HomeMy WebLinkAboutCampaign Finance Records - Finance report - Burdick for Mayor - 12/7/2015POLITICAL COMMITTEE
CITY OF Glendale
CAMPAIGN FINANCE REPORT
2015 November Special Election
1.
Burdick for Mayor
Full Name of Committee
12417 N 66th Ave
Address
Glendale 85304 Maricopa (623) 282-2588
city ZIP Code County Phone
2 Burdick for Mayor
Sponso-ing Organization or Candidate and office
Mark Burdick, Mayor
Name of Candidate and Office Sought (if applicable)
burdickformayor@gmail.com N/A
E -Mail Address Fax #
4. REPORTING PERIOD (Please check appropriate box)
❑ January 31 Report - For Period of * thru December 31, 2014
❑ June 30 Report - For Period of January 1, 2015 thru May 31, 2015 ......
Pre -Election Report - For Period of June 1, 2015 thru October 22, 2015
Post -Election Report - For Period of October 23, 2015 thru November 23, 2015
❑ January 31, Report - For Period of November 24, 2015 thru December 31, **
FOR OFFICE USE ONLY
CITY CLERK
CITY OF GLEND ALE
Rl
DUE BETWEEN
January 1, 2015 and January 31, 2015
..... June 1, 2015 and June 30, 2015
October 23, 2015 and October 30, 2015
November 24, 2015 and December 3, 2015
January 1, ** and January 31, *
5. SUMMARY
Column A
Column B
Total This
Election Period
Reporting Period
Total To Date
0
5a Surplus from Previous Campaign (or at time Statement of
Organization was filed for the new committee)
92.45
5b Cash on Hand at the Beginning of this Reporting Period
5c Total Receipts (from corresponding columns on Detailed
Summary Page, Line 8)
27,753.67
27,853.67
27,846.12
27,853.67
5d Subtotal [add Lines b and c for Column A and add lines
a and c for Column B]
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
0
subtract this line from the other lines]
2,242.68
2,250.23
6b Total Disbursements (from corresponding columns on
Detailed Summary Page, Line 18)
25,603.44
25,603.44
7. Cash on Hand at Close of Reporting Period [Subtract
Line 6b from Line 5d
*Insert date which is 21 days after date of last election (A.R.S. §16-913).
**This will depend on the year next election is held. The "due between" year will be the year of an election and the date following
"December 31" will be the immediately prior year.
Revised 9/14
DETAILED SUMMARY PAGE Page 2
OF RECEIPTS AND DISBURSEMENTS 2. ID#
1. Committee Name: Burdick for Mayor
3. Report covering period from 10/23/15 Thru 11/23/15 15-07
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 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]
589.01
596.56
26,100
26,200
0
0
0
0
26,100
26,200
0
0
26,100
26,200
0
0
0
0
0
0
1,653.67
1,653.67
0
0
27,753.67
27,853.67
DISBURSEMENTS
9. Expenditures for operating expenses (Total from Schedule D)
589.01
596.56
10. Independent Expenditures (Total from Schedule D-1)
0
0
11. Value of In-kind expenditures (Total from Schedule E)
1,653.67
1,653.67
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 151
2,242.68
2,250.23
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]
2,242.68
2,250.23
19. Total Outstanding Debts owed by Reporting Candidate or Political Committee (Schedule F-3)
0
0
20. 1 certify, under penalty of perjury, that I have examined the contents of this campaign finance report and to the best of my knowledge and belief it is true and
com%te. _
Type or. Print Name of
I Signature of Treasurer or Cardidate or Designating Individual Date
CONTRIBUTIONS more than $50 - from INDIVIDUALS* SCHEDULE A
2. ID#
15-07
1. Committee Name Burdick for Mayor
3. Report covering g period from October 23, 2015 thru November 23, 2015
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
Herrera Mario
STREET ADDRESS
801 N Alzora Way
10/25/15
50.00
50.00
CITY STATE ZIP
Tolleson AZ 85353
OCCUPATION
Self employed
EMPLOYER
Accountable Contract Cleaning
b.
LAST FIRST MI
Knaack Yvonne
STREET ADDRESS
11438 N 66th Dr
10/27/15
500.00
500.00
CITY STATE ZIP
Glendale AZ 85304
OCCUPATION
EMPLOYER
insurance agent
State Farm
C.
LAST FIRST MI
abonza Anthony
STREETADDRESS
457 W Monora Dr
10/27/15
500.00
500.00
CITY STATE ZIP
Glendale AZ 85308
OCCUPATION
EMPLOYER
Luke Fire Emergency Services
Deputy Fire Chief
d.
LAST FIRST MI
euerlein Lori
STREETADDRESS
135 W Park View Ln
10/27/15
250.00
250.00
CITY STATE ZIP
lendale AZ 85310
OCCUPATION
EMPLOYER
.Supervisor
City of Phoenix
e.
LAST FIRST MI
runacini Alan
STREET ADDRESS
102 W Orangewood Ave
CITY STATE ZIP
10/27/15
250.00
250.00
hoenix AZ 85051
OCCUPATION
EMPLOYER
etired I
Retired
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 1 Of 13
them on Schedule A-1.
