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HomeMy WebLinkAboutCampaign Finance Records - Finance report - Burdick for Mayor - 12/3/2015POLITICAL COMMITTEE CITY OF Glendale CAMPAIGN FINANCE REPORT 2015 November Special Election Burdick for Mayor 1. Full Name of Committee 12417 N 66th Ave Address Glendale 85304 Maricopa (623) 282-2588 city Z!P Code County Phone 2 Burdick for Mayor Sponsoring 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) FOR OFFICE USE ONLY (,,IT Y CLERK CITY OF GLENN ALE 2i5 DEC —3 DUE BETWEEN ❑ January 31 Report - For Period of * thru December 31, 2014 .. .. January 1, 2015 and January 31, 2015 ❑ June 30 Report - For Period of January 1, 2015 thru May 31, 2015 ....... ..... June 1, 2015 and June 30, 2015 ❑ Pre -Election Report - For Period of June 1, 2015 thru October 22, 2015 October 23, 2015 and October 30, 2015 Post -Election Report - For Period of October 23, 2015 thru November 23, 2015 .. ........ November 24, 2015 and December 3, 2015 January 31 , Report - For Period of November 24, 2015 thru December 31, ** .......... 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) 0 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 27,753.67 27,753.67 27,753.67 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 2,242.68 6b Total Disbursements (from corresponding columns on Detailed Summary Page, Line 18) 25,510.99 25,510.99 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 OF RECEIPTS AND DISBURSEMENTS 1. Committee Name: Burdick for Mayor 3. Report covering period from 10/23/15 Thru 11/23/15 2. 1D# 15-07 2 RECEIPTS 4. Contributions other than loans and in-kind: (a) Individuals - more than $50 (Total from Schedule A) (b) Individuals - aggregate $50 or less (Total from Schedule A-1) (c) Political Committees (Total from Schedule B) (d) Subtotal Contributions [add 4(a), 4(b), and 4(c)] (e) Refund of contributions (Total from Schedule F-2) (f) Total Contributions Other than Loans and In-kind [subtract 4(e) from 4(d)] 5. (a) Loans made or guaranteed by candidate (Total from Schedule C) (b) All other loans (Total from Schedule C-1) (c) Total Loans [add 5(a) and 5(b)] 6. In-kind contributions (Total from Schedule E) 7. Dividends, interest, and other forms of receipts (Total from Schedule F•1) 8. Total Receipts [add 4(f), 5(c), 6, and 7] COLUMN A THIS PERIOD COLUMN B CAMPAIGN TO DATE 0 0 26,100, 000 26,100.000 0 0 0 0 26,100, 000 26,100, 000 0 0 26,100.00 26,100, 00 0 0 0 0 0 0 1,653.67 1,653.67 0 0 27,753.67 j 27,753.67 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) 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)] 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 15] 17. Rebates, refunds and other offsets to operating expenses (Total from Schedule D-3) 18. Total disbursements [subtract line 17 from line 16] 19. Total Outstanding Debts owed by Reporting Candidate or Political Committee (Schedule F-3) 589.01 589.01 0 0 1,653.67 1,653.67 0 0 0 0 0 0 0 0 0 0 0 0 2,242,68 2,242.68 0 0 2,242.68 2,242.68 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 complete. Type Print Name of Treasurer Signature of Treasurer or Candidate or Designating Individual Dat 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 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 Rabonza Anthony STREET ADDRESS 7457 W Monora Dr 10/27/15 500,00 500,00 CITY STATE ZIP Glendale AZ 85308 OCCUPATION EMPLOYER Luke Fire Emergency Services Deputv Fire Chief d. LAST FIRST MI Beuerlein Lori STREET ADDRESS 6135 W Park View Ln 10/27/15 250,00 250,00 CITY STATE ZIP Glendale AZ 85310 OCCUPATION EMPLOYER Supervisor Cijy of Phoenix e. LAST FIRST MI Brunacini Alan STREET ADDRESS 3102 W Orangewood Ave CITY STATE ZIP 10/27/15 250.00 250.00 Phoenix AZ 85051 OCCUPATION EMPLOYER Retired F 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] 1 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 more than $50 -from INDIVIDUALS* SCHEDULE A 2. ID# 15-07 1. Committee Name Burdick for Mayor 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 Phebus John STREETADDRESS 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 STREETADDRESS 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 STREETADDRESS 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 Cameli Michael STREET ADDRESS 21 W Orchid Ln 10/27/15 100,00 100.00 CITY STATE ZIP Glendale AZ 85302 OCCUPATION EMPLOYER Retired I Retired e. LAST FIRST MI Cameli Mary STREETADDRESS 21 W Orchid Ln 10/27/15 100.00 100.00 CITY STATE ZIP Glendale AZ 85302 OCCUPATION EMPLOYER Retired 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 2 of 13 them on Schedule A-1. CONTRIBUTIONS more than $50 -from INDIVIDUALS* SCHEDULE A 1. 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 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 STREET ADDRESS 20746 N 56th Ave 10/27/15 100.00 100.00 CITY STATE ZIP Glendale AZ 85308 OCCUPATION EMPLOYER Civil engineer Westland Resources d. LAST FIRST MI Ortega Kristine STREETADDRESS 319 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 STREETADDRESS 05 E Round Hill Dr CITY STATE ZIP 10/27/15 100.00 100.00 Phoenix AZ 85028 OCCUPATION EMPLOYER Consultant 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] 3 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 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 Rodriguez Lourdes STREETADDRESS 7319 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 STREETADDRESS 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 De Smidt Todd STREETADDRESS 6277 W Deer Valley Rd 10/27/15 50.00 50.00 CITY STATE ZIP Glendale AZ 85308 OCCUPATION EMPLOYER Owner I Dent Pro Inc L 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 4 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 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 I Retired C. LAST FIRST MI Martinez Reginald STREETADDRESS 6609 W Turquoise Ave 10/27/15 25.00 25.00 CITY STATE ZIP Glendale AZ 85302 OCCUPATION EMPLOYER IT specialist PUHS 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 STREETADDRESS 5418 N 44th Dr 10/28/15 100.00 100.00 CITY STATE ZIP Phoenix AZ 85083 OCCUPATION EMPLOYER Fire Chief North County Fire De artment L 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 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 6001 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 6327 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 de la Cruz Luis STREET ADDRESS 7804 W Solano Drive North 11/12/15 5,000,00 5,000,00 CITY STATE ZIP Glendale AZ 85303 OCCUPATION EMPLOYER Owner Andale Construction d. LAST FIRST MI Ortega Kristine STREET ADDRESS 7319 Aurelius Ave 11/16/15 250.00 350.00 CITY STATE ZIP Glendale AZ 85303 OCCUPATION EMPLOYER Business owner Bitzee Mamas e. LAST FIRST MI Rodriguez Lourdes STREET ADDRESS 7319 Aurelius Ave 11/16/15 250.00 350.00 CITY STATE ZIP Glendale AZ 85303 OCCUPATION EMPLOYER Business owner Bitzee Mamas 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 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 Babcock Rex STREET ADDRESS 22123 N 79th Dr 11/16/15 200.00 200.00 CITY STATE ZIP Peoria AZ 85383 OCCUPATION Retired EMPLOYER 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 STREET ADDRESS 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 STREET ADDRESS 25314 W Pueblo Ave 11/16/15 100.00 100.00 CITY STATE ZIP Buckeye AZ 85326 OCCUPATION EMPLOYER Retired I Retired e. LAST FIRST MI Allen Penn STREET ADDRESS 14627 N 63rd Ave CITY STATE ZIP 1.1./1.6/15 50.00 50.00 Glendale AZ 85306 OCCUPATION EMPLOYER Personal assistant E d 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 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 STREETADDRESS 6732 W Cinnabar 11/16/15 50.00 50.00 CITY STATE ZIP Peoria AZ 85345 OCCUPATION Retired EMPLOYER Retired b. LAST FIRST MI Frate Steven STREET