Professional Documents
Culture Documents
January 31, 2017 Annual Report (January 1.2016 through December 31,2016)... ... . ..Mandatory
All Political Committees, excluding those which supported or opposed a judicial
candidate on the November 2016 General Election ballot.
Termination Report (Committee will no longer accept contributions or make Required to terminate reporting
expenditures, has no outstanding debt obligation and zero cash on hand balance) obligations
IMPORTANT
(1) Annual Reports are mandatory even if no contributions or expenditures have occurred during the preceding calendar year.
In such case, the committee shall file a report indicating 0 (zero) for total amount of contributions and expenditures for
the reporting period.
(2) Until a political committee files a Termination Report, all campaign finance disclosure reports must be filed in accordance
with the applicable schedule set forth by Miss. Code Ann. 23-15-807 (b) (ii) and (til).
(3) The receiving authority must be in actual receipt of the required reports by 5:00 p.m. on the reporting day. If the deadline
falls on a weekend or a legal holiday, the office must be in actual receipt of the required reports by 5:00 p.m. on the first
2-----------------
Authority: Refer to Miss. Code Ann. 23-15-801 (197^^ef. seq. for statutory requirements.
Penalties: Failure to timely submit required reports in accordance with the applicable statute(s) may result in the imposition of
a civil penalty in the amount of $50 per day for ten (10) days and/or prosecution pursuant to Miss. Code Ann. 23-15-811 and
813 (1972).
SEND TO: .
Political Committees supporting or opposing Statewide, State-Dis^ipi^andTpr Logi^lative candidates file this form with the
Secretary of State, Elections Division, P. 0. Box 136, Jackson, MS ^9j2Ql5,dr fdXjm {601) 576-2545.
Political Committees supporting or opposing county and/or county dlsiiriCt.cart(iiMates or local (county) option elections file this
form with the Circuit Clerks Office. .
Political Committees supporting or opposing municipal candiaa^i2>>'Jopal^r^Ufitcfpalk option elections file this form with the
Municipal Clerks Office. '" ^
SOS 12-15
2016 ELECTION CYCLE Delbert Hosemann
SECRETARY OF STATE
Political Committee
REPORT OF RECEIPTS AND DISBURSEMENTS
2016 Election
Committee To Elect Chokwe Antar Lumumba
Name of Committee
Address Office Box 68426, Jackson, MS 39286 .Countyjj!!]^
Telephone
601-291-1293 Fax
TYPE OF REPORT
_ May 10, 2016 Periodic Report (January 1. 2016, through April 30, 2016) ................
................................................. ......................Mandatory
__ June 10, 2016 Periodic Report (May 1, 2016, through May 31, 2016) ......................Mandatory
__ July 8, 2016 Periodic Report (June 1,2016, through June 30, 2016) . .................................... Mandatory
_____October 10,2016 Periodic Report (July 1, 2016, through September 30. 2016) . . ......... Mandatory
____ November 1, 2016 Pre-Election Report (October 1, 2016, through October29, 2016) .... .. ..Mandatory
^Termination Report (Candidate will no longer accept contributions or make campaign expenditures and has no Required to terminate
outstanding campaign debt obligation) reporting obligations
IMPORTANT
(1) Pre-Election reports are mandatory, even if no contributions or expenditures have occurred. In such case, the candidate shall submit a report
indicating 0 (Zero) for total amount of reported contributions and expenditures during this period.
(2) Until a Candidate files a Termination Report, annual and periodic reports must still be filed in accordance with Miss. Code Ann. 23-15-807 (b) (ii)
and (iii).
(3) The receiving authority must be in actual receipt of the required reports by 5:00 p.m. on the reporting day. If the deadline fails on a weekend or a
holiday, the office must be in actual receipt of the required reports by 5:00 p.m. on the first working day before the deadline. Faxed reports are
acceptable.
REPORTED CONTRIBUTIONS AND DISBURSEMENTS
Calendar
Itemized + Non-itemized This Period
Year-To-Date
Total amount of contributions $ 14,050.^'* 5 110.00 * 14,160.00(9,250.00IK) $ 21,635.00
Authority: Refer to Miss. Code Ann. fiJ-ia-ilUl (lUlii u(. SAIj.Tbr statutory requirements.
Penalties: Failure to submit required reports, or failure to submit reports in accordance with statutory deadlines, or failure to submit valid reports shall result in
fines of $50 per day and/or prosecution in accordance with Miss. Code Ann. 23-15-811 and 813 (1972).
SEND TO: 1 Candidales for Slalewide. Stale dslrict. mulli-cour\ty ar^d all legislative offices should return form to Secretary of State, Elections Division, P. 0. Box 136, Jackson,
MS 39205 or fax to 601-576-2545. 2. Candidates ft^countywide and coonly d;s&jcf offices should return forms to their county Circuit Clerk.
