HomeMy WebLinkAboutCampaign Finance Records - Finance report - Clark for Council - 6/29/2016POLITICAL COMMITTEE
CITY OF
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 Z!P 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 -Mai•. Address Fax #
4. REPORTING PERIOD (Please -heck appropriate box)
FOR OFFICE USE ONLY
RK
ITYL
CITY GLENDALE
16 JUS; 29 AM 10= 44
❑ January 31 Report - For Period of thru December 31, 2015 ....
June 30 Report -For Period of January 1, 2016 thru May 31, 2016 ............. ..... .. . .
❑ Pre -Primary Election Report -For Period of June 1, 2016 thru August 18, 2016 .... .... .. ...
❑ Post -Primary Election Report -For Period of August 19, 2016 thru September 19, 2016 .... .. .....
❑ Pre -General Election Report -For Period of September 20, 2016 thru October 27, 2016
❑ Post -General Election Report -For Period of October 28, 2016 thru November 28, 2016
❑ *-January 31, Report -For Period of November 29, 2016 thru December 31, 2017 ......... . .
DUE BETWEEN
January 1, 2016 and February 1, 2016
.... June 1, 2016 and June 30, 2016
... .. August 19, 2016 and August 26, 2016
September 20, 2016 and September 29, 2016
. .. October 28, 2016 and November 4, 2016
November 29, 2016 and December 8, 2016
..... 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)
0
5b Cash on Hand at the Beginning of this Reporting Period
5c Total Receipts (from corresponding columns on Detailed
Summary Page, Line 8)
$7101.80
$7651.80
$7101.80
$7651.80
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]
$1369.62
$1369.62
6b Total Disbursements (from corresponding columns on
Detailed Summary Page, Line 18)
$5732.18
r I
$6282.18
I
7. Cash on Hand at Close of Reporting Period [Subtract
Line 6b from Line 5dl
"Inseri nate WnICn Is Ci nays atter aate Or last eiection (A. K.S. gib -vi j).
**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 Coundl
3. Report covering period from 01/01/16 Thru 05/31/16 16-01
RECEIPTS COLUMN A COLUMN B
THIS PERIOD CAMPAIGN TO DATE
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 Otherthan 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 other forms of receipts (Total from Schedule F-1)
8. Total Receipts [add 4(f), 5(c), 6, and 7]
$1369.62
$5350.00
$5900.00
$695.00
$695.00
0
0
$6045.00
$6695.00
0
0
$6045.00
$6695.00
$996.80
$996.80
0
0
$996.80
$996.80
$60,00
$60.00
0
0
$7101.80
$7651.80
DISBURSEMENTS
9. Expendituresfor operating expenses (Total from Schedule D)
$1369.62
$1369.62
10. Independent Expenditures (Total from Schedule D-1)
0
0
11. Value of In-kind expenditures (Total from Schedule E)
$60.00
$60.00
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!oans (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 151
$1369.62
$1369.62
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]
$1369.62 1
$1369.62
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.
Type or PrintName Treasurer
Stnafure- f?reasurer oMTn-didate or Designating Individual Date v / ' / I
CONTRIBUTIONS more than $50 -from INDIVIDUALS* SCHEDULE A
2. ID#
16-01
1. Committee Name Clark for Council
3. Report covering period from January 1, 2016 thru May 31, 2016
4
CONTRIBUTIONS
DATE
AMOUNT
CUMULATIVE
RECEIVED
RECEIVED
TOTAL THIS
NAME, ADDRESS, OCCUPATION AND EMPLOYER OR CONTRIBUTOR
THIS
PERIOD
CAMPAIGN
TO DATE
4a.
LAST FIRS? MI
Davis Dean
03/11/16
$500.00
$500.00
STREET ADDRESS
8616 W. Morten
CITY STATE ZIP
Glendale AZ 85305
OCCUPATION
EMPLOYER
Retired
NA
b.
