candidate’s reportethics.la.gov/campaignfinancesearch/la-24930.pdf$500.00 $0.00 political...

DONNA COLLINS-LEWIS

5355 N Afton Pkwy.

Baton Rouge, LA 70806

State Representative

East Baton Rouge Parish

District 61

Donna Collins Lewis 225-439-9690

Karla M. Hatch 225-439-9690

CANDIDATE’S REPORT(to be filed by a candidate or his principal campaign committee)

1.Qualifying Name and Address of Candidate 2. Office Sought (Include title of office as

well

This report covers from through

4. Type of Report:

180th day prior to primary




10th day prior to general

40th day after general

Annual (future election)

Supplemental (past election)

Amendment to prior report

5. FINAL REPORT if:

Withdrawn Filed after the election AND all loans and debts paid

Unopposed

6. Name and Address of Financial Institution

(You are required by law to use one or more

banks, savings and loan associations, or money

market mutual fund as the depository of all

7. Full Name and Address of Treasurer

9. Name of Person Preparing Report

Daytime Telephone

10. WE HEREBY CERTIFY that the information contained in this report and the attached

schedules is true and correct to the best of our knowledge, information and belief, and that no

expenditures have been made nor contributions received that have not been reported herein,

and that no information required to be reported by the Louisiana Campaign Finance Disclosure

8. FOR PRINCIPAL CAMPAIGN COMMITTEES ONLY

a. Name and address of principal campaign committee,

committee’s chairperson, and subsidiary committees, if

any (use additional sheets if necessary).

Signature of Candidate/Chairperson

(To be signed by Chairperson only if report by

principal campaign committee)

Daytime Telephone

Daytime TelephoneSignature of Treasurer

Form 102, Rev. 1/98, Page Rev. 3/00

LA CAPITOL FEDERAL CREDIT UNION

PO Box 3398


KARLA M. HATCH

2959 Jackson Ave.


KARLA HATCH

225-803-3497

X

This day of , .

OFFICE USE ONLY

September 2011

Schedule A-1

Schedule B

Schedule E-1

Report Includes Schedules:

Report Number: 24930

Date Filed:

1/1/2011 9/12/2011

9/22/2011

3. Date of Primary

22nd

10/22/2011

of 22 24930Report Number: DONNA COLLINS-LEWIS

$ 18,050.00

$ 0.00

SUMMARY PAGE

RECEIPTS This Period

1. Contributions (Schedule A-1)

2. In-kind Contributions (Schedule A-2)

3. Campaign paraphernalia sales of $25 or less $ 0.00

4. TOTAL CONTRIBUTIONS (Lines 1 + 2 +33)

5. Other Receipts (Schedule A-3)

6. Loans Received (Schedule B)

7. Loan Repayments Received (Schedule D)

8. TOTAL RECEIPTS (Lines 4 + 5 + 6 + 7)

$ 18,050.00

$ 0.00

$ 2,436.25

$ 0.00

$ 20,486.25

DISBURSEMENTS This Period

9. Expenditures (Schedule E-1)

10. Other Disbursements (Schedule E-2)

11. Loan Repayments Made (Schedule B)

12. Funds Loaned (Schedule D)

13. TOTAL DISBURSEMENTS (Lines 9 + 10 + 11 + 12)

$ 18,269.36

$ 0.00

$ 0.00

$ 0.00

$ 18,269.36

FINANCIAL SUMMARY Amount

14. Funds on hand at beginning of reporting period (Must equal funds on hand at close from last report or -0- if first report for this election)

15. Plus total receipts this period (Line 8 above)

16. Less total disbursements this period (Line 13 above)

17. Less in-kind contributions (Line 2 above)

18. Funds on hand at close of reporting periodForm 102, Rev. 3/98, Page Rev. 3/98

$ 0.00

$ 20,486.25

$ 18,269.36

$ 0.00

$ 2,216.89


SUMMARY PAGE (continued)

INVESTMENTS Amount

19. Of funds on hand at beginning of reporting period (Line 14, above), amount held in

investments (i.e., savings accounts, CD’s, money market funds, etc.)

