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Home My WebLink AboutCampaign Finance Records - Finance report - Committee to Elect Ian Hugh 2016 - 8/23/2016POLITICAL COMMITTEE CITY OF CAMPAIGN FINANCE REPORT 2016 August/November Regular Election 1. Full Name of Committee a Address 30;z MA a city ZIP Code Count�,;�!3 2. Sponsoring Organization or Candidate and office 1�[(��llC'1.1 Name of Candidate and Office Sought (if appllr,,able) , Fax # 4. REPORTING PERIOD (Please check appropriate box) FOR OFFICE USE ONLY 3A. ID# IL--Dt DUE BETWEEN F1January 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 i, 2016 thru August 18, 2016 ................................. August 19, 2016 and August 26, 2016 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) (1 'j 5b Cash on Hand at the Beginning of this Reporting Period 5c Total Receipts (from corresponding columns on Detailed Summary Page, Line 8) o b C, (� 3-7 b 1. rQ�j 5d Subtotal [add Lines b and c for Column A and add lines a and c for Column B]1�� Q �� 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) p� �j �+ j L10 DTCJ 7. Cash on Hand at Close of Reporting Period [Subtractj Line 6b from Line 5d]liJ "Insert date wnicn is 21 days atter date of last election (A.R.S. "Other reports will be due before this reporting period if a special or recall election is held prior to the next general election. Revised 5115 DETAILED SUMMARY PAGE Page 2 OF RECEIPTS AND DISB1URRS,iE—M�—ENTS/� 2. ID* 1. Commi tee Name:yVi Y v t • O�—LJ�i'a+"� 1 l ` 3. Report covering period from L �l —A Thru 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(), 5(c), 6, and 7] DISBURSEMENTS 9. Expenditures for operating expenses (Total from Schedule D) 10. Independent Expenditures (Total from Schedule D-1) 11. Value of In-kind expenditures (Total from Schedule E) COLUMN A I COLUMN B THIS PERIOD CAMPAIGN TO DATE 45D�UD ,-55q�,c9.�� ILH)®�IDD 124-A�50 q IL6i®('6"-7-7"g 1 i� --39>4_ OW 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)] 1 Jvq ` 7 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 151 �� l 5� 2—L o 17. Rebates, refunds and other offsets to operating expenses (Total from Schedule D-3) 18. Total disbursements [subtract line 17 from line 167, 19. Total Outstanding Debts owed by Reporting Candidate or Political Committee (Schedule F-3) 20. 1 certify, under penaltyof 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 orR[int N,pme of Treasurer I Signature of Treasurer or Candidate or Designating (rioividual Date I CONTRIBUTIONS more than $50 -from INDIVIDUALS* SCHEDULE A 2. ID# II �L 1. Committee Name 3. Report covering period from thru 0 ' . 4 CONTRIBUTIONS DATE RECENED AMOUNT RECEIVED THIS PERIOD CUMULATIVE TOTAL THIS CAMPAIGN TO DATE NAME, ADDRESS, OCCUPATION AND EMPLOYER OR CONTR IBUTOR 41. LAST FIRST MI 4/ ST5TGRESS D�v i�F\�Y l �/ f".Y�--t�v.