HomeMy WebLinkAboutCampaign Finance Records - Finance report - Allen for Glendale - 1/11/2019 (15)RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK
COMMITTEE INFORMATION (required):
CITY OF GLENDALE
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
Committee Information:Committee Name: ANen for Glendale
CANDIDATE INFORMATION (only if filing as a candidate committee):
Office Sought.a Statewide Office:
a County Office:
D State Legislature:
I City/Town Office: Oc°<i"° District
REPORTING PERIOD (check one):
REPORTING PERIOD
] 2016 4th Quarter Report: October 28, 2016 to December 31, 2016
2017 March Pre-Election Report (Local Only) January 1. 2017 to February 25, 2017
^1 2017 1" Quarter Report (Local Only) February 26, 2017 to March 31, 2017
2017 1st Quarter Report: January 1, 2017 to March 31, 2017
2017 May Pre-Bection Report (Local Only) April 1. 2017 to April 29, 2017
2017 2nd Quarter Report (Local Only) April 30, 2017 to June 30 2017
2017 2nd Quarter Report: April 1, 2017 to June 30, 2017
f] 2017 August Pre-Electlon Report (Local Only) July 1, 2017 to August 12, 2017
_J
_1
~]
2017 3"1 Quarter Report (Local Only) August 13, 2017 to September 30. 2017
2017 3rd Quarter Report: July 1, 2017 to September 30, 2017
2017 October Pre-Election Report (Local Only) October 1, 2017 to October21 2017
20174"'Quarter Report (Local Only) October 22, 2017 to December 31, 2017
2017 4'" Quarter Report: October 1, 2017 to December 31, 2017
2018 March Pre-Election Report (Local Only) January 1,2018 to February 24. 2018
2018 1°* Quarter Report (Local Only) February 25, 2018 to March 31.2018
2018 1st Quarter Report: Januaiy 1, 2018 to March 31, 2018
2018 May Pre-Election Report (Local Only) April 1 2018 to April 28 2018
2018 2"° Quarter Report (Local Only) Apnl29, 2018 to June 30,2018
2018 2nd Quarter Report: April 1, 2018 to June 30, 2018
2018 August Pre-Election Report: July 1, 2018 to August 11, 2018
2018 3rd Quarter Report: August 12, 2018 to September 30, 2018
2018 October Pre-Election Report: October 1, 2018 to October 20, 2018
2018 4'" Quarter Report: October 21, 2018 to December 31, 2018
_] Final Campaign Finance Report Prior to Committee Termination
REPORT DUE
January 1,2017 to January 15, 2017
February 26 2017 to March 4,2017
Apnl1.2017toApnl15.2017
April 1,2017 to April 15, 2017
April 30 2017 to May 6. 2017
July 1.2017 to July 15, 2017
July 1,2017 to July 15, 2017
August 13 2017 to August 19 2017
October 1. 2017 to October 15. 2017
October 1, 2017to October 15, 2017
October 22, 2017 to October 28, 2017
January 1 2018 to January 15, 2018
January 1, 2018 to January 15, 2018
February 25. 2018 to March 3,2018
April 1.2018 to April 16, 2018"
April 1,2018to April 16,2018*
April 29 , 2018 to May 7, 2018*
July 1 2018 to July 16. 2018*
July 1,2018 to July 16,2018*
August 12, 2018 to August 20, 2018*
October 1, 2018(0 October 15, 2018
October21, 2018 to October 29, 2018*
January 1,2019 to January 15, 2019
End of Previous Period through Today's Date
'Effective April 15, 2018, reporting deadline extended to next business day. A.R.S. §§ 1-243(A) and 1-303.
FINANCIAL SUMMARY (required):
Activity
(a) Committee value at the beginning of this reporting period (;.e. ending balance from the
previous reporting period)
(b) + Total receipts (fram"SummaryofReceipts,'line13(cashco;umn)farthisreportingperiod)
(c) - Total disbursements (from "Summary of Disbursements," line 16 (cash column) for this reporting period)
(d) = Balance at close of reporting period
Cash Activity This
Reporting Period
$ 19,734.52
$150.00
$ 8,327.69
$11,556.83
Election Cycle to
Date
$ 23,073.27
$11,616.44
a Check here if no financial activity during the reporting period. Lines (a)-(d) still must be completed, but only this cover page need be filed.
Committees with financial activity must file the cover page, summary of receipts, summary of disbursements, and any schedules that contain financial activity
All reports are deemed to be filed under penalty of perjury by the committee treasurer (all committees) and candidate (candidate committees only).
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITf CLERK
SUMMARY OF RECEIPTS (Schedule A):
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
Receipts Cash Equity
Monetary Contributions Received
(a) Individuals - More than $50 $ 150.00
(b) Individuals - $50 or Less (Aggregate)
(c) Candidate Committees
(d) Political Action Committees
(e) Political Parties
(f) Partnerships
(g) Corporations & Limited Liability Companies (PACS & political parties Only)
(h) Labor Organizations (PACS & political parties only)
(i) Candidate's Personal Monies (Candidate Committees Only)
(j) Monetary Contributions Subtotal (add i(a) through 1(1))$ 150.00
(k) Refunds Given Back to Contributors
(I) Net Monetary Contributions (subtract 1 (k) from 1 u))$ 150.00
2. Loans
(a) Loans Received
(b) Foraiveness on Loans Received
(c) Repayment on Loans Made
(d) Interest Accrued on Loans Made
(e) Loans Subtotal (cash: add 2(a), 2(c) & 2(d»$0.00
3. Rebates and Refunds Received
4. Interest Accrued on Committee Monies
5. In-Kind Contributions Received
(a) Individuals - More than $50 $ 400.00
(b) Individuals - $50 or Less (Aggregate)
(c) Candidate Committees
(d) Political Action Committees
(e) Political Parties
(f) Partnerships
(g) Corporations & Limited Liability Companies (PACS & political parties only)
(h) Labor Organizations (PACS & political parties only)
(i) Candidate's Personal Assets or Property (Candidate committees only)
(j) In-Kind Contributions Subtotal (equity: add 5(a) through 5(i»$ 400.00
6. In-Kind Donations Received (Non-Coninbutions) (Political Parties Only)
7. Extensions of Credit
(a) Extensions of Credit Received
(b) Payments on Extensions of Credit Received
(c) Net Extensions of Credit (subtract 7(b) from 7(a))$0.00
8. Joint Fundraising / Shared Expense Payments Received
9. Payments Received for Goods / Services
10. Outstanding Accounts Receivable / Debts Owed to Committee
11. Transfer In Surplus Monies / Transfer Out Debt (use cash and/or equity as applicable:
12. Miscellaneous Receipts
13. Total Receipts (cash: add 1(1), 2(e), 3-4, 8-9,11-12; equity: add2(b), 5tj), 6-7, 10-12)$150.00 $ 400.00
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITf CLERK
SUMMARY OF DISBURSEMENTS (Schedule B):
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
Disbursements Cash Equity
1. Disbursements for Operating Expenses $ 7,058.80
2. Contributions Made
(a) Candidate Committees
(b) Political Action Committees
(c) Political Parties
(d) Partnerships
(e) Corporations & Limited Liability Companies (PAC & political parties only)
(f) Labor Organizations (PAC & political parties only)
(g) Monetary Contributions Subtotal (add 2(a) through 2(f>)$0.00
(h) Contribution Refunds Provided to the Reporting Committee
(i) Monetary Contributions Total (subtract 2(h) from 2(g»$0.00
3. Loans
(a) Loans Made
(b) Loan Guarantees Made
(c) Forgiveness on Loans Made
(d) Repayment of Loans Received
(e) Accrued Interest on Loans Received
(f) Total Loans (cash: add 3(a), 3(d) & 3(e); equity: add 2(b) & 2(c»$0.00 $0.00
4. Rebates and Refunds Made (Non-contnbutions)
5. Value of In-Kind Contributions Provided
(a) Candidate Committees
(b) Political Action Committees
(c) Political Parties
(d) Partnerships
(e) Corporations & Limited Liability Companies (PAC & political parties Only)
(f) Labor Organizations (PAC s ponacai parties only)
(j) Contributions Subtotal (add 5(a> through 5(f))$0.00
6. Independent Expenditures Made
7. Ballot Measure Expenditures Made
8. Recall Expenditures Made
9. Support Provided to Party Nominees (Political parties only)
10. Joint Fundraising / Shared Expense Payments Made
11. Reimbursements Made
12. Outstanding Accounts Payable / Debts Owed by Committee
13. Transfer Out Surplus Monies / Transfer In Debt (use cash aid/or equity as applicable;
14. Miscellaneous Disbursements
15. Aggregate of Disbursements - $250 or Less $1,268.89
16. Total Disbursements (cash: add 1, 2(i), 3<f), 6-11& 13-15; equity: add 3(f),5(j),& 12-15)$ 8,327.69 $0.00
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
MONETARY CONTRIBUTIONS RECEIVED FROM INDIVIDUALS - MORE THAN $50 DURING ELECTION CYCLE:*SCHEDULE A(1)(a)
Individual Contributor Information Amount Received
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
Joyce Valerie dark
Date Contribution Received
07/24/2018
Sfreet Address
8628 W. Cavalier Dr
City
Glendale ^z.
