HomeMy WebLinkAboutCampaign Finance Records - Finance report - Committee to Elect Jamie Aldama 2022 - 1/18/2022STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
COMMITTEE INFORMATION (required):
CANDIDATE INFORMATION (only if filing as a candidate committee):
Office Sought: County Office:
City/Town Off ice:
Special District Office:_________
School Board District:_________
Cumulative Report:
Check here if this is the candidate committees first, cumulative report for the election cycle. Also select appropriate Reporting Period below.
Cumulative reporting period start date (which supersedes the start date for the Reporting Period selected below):
REPORTING PERIOD (check one):
REPORTING PERIOD REPORT DUE
2020 4th Quarter Report: October 18 , 2020 to December 31, 2020 January 1, 2021 to January 15, 2021
2021 March Pre-Election Report (Local Only): January 1, 2021 to February 20, 2021 February 21, 2021 to February 27, 2021
2021 March Post-Election (Q1) Report (Local Only): February 21 to March 31, 2021 April 1, 2021 to April 15, 2021
2021 Quarter 1 Report: January 1, 2021 to March 31, 2021 April 1, 2021 to April 15, 2021
2021 May Pre -Election Report (Local Only): April 1, 2021 to May 1, 2021 May 2, 2021 to May 8, 2021*
2021 May Post-Election (Q2) Report (Local Only): May 2, 2021 to June 30, 2021 July 1, 2021 to July 15, 2021
2021 Quarter 2 Report: April 1, 2021 to June 30, 2021 July 1, 2021 to July 15, 2021
2021 August Pre-Election Report (Local Only): July 1, 2021 to July 17, 2021 July 18, 2021 to July 24, 2021
2021 August Post-Election (Q3) Report (Local Only): July 18, 2021 to September 30, 2021 October 1, 2021 to October 15, 2021
2021 Quarter 3 Report: July 1, 2021 to September 30, 2021 October 1, 2021 to October 15, 2021
2021 November Pre-Election Report (Local Only): October 1, 2021 to October 16, 2021 October 17, 2021 to October 23, 2021
2021 November Post-Election (Q4) Report (Local Only): October 17, 2021 to December 31, 2021 January 1, 2022 to January 15, 2022
2021 Quarter 4 Report: October 1, 2021 to December 31, 2021 January 1, 2022 to January 15, 2022
2022 March Pre-Election Report (Local Only): January 1, 2022 to February 19, 2022 February 2 0, 2021 to February 26, 2022
2022 March Post-Election (Q1) Report (Local Only): February 20, 2022 to March 31, 2022 April 1, 2022 to April 15, 2022
2022 Quarter 1 Report: January 1, 2022 to March 31, 2022 April 1, 2022 to April 15, 2022
2022 May Pre-Election Report (Local Only): April 1, 2022 to April 30, 2022 May 1, 2022 to May 7, 2022
2022 May Post-Election (Q2) Report (Local Only): May 1, 2022 to June 30, 2022 July 1, 202 2 to July 15, 2022
2022 Quarter 2 Report: April 1, 2022 to June 30, 2022 July 1, 2022 to July 15, 2022
2022 Pre-Primary Election Report: July 1, 202 2 to July 16, 2022 July 17, 2022 to July 23, 2022
2022 Post-Primary Election (Q3) Report: July 17, 202 2 to September 30, 202 2 October 1, 202 2 to October 15, 202 2
2022 Pre-General Election Report: October 1, 2022 to October 22, 2022 October 23, 2021 to October 29, 2022
2022 Post-General Election (Q4) Report: October 23, 202 2 to December 31, 2022 January 1, 2023 to January 17, 2023*
Final Campaign Finance Report Prior to Committee Termination:
End of Previous Period through Today’s Date
Same Date of Termination
*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)
(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 period)
(d) = Balance at close of reporting period
Check here if filing no financial activity during the reporting period. Lines (a)-(d) still must be completed, but only this cover page and the
following page need to be filed.
Committees with financial activity must file the cover page, summary of receipts, summary of disbursements, and any schedules that contain financial activity.
Arizona Secretary of State Revision 7/31/21 (fillable format)
Committee Information : Committee Name: THE COMMITTEE TO ELECT JAMIE ALDAMA
$ 7,550.00
$ 2,143.58
$ 5,948.19
4
4
4
$541.77
Received by email 1/18/2022
in the City Clerk's Office.
Received by email 1/18/2022
in the City Clerk's Office.
