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]