20. Of funds on hand at close of reporting period (Line 18, above), amount held in

investments

FINANCIAL SUMMARY Amount

21. Candidate’s personal funds

(Use of personal funds as either a contribution or loan to the campaign should be

reported on Schedules A-1 or B.)

22. Contributions received from political committees

(From Schedules A-1 and A-2)

23. All proceeds from the sale of tickets to fundraising events

(Receipts from the sale of tickets are contributions and must also be reported on

Schedule A-1.)

24. Proceeds from the sale of campaign paraphernalia

(Receipts from the sale of campaign paraphernalia are contributions and must also

be reported on Schedule A-1 or Line 3, above.)

$ 0.00

$ 0.00

$ 2,436.25

$ 0.00

$ 0.00

$ 0.00

25. Expenditures from petty cash fund

(Must also be reported on Schedule E-1.)$ 0.00

NOTICE

The personal use of campaign funds is prohibited.* The use of campaign funds must be related to a

political campaign or the holding of a public office or party position . However, campaign funds may be used to

reimburse a candidate for expenses related to his campaign or office , to pay taxes on the interest earned on

campaign funds or to replace articles lost, stolen, or damaged in connection with a campaign.

Excess campaign funds may be returned to contributors on a pro rata basis, given as a charitable

contribution as provided in 26 USC 170(c), given to a charitable organization as defined in 26 USC 501(c)(3),

expended in support of or opposition to a proposition, political party, or candidacy of any person, or

maintained in a segregated fund for use in future political campaigns or activity related to preparing for future

candidacy to elective office.

*The prohibition on the personal use of campaign funds does not apply to campaign funds received prior to July 15,

Form 102, Rev. Rev. 3/98, Page Rev. 3/00


SCHEDULE A-1: CONTRIBUTIONS (Other than In-Kind Contributions)

The following information must be provided for all contributors to your campaign during this reporting period, except for in-kind

contributions. Information on in-kind contributions is reported on SCHEDULE A-2: IN-KIND CONTRIBUTIONS. In Column 1,

check if the contributor is a political committee or a party committee. Any personal funds a candidate contributes to his

campaign must be reported on this schedule. Personal funds a candidate loans to his campaign should be reported on

Schedule B. For anonymous contributions, see SCHEDULE F. Totals and subtotals are optional. Completion of totals and

subtotals may assist in calculating totals that must be reported on the Summary Page.

1. Name and Address of Contributor 2. Contributions this Reporting Period 3. Total this Election

a. Date(s) b. Amount(s)

$0.00$250.00

POLITICAL COMMITTEE? PARTY COMMITTEE?

A & D PROPERTIES INC.

825 N Carrollton


06/30/2011

$0.00$100.00


DEBORAH A. ROE

1755 Perkins Road

Baton Rouge, LA 70808-1074

05/25/2011

$0.00$500.00


APG

6747 Renoir Ave.

Suite A


06/30/2011

$0.00$250.00


APG

6747 Renoir Ave.

Suite A


07/23/2011

$0.00$500.00


ARKEL CONSTRUCTORS

1406 Florida Street


08/24/2011

$0.00$50.00


HELEN B. POYDRAS

5462 Lanier Drive


04/29/2011

4. SUBTOTAL (this page)

5. TOTAL (complete only on last page of this schedule)

6. CONTRIBUTIONS FROM POLITICAL COMMITTEES:

SUBTOTAL (this page) TOTAL (complete only on last page of this schedule)


