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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]