HomeMy WebLinkAboutCampaign Finance Records - Finance report - Allen for Glendale - 1/11/2019 (17)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: ANe"for Glendale
CANDIDATE INFORMATION (only if filing as a candidate committee):
Office Sought-.a Statewide Office:
D County Office:
Q State Legislature:
I City/Town Office: Ocotillo District
REPORTING PERIOD (check one):
ID
ID
ID
a
D
Cj
D
D
a
D
D
D
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
2017 1"' Quarter Report (Local Only) February 26. 2017 to March 31 2017
2017 l-Quarter Report: January 1, 2017 to March 31, 2017
2017 May Pre-Election 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
2017 August Pre-Election Report (Local Only) July 1 2017 to August 12, 2017
2017 3"' 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 October 21, 2017
2017 4th Quarter Report (Local Only) October 22 2017 to December 31,2017
2017 4th Quarter Report: October 1, 2017 to December 31, 2017
2018 March Pre-Election Report (Local Only) January1.2018toFebiuary24.2018
2018 1'' Quarter Report (Local Only) February 25, 2018 to March 31.2018
2018 1"t Quarter Report: January 1, 2018 to March 31, 2018
2018 May Pre-Elecbon Report (Local Only) April 1. 2018 to April 28,2018
2018 2nd Quarter Report (Local Only) April 29 2018to 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 3r° 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, 201 8
|__j 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 2017 to April 15 2017
April 1,2017 to April 15, 2017
April 30, 2017 to May 6 2017
July1 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, 2017 to 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 1,2018toApnl 16. 2018*
April 1,2018 to April 16,2018*
Apnl 29. 2018 to May 7,2018*
July1.2018toJuly16.2018*
July 1,2018 to July 16,2018*
August 12, 2018 to August 20, 2018*
October 1, 2018 to October 15, 2018
October 21, 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 (from "Summary of Receipts," line 13 (cash column) for this reporting period)
(c) - Total disbursements (from "Summary of Disbursements," line 16 (cash column) for this reporting penod)
(d) = Balance at close of reporting period
Cash Activity This
Reporting Period
$11,556.83
$0.00
$ 9,546.42
$2,010.41
Election Cycle to
Date
$ 23,073.27
$21,162.86
D 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
(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 i(i))$0.00
(k) Refunds Given Back to Contributors
(I) Net Monetary Contributions (subtract 1 (k) from 1 (j»$0.00
2. Loans
(a) Loans Received
(b) Forgiveness on Loans Received
(c) Repayment on Loans Made
(d) Interest Accrued on Loans Made
(e) Loans Subtotal (cash: add 2(a), 2(c) S 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 $ 453.37
(b) Individuals - $50 or Less (Aggregate)
(c) Candidate Committees
(d) Political Action Committees
(e) Political Parties
(f) Partnerships
(g) Corporations & Limited Liability Companies (PACS & political parties only)
(h) Labor Organizations (PACS & political parties only)
(i) Candidate's Personal Assets or Property (Candidate Committees Only)
(j) In-Kind Contributions Subtotal (equity: add 5(a) through 5(i))$ 453.37
6. In-Kind Donations Received (Non-Contnbutions) (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: add 2(b),5(j), 6-7, 10-12)$0.00 $ 453.37
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK
SUMMARY OF DISBURSEh/IENTS (Schedule B):
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
Disbursements Cash Equity
1. Disbursements for Operating Expenses $ 8,065.59
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
(a) Loans Made
(b) Loan Guarantees Made
(c) Forgiveness on Loans Made
(d) Repayment of Loans Received $100.00
(e) Accrued Interest on Loans Received
(f) Total Loans (cash: add 3(a), 3(d) & 3(e); equity; add 2(b) & 2(c))$100.00 $0.00
4. Rebates and Refunds Made (Non-coninbutions)
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 & political 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 and/or equity as applicable;
14. Miscellaneous Disbursements
15. Aggregate of Disbursements - $250 or Less $1,380.83
16. Total Disbursements (cash: add i, 2(;>, 3(f). 6-11 & 13-15; equity: add 3(f), 5(j), & 12-15)$ 9,546.42 $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)
Cumulative
Amount this
Reporting Period Election Cycle
Street Address
City
Date Contribution Received
|Em player
Street Address
Occupation
Date Contribution Received
Employer
Street Address
City
Dale Contribution Received
Employer
Street Address
City
Occupation
Date Contribution Received
Employer
Street Address
City
Occupation
Date Contribution Received
Employer
|Enter total only if last page of schedule
(transfer the total received this period to "Summarv of Receipts," line 1(a))
*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 _ of
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK STATE OF ARIZONA
COMMITTEE CAhflPAIGN
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
(b-ansfer Ihe total received this period to "Summary of Receipts," line 1(b})
Cumulative Amount this Reporting
Period
Cumulative Amount this Election
Cycle
*lf contributions of more than S50 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 Name
City
Committee ID Number Date Contribution Received
Committee Nai
City
Committee ID Number Date Contribution Received
Committee Name
Street Address
Committee ID Number Date Contribution Received
Committee Name
Street Addrea»
City
Committee ID Number Date Contribution Received
|Enter total only if last page of schedule
(transfer the total received this period to "Summary of Receipts." 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
COMIMITTEE 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
Cumulative
Amount this
Election Cycle
Committee Name
City
Committee iD Number ;Date Contribution Received
Committee Name
Street Address
City
Committee ID Number Date Contribution Received
Committee NE
Street Address
City
Committee ID Number Date Contribution Received
Committee Name
imittee ID Number Date Contribution Received
Committee Name
Street Address
City
ittee 13 Number Date Contribution Received
|Enter total only if last page of schedule
(transfer the total received this period to "Summary of Recelots." line 1(6})
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 CAhflPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
Committee Name
City
Committee ID Number
Committee Name
Sb-eet Address
City
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 Contributor Information
IDate Contribution Received
Date Contribution Received
Date Contribution Received
Date Corrtribulion Received
Date Contribution Received
Enter total only if last page of schedule
ftransfer the total received this oeriod to "Summanf of ReceiDts.1' line 1 feti
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
CITf CLERK
MONETARY CONTRIBUTIONS FROM PARTNERSHIPS:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
Partnership Contributor Information
Partnership Name
Corporation Commission File Number
Partnership Name
Street Address
City
Corporation Commission File Number
Partnership NE
Street Address
Corporation Commission File Number
'artnership Name
