Bentley FCPA Summary 1A 2015

THIS AREA FOR OFFICIAL USE ONLY
ANNUAL
Fair Campaign Practices Act

State of Alabama
Candidate & Elected Official
Campaign Finance Report
SUMMARY FORM 1A
This document was filed electronically on 01/08/2016

at 02:03PM with the Elections Division, Office of the
Alabama Secretary of State.
Please Print in Ink or Type.

Full Name of Candidate
Political Party / Ballot
ROBERT BENTLEY
Calender Year
covered by this report
REPUBLICAN
Office Sought (include district or circuit number, if applicable)
2015
Amended Annual Report
GOVERNOR
Address
Termination Report
11 RIDGELAND
City
State
ZIP Code
Telephone Number
TUSCALOOSA
AL
35406
(334) 242-7100
SECTION I - Summary of activity from last filed report through December 31 of reporting year
1
Beginning balance (ending balance from previous filing)
$604,259.95
2d
$401,760.33
4c
$33,010.26
5c Total expenditures (add lines 5a and 5b)
5c
$692,124.64
$346,905.90
Cash Contributions
2a Itemized cash contributions (total from Form 2)
2a
$401,760.33
2b Non-itemized cash contributions
2b
$0.00
2d Total cash contributions (add lines 2a, 2b, and 2c)

In Kind Contributions
3a Itemized in-kind contributions (total from Form 3)
3a
$0.00
3b Non-itemized in-kind contributions
3b
$0.00
3c Total in-kind contributions (add lines 3a and 3b)
3c
$0.00
4a Total itemized receipts from other sources (total from Form 4)
4a
$33,010.26
4b Total non-itemized receipts from other sources
4b
$0.00
Reciepts from Other Sources
4c Total receipts from other sources (add lines 4a and 4b)

Expenditures
5a Itemized expenditures (total from Form 5)
5a
$692,124.64
5b Non-itemized expenditures
5b
$0.00
Ending balance (add lines 1, 2c, & 4c, then subtract line 5c)
SECTION II - Summary of activity for entire reporting year - January 1st through December 31st
7
Beginning balance (as of January 1 of reporting year)
$559,259.95
Total cash contributions this year
$446,760.33
Total in-kind contributions this year
$0.00
10 Total receipts from other sources for year
10
$33,010.26
11 Total expeditures for year
11
$692,124.64
12
$346,905.90
12 Ending balance (add lines 7, 8, & 10, then subtract line 11)
13 Total campaign debt (total debt owed as of December 31)
As required by the Alabama Fair Campaign Practices Act, I hereby swear
or affirm to the best of my knowledge and belief that the attached report(s)
and the information contained herein are true and correct and that this
information is a full and complete statement of all contributions,
expenditures, and other required information during the applicable period of
time.
Electronically signed
by
01/08/2016
ROBERT BENTLEY,
CANDIDATE
Signature of Candidate or Elected Official
Date
13
$0.00
Sworn to and subscribed before me this ________ day of ________ of the year ________.
My commission expires the ________ day of ________ of the year ________.
Signature of Notary Public
Print Notary's Name

FORM REVISED 12.9.2012
ALABAMA FAIR CAMPAIGN PRACTICES ACT - CAMPAIGN FINANCE REPORT FOR CANDIDATE/ELECTED
OFFICIAL
FORM 2: Contributions
received by candidate or elected official
NAME OF CANDIDATE OR ELECTED OFFICAL:
ROBERT BENTLEY
When total contributions from a single source exceed $100.00, the FCPA requires all contributions from that source to be itemized.
DO NOT LIST in-kind contributions or loans on this form. Use forms 3 and 4 for those listings.
SOURCE OF
CONTRIBUTION
(CHECK ONE)
PO BOX 130
OZARK, AL 36361
AUTOMOBILE DEALERS P.O. BOX 231058