CONTRIBUTIONS more than $50 -from INDIVIDUALS* SCHEDULE A
2. ID#
15-07
1. Committee Name Burdick for Mayor
3. Report covering period from October 23, 2015 thru November 23, 2015
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
Phebus John
STREET ADDRESS
5400 W Northern Ave
10/27/15
250.00
250.00
CITY STATE ZIP
Glendale AZ 85301
OCCUPATION
Attorney
EMPLOYER
Self
b.
LAST FIRST MI
Schmitt Susan
STREET ADDRESS
PO Box 6943
10/27/15
200.00
200.00
CITY STATE ZIP
Glendale AZ 85312
OCCUPATION
EMPLOYER
Info requested
Info requested
C.
LAST FIRST MI
Adams Paul
STREET ADDRESS
10935 W Ivory Ln
10/27/15
100,00
100,00
CITY STATE ZIP
Avondale AZ 85392
OCCUPATION
EMPLOYER
Fire Chief
City of Avondale
d.
LAST FIRST MI
ameli Michael
STREET ADDRESS
21 W Orchid Ln
10/27/15
100.00
100.00
CITY STATE ZIP
lendale AZ 85302
OCCUPATION
EMPLOYER
etired
I Retired
e.
LAST FIRST MI
ameli Mar
STREET ADDRESS
21 W Orchid Ln
10/27/15
100.00
100.00
CITY STATE ZIP
lendale AZ 85302
OCCUPATION
EMPLOYER
etired
I Retired
5.
IENTER 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 or. Schedule A, do not include Page 2 Of 13
them on Schedule A-1.
CONTRIBUTIONS more than $50 -from INDIVIDUALS* SCHEDULE A
2. ID#
15-07
1. Committee Name Burdick for Mayor
3. Report covering period from October 23, 2015 thru November 23, 2015
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
Davis Simon
STREET ADDRESS
961 Gulch Dr
10/27/15
100.00
100.00
CITY STATE ZIP
Green Valley AZ 85614
OCCUPATION
Owner
EMPLOYER
ESM Consulting AZ
b.
LAST FIRST MI
Herrera Tony
STREETADDRESS
2453 E Dogwood Dr
10/27/15
100.00
100.00
CITY STATE ZIP
Chandler AZ 85286
OCCUPATION
EMPLOYER
Firefighter
City of Phoenix
C.
LAST FIRST MI
Larson Bruce
STREETADDRESS
20746 N 56th Ave
10/27/15
100,00
100,00
CITY STATE ZIP
Glendale AZ 85308
OCCUPATION
EMPLOYER
Civil en ineer
Westland Resources
d.
LAST FIRST MI
Ortega Kristine
STREET ADDRESS
7319 Aurelius Ave
10/27/15
100,00
100,00
CITY STATE ZIP
Glendale AZ 85303
OCCUPATION
EMPLOYER
Business owner
Bitzee Mamas
e.
LAST FIRST MI
Pfeffer Car
STREET ADDRESS
05 E Round Hill Dr
10/27/15
100.00
100.00
CITY STATE ZIP
Phoenix AZ 85028
OCCUPATION
EMPLOYER
Consultant
Self employed
E
ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE A [If Iasi page of Schedule A, transfer total to Detailed
d
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 3 Of 13
them on Schedule A-1.
CONTRIBUTIONS more than $50 - from INDIVIDUALS* SCHEDULE A
Committee Name
Burdick for Mayor
2. ID#
15-07
3. Report covering period from October 23, 2015 thruNovember 23, 2015
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
Rodriguez Lourdes
STREETADDRESS
319 Aurelius Ave
10/27/15
100.00
100.00
CITY STATE ZIP
Glendale AZ 85303
OCCUPATION
Business owner
EMPLOYER
Bitzee Mamas
b.
LAST FIRST MI
Varner Bruce
STREET ADDRESS
14602 W Windward Ave
10/27/15
100.00
100.00
CITY STATE ZIP
Goodyear AZ 85395
OCCUPATION
EMPLOYER
Consultant
Self
C.
LAST FIRST MI
Weise Shari Lynn
STREET ADDRESS
141 N 110th Drive
10/27/15
100.00
100.00
CITY STATE ZIP
Avondale AZ 85323
OCCUPATION
EMPLOYER
RN
I Banner Estrella Medical Center
d.
LAST FIRST MI
De Smidt Diana
STREET ADDRESS
6277 W Deer Valley Rd
10/27/15
50,00
50,00
CITY STATE ZIP
Glendale AZ 85308
OCCUPATION
EMPLOYER
Owner
Dent Pro Inc
e.
LAST FIRST MI
Pe Smidt Todd
STREETADDRESS
277 W Deer Valley Rd
10/27/15
50,00
50,00
CITY STATE ZIP
Glendale AZ 85308
OCCUPATION
EMPLOYER
Owner I
Dent Pro Inc
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 contributor4 's name, address, occupation and employer on Schedule A, do not include Page Of 13
them on Schedule A-1.