Corporation Commission File Number
Partnership Name
Corporation Commission File Number
Pate Contribution Received
Date Contribution Received
Date Contribution Received
Date Contribution Receh/ed
Date Conlribution Received
lEnter total only if last page of schedule
'transfer the total received this oeriod to "Summan/ of Receiots." line 1 m
SCHEDULE A(1)(f)
Amount Received
Cumulative
Amount this
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)
Reporting Period Election Cycle
Corporation/LLC Name
Street Address
Corporation Commission File Number IDale Contribution Received
Corporation/LLC Name
Street Address
Corporation Commission File Number Date Contribution Received
Corporation/LLC Nam
Street Address
City
Corporation Commission File Number Date Contribution Received
Carporation/LLC Name
Street Address
City
Corporation Commission File Number Date Contribution Received
C&rporation/LLC Name
Street Address
City
Corporation Commission File Number Date Contribution Received
[Enter total only if last page of schedule
[ftransfer the total received this oeriod to "Summary of Receiots." line Kali
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
COIWMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE A(1)(h)
Amount Received
Cumulative
Amount this
Reporting Period Election Cycle
Labor Organization Name
Street Address
Corporation Commlsslfm File Number IData Contribution Receivad
Labor Organization Name
S*reet Address
City
Corporation Commission File Number Date Contribution Received
Labor Organization Name
Street Address
City
Corporation Commission File Number Date Contribution Received
Labor Organization Name
Street Address
City
Corporation Commission File Number Date Contribution Received
Labor Organizafion Name
Sb-eet Address
City
Corporation Commission File Number Date Contribution Received
Enter total only if last page of schedule
(transfer the total recehfed this period to "Summary of Receipts.' line 1 tW
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
[Employer
Street Address
City
Occupation
Date Contribution Received
Employer
Street Address
City
Date Contributjon Received
Date Contribudon Received
Employer
Street Address
Date Contribution Received
[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
CIT/ 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
Cumulative
Amount this
Election Cycle
Street Address
ID Number (if ^>plcable)
Date Contribution Refunded
Date of Original Contribution
Street Address
ID Number (If appllmbla)
Date Contribution Refunded
Date of Original Contribution
Street Address
City
ID Number (If ippllcable)
Date Contribution Refunded
Date of Original Contribution
Street Address
City
I D Number (if applicable)
Date Contribution Refunded
Date of Original Contribution
D Number (if applicable)
Dale Contribution Refunded
Date af Original Contribution
[Enter total only if last page of schedule
(transferfrie total raceivedthis period to "Summar/ofRecelpts," line 1fk»
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 Name
Dale Loan Received
Non-Eledoral Purpose? (PACs and Political Parties Only)
D
Street Address
City
Guarantor/Endorser Name
Date Loan Received
Non-Electoral Purpose? (PACs and Political Parties Only)
Street Address
City
Guarantor/EndorserNai
Date Loan Received
Non-Electoral Purpose? (PACs and Political Parties Only)
Lender Name
City
Guarantor/Endarser NE
Date Loan Received
Non-Electoral Purpose? (PACs and PoliUcal Parties Only)
D
Street Address
City
Guarantor/Endorser Name
Date Loan Received
Non-Electoral Purpose? (PACa and PoliUcal Parties Only)
a
Enter total only if last page of schedule
(transfer the tolal received Ihis 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
CITY 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
City
Original Amount of Loan
Data Forgiveness Received
[Amount Stiil Outstanding
Street Addreaa
Original Amount of Loan
Date Forgiveness Received
amount Still Outstanding
City
Original Amount af Loan
Date Forgiveness Received
amount Still Outstanding
Street Address
City
Original Amount of Loan
Date Forgiveness Received
Amount Still Outstanding
Street Address
Cily
Original Amount of Loan
Date Forgiveness Received
[Amount Still Outstanding
Enter total only if last page of schedule
'transfer the total received this oeriod to "Summarv of Receiota." lina 2/b^
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 CAMPAIGN
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
Original Amount Borrowed
Date Repayment Received
lAmuunt Still Outstandin
Borrower Name
Street Address
City
Original Amount Borrowed
Dale Repayment Received
'Amount Still Outslanding
Borrower Name
Street Address
City
Ori^nal Amount Borrowed
Date Repayment Received
[Amount Still Outstanding
Borrower Name
Street Address
Original Amount Borrowed
Date Repayment Received
lAmaunt Still Outstandini
Borrower Name
Street Address
City
Original Amount Borrowed
Date Repayment Received
[Amount Still Outstanding
|Enter total only if last page of schedule
Ctransfer the total received this oeriod to "Summarv of ReceiDts." line 2(cti
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
COIWMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE A(2)(d)
Borrower Information I Amount of Interest
Accrued
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cyde
Borrower Name
Street Address
City
Original Amount Borrowed
Date Interest Accrued
Amount Still Outstanding
Borrower N'ame
Street Address
Original Amount Borrowed
Date Interest Accrued
Amount Still Outstanding
Borrower Name
Straet Address
Original Amount Borrowed
Date Interest Accrued
|Amount Still Outstanding
Original Amount Borrowed
Date Interest Accrued
Amount Still Outstanding
Borrower Name
Street Address
Original Amount Borrowed
Date Interest Accrued
Amount SUII OLitstanding
|Enter total only if last page of schedule
ftransfer ttie total received this period to "Summary of Receipts.'1 line 2{d))
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
Street Address
Original Purchase Amount
Date Rebate/Retund Received
IReason for Refund/Rebate
Street Address
City
Original Purchase Amount
Date Rebate/Retund Received
IReason for Reftjnd/Rebate
Borrower Name
Street Address
City
Original Purchase Amounl
Date Rebate/Retund Received
IReason for Refund/Rebate
Borrower Name
Street Address
City
Original Purchase Amount
Dale Rebate/Rehjnd Received
I Reason for Retund/Rebate
Borrower Mame
Street Addreaa
City
Original Purchase Amount
Date Rebate/Refund Received
IReason for Refund/Rebate
|Enter total only if last page of schedule
(transfer the total received this period to "Summarv of Receipts.'' 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 / 7'ype of Account)
Account with Interest Earned (Bank Name / Type of Account)
Account with Interest Earned (Bank Name / Type of Account)
Total
(fransferthe total received this period to "Summary of Receipts,' Nne 4)
Schedule A(4), 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
IN-KIND CONTRIBUTIONS RECEIVED FROM INDIVIDUALS - MORE THAN $50 DURING ELECTION CYCLE:'SCHEDULE A(5)(a)
Individual Contributor Information
Name
Constantin Querard
Date In-Kind Contribution Received
09/01/2018
Street Address
13618W.DentonSt.
