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HomeMy WebLinkAboutCampaign Finance Records - Finance report - Clark for Council - 9/29/2016POLITICAL COMMITTEE`i Y OF CfP1E,C���,11s€ONLY CITY OF Glendale CAMPAIGN FINANCE REPORT ��I, SIEP 29 AM 11' 2016 August/November Regular Election Clark for Council 1. Full Name of Committee 8628 W. Cavalier Drive Address Glendale, AZ 85305 Maricopa 623-772-9795 City ZIP Code County Phone 2. Joyce Clark for city council Sponsoring Organization or Candidate and office Joyce Clark for city council - Yucca district Name of Candidate and Office Sought (if applicable) clarkjv@aol.com None - E -Mail Address Fax # 4. REPORTING PERIOD (Please check app•opriate box) DUE BETWEEN ❑ January 31 Report - For Period of thru December 31, 2015 January 1, 2016 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 W1Post -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 0 5a Surplus from Previous Campaign (or at time Statement of Organization was filed for the new committee) $5090.77 5b Cash on Hand at the Beginning of this Reporting Period 5c Total Receipts (from corresponding columns on Detailed $310.00 $13391.80 Summary Page, Line 8) 5d Subtotal [add Lines b and c for Column A and add lines $5400.77 $13391.80 a and c for Column B] 0 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 $3498.67 $11489.70 Detailed Summary Page, Line 18) $1902.10 $1902.10 7. Cash on Hand at Close of Reporting Period [Subtract 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 Page 2 OF RECEIPTS AND DISBURSEMENTS 2. ID# 1. Committee Name: Clark for Council 16-01 3. Report covering period from 08/19/2016Thru 09/19/2016 RECEIPTS 4. Contributions other than loans and in-kind: (a) Individuals - more than $50 (Total from Schedule A) (b) Individuals - aggregate $50 or less (Total from ScheduleA-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 [subtract4(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 otherforms of receipts (Total from Schedule F-1) 8. Total Receipts [add 4(f), 5(c), 6, and 7] COLUMN A THIS PERIOD COLUMN B CAMPAIGN TO DATE 10. Independent Expenditures (Total from Schedule D-1) $310.00 $9615.00 0 $1095.00 0 $1250.00 $310.00 $11960.00 0 0 $310.00 $11960.00 0 $996.80 0 0 0 $996.80 0 $435.00 0 0 $310.00 $13391.80 DISBURSEMENTS 9. Expenditures for operating expenses (Total from Schedule D) $3498.67 $1054.70 10. Independent Expenditures (Total from Schedule D-1) 0 0 11. Value of In-kind expenditures (Total from Schedule E) 0 $435.00 12. Loans made by reporting committee (Total from Schedule D-2) 0 0 13. (a) Repayment of loans made or guaranteed by candidate (Total from Schedule D-4) 0 0 (b) Repayment of all other loans (Total from Schedule D-5) 0 0 (c) Total Loan Repayments [add 13(a) and 13(b)] 0 0 14. Transfers to other political committees (Total from Schedule D-6) 0 0 15. Any other disbursement (Total from Schedule D-7) 0 0 16. Subtotal disbursements [add lines 9, 10, 11, 12, 13(c), 14, and 15] $3498.67 $11489.70 17. Rebates, refunds and other offsets to operating expenses (Total from Schedule D-3) 0 0 18. Total disbursements [subtract line 17 from line 16] $3498.67 $11489.70 19. Total Outstanding Debts owed by Reporting Candidate or Political Committee (Schedule F-3) 0 0 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 Name�of 0 I Signature of Treasurer or Candidate or