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Home My WebLink AboutCampaign Finance Records - Finance report - Glendale Forward - 9/26/2016POLITICAL COMMITTEE CITY OF GLENDALE, AZ CAMPAIGN FINANCE REPORT 2016 August/November Regular Election GLENDALE FORWARD 1 Full Name of Committee 5710 W. MONONA DR Address GLENDALE, 85308 MARICOPA 602-277-1500 VA city Sponsoring Organization or Candidate and office ZIP Code County Phone Name of Candidate and Office Sought (if applicable) GLENDALEFORWARD@GMAIL.COM E -Mail Address Fax # 4. REPORTING PERIOD (Please check appropriate box) January 31 Report - For Period of • thru December 31, 2015 ... . .. ❑ June 30 Report - For Period of January 1, 2016 thru May 31, 2016 ............. Pre -Primary Election Report - For Period of June 1, 2016 thru August 18, 2016 .. .... 7 Post -Primary Election Report - For Period of August 19, 2016 thru September 19, 2016 ❑ Pre -General Election Report - For Period of September 20, 2016 thru October 27, 2016 . ❑ Post -General Election Report - For Period of October 28, 2016 thru November 28, 2016 ..... ❑ —January 31, Report - For Period of November 29, 2016 thru December 31, 2017 ......... .... FOR OFFICE USE ONLY CITY UrP. 2011 SEP Zb Pik I: 2)`i DUE BETWEEN ... . . January 1, 2016 and February 1, 2016 .... June 1, 2016 and June 30, 2016 . ..... ... . August 19, 2016 and August 26, 2016 .. September 20, 2016 and September 29, 2016 . .. October 28, 2016 and November 4, 2016 November 29, 2016 and December 8, 2016 ..... 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) 1952.00 5b Cash on Hand at the Beginning of this Reporting Period 5c Total Receipts (from corresponding columns on Detailed 3088.00 28,088.00 Summary Page, Line 8) 5040.00 28,088.00 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] 5040.00 28,088.00 6b Total Disbursements (from corresponding columns on Detailed Summary Page, Line 18) 0 r 0 7. Cash on Hand at Close of Reporting Period [Subtract Line 6b from Line 5d] I -InseR sate wnicn is Z1 days atter date Ot last election (A. K.S. �1b-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 Page 2 OF RECEIPTS AND DISBURSEMENTS 2. ID# 1. Committee Name: GLENDALE FORWARD 16-02 3. Report covering period from $/19/2016 Thru 9/19/2016 RECEIPTS COLUMNA COLUMN THIS PERIOD CAMPAIGN TO DATE 4. Contributions other than loans and in-kind: (a) Individuals - more than $50 (Total from Schedule A) (b) Individuals- aggregate $50 or less (Total from Schedule A-1) (c) Political Committees (Total from Schedule B) 3088.00 28,088.00 (d) Subtotal Contributions [add 4(a), 4(b), and 4(c)] 3088.00 28,088.00 (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) 5040.00 28,088.00 11. Value of In-kind expenditures (Total from Schedule E) 12. Loans made by reporting committee (Total from Schedule D-2) 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) (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 15] 17. Rebates, refunds and other offsets to operating expenses (Total from Schedule D-3) 18. Total disbursements [subtract line 17 from line 16] 5040.00 28, 088.00 19. Total Outstanding Debts owed by Reporting Candidate or Political Committee (Schedule F-3) 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. STEPHEN GILMAN A Type or Print Name of Treasurer I =42!!f 9-21-2016 Signature of Treasurer or Candidate