03AI303'j
SOS 09-14
Page of
Name of Candidate or Committee jCommittee To Elect cnokwe Antar LumumbT
ITEMIZED RECEIPTS
A. Source: |~ Corporation f7 PAC V~ Individual |~ Loan [~ Amount of each
Date
receipt
Other (please specify) i (Mo., Day, Year)
this period
FuH name_________ fio /i^ /fie
jOctagon Group LLC $ fl.OOO.OO
Mailing Address
5868 Ridgewood Road, Suite E r ,r ,r
City, State, Zip Code
I Jackson, MS 39211 r ,r ,r
Name of Employer (Required)
r ,r ,r
Occupation (Required) Aggregate
year-to-date 2,525.00
SS04-05
Page of 1^
Name of Candidate or Committee Icommittee To Elect Chokwe AiHaruTmumba
Reporting period ~ through
ITEMIZED RECEIPTS
A. Source: |~ Corporation f~ PAC T~ Individual 17 Loan Amount of each
Date
receipt
Other (please specifvi I (Mo., Day, Year)
this period
Full name
{Warren and Gennie Jones
[l2 / / fie $ 11,500.00
Occupation iReouire'dr
r,r,r
Aggregate $ |1,500.00
year-to-date
B, Source: f~ Corporation P PAC P Individual 17 Loan P
Amount of each
Date
receipt
(Mo., Day, Year)
Other (please specify). this period
Full name
|jerry Blount
fio / fas /fie $ faoo.oo
Mailing Address
fia / fig / fie $ [200.00
2341 Overbook Drive
City, State, Zip Code
F / foT / fie" $ leso.oo
Jackson, MS 39213
Name of Employer (Reoulred)
fiT i\6T /fie $ [500.00
Mailing Address
[3246 Highway 80 West
fiT /f^ /fie $ fsoo.oo
City. State. Zip Code
(Jackson, MS 39204
fi2 /f^ /fie $ fsoo.oo
Name of Employer (Required)
F ,F /F
Occupation (Required) Aggregate ^ [4,650. 00
year-to-date
SS04-05
Page of j[_
Name of Candidate or Committee jcommittee To Elect Chokwe Antar Lumumba
Reporting period ~ through OliiE!!
ITEMIZED RECEIPTS
A. Source: l~ Corporation [7 PAC l~ Individual f Loan Amount of each
Date
receipt
Other (please specify) I ... (Mo., Day, Year)
this period
Full name__________
[Charter Investments
fio /foT /fi6 $ [650.00
Mailing Address
fiT /loT /[i6 $ [500.00
304 South Gallatin Street
City, State, Zip Code
[Jackson, MS 39203
liz /|oT /[16 $ [500.00
Occupation iPteoulreaT
Aggregate
$ (see next entry
year-to-date
B. Source: P Corporation 17 PAC f~ Individual f Loan P Amount of each
Date
receipt
(Mo., Day, Year)
Other (please specify) I this period
Full name__________________
[Charter Investments continued
[i2 /[oT /fTe $ [soo.oo
Mailing Address
r,r,r
City, State. Zip Code
r ,r ir
Name of Employer (Required)
F/r ,r
Occupation (Required) Aggregate $ 13,450.00
year-to-date
C. Source Corporation [7 PAC (~ Individual P Loan P
Amount of each
Date
Other (please specify)! receipt
(Mo., Day, Year)
this period
SS04-OS
Page of
Name of Candidate or Committee Icommlttee To Elect Chokwe Antar mmumba
Reporting period ~ through
ITEMIZED RECEIPTS
A. Source: |~ Corporation P PAC P Individual [7 Loan P Date
Amount of each
receipt
(Mo., Day, Year)
Other (please specify) I this period
Full name fi2 /[o3 /[Te
{Adjoin Alyetoro $ 1100.00
Mailing Address
r,r,r
City, State, Zip Code
r ,r ,r
Name of Employer (Required)
r ,r ,r
Occupation (Required) Aggregate
year-to-date
C. Source p Corporation P PAC P Individual P Loan P Amount of each
Date
Other (please specify)! receipt
(Mo., Day, Year)
this period
ull name r/F/r
$
Mailing Address r /F ;r
SS04-05
Page_^__ of.
ITEMIZED DISBURSEMENTS
A. Full name Date Amount of each
Rukia Lumumba (Mo., Day, Year) disbursement this period
Mailing Address
12/11 / 16 $ 343.46
SS04-06
2 2
Page___ of__
Committee To Elect Chokwe Antar Lumumba
Name of Candidate or Committee
10-01-16 12-31-16
Reporting period through
ITEMIZED DISBURSEMENTS
A. Full name Date Amount of each
Ervin Bradley (Mo., Day, Year) disbursement this period
Mailing Address
11 / 18 ^ 16 $ 600.00
SS04-06