HomeMy WebLinkAboutCampaign Finance Records - Finance report - Burdick for Mayor - 2/1/20161
2.
POLITICAL COMMITTEE
CITY OF Glendale
CAMPAIGN FINANCE REPORT
2015 November Special Election
Burdick for Mayor
Fu!I Name of Committee
12417 N 66th Ave
Address
Glendale 85304 Maricopa (623) 282-2588
city ZIP Code County Phone
Burdick for Mayor
Sponsoring Organization or Candidate and office
Mark Burdick, Mayor
Name of Candidate and Office Sought (if applicable)
burdickformayor@gmail.com NIA
E -Mail Address Fax #
4. REPORTING PERIOD (Please check appropriate box)
FOR OFFICE USE ONLY
ERIK
CITYIOF GL HDALE
1016 FEB -I PM 4: 44
❑ January 31 Report -For Period of * thru December 31, 2014 .......... .
❑ June 30 Report - For Period of January 1, 2015 thru May 31, 2015 .......
❑ Pre -Election Report - For Period of June 1, 2015 thru October 22, 2015
❑ Post -Election Report - For Period of October 23, 2015 thru November 23, 2015
❑� January 31, Report - For Period of November 24, 2015 thru December 31, 2015 **
DUE BETWEEN
... . January 1, 2015 and January 31, 2015
.... June 1, 2015 and June 30, 2015
October 23, 2015 and October 30, 2015
.... November 24, 2015 and December 3, 2015
January1,2016 ..and January 31,2016 **
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)
5b Cash on Hand at the Beginning of this Reporting Period
25,603.44
12,225.08
40,078.75
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]
37,828.52
40,078.75
6a Total Debts and Obligations from Previous Campaign Committee at
Beginning of this Election Period (or at time Statement of
0
Organization was filed for the new committee) [Do not add or
subtract this line from the other lines]
6b Total Disbursements (from corresponding columns on
Detailed Summary Page, Line 18)
5,930.01
8,180.24
31,898.51
31,898.51
7. Cash on Hand at Close of Reporting Period [Subtract
Line 6b from Line 5d
*Insert date which is 21 days after date of last election (A.R.S. §16-913).
**This will depend on the year next election is held. The "due between" year will be the year of an election and the date following
"December 31" will be the immediately prior year.
Revised 9/14
DETAILED SUMMARY PAGE Page 2
OF RECEIPTS AND DISBURSEMENTS 2. ID#
1. Committee Name: Burdick for Mayor
3. Report covering period from 11/24/15 Thru 12/31/15 15-07
RECEIPTS COLUMN A COLUMN B
THIS PERIOD CAMPAIGN TO DATE
4. Contributions other than loans and in-kind:
(a) Individuals - more than $50 (Total from Schedule A)
(b) Individuals - aggregate $50 or less (Total from Schedule A-1)
(c) Political Committees (Total from Schedule B)
(d) Subtotal Contributions [add 4(a). 4(b), and 4(c)]
(e) Refund of contributions (Total from Schedule F-2)
(f) Total Contributions Other than Loans and In-kind [subtract 4(e) from 4(d)]
5. (a) Loans made or guaranteed by candidate (Total from Schedule C)
(b) All other loans (Total from Schedule C-1)
(c) Total Loans [add 5(a) and 5(b)]
6. In-kind contributions (Total from Schedule E)
7. Dividends, interest, and other forms of receipts (Total from Schedule F-1)
8. Total Receipts [add 4(f), 5(c), 6, and 7]
5,455.93
11,751.00
37,951.00
0
0
0
0
11,751.00
37,951.00
0
0
11,751.00
37, 951.00
0
0
0
0
0
0
474.08
2,127.75
0
0
12,225.08
40,078.75
DISBURSEMENTS
9. Expenditures for operating expenses (Total from Schedule D)
5,455.93
6,052.49
10. Independent Expenditures (Total from Schedule D-1)
0
0
11. Value of In-kind expenditures (Total from Schedule E)
474.08
2,127.75
12. Loans made by reporting committee (Total from Schedule D-2)
0
0
13. (a) Repayment of loans made or guaranteed by candidate (Total from Schedule D-4)
0
0
(b) Repayment of all other loans (Total from Schedule D-5)
0
0
(c) Total Loan Repayments [add 13(a) and 13(b)]
0
0
14. Transfers to other political committees (Total from Schedule D-6)
0
0
15. Any other disbursement (Total from Schedule D-7)
0
0
16. Subtotal disbursements [add lines 9. 10, 11, 12, 13(c), 14, and 15]
5,930.01
8,180.24
17. Rebates, refunds and other offsets to operating expenses (Total from Schedule D-3)
0
0
18. Total disbursements [subtract line 17 from line 16]
5,930.01
8,180.24
19. Total Outstanding Debts owed by Reporting Candidate or Political Committee (Schedule F-3)
0
0
20. 1 certify, under penalty of perjury, that I have examined the contents of this campaign finance report and to the best of my know!edge and belief it is true and
com ,ete.
