MONAE L. JOHNSON


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Communication Expenditure
Check the box below to identify if the communication was made with or without consultation:
  This communication clearly identified a candidate, public office holder, ballot question, or political party BUT WAS NOT controlled by, coordinated with, requested by, or made upon consultation with that candidate, political committee, or agent of a candidate or political committee.
  This communication clearly identified a candidate, public office holder, ballot question, or political party AND WAS MADE upon consultation with that candidate, political committee, or agent of a candidate or political committee.

Who files this statement:  Any PERSON or ENTITY that makes a payment or promise of payment totaling more than $100.00, including donated goods or services for a communication expenditure that concerns a candidate, public office holder, ballot question, or political party. SDCL 12-27-16(a)-(e) outlines what types of communications do not need to be reported on this form. POLITICAL COMMITTEES list Communication Expenditures on their Campaign Finance Disclosure Form.
Deadline to file: Within 48 hours of the time that the communication is disseminated, broadcast, or otherwise published.
File with: The Secretary of State except local political committees file with their local election official.
Disclaimers for communications: follow SDCL 12-27-16(1)(a)-(c) and SDCL 12-27-16.1
Please print (all fields are required):

Name of Person or Entity

Complete Mailing (PO Box or Street) Address City, State and Zip Code

Website Address of Entity (if applicable)

Name and Title of Person Filing the Report for the Entity

Name of Person who Authorized the Expenditures on Behalf of the Entity

Name of Chief Executive (if any) of the Entity

List the NAME(S) of each candidate, public office holder, ballot question, or political party mentioned or identified in each communication, the AMOUNT SPENT on each communication, and a DESCRIPTION of the content of each communication.

NAME(s) DESCRIPTION AMOUNT SPENT DATE      

Click 'Add Row' if you need to add another row.

*Note: You DO NOT need to fill out all of the above rows. They are provided only in case you need them.
(1). For an entity whose majority ownership is owned by, controlled by, held for the benefit of, or comprised of twenty or fewer persons, partners, owners, trustees, beneficiaries, participants, members, or shareholders, the statement shall identify by name and mailing address each person, partner, owner, trustee, beneficiary, participant, shareholder, or member who owns, controls, or comprises ten percent or more of the entity. (SDCL 12-27-16 (4))
Name of each person, partner, etc... Mailing (PO Box or Street) Address City, State and Zip Code      

Click 'Add Row' if you need to add another row.

*Note: You DO NOT need to fill out all of the above rows. They are provided only in case you need them.
(2). An entity shall also provide statements for any of its partners, owners, trustees, beneficiaries, participants, members, or shareholders identified pursuant to (1) above, which are owned by, controlled by, held for the benefit of, or comprised of twenty or fewer persons, partners, owners, trustees, beneficiaries, participants, members, or shareholders, until no entity identified in the statements meets the ownership test set forth above. (SDCL 12-27-16 (5))
Name Street Address, City, State and Zip Code      

Click 'Add Row' if you need to add another row.

*Note: You DO NOT need to fill out all of the above rows. They are provided only in case you need them.