ASSOCIATION OF
MONTGOMERY, AL 36123
ALABAMA, INC. AUTO
PAC
Returned
STUART K SMITH PC
Other
P.O. BOX 10566

BIRMINGHAM, AL 35205
PAC
COMPASS BANCPAC
Individual
ADDRESS
(ADDRESS SHOULD INCLUDE
STREET OR P.O. BOX, CITY, STATE, AND ZIP)
Business or
Corporation
CONTRIBUTOR
(INCLUDE FULL NAME)
DATE
CONTRIBUTION
RECEIVED
(mo/day/yr)
AMOUNT OF
CONTRIBUTION
02/06/2015
$10,000.00
02/06/2015
$500.00
02/13/2015
$10,000.00
CHARLOTTE B HALE
709 QUEEN CITY AVE

TUSCALOOSA, AL 35401
02/13/2015
$100.00
ROBERT J. BENTLEY
11 RIDGELAND
02/18/2015
$100.00
02/19/2015
$10,000.00
VOLKERT, INC.
3809 MOFFETT ROAD

MOBILE, AL 36618
ABC MERIT PAC
1830 28TH AVE. SO.

02/27/2015
$5,000.00
ALABAMA BUILDERS
POLITICAL ACTION
COMMITTEE (ABPAC)
P.O. BOX 241305

02/27/2015
$5,000.00
ALABAMA MEDICAL
PAC STATE FUND
(ALAPAC)
P.O. BOX 22
02/27/2015
$10,000.00
02/27/2015
$10,000.00
ALABAMA POWER CO. P.O. BOX 2641

EMPLOYEES STATE PAC BIRMINGHAM, AL 35203
BANKPAC
P.O. BOX 241166

02/27/2015
$15,000.00
BIZPAC
P.O. BOX 230035

02/27/2015
$9,000.00
BIZPAC
P.O. BOX 230035

02/27/2015
$18,750.00
02/27/2015
$15,000.00
02/27/2015
$5,000.00
02/27/2015
$5,000.00
LOUIS W. BRELAND
CANPAC
2101 CLINTON AVENUE, SUITE 201

HUNTSVILLE, AL 35801
P.O. BOX 138

DIVERSIFIED MEDICAL 961 FAIRFAX PARK

SPECIALTIES, INC.
X
X
FARM PAC
P.O. BOX 11000

02/27/2015
$10,000.00
FIRST DECADE PAC
P.O. BOX 230035

02/27/2015
$18,750.00
FRANKLIN PAC
4120 WALL STREET

02/27/2015
$10,000.00
FRANKLIN PAC
4120 WALL STREET

02/27/2015
$13,000.00
FREE ENTERPRISE
POLITICAL ACTION
COMMITTEE
P.O. BOX 230035

02/27/2015
$18,750.00
MAINSTREAM
POLITICAL ACTION
COMMITTEE
P.O. BOX 230035

02/27/2015
$18,750.00
OFFICIAL
ROBERT BENTLEY
SOURCE OF
CONTRIBUTION
(CHECK ONE)
Returned
Other
PAC
Individual
ADDRESS
Business or
Corporation
CONTRIBUTOR
(INCLUDE FULL NAME)
DATE
CONTRIBUTION
RECEIVED
(mo/day/yr)
AMOUNT OF
CONTRIBUTION
MILLENNIUM HEALTH
SERVICES, INC.
961 FAIRFAX PARK