Occupation
;ity Council Member
1$ 50 00 1$ 50 00
^6305
[Employer
[City of Glendale
$ 50 00
Name
Kevin dark
Date Contribution Receivec
07/24/2018
Street Address
5628 W. Cavalier Dr
ilendale ^z.
Occupation
Retired
^ 50 00 1$ 50 00
B6305
Employer
!$ 50 00
David R. Mitchell
Date Contribution Received
D8/06/2018
Street Address
'4637 N. 65th Ave
ilendale ^z.
Occupation
llnsurance Counselor
1$ 50 00 ^ 50 00
B5310
deal Insurance Agency
$ 150 00
Date Contribution Received
Street Address
Date Contribution Received
City
Occupation Employer
Enter total only if last page of schedule
(transfer ttie total received this period to "Summary of Receipts," line 1fa))
$150.00
*lf contributions of $50 or less are listed on Schedule A(1)(b), do not include them on Schedule A(1)(a).
Schedule A(1)(a), page 1_ of 1
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
MONETARY CONTRIBUTIONS RECEIVED FROM INDIVIDUALS - $50 OR LESS (AGGREGATE):*SCHEDULE A(1)(b)
Cumulative Contributions from Individuals - $50 or Less
Enter total only if last page of schedule
(transfer the total received thEs period to "Summary of Receipts," line 1(b))
Cumulative Amount this Reporting
Period
Cumulative Amount this Election
Cycle
*lf contributions of more than $50 are listed on Schedule A(1)(a), do not include them on Schedule A(1)(b).
Schedule A(1)(b), page _ of.
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CIT/CLERK STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
MONETARY CONTRIBUTIONS FROM CANDIDATE COMMITTEES:SCHEDULE A(1)(c)
Candidate Committee Contributor Information Amount Received
Cumulative
Amount this
Reporting Period
Cumulative''
Amount this
Election Cycle
Committee Name
Street Address
City
Committee ID Number Date Contribution Received
Committee N.
Sfreet Address
Committee ID Number Date Contribution Received
Committee Name
Street Ad dress
Committee ID Number Dale Contribution Received
Committee Name
Street Address
City
Committee ID Number Dale Contribution Received
Committee Name
Street Address
Committee ID Numbei Date Contribution Received
|Enter total only if last page of schedule
ftransfer the total received this period to "Summarv of ReceiDts," line 1fc})
Schedule A(1)(c), page _ of_
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK STATE OF ARIZONA
COIVIMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
MONETARY CONTRIBUTIONS FROM POLITICAL ACTION COMMITTEES:SCHEDULE A(1)(d)
Political Action Committee Contributor Information Amount Received
Cumulative
Amount this
Reporting Period Election Cycle
Committee Name
Street Address
Committee ID Number IDate Contribution Received
Committee Name
Street Address
City
Committee ID Number Date Contribution Received
Committee Name
City
Committee ID Number Date Contribution Received
Committee Name
Street Address
Cily
Committee ID Number Date Contribution Received
Street Address
City
Committee ID Number Date Contribution Received
|Enter total only if last page of schedule
Ktansferthe total receivd {IIIB penod to "Summary ofReceiDta.- line Kdn
Schedule A(1)(d), page _ of.
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK
MONETARY CONTRIBUTIONS FROM POLITICAL PARTIES:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
Committee Name
Street Address
City
Committee ID Number
Committee Name
Street Address
City
Committee ID Number
Committee Name
Street Address
City
Committee ID Number
CommiUee Ni
Street Address
City
CommMee ID Number
Committee Name
Street Address
City
Committee ID Number
Political Party Contributor Information
IDale Contribution Received
Date Contribution Received
Dale Contribution Received
Dale Contribution Received
Date Contribudon Received
[Enter total only if last page of schedule
1/fransfer the tolal received this oenod to "Summarv of ReceiDts." line 1feti
SCHEDULE A(1)(e)
Amount Received
Cumulative
Amount this
Reporting Period Election Cycle
Schedule A(1)(e), page _ of
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK
MONETARY CONTRIBUTIONS FROM PARTNERSHIPS:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
Partnership Contributor Information
Partnership Name
Street Address
City
Corporation Commission File Number
Street Address
City
Corporation Commission File Number
'artnership Name
Street Address
City
Corporation Commission File Number
'artnership Name
City
Corporation Commission FHe Number
Partnership Name
Sfreet Address
Corporation CommiBsion Fie Number
Date Contribution Received
Date Contribution Received
Date Contribution Received
Date Contribution Received
Date ContribuGon Received
|Enter total only if last page of schedule
ftransfer the total received this Deriod to "Summan/ of ReceiDts.'line l\(f})
SCHEDULE A(1)(f)
Amount
Reporting Period Election Cycle
Schedule A(1)(f), page _ of.
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
MONETARY CONTRIBUTIONS FROM CORPORATIONS AND LLCs:SCHEDULE A(1)(g)
Amount
Reporting Period Election Cycle
Corporation/LLC Name
Corporation Commission File Number Rate Contribution Received
Corporalion/LLC Name
Street Address
City
Corporation Commission File Numbei Date Contribution Received
Corporation/LLC Name
Sfreet Address
Corporation Commission File Number Date Contribution Received
Corporation/LLC Name
Street Address
Corporation Commission File Number Date Contribution Received
Corporation/LLC Name
Street Address
City
Corporation Commission File Number Date Conlributian Received
Enter total only if last page of schedule
(transfer the total received this oeriod to "Summary of ReceiDts." line 1 fall
Schedule A(1)(g), page_of_
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK
MONETARY CONTRIBUTIONS FROM LABOR ORGANIZATIONS:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE A(1)(h)
Reporting Period Election Cycle
Labor Orsanization Name
City
Corporation Commission File Number |Date Contribution Received
Labor Organization Name
Street Address
City
Corporation Commission File Number Date Contribution Received
Labor Organization Name
City
Corporation Commission File Number Date Contribution Received
Labor Organization Name
City
Corporation Commission File Number Date Contribution Received
Labor Organization Name
Street Address
City
Corporation Commission FBe Number Date Conlribulion Received
|Enter total only if last page of schedule
(transfer the tota! received this period to "Summa^f of Receipts." line 1 (W
Schedule A(1)(h), page _ of.
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
MONETARY CONTRIBUTIONS FROM CANDIDATE'S PERSONAL MONIES:SCHEDULE A(1)(i)
Candidate Information Amount Received
Cumulative
Amount this
Reporting Period Election Cycle
Street Address
Occupation
Date Contribution Received
Street Address
City
Occupation
Date Contribution Received
Sfreet Address
City
Dale Contribution Recaived
Cily
Date Contribution Received
Employer
Street Address
City
Date Contribution Received
Employer
|Enter total only if last page of schedule
[(transfer the total received this period to "Summary of Receipts," line 1(i))
Schedule A(1)(i), page _ of.