City
Litchfield Park
Occupation
Consultant
AZ 85340
Employer
Grassroots Partners
Constantin Querard
Date In-Kind Contribution Received
10/01/2018
Street Address
13618W.DentonSt
City
Litchfield Park
Occupation
Consultant
AZ 85340
Employer
Grassroots Partners
Dave Mitchell
Date In-Kind Contribution Received
09/14/2018
Street Address
24637 N. 65th Ave
City
Glendale
QccupaUon
Insurance Counselor
AZ 85310
Employer
Ideal Insurance Agency
Date In-Kind Contribution Received
Street Address
City
Date In-Kind Contribution Received
Street Address
City
Employer
Amount Received
$ 200 00
$ 200 00
$ 53 37
Enter total only if last page of schedule
(transfer the total received this period to "Summar/ of Receipts," line 5(a))
Cumulative
Amount this
Reporting Period
$ 200 00
$ 400 00
$ 53 37
$ 253.37
Cumulative
Amount this
Election Cycle
$ 2,200.00
$ 2,400.00
$ 53 37
$2,253.37
*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 CAIWPAIGN
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," line 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
Street Address
City
Committee ID Number IDate In-Kind Contribution Received
Committee Name
Street Address
City
Committee ID Number Date In-Kind Contribution Received
Committee Name
Street Address
City
Committee ID Number Date In-Kind Contribution Received
Street Address
Committee ID Number Date In-Kind Contribution Received
Committee Name
Date In-Kind Contribuitiun Received
[Enter total only if last page of schedule
transfer the total received this period to "Summary of Receipts." 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
CIT>/ CLERK STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
IN-KIND CONTRIBUTIONS FROM POLITICAL ACTION COMMITTEES:SCHEDULE A(5)(d)
Political Action Committee Contributor Information Amount Received
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
Committee Name
Street Address
City
Committee ID Number IDate tn-Kind Contribution Received
Committee Name
Street Address
City
Committee ID Number Date In-Kind Contribution Received
Committee Name
Street Address
City
Committee ID Number Date In-Kind ConMbution Received
Committee NE
City
Committee ID Number Date In-Kind Contribution Received
Committee Name
City
Committee ID Number Date In-Kind Contribution Received
|Enter total only if last page of schedule
rfransfer the total received this period to "Summary 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 CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
Committee Nam
Street Address
City
Committee ID Number
Committee Name
Cil»
Committee ID Number
Committee Nai
City
Committee ID Num
Committee Name
Street Address
City
Committee ID Number
Committee Name
Street Address
Committee ID Number
Political Party Contributor Information
iDate In-Kind Contribution Received
Date In-Kind ContnbLrtion Received
Date In-Kind Contribution Received
Date In-Kind Contribution Received
Date In-Kind Contribution Received
Enter total only if last page of schedule
ftransfer the total received this period to "Summary of Receiots." line 5(e})
SCHEDULE A(5)(e)
Amount
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
CIT/ CLERK
IN-KIND CONTRIBUTIONS FROM PARTNERSHIPS:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
Partnership Contributor Information
Partnersh'p Name
Street Address
Corporation Commission File Number
Partnership Name
Sb-eet Address
Corporation Commission File Number
Partnership Name
Sh-eet Ad dress
City
Corporation Commission FHe Number
Partnership Name
Street Address
Corporation Commission File Number
Partnership Name
Street Address
Corporation Commission F'le Number
IDatn In-Klni! ContTlbution Received
Date [n-Klnd Contifbutlon Received
Date In-Kind Contfibution Received
Date In-Kind Contribution Received
Date In-Kind Contribution Received
|Enter total only if last page of schedule
ffransfer ttie total received this oeriod to "Summarv of Recefols." line 5f
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)
Corporation / LLC Contributor Information Amount Received
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
CorporaUon/LLC Name
Street Address
Corporation Commission File Number iDate In-Kind Contribution Received
Corporation/LLC Name
Street Address
City
Corporation Commission File Number Date In-Kind Contribution Received
Corporation/LLC Name
Street Address
City
Corporation Commission File Number Date In-Kind Contribution Received
Corporation/LLC Name
Corporation Commission File Number Date In-Kind Contribution Received
Corporation/LLC Name
Street Address
City
Corporation Commission File Number Date In-Kind Conlnbution Received
Enter total only if last page of schedule
(transfer the total received this oeriod to "Summarv of Receiots." line 5(a})
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 Election Cycle
Labor Organization Name
Strrrt Address
City
Corporation Commission File Number Date In-Kind Contribution Received
Labor Organization Name
City
Corporation Commission File Number Date In-Klnd Conlnbutlon Received
Labor Organization Name
City
Corporation Commission File Number Date In-Kind Contribution Recewed
Labor Organization Name
Street Address
City
Corporation Commission File Number Date In-Kind Contribution Received
Labor Organization Name
Street Address
Ciiy
Corporation Commission File Number Date In-Kind Contribution Received
[Enter total only if last page of schedule
ffransfer the total received this period to "Summarv of ReceiDte." 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 PROPERTY:SCHEDULE A(5)(i)
Candidate Information Amount Received
Cumulative
Amount this
Reporting Period Election Cycle
Street Address
|Asset or Property Contributed
Date In-Kind Contribution Received
Street Address
Asset or Property Contributed
Date in-Kind Contribution Received
Street Address
City
Asset or Property Contributed
Date In-Kind Contribution Received
Street Address
City
Asset or Property Contributed
Date In-Kind Contribution Received
Street Address
Cily
Asset or Property Contributed
Date In-Kind Contribution Received
Enter total only if last page of schedule
[transfer the total received this period to "Summary of Receipts," line 5(11)
Schedule A(5)(i), 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
IN-KIND DONATIONS RECEIVED (NON-CONTRIBUTIONS) (PACs AND POLITICAL PARTIES ONLY):
COMMITTEE ID NUMBER
17-07
SCHEDULE A(5)(e)
Amount
Reporting Period Election Cyde
Street AddrcEE
City
[Type of Item Donated
Daie In-Klnd Donation Received
Straet Address
City
Type of Item Donated
Date in-Kind Donation Received
Street Address
City
Type of Item Donated
Date In-Kind Donation Received
Slreet Address
City
Type of Item Donated
Date In-Kind Donation Received
Type of Item Donated
Date In-Kind Donation Received
[Enter total only if last page of schedule
ransfer the tolal received this period to "Summary of Receipts." line 5fe))
Schedule A(5)(e), page _ of.
