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HomeMy WebLinkAboutCampaign Finance Records - Finance report - Clark for Council - 8/26/2016POLITICAL COMMITTEE CITY OF L; CAMPAIGN FINANCE REPORT 2016 August/November Regular Election 1. Clark for Council Full Name of Committee 8628 W. Cavalier Drive Address Glendale 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 appropriate box) FOR OFFICE USE ONLY CITY CLERK CITY OF GLENDA" LE 2096 AUG 26 PH i• f 51 DUE BETWEEN 5. SUMMARY 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 17 Pre -Primary Election Report - For Period of June 1, 2016 thru August 18, 2016 .... August 19, 2016 and August 26, 2016 ❑ Post -P rlmary 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 ❑ *"January31 , 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) $6282.18 5b Cash on Hand at the Beginning of this Reporting Period 5c Total Receipts (from corresponding columns on Detailed Summary Page, Line 8) $5430.00 $13081.80 $11712.18 $13081.80 5d Subtotal [add Lines b and c for Column A and add lines 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] $6621.41 $7991.03 6b Total Disbursements (from corresponding columns on Detailed Summary Page, Line 18) $5090.77 r I $5090.77 I 7. Cash on Hand at Close of Reporting Period [Subtract Line 6b from Line 5d] -insert aate wnicn IS Z"I aays anter nate or last election (A. K.S. 16-y13). **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 1. Committee Name: DETAILED SUMMARY PAGE OF RECEIPTS AND DISBURSEMENTS Clark for Council 3. Report covering period from Jun 1 2016 Thru August 18, 2016 2. I D# 2 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 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] COLUMN A THIS PERIOD COLUMN B CAMPAIGN TO DATE $7615.83 10. Independent Expenditures (Total from Schedule D-1) $3405.00 $9305.00 $$400.00 $1095.00 $1250.00 $1250.00 $5055.00 $11650.00 0 0 $5055.00 $11650.00 0 $996.80 0 0 0 $996.80 $375.00 $435.00 0 0 $5430.00 $13081.80 DISBURSEMENTS 9. Expenditures for operating expenses (Total from Schedule D) $6246.41 $7615.83 10. Independent Expenditures (Total from Schedule D-1) 0 0 11. Value of In-kind expenditures (Total from Schedule E) $375.00 $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] $6621.41 $8050.83 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] $6621.41 1 $8050.83 19. Total Outstanding Debts owed by Reporting Candidate or Political Committee (Schedule F-3) 0 1 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. Kevin Clark Type or Print Name_gPTreasur h L, August 25, 2016 Signature of Treasurer or Candidate or Designating Individual Date CONTRIBUTIONS more than $50 - from INDIVIDUALS* SCHEDULE A 2. ID# 16-01 Committee Name Clark for Council 3. Report covering period from June 1, 2016 thru August 18, 2016 4 CONTRIBUTIONS DATE AMOUNT CUMULATIVE RECEIVED RECEIVED TOTALTHIS NAME, ADDRESS, OCCUPATION AND EMPLOYER OR CONTRIBUTOR THIS PERIOD CAMPAIGN TO DATE 4a. LAST FIRST MI Widom Rodeanne 6/5/ 2016 $100.00 $100.00 STREET ADDRESS 6102 W. Altadena Avenue CITY STATE ZIP Glendale AZ 85304 OCCUPATION EMPLOYER Retired NA b. LAST FIRST MI Stratton Bob 6/10/2016 $250.00 $450.00 STREET ADDRESS 8627 W. Cavalier Drive CITY STATE ZIP Glendale AZ 85305 OCCUPATION EMPLOYER Retired NA C. LAST FIRST MI Ibarra Patrick 6/28/2016 $300.00 $600.00 STREET ADDRESS 7409 N. 84th Avenue CITY STATE ZIP Glendale AZ 85305 OCCUPATION EMPLOYER Owner The Mejorando Group d. LAST FIRST MI Monaghan Paul 7/10/2016 $400.00 $400.00 STREET ADDRESS 3632 N. Hooper Court CITY STATE ZIP Buckeye AZ 85396 OCCUPATION EMPLOYER e. LAST FIRST MI Schwind Bert 7/12/2016 $150.00 $300.00 STREET ADDRESS 5801 N. 73rd Avenue CITY STATE ZIP Glendale AZ 85303 OCCUPATION EMPLOYER Retired NA 5. 