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY-CLERK
REFUNDS GIVEN BACK TO CONTRIBUTORS:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE A(1)(k)
Contributor Information Amount Refunded
Cumulative
Amount this
Reporting Period Election Cycle
ID Number (if applicable)
Date Contribution Rafunded
Date of Original Contribution
Street Address
City
ID Number (if applicable)
Date Contribution Refunded
Date of Original Contribution
Street Address
City
D Number (if applicable)
Date Contribution Refunded
Date of Original Contribution
Street Address
City
ID Number (it applicable)
Date Contribution Refunded
Date of Original Contribution
City
ID Number (if applicable)
Date Canbibution Refunded
DateofOrigina! Contribution
Enter total only if last page of schedule
ffransferthe total received this period to "Summary ofReceipte." line 1(k))
Schedule A(1)(k), page _ of
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK
LOANS RECEIVED:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE A(2)(a)
Lender Information Amount Received
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
Street Address
Guarantor/Endorser Ni
Date Loan Received
Non-Elecloral Purpose? (PACs and Political Parties Only)
Lender Name
Street Address
Guarantor/Endoreer Name
Date Loan Received
Non-Electoral Puipose? (PACs and PoliUcal Parties Only)
Street Address
City
Guarantor/Endorser Name
Date Loan Received
Non-Electoral Purpose? (PACs and Political Parties Only)
a
Street Address
City
Guarantor/Endorser Name
Date Loan Received
Non-Electoral Purpose? (PACs and PolNcal Parties Only)
City
Guarantor/Endorser Name
Date Loan Received
Non-Electoral Purpose? (PACs and Political Parties Only)
|Enter total only if last page of schedule
(transfer the total received this period to "Summary of Receipts," line 2(a))
Schedule A(2)(a), page _ of.
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITi' CLERK
FORGIVENESS ON LOANS RECEIVED:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE A(2)(b)
Lender Information Amount Forgiven
Cumulative
Amount this
Reporting Period
Cumulative^
Amount this
Election Cycle
Street Address
Original Amount of Loan
Date Forgiveness Received
|Amount Still Outstanding
Street Address
City
Origiral Amount of Loan
Date Forgiveness Received
[Amount Still Outstanding
Street Address
City
Original Amount o1 Loai
Date Forgiveness Received
[Amount Still Outstanding
City
Original Amount of Loan
Date Forghfeness Received
Amount Still Outstanding
Street Address
Original Amount of Loan
Date Forgiveness Received
[Amount Still Outstanding
[Enter total only if last page of schedule
ffransfer the total receh/ed ttis period to "Summary nfReceiDt&." line2fb»_
Schedule A(2)(b), page _ of.
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK
REPAYMENT ON LOANS MADE:
STATE OF ARIZONA
COMMITTEE CAIVIPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE A(2)(c)
Borrower Information Amount Repaid
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
Borrower Name
Street Address
City
Original Amount Borrowed
Date Repayment Received
[Amount Still Outslanding
Borrower Name
Street Address
City
Original Amount Borrowed
Date Repayment Received
[Amount Still Outstanding
Borrower Name
Street Address
City
Original Amount Borrowed
Date Repayment Received
[Amount Still Outstanding
Borrower Name
Street Address
Original Amount Borrowed
Date Repayment Received
Amount Still Outstanding
Borrower Name
Street Address
City
Original Amount Borrowed
Date Repayment Received
[Amount Still Outstanding
Enter total only if last page of schedule
[transfer the_lotel received this period to "Summary of Receipts.'' line 2fc^
Schedule A(2)(c), page _ of
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK
INTEREST ACCRUED ON LOANS MADE:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE A(2)(d)
Borrower Information lAmount of Interest
Accrued
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
Borrower Name
Original Amount Borrowed
Date Interest Accrued
|Amount Still Outstanding
lorrawer Name
Street Address
City
Original Amount Borrowed
Date Interest Accrued
amount Still Outstanding
Bnrrower Name
Street Address
Original Amount Borrowed
Date Interest Accrued
Amount Still Outstanding
Street Address
City
Original Amount Borrowed
Date Interest Accrued
[Amount Still Outstanding
Sfreet Address
City
Original Amount Borrowed
Date Interest Accrued
Amount Still Outstanding
|Enter total only if last page of schedule
Ktransfer the total recehfed this oeriod to .Summary of RBccipts.- Ihe 2(dl)
Schedule A(2)(d), page _ of
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK
REBATES AND REFUNDS RECEIVED:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE A(3)
Payor Information Amount Rebated
or Refunded
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
Payor Name
Street Address
City
Original Purchase Amount
Date Rebate/Rehjnd Received
iReason for Refund/Rebate
Borrower Name
Street Address
City
Original Purchase Amount
Date Rebate/Refund Received
IReason for Refund/Rebate
Borrower Name
Street Address
Original Purchase Amount
Date Rebate/Refund Received
IReason for Refund/Rebate
Borrower Name
Street Address
City
Original Purchase Amount
Date Rebate/Refund Received
IReason tor Retund/Rebate
Borrower Name
Street Address
Original Purchase Amount
Date Rebate/Refund Received
IReason tor Refund/Rebate
|Enter total only if last page of schedule
Ifb-ansfer the lotal received this oeriod to "Summarv of ReceiDts." line 31
Schedule A(3), page _ of
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK
INTEREST ACCRUED ON COMMITTEE MONIES:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE A(4)
Cumulative Amount this Reporting
Period
Cumulative Amount this Election
Cycle
Account with Interest Earned (Bank Name / Type of Account)
Account with Interest Earned (Bank Name / Type of Account)
Account with Interest Earned (Bank Name / Type of Account)
Account with Interest Earned (Bank Name / Type of Account)
Account with Interest Earned (Bank Name / Type of Account)
Total
(transfer the total received this period to "Summary of Receipts," Rne 4)
Schedule A(4), page _ of.
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
IN-KIND CONTRIBUTIONS RECEIVED FROM INDIVIDUALS - MORE THAN $50 DURING ELECTION CYCLE:'SCHEDULE A(5)(a)
Individual Contributor Information
Name
Constantine Querard
Date In-Kind Contribution Received
07/01/2018
Street Address
13618W.DentonSt.
Litchfield Park
Occupation
Consultant
AZ 85340
lEmployer
Self (Grassroots Partners)
Constantine Querard
Date In-Kind Contribution Received
08/01/2018
Sb-eet Address
13618W.DentonSt.
City
Litchfield Park
Occupation
Consultant
AZ 85340
Employer
Self (Grassroots Partners)
Date In-Kind Contribution Received
Street Address
Cily
Occupation Employei
Date In-Kind Contribution Received
Sfa-eet Address
City
Employer
Date In-Kind Contribution Received
Street Address
Amount Received
$ 200 00
$ 200.00
|Enter total only if last page of schedule
Ktransfer the total received this period to "Summary of Receipts," line 5fa))
Cumulative
Amount this
Reporting Period
$ 200 00
$ 400 00
$ 400.00
Cumulative
Amount this
Election Cycle
$ 1,800.00
$ 2,000.00
$ 2,000.00
*lf in-kind contributions of $50 or less are listed on Schedule A(5)(b), do not include them on Schedule A(5)(a).
Schedule A(5), page _1_ of 1
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
IN-KIND CONTRIBUTIONS RECEIVED FROM INDIVIDUALS - $50 OR LESS (AGGREGATE):*SCHEDULE A(5)(b)
Cumulative In-Kind Contributions from Individuals - $50 or Less
Enter total only if last page of schedule
(transfer the total received this period to "Summary of Receipts," fine 1(b))
Cumulative Amount this Reporting
Period
Cumulative Amount this Election
Cycle
*lf contributions of more than $50 are listed on Schedule A(5)(a), do not include them on Schedule A(5)(b).
Schedule A(5)(b), page _ of.
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK
IN-KIND CONTRIBUTIONS FROM CANDIDATE COMMITTEES:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE A(5)(c)
Candidate Committee Contributor Information Amount Received
Cumulative
Amount this
Reporting Period
Cumulative''
Amount this
Election Cycle
Committee Name
City
Committee ID Number IDate In-Kind Contribution Received
Committee Name
Street Address
City
Committee ID Number Date In-Kind Contribution Received
Committee Name
City
Committee ID Number Date In-Kind Contribution Received
Committee Name
City
Committee ID Number Date In-Kind Contribution Received
Street Address
City
Committee ID Number Date In-Kind Contribution Received
Enter total only if last page of schedule
[transfer the total received this oeriod to "Summary of Receiots," line 5<c}}
Schedule A(5)(c), page _ of_
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
IN-KIND CONTRIBUTIONS FROM POLITICAL ACTION COMMITTEES:SCHEDULE A(5)(d)
Political Action Committee Contributor Information Amount Received
Cumulative
Amount this
Reporting Period Election Cycle
Committee Name
Sfreet Address
City
Committee ID Number Date In-Krnd Contribution Received
CommittBe Name
City
Committee ID Number Date In-Kind Contribution Received
Committee Name
Street Address
City
Committee ID Number Date In-Kind Contribution Received
;ommittee Name
Street Address
Committee ID Number Date In-Kind Contribution Received
Committee Name
Street Address
City
Committee ID ^kJmbe^Date In-Kind Contribution Received
|Enter total only if last page of schedule
(transfer the total received this period to "Summanf of ReceiDte." line 5(d«
Schedule A(5)(d), page _ of.
