HomeMy WebLinkAboutCampaign Finance Records - Finance report - Glendale Chamber PAC - 7/15/2019STATE OF ARIZONA
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE INFORMATION (required):
i Committee information: Committee Name: GLENDALE CHAMBER PAC
CANDIDATE INFORMATION (only if filing as a candidate committee):
Office Sought ❑ Statewide Office:
- ❑County Office:
REPORTING PERIOD (check one):
Al REPORTING PERIOD
COMMITTEE ID NUMBER
17-01
❑ State Legislature: ((((
8 City/Town Office: GLENDALE
REPORT DUE
EDI
20184 th Quarter Report: October 21, 2018 to December 31, 2018
January 1, 2019 to January 15, 2019
(a) Committee value at the beginning of this reporting period (i.e. ending balance from the
previous reporting period)
2019 March Pre -Election Report (Local Only): January 1, 2019 to February 23, 2019
February 24, 2019 to March 4, 2019*
(b) + Total receipts (from "Summary of Receipts," line 13 (cash column) for this reporting period)
2019 151 Quarter Report (Local Only): February 24, 2019 to March 31, 2019
April 1, 2019 to April 15, 2019
(c) - Total disbursements (from "Summary of Disbursements," line 16 (cash column) for this reporting period)
2019 1st Quarter Report: January 1, 2019 to March 31, 2019
April 1, 2019 to April 15, 2019
(d) = Balance at close of reporting period
2019 May Pre -Election Report (Local Only): April 1, 2017 to May 4, 2019
May 5, 2019 to May 13, 2019*
f '
2019 20 Quarter Report (Local Only): May 5, 2019 to June 30, 2019
July 1, 2019 to July 15, 2019
2019 2nd Quarter Report: April 1, 2019 to June 30, 2019
July 1, 2019 to July 15, 2019
2019 August Pre -Election Report (Local Only): July 1, 2019 to August 10, 2019
August 11, 2019 to August 19, 2019*
F`
2019 31d Quarter Report (Local Only): August 11, 2019 to September 30, 2019
20193 rd Quarter Report: July 1, 2019 to September 30, 2019
October 1, 2019 to October 15, 2019
October 1, 2019 to October 15, 2019
October 20, 2019 to October 28, 2019*
2019 October Pre -Election Report (Local Only): October 1, 2019 to October 19, 2019
F-
2019 41h Quarter Report (Local Only): October 20, 2019 to December 31, 2019
January 1, 2020 to January 15, 2020
F7
2019 4th Quarter Report: October 1, 2019 to December 31, 2019
January 1, 2020 to January 15, 2020
2020 March Pre -Election Report (Local Only): January 1, 2020 to February 22, 2020
February 23, 2020 to March 2, 2020*
r
2020 151 Quarter Report (Local Only): February 23, 2020 to March 31, 2020
April 1, 2020 to April 15, 2020
2020 15` Quarter Report: January 1, 2020 to March 31, 2020
April 1, 2020 to April 15, 2020
F
2020 May Pre -Election Report (Local Only): April 1, 2020 to May 2, 2020
May 3, 2020 to May 11, 2020*
2020 2nd Quarter Report (Local Only): May 3, 2020 to June 30, 2020
July 1, 2020 to July 15, 2020
20202 M Quarter Report: April 1, 2020 to June 30, 2020
July 1, 2020 to July 15, 2020
2020 August Pre -Primary Election Report: July 1, 2020 to August 8, 2020
August 9, 2020 to August 17, 2020*
2020 3- Quarter Election Report: August 9, 2020 to September 30, 2020
October 1, 2020 to October 15, 2020
2020 Pre -General Election Report: October 1, 2020 to October 17, 2020
October 18, 2020 to October 26, 2020*
2020 0 Quarter Report: October 18, 2020 to December 31, 2020
January 1, 2021 to January 15, 2021
Final Campaign Finance Report Prior to Committee Termination
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
Cash Activity This
Reporting Period
Election Cycle to
Date
(a) Committee value at the beginning of this reporting period (i.e. ending balance from the
previous reporting period)
$ 537.02
(b) + Total receipts (from "Summary of Receipts," line 13 (cash column) for this reporting period)
$ 0,00
(c) - Total disbursements (from "Summary of Disbursements," line 16 (cash column) for this reporting period)
$ 0.00
(d) = Balance at close of reporting period
j $ 537.02
Iia 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).
Revised January 25, 2019
SUMMARY OF RECEIPTS (Schedule A):
Receipts
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
Cash
COMMITTEE ID NUMBER
17-01
Equity
1.
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 & Poiiticai Parties Only)
(i) Candidate's Personal Monies (Candidate committees only)
0) Monetary Contributions Subtotal (add 1(a) through 1(i))
$ 0.00
(k) Refunds Given Back to Contributors
(1) Net Monetary Contributions (subtract 1(k) from 10))
$ 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) & 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
(b) Individuals - $50 or Less (Aggregate)
c Candidate Committees
(d) Political Action Committees
(e) Political Parties
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)
0) In -Kind Contributions Subtotal (equity: add 5(a) through 5(i))
$ 0.00
6.
In -Kind Donations Received (Nora-CorrfdMfBms) fPaliilcal Partes Omy)
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), 50),6-7,10-12)
$ 0.00
Arizona Secretary of State Revision 4/10/18
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
SUMMARY OF DISBURSEMENTS (Schedule B):
COMMITTEE ID NUMBER
17-01
Arizona Secretary of State Revision 4/10/18
Disbursements
Cash
Equity
1.
Disbursements for Operating Expenses
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) Rom 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 -Contributions)
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(0)
$ 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
16.
Total Disbursements (cash: add 1, 2(i), 3(f), 6-11 & 13-15; equity: add 3(0, 50), & 12-15)
$ 0.00
$ 0.00
Arizona Secretary of State Revision 4/10/18
CITY OF GLENDALE COMMITTEE ID NUMBER
4y : COMMITTEE CAMPAIGN
17-01
FINANCE REPORT
MONETARY CONTRIBUTIONS RECEIVED FROM INDIVIDUALS - MORE THAN $50 DURING ELECTION CYCLE:' SCHEDULE A(1)(a)
Cumulative Cumulative
Individual Contributor Information Amount Received Amount this Amount this
Reporting Period Election Cycle
1
[Name Date Contribtion Received
treet Address
City
Slate
ZIP
Occupation
Employer
2
Name
Date Cantribution Received
Street Address
City
State
ZIP
Occupation
Employer
3
Name Date Contribution Received
Street Address
City
State
ZIP
Occupation
Employer
4
Name
Data Contribution Received
Street Address
city
State
ZIP
Occupation
Employer
5
Name
Date Contribution Received
y
m
Street Address
Ciry
State
TZI—P
Occupation
Employer
Enter total only if last page of schedule
(transfer the total received this period to "Summary of Receipts." line 1(a))
"If 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
- CITY OF GLENDALE
F. COMMITTEE CAMPAIGN
FINANCE REPORT
MONETARY CONTRIBUTIONS RECEIVED FROM INDIVIDUALS - $50 OR LESS (AGGREGATE):*
Cumulative 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))
'If contributions of more than $50 are listed on Schedule .A(1)(a), do
COMMITTEE ID NUMBER
17-01
SCHEDULE A(1)(b)
Cumulative Amount this ReportingI Cumulative Amount this Election
Period Cycle 1
Schedule A(1)(b), page_ of
Arizona Secretary of State Revision 4110118
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
MONETARY CONTRIBUTIONS FROM CANDIDATE COMMITTEES:
Candidate Committee Contributor Information Amount Received
COMMITTEE ID NUMBER
17-01
SCHEDULE A(1)(c)
Cumulative Cumulative',
Amount this Amount this
Reporting Period Election Cycle
1
Committee Name
Street Address
City
State ZIP
Committee ID Number
Date Conmbubon Received
2
Committee Name
Street Address
city
State
ZIP
Committee ID Number
Date Contribution Received
3
Committee Name
Street Address
City
State
ZIP
Committee ID Number
Date Contribution Received
4
Committee Name
Street Add -
City
State
ZIP
Committee ID Number
Date Contribution Received
5
Committee Name
Street Address
city
State
ZIP
Committee ID Number
Date Contribution Recelved
Enter total only if last page of schedule