02/27/2015
$2,500.00
NHS MANAGEMENT,
LLC
961 FAIRFAX PARK

02/27/2015
$5,000.00
NORTHPORT HEALTH
SERVICES, INC.
961 FAIRFAX PARK

02/27/2015
$2,500.00
NORTHPORT HOLDING 961 FAIRFAX PARK

OPERATIONS, LLC
02/27/2015
$2,500.00
NORTHPORT HOLDING, 961 FAIRFAX PARK

LLC
02/27/2015
$2,500.00
PRIDE PAC II
P.O. BOX 2663

02/27/2015
$12,500.00
RETAILERS OF
ALABAMA PAC
P.O. BOX 240669

02/27/2015
$2,000.00
SENIOR CARE
PHARMACY, INC.
961 FAIRFAX PARK

02/27/2015
$5,000.00
T TOWN PAC II
P.O. BOX 2663

02/27/2015
$12,500.00
02/27/2015
$10,000.00
THE YATES
COMPANIES, INC.
P.O. BOX 456

PHILADELPHIA, MS 39350
X
X
X
TRUK PAC
7550 HALCYON POINTE

02/27/2015
$5,000.00
VISION PAC
4120 WALL STREET

02/27/2015
$2,060.33
03/03/2015
$5,000.00
03/03/2015
$12,500.00
03/03/2015
$10,000.00
ERGON
P.O. BOX 1639

JACKSON, MS 39215
PRIDE PAC II
P.O. BOX 2663

REGIONS BANK
P.O. BOX 11007

T TOWN PAC II
P.O. BOX 2663

03/03/2015
$12,500.00
ALABAMA ACRE
P.O. BOX 244014

03/04/2015
$5,000.00
ALABAMAFIRST PAC
P.O. BOX 230035

03/04/2015
$15,000.00
G PAC
1901 6TH AVENUE NORTH, SUITE 2400

03/04/2015
$2,500.00
MAY PAC
1901 6TH AVENUE NORTH, SUITE 2400

03/04/2015
$2,500.00
PRIDE PAC II
P.O. BOX 2663

03/04/2015
$12,500.00
PRIDE PAC II
P.O. BOX 2663

03/04/2015
$9,000.00
03/04/2015
$10,000.00
03/04/2015
$12,500.00
RAYTHEON POLITICAL 1100 WILSON BLVD, SUITE 1500

ACTION COMMITTEE
ARLINGTON, VA 22209
T TOWN PAC II
P.O. BOX 2663

X
X
OFFICIAL

ROBERT BENTLEY
SOURCE OF
CONTRIBUTION
(CHECK ONE)
Returned
Other
PAC
FORM REVISED ON 11.22.2012
P.O. BOX 2663

Individual
T TOWN PAC II
ADDRESS
Business or
Corporation
CONTRIBUTOR
(INCLUDE FULL NAME)
DATE
CONTRIBUTION
RECEIVED
(mo/day/yr)
AMOUNT OF
CONTRIBUTION
03/04/2015
$11,000.00
TOTAL CASH CONTRIBUTIONS
$401,760.33
OFFICIAL
FORM 4: Receipts from Other Sources loans, interest, and other sources of income
ROBERT BENTLEY
When total contributions from a single source exceed $100.00, the FCPA requires all contributions from that source to be itemized
DO NOT LIST cash or in-kind contributions on this form. Use Forms 2 and 3 for those listings.
FORM OF
RECEIPT
Source Other
Source Business
FORM REVISED ON
11.22.2012
DATE
RECIEVED
AMOUNT OF
RECEIPT
01/16/2015
$2120.10
01/16/2015
$173.41
03/13/2015
$2931.10
11 RIDGELAND
1819 POLK STREET,

#373
SAN FRANCISCO, CA
94109
03/31/2015
$18274.99
04/02/2015
$125.00
09/29/2015
$9385.66
AMERICAN 2401 BEHREND DRIVE,

EXPRESS TRS SUITE 55
COMPANY
PHOENIX, AZ 85027
THE
WICKERS
GROUP
Source Individual
THE
WICKERS
GROUP
Source PAC
VOIDED
CHECKS
GUARANTORS
[FCPA REQUIRES FULLE NAME
AND COMPLETE ADDRESS OF
INDIVIDUAL(S) ENDORSING OR
GUARANTEEING A LOAN]
RECEIPT SOURCE
(CHECK ONE)
Lending Institution
WIDE OPEN 1241 OG SKINNER DR

WEST
WEST POINT, GA 31833
Form Other
1819 POLK STREET,

#373
SAN FRANCISCO, CA
94109
Form Loan
THE
WICKERS
GROUP
ADDRESS
STREET OR P.O. BOX, CITY,
STATE, AND ZIP)
Form Interest
SOURCE OF
RECEIPT
(INCLUDE FULL
NAME)
COMPLETE THIS BLOCK IF