Arizona Secretary 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
Street Address
Services or Goods Provided on Credit Date of Extension oi Credit
Street Address
ISen/ices or Goods Provided on Credit Date of Extension of Credit
Street Address
City
IServices or Goods Provided on Credit Date of Extension of Credit
Street Address
City
ISeroices or Goods Provided on Credit e of Extension of Credit
Sb-eet Address
City
ISen/ices or Goods Provided on Credit Date of Extension of Credit
|Enter total only if last page of schedule
/transfer the total received this oeriod to "Summary of Receipts." line 7(a})
Schedule A(7(a), page _ of
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CIT/ CLERK
PAYMENTS ON EXTENSIONS OF CREDIT RECEIVED:
STATE OF ARIZONA
COMIVIITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE A(7)(b)
Creditor Information
Payment Amount
on Credit
Extended
Cumulative
Amount this
Reporting Period Election Cycle
Name
Emmanuel Alien
Street Addrei
5750 N 59th Ave
City
Glendale
|Services or Goods Originally Provided on Credit
cash loan
State
AZ
$ 100 00
85301
Data of Original Extension of CrBdit
10/23/2017
City
[Services or Goods Orlglna»y Provided on Credit Date af Original Extension of Credit
Street Address
City
lervices or Goods OriginattY Provided on Credit Date of Original Extension o[ Credit
Street Address
IServices or Goods Originally Provided on Credit Date af Original Extension of Credit
Sft^eel Address
City
Goods Originally Provided on Credit Date of Original Extension of Credit
|Enter total only if last page of schedule
[fransfer the total received this period to "Summary of Receipte." line 7fbti
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
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
JOINT FUNDRAISING / SHARED EXPENSE PAYMENTS RECEIVED:SCHEDULE A(8)
Payer Committee Information Payment Amount
Cumulative
Amount this
Reporting Period Election Cycle
Committee Nam
Street Address
Clly
|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 (if applicable)Type of Shared Expense (if applicable)
Committee Name
Streat Address
City
pale of Joint Fundraising Event (if applicable)
Payment Date
Type of Shared Expense (if applicable)
Committee Name
Street Address
Date of Joint Fundraising Event (if applicable)
Payment Date
Type of Shared Expense (if applicable)
Committee Name
City
Date of Joint Fundraising Even! (if applicable)
Payment Date
Type of Shared Expense (if applicable)
Enter total only if last page of schedule
ftransfer the tolal received this oeriud to "Summarv 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
CITi/ CLERK
PAYMENTS RECEIVED FOR GOODS/SERVICES:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE A(9)
Payor Information Payment Amount
Cumulative
Amount this
Reporting Period Election Cycle
IServices or Goods Purchased
Street Address
City
Payment Date
Street Address
C:!y
IServices or Goods Purchased Payment Date
Street Address
City
IServlces or Goods Purchased
Street Address
City
iervices or Goods Purchased
City
[Services or Goods Purchased Payment Date
iEnter total only if last page of schedule
1/transfer the total received this Deriod to "Summarv of RecdDte." Bne 9)
Schedule A(9), 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
OUTSTANDING ACCOUNTS RECEIVABLE / DEBTS OWED TO COMMITTEE:
COMMITTEE ID NUMBER
17-07
SCHEDULE A(10)
Information Amount
Cumulative
Amount this
Reporting Period Election Cycle
Street Address
City
[Type of Account Receivable or Debt Owed Date that Debt Accrued
Street Address
City
|Type at Account Receivable or Debt Owed Date friat Debt Accrued
Street Address
City
-ype of Account Receivable or Debt Owed Date that Debt Accrued
Street Address
-ype of Account Receivable or Debt Owed Date th at Debt Accrued
Street Address
'ype af Account Receivable or Debt Owed Date that Debt Accrued
[Enter total only if last page of schedule
'transfer the total received this period to ''Summary of Receipts." line 10)
Schedule A(10), page_of.