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK
IN-KIND CONTRIBUTIONS FROM POLITICAL PARTIES:
STATE OF ARIZONA
COMMITTEE CAhflPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
Committee Name
Street Address
Committee ID Number
City
Committee ID Number
Committee Name
Street Address
City
Committee ID Number
Committee Name
Street Address
City
Committee ID Number
Committee Name
Street Address
City
Committee ID Number
Political Party Contributor Information
IDale In-Kind Contribution Received
Date In-Kind Contnbulion Received
Date In-Kind Contnbution Received
Date In-Kind Contribution Received
Date In-Kind Contribution Received
|Enter total only if last page of schedule
ifer the total received this period to "Summarv of Receiols." line 5(e\\
SCHEDULE A(5)(e)
Amount Received
Cumulative
Amount this
Reporting Period Election Cycle
Schedule A(5)(e), page _ of
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK
IN-KIND CONTRIBUTIONS FROM PARTNERSHIPS:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
Partnership Contributor Information
Partnership Name
Street Address
Corporation Commission File Number
Partnership Name
Street Address
City
Corporation Commission File Number
Partnership Name
Street Address
City
Corporation Commission File Number
Partnership Name
Street Address
City
Corporation Commission File Number
Partnership Name
Street Address
Corporation Commission File Number
IDate In-Klnd Conlribullon Received
Date [n-Kjnd Contribution Received
Date In-Kind Contnbution Received
Gate In-Klnd Contribueon Received
Date In-Kind Contribution Received
[Enter total only if last page of schedule
ftransfer the total received this oeriod to "Summanf of Receiots." line SW
SCHEDULE A(5)(f)
Amount
Reporting Period Election Cycle
Schedule A(5)(f), page _ of.
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
IN-KIND CONTRIBUTIONS FROM CORPORATIONS AND LLCs:SCHEDULE A(5)(g)
Reporting Period Election Cycle
Corporation/LLC Name
City
Corporation Commission File Number iDate In-Kind Contribution Received
Corporation/LLC Name
Street Address
City
Corporation Commission File Number Date In-Kind Contnbution Received
Corporation/LLC Name
City
Corporation Commission File Number Date In-Kind Contribution Received
Corporatiun/LLC Name
Street Address
Cily
Corporation Commission File Number Date In-Kind Contribution Received
Curporation/LLC Name
Street Address
City
Corporation Commission File Numbei Date In-Kind Contribution Received
|Enter total only if last page of schedule
Ktransfer the total received this period to "Summary of Receipts." line 5(a1)
Schedule A(5)(g), page _ of ,
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITi/CLERK
IN-KIND CONTRIBUTIONS FROM LABOR ORGANIZATIONS:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE A(5)(h)
Labor Organization Contributor Information Amount Received
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
Labor Organization Name
Street Address
Corporation Comrrasslon File Number Pate In-Klnd Contribution Received
Labor Organization Name
City
Corporation Commission File Number Date in-Kind Contribution Received
Labor Organization Name
Street Address
City
corporation Commission File Number Dale in-Kind Contribution Received
Labor Organization Name
Street Address
City
Corporation Commission File Number Date In-Kind Contribution Received
Labor Organlzafion Name
City
Corporation Commission File Numbei Date In-Kind Contribution Received
|Enter total only if last page of schedule
/transfer the total received this persod to "Summary of Receipte." line 5(h^
Schedule A(5)(h), page _ of.
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
IN-KIND CONTRIBUTIONS FROM CANDIDATE'S PERSONAL ASSETS OR PROPERPi':SCHEDULE A(5)(i)
Candidate Information Amount Received
Cumulative
Amount this
Reporting Period Election Cycle
Street Address
City
|Asset or Property Contributed
Date In-Kind ContribLltion Received
Street Address
City
Asset or Property Contributed
Date In-Kind Contribution Received
Street Address
City
Asset or Property Contributed
Date In-KJnd Contribution Received
Street Address
City
Asset or Property Contributed
Date In-KJnd Contribution Received
City
Asset or Property Contributed
Date In-Kind Contribution Received
Enter total only if last page of schedule
(transfer tfie total received Ihis period to "Summary of Receipts.' line S[J))
Schedule A(5)(i), page _ of
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
IN-KIND DONATIONS RECEIVED (NON-CONTRIBUTIONS) (PACs AND POLITICAL PARTIES ONLY):
COMMITTEE ID NUMBER
17-07
SCHEDULE A(5)(e)
Amount
Reporting Period Election Cycle
[Type of Item Donated
Street Address
Date In-KEnd Donation Received
City
Type of Item Donatsd
Date In-Kind Donation Received
Street Address
City
Type of Item Donated
Date In-Kind Donation Received
Street Address
City
Type of Item Donated
Date In-Kind Donation Received
Street Address
City
'ype of Item Donated
Date In-Klnd Donation Received
|Enter total only if last page of schedule
(b-ansfer the total received this period to "Summarv of Receipts." line 5(e))
Schedule A(5)(e), page _ of.
Arizona Secretaiy of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK
EXTENSIONS OF CREDIT RECEIVED:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE A(7)(a)
Creditor Information
Amount of Credit
Extended
Cumulative
Amount this
Reporting Period Election Cycle
IServices or Goods Provided on Credit
Street Address
City
Date of Extension of Credit
Street Address
City
IServices or Goods Provided on Credit Date of Extension o1 Credit
City
IServices or Goods Provided an Credit Date of Extension of Credit
Street Address
ISen/ices or Goods Provided on Credit Date of Extension of Credit
Street Ad dress
IServices or Goods Provided on Credit Date of Extension of Credit
Enter total only if last page of schedule
(transfer the total received this period to "Summary of Receipts." line 7fa))
Schedule A(7(a), page _ of.
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK
PAYMENTS ON EXTENSIONS OF CREDIT RECEIVED:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE A(7)(b)
Creditor Information
Payment Amount
on Credit
Extended
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
|Services or Goods OriginaNy Provided on Credit Date af Original Extension of Credit
Street Address
City
Services or Goods Originally Provided on Credit Date of Original Extension of Credit
City
Services or Goods Orignally Provided on Credit Date of Original Extension of Credit
Sb-eet Address
City
[Sen/ices or Goods Originally Provided on Credit Date of Original Exlension of Credit
Street Address
City
iervices or Goods Originany Provided on Credit Date of Original Extension of Credit
|Enter total only if last page of schedule
'transfer the ti>r the total received this period to "Summary of Receipts." line Tfbll
Schedule A(7)(b), page _ of.
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK STATE OF ARIZONA
COIVIHfllTTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
JOINT FUNDRAISING / SHARED EXPENSE PAYMENTS RECEIVED:SCHEDULE A(8)
Payor Committee Information Payment Amount
Cumulative
Amount this
Reporting Period Election Cycle
|Date of Joint Fundraising Event (if applicable)
Committee Name
City
Payment Date
Type of Shared Expense (if applicable)
Committee Name
Street Address
City
|Date of Joint Fundraising Event (if applicable)
Payment Date
Type of Shared Expense (if applicable)
Committee Name
Street Address
City
[Date of Joint Fundraising Event (it applicable)Type of Shared Expense (it applicable)
Committee Name
Street Address
City
|Date of Joint Fundraising Event (if applicable)
Payment Date
Type of Shared Expense (if applicable)
Committee Name
City
|Date of Joint Fundraising Event (if applicable)
Payment Dah
Type of Shared Expense (if applicable)
Enter total only if last page of schedule
^transfer the total received this oeriod to "Summary of ReceiDts." line 81
Schedule A(8), page _ of .