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 7/31/21 (fillable format)
SUMMARY OF RECEIPTS (Schedule A):
Receipts Cash Equity
1.Monetary Contributions Received
(a)In-State Individuals - More than $100
(b)In-State Individuals - $100 or Less (Aggregate)
(c) Out-of-State Individuals
(d)Candidate Committees
(e)Political Action Committees
(f)Political Parties
(g)Partnerships
(h)Corporations & Limited Liability Companies (PACs & Political Parties Only)
(i)Labor Organizations (PACs & Political Parties Only)
(j)Candidate’s Personal Monies (Candidate Committees Only)
(k)Monetary Contributions Subtotal (add 1(a) through 1(j))
(l)Refunds Given Back to Contributors
(m)Net Monetary Contributions (subtract 1(l) from 1(k))
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))
3.Rebates and Refunds Received
4.Interest Accrued on Committee Monies
5.In-Kind Contributions Received
(a)In-State Individuals - More than $100
(b)In-State Individuals - $100 or Less (Aggregate)
(c) Out-of-State Individuals
(d)Candidate Committees
(e)Political Action Committees
(f)Political Parties
(g)Partnerships
(h)Corporations & Limited Liability Companies (PACs & Political Parties Only)
(i)Labor Organizations (PACs & Political Parties Only)
(j)Candidate’s Personal Assets or Property (Candidate Committees Only)
(k)In-Kind Contributions Subtotal (equity: add 5(a) through 5(j))
6.In-Kind Donations Received (Non-Contributions) (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))
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 (use cash and/or equity as applicable)
13.Total Receipts (cash: add 1(m), 2(e), 3-4, 8-9, 11-12; equity: add 2(b), 5(k), 6-7(c), 10-12)
$7550
Received by email 1/18/2022
in the City Clerk's Office.
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 7/31/21 (fillable format)
SUMMARY OF DISBURSEMENTS (Schedule B):
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))
(h) Contribution Refunds Provided to the Reporting Committee
(i) Monetary Contributions Total (subtract 2(h) from 2(g))
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))
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)
(g) Contributions Subtotal (add 5(a) through 5(f))
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(f), 5(g), & 12-15)
$2143.58
$2143.58
Received by email 1/18/2022
in the City Clerk's Office.
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 7/31/21 (fillable format)
MONETARY CONTRIBUTIONS RECEIVED FROM IN-STATE INDIVIDUALS - MORE THAN $100 DURING ELECTION CYCLE:* SCHEDULE A(1)(a)
Individual Contributor Information Amount Received
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
1
Name Date Contribution Received
Street Address
City State ZIP
Occupation Employer
2
Name Date Contribution Received
Street Address
City State ZIP
Occupation Employer
3
Name Date Contribution Received
Street Address
City State ZIP
Occupation Employer
4
Name Date Contribution Received
Street Address
City State ZIP
Occupation Employer
5
Name Date 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 1(a))
*If in-state individual contributions of $100 or less are listed on Schedule A(1)(b), do not include them on Schedule A(1)(a).
Schedule A(1)(a), page of
See Attached
Received by email 1/18/2022
in the City Clerk's Office.
Amount Paid At Donor Firs Donor Last Donor Add Donor CityDonor StatDonor ZIP Donor Occ Donor Employer
1,000.00$ 10/9/2021 Becky Coates 12830 W. Litchfield AZ 85340 Self Emplo Lawns by Les
500.00$ 10/14/2021 Payam Raouf 7025 N 56t Glendale AZ 85301 Real Estate Arizona Property Management & Investments
250.00$ 10/21/2021 0:00 Jorge Arellano 7326 N 86t Glendale AZ 85305 Real EstateSelf
200.00$ 11/15/2021 0:00 Dennis Burke 601 W PalmPhoenix AZ 85021 Attorney Ballard Spahr
100.00$ 11/15/2021 0:00 Arthur Othon 28263 N. 6 Peoria AZ 85383 Owener re El Bravo Sky Harbor LLC
500.00$ 11/19/2021 0:00 Adam Baugh 4062 E. Wa Gilbert AZ 85234 Attorney Withey Morris
250.00$ 11/23/2021 0:00 Mario E Diaz 9301 East Scottsdale AZ 85255 Governme Mario E Diaz & Associates
2,500.00$ 12/4/2021 0:00 Freddie Bracamont14415 w M Goodyear AZ 85395 Owner H&B Builders
100.00$ 12/7/2021 0:00 Ryan Weed 715 W. Qu Phoenix AZ 85085 Civil EngineCVL - Coe & Van Loo Consultants Inc
250.00$ 12/8/2021 0:00 Daryl Manhart 3812 E. Ah Phoenix AZ 85044 attorney Burch & Cracchiolo, P.A.
150.00$ 12/9/2021 0:00 Jacob Shalley 1020 NE Lo San Anton TX 78209 DevelopmeEmbrey Partners
100.00$ 12/10/2021 0:00 Dawn Cartier 5726 N Pa Paradise V AZ 85253 Civil EngineCivTech Inc.
300.00$ 12/10/2021 0:00 Taylor Earl 3101 N. Ce Phoenix AZ 85012 Lawyer Earl & Curley, P.C.
500.00$ 12/10/2021 0:00 Ed Bull 5124 N. 34 Phoenix AZ 85018 Lawyer Burch & Cracchiolo
500.00$ 12/10/2021 0:00 Walt Brown 7500 E. Mc Scottsdale AZ 85250 CEO Diversified Partners
100.00$ 12/13/2021 0:00 John Curtis 3810 E. Ha Phoenix AZ 85018 Attorney Burch & Cracchiolo
250.00$ 12/14/2021 0:00 Brennan Ray 1850 W M Chandler AZ 85286 Attorney Burch & Cracchiolo
Received by email 1/18/2022
in the City Clerk's Office.
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 7/31/21 (fillable format)
*If in-state i
ndividual
contributions of more than $100 are listed on Schedule A(1)(a), do not include them.