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY 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 / Redpient of Transferred Debt
Source of Surplus Monies / Recipient of Transferred Debt
Source of Surplus Monies / Recipient af Transferred Debt
Source of Surplus Monies / Recipient of Transferred Debt
Source of Surplus Monies / Recipient or Transferred Debt
Total
(transfer the total received this period to .Summary of Receipts," line 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
Sb-eet Address
IReceiptType Receipt Date
Street Address
City
City
|Receip1 lype
Street Address
Street Address
[Receipt Type Receipt Date
[Enter total only if last page of schedule
[transfer the total received this oeriod lo "Summarv of Receiots." line 121
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
4 Over
Disbursement Date
08/22/2018 $ 245.90
Street Address
3055 S. 44th St
City
Phoenix
Type of Operating Expense Paid
Signs
State
AZ 85040
Non-Electoral Purpose? (PACs and Politicai Parties Only)
$ 245.90
B Cash
D Credit
$2,197.93
Namn
4 Over
Disbursement Date
$ 349.22
Street Address
3055 S. 44th St.
City
Phoenix
Type of Operating Expense Paid
Palm Cards
AZ 85040
Non-Electoral Purpose? (PACs and PolNml PartleB Only)
D
$103.32
H Cash
D Credit
$2,301.25
Name
Grassroots Partners
Disbursement Date
08/31/2018 $ 35.00
Street Address
11330W. RosewoodDr
City
Avondale
Type of Operating Expense Paid
Autodialer
State
AZ 85392
Non-Electoral Purpose? (PACs and Politicai Parties Only)
$ 35.00
.Cash
D Credit
$1,144.39
Name
Grassroots Partners
Disbursement Date
08/31/2018 $ 140.00
Street Address
11330 W. Rosewood Dr
City
Avondale
Type of Operating Expense Paid
Autodialers
AZ 85392
Non-Electoral Purpose? (PACs and Political Parties Only)
$ 105.00
B Cash
a Credit
$1,249.39
Grassroots Partners
Diaburaement Date
09/04/2018 $ 524.00
Street Address
11330W. Rosewood Dr.
City
Avondale
Type of Operating Expense Paid
Autodialer/Misc Campaign
AZ 85392
$ 384.00
H Cash
a Credit
Non-Electoral Purpose? (PACs and Political Parties Only)
a
$1,633.39
|Enter total only if last page of schedule
(transfer the total disbursed this period to "Summary of DisbursBments," line 1)
Schedule B(1), page 1 of 2
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
City
Committee ID Number IDate Contribution Made
D Cash
a Credit
Committee Name
Street Address
City
Committee ID Number Date Contribution Made
D Cash
D Credit
Committee Name
Street Address
Committee ID Number Date Contribution Made
D Cash
a Credit
Street Address
Committee ID Number Date Contribution Made
a Cash
D Credit
Committee Ni
Street Address
City
Committee ID Number Date Contribution Made
D Cash
D Credit
|Enter total only if last page of schedule
(transfer the total disbursed this oeriod to "Summary of Disbursements." line 2ta}\
Schedule B(2)(a), 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
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 Cycle
Committee Name
Street Address
Cty
Committee ID Number pate Contribution Made
D Cash
D Credit
Committee Naire
Street Address
City
Committee ID Number Date Contribution Made
D Cash
D Credit
Committee Name
Street Address
City
Committee ID Number Date Contribution Made
D Cash
D Credit
Committee Name
Street Address
Committee ID Number Date Contribution Made
D Cash
a Credit
Committee Name
Street Address
Commifee ID Number Date Contribution Made
D Cash
D Credit
|Enter total only if last page of schedule
ftansfer the total dsbureed this Deriod to "Summarv of DisburBementB." line 2fb11
Schedule B(2)(b), page _ of.
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CIT/CLERK
MONETARY 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
City
Committee IU Number
Committee Nam
Street Address
City
Committee ID Number
Committee Nai
Committee ID Number
Committee Name
Street Address
City
Committee ID Number
Political Party Recipient Information
IDate Contribution Made
Date Contribution Made
Date Contribution Made
Date Contribution Made
Date Contributon Made
Enter total only if last page of schedule
'b-ansfer the totaJ disbursed this Deriod to "Summarv of Disbursements." line 2<c})
SCHEDULE B(2)(c)
Amount
Contributed
D Cash
a Credit
D Cash
D Credit
D Cash
D Credit
a Cash
a Credit
D Cash
D Credit
Cumulative
Amount this
Reporting Period
Schedule B(2)(c), 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 PARTNERSHIPS:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
Partnership Recipient Information
Partnership Name
Street Address
Corporation Commission File Number
Partnerstiip Name
Street Address
City
Corporation Commission File Number
Partnersh;p Name
Corporation Commission File Number
Partnersh;p Name
Street Address
City
Corporation Commission File Number
.artnership Name
Street AddreaB
Corporation Commission File Number
Dita Conlribution Made
Date Contribution Made
Dale Contribution Made
Date Contribution Made
Date Contribudon Made
[Enter total only if last page of schedule
ftransfer the total disbursed this period to "Summarv of Disbursements.1' line 2fdn
SCHEDULE B(2)(d)
Amount
Contributed
D Cash
D Credit
D Cash
a Credit
D Cash
D Credit
D Cash
D Credit
D Cash
D Credit
Reporting Period Election Cycle
Schedule B(2)(d), page _ of.
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 iDale ContribuUon Made
D Cash
D Credit
Corporation/LLC Name
Street Address
City
Corporation Commission File Number Date ContribuGon Made
a Cash
D Credit
Corporation/LLC NE
Corporation Commission File Number Date Contribution Madt
D Cash
D Credit
Corporation/LLC Name
Street Address
City
Corporation Commission File Number Date Contribution Made
a Cash
a Credit
Corpo ratio n/LLC Name
Street Address
City
Corporation Commission File Number Date Contribution Made
a Cash
D Credit
|Enter total only if last page of schedule
[transfer 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
CITf CLERK
MONETARY CONTRIBUTIONS TO LABOR ORGANIZATIONS:
STATE OF ARIZONA
COMIVIITTEE 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 \'ame
Street Address
Corporation CcmmJBsion File Number Date Contribution Made
D Cash
D Credit
Labor Organization Name
Street Address
City
Corporation Commission File Number Date Contribulon Made
D Cash
D Credit
Labor Organization Name
Street Address
City
Corporation Commission File Number Date Contribution Made
D Cash
a Credit
Labor Organization Name
Street Address
city
Corporation Commission Fie Number Date ConlribuBon Made
D Cash
0 Credit
Labor Organization Name
City
Corporalion Commission File Number Date Contribution Made
D Cash
a Credit
iEnter total only if last page of schedule
ffransfer1he_total dsbursedthis period to 'Summary of Diabursements." line 2<f)}
Schedule B(2)(f), page _ of.