1ENTER TOTAL ONLY 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 I Of 3 them on Schedule A-1. CONTRIBUTIONS more than $50 - from INDIVIDUALS* SCHEDULE A 2. ID# 16-01 1. Committee Name Clark for Council 3. Report covering period from June 1, 2016 thru August 18, 2016 4 CONTRIBUTIONS DATE AMOUNT CUMULATIVE RECEIVED RECEIVED TOTAL THIS NAME, ADDRESS, OCCUPATION AND EMPLOYER OR CONTRIBUTOR THIS PERIOD CAMPAIGN TO DATE 4a. LAST FIRST MI Blake Jeffrey 7/13/ 2016 $500.00 $600.00 STREET ADDRESS 19210 N. 70th Avenue CITY STATE ZIP Glendale AZ 85308 OCCUPATION EMPLOYER Owner The Blake Group b. LAST FIRST MI Socaciu Michael 7/15/2016 $100.00 $100.00 STREET ADDRESS 8574 W. Berridge Lane CITY STATE ZIP Glendale AZ 85305 OCCUPATION EMPLOYER Supervisor lAccenture C. LAST FIRST MI Davis Dean 7/16/2016 $500.00 $1500.00 STREET ADDRESS 8617 W. Morten Avenue CITY STATE ZIP Glendale AZ 85305 OCCUPATION EMPLOYER Retired NA d. LAST FIRST MI Traw Tom 7/31/2016 $200.00 $300.00 STREET ADDRESS 6024 N. 83rd Avenue CITY STATE ZIP Glendale AZ 85303 OCCUPATION EMPLOYER Owner Tom Traw Realty e. LAST FIRST MI Schultz Charles 8/8/2016 $250.00 $500.00 STREET ADDRESS 435 Bent Tree Circle N. CITY STATE ZIP Litchfield Park AZ 85340 OCCUPATION EMPLOYER Retired NA 5.ENTER TOTAL ONLY 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 2 Of 3 them on Schedule A-1. CONTRIBUTIONS more than $50 - from INDIVIDUALS* SCHEDULE A 2. ID# 16-01 Committee Name Clark for Council 3. Report covering period from June 1, 2016 thru August 18, 2016 4 CONTRIBUTIONS DATE AMOUNT CUMULATIVE RECEIVED RECEIVED TOTALTHIS NAME, ADDRESS, OCCUPATION AND EMPLOYER OR CONTRIBUTOR THIS PERIOD CAMPAIGN TO DATE 4a. LAST FIRST MI Hogon Yvonne 8/11/ 2016 $405.00 $405.00 STREETADDRESS 12212 N. Paradise Village Parkway #5 CITY STATE Zip Phoenix AZ 85032 OCCUPATION EMPLOYER Retired NA b. LAST FIRST MI Przewlocki Michael 8/12/2016 $100.00 $100.00 STREET ADDRESS 1212 E. Desert Flower Lane CITY STATE ZIP Phoenix AZ 85048 OCCUPATION EMPLOYER Principal Legacy Financial Group C. LAST FIRST MI Eckols Lynda 7/16/2016 $150.00 $150.00 STREET ADDRESS PO Box 8904 CITY STATE ZIP South Lake Tahoe CA 96158 OCCUPATION EMPLOYER Retired NA d. LAST FIRST MI STREET ADDRESS CITY STATE ZIP OCCUPATION EMPLOYER e. LAST FIRST MI STREET ADDRESS CITY STATE ZIP OCCUPATION EMPLOYER NA 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE A [If last page of Schedule A, transfer total to Detailed Summary Page Line 4(z), Column A] $3405.00 $5505.00 "If contributions of $50 or less are listed with contributor's name, address, occupation and employer on Schedule A, do not include Page 3 Of 3 them on Schedule A-1. CONTRIBUTIONS of $50 or less - AGGREGATE TOTAL* SCHEDULE A-1 2. ID# 16-01 Clark for Council 1. Committee Name June 1, 2016 August 18, 2016 3. Report covering period from 4. Aggregate Total of Contributions of $50 or less DESCRIPTION AMOUNT RECEIVED THIS PERIOD CUMULATIVE TOTAL THIS CAMPAIGN TO DATE K. Martin $50.00 $695.00 R. Flores $40.00 L. Flatau $50.00 C. Bernardi $50.00 G. Torres $50.00 J. Martino $20.00 D. Morales $50.00 S. Reyes $25.00 D. George $25.00 $40.00 5. TOTAL THIS PERIOD [Transfer total to Detailed Summary Page, Line 4(b), $400.00 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 3. Report covering period from June 1, 2016 thru August 18, 2016 4 CONTRIBUTIONS AMOUNT RECEIVED THIS PERIOD CUMULATIVE TOTAL THIS CAMPAIGN TO DATE IDENTITY OF CONTRIBUTOR AND DATE RECEIVED 4a ID # 1141 NAME, ADDRESS, CITY, STATE AND ZIP PLEA -PAC Political Action Committee 1102 West Adams Street Phoenix, AZ 85007 $250'00 $250'00 DATE RECEIVED 7/20/2016 b. ID # C0027458 NAME, ADDRESS, CITY, STATE AND ZIP Mesa Police Association PAC 123 W. Centennial Way Mesa, AZ 85201 $500.00 $500.00 DATE RECEIVED 7/21/2016 c. ID # 542144603 NAME, ADDRESS, CITY, STATE AND ZIP Gilbert Police Leadership Association PAC PO Box 1215 Higley, AZ 85326 $500.00 $500.00 DATE RECEIVED 8/1/2016 d. ID # NAME, ADDRESS, CITY, STATE 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] $1250.00 $1250.00 Schedule B Page_of CANDIDATE LOANS SCHEDULE C 1. Committee Name Clark for Council 2. 1D# 16-01 3. Report covering period from June 1, 2016 thru August 18, 2016 4. LOANS MADE OR GUARANTEED BY CANDIDATE DATE RECEIVED AMOUNT RECEIVED CUMULATIVE TOTALTHIS CAMPAIGN TO DATE NAME AND ADDRESS FROM WHOM RECE!VED 4a. NAME, ADDRESS, CITY, STATE, AND ZIP Joyce Clark 3/15/2016 $996.80 $996.80 8628 W. Cavalier Drive Glendale, AZ 85305 DESCRIPTION candidate loan to campaign committee b. NAME, ADDRESS, CITY, STATE, AND Z!P 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, transfer total to Detailed Summary Page, Line 5(a), Column A] $996.80 Schedule C Pageof ' OTHERLOANS 1. Committee Name Clark for Council 3. Report covering period from June 1, 2016 thru August 18, 2016 SCHEDULE C1 2. ID# 16-01 4 ALL OTHER LOANS DATE LOAN RECEIVED AMOUNT OF LOAN CUMULATIVE TOTAL THIS CAMPAIGN TO DATE NAME AND ADDRESS OF EACH INDIVIDUAL (OR NAME, !D#AND ADDRESS OF THE POLITICAL COMMITTEE) OR LOAN, AND ANY ENDORSER OR GUARANTOR OF LOAN. 4a NAME OF RSON OR COMMITTEE MAKING LOAN, ADDRESS, CITY, STATE, ZIP, AND ID# NAME OF ENDORSER OR G RANTOR OF LOAN, ADDRESS, CITY, STATE, ZIP, AN D# R DESCRIPTION 4b NAME OF PERSON OR COMMITTEE MAKING LOAN, AD ESS, CITY, STATE, ZIP, AND ID# NAME OF ENDORSER OR GUARANTOR OF LOAN, ADDRESS, CITY, STA 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 last 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. I D# 16-01 Committee Name Clark for Council 3. Report covering period from June 1, 2016 thru August 18, 2016 4 EXPENDITURES DATE AMOUNT OF EXPENDITURE THE NAME AND ADDRESS TO WHOM EXPENDITURE (DISBURSEMENT) WAS MADE MADE EXPENDITURE 4a. NAME, ADDRESS, CITY, STATE AND ZIP 6/1/2016 $33.36 www.paypal.com to 8/18/2016 DESCRIPTION OF ITEMS OR SERVICES PURCHASED transaction fees 4b. NAME, ADDRESS, CITY, STATE AND ZIP 6/9/2016 $282.00 U.S. Post Office 6537 N. 55th Avenue Glendale, AZ 85301 DESCRIPTION OF ITEMS OR SERVICES PURCHASED postage 4c. NAME, ADDRESS, CITY, STATE AND ZIP 6/9/2016 $43.22 Office Max 9320 W. Northern Avenue Glendale, AZ 85305 DESCRIPTION OF ITEMS OR SERVICES PURCHASED office supplies 4d. NAME, ADDRESS, CITY, STATE AND ZIP 6/16/2016 $650.00 Dialing Services 8 Riverside Drive Roswell, NM 88201 DESCRIPTION OF ITEMS OR SERVICES PURCHASED calling services 4e. NAME, ADDRESS, CITY, STATE AND ZIP 6/22/2016 $1353.77 Political Lawn Signs 916 Byrd Avenue Neenah, WI 54956 