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK
PAYMENTS RECEIVED FOR GOODS/SERVICES:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE A(9)
Reporting Period Election Cyde
Street Address
City
ISen/ices or Goods Purchased Payment Date
City
ISenicss or Goods Purchased
Street Address
City
IServices or Goods Purchased
Sfeet Address
Services or Goods Purchased Payment Date
Street Address
Services or Goods Purchased Payment Date
|Enter total only if last page of schedule
fb-ansfer the total received this period to "Summary of Receiote." line 9)
Schedule A(9), page _ of.
Arizona Secretaiy of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
OUTSTANDING ACCOUNTS RECEIVABLE / DEBTS OWED TO COMMITTEE:
COMMITTEE ID NUMBER
17-07
SCHEDULE A(10)
Information Amount
Cumulative
Amount this
Reporting Period Election Cycle
[Type of Account Receivable or Debt Owed
Street Address
Date that Debt Accrued
Street Address
City
[Type ot Account Receivable or Debt Owed Date that Debt Accrued
Street Address
City
|Type of Account Receivable or Debt Owed Date that Debt Accrued
City
IType o1 Account Receivable or Debt Owed Date that DebtAccrued
Street Address
City
Type of Account Receivable or Debt Owed Date thai Debt Accrued
Enter total only if last page of schedule
ftransfer the total received this oeriodlo "Summary of ReceiDls." line 10^
Schedule A(10), page _ of_
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITf CLERK
TRANSFER IN SURPLUS MONIES / TRANSFER OUT DEBT:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE A(11)
Cumulative Amount this Reporting
Period
Cumulative Amount this Election
Cycle
Source of Surplus Monies / Recipient of Transferred Debt
Source of Surplus Monies / Redpient of Transferred Debt
Source of Surplus Monies / Recipient or Transferred Debt
Source of Surplus Monies / Recipient of Transferred Debt
Source of Surplus Monies / Redpient E»f Transferred Debt
Total
(transfer the total received this period to "Summary of Receipts," Ine 11}
Schedule A(11), page_of.
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK
MISCELLANEOUS RECEIPTS:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE A(12)
Source Information Amount
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
[Receipt Type
Street Address
Street Address
City
Street Address
|ReceiptType
|ReceiptType
Street Address
City
IReceipt Type
iEnter total only if last page of schedule
ftransfer the total received this period to "Summary of ReceiDts." line 12^
Schedule A(12), page_of_
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITf CLERK
DISBURSEMENTS FOR OPERATING EXPENSES:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE B(1)
Recipient Information Amount Paid
Cumulative
Amount this
Reporting Period
Cumulative"
Amount this
Election Cycle
Name
SIGNS365.COM
51245 Filomena
City
Shelby Twp
Type of Operating Expense Paid
Advertising
Disbursement Date
07/03/2018 $1,292.36 $1,292.36
Ml J48315
Non-Electoral Purpose? (PACs and Political Parties Only)
$1,292.36
B Cash
a Credit
Name
4 OVER
Street Ad dress
3055 S 44th St
City
Phoenix
Type of Operating Expense Paid
Advertising
Disbursement Date
07/05/2018 $ 59.92 $1,509.90
State
AZ
ZIP
85040
Non-Electoral PurpoBB? (PACs and Pollfcal Paitm Only)
a
$ 59.92
B Cash
D Credit
4 OVER
Street Addrf
3055 S. 44th St.
City
Phoenix
Type of Operating Expense Paid
Advertising
Disbursement Date
07/16/2018 $ 243.35 $1,693.33
State
AZ
ZIP
85040
Non-Electoral Purpose? (PACs and Political Parties Only)
D
$ 183.43
H Cash
D Credit
4 OVER
Street Address
3055 S. 44th St
City
Phoenix
Type of Operating Expense Paid
Disbursement Date
07/30/2018 $ 502.05 $1,952.03
Slate
AZ
ZIP
85040
Non-Electoral Purpose? (PACs and Polibcal Parties Only)
$ 258.70
B Cash
a Credit
Street Address
Type ofOperafing Expense Paid
Disbursement Date
D Cash
D Credit
Non-Electoral Purpose? (PACs and Political Parties Only)
D
Enter total only if last page of schedule
(transfer the total dsbursed this period to '.Summary of DisbursementSi'1 line 1)
Schedule B(1), page 1 of 3
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK
MONETARY CONTRIBUTIONS TO CANDIDATE COMMITTEES:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE B(2)(a)
Candidate Committee Recipient Information Amount
Contributed
Cumulative
Amount this
Reporting Period
Cumulative''
Amount this
Election Cycle
Committee Name
Street Address
Committee ID Number iDate Contribution Made
D Cash
D Credit
Committee Name
Street Address
Committee ID Number Date Contribution Made
a Cash
D Credit
Committee Name
Street Address
Committee ID Number Date Contribution Made
D Cash
D Credit
Committee Name
Street Address
City
Committee ID Number Dale Contribution Made
a Cash
a Credit
Committee Name
Street Address
;ommittee ID Numbei Date Contribution Made
D Cash
D Credit
;nter total only if last page of schedule
.ansfer the total disbursed this oeriod to "Summarv of Disbursements." line 2{a\)
Schedule B(2)(a), page _ of.
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITf CLERK STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
MONETARY CONTRIBUTIONS TO POLITICAL ACTION COMMITTEES:
COMMITTEE ID NUMBER
17-07
SCHEDULE B(2)(b)
Political Action Committee Recipient Information Amount
Contributed
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cyde
Committee ID Number Date ContribuUon Made
a Cash
D Credit
Street Addresi
City
Committee ID Number Date Conlrlbulon Made
D Cash
D Credit
Commiltee Name
Street Address
City
Committee ID Number Date Contribution Made
a Cash
a Credit
iommittee Name
Street Address
City
Committee ID Number Date Contribution Made
D Cash
D Credit
Committee Name
Street Address
City
Committee ID Number Dale Contribution Made
a Cash
D Credit
Enter total only if last page of schedule
leriod to "Summary of Disfcureements." Nne 2fb1l
Schedule B(2)(b), page _ of.
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK
MONETARY CONTRIBUTIONS TO POLITICAL PARTIES:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
Committee ID Number
Committee Name
Street Address
City
Committee ID Number
Committee Name
Committee ID Number
Committee Name
Street Ad dress
City
Committee ID Number
Committee Name
Street Address
City
Committee ID Number
Political Party Recipient Information
iDate Contribution Made
Date ContribuUon Made
Date Contribution Made
Date Contribution Made
Date ContribuBon Made
Enter total only if last page of schedule
ffransfer the total disbursed this oeriod to "Summary of Disbursements." line 2<clt
SCHEDULE B(2)(c)
Amount
Contributed
D Cash
D Credit
D Cash
a Credit
a Cash
a Credit
a Cash
D Credit
D Cash
D Credit
Reporting Period Election Cycle
Schedule B(2)(c), page _ of
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITf CLERK
MONETARY CONTRIBUTIONS TO PARTNERSHIPS:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
Partnership Recipient Information
Partnership Name
City
Corporation Commission Rle Number
Partnership Name
Street Address
Corporation Commission File Number
Partnership Name
Street Address
City
Corporation Commission File Number
'artnership Name
Street Address
Corporation Commission File Number
artnershfp Nai
Steet Address
City
Corporation Commission File Number
iDate Contribution Made
Date Contribution Made
Date Contribution Made
Date Contribution Made
Dale Contribution Made
|Enter total only if last page of schedule
'(b-ansfer the total dsbuised this Deriod to -Summarv of Disbureements.- line 2(dn
SCHEDULE B(2)(d)
Amount
Contributed
a Cash
D Credit
D Cash
D Credit
D Cash
d Credit
D Cash
D Credit
a Cash
D Credit
Reporting Period
Schedule B(2)(d), page _ of.