MONETARY CONTRIBUTIONS RECEIVED FROM IN-STATE INDIVIDUALS - $100 OR LESS (AGGREGATE):* SCHEDULE A(1)(b)
Cumulative Amount this Reporting
Period
Cumulative Amount this Election
Cycle
Cumulative Contributions from In-State Individuals - $100 or Less
Enter total only if last page of schedule
(transfer the total received this period to “Summary of Receipts,” line 1(b))
Schedule A(1)(b), page of
Received by email 1/18/2022
in the City Clerk's Office.
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 7/31/21 (fillable format)
MONETARY CONTRIBUTIONS RECEIVED FROM OUT-OF-STATE INDIVIDUALS SCHEDULE A(1)(c)
Individual Contributor Information Amount Received
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
1
Name Date Contribution Received
Street Address
City State ZIP
Occupation Employer
2
Name Date Contribution Received
Street Address
City State ZIP
Occupation Employer
3
Name Date Contribution Received
Street Address
City State ZIP
Occupation Employer
4
Name Date Contribution Received
Street Address
City State ZIP
Occupation Employer
5
Name Date 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 1(c))
Schedule A(1)(c), page of
None
Received by email 1/18/2022
in the City Clerk's Office.
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 7/31/21 (fillable format)
MONETARY CONTRIBUTIONS FROM CANDIDATE COMMITTEES: SCHEDULE A(1)(d)
Candidate Committee Contributor Information Amount Received
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
1
Committee Name
Street Address
City State 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
None
Received by email 1/18/2022
in the City Clerk's Office.
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 7/31/21 (fillable format)
MONETARY CONTRIBUTIONS FROM POLITICAL ACTION COMMITTEES: SCHEDULE A(1)(e)
Political Action Committee Contributor Information Amount Received
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
1
Committee Name
Street Address
City State 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(e))
Schedule A(1)(e), page of
None
Received by email 1/18/2022
in the City Clerk's Office.
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 7/31/21 (fillable format)
MONETARY CONTRIBUTIONS FROM POLITICAL PARTIES: SCHEDULE A(1)(f)
Political Party Contributor Information Amount Received
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
1
Committee Name
Street Address
City State 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(f))
Schedule A(1)(f), page of
None
Received by email 1/18/2022
in the City Clerk's Office.
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 7/31/21 (fillable format)
MONETARY CONTRIBUTIONS FROM PARTNERSHIPS: SCHEDULE A(1)(g)
Partnership Contributor Information Amount Received
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
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
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(g))
Schedule A(1)(g), page of
None
Received by email 1/18/2022
in the City Clerk's Office.
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 7/31/21 (fillable format)
MONETARY CONTRIBUTIONS FROM CORPORATIONS AND LLCs: SCHEDULE A(1)(h)
Corporation / LLC Contributor Information Amount Received
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
1
Corporation/LLC Name
Street Address
City State ZIP
Corporation Commission File Number Date Contribution Received
2
Corporation/LLC Name
Street Address
City State ZIP
Corporation Commission File Number Date Contribution Received
3
Corporation/LLC 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
Corporation/LLC 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(h))
Schedule A(1)(h), page of _
None
Received by email 1/18/2022
in the City Clerk's Office.
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 7/31/21 (fillable format)
MONETARY CONTRIBUTIONS FROM LABOR ORGANIZATIONS: SCHEDULE A(1)(i)
Labor Organization Contributor Information Amount Received
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
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 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 _
None
Received by email 1/18/2022
in the City Clerk's Office.
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 7/31/21 (fillable format)
MONETARY CONTRIBUTIONS FROM CANDIDATE’S PERSONAL MONIES: SCHEDULE A(1)(j)
Candidate Information Amount Received
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
1
Name Date Contribution Received
Street Address
City State ZIP
Occupation Employer
2
Name Date Contribution Received
Street Address
City State ZIP
Occupation Employer
3
Name Date Contribution Received
Street Address
City State ZIP
Occupation Employer
4
Name Date Contribution Received
Street Address
City State ZIP
Occupation Employer
5
Name Date 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 1(j))
Schedule A(1)(j), page of
None
Received by email 1/18/2022
in the City Clerk's Office.
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 7/31/21 (fillable format)
REFUNDS GIVEN BACK TO CONTRIBUTORS: SCHEDULE A(1)(l)
Contributor Information Amount Refunded
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
1
Name Date Contribution Refunded
Street Address
City State ZIP
ID Number (if 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(l))
Schedule A(1)(l), page of
None
Received by email 1/18/2022
in the City Clerk's Office.
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 7/31/21 (fillable format)
LOANS RECEIVED: SCHEDULE A(2)(a)
Lender Information Amount Received
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
1
Lender Name Date Loan Received
Street Address
City State ZIP
Guarantor/Endorser 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)
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/Endorser 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
None
Received by email 1/18/2022
in the City Clerk's Office.
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 7/31/21 (fillable format)
FORGIVENESS ON LOANS RECEIVED: SCHEDULE A(2)(b)
Lender Information Amount Forgiven
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
1
Lender Name Date Forgiveness Received
Street Address
City State ZIP
Original Amount of Loan Amount Still Outstanding
2
Lender Name Date Forgiveness Received
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
None
Received by email 1/18/2022
in the City Clerk's Office.
