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Home My WebLink AboutCampaign Finance Records - Finance report - Burdick for Mayor - 10/29/2015POLITICAL COMMITTEE CITY OF Cctm (t!e- CAMPAIGN FINANCE REPORT 2015 November Special Election 1. ,C4vrdf ck A/ /±4� aw, Full Name of Committee � � do soy Address 6 z 3�If3Z - ZS88 CRY/ � ZIP Code County Phone 2. _Idurl-64 rtl✓ �* ase✓ Sponsoring Organization or Candidate a d office Al"le- Name of Candidate and Office Sought (if applicable) Biu r0(r c e" A Ae Loo prk* Ala E -Mail Address V Fax# 4. REPORTING PERIOD (Please check appropriate box) FOR OFFICE USE ONLY CITY CLERK CITY OF GL€ND A LE 1015 DCT 2 9 PM 3.2(3 3A. ID# IS -07 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 FJanuary 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 5a Surplus from Previous Campaign (or at time Statement of Organization was filed for the new committee) /) 5b Cash on Hand at the Beginning of this Reporting Period _ U (� v 5c Total Receipts (from corresponding columns on Detailed Summary Page, Line 8) 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 subtract this line from the other lines] 7 SS 7 ss 6b Total Disbursements (from corresponding columns on Detailed Summary Page, Line 18) 7. Cash on Hand at Close of Reporting Period [Subtract Line 6b from Line 5d qZ it 91�S *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. IIS# 1. Committee Name: 1911rdi Ck eyed/✓ 3. Report covering period fromy�q /�f�_Thru i111* 12/ rs 15-67 RECEIPTS COLUMNA COLUMN 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] /00 CJ C 0 Q 0 /00 D d 0 /00 17 0 0 0 0 Q 0 6 d O oo DISBURSEMENTS 9. Expenditures for operating expenses (Total from Schedule D) 7.55 7. 1'T 10. Independent Expenditures (Total from Schedule D-1) d d 11. Value of In-kind expenditures (Total from Schedule E) Q 0 12. Loans made by reporting committee (Total from Schedule D-2) 0 6 13. (a) Repayment of loans made or guaranteed by candidate (Total from Schedule D-4) Q (b) Repayment of all other loans (Total from Schedule D-5) 6 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 OF 15. Any other disbursement (Total from Schedule D-7) d d 16. Subtotal disbursements [add lines 9, 10, 11, 12, 13(c), 14, and 151 7.5-5- .% S s 17. Rebates, refunds and other offsets to operating expenses (Total from Schedule D-3) O O 18. Total disbursements [subtract line 17 from line 161 7, SS %, rS 19. Total Outstanding Debts owed by Reporting Candidate or Political Committee (Schedule F-3) G 0 20. 1 certify, under penalty of perjury, that I have examined the contends of this campaign finance report and to the best of ray knowledge and belief it is true and complete. Type pr Print Name of Treasurer I Signature of Treasurer or Candidate or Designating Individual Date / CONTRIBUTIONS more than $50 -from INDIVIDUALS* SCHEDULE A 2- [DO 15-07 1. Committee Name IJY "'Olt CAk rd / / lCc�lOv 3. Report covering period from 'U17ethru grh 4, 2,2 IS 4 CONTRIBUTIONS DATE RECEIVED AMOUNT RECEIVED THIS PERIOD CUMULATIVE TOTAL THIS CAMPAIGN TO DATE NAME, ADDRESS, OCCUPATION AND EMPLOYER OR CONTRIBUTOR 4a. LAST ,�F//IIR,RST MI 1016115 Ion �� _t U STREET ADDRESS Izyi /(/ C�6fi� A� CITY STATE ZIP 4l0 ?d4If �z F530q OCCUPATION / EMPLOYER �+ b. LAST FIRST MI STREET ADDRESS CITY STATE ZIP OCCUPATION EMPLOYER 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(zj Colunn Al / o o t (� U "If contributions of $50 or less are Wed with oontributoes 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* SCHEDULE