CONTRIBUTIONS more than $50 - from INDIVIDUALS*
1. Committee Name Burdick for Mayor
3. Report covering period from October 23, 2015
SCHEDULE A
2. ID#
15-07
November 23, 2015
4
CONTRIBUTIONS
DATE
AMOUNT
CUMULATIVE
RECEIVED
RECEIVED
TOTALTHIS
NAME, ADDRESS, OCCUPATION AND EMPLOYER OR CONTRIBUTOR
THIS
PERIOD
CAMPAIGN
TO DATE
4a.
LAST FIRST MI
Knaack Kali
STREETADDRESS
5775 W Townley Ave
10/27/15
50.00
50.00
CITY STATE ZIP
Glendale AZ 85302
OCCUPATION
Marketing
EMPLOYER
AZ Science Center
b.
LAST FIRST MI
Martinez Manuel
STREETADDRESS
19107 N 73rd Ln
10/27/15
50.00
50.00
CITY STATE ZIP
Glendale AZ 85308
OCCUPATION
EMPLOYER
Retired
Retired
C.
LAST FIRST MI
Martinez Reginald
STREET ADDRESS
6609 W Turquoise Ave
10/27/15
25.00
25.00
CITY STATE ZIP
Glendale AZ 85302
OCCUPATION
EMPLOYER
IT specialist
PUSD District
d.
LAST FIRST MI
Flynn John
STREETADDRESS
PO Box 6461
10/28/15
250,00
250,00
CITY STATE ZIP
Scottsdale AZ 85261
OCCUPATION
EMPLOYER
Consultant
Self employed
e.
LAST FIRST MI
Biscoe Robert
STREET ADDRESS
25418 N 44th Dr
10/28/15
100.00
100.00
CITY STATE ZIP
Phoenix AZ 85083
OCCUPATION
EMPLOYER
Fire Chief
North County Fire Department
E
ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE A [If last page of Schedule A, transfer total to Detailed
d
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 5 Of 13
them on Schedule A-1.
CONTRIBUTIONS more than $50 -from INDIVIDUALS*
1. Committee Name Burdick for Mayor
3. Report covering period from October 23, 2015
SCHEDULE A
2. ID#
15-07
November 23, 2015
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
Rinestone Eric
STREET ADDRESS
001 E Caron Cir. Dr
11/3/15
3,000.00
3,000.00
CITY STATE ZIP
Paradise Valley AZ 85253
OCCUPATION
Principal
EMPLOYER
Wilson Property Services
b.
LAST FIRST MI
Mayer James
STREET ADDRESS
327 W Redfield
11/10/15
2,000.00
2,000.00
CITY STATE ZIP
Glendale AZ 85306
OCCUPATION
EMPLOYER
Owner
STI Inc.
C.
LAST FIRST MI
e la Cruz Luis
STREET ADDRESS
804 W Solano Drive North
11/12/15
5,000.00
5,700.00
CITY STATE ZIP
Glendale AZ 85303
OCCUPATION
EMPLOYER
,Owner
Andale Construction
d.
LAST FIRST MI
Ortega Kristine
STREET ADDRESS
319 Aurelius Ave
11/16/15
250.00
350.00
CITY STATE ZIP
lendale AZ 85303
OCCUPATION
EMPLOYER
usiness owner
Bitzee Mamas
e.
LAST FIRST MI
odri uez Lourdes
STREET ADDRESS
319 Aurelius Ave
11/16/15
250.00
350.00
CITY STATE ZIP
lendale AZ 85303
OCCUPATION
EMPLOYER
Businessowner
Bilzee Mamas
E
ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE A [If last page of Schedule A, transfer total to Detailed
d
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 13
them on Schedule A-1.
CONTRIBUTIONS more than $50 -from INDIVIDUALS*
Committee Name Burdick for Mayor
3. Report covering period from October 23, 2015
SCHEDULE A
2. ID#
15-07
November 23, 2015
4
CONTRIBUTIONS
DATE
AMOUNT
CUMULATIVE
RECEIVED
RECEIVED
TOTALTHIS
NAME, ADDRESS, OCCUPATION AND EMPLOYER OR CONTRIBUTOR
THIS
PER OD
CAMPAIGN
TO DATE
4a.
LAST FIRST MI
Babcock Rex
STREETADDRESS
22123 N 79th Dr
11/16/15
200.00
200.00
CITY STATE ZIP
Peoria AZ 85383
OCCUPATION
EMPLOYER
Retired
Retired
b.
LAST FIRST MI
Rivette Nick
STREETADDRESS
8448 W St John Rd
11/16/15
150.00
150.00
CITY STATE ZIP
Peoria AZ 85382
OCCUPATION
EMPLOYER
Retired
Retired
C.
LAST FIRST MI
Rivette Rita
STREETADDRESS
8448 W St John Rd
11/16/15
150.00
150.00
CITY STATE ZIP
Peoria AZ 85382
OCCUPATION
EMPLOYER
Retired
Retired
d.
LAST FIRST MI
Walp Richard
STREETADDRESS
25314 W Pueblo Ave
CITY STATE ZIP
11/16/15
100.00
100.00
Buckeye AZ 85326
OCCUPATION
EMPLOYER
e.
LAST FIRST MI
Allen Penn
STREETADDRESS
14627 N 63rd Ave
11/16/15
50.00
50.00
CITY STATE ZIP
Glendale AZ 85306
OCCUPATION
EMPLOYER
L5.
