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Home My WebLink AboutCampaign Finance Records - Finance report - Committee to Elect Lauren Tolmachoff - 6/27/2014CI T.__# RA #. 2014 • 1 C ITY 0 GIL LE 4. REPIOMING PEWD DUE BETWEEN an Report -tmPramo, m °31%7111, .... � � ��:� r ## �° •��.,. Pre -Primary EtecWr, Repcon _ FrrFto k- bl.ta#oa 1, z t & rt'ttrr , 2C _4 P oral Election Report nt-General Election Repitt - ¥roe at 74. 770 4 lu vanum'.1 A"' M1 €a%I.:� `4 mal t` 4;, 2VIA 6,4 "I" - Debis and lljabc r tmn afm;zli m t„eta-tmtt oc m. 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Ammng of vw�l tt s3 i`er oso � at tkm st tr mwmt r - Is moi€' i Aus find tc:r i rm"'st`- w_>= r -,.j rtue a4lo or .sty, at it s fire *foo t`ie 01hor l Totataabwti*mow ; t,frw-m r”, , . rrrw , ��iP is Ott � tcjkd rea r iof-�LIIQ t 7Cat& o,1 Hard tt low f os-,jn#� 1canod [ utva �£ One Gtt ftrer t-Inr t `{left_ °whom . iw 21 -ars 3*1P-- date= e last eLet % t' A" S. 16-0-131 `" s r re-POOM VAII tib dwe twelam Pr's." r Irlperiod t' a Spr-Col or recall t; rvAi rt is head: prior to, Me n ex l4ttr , tmf ofixtim Rt�visvq 2111,17 POLITICAL COMMITTEE CITY/TOWNOF '' / CAMPAIGN FINANCE REPORT I. • 2014 August/November Regular Election i. #m tl , , A FOR OFFICE USE ONLY (1 F i �f CJS `. 3 s{ 0 ',, L E X01[ 41'tu 5 P f4l 12: 50 City ZIP Code 2. UVA= rVa County �� Phone �a, Period 3A. ID# Urnioring Orrganization or Candidate and office e o^ andi=ffi eil SoSo ht (if applicable 5b Cash on Hand at the Beginning of this Reporting Period 4. REPORTING PERIOD (Please check appropriate box) DUE BETWEEN ElJanuary 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 **January 31, Report - For Period of November 25, 2014 thru December 31, 2015. January 1, 2016 and January 31, 2016 5. SUMMARY Column A Total This Reporting Column B Election Period Period Total To Date 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] LW %� yC� 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) CAt,440 P 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). **Other reports will be due before this reporting period if a special or recall election is held prior to the next general election. Revised 9/13 1. Committee Name: 0ornr%tl+[&-&490 Uar lmxhnfE 3. Report covering period from 4M -q- Thru !S(_84 -4 RECEIPTS 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] 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) COLUMNA THIS PERIOD /6'®.i W 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] 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 coof this campaign fine report and to the best of complete. ;--) i t Type olPrint Name of SignatLV of Treasurer or Candidate or Designating`Qdividual Date 1 Page 2 COLUMN B CAMPAIGN TO DATE r .►+ RE knowledge and belief it is true and Committee Name m r p o ^fw `mallrR- Report covering period from t ' `k thru � 4 CONTRIBUTIONS DATE RECEIVED AMOUNT RECEIVED THIS PERIOD CUMULATIVE TOTAL THIS CAMPAIGN TO DATE NAME, ADDRESS, OCCUPATION AND EMPLOYER OR CONTRIBUTOR 4a. LAT //AA'' FI ST MI 6 C 1•G/(� STRE T ADDRESS CITYJ; %� ST TE ///J l� Gs D O'A ON /C:G/LX l 1 Lll� �K �m b. LAST FIRST MI STREET ADDRESS CITY STATE ZIP OCCUPATION EMPLOYER C. LAST FIRST MI STREET ADDRESS CITY STATE ZIP OCCUPATION EMPLOYER d. LAST FIRST MI STREET ADDRESS CITY STATE ZIP OCCUPATION EMPLOYER e. LAST FIRST MI STREET ADDRESS CITY STATE ZIP OCCUPATION EMPLOYER 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE A fiflast page of Schedule A, transfer total to Detailed Summary Page Line 4(z), Column A] a ( i 'If contributions of $50 or less are listed with contributor's name, address, occupation and employer on Schedule A, do not include Paa C Of ` them on Schedule A-1. 