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK
CONTRIBUTION REFUNDS RECEIVED:
STATE OF ARIZONA
COIVIMITTEE 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 ME
Street Address
ICommittee ID Number
Date Relund Received
Date of Original Contribulion
Committee Name
Street Ad dress
Committee ID Number
Date Refund Received
Date of Original ContnbuUc
Committee Name
Sfa-eet Address
Committee ID Number
Date Refund Received
Date of Original Contribution
Committee Name
Street Address
Committee ID Number
Date Refund Received
Date of Original Contribution
Committee Name
Street Address
Committee ID Number
Date Refund Received
Date of Original Contnbution
Enter total only if last page of schedule
ftransfer the total disbursed this period to "Summary of Disbursements," line 2(h)l
Schedule B(2)(h), page _ of
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITf CLERK
LOANS MADE:
STATE OF ARIZONA
COMMITTEE CAIVIPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE B(3)(a)
Borrower Information Amount Loaned
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
Borrower Name
Street Address
Guarantor/Endorser Name Date Lean Made
Street Address
City
Guarantor/Endorser Name pale Loan Made
Borrower Name
Sfreet Address
City
Guarantor/Endorser Name Date Lean Made
Borrower Name
Street Address
Guarantor/Endorser Name Date Loan Made
Borrower Name
City
Guarantor/Endorser Name Pate Loan Made
|Enter total only if last page of schedule
(transfer the total recewed this oeriod tn "Summarv of Racaials-' linf> S\
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
Street Address
IDale Loan Guaranteed
Guarantor Name
Street Address
Borrower Name Date Loan Guarantef
Guarantor Name
Street Addres
City
Borrower Name Date Loan Guaranteed
Guarantor Name
Street Address
City
Date Loan Guaranteed
Borrower Name Date Loan Guaranteed
|Enter total only if last page of schedule
ftransfer the total received this period to ..Summary of Receipts." line 3fW
Schedule B(3)(b), page _ of.
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITY CLERK
FORGIVENESS ON LOANS MADE:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE B(3)(c)
Borrower Information Amount Forgiven
Cumulative
Amount this
Reporting Period
Cumulative^-
Amount this
Election Cycle
Street Address
City
Original Amount ot Loan
Date Forgiveness Made
[Amount Still Outstanding
Borrower Name
Street Address
City
Original Amount of Loan
Date Forgiveness Made
Amount Still Outstanding
Street Address
City
Original Amount of Loan
Date Forgiveness Made
Amount SUI! Outstanding
Original Amount of Loan
Date Forgiveness Mad(
[Amounl Still Outstanding
Borrower Name
City
Original Amount of Loan
Date Forgiveness Made
amount Still Outstanding
lEnter total only if last page of schedule
Ktransfar the total <isbui»dthl8 period to .Summ.rv ofDiibureem.nls.- 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
COIVIMITTEE 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
lAmount Still Outstandir
Street Address
City
Original Amount Borrowed
Date Repayment Made
[Amount Still Outstanding
City
Original Amount Borrowed
Date Repayment Made
Amount Still Outstanding
Original Amount Borrowed
Date Repayment Made
[Amount Stil) Outstanding
Street Address
City
Original Amount Borrowed
Date Repayment Made
jAmount Still Outstanding
|Enter total only if last page of schedule
ftransfer the total disbursed this period to "Summary of Disbursements." line 3fd1l
Schedule B(3)(d), page _ of
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITr' CLERK
INTEREST ACCRUED ON LOANS RECEIVED:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE B(3)(e)
Lender Information Amount of Interest
Accrued
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cyde
Street Address
Original Amount Borrowed
Date Interest Accrued
[Amount Still Outstanding
Street Address
City
Original Amount Borrowed
Date Interest Accrued
[Amounl Still Outstanding
Street Address
City
Original Amount Borrowed
Date Interest Accrued
[Amount Sti|[ Outstanding
Strset Address
City
Original Amount Borrowed
Date Interest Accrued
jAmount Still Outstanding
Street Address
City
Original Amount Borrowed
Date Interest Accrued
[Amount Still Outstanding
[Enter total only if last page of schedule
Kfransfer Itie total diBbureed this Deriod to "Summarv of DisbuiBements.'1 line 3fe^
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 Date Rebate/Retund Made
Street Address
City
Corporation Commission File Number (if applicable)|0riginal Payment Amount Date of Onginal Payment
Name of Original Payor Date Rebate/Refund Made
Street Address
Corporation Commission File Number (if applicable)Original Payment Amount Date of Original Payment
Name of Original Payor Date Rebate/Refund Made
Street Address
Corporation Commission File Number (it applicable)IQrigjnal Payment Amount Name of Original Payor
Name of Original Pay or Date Rebate/Refund Made
Street Address
corporation Commission File Number (if applicable)|0riginal Payment Amount Name of Original Payer
Name of Original Payer Date Rebate/Retund Made
Street Address
Corporation Commission File Number (if applicable)Original Payment Amount Name of 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
C\TY 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 Cyde
Committee Name
Street Address
City
Committee ID Number pate In-Klnd Contribution Made
Street Address
City
Committee ID Number Dale In-Klnd Contnbutlon Made
Committee Name
Street Address
City
Committee ID Number Date In-Kind Contribution Made
Committee Name
Committee ID Number Date In-Kind Contribution Made
Committee Name
Street Address
City
Committee ID Number Date In-Kind Contribution Made
;nter total only if last page of schedule
ftransfer the total disbursed this Deriod ID "Summarv of Dirfiuraements-" line 5/a»
Schedule B(5)(a), 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 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
Committee Name
Sb-eet Address
Committee ID Number IDate In-Kind Contribution Made
Committee Name
Street Address
City
Committee ID Number Date In-Kind Contribution Made
Committee Nam
City
Committee ID Number Date In-Kind Contribution Made
Committee Nai
Committee ID Number Date In-Kind Contribution Made
Street Address
City
Committee ID Number Date In-Kind Contribution Made
|Enter total only if last page of schedule
/transfer the tota|_disbursed this period to "Summary 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 Nai