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 contributor's name, address, occupation and employe! on Schedule A, do not include Page 7 Of 13
them on Schedule A-1.
CONTRIBUTIONS more than $50 - from INDIVIDUALS'
Committee Name
Burdick for Mayor
3. Report covering period from October 23, 2015
SCHEDULE A
2. ID#
15-07
November 23, 2015
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
Grossman Stanley
STREET ADDRESS
732 W Cinnabar
11/16/15
50.00
50.00
CITY STATE ZIP
Peoria AZ 85345
OCCUPATION
EMPLOYER
Retired
Retired
b.
LAST FIRST MI
Frate Steven
STREET ADDRESS
135 W Beverly Ln
11/17/15
150.00
150,00
CITY STATE ZIP
Glendale AZ 85306
OCCUPATION
EMPLOYER
Retired
I Retired
C.
FAST FIRST MI
Gallegos Jack
STREET ADDRESS
734 W Belmont Ave
11/17/15
100.00
100.00
CITY STATE ZIP
Glendale AZ 85301
OCCUPATION
EMPLOYER
Facilities director
Marico a Community College
d.
LAST FIRST MI
Kemper Lori
STREETADDRESS
437 S Compass Rd
11/17/15
100.00
100.00
CITY STATE ZIP
Tempe AZ 85283
OCCUPATION
EMPLOYER
Midwestern
e.
LAST FIRST MI
Fov Charles
STREET ADDRESS
707 W Redfield Rd
CITY STATE ZIP
11/17/15
50.00
50.00
Glendale AZ 85306
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 8 of 13
them on Schedule A-1.
CONTRIBUTIONS more than $50 -from INDIVIDUALS*
1. Committee Name Burdick for Mayor
3. Report covering period from October 23, 2015
SCHEDULE A
2. ID#
15-07
November 23, 2015
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
Leiler Jessica
STREET ADDRESS
26 W Desert Hills Dr
11/17/15
50.00
50.00
CITY STATE ZIP
Glendale AZ 85304
OCCUPATION
Self
EMPLOYER
Self employed
b.
LAST FIRST MI
Leiler Jameson
STREETADDRESS
26 W Desert Hills Dr
11/17/15
50.00
50.00
CITY STATE ZIP
Glendale AZ 85304
OCCUPATION
EMPLOYER
General contractor
JRL Contracting, LLC
C.
LAST FIRST MI
Lenox Nancy J
STREET ADDRESS
5130 W El Caminito Dr
11/17/15
50.00
50.00
CITY STATE ZIP
Glendale AZ 85302
OCCUPATION
EMPLOYER
Midwestern University
Assist to Dean
d.
LAST FIRST MI
Lenox Al
STREET ADDRESS
5130 W El Caminito Dr
11/17/15
50.00
50.00
CITY STATE ZIP
Glendale AZ 85302
OCCUPATION
EMPLOYER
Owner
Al's Electfic Boat Service
e.
LAST FIRST MI
Martinez Manuel
STREET ADDRESS
19107N73rdLn
CITY STATE ZIP
11/17/15
50.00
100.00
Glendale AZ 85308
OCCUPATION
EMPLOYER
L
ENTER TOTAL ONLY IFLAST PAGE OF SCHEDULE A [If last page of Schedule A, transfer total to Detailed
Summary Page Line 4(z), Column A]
'If contributions of $5C or less are listed with contributor's name, address, occupation and employer or. 9 Schedule A, do not include Page Of 13
them on Schedule A-1.
CONTRIBUTIONS more than $50 from INDIVIDUALS*
1. Committee Name Burdick for Mayor
3. Report covering period from October 23, 2015
SCHEDULE A
2. ID#
15-07
November 23, 2015
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
rmendariz Victor
STREET ADDRESS
16 W Waltann Lane
11/18/15
1,000.00
1,000.00
CITY STATE ZIP
lendale AZ 85306
OCCUPATION
Firefighter
EMPLOYER
City of Phoenix
b.
LAST FIRST MI
aForest Gary
STREET ADDRESS
15616 N 10th Place
11/18/15
500.00
500.00
CITY STATE ZIP
hoenix AZ 85022
OCCUPATION
EMPLOYER
etired
Retired
C.
LAST FIRST MI
urke Dennis
STREET ADDRESS
01 W Palmaire Ave
11/18/15
200,00
200.00
CITY STATE ZIP
hoenix AZ 85021
OCCUPATION
EMPLOYER
SIS
Attorney
d.
LAST FIRST MI
Cole Thomas
STREET ADDRESS
705 W Loma Lane
11/18/15
100.00
100.00
CITY STATE ZIP
lendale AZ 85302
OCCUPATION
EMPLOYER
Deoutv Fire Chief
City
e.
LAST FIRST MI
Dowd Lisa
STREETADDRESS
003 N 58th Ave
CITY STATE ZIP
11/18/15
100.00
100.00
lendale AZ 85301
OCCUPATION
EMPLOYER
5.
ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE A [If last page of Schedule A, transfer tota! 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 10 of 13
them on Schedule A-1.
