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Campaign Finance Records - Finance report - Burdick for Mayor - 9/29/2016
POLITICAL COMMITTEE CITY OF CAMPAIGN FINANCE REPORT 2016 AugusVN to�ve"mber Regular Election t'Gt t r ,L -6 ti - v v�Ce c awl Full Name of Committee Address City ZIP Code County ! Phone 2. Sponsoring Organization or Candidate and office Name of Candidate and Office Sought (f applicable) r�.7 t ln.rat Gtc (:i?y-WWCt,e. e) c. Co E -Mail Address Fa * FOR OFFICE USE ONLY 01TY CLERK CITY OF CLENOALE 2016 SEP 29 PM 1: 4. REPORTING PERIOD ('leasechecitappropriatebox) DUE BETWEEN ❑ January 31 Report - For Period of thru December 31, 2015 .. _ _ .. ... .... . I .......... January 1, 2016 and February 1, 2016 ❑ June 30 Report - For Period of January 1, 2016 thru May 31, 2016 ......... . ... .. .... ... ... . ..... ..... June 1, 2016 and June 30, 2016 ❑ Pre -Primary Election Report - For Period of June 1, 2016 thru August 18, 2016 . ... ... ........ August 19, 2016 and August 26, 2016 0 Post -Primary Election Report - For Period of August 19, 2016 thru September 19, 2016 .... ... September 20, 2016 and September 29, 2016 ❑ Pre -General Election Report -For Period of September 20, 2016 thru October 27, 2016. October 28, 2016 and November 4, 2016 ❑ Post -General Election Report -For Period of October 28, 2016 thru November 28, 2016 November 29, 2016 and December 8, 2016 ❑ —January 31, Report - For Period of November 29, 2016 thru December 31, 2017 ......... ... January 1, 2018 and January 31, 2018 5. SUMMARY Column A Column B Total This Reporting Election Period Period Total To Date 5a Surplus from Previous Campaign (or at time Statement of Organization was filed for the new committee) 5b Cash on Hand at the Beginning of this Reporting Period 01 ;Z f? 5c Total Receipts (from corresponding columns on Detailed Summary Page, Line 8) tt '' 3 t4 a 1 I `,2C f J 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] oc I d 6b Total Disbursements (from corresponding columns on Detailed Summary Page, Line 18) �p 7. Cash on Hand at Close of Reporting Period [Subtract Line 6b from Line 5d](� -Insert date which is 21 days atter date of last election (A.R.S. §16-913). ' Other reports will be due before this reporting period if a special or recall election is held prior to the next general election. Revised 5/15 DETAILED SUMMARY PAGE OF RECEIPTS AND DISBURSEMENTS 2. ID# 1. Committee Name:rc(kt vL S �tiQ D� 3. Report covering period from Thru RECEIPTS COLUMN A THIS PERIOD 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] 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) 2 COLUMN B CAMPAIGN TO DATE CD C) C) 1�O _"2,::-�1, 12. Loans made by reporting committee (Total from Schedule D-2) O t 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) (D (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 151 ` i S 2 1 V 17. Rebates, refunds and other offsets to operating expenses (Total from Schedule D-3) (� 18. Total disbursements [subtract line 17 from line 16] Lb . v 1 19. Total Outstanding Debts owed by Reporting Candidate or Political Committee (Schedule F-3) 0 O 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. 