HomeMy WebLinkAboutCampaign Finance Records - Finance report - Boyer for Glendale - 1/22/2024
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE INFORMATION (required):
CANDIDATE INFORMATION (only if filing as a candidate committee):
Office Sought: County Office:
City/Town Office:
Special District Office: _
School Board District: _
Cumulative Report:
Check here if this is the candidate committee's 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
2023 March Pre-Election Report (Local Only): January 1, 2023 to February 25, 2023 February 26, 2023 to March 4, 2023
2023 March Post-Election (Q1) Report (Local Only): February 26, 2023 to March 31, 2023 April 1, 2023 to April 15, 2023
2023 Quarter 1 Report: January 1, 2023 to March 31, 2023 April 1, 2023 to April 17, 2023
2023 May Pre-Election Report (Local Only): April 1, 2023 to April 29, 2023 April 30, 2023 to May 6, 2023
2023 May Post-Election (Q2) Report (Local Only): April 30, 2023 to June 30, 2023 July 1, 2023 to July 15, 2023
2023 Quarter 2 Report: April 1, 2023 to June 30, 2023 July 1, 2023 to July 17, 2023
2023 August Pre-Election Report (Local Only): July 1, 2023 to July 15, 2023 July 16, 2023 to July 22, 2023
2023 August Post-Election (Q3) Report (Local Only): July 16, 2023 to September 30, 2023 October 1, 2023 to October 16, 2023*
2023 Quarter 3 Report: July 1, 2023 to September 30, 2023 October 1, 2023 to October 16, 2023*
2023 November Pre-Election Report (Local Only): October 1, 2023 to October 21, 2023 October 22, 2023 to October 28, 2023
2023 November Post-Election (Q4) Report (Local Only): October 22, 2023 to December 31, 2023 January 1, 2024 to January 16, 2024*
2023 Quarter 4 Report: October 1, 2023 to December 31, 2023 January 1, 2024 to January 16, 2024*
2024 March Pre-Election Report (Local Only): January 1, 2024 to February 24, 2024 February 25, 2024 to March 2, 2024
2024 March Post-Election (Q1) Report (Local Only): February 25, 2024 to March 31, 2024 April 1, 2024 to April 15, 2024
2024 Quarter 1 Report: January 1, 2024 to March 31, 2024 April 1, 2024 to April 15, 2024
2024 May Pre-Election Report (Local Only): April 1, 2024 to May 4, 2024 May 5, 2024 to May 11, 2024
2024 May Post-Election (Q2) Report (Local Only): May 5, 2024 to June 30, 2024 July 1, 2024 to July 15, 2024
2024 Quarter 2 Report: April 1, 2024 to June 30, 2024 July 1, 2024 to July 15, 2024
2024 August Pre-Primary Election Report: July 1, 2024 to July 20, 2024 July 21, 2024 to July 27, 2024
2024 August Post-Primary Election (Q3) Report: July 21, 2024 to September 30, 2024 October 1, 2024 to October 15, 2024
2024 Quarter 3 Report: July 1, 2024 to September 30, 2024 October 1, 2024 to October 15, 2024
2024 November Pre-General Election Report: October 1, 2024 to October 19, 2024 October 20, 2024 to October 26, 2024
2024 November Post-General Election (Q4) Report: October 20, 2024 to December 31, 2024 January 1, 2025 to January 15, 2025
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 if deadline date is a holiday or Sunday. A.R.S. §§§ 1 -243(A), 1-301 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 9/28/23; League Update 11/15/23 (fillable format)
COMMITTEE ID NUMBER
Committee Information: Committee Name:
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 9/28/23
Under A.R.S. § 16-926(B)(5), a campaign finance report must be
certified by the committee treasurer under penalty of perjury that
the contents of the report are true and correct.
By filing this report, you certify that, under penalty of perjury, you
have examined the contents of this report, and the contents are
true and correct.