Street Address
City
Committee ID Number
Committee Name
Street Address
City
Committee ID Number
Committee Name
Street Address
ittee ID Number
Committee Name
Street Address
City
committee ID Number
Political Party Recipient Information
Date In-Kind Contribution Made
Date In-Kind Contribution Made
Dale In-Kind Contribution Made
Date In-Kind Contribution Made
Date in-l^nd Contribution Made
|Enter total only if last page of schedule
ffransfCT the total disbureed this period to "Summary of Disbursements.'1 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 CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
Partnership Recipient Information
Partnership Name
Street Address
Corporation Commission File Number
Partnership Name
Street Address
Corporation Commission File Number
Partnership Name
City
Corporation Commission File Number
Partnership Name
Sbreet Address
Corporation Commission File Number
Partnership Name
Street Address
City
Corporation Commi&sion File Number
Date In-Kind Contribution Made
Date In-Kind Contribution Made
Date In-Kind Contribution Made
Date In-Kind Contribution Made
Date In-Kind Contribution Made
Enter total only if last page of schedule
(b-ansfer the total disbursed this oeriod to "Summarv of Disbursements." line 5(dti
SCHEDULE B(5)(d)
Amount
Contributed
Cumulative
Amount this
Reporting Period Election Cycle
Schedule B(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 TO CORPORATIONS AND LLCs:
STATE OF ARIZONA
COMMITTEE CAIWPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE B(5)(e)
Corporation / LLC Recipient Information Amount
Contributed Reporting Period Election Cycle
Corporatlon/LLC Name
Street Address
Corporation Commisdon File NL'mbe:Pate In-Kind Contribution Made
Corporation/LLC Name
Sb-eet Address
City
Corporation Commission File Number Dale In-Klnd Contribution Made
Corporation/LLC Name
Street Address
City
Corporation Commission File Number Date In-Kind Contribution Made
Corporation/LLC Name
Street Address
City
Corporation Commission File Number Date In-Kjnd Contribution Made
Corporatlon/LLC Name
Street Address
City
Corporation Commission File Number Date In-Kind Contribution Made
|Enter total only if last page of schedule
fh-ansfer the tatal disbureed this period to "Summary of Disbursements," line 5fe))
Schedule B(5)(e), page _ of.
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITi/ 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
Street Address
City
Corporation Commission File Number IDate In-KJnd Contribulion Made
Labor Organization Name
Street Address
City
Corporation Commission File Number Date In-Kind Contribution Made
Labor Organization Nai
Street Address
City
Corporation Commission File Number Date In-Kind Contribution Made
Labor Organization Name
Street Address
Corporation Commission File Number Date In-Kind Contnbution Made
Labor Organization Name
Street Address
City
Corporation Commission File Number Date In-Kind ConfribLrtion Made
Enter total only if last page of schedule
ftransfer the total disbursed this oeriod to "Summarv of Disbursements." line 5(f\\
Schedule B(5)(f), page _ of_
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
C\TY CLERK
INDEPENDENT EXPENDITURES MADE:
STATE OF ARIZONA
COIVIMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE B(6)
Expenditure Recipient Information Expenditure
Amount
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
Mode otAAfertlBlng (TV, mail, etc)
Street Address
Candidate(s) Supported (including % supported)|Candidate(s) Opposed (including % opposed)
Date of First PubllcaBon, Display, Delivery, or Broadcast ElecUon MonthfYear
a Cash
D Credit
^lode of Advertising (TV, mail, etc)
Street Address
Candida1e(s) Supported (including % supported)
Date oif First Publication, Display, Delivery, or Broadcast
Candidate(s) Opposed (including % opposed)
'Election Month/Year
D Cash
a Credit
Recipient Name ^tode of Advertising (TV, mil, etc)
Street Address
City
CandidatB(a) Supported (including % supported)
Dale of First Publication, EMsplay, Delivery, or Broadcast
Candidate(s) Opposed (including % opposed)
Election Month/Year
a Cash
D Credit
Recipient N;fAode of Advertising (TV. mail, etc)
Candidate(s) Supported (including % supported)|Candidgte(s) Opposed (including % opposed)
Date of First Publication, Usplay, Delivery, or Broadcast Eledion Month/Year pffice Sought
D Cash
D Credit
|Enter total only if last page of schedule
(fransfer the total disbursed thfs period to "Summary of DisburaementB," line G)
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)
Ballot Measure(s) Supported (including % supported)
Date at First Publication, Display, Delivery, or Broadcast
Ballot Measure(s) Opposed (including % opposed)
Election Month/Year
D Cash
D Credit
^lode of Advertising (TV, mail, etc)
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 Monlh/Year
^lode of Advertising (TV, mail, etc)
Street Address
Ballot Measure(s) Supported (including % supported)
Date of First Publication, Display, Delivery, or Broadcast
Ballot Measure(s) Opposed (including % opposed)
D Cash
a Credit
lElection Month/Year
Recipient Name f^ode of Advertising fTV, mail, etc)
Street Address
City
Ballot Measure(s) Supported (induding % supported)
Date of First Publication, Display, Delivery, or Broadcast
Ballot Measure(s) Opposed (including % opposed)
a Cash
D Credit
Election Month/Year
Enter total only if last page of schedule
(transfer the total disbursed this 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
CITY CLERK
RECALL DCPENDITURES MADE:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-07
SCHEDULE B(8)
Expenditure Recipient Information Expenditure
Amount
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
Recipient Name Mode 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
a Credit
|Vlode of Advertising <JV, mail, etc)
Street Address
City
Supporting or Opposing Issuance of Recall Order?I Candidate Sought to be Recalled
Date of First Publication, Display, Delivery, or Broadcast
D Cash
a Credit
Recipient Nai (Kode ofAdvBrtlslng (TV. mal, etc)
Street Address
City
Supporting or Opposing Issuance of Recall Order?I Candidate Sought to be Recalled
Date af Rrat Publlcafion, Display, Delivery, or Broadcast
a Cash
a Credit
Recipient Name Mode of Advertising fTV, mail, etc)
Street Address
Supporting or Opposing Issuance of Recall Order?