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 7/31/21 (fillable format)
REPAYMENT ON LOANS MADE: SCHEDULE A(2)(c)
Borrower Information Amount Repaid
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
1
Borrower Name Date Repayment Received
Street Address
City State ZIP
Original Amount Borrowed Amount 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 Borrowed Amount Still Outstanding
4
Borrower Name Date 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 Borrowed Amount Still Outstanding
Enter total only if last page of schedule
(transfer the total received this period to “Summary of Receipts,” line 2(c))
Schedule A(2)(c), page of
None
Received by email 1/18/2022
in the City Clerk's Office.
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 7/31/21 (fillable format)
INTEREST ACCRUED ON LOANS MADE: SCHEDULE A(2)(d)
Borrower Information Amount of Interest
Accrued
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
1
Borrower Name Date Interest Accrued
Street Address
City State ZIP
Original Amount Borrowed Amount Still 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 State 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 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 received this period to “Summary of Receipts,” line 2(d))
Schedule A(2)(d), page of
None
Received by email 1/18/2022
in the City Clerk's Office.
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 7/31/21 (fillable format)
REBATES AND REFUNDS RECEIVED: SCHEDULE A(3)
Schedule A(3), page of ___
Payor Information Amount Rebated
or Refunded
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
1
Payor Name Date Rebate/Refund Received
Street Address
City State ZIP
Original Purchase Amount Reason for Refund/Rebate
2
Payor Name Date Rebate/Refund Received
Street Address
City State ZIP
Original Purchase Amount Reason for Refund/Rebate
3
Payor Name Date Rebate/Refund Received
Street Address
City State ZIP
Original Purchase Amount Reason for Refund/Rebate
4
Payor Name Date Rebate/Refund Received
Street Address
City State ZIP
Original Purchase Amount Reason for Refund/Rebate
5
Payor Name Date Rebate/Refund Received
Street Address
City State ZIP
Original Purchase Amount Reason for Refund/Rebate
Enter total only if last page of schedule
(transfer the total received this period to “Summary of Receipts,” line 3)
None
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
.
INTEREST ACCRUED ON COMMITTEE MONIES: SCHEDULE A(4)
Cumulative Amount this Reporting
Period
Cumulative Amount this Election
Cycle
Account with Interest Earned (Bank Name / Type of Account)
Account with Interest Earned (Bank Name / Type of Account)
Account with Interest Earned (Bank Name / Type of Account)
Account with Interest Earned (Bank Name / Type of Account)
Account with Interest Earned (Bank Name / Type of Account)
Total
(transfer the total received this period to “Summary of Receipts,” line 4)
Schedule A(4), page of
None
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
IN-KIND CONTRIBUTIONS RECEIVED FROM IN-STATE INDIVIDUALS - MORE THAN $100 DURING ELECTION CYCLE:* SCHEDULE A(5)(a)
Individual Contributor Information Amount Received
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
1
Name Date In-Kind Contribution Received
Street Address
City State ZIP
Occupation Employer
2
Name Date In-Kind Contribution Received
Street Address
City State ZIP
Occupation Employer
3
Name Date In-Kind Contribution Received
Street Address
City State ZIP
Occupation Employer
4
Name Date In-Kind Contribution Received
Street Address
City State ZIP
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 $100 or less are listed on Schedule A(5)(b), do not include them on Schedule A(5)(a).
Schedule A(5)(a), page of
None
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
*If contributions of more than $100 are listed on Schedule A(5)(a), do not include them on Schedule A(5)(b).
IN-KIND CONTRIBUTIONS RECEIVED FROM IN-STATE INDIVIDUALS - $100 OR LESS (AGGREGATE):* SCHEDULE A(5)(b)
Cumulative Amount this Reporting
Period
Cumulative Amount this Election
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))
Schedule A(5)(b), page of
Received by email 1/18/2022
in the City Clerk's Office.
