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Home My WebLink AboutCampaign Finance Records - Finance report - Burdick for Mayor - 10/31/2016 (6)1 POLITICAL COMMITTEE CITY OF CAMPAIGN FINANCE REPORT 2016 AugusMovember Regular Election • r Full Name of Committee I')di -I K� In I'" I.a__-) Address C" L n ZIP Code 2. VC�.tf �`. \b� VVLCiIi Sponsoring organization or Candidate and office u County Phone FOR OFFICE USE ONLY CITY CLERK CITY OF GLENO }. LE 2096 OCT 3 { AM 1: 4. REPORTING PERIOD (Please die& appropriate box) DUE BETWEEN F] January 31 Report - For Period of thru December 31, 2015 .... .... ....... . January 1, 2016 and February 1, 2016 ❑ June 30 Report - For Period of January 1, 2016 thou 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 5a Surplus from Previous Campaign (or at time Statement of Organization was filed for the new committee) 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 October27, 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) + 7 �l 5b Cash on Hand at the Beginning of this Reporting Period I ! / % 4l �o (v,3, 5c Total Receipts (from corresponding columns on Detailed Summary Page, Line 8) `I oc a �, 3 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] f �a r� r� `oS &6p3 6b Total Disbursements (from corresponding columns on Detailed Summary Page, Line 18) d 7. Cash on Hand at Close of Reporting Period [Subtract Line 6b from Line 5d] -Insert awe wnicn is ci nays aver awe or last election (A.K.J. � Ib-Vlj). —Other reports will be due before this reporting period if a special or recall election is held prior to the next general election. Revised 5/15 DETAILED SUMMARY PAGE Page 2 OF RECEIPTS AND DISBURSEMENTS 2. ID# 1. Committee Name: IJI,MydA LAA o,_,,_, -7w 3. Report covering period from . _ — 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 (notal 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(0, 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) ®(j 4,3 (0 O (05 O (9 d 00 (67 C b o j 0 t C ` b (' Q (� 0 15 a C !' US � ' f _, (1 ?J 4 , 4 & G 17. Rebates, refunds and other offsets to operating expenses (Total from Schedule D-3) U 3 �' 04 a 5 3 r0 • G b oB I –I ,.3 / ) `f IX f –7 , '75 12. Loans made by reporting committee (Total from Schedule D-2) 0 13. (a) Repayment of loans made or guaranteed by candidate (Total from Schedule D-4) (� i (b) Repayment of all other loans (Total from Schedule D-5) j C) (c) Total Loan Repayments [add 13(a) and 13(b)] 0 14. Transfers to other political committees (Total from Schedule D-6) 0 15. Any other disbursement (Total from Schedule D-7) 16. Subtotal disbursements [add lines 9, 10, 11, 12, 13(c), 14, and 15] 4 , 4 & G 17. Rebates, refunds and other offsets to operating expenses (Total from Schedule D-3) U d 18. Total disbursements [subtract line 17 from line 161 oB I –I ,.3 / ) `f 19. Total Outstanding Debts owed by Reporting Candidate or Political Committee (Schedule F-3) c) 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 11t4—) Print Name J(Z I Signature of Treasurer or Canldidate or Designating Individual Date I CONTRIBUTIONS more than $50 -from INDIVIDUALS* SCHEDULE A 2. ID# 1. Committee Name C�� '� � , v �- Jf 3. Report covering period from { O / thrums / l 4 CONTRIBUTIONS DATE RECEIVED AMOUNT RECEIVED THIS PERIOD CUMULATIVE TOTAL THIS CAMPAIGN TO DATE NAME, ADDRESS, OCCUPATION AND EMPLOYER OR CONTRIBUTOR 4a. nTjt'0A FIRST MI �/ % STREET ADDRESS t �'"' 1 �'- CITY STATE ZIP �'`- AZ (1 C 0 a (D/// OCCUPATION EMPLOYER b. IAST 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(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 Of them on Schedule A-1. CONTRIBUTIONS of $50 or less -AGGREGATE TOTAL` 1. Committee Name 3. Report covering period from CI / P® 11 4. Aggregate Total of Contributions of $50 or less 00-1 2. ID# SCHEDULE A-1 DESCRIPTION AMOUNT RECEIVEDTHIS 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# 1. Committee Name 3. Report covering period from 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 2. ID # 3. Report covering period from G 12(21 thru 1y 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 a 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] OTHERLOANS Committee Name 3. Report covering period from 2. ID# SCHEDULE C1 4 ALL OTHER LOANS DATE LOAN RECEIVED AMOUNT OF LOAN CUMULATIVE TALTHIS CAMPAIGN CCAMPAIGN 