Date of First Publication, Display, Delivery, or Broadcast
Candidate Sought to be Recalled
a Cash
D Credit
Enter total only if last page of schedule
(fransfer the total disbursed this period to "Summary afDiBhureemente," 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
SUPPORT PROVIDED TO PARTY NOMINEES (POLITICAL PARTIES ONLY):
COMMITTEE ID NUMBER
17-07
SCHEDULE B(9)
Benefitted Candidate Amount
Cunnulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
Candidate Name
Street Address
City
Type of Benefit Provided
Date Benefit Provided
Street Address
City
Type of Benefit Provided
Date Benefit Provided
Candidate Name
Street Address
City
Type of Benefit Provided
Date Benefit Provided
Candidate Name
Street Address
City
Type 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 CAMPAIGN
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
City
|Date of Joint FundraisEng Event (if applicable)
Payment Date
Type of Shared Expense (if applicable)
D Cash
D Credit
Committee Name
Street Address
City
[Date of Joint Fun*alslng Bfent (it 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)
a Cash
D Credit
;ommittee Name
Street Address
City
[Date of Joint Fundraising Event (if applicable)
Payment Date
Type of Shared Expense (if applicable)
a Cash
D Credit
Street Address
City
[Date of Joinl Fundraiaing Event (if applicable)
Payment Date
Type of Shared Expense (if applicable)
D Cash
a Credit
|Enter total only if last page of schedule
(transfer the total disbureed this pariod to "Summary of DisbureementB," line 10}
Schedule B(10), page _ of.
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITfCLERK
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
Sb^eet Address
City
ISen/ices or Goods Reimbursed Reimbursement Date
D Cash
a Credit
Street Address
ir Goods Reimbursed Reimbursement C
D Cash
D Credit
Street Address
City
[Services or Goods Reimbursed Reimbursement Date
D Cash
a Credit
Sb-eet Address
City
IServices or Goods Reimbursed Reimbursement Dale
D Cash
D Credit
Street Address
ISeruices or Goods Reimbursed Reimbursement Date
D Cash
D Credit
|Enter total only if last page of schedule
[transfer the total disbursed this period to "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
CITf CLERK STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
OUTSTANDING ACCOUNTS PAYABLE / DEBTS OWED BY COMMITTEE:
COMMITTEE ID NUMBER
17-07
SCHEDULE B(12)
Debt Information Amount
Cumulative
Amount this
Reporting Period Election Cycle
Street Address
|Type of Account Payable or Debt Owed Date that Debt Accrued
Street Address
|Type of Account Payable or Debt Owed Date that Debt Accrued
Street Address
Clly
|Type of Account Payable or Debt Owed Date that Debt Accrued
Street Address
City
ype of Account Payable or Debt Owed Date that Debt Accrued
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 Receipts," line 12)
Schedule B(12), page_of.
Arizona Secretary of State Revision 4/10/18
RECEIVED AMENDED
REPORT ON 1/11/19 BY
CITf 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
Redpierrt of Surplus Monies / Source of Transferred Debt
Recipient of Surplus Monies / Source of Transferred Debt
Recipient at Surplus Monies / Source or Transferred Debt
Recipient of Surplus Monies / Source of Transferred Debt
Recipient of Surplus Monies / Source of Transferred Debt
Total
(fransfer 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
Reporting Perio Election Cycle
City
IDIsbursementType Disbursement Date
City
|DisbursementType Disbursement Date
City
sbursement Type Disbursement Date
Street Address
:lty
isbursementType Disbursement Date
D Cash
a Credit
isbursement Type Disbureement Dale
D Cash
a Credit
inter total only if last page of schedule
.ansfer the total disbursed this period to "Summan/ of Disbursements."' line ^2)
Schedule B(12), page_ of.
Arizona Secretary of State Revision 4/10/18
AMENDED 1/11/19
DISBURSEMENTS FOR OPERATING EXPENSES:
STATE OF ARIZONA
COIVIIVIITTEE 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
Cuff
D'sbureement Date
08/28/2018 $686.10 $686.10
Sb-eel Addrass
5819W.GIendaleAve
City
Glendale
Type of Operating Expense Paid
Election Day
AZ
ZIP
85301
Non-Electoral Purpose? (PACs and Political Parties Only)
$686.10
a Cash
D Credit
Name
Cuff
Disbursement Date
08/29/2018 $ 724.06
Street Address
5819W.GIendaleAve
Glendale
Type of Operating Expense Paid
Post Election Mtg.
State
AZ
ZIP
85301
Non-Bectoral Purpose? (PACs and PoNcal Parties Only)
a
$ 37.96
H Cash
D Credit
$ 724.06
Name
Belinda Alien
Disbursement Date
09/06/2018 $1,000.00 $ 2,500.00
Street Address
5750 N 59th ave
Glendale
Fype of Operating Expense Paid
Graphic Design/Web Design
AZ 85301
Non-Electoral Purpose? (PACs and Political Parties Only)
D
$1,000.00
Cash
D Credit
Premier Graphics
Disbursement Date
09/07/2018 $ 3,946.59 $ 3,946.59
ilreet Address
4141 W. Clarendon Ave
Clly
Phoenix
'ype of Operating Expense Paid
Mailings
State
AZ 185019
Non-Electoral Purpose? (PACs and Political Parties Only)
D
$ 3,946.59
B Cash
D Credit
Extra Space Storage
Disbursement Date
09/19/2018 $1,521.72 $1,521.72
ilreet Address
5115N.59thAve
Slendale
Fype of Operating Expense Paid
Sign & Equip Storage
State
AZ iz"'_i85301
$1,521.72
B Cash
a Credit
Non-Electora! Purpose? (PACs and PoliBcal Parties Only)
a
[Enter total only if last page of schedule
(transfer the total dsbureed this period to "Summary of Disbureements," line 1)$ 8,065.59
Schedule B(1), page 2 of 2
Arizona Secretary of State Revision 4/10/18