ADDRESS 6135 W Beverly Ln 11/17/15 150.00 150.00 CITY STATE ZIP Glendale AZ 85306 OCCUPATION EMPLOYER Retired I Retired C. LAST FIRST MI Gallegos Jack STREETADDRESS 734 W Belmont Ave 11/17/15 100,00 100,00 CITY STATE ZIP Glendale AZ 85301 OCCUPATION EMPLOYER Facilities director Maricopa Community College d. LAST FIRST MI Kemper Lori STREET ADDRESS 437 S Compass Rd 11/17/15 100.00 100.00 CITY STATE ZIP Tempe AZ 85283 OCCUPATION EMPLOYER idwestern University Dean AZCOM e. LAST FIRST MI Foy Charles STREET ADDRESS 707 W Redfield Rd 11/17/15 50.00 50.00 CITY STATE ZIP Glendale AZ 85306 OCCUPATION EMPLOYER Consultant E d 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* 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 Leiler Jessica STREET ADDRESS 6426 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 6426 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 STREETADDRESS 130 W El Caminito Dr 11/17/15 50.00 50.00 CITY STATE ZIP Glendale AZ 85302 OCCUPATION EMPLOYER Owner Al's Electric Boat Service e. LAST FIRST MI Martinez Manuel STREET ADDRESS 19107 N 73rd Ln 11/17/15 50.00 100.00 CITY STATE ZIP Glendale AZ 85308 OCCUPATION EMPLOYER Retired Retired 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 A] 9 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 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 TOTALTHIS NAME, ADDRESS, OCCUPATION AND EMPLOYER OR CONTRIBUTOR THIS PERIOD CAMPAIGN TO DATE 4a. LAST FIRST MI Armendariz Victor STREET ADDRESS 4416 W Waltann Lane 11/18/15 1,000.00 1,000.00 CITY STATE ZIP Glendale AZ 85306 OCCUPATION Firefighter EMPLOYER City of Phoenix b. LAST FIRST MI LaForest Gary STREETADDRESS 15616 N 10th Place 11/18/15 500.00 500.00 CITY STATE ZIP Phoenix AZ 85022 OCCUPATION EMPLOYER Retired Retired C. LAST FIRST MI Burke Dennis STREETADDRESS 601 W Palmaire Ave 11/18/15 200,00 200,00 CITY STATE ZIP Phoenix AZ 85021 OCCUPATION EMPLOYER GSIS Attorney d. LAST FIRST MI Cole Thomas STREET ADDRESS 5705 W Loma Lane 11/18/15 100,00 100,00 CITY STATE ZIP Glendale AZ 85302 OCCUPATION EMPLOYER Deputy Fire Chief City of Goodyear e. LAST FIRST MI Dowd Lisa STREET ADDRESS 7003 N 58th Ave 11/18/15 100.00 100.00 CITY STATE ZIP Glendale AZ 85301 OCCUPATION EMPLOYER Owner I A Shot of Java 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 contributors 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* 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 Sorensen Crystal STREET ADDRESS 5657 N 105th Ln. 11/18/15 100.00 100.00 CITY STATE ZIP Glendale AZ 85307 OCCUPATION Retired EMPLOYER Retired b. LAST FIRST MI Clubb Jeff STREETADDRESS 2818 36th St. 11/18/15 50.00 50.00 CITY STATE ZIP Des Moines IA 50310 OCCUPATION EMPLOYER Teacher Dowling Catholic High School C. LAST FIRST MI Liewer Jennifer STREET ADDRESS 1621 E Palo Verde Dr 11/18/15 50.00 50.00 CITY STATE ZIP Phoenix AZ 85016 OCCUPATION EMPLOYER Public Relations Self employed d. LAST FIRST MI Peverini Elizabeth STREET ADDRESS 10027 N 65th Ave O 11/18,`15 �1 !�!1 25.00 25.00 CITY STATE ZIP Glendale AZ 85302 OCCUPATION EMPLOYER Floral designer Peverini Custom Floral Design e. LAST FIRST MI Brunacini John STREETADDRESS 3101 W Orangewood Dr 11/19/15 1,000.00 1,000.00 CITY STATE ZIP Phoenix AZ 85051 OCCUPATION EMPLOYER Owner I Across the Street Productions L 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 contributors 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 TOTAL THIS NAME, ADDRESS, OCCUPATION AND EMPLOYER OR CONTRIBUTOR THIS PERIOD CAMPAIGN TO DATE 4a. LAST FIRST MI Roberts Geary STREETADDRESS 4612 W El Cortez PI 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 G. LAST FIRST MI Becker Mark STREET ADDRESS 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 omemaker EMPLOYER Homemaker 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 empioyer on Schedule A, do not include Page 12 of 13 them on Schedule A-1. CONTRIBUTIONS