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HomeMy WebLinkAboutCampaign Finance Records - Finance report - Committee to Elect Ian Hugh 2016 - 1/25/2016a 2. POLITICAL COMMITTEE CITY OF l Q CAMPAIGN FINANCE REPORT 2015 November Special Election wenn . —rJ L LZ L-,(- :E:AK� Full Name of Committee gI.) 0" Atldress Cfty ZIP Code County W� +/ .Ph A061 1 Sponsoring Orgami at or Candidate and office Name of Candidate and Once Sought (if applicable) _ E -Mail Address Fax # 4. REPORTING PERIOD (Please check appropriate box) FOR OFFICE USE ONLY CITY CLERK CITY OF GLENDALE 2915 JAH 25 AM 10: 49 3A. ID# DUE BETWEEN January 31 Report - For Period of * thru December 31, 2014 ... ....... January 1, 2015 and January 31, 2015 ❑ June 30 Report - For Period of January 1, 2015 thru May 31, 2015 ....... . ....... .... June 1, 2015 and June 30, 2015 ❑ Pre -Election Report - For Period of June 1, 2D15 thru October 22, 2015 ....... October 23, 2015 and October 30, 2015 ❑ Post -Election Report - For Period of October 23, 2015 thru November 23, 2015 . ...... November 24, 2015 and December 3, 2015 f�_January 31, Report - For Period of November 24, 2015 thru December 31, !t^o t`=� ......... January 1, " and January 31, 5. SUMMARY Column A Column B Total This Election Period Reporting Period Total To Date 5a Surplus from Previous Campaign (or at time Statement of Organization was filed for the new committee) Cj z LA t� 5b Cash on Hand at the Beginning of this Reporting Period 5c Total Receipts (from corresponding columns on Detailed Summary Page, Line 8) f 5d Subtotal [add Lines b and c for Column A and add lines a and c for Column B] 6a Total Debts and Obligations from Previous Campaign Committee at Beginning of this Election Period (or at time Statement of Organization was filed for the new committee) [Do not add or subtract this line from the other lines] 0 l 6b Total Disbursements (from corresponding columns on Detailed Summary Page, Line 18) `1 7. Cash on Hand at Close of Reporting Period [Subtract Line 6b from Line 5d]�2 *Insert date which is 21 days after date of last election (A.R.S. §16-913). **This will depend on the year next election is held. The "due between" year will be the year of an election and the date following "December 31" will be the immediately prior year Revised 9114 DETAILED SUMMARY PAGE � OF RECEIPTS AND DISBURSEMENTS 2. ID# 1. Committee Name: V� W W) . 3. Report covering period from D l RECEIPTS 4. Contributions other than loans and in-kind: (a) Individuals - more than $50 (Total from Schedule A) (b) Individuals - aggregate $50 or less (Tota! from Schedule A-1) (c) Political Committees (Total from Schedule B) (d) Subtotal Contributions [add 4(a), 4(b), and 4(c)] (e) Refund of contributions (Total from Schedule F-2) (f) Total Contributions Other than Loans and In-kind [subtract 4(e) from 4(d)] 5. (a) Loans made or guaranteed by candidate (Total from Schedule C) (b) All other loans (Total from Schedule C-1) (c) Total Loans [add 5(a) and 5(b)] 6. In-kind contributions (Total from Schedule E) 7. Dividends, interest, and other forms of receipts (Total from Schedule F-1) 8. Total Receipts [add 4(f), 5(c), 6, and 7] DISBURSEMENTS 2 COLUMN A COLUMN B THIS PERIOD CAMPAIGN TO DATE rol . D® t�_D 