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 7/31/21 (fillable format)
IN-KIND CONTRIBUTIONS RECEIVED FROM OUT-OF-STATE INDIVIDUALS SCHEDULE A(5)(c)
Individual Contributor Information Amount Received
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
1
Name Date In-Kind Contribution Received
Street Address
City State ZIP
Occupation Employer
2
Name Date In-Kind Contribution Received
Street Address
City State ZIP
Occupation Employer
3
Name Date In-Kind Contribution Received
Street Address
City State ZIP
Occupation Employer
4
Name Date In-Kind Contribution Received
Street Address
City State ZIP
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(c))
Schedule A(5)(c), page___ of ____
See Attached
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
IN-KIND CONTRIBUTIONS FROM CANDIDATE COMMITTEES: SCHEDULE A(5)(d)
Candidate Committee Contributor Information Amount Received
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
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
(transfer the total received this period to “Summary of Receipts,” line 5(d))
Schedule A(5)(d), page of
None
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
IN-KIND CONTRIBUTIONS FROM POLITICAL ACTION COMMITTEES: SCHEDULE A(5)(e)
Political Action Committee Contributor Information Amount Received
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
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
(transfer the total received this period to “Summary of Receipts,” line 5(e))
Schedule A(5)(e), page of
None
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
IN-KIND CONTRIBUTIONS FROM POLITICAL PARTIES: SCHEDULE A(5)(f)
Political Party Contributor Information Amount Received
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
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
(transfer the total received this period to “Summary of Receipts,” line 5(f))
Schedule A(5)(f), page of
None
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
IN-KIND CONTRIBUTIONS FROM PARTNERSHIPS: SCHEDULE A(5)(g)
Partnership Contributor Information Amount Received
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
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 period to “Summary of Receipts,” line 5(g))
Schedule A(5)(g), page of
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
IN-KIND CONTRIBUTIONS FROM CORPORATIONS AND LLCs: SCHEDULE A(5)(h)
Corporation / LLC Contributor Information Amount Received
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
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 Receipts,” line 5(h))
Schedule A(5)(h), page of
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
IN-KIND CONTRIBUTIONS FROM LABOR ORGANIZATIONS: SCHEDULE A(5)(i)
Labor Organization Contributor Information Amount Received
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
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-Kind Contribution Received
3
Labor Organization Name
Street Address
City State ZIP
Corporation Commission File Number Date 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 Receipts,” line 5(i))
Schedule A(5)(i), page of
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
IN-KIND CONTRIBUTIONS FROM CANDIDATE’S PERSONAL ASSETS OR PROPERTY: SCHEDULE A(5)(j)
Schedule A(5)(j), page of
Candidate Information Amount Received
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
1
Name Date 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 Date In-Kind Contribution Received
Street Address
City State ZIP
Asset or Property Contributed
4
Name Date In-Kind Contribution Received
Street Address
City State ZIP
Asset or Property Contributed
5
Name Date In-Kind Contribution Received
Street Address
City State ZIP
Asset or Property Contributed
Enter total only if last page of schedule
(transfer the total received this period to “Summary of Receipts,” line 5(j))
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
IN-KIND DONATIONS RECEIVED (NON-CONTRIBUTIONS) (POLITICAL PARTIES ONLY): SCHEDULE A(6)
Source Information Amount Received
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
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 State 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 6)
Schedule A(6), page of
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
EXTENSIONS OF CREDIT RECEIVED: SCHEDULE A(7)(a)
Creditor Information Amount of Credit
Extended
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
1
Name
Street Address
City State 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 Provided on Credit Date of Extension of Credit
5
Name
Street Address
City State ZIP
Services or Goods Provided on Credit Date of Extension of Credit
Enter total only if last page of schedule
(transfer the total received this period to “Summary of Receipts,” line 7(a))
Schedule A(7)(a), page of
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
PAYMENTS ON EXTENSIONS OF CREDIT RECEIVED: SCHEDULE A(7)(b)
Creditor Information
Payment Amount
on Credit
Extended
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
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 on 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 “Summary of Receipts,” line 7(b))
Schedule A(7)(b), page of
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
JOINT FUNDRAISING / SHARED EXPENSE PAYMENTS RECEIVED: SCHEDULE A(8)
Payor Committee Information Payment Amount
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
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
Date of Joint Fundraising Event (if applicable) Type of Shared Expense (if applicable)
3
Committee Name Payment Date
Street Address
City State ZIP
Date of Joint Fundraising Event (if 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 (if 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 period to “Summary of Receipts,” line 8)
Schedule A(8), page of
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
PAYMENTS RECEIVED FOR GOODS/SERVICES: SCHEDULE A(9)
Payor Information Payment Amount
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
1
Name
Street Address
City State ZIP
Services or Goods Purchased Payment Date
2
Name
Street Address
City State ZIP
Services or Goods Purchased Payment Date
3
Name
Street Address
City State ZIP
Services or Goods Purchased Payment Date
4
Name
Street Address
City State ZIP
Services or Goods Purchased Payment Date
5
Name
Street Address
City State ZIP
Services or Goods Purchased Payment Date
Enter total only if last page of schedule
(transfer the total received this period to “Summary of Receipts,” line 9)
Schedule A(9), page of
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
OUTSTANDING ACCOUNTS RECEIVABLE / DEBTS OWED TO COMMITTEE: SCHEDULE A(10)
Information Amount
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
1
Name
Street Address
City State ZIP
Type of Account Receivable or Debt Owed Date that 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
Type of 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
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
.