LAST FIRST MI
Stratton Robert
03/11/16
$200.00
$200.00
STREET ADDRESS
8627 W. Cavalier Drive
CITY STATE ZIP
Glendale AZ 85305
OCCUPATION
EMPLOYER
Retired
NA
C'
LAST FIRST MI
Komernicky Sue
03/20/16
$100.00
$100.00
STREET ADDRESS
6901 W. Windsor Blvd.
CITY STATE ZIP
Glendale AZ 85303
OCCUPATION
EMPLOYER
Retired
NA
d.
LAST FIRST MI
Lemann Wilfred
03/21/16
$500.00
$500.00
STREET ADDRESS
215 D Street
CITY STATE ZIP
San Bernandino CA 92401
OCCUPATION
EMPLOYER
Attorney
Fullerton, Lemann, Schaef
e.
LAST FIRST MI
Traw Tom
03/23/16
$100.00
$100,00
STREET ADDRESS
6024 N. 83rd Avenue
CITY STATE ZIP
Glendale AZ 85303
OCCUPATION
EMPLOYER
Realtor
Tom Traw Realty
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 an Schedule A, do not inciude Page 1 of 6
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 January 1, 2016 thru May 31, 2016
4
CONTRIBUTIONS
DATE
AMOUNT
CUMULATIVE
RECEIVED
RECEIVED
TOTALTHIS
NAME, ADDRESS, OCCJPATION AND EMPLOYER OR CONTRIBUTOR
THIS
PER 0D
CAMPAIGN
TO DATE
4a.
LAST FIRST MI
Daily Mark
04/05/16
$100.00
$100.00
STREET ADDRESS
8580 W. Berridge Lane
CITY STATE ZIP
Glendale AZ 85305
OCCUPATION
EMPLOYER
Retired
NA
b.
LAST FIRST MI
Schultz Charles
04/08/16
$250.00
$250.00
STREET ADDRESS
435 Bent Tree Circle N.
CITY STATE ZIP
Litchfield Park AZ 85340
OCCUPATION
EMPLOYER
Retired
NA
C.
LAST FIRST MI
Zomack Charles
04/08/16
$100.00
$100.00
STREET ADDRESS
7302 N. 58th Drive
CITY STATE ZIP
Glendale AZ 85301
OCCUPATION
EMPLOYER
Sr. Mgr. Volunteer Resources
Banner Health
d.
LAST FIRST MI
Schwind Bert
04/08/16
$100.00
$100.00
STREETADDRESS
5801 N. 73rd Avenue
CITY STATE ZIP
Glendale AZ 85303
OCCUPATION
EMPLOYER
Retired
NA
e.
LAST FIRST MI
Norgren William
04/09/16
$200.00
$200,00
STREET ADDRESS
8608 W. Cavalier Drive
CITY STATE ZIP
Glendale AZ 85305
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 6
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 January 1, 2016 thru May 31, 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
Schwind Bert
04/10/16
$50.00
$150.00
STREET ADDRESS
5801 N. 73rd Avenue
CITY STATE ZIP
Glendale AZ 85303
OCCUPATION
EMPLOYER
Retired
NA
b.
LAST FIRST MI
Aborne Robert
04/13/16
$100.00
$100.00
STREET ADDRESS
7318 W. Griffin Lane
CITY STATE ZIP
Glendale AZ 85303
OCCUPATION
EMPLOYER
Retired
NA
C.
LAST FIRST MI
Deines Jennifer
04/13/16
$100.00
$100.00
STREET ADDRESS
7714 W. Wagoner Road
CITY STATE ZIP
Glendale AZ 85308
OCCUPATION
EMPLOYER
Retired
NA
d.
LAST FIRST MI
Gawletta Ron
04/14/16
$100.00
$100.00
STREETADDRESS
1309 W. Linger Lan
CITY STATE ZIP
Phoenix AZ 85021
OCCUPATION
EMPLOYER
Owner
RESCO
e.