Designating Individual Date 0 CONTRIBUTIONS more than $50 -from INDIVIDUALS* SCHEDULE A 2. ID# 16-01 1. Committee Name Clark for Council 3. Report covering period from Aug. 19, 2016 thru Sept. 19,2016 4 CONTRIBUTIONS DATE RECEIVED AMOUNT RECEIVED THIS PERIOD CUMULATIVE TOTALTHIS CAMPAIGN TO DATE NAME, ADDRESS, OCCUPATION AND EMPLOYER OR CONTRIBUTOR 4a. LAST FIRST MI Monaghan Dawn 8/20/2016 $110.00 $110.00 STREET ADDRESS 3632 N. Hooper Court CITY STATE ZIP Buckeye AZ 85396 OCCUPATION Reti red EMPLOYER NA b. LAST FIRST MI Davis Nick 8/23/2016 $200.00 $200.00 STREET ADDRESS 3306 N. 61st Place CITY STATE ZIP Scottsdale AZ 85251 OCCUPATION Owner EMPLOYER Davis Enterprises 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 STREET ADDRESS CITY STATE ZIP OCCUPATION EMPLOYER 5. ENTER TOTAL ONLY IF LAST PACE OF SCHEDULE A [If last page of Schedule A, transfer total to Detailed Summary Page Line 4(z), Column A] $310.00 $310.00 11 *If contributions of $50 or less are listed with contributors name, address, occupation and employer on Schedule A, do not include Page of them on Schedule A-1. CONTRIBUTIONS of $50 or less - AGGREGATE TOTAL* SCHEDULE A-1 Clark for Council 1. Committee Name 2. ID# 16-01 August 19, 2016 September 19, 2016 3. Report covering period from thru 4. Aggregate Total of Contributions of $50 or less DESCR!PTION AMOUNT RECEIVED THIS PERIOD CUMULATIVE TOTAL THIS CAMPAIGN TO DATE 5. TOTAL THIS PERIOD [Transfer total to Detailed Summary Page, Line 4(b), 0 6. CUMMULATIVE TOTAL THIS $1095.00 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 Clark for Council 1. Committee Name 2. ID# 16-01 August 19, 2016 September 19, 2016 3. Report covering period from thru 4 CONTRIBUTIONS AMOUNT RECEIVED THIS PERIOD CUMULATIVE TOTALTHIS CAMPAIGN TO DATE IDENTITY OF CONTRIBUTOR AND DATE RECEIVED 4a ID # NAME, ADDRESS, CITY, STATE AND ZIP DATE RECEIV b. ID # NAME, ADDRESS, CITY, STATE AND ZIP DATE RECEIVED C. ID # NAME,AD3h ESS, CITY, STATE AND ZIP DATE RECEIVED d. ID # NAME, ADDRESS, CITY, S TE AND ZIP DATE RECEIVED e. ID # NAME, ADDRESS, CITY, STATE AND ZIP DATE RECEIVED f. ID # NAME, ADDRESS, CITY, STATE AND 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] 0 $1250.00 Schedule B Page_of_ CANDIDATE LOANS SCHEDULE C 1. Committee Name Clark for Council 2. ID # 16-01 3. Report covering period from August 19, 2016 thru September 19, 2016 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 Joyce Clark 03/15/2016 $996.80 $996.80 8628 W. Cavalier Drive Glendale, AZ 85305 DESCRIPTION Candidate loan b. NAME, ADDRESS, CITY, STATE, AND ZIP DESCRIPTION C. NAME, ADDRESS, CITY, STATE, AND ZIP DESCRIPTION d. NAME, ADDRESS, CITY, STATE, AND ZIP DESCRIPTION e. NAME, ADDRESS, CITY, STATE, 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, transfertoal to Detailed Summary Page, Line 5(a), Column A] 0 $996.80 Schedule C Page_of ' OTHERLOANS 1. Committee Name Clark for Council 3. Report covering period from August 19, 2016 thru September 19, 2016 SCHEDULE C1 2. ID# 16-01 4 ALL OTHER LOANS DATE LOAN RECEIVED AMOUNT OF LOAN CUMULATIVE THIS AMPA IGN CAMP TO DATE NAME AND ADDRESS OF EACH INDIVIDUAL (OR NAME, ID#AND AD --DRESS OF THE POLITICAL COMMITTEE) OR LOAN, AND ANY ENDORSER OR GUARANTOR OF LOAN. 4a NAME OF PERSON OR COMMITTEE MAKING LOAN, ADDRESS, CITY, STATE, ZIP, AND ID# NAME OF ENDO R OR GUARANTOR OF LOAN, ADDRESS, CITY, STATE, ZIP, AND