CONTRIBUTIONS more than $50 -from INDIVIDUALS* SCHEDULE A
Committee Name
Burdick for Mayor
2. ID#
15-07
3. Report covering period from October 23, 2015 thru November 23, 2015
4
CONTRIBUTIONS
DATE
AMOUNT
CUMULATIVE
RECEIVED
RECEIVED
TOTALTHIS
NAME, ADDRESS, OCCUPATION AND EMPLOYER OR CONTRIBUTOR
THIS
PERIOD
CAMPAIGN
TO DATE
4a.
LAST FIRST MI
Sorensen Crystal
STREET ADDRESS
657 N 105th Ln.
11/18/15
100.00
100.00
CITY STATE ZIP
Glendale AZ 85307
OCCUPATION
etired
EMPLOYER
Retired
b.
LAST FIRST MI
Tubb Jeff
STREET ADDRESS
818 36th St.
11/18/15
50.00
50.00
CITY STATE ZIP
Des Moines IA 50310
OCCUPATION
EMPLOYER
eacher
I Dowling Catholic High School
C.
LAST FIRST MI
fewer Jennifer
STREET ADDRESS
621 E Palo Verde Dr
11/18/15
50.00
50.00
CITY STATE ZIP
hoenix AZ 85016
OCCUPATION
EMPLOYER
ublic Relations
Self employed
d.
LAST FIRST MI
everini Elizabeth
STREET ADDRESS
0027 N 65th Ave
11/18/15
25.00
25.00
CITY STATE ZIP
lendale AZ 85302
OCCUPATION
EMPLOYER
Loral designer IPeverini
Custom Floral Design
e.
LAST FIRST MI
runacini John
STREETADDRESS
101 W Orangewood Dr
CITY STATE ZIP
11/19/15
1,000.00
1,000.00
hoenix AZ 85051
OCCUPATION
n t-. r lAcross
EMPLOYER
the Street Pmchiction.,z
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 11 Of 13
them on Schedule A-1.
CONTRIBUTIONS more than $50 from INDIVIDUALS`
1. Committee Name Burdick for Mayor
3. Report covering period from October 23, 2015
SCHEDULE A
2. ID#
15-07
November 23, 2015
4
CONTRIBUTIONS
DATE
AMOUNT
CUMULATIVE
RECEIVED
RECEIVED
TOTALTHIS
NAME, ADDRESS, OCCUPATION AND EMPLOYER OR CONTRIBUTOR
THIS
PERIOD
CAMPAIGN
TO DATE
4a.
LAST FIRST MI
Roberts Geary
STREETADDRESS
12 W El Cortez P1
11/19/15
100.00
100.00
CITY STATE ZIP
Phoenix AZ 85083
OCCUPATION
Executive
EMPLOYER
SCR2 LLC
b.
LAST FIRST MI
Torrez Gregory E.
STREETADDRESS
24 N 10th Street
11/20/15
500.00
500.00
CITY STATE ZIP
Phoenix AZ 85034
OCCUPATION
EMPLOYER
President/CEO
Torrez International LLC
C.
LAST FIRST MI
Becker Mark
STREETADDRESS
5950 E Caballo Dr
11/23/15
2,500.00
2,500.00
CITY STATE ZIP
Paradise Valley AZ 85253
OCCUPATION
EMPLOYER
Owner
Becker Boards
d.
LAST FIRST MI
Moody Mont
STREETADDRESS
8140 W Country Gables Dr
11/23/15
1,500.00
1,500.00
CITY STATE ZIP
Peoria AZ 85381
OCCUPATION
EMPLOYER
Pastor I
Self
e.
LAST FIRST MI
Moody Kell
STREETADDRESS
8140 W Country Gables Dr
CITY STATE ZIP
11/23/15
1,500.00
1,500.00
Peoria AZ 85381
OCCUPATION
Homemaker I
EMPLOYER
Homemaker
L5.
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 12 Of 13
them on Schedule A-1.
CONTRIBUTIONS more than $50 - from INDIVIDUALS*
Committee Name
Burdick for Mayor
3. Report covering period from October 23, 2015
SCHEDULE A
2. ID#
15-07
November 23, 2015
4
CONTRIBUTIONS
DATE
RECEIVED
AMOUNT
RECEIVED
CUMULATIVE
TOTAL THIS
NAME, ADDRESS, OCCUPATION AND EMPLOYER OR CONTRIBUTOR
THIS
PERIOD
CAMPAIGN
TO DATE
4a.
S4STFIRST MI
r
Cl k Rebecca
STREETADDRESS
10325 W Sands#459
11/23/15
500.00
500.00
CITY STATE ZIP
Peoria AZ 85383
OCCUPATION
Teacher
EMPLOYER
Peoria Unified School District
b.
LAST FIRST MI
Weinberg Jerrold
STREET ADDRESS
2509 W Pumpkin Ridge
11/23/15
500.00
500.00
CITY STATE ZIP
Anthem AZ 85086
OCCUPATION
EMPLOYER
Financial advisor
Self
C.
LAST FIRST MI
Frey Robert
STREET ADDRESS
04 E Sommer Oak Dr
11/23/15
250.00
250.00
CITY STATE ZIP
Enterprise AL 36330
OCCUPATION
EMPLOYER
Pilot
I AFS
d.
