In the spirit of transparency and accountability, the SS 1122 form serves as a vital instrument for multicandidate committees, commonly known as Political Action Committees (PACs), ensuring their financial activities are meticulously recorded and publicly disclosed. This comprehensive form encapsulates critical information, ranging from basic identifiers like the date of the report, the committee's name, and contact details, to more intricate data concerning the types of candidates the committee supports, whether for state, local public office, or both. Key sections demand the nomination of a political treasurer, alongside the reporting of financial summaries that detail receipts, disbursements, and outstanding obligations. Notably, the form distinguishes between committees that can claim exemption from detailed disclosures based on their financial thresholds and those required to submit a full account due to their receipt of contributions or expenditures exceeding $1,000 within a reporting period. By setting forth requirements for detailed accounting and sworn affirmations by the political treasurer, the SS 1122 form embodies an essential framework designed to uphold the integrity of political financing.
| Question | Answer |
|---|---|
| Form Name | Form Ss 1122 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | 10f, prnt sc au 1122, prepremid, SS-1122 |
CAMPAIGN FINANCIAL DISCLOSURE STATEMENT
FOR MULTICANDIDATE COMMITTEES (PACS)
1. |
DATEOFREPORT |
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2. NAMEOFCOMMITTEE |
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2.A. SHORT NAME OF COMMITTEE (IF APPLICABLE) |
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3. |
ADDRESS AND PHONE |
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Street or Rural Route |
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City |
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State |
Zip Code |
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Phone |
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4. |
TYPE OF CANDIDATES SUPPORTED |
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STATE PUBLIC OFFICE |
LOCAL PUBLIC OFFICE |
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BOTH |
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5.A. NAME OF POLITICAL TREASURER |
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5.B. DATE APPOINTED |
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6. |
CATEGORY OR REPORT (Check one) |
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FIRST |
SECOND |
THIRD |
FOURTH |
PRE- |
PRE- |
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QUARTER |
QUARTER |
QUARTER |
QUARTER |
PRIMARY |
GENERAL |
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SUPPLEMENTAL |
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SUPPLEMENTAL |
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7.A.BEGINNINGDATEOFREPORTINGPERIOD |
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7.B.ENDINGDATEOFREPORTINGPERIOD |
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8. (Check one) |
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A. |
This committee is exempt from detailed disclosures because contributions (including |
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expenditures total $1,000 or less for this reporting period. I do solemly swear or affirm that the information contained in this statement |
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is true and that the committee has complied with all applicable provisions of the Campaign Financial Disclosure Act. (Items 10d., 10e. |
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and 10f must also be completed.) |
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B. |
This committee is required to file a detailed financial disclosure because contributions (including |
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$1,000 and/or expenditures total more than $1,000 for this reporting period. I do solemly swear or affirm that the information contained |
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in this statement is true and that the following page(s) are a complete and accurate accounting of all contributions and expenditures |
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required to be reported by political campaign committees by the Campaign Financial Disclosure Act. |
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signature of political treasurer |
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date |
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9. |
WITNESS SIGNATURE |
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signature of witness |
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date |
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10. |
SUMMARY |
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a. BALANCE ON HAND LAST REPORT |
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$ |
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................................................................................................b. TOTALRECEIPTSTHISPERIOD |
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$ |
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...................................................................................c. TOTALDISBURSEMENTSTHISPERIOD |
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$ |
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d. BALANCE ON HAND (10.a. plus 10.b. minus 10.c.) |
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$ |
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e. |
TOTAL LOANS OUTSTANDING |
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$ |
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f. |
TOTAL OBLIGATIONS OUTSTANDING |
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$ |
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RDA Pending |