`' LL CITY pp S ATE ZIP OCCIJ,kATITIONy_L/OY_ERR D J_v_T 6 s rI�1 LAW b. RS MI A ^ LAST FIftA (•� j 4D �_ STREETADDRESS (� Z P CITY STATEtir-1 a A`� OCCU TION_ y r 1 _ 1�� EMPLOYER c. LASTFIRST MI L—A 1/ �l0 a STREETADDRE S v 4--., CITY STATE Or,CUPATION k;;' E PLOYER a d. LAST FIRST MI STREETADDRESS CITY STATE ZIP OCCUPATION EMPLOYER e. LAST FIRST MI STREET ADDRESS CITY STATE ZIP OCCUPATION EMPLOYER 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] r� . i Dl. "!f contdbutions of $50 or less are listed with contribute?s name, address, occupation and employer on Schedule A. do not include Page l of them on Schedule A-1. CONTRIBUTIONS of $50 or less -AGGREGATE TOTAL* SCHEDULE A-1 1. Committee Name ( IjVV 1 3. Report coven ng period from 4. Aggregate Total of Contributions of $50 or less L J�Ai 2. ID# I' -C) 1 �a DESCRIPTION AMOUNT RECEIVED THIS PERIOD CUMULATIVE TOTAL. THIS CAMPAIGN TO DATE 5. TOTAL THIS PERIOD [Transfer total to Detailed Summary Page, Line 4(b), 6. CUMMULATIVE TOTAL THIS Column A] CAMPAIGN TO DATE [Transfer total to Detailed 0,00 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 2. ID# i� — 1. Committee Name.tlVy\1�Ifl .4 3. Report covering period from . j, P./ ` I ; V t� thm ` 4 CONTRIBUTIONS AMOUNT RECEIVED THIS PERIOD CUMULATIVE TOTAL THIS CAMPAIGN TO DATE IDENTITY OF CONTRIBUTOR AND DATE RECEIVED 4a ID # NAME, ADDRESS, C� ITYy,,gSTA: E ANWIPVlli>�LJ1�i'� p u' j 5�zo bj 1 N t" x(,17--� V C'C �✓✓ �` DATE RECEIVED I + 4'#! l ' b. ID NAME, ADDRESS CITY, STATE AND ZIP (-4 PA -e— [�(ryD oD D RECEIVED c. ID # NAME, ADDRESS, CITY, STATE AND ZIP �®` Q_,e ; �(� �1 C�� U-i�.✓�y" �, E RECEIVED 1 d. ID # A�}ME, ADDRESS, CITY, STATE AND ZIP TE RECEIVED e. ID # NAME, ADDRESS, CITY, STATE AND ZIP 6u Qrt ( �� }(� � � L AZ DOC), i D TE RECEIVED I f. ID # �ME, ADDS, CITY, STATE AND QIP [jjjj�'jj• %� , �, )�- ("[[��y� -j�`A' _' IA j'� aC� c �/� �..y�, l �U ` U lT DATE RECEIVED g. ID # NAME, r1AD�D9y�REESSS,,, CC�IT�Y{,�, SETA jP,ND ZIP r P///�]�(}�/ VV \VI�lJLi1K� I � 0 �' 4 A , ' ( /per/ ��V4V DATE RECEIVED h. ID # NAME, ADDRESS, CITY, STATE AND ZIP DATE RECEIVED I. ID # NAME, ADDRESS, C'TY, 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 Aj Schedule B Page—Lof—L CANDIDATE LOANS SCHEDULE C 1. {� Committee Name / , pry1 c /� j1 2. ID # 3. Report covering period from thru t 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 r b. NAME, ADDRESS, CITY, STATE, AND ZIP DESCRIPTION C. NAME, ADDRESS, CITY, STATE, AND ZIP / J r DESCRIPTION f d. NAME, ADDRESS, CITY, STATE, AND ZIP DESCRIPTION e. NAME, ADDRESS, C ITY, STATE, AND Z! DESCRIPTION f. NAME, ADDRESS, CiTY TATE, 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 totai to Detailed Summary Page, Line 5(a), Column A] Schedule C Pageof OTHER LOANS 1. Committee Name �o t r, �j ,�y i 3. Report covedng period from `4�\ilt''�+ , `�/ 1 th'u- SCHEDULE C1 2. ID# U i� 4 ALL OTHER LOANS DATE LOAN RECEIVED AMOUNT OF LOAN CUMULATIVE TOTAL THIS CAMPAIGN TO DATE NAME AND ADDRESS OF EACH INDIVIDUAL (OR NAME, ID#AND ADDRESS OF THE POLITICAL COMMITTEE) OR LOAN, AND ANY ENDORSER CR GUARANTOR 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# ! I DESCRIPTION 4b NAME OF PERSON OR COMMITTEE MAKING LOAN, ADDRESS, CITY, STATE, ZIP, AND ID# /ff NAME OF ENDORSER OR GUARANTOR OF LOAN, ADDRESS, CITY, STATE, ZIP, AND ID# DESCRIPTION 4C NAME OF PERSON OR COMMITTEE MAKING LOAN, ADDRESS, CIT ,STATE, ZIP, AND ID# NAME OF ENDORSER OR GUARANTOR ZRESS, CITY, STATE, ZIP, AND ID# DESCRIPTION 4d NAME OF PERSON CR COM TEE MAKING LOAN, ADDRESS, CITY, STATE, ZIP, AND ID# I I 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# 1. Committee Name � �� 4q -o EU" `� z -�' `' ' "`�' H 1 It ` 3. Report covering period from s_1 VlyNa— L o : [�' thru I. o j 4 EXPENDITURES DATE EXPENDITURE AMOUNTOF THE NAME AND ADDRESS TO WHOM EXPENDITURE (DISBURSEMENT) WAS MADE MADE EXPENDITURE 4a. NAME, ADDRESS, CITY, STATE Atip ZIP Wet E.