Print Name of Treasurer
Signature of Treasurer or Candidate or Designating Individual Date
CONTRIBUTIONS more than $50 -from INDIVIDUALS*
1. Committee Name Burdick for Mayor
3. Report covering period from 11/24/15
12/31/15
SCHEDULE A
2. ID#
15-07
4
CONTRIBUTIONS
DATE
AMOUNT
CUMULATIVE
RECEIVED
RECEIVED
TOTALTHIS
NAME, ADDRESS, OCCUPATION AND EMPLOYER OR CONTRIBUTOR
THIS
PERIOD
CAMPAIGN
TO DATE
4a.
LAST FIRST MI
Fisher David
STREET ADDRESS
0617 N 53rd St
11/28/15
25.00
25.00
CITY STATE ZIP
ave Creek AZ 85331
OCCUPATION
Retired
EMPLOYER
Retired
b.
LAST FIRST MI
Ware Gary
STREETADDRESS
578 W Butler Dr
12/9/15
25.00
25.00
CITY STATE ZIP
Peoria AZ 85345
OCCUPATION
EMPLOYER
F
Cog
C.
LAST FIRST MI
endergraft Mike
STREET ADDRESS
1036 E San Miguel
12/15/15
400.00
400.00
CITY STATE ZIP
Phoenix AZ 85014
OCCUPATION
EMPLOYER
Owner
American Valet
d.
LAST FIRST MI
Lewkowitz Jerry
STREET ADDRESS
5745 N 25th P1
12/15/15
250.00
250.00
CITY STATE ZIP
Phoenix AZ 85016
OCCUPATION
EMPLOYER
Attornev
Self
e.
LAST FIRST MI
Doe Elizabeth
STREET ADDRESS
16639 N 23rd PI
CITY STATE ZIP
12/17/15
50.00
50.00
Phoenix AZ 85022
OCCUPATION
EMPLOYER
munities
5.
ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE A [If last page of Schedule A. transfer total to Detailed
Summary Page Line 4(z), Column A]
'If contributions of $50 or less are listed with contributor's name, address, occupation and employer on Schedule A, do not include Page 1 Of 4
them on Schedule A-1.
CONTRIBUTIONS more than $50 -from INDIVIDUALS` SCHEDULE A
2. ID#
15-07
1. Committee Name
Burdick for Mayor
3. Report covering period from 11/24/15 thru 12/31/15
4
CONTRIBUTIONS
DATE
AMOUNT
CUMULATIVE
RECEIVED
RECEIVED
TOTAL THIS
NAME, ADDRESS, OCCUPATION AND EMPLOYER OR CONTRIBUTOR
THIS
PERIOD
CAMPAIGN
TO DATE
4a.
LAST FIRST MI
elisle Yvonne
STREET ADDRESS
12655 N 15th Ave
O
12I1$I1S
100.00
100.00
CITY STATE ZIP
C
Phoenix AZ 85029
OCCUPATION
Retired
EMPLOYER
Retired
b.
LAST FIRST MI
Hayes :Martha
STREET ADDRESS
3536 E Cortez Way
12/19/15
5,000.00
5,000.00
CITY STATE ZIP
Phoenix AZ 85028
OCCUPATION
EMPLOYER
Retired
Retired
C.
LAST FIRST MI
Wilt Donna
STREET ADDRESS
6843 W Country Cables Dr
12/19/15
100.00
100.00
CITY STATE ZIP
Peoria AZ 85381
OCCUPATION
EMPLOYER
INFO REQUESTED
INFO REQUESTED
d.