9. Expenditures for operating expenses (Total from Schedule D) I e (^ 1 (/ ;D:;D 10. Independent Expenditures (Total from Schedule D-1) 11. Value of In-kind expenditures (Total from Schedule E) J j 1 0 V 12. Loans made by reporting committee (Total from Schedule D-2) 13. (a) Repayment of loans made or guaranteed by candidate (Total from Schedule D-4) (b) Repayment of all other loans (Total from Schedule 0-5) (c) Totai Loan Repayments (add 13(a) and 13(b)] l V 14. Transfers to other political committees (Total from Schedule D-6) 15. Any other disbursement (Total from Schedule D-7) 16. Subtotal disbursements [add lines 9, 10, 11, 12, 13(c), 14, and 151 O.�i r l J�ZI�.DoC 17. Rebates, refunds and other offsets to operating expenses (Total from Schedule D-3) 18. Total disbursements [subtract line 17 from line 16] 1 `!D l ✓ L 19. Total Outstanding Debts owed by Reporting Candidate or Political Committee (Schedule F-3) 20. 1 certify, under penalty of perjury, that i have examined the contents of this campaign finance report and to the best of my knowledge and belief it is true and complete. Type or Wt Name of Treasurer Signature of Treasurer or Candidate or Designatin ndividual Date CONTRIBUTIONS more than $50 -from INDIVIDUALS* SCHEDULE A 2. ID# 1. Committee Name 3. Report covering period from _-t� thru i 4 CONTRIBUTIONS DATE RECEIVED AMOUNT RECEIVED THIS PERIOD CUMULATIVE TOTAL THIS CAMPAIGN TO DATE NAME, ADDRESS, OCCUPATION AND EMPLOYER OR CONTRIBUTOR 4a. LAST FIRST MI 'o V L/l 0D I STREETADDRESS CITY STAT ' j ZIP OCCUPATION � v `.,..v Y �` ^� ' 0 EMPLOYER b. LAST FIRST MI STREET ADDRESS CITY STATE ZIP OCCUPATION EMPLOYER C. LAST FIRST MI STREET ADDRESS CITY STATE ZIP OCCUPATION EMPLOYER d. LAST FIRST MI STREET ADDRESS CITY STATE ZIP OCCUPATION EMPLOYER e. LAST FIRST MI I STREET ADDRESS CITY STATE ZIP OCCUPATION EMPLOYER 5. 1ENTER TOTAL ON''_Y IF LAST PAGE OF SCHEDULE A [If last page of Schedule A, transfer total to Detailed Summary Page Line 4(z), Column A] *if contributions of $50 or less are listed with contributor's name, address, occupation and employer on Schedule A, do not include Page 1 Of them on Schedule A-1. CONTRIBUTIONS of $50 or less - AGGREGATE TOTAL* 2. ID# 1. Committee Name 3. Report covering period from 1 � — —15 4. Aggregate Total of Contributions of $50 or less SCHEDULE A-1 DESCRIPTION AMOUW RECEIVED THIS PERIOD CUMULATIVE TOTAL THIS GAMPAIGN TO DATE r F 5. TOTAL THIS PERIOD [Transfer total to Detailed Summary Page, Line 4(b), 6. CUMMULATIVE TOTAL THIS Column A] CAMPAIGN TO DATE [Transfer total to Detailed Summary Page, Line 4(b), Column B] 'If contributions of $50 or less are listed with contributor's name and address on Schedule A, do not include them on this schedule. CONTRIBUTIONS FROM POLITICAL COMMITTEES SCHEDULE B 2. ID# I 1. Committee Name 3. Report covering period from \ �� Is thru —1 4 CONTRIBUTIONS AMOUNT RECEIVED THIS PERIOD CUMULATIVE TOTAL THIS CAMPAIGN TO DATE IDENTITY OF CONTRIBUTOR AND DATE RECEIVED 4a ID # NAME, ADDRESS, CITY, STATE AND ZIP DATE RECEIVED b. ID # NAME, ADDRESS, CITY, STATE AND ZIP DATE RECEIVED ID # NAME, ADDRESS, CITY, STATE AND ZIP DATE RECEIVED d. ID # NAME, ADDRESS, CITY, STATE AND ZIP DATE RECEIVED e. ID # NAME, ADDRESS, CITY, STATE AN ZIP DATE RECEIVED ,. ;D# NAME, ADDRESS, C Y, STATE AND ZIP DATE RECEIVED g. ID # NAM ,ADDRESS, CITY, STATE AND ZIP DATE RECEIVED h. ID # NAME, ADDRESS, CITY, STATE AND ZIP DATE RECEI D i. ;D# NAME, ADDRESS, CITY, STATE AND ZIP DATE RECEIVED L ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE B [If last page of Schedule B, transfer total to Detailed Summary Page, Line 4(c), Column A] Schedule B Pageof CANDIDATE LOANS SCHEDULE C 1. Committee Name Lk 2. ID # l 3. Report covering period from y-- thru— 4. LOANS MADE OR GUARANTEED BY CANDIDATE DATE RECEIVED AMOUNT RECEIVED t CUMULATIVE TOTALTHiS CAMPAIGN TO DATE NAME AND ADDRESS FROM WHOM RECEIVED 4a, NAME, ADDRESS, CITY, STATE, AND ZIP DESCRIPTION b. NAME, ADDRESS, CITY, STATE, AND ZIP DESCRIPTION NAME, ADDRESS, CITY, STATE, AND ZIP DESCRIPTION d. NAME, ADDRESS, CITY, STATE, AND ZIP DESCRIPTION e. NAME, ADDRESS, CITY, STA , AND ZIP DESCRIPTI f. NA ADDRESS, CITY, STATE, AND ZIP DESCRIPTION 5. ENTER TOTAL OF LOANS MADE OR GUARANTEED BY CANDIDATE ONLY IF LAST PAGE OF SCHEDULE C [if last page of Schedule C, transfer total to Detailed Summary Page, Line 5(a), Column A] Schedule C Pageof OTHERLOANS SCHEDULE C1 2. I D# Committee Name Report covering period from t �T �� thru 4 ALL OTHER LOANS DATE LOAN RECEIVED AMOUNT OF LOAN CUMIULATIVE TOTAL CAMPAIGN CAMPAIGN TO LATE NAME AND ADDRESS OF EACH INDIVIDUAL!CR NAME, ID# AND ADDRESS OF THE POLITICAL COMMITTEE OR LOAN, AND ANY ENCORSER OR GUARANTOR � CF LOAN. 4a NAMEOF PERSON OR COMMITTEE MAKINGLOAN, ADDRESS, CITY, STATE, ZIP, AND ID# NAME OF ENDORSER OR GUARANTOR OF LOAN, ADDRESS, CITY, STATE, ZIP, AND ID# DESCRIPTION 4b NAME OF PERSON OR COMMITTEE MAKING LOAN, ADDRESS, CITY, STATE, ZIP, AND ID# NAME OF ENDORSER OR GUARANTOR OF LOAN, ADDRESS, CITY, STATE, ZIP, AND ID# DESCRIPTION � 4C F NAME OF PERSON OR COMMITTEE MAKING LOAN, ADDRESS, CITY, S ,Af E ZIP, AND ID# NAME OF ENDORSER OR GUARANTOR OF LOAN, ADDRESS, CITY, STATE, ZIP, AND ID# DESCRIPTION 4d NAME OF PERSON OR CON41VIITTEE MAKING LOAN, ADDRESS, CITY, STATE, ZIP, AND ID# NAME OF ENDORSER OR GUARANTOR OF LOAN, ADDRESS, CITY, STATE, ZIP, AND ID# DESCRIPTION 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE C-1 [If last page of Schedule C-1, transfer total to Detailed Summary Page, Line 5(a), Column A] Page_of EXPENDITURES FOR OPERATING EXPENSES* 1. Committee Name 3 Renort coverina Deriod from y —I—e'0— I ` �iLV--1C77 thru t SCHEDULE D 2. ID# —15 4 EXPENDITURES DATE EXPENDITURE MADE AMOUNTOF THE EXPENDITURE NAME AND ADDRESS TO WHOM EXPENDITURE (DISBURSEMENT) WAS MADE 4a. NAME, ADDRESS CITY, STATE AND Z'P Z �[ az1 DESCRI TION OF ITEMS ORERViCES PURCHASED 4b. NAME, ADDRESS, CITY, STATE AND ZIP DESCRIPTION OF ITEMS OR SERVICES PURCHASED 4c. NAME, ADDRESS, CITY, STATE AND ZIP DESCRIPTION OF ITEMS OR SERVICES PURCHASED 4d. NAME, ADDRESS, CITY, STATE AND ZIP DESCRIPTION OF ITEMS OR SERVICES PURCHASED 4e. NAME, ADDRESS, CITY, STATE AND ZIP DESCRIPTION OF ITEMS OR SERVICES PURCHASED 4f. NAME, ADDRESS, CITY, STATE AND ZIP DESCRIPTION OF ITEMS OR SERVICES PURCHASED 5 ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D [If last page of Schedule D, transfer total to Detail Summary Page Line 9, Column A] v (D . C `Expenditures, other than a contract, promise or agreement to