DESCRIPTION OF ITEMS OR SERVICES PURCHASED campaign signs 4f. NAME, ADDRESS, CITY, STATE AND ZIP 6/23/2016 $131.64 Allen Printing 5035 N. 55th Avenue Glendale, AZ 85301 DESCRIPTION OF ITEMS OR SERVICES PURCHASED printing 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 4 Page of EXPENDITURES FOR OPERATING EXPENSES* 1. Committee Name Clark for Council 3. Report covering period from June 1, 2016 SCHEDULE D 2. I D# 16-01 thru August 18, 2016 4 EXPENDITURES DATE AMOUNT OF EXPENDITURE THE NAME AND ADDRESS TO WHOM EXPENDITURE (DISBURSEMENT) WAS MADE MADE EXPENDITURE 4a. NAME, ADDRESS, CITY, STATE AND ZIP 6/27/2016 $929.23 Sign King of Arizona 325 S. Westwood Mesa, AZ 85210 DESCRIPTION OF ITEMS OR SERVICES PURCHASED campaign signs 4b. NAME, ADDRESS, CITY, STATE AND ZIP 7/9/2016 $75,91 Home Depot 9969 W. Camelback Road Phoenix, AZ 85037 DESCRIPTION OF ITEMS OR SERVICES PURCHASED rebar, wire 4c. NAME, ADDRESS, CITY, STATE AND ZIP 7/15/2016 $156.79 Home Depot 9969 W. Camelback Road Phoenix, AZ 85037 DESCRIPTION OF ITEMS OR SERVICES PURCHASED rebar, wire 4d. NAME, ADDRESS, CITY, STATE AND ZIP 7/16/2016 $112.41 Office Max 9320 W. Northern Avenue Glendale, AZ 85305 DESCRIPTION OF ITEMS OR SERVICES PURCHASED office supplies 4e. NAME, ADDRESS, CITY, STATE AND ZIP 7/18/2016 $71.41 Bakery by Tom 5835 W. Palmaire Drive Glendale, AZ 85301 DESCRIPTION OF ITEMS OR SERVICES PURCHASED meeting refreshments 4f. NAME, ADDRESS, CITY, STATE AND ZIP Route 72 Systems 7/29/2016 $85.00 759 Bloomfield Avenue West Caldwell, NJ 07006 DESCRIPTION OF ITEMS OR SERVICES PURCHASED emailing services 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 2 of 4 EXPENDITURES FOR OPERATING EXPENSES* SCHEDULE D 2. ID# 16-01 1. Committee Name Clark for Council 3. Report covering period from June 1, 2016 thru August 18, 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 8/1/2016 $329.10 Allen Printing 5035 N. 55th Avenue Glendale, AZ 85301 DESCRIPTION OF !TEMS OR SERVICES PURCHASED printing 4b. NAME, ADDRESS, CITY, STATE AND ZIP 8/5/2016 $400.63 Political Lawn Signs 916 Byrd Avenue Neenah, W154956 DESCRIPTION OF ITEMS OR SERVICES PURCHASED campaign signs 4c. NAME, ADDRESS, CITY, STATE AND ZIP 8/8/2016 $219.40 Allen Printing 5035 N. 55th Avenue Glendale, AZ 85301 DESCRIPTION OF ITEMS OR SERVICES PURCHASED printing 4d. NAME, ADDRESS, CITY, STATE AND ZIP 8/15/2016 $109.70 Allen Printing 5035 N. 55th Avenue Glendale, AZ 85301 DESCRIPTION OF ITEMS OR SERVICES PURCHASED printing 4e. NAME, ADDRESS, CITY, STATE AND ZIP 8/15/2016 $58.68 Grassroots Partners 2942 N. 24th Street Phoenix, AZ 85016 DESCRIPTION OF ITEMS OR SERVICES PURCHASED calling services 4f. NAME, ADDRESS, CITY, STATE AND ZIP Premier Printing 8/15/2016 $994.54 4141 W. Clarendon Avenue Phoenix, AZ 85019 DESCRIPTION OF ITEMS OR SERVICES PURCHASED campaign mailing 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= EXPENDITURES FOR OPERATING EXPENSES* SCHEDULE D 2. I D# 16-01 Committee Name Clark for Council 3. Report covering period from June 1, 2016 thru August 18, 2016 4 EXPENDITURES DATE EXPENDITURE MADE AMOUNTOF THE EXPENDITURE NAME AND ADDRESS TO WHOM EXPENDITURE (DISBURSEMENT) WAS MADE 4a. NAME, ADDRESS, CITY, STATE AND ZIP Pueblo Publishers 7122 N. 59th Avenue Glendale, AZ 85301 8/18/2016 $209.92 DESCRIPTION OF ITEMS OR SERVICES PURCHASED campaign advertising 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] $6246.41 