1. Committee Name Nmm Am T a-&t Uw 1r-) I mCh 2. ID #" 4,b 3. Report covering period from _ llL l _ _ _ thru��l 4. Aggregate Total of Contributions of $50 or less DESCRIPTION AMOUNT RECEIVED THIS PERIOD 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] *If contributions of $50 or less are listed with contributor's name and address on Schedule A, do not include them on this schedule. RIPPE ll i * "� 11, 111 1 1. Committee Name Wpnrr4 P 1q,-03 3. Report covering period from I "C thru 4 CONTRIBUTIONS AMOUNT RECEIVED THIS PERIOD CUMULATIVE TOTAL THIS CAMPAIGN TO DATE IDENTITY OF CONTRIBUTOR AND DATE RECEIVED 4a 1D# 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 8, transfer total to Detailed Summary Page, Line 4(c), Column A] Schedule B Page--LofL— CANDIDATE LOANS SCHEDULE C 1. 3. CommitteeName 2. ID # Report covering period from th ru 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, AD ;S, CITY, STATE, AND ZIP re,, -T-0 I w&,chcW DESCRIPTION b. NAME, ADDa, CITY, STATE, AND ZIP a rei�, T6 1 ryiAthof:41�- u).sonnop- bir Q Le�dale, AL- &�;-:30d' DESCRIPTION C. NAME, ADDRESS, CITY, STATE, AND ZIP FDESCRIPTION d. NAME, ADDRESS, CITY, STATE, AND ZIP e. DESCRIPTION NAME, ADDRESS, CITY, STATE, AND ZIP FDESCRIPTION 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 Pag'—L—of ( SCHEDULE C1 Committee Name l m j -4,"P -( ) '- l [A 4 re` 6 (m CX�2. ID # Report covering period from I / q thru'""V 4 ALL OTHER LOANS CUMULATIVE DATE AMOUNT TOTAL THIS NAME AND ADDRESS OF EACH INDIVIDUAL (OR NAME, ID# AND ADDRESS OF LOAN RECEIVED OF LOAN CAMPAIGN THE POLITICAL COMMITTEE) OR LOAN, AND ANY ENDORSER OR GUARANTOR TO DATE 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, 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 g, 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] 601 Page—L—of I 1. Committee Name C ( �, 3. Report covering period from L ( �� thru w [2:�ID # 6-03 4 EXPENDITURES DATE EXPENDITURE AMOUNT OF THE NAME AND ADDRESS TO WHOM EXPENDITURE (DISBURSEMENT) WAS MADE MADE EXPENDITURE 7. NAME, ADDRESS, CITY, STATE AND ZIP W4 of l lle4&411021 DESCRIPTION O�IMS SERVICES PU CHASE Eeq 1�� b. NAME, ADDRESS, CITY, STATjE AND ZIP DESCRIPTION OF ITEMS OR SERVIC€S P RCHASED 12 c. NAME, ADDRESS, CITY, S T_ E AND ZiP Vail DESCRIPTION OF ITEMS OR SERVICESP CHASED ® l d. NAME, ADDRESS, CITY, STA AND ZIP l � DESCRIPTION OF ITEMS OR SERVICES PU CHASED e. NAME, ADDRESS, CITY, STATE AND Z� DESCRIPTION OF ITEMS OR SERVICES RC SED f. NAME, ADDRESS, CITY, STATE A�Zlj, IL� bt l�= DESCRIPTION OF ITEMS OR SERVICES PURC ED %t Rj L ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D [If last page of Schedule D, transfertotal to Detail Summary Page Line 9, Column A] *Expenditures, other than a contract, promise or agreement to make an expenditure resulting in credit Page` of i :� w: • • �. ,• • y. • 1. Committee Name �V (J"f� (. 