LAST FIRST MI
Johnson Kathryn
STREET ADDRESS
1138 E Village Circle Dr N
12/20/15
50.00
50.00
CITY STATE ZIP
Phoenix AZ 85022
OCCUPATION
EMPLOYER
Jose Rivera
e.
LAST FIRST MI
Ruiz Bobby
STREET ADDRESS
9040 S 23rd Ave
12/21/15
500.00
500.00
CITY STATE ZIP
Phoenix AZ 85041
OCCUPATION
EMPLOYER
Peoria
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 4
them on Schedule A-1.
CONTRIBUTIONS more than $50 -from INDIVIDUALS*
1. Committee Name
Burdick for Mayor
3. Report covering period from 11/24/15
12/31/15
SCHEDULE A
2. ID#
15-07
4
CONTRIBUTIONS
DATE
RECEIVED
AMOUNT
RECEIVED
CUMULATIVE
TOTALTHIS
THIS
PERIOD
CAMPAIGN
TO DATE
NAME, ADDRESS, OCCUPATION AND EMPLOYER OR CONTRIBUTOR
4a.
LAST FIRST MI
ohnson Patty
12/21/15
200.00
200.00
STREETADDRESS
206 N Mockingbird Ln
CITY STATE ZIP
Paradise Valley AZ 85253
OCCUPATION
Consultant
EMPLOYER
Self employed
b.
LAST FIRST MI
Berg David
STREET ADDRESS
13048 N 14th Way
12/23/15
501.00
501.00
CITY STATE ZIP
Phoenix AZ 85022
OCCUPATION
Executive
EMPLOYER
Arrowhead Health
C.
LAST FIRST MI
Johnson Justin
STREET ADDRESS
17 W Vernon Ave
12/23/15
500.00
500.00
CITY STATE ZIP
Phoenix AZ 85004
OCCUPATION
EMPLOYER
Home Builder
Self
d.
LAST FIRST MI
Johnson Paul
STREET ADDRESS
501 W Why Worry Ln
12/23/15
500.00
500.00
CITY STATE ZIP
Phoenix AZ 85021
OCCUPATION
EMPLOYER
Partner
Old World Communities
e.
LAST FIRST MI
Johnson Robert
STREETADDRESS
13054 N 14th Way
12/23/15
500,00
500,00
CITY STATE ZIP
Phoenix AZ 85022
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 3 of 4
them on Schedule A-1.
CONTRIBUTIONS more than $50 - from INDIVIDUALS*
1. Committee Name
Burdick for Mayor
3. Report covering period from 11/24/15
12/31/15
SCHEDULE A
2. ID#
15-07
4
CONTRIBUTIONS
DATE
RECEIVED
AMOUNT
RECEIVED
CUMULATIVE
TOTAL THIS
NAME, ADDRESS, OCCUPATION AND EMPLOYER OR CONTRIBUTOR
THIS
PERIOD
CAMPAIGN
TO DATE
4a.
LAST FIRST MI
Johnson,Jr Rob
STREETADDRESS
13054 N 14th Way
12/23/15
50.00
50.00
CITY STATE ZIP
Phoenix AZ 85022
OCCUPATION
Student
EMPLOYER
Student
b.
LAST FIRST MI
Wood Nicholas
STREET ADDRESS
1782 East Carver Rd
12/27/15
250,00
250,00
CITY STATE ZIP
Phoenix AZ 85284
OCCUPATION
EMPLOYER
Attorney
Snell & Wilmer
C.
LAST FIRST MI
Becker Mark
STREET ADDRESS
5950 E Caballo Dr
12/28/15
2,500.00
5,000.00
CITY STATE ZIP
Paradise Valley AZ 85253
OCCUPATION
EMPLOYER
Owner
Becker Boards
d.
LAST FIRST MI
Diaz Mario
STREETADDRESS
9301 East Adobe Drive
12/29/15
250.00
250.00
CITY STATE ZIP
Phoenix AZ 85255
OCCUPATION
EMPLOYER
Government Relations
Mario E Diaz & Associates LLC
e.
LAST FIRST MI
STREETADDRESS
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 Ai
11 751.00
.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 4
them on Schedule A-1.
