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HomeMy WebLinkAboutCampaign Finance Records - Finance report - Committee to Elect Lauren Tolmachoff - 8/20/20141 FA . , , _Amm POLITICAL Wig III WA NITAR1101 m6i •. . 6 0 p w • . w Committee to Elect Lauren Tolmachoff Full Name of Committee P.O. Box 10072 Address Glendale, Az. 85318-0072 Maricopa 602-421-2194 City ZIP Code County Phone Lauren Tolmachoff-Glendale City Council -Cholla Sponsoring Organization or Candidate and office Lauren Tolmachoff-Glendale City Council -Cholla Name of Candidate and Office Sought (if applicable) electlaurentolmachoff@gmail.com Fax # 4. REPORTING PERIOD (Please check appropriate box) FOR OFFICE USE ONLY CITY CLLR CITY OF GI_E iNDC L ZOII,iA IF2 0 PM 1: 3A. ID# I1(4 Primary General DUE BETWEEN 5. SUMMARY 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 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] 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] 6b Total Disbursements (from corresponding columns on Detailed Summary Page, Line 18) Column A Column B Total This Reporting Election Period Period Total To Date c 3� 7. Cash on Hand at Close of Reporting Period [Subtract !tJ /^ Line 6b from Line 5d] *Insert date which is 21 days after date of last election (A.R.S. §16-913). **Other reports will be due before this reporting period if a special or recall election is held prior to the next general election. Revised 3/14 January 31 Report - For Period of * thru December 31, 2013 .................................. January 1, 2014 and January 31, 2014 June 30 Report - For Period of January 1, 2014 thru May 31, 2014 .................................................... June 1, 2014 and June 30, 2014 Pre -Primary Election Report - For Period of June 1, 2014 thru August 14, 2014 ................................. August 15, 2014 and August 22, 2014 Post -Primary Election Report - For Period of August 15, 2014 thru September 15, 2014 ................... September 16, 2014 and September 25, 2014 Pre -General Election Report - For Period of September 16, 2014 thru October 23, 2014 ......... . .............. October 24, 2014 and October 31, 2014 Post -General Election Report - For Period of October 24, 2014 thru November 24, 2014 .................... November 25, 2014 and December 4, 2014 ** ry p Janna 31, Report -For Period of November 25, 2014 thru December 31, 2015 . . ......................... . ..... January 1, 2016 and January 31, 2016 5. SUMMARY 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 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] 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] 6b Total Disbursements (from corresponding columns on Detailed Summary Page, Line 18) Column A Column B Total This Reporting Election Period Period Total To Date c 3� 7. Cash on Hand at Close of Reporting Period [Subtract !tJ /^ Line 6b from Line 5d] *Insert date which is 21 days after date of last election (A.R.S. §16-913). **Other reports will be due before this reporting period if a special or recall election is held prior to the next general election. Revised 3/14 DETAILED SUMMARY PAGE Page 2 O�sF RECEIPTS AND DISBURSEMENTS s� 2. ID# � (,�_6 1. Committee Name: t)wm 44,4 4® p � 1x7 L&ar-AiTy frt Primary 3. Report covering period from Thru © (S7 1 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 71 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) vii�'7�►7r'.11�.rV 12. Loans made by reporting committee (Total from Schedule D-2) A26-- 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)] 4>— 14. Transfers to other political committees (Total from Schedule D-6) 9__ 15. Any other disbursement (Total from Schedule D-7) ---a 16. Subtotal disbursements [add lines 9, 10, 11, 12, 13(c), 14, and 15] �d1 17. Rebates, refunds and other offsets to operating expenses (Total from Schedule D-3) 18. Total disbursements [subtract line 17 from line 16] 18v Tota!