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Home My WebLink AboutCampaign Finance Records - Finance report - Committee to Elect Lauren Tolmachoff - 6/23/2015POLITICAL COMMITTEE FOR OFFICE USE ONLY CITY OF Glendale CAMPAIGN FINANCE REPORT CITY (��L.ERK Addrer ZIP Code County Phone Sponsoring Organization or Candidate and office Name oflandidearea d Iffee Sought (i !"Irplicabje) E -Mail Address Fax # 4. REPORTING PERIOD (Please check appropriate box) DUE BETWEEN | �� | January 31 Report - For Period m~m December o1.unw . . . January 1.uomand January o1.uom /� U�^1'JUme 30 Report n�pono mm ' 31, 2015 . .. . . June 1.xo/aand June 30, 2015 | | Pre -Election Report - For Period mJune 1.uo1smmOctober 22. 2015 . October uu.uo1sand October 30, 2015 | | - For Period of October ou.xommmNovember un.un1s ............... November »*.um10and December 3, 2015 5. SUMMARY Column A Column B Total This Election Period Reporting Period Total To Date 5a Surplus from Previous Campaign (or ettime Statement nf Organization was filed for the new committee) 5b Cash onHand otthe Beginning ofthis Reporting Period 5n Total Receipts (from corresponding columns onDetailed Summary Page, Line 8) 5d Subtotal [add Lines band ofor Column Aand add lines uand ofor Column B] *Insert date which is21days after date oflast election (A.R.S. §101913). **This will depend on the year next election is held. The "duo 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 WAGE Page 2 OF RECEIPTS AND DISBURSEMENTS 12 IN �' ,_y. '; 1. Committee Name: J_ t(,gv_rr r C'u'm -['_t' [ ouf rl AUS -4 1-1 j_ Primary 3. Report covering nod from t hr �[ 2 It tet` General 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]�. 10. Independent Expenditures (Total from Schedule 0-1) " 6 � Cj - J m. 12. Loans made by reporting committee (Total from Schedule D-2) �- µ ._• 13. (a) Repayment of loans made or guaranteed by candidate (Total from Schedule D-4) ^ r-= _.{✓ (c) Total Loan Repayments [add 13(a) and 13(b)] DISBURSEMENTS 9. Expenditures for operating expenses (Total from Schedule D) 10. Independent Expenditures (Total from Schedule 0-1) 11. Value of In-kind expenditures (Total from Schedule E) 12. Loans made by reporting committee (Total from Schedule D-2) µ ._• 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 151 �. 17. Rebates, refunds and other offsets to operating expenses (Total from Schedule D-3) 18. Total disbursements [subtract line 17 from line 16] 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. Type or Print Name of I Signature of TreasurVor Candidate or De 'nating Individual Date C/ ` I 1. Committee Name 3. Report covering period from 2. ID# 1 lw 1 Primary �..�: General atA ct) 4 CONTRIBUTIONS DATE RECEIVED AMOUNT RECEIVED THIS PERIOD CUMULATIVE TOTAL THIS C Al bN O DATE NAME, ADDRESS, OCCUPATION AND EMPLOYER OR CONTRIBUTOR 4a. LAST FIRST MI STREET ADDRESS CITY STATE ZIP OCCUPATION EMPLOYER b. LAST FIRST MI STREETADDRESS CITY STATE ZIP OCCUPATION EMPLOYER C. LAST FIRST MI STREET ADDRESS CITY STATE ZIP OCCUPATION EMPLOYER d. LAST FIR MI STREETADDRESS CITY STATE ZIP OCCUPATION EMPLOYER e. LAST FIRST MI STREETADDRE S CITY STATE ZIP O�CCU TION EMPLOYER 5. EN TER 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* SCHEDULE A-1 1. Committee Na qA5D�S-- 3. Report covering period from 1 r thru 4. Aggregate Total of Contributions of $50 or less DESCRIPTION AMOUNT RECEIVED THIS PERIOD I'll 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] T contributions of $50 or less are listed with contributor's name and address on Schedule A, do not include them on this schedule. 1. Committee Name 3. Report covering period from I I, I :), '— I I q th ru J5 J bi 16 t I I I 4 CONTRIBUTIONS AMOUNT RECEIVED THIS PERIOD CUMULATIVE TOTAL THIS CAMPAIGN TO DATE IDENTITY OF CONTRIBUTOR AND DATE RECEIVED 4a ID# pi NAME DDRES, .5, CITY TEAND ZIP V D I'D effiett+ Zr'la A --' 'i� S D&TV R Elf D b. ID# NAME, ADDRESS, CITY, STATE AND ZIP DATE RECEIVED C. ID# NAME, ADDRESS, CITY, STATE AND ZIP DATE RECEIVED cl. 