(transfer the total received this period to "Summate of Receipts." line 11c11
Schedule A(1)(c), page _ of
Arizona Secretary of State Revision 4/10118
CITY OF GLENDALE
ti COMMITTEE CAMPAIGN
FINANCE REPORT
MONETARY CONTRIBUTIONS FROM POLITICAL ACTION COMMITTEES:
COMMITTEE ID NUMBER
17-01
SCHEDULE A(1)(d)
Cumulative I Cumulative
Political Action Committee Contributor Information Amount Received Amount this Amount this
I Reporting Period I Election Cycle
1
Committee Name
Street Address
city
Slate
ZIP
Committee ID Number
Date Contribution Received
2
Committee Name
Street Address
City
State
ZIP
Committee ID Number
Date Contribution Received
3
Committee Name
Street Address
City
state
ZIP
Committee ID Number
Date Contribution Received
4
Committee Name
Street Address
City
State
ZIP
Committee ID Number
Date Contribution Received
5
Committee Name
Street Address
city
State
ZIP
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 1(d))
Schedule A(1)(d), page _ of
Arizona Secretary of State Revision 4/10/18
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
MONETARY CONTRIBUTIONS FROM POLITICAL PARTIES:
Political Party Contributor Information Amount Received
COMMITTEE ID NUMBER
17-01
SCHEDULE A(1)(e)
Cumulative Cumulative
Amount this Amount this
Reporting Period Election Cycle
1
Committee Name
Street Address
city
state
ZIP
Committee ID Number
Date Contribution Received
2
Committee Name
Street Address
city
State IZIP
Committee ID Number
Date Contribution Received
3
Committee Name
Street Address
city
State
ZIP
Committee ID Number
Date Contribution Received
4
Committee Name
Street Address
city
State
ZIP
Committee ID Number
Date Contribution Received
5
Committee Name
Street Address
City
State
ZIP
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 ifel)
Schedule A(1)(e), page _ of _
Arizona Secretary of State Revision 4/10/18
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
MONETARY CONTRIBUTIONS FROM PARTNERSHIPS:
r'
I
Partnership Contributor Information j Amount Received
COMMITTEE ID NUMBER
17-01
SCHEDULE A(1)(f)
Cumulative I Cumulative
Amount this Amount this
Reporting Period I Election Cycle
1
Partnership Name
Street Address
City State ZIP
Corporation Commission File Number
Date Contribution Received
2
Partnership Name
Street Address
city
State
ZIP
Corporation Commission File Number
Date Contribution Received
3
Partnership Name
Street Address
City
State
ZIP
Corporation Commission File Number
Date Contribution Received
4
Partnership Name
Street Address
City
State
ZIP
Corporation Commission File Number
Date Contribution Received
5
Partnership Name
Street Address
Ciry
State
ZIP
Corporation Commission File Number
Date Contribution Received
Enter total only if last page of schedule
(transfer the total received this period to "Summary of Receipts." line 1ff11
Schedule A(1)(f), page _ of _
Arizona Secretary of State Revision 4/10/18
MONETARY CONTRIBUTIONS FROM CORPORATIONS AND LI -Cs:
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
Corporation / LLC Contributor Information
COMMITTEE ID NUMBER
17-01
SCHEDULE A(1)(g)
Cumulative ( Cumulative
Amount Received Amount this Amount this
Reporting Period Election Cycle
1
Corporation/LLC Name
Street Address
City
State
ZIP
Corporation Commission File Number
Date Contribution Received
2
CorporatlonfLLC Name
Street Address
City
State
ZIP
Corporation Commission File Number
Dale Contribution Received
3
CorporationlLLC Name
Street Address
City
State
ZIP
Corporation Commission File Number
Date Contribution Received
4
Corporation/LLC Name
Street Address
city State
ZIP
Corporation Commission File Number Date Contribution Received
5'
CorporationlLLC Name
Street Address
City
State
ZIP
Corporation Commission File Number
Date Contribution Received
Enter total only if last page of schedule
(transfer the total received this period to'Summary of Receipts.' line 1 to))
Schedule A(1)(g), page _ of _
Arizona Secretary of State Revision 4/10/18
CITY OF GLENDALE
y COMMITTEE CAMPAIGN
FINANCE REPORT
MONETARY CONTRIBUTIONS FROM LABOR ORGANIZATIONS:
Labor Organization Contributor Information Amount Received
COMMITTEE ID NUMBER
17-01
SCHEDULE A(1)(h)
Cumulative Cumulative
Amount this Amount this
Reporting Period Election Cycle
1
Labor Organization Name
Street Address
City
State
ZIP
Corporation Commission File Number
Date Contribution Received
2
Labor Organization Name
Street Address
City
State
ZIP
Corporation Commission File Number
Date Contribution Received
3
Labor Organization Name
Street Address
City
State
ZIP
Corporation Commission File Number
Date Contribution Received
4
Labor Organization Name
Street Address
City
State
ZIP
Corporation Commission File Number
Date Contribution Received
5
Labor Organization Name
Street Address
City
State
ZIP
Corporation Commission File Number
Date Conlribution Received
Enter total only if last page of schedule
(transfer the total received this period to "Summary of Receipts." line 1 (h))
Schedule A(1)(h), page _ of
Arizona Secretary of State Revision 4/10/18
CITY OF GLENDALE
COMMITTEE CAMPAIGN
• FINANCE REPORT
MONETARY CONTRIBUTIONS FROM CANDIDATE'S PERSONAL MONIES:
Candidate Information
COMMITTEE ID NUMBER
17-01
SCHEDULE A(1)(i)
Cumulative Cumulative
Amount Received Amount this Amount this
Reportinq Period Election Cvcle
1
Name
Data Cantrihution Received
Street Address
City
State
ZIP
Occupation
Employer
2
Name
Date Contribution Received
Street Address
City
Stale ZIP
Occupation
Employer
3
Name
Date Contribution Received
Street Address
Ciry
State
ZIP
Occupation
Employer
4
Name
Data Contribution Received
Street Address
city
State
ZIP
Occupation
Employer
5
Name
Dale Contribution Received
Street Address
city
State
ZIP
Occupation
Employer
Enter total only if last page of schedule
(transfer the total received this period to "Summery of Receipts," line tfi))
Schedule A(1)(i), page _ of
Arizona Secretary of State Revision 4110118
REFUNDS GIVEN BACK TO CONTRIBUTORS:
Contributor Information
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
Amount Refunded
COMMITTEE ID NUMBER
17-01
SCHEDULE A(1)(k)
Cumulative Cumulative
Amount this Amount this
Reporting Period; Election Cycle
1
Name Data Contribution Refunded
Street Address
I
City
State
ZIP
ID Number (g applicable)
Date of Original Contribution
2
Name
Date Contribution Refunded
Street Address
City
State
ZIP
ID Number (if applicable)
Date of Original Contribution
3
Name
Date Contribution Refunded
Street Address
city
State
ZIP
ID Number (if applicable)
Date of Original Contribution
4
Name
Date Contribution Refunded
Street Address
City
State
ZIP
ID Number (if applicable)
Date of Original Contribution
5
Name
Date Contribution Refunded
Street Address
City
State
ZIP
ID Number (if applicable)
Date of Original Contribution
Enter total only if last page of schedule
(transfer the total received this period to "Summary of Receipts," line 1(k))
Schedule A(1)(k), page _ of
Arizona Secretary of State Revision 4/10118
LOANS RECEIVED:
CITY OF GLENDALE
COMMITTEE CAMPAIGN
;z FINANCE REPORT
Lender Information IAmount Received
COMMITTEE ID NUMBER
17-01
SCHEDULE A(2)(a)
Cumulative Cumulative
Amount this Amount this
Reporting Period Election Cycle
1
Lender Name
Oate Loan Received
Street Address
City
State
ZIP
GuarantorlEndorser Name
Non -Electoral Purpose? (PACs and Political Parties Only)
2
Lender Name
Date Loan Received
Street Address
city
state
ZIP
Guarantor/Endorser Name
Non -Electoral Purpose? (PACs and Political Parties Only)
11
3
Lender Name
Date Loan Received
Street Address
city
state
ZIP
Guarantor/Endorser Name
Non -Electoral Purpose? (PACs and Political Parties Only)
4
Lender Name
Date Loan Received
Street Address
City
State
ZIP
Guarantor/Endomer Name
Non -Electoral Purpose? (PACs and Political Parties Only)
5
Lender Name
Date Loan Received
Street Address
city
.....-- ....