LAST FIRST Ml
Cruza Michael
04/15/16
$100.00
$100,00
STREET ADDRESS
4480 East Reins Road
CITY STATE Zip
Gilbert AZ 85297
OCCUPATION
EMPLOYER
Retired
NA
5.
ENTER TOTAL ONLY IFLAST PAGE CF SCHEDULE A [If last page of Schedule A, transfer total to Detailed
Summary Page Lire 4(z), Column A]
'If contributions cf $50 or less are!isted with contributor's name, address, occupation and employer on Schedule A, do not irdude Page 3 of 6
them on Schedule A-1.
CONTRIBUTIONS more than $50 - from INDIVIDUALS* SCHEDULE A
2. I D#
16-01
1. Committee Name Clark for Council
3. Report covering period from January 1, 2016 thru May 31, 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
Poteat Sheila
04/17/16
$100.00
$100.00
STREETADDRESS
8638 W. Cavalier Drive
CITY STATE Z! P
Glendale AZ 85305
OCCUPATION
EMPLOYER
Bookstore Manager
Tolleson Union HS District
b.
LAST FIRST MI
Ibarra Patrick
04/19/16
$300.00
$300.00
STREET ADDRESS
7409 N. 84th Avenue
CITY STATE ZIP
Glendale AZ 85305
OCCUPATION
EMPLOYER
Owner
The Mejorando Group
C.
LAST FIRST MI
Davis Helen
04/19/16
$100.00
$100.00
STREET ADDRESS
7835 W. Rancho Drive
CITY STATE ZIP
Glendale AZ 85303
OCCUPATION
EMPLOYER
Retired
NA
d.
LAST FIRST MI
Skeete Horatio
04/22/16
$200.00
$200.00
STREETADDRESS
335 E. Observatory Street
CITY STATE ZIP
Safford AZ 85546
OCCUPATION
EMPLOYER
City Manager
City of Safford
e.
LAST FIRST MI
Kornbluth Martin
04/15/16
$200.00
$200,00
STREET ADDRESS
11047 N. 50th Street
CITY STATE ZIP
Scottsdale AZ 85254
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 !Isted with contributors name, address, occupation and employer on Schedule A, do not include Page 4 of 6
them on Schedule A-1.
CONTRIBUTIONS more than $50 - from INDIVIDUALS*
1. Committee Name
Clark for Council
3. Report covering period from January 1, 2016
May 31, 2016
SCHEDULE A
2. ID#
16-01
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
Medina Paul
05/02/16
$100.00
$100.00
STREET ADDRESS
8171 W. Calle de Montalvo
CITY STATE ZIP
Glendale AZ 85303
OCCUPATION
EMPLOYER
Owner
GMS Concrete
b.
LAST FIRST MI
Gonzalo Bob
05/03/16
$500.00
$500.00
STREET ADDRESS
8132 N. 56th Avenue
CITY STATE ZIP
Glendale AZ 85302
OCCUPATION
EMPLOYER
Owner
Gonzalo Tours
C.
LAST FIRST MI
Davis Dean
05/05/16
$500.00
$1000.00
STREET ADDRESS
8616 W. Morten
CITY STATE ZIP
Glendale AZ 85305
OCCUPATION
EMPLOYER
Retired
NA
d.
LAST FIRST MI
Heatwole Bruce
05/06/16
$150.00
$150.00
STREET ADDRESS
5238 W. Morten
CITY STATE ZIP
Glendale AZ 85301
OCCUPATION
EMPLOYER
City Manager
City of Safford
e.
LAST FIRST MI
Lillian Lund
05/10/16
$100,00
$100.00
STREET ADDRESS
5708 W. Royal Palm
CITY STATE ZIP
Glendale AZ 85302
OCCUPATION
EMPLOYER
Realtor
Pro Smart Realty
5.
ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE A [If last page of Schedu:e A, transfer total to Detailed
Summary Page Line 4(z), Column A]
*If contributions of $50 or less are listed with contribut&s came, address, occupation and employer or. Schedule A, do no: induce Page 5 of 6
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 January 1, 2016 thru May 31, 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
Blake Jeffrey
05/14/16
$100.00
$100.00
STREET ADDRESS
19210 N. 70th Avenue
CITY STATE ZIP
Glendale AZ 85308
OCCUPATION
Owner
EMPLOYER
The Blake Group
b.
LAST FIRST MI
Whipple Ed
05/19/16
$100.00
$100.00
STREETADDRESS
8206 W. Stella Ave
C?TY STATE ZIP
Glendale AZ 85303
OCCUPATION
Banker
EMPLOYER
Washington Federal
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 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 6 of 6
them on Schedule A-1.
CONTRIBUTIONS of $50 or less - AGGREGATE TOTAL*
Clark for Council
1. Committee Name
January 1, 2016
3. Report covering period from
4. Aggregate Total of Contributions of $50 or less
May 31, 2016
SCHEDULE A-1
2. ID#
16-01
DESCRIPTION
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE
TOTAL THIS CAMPAIGN TO DATE
D. Carpenter
$50.00
L. Tosh
$50.00
G. Dunaway
$50.00
M. Porch
$50.00
M. Medina
$50.00
C. Medina
$40.00
C. Keiser
$50.00
C. Nossek
$50.00
R. Prothero
$50.00
D. Dragonetti
$50.00
S. Galvez
$50.00
J. Pinson
$20.00
J. Renner
$25.00
K. Shotty
$10.00
G. Hudson
$25.00
J. Stribling
$25.00
A. Mollon
$50.00
S. Clark
5. TOTAL THIS PERIOD [Transfer total to Detailed Summary Page, Line 4(b),
$695.00
6. CUMMULATIVE TOTAL THIS
$695.00
Column A]
CAMPAIGN TO DATE
[Transfer total to Detailed
Summary Page, Line 4(b),
Column 6]
*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#
16-01
Clark for Council
1. Committee Name
3. Report covering period from January 1, 2016 thru May 31, 2016
4
CONTRIBUTIONS
AMOUNT
RECEIVED
THIS
PERIOD
CUMULATIVE
TOTAL THIS
CAMPAIGN TO
DATE
IDENTITY OF CONTRIBUTOR AND DATE RECEIVED
4a
ID #
NAME, ADDRESS, CITY, STATE AND ZIP
DATE RECEIVED
b.
ID #
AME, ADDRESS, CITY, STATE AND ZIP
DATE RECEIVED
C.
ID #
NAME, ADD SS, CITY, STATE AND ZIP
DATE RECEIVED
d.
ID #
NAME, ADDRESS, CITY, S TE AND ZIP
DATE RECEIVED
e.
ID #
NAME, ADDRESS, CITY, STATE AND ZI
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, transfertotal to
Detailed Summary Page, Line 4(c), Column A]
Schedule B Page_of_
CANDIDATE LOANS
SCHEDULE C
1.
Committee Name
Clark for Council
2. ID #
16-01
3.
Report covering period from January 1, 2016 thru May 31, 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 to campaign committee
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, transfertotal to Detailed Summary Page, Line 5(a), Column A]
$996.80
$996.80
Schedule C Page of. '
OTHERLOANS
1. Committee Name Clark for Council
3. Report covering period from January 1, 2016 thru May 31, 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, ID#AND ADDRESS 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 !D#
NAME OF ENDORSER OR GUARANTOR OF LOAN, ADDRESS, CITY, STATE, ZIP, AND ID#
DESCRIPTION
4b
NAME OF PERSON OR COMMITTEE MAKING LOAN, ADDRESS, CITY, STATE, ZIP, AND ID#
NAME OF ENDORSER OR GUARANTOR OF LOAN, ADDRESS, CITY, STATE, ZIP, AND ID#
DESCRIPTION
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)
Page _of '
EXPENDITURES FOR OPERATING EXPENSES* SCHEDULE D
2. ID#
16-01
Committee Name Clark for Council
3. Report covering period from January 1, 2016 thru May 31, 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
03/15/2016
$276.00
Rush Order Tees
2727 Commerce Way
Philadelphia, PA 19154
DESCRIPTION OF ITEMS OR SERVICES PURCHASED
T Shirts
4b.
