Agent for local government group

Reporting electoral expenditure incurred

Local

Agent for local government group details

Agent full name*

Group Name *

Group members*

MARK MOLACHINO, MARGIE RYDER, JENNIFER HILL, SUZY BATKOVIC, LIAM MOONEY, KURT REHBEIN, NANETTE RADECK, ANN-MAREE GREANEY, RUSS COOK, MAURICE SOARS, SCOTT MCELLIGOTT

Electoral expenditure

Supplier name*

Street*

Suburb*

State*

Postcode*

Country*

Expenditure Particulars

Description of goods or services*

Purpose of the expenditure*

Amount*

Date of expenditure*

$0.00

Current Total

Foreign property return date

You have declared foreign property which was received more than 5 weeks ago. Please be aware that all foreign property must be returned, and reported as such, within 6 weeks. If you proceed without entering a return date you must file an amendment request when the property has been returned.

Foreign property return date

You have declared foreign property which was received more than 6 weeks ago. Please be aware that all foreign property must be returned, and reported as such, within 6 weeks. If you proceed without entering a return date an ECQ investigation may be launched.

Special Reporting Event

By submitting this disclosure you will trigger the Special Reporting Event.

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