more than $50 -from INDIVIDUALS* 1. Committee Name Burdick for Mayor s. Report covering October 23, 2015 p g period from SCHEDULE A 2. ID# 15-07 November 23, 2015 4 CONTRIBUTIONS DATE AMOUNT CUMULATIVE RECEIVED RECEIVED TOTALTHIS NAME, ADDRESS, OCCUPATIONAND EMPLOYER OR CONTRIBUTOR THIS PERIOD CAMPAIGN TO DATE 4a. LAST FIRST MI lark Rebecca STREETADDRESS 0325 W Sands#459 11/23/15 500.00 500.00 CITY STATE ZIP eoria AZ 85383 OCCUPATION EMPLOYER reacher Peoria Unified School District b. LAST FIRST MI Weinberg Jerrold STREET ADDRESS 509 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 204 E Sommer Oak Dr 11/23/15 250.00 250.00 CITY STATE ZIP Enterprise AL 36330 OCCUPATION EMPLOYER Pilot AFS d. LAST FIRST MI ulet David STREET ADDRESS 6829 N 58th Ave 11/27/15 100.00 100.00 CITY STATE ZIP Glendale AZ 85301 OCCUPATION EMPLOYER Glendale Community College 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) 26,1 Q� 26,1 �Q 'If contributions of $50 or less are listed with contributor's name, address, occupation and employer on Schedule A, do not include ude Page Of 13 them on Schedule A-1. CONTRIBUTIONS of $50 or less - AGGREGATE TOTAL* Burdick for Mayor Committee Name October 23, 2015 3. Report covering period from 4. Aggregate Total of Contributions of $50 or less thru 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 contributors 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 thru 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 # 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] CANDIDATE LOANS SCHEDULE C 1. Committee Name Burdick for Mayor 2. ID # 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] Schedule C Pageof OTHERLOANS 1. Committee Name 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, ZIP, AND ID# NAME OF ENDORSER OR GUARANTOR CF 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, C'TY, 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# 15-07 I 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 Integrated Web Strategy 5330 N 12th St Phoenix AZ 85014 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 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 $79.30 649 Mission Street, #204 San Francisco CA 94105 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 Francisco A 94105 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 CA 94105 11/18/15 $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 94105 11/18/15 $8.20 DESCRIPTION OF ITEMS OR SERVICES PURCHASED Transaction fee 5 e ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D [If last page of Schedule D, transfer total to Detail Summary Page Line 9, Column A] 'Expenditures, other than a contract, promise or agreement to make an expenditure resulting in credit Page—of— EXPENDITURES FOR OPERATING EXPENSES* SCHEDULE D 2. ID# 15-07 1. 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 CA 94105 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 94105 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 94105 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 CA 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 94105 11/23/15 $39.80 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 _of_ EXPENDITURES FOR OPERATING EXPENSES* SCHEDULE D t Committee ne Burdick for Mayor 2. I D# 15-07 3. Report covering period from October 23, 2015 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 Piryx, Inc. dba Rally.org 649 Mission Street, #204 San Francisco- CA 9410.S 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 94105 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 3 of 3 INDEPENDENT EXPENDITURES* Burdick for Mayor 1. Committee Name 9 Renort nnverino n, -rind from October 23, 2015 SCHEDULE D-1 2. ID# 15-07 thru 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 Lpposed 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] 'SEE A.R.S. § 16-901(14). I certify, under penalty of perjury, that the above stated independent expenditure(s) was not made in cooperation, consultation or concert with or at the request or suggestion of any candidate or 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 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# 4h. 