0C) Gi'e'r..L1rAj;'1A Type or Print Name of Treasurer Signature of Treasurer or Candidate or Designating Individual D6te r CONTRIBUTIONS more than $50 - from INDIVIDUALS` SCHEDULE A z. ID# 1. Committee Name '?J u ra.,uie•- 3- Report covering period from P°i I �I I W thru I' 4 CONTRIBUTIONS DATE RECEIVED AMOUNT RECEIVED THIS PERIOD CUMULATIVE TOTALTHIS CAMPAIGN TO DATE NAME, ADDRESS, OCCUPATION AND EMPLOYER OR CONTRIBUTOR 4a. LAST RZST YlL STREEfADORESS D I ! �` W p� �y V 0. O o CITY STATE ZIP OCCUPATION h�Ae, EMPLOYER Y ":fir �L b. LASTFIF MB STREETADDRESS Yn '� d �../^CrIx STATE ZIP Vit. ,.: OCCUPATION C) V p --uv- V EMPLOYER /- �,t4tCLe P )-0 rL LAST FIRST v Ml %'oy-y-A 4k -f% STREETADDRESS Q I ")- CRY STATE Zip C % -� OC tPATION y / %�V�.f/l.sL ' 1 I'LC. J(lY EMPLOYER j �'�. �i3""►1.�7' . d. LAST FIRST STREETADDRESS CITY ZIP Jliv �J� f�W� STATEL o� OCCUPATION ( EMPLOYER e FIRSTSThEETMB ADDRESS CITY STATE ZIP fT yv\4 Q�,S 0 q OCCUPATION EMPLOYER 5 ENTER TOTAL ONLY P LAST PAGE OF SCHEDULE A Of last page of Schedule A, banter Total to Detaied Su w -y Page Lige 4(zj Colum A] If cors of SW or lass are fisted with cordrftWs name, address, acmpak n aid m pl%w on Schedule A, do not dude Page Of them on Schedule A-1. CONTRIBUTIONS more than $50 -from INDIVIDUALS* SCHEDULE A 2 ID# 1. Corllrrtlttee flame � N : � Vt.�-pL'� j 1 U ►�� ��/' ll.�''L7('�,V l r 3. Report covering period from 8 I 4 CONTRIBUTIONS DATE RECEIVED AMOUNT RECEIVED THIS PERIOD CUMULATIVE TOTALTHIS CAMPAIGN TO DATE NAME, ADDRESS, OCCUPATION AND EMPLOYER OR CONTRIBUTOR 4a. LAST FRST ?A 0,&-- STREETADDRESS 17 l� C � 7 � S C STATE ZIP OCCUPATION EMPLOYER b- LAST FRST IMI I_ �/ l 00, Do pp o o. 00 STREET ADDRESS STATE ZIP CUPATION. i°� i L e ii. ErLOYER I,�-�vtS cl LAST FFST M! A C G (..ti STREETADDRESS I �9'9v W -A Vt.,1 c�av I CITY STATE ZIP '-D)-t S03-1 OCCUPATION E WLOYER d LAST j/ /fRST w re_ I -L) _MREETADDRESS A4 -J 9 l 1 (00.00 STATE DP 71-\x"_" �/' <�' v ; I ]CITY CCUPATM ri all EMPLOYER FIRST pg STREETADDRESS s p 1 p STATE ZIP q V L ��2 J° ATION EA�LOYBt 5 ENTER TOTAL ONLY IF LAST PAGE OF SCHEa1LE A IIF last pegs of Schedule A, bonsW lata) to Detaled Summary Page Lire 4(zl Cak— Aj V canbib Barrs of $50 or Ism are RsWd with ms's name, address, occuPetion and empbyw an Schedule A, do not ax*ude Page O� Of Mem on Sct A-1. v CONTRIBUTIONS of $50 or less -AGGREGATE TOTAL* 1-11 1. Committee Name 1 0 a 40 3. Report covering period from 61 I ct 4. Aggregate Total of Contributions of $50 or less SCHEDULE A-1 DESCRIPTION AMOUNT RECEIVED THIS PERIOD CUMULATIVE TOTAL THIS CAMPAIGN TO DATE J , C,.) 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. ID# 1. Committee Name Vd -y 3. Report covering period from 4 CONTRIBUTIONS AMOUNT RECEIVED THIS CUMULATIVE TOTAL THIS CAMPAIGN TOPERIOD DATE IDENTITY OF CONTRIBUTORAND DATE RECEIVED 4a ID # NAME, ADDRESS,CITY, STAT AND ZIP r _ :Ykj_&% Lb n ct'c' .60 L_. V Y�4 ,�t('� i ✓. Y�-+�e.tivl L�—� Y (�sLt�i�. i F C� A �3uG 94- r aL)12 l� t7 v f> G �, V 2> 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] ) r O © �� I (7 d CU CANDIDATE LOANS SCHEDULE C 1. Committee Name ( _J ` Z ID # I Report covering period from W thru 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 G. NAME, ADDRESS, CITY, STATE, AND ZIP DESCRIPTION d. NAME, ADDRESS, CITY, STATE, AND ZIP DESCRIPTION e. NAME, ADDRESS, CITY, STATE, AND ZIP DESCRIPTION f. NAME, ADDRESS, CITY, STATE, AND ZIP DESCRIPTION 5. ENTER TOTAL OF LOANS MADE OR GUARANTEED BY CANDIDATE ONLY IF LAST PAGE OF SCHEDULE C [If last page of Schedule C, transfertotal to Detailed Summary Page, Line 5(a), Column A] Schedule C Page_of_ OTHERLOANS 2. ID# 