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HomeMy WebLinkAboutCampaign Finance Records - Finance report - Committee to Elect Ian Hugh 2016 - 9/28/2016POLITICAL COMMITTEE CITY OF l CAMPAIGN FINANCE REPORT 2016 August/November Regular Election Full NaMq LiP� E,ddress (��1 ��C�/�• �6 i"� SA City ZIP Code County Phone r FOR OFFICE USE ONLY CITY CLERKS CITY Oc CLE:',),#U_E 20 SEP 28 AM 10- " 2. � ` — L f"[ � 1 y 3A. 1 D# Sponsoring Organization qr Candidate and office /+ . Name of C2and date and Office Sought (if applicable) � � E -Mail Address Fax # 4. REPORTING PERIOD (Please check appropriate box) DUE BETWEEN ❑ January 31 Report - For Period of thru December 31, 2015 . . .. .......... .. . January 1, 21316 and February 1, 2016 ❑ June 30 Report - For Period of January 1, 2016 thru May 31, 2016 ..... ..... .. . .... June 1, 2016 and June 30, 2016 Pre -Primary Election Report - For Period of June 1, 2016 thru August 18, 2016 August 19, 2016 and August 26, 2016 f Post -Primary Election Report - For Period of August 19, 2016 thru September 19, 2016 September 20, 2016 and September 29, 2016 ❑ Pre -General Election Report - For Period of September 20, 2016 thru October 27, 2016 .... October 28, 2016 and November 4, 2016 ❑ Post -General Election Report - For Period of October 28, 2016 thru November 28, 2016 November 29, 2016 and December 8, 2016 ❑ **January 31 , Report - For Period of November 29, 2016 thru December 31, 2017... .... January 1, 2018 and January 31, 2018 5. SUMMARY Column A Column B Total This Reporting Election Period Period Total To Date 5a Surplus from Previous Campaign (or at time Statement of Organization was filed for the new committee) +0 I 0 '� Q 5b Cash on Hand at the Beginning of this Reporting Period 5c Total Receipts (from corresponding columns on Detailed Summary Page, Line 8) 5d Subtotal [add Lines and c for Column A and add lines a and c for Column B l 1�� 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] 6b Total Disbursements (from corresponding columns on. Detailed Summary Page, Line 18) ® �- o�'f�� Le _t 7. Cash on Hand at Close of Reporting Period [Subtractr Line 6b from Line 5d *Insert date which is 21 days after date of last election (A.R.S. §16-913). **Other reports will be due before this reporting period if a special or recall election is held prior to the next general election. Revised 5/15 DETAILED SUMMARY PAGE OF RECEIPTS AND jDI�IS�jBUUR��S�EMENT,S`�l 1. Committee Name: C_.�--'�/` 1— - 3. Report covering period from �9� k(o2 RECEIPTS 4. Ccntributionsother than loans and in-kind: (a) Individuais -more than $50 (Total from Schedule A) (b) Individuals - aggregate $50 or less (Total from Scheduie A-1) (c) Political Committees (Tota; from Schedule B) (d) Subtotal Contributions [add 4(a), 4(b), and 4(c)] (e) Refund of contributions (Total from Scheduie F-2) (f) Tota! Contributions Other than Loans and !n-kird [subtract 4(e) from 4(d)] 5. (a) Loans made or guaranteed by candidate (T otal from Schedule C) (b) All other loans (Total from Scheduie 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 73 DISBURSEMENTS 9. Expenditures for operating expenses (Total from Scheduie D) 10. Independent Expenditures (Total from