Election Cycle
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK
MONETARY CONTRIBUTIONS TO CORPORATIONS AND LLCs:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE B(2)(e)
Corporation / LLC Recipient Information Amount
Contributed
Cumulative
Amount this
Reporting Period Election Cycle
Corporation/LLC Name
Street Address
Corporation Commission File Number IDate Contribution Made
D Cash
a Credit
Corporation/LLC Name
Sfreet Address
Corporation Commission File Number Date Contribution Made
D Cash
D Credit
Corporati on/LLC Name
Street Address
City
Corporation Commission File Number Date Contribution Made
D Cash
D Credit
Corporation/LLC Ni
City
Corporation Commission File Number Date Contribution Made
D Cash
D Credit
Corporation/LLC Nai
Street Address
Corporation Commission File Number Date Contribution Made
D Cash
D Credit
[Enter total only if last page of schedule
.ansfer the total disbursed this Deriod to "Summarv of Disbursements." line 2(e})
Schedule B(2)(e), page_of_
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK
MONETARY CONTRIBUTIONS TO LABOR ORGANIZATIONS:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE B(2)(f)
Labor Organization Recipient Information Amount
Contributor
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
Labor Organization Name
Slrnet Address
City
Corporation Commission File Number IDBte ConlribuBon Made
a Cash
a Credit
Labor Organization Name
Street Address
City
Corporation Commission File Number Date Contribution Made
a Cash
D Credit
Labor OrganizaBon Name
Street Address
City
Corporation Commission File Number Date Contribution Made
D Cash
D Credit
Labor Organization Name
Street Address
City
Corporation Commission File Numbei Date Contribution Made
a Cash
a Credit
Labor Organization Name
Street Address
Corporation Commission File Number Date Contribution Made
D Cash
D Credit
Enter total only if last page of schedule
ffransfer the total dsbureed this period to "Summary <rf Disbursements.^ linAZfm
Schedule B(2)(f), page _ of.
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITi/ CLERK
CONTRIBUTION REFUNDS RECEIVED:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE B(2)(h)
Contributor Information Amount Refunded
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
Committee Name
Street Ad dress
;ommittee ID Number
Date Refund Received
Date of Onginal Contnbutit
Committee Name
Street Address
City
Committee ID Number
Date Refund Received
Date ot Original Contribution
Committee Name
City
Committee ID Numbei
>ate Refund Received
Date of Original Conhfibution
Committee Name
Street Address
Committee ID Number
Date Refund Received
Date of Original Contribution
Committee Name
;ommittee ID Number
Date Refund Received
Date of Original Contribution
|Enter total only if last page of schedule
(transfer the total disbursed this period to "Summary of Disbursements," line 2(hl)
Schedule B(2)(h), page _ of
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITi/ CLERK
LOANS MADE:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE B(3)(a)
Borrower Information Amount Loaned
Cumulative
Amount this
Reporting Period Election Cycle
Borrower Name
Street Address
Guarantor/Endorser Nai Data Loan Made
Borrower Name
Street Address
City
Guarantor/Endorser Name Pate Loan Made
Borrower Name
Street Address
City
Guarantor/Endorser Name Date Loan Made
City
Guarantor/Endorser Nai
Street Address
Guarantor/Endorser Name Date Loan Made
|Enter total only if last page of schedule
Ktransfer the total received Ihia DBrlod to -Summary of R.celpte.- lln. 31
Schedule B(3)(a), page _ of.
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK
LOAN GUARANTEES MADE:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE B(3)(b)
Guarantor Information Amount
Guaranteed
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
Guarantor Name
Street Address
[Date Loan Guaranteed
Guarantor Name
Sb-eet Address
Borrower Name Date Loan Guaranteed
Guarantor Name
Street Ad dress
Borrower Name Date Loan Guaranteed
Street Address
City
Borrower Name Date Loan Guaranteed
Guarantor Name
Street Address
Borrower Name late Loan Guaranteed
Enter total only if last page of schedule
^transfer the total received this oeriod to "Summarv of ReceiDts." line 3(b«
Schedule B(3)(b), page_of.
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CIT/ CLERK
FORGIVENESS ON LOANS MADE:
STATE OF ARIZONA
COMMITTEE CAIVIPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE B(3)(c)
Amount Forgiven
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
Borrower Name
Original Amount of Loan
Dale Forgiveness Made
[Amount Still Outstanding
Borrower Name
Sfreet Address
City
Original Amount of Loan
Date Forgiveness Made
[Amount Still Outstanding
Borrower Name
Street Address
City
Original Amount of Loan
Date Forgiveness Made
[Amount Still Outstanding
Borrower Name
Sh-eet Address
Original Amount of Loan
Date Forgiveness Made
[Amount Still Outstanding
Borrower Name
Street Address
City
Original Amount of Loan
Date Forgiveness Made
[Amount Still Outstanding
Enter total only if last page of schedule
fb-ansfer the total dsbureed this period to "Summary of Dlsburaements." line 3fc»
Schedule B(3)(c), page _ of_
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK
REPAYMENT ON LOANS RECEIVED:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE B(3)(d)
Lender Information Amount Repaid
Cumulative
Amount this
Reporting Period Election Cycle
Street Address
City
Original Amount Borrowed
Date Repayment Made
|Amount Still Outstanding
Street Address
City
Original Amount Borrowed
Date Repayment Made
[Amount Still Outstanding
Sb-eet AddreBE
Cily
Original Amount Borrowed
Date Repayment Made
|Amount Still Outstanding
Street Address
Clly
Original Amount Borrowed
Date Repayment Made
[Amount Still Outstanding
Street Address
Original Amount Borrowed
Date Repayment Made
|Amou nt Still Outstanding
[Enter total only if last page of schedule
insfer the total disbursed this period to "Summarv of Disbursements.' line 3(dti
Schedule B(3)(d), page _ of
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CIT/ CLERK
INTEREST ACCRUED ON LOANS RECEIVED:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE B(3)(e)
Lender Information lAmount of Interest
Accrued
Cumulative
Amount this
Reporting Period Election Cycle
Street Address
City
Original Amount Borrowed
Date Interest Accrued
|Amount Still Outstanding
Original Amount Borrowed
Date Interest Accrued
Amount Still Outstanding
Street Address
City
Original Amount Borrowed
Date Interest Accrued
Amount Still Outstanding
Original Amount Borrowed
Date Interest Acaued
[Amount Still Outstanding
Original Amount Borrowed
Date Interest Accrued
[Amount Still Outstanding
|Enter total only if last page of schedule
[(transfer the total disbursed this oeriod to "Summary of Disbursements." line 3fe1l
Schedule B(3)(e), page of
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK
REBATES AND REFUNDS MADE (NON-CONTRIBUTIONS):
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE B(4)
Recipient Information Amount Rebated /
Refunded
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
Name of Original Payor Dale Rebate/Refund Made
Street Address
Corporation Commission File Number (if applicable)|0riginal Payment Amount Date of Original Payment
Name of Original Payer Date Rebate/Retund Made
Street Address
Corporation Commission File Number (if applicable)priginal Payment Amount Date of Original Payment
Name of Original Pay or Date Rebate/Refund Made
Street Address
Corporation Commission File Number (if applicable)priginal Payment Amount Name of Original Payor
Name of Original Payor Date Rebate/Refund Made
Corporation Commission File Number (if applicable)Original Payment Amount Name of Original Payer
Name of Original Payoi Date Rebate/Reftjnd Made
Street Address
City
Corporation Commission File Number (if applicable)|0riginal Payment Amount Name <st Original Payer
Enter total only if last page of schedule
(transfer the total disbursed this period to "Summary of Disbursements," line 4)
Schedule B(4), page _ of
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK
IN-KIND CONTRIBUTIONS TO CANDIDATE COMMITTEES:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE B(5)(a)
Candidate Committee Recipient Information Amount
Contributed
Cumulative
Amount this
Reporting Period
Cumulative"
Amount this
Election Cycle
Committee Name
Street Address
City
Committee ID Number IDate In Kind ContribuSon Made
Committee Name
Street Address
City
Committee ID Number Date In-Klnd Contribution Made
Street Address
City
Committee ID Number Date In-Kind Contribution Made
Committee Name
Street Address
City
Committee ID Number Date In-Kind Contribution Made
Committee Name
Committee ID Number Date In-Kind Contrbution Made
|Enter total only if last page of schedule
ffransfer the total dsburaed this oeriod to ''Summarv of Disburaements." line 5ia\\
Schedule B(5)(a), page _ of.
Arizona Secretaiy of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK
IN-KIND CONTRIBUTIONS TO POLITICAL ACTION COMMITTEES:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE B(5)(b)
Political Action Committee Recipient Information Amount
Contributed
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
City
Committee ID Numbei IDate In-Kind Conb-ibution Made
Committee Name
Cily
Committee ID Number Date In-Kind Contribution Made
Committee Name
Street Address
City
Committee ID Number Date In-Kind Contnbution Made
Committee Name
Street Address
Committee ID Number Date In-Kind Contribution Made
Committee Name
Committee ID Number Date In-Kind Contnbution Made
;nter total only if last page of schedule
ifer the total disbursed this oeriod to "Summarv of Disbursements." line 5/bti
Schedule B(5)(b), page _ of.