'Expenditures, other than a contract, promise or agreement to make an expenditure resulting in credit Page 4 of 4 INDEPENDENT EXPENDITURES' SCHEDULE D-1 Clark for Council 1. Committee Name 2. ID# 16-01 3. Report covering period from June 1,2016 thru August 18, 2016 4 INDEPENDENT EXPENDITURES DATE EXPENDITURE MADE AMOUNT OF THE EXPENDITURE IDENTIFY RECIPIENT OF E NDITUREAND CANDIDATE WHO IS BENEFITTED OR OPPOSED 4a. ,NAME, ADDRESS, CITY, STATE AND ZON\ r Y! PURPOSE AND DESCRIPTION OF PURCHAS lenefitteX Loposed CANDIDATE OFFICE SOUGHT YEAR OF ELECTION 4b. NAME, ADDRESS, CITY, STATE AND ZIP D DESCRIPTIOURCHAS enefitte osed CANDIDATEOFFICE SOUGHT YEAR OF ELECTION 4c. NAME, ADDRESS, CITY, STATE AND ZIP PURPOSE AND DESCRIPTION OF PURCHAS enefitte loposed 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] Q *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 y caign 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 1 LOANS MADE BY REPORTING COMMITTEE SCHEDULE D-2 2. ID# 16-01 1. Committee Name Clark for Council 3. Report covering period from June 1, 2016 thru August 18, 2016 4 1 LOANS MADE BY THE REPORTING COMMITTEE DATE LOAN MADE AMOUNT OF THE LOAN NAME, A RESS AND ID# OF COMMITTEE TC WHOM LOAN (DISBURSEMENT) WAS MADE 4a. NAME, ADDRESS, Y, STATE, ZIP, AND ID# 4b. NAME, ADDRESS, CITY, STATE, 75;;NND 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# 4f. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# 4g. NAME, ADDRESS, CITY, STATE, ZIP, AND IDN 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] 0 Page? of 1 4a. 4b. 4c. 4d. 4e. 4f. Committee Name OFFSETS TO OPERATING EXPENSES * Clark for Council 3. Report covering period from June 1, 2016 SCHEDULE D-3 2. ID# 16-01 August 18, 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 N E, ADDRESS, CITY, STATE, AND ZIP DESCRIPTION OF Rt ' NO NAME, ADDRESS, CITY, STAT , ND 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 OF REFUND 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 Line 17 Column A] Includes return of contributions made by reporting committee 0 Schedule D-3 Page'of 4a. 4b. 4c. 4d. 4e. 4f. Committee Name REPAYMENT OF CANDIDATE LOANS Clark for Council 3. Report covering period from June 1, 2016 SCHEDULE D-4 2. ID# 16-01 August 18, 2016 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, ZIP t NAME, ADDRESS, CITY, STATE, AND ZIP NAME, ADDRESS, CITY, STATE, AND ZIP NAME, ADDRESS, CITY, STATE, AND ZIP NN 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] u 1 1 Schedule D-4 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 June 1, 2016 thru August 18, 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, S E, 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# 4f. NAME, ADDRESS, CITY, STATE, ZIP AND ID# 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-5 [Transfer total to Detailed Summary Page, Line 13(b), Column A] 0 Page 1 of 1 TRANSFERS TO OTHER POLITICAL COMMITTEES Committee Name Clark for Council 3. Report covering period from June 1, 2016 SCHEDULE D-6 2. ID# 16-01 August 18, 2016 4 TRANSFERS MADE BY THE REPORTING COMMITTEE DATE TRANSFER MADE AMOUNT OF THE 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 ID# 4b. NAME, ADDRESS, CITY, S E. ZIP AND ID# I 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, ZIP AND ID# 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE M [Transfer total to Detailed Summary Page, Line 14, Column A] 0 