make an expenditure resulting in credit 1 Page of—A INDEPENDENT EXPENDITURES* SCHEDULE D-1 2. ID# 1. Committee Name 3. Report covering period from thru 4 INDEPENDENT EXPENDITURES DATE AMOUNT OF EXPENDITURE THE MADE EXPENDITURE IDENTIFY RECIPIENT OF EXPENDITURE AND CANDIDATE WHO IS BENEFITTED OR OPPOSED 4a. NAME, ADDRESS, CITY, STATE AND ZIP PURPOSE AND DESCRIPTION OF PURCHAS"enefittel--qpposed CANDIDATE OFFICE SOUGHT YEAR C= ELECTION 4b. NAME, ADDRESS, CITY, STATE AND ZIP kpposed PURPOSE AND DESCRIPTION OF PURCHAS enefitte CANDIDATE OFFICE SOUGHT YEAR OF ELECTI03rJ; 4c. NAME, ADDRESS, CITY, STATE AND ZIP j PURPOSE AND DESCRIPTION OF PURCHAS enefitte osed CANDIDATE OFFICE SOUGHT YEAR OF ELECTION 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEl [If last page of Schedule D-1, transfer total to Detailed Summary Page Line 10, Column A] 'SEE A.R.S. § 16-901(14). I certify, under penalty of perjury, ty��the above stated independent expenditure(s) was not made in cooperation, consultation or concert with or at the request or suggestion of any ca didate or any campaign committee or agent of that candidate. Signature of NAMES, OCCUPATIONS AND EMPLOYERS AND AMOUNT CONTRIBUTED BY EACH OF THE THREE TOP CONTRIBUTORS WITHIN THE LASTI AMOUNT SIX MONTHS Schedule D-1 Pageof LOANS MADE BY REPORTING COMMITTEE SCHEDULE D-2 2. ID# 1. Committee Name Lr"N'r)'-k U��t�t�� +VL9 3. Report covering period from I 1 — :�'7 T —15 thru i ` L—:�' I — I 4 LOANS MADE BY THE REPORTING COMMITTEE DATE AMOUNT LOAN MADE OF THE LOAN NAME, ADDRESS AND 1D# OF COMMITTEETO WHOM LOAN (DISBURSEMENT) WAS MADE 4a. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# 4b. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# 4c. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# 4d. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# f 4e. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# 4f. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# ,. r 4g. NAME, ADDRESS, CITY, STATE, ZIR;°AND IDA ,r 4h. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# 4i. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-2 [Transfer total to Detail Summary Page Line 12, Column A] Page—of _... 4a. 45. 4c. OFFSETS TO OPERATING EXPENSES * SCHEDULE D-3 z. !D# ?. Committee Name Yvl�� �� j� �A4 �rq 3. Report covering period from thru REBATES, REFUNDS AND OTHER OFFSETS TO OPERATING EXPENSES DATE REFUND i RECEIVED AMOUNT OF THE REFUND NAME AND ADDRESS FROM WHOM REFUND OR REBATE WAS RECEIVED NAME, ADDRESS, CITY, STATE, AND ZIP j DESCRIPTION OF REFUND NAME, ADDRESS, CITY, STATE, AND ZIP DESCRIPTION OF REFUND NAME, ADDRESS, CITY, STATE, AND ZIP DESCRIPTION OF REFUND NAME, ADDRESS, CITY, STATE, AND ZIP f DESCRIPTION OF REFUND NAME, ADDRESS, CITY, STATE, AND ZIP DESCRIPTION OF REFUND NAME, ADDRESS, CITY, ATE, AND ZIP DESCRIPTION OF REFUND 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-3 [If !ast page of Schedule D-3, [transfer total to Detailed Summary Page Line 17 Column A] Includes return of contributions made by reporting committee ScheduleD-3 Page—of— 4a. 4b. 4c. 4d. 4e. 4f. Committee Name REPAYMENT OF CANDIDATE LOANS 2. ID# 3. Report ccvering period from ^� thru SCHEDULE D-4 REPAYMENT OF LOANS MADE OR GUARANTEED BY CANDIDATE DATE REPAYMENT MADE