Schedule D-1) 11. Value of In -:Kind expenditures (Total from Schedule E) 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 D-5) (c) Total Loan Repayments [add 13(a) and 13(b)] 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 15] 17. Rebates, refunds and other offsets to operating expenses (Total from Schedule D-3) Page 2 2. ID# tt -ot COLUMN A COLUMN B THIS PERIOD CAMPAIGN TO DATE 1-7-t+ �� i-1 i(..4%0X11 18. Total disbursements [subtract line 17 from line 16] > i 57 19. Total Outstanding Debts owed by Reporting Candidate or Political Committee (Scheduie 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 Print>4rne of Treasurer I Sig,ature'o--Treasurer or Candidate or Designating Individu6j Date CONTRIBUTIONS more than $50 - from INDIVIDUALS* SCHEDULE A 2. ID# 1. Committee Name 3. Report covering period from ` L thru 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 STREETADDRESS CITY STATE ZIP OCCUPATION EMPLOYER b. LAST FIRST MI STREET ADDRESS CITY STATE ZIP OCCUPATION EMPLOYER C. !AST FIRST MI STREET ADDRESS CITY STATE ZIP OCCUPATION EMP_L• YER d. LAST FIRST MI STREET ADDRESS CITY STATE ZIP OCCUPATION d EMPLOYER e. LAST FIRST MI STREET ADDRESS CITY STATE ZIP OCCUPATION EMPLOYER 5. ENTER TOTAL ONLY IFLAST 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 them on Schedule A-1. CONTRIBUTIONS of $50 or less - AGGREGATE TpTAL* SCHEDULE A-1 2. ID# 1_ Committee Name 3. Report covering period from i e l� y ` C thr a✓�� 4. Aggregate Total of Contributions of $50 or less DESCRIPTION AMOUNT RECEIVED THIS PERIOD CUMULATIVE TOTAL THS CAMPAIGN TO DATE i f 5. TOTAL THIS PERIOD {Transfer total to Detailed Summary Page, Line 4(b), 6. CUMMULATIVE TOTAL THIS Column Aj CAMPAIGN TO DATE [Transfer total to Detailed Summary Page, Line 4(b), Column 61 *If contributions of $50 or !ess are listed with contributor's name and address on Schedule A, do not include them or, this schedule. CONTRIBUTIONS FROM POLITICAL COMMITTEES SCHEDULE B 2. ID# 1. Committee Name ��1��i'�i IV 3. Report covering perod from �-'�-' r `� ; ?D `� thru 4 CONTRIBUTIONS AMOUNT RECEIVED THIS PERIOD CUMULATIVE TOTALTHIS CAMPAIGN TO DATE IDEN—.!TY OF CONTRIBUTORAND DATE RECEIVED 4a ID # NAME, ADDRESS, CITY, STATE AND ZIP DATE RECEIVED b. ID # NAME, ADDRESS, CITY, STATE AND Z!P DATE RECEIVED C. ID # NAME, ADDRESS, CITY, STATE AND ZIP DATE RECEIVED d. 1D# NAME, ADDRESS, CITY, STATE AND ZIP DATE RECEIVED e. ID # NAME, ADDRESS, CITY, STATE AND ZIP / DATE RECEIVED If. E# NAME, ADDRESS, CITY, STATE ND ZIP DATE RECEIVED g. ID # NAME, ADDRESS, CITY, STATE AND ZIP DATE RECEIVED h. ID # NAME, ADDRESS, CITY, STATE AND ZIP DATE RECEIVED i. ID # NAME, ADDRESS, CITY, STATE AND ZIP DATE RECEIVED 5, 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 Page—of CANDIDATE LOANS SCHEDULE C 1. CommitteeName 2. ID# 3. Report covering period from oZV thru l "D 4. LOANS MADE OR GUARANTEED BY CANDIDATE DATE RECEIVED AMOUNT RECEIVED CUMULATIVE TOTAL THIS 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 C. NAME, ADDRESS, CITY, STATE, AND ZIP i DESCRIPTION d. NAME, ADDRESS, CITY, STATE, AND ZIP/ DESCRIPTION e. NAME, ADDRESS, CITY, ATE, AND ZIP DESCRIPTION f. NAME, 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, transfertotal