Page �f 1 ANY OTHER DISBURSEMENT Clark for Council 1. Committee Name June 1, 2016 3. Report covering period from SCHEDULE D-7 2. ID# 16-01 August 18, 2016 4. ANY OTHER DISBURSEMENTS DATE DISBURSEMENT MADE AMOUNT OF THE DISBURSEMENT NAME, ADDRESS AND ID# OF COMMITTEE TO WHOM DISBURSEMENTWAS MADE; DESCRIPTION 4a. NAME, ADDRESS, CITY, STATE, ZIP AND ION DESCRIPTION 4b. NAME, ADDRESS, CITY, STATE, 2N<ND 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 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-7 [Transfer total to Detailed Summary Page Line 15 Column A] u 1 1 Page_of _ IN-KIND CONTRIBUTIONS and EXPENDITURES SCHEDULE E Clark for Council 1. Committee Name 2. ID# 16-01 3. Report covering period from June 1, 2016 thru August 18, 2016 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, Z!P AND ID# Jeffrey Blake 19210 N. 70th Avenue CONTRIBUTION $375.00 EXPENDITURE $375.00 6/5/2016 $375.00 Glendale, AZ 85308 DESCRIPTION Glendale Chamber of Commerce membership fee OCCUPATION EMPLOYER Owner The Blake Group 4b. NAME, ADDRESS, CITY, STATE, ZIP AND ID# CONTRIBUTION EXPENDITURE DESCRIPTION OCCUPATION EMPLOYER 4c. NAME, ADDRESS, CITY, STATE, ZIP AND ID# CONTRIBUTION EXPENDITURE DESCRIPTION OCCUPATION EMPLOYER 4d. NAME, ADDRESS, CITY, STATE, ZIP AND ID# CCNTR!BUT!ON 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 $375.00 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 $375.00 Llne 11, Column A] Page -of DIVIDENDS, INTEREST, AND OTHER RECEIPTS 1. Committee Name Clark for Council 3. Report covering period from June 1, 2016 SCHEDULE F-1 2. ID# 16-01 August 18, 2016 4 DIVIDENDS, INTEREST AND OTHER FORMS OF RECEIPTS DATE AMOUNT RECEIVED AMOUNT OF THE RECEIPT NAME AND ADDRESS FROM INDIVIDUAL (OR NAME, ADDRESS AND ID# OF THE POLITICAL COMMITTEE) FROM WHOM RECEIPT WAS RECEIVED 4a. N E, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIP-ION OF R EIPT 4b. NAME, ADDRESS, CITY, STAT IP 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 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, transfertotal to Detailed Summary Page Line 7 Column A I 0 Page_of _ OFFSETS TO CONTRIBUTIONS RECEIVED * Committee Name Clark for Council 3. Report covering period from June 1, 2016 SCHEDULE F-2 2. ID# 16-01 August 18, 2016 4 REFUNDS AND OTHER OFFSETS TO CONTRIBUTIONS RECEIVED DATE REFUND MADE AMOUNT OF THE REFUND NAME AND ADDRESS OF INDIVIDUAL (OR NAME, ADDRESSAND ID# OF THE POLITICAL COMMITTEE) TO WHOM REFUND WAS MADE 4a. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF FUNC 4b. NAME, ADDRESS, CITY, STA ZIP AND ID# DESCRIPTION OF REFUND 4c. NAME, ADDRESS, CITY, STATE, ZIP AND ID# 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# rESCRIPTION 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 l0� Page_of DEBTS AND OBLIGATIONS (Excluding Loans) SCHEDULE F-3 2. ID# 16-01 C 1. Committee Name lark for Council 3. Report covering period from June 1, 2016 thru August 18, 2016 4 DEBTS AND OBLIGATIONS OUTSTANDING BALANCE BEGINNING THIS PERIOD AMOUNT INCURRED THIS PERIOD PAYMENTTHIS PERIOD OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD NAME AND ADDRESS OF INDIVIDUAL (OR NAME, ADDRESS AND ID# OF THE POLITICAL COMMITTEE)TO WHOM DEBT IS OWED 4a. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION DEBT 4b. NAME, ADDRESS, CITY, S E, 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# 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] 0