AMOUNTOF THE REPAYMENT NAME AND ADDRESS TO WHOM REPAYMENT (DISBURSEMENT) WAS MADE NAME, ADDRESS, CITY, STATE, AND ZIP NAME, ADDRESS, CITY, STATE, AND ZIP NAME, ADDRESS, CITY, STATE, AND ZIP NAME, ADDRESS, CITY, STATE, AND ZIP , NAME, ADDRESS, CITY, STATE, AND IF NAME, ADDRESS, 4C1TY. $1 ATE ArJD Z'P 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-4 [Transfer total to Detail Summary Page, Line 13(a), Column Al Schedule D-4 Pageof REPAYMENT OF ALL OTHER LOANS SCHEDULE D-5 2. ID# I Ij1 l —D ` 1. Committee Name i 3. Report covering period from thru 4 REPAYMENT OF ALL OTHER LOANS DATE AMOUNT OF REPAYMENT THE MADE REPAYMENT NAME AND ADDRESS OFINDIVIDUA)- (OR NAME, ID# AND ADDRESS OF THE POL'TICAL COMMITTEE) TO WHOM REPAYMENT (DISBURSEMENT) WAS MADE 4a. NAME, ADDRESS, CITY, STATE, ZIP AND iD# 4b. NAME, ADDRESS, CITY, STATE, ZIP AND ID# 4c. NAME, ADDRESS, CITY, STATE, ZIP AND ID# 4d. NAME, ADDRESS, CITY, STATE, ZIP AND ID# f 4e. NAME. ADDRESS, CITY, STATE, ZIP AND ID# 4f. 11 NAME, ADDRESS,, CITY ZIP AND ID# b. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-5 [Transfer total to Detailed Summary Page, Line 13(b), Column A] Pageof TRANSFERS TO OTHER POLITICAL COMMITTEES SCHEDULE D-6 2. !D# II DI Committee Name q�� y r Report covering period fromT—thru —1—LS 4 TRANSFERS MADE BY THE REPORTING COMMITTEE DATE TRANSFER MADE AMOUNT OF THE TRANSFER NAME AND ADDRESS OF INDIVIDUAL (CR NAME, ID# AND ADDRESS OF THE POLITICAL COMMITTEE) TO WHOM REPAYMENT (DISBURSEMENT) WAS MADE 4a. NAME, ADDRESS, CITY, STATE, ZIP AND ID# 4b. NAME, ADDRESS, CITY, STATE, ZIP AND ID# 4c. NAME, ADDRESS, CITY, STATE, ZIP AND ID# 4d. NAME, ADDRESS, CITY, STATE, ZIP AND ID# 4e. NAME, ADDRESS, CITY, STATE, ZIP AND All NAME, ADDRE ,CITY STATE, ZIP AND!D# 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-6 [Transfer total to Detailed Summary Page, Line 14, Column A] Page -Q, ANY OTHER DISBURSEMENT SCHEDULE D-7 2. ID# �AAeee p� t�-n� 1. Committee Name C D V 14V'Ji ' 4 3. Resort covering period from l \ —1 thru 5. ENTER TOTAL ONLY iF LAST PAGE OF SCHEDULE D-7 [Transfer total to Detailed Summary Page Line 15 Column A] Pageof _ ANY OTHER DISBURSEMENTS DATE AMOUNT OF THE 4. DISBURSEMENT DISBURSEMENT MADE NAME. ADDRESS AND ID# OF COMMITTEE TO WHOM DISBURSEMENT WAS MADE; DESCRIPTION 4a. NAME, ADDRESS, CITY, STATE, ZIP AND; ON DESCRIPTION 4b. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION 4c. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION 4d. NAME, ADDRESS, CITY, STATE, ZIP AND,d DESCRIPTION s� 4e. NAME, ADDREV6, CII Y, STATE, ZIP AND ID# DESCRIPTION 5. ENTER TOTAL ONLY iF LAST PAGE OF SCHEDULE D-7 [Transfer total to Detailed Summary Page Line 15 Column A] Pageof _ IN-KIND CONTRIBUTIONS and EXPENDITURES 1. Committee Name 3. Report coverng period from 11-'_� -ll 2. 1D# thru SCHEDULE E I t _v 1 4 IN-KIND CONTRIBUTIONS and EXPENDITURES DATE FAIR MARKET VALUE NAME AND ADDRESS OF INDIVIDUAL (OR NAME, ADDRESS AND ID# OF THE POLITICAL COMMITTEE) FROM WHOM RECEIVED OR TO WHOM GIVEN 4a. NAME, ADDRESS, CITY, STATE, ZIP AND ;D# CONTRIBUTION EXPENDITURE DESCRIPTION OCCUPATION EMPLOYER a 4b. NAME, ADDRESS, CITY, STATE, ZIP AND ID# �.