Designating Individ Date CONTRIBUTIONS FROM POLITICAL COMMITTEES SCHEDULE B 2. ID# 16-02 GLENDALE FORWARD 1. Committee Name 8/19/2016 9/19/2016 3. Report covering period from thru 4 CONTRIBUTIONS AMOUNT RECEIVED THIS CUMULATIVE TOTAL THIS CAMPAIGN TOPERIOD DATE IDENTITY OF CONTRIBUTORAND DATE RECEIVED 4a ID # 1460 NAME, ADDRESS, CITY, STATE AND ZIP Phoenix Firefighters Local 493 Fire PAC Com 61 E. Columbus Ave Phoenix, Az 85012 3088'00 28,088.00 DATE RECEIVED 8/25/16 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] 3088.00 28, 088.00 Schedule B Page_of_ INDEPENDENT EXPENDITURES* GLENDALE FORWARD Committee Name 3. Report covering period from 8/19/2016 thru 9/19/2016 2. ID# 16-02 SCHEDULE D-1 4 INDEPENDENT EXPENDITURES DATE AMOUNTOF EXPENDITURE THE MADE EXPENDITURE IDENTIFY RECIPIENT OF EXPENDITURE AND CANDIDATE WHO IS BENEFITTED OR OPPOSED 4a. NAME, ADDRESS, CITY, STATE AND ZIP Az Flyer Service 8776 E. Shea Blvd #432 Scottsdale, Az 85260 p 8/24/16 1620.00 PURPOSE AND DESCRIPTION OF PURCHAS V/ enefitte Lpposed CANDIDATE OFFICE SOUGHT YEAR OF ELECTION Mark Burdick Mayor 2016 4b. NAME, ADDRESS, CITY, STATE AND ZIP Az Flyer Service 8776 E. Shea Blvd #432 Scottsdale, Az 85260 8/29/16 420.00 PURPOSE AND DESCRIPTION OF PURCHAS -/ ♦ enefitte Linposed CANDIDATE OFFICE SOUGHT YEAR OF ELECTION Mark Burdick Mayor 2016 4c. NAME, ADDRESS, CITY, STATE AND ZIP ooks Good Printing and Sign Services 38 E. Tuckey Lane hoenix, Az 85012 D 9/7/16 1500.00 PURPOSE AND DESCRIPTION OF PURCHASI Vilnefitte osed CANDIDATE OFFICE SOUGHT YEAR OF ELECTION ark Burdick Mayor 2016 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 indeper t expenditure(s) was not made in cooperation, consultation or concert with or at the request or suggestion of any can to or any campaign c ittee or agent of that candidate. Signature of Treasure NAMES, CCUPATIONS AND EMPLOYERS AND AMOUNT CONTRIBUTED BY EACH OF THE THREE TOP CONTRIBUTORS WITHIN THE LAST AMOUNT SIX MO HS Schedule D-1 Page_of _ INDEPENDENT EXPENDITURES* GLENDALE FORWARD 1. Committee Name 3. Reportcoverinq period from 8/19/2016 ,,,,,9/19/2016 2. ID# 16-02 SCHEDULE D-1 4 INDEPENDENT EXPENDITURES DATE AMOUNTOF EXPENDITURE THE MADE EXPENDITURE IDENTIFY RECIPIENT OF EXPENDITURE AND CANDIDATE WHO IS BENEFITTED OR OPPOSED 4a. NAME, ADDRESS, CITY, STATE AND ZIP Looks Good Printing and Sign Services 338 E. Tuckey Lane Phoenix, Az 85012 9/7/16 1500.00 PURPOSE AND DESCRIPTION OF PURCHAS ♦ nefitte osed CANDIDATE OFFICE SOUGHT YEAR OF ELECTION Mark Burdick Mayor 2016 4b. NAME, ADDRESS, CITY, STATE AND ZIP PURPOSE AND DESCRIPTION OF PURCHAS enefitte osed CANDIDATE OFFICE SOUGHT YEAR OF ELECTION 4c. NAME, ADDRESS, CITY, STATE AND ZIP PURPOSE AND DESCRIPTION OF PURCHAS enefitte Lpposed CANDIDATE OFFICE SOUGHT YEAR OF ELECTION 5. 1 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] 5040.00 *SEE A.R.S. § 16-901(14). 1 certify, under penalty of perju t the above stated ind ndent expenditure(s) was not made in cooperation, consultation or concert with or at the request or suggestion of a ndidate or any camp committee or agent of that candidate. Signature of CI ES, OCCUPATIONS AND Ery(PLOYERS AND AMOUNT CONTRIBUTED BY EACH OF THE THREE TOP CONTRIBUTORS WITHIN THE LAST AMOUNT (�( MONTHS _ t _ �'1Ge ri ��f i fe �r�ln�ef 5 LMA Lt cA ?AC Co rw-i CA Avv-�b —5 OSS40 Schedule D-1 Paget of 2