1 Lail (M rol Iff- 3. Report covering period from - ---=.l—` ENEWOMM1 I2.ID# (,p. 4 EXPENDITURES DATE EXPENDITURE AMOUNT OF THE NAME AND ADDRESS TO WHOM EXPENDITURE (DISBURSEMENT) WAS MADE MADE EXPENDITURE 4a. NAME, ADDRESS, CITY, STATE(ND ZIP P (mss �(� a DESCRIPTION OF ITEMS OR SERVICES RCHHASEL,L/� �q l 1 e b. NAME, ADDRESS, CITY, STATE AND ZIP fL4, 5/ DESCRIPTION OF ITEMS OR SERVICES PURCHASED p f 11 1 C. NAME, ADDRESS, CITY, STATE AND ZIP d �,YY) ar�- n� q !2 u t a Lrigo DESCRIPTION OF ITEMS OR SERVICE PU HASED & d. NAME, ADDRESS, CITY, STATEAND IP °r �3 1,47 �n �� lt) 4-tte� DESCRIPTION OF ITEMS OR SERVICES PURCHASE p LW�s e. NAME, ADDRESS, CITY, STATE ZI('C 1� ® ls:✓ a �GII.R ,(►� DESCRIPTION OF ITEMS OR SERVICES PUR D w f. NAME, ADDRESS, CITY, STATE AND ZIP DESCRIPTION OF ITEMS OR SERVICES PURCHASED ° 5. 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 Pagd!� fof 1. Committee Name l m• Q (..I(��(,(( JI 3. Report covering period from ( c� b thru 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 U e Sr t14 DESCRIPTION OF ITEMS OR SERVICES PURCHASED A „' b. NAME, ADDRESS, CITY, STATE AND ZIP wqo U) DESCRIPTION OF ITEMS OR SERVICES PURCHASED C. NAME, ADDRESS, CITY, STATE AND ZIP DESCRIPTION OF ITEMS OR SERVICES PURCHASED t --J, /� s r. d. NAME, ADDRESS, CITY, STATE AND ZIP rU�t( C►aCr� Cn �." DESCRIPTION OF ITEMS OR SERVICES PURCHASED q JQ e. NAME, ADDRESS, CITY, STATE AND ZIP DESCRIPTION OF ITEMS OR SERVICES PURCHASED f. 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, transfertotal to Detail Summary Page Line 9, Column A] vu+ "Expenditures, other than a contract, promise or agreement to make an expenditure resulting in credit Page -3 of 3. 1. Committee Name U rn rp 44 att ,/ c & ` r�� ® l i 3. Report covering period from c e l / 'thru 3 tj SCHEDULE ®1 4 INDEPENDENT EXPENDITURES DATE AMOUNT EXPENDITURE OF 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 PURCHASE Benefitted❑ Opposed ❑ CANDIDATE OFFICE SOUGHT YEAR OF ELECTION 4b. NAME, ADDRESS, CITY, STATE AND ZIP PURPOSE AND DESCRIPTION OF PURCHASE Benefitted ❑ Opposed ❑ CANDIDATE OFFICE SOUGHT YEAR OF ELECTION 4c. NAME, ADDRESS, CITY, STATE AND ZIP PURPOSE AND DESCRIPTION OF PURCHASE Benefitted Opposed CANDIDATE OFFICE SOUGHT YEAR OF ELECTION 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 AJ "SEE A.R.S. § 16-901(14). I certify, under pently 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. re 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 Page / oft 1. Committee Name 2. ID # ti ` ` �%� K✓ 3. Report covering period from t l thru 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# b. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# C. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# d. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# e. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# f. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# g. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# h. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# i. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-2 [Transfer total to Detail Summary Page Line 12, Column A] Page ( of 4a. C01111111WIMA 1. Committee Name SCHEDULE D- 3. Report covering period from / thru,__®J� i 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, 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 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 total to Detailed Summary Page Line 17 Column A] Includes return of contributions made by reporting committee Schedule D-3 Page_L_of 4a. 1. Committee Name �/�-ab I M OLL `fid= 3. Report covering period from `"1 thru 4✓' SCHEDULE m REPAYMENT OF LOANS MADE OR GUARANTEED BY CANDIDATE DATE REPAYMENT MADE AMOUNT OFTHE 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 5. 