A-1 2 IDD / //�� lS�U7 1. Committee Name de ralltk i2), � 3. Report covering period from Le �� &15 thru Vclb6p_ Z"I 4. Aggregate Total of Contributions of $50 or less DESCRIPTION AMOUNT AMOUNT PERIOD CUMULATIVE TOTAL THIS CAMPAIGN T(3DATE 5. TOTAL THIS PERIOD [Transfertotal to Detailed Summary Page, Line 4(b), 6. CUMMULATIVE TOTAL THIS Column A] CAMPAIGN TO DATE [Transfer total to Detailed Summary Page. Line4(b), lumn B] 'If contributions of $50 or less are listed with contributor's name and address on Schedule A, do not Pnc a them on this schedule. CONTRIBUTIONS FROM POLITICAL COMMITTEES SCHEDULE B 2. ID# /'S -d-7 1. Committee Name idudeck lib/ /r *'y- 3. Report covering period from _iVpQ /I mo- thru acQMe✓ i G(/tS 4 CONTRIBUTIONS AMOUNT RECEIVED TH IS 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 # NAM , DDRESS, CITY, STATE AND ZIP DATE RECEIVED C. ID # NAME, ADDRESS, Cl ATE AND ZIP DATE RECEIVED d. ID # NAME, ADDRESS, CITY, STATE AND 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] Schedule B Page ` of—L— CANDIDATE LOANS SCHEDULE C 1. CommitteeName [ ev" 4' FU✓ /�,� "r4, "' 2. ID # { J �� 3. Report covering period from trwle thru OrCK'6&', A -o ' &"-T 4. LOANS MADE OR GUARANTEED BY CANDIDATE DATE RECEIVED AMOUNT RECEIVED CUMULATIVE TOTALTHIS 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 Page I of OTHER LOANS SCHEDULE C1 2. IDf# // / /s -07 Committee Name N Urp(/(k rb" /� ►A (,q� Report covering period from 19 x"7,�/ �ffy*� th._& fir, ,Q4 ?OJT 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 GUARANTO F LOAN, ADDRESS, CITY, STATE, ZIP, AND 10# DESCRIPTION 4b NAME OF PERSON OR COMMITTEE MAKING LOAN, ADDRESS, CITY, TE, ZIP, AND ID# NAME OF ENDORSER OR GUARANTOR OF LOAN, ADDRESS, CITY, STATE, ZIP, AND I DESCRIPTION 40 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 100 DESCRIPTION 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE G1 [If fast page of Schedule G1, transfer trial to Detailed Summary Page, Line 5(a), Column A] Page I of EXPENDITURES FOR OPERATING EXPENSES* 1. Committee Name 6 V✓Ilkt `k 1(w 1 1 dL!4 / 3. Report covering period from IT. n-IIbo1S thru SCHEDULE D 2_ ID9 (5-o-7 22, ?W5 4 EXPENDITURES DATE EXPENDITURE MADE AMOUNTOF THE EXPENDITURE NAME AND ADDRESS TO WHOM EXPENDITURE (DISBURSEMENT) WAS MADE 4a. NAME, ADDRESS, CITY, STATE AND ZIP Mliawce 13m L of I C.W ksfl' 1aM #1q00 7.55 DESCRIPtION OF ITEMS OR SERVICES PURCHASED 4b. NAME, ADDRESS, CITY, STATE AND ZIP DESCRIPTION OF ITEMS OR SERVICES PURCHASED 4c. NAME, ADDRESS, CITY, STATE AND ZIP DESCRIPTION OF ITEMS OR SERVICES PURCHASED 4d. NAME, ADDRESS, CITY, STATE AND ZIP DESCRIPTION OF ITEMS OR SERVICES PURCHASED 4e. NAME, ADDRESS, CITY, STATE AND ZIP DESCRIPTION OF ITEMS OR SERVICES PURCHASED 4f. NAME, ADDRESS, CITY, STATE AND ZIP DESCRIPTION OF ITEMS OR SERVICES PURCHASED 5 ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D [If last page of Schedule D, transfer total to Detail Summary Page Line 9, Column A] 'Expenditures, other than a contract, pronuse or agreementto [Rake an expenditure resulfing in credit Page of j INDEPENDENT EXPENDITURES* 1. Committee Name`p/�� /) 3. Report covering period from —tUnit 1 11015 thru I/� /r-I-h6e✓ LUiU(S SCHEDULE D-1 2.11)9 %S -D7 4 INDEPENDENT EXPENDITURES DATE EXPENDITURE MADE AMOUNT OF THE EXPENDITURE IDENTIFY RECIPIENT OF EXPENDITURE AND CANDIDATE WHO IS BENEFITTED OR OPPOSED 4a. NAME, ADDRESS, CITY, STATE AND ZIP PURPOSE AND DESCRIPTION OF PURCHA nefi CANDIDATE OFFICE SOUGHT YEAR OF ELECTION 4b. NAME, ADDRESS, CITY, STATE