1. Committee Name 'Au C uc�k v M, 3. Report covering period from SCHEDULE C1 4 ALL OTHER LOANS DATE LOAN RECEIVED AMOUNT OF LOAN CUMULATIVE TOTAL THIS CAMPAIGN TO DATE NAME AND ADDRESS OF EACH INDIVIDUAL (OR NAME, IW 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 IDA NAME OF ENDORSER OR GUARANTOR OF LOAN, ADDRESS, CITY, STATE, ZIP, AND IDA DESCRIPTION 4b NAME OF PERSON OR COMMITTEE MAKING LOAN, ADDRESS, CITY, STATE, ZIP, AND IDA NAME OF ENDORSER OR GUARANTOR OF LOAN, ADDRESS, CITY, STATE, ZIP, AND IDA DESCRIPTION 4C NAME OF PERSON OR COMMITTEE MAKING LOAN, ADDRESS, CITY, STATE, ZIP, AND IDA NAME OF ENDORSER OR GUARANTOR OF LOAN, ADDRESS, CITY, STATE, ZIP, AND IDA DESCRIPTION 4d NAME OF PERSON OR COMMITTEE MAKING LOAN, ADDRESS, CITY, STATE, ZIP, AND IDA NAME OF ENDORSER OR GUARANTOR OF LOAN, ADDRESS, CITY, STATE, ZIP, AND IDA 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* 2 ID# 1_ Committee Name V ek'Lc.t f— �H -'r 3- Report coo -ft period 4io- tri I I b thru SCHEDULE D 4 EXPEWTURES DATE EXPENMURE AMOUNTOF THE NAME AND ADDRESS TO VM M M EHDITUIRE (DISBURSEMENT) WAS MADE MADE EXPENDITURE 4a. NAME, ADDRESS. cm, STATE AND ZIP 6Y K c,Ilh -3(p 5 �� i qLf I� ve o SCRIPTION OF Mpa OR SERVICESPLIRCHASED 4b_ WINE. ADDRESS. CITY, STATE AND LY f Ply 2 q,S G I q 0-70,.:? DESCRWTION OF ITEM OR SERVICES PURCWISED V U cUry 4c ADDRESS. CITY, STATE AND c ho t� Slt,c. O.. DESCRHYTION OF ITEM ORSERVICES PUMMSED ;�•ot`G�. r t 4d_ NAW. ADDRESS, CITY, STATE ¢NO ZW L 0 C�-j Ll q Lk q I V p p. O O DjRCR9MONOF ITEMS oR SERVICES PLIRCMSED C4– 40 TADDRESS.CITY. SYATE AND ZIP Ll + V (Olk (/ ©o ( 4-2- 'c3®4 DESCRPPTION O�FI ITEMS OR�SERVICES PURCHASEDD "t 1- ;It YIA 4f_ NAME, ADDRESS, CITY, STATE AND ZIP DESCRIPTION OF ITEMS OR SERVICES PLIRCHASED 5 ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D BF last page of Sdwxkde D. NamfertDW to Dalai Summary Page Lore 9, Cok— AI 'E>poxfflhFes, o#w than a cw0act prortrse or agreernerd tD Mike an openchtwe resulting in reedit Page -(— EXPENDITURES FOR OPERATING EXPENSES* SCHEDULE D 2. ID# 1. Committee Name% Lt r�► l C �i,— V V �t ti r� Y [ l 1 l 3. Report covering period from (J I �� 1 L'➢ _ thru 4 EXPENDITURES DATE AMOUNT OF EXPENDITURE THE NAME AND ADDRESS TO WHOM EXPENDITURE (DISBURSEMENT) WAS MADE MADE EXPENDITURE 4a. ME, ADDRESS, CITY, STATE AN ZIP 1 l(v)( ( nr d f2a , br 6(A Mtr-s I. sr Sa . � o`f 3 DESCRIPTION OF ITEMS OR SERVIC PURCHASED 4b.ry NAMDDSS, CITY, TATE AND RE 1 {'t. c SJ (9 (A ZI�LI�'-„`-' toy CA °I(«cv, ((ri DESCRIPTION OF ITEMS OR SERVICES PURCHASED 4c.E, ADDRESS CITY, STATE AND ZIP V, ryY l vac JD� Vvur,s��7L�� aG� ��3O 0114 ID DESCRIPTION OF ITEMS OR SERVICES PURCHASED 4d. -7,E, ADDRESS, CITY, STATE AND ZIP a t4 o S� DESCRIPTION OF ITEMS OR SERVICES PURCHASED 4e.ADDRESS, CITY, STATE AND ZIP t r, c�(a� �G Q- 0r� vc I KC �O G �tiu-s S rr-n S go L/ DESCRIPIrION 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 itf last page of Schedule D, transfer total to Detail Summary Page Line 9, Column A] I, a 10 Y *Expenditures, other than a contract, promise or agreement to make an expenditure resulting in credit `� Page" of— INDEPENDENT EXPENDITURES* 1. Committee Name jj-u rd-' -c "L 3. Report covering period from l �f' thru SCHEDULE D-1 2. ID# 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 PURCHAS 1enfi1j CANDIDATE OFFICE SOUGHT YEAR OF ELECTION 4b. NAME, ADDRESS, CITY, STATE AND ZIP PURPOSE AND DESCRIPTION