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 o(® -'kEPAYMENT OF ALL OTHER LOANS Committee Report covering period from L' t thru� J\� 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# b. NAME, ADDRESS, CITY, STATE, ZIP AND ID# c. NAME, ADDRESS, CITY, STATE, ZIP AND ID# d. NAME, ADDRESS, CITY, STATE, ZIP AND ID# e. NAME, ADDRESS, CITY, STATE, ZIP AND ID# f. 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] PageLof 1. Committee Name &n Iry t4e4 '4)r' 6q-+U reo Zb 3. Report covering period from thru 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 POLITfCAL COMMITTEE) TO WHOM REPAYMENT (DISBURSEMENT) WAS MADE 4a. NAME, ADDRESS, CITY, STATE, ZIP AND ID# b. NAME, ADDRESS, CITY, STATE, ZIP AND ID# C. NAME, ADDRESS, CITY, STATE, ZIP AND ID# d. NAME, ADDRESS, CITY, STATE, ZIP AND ID# e. NAME, ADDRESS, CITY, STATE, ZIP AND ID# f. NAME, ADDRESS, CITY, STATE, ZIP AND ID# 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-6 [Transfer total to Detailed Summary Page, Line 14, Column A] Pageof� 1. Committee Name m ry44 A(- bmUp 3. Report covering period from ` Ll SCHEDULE - ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-7 [Transfer total to Detailed Summary Page Line 15 Column A] Page L of ANY OTHER DISBURSEMENTS DATE DISBURSEMENT MADE AMOUNT OF THE DISBURSEMENT NAME, ADDRESS AND ID# OF COMMITTEE TO WHOM DISBURSEMENT WAS MADE; DESCRIPTION a. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION b. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION C. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION d. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION e. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-7 [Transfer total to Detailed Summary Page Line 15 Column A] Page L of - "]1. Committee Name 0 Ar 1 rn ate i� t0- CS r 7o ( in&�_ � 2. ID # t � 1oi, 3. Report covering period from t' I { I q- thru '' 41 I q ` 4/ e 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 e s EXPENDITURE DESCRIPTION OCCUPATION EMPLOYER b. NAME, ADDRESS, CITY, STATE, ZIP AND ID# CONTRIBUTION ° EXPENDITURE DESCRIPTION OCCUPATION EMPLOYER C. NAME, ADDRESS, CITY, STATE, ZIP AND ID# CONTRIBUTION.s o EXPENDITURE ° DESCRIPTION OCCUPATION EMPLOYER d. 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] 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] rage__Lot �. FA O 0 Committee Name C49 rn m (+4ee, GCi LAtA rev(ff Report covering period from thru J1 SCHEDULE F-1 2. ID# C I—C) 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 b. NAME, ADDRESS, CITY, STATE; ZIP AND ID# DESCRIPTION OF RECEIPT c. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF RECEIPT d. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF RECEIPT e. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF RECEIPT f. 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 Line 7 Column A Page of I OFFSETS TO CONTRIBUTIONS RECEIVED * t i 1. Committee Name m Ave.,e i `m' a r,," 3. Report covering period from < I)) � thru J .2" 1i 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 a. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF REFUND b. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF REFUND [C. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF REFUND d. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF REFUND e. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF REFUND f. 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 Page 1 of I 1. Committee Name SCHEDULE F-3 2. I o1#l�, „ m � J _