State
ZIP
Guarantor/Endorser Name
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
FORGIVENESS ON LOANS RECEIVED:
Lender Information
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-01
SCHEDULE A(2)(b)
Cumulative Cumulative
Amount Forgiven Amount this Amount this
Reporting Period I Election Cycle
1
Lender Name
Date Forgiveness Received
Street Address
City
State
ZIP
Original Amount of Loan
Amount Still Outstanding
2
Lender Name Date Fargiveness Receivetl
Street Address
city
State
ZIP
Original Amount of Loan
Amount Still Outstanding
3
Lender Name
Date Forgiveness Received
Street Address
city
State ZIP
Original Amount of Loan
Amount Still Outstanding
4
Lender Name
Date Forgiveness Received
Street Address
city
State
ZIP
Original Amount of Loan
Amount Still Outstanding
5
Lender Name
Date Forgiveness Received
Street Address
city
State
ZIP
Original Amount of Loan
Amount Still Outstanding
Enter total only if last page of schedule
transfer the total received this period to "Summary of Receipts." line 2(b))
Schedule A(2)(b), page _ of _
Arizona Secretary of State Revision 4/10/18
REPAYMENT ON LOANS MADE:
Borrower Information
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
Amount Repaid
COMMITTEE ID NUMBER
17-01
SCHEDULE A(2)(c)
Cumulative I Cumulative
Amount this Amount this
Reporting Period Election Cycle
1
Boa- Name Date Repayment Received
Street Address
City
State
ZIP
Original Amount Bon d
=mount Still Outstanding
2
Borrower Name
Date Repayment Received
Street Address
city
State ZIP
Original Amount Borrowed
Amount Still Outstanding
3
Borrower Name
Date Repayment Received
Street Address
city
State
ZIP
Original Amount Borrovved
r..» ount Still Outstanding
4
Borrower Name
Dale Repayment Received
Street Address
city
State
ZIP
Original Amount Borrowed
Amount Still Outstanding
5
Borrower Name
Date Repayment Received
Street Address
city
State
ZIP
Original Amount Bonrowed
amount Still Outstanding
Enter total only if last page of schedule
transfer the total received this period to "Summary of Receipts." line 2fcll
Schedule A(2)(c), page _ of
Arizona Secretary of State Revision 4/10/18
INTEREST ACCRUED ON LOANS MADE:
CITY OF GLENDALE COMMITTEE ID NUMBER
- COMMITTEE CAMPAIGN 17-01
i
FINANCE REPORT
SCHEDULE A(2)(d)
Amount of Interest Cumulative Cumulative
Borrower Information Accrued Amount this Amount this
Reporting Period Election Cycle
1
Borrower Name Date Interest Accrued
Street Address
city
State
ZIP
Original Amount Borrowed
Amount 5011 Outstanding
2
Borrower Name
Date Interest Accrued
Street Address
city
State
ZIP
Original Amount Borrowed
Amount Still Outstanding
3
Borrower Name Date Interest Accrued
Street Address
city
Slate
ZIP
Original Amount Borrowed
Amount Still Outstanding
4
Borrower Name
Date Interest Accrued
Street Address
city
State
ZIP
Original Amount Borrowed
Amount Still Outstanding
5
Borrower Name
Dale Interest Accrued
Street Address
city
State ZIP
Original Amount Borrowed
Amount Still Outstanding
Enter total only if last page of schedule
(transfer the total received this period to "Summary of Receipts." line 2(d))
Schedule A(2)(d), page _ of
Arizona Secretary of State Revision 4/10/18
REBATES AND REFUNDS RECEIVED
CITY OF GLENDALE COMMITTEE ID NUMBER
v COMMITTEE CAMPAIGN 17-01
FINANCE REPORT SCHEDULE A(3)
i I
Amount Rebated Cumulative Cumulative
Payor Information or Refunded Amount this Amount this
Reporting Period Election Cycle
1
Payor Name Date RebatelRetund Received
Street Address
city
slate
TIP
Original Purchase Amount
Reason for RetundfRebate
2
Bon- Name
Date Rebate/Refund Received
Street Address
city
Slate
ZIP
Original Purchase Amount
Reason for Refund/Rebate
3
Sonomr Name
Data Rebate/Refund Received
Street Address
city
State
ZIP
Original Purchase Amount
Reason for Refund/Rebate
4
Bonower Name
Date Rebate/Retund Received
Street Address
city
State
ZIP
Original Purchase Amount
Reason for Retund/Rebate
5
Borrower Name
Date Rebale/Relund Received
Street Address
city
State
ZIP
Original Purchase Amount
Reason for RelundiRebate
Enter total only if last page of schedule
transfer the total received this neriod to "Summary of Receipts," line 3)
Schedule A(3), page _ of
Arizona Secretary of State Revision 4/10/18
INTEREST ACCRUED ON COMMITTEE MONIES:
D CITY OF GLENDALE
COMMITTEE CAMPAIGN
-M. FINANCE REPORT
COMMITTEE ID NUMBER
17-01
SCHEDULE A(4)
Cumulative Amount this ReportingI Cumulative Amount this Election
Period Cycle
Account with Interest Earned (Bank Name I 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," line 4)
Schedule A(4), page _ of
Arizona Secretary of State Revision 4/10/18
CITY OF GLENDALE
COMMITTEE CAMPAIGN
r FINANCE REPORT
IN-KIND CONTRIBUTIONS RECEIVED FROM INDIVIDUALS - MORE THAN $50 DURING ELECTION CYCLE:'
Individual Contributor Information
COMMITTEE ID NUMBER
17-01
SCHEDULE A(5)(a)
Cumulative Cumulative"'
Amount Received i Amount this Amount this
Reporting Period Election Cycle
1
Name
Date In -Kind Contribution Received
Street Address
Oity State ZIP
..............
Occupation Employer
2
Name
Date In -Kind Contribution Received
Street Address
City
State
ZIP
Occupation
Employer
3
Name
Date IndGntl Contnbuaon Received
Street Address
city
Stale
ZIP
Occupation
Employer
4
Name
Date In -Kind Contribution Received
Street Address
City
State
21P
Occupation
Employer
5
Name Date In -Kind Contribution Received
Street Address
City
State
ZIP
Occupation
Employer
Enter total only if last page of schedule
(transfer the total received this period to "Summary of Receipts." line 5(a))
'If 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 _ of
Arizona Secretary of State Revision 4110118
!•° = '' 1
CITY OF GLENDALE
Enter total only if last page of schedule
(transfer the total received this period to "Summary of Receipts," line 1(b))
COMMITTEE CAMPAIGN
lid •:�.� -' a=J
` ,..f.
FINANCE REPORT
IN-KIND CONTRIBUTIONS RECEIVED FROM INDIVIDUALS - $50 OR LESS (AGGREGATE):`
COMMITTEE ID NUMBER
17-01
SCHEDULE A(5)(b)
Cumulative Amount this Reporting Cumulative Amount this Election
Period I Cycle
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))
*If 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 4110118
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
IN-KIND CONTRIBUTIONS FROM CANDIDATE COMMITTEES:
Candidate Committee Contributor Information Amount Received
COMMITTEE ID NUMBER
17-01 1.
SCHEDULE A(5)(c)
Cumulative Cumulative
Amount this I Amount this
Reporting Period Election Cycle
1
Committee Name
Street Address
city state ZIP
Committee ID Number
Date In -Kind Contribution Received
2
Committee Name
Street Address
City
state
IZIP
Committee ID Number
Date In -Kind Contribution Received
3
Committee Name
Street Address
City
State
ZIP
Committee ID Number
Date In -Kind Contribution Received
4
Committee Name
Street Address
city
State
ZIP
Committee ID Number
Date In -Kind Contribution Received
5
Committee Name
Street Address
City
State
ZIP
Committee ID Number
Date In -Kind Contribution Received
Enter total only if last page of schedule
(transfer the total received this period to "Summary of Receipts." line 51cb
Schedule A(5)(c), page _ of _
Arizona Secretary of State Revision 4/10/18
CITY OF GLENDALE
s COMMITTEE CAMPAIGN
FINANCE REPORT
IN-KIND CONTRIBUTIONS FROM POLITICAL ACTION COMMITTEES:
COMMITTEE ID NUMBER
X17-01
SCHEDULE A(5)(d)
Cumulative Cumulative
Political Action Committee Contributor Information Amount Received Amount this Amount this
Reporting Period Election Cycle
Schedule A(5)(d), page _ of _
Arizona Secretary of State Revision 4/10/18
Committee Name
...... ..... .. .. ..-. ....... ..---------- ---
Street Address
City State ZIP
Committee ID Number
Date In -Kind Contribution Received
2
Committee Name
Street Address
City
State
ZIP
Committee ID Number
Date In -Kind Contribution Received
3
Committee Name
Street Address
city
State
ZIP
Committee ID Number
Date In -Kind Contribution Received
4
Committee Name
Street Address
City
State
ZIP
Committee ID Number
Date In -Kind Contribution Received
5
Committee Name
Street Address
City
State
ZIP
Committee ID Number