NAME, ADDRESS, CITY, STATE AND ZIP
03/15/2016
$71.66
Affordable Buttons
3269 19th Street NW
Rochester, MN 55901
DESCRIPTION OF ITEMS OR SERVICES PURCHASED
Buttons
4c.
NAME, ADDRESS, CITY, STATE AND ZIP
03/21/2016
$43.79
Pay Pal
www.paypal com
to
1 /
05/31/2016
DESCRIPTION OF ITEMS OR SERVICES PURCHASED
Campaign donation transaction fees
4d.
NAME, ADDRESS, CITY, STATE AND ZIP
03/21/16
$649.14
Office Max
9320 W. Northern Avenue
Glendale, AZ 85305
DESCRIPTION OF ITEMS OR SERVICES PURCHASED
Office supplies
4e.
NAME, ADDRESS, CITY, STATE AND ZI P
03/21/16
$147.00
US Post Office
6537 N. 55th Avenue
Glendale, AZ 85301
DESCRIPTION OF ITEMS OR SERVICES PURCHASED
Postage
4f.
NAME, ADDRESS, CITY, STATE AND ZIP
Office Max
04/03/2016
$81.13
9320 W. Northern Avenue
Glendale, AZ 85305
DESCRIPTION OF ITEMS OR SERVICES PURCHASED
Office supplies
5
ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D [If last page of Schedule D, transfer total to Detail Summary Page Line
I
i
9, Column A;
`Expenditures, other than a contract, promise or agreement to make an expenditure resulting in credit
1 2
Page of
EXPENDITURES FOR OPERATING EXPENSES* SCHEDULE D
2. ID#
16-01
1. Committee Name Clark for Council
3. Report covering period from January 1, 2016 th ru May 31, 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
Bank of America
04/12/2016
$65.00
9400 W. Northern Avenue
Glendale, AZ 85305
DESCRIPTION OF ITEMS OR SERVICES PURCHASED
Service fees
4b.
NAME, ADDRESS, CITY, STATE AND ZIP
04/12/2016
$25.92
Office Max
9320 W. Northern Avenue
Glendale, AZ 85305
DESCRIPTION OF ITEMS OR SERVICES PURCHASED
Office supplies
4c.
NAME, ADDRESS, CITY, STATE AND ZIP
City of Glendale
04/21/2016
$10.00
5850 W. Glendale Avenue
Glendale, AZ 85301
DESCRIPTION OF ITEMS OR SERVICES PURCHASED
Voter CD
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]
$1369.62
*Expenditures, other than a contract, promise or agreement to make an expenditure resulting in credit
Page =of=
INDEPENDENT EXPENDITURES*
Clark for Councit
Committee Name
3. Report covering period from January 1, 2016
thru May 31, 2016
SCHEDULE D-1
2. ID#
16-01
4
INDEPENDENT EXPENDITURES
DATE
EXPENDITURE
MADE
AMOUNT OF
THE
EXPENDITURE
IDE T!FY RECIPIENT OF EXPENDITUREAND CANDIDATE WHO IS BENEFITTED OR OPPOSED
4a,
NAME, A RESS, CITY, STATE AND ZIP
PURPOSE AND DESC`RI TION OF PURCHAS
enefitte
osed
CANDIDATE OFFICE SOUGHT YEAR OF ELECTION
4b.