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 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 IDN DESCRIPTION 4C NAME OF PERSON OR COMMITTEE MAKING LOAN, ADDRESS, CITY, STATE, ZIP, AND IDN NAME OF ENDORSER OR GUARANTOR OF LOAN, ADDRESS, CRY, STATE, ZIP, AND IDN 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 Iasi 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. I D# 1. Committee Name ULArata, Y 3. Report covering period from 4 EXPENDITURES DATE AMOUNT OF EXPENDITURE THE NAME AND ADDRESS TO WHOM EXPENDITURE (DISBURSEMENT) WAS MADE MADE EXPENDITURE 4a_ NAME, ADDRESS,, CITY, STAIV AND ZIP L()()SCS �Vod DESCRIPTION OF ITEMS OR SERVICES PURCHASED INCE, ADDRESS, CITY, STAWND� l (• J� DRIPTION OF ITEMS OR SERVICES PURCHASED 4c. E, ADDRESS, CITY, STATE AND IP b 0 IJ C_-P� f l-tkk 4 t-;� 0 o ht� x'12 %S to ° L4 (O/�� rr � �S u, DESCRIPTION OF ITEMS OR SERVICES PURCHASED 4d. NAME,'ADDRESS, CITY, STATE AND ZIP DESCRIPTION OF ITEMS OR SEICESPURCHASED v 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] 31-7 ri ! p( *Expenditures, other than a contract, promise or agreement to make an expenditure resulting in credit Page—[of_L INDEPENDENT EXPENDITURES* SCHEDULE D-1 2. ID# 1. Committee Name )'t V A t-^ — J�t /' LLA L 3_ Report covering period from Uqn) I I ( T thru 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 eneritt sed CANDIDATE OFFICE SOUGHT YEAR OF ELECTION 4b_ NAME, ADDRESS, CITY, STATE AND ZIP PURPOSE AND DESCRIPTION OF PURCHA enefitt sed CANDIDATE OFFICE SOUGHT YEAR OF ELECTION 4c. NAME, ADDRESS, CITY, STATE AND ZIP PURPOSE AND DESCRIPTION OF PURCHAS Litt sed CANDIDATE OFFICE SOUGHT YEAR OF ELECTION 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-1 [Ir 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 Schedule D-1 Page_of_ LOANS MADE BY REPORTING COMMITTEE SCHEDULE D-2 1. Committee Name 3. Report covering period from 0/ 2 2. ID# 4 tt 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 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# 4g. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# 4h. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# 4i. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-2 [Transfer total to Detail Summary Page Line 12, Column A] Page_of 4a. 4b. 4c- c. 4d- 4d. 4e. 4e. 4f. 1. Committee Name Report covering p OFFSETS TO OPERATING EXPENSES * SCHEDULE D-3 2. ID# 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. REPAYMENT OF CANDIDATE LOANS 1. Committee Name 3. Report covering period from V 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, 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 ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-4 [Transfer total to Detail Summary Page, Line 13(a), Column A] u Schedule DA Page_of - REPAYMENT OF ALL OTHER LOANS 2. ID# 1. Committee Name u cu C' & V M C /--ii /^-/ t 3. Report covering period from SCHEDULE D-5 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 r ,[AJ U.yCU-(-I, 3. Report covering period from 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] 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_of IN-KIND CONTRIBUTIONS and EXPENDITURES 2. ID# Committee Name 3. Report covering period from q b () / L (' thru l do -1 / 1 lam' 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# r { �✓(. CONTRIBunow EXP D SCRsI�P�TI/ON OC AT N - 1! EMPLO � iN Gcc,� 4b. NAME, ADDRESS, CITY, STATE, ZIP AND ID# CONTRIBUTION EXPENDITURE DESCRIPTION OCCUPATION EMPLOYER 4c. NAME, ADDRESS, CITY, STATE, ZIP AND 10# CONTRIBUTION EXPENDITURE DESCRIPTION OCCUPATION EMPLOYER 4d. NAME, ADDRESS, CITY, STATE, ZIP AND ID# CONTRIBUTION EXPENDITURE DESCRIPTION OCCUPATION EMPLOYER 5. ENTER TOTAL IN-IOND 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 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 (ff last page of Schedule F-1, transfer total to Detailed Summary Page Line 7 Column A Page_of _ OFFSETS TO CONTRIBUTIONS RECEIVED * 2. ID# 1. Committee Name d �' cl c,c'i" Ci'►,'% )') . , 3. Report covering period from SCHEDULE F-2 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 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) 2. ID# Committee Name t,i �' (.�(,� '�� (AA—a'�C3 --e —Z7 SCHEDULE F-3 3. Report covering period from f / Gam! 1 Y2 thru----o / q ( I I o 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]