Date In -rind Contribution Received
Enter total only if last page of schedule
(transfer the total received this period to "Summary of Recelots." line &M)
Schedule A(5)(d), page _ of _
Arizona Secretary of State Revision 4/10/18
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
IN-KIND CONTRIBUTIONS FROM POLITICAL PARTIES:
i
Political Party Contributor Information Amount Received
COMMITTEE ID NUMBER
17-01
SCHEDULE A(5)(e)
Cumulative Cumulative
Amount this Amount this
Reporting Period, Election Cycle
1
Committee Name
Street Address
City
State
ZIP
Committee ID Number
Date In -Kind Contribution Received
2
Committee Name
Street Address
City
State
ZIP
Committee ID Number
Date In -Kind Contribution Received
3
Committee Name
Street Address
city
State
ZIP
Committee ID Number
Date In -Kind Contribution Received
4
Committee Name
Street Address
city
State
ZIP
Committee ID Number
Date In -Kind Contribution Received
5
Committee Name
Street Address
City
State
ZIP
Committee ID Number
Date In -Kind Contribution Received
Enter total only if last page of schedule
ftransfer the total received this period to "Summary of Receiots. line 5fe11
Schedule A(5)(e), page _ of _
Arizona Secretary of State Revision 4/10/18
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
IN-KIND CONTRIBUTIONS FROM PARTNERSHIPS:
Partnership Contributor Information Amount Received
COMMITTEE ID NUMBER
17-01
SCHEDULE A(5)(f)
Cumulative Cumulative
Amount this Amount this
Reporting Period Election Cycle
1
Partnership Name
Street Address
City State
ZIP
Corporation Commission File Number Date In -Kind Contribution Received
2
Partnership Name
Street Address
city
State ZIP
Corporation Commission File Number
Date In -Kind Contribution Received
3
Partnership Name
Street Address
city
State
ZIP
Corporation Commission File Number
Date In -Kind Contribution Received
4
Partnership Name
Street Address
City
State
ZIP
Corporation Commission File Number
Date In -Kind Contribution Received
5
Partnership Name
Street Address
city
State
ZIP
Corporation Commission File Number
Date In -Kind Contribution Received
Enter total only if last page of schedule
(transfer the total received this oerlod to "Summary of Recelots." line 51f1)
Schedule A(5)(0, page _ of _
Arizona Secretary of State Revision 4110118
IN-KIND CONTRIBUTIONS FROM CORPORATIONS AND LLCs:
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
Corporation / LLC Contributor Information
COMMITTEE ID NUMBER
17-01
SCHEDULE A(5)(g)
Cumulative Cumulative
Amount Received Amount this Amount this
Reporting Period Election Cycle
1
Corporation/LLC Name
Street Address
City
State
ZIP
Corporation Commission File Number
Date In -Kind Contribution Received
2
Corporation/LLC Name
Street Address
City
State ,ZIP
Corporation Commission File Number
Date In -Kind Contribution Received
3
Corporation/LLC Name
Street Address
City
State
ZIP
Corporation Commission File Number
Date In -Kind Contribution Received
4
Corporation/LLC Name
Street Address
city
State ZIP
Corporation Commission File Number
Date In -Kind Contribution Received
5
Corporation/LLC Name
Street Address
City
state ZIP
Corporation Commission File Number
Date In -Kind Contribution Received
Enter total only if last page of schedule
(transfer the total received this period to "Summary of ReceioLs." line 51ab
Schedule A(5)(g), page _ of _
Arizona Secretary of State Revision 4/10/18
IN-KIND CONTRIBUTIONS FROM LABOR ORGANIZATIONS:
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-01
SCHEDULE A(5)(h)
Cumulative Cumulative
Labor Organization Contributor Information Amount Received Amount this Amount this
Reporting Period I Election Cvcle
1
Labor Organization Name
Street Address
City
State
ZIP
Corporation Commission File Number
Date In -Kind Contribution Received
2
Labor Organization Name
Street Address
City
State
ZIP
Corporation Commission File Number
Date In -Find Contribution Received
3
Labor Organization Name
Street Address
City
State
ZIP
Corporation Commission File Number
Data In -Kind Contribution Received
4
Labor Organization Name
Street Address
city
state
ZIP
Corporation Commission File Number
Date In -Kind Contribution Received
5
Labor Organization Name
Street Address
city
state
ZIP
Corporation Commission File Number
Date In -Kind Contribution Received
Enter total only if last page of schedule
(transfer the total received this period to'Summary of Recelots. line Sfhll
Schedule A(5)(h), page _ of _
Arizona Secretary of State Revision 4/10/18
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
IN-KIND CONTRIBUTIONS FROM CANDIDATE'S PERSONAL ASSETS OR PROPERTY -
Candidate Information
COMMITTEE ID NUMBER
17-01
SCHEDULE A(5)(i)
Cumulative Cumulative
Amount Received Amount this Amount this
Reporting Period Election Cycle
Schedule A(5)(i), page _ of _
Arizona Secretary of State Revision 4/10/18
Name
Data In -Kind Contribution Received
Street Address
City
State
ZIP
Asset or Property Contributed
2
Name
Date In -Kind Contribution Received
Street Address
City
state ZIP
Asset or Property Contributed
3
Name
Data I1-19nd Conmbuapn Received
Street Address
City
State
ZIP
Asset or Property Contributed
4
Name
Date In -Kind Contribution Received
Sheet Address
city
State
ZIP
Asset or Property Contributed
5
Name
Date In -Kind Contribution Received
Street Address
Ciry
State
ZIP
Asset or Property Contributed
Enter totalonly if last page of schedule
(transfer the total received this period to "Summary of Receipts.° line Wit)
Schedule A(5)(i), page _ of _
Arizona Secretary of State Revision 4/10/18
CITY OF GLENDALE COMMITTEE ID NUMBER
Y COMMITTEE CAMPAIGN 17-01
* " FINANCE REPORT
IN-KIND DONATIONS RECEIVED (NON -CONTRIBUTIONS) (PACs AND POLITICAL PARTIES ONLY): SCHEDULE A(5)(e)
Source Information
Cumulative Cumulative
Amount Received Amount this Amount this
Reporting Period Election Cycle
1
Name ]Date
In -Kind Donation Received
Street Address
City State ZIP
Type of Item Donated
2
Name
Date In -Kind Donation Received
Street Address
city
State
ZIP
Type of Item Donated
3
Name
Date In -Kind Donation Received
Street Address
city
Slate
ZIP
Type of Item Donated
4
Name
Date In -Kind Donation Received
Street Address
city
State
ZIP
Type of Item Donated
5
Name
Date In -Kind Donation Received
Street Address
city
State
ZIP
Type of Item Donated
Enter total only if last page of schedule
(transfer the total received this Period to "Summary of Receipts." line 5(e))
Schedule A(5)(e), page _ of _
Arizona Secretary of State Revision 4/10/18
EXTENSIONS OF CREDIT RECEIVED:
Creditor Information
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
7-01
SCHEDULE A(7)(a)
Amount of Credit Cumulative Cumulative
Extended Amount this Amount this
Reporting Periodl Election Cycle
1
Name
Street Address
City
Slate
ZIP
Services or Goods Provided on Credit
Date of Extension of Credit
2
Name
Street Address
City
State
ZIP
Services or Goods Provided on Credit
Date of Extension of Credit
3
Name
Street Address
City
State
ZIP
Services or Goods Provided on Credit
Date of Extension of Credit
4
Name
Street Address
city
State
ZIP
Services or Goods Prwided on Credit
Date of Extension of Credit
5
Name
Street Address
city
State
ZIP
Services or Goods Provided on Credit
Date of Extension of Credt
Enter total only if last page of schedule
!transfer the total received this oeriod to "Summary of Receipts." line 7ra11
Schedule A(7(a), page _ of _
Arizona Secretary of State Revision 4/10/18
PAYMENTS ON EXTENSIONS OF CREDIT RECEIVED:
Creditor Information
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-01
SCHEDULE A(7)(b)
Payment Amount Cumulative Cumulative
on Credit Amount this Amount this
Extended Reporting Period Election Cycle
1
Name
.. ..... .....
Street Address
City
State
ZIP
Services or Goods Originally Provided on Credit
Date of Original Extension of Credit
2
Name
Street Address
City
state
ZIP
(Services or Goods Originally Provided on Credit
Date of Original Extension of Credit
3
Name
Street Address
City
State
ZIP
Services or Goods Originally Provided on Credit
Date of Original Extension of Credit
4
Name
Street Address
city
State
ZIP