-Qutstan ing Debts owed by Reporting Candidate or Political Committee (Schedule F-3) 20. i Jertify, under pe Ity 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 Type opriu Name of Treasurer I Signature of Treasurer or Candidate or Designating Individual Date ! I 4 CONTRIBUTIONS CUMULATIVE NAME, ADDRESS, OCCUPATION AND EMPLOYER OR CONTRIBUTOR 4a. LAS FIRS 0 MI CAMPAIGN STRETADDRESS a PERIOD CI ® STATE 9P OCCUPATION E PLOYER or— b. LAS p FIRS yp MI STREETADDRtESS N m - CITY ST ���d TE ,QIP OCCUPp EMPLOYER C. LAST ryry FIRS MI STREETADDRESS I 5_ CITY ss S E :2&Q95-38 OCC DATION s � d PLOYER v(+ d. LAST Me, FIR MI Ebn 6 STREETADDRESS o- CIT WMTE —ZIP e. LAST STREETADDRS EMPLOYER FIRST DATE AMOUNT CUMULATIVE RECEIVED RECEIVED TOTAL THIS THIS CAMPAIGN PERIOD TO DATE 600q I W ' I too- Io loo— 'Bo s�e, Coo (A -r, Lt�, STATE ZIP 0 CUPATION e !MR21ela, 5. ENTER TOTAL ONLY IF LAST PAGE F SCHEDULE A (If last page of Schedule A, transfer total to Detailed Summary Page Line 4(z), Column Aj '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 more than ® - from INDIVIDUALS* SCHEDULE 2. ID# q-- D [� �� ` T( Primp�ary 1. Committee Name lin General 3. Report covering period from 4 CONTRIBUTIONS DATE RECEIVED AMOUNT RECEIVED CUMULATIVE TOTALTHIS NAME, ADDRESS, OCCUPATION AND EMPLOYER OR CONTRIBUTOR THIS PERIOD CAMPAIGN TO DATE 4a. LASIRST MI Aft., STREET RESS CI TATE OC—GAUATION EMP ER b. LAST ry� FIRST MI STREETADDRESS �� gy� �— CITY TATE ZIP OC PATIONEMP YE C. LAST FI T MI STREETADDRESS I'S—;L 4 '71— VIL 0 e CITY TATE "i& SS_ZIP O OCCUPA 0, EMPLOYER d. LAST g �d° FIRST MI U 0 Ute° STREET ADDRESS 1 gds, 1Y CITY STATE ZIP e OCCU N EMPLOYER e. LAST MMI 4 ST EETADDRESS &4rta rQf�o� CI TATE ZIP � CCUPATION a 7d II " rl EMP YER 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 Al *If contributions of $50 or less are listed with contributor's name, address, occupation and employer on Schedule A, do riot them on Schedule A-1. include Page of Z;ONTRIBUTIONS more than $60 -from INDIVIDUALS* SCHEDULE A 1. Committee Name Report covering p 4 CONTRIBUTIONS DATE RECEIVED AMOUNT RECEIVED CUMULATIVE TOTALTHIS NAME, ADDRESS, OCCUPATION AND EMPLOYER OR CONTRIBUTOR THIS S PERIOD CAMPAN G I( TO DATE 4@, LAST FIR%MI ID STREETADDRESS r b *'? 0-7 Cl &4A STAT OCCM E;LOYER ' t4kaxs -�&,rie b, LAST^ FIRST Ml STREETADDRESS C ITY�� TATE ZIP (2* " OCCUPAJ EMPLOYER C. LAST FIRSTMI el-t— ST TAIDDIRES C ITYSTA IP 1 6 4AC!Cla OCCUPATION EMPLOYER d. LA,9T:ELL_g2.e_FI T MI So STREET ADDRESS C_- bA f, ATE ZIP IP& gnt)l EMPSYER e. LAST IRST ml STREETAIDDRESS 11 o CITY G TE ZIP el L OCCUP N -11 rp_� 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. 4 CONTRIBUTIONS DATE RECEIVED AMOUNT RECEIVED CUMULATIVE TOTALTHIS NAME, ADDRESS, OCCUPATION AND EMPLOYER OR CONTRIBUTOR THIS PERIOD CAMPAIGN TO DATE 4a. LAST ST Q MI STREAD RESS be CITY ST,',,E ZIP ��:f) OCCUPATION m EMPLOYER b. LAST FIRST�MI STREET ADDRESS CITY STATE ZIP 6 go OCCUPATIO EMPLOYER C. LAST C FIRST MI STREETADDRS b "� CITY S TE ZIP ++ 0CCUP N CT_b E P 0 ER p n d. LAS FIRS MI STREET ADDRESS CITYT��DD STA ZIP �0 SS -2)e OCCUPATIO OYER e. LAST FI ST MI 175D dx,0 STREETADDRES tl CITY TE ZIP OCCUPATION""EMPLOYER S. 