RECEIPT IS A LOAN
1819 POLK STREET,

#373
SAN FRANCISCO, CA
94109
TOTAL RECEIPTS
$33010.26
ALABAMA FAIR CAMPAIGN PRACTICES ACT - CAMPAIGN FINANCE REPORT FOR CANDIDATE & ELECTED OFFICIAL
FORM 5: Expenditures
by candidate or elected official

ROBERT BENTLEY
NAME OF CANDIDATE OR ELECTED OFFICIAL:
When total expenditures to a single recipient exceed $100.00, the FCPA requires all expenditures to that recipient be itemized.
PURPOSE OF EXPENDITURE
(CHECK ONE)
Lodging
Transportation
Loan Repayment
Fundraising
Food
Consultants/Polling
Charitable Contributions
DATE OF
AMOUNT
GIVE
EXPENDITURE
OF
BRIEF
(mo./day/yr.) EXPENDITURE
EXPLANATION
$1650.00
01/05/2015
$5000.00
01/05/2015
$2000.00
920 RUNNING BROOK

DRIVE
PRATTVILLE, AL 36066
01/05/2015
$1250.00
COMM360
P.O. BOX 688

MARIETTA, GA 30061
01/05/2015
$1250.00
HEATH GARRETT
P.O. BOX 688

MARIETTA, GA 30060
01/05/2015
$6250.00
01/05/2015
$6450.00
2250 HIGHLAND AVENUE

SOUTH
JOSEPH PRIDGEN JR. 4323 BOULDER LAKE

CIRCLE
ALEXANDRA RICE
OTHER
01/05/2015
WILHELM RESOURCE
CO.
2201 CAHABA ROAD

Advertising
BAKER ALLEN
Administrative
ADDRESS
PERSON/GROUP/BUSINESS
RECEIVING EXPENDITURE
(INCLUDE FULL NAME)
STATE, AND ZIP
RCM
P.O. BOX 2536
COMMUNICATIONS, INC. TUSCALOOSA, AL 35403
MEREDITH JONES
2400 WALKING FERN

LANE
HOOVER, AL 35244
01/05/2015
$1250.00
ANGI STALNAKER
8419 WATER OAK COURT

01/05/2015
$3625.00
CHRYSALIS
CONSULTING, LLC
3208 MIDLAND DRIVE

VESTAVIA HILLS, AL
35216
01/05/2015
$2000.00
01/05/2015
$3750.00
01/14/2015
$131.75
01/19/2015
$7500.00
02/02/2015
$5000.00
02/04/2015
$53.63
02/19/2015
$3250.00
02/19/2015
$810.00
03/04/2015
$49.31
03/04/2015
$5000.00
03/04/2015
$5082.01
ANDREW ZACHERY LEE 9471 WINFIELD PLACE

HARLAND CLARKE
P.O. BOX 931898

ATLANTA, GA 31193
CMG CONSULTING
GROUP, INC.
P.O. BOX 2663

WILHELM RESOURCE
CO.

SOUTH
VERIZON WIRELESS
P.O. BOX 660108

DALLAS, TX 75266
CMG CONSULTING
GROUP, INC.
P.O. BOX 2663

RYALS, DONALDSON & 60 COMMERCE STREET,

AGRICOLA, PC
SUITE 1400
VERIZON WIRELESS
P.O. BOX 660108

DALLAS, TX 75266
CMG CONSULTING
GROUP, INC.
P.O. BOX 2663

COMM360
P.O. BOX 688

MARIETTA, GA 30061
X
X
X
X
X
X

ROBERT BENTLEY
(CHECK ONE)
Lodging
X
X
RCM
P.O. BOX 2536
RCM
P.O. BOX 2536
RCM
P.O. BOX 2536
RCM
P.O. BOX 2536
RCM
P.O. BOX 2536
RCM
P.O. BOX 2536
CMG CONSULTING
GROUP, INC.
P.O. BOX 2663