Services or Goods Originally Provided an Credit
Date of Original Extension of Credit
5
Name
Street Address
City
State
ZIP
Services or Goods Originally Provided on Credit
Date of Original Extension of Credit
Enter total only if last page of schedule
(transfer the total received this period to'Summem of Receipts." line 7(b)l
Schedule A(7)(b), page _ of _
Arizona Secretary of State Revision 4/10/18
JOINT FUNDRAISING / SHARED EXPENSE PAYMENTS RECEIVED:
Payor Committee Information
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-01
SCHEDULE A(8)
Cumulative Cumulative
Payment Amount Amount this Amount this
Reporting Period Election Cycle
1
Committee Name Payment Date
Street Address
City
State
ZIP
Date of Joint Fundraising Event (if applicable)
Type of Shared Expense (if applicable)
2
Committee Name
Payment Date
Street Address
city
State
ZIP
Dale of Joint Fundraising Event in applicable)
Type of Shared Expense (it applicable)
3
Committee Name
Payment Data
Street Address
City
State
ZIP
Date of Joint Fundraising Event (it applicable)
Type of Shared Expense (if applicable)
4
Committee Name
Payment Date
Street Address
city
State
ZIP
Date of Joint Fundraising Event (if applicable)
Type of Shared Expense (it applicable)
5
Committee Name
Payment Date
Street Address
City
State ZIP
Date of Joint Fundraising Event (if applicable)
Type of Shared Expense (if applicable)
Enter total only if last page of schedule
(transfer the total received this oeriod to "Summary of Receats.' line 81
Schedule A(8), page _ of _
Arizona Secretary of State Revision 4/10/18
CITY OF GLENDALE
COMMITTEE CAMPAIGN
�.= FINANCE REPORT
PAYMENTS RECEIVED FOR GOODS/SERVICES:
COMMITTEE ID NUMBER
17-01
SCHEDULE A(9)
Cumulative Cumulative
Payment Amount Amount this Amount this
Reporting Period Election Cycle
Schedule A(9), page _ of _
Arizona Secretary of State Revision 4110118
ZIP
Payment Date
ZIP
Payment Date
ZIP
Payment Date
ZIP
Payment Date
ZIP
Payment Date
Schedule A(9), page _ of _
Arizona Secretary of State Revision 4110118
CITY OF GLENDALE
z _
COMMITTEE CAMPAIGN
• FINANCE REPORT
OUTSTANDING ACCOUNTS RECEIVABLE / DEBTS OWED TO COMMITTEE:
COMMITTEE ID NUMBER
17-01
SCHEDULE A(10)
Cumulative Cumulative
Amount Amount this Amount this
Reporting Period Election Cycle
1
Name
Street Address
City
1-0Zip
Type of Account Receivable or Debt Omd
Date flat Debt Accrued
2
Name
Street Address
city
State
ZIP
'Type of Account Receivable or Debt Owed
Date that Debt Accrued
3
Name
Street Address
city
State
ZIP
Type of Account Receivable or Debt Owed
Date that Debt Accrued
4
Name
Street Address
City
State
ZIP
Type of Account Receivable or Debt Owed
Date that Debt Accrued
5
Name
Street Address
city
State
ZIP
-ype of Account Receivable or Debt Owed
Date that Debt Accrued
Enter total only if last page of schedule
!transfer the total received this oeriod to "Summary of Recelots.' line 101
Schedule A(10), page _ of _
Arizona Secretary of State Revision 4/10118
GO
TRANSFER IN SURPLUS MONIES / TRANSFER OUT DEBT:
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-01
SCHEDULE A(11)
Cumulative Amount this Reporting Cumulative Amount this Election
Period Cycle
Source of Surplus Monies / Recipient of Transferred Debt
Source of Surplus Monies / Recipient of Transferred Debt
Source of Surplus Monies / Recipient of Transferred Debt
Source of Surplus Monies / Recipient of Transferred Debt
Source of Surplus Monies / Recipient of 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
MISCELLANEOUS RECEIPTS:
In
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
Amount
COMMITTEE ID NUMBER
17-01
SCHEDULE A(12)
Cumulative Cumulative
Amount this Amount this
Reporting Period Election Cycle
1
Name
Street Address
city
Stale
ZIP
Receipt Type
Receipt Date
2
Name
Street Address
city
Stale
ZIP
Receipt Type
Receipt Date
3
Name
Street Address
city
slate
ZIP
Receipt Type
Receipt Date
4
Name
Street Address
city
State
ZIP
Receipt Type
Receipt Date
5
Name
Street Address
city
Stale
ZIP
Receipt Type
Receipt Date
Enter total only if last page of schedule
(transfer the total received this oeriod to "Summary of Receiots." trial 2)
Schedule A(12), page _ of _
Arizona Secretary of State Revision 4/10118
DISBURSEMENTS FOR OPERATING EXPENSES:
Recipient Information
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-01
SCHEDULE B(1)
t
Cumulative Cumulative,
Amount Paid Amount this Amount this
Reporting Period Election Cycle
Schedule B(1), page _ of _
Arizona Secretary of State Revision 4/10/18
Name Disbursement Date
Street Address
1
Gary
State
ZIP
❑ Cash
Type of Operating Expense Paid
Non -Electoral Purpose? (PACs and Political Parties Only)
❑ Credit
Name
Disbursement Date
Street Address
2
Ciry
State
ZIP
❑ Cash
Type of Operating Expense Paid
Non -Electoral Purpose? (PACs and Political Parties Only)
❑ Credit
11
Name Disbursement Date
Street Address
3
City
Slate
ZIP
❑ Cash
Type of Operating Expense Paid
Non -Electoral Purpose? (PACs and Political Parties Only)
❑ Credit
Name
Disbursement Date
Street Address
4
Ciry
State
ZIP
❑ Cash
Type of Operating Expense Paid
Non -Electoral Purpose? (PACs and Political Parties Only)
❑ Credit
Name
Disbursement Date
5
Street Address
11 Cash
Ciry
state
ZIP
11Credit
Type of Operating Expense Paid
Non -Electoral Purpose? (PACs and Political Parties Only)
Enter total only if last page of schedule
(transfer the total disbursed this period to 'Summary of Disbursements," line 1)
Schedule B(1), page _ of _
Arizona Secretary of State Revision 4/10/18
MONETARY CONTRIBUTIONS TO CANDIDATE COMMITTEES:
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
Candidate Committee Recipient Information
COMMITTEE ID NUMBER
17-01
SCHEDULE B(2)(a)
Amount Cumulative Cumulative
Contributed Amount this Amount this
I Reporting Period Election Cycle
Schedule B(2)(a), page _ of
Arizona Secretary of State Revision 4/10/18
Committee Name
❑ Cash
❑ Credit
Street Address
City
state
ZIP
Committee ID Number
Date Contribution Made
2
Committee Name
❑ Cash
❑ Credit
Street Address
Ciry
State
ZIP
Committee ID Number
Date Contribution Made
3
Committee Name
k
i€[I
❑ Cash
❑ Credit
Street Address
City
State
ZIP
Committee ID Number
Date Contribution Made
4
Committee Name
❑ Cash
❑ Credit
Street Address
Ciry
State
ZIP
Committee ID Number
Date Contribution Made
5
Committee Name
❑ Cash
❑ Credit
Street Address
Ciry
State
ZIP
Committee ID Number
Date Contribution Made
Enter total only if last page of schedule
(transfer the total disbursed this oeriod to "Summary of Disbursements" line 2(a)l
Schedule B(2)(a), page _ of
Arizona Secretary of State Revision 4/10/18
CITY OF GLENDALE
COMMITTEE CAMPAIGN
f FINANCE REPORT
MONETARY CONTRIBUTIONS TO POLITICAL ACTION COMMITTEES:
Political Action Committee Recipient Information
COMMITTEE ID NUMBER
17-01
SCHEDULE B(2)(b)
Amount Cumulative Cumulative
Contributed Amount this Amount this
Reporting Period Election Cycle
jf
f
1
f
Schedule B(2)(b), page _ of
Arizona Secretary of State Revision 4/10/18
Committee Name
I
Street Address
Ciry State ZIP
❑ Cash
Committee ID Number Date Contribution Made
❑ Credit
Committee Name
Street Address
2
City
State
ZIP
❑ Cash
Committee ID Number
Date Contribution Made
❑ Credit
Committee Name
m.
Street Address
3
city
sate
ZIP
❑ Cash
❑ Credit
Committee ID Number
Date Contribution Made i
Committee Name
Street Address
4
city
State
ZIP
❑ Cash
Committee ID Number
Date Contribution Made
❑ Credit
Committee Name
Street Address
5
city
stats
ZIP
❑ Cash
Committee ID Number
Date Contribution Made
❑ Credit
Enter total only if last page of schedule
(transfer the total disbursed this oerlod to "Summary of Disbursements," line 2(b)l
jf
f
1
f
Schedule B(2)(b), page _ of
Arizona Secretary of State Revision 4/10/18
MONETARY CONTRIBUTIONS TO POLITICAL PARTIES:
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
Political Party Recipient Information
COMMITTEE ID NUMBER
17-01
SCHEDULE B(2)(c)
Amount Cumulative Cumulative
Contributed Amount this Amount this
Reporting Period Election Cycle
1
Committee Name
❑ Cash
❑ Credit
Street Address
City
State
ZIP
Committee ID Number
Date Contribution Made