N/A

N/A

$1,650.00

$0.00











$0.00$300.00


CBA OPELOUSAS LLC

6554 Florida Blvd.


07/28/2011

$0.00$25.00


DENISE CHARBONNET

5959 Annunciation St.

New Orleans, LA 70115

05/26/2011

$0.00$50.00


J CLIFFORD GROUT III

1224 Carolyn Sue Dr.


07/28/2011

$0.00$400.00


DEN-SAL PROPERTIES LLC

15623 Chanove Ave.

Greenwell Springs, LA 70739

09/02/2011

$0.00$250.00


DERASHINE ENTERPRISES LLC

1048 Florida Blvd.


08/24/2011

$0.00$250.00


DERASHNIE ENTERPRISES LLC

1048 Florida Blvd.


01/26/2011






N/A

N/A

$1,275.00

$0.00











$0.00$2,500.00


LEWIS DILL

6859 Renoir Ave.


08/01/2011

$0.00$100.00


RONNIE EDWARDS

PO Box 73018


05/01/2011

$0.00$100.00


FRANCES FARLOW

3345 Elm Drive


05/18/2011

$0.00$250.00


HEATHER FATZINGER

2046 Hatteras Way NW

Atlanta, GA 30318

06/30/2011

$0.00$1,000.00


C. FRED CORNFORTH

4110 Eaton Ave.

Caldwell, ID 83607-8204

06/01/2011

$0.00$700.00


C. FRED CORNFORTH

4110 Eaton Ave.


06/30/2011






N/A

N/A

$4,650.00

$0.00











$0.00$700.00


C FRED CORNFORTH

4110 Eaton Ave.


08/15/2011

$0.00$50.00


MARY FREY EATON

2855 McCarroll Drive


06/16/2011

$0.00$125.00


CAROLYN GARRETT

9413 W Tampa Drive


08/01/2011

$0.00$100.00


MARY HUMPHREY

PO Box 1223

Brewton, AL 36427

08/28/2011

$0.00$50.00


EDWARD JAMES II

246 Ship Drive


06/30/2011

$0.00$250.00


RAYMOND JETSON

838 Woodstone Drive


05/26/2011






N/A

N/A

$1,275.00

$0.00











$0.00$125.00


RONALD JOHNSON

1600 Myrtle Walk


08/01/2011

$0.00$250.00


ARCHIE JONES

PO Box 46042


06/18/2011

$0.00$150.00


JAN L. BERNARD

1454 Arlington Ave.


05/26/2011

$0.00$1,000.00


LEWCO SPECIALTY PRODUCTS INC.

6859 Renoir Ave.


04/20/2011

$0.00$1,500.00


LEWCO SPECIALTY PRODUCTS INC.

6859 Renoir Ave.


08/01/2011

$0.00$100.00


WD LEWIS

12488 Brookshire Ave.


05/26/2011






N/A

N/A

$3,125.00

$0.00











$0.00$500.00


LOCKWOOD GREENE ENGINEERS INC.

9191 S Jamaica Street

Englewood, CO 80112

07/12/2011

$0.00$50.00


BRIAN MARSHALL

4005 Nicholson Drive


07/28/2011

$0.00$100.00


PAMELA METOYER

1680 Monterrey Blvd.


05/11/2011

$0.00$250.00


PAMELA METOYER

1680 Monterrey Blvd.


07/21/2011

$0.00$100.00


MICHAEL MILLER

7181 Richards Drive


07/25/2011

$0.00$500.00


DR. JACQUELINE MIMS

5358 Sherwood St.


05/25/2011






N/A

N/A

$1,500.00

$0.00











$0.00$100.00


SCHIELANDA MORGAN

13223 Oleary Ave.


05/26/2011

$0.00$200.00


JAMES NAPPER II

1412 S Woodhaven Street


08/18/2011

$0.00$150.00


ONE WAY DELIVERANCE MINISTRIES

1695 Wooddale Blvd.


07/05/2011

$0.00$100.00


CAROL PARKER

7622 Glen Oaks Drive


07/09/2011

$0.00$100.00


JAMES PERRY

1507 N Miro Street


05/10/2011

$0.00$500.00


ROADRUNNER TOWING & RECOVERY INC.