LAST FIRST MI
oulet David
STREET ADDRESS
829 N 58th Ave
11/27/15
100.00
100.00
CITY STATE ZIP
lendale AZ 85301
OCCUPATION
EMPLOYER
d'unct Professor
Glendale Com u '
e.
LAST FIRST MI
STREET ADDRESS
CITY STATE ZIP
OCCUPATION
EMPLOYER
5.
ENTER TOTAL ONLY IFLAST PAGE OF SCHEDULE A [If last page of Schedule A, transfer total to Detailed
Summary Page Line 4(z), Column Al
26 100.00
13 13
'If contributions of $50 or less are listed with contributor's name, address, occupation and employer on Schedule A, do not include Page of
them on Schedule A-1.
CONTRIBUTIONS of $50 or less - AGGREGATE TOTAL*
1. Committee Name
Burdick for Mayor
October 23, 2015
3. Report covering period from thru
4. Aggregate Total of Contributions of $50 or less
SCHEDULE A-1
2. ID#
15-07
November 23, 2015
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
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. I D#
15-07
Burdick for Mayor
1. Committee Name
October 23, 2015 November 23, 2015
3. Report covering period from
4
CONTRIBUTIONS
AMOUNT
RECEIVED
THIS
PERIOD
CUMULATIVE
TOTAL THIS
CAMPAIGN TO
DATE
IDENTITY OF CONTRIBUTORAND DATE RECEIVED
4a
ID#
NAME, ADDRESS, CITY, STATE AND ZIP
DATE RECEIVED
b.
ID #
NAME, ADDRESS, CITY, STATE AND ZIP
DATE RECEIVED
C.
ID #
NAME, ADDRESS, CITY, STATE AND ZIP
DATE RECEIVED
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)
0
0
CANDIDATE LOANS
SCHEDULE C
1.
Committee Name
Burdick for Mayor
2. 1D#
15-07
3.
Report covering period from October 23, 2015 thru November 23, 2015
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
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, transfer total to Detailed Summary Page, Line 5(a), Column A)
0
0
Schedule C Page -of
1. Committee Name
OTHERLOANS
Burdick for Mayor
3. Report covering period from October 23, 2015 thru November 23, 2015
SCHEDULE C1
2. ID#
15-07
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, Z'P, AND ID#
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]
0
0
Pageof '
EXPENDITURES FOR OPERATING EXPENSES*
Committee Name
Burdick for Mayor
3. Report covering period from October 23, 2015
SCHEDULE D
2. ID#
15-07
thru November 23, 2015
4
EXPENDITURES
DATE
EXPENDITURE
MADE
AMOUNTOF
THE
EXPENDITURE
NAME AND ADDRESS TO WHOM EXPENDITURE (DISBURSEMENT) WAS MADE
4a.
NAME, ADDRESS, CITY, STATE AND ZIP
Integrated Web Strategy
5330 N 12th St
Phoenix. AZ SS01 4
11/15/15
273.06
DESCRIPTION OF ITEMS OR SERVICES PURCHASED
Graphic design
4b.
NAME, ADDRESS, CITY, STATE AND ZIP
Piryx, Inc. dba Rally.org
11/18/15
8.20
649 Mission Street, #204
San Frnncisco., CA 941 Qq
DESCRIPTION OF ITEMS OR SERVICES PURCHASED
Transaction fee
4c.
NAME, ADDRESS, CITY, STATE AND ZIP
Piryx, Inc. dba Rally.org
11/18/15
79.30
649 Mission Street, #204
San Frqnciqco CA 941 Oq
DESCRIPTION OF ITEMS OR SERVICES PURCHASED
Transaction fee
4d.
NAME, ADDRESS, CITY, STATE AND ZIP
Piryx, Inc. dba Rally.org
11/18/15
4.25
649 Mission Street, #204
San Frnncisco CA ()410.1;
DESCRIPTION OF ITEMS OR SERVICES PURCHASED
Transaction fee
4e.
NAME, ADDRESS, CITY, STATE AND ZIP
Piryx, Inc. dba Rally.org
649 Mission Street, #204
Sin Frqnri-,rn CA C)41 n;
11/18/15
39.80
DESCRIPTION OF ITEMS OR SERVICES PURCHASED
Transaction
4f.
NAME, ADDRESS, CITY, STATE AND ZIP
Piryx, Inc. dba Rally.org
649 Mission Street, #204
11/18/15
8.20
DESCRIPTION OF ITEMS OR SERVICES PURCHASED
Transaction fee
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—OL---
EXPENDITURES FOR OPERATING EXPENSES* SCHEDULE D
z. I D#
15-07
Committee Name Burdick for Mayor
3. Report covering period from October 23, 2015 thru November 23, 2015
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
Piryx, Inc. dba Rally.org
649 Mission Street, #204
San Francisco
11/18/15
16.10
DESCRIPTION OF ITEMS OR SERVICES PURCHASED
Transaction fee
4b.
NAME, ADDRESS, CITY, STATE AND ZIP
Piryx, Inc. dba Rally.org
11/18/15
4.25
649 Mission Street, #204
San Francisco CA 94105
DESCRIPTION OF ITEMS OR SERVICES PURCHASED
Transaction fee
4c.