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK
IN-KIND CONTRIBUTIONS TO POLITICAL PARTIES:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
Committee Name
Street Address
City
Committee ID Number
Committee Name
Street Address
Committee ID Number
Committee Name
Street Address
City
Committee ID Number
Committee Name
Street Address
committee ID Number
Committee Name
Street Address
City
Committee ID Number
Political Party Recipient Information
Date In-Kind ConlrlbuBon Made
Date In-KJnd Contribution Made
Date in-Kind Conlribution Made
Date In-Klnd Contnbutlon Made
Date In-Kind Contribution Made
[Enter total only if last page of schedule
ftransferthe total dsbursedlhis period to "SLjmmarv of Disbursements." line 5(cti
SCHEDULE B(5)(c)
Amount
Contributed Reporting Period Election Cycle
Schedule B(5)(c), page _ of.
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK
IN-KIND CONTRIBUTIONS TO PARTNERSHIPS:
STATE OF ARIZONA
COMMITTEE CAIVIPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE B(5)(d)
Partnership Recipient Information Amount
Contributed
Cumulative
Amount this
Reporting Period Election Cycle
Partnership Name
Sb-eet Address
Corporation Commission File Number iDate In-Kind Contribution Made
Partnership Name
Corporation Commission File Number Date In-Kind Contnbution Made
Partnership Name
Street Address
City
Corporation Commission File Number Date In-Kind Contribution Made
Partnership Name
City
Corporation Commission File Number Date In-Kind Contribution Made
Partnership Name
Street Address
Corporation Commission File Number Date In-Kind Contribution Made
Enter total only if last page of schedule
ftransfer the total disbursed this oeriod to "Summarv of Disbursements." line Sfd^
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK
IN-KIND CONTRIBUTIONS TO CORPORATIONS AND LLCs:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE B(5)(e)
Corporation / LLC Recipient Information Amount
Contributed
Cumulative
Amount this
Reporting Period Election Cycle
Corporation/LLC Name
City
Corporation Commission File Number 'Date In-Kind Contribution Made
Corporalion/LLC Name
Street Address
City
Corporation Commisaion File Number Date [n-Mnd Contribution Made
Corporation/LLC Name
Sfreet Address
City
Corporation Commission File Number Dale In-Klnd Contribution Made
Corporation/LLC Name
Street Address
City
Corporation CDmrrission File Number Date In-Kind Contribution Made
Corporation/LLC Name
Street Address
City
Corporation Commission File Number Date In-KJnd Contribution Made
|Enter total only if last page of schedule
Iftransfer the total disbursed this period to "Summary of Disbursements," line 5(e)1
Schedule B(5)(e), page _ of.
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK
IN-KIND CONTRIBUTIONS TO LABOR ORGANIZATIONS:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE B(5)(f)
Labor Organization Recipient Information Amount
Contributed
Cumulative
Amount this
Reporting Period Election Cycle
Labor Organization Name
Corporation Commission File Number IDate In-Kind Contribution Made
Labor Organization Name
Sb-eet Address
City
Corporation Commission File Number Date In-Klnd Contribution Made
Labor Organizahon Name
Street Address
City
Corporation Cammission File Number Date In-KJnd Conlnbution Made
Labor Organization Name
Street Address
;orporation Commission File Number Date In-Kind Contnbution Made
Labor Organization Name
City
Corporation Commission File Number Date In-Kind Contribution Made
|Enter total only if last page of schedule
ftLansfer the total cfisbursed this period to "Summary of Disbursements." line 5ffl1
Schedule B(5)(f), page _ of.
Arizona Secretaiy of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITf CLERK
INDEPENDENT EXPENDITURES MADE:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE B(6)
Expenditure Recipient Information Expenditure
Amount
Cumulative
Amount this
Reporting Period Election Cycle
Recipient Name Mode olAhertlslng (TV, mail, elc)
City
Candidate(s) Supported (including % supported)|Candidate(s) Opposed (including % opposed)
Date of First PublfcaUon, Display, Delivery, or Broadcast Election Monlhn'c
D Cash
D Credit
Recipient Name Mode or Advertising (TV, mail, etc)
Street Address
Candidate(s) Supported (including "A supported)
Date of First Publication, Display, Delivery, or Broadca;
Candidate(s) Opposed (including % opposed)
iElection Month/Ye.
D Cash
D Credit
Recipient Name fUlode of Advertising 0V, mail, etc)
Candidate(s) Supported (including % supported)
Date of Flr»t Publication, DiBplay, Delivery, or Broadcast
Candidale(s) Opposed (including % opposed)
Election Month/Yei
D Cash
D Credit
Recipient Name Mode of Advertising CTV, mail, etc)
Street Address
City
Candidate(s) Supported (including % supported)
Date of First Publication, Display, Delivery, or Broadcast
Candidate(s) Opposed (including % opposed)
lElection Month/Year pffice Sou^rt
D Cash
D Credit
|Enter total only if last page of schedule
(fransfer the total dsbureed this period to "Summary of Dfebursements,'1 line 6)
Schedule B(6), page _ of_
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK
BALLOT MEASURE EXPENDITURES MADE:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE B(7)
Expenditure Recipient Information Expenditure
Amount
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
Mode of Advertising (TV, mail, etc)
City
Ballot Measure(s) Supported (including "A supported)
Date of First Publication, Display, Delivery, or Broadcast
Ballot Measure(s) Opposed (including % opposed)
Election Munlti/Year
D Cash
D Credit
Recipient Name fi/lode oFAdt/ertising (TV, mail, etc)
Street Address
Ballot Measure(s) Supported (including % supported)
Date ot First Publication, Display, Delivery, or Broadcast
Ballot Measure(s) Opposed (including % opposei
D Cash
D Credit
lElection Manth/Year
Recipient Name ^Aode of Advertising (TV, mail, etc)
Street Address
Ballot Measure(s) Supported (induding % supported)
Dale ot First Publication, Display, Delivery, or Broadcast
Ballot Measure(s) Opposed (including % opposed)
D Cash
D Credit
election Month/Year
Recipient Name f^ode of Advertising fTV, mail, etc)
City
Ballot Measure(s) Supported (including % supported)
Date of First Publication, Display, Delivery, or Broadcast
Ballot Measure(s) Opposed (including % opposed)
D Cash
D Credit
Election Month/Year
Enter total only if last page of schedule
(transfer the total disbursed Ihis period to "Summary of Disbursements," line 7)
Schedule B(7), page _ of_
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITf CLERK STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
RECALL EXPENDITURES MADE:
COMMITTEE ID NUMBER
17-07
SCHEDULE B(8)
Expenditure Recipient Information Expenditure
Amount
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
Recipient Nai Mode ofAdverfang CTV, mail, etc)
Street Address
City
Supporting or Opposing Issuance of Recall Order?
Date of First Publication, Display, Delivery, or BroadH
Candidate Sought to be Recalled
D Cash
D Credit
Recipient Name ftflode of Advertising (TV, mail, etc)
Street Address
City
Supporting or Opposing Issuance of Recall Order?
Date of First Publication, Display, Delivery, or Broadcast
Candidate Sought to be Recalled
a Cash
D Credit
Recipient Name Mode ofA*ert8ing (TV, mail, etc)
Street Address
City
Supporting or Opposing Issuance of Recall Order?I Candidate Sought to be Recalled
Date df Firet Publication, Display, Delivery, or Broadcast
D Cash
D Credit
Recipient Name |Vlode of Advertising (TV, mail, etc)
Street Address
City
Supporting or Opposing Issuance of Recall Order?
Date of First Publication, Display, Delivery, or Broadcast
Candidate Sought to be Recalled
D Cash
D Credit
|Enter total only if last page of schedule
|(transfer the total disbursed this period lo "Summary of Disbursemenls," line 8
Schedule B(8), page _ of_
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SUPPORT PROVIDED TO PARTY NOMINEES (POLITICAL PARTIES ONLY):SCHEDULE B(9)
Benefitted Candidate Amount
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
Candidate Name
Street Address
City
Type of Benefit Provided
Date Benefit Provided
Candidate Name
Street Address
City
Type of Benefit Provided
Date Benefit Provided
;andidate Name
City
Type of Benefit Provided
Date Benefit Provided
Candidate Name
Street Address
City
'ype of Benefit Provided
Date Benefit Provided
[Enter total only if last page of schedule
(transfer the total disbursed this period to "Summary of Disbursements," line 9)
Schedule B(9), page _ of.