2
Committee Name
❑ Cash
❑ Credit
Street Address
City
State ZIP
Committee ID Number
Date Contribution Made
3
Committee Name
Street Address
❑ Cash
❑ Credit
Ciry
Stale
ZIP
Committee ID Number
Date Contribution Made
4
Committee Name
❑ Cash
11Credit
Street Address
city
State ZIP
Committee ID Number
Date Contribution Made
rJ
Committee Name
❑ Cash
❑ Credit
Street Address
city
stats
ZIP
Committee ID Number
Date Contribution Made
Enter total only if last page of schedule
(transfer the total disbursed this period to "Summary of Disbursements." line 2(6)
Schedule B(2)(c), page _ of
Arizona Secretary of State Revision 4/10/18
MONETARY CONTRIBUTIONS TO PARTNERSHIPS:
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
Partnership Recipient Information
Schedule B(2)(d), p
COMMITTEE ID NUMBER
17-01
SCHEDULE B(2)(d)
Amount Cumulative Cumulative
Arizona Secretary of State Revision 4/10/18
Partnership Name
1
Street Address
City
Corporation Commission File Number
State
ZIP
Date Contribution Made
Partnership Name
Street Address
2
City
State
ZIP
Corporation Commission File Number
Date Corinth bon Made
Partnership Name
Street Address
3
City
State
ZIP
Corporation Commission File Number
Date Contribution Made
Partnership Name
Street Address
4
City
State
ZIP
Corporation Commission File Number
Date Cantrit, on Made
Partnership Name
Street Address
5
City
State
ZIP
Corporation Commission File Number
Date Contribution Made
Enter total only if last page of schedule
(transfer the total disbursed this period to "Summary of Disbumemenls." line 201
Schedule B(2)(d), p
COMMITTEE ID NUMBER
17-01
SCHEDULE B(2)(d)
Amount Cumulative Cumulative
Arizona Secretary of State Revision 4/10/18
MONETARY CONTRIBUTIONS TO CORPORATIONS AND LI -Cs:
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
Corporation / LLC Recipient Information
COMMITTEE ID NUMBER
17-01
SCHEDULE B(2)(e)
Amount Cumulative Cumulative
Contributed Amount this Amount this
Reporting Period Election Cycle
Schedule B(2)(e), page _ of _
Arizona Secretary of State Revision 4/10/18
Corporalion/LLC Name
Street Address
1
City
state
ZIP
❑ Cash
Corporation Commission File Number
Date Contribution Made
C ❑ Credit
CerperetiamLLC Name
Street Address
2
Ciry
State
ZIP
❑ Cash
Corporation Commission File Number
Date Contribution Made
❑ Credit
Corporation/LLC Name
Street Address
3
City
state
ZIP
❑ Cash
Corporation Commission File Number
Date Contribution Made
❑ Credit
Corporation/LLC Name
Street Address
4
City
State
ZIP
❑ Cash
Corporation Commission File Number
Dale Contribubon Made
❑ Credit
Corporation/LLC Name
Street Address
5
City
State
ZIP
❑ Cash
Corporation Commission File Number
Date Contribution Made
❑ Credit
Enter total only if last page of schedule
(transfer the total disbursed this period to "Summery of Disbursements." line 2(e)l
Schedule B(2)(e), page _ of _
Arizona Secretary of State Revision 4/10/18
MONETARY CONTRIBUTIONS TO LABOR ORGANIZATIONS:
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
Labor Organization Recipient Information
COMMITTEE ID NUMBER
17-01
SCHEDULE B(2)(f)
Amount Cumulative Cumulative
Contributor Amount this Amount this
Reporting Period Election Cycle
Schedule B(2)(f), page _ of _
Arizona Secretary of State Revision 4/10/18
Labor Organization Name
I
Street Address
1
City
State ZIP
-- - []Cash
Corporation Commission File Number
Date Contribution Made ❑ Credit
Labor Organization Name
PI
Street Address
2
city
State
ZIP
❑ Cash
Corporation Commission File Number
Date Contribution Made
❑ Credit
Labor Organization Name
Street Address
3
Clb
state
ZIP
❑ Cash
Corporation Commission File Number
Date Contribution Made
❑ Credit
Labor Organization Name
Street Address
4
City
State
zip
❑ Cash
Corporation Commission File Number
Date Contribution Made
❑ Credit
Labor Organization Name
Street Address j
5I[i
City
State
ZIP
❑ Cash
Corporation Commission File Number
Date Contribution Made
❑ Credit
Enter total only if last page of schedule
transfer a total disbursed this period to'Summ— of Disbursements." line 21fi1
Schedule B(2)(f), page _ of _
Arizona Secretary of State Revision 4/10/18
CONTRIBUTION REFUNDS RECEIVED:
CITY OF GLENDALE
j COMMITTEE CAMPAIGN
FINANCE REPORT
Contributor Information IAmount Refunded
COMMITTEE ID NUMBER
17-01
SCHEDULE B(2)(h)
Cumulative Cumulative
Amount this Amount this
Reporting Period Election Cycle
1
Committee Name
Date Refund Received
Street Address
City
State
ZIP
I
Commtttee ID Number
Date of Onginal Contribution
2
Committee Name
Date Refund Received
Street Address
City State
ZIP
Committee ID Number
Date of Original Contribution
3
Committee Name
Date Refund Received
Street Address
city
state
ZIP
Committee ID Number
Date of Original Contribution
4
Committee Name
Date Refund Received
Street Address
City State
ZIP
Committee ID Number
Date of Original Contribution
5
Committee Name
Date Refund Received
Street Address
City
State
ZIP
Committee ID Number
Date of Original Contribution
Enter total only if last page of schedule
(transfer the total disbursed this period to "Summary of Disbursements, line 2(h))
Schedule B(2)(h), page _ of
Arizona Secretary of State Revision 4110/18
LOANS MADE:
CITY OF GLENDALE
y COMMITTEE CAMPAIGN
FINANCE REPORT
Borrower Information I Amount Loaned
COMMITTEE ID NUMBER
17-01
SCHEDULE B(3)(a)
Cumulative Cumulative
Amount this Amount this
Reporting Period Election Cycle
1
Borrower Name
Street Address
city
State
ZIP
Guarantor/Endorser Name
Date Loan Made
2
Borrower Name
Street Address
city
State
ZIP
Guarantor/Endorser Name
Date Loan Made
3
Borrower Name
Street Address
city
State
ZIP
Guarantor/Endorser Name
'Date Loan Made
4
Borrower Name
Street Address
city
State
ZIP
Guarantor/Endorser Name
Date Loan Made
5
Borrower Name
Street Address
city
State
ZIP
Guarantor/Endorser Name
Date Loan Made
Enter total only if last page of schedule
ftransfer the total received this oeriod to "Summary of Receiota." line 31
Schedule B(3)(a), page _ of _
Arizona Secretary of State Revision 4110118
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
LOAN GUARANTEES MADE:
Guarantor Information Amount
Guaranteed
COMMITTEE ID NUMBER
17-01
SCHEDULE B(3)(b)
Cumulative I Cumulative
Amount this Amount this
Reporting Period Election Cycle
1
Guarantor Name
---------------
Street Address
city
Stale
ZIP
Borrower Name
Date Loan Guaranteed
2
Guarantor Name
Street Address
city
Stale
ZIP
Borrower Name
Date Loan Guaranteed
3
Guarantor Name
Street Address
city
State
ZIP
Borrower Name
Date Loan Guaranteed
4
Guarantor Name
Street Address
city
State
ZIP
Borrower Name
Date Loan Guaranteed
5
Guarantor Name
Street Address
city
State
ZIP
Borrower Name
Date Loan Guaranteed
Enter total only if last page of schedule
ftransf r the total receivetl this oeriotl to'Summary o(Receiots " 'ne 3fb11
Schedule B(3)(b), page _ of _
Arizona Secretary of State Revision 4110118
FORGIVENESS ON LOANS MADE:
CITY OF GLENDALE COMMITTEE ID NUMBER
COMMITTEE CAMPAIGN 17-01
FINANCE REPORT
SCHEDULE B(3)(c)
Cumulative Cumulative
Borrower Information Amount Forgiven Amount this Amount this
Reporting Period Election Cycle
1
Borrower Name
Date Forgiveness Made
Street Address
city
State ZIP
Original Amount of Loan
Amount Still Outstanding
2
Borrovrer Name
Date Forgiveness Made
Street Address
city State
ZIP
Original Amount of Loan Amount Still Outstanding
3
Bar—, Name
Data Forgiveness Made
Street Address
city
State ZIP
Original Amount of Loan
Amount Still Outstanding
4
Borrower Name
Date Forgiveness Made
Street Address
city
State
ZIP
Original Amount of Loan
amount Still Outstanding
5
Borrower Name Date Forgiveness Made
Street Address
city
State
ZIP
Original Amount of Loan
Amount Still Outstanding
Enter total only if last page of schedule
transfer the total disbursed this period to "Summary of Disbursements." line Ycll
Schedule B(3)(c), page _ of
Arizona Secretary of State Revision 4/10/18
REPAYMENT ON LOANS RECEIVED:
Lender Information
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
7-01
SCHEDULE B(3)(d)
1
Lender Name
Date Repayment Made
................... ........... —........... _-...