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. 4 CONTRIBUTIONS CUMULATIVE NAME, ADDRESS, OCCUPATION AND EMPLOYER OR CONTRIBUTOR 4a, LASTFIR MI 4 1 STREET ADDRESS CAMPAIGN CITY TE ZIP cmc° t0 PERIOD OCCUPATION E �LOYER 9e ® of b. LAST FI MI B STREET ADDRESS CITY e T E ZIP OP ON c. LAS FIRST elk'- MI STREETADDRESS CITYn p TATE ZIP ^ (pJ�, OCCU N n 1L i EMPLOYER d. LAS FIRST MI o� STREETADDRESS CITY � � STATEZIP OCC A ION LOYER '00L J'Al e. LAST ® FIRST "M7 P � STREET ADDRESS CITY ST ZIP OCC TION 9,ir YER LU 5. I ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE A tlf last page of Schedule A, transfer total to Detailed Summary Page Line 4(z), Column A] DATE AMOUNT CUMULATIVE RECEIVED RECEIVED TOTALTHIS THIS CAMPAIGN PERIOD TO DATE -V81 if I aa,- � P)"6 - I 111&0 � I')- 1 6'- 1 --vem I IDD— � 10,1--, � *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. 1. Committee Name 3. Report covering period from I q thru UT 4 CONTRIBUTIONS DATE RECEIVED AMOUNT CUMULATIVE RECEIVED TOTAL THIS NAME, ADDRESS, OCCUPATION AND EMPLOYER OR CONTRIBUTOR THIS CAMPAIGN PERIOD TO DATE 4a. LAST 9 ST pp^^ MI I It Fl STREET ADDRESS CITY STATE ZIP STREETADDRESS STREETADDRESS CITY STATE ZIP OCCUPATION CITY TATE e. IP @/ ®®fi�nn Y gds 905 C OCCUPATIO D-4" EMPL ER 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] b. LAST FIRST, MI rd rJ STREETADDRESS Q fl % 16 11 �N� CITY STATE ZIP `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. UwUr lulu le 1 tIVIYWrtt< 73PPL �Q tl C. d. LAST FIRST MI STREET ADDRESS CITY STATE ZIP OCCUPATION EMPLOYER LAST FIRST MI STREETADDRESS CITY STATE ZIP OCCUPATION EMPLOYER 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 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. 1. Committee Name Com rA rNe, k 3. Report covering period from Ii I 14� thru_ 4. Aggregate Total of Contributions of $50 or less 5. TOTAL THIS PERIOD [Transfer total to Detailed Summary Page, Line 4(b), Column A] �Ml 6. CUMMULATIVE TOTAL THIS 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. 3. Report covering period from thru 4 CONTRIBUTIONS AMOUNT RECEIVED THIS PERIOD CUMULATIVE TOTAL THIS CAMPAIGN TO DATE IDENTITY OF CONTRIBUTOR AND DATE RECEIVED 4a ID# (15-T NAME, ADDRESS, CITY, STATEAND ZIP of 611�ux� 01,1115'(0 e. ft? -2-- -1 QATE RECEIVED UpUpc-Pk1A b. ID# NAME, ADDRESS, CITY, STATE AND ZIP DATE RECEIVED c. ID# NAME, ADDRESS, CITY, STATE AND ZIP DATE RECEIVED d. e. ID# DATE RECEIVED ID# NAME, ADDRESS, CITY, STATE AND ZIP NAME, ADDRESS, CITY, STATE AND ZIP NAME, ADDRESS, CITY, STATE AND ZIP f DATE RECEIVED ID# DATE RECEIVED g. ID# DATE RECEIVED NAME, ADDRESS, CITY, STATE AND ZIP 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] I Schedule B Page-j—,f I CANDIDATE LOANS SCHEDULE 1. Committee Name ym 2. ID# JK Primary General 3. Report covering period from --kUlik—thru 4. LOANS MADE OR GUARANTEED BY CANDIDATE DATE RECEIVED AMOUNT RECEIVED CUMULATIVE TOTAL TI -115 CAMPAIGN TO DATE NAME AND ADDRESS FROM WHOM RECEIVED 4a. NA E, ADDRESS, CITY, STATE, AND ZIP 5 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 Pagej—of L 4 ALL OTHER LOANS CUMTIVE NAME AND ADDRESS OF EACH INDIVIDUAL (OR NAME, ID# AND ADDRESS OF DATE AMOUNT T IAL THIS THE POLITICAL COMMITTEE) OR LOAN, AND ANY ENDORSER OR GUARANTOR LOAN RECEIVED OF LOANAMPAIGN OF LOAN. TO DATE J Ory 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 9 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 I NAME OF PERSON OR COMMITTEE MAKING LOAN, ADDRESS, CITY, VATE, ZIP, AND ID# NAME OF ENDORSER OR GUARANTOR OF LOAN, ADDR WGS, CITY, STATE, ZIP, AND ID# DESCRIPTION 4d I NAME OF PERSON OR COMMITTEEYrAKING LOAN, ADDRESS, CITY, STATE, ZIP, AND ID# NAME OF ENDORSER O[KGUARANTOR OF LOAN, ADDRESS, CITY, STATE, ZIP, AND ID# DESCRIPTION 5. 1ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE C-1 [If last page of Schedule C-1, transfer total to Detailed Summary I Page, Line 5(a), Column A] Page—Lof L 5 1 ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULED [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-Lof 4 EXPENDITURES DATE AMOUNT OP EXPENDITURE THE NAME AND ADDRESS TO WHOM EXPENDITURE (DISBURSEMENT) WAS MADE MADE EXPENDITURE 4a. NAME, ADDRESS, CITY, STATE AND ZI ti ® Pay 9;r NQ DESCRIPTIOPTITEMI OR SERVICES PURCHAS 4b. NAME, DRESS, CITY, STAT ZIP Q DESCRIPTION OF ITEMS OR SERVICES PURCHASED "Expenditures, other than a contract, promise or agreement to make an expenditure resulting in credit ?� ss Page �"of �a 1 r, r, r �r� P21201101001) O� .` , l0 ,„ 4 0 I�_ I "M rr 2. I®# _ Primary General 1. Committee Name �°�q� 2. ID# 4-6 Primary G. 1. Committee Name 3. Report covering period from C, thru- 4 EXPENDITURES DATE EXPENDITURE MADE AMOUNT OF THE EXPENDITURE NAMEAND ADDRESS TO WHOM EXPENDITURE (DISBURSEMENT) WAS MADE 4a. NAME, ADDRESS, CITY, STATE AND ZIP W--r-N VA - 1w -74 I � Ia DESCRIPTION OF ITEMS OR SERV IFS PURCHASED -M,e -S 41h. NAME, ADDRESS, CITY,STAT AND ZIP U) \Jiu 10,Lt at — — DESCRIPTION OF ITEMS OR SERVICE , -.PURCHASED '>g,r \j 4c. NAME, ADDRESS, CITY, STATE AND ZIP DESCRIPTION OF ITEMS OR SERVICES PURCHASED 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] IJ *Expenditures, other than a contract, promise or agreement to make an expenditure resulting in credit Page of INDEPENDENT EXPENDITURES* SCHEDULE D-1 2. ID# t 1. Committee Name 4,# c✓ V 1 t4 L" rf& �o4j- 3. Report covering period from `4. thru QO L' L 4 INDEPENDENT EXPENDITURES DATE AMOUNT OF EXPENDITURE THE MADE 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 ELECT 4b. NAME, ADDRESS, CITY, STATE AND ZIP zz PURPOSE AND DESCRIPTION OF PURCHAS enefitte Rposed CANDIDATE OFFICE SOUGHT YEAR OF ELECTION 4c. NAME, ADDRESS, CITY, STATE AND ZIP PURPOSE AND DESCRIPTIO OF PURCHAS enefitte osed CANDIDATE OFFICE SOUGHT YEAR OF ELECTION 5. ENTER TOTA NLY 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. R4 16-901(14). I certify;'under penalty, of�erjury, thatthe above stated independentexpenditure(s) was not made in cooperation, consultation or concertwith or at the req est or suggestion f any candidate or any M -pa g committee or agent of that candidate. Signature of Treasurer ry.m 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 1. Committee Name 3. Report covering 4 LOANS MADE BY THE REPORTING COMMITTEE DATE LOAN MADE, ,--AMOUNT OF TFIE LOAN NAME, ADDRESS AND ID# OF COMMITTEE TO WHOM LOAN (DISBURSEMENT) WAS MADE 4a. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# F 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 Ip! 4h. NAME, ADDRESS, CITY, STATE, , AND ID# 4i. NAME, ADDRESS, CITY STATE, ZIP, AND ID# 5. ENTER TOT ONLY IF LAST PAGE OF SCHEDULE D-2 [Transfer total to Detail Summary Page Line 12, Column A] Page t of I 4a. 4b. 4c. 4d. 4e. 4f. 1. Committee Name OFFSETS OOPPERATING EXPENSES* SCHEDULE D-3 Report covering period from thru--B LLq� REBATES, REFUNDS AND OTHER OFFSETS TO OPERATING EXPENSES DATE REFUND RECEIVED 'Z 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 7z - 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, A