AND ZIP PURPOSE AND DESCRIPTION OF PURL CANDIDATE OFFICE SOUGHT YEAR OF ELECTION 4c. NAME, ADDRESS, CITY, STATE AND ZIP PURPOSE AND DESCRIPTION OF PURCHA ne d CANDIDATE OFFICE SOUGHT YEAR OF ELECTION 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-1 Ilf last page of Schedlie D-1, transfer total to Detailed Summary Page Line 10, Column AI O *SEE A.R.S- § 16-901(14). I certify, under penalty of perjury, that the above stated independent expenditures) 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. `f L Signature of Treasurer NAMES, OCCUPATIONS AND EMPLOYERS AND AMOUNT CONTRIBUTED BY EACH OF THE THREE TOP CONTRIBUTORS WITHIN THE LASTI AMOUNT SIX MONTHS Schedule D-1 Page I of I LOANS MADE BY REPORTING COMMITTEE SCHEDULE D-2 2. ID# IS -07 I. Committee Name 8V 'Atcl. f0/ M p� 99 3. Report covering period from .�h� i � � thru MG (l I LL. IA S 4 LOANS MADE BY THE REPORTING COMMITTEE DATE LOAN MADE AMOUNT OFTHE 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, 4c. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# 4d. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# 4e. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# 4f. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# 4g. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# 4h. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# 41. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-21TRansler total to Detail Summary Page Line 42, Cokann Al Page 1 " I 4a. 4d. 4e. OFFSETS TO OPERATING EXPENSES * SCHEDULE D-3 2. ID# 1,5-07 1. Committee Name /�d k // / J �[, 3. Report covering period from tju'`e �� 5 thru V t 22/ jAs 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 Ai Includes return of contributions made by reporting committee Schedule 0.3 Page —1-f-1 4a. 4b. 4c 4d. 4e. REPAYMENT OF CANDIDATE LOANS 1. Committee Name IiVV q i ' 10/ SCHEDULE D-4 2. ID# r5 -o-1 3. Report covering period from Ifyhe I / 613 thru onk t, Z2.0 1,00 REPAYMENT OF LOANS MADE OR GUARANTEED BY CANDIDATE DATE REPAYMENT MADE AMOUNTOF THE REPAYMENT NAME AND ADDRESS TO WHOM REPAYMENT (DISBURSEMENT) WAS MADE NAME, ADDRESS, CITY, STATE, AND ZIP NAME, ADDRESS, ClTATE, AND ZIP NAME, ADDRESS, CITY, STATE, AND ZIP NAME, ADDRESS, CITY, STATE, AND ZIP NAME, ADDRESS, CITY, STATE, AND ZIP NAME, ADDRESS, CITY, STATE, AND ZIP 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-4 [Transfertotal ro Detail Summary Page, Line 13(a), Column A] Schedule 0.4 Page of I REPAYMENT OF ALL OTHER LOANS Committee Name 13V'djC-k FO/ /ljLy ✓ SCHEDULE D-5 2. ID# /S-0-7 3. Report covering period from'l-nC l, tay thru a --t.(,, 22 & IS 4 REPAYMENT OF ALL OTHER LOANS DATE AMOUNT OF REPAYMENT THE MADE REPAYMENT NAME AND ADDRESS OF INDIVIDUAL (OR NAME, IDT# AND ADDRESS OF THE POLff ICAL COMMITTEE) TO WHOM REPAYMENT (DISBURSEMENT) WAS MADE 4a. NAME, ADDRESS, CITY, STATE, ZIP AND ID# 4b. NAME, ADDRESS, CITY, STATE, ZIP AND ID# `t 4c. NAME, ADDRESS, CITY, STATE, ZIP AND IDN 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 65 (Transfer total to Detailed Summary Page, Line 13(D), Column Al T Page--of TRANSFERS TO OTHER POLITICAL COMMITTEES 1.CommitteeName J!