9101 Veterans Memorial Blvd.


05/26/2011






N/A

N/A

$1,150.00

$0.00











$0.00$50.00


PATRICIA ROBINSON

224 Ocean Drive

Apt. 114


07/28/2011

$0.00$1,000.00


ROVER SERVICES LLC

8247 Tom Drive


07/01/2011

$0.00$50.00


DR. RA'QUEL L. SHAVERS

515 Gardere Lane

Apt. 25


04/27/2011

$0.00$500.00


CURTIS SODERBERG

1342 Elmcrest Drive


07/28/2011

$0.00$100.00


DOROTHY SPEARS

1368 N. 32nd Street


06/19/2011

$0.00$100.00


ALMA THORNTON

7254 Carlene Ave.


04/16/2011






N/A

N/A

$1,800.00

$0.00











$0.00$125.00


VELMA V. H. HURST

1409 Cleary Ave.


05/23/2011

$0.00$250.00


VIRGINIA COLLEGE LLC

9513 Cortana Place


06/02/2011

$0.00$300.00


CHARLES W. TAPP

744 Frances Harriet Drive


05/26/2011

$0.00$500.00


EVELYN WARE JACKSON

5441 Asphodel Drive


08/25/2011

$0.00$50.00


EVELYN WARE

1104 South Court Street

Opelousas, LA 70570

05/26/2011

$0.00$200.00


SHARON WESTON BROOME

3591 Aletha Drive


06/30/2011






N/A

N/A

$1,425.00

$0.00











$0.00$200.00


TARA WICKER

PO Box 4182


07/27/2011






N/A

N/A$ 18,050.00

$ 0.00

$200.00

$0.00


SCHEDULE B: LOANS RECEIVED

The following information must be provided for each loan or line of credit received this reporting period, even if it has been

repaid. Also, complete this schedule for loans received in prior periods that are still outstanding. Separate loans must be

reported separately, even if from the same source. Any personal funds a candidate loans to his campaign must be reported

on this schedule.

1. Name and address of lender 2. b. Interest rate %(a.p.r.)

c. Amount borrowed* . . . . . . . . . . . . . . . . . . . . . . $

a. Date*

d. Balance due . . . . . . . . . . . . . . . . . . . . . . . . . . . $

*For lines of credit, give the date the line of credit was first committed

at Item 2a and list only the amount actually drawn at Item 2c.

OPTIONAL: Total amount of credit available $

3. Endorsers/Guarantors 4. Repayments this period

DONNA COLLINS-LEWIS

5355 N Afton Pkwy.


3/31/2011

Date Principal Interest

0.00

2,000.00

2,000.00

(Enter the full name and address of each person or entity that has

endorsed, guaranteed or otherwise secured the loan or line of

credit.

(List payments of principal and interest separately. If separate amounts are

not known, list all payments under principal. )

1. Name and address of lender 2. b. Interest rate %(a.p.r.)

c. Amount borrowed* . . . . . . . . . . . . . . . . . . . . . . $

a. Date*

d. Balance due . . . . . . . . . . . . . . . . . . . . . . . . . . . $

*For lines of credit, give the date the line of credit was first committed

at Item 2a and list only the amount actually drawn at Item 2c.

OPTIONAL: Total amount of credit available $

3. Endorsers/Guarantors 4. Repayments this period

DONNA COLLINS-LEWIS

5355 N Afton Pkwy.


4/29/2011

Date Principal Interest

0.00

436.25

436.25

(Enter the full name and address of each person or entity that has

endorsed, guaranteed or otherwise secured the loan or line of

credit.

(List payments of principal and interest separately. If separate amounts are

not known, list all payments under principal. )


SCHEDULE E-1: EXPENDITURES

Use this schedule to report information on all campaign expenditures for this reporting period. An “expenditure” is any

payment made for the purpose of supporting your election to public office and includes monies spent for the campaign’s

general operating expenses. Any payments made that are not “expenditures” should be reported on SCHEDULE E-2:

OTHER DISBURSEMENTS. Totals and subtotals at bottom of page are optional. Completion of totals and subtotals may

assist in calculating totals that must be reported on the Summary Page.