ID# DESCRIPTION 4b NAME OF PERSON OR COMMITTEE MAKING LOAAN ADDRESS, CITY, STATE, ZIP, AND ID# NAME OF ENDORSER OR GUARANTOR OF LOAN, ADDRESS, CITY, S TE, ZIP, AND ID# DESCRIPTION 4C 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 4d 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 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE C-1 [If las: page of Schedule C-1, transfer total to Detailed Summary Page, Line 5(a), Column A] O Page_of ' EXPENDITURES FOR OPERATING EXPENSES* SCHEDULE D 2.!D# 16-01 1. Committee Name Clark for Council 3. Report covering period from August 19, 2016 thru September 19, 2016 4 EXPENDITURES DATE AMOUNTOF EXPENDITURE THE NAME AND ADDRESS TO WHOM EXPENDITURE (DISBURSEMENT) WAS MADE MADE EXPENDITURE 4a. NAME, ADDRESS, CITY, STATE AND ZIP 08/25/2016 $423.21 Premier Graphics 4141 W. Clarendon Avenue Phoenix, AZ 85019 DESCRIPTION OF ITEMS OR SERVICES PURCHASED printing 4b. NAME, ADDRESS, CITY, STATE ANDZiP 08/25/2016 $400.52 Premier Graphics 4141 W. Clarendon Avenue Phoenix, AZ 85019 DESCRIPTION OF ITEMS OR SERVICES PURCHASED printing 4c. NAME, ADDRESS, CITY, STATE AND ZIP 08/25/2016 $380.02 Premier Graphics 4141 W. Clarendon Avenue Phoenix, AZ 85019 DESCRIPTION OF ITEMS OR SERVICES PURCHASED printing 4d. NAME, ADDRESS, CITY, STATE AND ZIP 08/25/2016 $195.70 Premier Graphics 4141 W. Clarendon Avenue Phoenix, AZ 85019 DESCRIPTION OF ITEMS OR SERVICES PURCHASED printing 4e. NAME, ADDRESS, CITY, STATE AND ZIP 08/25/2016 $249.08 Premier Graphics 4141 W. Clarendon Avenue Phoenix, AZ 85019 DESCRIPTION OF ITEMS OR SERVICES PURCHASED printing 4f. NAME, ADDRESS, CITY, STATE AND ZIP 08/25/2016 $1669.14 Premier Graphics 4141 W. Clarendon Avenue Phoenix, AZ 85019 DESCRIPTION OF ITEMS OR SERVICES PURCHASED printing 5 ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D [If last page of Schedule D, transfertotal 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 — EXPENDITURES FOR OPERATING EXPENSES* SCHEDULE D 1. Committee Name Clark for Council 2. I D# 16-01 3. Report covering period from August 19, 2016 thru September 19, 2016 4 EXPENDITURES DATE AMOUNTOF EXPENDITURE THE NAME AND ADDRESS TO WHOM EXPENDITURE (DISBURSEMENT) WAS MADE MADE EXPENDITURE 4a. NAME, ADDRESS, CITY, STATE AND ZIP Grassroots Partners LLC 08/29/2016 $121.20 2942 N. 24th Street Phoenix, AZ 85016 DESCRIPTION OF ITEMS OR SERVICES PURCHASED calling 4b. NAME, ADDRESS, CITY, STATE AND ZIP 8/29/2016 $59.80 Office Max 9320 W. Northern Glendale, AZ 85305 DESCRIPTION OF ITEMS OR SERVICES PURCHASED office supplies 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 Z!P 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 $3498.67 9, Column A] *Expenditures, other than a contract, promise or agreement to make an expenditure resulting in credit Page =of= INDEPENDENT EXPENDITURES* Clark for Council 1. Committee Name 3. Report coverina period from August 19, 2016 SCHEDULE D-1 2. ID# 16-01 thru September 19, 2016 4 INDEPENDENT EXPENDITURES DATE EXPENDITURE MADE AMOUNT OF THE EXPENDITURE IDENTIFY RECIPIENT OF EXPENDITUREAND CANDIDATE WHO IS BENEFITTED OR OPPOSED 4a. NAME, ADDRESS, CITY, STATE AND ZIP PURPOSE AND DESCRIPTION URCHAS enefitte Lpposed CANDIDATE OFR.GE SOUGHT YEAR OF ELECTION 4b. NAME, ADDRESS, CITY, STATE AND ZIP PURPOSE AND DESCRIPTION OF PURCHAS enefitte kpposed CANDIDATE OFFICE SOUGHT YEAR OF ELECTION 