TRANSFER IN SURPLUS MONIES / TRANSFER OUT DEBT: SCHEDULE A(11)
Cumulative Amount this Reporting
Period
Cumulative Amount this Election
Cycle
Source of Surplus Monies / Recipient of Transferred Debt
Source of Surplus Monies / 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
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
MISCELLANEOUS RECEIPTS: SCHEDULE A(12)
Source Information Amount
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
1
Name
Street Address
City State ZIP
Receipt Type Receipt Date
2
Name
Street Address
City State ZIP
Receipt Type Receipt Date
3
Name
Street Address
City State ZIP
Receipt Type Receipt Date
4
Name
Street Address
City State ZIP
Receipt Type Receipt Date
5
Name
Street Address
City State ZIP
Receipt Type Receipt Date
Enter total only if last page of schedule
(transfer the total received this period to “Summary of Receipts,” line 12)
Schedule A(12), page of
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
DISBURSEMENTS FOR OPERATING EXPENSES: SCHEDULE B(1)
Recipient Information Amount Paid
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
1
Name Disbursement Date
Cash
Credit
Street Address
City State ZIP
Type of Operating Expense Paid Non-Electoral Purpose? (PACs and Political Parties Only)
2
Name Disbursement Date
Cash
Credit
Street Address
City State ZIP
Type of Operating Expense Paid Non-Electoral Purpose? (PACs and Political Parties Only)
3
Name Disbursement Date
Cash
Credit
Street Address
City State ZIP
Type of Operating Expense Paid Non-Electoral Purpose? (PACs and Political Parties Only)
4
Name Disbursement Date
Cash
Credit
Street Address
City State ZIP
Type of Operating Expense Paid Non-Electoral Purpose? (PACs and Political Parties Only)
5
Name Disbursement Date
Cash
Credit
Street Address
City State ZIP
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
Shutter Proof Marketing LLC 11/12/21
2828 North Central Ave
Phoenix AZ 85004
Reimbursement
$143.58 $143.58
Shutter Proof Marketing LLC 12/01/21
2828 North Central Ave
Phoenix AZ 85004
Campaign Management
$2000 $2000
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
MONETARY CONTRIBUTIONS TO CANDIDATE COMMITTEES: SCHEDULE B(2)(a)
Candidate Committee Recipient Information Amount
Contributed
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
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
Cash
Credit
Street Address
City State ZIP
Committee ID Number Date Contribution Made
4
Committee Name
Cash
Credit
Street Address
City State ZIP
Committee ID Number Date Contribution Made
5
Committee Name
Cash
Credit
Street Address
City State 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(a))
Schedule B(2)(a), page of
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
MONETARY CONTRIBUTIONS TO POLITICAL ACTION COMMITTEES: SCHEDULE B(2)(b)
Political Action Committee Recipient Information Amount
Contributed
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
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
Cash
Credit
Street Address
City State ZIP
Committee ID Number Date Contribution Made
4
Committee Name
Cash
Credit
Street Address
City State ZIP
Committee ID Number Date Contribution Made
5
Committee Name
Cash
Credit
Street Address
City State 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(b))
Schedule B(2)(b), page of
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
MONETARY CONTRIBUTIONS TO POLITICAL PARTIES: SCHEDULE B(2)(c)
Political Party Recipient Information Amount
Contributed
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
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
Cash
Credit
Street Address
City State ZIP
Committee ID Number Date Contribution Made
4
Committee Name
Cash
Credit
Street Address
City State ZIP
Committee ID Number Date Contribution Made
5
Committee Name
Cash
Credit
Street Address
City State 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(c))
Schedule B(2)(c), page of
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
MONETARY CONTRIBUTIONS TO PARTNERSHIPS: SCHEDULE B(2)(d)
Partnership Recipient Information Amount
Contributed
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
1
Partnership Name
Cash
Credit
Street Address
City State ZIP
Corporation Commission File Number Date Contribution Made
2
Partnership Name
Cash
Credit
Street Address
City State ZIP
Corporation Commission File Number Date Contribution Made
3
Partnership Name
Cash
Credit
Street Address
City State ZIP
Corporation Commission File Number Date Contribution Made
4
Partnership Name
Cash
Credit
Street Address
City State ZIP
Corporation Commission File Number Date Contribution Made
5
Partnership Name
Cash
Credit
Street Address
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 Disbursements,” line 2(d))
Schedule B(2)(d), page of
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
MONETARY CONTRIBUTIONS TO CORPORATIONS AND LLCs: SCHEDULE B(2)(e)
Corporation / LLC Recipient Information Amount
Contributed
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
1
Corporation/LLC Name
Cash
Credit
Street Address
City State ZIP
Corporation Commission File Number Date Contribution Made
2
Corporation/LLC Name
Cash
Credit
Street Address
City State ZIP
Corporation Commission File Number Date Contribution Made
3
Corporation/LLC Name
Cash
Credit
Street Address
City State ZIP
Corporation Commission File Number Date Contribution Made
4
Corporation/LLC Name
Cash
Credit
Street Address
City State ZIP
Corporation Commission File Number Date Contribution Made
5
Corporation/LLC Name
Cash
Credit
Street Address
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 Disbursements,” line 2(e))
Schedule B(2)(e), page of
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
MONETARY CONTRIBUTIONS TO LABOR ORGANIZATIONS: SCHEDULE B(2)(f)
Labor Organization Recipient Information Amount
Contributor
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
1
Labor Organization Name
Cash
Credit
Street Address
City State ZIP
Corporation Commission File Number Date Contribution Made
2
Labor Organization Name
Cash
Credit
Street Address
City State ZIP
Corporation Commission File Number Date Contribution Made
3
Labor Organization Name
Cash
Credit
Street Address
City State ZIP
Corporation Commission File Number Date Contribution Made
4
Labor Organization Name
Cash
Credit
Street Address
City State ZIP
Corporation Commission File Number Date Contribution Made
5
Labor Organization Name
Cash
Credit
Street Address
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 Disbursements,” line 2(f))
Schedule B(2)(f), page of