AND ZI 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] I Includes return of contributions made by reporting committee Schedule D-3 Page of 4a. 4b. 4c. 4d. 4e. REPAYMENT OF CANDIDATE LOANS 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, C", STATE, AND ZIP NAME, ADDRESS, CITY, STATE, AND ZIP NAME, ADDRESS, CITY, STATE, A y AND ZIP NAME, ADDRESS, CITY,, STATE, AN ZIP ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-4 [Transfer total to Detail Summary Page, Line 13(a), Column A] Schedule D-4 Page—LI REPAYMENT OF ALL OTHER O.i, 4 REPAYMENT OF ALL OTHER LOANS DA AMOUNT OF REP MENT THE MADE 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 AN D# 4 NAME, ADDRESS, CITY, STATE, ZIP AND ID# Af, 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-5 [Transfer total to Detailed Summary Page, Line 13(b), Column A] Page—Lof d -rRANSFERS TO OTHER POLITICAL COMMITTEES SCHEDULE 0-6 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# zl i 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, ST E, 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—1 ANY OTHER DISBURSEMENTS 4. DATE DISBURSEMENT MADE AMOUNT OF THE DISBHRSEMENT 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 D ID# DESCRIPTION 4e, NAME, ADDRESS, CI , STATE, ZIP AND ID# DESCRIPTIO ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-7 [Transfer total to Detailed Summary Page Line 15 Column Aj I -b--"r- j Page � of IN-KIND .I t. r I' EXPENDITURES SCHEDULE ILI 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,, IP AND ID# D� O y q� ONTRIBUTION EXPENDITURE DESCRIPTION e Tu r A ra OCCUPATION D na r Eli p 4b. NAME, ADDRESS, CITY, STAT,, ZIP AND I # ht7 .CONTRIBUTION ,��p, EXPENDITURE W J, fq's- [[ DESCR� N rj�gi OCCUPATION EMPLOYER 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 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] 250 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 L 2. ID# I L rimary General 1. Committee Name 030tri M �a 4L� 04c4,-LAU LJ --J 3. Report covering period from � thru, 9 P p Iq 4 DIVIDENDS, INTEREST AND OTHER FORMS OF RECEIPTS DATEOUNT AMOUNT RECEIVED 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. 4c. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF RECEIPT 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 IP AND ID# DESCRIPTION OF REC IPT 4f. NAME, ADDRESS, ITY, STATE, ZIP AND ID# DESCRIPTION tYIF 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 Line 7 Column A Page-jjf *FFSETS TO CONTRIBUTIONS RECEIVED * 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. 4b. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF REFUND 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 z 4e. NAME, ADDRESS, CITY, STATE, ZIP ANDX DESCRIPTION OF REFUND 4f. TATE, I P AND ID# NAME, ADDRESS, CITY, STATE, DESCRIPTION OF REFUN� 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 GL *EBTS AND OBLIGATIONS (Exduding Loans) SCHEDULE F-3 2. ID# � 4—o �? I U I! I N jhru 3. Report covering period from u 4 DEBTS AND OBLIGATIONS OUTSTANDING OUTSTANDING BALANCE AMOUNT INCURRED PAYMENTTHIS BALANCEATCLOSE NAME AND ADDRESS OF INDIVIDUAL (OR NAME, BEGINNING THIS PERIOD PERIOD ADDRESS AND ID# OF THE POLITICAL THIS PERIOD OF THIS PERIOD 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# zl/z DESCRIPTION OF DEBT 4c. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF DEBT 4d. NAME, ADDRESS, CITY, STATE, ZIP AND 1 DESCRIPTION OF DEBT 4e. NAME, ADDRESS, C STATE, ZIP AND ID# DES71ON 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]