Street Address
city
State ZIP
Original Amount Bo—d
Amount Still Outstanding
2
Lender Name
Data Repayment Made
Street Add -
city
State
ZIP
Original Amount Borrowed
Amount Still Outstanding
3
Lender Name Date Repayment Made
Street Address
city
State ZIP
Original Amount Borrowed
Amount Still Outstanding
4
Lender Name Date Repayment Made
Street Address
city
Slate
ZIP
Original Amount Borrowed
Amount Still Outstanding
5
Lender Name
Dale Repayment Made
Street Address
City
Stale
ZIP
Original Amount Borrowed
Amount Still Outstanding
Enter total only if last page of schedule
transfer the total disbursed this oenod to'Summary of Disbursements." line 3(d11
Schedule B(3)(d), page _ of
Arizona Secretary of State Revision 4/10/18
INTEREST ACCRUED ON LOANS RECEIVED:
Lender Information
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
Amount of Interest
Accrued
COMMITTEE ID NUMBER 1
17-01
SCHEDULE B(3)(e)
Cumulative Cumulative
Amount this Amount this
Reporting Period Election Cycle
1
Lender Name
Data Interest Acaued
Street Address
City
State
ZIP
Original Amount Borrowed
Amount 5611 Outstanding
2
Lender Name
Date Interest Accrued
Street Address
city
State
ZIP
Original Amount Borrowed
Amount Still Outstanding
3
Lender Name
Date Interest Accrued
Street Address
City
State
ZIP
Original Amount Borrowed
Amount 5611 Outstanding
4
Lender Name
Data Interest Accrued
Street Address
City
State
ZIP
Original Amount Borrowed
Amount Still Outstanding
5
Lender Name Date Interest Accrued
Street Address
City
State
ZIP
Original Amount Borrowed
Amount Still Outstanding
Enter total only if last page of schedule
(transfer the total disbursed this oeriod to "Summary of Disbursements." line3(e))
Schedule B(3)(e), page _ of
Arizona Secretary of State Revision 4/10/18
PH
REBATES AND REFUNDS MADE (NON -CONTRIBUTIONS):
Recipient Information
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-01
SCHEDULE B(4)
Amount Rebated I Cumulative Cumulative
Refunded Amount this Amount this
Reporting Period Election Cycle
Schedule B(4), page _ of
Arizona Secretary of State Revision 4/10/18
Name of Original Payor
Date RebatelRelund Made
Street Address
City
State
ZIP
Corporation Commission File Number (if applicable)
Original Payment Amount
Date of Original Payment
2
Name of Original Payor
Date Rebate/Refund Made
Street Address
City
State
ZIP
Corporation Commission File Number (if applicable)
Original Payment Amount
Date of Original Payment
3
Name of Original Payor
Date RebatelRetund Made
Street Address
City
State
ZIP
Corporation Commission File Number (if applicable)
Original Payment Amount
Name of Original Payor
4
Name of Original Payor
Date Rebate/Refund Made
Street Address
City
Stale
ZIP
Corporation Commission File Number (if applicable)
Original Payment Amount
Name of Original Payor
5
Name of Original Payor
Date Rebate/Refund Made
Street Address
city
state
ZIP
Corporation Commission File Number (if applicable)
Original Payment Amount
Name of Original Payor
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
IN-KIND CONTRIBUTIONS TO CANDIDATE COMMITTEES:
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
Candidate Committee Recipient Information
COMMITTEE ID NUMBER
17-01
SCHEDULE B(5)(a)
Amount Cumulative Cumulative
Contributed Amount this Amount this
Reporting Period Election Cycle
1
Committee Name
Street Address
City
State ZIP
Committee ID Number
Date In -Kind Contribution Made
2
Committee Name
Street Address
City
Slate
ZIP
Committee ID Number
Date In -Kind Contribution Made
3
Committee Name
Street Address
City
State
ZIP
Committee ID Number
Date In -Kind Contribution Made
4
Committee Name
Street Address
city
State
ZIP
Committee ID Number
Date In -Kind Contribution Made
5
Committee Name
Street Address
City State
ZIP
Committee ID Number Date In -Kind Contribution Made
Enter total only if last page of schedule
(transfer the total disbursed this period to "Summary of Disbursements." line Wall
Schedule B(5)(a), page _ of
Arizona Secretary of State Revision 4110118
IN-KIND CONTRIBUTIONS TO POLITICAL ACTION COMMITTEES:
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-01
SCHEDULE B(5)(b)
Amount Cumulative Cumulative
Political Action Committee Recipient Information Contributed Amount this Amount this
Reporting Period I Election Cycle
Committee Name
Street Address
1
City I
State
ZIP
Committee ID Number
Date In -Kind Contribution Made
2
Committee Name
Street Address
city
State ZIP
Committee ID Number
Date In -Kind Contribution Made
3
Committee Name
Street Address
city
State
ZIP
Committee ID Number
Date In -Kind Contribution Made
4
Committee Name
Street Address
city
Slate
ZIP
Committee ID Number
Date In -Kind Contribution Made
5
Committee Name
Street Address
City
State
ZIP
Committee ID Number
Date In -Kind Contribution Made
Enter total only if last page of schedule
transfer the total disbursed this oeriod to'Summary of Disbursements." line 5(b)l
Schedule B(5)(b), page _ of
Arizona Secretary of State Revision 4/10/18
CITY OF GLENDALE
COMMITTEE CAMPAIGN
' FINANCE REPORT
IN-KIND CONTRIBUTIONS TO POLITICAL PARTIES:
Political Party Recipient Information I
Amount
j Contributed
COMMITTEE ID NUMBER
7-01
SCHEDULE B(5)(c)
Cumulative Cumulative
Amount this Amount this
Reporting Period Election Cycle
1
Committee Name
Street Address
city state
ZIP
Committee ID Number
Date In -Kind Cantribubon Made
2
Committee Name
Street Address
city
State
ZIP
Committee ID Number
Date In -Kind Contribution Made
3
Committee Name
Street Address
City
State
ZIP
Committee ID Number
Date In -Kind Contribution Made
4
Committee Name
Street Address
city
Slate
ZIP
Committee ID Number
Date In -Kind Contribution Made
5
Committee Name
Street Address
city
State
ZIP
Committee ID Number
Date In -Kind Contribution Made
Enter total only if last page of schedule
(transfer the total disbursed this period to "Summary of Disbursements! line 5(01
Schedule B(5)(c), page _ of _
Arizona Secretary of State Revision 4/10118
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
IN-KIND CONTRIBUTIONS TO PARTNERSHIPS:
Partnership Recipient Information
COMMITTEE ID NUMBER
Lii-o1
SCHEDULE B(5)(d)
Amount Cumulative Cumulative
Contributed Amount this Amount this
Reporting Period Election Cycle
1
Partnership Name
Street Address
city
State
ZIP
Corporation Commission File Number
Date In -Kind Contribution Made
2
Partnership Name
Street Address
City State
ZIP
Corporation Commission File Number Date In -Kind Contribution Made
3
Partnership Name
Street Address
City
State
ZIP
Corporation Commission File Number
Dale In -Kind Contribution Mede
4
Partnership Name
Street Address
city
Slate
ZIP
Corporation Commission File Number
Date In -Kind Contribution Made
5
Partnership Name
Street Address
city
State
ZIP
Corporation Commission File Number
Date In -Kind Contribution Made
Enter total only if last page of schedule
(transfer the total disbursed this period to Tummary of Disbursements" line 5(d)1
Schedule B(5)(d), page _ of _
Arizona Secretary of State Revision 4110118
IN-KIND CONTRIBUTIONS TO CORPORATIONS AND LLCs:
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
Corporation / LLC Recipient Information
COMMITTEE ID NUMBER
17-01
SCHEDULE B(5)(e)
Amount Cumulative Cumulative
Contributed Amount this Amount this
Reporting Period Election Cycle
1
Corporation/LLC Name
Street Address
city
State ZIP
Date In -Kind Contribution Made
Corporation Commission File Number
2
CorporstioWLLC Name
Street Address
city
state
ZIP
Corporation Commission File Number
Date In -Kind Contribution Made
3
Corporation/LLC Name
Street Address
City
State
ZIP
Corporation Commission File Number
Date In -Kind Contribution Made
4
CorporationlLLC Name
Street Address
city
State
[ZIP
Corporation Commission File Number
Date In -Kind Contribution Made
5
Corporation/LLC Name
Street Address
City
State
ZIP
Corporation Commission File Number
Date In -Kind Contribution Made
Enter total only if last page of schedule
(transfer the total disbursed this period to "Summary of Disbursements! line Re))
Schedule B(5)(e), page _ of _
Arizona Secretary of State Revision 4/10/18
IN-KIND CONTRIBUTIONS TO LABOR ORGANIZATIONS:
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
Labor Organization Recipient Information
COMMITTEE ID NUMBER
17-01
SCHEDULE B(5)(f)
Amount Cumulative Cumulative
Contributed Amount this Amount this
Reporting Period Election Cycle
1
Labor Organization Name
Street Address
City
State
ZIP
Corporation Commission File Number
Date In -Kind Contribution Made
2
Labor Organization Name
Street Address
City
State
ZIP
Corporation Commission File Number
Data In -Kind Contnbubon Made
3
Labor Organization Name
Street Address
City
State
ZIP
Corporation Commission File Number
Date In-Kmd Contribution Made
4
Labor Organization Name
Street Address
City
State
ZIP
Corporation Commission File Number
Date In -Kind Contribution Made
5
Labor Organization Name
Street Address
City
State
ZIP
Corporation Commission File Number
Date In -Kind Contribution Made
Enter total only if last page of schedule
(transfer the total disbursed this period to "Summary of Disbursements" line Wit
Schedule B(5)(f), page _ of _
Arizona Secretary of State Revision 4/10/18
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
INDEPENDENT EXPENDITURES MADE:
Expenditure Recipient Information
COMMITTEE ID NUMBER
17-01
SCHEDULE B(6)
Expenditure Cumulative Cumulative
Amount Amount this Amount this
Reporting Period Election Cycle
1
Recipient Name . Mode of Advertising (TV, mail, etc)
❑ Cash
❑ Credit
Street Address
City
State
ZIP
Gandidate(s) Supported (including %supportetl)
Candidate(s) Opposed (including % opposed)
Date of First Publication, Display, Delivery, or Broadcast
Election MonthtYear
2
Recipient Name
•lode of Advertising (TV, mail, etc)
❑ Cash
❑ Credit
Street Address
City
State
ZIP
Candidates) Supported (including % supported)
Candidate(s) Opposed (including % opposed)
Date of First Publication, Display, Delivery, or Broadcast
Election Month/Year
3
Recipient Name
Adds of Advertising (TV, mail, etc)
❑ Cash
❑ Credit
Street Address
City
State
ZIP
Candidates) Supported (including % supported)
Candidate(s) Opposed (including %opposetl)
Date of First Publication, Display, Delivery, or Broadcast
Election MonthNear
4
Recipient Name
bode of Advertising (TV, mail, etc)
❑ Cash
❑ Credit
Street Address
city
State hP
Candidate(s) Supported (including % supported)
Candidate(s) Opposed (including %opposed)
Date of First Publication, Display, Delivery, or Broadcast
Election MonthNear [,.fice Sough[
Enter total only if last page of schedule
(transfer the total disbursed this period to "Summary of Disbursements," line 6)
Schedule B(6), page _ of _
Arizona Secretary of State Revision 4110718
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
BALLOT MEASURE EXPENDITURES MADE:
Expenditure Recipient Information
COMMITTEE ID NUMBER
17-01
SCHEDULE B(7)
Expenditure Cumulative Cumulative
Amount Amount this Amount this
Reporting Period I Election Cycle
1
Recipient Name
Mode of Advertising (TV, mail, etc)
❑ Cash
❑ Credit
Street Address
Ciry State
ZIP
Ballot Measure(s) Supported (including % supported) Ballot Measure(s) Opposed (including %opposed)
Date of First Publication, Display, Delivery, or Broadcast
Election Mcnm/Year
2
Recipient Name
lode of Advertising (TV, mail, etc)
❑ Cash
❑ Credit
Street Address
Ciry
State
ZIP
Ballot Measure(s) Supported (including %supported)
Ballot Measures) Opposed (including % opposed)
Date of First Publication, Display, Delivery, or Broadcast
Election Month/Year
3
Recipient Name •I ode of Advertising (TV, mail, etc)
I
❑ Cash
❑ Credit
Street Address
city
State
ZIP
Ballot Measure(s) Supported (Including %supported)
Ballot Measure(s) Opposed (including % opposed)
Date of First Publication, Display, Delivery, or Broadcast
tlecton MordhlYear
4
Recipient Name .'ode of Advertising (TV, mail, etc)
❑ Cash
❑ Credit
Street Address
Ciry
State
'IP
Ballot Measure(s) Supported (including % supported)
Ballot Measure(s) Opposed (including % opposed)
Date of First Publication, Display, Delivery, or Broadcast
lection MordhlYear
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
RECALL EXPENDITURES MADE:
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
Expenditure Recipient Information
COMMITTEE ID NUMBER
17-01
SCHEDULE B(8)
Expenditure Cumulative Cumulative
Amount Amount this j Amount this
Reporting Period I Election Cycle
1
Recipient Name
Mode of Advertising (TV, mail, etc)
❑ Cash
❑ Credit
Street Address
city
r
State rZlp
Supporting or Opposing Issuance of Recall Order?