�b '�' AAAy o�- 1 DESCRIPTION OF ITEMS OR SERVICES PURCHASED 4b. NAME,pr—� ADDRESS,�T � "�\ DESCRI ION OF ITEMS OR SERVICES PURCHASED M — 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] --�� [,r r_ *Expenditures, other than a contract, promise or agreement to make an expenditure resulting in credit Page_ of_ r INDEPENDENT EXPENDITURES* 1. Committee Name �� V`�` `� `^� v" :=r- A* J 3. Report covering period from -Z--F—ua� I SCHEDULE D-1 2. ID# l 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 OF PURCHAS enefitte osed CANDIDATE OFFICE 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 enefitl osed CANDIDATE OFFICE SOUGHT YEAR OF ELECTION 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHED E D-1 [If last page of Schedule D-1, transfer total to Detailed Summary Page Line 10, Column AJ "SEE A.R.S. § 16-901(14). I certify, under penalty of perjury, that the above stated independentexpenditure(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 S:X MONTHS Schedule D-1 Pageof LOANS MADE BY REPORTING COMMITTEE 1. Committee Name 111 3. Report coven ng perod from "A U—V ' I V l 2. ID# SCHEDULE D-2 4 LOANS MADE BY THE REPORTING COMMITTEE DATE LOAN MADE AMOUNT OF THE LOAN NAME, ADDRESS AND ID# OF COMMITTEE TO WHOM LOAN (DISBURSEMENT)WAS MADE 4a. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# 4b, NAME, ADDRESS, CITY, STATE, ZIP, AND 10# 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 ID# 4h. NAME, ADDRESS, CITY, STATE, Z , AND ID# 4i. NAME, ADDRESS, CIT STATE, ZIP, AND ID# 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-2 [Transfer total ;o Detail Summary Page Line 12, Column A] Page_of 4a. 4b. 4c. 4d. 4e. 4f. OFFSETS TO OPERATING EXPENSES * SCHEDULE D-3 1. Committee Name ( Ny� 3. Report coven ng period from 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 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 w NAME, ADDRESS, CITY, STATE, AD 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. REPAYMENT OF CANDIDATE LOANS SCHEDULE D-4 2. ID# i 1. Committee Name �N'V-)V'�O 4,0 Eu --L-7- j 3. Report covering period from i —�1 In , ' D :hru Au-ln' _ cab 14 REPAYMENT OF LOANS MADE OR GUARANTEED BY CANDIDATE DATE REPAYMENT MADE AMOUNT OF THE REPAYMENT NAME AND ADDRESS TO WHOM REPAYMENT (D!SBURSEMENT) WAS MADE TADDRESS, CITY, S ATp1E,, AND ZIP NAME, �) 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 D4 Page—of — REPAYMENT OF ALL OTHER LOANS SCHEDULE D-5 1. Committee Name 11oy-r—w-f) 3. Report covering period from �� 1/1 Q� l 1 thru 4 REPAYMENT OF ALL OTHER LOANS DATE AMOUNT OF REPAYMENT THE MADE 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, STATE, ZIP AND ID# 4c. NAME, ADDRESS, CITY, STATE, Z!P AND ID# 4d. NAME, ADDRESS, CITY, STATE, Z!P AND ID# 4e. NAME, ADDRESS, CITY, STATE, ZIP ND 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) Page—of TRANSFERS TO OTHER POLITICAL COMMITTEES 1. Committee Name�Z""D'q—o 3. Report coven ng period from W SCHEDULE D-6 t 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 ID# 4b. NAME, ADDRESS, CITY, STATE, ZIP AND ID# 4c. NAME, ADDRESS, CITY, STATE, ZIP AND !D# 4d. NAME, ADDRESS, CITY, STATE, ZIP AND ID# 4e. NAME, ADDRESS, CITY, STATE, ZIP AND ID# 4f. NAME, ADDRESS, CITY, STATE, ZII, AND ID# 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-6 [Transfer total to Detal:ed Summary Page, Line 14, Column A] u Page_of ANY OTHER DISBURSEMENT Committee Name 0 2. ID# SCHEDULE D-7 3. Report covering period from � vl� V, thru 1 4_ ANY OTHER DISBURSEMENTS J DATE DISBURSEMENT MADE AMOUNT OF THE DISBURSEMENT NAME, ADDRESS AND ID# OF COMMITTEE TO WHOM DISBURSEMENTWAS MADE; DESCRIPTION f 4a. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTICN 4b. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION 4c. NAME, ADDRESS, CITY, STATE, ZIP AND IDN DESCRIPTION 4d, NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION 4e. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION ENTER TOTAL ONLY !F 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. 0# II ?. Committee Name �J�► 1 3. Report wver.na Derod `rpm V ( �1 thru 4 IN-KIND CONTRIBUTIONS and EXPENDITURES DATE FAIR MARKETVALUE NAME AND ADDRESS OF INDIVIDUAL (OR NAME, ADDRESS AND ID# OF THE POLITICAL COMMi TTEE) FROM WHOM RECEIVED OR TC WHOM GIVEN 4a. NAME, ADDRESS, CITY, STATE, ZIP AND ID# CONTRIBUTION EXPENDITURE DESCRIPTION OCCUPATION EMPLOYER 4b. NAME, ADDRESS, CITY, STATE, ZIP AND ID# CONTRIBUTION EXPENDITURE DESCRIPTION / f/ OCCUPATION EMPLOYER 4c. NAME, ADDRESS, CITY, STATE, ZIP AND ID# COTRIBUTION 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 Line 6,Columr. A] 6. ENTER TOTAL IN-KIND CONTRIBUTIONS ONLY IF LAST PAGE OF SCHEDULE E [If last page of Schedule E, transfer total to Desai?ed Summary Page Line 14, Column A] Page_of DIVIDENDS, INTEREST, AND OTHER RECEIPTS SCHEDULE F-1 2. ID# 'I ll c�1 1. Committee Name_tov-nm- 4-:p l /` mV 1 (�-4 3. Repot covering period from A ril ♦ r l� lthru 4 DIVIDENDS, INTEREST AND OTHER FORMS OF RECEIPTS DATE AMOUNT AMOUNT OF THE 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 OF RECEIPT 4b. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF RECEIPT %J 4c. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF RECEIPT 4d. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF RECEIPT 4e. F NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF REC II T r 4f. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF RECEIPT 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE F-1 � 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# 11 l l 1. Committee Name 3. Report covering period from 4 REFUNDS AND OTHER OFFSETS TO CONTRIBUTIONS RECEIVED DATE REFUND MADE AMOUNT OF THE 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# CESCRIPTION OF REFUND 4b. NAME, ADDRESS, CITY, STATE, ZIP AND I.O# 6ESCRIPTION OF REFUND / f f 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 :D# 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) r 1. Committee Name 3. Report covennq period from Z �\%i Q — v -,-;? 0 � (,:' thru SCHEDULE F-3 2. ID# ) � (W[ 4 DEBTS AND OBLIGATIONS OUTSTANDING BALANCE BEGINNING THIS PERIOD AMOUNTiNCURRED 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# DESCRIPT;ON OF DEBT 4b. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF DEBT 4c. NAME, ADDRESS, CITY, STATE, ZIP AND 1D# DESCRIPTION OF DEBT 4d. NAME, ADDRESS, CITY, STATE, ZIP AND ID# [DESCRIPTION OF DEBT 4e. NAME, ADDRESS, CITY, ST E, 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]