1. Name and Address of Recipient 2. Expenditures this Reporting Period

c. Amount(s)a. Date(s) b. Purpose(s)

ACADEMY SPORTS & OUTDOORS

8464 Airline Hwy


08/09/2011 Back to school uniforms $ 63.12

ASSOCIATION OF NURSES WORKING FOR OUR

PATIENT

32455 Maggio Street

White Castle, LA 70788

03/11/2011 Donation/Sponsorship $ 120.00

BREC FOUNDATION

6201 Florida Blvd.


07/07/2011 Donation $ 100.00

BEST WESTERN CHATEAU

710 N. Lobdell


06/07/2011 Deposit For Fundraiser $ 100.00

BEST WESTERN CHATEAU

710 N. Lobdell


06/28/2011 Fundraiser $ 452.00

BIG BUDDY PROGRAM

1415 Main Street


02/17/2011 Donation $ 50.00

CMC TECHNOLOGY CONSULTANTS

P.O. Box 83781

Baton Rougee, LA 70884

08/22/2011 Web-site creation maintenance

email

$ 1,000.00

CENIKOR

2414 Bunker Hill Dr.


09/08/2011 Annual Luncheon $ 80.00

3. SUBTOTAL (optional)

4. TOTAL (optional - complete only on last page of this schedule)Form 102, Rev. 3/98, Page Rev. 3/98

$1,965.12










CITADEL BROADCASTING

650 Wooddale Blvd.


08/30/2011 Radio Spots $ 1,000.00

E.B.R. YOUNG DEMOCRATS

701 Government St.


03/29/2011 Membership Dues $ 20.00

EAST BATON ROUGE PARISH CLERK OF COURT

222 St. Louis Street


09/06/2011 Qualifying Fee $ 450.00

ENTERGY

P.O. Box 8103


01/21/2011 Constituent Assistance on

Entergy Bill Acc# 32058877

$ 100.00

EUNICE L. COTTON FOUNDATION

123 E. First Street


07/08/2011 Donation $ 100.00

FIREBIRDS

6201 Florida Blvd


03/14/2011 Little League Basketball

Donation/Sponsorship

$ 120.00

FIRST EMANUEL B.C.

