe person authorizing the contribution: pe: 08, 2018 tac 208Ballot Question Centribution Statement A ballot question committee may only accept contributions from a person, entity, or political committee. A violation of this section is a Class 2 misdemeanor and a subsequent offense within a calendar year is a Class | misdemeanor. +#*This form is not required if an entity contributes donated goods or services.** (SDCL.12-27-18,1 and SDCL 12-27-19). Entities must complete this statement and submit it to the ballot question committee before yution. (SDCL 12-27-19). File this statement with the Veter Yes Fem. Senoous Ballot Question committee. Amount of contribution: _“* 2,20 ==~ Date of contribution: _ 8 |v |u Full name of entity or fictitious name (if an The First ation Baguite, 1 Fran ‘Complete mailing address (PO Box or street address, city, state, zip) of entity’s office: loo S.Tinuuirs Ave, Senn Pus, SI Sop Mailing address (PO Box or street address, city, state, zip) of person authorizing the contribution: A808 &. Aepeusnerm Pass, Sans Pans, Sb S203 ‘** Below you must provide the names and mailing addresses of any owners or directors and officers of the entity. ** Name of Entity’s Owners or Directors & Officers Mailing Address (List what is applicable) " 0 Box or Street Address, City, State, Zip) Réezerr AL. Saker WieS E. Anne onersy Hass SES S305 CDi L.. Bren, pret 5. Barer Cin. SFsp Sey Svreriane Lb. Gotecrontos |3e08 uw. Deanayue De. Ssp SHS” Cras &. Exsreum jare4 w. Gots St, SFSD SA10B St Ave. SSD Sate. No pen ah State aer Giowtag ise in angreatril respect. Any violation may be subject to a civil and/or criminal penalty. Any person who, with intent to defraud, falsely makes, completes, or alters a written instrument of any kind, or passes any forged instrument of any kind is guilty of forgery. Forgery is a Class 5 felony (SDCL 22-39-36). Additional civil penalties not to exceed $250.00 could be assessed per SDCL 12-27-29.4. Thereby declare and affirm under penalty of perjury that no part of the contribution was raised or collected by the entity for the purpose of influencing the ballot question. Print name of person authorizing the contribution: ReseersS Baker. Signature of the person authorizing the contribution: at 1 ‘Last updated July 1, 2018Ballot Question Contribution Statement A ballot question committee may only accept contributions from a person, entity, or political committee. A violation of this section is a Class 2 misdemeanor and a subsequent offense within a calendar year is a Class I misdemeanor. *“*Tis form is not required if an entity contributes donated goods or services ** (SDCL.12-27-18,1 and SDCL 12-27-19) Entities must complete this statement and submit it to the ballot question committee before EACH contribution, (SDCL 12-27-19). File this statement with the Ballot Question committee. Amount of contribution: 5 25,000 Date of contribution: Full name Pale oo et ‘name fen Coppiae mailing, ee ene (PO Box or street address, city, state, ? of entity's oe Ynnesote Avene, ‘Mailing address (PO Box or street address, city, state, zip) of person authorizing the contribution: 0S. When. YW 570 _ ** Below you must provide the names and mailing addresses of eny owmers or directors and officers of the entity. ** ‘Name of Entity’s Owners or Directors & Officers ‘Mailing Address (List what is applicable) (PO Box or Street Address, City, State, Zip) SD. ames Qbaadfocok bol S.Wlennese bn Avene, $A S704 ‘No person may execute this report knowing it is false in any material respect. Any violation may be subject to a civil and/or criminal penalty. Any person who, with intent to defraud, falsely makes, completes, or alters a written instrument of any kind, or passes any forged instrament of any kind is guilty of forgery. Forgery is Class 5 felony (SDCL 22-39-36). Additional civil penalties not to exceed $250.00 could be assessed per SDCL 12-27-29.4. Thereby declare and affirm under penalty of perjury that no part ofthe contribution was raised or collected by the entity for the purpose of influencing the ballot question, Print name of person authorizing the contribution: ‘Signature ofthe person authorizing the contribution: Date:_&+ ‘Last updated July 1, 2018‘** The information below must be provided by the entity before contributing more than $10,000 to the ballot question committee. (SDCL 12-27-19) ** n more than fen thousand dollars in the aggregate to a ballot question committee pursuant to SDCL 12-27-18, an entity shall provide to the ballot question committee a swom written statement made by the president and treasurer of the entity declaring and affirming, under the penalty of perjury, the following: (1) The name and street address of every person who owns ten percent or more of the entity, has provided ten percent or more of the entity's gross receipts, including capital contributions, in the current or preceding year, or has provided ten percent or more of the funds being contributed to the ballot question committee Name of Shareholder or Member | __ Complete Street Address (address, city, state, zip) FD nn, Shan! bar. Mew. Aa, SS S704 [No person may execute this report knowing itis false in any material respect. Any violation may be subject toa civil and/or criminal penalty. Any person who, with intent to defraud, falsely makes, completes, or alters @ written instrument of any kind, or passes any forged instrument of eny kind is guilty of forgery. Forgery is a Class 5 felony (SDCL 22-39-36). Additional civil penalties not to exceed $250 could be assessed per SDCL 12:27-29.4. hereby declare and affirm under penalty of perjury that no part of the contribution was raised or collected by the entity for the purpose of influencing the ballot questions. Date: Entity Treasurer Printed Name: Entity Treasurer Signature: ceu Date: __ Entity President Printed Name: ne Entity President Signature: State law requires you to submit this information to the treasurer of the ballot question committee you are making the contribution to. ‘Last updated July 1, 2018