to Detailed Summary Page, Line 5(a), Column A] Schedule C Page of OTHERLOANS 1. Committee Name Repert covering period from 2. I D# SCHEDULE C1 4 ALL OTHER LOANS DATE RECEIVED AMOUNT OF LOAN CUMULATIVE TOTAL THIS TO DATGN E NAME AND ADDRESS OF EACH INDIVeDUAL (OR NAME, ID# AND ADDRESS OF THE POLITICAL COMMITTEE) OR LOAN, AND ANY ENDORSER OR GUARANTOR THE OF LOAN. 4a 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 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 40 NAME OF PERSON OR COMMITTEE MAKING LOAN, ADDRESS, CITY, STAT ,ZIP, AND ID# NAME OF ENDORSER OR GUARANTOR OF LOAN, ADDRES CITY, STATE, ZIP, AND ID# DESCRIPTION 4d NAME OF PERSON OR COMMITTEE KING 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] Pageof EXPENDITURES FOR OPERATING EXPENSES* SCHEDULE D 2. ID# '. Committee Name.liU 3. RepeR covering period from lrL_qT • —j ■� thruo l l C�`� ✓ 4 EXPENDITURES DATE EXPENDITURE AMOUNT OF THE NAME AND ADDRESS TO WHOM EXPENDITURE (DISBURSEMENT) WAS MADE MADE EXPENDITURE 4a N E, ADDRESS, CITY, STATE AN ZIP �� DESCRIPTIO F ITEMS OR SERV CES PURCHASED V1 4b NAME, ADDRSS, CITY, STATE 1AND ZIP ']y DESCRIPTIONN OF IIT MS OR SERVICES PURCHASED 4c. N E, ADDRESS, CITY, STA InND ZI I DESCRIPTIO F ITEMS OR SERVI ES PURCHASED 1 4d. NA�v1E, ,�qD, CI , STATE AND IP IV(J� V-4--O DERIPTiON OF ITEMS OR SERVICES PlIfIRCIHASED\ L tr l� 4e. NAME, ADDRESS, CITY, 5 TE 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] �. *Expenditures, other than a contract, promise or agreement to make an expenditure resulting in credit Page_of INDEPENDENT EXPENDITURES' SCHEDULE D-1 1. Committee Name 3. Report covering period from 2. ID# thru 4 INDE ENDENT EXPENDITURES DATE EXPENDITURE MADE AMOUNT OF THE EXPENDITURE !DENTIFY RECIPIENT OF EXPENDITUREAND CANDIDATE WHO iS BENEFITTED OR OPPOSED 4a. NAME, ADDRESS, CITY, STATE AND ZIP PURPOSE AND DESCRIPTION OF PURCHASE Benefitted Opposed CANDIDATE OFFICE SOUGHT YEAR OF ELECTION 4b. NAME, ADDRESS, CITY, STATE AND ZIP PURPOSE AND DESCRIPTION OF PURCHASE Benefitted Opposed CANDIDATE OFFICE SOUGHT 'EAR OF ELECTION 4c. NAME, ADDRESS, CITY, STATE AND ZIP zz PURPOSE AND DESCRIPTION OF PURCHASE Benefitted Opposed CANDIDATE OFF SOUGHT YEAR OF ELECTION 5. ENTER TOTAL ONLY IF LAST P GE OF SCHEDULE D-1 [If last page of Schedule D-1, transfer total to Detailed Summary Page Line 10, Column A] *SEE A.R.S. § 16-901(1 I certify, under penal of perjury, that the above stated independent expenditure(s) was not made in cooperation, consultation or concert with or at the request or suggestion of any candidate or any campaign committee or agent of that candidate. Signature of Treasurer NAMES, OCCUPATIONS AND EMPLOYERS AND AMOUNT CONTRIBUTED BY EACH OF THE THREE TOP CONTRIBUTORS WITHIN THE LASTI AMOUNT SIX MONTHS Schedule D-1 Page_of _ LOANS MADE BY REPORTING COMMITTEE SCHEDULE D-2 1. Committee Name 3. Report covering p 2. ?D# it -n i R --:,o 4 LOANS MADE P THE REPORTING COMMITTEE DATE LOAN MADE AMOUNT OF THE LOAN NAME, ADDRESS AND ID# OF COMMITTEE TO WHOM LOAN (DISBURSEMENT) WAS MACE 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, ANC ID# 4f. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# 4g. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# 4h. NAME, ADDRESS, CITY, STATE, ZIP, ANC 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, Co=umn A] Page_of 4a. 4b. 4c. 4d. 4e. OFFSETS TO OPERATING EXPENSES * 2. iD# 1. Committee Name 3. Report covering period from SCHEDULE D-3 REBATES, REFUNDS AND OTHER OFFSETS TO OPERATING EXPENSES DATE REFUND RECEIVED AMOUNT OF THE REFUND NAME AND ADDRESS FROM WHOM REFUND OR REBATE WAS RECEIVED NAME, ADDRESS, CITY, STATE, AND ZIP DESCRIPTION OF REFUND j NAME, ADDRESS, CITY, STATE, AND ZIP DESCRIPTION OF REFUND / f ! NAME, ADDRESS, CITY, STATE, AND ZIP r DESCRIPTION OF REFUND NAME, ADDRESS, CITY, STATE, AND ZIP DESCRIPTION OF REFUND NAME, ADDRESS, CITY, STATE, AND ZIP DESCRIPTION OF REFUND NAME, ADDRESS, CIT/STATE, STATE, AND ZIP DESCRIPTION OF REFUND 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-3 [If last page of Schedule D-3, [transfer total to Detailed Summary Page Line 17 Column A] Includes return of contributions made by reporting committee Schedule D-3 Page -of 4a. 4b. 4c. 4d. 4e. 4f. REPAYMENT OF CANDIDATE LOANS 2. I D# 1, Committee Name `✓v i�i� v �\ t 3. Report covering period from SCHEDULE D-4 REPAYMENT OF LOANS MADE OR GUARANTEED BY CANDIDATE DATE REPAYMENT MADE AMOUNT OF THE REPAYMENT. NAME AND ADDRESS TO WHOM REPAYMENT (DISBURSEMENT) WAS MADE NAME, ADDRESS, CITY, S7ATE, 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 ZIP NAME, ADDRESS, CITY, STATE, AND ZIP 5, ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-4 [Transfer total to Detail Summary Page, Line 13(a), Column A] Schedule D-4 Page_of REPAYMENT OF ALL OTHER LOANS SCHEDULE D-5 2. ID# 1. Committee Name 3. Report covering period from 4 REPAYMENT OF ALL OTHER LOANS DATE AMOUNT OF REPAYMENT THE MADE REPAYMENT NAME AND ADDRESS OF INDIVIDUAL (OR NAME, 1D#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# r 4c. NAME, ADDRESS, CITY, STATE, ZIP AND ID# 4d, NAME, ADDRESS, CITY, STATE, ZIP AND ID# 4e. NAME, ADDRESS, CITY, STATE, ZIP AND ID# 4f. NAME, ADDRESS, CITY, STATE, ZI➢ AND ID# 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-5 [Transfer total to Detailed Summary Page, Line 13(b), Column A] Page -of TRANSFERS TO OTHER POLITICAL COMMITTEES SCHEDULE D-6 i 2. ID# 1. Committee Name �1 3. Report covering period from :D(j '4 TRANSFERS MADE BY THE REPORTING COMMITTEE DATE TRANSFER AMOUNT OF THE MADE TRANSFER NAME AND ADDRESS OF INDIVIDUAL (OR NAME, ID# AND ADDRESS OF THE POLITICAL COMMITTEE) TO WHOM REPAYMENT (DISBURSEMENT) WAS MADE 4a, NAME, ADDRESS, CITY, STATE, ZIP AND !D# 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 ID# 41. NAME, ADDRESS, CITY, STATE, ZIP AND IDS ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-5 [Transfer total to Detailed Summary Page, Line 14, Column A] Page 01 ANY OTHER DISBURSEMENT 1. Committee Name 2. ID# SCHEDULE D-7 I L -t-) 3. Report covering period from l 1 4��0 thru I 4. ANY OTHER DISBURSEMENTS DATE DISBURSEMENT MADE AMOUNT OF THE DISBURSEMENT NAME, ADDRESS AND !D# OF COMMITTEE TO WHOM DISBURSEMENTWASMAOE; DESCRIPTION 4a. NAME, ADDRESS, CITY, STATE, ZIP AND IDA DESCRIPTION 4b. NAME, ADDRESS, CITY, STATE, ZIP AND IDA DESCRIPTION 4c. NAME, ADDRESS, CITY, STATE, ZIP AND IDA DESCRIPTION 4d. NAME, ADDRESS, CITY, STATE, ZIP