✓'� CONTRIBUTION d EXPENDITURE DESCRIPTION rf A` OCCUPATION EMPLOYER 4c. NAME, ADDRESS, CITY, STATE, ZIP AND ID# ' /-° CONTRIBUTION EXPENDITURE r DESCRIPTION sfr,, OCCUPATION �'� EMPLOYER 4d. NAME, ADDRESS, CITY, STATE, ZIP AND ID# CONTRIBUTION f j` EXPENDITURE DESCRIPTION OCCUPATION EMPLOYER 5. ENTER TOTAL IN-KIND CONTRIBUTIONS ONLY IF LAST PAGE OF SCHEDULE E [If last page of Schedule E, transfer total to Detailed Summary Page Line 6, Column Ai 6, ENTER TOTAL IN-KIND CONTRIBUTIONS ONLY IF LAST PAGE OF SCHEDULE E [If last page of Schedule E, transfer total to Detailed Summary Page Line 11, Column A) Page_of DIVIDENDS, INTEREST. AND OTHER RECEIPTS SCHEDULE F-1 z. ID# 11 i 1. Committee Name "4. 1E-�vx --LA4� -4u� l 3. Report covering period'rom U — 1- thru (a'`1 — — l 4 DIVIDENDS, INTEREST AND OTHER FORMS OF RECEIPTS DATE AMOUNT RECEIVED AMOUNT OF THE RECEIPT NAME AND ADCRESS FROM INDiViDUAL (OR NAME, ADDRESS AND ID# OF THE POLITICAL COMMITTEE) FROM WHOM RECEIPT WAS RECEIVED 4a. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF RECEIPT 4b. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF RECEIPT 4c. NAME, ADDRESS, CITY, STATE, ZIP AND iD# DESCRIPTION OF RECEIPT 4d. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF RECEIPT 4e. NAME, ADDRESS, CITY, STATE, ZIP A ID# DESCRIPTION OF RE IPT 4f. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF RECEIPT 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE F-1 [If last page of Schedule F-1, transfer total 'o Detailed Summary Page Line 7 Column A I Page—of OFFSETS TO CONTRIBUTIONS RECEIVED* SCHEDULE F-2 , Committee Name 2. ID# H-1)( 3. Report covering period from -y�T=� thru 4 REFUNDS AND OTHER OFFSETS TO CONTRIBUTIONS RECEIVED DATE REFUND I MADE AMOUNT OF THE REFUND NAME AND ADDRESS OF INDIVIDUAL (OR NAME, ADDRESS AND ID# OF THE POLITICAL COMMITTEE) TO WHOM REFUND WAS MADE 4a. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF REFUND 4b. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF REFUND 4c. NAME, ADDRESS, CITY, STATE, ZIP AND ID# f DESCRIPTION OF REFUND 4d. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF REFUND 4e. NAME, ADDRESS, CITY, STATE, ZIP AN D# DESCRIPTION OF REFU 4f. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF REFUND 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE F-2 [If last page of Schedule F-2, transfer total to Detailed Summary Page, Line 4(E), Column A] I ` Includes return of contributions received by reporting committee Page_of DEBTS AND OBLIGATIONS (Excluding Loans) SCHEDULE F-3 2. ID# I Committee Name 3. Report coverinq period from t1 t5; thru l L:;2- 4 4 DEBTS AND OBLIGATIONS OUTSTANDING OUTSTANDING BALANCE AMOUNT INCURRED PAYMENT THIS BALANCE AT CLOSE NAME AND ADDRESS OF INDiVIDUAL (OR NAME, BEGINNING THIS PERIOD PERIOD OF THIS PERIOD ADDRESS AND ID# OF THE POLITICAL THIS PERIOD COMMITTEE) TO WHOM DEBT IS OWED 4a. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF DEBT 4b. NAME, ADDRESS, CITY, STATE, ZIP AND ID# 7z DESCRIPTION OF DEBT to i 4c. NAME, ADDRESS, CITY, STATE, ZIP AND ID#� DESCRIPTION OF DEBT d 4d. NAME, ADDRESS, CITY, STATE, ZIP AND I DESCRIPTION OF DEBT 4e. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF DEBT 5. ENTER TOTAL OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD ONLY IF LAST PAGE OF SCHEDULE F-3 [Transfertotal to Detail Summary Page Line 19, Column A