4c. NAME, ADDRESS, CITY, STATE AND ZIP PURPOSE AND DESCRIPTION OF PURCHAS enefitte LIpposed CANDIDATE OFFICE SOUGHT YEAR OF ELECTION 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-1 (if last page of Schedule D-1, transfer total to Detailed Summary Page Line 10, Column A] 0 "SEE A.R.S. § 16-901(14). I certify, under penalty 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 campai n committee or agent of that candidate. � Signature of Treasurer NAMES, OCCUPATIONS AND EMPLOYERS AND AMOUNT CONTRIBUTED BY EACH OF THE THREE TOP CONTRIBUTCRS WITHIN THE LASTI AMOUNT SIX MONTHS Schedule D-1 Page—of LOANS MADE BY REPORTING COMMITTEE SCHEDULE D-2 2. ID# 16-01 1. Committee Name Clark for Council 3. Report covering period from August 19, 2016 thru September 19, 2016 4 LOANS MADE BY THE REPORTING COMMITTEE DATE LOAN MADE AMOUNT OFTHELOAN NAME, ADDRESS AND ID# OF COMMITTEE TO WHOM LOAN (DISBURSEMENT) WAS MADE 4a. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# 45. NAME, ADDR ,CITY, STATE, ZIP, AND IC# 4c. NAME, ADDRESS, CITY, STATE, Z 4d. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# 4e. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# 4f. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# 4g. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# 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 [Transfertotal to Detail Summary Page Line 12, Column A] 0 Page -1 of 1 4a. :1 4b. 4c. 4d. 4e. 4f. OFFSETS TO OPERATING EXPENSES * SCHEDULE D-3 2. ID# 16-01 1. Committee Name Clark for Council 3. Report covering period from August 19, 2016 thru September 19, 2016 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 REFUND NAME, ADDRESS, CITY, S TE, AND ZIP 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 DESCRIPTION OFREFUND NAME, ADDRESS, CITY, 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 Lire '7 Column A] 0 Includes return of contributions made by reporting committee Schedule D-3 Page 1 of 1 4a. 4b. 4c. 4d. 4e. 4f. REPAYMENT OF CANDIDATE LOANS 1. Committee Name Clark for Council 3. Report covering period from August 19, 2016 th SCHEDULE D-4 2. ID# 16-01 September 19, 2016 REPAYMENT OF LOANS MADE OR GUARANTEED BY CANDIDATE DATE AMOUNT OF REPAYMENT MADE THE REPAYMENT NAME AND ADDRESS TO WHOM REPAYMENT (DISBURSEMENT) WAS MADE NAME, ADDRESS, CITY, STATE, AND ZIP NAME, ADDRESS, CITY, STATE, AND ZIP T 4�� trv. �b 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 D4 [Transfer total to Detail Summary Page, Line 13(a), Column A] 0 1 f Schedule D-0 Page_of 1. Committee Name REPAYMENT OF ALL OTHER LOANS SCHEDULE D-5 Clark for Council 2. ID# 16-01 3. Report covering period from August 19, 2016 thru September 19, 2016 4 REPAYMENT OF ALL OTHER LOANS DATE REPAYMENT MADE AMOUNT OF THE REPAYMENT 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 ID# 4b. NAME, ADDRESS, CITY, ATE, ZIP AND ID# 40. NAME, ADDRESS, CITY, STATE, ZIP AND ID# 4d. NAME, ADDRESS, CITY, STATE, ZIP AND ID# 4e. NAME, ADDRESS, CITY, STATE, ZIP AND ID# 4'. NAME, ADDRESS, CITY, STATE, ZIP AND ID# 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-5 [Transfertotal to Detailed Summary Page, Line 13(b), Column A] 0 Page 1 of I TRANSFERS TO OTHER POLITICAL COMMITTEES 1. Committee Name Clark for Council 3. Report covering period from August 19, 2016 SCHEDULE D-6 2. ID# 16-01 September 19, 2016 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 