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    Ballot Question Committee Forms and Instructions

    These forms are now updateable.  Please fill in the necessary fields as needed and print.  These forms are used to file (February, April, July and October Quarterlies), Pre-Election, Post-Election, Annuals, Dissolution and Amended campaign statements on paper.

    As soon as an organization or group of persons received $500 in contributions or makes independent expenditures totaling $500 in a calendar year to influence voters for or against the qualification, passage or defeat of one or more ballot questions in Michigan, the organization or group of persons has 10 calendar days to form and register a Statement of Organization. The statement of organization form is also used to keep up-to-date contact information, and request a Reporting Waiver if the committee does not expect to spend or receive more than $1,000 (See Appendix C for requirements of obtaining a reporting waiver).

    Forms and Instructions: 

      Ballot Question Cover Page - Each Campaign Statement must include a complete cover page with each filing.

    ·  Ballot Question Summary Page - Used to report a quick summary of financial activity during reporting coverage period.

    ·  Ballot Question Itemized Contributions Schedule 4A - Used to report direct contributions or loans of money from a person regardless of amount.

    ·  Ballot Question Other Receipts Schedule 4A-1 - Used to report interest, misc., refunds, rebates, returned/uncashed checks or loans from banks.

    ·  Ballot Question In-Kind Contributions Schedule 4-IK - Used to report contributions of goods or services from the candidate, person or other committees.

    ·  Ballot Question Itemized Expenditures Schedule 4B - Used to report direct expenditures of money of $50.01 or more in value.

    ·  Ballot Question Independent Expenditures Schedule 4B-1 - Used to report independent expenditures.

    ·  Ballot Question In-Kind Expenditure Schedule 4B-2 - Used to report fair market value of goods or services donated to other committees or organizations.

    ·  Ballot Question Get-Out-The-Vote Activities Schedule 4B-G - Used to report expenditures made for election day get out the vote activities.

    ·  Ballot Question Debts and Obligations Schedule 4E - Used to report funds owed by or owed to the committee.

    ·  Ballot Question Fund Raiser Schedule 4F - Used to report information on fund raisers held by the committee.

    ·  Ballot Question Forms Booklet - Complete booklet of all campaign finance forms and instructions.


    Please Note:

    The Michigan Campaign Finance Act was recently amended and added additional campaign statements to the filing schedule of Ballot Question Committees.


    Please see the memo dated July 13, 2012 for more information.




    Contact us at:


    Michigan Department of State

    Bureau of Elections

    P.O. Box 20126

    Lansing, Michigan 48901-0726

    Phone: (517) 373-2540

    Fax: (517) 373-0941



    Visit us as:


    430 West Allegan Street

    1st Floor Richard H. Austin Building

    Lansing, Michigan 48918-1700


    Electronic Filing Help Desk:


    MERTS Helpdesk: (703) 749-4642

    MERTS Email:


    Contact your County Clerk:


    Local filers are encourages to contact your County Clerk office for filing information


    Related Content
     •  Independent/Political (PAC) Committee Forms and Instructions
     •  Political Party Committee Forms and Instructions
     •  Michigan County Clerk Directory
     •  Instructions and Forms - Candidate Committees
     •  Committee Memos
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