1933 Wooddale


01/30/2011 Donation $ 125.00

HENDERSON PHOTOGRAPHY

3201 Lavey Lane

Baker, LA 70714

04/05/2011 Campaign Photos $ 225.00



$2,140.00










JMC ENTERPRISES OF LOUISIANA

1025 Chippeham Drive


09/02/2011 Candidate Poll $ 1,000.00

JACKIE BEAUCHAMP/NERJYZED

7149 Florida Blvd.


04/13/2011 Social Media for Campaign $ 1,000.00


7149 Florida Blvd.


04/26/2011 Social Media $ 1,000.00


7149 Florida Blvd.


05/14/2011 Invitations for Fundraiser $ 30.26


7149 Florida Blvd.


06/01/2011 Social Media $ 1,000.00

JEFFERSONIA APARTMENTS

7950 Jefferson Hwy.


08/05/2011 Rental Assistance Apt. 208 $ 200.00

LA CAP FEDERAL CREDIT UNION

P.O. Box 3398


01/31/2011 Monthly Check Fee $ 6.00


P.O. Box 3398





$4,242.26











P.O. Box 3398




P.O. Box 3398




P.O. Box 3398




PO Box 3398




PO Box 3398




PO Box 3398




PO Box 3398


09/06/2011 Certified Check fee for

Qualifying

$ 15.00

LA DEMOCRATIC PARTY

701 Government Street


08/09/2011 Voter List $ 250.00



$301.00










LA HOME & FOREIGN MISSIONS

1134 Branch Joseph Odeon Ave

Algiers, LA 70114

07/24/2011 Donation $ 100.00

LEAN ON ME INC

1628 Leonard Drive


01/29/2011 Donation Non-Profit

Organization

$ 100.00

DR. LEO CYRUS ANNIVERSARY COMM

5856 Greenwell Springs Rd


08/10/2011 Ad $ 350.00

OASIS CHRISTIAN CHURCH

4524 E. Brookstown


03/18/2011 Donation $ 25.00

PASTOR RONALD T. WILLIAMS

5262 Prescott

Mt. Carmel B.C


06/26/2011 Donation $ 100.00

SAMS CLUB

7685 Airline Hwy


04/21/2011 Candy Donation for Children for

Easter Event

$ 106.58

SAMS CLUB

7685 Airline Hwy


06/25/2011 Supplies for fundraiser $ 96.14

SAMS CLUB

7685 Airline Hwy


06/28/2011 Food for Fundraiser $ 183.19



$1,060.91










SAMS CLUB

7685 Airline Hwy


08/05/2011 Donation of Hot Dog Buns for

School Giveaway

$ 21.14

SCREEN PRINTING EXPRESS

11386 Darryl Dr


06/02/2011 Signs $ 1,444.25


11386 Darryl Dr


06/13/2011 Signs $ 545.00


11386 Darryl Dr


07/11/2011 Signs $ 1,948.92


11386 Darryl Dr


08/04/2011 Signs $ 109.00


11386 Darryl Dr


09/12/2011 Signs $ 2,467.76

MONITA SKIDMORE

3608 Government St.


04/14/2011 Refreshments for Campaign

Announcement

$ 346.00

SOUTHERN UNIVERSITY QUARTERBACK CLUB

P.O. Box 1428


07/01/2011 Membership $ 100.00



$6,982.07










SOUTHLAND PROPERTIES

6315 Fieldstone


03/23/2011 Rental Assistance Clarence

Rogers - 5256 N. Afton

$ 100.00

STAR HILL CHURCH

1400 N. Foster Drive


06/22/2011 Sponsorshop/Donation $ 105.00

EDWARD TED JAMES CAMPAIGN FUND

4765 Monticello Blvd.


06/09/2011 Donation $ 30.00

THE HOME DEPOT

8181 Airline


06/21/2011 Material for signs $ 57.58

THE HOME DEPOT

8181 Airline


07/29/2011 Supplies for signs $ 153.92

UNITED STATES POSTAL SERVICE

750 Florida Blvd.

Batpon Rouge, LA 70821

06/17/2011 Postage $ 44.00

UNITED STATES POSTAL SERVICE

750 Florida Blvd.

Batpon Rouge, LA 70821

06/25/2011 Postage $ 44.00

VIVID IMAGES

2803 Airline Hyw


05/14/2011 Fundraiser Invitations $ 30.26



$564.76










VIVID IMAGES

2803 Airline Hyw


06/11/2011 Invitations $ 85.02

VIVID IMAGES

2803 Airline Hyw


08/07/2011 Push Cards $ 436.25

WALGREENS

4485 Perkins Rd.


08/03/2011 School Supplies $ 87.47

WALMART/SAMS CLUB

9350 Cortana Place


07/23/2011 School Supplies for Giveaway $ 176.51

WALMART/SAMS CLUB

9350 Cortana Place


07/31/2011 School Supplies $ 59.95

WHOLESALE PRINTABLES

950 Executive Parkway

Baton Roue, LA 70806

07/23/2011 T-Shirts $ 143.04

E.B.R. WOMANS AUXILLARY

1252 N. Acadian


04/29/2011 Ad $ 25.00



$ 18,269.36

$1,013.24


candidate’s reportethics.la.gov/campaignfinancesearch/la-24930.pdf$500.00 $0.00 political...

Documents