CONTRIBUTIONS of $50 or less - AGGREGATE TOTAL*
Burdick for Mayor
1. Committee Name
11/24/15
3. Report covering period from
4. Aggregate Total of Contributions of $50 or less
12/31/15
SCHEDULE A-1
2. ID#
15-07
DESCRIPTION
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE
TOTAL THIS CAMPAIGN TO DATE
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, 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
B
1. Committee Name Burdick for Mayor
11/24/15
3. Report covering period from
12/31/15
SCHEDULE B
2. ID#
15-07
4
CONTRIBUTIONS
AMOUNT
RECEIVED
THIS
PERIOD
CUMULATIVE
TOTAL THIS
CAMPAIGN TO
DATE
IDENTITY OF CONTRIBUTORAND DATE RECEIVED
4a
ID #
NAME, ADDRESS, CITY, STATE AND ZIP
DATE RECEIVED
b.
ID #
NAME, ADDRESS, CITY, STATE AND ZIP
DATE RECEIVED
C.
ID #
NAME, ADDRESS, CITY, STATE AND ZIP
DATE RECEIVED
d.
ID#
NAME, ADDRESS, CITY, STATE AND ZIP
DATE RECEIVED
e.
ID #
NAME, ADDRESS, CITY, STATE AND ZIP
DATE RECEIVED
f.
ID #
NAME, ADDRESS, CITY, STATE AND ZIP
DATE RECEIVED
g.
ID #
NAME, ADDRESS, CITY, STATE AND ZIP
DATE RECEIVED
h.
ID #
NAME, ADDRESS, CITY, STATE AND ZIP
DATE RECEIVED
i.
ID #
NAME, ADDRESS, CITY, STATE AND ZIP
DATE RECEIVED
5.
ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE B [If last page of Schedule B, transfer total to
Detailed Summary Page, Line 4(c), Column A]
CANDIDATE LOANS
SCHEDULE C
1.
Committee Name
Burdick for Mayor
2. ID #
15-07
3.
Report covering period from 11/24/15 thru 12/31/15
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 Page_of
OTHERLOANS
Committee Name Burdick for Mayor
s. Report covering 11/24/15 12/31/15
p g period from thru
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, Zi P, AND ID#
NAME OF ENDORSER OR GUARANTOR OF LOAN, ADDRESS, CITY, STATE, ZIP, AND ID#
DESCRIPTION
4b
NAME OF PERSON OR COMMITTEE MAKING LOAN, ADDRESS, CITY, STATE, ZIP, AND ID#
NAME OF ENDORSER OR GUARANTOR OF LOAN, ADDRESS, CITY, STATE, ZIP, AND ID#
DESCRIPTION
4C
NAME OF PERSON OR COMMITTEE MAKING LOAN, ADDRESS, CITY, STATE, ZIP, AND ID#
NAME OF ENDORSER OR GUARANTOR OF LOAN, ADDRESS, CITY, STATE, ZIP, AND ID#
DESCRIPTION
4d
NAME OF PERSON OR COMMITTEE MAKING LOAN, ADDRESS, CITY, STATE, ZIP, AND ID#
NAME OF ENDORSER OR GUARANTOR OF LOAN, ADDRESS, CITY, STATE, ZIP, AND ID#
DESCRIPTION
5.
ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE C-1 [If last page of Schedule C-1, transfer total to Detailed Summary
Page, Line 5(a), Column A]
Page 1 of 1
EXPENDITURES FOR OPERATING EXPENSES* SCHEDULE D
2. I D#
15-07
1. Committee Name Burdick for Mayor
3. Report 11/24/15 12/31/15
p g period from thru
4
EXPENDITURES
DATE
AMOUNT OF
EXPENDITURE
MADE
THE
EXPENDITURE
NAME AND ADDRESS TO WHOM EXPENDITURE (DISBURSEMENT) WAS MADE
4a.
NAME, ADDRESS, CITY, STATE AND ZIP
PB Consulting, LLC
15825 N 9th Ave.
Phoenix, AZ 85023
11/25/15
1500.00
DESCRIPTION OF ITEMS OR SERVICES PURCHASED
Fundraising fee
4b.
NAME, ADDRESS, CITY, STATE AND ZIP
Integrated Web Strategy
11/30/15
393.50
5330 N 12th St
Phoenix- AZ 8.q014
DESCRIPTION OF ITEMS OR SERVICES PURCHASED
Graphic design
4c.