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# 49. 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 tots to Detail Summary Page Line 12, Column A] Page of I 4a. 4b. 4c. 4d. 4e. 4f. OFFSETS TO OPERATING EXPENSES W SCHEDULE D-3 2. ID# 15-07 1. Committee Name Burdick for Mayor 3. Report covering period from October 23, 2015 thru 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 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. 4f. 1. Committee Name REPAYMENT OF CANDIDATE LOANS Burdick for Mayor 3. Report covering period from October 23, 2015 SCHEDULE D-4 2. I D# 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 NAME, ADDRESS, CITY, STATE, AND ZIP 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D4 [Transfer total to Detail Summary Page, Line 13(a), Column A] u 1 1 Schedule D-4 Page -Of REPAYMENT OF ALL OTHER LOANS SCHEDULE D-5 z. ID# 15-07 1. Committee Name Burdick for Mayor 3. Report covering period from October 23, 2015 thru 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] Page 1 of.' 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 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 Detaiied Summary Page, Line 14, Column A] Page_of _ ANY OTHER DISBURSEMENT Burdick for Mayor 1. 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 ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-7 (Transfer total to Detailed Summary Page Line 15 Column A] Page 1 of IN-KIND CONTRIBUTIONS and EXPENDITURES B 1. Committee Name Burdick for Mayor 3. Report covering period from October 23, 2015 SCHEDULE E 2. ID# 15-07 November 23, 2015 thru 4 IN-KIND CONTRIBUTIONS and EXPENDITURES DATE FAIR MARKET VALUE NAME AND ADDRESS OF INDIVIDUAL (OR NAME, ADDRESS AND ID# OF THE POLITICAL COMMITTEE) FROM WHOM RECEIVED OR TO WHOM GIVEN 4a. NAME, ADDRESS, CITY, STATE, ZIP AND ID# Luis de la Cruz CONTRIBUTION 7804 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 EMP YER `S�'1 to Farm 5. ENTER TOTAL M -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] Page 1 of 2 IN-KIND CONTRIBUTIONS and EXPENDITURES 1. Committee Name Burdick for Mayor 3. Report covering period from October 23, 2015 thru SCHEDULE E 2. I D# 15-07 November 23, 2015 4 IN-KIND CONTRIBUTIONS and EXPENDITURES DATE FAIR MARKET VALUE NAME AND ADDRESS OF INDIVIDUAL (OR NAME, ADDRESS AND ID# OF THE POLITICAL COMMITTEE) FROM WHOM RECEIVED OR TO WHOM GIVEN 4a. NAME, ADDRESS, CITY, STATE, ZIP AND ID# Mark Burdick CONTRIBUTION 12417 N 66th Ave EXPENDITURE Glendale, AZ 85304 11/23/15 49.00 DESCRIPTION Postage OCCUPATION Consultant EMPLOYER 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 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 1,653.67 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 2 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 Page_of OFFSETS TO CONTRIBUTIONS RECEIVED * Committee Name Burdick for Mayor 3. Report covering period from October 23, 2015 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 4b. 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 Scheduie F-2, transfer total to Detailed Summary Page, Line 4(E), Column A] Includes return of contributions received by reporting committee 1 1 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 November 23, 2015 4 DEBTS AND OBLIGATIONS OUTSTANDING BALANCE BEGINNING THIS PERIOD AMOUNT INCURRED THIS PERIOD PAYMENTTHIS PERIOD OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD NAME AND ADDRESS OF INDIVIDUAL (OR NAME, ADDRESS AND ID# OF THE POLITICAL COMMITTEE) TO WHOM DEBT IS OWED 4a. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION 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]