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] Schedule 8 Page Lof CANDIDATE LOANS SCHEDULE C 1. Committee Name t k 'C4 LAr4 -A(S jM#'j_hA 2. ID# Primary EE General 3. Report covering period from 11hru 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, A DRESS, CITY, STATE, AND ZIP , —R) 1, M a ( f, ) v DESCRIPTION d4 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] 00b Schedule C Page I (f, Committee Name Report covering p OTHER LOANS SCHEDULE C1 4 ALL OTHER LOANS CUMULA E DATE AMOUNT TOT HIS NAME AND ADDRESS OF EACH INDIVIDUAL (OR NAME, ID# AND ADDRESS OF LOAN RECEIVED OF LOAN CODA THE POLITICAL COMMITTEE) OR LOAN, AND ANY ENDORSER OR GUARANTOR EN 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 ID# DESCRIPTION 4C NAME OF PERSON OR COMMITTEE MAKING LOAN, ADDRESS, CITY, STATE, ZIP, D ID# NAME OF ENDORSER OR GUARANTOR OF LOAN, ADDRESS, CITY, ST E, ZIP, AND ID# DESCRIPTION 4d NAME OF PERSON OR COMMITTEE MAKING LOAN, DRESS, CITY, STATE, ZIP, AND ID# NAME OF ENDORSER OR GUARANTOR O OAN, ADDRESS, CITY, STATE, ZIP, AND ID# r 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 bf EXPENDITURES FOR OPERATING EXPENSES* SCHEDULE D 1. Committee Name Report covering p 4 EXPENDITURES DATE EXPENDITURE MADE AMOUNT OF THE EXPENDITURE NAME AND ADDRESS TO WHOM EXPENDITURE (DISBURSEMENT) WAS MADE 4a. NAME, ADDRESS, CITY, STATE AND ZIP C"ho DESCRIPTION OF ITEMS OR SERVICES PURCHA2,E? 4b, NAME, ADDRESS, CITY, STATE AND ZIP DESCRIPTION OF ITEMS OR SERVICES PURCHAS98b 4c. NAME, ADDRESS, CITY, SL TE AND ZIP Writ, 06 DESCRIPTION OF ITEMS OV SERV CHASED 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 to Detail Summary Page Line 9, Column A) *Expenditures, other than a contract, promise or agreementto make an expenditure resulting in credit Page_of__ 1. Committee 3. Report cove INDEPENDENT EXPENDITURES* SCHEDULE D-1 2, ID#. 4 INDEPENDENT EXPENDITURES DATE AMOUNT OF EXPENDITURE THE MADE EXPENDITURE IDENTIFY RECIPIENT OF EXPENDITUREAND CANDIDATE WHO IS BENEFITTED OR OPPOSED 4a. NAME, ADDRESS, CITY, STATE AND ZIP PURPOSE AND DESCRIPTION OF PURCHAS lenefittef1pposed CANDIDATE OFFICE SOUGHT AR OF ELECTION 4b. NAME, ADDRESS, CITY, STATE AND ZIP PURPOSE AND DESCRIPTION OF PURCHAS a fitte osed CANDIDATE OFFICE SOU T YEAR OF ELECTION 4c. NAME, ADDRESS, CITY, STATE AND ZIP PURPOSE AND DESCRIPTION OF PURCHAS enefittepposed CANDIDATE £ OFFICE SOUGHT YEAR OF ELECTION 9� [5- s 1 ENTER TOTAL ONLYht 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. § 1611(14). 1 certify, under penalty of perjury, that the above stated independentexpenditure(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 Pagelo1_ FIT09Y ".M." iii 111 111 0 ra- t' Primary I L -r General 1. Committee Nam 3. Report covering period from thru 4 LOANS MADE BY THE REPORTING COMMITTEE -- DATE AMOUNT LOAN M OFTHE LOAN NAME, ADDRESS AND ID# OF COMMITTEE TO WHOM LOAN (DISBURSEMENT) WAS MADE 4a. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# A 4b. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# 4c. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# / 4d. Iz NAME, ADDRESS, CITY, STATE, ZIP, AND ID# fJ 4e. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# 4f, NAME, ADDRESS, CITY, STATE, ZIP, AND ID# I 4g. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# 4h. NAME, ADDRESS, CITY, STATE, ZIP, AtlI6ID# 4i. NAME, ADDRESS, CITY, STA ZIP, AND ID# 5. ENTER TOTAL ONely, IF LAST PAGE OF SCHEDULE D-2 [Transfer total to Detail Summary Page Line 12, Column A] Page_ 4a. 4b. 4c. 4d. 4e. 4f. OFFSETS TO OPERATING EXPENSES * 1. Committee Name 3. Report covering period from 2. ID# ( f Primary General REBATES, REFUNDS AND OTHER OFFSETS TO OPERATING EXPENSES DATE AMOUNT REFUND RECEIVED 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 Zll/' DESCRIPTION OF REFUND NAME, ADDRESS, CITY, ST E, AND ZIP DESCRIPTION OF REFUND 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 Lof(— 4a. 4b. 4c. 4d. 4e. 4f. REPAYMENT OF CANDIDATE LOANS 1. Committee Name 3. Report covering period from SCHEDULE D-4 2. ID# Primary """ I General REPAYMENT OF LOANS MADE OR GUARANTEED BY CANDIDATE DATE AMOUNT OF REPAYMENT MADE THE REPAYMENT NAME AND ADDRESS TO WHOM REPAYMENT (DISBURSEMENT) WAS MADE NAME, ADDRESS, CITY, STATE, AND ZIP NAME, ADDRESS, CITY, STATE, AND ZIP 6P NAME, ADDRESS, CITY, STATE, AND ZIP Y, 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-4 [Transfer total to Detail Summary Page, Line 13(a), Column Al Schedule D-4 Page—j_of� 1. Committee REPAYMENT OF ALL OTHER LOANS SCHEDULE D-5 3. Report covering period from thru -------- -- I t 4 REPAYMENT OF ALL OTHER LOANS DATE AMOUNTOF REPAYMENT THE MADE REPAYMENT NAMEAND 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,., P 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] / TRANSFERS TO OTHER POLITICAL COMMITTEES 1. Committee 3. Report covering period from 2. ID# i1 -- L, 1 Primary General 4 TRANSFERS MADE BY THE REPORTING COMMITTEE L DATE TRANSFER AMOUNT OF THE MADE 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# / 4 NAME, ADDRESS, CIT ATE, ZIP AND ID# ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-6 [Transfer total to Detailed Summary Page, Line 14, Column A] Page_lof L ANY OTHER DISBURSEMENT 1. Committee Named hirn M J4 tA� 4DLA�!- e4(,ALACeA -611(kl,/16V�- 3. Report covering period from Wz SCHEDULE D-7 2 ID# I I w..- L) 3 Primary General ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-7 [Transfer total to Detailed Summary Page Line 15 Column A] Page�.' I ANY OTHER DISBURSEMENTS DATE AMOUNT OFTHE 4� DISBURSEMENT DISBURSEM'ENT MADE 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 fD# Ile DESCRIPTION 4c. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION 4d. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION 4e. NAME, ADDRESS, CITY P4TE, ZIP AND ID# i DESCRIPTION ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-7 [Transfer total to Detailed Summary Page Line 15 Column A] Page�.' I IN-KIND CONTRIBUTIONS and EXPENDITURES SCHEDULE E 01 1 —T—T—PrI-ary jj 1.CommitteeNam General 3. Report covering period from thru a) 4 IN-KIND CONTRIBUTIONS and EXPENDITURES DATE FAIR MARKET VALUE 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# CONTRIBUTION EXPENDITURE DESCRIPTION OCCUPATION EMPLOYER 4b. NAME, ADDRESS, CITY, STATE, ZIP AND ID# CONTRIBUTION EXPENDITURE DESCRIPTION OCCUPATION EMPLO 7 F( z 4c. NAME, ADDRESS, CITY, STATE, ZIP AND ID# / '/ /6ONTRIBUTION EXPENDITURE rd DESCRIPTION OCCUPATION EMPLOYER 4d. NAME, ADDRESS, CITY, STATE, ZIP D 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 I DIVIDENDS, INTEREST, AND OTHER RECEIPTS 1. Committee 3. Report covering period from SCHEDULE F-1 IH Primary General 4 DIVIDENDS, INTEREST AND OTHER FORMS OF RECEIPTS DATE AMOUNT AMOUNT OF THE tl RECEIPT NAME AND ADDRESS FROM INDIVIDUAL (OR NAME, ADDRESS AND 1D# OF THE POLITICAL 7 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# rel DESCRIPTION OF RECEIPT 4 4e. NAME, ADDRESS, CITY, STATE, ZIP ANV'fD# DESCRIPTION OF RECEIPT/ 4f. NAME, ADDRESS, CITY, STATE, ZIP AND ID# / DESqRfPTION OF RECEIPT 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 11-� Page—tofL OFFSETS TO CONTRIBUTIONS RECEIVED SCHEDULE F-2 2. ID# Primary A 71 -1 --General - 1. Committee Nam i p i - 1 3. Report covering period from -� -� l t 1 a thru 1, j 4 REFUNDS AND OTHER OFFSETS TO CONTRIBUTIONS RECEIVED DATE AMOUNT REFUND OF THE MADE 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# d� DESCRIPTION OF REFUND Z� 4d. NAME, ADDRESS, CITY, STATE, ZIP AND ID#' DESCRIPTION OF REFUND 4e. NAME, ADDRESS, CITY, STATE: AND ID# DESCRIPTION OFR UND 4f. NAME, ADDR S, 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 --If DEBTS AND OBLIGATIONS (Excluding Loans) 1. Committee 3. Report covering period from 2. ID# D ( yn ach o thru-51 2A I � SCHEDULE F-3 4 DEBTS AND OBLIGATIONS OUTSTANDING BALANCE BEGINNING THIS PERIOD AMOUNT INCURRED THIS PERIOD PAYMENTTHIS PERIOD OUTSTANDING BALANCE ATC E OF THIS P IOD 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 ;7 4b. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF DEBT 4c. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF DEBT 4d. ATE, ZIP NAME, ADDRESS, CITY, ST D ID# DESCRIPTION OF DEBT 4e. NAME, ADDRESS ITY, STATE, ZIP AND ID# DESCRTION 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]