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK
JOINT FUNDRAISING / SHARED EXPENSE PAYMENTS MADE:
STATE OF ARIZONA
COMMITTEE CAhflPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE B(10)
Recipient Committee Information Payment Amount
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
Committee Name
Street Address
City
|Date of Joint Fundraising &ent (if applicable)
Payment Date
Type of Shared Expense (if applicable)
D Cash
a Credit
Committee Name
City
|Date of Joint Fundraising &ent (If applicable)
Payment Date
Type of ShTed Expanse fl applicable)
D Cash
D Credit
Committee Name
City
Date of Joint Fundraiaing Evant (if applicable)
Payment Date
Type of Shared Expense (if applicable)
D Cash
D Credit
Committee Name
Street Address
City
Date of Joint Fundraising Event (if applicable)
Payment Date
Type of Shared Expense (if applicable)
D Cash
D Credit
Street Address
City
Date of Joint Fundraising Event (if applicable)
Payment Date
Type of Shared Expense (if applicable)
a Cash
a Credit
Enter total only if last page of schedule
(transfer the total dsbursed this period to "Summary of Disbursements," line 10)
Schedule B(10), page _ of.
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK
REIMBURSEMENTS MADE:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE B(11)
Recipient Information Reimbursement
Amount
Cumulative
Amount this
Reporting Period Election Cycle
Street Address
City
Sen/ices or Goods Reimbursed Reimbursement Dale
a Cash
a Credit
Street Address
City
iervices or Goods Reimbursed Reimbursement Date
a Cash
a Credit
Street Address
City
IServices or Goods Reimbursed Reimbursement Date
a Cash
a Credit
Street Address
City
lervices or Goods Reimbursed Reimbursement Date
a Cash
D Credit
Street Address
City
[Services or Goods Reimbursed Reimbursement Date
a Cash
D Credit
[Enter total only if last page of schedule
[transfer the total dsbursedthisperiodto'Summary of Disbursements," line 11)
Schedule B(11), page_of.
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK STATE OF ARIZONA
COMMITTEE CAIWPAIGN
FINANCE REPORT
OUTSTANDING ACCOUNTS PAYABLE / DEBTS OWED BY COMMITTEE:
COMMITTEE ID NUMBER
17-07
SCHEDULE B(12)
Reporting Period Election Cycle
[Type of Account Payable or Debt Owed Date that Debt Accrued
Street Address
City
|Type of Account Payable or Debt Owed Date that Debt Accmed
Street Address
City
[Type of Account Payable or Debt Owed Date that Debt Accrued
Street Address
City
ype ot Accounl Payable or Debt Owed Date Dial Debt Accnjed
Street Address
City
'ype of Account Payable or Debt Owed Date that Debt Accrued
|Enter total only if last page of schedule
(transfer the total received this period to "Summary of Receipte," line 12)
Schedule B(12), page _ of.
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK
TRANSFER OUT SURPLUS MONIES / TRANSFER IN DEBT:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE B(13)
Cumulative Amount this Reporting
Period
Cumulative Amount this Election
Cycle
Recipient of Surplus Monies / Source of Transferred Debt
Recipient of Surplus Monies / Source of Transferred Debt
Recipient of Surplus Monies / Source of Transferred Debt
Recipient of Surplus Monies / Source of Transferred Debt
Recipient of Surplus Monies / Source of Transferred Debt
Total
(transfer the total disbursed this period to "Summary of Disbursements," line 14)
Schedule A(13), page _ of
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK
MISCELLANEOUS DISBURSEMENTS:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE B(14)
Recipient Information Amount
Cumulative
Amount this
Reporting Peril
Cumulative
Amount this
Election Cycle
Street Address
IDrsbureementType Diabureement Date
D Cash
a Credit
Street Address
llsbursementType Disbursement Date
a Cash
D Credit
disbursement Type Disbursement Dale
D Cash
a Credit
isbursement Type Disbursement Date
D Cash
a Credit
sbursementType Hsbursement Date
a Cash
a Credit
nter total only if last page of schedule
ansfer the total diBbureed this period to "Summary of Disbursements." line 121
Schedule B(12), page _ of.
Arizona Secretary of State Revision 4/10/18
AMENDED 1/11/19
DISBURSEMENTS FOR OPERATING EXPENSES:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE B(1)
Recipient Information Amount Paid
Cumulative
Amount this
Reporting Period
Cumulative"
Amount this
Election Cycle
Name
Dallante Colvin
Disbursement Date
07/11/2018 $ 240.00
15420 W. Canterbury Dr
City
Surprise
Type of Operating Expensa Paid
Campaign Worker
AZ 85379
Non-Elacloral purpose? (PftCs and Polllcal Parties Only)
a
$ 240.00
13 Cash
D Credit
$ 240.00
Name
Dallante Colvin
Diaburaement Date
07/30/2018 $ 375.00
15420 W. Canterbury Dr
City
Surprise
Type of Operating Expense Paid
Campaign Worker
Slate
AZ
ZIP
85379
Non-Bectoral Puipoae? (PACa and Poltcal Parties Only)
a
$ 135.00
.Cash
D Credit
$ 375.00
Kelvin Triplett
Disbursement Date
07/11/2018 $ 165.00
15420 W. Canterbury Dr
City
Surprise
Type of Operating Expense Paid
Campaign Worker
State
AZ
ZIP
85379
Non-Electoral PutpoBe? (PACs and PolHcal Parties Only)
D
$ 165.00
Cash
D Credit
$ 165.00
Nama
Grassroots Partners
Disbursement Date
07/26/2018 $1,109.39
Street Address
11330WRosewoodDr
Avondale
.ype of Operating Expense Paid
Social Media
AZ 85392
Non-Electoral PurpoBe? (PACs and PolNcal Parties Only)
$1,109.39
B Cash
D Credit
$1,109.39
Bryan MacDonaId
Disbursement Date
07/30/2018 $1,050.00 $1,050.00
Strait Address
21063N.33rdAve
:lty
Phoenix
ype of Operating Expense Paid
campaign Worker
AZ 85027
$1,050.00
Cash
D Credit
Non-Electoral purpose? (PACs and Political Parties Only)
D
Enter total only if last page of schedule
(transfer the total dsburatd this p»riod to .Summary of DlEbursements," line 1)
Schedule B(1), page 2 of 3
AMENDED 1/11/19
DISBURSEMENTS FOR OPERATING EXPENSES:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE B(1)
Recipient Information Amount Paid
Cumulative
Amount this
Reporting Perioc
Cumulative"
Amount this
Election Cvcle
Name
Andrea Allison
Disbursement Date
07/30/2018 $1,065.00 $1,815.00
Street Address
6529 W. Glendale Ave B2307
any
Glendale
Type of Operating Expense Paid
Campaign Worker
A2 85301
Non-Elecloral Purpose? (PACs and Polllcal Parte. Only)
D
$1,065.00
B Cash
D Credit
Belinda S. Alien
Disbursement Date
08/04/2018 $1,500.00 $1,500.00
Street Address
5750 N. 59th Ave# 120
City
Glendale
Fype of Operating Expense Paid
Graphic Design
AZ 85301
Non-Electoral Purpose? (PAC« and Pollcal Parties Only)
$1,500.00
.Cash
D Credit
Disbursement Date
.ype of Operating Expense Paid Non-Electoral Purpose? (PACs and Political Parties Only)
D
a Cash
D Credit
Disbursement Date
ff)e of Operating Expense Paid Non-Electoral Purpose? (PACs and Poimcal Partm Only)
a
D Cash
a Credit
Dlabureement Date
ypa of Operating Expense Paid
a Cash
a Credit
Non-Electoral Purpose? (PACs and Political Parties Only)
a
nter total only if last page of schedule
ansfer the total dsbureed this period to "Summary of Diebureements," line 1)7,058.80
Schedule B(1), page 3 of 3
Arizona Secretary of State Revision 4/10/18