NAME, ADDRESS, CITY, STATE AND ZIP
Piryx, Inc. dba Rally.org
11/18/15
8.20
649 Mission Street, #204
San Francisco, CA 9410.S
DESCRIPTION OF ITEMS OR SERVICES PURCHASED
Transaction fee
4d.
NAME, ADDRESS, CITY, STATE AND ZIP
Piryx, Inc. dba Rally.org
11/19/15
8.20
649 Mission Street, #204
San Francisco. CA 9410.S
DESCRIPTION OF ITEMS OR SERVICES PURCHASED
Transaction fee
4e.
NAME, ADDRESS, CITY, STATE AND ZIP
Piryx, Inc. dba Rally.org
649 Mission Street, #204
San Francisco, A 94105
11/20/15
39.80
DESCRIPTION OF ITEMS OR SERVICES PURCHASED
Transaction fee
4f.
NAME, ADDRESS, CITY, STATE AND ZIP
Piryx, Inc. dba Rally.org
649 Mission Street, #204
San Francisco, CA 9410S
11/23/15
39.80
DESCRIPTION OF ITEMS OR SERVICES PURCHASED
Transaction fee
5
e
ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D [If last page of Schedu!e 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 3
EXPENDITURES FOR OPERATING EXPENSES* SCHEDULE D
2. ID#
15-07
1. Committee Name Burdick for Mayor
3. Report covering period from October 23, 2015 thru November 23, 2015
4
EXPENDITURES
DATE
EXPENDITURE
MADE
AMOUNT OF
THE
EXPENDITURE
NAME AND ADDRESS TO WHOM EXPENDITURE (DISBURSEMENT) WAS MADE
4a.
NAME, ADDRESS, CITY, STATE AND ZIP
Piryx, Inc. dba Rally.org
649 Mission Street, #204
San Francisco. CA 941 IDS
11/23/15
39.80
DESCRIPTION OF ITEMS OR SERVICES PURCHASED
Transaction fee
4b.
NAME, ADDRESS, CITY, STATE AND ZIP
Piryx, Inc. dba Rally.org
649 Mission Street, #204
San Francisco, CA 9410.S
11/23/15
20.05
DESCRIPTION OF ITEMS OR SERVICES PURCHASED
Transaction fee
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]
589.01
`Expenditures, other than a contract, promise or agreement to make an expenditure resulting in credit
Page - of .
INDEPENDENT EXPENDITURES*
Burdick for Mayor
Committee Name
3. Report covering period from October 23, 2015
SCHEDULE D-1
2. ID#
15-07
November 23, 2015
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 PURCHA
enefitte
osed
CANDIDATE OFFICE SOUGHT YEAR OF ELECTION
4c.
NAME, ADDRESS, CITY, STATE AND ZIP
PURPOSE AND DESCRIPTION OF PURCHAS
enefitte
osed
CANDIDATE OFFICE SOUGHT YEAR OF ELECTION
5.
ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-1 [If last page of Schedule D-1, transfer total to Detailed Summary Page Line 10, Column A]
0
-SEE A.R.S. § 16-901(14).
I certify, under penalty of perjury, that the above stated independent expenditure(s) was not made in cooperation, consultation or concertwith or at the
request or suggestion of any candidate or any campaign committee or agent of that candidate.
n U,,1 ...
Si ature ofTreasurer
NAMES, OCCUPATIONS AND EMPLOYERS AND AMOUNT CONTRIBUTED BY EACH OF THE THREE TOP CONTRIBUTORS WITHIN THE LASTI AMOUNT
SIX MONTHS
1 1
Schedule D-1 Page_of
LOANS MADE BY REPORTING COMMITTEE SCHEDULE D-2
2. ID#
15-07
1. Committee Name Burdick for Mayor
October 23, 2015 ovember 23, 2015
3. Report covering period from thru
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 !D#
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, 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]
0
Page' of 1
4a.
4b.
4c.
4d.
4e.
4f.
OFFSETS TO OPERATING EXPENSES *
Committee Name Burdick for Mayor
3. Report covering period from October 23, 2015
SCHEDULE D-3
2. ID#
15-07
November 23, 2015
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
NAME, ADDRESS, CITY, STATE, AND ZIP
DESCRIPTION OF REFUND
ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-3 [If last page of Schedule D-3, [transfer tota! to Detailed Summary Page Line 17 Column A]
Includes return of contributions made by reporting committee
0
Schedule D-3 Page 1 of t
4a.
4b.
4c.
4d.
4e.
4f.
REPAYMENT OF CANDIDATE LOANS
1. Committee Name Burdick for Mayor
3. Report covering period from October 23, 2015
SCHEDULE D-4
2. ID#
15-07
November 23, 2015
REPAYMENT OF LOANS MADE OR GUARANTEED BY CANDIDATE
DATE
REPAYMENT
MADE
AMOUNT OF
THE
REPAYMENT
NAME AND ADDRESS TO WHOM REPAYMENT (DISBURSEMENT) WAS MADE
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
I
t�
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!