OF PURCHA enerrtt CANDIDATE OFFICE SOUGHT YEAR OF ELECTION 4c, NAME, ADDRESS, CITY, STATE AND ZIP PURPOSE AND DESCRIPTION OF PURCHAS enefitt 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 expenddure(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. (_�'u _LCZ I andz ec, 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_of LOANS MADE BY REPORTING COMMITTEE 1. Committee Name Z 1A r(/t�t- C'L' - f 3. Report covering period from Y/ � 16( 11 ca thru ` 2. ID# SCHEDULE D-2 4 LOANS MADE BY THE REPORTING COMMITTEE DATE LOAN MADE AMOUNT OF THE LOAN NAME, ADDRESS AND ID# OF COMMITTEE TO WHOM LOAN (DISBURSEMENT) WAS MADE 4a. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# 4b. NAME, ADDRESS, CITY, STATE, ZIP, AND IDN 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# 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] Pagel of I 4a. 4b. 4c. 4d. 4e. 4f. OFFSETS TO OPERATING EXPENSES * f� l 1. Committee Name r V, i C(k ("4�. 3. Report oovering period from q 2. ID# SCHEDULE D-3 REBATES, REFUNDS AND OTHER OFFSETS TO OPERATING EXPENSES DATE REFUND RECEIVED AMOUNT OFTHE 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 D3, [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. REPAYMENT OF CANDIDATE LOANS 1. Committee Name 3. Report covering period from a 2. ID# SCHEDULE D-4 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, CIN, STATE, AND ZIP NAME, ADDRESS, CIN, 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-3 [Transfer total to Detail Summary Page, Line 13(a), Column A] u Schedule D4 I'agc of REPAYMENT OF ALL OTHER LOANS SCHEDULE D-5 2. ID# Committee NameLt �L�� l V V lir i✓� Report covering period from V- 1 thru 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 D5 [Transfer total to Detailed Summary Page, Line 13(b), Column A] Page_of TRANSFERS TO OTHER POLITICAL COMMITTEES SCHEDULE D-6 2. ID# 1. Committee Name 3. Report covering period from �✓ l f oe thru 1 1 1 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£ [Transfer total to Detailed Summary Page, Line 14, Column A] Page_of ANY OTHER DISBURSEMENT 2. ID# 1. Committee Name 3. Report covering period from ) ` ` SCHEDULE D-7 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—L-f I IN-KIND CONTRIBUTIONS and EXPENDITURES 2. ID# Committee Name q)U V' " `"C4— "' Y bi IL[� 3. Report Covering period from ` E- SCHEDULE E 4 IN-KIND CONTRIBUTIONS and EXPENDITURES DATE FAIR MARKETVALUE NAME AND ADDRESS OF INDMDUAL (OR NAME, ADDRESS AND ID# 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 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 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 of — . DIVIDENDS, INTEREST, AND OTHER RECEIPTS 1. Committee Name{ 3. Report covering period from 2, ID# 6I (lq (I(a SCHEDULE F-1 4 DIVIDENDS, INTEREST AND OTHER FORMS OF RECEIPTS DATE AMOUNT RECEIVED AMOUNT OFTHE 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 * SCHEDULE F-2 1. Committee Name 3. Report covering period from 2. ID# I f� 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 ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE F-2 [If last page of Schedule F-2, transfer total to Detailed Summary Page, Line 4(E), Column A] Includes return of contributions received by reporting committee Page_of DEBTS AND OBLIGATIONS (Excluding Loans) SCHEDULE F-3 1. Committee Name 3. Report covering period from thru 2. ID# 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]