AND IDA DESCRIPTION 4e. NAME, ADDRESS, CITY, STATE, ZIP AND # DESCRIPTION 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-7 [Transfer total to Detailed Summary Page Line 15 Column A] Page_of IN-KIND CONTRIBUTIONS and EXPENDITURES SCHEDULE E 2. ID# +W -4V4 1. Ccmmittee Name0,0"WA.y�� " ""� 3. Recort coverina period from (/w�i V l thru 6 jq I L_;?CJ L 4 !N -KIND CONTRIB TIONS and EXPENDITURES DATE FAIR MARKET VALUE NAME AND ADDRESS OF INDIVIDUAL{OR NAM" ADDRESS AND ID# OF THE POLITICAL COMMITTEE) FROM WHOM RECEIVED OR TO WHOM GIVEN 4a. NAME, ADDRESS, CITY, STATE, ZIP AND ID# CONTRIBUTION EXPENDITURE DESCRIPTION OCCUPATION EMPLOYER J/ 4h. NAME, ADDRESS, CITY, STATE, ZIP AND ID# / CONTRIBUTION F f EXPENDITURE r f DESCRIPTION OCCUPATION EMPLOYER 4c. NAME, ADDRESS, CITY, STATE, ZIP AND ID# CONTRIBUTE N EXPENDITURE DESCRIPTION OCCUPATION f EMPLOYER 4d. NAME, ADDRESS, CITY, STATE, ZIP AND ID# CONTRIBUTION 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 A] 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 1. Committee Name 3. Report covering period from =,AV SCHEDULE F-1 4 DIVIDENDS, INTEREST AND OTHER FORMS OF RECEIPTS DATE AMOUNT RECEIVED AMOUNT OFTHE RECEIPT NAME AND ADDRESS FROM INDiVIDUAL (OR NAME, ADDRESS AND ID# OF THE POLITICAL COMMITTEE) FROM WHOM RECEIPT WAS RECEIVED 4a, NAME, ADDRESS, CITY, STATE, ZIP AND Iv^# DESCRIPTION OF RECEIPT 4b, NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF RECEIPT J f j 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 AND ID# t DESCRIPTION OF RECEIPT 4f. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF RECEIPT ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE F-1 iIf last page of Schedule F-1, transfer total to Detailed Summary Page Line 7 Column A Page -of OFFSETS TO CONTRIBUTIONS RECEIVED* SCHEDULE F-2 2. iD# -C) 1. 1. Ccmmittee Name j i 3. Report covering period from ter ' ` 1 ` `F� thru �?�! 41 CL s -^--7` 0 5 �J c } REFUNDS AND OTHER OFFSETS TO CONTRIBUTIONS RECEIVED DATE REFUND MADE AMOUNT OF THE REFUND NAME AND ADDRESS OF INDIVIDUAL (OR NAME, AD.DRESSAND ID# OF THE POLITICAL COMMITTEE) TO WHOM REFUND WAS MADE 42. NAME, ADDRESS, CITY, STATE, ZIF AND ID# DESCRIPTION OF REFUND 4b. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF REFUND , 4c. NAME, ADDRESS, CITY, STATE, ZIP AND IC# DESCRIPTION OF REFUND 4d. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF REFUND 4e. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF REFUND �• 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] ` Includes return of contributions received by reporting committee Page_of DEBTS AND OBLIGATIONS (Excluding Loans) SCHEDULE F-3 1. Committee Name 2. ID# j j l �� L 3. Report covering period from tnru --- %A - l) ", l `fes 4 DEBTS AND OBLIGATIONS OUTSTANDING OUTSTANDING BALANCE AMOUNT iNCURRED PAYMENTTHIS BALANCE AT CLOSE NAME AND ADDRESS OF !NDIVIDUAL (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 46. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF DEBT 4c. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF DEBT 4d. NAME, ADDRESS, CITY, STATE, ZIP AND ID# 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 (Transfer total to Detail Summary Page Line 19, Column A]