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
CONTRIBUTION REFUNDS RECEIVED: SCHEDULE B(2)(h)
Contributor Information Amount Refunded
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
1
Committee Name Date Refund Received
Street Address
City State ZIP
Committee ID Number Date of Original 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
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
LOANS MADE: SCHEDULE B(3)(a)
Borrower Information Amount Loaned
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
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
(transfer the total received this period to “Summary of Disbursements,” line 3(a))
Schedule B(3)(a), page of
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
LOAN GUARANTEES MADE: SCHEDULE B(3)(b)
Guarantor Information Amount
Guaranteed
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
1
Guarantor Name
Street Address
City State ZIP
Borrower Name Date Loan Guaranteed
2
Guarantor Name
Street Address
City State 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
(transfer the total received this period to “Summary of Disbursements,” line 3(b))
Schedule B(3)(b), page of
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
FORGIVENESS ON LOANS MADE: SCHEDULE B(3)(c)
Borrower Information
Amount Forgiven
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
1
Borrower Name Date Forgiveness Made
Street Address
City State ZIP
Original Amount of Loan Amount Still Outstanding
2
Borrower Name Date Forgiveness Made
Street Address
City State ZIP
Original Amount of Loan Amount Still Outstanding
3
Borrower Name Date 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 3(c))
Schedule B(3)(c), page of
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
REPAYMENT ON LOANS RECEIVED: SCHEDULE B(3)(d)
Lender Information
Amount Repaid
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
1
Lender Name Date Repayment Made
Street Address
City State ZIP
Original Amount Borrowed Amount Still Outstanding
2
Lender Name Date Repayment Made
Street Address
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 State ZIP
Original Amount Borrowed Amount Still Outstanding
5
Lender Name Date Repayment Made
Street Address
City State ZIP
Original Amount Borrowed Amount Still Outstanding
Enter total only if last page of schedule
(transfer the total disbursed this period to “Summary of Disbursements,” line 3(d))
Schedule B(3)(d), page of
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
ACCRUED INTEREST ON LOANS RECEIVED: SCHEDULE B(3)(e)
Lender Information Amount of Interest
Accrued
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
1
Lender Name Date Interest Accrued
Street Address
City State ZIP
Original Amount Borrowed Amount Still 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 Still Outstanding
4
Lender Name Date 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 period to “Summary of Disbursements,” line 3(e))
Schedule B(3)(e), page of
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
REBATES AND REFUNDS MADE (NON-CONTRIBUTIONS): SCHEDULE B(4)
Recipient Information Amount Rebated /
Refunded
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
1
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
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 Rebate/Refund 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 State 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
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
IN-KIND CONTRIBUTIONS TO CANDIDATE COMMITTEES: SCHEDULE B(5)(a)
Candidate Committee Recipient Information Amount
Contributed
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
1
Committee Name
Street Address
City 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 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 5(a))
Schedule B(5)(a), page of
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
IN-KIND CONTRIBUTIONS TO POLITICAL ACTION COMMITTEES: SCHEDULE B(5)(b)
Political Action Committee Recipient Information Amount
Contributed
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
1
Committee Name
Street Address
City 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 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 5(b))
Schedule B(5)(b), page of
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
IN-KIND CONTRIBUTIONS TO POLITICAL PARTIES: SCHEDULE B(5)(c)
Political Party Recipient Information Amount
Contributed
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
1
Committee Name
Street Address
City 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 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 5(c))
Schedule B(5)(c), page of
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
IN-KIND CONTRIBUTIONS TO PARTNERSHIPS: SCHEDULE B(5)(d)
Partnership Recipient Information Amount
Contributed
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
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 Date In-Kind Contribution Made
4
Partnership Name
Street Address
City State 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 “Summary of Disbursements,” line 5(d))
Schedule B(5)(d), page of
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
IN-KIND CONTRIBUTIONS TO CORPORATIONS AND LLCs: SCHEDULE B(5)(e)
Corporation / LLC Recipient Information Amount
Contributed
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
1
Corporation/LLC Name
Street Address
City State ZIP
Corporation Commission File Number Date In-Kind Contribution Made
2
Corporation/LLC 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
Corporation/LLC 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 5(e))
Schedule B(5)(e), page of
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
IN-KIND CONTRIBUTIONS TO LABOR ORGANIZATIONS: SCHEDULE B(5)(f)
Labor Organization Recipient Information Amount
Contributed
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
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 Date In-Kind Contribution Made
3
Labor Organization Name
Street Address
City State ZIP
Corporation Commission File Number Date In -Kind 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 5(f))
Schedule B(5)(f), page of
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
INDEPENDENT EXPENDITURES MADE: SCHEDULE B(6)
Expenditure Recipient Information Expenditure
Amount
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
1
Recipient Name Mode of Advertising (TV, mail, etc)
Cash
Credit
Street Address
City State ZIP
Candidate(s) Supported (including % supported) Candidate(s) Opposed (including % opposed)