Printed Name of Committee Treasurer
Signature of Committee Treasurer
Date
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 9/28/23
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)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 9/28/23
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)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 9/28/23
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
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 9/28/23
*If in-state individual 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
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 9/28/23
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
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 9/28/23
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
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 9/28/23
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
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 9/28/23
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
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 9/28/23
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
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 9/28/23
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 _
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 9/28/23
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 _
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 9/28/23
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
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 9/28/23
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
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 9/28/23
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
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 9/28/23
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
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 9/28/23
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
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 9/28/23
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
Arizona Secretary of State Revision 9/28/23
STATE OF ARIZONA
COMMITTEE CAMPAIGN FINANCE REPORT
COMMITTEE ID NUMBER
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)
Arizona Secretary of State Revision 9/28/23
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
Arizona Secretary of State Revision 9/28/23
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), page of
Arizona Secretary of State Revision 9/28/23
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 - $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(5)(b), page of
Arizona Secretary of State Revision 9/28/23
STATE OF ARIZONA
COMMITTEE CAMPAIGN
FINANCE REPORT
COMMITTEE ID NUMBER
IN-KIND CONTRIBUTIONS RECEIVED FROM OUT-OF-STATE INDIVIDUALS: SCHEDULE A(5)(c)
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)(c), page of
Arizona Secretary of State Revision 9/28/23
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
Arizona Secretary of State Revision 9/28/23
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
Arizona Secretary of State Revision 9/28/23
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
Arizona Secretary of State Revision 9/28/23
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
Arizona Secretary of State Revision 9/28/23
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
Arizona Secretary of State Revision 9/28/23
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
Arizona Secretary of State Revision 9/28/23
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))
Arizona Secretary of State Revision 9/28/23
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
Arizona Secretary of State Revision 9/28/23
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
Arizona Secretary of State Revision 9/28/23
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
Arizona Secretary of State Revision 9/28/23
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
Arizona Secretary of State Revision 9/28/23
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
Arizona Secretary of State Revision 9/28/23
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
Arizona Secretary of State Revision 9/28/23
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
Arizona Secretary of State Revision 9/28/23
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
Arizona Secretary of State Revision 9/28/23
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
Arizona Secretary of State Revision 9/28/23
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
Arizona Secretary of State Revision 9/28/23
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
Arizona Secretary of State Revision 9/28/23
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
Arizona Secretary of State Revision 9/28/23
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
Arizona Secretary of State Revision 9/28/23
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
Arizona Secretary of State Revision 9/28/23
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
Arizona Secretary of State Revision 9/28/23
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
Arizona Secretary of State Revision 9/28/23
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 Receipts,” line 3(a))
Schedule B(3)(a), page of
Arizona Secretary of State Revision 9/28/23
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 Receipts,” line 3(b))
Schedule B(3)(b), page of
Arizona Secretary of State Revision 9/28/23
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
Arizona Secretary of State Revision 9/28/23
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
Arizona Secretary of State Revision 9/28/23
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
Arizona Secretary of State Revision 9/28/23
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
Arizona Secretary of State Revision 9/28/23
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
Arizona Secretary of State Revision 9/28/23
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
Arizona Secretary of State Revision 9/28/23
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
Arizona Secretary of State Revision 9/28/23
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
Arizona Secretary of State Revision 9/28/23
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
Arizona Secretary of State Revision 9/28/23
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
Arizona Secretary of State Revision 9/28/23
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
Arizona Secretary of State Revision 9/28/23
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
Arizona Secretary of State Revision 9/28/23
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
Arizona Secretary of State Revision 9/28/23
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
Arizona Secretary of State Revision 9/28/23
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
Arizona Secretary of State Revision 9/28/23
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
Arizona Secretary of State Revision 9/28/23
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
Arizona Secretary of State Revision 9/28/23
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
Arizona Secretary of State Revision 9/28/23
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 _
Arizona Secretary of State Revision 9/28/23
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