ANC ID# 4b. NAME, ADDRESS, CITY, ATE, ZIP AND ID# 4c. NAME, ADDRESS, CITY, STATE, ZIP AND ID# n �4 k 4d. NAME, ADDRESS, CITY, STATE, ZIP AND ID# 4e. NAME, ADDRESS, CITY, STATE, ZIP AND ID# 4f. NAME, ADDRESS, CITY, STATE, ZIP AND ID# 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D -G [Transfer total to Detailed Summary Page, Line 14, Column A] 1\ 0 Page of ' ANY OTHER DISBURSEMENT SCHEDULE D-7 2. ID# 16-01 Clark for Council 1. Committee Name August 19, 2016 September 19, 2016 3. Report covering period from 4. ANY OTHER DISBURSEMENTS DATE DISBURSEMENT MADE AMOUNT OF THE DISBURSEMENT NAME, ADDRESS AND ID# OF COMMITTEE TO WHOM DISBURSEMENT WAS MADE; DESCRIPTION 4a. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION 4b. NAME, ADDRESS, CITY, ST F, ZIP AND ID# DESCRIPTION 4c. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION 4d. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION 4e. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION 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 Clark for Council 1. Committee Name 2. ID# 16-01 August 19, 2016 September 19, 2016 3. Report covering period from thru 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 ID# CONTRIBUTION EXPENDITURE DESCRIPTION OCCUPATION ' EMPLOYER 4b. NAME, ADDRESS, CITY, STATE, ZIP AND CONTRIBUTION EXPENDITURE DESCRIPTION OCCUPATION EMPLOYER""".1", "o 4c. NAME, ADDRESS, CITY, STATE, ZIP AND ID# CONTRIBUTION EXPENDITURE DESCRIPTION OCCUPATION 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 0 Line 6, Column A] 6. ENTER TOTAL IN-KIND CONTRIBUTIONS ONLY IF LAST PACE OF SCHEDULE E [If last page of Schedule E, transfer total to Detailed Summary Page 0 Line 11, Column A] 1 1 Page_of _ DIVIDENDS, INTEREST, AND OTHER RECEIPTS 1. Committee Name Clark for Council 3. Report covering period from August 19, 2016 SCHEDULE F-1 2. ID# 16-01 September 19, 2016 4 DIVIDENDS, INTEREST AND OTHER FORMS OF RECEIPTS DATE AMOUNT AMOUNT OFTHE RECEIVED 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 ID# DESCRIPTION RECEIPT 4b. ITY, ATE, ZIP AND ID# NAME, ADDRESS, CITY,' 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 AND ID# DESCRIPTION OF RECEIPT 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 to Detailed Summary Page Line 7 Column A Q �] Page_Of ._ OFFSETS TO CONTRIBUTIONS RECEIVED * Committee Name Clark for Council 3. Report covering period from August 19, 2016 SCHEDULE F-2 2. ID# 16-01 September 19, 2016 4 REFUNDS AND OTHER OFFSETS TO CONTRIBUTIONS RECEIVED DATE AMOUNT REFUND OF THE MADE 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# "N\ DESCRIPTIO11,KUND 4b, NAME, ADDRESS, CITY, TATE, ZIP AND ID# DESCRIPTION OF REFUND N° �e. 4c. NAME, ADDRESS, CITY, STATE, ZIP AND ID# " DESCRIPTION OF REFUND`S 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 u 1 1 Page_of — DEBTS AND OBLIGATIONS (Excluding Loans) SCHEDULE F-3 1. Committee Name Clark for Council 2. ID# 16-01 August 19, 2016 September 19, 2016 3. Report covering period from thru 4 DEBTS AND OBLIGATIONS OUTSTANDING OUTSTANDING BALANCE AMOUNT INCURRED PAYMENTTHIS 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 DEBT 4b. NAME, ADDRESS, CITY, AATE, ZIP AND ID# DESCRIPTION OF DEBT 4c. NAME, ADDRESS, CITY, STATE, ZIP AND ID# OF DEBT �. [DESCRIPTION 4d. NAME, ADDRESS, CITY, STATE, ZIP AND ID# 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]