Date of First Publication, Display, Delivery, or Broadcast Election Month/Year
2
Recipient Name Mode of Advertising (TV, mail, etc)
Cash
Credit
Street Address
City State ZIP
Candidate(s) Supported (including % supported) Candidate(s) Opposed (including % opposed)
Date of First Publication, Display, Delivery, or Broadcast Election Month/Year
3
Recipient Name Mode of Advertising (TV, mail, etc)
Cash
Credit
Street Address
City State ZIP
Candidate(s) Supported (including % supported) Candidate(s) Opposed (including % opposed)
Date of First Publication, Display, Delivery, or Broadcast Election Month/Year
4
Recipient Name Mode of Advertising (TV, mail, etc)
Cash
Credit
Street Address
City State ZIP
Candidate(s) Supported (including % supported) Candidate(s) Opposed (including % opposed)
Date of First Publication, Display, Delivery, or Broadcast Election Month/Year Office Sought
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
Office Sought
Office Sought
Office Sought
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
BALLOT MEASURE EXPENDITURES MADE: SCHEDULE B(7)
Expenditure Recipient Information Expenditure
Amount
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
1
Recipient Name Mode of Advertising (TV, mail, etc)
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 Election Month/Year
2
Recipient Name Mode of Advertising (TV, mail, etc)
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 Election Month/Year
3
Recipient Name Mode of Advertising (TV, mail, etc)
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 Election Month/Year
4
Recipient Name Mode of Advertising (TV, mail, etc)
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 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
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
RECALL EXPENDITURES MADE: SCHEDULE B(8)
Expenditure Recipient Information Expenditure
Amount
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
1
Recipient Name Mode 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
2
Recipient Name Mode 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 Mode 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
4
Recipient Name Mode 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
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
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
SUPPORT PROVIDED TO PARTY NOMINEES (POLITICAL PARTIES ONLY): SCHEDULE B(9)
Benefitted Candidate
Amount
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
1
Candidate Name Date Benefit Provided
Street Address
City State ZIP
Type of Benefit Provided
Notes:
2
Candidate Name Date Benefit Provided
Street Address
City State ZIP
Type of Benefit Provided
Notes:
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
Notes:
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
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
JOINT FUNDRAISING / SHARED EXPENSE PAYMENTS MADE: SCHEDULE B(10)
Recipient Committee Information
Payment Amount
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
1
Committee Name Payment Date
Cash
Credit
Street Address
City State ZIP
Date of Joint Fundraising Event (if applicable) Type of Shared Expense (if applicable)
2
Committee Name Payment Date
Cash
Credit
Street Address
City State ZIP
Date of Joint Fundraising Event (if applicable) Type of Shared Expense (if applicable)
3
Committee Name Payment Date
Cash
Credit
Street Address
City State ZIP
Date of Joint Fundraising Event (if applicable) Type of Shared Expense (if applicable)
4
Committee Name Payment Date
Cash
Credit
Street Address
City State ZIP
Date of Joint Fundraising Event (if applicable) Type of Shared Expense (if applicable)
5
Committee Name Payment Date
Cash
Credit
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 disbursed this period to “Summary of Disbursements,” line 10)
Schedule B(10), page of
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
REIMBURSEMENTS MADE: SCHEDULE B(11)
Recipient Information Reimbursement
Amount
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
1
Name
Cash
Credit
Street Address
City State ZIP
Services or Goods Reimbursed Reimbursement Date
2
Name
Cash
Credit
Street Address
City State ZIP
Services or Goods Reimbursed Reimbursement Date
3
Name
Cash
Credit
Street Address
City State ZIP
Services or Goods Reimbursed Reimbursement Date
4
Name
Cash
Credit
Street Address
City State ZIP
Services or Goods Reimbursed Reimbursement Date
5
Name
Cash
Credit
Street Address
City State ZIP
Services or Goods Reimbursed Reimbursement Date
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
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
OUTSTANDING ACCOUNTS PAYABLE / DEBTS OWED BY COMMITTEE: SCHEDULE B(12)
Debt Information
Amount
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
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 “Summary of Receipts,” line 12)
Schedule B(12), page of
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
TRANSFER OUT SURPLUS MONIES / TRANSFER IN DEBT: SCHEDULE B(13)
Cumulative Amount this Reporting
Period
Cumulative Amount this Election
Cycle
Recipient of Surplus Monies / Source of Transferred Debt
Recipient of Surplus Monies / Source of Transferred Debt
Recipient of Surplus Monies / Source of Transferred Debt
Recipient of Surplus Monies / Source of Transferred Debt
Recipient of Surplus Monies / Source of Transferred Debt
Total
(transfer the total disbursed this period to “Summary of Disbursements,” line 13)
Schedule A(13), page of
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
MISCELLANEOUS DISBURSEMENTS: SCHEDULE B(14)
Recipient Information Amount
Cumulative
Amount this
Reporting Period
Cumulative
Amount this
Election Cycle
1
Name
Cash
Credit
Street Address
City ZIP
Disbursement Type Disbursement Date
2
Name
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 State ZIP
Disbursement Type Disbursement Date
Enter total only if last page of schedule
(transfer the total disbursed this period to “Summary of Disbursements,” line 14)
Schedule B(14), page of _
State
State
State
State
Received by email 1/18/2022
in the City Clerk's Office.
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
AGGREGATE OF DISBURSEMENTS – $250 OR LESS: SCHEDULE B(15)
Cumulative Amount this Reporting
Period
Cumulative Amount this Election
Cycle
Cumulative of Disbursements - $250 or Less
Enter total only if last page of schedule
(transfer the total received this period to “Summary of Disbursements,” line 15)
Schedule B(15), page of ______
Received by email 1/18/2022
in the City Clerk's Office.