NAME, ADDRESS, CITY, STATE NoZIP
PURPOSE AND DESCRIPTION OF PURCHAS
eneftte
osed
CANDIDATE OFFICE SO HT YEAR OF ELECTION
4c.
NAME, ADDRESS, CITY, STATE AND ZIP
ND DESCRIPTION OF PURCHAS
eneftte
etl
TE OFFICE SOUGHT YEAR OF ELECTION
r5�
5.
ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-1 [If last page of Schedule D- transfer total to Detailed Summary Page Line 10, Column A]
*SEE A.R.S. § 16-901(14).
I certify, under penalty of perjury, that the above stated independent expenditure (s)as 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 Vndidate.
Signature of Treasurer
NAMES, OCCUPATIONS AND EMPLOYERS AND AMOUNT CONTRiBUTED BY EACH OF THE THREE TOP C'QNTRIBUTORS WITHIN THE LASTI AMOUNT
SIX MONTHS
Schedule D-1 Page of. 1_..
LOANS MADE BY REPORTING COMMITTEE
1. Committee Name Clark for Council
3. Report covering period from January 1, 2016
May 31, 2016
SCHEDULE D-2
2. ID#
16-01
4
LOANS MADE BY THE REPORTING COMMITTEE
DATE
LOAN MADE
AMOUNT
OF THE LOAN
N ME, ADDRESS AND 10# OF COMMITTEE TO WHOM LOAN (DISBURSEMENT) WAS MADE
7.
NAME, A ESS, CITY, STATE, ZIP, AND !D#
4b.
NAME, ADDRESS, CITY, S. TE, ZIP, AND ID#
4c.
NAME, ADDRESS, CITY, STATE, ZIP, AND!
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 [Transfer total to Detail Summary Page Line 12, Column A]
Page 1 of t_ .
4a.
4b.
4c.
4d.
4e.
4f.
OFFSETS TO OPERATING EXPENSES* SCHEDULE D-3
2. ID#
16-01
Committee Name Clark for Council
3. Report covering period from January 1, 2016 thru May 31, 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, ADDR , CITY, STATE, AND ZIP
DESCRIPTION OF REFUND
NAME, ADDRESS, CITY, STATE, AND
el
j
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 [!f last page of Schedule D-3, [transfertotal to Detailed Summary Page Line 17 Column A]
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
Committee Name Clark for Council
3. Report covering period from January 1, 2016
May 31, 2016
SCHEDULE D-4
2. ID#
16-01
REPAYMENT OF LOANS MADE OR GUARANTEED BY CANDIDATE
DATE
REPAYMENT
MADE
AMOUNTOF
THE
REPAYMENT
NAME AND ADDRESS TO WHOM REPAYMENT (D SBURSEMENT) WAS MADE
NAME, ADDRESS, CITY, STATE, AND ZIP
NAME, ADDRESS, CITY, TE, 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 Z!P
5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-4 (Transfer total to Detai! Summary Page, Line 13(a), Column A]
1 1
Schedule 0-4 Page_of
REPAYMENT OF ALL OTHER LOANS SCHEDULE D-5
2. I D#
16-01
1. Committee Name Clark for Council
3. Report covering period from January 1, 2016 +hru May 31, 2016
Page 1 of 1
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,DRESS, CITY, STATE, ZiP AND ID#
4b.
NAME, ADDRESS, CITY, STATE, AND ID#
4o.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
4d.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
4e.
NAME, ADDRESS, CITY, STATE, ZIP AND ION
4f.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
5.
ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-5 [rransfer total to Detailed Summary Page, Line 13(b), Column A]
Page 1 of 1
TRANSFERS TO OTHER POLITICAL COMMITTEES
Committee Name Clark for Council
3. Report covering period from January 1, 2016
May 31, 2016
SCHEDULE D-6
2. ID#
16-01
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
C TTEE)
TO WHOM REPAYMENT (DISBURSEMENT) WAS MADE
4a.