NAME, ADDRESS, CITY, STATE AND ZIP
PB Consulting, LLC
12/1/15
500.00
15825 N 9th Ave.
Phoenix, AZ 85023
DESCRIPTION OF ITEMS OR SERVICES PURCHASED
Fundraising fee
4d.
NAME, ADDRESS, CITY, STATE AND ZIP
Piryx, Inc. dba Rally.org
12/9/15
2.28
649 Mission Street, #204
San Francisco. CA 94105
DESCRIPTION OF ITEMS OR SERVICES PURCHASED
Transaction fee
4e.
NAME, ADDRESS, CITY, STATE AND ZIP
PB Consulting, LLC
15825 N 9th Ave.
Phoenix- AZ 85023
12/15/15
2000.00
DESCRIPTION OF ITEMS OR SERVICES PURCHASED
Fundraising fee
4f.
NAME, ADDRESS, CITY, STATE AND ZIP
Piryx, Inc. dba Rally.org
649 Mission Street, #204
San Francisco, CA 94105
12/15/15
20.05
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 1 of
EXPENDITURES FOR OPERATING EXPENSES* SCHEDULE D
1. Committee Name Burdick for Mayor
Report covering period from 11/24/15
thru 12/31/15
2. ID#
15-07
4
EXPENDITURES
DATE
AMOUNT OF
EXPENDITURE
MADE
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 94105
12/27/15
20.05
DESCRIPTION OF ITEMS OR SERVICES PURCHASED
Transaction fee
4b.
NAME, ADDRESS, CITY, STATE AND ZIP
Piryx, Inc. dba Rally.org
12/29/15
20.05
649 Mission Street, #204
San Francisco CA 94105
DESCRIPTION OF ITEMS OR SERVICES PURCHASED
Transaction fee
4c.
NIntegratedTWeb Strategy
12/31/15
1000.00
5330 N 12th St
Phoenix AZ 85014
DESCRIPTION OF ITEMS OR SERVICES PURCHASED
Social media advertising
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 ".o Detail Summary Page Line
9, Column A]
5,455.93
'Expenditures, other than a contract, promise or agreement to make an expenditure resulting in credit
Page 2 of?
INDEPENDENT EXPENDITURES*
B
1. Committee Name Burdick for.Mayor
3. Report covering period from 11 /24/15
fhni 12/31/15
SCHEDULE D-1
2. ID#
15-07
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
enefitte
Ipposed
CANDIDATE OFFICE SOUGHT YEAR OF ELECTION
4b.
NAME, ADDRESS, CITY, STATE AND ZIP
PURPOSE AND DESCRIPTION OF PURCHA
enefitte
osed
CANDIDATE OFFICE SOUGHT YEAR OF ELECTION
4c.
NAME, ADDRESS, CITY, STATE AND ZIP
PURPOSE AND DESCRIPTION OF PURCHAS
enefitte
Ipposed
CANDIDATE OFFICE SOUGHT YEAR OF ELECTION
5.
ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-1 rIf 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 LAST AMOUNT
SIX MONTHS
Schedule D-1 Page_of
LOANS MADE BY REPORTING COMMITTEE
Committee Name Burdick for Mayor
Repoli 11/24/15 covering period from thru 12/31/15
SCHEDULE D-2
2. ID#
15-07
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 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 IDN
5.
ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-2 [Transfer total to Detail Summary Page Line 12, Column A]
Page 1 of 1
4a.
4b.
4c.
4d.
4e.
4f.
OFFSETS TO OPERATING EXPENSES *
Committee Name Burdick for Mayor
3. Report covering period from 11/24/15
12/31/15
SCHEDULE D-3
2. ID#
15-07
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, C TY, 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 Iota! to Detailed Summary Page Line 17 Column Aj
* Includes return of contributions made by reporting committee
Schedule D-3 Page of
4a.
4b.
4c.
4d.
4e.
4f.
REPAYMENT OF CANDIDATE LOANS
Committee Name Burdick for Mayor
3. Report covering 11/24/15
p g period from
12/31/15
SCHEDULE D-4
2. ID#
15-07
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 Al
Schedule DA Page_of _
REPAYMENT OF ALL OTHER LOANS SCHEDULE D-5
1. Committee Name Burdick for Mayor
3. Report covering period from 11/24/15
12/31/15
2. ID#
15-07
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 !D#
4d.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
4e.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
4f.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
5.
ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-5 [Transfer total to Detailed Summary Page, Line 13(b), Column A]
Page? of 1
TRANSFERS TO OTHER POLITICAL COMMITTEES
1. Committee Name Burdick for Mayor
3. Report covering 11/24/15
p g period from
12/31/15
SCHEDULE D-6
2. ID#
15-07
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#
40.
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#
ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-6 [Transfer total to Detailed Summary Page, Line 14, Column A]
u
Page of 1
ANY OTHER DISBURSEMENT
Burdick for Mayor
1. Committee Name
11/24/15
3. Report covering period from
12/31/15
SCHEDULE D-7
2. ID#
15-07
4.
ANY OTHER DISBURSEMENTS
DATE
DISBURSEMENT
MADE
AMOUNT OF THE
DISBURSEMENT
NAME, ADDRESS AND ID# OF COMMITTEE TO WHOM
DISBURSEMENT WAS MADE; DESCRIPTION
4a.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
DESCRIPTION
4b.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
DESCRIPTION
4c,
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
DESCRIPTION
4d.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
DESCRIPTION
4e.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
DESCRIPTION
5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-7 [Transfer total to Detailed Summary Page Line 15 Co!umn A]
Page of
IN-KIND CONTRIBUTIONS and EXPENDITURES SCHEDULE E
2. ID#
15-07
B
1. Committee Name Burdick for Mayor
11/24/15 12/31/15
3. Report covering period from thru
4
IN-KIND CONTRIBUTIONS and EXPENDITURES
DATE
FAIR
MARKETVALUE
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#
Yvonne Knaack
CONTRIBUTION
11438 N 66th Dr
EXPENDITURE
Glendale, AZ 85304
12/1/15
120.00
DESCRIPTION
Event supplies
OCCUPATION
Insurance agent
EMPLOYER
State Farm
4b.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
Mark Burdick
CONTRIBUTION
12417 N 66th Ave
EXPENDITURE
Glendale, AZ 85304
12/21/15
354.08
DESCRIPTION
Web omains
CCUPAT ON
onsultant
EMPLOYER
Self
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
474.08
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 !N -KIND CONTRIBUTIONS ONLY IF LAST PAGE OF SCHEDULE E [If last page of Schedule E, transfer total to Detailed Summary Page
474.08
Lire 11, Column A]
1 1
Page -Of
DIVIDENDS, INTEREST, AND OTHER RECEIPTS
1. Committee Name Burdick for Mayor
3. Report covering11/24/15
period from
12/31/15
SCHEDULE F-1
2. ID#
15-07
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 Lane 7 Column A
Page_of _
OFFSETS TO CONTRIBUTIONS RECEIVED*
1. Committee Name Burdick for Mayor
3. Report covering11/24/15
period from
12/31/15
SCHEDULE F-2
2. ID#
15-07
4
REFUNDS AND OTHER OFFSETS TO CONTRIBUTIONS RECEIVED
DATE
REFUND
MADE
AMOUNT
OF THE
REFUND
NAME AND ADDRESS OF INDIVIDUAL (OR NAME, ADDRESS AND ID# OF THE POLITICAL COMMITTEE)
TO WHOM REFUND WAS MADE
4a.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
DESCRIPTION OF REFUND
45.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
DESCRIPTION OF REFUND
4c.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
DESCRIPTION OF REFUND
4d.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
DESCRIPTION OF REFUND
4e.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
DESCRIPTION OF REFUND
4f.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
DESCRIPTION OF REFUND
5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE F-2 [If last page of Schedule F-2, transfer total to Detailed Summary Page, Line 4(E), Column A]
Includes return of contributions received by reporting committee
t 1
Page of -
DEBTS AND OBLIGATIONS (Excluding Loans)
1. Committee Name Burdick for Mayor
3. Report covering period from 11/24/15
12/31/15
SCHEDULE F-3
2. ID#
15-07
4
DEBTS AND OBLIGATIONS
OUTSTANDING
BALANCE
BEGINNING
THIS PERIOD
AMOUNT INCURRED PAYMENTTHIS OUTSTANDING
THIS PERIOD PERIOD 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]