US POSTMASTER
CAHABA HEIGHTS
STATION
X
X
X
RCM
P.O. BOX 2536
RCM
P.O. BOX 2536
RCM
P.O. BOX 2536
AGRICOLA, PC
SUITE 1400
Transportation
11 RIDGELAND
P.O. BOX 931898
ATLANTA, GA 31193
Loan Repayment
Fundraising
Food
Consultants/Polling
HARLAND CLARKE
ROBERT J. BENTLEY
Advertising

AGRICOLA, PC
SUITE 1400
Administrative
ADDRESS
(INCLUDE FULL NAME)
STATE, AND ZIP
X
X
OTHER
DATE OF
AMOUNT
GIVE
EXPENDITURE
OF
BRIEF
EXPLANATION
03/06/2015
$900.00
03/06/2015
$509722.22
03/06/2015
$110.73
03/10/2015
$5000.00
03/10/2015
$672.00
03/10/2015
$146.45
03/12/2015
$5000.00
03/12/2015
$794.20
03/12/2015
$75.68
03/13/2015
$4170.97
03/24/2015
$49.00
03/31/2015
$5000.00
03/31/2015
$483.73
03/31/2015
$1186.50
04/07/2015
$780.00
POLICY
INTELLIGENCE, LLC
P. O. BOX 1931
04/07/2015
$1000.00
POLICY
INTELLIGENCE, LLC
P. O. BOX 1931
04/29/2015
$1000.00
04/29/2015
$5000.00
04/29/2015
$435.42
04/29/2015
$1680.00
05/06/2015
$552.41
06/02/2015
$1000.00
RCM
P.O. BOX 2536
RCM
P.O. BOX 2536
RCM
P.O. BOX 2536
WILHELM RESOURCE
CO.

SOUTH
POLICY
INTELLIGENCE, LLC
P. O. BOX 1931
X
X

ROBERT BENTLEY
(CHECK ONE)
Lodging
RCM
P.O. BOX 2536
06/03/2015
$5000.00
06/03/2015
$1680.00
07/02/2015
$5000.00
07/02/2015
$1232.00
07/02/2015
$289.00
07/15/2015
$1000.00
07/15/2015
$368.30
07/31/2015
$5000.00
07/31/2015
$1344.00
08/03/2015
$1000.00
09/04/2015
$780.00
09/04/2015
$1000.00
09/10/2015
$5000.00
09/10/2015
$1012.20
09/10/2015
$152.60
09/10/2015
$420.00
10/07/2015
$1000.00
10/07/2015
$5000.00
10/07/2015
$1568.00
10/15/2015
$24758.00
11/02/2015
$5000.00
X
X
RCM
P.O. BOX 2536
RCM
P.O. BOX 2536
P. O. BOX 1931

AGRICOLA, PC
SUITE 1400
X
X
RCM
P.O. BOX 2536
RCM
P.O. BOX 2536
POLICY
INTELLIGENCE, LLC

AGRICOLA, PC
SUITE 1400
POLICY
INTELLIGENCE, LLC
P. O. BOX 1931
X
X
P. O. BOX 1931
RCM
P.O. BOX 2536
RCM
P.O. BOX 2536
RCM
P.O. BOX 2536
AGRICOLA, PC
SUITE 1400
POLICY
INTELLIGENCE, LLC
X
X
P. O. BOX 1931
RCM
P.O. BOX 2536
RCM
P.O. BOX 2536
MELTON, ESPY &
WILLIAMS, PC
P. O. DRAWER 5130
RCM
P.O. BOX 2536
DATE OF
AMOUNT
GIVE
EXPENDITURE
OF
BRIEF
EXPLANATION
$1732.68
RCM
P.O. BOX 2536
OTHER
06/02/2015
RCM
P.O. BOX 2536
POLICY
INTELLIGENCE, LLC
Transportation
Loan Repayment
Fundraising
Food
Consultants/Polling
11 RIDGELAND
Advertising
ROBERT J. BENTLEY
Administrative
ADDRESS
(INCLUDE FULL NAME)
STATE, AND ZIP
X
X
X