NAME, AD ESS,CITYSTATE,ZIP AND ID#
P�
4C.
NAME, ADDRESS, CITY, STATE, ZI ND 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-6 [Transfer total to Detailed Summary Page, Line 14, Column A]
Page L of
ANY OTHER DISBURSEMENT
Clark for Council
1. Committee Name
January 1, 2016
3. Report covering period from
May 31, 2016
SCHEDULE D-7
2. ID#
16-01
ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-7 rfransfer tota! to Detailed Summary Page Line 15 Column A]
Page of
ANY OTHER DISBURSEMENTS
DATE
DISBURSEMENT
MADE
AMOUNT OF THE
DISBURSEMENT
NAME, ADDRESS AND ID# OF COMMITTEE TO WHOM
DISBURSEMENT WAS MADE; DESCRIPTION
4a.
NAME, KESS, CITY, STATE, ZIP AND ID#
NA
DESCRIPTION
4b.
NAME, ADDRESS, CITY, STATE, ZIP A 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 rfransfer tota! to Detailed Summary Page Line 15 Column A]
Page of
IN-KIND CONTRIBUTIONS and EXPENDITURES SCHEDULE E
2. ID#
16-01
Clark for Council
1. Committee Name
3. Report covering period from January 1, 2016 thru May 31, 2016
4
IN-KIND CONTRIBUTIONS and EXPENDITURES
DATE
FAIR
MARKETVALUE
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#
Mark Daily
CONTRIBUTION $60.00
05/12/2016
$60,00
8580 W. Berridge Lane
EXPENDITURE $60.00
Glendale, AZ 85305
DESCRIFTION
Public Relations assistance
OCCUPATION
EMPLOYER
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#
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
$60.00
Une 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
$60.00
Line 11, Column A]
Page of
DIVIDENDS, INTEREST, AND OTHER RECEIPTS
Committee Name Clark for Council
3. Report covering period from January 1, 2016
May 31, 2016
SCHEDULE F-1
2. ID#
16-01
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.
NAME, DRESS, CITY, STATE, ZIP AND iD#
DESCRIPTION OF REC T
4b,
NAME, ADDRESS, CITY, STATE, AND IG#
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 I D#
DESCRIPTION OF RECEIPT
5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE F-1 rlf last page of Schedule F-1, transfer total to Detailed Summary Page Line 7 Column A I
Page_of _
OFFSETS TO CONTRIBUTIONS RECEIVED *
1. Committee Name
Clark for Council
3. Report covering period from January 1, 2016
May 31, 2016
SCHEDULE F-2
2.!D#
16-01
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, DORESS, CITY, STATE, ZIP AND ID#
DESCRIPTION OF REFU
4b.
NAME, ADDRESS, CITY, STATE, Z AND ID# A/A
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 !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 Data; led Summary Page, Line 4(E), Column A)
* Includes return of contributions received by reporting committee
1 1
Page Of
DEBTS AND OBLIGATIONS (Excluding Loans) SCHEDULE F-3
2. ID#
16-01
1. Committee Name Clark for Council
3. Report covering period from January 1, 2016 thru May 31, 2016
4
DEBTS AND OBLIGATIONS
OUTSTANDING
BALANCE
BEGINNING
THIS PERIOD
AMOUNT INCURRED
THIS PERIOD
PAYMENT THIS
PERIOD
OUTSTANDING
BALANCE AT CLOSE
OF THIS PERIOD
NAME AND ADDRESS OF INDIVIDUAL C OR NAME,
ADDRESS AND ID# OF THE POLITICAL
COMMITTEE) TO WHOM DEBT IS OWED
4a.
NAM DDRESS, CITY, STATE, ZIP AND ID#
NA
DESCRIPTION OF DEB
4b.
NAME, ADDRESS, CITY, STATE, P 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;