�IUJIAC-k rol Af-q'- SCHEDULE D-6 2. ID# /S-6-7 3. Report covering period from JVmC I / 761S thru acic 66. fZf ZD13 4 TRANSFERS MADE BY THE REPORTING COMMITTEE DATETRANSFER MADE AMOUNTOFTHE 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, ZiPAND ID# 4c. NAME, ADDRESS, CITY, STATE, ZIP AND ID# 4d. NAME, ADDRESS, CITY, STATE, ZIP AND IDS 4e. NAME, ADDRESS, CITY, STATE, ZIP AND ID# 4f. NAME, ADDRESS, CITY, STATE, ZIPAND ID# 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-6 [Transfer total to Detailed Summary Page, Line 14, Column A] Page ' of ANY OTHER DISBURSEMENT 1. Committee Name j V V0 f [k f0/ J "►4 r✓ SCHEDULE D-7 2 ID# 15-67 3. Report covering period from Vf a /4 &( S thru C46e/ Z Z p Mf I 4. ANY OTHER DISBURSEMENTS DATE DISBURSEMENT MADE AMOUNT OF THE DISBURSEMENT NAME, ADDRESS AND ID!# OF COMMITTEE TO WHOM DISBURSEMENTWAS MADE; DESCRIPTION 4a. NAME, ADDRESS, CI TE, 2IP AND ID# DESCRIPTION 4b. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION 4c. NAME, ADDRESS, CTTY, STATE, ZIP AND ID# DESCRIPTION 4d. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION 4e. NAME, ADDRESS, CITY, STATE, ZIP AND ]DO DESCRIPTION 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-7 [Transfertatal to Detailed Summery Page Line 15 Column A) Page! of IN-KIND CONTRIBUTIONS and EXPENDITURES SCHEDULE E 2_ ID# 15-0-7 1. Committee Name Audtck 66., / r' iA✓ 3. Report covering period from fWl f 1, Zoo- thru Ate 6f✓ ZZ, LOIS 4 IN-KIND CONTRIBUTIONS and EXPENDITURES DATE FAIR MARKEfVALUE NAME AND ADDRESS OF INDIVIDUAL (OR NAME, ADDRESS AND IDf# OF THE POLITICAL COMMITTEE) FROM WHOM RECEIVED OR TO WHOM GIVEN 4a. NAME, ADDRESS, CITY, STATE, ZIP AND ID# CONTRIBUTION EXPENDITURE DESCRIPTION OCCUPATION EMPLOYER 4b. NAME, ADDRESS, CITY, STATE, ZIP ANDJD# TRIBUT'_ EX DITURE DESCRIPTION OCCUPATION EMPLOYER 4c. NAME, ADDRESS, CITY, STATE, ZIP AND ID# COUTRlsunoN 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 [It last page of Schedule E. transfer total to Detailed Summary Page Line 6, Column A[ 6. TOTAL IN-KIND CONTRIBUTIONS ONLY IF LAST PAGE OF SCHEDULE E [If last page of Schedule E, transfer total to Detailed Summary Page 1ENTER Line 11, Column A[ DIVIDENDS, INTEREST, AND OTHER RECEIPTS Committee Name SCHEDULE F-1 2. 11V fs -a7 3. Report covering period from Ju"z 1, 24 6 thru 0_Ck bf, 1—2,Zb 15 4 DIVIDENDS, INTEREST AND OTHER FORMS OF RECEIPTS DATE AMOUNT RECEIVED AMOUNT OFTHE RECEIPT NAME AND ADDRESS FROM INDIVIDUAL(CR NAME, ADDRESS AND ID# OF THE POLITICAL COMMITTEE) FROM WHOM RECEIPTWAS 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 1D# 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 SchedWe F-1, transfer total to Detaked Summary Page Line 7 Column A "-L" . I _. OFFSETS TO CONTRIBUTIONS RECEIVED * 1. Committee Name At" Ott t 4 4., / 4J , ov SCHEDULE F-2 2. ID# I5-07 3. Report covering periodfrom fuse- t 1106 th,U C lrl 6Qi 2Q, u15 4 REFUNDS AND OTHER OFFSETS TO CONTRIBUTIONS RECEIVED DATE REFUND MADE AMOUNT OFTHE REFUND NAME AND ADDRESS OF INDIVIDUAL (OR NAME, ADDRESS AND iDtf OFTHE POLITICAL COMMITTEE) TO WHOM REFUND WAS MADE 4a. NAME, ADDRESS, TY, STATE, ZIP AND ID# DESCRIPTION OF REFUND 4b. NAME, ADDRESS, CITY, STATE, ZJP 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# 711 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 tD al to Detailed Summary Page, Line 4(E), Column Al Includes return of contributions received by reporting committee Page I of DEBTS AND OBLIGATIONS (Excluding Loans) SCHEDULE F-3 2. ID# IS -67 1. Committee Name 60"Wfc(c jp/ I'(� yo✓ J 3. Report covering period from 'Un' /i zwj thru—Ack4',✓ A.7, 40ir 4 DEBTS AND OBLIGATIONS OUTSTANDING BALANCE AMOUNT INCURRED PAYMENTTHIS OUTSTANDING NAME AND ADDRESS OF tNDtVtDUAL(OR NAME, BEGINNING THis PERIOD PERIOD BALANCE AT CLOSE ADDRESS AND ID# OF THE POLITICAL THIS PERIOD OF THIS PERIOD D 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 AJ