ROBERT BENTLEY
(CHECK ONE)
Lodging
RCM
P.O. BOX 2536
RCM
P.O. BOX 2536
RCM
P.O. BOX 2536
RCM
P.O. BOX 2536
BRANTWOOD
CHILDREN'S HOME
1309 UPPER WETUMPKA

ROAD
POLICY
INTELLIGENCE, LLC
P. O. BOX 1931
MR. JIM SMITH
1142 S. PERRY STREET

DAVIS DIRECT
1241 NEWELL PARKWAY

FORM REVISED 9.2.2011
Transportation
Loan Repayment
Fundraising
Food
Consultants/Polling
Advertising
Administrative
ADDRESS
(INCLUDE FULL NAME)
STATE, AND ZIP
X
X
X
X
X
OTHER
DATE OF
AMOUNT
GIVE
EXPENDITURE
OF
BRIEF
EXPLANATION
11/02/2015
$1232.00
11/30/2015
$5000.00
11/30/2015
$1232.00
11/30/2015
$164.92
12/03/2015
$2250.00
12/03/2015
$2000.00
12/07/2015
$700.00
12/09/2015
$4097.93
TOTAL EXPENDITURES
$692124.64

Bentley FCPA Summary 1A 2015

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Bentley FCPA Summary 1A 2015

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THIS AREA FOR OFFICIAL USE ONLY

Fair Campaign Practices Act

This document was filed electronically on 01/08/2016

Please Print in Ink or Type.

Political Party / Ballot

Office Sought (include district or circuit number, if applicable)

Amended Annual Report

Beginning balance (ending balance from previous filing)

5c Total expenditures (add lines 5a and 5b)

2b Non-itemized cash contributions

2d Total cash contributions (add lines 2a, 2b, and 2c)

3b Non-itemized in-kind contributions

3c Total in-kind contributions (add lines 3a and 3b)

4a Total itemized receipts from other sources (total from Form 4)

4b Total non-itemized receipts from other sources

Reciepts from Other Sources

4c Total receipts from other sources (add lines 4a and 4b)

Beginning balance (as of January 1 of reporting year)

Total cash contributions this year

Total in-kind contributions this year

10 Total receipts from other sources for year

11 Total expeditures for year

Signature of Candidate or Elected Official

Signature of Notary Public

Print Notary's Name

received by candidate or elected official

NAME OF CANDIDATE OR ELECTED OFFICAL:

AUTOMOBILE DEALERS P.O. BOX 231058

P.O. BOX 10566

709 QUEEN CITY AVE

3809 MOFFETT ROAD

ABC MERIT PAC

1830 28TH AVE. SO.

P.O. BOX 241305

ALABAMA POWER CO. P.O. BOX 2641

P.O. BOX 241166

P.O. BOX 230035

P.O. BOX 230035

2101 CLINTON AVENUE, SUITE 201

P.O. BOX 138

DIVERSIFIED MEDICAL 961 FAIRFAX PARK

P.O. BOX 11000

FIRST DECADE PAC

P.O. BOX 230035

4120 WALL STREET

4120 WALL STREET

P.O. BOX 230035

P.O. BOX 230035

received by candidate or elected official

NAME OF CANDIDATE OR ELECTED OFFICAL:

961 FAIRFAX PARK

961 FAIRFAX PARK

961 FAIRFAX PARK

NORTHPORT HOLDING 961 FAIRFAX PARK

NORTHPORT HOLDING, 961 FAIRFAX PARK

P.O. BOX 2663

P.O. BOX 240669

961 FAIRFAX PARK

P.O. BOX 2663

P.O. BOX 456

7550 HALCYON POINTE

4120 WALL STREET

P.O. BOX 1639

P.O. BOX 2663