0
1 1
Schedule D4 Page- of
1. Committee Name
REPAYMENT OF ALL OTHER LOANS
Burdick for Mayor
3. Report covering period from October 23, 2015
SCHEDULE D-5
2. ID#
15-07
November 23, 2015
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, STATE, 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 of 1
TRANSFERS TO OTHER POLITICAL COMMITTEES SCHEDULE D-6
2. ID#
15-07
1. Committee Name Burdick for Mayor
3. Report covering period from October 23, 2015 thru November 23, 2015
4
TRANSFERS MADE BY THE REPORTING COMMITTEE
DATE TRANSFER
MADE
AMOUNT OF THE
TRANSFER
NAMEAND 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 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]
0
Page_of
TRANSFERS TO OTHER POLITICAL COMMITTEES
1. Committee Name Burdick for Mayor
3. Report covering October 23, 2015
p g period from
SCHEDULE D-6
2. ID#
15-07
November 23, 2015
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, STATE, 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-6 [Transfer total to Detailed Summary Page, Line 14, Column A]
u
Page -�of 1
ANY OTHER DISBURSEMENT
Burdick for Mayor
Committee Name
October 23, 2015
3. Report covering period from
SCHEDULE D-7
2. ID#
15-07
November 23, 2015
4'
ANY OTHER DISBURSEMENTS
DATE
DISBURSEMENT
MADE
AMOUNT OF THE
DISBURSEMENT
NAME, ADDRESS AND ID# OF COMMITTEE TO WHOM
DISBURSEMENT WAS MADE; DESCRIPTION
4a.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
DESCRIPTION
4b.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
DESCRIPTION
4c.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
DESCRIPTION
4d.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
DESCRIPTION
4e.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
DESCRIPTION
5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-7 [Transfer total to Detailed Summary Page Line 15 Column A]
0
Page I of
IN-KIND CONTRIBUTIONS and EXPENDITURES
1. Committee Name Burdick for Mayor
October 23, 2015
3. Report covering period from
SCHEDULE E
2. ID#
15-07
November 23, 2015
4
IN-KIND CONTRIBUTIONS and EXPENDITURES
DATE
FAIR
MARKET VALUE
NAMEAND 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#
uis de la Cruz
CONTRIBUTION
804 W Solano Drive North
EXPENDITURE
Glendale, AZ 85303
10/27/15
700.00
DESCRIPTION
Event catering/entertainment
OCCUPATION
Owner
EMPLOYER
Andale Construction
4b,
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
Lourdes Rodriguez
CONTRIBUTION
7319 Aurelius Ave
EXPENDITURE
Glendale AZ 85303
11/16/15
250.00
DESCRIPTION
Event catering
OCCUPATION
Business owner
EMPLOYER
Bitzee Mamas
4c.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
Kristine Ortega
CONTRIBUTION
7319 Aurelius Ave
EXPENDITURE
Glendale AZ 85303
11/16/15
250.00
DESCRIPTION
Event catering
OCCUPATION
Business owner
EMPLOYER
Bitzee Mamas
4d.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
Yvonne Knaack
CONTRIBUTION
11438 N 66th Dr
EXPENDITURE
Glendale, AZ 85304
11/17/15
404.67
DESCRIPTION
Event catering
OCCUPATION
Insurance agent
EMPLOYER
State Farm
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, 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
Line 11, Column A]
1 2
Page— of —
IN-KIND CONTRIBUTIONS and EXPENDITURES SCHEDULE E
1. Committee Name
Burdick for Mayor
2. ID#
15-07
October 23, 2015 November 23, 2015
3. Report covering period from thru
4
IN-KIND CONTRIBUTIONS and EXPENDITURES
DATE
FAIR
MARKET VALUE
NAMEAND 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 Burdick
CONTRIBUTION
12417 N 66th Ave
EXPENDITURE
Glendale, AZ 85304
11/23/15
49.00
DESCRIPTION
Postage
OCCUPATION
EMPLOYER
Consultant
Self
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
1,653.67
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, 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
1,653.67
Line 11, Column A]
Page_of _
DIVIDENDS, INTEREST, AND OTHER RECEIPTS
1. Committee Name Burdick for Mayor
3. Report covering period from October 23, 2015
SCHEDULE F-1
2. ID#
15-07
November 23, 2015
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, ADDRESS, CITY, STATE, ZIP AND ID#
DESCRIPTION OF RECEIPT
4b.
NAME, ADDRESS, CITY, STATE, ZIP 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, transfer total to Detailed Summary Page Line 7 Column. A 0
1 1
Page_of _
OFFSETS TO CONTRIBUTIONS RECEIVED *
Committee Name Burdick for Mayor
3. Report covering October 23, 2015
p g period from
SCHEDULE F-2
2. ID#
15-07
November 23, 2015
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#
DESCRIPTION OF REFUND
45.
NAME, ADDRESS, CITY, STATE, 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#
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
0
Page -of
DEBTS AND OBLIGATIONS (Excluding Loans)
B
1. Committee Name Burdick for Mayor
3. Report covering period from October 23, 2015
SCHEDULE F-3
2. ID#
15-07
thru November 23, 2015
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 OR NAME,
ADDRESS AND ID# OF THE POLITICAL
COMMITTEE) TO WHOM DEBT IS OWED
4a.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
DESCRIPTION OF DEBT
4b.
NAME, ADDRESS, CITY, STATE, 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 [Transfer total to Detail Summary Page Line 19, Column A]
0