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