.......—......... ......... -----..--
Candidate Sought to be Recalled
Date of First Publication, Display, Delivery, or Broadcast
Office Held
2
Recipient Name
.1 ode of Advertising (TV, mail, etc)
❑ Cash
❑ Credit
Street Address
city
State
ZIP
Supporting or Opposing Issuance of Recall Order?
Candidate Sought to be Recalled
Date of First Publication, Display, Delivery, or Broadcast
Office Held
3
Recipient Name
: ode of Advertising (TV, mail, etc)
❑ Cash
❑ Credit
Street Address
city
State
ZIP
Supporting or Opposing Issuance of Recall Order?
Candidate Sought to be Recalled
Dale of First Publication, Display, Delivery, or Broadcast
Office Held
4
Recipient Name
ode of Advertising (TV, mall, etc)
❑ Cash
❑ Credit
Street Address
City
State
ZIP
Supporting or Opposing Issuance of Recall Order?
Candidate Sought to be Recalled
Date of First Publication, Display, Delivery, or Broadcast
Office Held
Enter total only if last page of schedule
(transfer the total disbursed this period to "Summary of Disbursements," line 8)
Schedule B(8), page _ of
Arizona Secretary of State Revision 4110118
CITY OF GLENDALE
COMMITTEE CAMPAIGN
a
FINANCE REPORT
SUPPORT PROVIDED TO PARTY NOMINEES (POLITICAL PARTIES ONLY):
Benefitted Candidate
COMMITTEE ID NUMBER
17-01
SCHEDULE B(9)
Cumulative Cumulative
Amount Amount this Amount this
Reporting Period Election Cycle
1
I
Candidate Name Date Benefit Provided
Street Address
City
I State
ZIP
Type of Benefit Provided
Notes:
2
Candidate Name
Date Benefit Provided
Street Address
City
State
ZIP
Type of Benefit Provided
otes:
3
Candidate Name
Date Benefit Provided
Street Address
City
State
ZIP
Type of Benefit Provided
Notes:
4'
Candidate Name Date Benefit Provided
Street Address
City State
ZIP
Type of Benefit Provided
totes:
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
JOINT FUNDRAISING / SHARED EXPENSE PAYMENTS MADE:
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
Recipient Committee Information
COMMITTEE ID NUMBER
17-01
SCHEDULE B(10)
Cumulative Cumulative
Payment Amount Amount this Amount this
Reporting Period Election Cycle
Schedule B(10), page_ of
Arizona Secretary of State Revision 4/10/18
Committee Name Payment Date
Street Address
1
city
State
ZIP
❑ Cash
Date of Joint Fundraising Event (if applicable)
Type of Shared Expense (if applicable)
❑ Credit
Committee Name
Payment Date
Street Address
2
City
Stale
'IP
11 Cash
Date of Joint Fundraising Event (if applicable)
Type of Shared Expense (if applicable)
❑ Credit
Committee Name
Payment Date
Street Address
3
Ciry State IIP
f ❑Cash
Date of Joint Fundraising Event (it applicable)
Type of Shared Expense (if applicable)
❑ Credit
Committee Name
7
Payment Date
Streef Address
4
Ciry
state
P
❑ Cash
Date of Joint Fundraising Event (if applicable)
Type of Shared Expense (if applicable)
❑ Credit
Committee Name
Payment Date
Street Address
5
Ciry
State
ZIP
❑ Cash
Date of Joint Fundraising Event (if applicable)
Type of Shared Expense (if applicable)
❑ Credit
Enter total only if last page of schedule
(transfer the total disbursed this period to "Summary of Disbursements," line 10)
Schedule B(10), page_ of
Arizona Secretary of State Revision 4/10/18
REIMBURSEMENTS MADE:
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
Recipient Information Reimbursement
Amount
COMMITTEE ID NUMBER
17-01
SCHEDULE B(11)
Cumulative Cumulative
Amount this Amount this
Reporting Period Election Cycle
Schedule B(11), page _ of
Arizona Secretary of State Revision 4/10/18
Name
Street Address
1
City
State ZIP
❑ Cash
Services or Goods Reimbursed
Reimbursement Date
❑ Credit
Name
Street Address
2
City
State
ZIP
❑ Cash
Services or Goods Reimbursed
Reimbursement Dale
❑ Credit
Name
Street Address
3
City
State
J
ZIP
❑ Cash
Services or Goods Reimbursed
Reimbursement Date
❑ Credit
Name
Street Address
4
Ciry
state
ZIP
❑ Cash
Services or Goods Reimbursed
Reimbursement Date
❑ Credit
Name
Street Address
5
city state
ZIP
❑ Cash
Services or Goods Reimbursed
Reimbursement Date
❑ 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
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
OUTSTANDING ACCOUNTS PAYABLE / DEBTS OWED BY COMMITTEE:
Debt Information
COMMITTEE ID NUMBER
17-01
SCHEDULE B(12)
Cumulative
Cumulative
Amount
Amount this
Amount this
Street Address
Reporting Period
Election Cycle
1
Name
Street Address
city State
ZIP
Type of Account Payable or Debt Owed
Date that Debt Accrued
2
Name
Street Address
city
State
ZIP
Type of Account Payable or Debt Owed
Date that Debt Accrued
3
Name
Street Address
city
State
ZIP
Type of Account Payable or Debt Owed
Date that Debt Accrued
4
Name
Street Address
city
State
ZIP
Type of Account Payable or Debt Owed
Date that Debt Accrued
5
Name
Street Address
city
State
ZIP
Type 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 "Summery of Receipts," line 12)
Schedule B(12), page _ of _
Arizona Secretary of State Revision 4/10/18
TRANSFER OUT SURPLUS MONIES / TRANSFER IN DEBT:
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-01
SCHEDULE B(13)
Cumulative Amount this Reporting Cumulative Amount this Election
Pericii I Cycle
Recipient of Surplus Monies I Source of Transferred Debt
Recipient of Surplus Monies I Source of Transtened Debt
Recipient of Surplus Monies I Source of Transferred Debt
Recipient of Surplus Monies / Source of Transferred Debt
Recipient of Surplus Monies I Source of Transtened 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
MISCELLANEOUS DISBURSEMENTS:
Recipient Information
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-01
Cumulative
Amount Amount this
Reporting Period
SCHEDULE B(14)
Cumulative
Amount this
Election Cycle
1
Name
I�
Street Address
City
ZIP
�f.
Disbursement Date
2
Name
I
Street Address
Recipient Information
CITY OF GLENDALE
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
17-01
Cumulative
Amount Amount this
Reporting Period
SCHEDULE B(14)
Cumulative
Amount this
Election Cycle
1
Name
❑ Cash
❑ Credit
Street Address
City
ZIP
Disbursement Type
Disbursement Date
2
Name
l 11 Cash
❑ Credit
Street Address
city
ZIP
Disbursement Type
Disbursement Date
3
Name
❑ Cash
❑ Credit
Street Address
City ZIP
Disbursement Type
Disbursement Date
4
Name
❑ Cash
❑ Credit
Street Address
city
ZIP
Disbursement Type
Disbursement Date
5
Name
❑ Cash
❑ Credit
Street Address
City
Stale
ZIP
Disbursement Type
Disbursement Date
Enter total only if last page of schedule
!transfer the total disbursed this oerlod to "Summary of Disbursements." line 121
Schedule B(12), page _ of _
Arizona Secretary of State Revision 4/10118